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O <br /> 6. NON-HAZARDOUS MATERIALS HAULING MANIFEST <br /> NAME Tv�s A czc 4_ t A c LOT 0, <br /> ADDRESS 5601 W- MQh a vim - PHONE NO. (602 ) 352-6388 <br /> CFTY,STATE,flP <br /> G CONTAINERS, NO— VOLUM AQQXd s WEIGHT-1200 t ons <br /> E TYPE: TANK DUMP DRUMS CARTDNS OTHER <br /> — <br /> N WASTE DESCRIPTION GENERATING PROCESS <br /> E COMPONENTS OF WASTE PPM COMPONENTS OF WASTE PPM <br /> R ni=aml 8500 P644 TnlUpng <br /> / f ✓ <br /> A <br /> T .., ✓ <br /> O <br /> PROPERTIES PH_ SOLID-t LIQUID SLURRY OTHER_ . <br /> R , <br /> HANDLING INSTRUCTIONS <br /> JE O EWIFiES THIS WASTE AS DESCRIBED IS 100%NON-HAZAP-DOUS <br /> B '�X�k DATE <br /> A RE PRINT OR -F.FULL NAME <br /> H COMPANY N PHONE NO 707 374-2881 <br /> A ADDRESS_ 2 ❑ ---Bax 369 SERVICE ORDER NO <br /> U CITY,STATE, 9.4`71 PICKUP DATE 91 <br /> E TRUCK I D�NO. �' f Ir TRAILER NO. , EPA ID NO, r <br /> R ? r <br /> SIGNATUitE- PRINT OR TYPE FULL NAME ` <br /> PROCESSOR : <br /> PORT COSTA MATERIALS, INC DISPOSAL METHOD-THERIv.AL 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 /> j(Ay 1991 P C M <br /> ��� •ees$ <br />