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8 <br /> 6. NON-HAZARDOUS MATERIALS HAULING MANIFEST <br /> NAME ,,Mai LOT# <br /> 171 <br /> ADDRESS -g6nl w. Mohave PHONENO (602 ) 352-6388 <br /> CITY, STATE.ZIP Rhoenzx, Az 85031 <br /> G CONTAINERS No VOLUM%800ydsWEIGHT~1200 tans <br /> E TYPE TANK DUMP DRUMS CARTONS OTHER <br /> - <br /> N WASTE DESCRIPTION GENERATING PROCESS <br /> E COMPONENTS OF WASTE PPM COMPONENTS OF WASTE PPM <br /> R n, jaslai 8500 0,64 JQTuen-e v <br /> ca cn7 z na <br /> Tan•fono <br /> O <br /> PROPERTIES pH SOLID_ x LIQUID SLURRY OTHE <br /> • R <br /> HANDLING INSTRUCTIONS <br /> E O CERTIFIES THIS WASTE AS DESCRIBED IS 100%NON-HAZARDOUS <br /> B �Q,� DATE <br /> IGNA RE 6PRINT OR TYPE FULL NAME " <br /> COMPANY NAME-jar -e [;� PHONE NO 707 374-2881 <br /> H <br /> A ADDRESS, pSERVICE ORDER NO <br /> U CITY, STATE,ZIP R,ny I c:f-.a , C a . C14571, PICKUP DATE 711/91 <br /> L <br /> E TRUCK I D NO 24 ,5 Z- % TRAILER NO EPA ID NO <br /> R DRIVER - -'� - - - -- — DATE 71, 1 /1 <br /> (,SIGNATURE PRINT OR TYPE FULL NAMES 17 <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 /> )ry 1991 m •��r� <br />