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i <br /> -6. NON-HAZARDOUS MATERIALS HAULING MANIFEST <br /> NAME - ,- — LOT#, 16O <br /> I <br /> ADDRESS _5601 W_ Mohave PHONENO (502 ) 352-6388 <br /> CITY, STATE,ZIP Az 85031 <br /> G CONTAINERS No VOLUMi_8 00yd s WEIGHT-12 00 tons <br /> E TYPE TANK DUMP_ - DRUMS CARTONS OTHER <br /> N WASTE DESCRIPTION GENERATING PROCESS <br /> E COMPONENTS OF WASTE PPM COMPONENTS OF WASTE le PPM <br /> R niese1 8500 01U�� <br /> ., _Toluene S' <br /> T ma.n.ze.n.e. •• <br /> O <br /> PROPFRTIES pH SOLID—Y -- LIQUID SLURRY OTHER <br /> R <br /> HANDLING INSTRUCTIONS <br /> E O CERTIFIES THIS WASTE AS DESCRIBED IS 100% NON-HAZARDOUS <br /> B �Y� DATE <br /> IGNA RE PRINT OR"TYPE FULL NAME <br /> H COMPANY NAME PHONE NO 707 374-2881 <br /> A ADDRESS_ [L_ iln,r SERVICE ORDER NO <br /> U CITY, STATE,ZIP PICK UP DATE 7 1 91 <br /> L <br /> E TRUCK I D NO TRAILER NO 4-- EPA ID NO <br /> Rf � ' - <br /> DR1 VE ;" _ /. �, /-I/ -'), DATE <br /> SIGNATURE PRINT OR TYP FULL NAME 4 <br /> PROCESSOR : <br /> PORT COSTA MATERIALS, INC DISPOSAL METHOD-THERN,AL REMEDIATION <br /> 9000 CARQUINEZ SCENIC DRIVE <br /> PORT COSTA,CA 94569 PHONE (415) 602-1200 <br /> IF MOVE*'TENT BY OTHER THAN TRUCK,CALL FOR APPROPRIATE FORM <br /> May 1"i p 0 m <br />