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8 <br /> • 6. NON-HAZARDOUS MATERIALS HAULING MANIFEST <br /> NAME LOT# 171 _ <br /> ADDRESS IWI W_ Mnhave PHONENO 602 } 352-6388 <br /> CITY, STATE,ZIP Phoenix, Az 85031_-_ <br /> G CONTAINERS No VOLUMZ800yd WEIGHT-1200 tons <br /> E TYPE TANK DUMP DRUMS CARTONS OTHER <br /> — <br /> N WASTE DESCRIPTIONSilty Sand GENERATING PROCESS <br /> E COMPONENTS OF WASTE PPM COMPONENTS OF WASTE PPM <br /> R TI; acza! 8500 1-1,64 _TQ uene <br /> T — Ftbyl Benzene <br /> Aonrr rano <br /> O <br /> PROPERTIES pH SOLID x LIQUID SLURRY OTHER_ <br /> • R <br /> HANDLING INSTRUCTIONS <br /> EZVR <br /> RTIFIES THIS WASTE AS DESCRIBED IS 100%NON-HAZARDOUS <br /> B DATE <br /> NG6PRINT OR7TYPE FULL NAME <br /> COMPANY NAME_wa r=a n (^n m P c PHONE NO 707 374}-2881 <br /> H <br /> A ADDRESS_ P_ n . n i xg F 9 SERVICE ORDER NO <br /> U CITY, STATE,ZIP lLi n Vida , C a _ 94-r;71 PICKUP DATE 7/1/91 <br /> L <br /> E TRUCK I D NO Ff E� c ; _ 1 TRAILER NO_ /<- r /_j EPA ID Nu <br /> R DRIVE / DATE_jLl9_& <br /> SIGNATURE PRINT OR TYPE FULL NAME <br /> PROCESSOR : <br /> PORT COSTA MATERIALS,INC DISPOSAL METHOD-THERM.AL REMEDIATION <br /> 9000 CARQUINEZ SCENIC DRIVE <br /> • PORT COSTA,CA 94569 PHONE (415) 602-!''_00 <br /> IF MOVEMENT BY OTHER THAN TRUCK,CALL FOR APPROPRIATE FORM <br /> May 1991 P m <br /> s�rr •s•�• <br /> r <br />