Laserfiche WebLink
S <br /> 6. NON-HAZARDOUS MATERIALS HAULING MANIFEST <br /> NAME _Mal AsGnr•latec Ibo <br /> - LOT# <br /> ADDRESS ..5.603 'W_ Mnhave PHONENO (602 ) 352-6388 <br /> CITY, STATE,ZIP E12Qen3.x,_Az B5031 <br /> G CONTAINERS No VOLUM,_8 00yd s WEIGHT-12 0 0 tons <br /> E TYPE TANK DUMP DRUMS CARTONS OTHER <br /> N WASTE DESCRIPTION Slty Sand GENERATING PROCESS <br /> E COMPONENTS OF WASTE PPM COMPONENTS OF WASTE PPM <br /> R 1tx.e.s.e.1 8500 aiU i e v <br /> T ✓ <br /> F,f,,$v t R P nz e n e -- <br /> O <br /> R PROPERTIES pH SOLID x LIQUID SLURRY OTHER <br /> HANDLING INSTRUCTIONS <br /> X E O CERTIFIES THIS WASTE AS DESCRIBED IS 100% NON-HAZARDOUS <br /> � 1 <br /> DATE <br /> 1GNA RE I PRINT OK TYPE FULL NAME <br /> COMPANY NAME.._Na_1-man C;nmes _ PHONE NO 707 374-2881 <br /> H <br /> A ADDRESS P Cl _ gnx .3 6q SERVICE ORDER NO <br /> U CITY,STATE,ZIPS. -Vi s t a . C a _ g 4 5 71 PICKUP DATE 7/1/91 <br /> E TRUCK 1 D Nd `'F -t TRAILER NO EPA ID NO <br /> R DRIVER:=� �� �� 1 f� DATE <br /> SIGNATURE "PAINT"OR TYPE FULL NAME q <br /> PROCESSOR : <br /> PORT COSTA MATERIALS, INC DISPOSAL METHOD-THERMAL REMEDIATION <br /> 9000 CARQUINEZ SCENIC DRIVE <br /> . PORT COSTA, CA 94569 PHONE, (415)602-1''_00 <br /> IF MOVEMENT BY OTHER THAN TRUCK, CALL FOR APPROPRIATE FORM <br /> MAY 1991 m <br /> w�� •rrr• <br />