Laserfiche WebLink
f <br /> 8 <br /> • 6. NON-HAZARDOUS MATERIALS HAULING MANIFEST <br /> NAME I.a LOT 0, <br /> ADDRESS _5161 W. Mohayp.- -- PHONE NO. (602 ) 352-6388 <br /> CITY,STATE,f lP RbngmnjX---Az 85031 <br /> G CONTAINERS. No VOLUMZ;jQy d s WEIGHT-12 0 0 t on s <br /> E TYPE TANK DUMP DRUMS CARTONS OT <br /> N WASTE DESCRIPTION GENERATING PROCESS <br /> E COMPONENTS OF WASTE PPM COMPONENTS OF WASTE PPM <br /> R W•a.S,el_ .,. _ 8500 Irl Inluenev <br /> T <br /> O <br /> PROPERTIES pH _ SOLID--Y— LIQUIDOTHER_ <br /> R <br /> HANDLING INSTRUCTIONS <br /> E O E&TIFIES THIS WASTE AS DESCRIBED IS 100%NON-HAZARDOUS <br /> B DATE <br /> NA RE PRINT ORTYPE FULL NAME <br /> H COMPANY NAME rZrran Gt}mPG PHONENO 707 374-2881 <br /> A ADDRESS—R_ p_ Bx SERVICE ORDER NO <br /> U CITY.STATE,ZIP,_$jp v t t.a + C'a_ Q4571 71 PICK UP DATE—JZ-1 91 <br /> E TRUCK 1 D.NO TRAILER NO f f-f' EPA ID NO <br /> R DRIV r s DATE <br /> i <br /> SIGNATURE PRINT 0&TYPE FULL NAME � <br /> PROCESSOR : <br /> PORT COSTA MATERIALS, INC DISPOSAL METHOD-THERN_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 /> buy 1991 I � m <br />