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g <br /> 6. NON-HAZARDOUS MATERIALS HAULING MANIFEST <br /> NAME ,TseH _Assor_iat,e,s LOT# <br /> ADDRESS 5601 W_ Mahaye PHONENO (602 ) 352-6388 <br /> CITY,STATE,ZIP 85031 <br /> G CONTAINERS Na VOLUMi 8 0 0 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 8500 0,4, uenev <br /> A 4-409'4- Pmt`') Xylpne -- <br /> T $ rx.z.en ✓ <br /> O <br /> R PROPERTIES pH SOLID-x-- LIQUID SLURRY OTHER <br /> . <br /> HANDLING INSTRUCTIONS <br /> E O ERMFIES THIS WASTE AS DESCRIBED IS 100%NON-HAZARDOUS <br /> B <br /> �.Q.� DATE <br /> 1GNA RE PRINT OKTYPE FULL NAME <br /> COMPANY NAMEPHONE NO 707 374-2881 <br /> H <br /> A ADDRESS R . n pnx ,36Q, SERVICE ORDER NO <br /> U CITY,STATE,ZIP R i-n V l ata _ Ca - 9 4ci 71 PICK UP DATE-I/1 91 <br /> L <br /> E TRUCK I D NO ��' C'�=# TRAILER NO EPA ID NO <br /> R DRIVE - DATE2_� <br /> f; r <br /> SIGNATURE 'PRINT OR TYPE FULL NAME <br /> ED <br /> PROCESSOR : <br /> PORT COSTA MATERIALS, INC DISPOSAL METHOD-THERMAL.REMEDIATION <br /> 9000 CARQUINEZ SCENIC DRIVE <br /> PORT COSTA,CA 94569 k PHONE (415)602-1200 <br /> IF MOVEMENT BY OTHER THAN TRUCK,CALL FOR APPROPRIATE FORM <br /> �l.Y 1"I P C M <br />