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8 <br /> 6. NON-HAZARDOUS MATERIALS HAULING MANIFEST <br /> NAME Tvm n c cnr- �.t. __..,.. LOT 0, <br /> ADDRESS SfiLI I W- Mnh a vgm - PHONE NO. (6 0 2) 352-6388 <br /> CT `Y,STATE.TLP Rhognix. Az 85021 <br /> G CONTAINERS. No— VOLUMZ Qvd s WEIGHT-1200 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 D.io�'m 1 - .. 8500 J-LeQ4 Tolupnv <br /> A 6-4zv'd- per) XxIcanimv <br /> O <br /> PROPERTIES PH`_ SOLID—y-- LIQUID SLURRY OTHER- <br /> HANDLING INSTRUCTIONS <br /> O E& IS'nFIES THWASTE AS DESCRIBED IS 100%NON-HAZARDOUS <br /> l;AVRF- <br /> DATE <br /> PRINT OX7fYPE FULL NAME <br /> COMPANY NAME PHONE NO 707 374-2881 <br /> H <br /> A ADDRESS 3.6 2 ,` SERVICE ORDER NO <br /> U CITY.STATE,ZIP g, �f 4 t a , r�a _ --q4-971 PICKUP DATE_711/91 <br /> L ♦ '"'` <br /> E TRUCK I D NO. f o Yo 7 TRAILER NO EPA ID NO. <br /> R DRiV DATE 4 1`+ate sf <br /> SIGNATURE PRINT OR TYPE FULL NAME <br /> i --x I <br /> PROCESSOR : <br /> PORT COSTA MATERIALS, INC DISPOSAL METHOD-THERM_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 /> kuy 1991 p Ili <br />