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8 <br /> • 6. NON-HAZARDOUS MATERIALS HAULING MANIFEST <br /> NAME —.IVM A G c n r 3 a t-.a s LOT# 1 bD <br /> ADDRESS PHONE NO (6 0 2 ) 352-6388 <br /> CITY, STATE,ZIP z 85031 <br /> G CONTAINERS No VOLUMZa00ydsWEIGHT-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 n; o�p1 8500 ►-1-16,t .. <br /> ,,. ._. ...._._ T o l u e n e <br /> T -So.n.ae�� .. ✓ <br /> 0 <br /> R PROPERTIES pH SOLID Y LIQUID SLURRY OTHE <br /> • <br /> HANDLING INSTRUCTIONS <br /> xE O CER-TIF1ES THIS WASTE AS DESCRIBED IS 100% NON-HAZARDOUS <br /> / B %� ' �Q� DATE <br /> 1GNA RE PRINT ORIYPE FULL NAME <br /> COMPANY NAME__W xrPn f;nrnag„ PHONE NO 707 374-2881 <br /> H <br /> A ADDRESS R- n - Rnx 3fi4 SERVICE ORDER NO <br /> U CITY,STATE,ZIP PICK UP DATE -7/1 91 <br /> L <br /> E TRUCK I D AqO TRAILER NO EPA ID NO <br /> R DRIVER �'! DATE ' ( t <br /> SItiNATURE 4 PRINT OR TYPE FULL NAME ,t <br /> PROCESSOR : <br /> PORT COSTA MATERIALS, INC DISPOSAL METHOD-THERMAL 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 /> Mluy 1941 I C M <br /> war too of <br />