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8 <br /> • 6. NON-HAZARDOUS MATERIALS HAULING MANIFEST <br /> NAME AR 9 Q C i a t a s LOT# [bo <br /> i <br /> ADDRESS 5601 jd__ Mohave _,..� PHONENO (602) 352-6388 <br /> i <br /> CITY,STATE,ZIP Phoenix, Ag 85031 <br /> G CONTAINERS No VOLUMZ& 0 v d s WEIGHT-1200 tons <br /> E TYPE 'TANK DUMP DRUMS CARTONS OTHER <br /> N WASTE DESCRIP'T'ION 5.13.ty Sand GENERATING PROCESS <br /> E COMPONENTS OF WASTE PPM COMPONENTS OF WASTE PPM <br /> R w$.SA, .- 8500 0,6,j joluenev <br /> A Xylene <br /> Z' on.z.e.n.e� „... ✓ <br /> O <br /> R PROPERTIES pH SOLID_x— LIQUID SLURRY OTHER <br /> . <br /> HANDLING INSTRUCTIONS <br /> xNIGN <br /> 0 CE&TIFIES THIS WASTE AS DESCRIBED IS 100%NON-HAZARDOUS <br /> / DATEA RE PR NT OR`TYPE FULL NAME <br /> COMPANY NAUM NarrPn C:f]m c PHONENO 707 374-2881 <br /> H i <br /> A ADDRESS n_ n _ n x SERVICE ORDER NO <br /> U CITY,STATE,ZIP. i-. y; g+.a Ca - A 4 91 PICK UP DATE 7 1 91 <br /> L r <br /> E TRUCK 1 D NO TRAILER NO Y EPA TD NO <br /> i' <br /> DRIVER -a'{, `7" 1 DATE f i <br /> S1GNk URE PRINT OR TYPE FULL NAME <br /> -J <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 /> flay 1991 f m <br /> rww *ease <br />