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g <br /> . 6. NON-HAZARDOUS MATERIALS HAULING MANIFEST <br /> NAME LOT#, j�Q <br /> ADDRESS PHONE NO (6 0 2 ) 352-6388 <br /> CITY, STATE,ZIP PbQmix, Az 85031 <br /> G CONTAINERS No VOLUMi 8�—Yds WEIGHT-1200 ton s <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&lt <br /> ^_ ✓ <br /> T ono ✓ <br /> O <br /> R PROPERTIES pH_ SOLID--x _ ,,,_- LIQUID SLURRY OTHER <br /> • <br /> HANDLING INSTRUCTIONS <br /> E0 XERTIFIES THIS WASTE AS DESCRIBED IS 100%NON-HAZARDOUS <br /> n � <br /> DATE <br /> PRINT OR TYPE FULL NA <br /> IGNA RE ME <br /> H COMPANY NAM[E__NaxxBn_GDmaS_ PHONE NO 707 374-2881 <br /> A ADDRESS SERVICE ORDER NO <br /> U CI7-Y,ST, �,ZIP PICK UP DATE 7 1 91 <br /> L <br /> TRUCK I D PO i > TRAILER NO_ • G t <br /> E - ... EPA ID NO <br /> R DRIV yr .� DATE j; <br /> IGNATURE PRINT R TYPE F[!LL NAME <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 MOVEMENT BY OTHER THAN TRUCK,CALL FOR APPROPRIATE FORM <br /> MAY 1991 p c m <br /> www <br /> feet* <br />