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8 <br /> 6. NON-HAZARDOUS MATERIALS HAULING MANIFEST <br /> NAME LOT#- 171 <br /> _— <br /> ADDRESS PHONE NO (6 0 2 ) 352-6388 <br /> CITY,STATE,ZIP z 85031 <br /> G CONTAINERS No VOLUMi800y,ds WEIGHT~1200 tons <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 T)i L=Ce, 8500 ai64 TQluene " <br /> rzacn1 � na <br /> T7lanocnc <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 <br /> Qr DATE _. <br /> GNA RE PRINT ORIYPE FULL NAME <br /> COMPANY NAME warren [;nm PHONENO 707 374-2881 <br /> H <br /> A ADDRESS 12 Q. Rax SERVICE ORDER NO <br /> U CITY, STATE,ZIP._ ' n vista , c_a - 94571 PICK UP DATE 7 1 91 <br /> E TRUCK I D NO��3��' <br /> TRAILER NO EPA ID NO <br /> R DRIVER ��`" ' DATE <br /> —;/7 ' <br /> SIGNATURE PRINT OR TYPE FULL NAME <br /> _4/t <br /> Lap- <br /> PROCESSOR : <br /> PORT COSTA MATERIALS, INC DISPOSAL METHOD-THERMAL. REMEDIATION <br /> 9040 CARQUINEZ SCENIC DRIVE <br /> PORT COSTA,CA 94569 PHONE (415) 602-1200 <br /> IF MOVEMENT BY OTHER THAN TRUCK,CALL FOR APPROPRIATE FORM <br /> PCM <br /> Kay 1991 •g••e <br />