Laserfiche WebLink
8 <br /> 6. NON-HAZARDOUS MATERIALS HAULING MANIFEST <br /> NAME -.SIM- A S o r�rt a.t e S _ LOT# I bC-) <br /> ADDRESS PHONE NO (6 0 2 ) 352-6388 <br /> CITY, STATE,ZIP 85 0 31 <br /> G CONTAINERS No VOLUMi 00y,ds WEIGHT-1200 tons <br /> E TYPE TANt DUMP DRUMS CARTONS OTHER <br /> N WASTE DESCRIPTION GENERATING PROCESS <br /> E COMPONENTS OF WASTE PPM COMPONENTS OF WASTE PPM <br /> R 2>;.es�7. 8500 +1 <br /> A n a .. _.%���. .�L PLPrN v <br /> Ta zen e Benzenp ✓ <br /> O <br /> PROPERTIES PH SOLID-.3L— LIQUID SLURRY OTHER <br /> HANDLING INSTRUCTIONS <br /> WREIGNA6 <br /> RTIFIES THIS WASTE AS DESCRIBED IS 100%NON-HAZARDOUS <br /> - � <br /> �Q.r DATE <br /> PRINT OR E FULL NAME , <br /> H COMPANY NAME PHONE NO 707 374-2881 <br /> A ADDRESS 12 n 33CLX 3E g_ SERVICE ORDER NO <br /> U CITY, STATE,Z 94971 PICKUP DATE 7/1 /91 <br /> L _ <br /> TRUCK I D NO r TRAILER NO <br /> E EPA ID NO <br /> R DRIVE r ,f'` e'' C" r r ,�c '' - =t <br /> `~ DATE <br /> SIGNATURE -PRINT OR TYPE FULL NAME <br /> PROCESSOR : <br /> PORT COSTA MATERIALS,INC DISPOSAL METHOD-THERMAL REMEDIATION <br /> • 9000 CARQUINEZ SCENIC DRIVE <br /> PORT COSTA,CA 94569 PHONE (415)602-]200 <br /> IF MOVEMENT BY OTHER THAN TRUCK, CALL FOR APPROPRIATE FORM <br /> may 1991 p c m <br /> ��� rrrrr <br />