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S <br /> i 6. NON-HAZARDOUS MATERIALS HAULING MANIFEST <br /> NAME AGGnr-i at.ac LOT# IbO <br /> ADDRESS _ 5601 w_ Mohave PHONENO 602 ) 352-6388 <br /> CITY,STATE,ZIP Phoenix, Az 85031 <br /> G CONTAINERS No VOLUMi800yds WEIGHT 1200 tons <br /> E TYPE TANK DUMP DRUMS CARTONS OTHER <br /> N WASTE DESCRIPTION GENERATING PROCESS <br /> E COMPONENTS OF WASTE PPM COMPONENTS OF WASTE PPM <br /> R 8500 0,64 <br /> T ✓ <br /> O <br /> R PROPERTIES PH SOLID_x{ LIQUID SLURRY OTHER <br /> . <br /> HANDLING INSTRUCTIONS <br /> E O CERTIFIES THIS WASTE AS DESCRIBED 1S 100%NON-HAZARDOUS <br /> $ (� ' �� DATE <br /> IGNA RE PRINT OK TYPE FULL NAME <br /> COMPANY NAME_M r r a <br /> H PHONE NO 707 374-2$$I <br /> A ADDRESS . , _ SERVICE ORDER NO <br /> U CITY, STATE,ZIP PICK UP DATE 7/1 91 <br /> L <br /> E TRUCK I D NO 1 - TRAILER NO EPA 1D NO <br /> "r; <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)602-1200 <br /> IF MOVEMENT BY OTHER THAN TRUCK, CALL FOR APPROPRIATE FORM <br /> lwuy 1991 P m <br />