Laserfiche WebLink
8 <br /> • 6. NON-HAZARDOUS MATERIALS HAULING MANIFEST <br /> NAME t" s -- LOT# I bO <br /> ADDRESS PHONE NO (6 0 2 ) 352-6388 <br /> CITY, STATE,ZIP Az 85031 <br /> G CONTAINERS No VOLUMZ800yds WEIGHT -1200 tons <br /> E TYPE TANK DUMP DRUMS CARTONS OTHER <br /> N WASTE DESCRIPTION Sjity SaQd GENERATING PROCESS <br /> E COMPONENTS OF WASTE PPM COMPONENTS OF WASTE PPM <br /> R 8500 M1I6jtjQluene .. <br /> i <br /> A pL;1-0) XVlpne <br /> T <br /> O <br /> R PROPERTIES PH SOLID—_ LIQUID SLURRY OTHER <br /> . <br /> HANDLING INSTRUCTIONS <br /> E O CEWFIFIES THIS WASTE AS DESCRIBED 1S 100% NON-HAZARDOUS <br /> B S? ' �4� DATE �r <br /> BI <br /> RE PRINT OR TYPE FULL NAME <br /> H COMPANY NAME PHONE NO 707 ' 374-2881 <br /> A ADDRESS__ CLnnx 36g SERVICE ORDER NO <br /> U CITY,STATE,ZIP_$, n V, t„� { g 4 9 7 T PICK UP DATE 7/1/91 <br /> E TRUCK I D NO t TRAILER NO EPA ID NO <br /> RDRIVER, -�-�''�:,4J., �f��1_ �c.�-•...,...-. �. .ate. ,�r 1� ti , <br /> DATE <br /> SIGNATURE PRINT OR TYPE FULL NAME t� <br /> PROCESSOR ; <br /> PORT COSTA MATERIALS, INC DISPOSAL METHOD-THEW-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 /> I�+Y 199 i p c m <br />