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8 <br /> 6. NON-HAZARDOUS MATERIALS HAULING MANI4-,ST <br /> NAME ALM - -- LOT#- I b0 <br /> ADDRESS -9601 kl- y e PHONE NO (6 0 2 ) 352-6388 <br /> CITY, STATE,Z IP Az- 8503 <br /> G CONTAINERS No_ VOLUMZ 8 0 d s 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 n-1 ase1 8500 +.161 <br /> A � -+� PN� Xy I Pnev <br /> T �aa.z�n e "-- ✓ <br /> O <br /> R PROPERTIES PH- SOLID X ••_ LIQUID SLURRY OTS <br /> • HANDLING INSTRUCTIONS <br /> E O CERTIFIES THIS WASTE AS DESCRIBED IS 100%NON-HAZARDOUS <br /> S - DATE <br /> IGNA RE <br /> PRIM'ORITYPE FULL NAME <br /> COMPANY NAME <br /> H o m P c_ PHONE NO 707 374-2881 <br /> • <br /> A ADDRESS SERVICE ORDER NO_ <br /> U CITY, STATE,ZIP Ca 44-7 PICK UP DATES 9 I__ <br /> L _ � -- <br /> E TRUCK I D NO_.,/f! `" ' TRAILER NO <br /> EPA 1D NO <br /> R DRIVE _ rfe1.• DATE <br /> SIGNATURE PRINT'OR TYPE FULL NAME <br /> L4 c <br /> PROCESSOR : <br /> PORT COSTA MATERIALS, INC DISPOSAL METHOD-THEIW__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 P c m <br /> ��� •sear <br />