Laserfiche WebLink
i <br /> 8 <br /> 6. NON-HAZARDOUS MATERIALS HAULING MANIFEST <br /> NAME J _- Accnr-i offs LOT m, [6D ' <br /> ADDRESS _56II1 W- Mobame PHONENO 602 } 352-6388 <br /> CITY,STATE,ZIP Fho e n i x, AZ 85031 <br /> G CONTAINERS No VOLUMZ 8 0 Q y d s WEIGHT-12 0 0 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 T)-i inc c% 8500 al6i1 _Toluene <br /> A casn i-i n a _ p► 7`�� Xylene <br /> O <br /> R <br /> PROPERTIES PH- SOLID_X _ LIQUID SLURRY OTHER_- <br /> . .._�' <br /> HANDLING INSTRUCTIONS <br /> E ;RE <br /> RTIFIES THIS WASTE AS DESCRIBED IS 100%NON-HAZARDOUyS, l <br /> $ -Q, DATE <br /> GNA PRINT OR E FULL NAME <br /> COMPANY NAME �_r r P n (=nm a G- PHONE NO 707 374-2881 <br /> H <br /> A ADDRESS--p- n_ R n x 369 _ SERVICE ORDER NO <br /> U CITY,STATE,ZIP-�B�a v i c l-a . ra _ 94971 PICK UP DATE 7 -- <br /> L <br /> E TRUCK I D NO TRAILER NO EPA ID NO <br /> R DRIVER- -' r ._._,. - `w DATE I C SIGNATURE PRINT 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 /> �uY ,", PCM <br />