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B <br /> . 6. NON-HAZARDOUS MATERIALS MAULING MANIFEST <br /> NAME -7VM. _ AGcnr_i atec IbO <br /> — LOTS ' <br /> ADDRESS <br /> PHONE NO 502 ) 352-538$ +► <br /> CITY,STATE,ZIP 85031 <br /> G CONTAINERS No VOLUMi 0 ds WEIGHT-1200 tons - <br /> E TYPE TANK DUMP DRUMS CARTONS OTHER <br /> N WASTE DESCRIPI lO GENERATING PROCESS <br /> E COMPONENTS OF WASTE PPM COMPONENTS OF WASTE PPM <br /> R I4e-s.el_ 8500 J-VEl _ Toluelle ,_. <br /> T =' `r a/ <br /> O <br /> PRDPER 71ES PH SOLID-X— LIQUID SLURRY -01-h1h <br /> R <br /> HANDLING INSTRUCTIONS <br /> E O�CERUFIES THIS WASTE AS DESCRIBED IS 100%NON-HAZARDOUS <br /> rl <br /> B �, �, <br /> IGNA PRIN <br /> RE T OXTYPE FULL NAME DATE ' <br /> COMPANY NAME- Xa man_,r� PHONE NO 707 374-2881 <br /> A ADDRESS-- 12_ n pa SERVICE ORDER NO <br /> U CITY,STAT ,ZIP_g iA 31 cz+.a - rg 4 5 71 PICK UP DATE 7/ <br /> L - r _— <br /> fi TRUCIC ID _/ �� �r = TRAILER NO f R f EPA 1D NO <br /> ATE f <br /> f 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)602-1200 <br /> i <br /> IF MOVEMENT BY OTHER THAN TRUCK,CALL FOR APPROPRIATE FORM <br /> ,MAY t"I PCM <br /> fees* <br /> � s _ <br />