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8 <br /> 5. NON-HAZARDOUS MATERIALS HAULING MANIFEST <br /> NAME _'13l r A.G G n r-i a t eag LOT# 1 bO <br /> ADDRESS PHONENO (602 ) 352-6388 <br /> CITY, STATE,ZIP Phoenix, Az 85031 <br /> G CONTAINERS No VOLUMi800ydsWEIGHT-1200 tons <br /> E TYPE TANK DUMP DRUMS CARTONS OTHER <br /> N WASTE DESCRIPTION Silty Sand GENERATING PROCESS <br /> E COMPONENTS OF WASTE PPM COMPONENTS OF WASTE PPM <br /> R 8500 016ilt <br /> A ( .rte �-t�rz�c p, �, <br /> Xylene <br /> T k3on.z.ea _ vEthyl Benzenp ✓ <br /> O # <br /> R PROPERTIES PH SOLID--y— LIQUID SLURRY OTHER <br /> HANDLING INSTRUCTIONS <br /> xx EO CE12TIFIES THIS WASTE AS DESCRIBED IS 100% NON-HAZARDOUS <br /> / , <br /> B C-�lL � 1Q— DATE <br /> 1GNA RE PRINT OR'TYPE FULL NAME <br /> COMPANY NAME PHONE NO 707 374-2881 <br /> H <br /> A ADDRESS__ �„ Ansc, fig ._ SERVICE ORDER NO <br /> U CITY,STATE,ZIP­R_,,n, y, � C „� PICKUP DATE 7/1/91 <br /> L <br /> E TRUCK I D'NO -f L '" TRAILER NO � <br /> EPA ID NO <br /> R DRIVE <br /> SIGNATURE PRINT OR TYPE FULL NAME <br /> PROCESSOR : <br /> PORT COSTA MATERIALS, INC DISPOSAL METHOD-THERIVAL REMEDIATION <br /> 9000 CARQUINEZ SCENIC DRIVE <br /> M PORT COSTA, CA 94569 PHONE (415) 602-1200 <br /> IF MOVEMENT BY OTHER THAN TRUCK, CALL FOR APPROPRIATE FORM <br /> may 1991 I m <br />