Laserfiche WebLink
8 <br /> 6. NON-HAZARDOUS MATERIALS HAULING MANg'EST <br /> NAME - LOT#, <�� <br /> ADDRESS 9601 W- Mnh a v a PHONE NO 6 0 2 ) 352-6388 <br /> CITY, STATE,ZIP p.h o e n 1,x, Az 8-9031 <br /> G CONTAINERS No VOLUMZJ Qyd,sWEIGHT•-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 41j6,l <br /> A � <br /> T So.n.z.e n.e— ✓ <br /> O <br /> PROPERTIES PH SOLID--y- LIQUID SLURRY OTHER-_ <br /> HANDLING INSTRUCTIONS <br /> niGNA <br /> RTIFIES THIS WASTE AS DESCRIBED IS 100%NON-HAZARDOUS <br /> &L--- DATE PRINT OR'rYPF.FULL NAME , <br /> H COMPANY NAME PHONE NO 707 374-2881 <br /> A ADDRESS 4 SERVICE ORDER NO <br /> U CITY,STATE,ZIP PICK UP DATE-7/1/91 <br /> L - , ._ <br /> E TRUCK I D NO ! 4, TRAILER NO r�- ` ;-j 4 EF*ID NO <br /> R DRIVE 7t-, � DATE `' �� <br /> SIGNATURE PRINT-(5R- tYPE FULL NAME) <br /> / , <br /> .F <br /> PROCESSOR : <br /> PORT COSTA MATERIALS, INC DISPOSAL METHOD-THERMAL REMEDIATION <br /> 9000 CARQUINtZ SCENIC DRIVE <br /> PORT COSTA,CA 94569 PHONE (415)602-1200 <br /> IF MOVEMENT BY OTHER THAN TRUCK,CALL FOR APPROPRIATE FORM <br /> >bY 1"l PCM <br /> r�r� fffff <br />