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I <br /> S <br /> 6. NON-HAZARDOUS MATERIALS HAULING MANIFEST <br /> ..ice• .� ,.I�W�� f <br /> NAME -7ilM A G s n r, a t e 5 LOT# ` <br /> ADDRESS 5601 WMoh-a_v-e _ PHONE NO (6 0 2 ) 352-6388 <br /> CITY, STATE,ZIF Ehoenix, Az 85031 <br /> G CONTAINERS No VOLUMZ800yds WEIGHT-1200 tons <br /> E TYPE TANK DUMP DRUMS CARTONS ' OTHER <br /> N WASTE DESCRIPTION S-i-lam^S� _ GENERATING PROCESS <br /> E COMPONENTS OF WASTE PPM COMPONENTS OF WASTE PPM <br /> R neap, 8500 0,i6,+t Toluene <br /> A eco, , n e - --btz.+t pXylpne w <br /> T B•en.z.ene _ Ethyl Ben7ene %/ <br /> O <br /> R <br /> PROPERTIES pH SOLID-x-- LIQUID SLURRY OTHER <br /> • <br /> HANDLING INSTRUCTIONS <br /> E O CEWIFIES THIS WASTE AS DESCRIBED IS 100%NON-HAZARDOUS <br /> B �� ' �� DATE <br /> IGNA RE PRINT ORS PE FULL NAME <br /> COMPANY NAME PHONE NO 707 374--2881 <br /> H <br /> A ADDRESSn RnSC3�cI _ SERVICE ORDER NO <br /> U CITY, STATE,ZIP .p i.n Vi_Rt a Ca - A4 9 71 PICKUP DATE_ 7/1/91 <br /> L <br /> E TRUCK I D NO <br /> TRAILER NO EPA ID NO <br /> R DRIVE �` ! �, . �,r �_ ti /7`j•.E. r� . `� DATE ! <br /> SIGNATURE PRINT OR TYPE FULL NAME <br /> PROCESSOR : <br /> PORT COSTA MATERIALS, INC DISPOSAL METHOD-THERM-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 /> May 1991 I c m <br /> r #too$ <br />