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6. NON-HAZARDOUS MATERIALS HAULING MANIFEST <br /> NAME _? A c n r i a!-n LOT 0, <br /> ADDRESS -SA D I_ w Mob a vP - PHONE NO. (602) 352-6388 <br /> CITY.STATE.f lP -Phoonix.—Az 85031 <br /> G CONTAINERS. No.— VOLUMZ=DX(j§W EIGHT"-12 0 0 tons <br /> E TYPE TANK-�— DUMP DRUMS CARTONS OTHER <br /> — <br /> N WASTE DESCRIPTION GENERATING PROCESS <br /> E COMPONENTS OF WASTE PPM COMPONENTS OF WASTE PPM <br /> R 7)41a�.el _ 8500 a-164 v <br /> TEthyl pon7an= ✓ <br /> O <br /> R <br /> PROPERTIES PH- SOLID X , LIQUID SLURRY OTHER,_,,,_,__ <br /> HANDLING INSTRUCTIONS <br /> - <br /> EANAO <br /> EM IFIES THIS WASTE AS DESCRIBED LS 100%NON-HAZARDOUS <br /> B DATE <br /> RE 6PRINT ORTYPE FULL NAME <br /> COMPANY NAME PHONE NO 707 374-2881 <br /> H <br /> A ADDRESS SERVICE ORDER NO. <br /> U CITY.STATE, PICK UP DATE 91 <br /> ETRUC I.D TRAILER NO EPA rrID O , <br /> R DRIV G � � � �,. i, / /G �TI <br /> DATE <br /> iGNATURE PRINT OR TYPE FULL NAME <br /> % <br /> PROCESSOR : <br /> PORT COSTA MATERIALS,INC DISPOSAL METHOD-THERN-AL REMEDIATION <br /> 9000 CARQUWEZ SCENIC DRIVE <br /> • PORT COSTA,CA 94564 PHONE (415)602-1200 <br /> IF MOVEMENT BY OTHER THAN TRUCK,CALL FOR APPROPRIATE FORM <br /> N.r <br />