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8 <br /> • 6. NON-HAZARDOUS MATERIALS HAULING MANIFEST <br /> NAME jym Assnni Ates LOT# 17 f _ <br /> ADDRESS 5601 W_ Mnrave PHONENO (602) 352-6388 <br /> CITY, STATE,ZIP Phoenix, Az 85031 <br /> G CONTAINERS No VOLUME 08 0ydsWEIGHT-1200 tans <br /> E TYPE TANK DUMP DRUMS CARTONS OTHER <br /> - <br /> N WASTE DESCRIPTION zijty zand GENERATING PROCESS <br /> E COMPONENTS OF WASTE PPM COMPONENTS OF WASTE PPM <br /> R nie�o, 8500 �116lt _ Toluene v <br /> A Ga_�3, G �' ?LP-N) Xylene w . ---- <br /> T Ethyl Benzene � <br /> 0 <br /> PROPERTIES pH SOLID x LIQUID SLURRY OTHER <br /> R <br /> HANDLING INSTRUCTIONS <br /> E O CER9riFIES THIS WASTE AS DESCRIBED IS 100% NON-HAZARDOUyS, <br /> B � rL_— DATE L � <br /> 1GNA RE 6PRINT ORIYPE FULL NAME <br /> COMPANY NAME_Warren Gomi-s PHONE NO 707 374-2881 <br /> H <br /> A ADDRESS P_ .0--13nx 'A F 4 SERVICE ORDER NO <br /> U CITY, STATE,ZIP 12i.r-, y, c i-.a . r;4 - 94 5 71 PICKUP DATE 7/1/91 <br /> E TRUCK I D NO r' r 5 I TRAILER NO ' EPA ID NO <br /> r <br /> R DRIVE ` C€ ,� s =f DATE--!-/ <br /> / <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)602-1100 <br /> IF MOVEMENT BY OTHER THAN TRUCK,CALL FOR APPROPRIATE FORM <br /> b4ay 1991m <br />