Laserfiche WebLink
8 <br /> 6. NON-HAZARDOUS MATERIALS HAULING MANIFEST <br /> NAME _.7yM Asanria+ac LOT rbD <br /> If <br /> ADDRESS 15601 W- Maha ro PHONENO 602) 352-6388 <br /> CITY,STATE,ZIP -EhQenlx, AZ .65Q31 <br /> G CONTAINERS No VOLUhLZ&Dpvd s WEIGHT-1200 tats - <br /> E TYPE TAN DUMP - DRUMS__ CARTONS. OTHER. <br /> N WASTE DESCRIMON_SLU GENERATING PROCESS <br /> E COMPONENTS OF WASTE PPM COMPONENTS OF WASTE PPM <br /> R M4 8500 av urne <br /> A 'La s o I i pw.j'l) Xy I_e n e <br /> 0 <br /> PROPERTIES pH SOLM_ x _ LiQUSLURRr_ OTHER <br /> R �. <br /> HANDLING INSTRUCTIONS <br /> E O CERTIFIES THIS WASTE AS DESCRIBED IS 100%NON-HAZARDOUS <br /> B DATE <br /> 1GNA RE 46PRINT OR'TYPE FULL NAME . <br /> H COMPANY NAME_k+a rrPn PHONE NO 707 374-2881 <br /> A ADDRESS P n- RcLx SERVICE ORDER NO <br /> U CITY,STATE,ZiP_g1,n_ �r,i t a _ �a -245521 PICK UP DATE 7 1 91 <br /> E TRUCK I D NO } TRAILER NQ EPA ID NO <br /> R DRIVER" DATE— �. <br /> SIGKATURE PRINT OR TYPE FULL NAME <br /> 1�0 <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 1"I PH <br />