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8 <br /> 6. NOM-HAZARDOUS MATERIALS HAULING MANIFEST <br /> NAME LOT# I bc-) <br /> ADDRESS 5601 Td- Mah a ve PHONE NO (S 0 2 ) 352-6388 <br /> CITY. STATE,ZIP A z 85031 <br /> G CONTAINERS No VOLUMZ200yds WEIGHT-1200 tons <br /> E TYPE TANK DUMP DRUMS CARTONS OTHER <br /> N WASTE DESCRIPTION S11ty c7nei GENERATING PROCESS <br /> E COMPONENTS OF WASTE PPM COMPONENTS OF WASTE PPM <br /> R i1i.e zce1 8500 ►. l6it Toluenev <br /> T Ethyl RAnZene ✓ <br /> O <br /> R PROPERTIES PH SOLID—Y--- LIQUID SLURRY OTHER <br /> . <br /> HANDLING INSTRUCTIONS <br /> }� E 0 CEWTIFIES THIS WASTE AS DESCRIBED IS 100% NON-HAZARDOUS l <br /> / BV DATE_ �r <br /> 1GNA RE PRINT OR"TYPE FULL NAME <br /> f� <br /> COMPANY NAME PHONE NO 707 374-2881 <br /> H <br /> A ADDRESS__ 0 _ pnx 1_cq SERVICE ORDER NO <br /> U CITY. STATE,ZIP . Min n V, c ta +r a - ..94 5 71 PICK UP DATE 7 1 91 <br /> L , c <br /> E TRUCK I D NO, - -1-4� L�--� _ TRAILER NO '` EPA ID NO <br /> R DRIVE 4r g a --� r` "�'' .! DATE _ <br /> SIGNAT PRINT OR TYPE FULL NAME <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 /> may 1991 I � m <br /> �rr� •some <br />