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8 <br /> • 6. NON-HAZARDOUS MATERIALS HAULING MANIFEST <br /> NAME •TvM A o r�i a t p G ._ ,... LOT N I b <br /> ADDRESS `F-.nl W-, .HQbavtn _ PHONENO (602 ) 352-6388 �► <br /> CITY,STATE,ZIP Phoenix. Az , 5031 <br /> G CONTAINERS No VOLUMZBODydsWEIGHT 1200 tis <br /> E TYPE TAN> DUMP DRUMS CARTONS OTHER <br /> - <br /> N WASTE DESCRIPTION GENERATING PROCESS <br /> E COMPONENTS OF WASTE PPM COMPONENTS OF WASTE PPM <br /> R mi,e.snl - 8500 a-v,il TQlu2ne v <br /> A La c2o 1 i r p 44=4t. fwk-0) Xylenav <br /> v <br /> T 8•e.:..z ere L/ <br /> O <br /> PkOPERTi a' ph SOi.111,X_ LIQU.D SLU`ttRli OTHEIL <br /> R <br /> • HANDLING INSTRUCTIONS ' <br /> lE:7'dA,,CERUFIES THIS WASTE AS DESCRIBED IS 100%NON-HAZARDOUS <br /> B DATE_ t� <br /> IGNA RE PRINT OR E FULL NAME 1 <br /> COMPANY NAME_��arran [inpgp� - PHONENO 707 374-2881 <br /> H <br /> A ADDRESS 12- n. 'Pax 3 f;Q -_ SERVICE ORDER NO <br /> U CITY,STATE,ZIP PICK UP DA'L'E 7/1/91 <br /> L TRUCK I D SIO <br /> E TRAILER NQ.. EPA ID NO <br /> d <br /> R DRI VER,-,; DATE <br /> SIGNATURE - PRIM OR TYPE FULL NAME <br /> PROCESSOR : <br /> PORT COSTA MATERIALS,INC DISPOSAL METHOD-THEW-AL REMEDIATION <br /> 9000 CARQUINEZ SCENIC DR]VE <br /> . PORT COSTA,CA 94569 PHONE (415)602-1200 <br /> IF MOVEMENT BY OTHER THAN TRUCK,CALL FOR APPROPRIATE FORM <br /> Wr 1"i Pcm <br />