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S <br /> • 6. NON-HAZARDOUS MATERIALS HAULING MANIFEST <br /> NAME LOT# 160 ' <br /> ADDRESS -1601 W_ M _ PHONE NO (6 0 2 ) 352-6388 <br /> CITY, STATE.ZIP Pbnenix, Az 85031 <br /> G CONTAINERS No VOLUMi 0� 0 sr d s W EIGHT-12 0 0 tons <br /> E TYPE TANK- DUMP DRUMS CARTONS OTHER <br /> N WASTE DESCRIPTION t c a n GENERATING PROCESS <br /> E COMPONENTS OF WASTE PPM COMPONENTS OF WASTE PPM <br /> Rnj.Qczoj _ 8 500 01611 jolue <br /> T $aa•z•�.ri� <br /> Ethyl DenzpnpO <br /> R PROPERTIES PH_ SOLID_,_ LIQUID SLURRY OTHER___ <br /> HANDLING INSTRUCTIONS <br /> E O CERTIFIES THIS WASTE AS DESCRIBED IS 100%NON-HAZARDOUS <br /> B <br /> DATE <br /> IGNA RE PRINT OR7TYPE FULL NAME <br /> H COMPANY NAME__Ka=xpa_aamaz_ PHONE NO 707 374-2881 <br /> A ADDRESS_P_ n . Rn x q F-,q _ SERVICE ORDER NO <br /> U CITY,STATE,ZLP PICK UP DATE 7/1 9_l. ._ <br /> E TRUCK I D ANO � ' r{.��I `"" LER NO �°-� -�' EPA ID NO " <br /> R DRI ��i � ---� ._J .. �� t <br /> r `` ` ' :�' J DATE <br /> SIGNATURE PRINT OR TYPE FULL NAME Y 3y <br /> A <br /> PROCESSOR : <br /> PORT COSTA MATERIALS, INC DISPOSAL METHOD-THERMAL REMEDIATION <br /> • 9000 CARQUINEZ SCENIC DRIVE <br /> PORT COSTA,CA 94569 PHONE (415)602-1200 <br /> IF MOVEMENT BY OTHER THAN TRUCK, CALL FOR APPROPRIATE FORM <br /> MAY 1991 m <br /> r..r **Sao <br />