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8 <br /> 6. NON-HAZARDOUS MATERIALS HAULING MANIFEST <br /> NAME ITAIM A a Snri a LOT# <br /> ADDRESS 9601 w_ Mohave PHONE NO (6 0 2 ) 352-6388 <br /> CITY, STATE,ZIP Rhoenix, Az 85031 <br /> G CONTAINERS No VOLUMZ 8 0 0yd s WEIGHT-1200 tons <br /> E TYPE TANK DUMP DRUMS CARTONS OTHER <br /> N WASTE DESCRIPTION SjIty Sand GENERATING PROCESS <br /> E COMPONENTS OF WASTE PPM COMPONENTS OF WASTE PPM <br /> R D s.e i 8500 016,tToluene <br /> v <br /> I <br /> A c.asa i _ -� P t.c�r.�} Xylene <br /> O <br /> R PROPERTIES pH SOLID--X_ LIQUID SLURRY OTHER_ <br /> HANDLING INSTRUCTIONS <br /> E O CERTIFIES THIS WASTE AS DESCRIBED IS 100% NON-HAZARDOUS <br /> EB ` ��L- DATE <br /> IGNA RE PRINT OR"TYPE FULL NAME <br /> COMPANY NAME_ W.a.7".rxG Qme s PHONE NO 7 0 7 3 7 4-2 8 81 <br /> H <br /> A ADDRESS P . 0 - Rax 38 Q SERVICE ORDER NO <br /> U CITY, STATE,ZIP PICKUP DATE. 7/1 Z 9,1 <br /> L "- <br /> E TRUCK I D 0 /C>:,3 C G J- T"LER NO EPA ID NO <br /> / { <br /> R DRIVE 7; %` �' f f c Kiri--�- DATE <br /> SIGNATURE PRINT OR TYPE FULL NAME <br /> �IIP�� II ll�`I PIIPI - Ul�l�ir <br /> PROCESSOR : <br /> PORT COSTA MATERIALS INC DISPOSAL METHOD-THERM-AL.REMEDIATION <br /> 9000 CARQUINEZ SCENIC DRIVE <br /> PORT COSTA,CA 94569 PHONE (4 15)602-1200 <br /> IF MOVEMENT BY OTHER THAN TRUCK, CALL FOR APPROPRIATE FORM <br /> MrY 1991 p c m <br /> ��� rrrr• <br />