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8 <br /> 10 6. NON-HAZARDOUS MATERIALS HAULING MANIFEST <br /> NAME 73LM A s fi n c�i a t:P�_ LOT# r bO <br /> ADDRESS 0] W- Mnhay,e PHONE NO (602 ) 352-6388 <br /> CITY,STATE,ZIP z 85031 <br /> G CONTAINERS No VOLUMZ 03 0yd s 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 Di creel „, 8500 w1,6 Mene •- <br /> A Xylene <br /> T Ban--n-_ Ffih -L�,Qnzene ✓ _ <br /> 0 <br /> R PROPERTIES pH SOLID—x-- LIQUID SLURRY OTHER <br /> • <br /> HANDLING INSTRUCTIONS <br /> E O CERTIFIES THIS WASTE AS DESCRIBED IS 100%NON-HAZARDOUS <br /> B ` ;� i� <br /> � �� DATE <br /> IGNA RE PRINT OR7tYPE FULL NAME <br /> I <br /> COMPANY NAME <br /> PHONE NO 707 374-2881 <br /> H . <br /> A ADDRESS -j69 SERVICE ORDER NO <br /> U CITY, STATE,ZIP PICKUP DATE. 7/1/91 <br /> E TRUCK I D NO TRAILER NO ° EPA ID NO <br /> R DRIVER- ,l Y- ..�. `f r r #, :'' _ '� z.a i�� DATE y-7 1 <br /> SIGNATURE 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 1 � m <br /> ��� **gas <br />