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S <br /> 6. NON-HAZARDOUS MATERIALS HAULING MANIFEST <br /> NAME <br /> LOT#, ' <br /> ADDRESS 9601 w_ Mnh„aye- PHONE NO (6 0 2 ) 352-6388 <br /> , <br /> CITY, STATE,ZIP MaQenix, Az 85031 <br /> G CONTAINERS No VOLUM%IQ2y d s WEIGHT 12 0 0 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 l s.e 1 8500 ►ale i <br /> A an 01 n a � 4-t7�.+c Pt�N� Xyleilev <br /> T FthYl ✓ <br /> O <br /> R PROPERTIES PH SOLID—Y-- LIQUID SLURRYOTHER. <br /> HANDLING INSTRUCTIONS <br /> E O CE&TIIES THIS WASTE AS DESCRIBED IS 100%NON-HAZARDOUS <br /> B sQ DATE ` <br /> 1GNA RE PRINT OR'TYPE FULL NAME <br /> COMPANY NAME_W a r r e n c,aM e c '� PHONE NO 707 374-2881 <br /> H <br /> A ADDRESS 2 n fi9 SERVICE ORDER NO <br /> U CITY.STATE,ZIP-��,ny; cta r�94 7 L PICKUP DATE.. 7Z1 91 <br /> L <br /> E TRUCK I D NO' TRAILER NO_� i 0 `f EPA ID NO <br /> R DRIVE 1 I- <br /> DATE Z! / 7 - 7/ <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 /> Alar 1991 P c m <br /> I�wrr Goose <br /> t <br />