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8 <br /> • 6. NON-HAZARDOUS MATERIALS HAULING MANILFEST <br /> NAME l bo <br /> LOT# <br /> ADDRESS 560 1 W MQh3xePHONE NO (6 0 2 ) 352-6388 <br /> CITY, STATE,ZIP Phoenix, Az 85031 <br /> G CONTAINERS No VOLUMi800ydsWEIGHT-1200 tons <br /> E TYPE TANK DUMP DRUMS CARTONS OTHER <br /> N WASTE DESCRIPTION Siity Sand GENERATING PROCESS <br /> E COMPONENTS OF WASTE PPM COMPONENTS OF WASTE, PPM <br /> R �2 s.a 7- 8500 1.1-16,t <br /> T Bzz.z.ci n m no ✓ <br /> O <br /> PROPERTIES pH SOLID,_ LIQUID SLURRY OTHER <br /> . R <br /> HANDLING INSTRUCTIONS <br /> E O CE&TIFIES THIS WASTE AS DESCR113ED 1S 100% NON-HAZARDOUS <br /> (' - 4 <br /> B "'�"-`'` �� L �-- DATE <br /> IGNA RE PRINT OR-TYPE FULL NAME <br /> H COMPANY NAME PHONE NO 707 374-2831 <br /> A ADDRESS_P_{x_Rix 3 �L _ SERVICE ORDER NO <br /> U CITY, STATE,ZIP PICKUP DATE 7/1/91 <br /> L ., i <br /> TRUCK I D NO ' Y } '^ TRAILER NO <br /> E _ EPA I/D NO <br /> R DRIVER DATE <br /> SIGNATURE PRINT OR TYPE FULL NAME { <br /> PROCESSOR : <br /> PORT COSTA MATERIALS, INC DISPOSAL METHOD-THERN.AL 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 /> Jany 1991 p m <br />