Laserfiche WebLink
• 6. NON-HAZARDOUS MATERIALS HAULING MANIFEST <br /> NAME Tvm A c S o r_i s t-P.a LOT# 1 bO <br /> ADDRESS 5601 w_ Mohave_ PHONENO (602 ) 252-6388 <br /> CITY,STATE,ZIP PhoeniX, Az 85031 <br /> G CONTAINERS Na VOLUME 8 0 0 rid s WEIGHT-1200 tons <br /> E TYPE TANK DUMP DRUMS CARTONS OTHER <br /> N WASTE DESCRIPTION GjIty Sand GENERATING PROCESS <br /> E COMPONENTS OF WASTE PPM COMPONENTS OF WASTE PPM <br /> R Sp, 8500 0161t <br /> A ,(_a c n l , n a# l % -bQ-iC 1�LP !�5Xylenev <br /> T S�a.z� a -- <br /> O <br /> R PROPERTIES pH SOLID--y— LIQUID SLURRY OTHER <br /> • <br /> HANDLING INSTRUCTIONS <br /> E ORXERTIFIES THIS WASTE AS DESCRIBED 1S 100%NON-HAZARDOUS <br /> LB "��""` ' � - DATE_ q - <br /> IGNA kE 6PRINT ORIWE FULL NAME <br /> COMPANY NAME ._wa rrPn rnmPc _ PHONE NO 707 ,374-2881 <br /> H <br /> A AD _ n . 7� F,4 SERVICE ORDER NO <br /> U CITY, STATE,ZIP v, s t-a r a _ 94971 PICKUP DATE 7Z1/91 _ <br /> L <br /> E TRUCK I D NO 1 J TRAILER NO V EPA ID NO <br /> R DRIVER ` "-~ ,°-=QP, - _ DATE -7—'F <br /> SIGNATURE PRINT OR TYPE FULL NAME <br /> PROCESSOR : <br /> PORT COSTA MATERIALS, INC DISPOSAL METHOD-THERMAL REMEDIATION <br /> 9000 CARQUINEZ SCENIC DRIVE i <br /> PORT COSTA,CA 94569 PHONE (415) 602-1''_00 <br /> IF MOVEMENT BY OTHER THAN TRUCK,CALL FOR APPROPRIATE FORM <br /> JNuy 1991 p m <br />