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8 <br /> • 6. NON-HAZARDOUS MATERIALS HAULING MAMFEST <br /> NAME -JIM—_A �r� at.P� _ LOT# - Ib0 <br /> ADDRESS —Sfzn_] W_ Mohave PHONENO (602 ) 352-6388 <br /> CITY, STATE,ZIP z 6 5 0 31 <br /> G CONTAINERS No VOLUMZ800vds 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 nip z_Q 1 _. 8500 0,64 ToIMQae %01 <br /> A bQ-+t PLP--r'J) Xylene <br /> w <br /> T " <br /> O <br /> R PROPERTIES pH SOLID x LIQUID SLURRY OTHER <br /> . <br /> HANDLING INSTRUCTIONS <br /> x E O CERTIFIES THIS WASTE AS DESCRIBED 1S 100% NON-HAZARDOUyS, <br /> ` B ' �Q. DATE <br /> IGNA RE PRINT OR TYPE FULL NAME <br /> COMPANY NAME PHONE NO 707 374-2881 <br /> H <br /> A ADDRESS 12 n gnx irq SERVICE ORDER NO <br /> U CITY, STATE,ZIP R i ny i g t.j , C a . 94571 PICKUP DATE 7/l/91 <br /> L <br /> E TRUCK 1 D NO 1 ' y TRAILER NO EPA 1D-NO <br /> R DRIVE5 <br /> , �, <br /> DATE <br /> SIGNATURE PRINT OR TYPE FULL NAME <br /> �. .�.. <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 /> j'uy 1991 I c m <br /> www too of <br />