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8 <br /> • 6. NON-HAZARDOUS MATERIALS HAULING MANIFEST <br /> NAME ...1irm A G c nc i a t Ps --- _— LOT# 1 7 1 <br /> ADDRESS 5 6 n l W- Mohave PHONE NO (6 0 2) 352-6388 <br /> CITY,STATE,ZIP Phoenix, Az 85031 <br /> G CONTAINERS No VOLUMi 08 0yds WEIGHT-1200 tons <br /> E TYPE TANK DUMP DRUMS CARTONS OTHER <br /> — <br /> N WASTE DESCRIPTION c, �ccz n n d GENERATING PROCESS <br /> E COMPONENTS OF WASTE PPM COMPONENTS OF WASTE PPM <br /> R 8500 e.izjt Toluene <br /> � Fw-0) xylene <br /> A rasazs�P ,., <br /> `r jaaa a F.1 hyl APnZene <br /> O <br /> PROPERTIES pH SOLID y_ LIQUID SLURRY OTHER <br /> • R <br /> HANDLING INSTRUCTIONS <br /> E O CERTIFIES THIS WASTE AS DESCRIBED 1S 100%NON-HAZARDOUS <br /> DATE <br /> IGNA RE 6PRINT ORlYPE FULL NAME <br /> COMPANY NAMEPHONE NO 707 374-2881 <br /> H <br /> A ADDRESS -p„.p— aox 3 6 9 SERVICE ORDER NO <br /> U CITY, STATE,ZIP� R V/i.,tom . Ca 94571 PICKUPDATE 7/1/91 <br /> L TRUCK I D NO ` ' �` c l 1 7 TRAILER NO !C� S � , L°J <br /> EPA NO <br /> E / <br /> R DRIVER #ti r''�-- ` , _ t ( ,�� .�, } - , I DATE <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 /> MmY 1991 p c m too#* <br />