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S <br /> • 6. NON-HAZARDOUS MATERIALS HAULING MANIFEST <br /> NAME XV2j._.A G n r-Ls7 s_ - LOT# t b0 <br /> ADDRESS 5601 W- Mox13vi- _ _ PHONE NO (S 0 2 ) 352-6388 <br /> CITY, STATE,ZIP z 85031 <br /> G CONTAINERS No VOLUM%800vds 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 DJ as.a1. .. 8500 �416,it TolUQne <br /> v <br /> A Ga s o] i n e l !� 6-m id PLpr r7Xylenev <br /> T zap.z en. Ethyl Rp <br /> 0 <br /> R <br /> PROPERTIES pH SOLID—X_ LIQUID SLURRYOTHE <br /> HANDLING INSTRUCTIONS i <br /> xE O CERTIFIES THIS WASTE AS DESCRIBED 1S I00% NON-HAZARDOUS <br /> / <br /> .41 <br /> A �&E DATE <br /> 1GNPRINT OR E FULL NAME <br /> COMPANY NAME PHONE NO 7 0 7 3 7 4-2 8 81 <br /> H <br /> A ADDRESS_ 15 . 0 . Roar 3 i q SERVICE ORDER NO <br /> U CITY, STATE,ZIP_g.s,ny; .a t _ r a - 94571, PICK UP DATE 7/1 91 <br /> E TRUCK I D NO - - TRAILER NO EPA ID NO <br /> R DRIVEr "r^��r. ,; ,� rf r;' �.1'� fir_ ��rp <br /> DATE <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 94569 PHONE (415)602-1200 <br /> IF MOVEMENT BY OTHER THAN TRUCK, CALL FOR APPROPRIATE FORM <br /> l[ay 1991 P m <br />