Laserfiche WebLink
8 <br /> 6. NON-HAZARDOUS MATERIALS HAULING MANIFEST <br /> NAME ASSQrfatps LOT# l c o <br /> ADDRESS PHONE NO, (6 0 2 ) 352-6388 <br /> CITY,STATE,ZIP 850,41 <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 n4 zgm, 8500 0161 uengv <br /> A ca Q01 i Xylene <br /> v <br /> T Renmene <br /> I ✓ <br /> O <br /> R PROPERTIES PH SOLID-x _- LIQUID SLURRY OTHE <br /> HANDLING INSTRUCTIONS <br /> NG;NZATORE <br /> &'�IFIES THIS WASTE AS DESCRIBED 1S 100%NON-HAZARDOUS <br /> / DATEPRINT ORTYPE FULL NAME - <br /> COMPANY NAMEPHONE NO 7 0 7 374-2881 <br /> H <br /> A ADDRESS---R- n- -g Esc g F;g SERVICE ORDER NO <br /> U CITY. STATE,ZIP PICK UP DATE 7 1 91 <br /> L <br /> E TRUCK I D IIO f�- �` �-- �' TRAILL ER I� fir'----�C EPA ID NO <br /> R DRIVE - /. 1�, /� �r f � ✓ DATE f - ' 1 4 <br /> GNATURE PRINT OR TYPE FULL NAME }} <br /> PROCESSOR : <br /> PORT COSTA MATERIALS,INC DISPOSAL METHOD-THERMAL REMEDIATION <br /> 9000 CARQUINEZ SCENIC DRIVE <br /> i PORT COSTA,CA 94569 PHONE (415)602-1200 <br /> IF MOVEMENT BY OTHER THAN TRUCK,CALL FOR APPROPRIATE FORM <br /> �ur i"i p m <br />