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8 <br /> 6. NON-HAZARDOUS MATERIALS HAULING MANIFEST <br /> NAME -JQl-- As, n ciates <br /> LOT#- O <br /> ADDRESS PHONE NO (6 0 2) 352-6388 <br /> CITY, STATE,ZIP Phoenix, Az 85031 <br /> G CONTAINERS No VOLUMZ 8 0 0 yd 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 8500 01 1t Tolu .. <br /> A j3a s,cLl.i_n iz -Xylene v <br /> T ✓ <br /> O <br /> PROPERTIES PH SOLID-x_ LIQUID SLURRY OTHER <br /> HANDLI,.G INSTRUCTIONS <br /> E O CERTIFIES THIS WASTE AS DESCRIBED IS 100%NON-HAZARDOUS <br /> B DATE <br /> VIGNA RE PRINT 0 FULL NAME <br /> H COMPANY NAME r PHONE NO 707 374-2881 <br /> A ADDRESS SERVICE ORDER NO <br /> U CITY,STATE,ZIF PICK UP DATE 7 1 91 <br /> E TRUCK I D NO % 3 TRAILER NO f7 < �- 4 EPA ID NO <br /> R DRIVE , <br /> '. r, / DATE '0 ! <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) 602-1200 <br /> IF MOVEMENT BY OTHER THAN TRUCK, CALL FOR APPROPRIATE FORM <br /> may ["I P C M <br />