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S <br /> • 6. NON—HAZARDOUS MATERIALS HAULING MANIFEST <br /> NAME r� <br /> LOT#- <br /> ADDRESS 56111 eC__ Molhava PHONENO. 602 ) 352-6388 <br /> CITY,STATE,f1P Phoenix, Az 85031 <br /> G CONTAINERS. No VOL Y 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 8500 �4 <br /> Tot tiQn,o ✓ <br /> T <br /> O <br /> PROPERTIES PH• SOLIDS LIQUID SLURRY OTHER_R , <br /> HANDLING INSTRUCTIONS <br /> JE O EUTIFIES THIS WASTE AS DESCRIBED IS 100%NON-HAZARDOUS l <br /> B DATE �r <br /> A RE PRINT OReVYPE FULL NAME <br /> COMPANY NAME PHONE NO 707 374-2881 <br /> H <br /> A ADDRFSS 3Z2--. SERVICE ORDER NO <br /> CITY,STATE,ZIP R v �- a _ Q 4.� PICK UP DATE <br /> L <br /> E TRUCK I D NO TRAILER NO <br /> EPA ID NO r <br /> R DRty � �`--�� t r -Y <br /> ''` L s- C r"-�DATE � �'Ai el- <br /> SIGNATURE <br /> SIGNATURE PRINT OR TYPE FULL NAME <br /> PROCESSOR : <br /> PORT COSTA MATERIALS,INC DISPOSAL METHOD-THERN..AL REMEDIATION <br /> • 9000 CARQUINEZ SCENIC DRIVE <br /> PORT COSTA,CA 94564 PHONE (415)602-1200 <br /> IF MOVEMENT BY OTHER THAN TRUCK,CALL FOR APPROPRIATE FORM <br /> buy 1991 p c m <br />