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S <br /> • 6. NON-HAZARDOUS MATERIALS HAULING MANIFEST <br /> NAME LOT# l bo <br /> ADDRESS PHONE NO (6 0 2 ) 352-6388 <br /> CITY,STATE,ZIP Z 85031 <br /> G CONTAINERS No VOLUM.Z-300ydsWEIGHT 1200 tans <br /> E TYPE TANK DUMP DRUMS CARTONS OTHER <br /> N WASTE DESCRIPTION_S_l lt�rSaTj GENERATING PROCESS <br /> E COMPONENTS OF WASTE PPM COMPONENTS OF WASTE PPM <br /> R ni.es.e-1 <br /> 8500 0,6il %I, <br /> A casoi Ind= pip ._XX 1.Q n e v <br /> T ✓ <br /> Ethy_L Benzene <br /> 0 <br /> R s <br /> PROPERTIED, pH SOLID-X_ LIQUID SLURRY OTHER <br /> HANDLING INSTRUCTIONS <br /> xWIGNA6 <br /> &TIFIES THIS WASTE AS DESCRIBED 1S 100%NON-HAZARDOUS <br /> DATE <br /> � <br /> / <br /> 6PRINT ORrtYPE FULL NAME <br /> COMPANY NAME wArron Gamps PHONE NO 707 374-2881 <br /> H <br /> A ADDRESS p []__ Rnv 16q SERVICE ORDER NO <br /> U CITY, STATE,ZIP PICKUP DATE_ 7/1/91 <br /> L �T <br /> E TRUCK i D NO)�� - r �` TRAILER NO ` EPA ID NO <br /> R DRIVE . _ i �`� , r - DATE ' - ( � ' 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}602-1100 <br /> IF MOVEMENT BY OTHER THAN TRUCK, CALL FOR APPROPRIATE FORM <br /> May 1991 P C M <br /> ��� •saas <br />