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g <br /> 5 <br /> • 6. NON-HAZARDOUS MATERIALS HAULING MANIFEST <br /> NAME -zv2L--2z G f]C 1$ .0 R LOT#._ _ <br /> 171 <br /> ADDRESS 96131 w- Mobame PHONENO (602 ) 352-6388 <br /> CITY,STATE,ZIP .Phoenix, Az 85031 -- <br /> G CONTAINERS No VOLUMi 0�0yds WEIGHT -1200 tons <br /> E TYPE TANK DUMP DRUMS CARTONS OTHER <br /> N WASTE DESCRIPTION Silty ganel GENERATING PROCESS <br /> E COMPONENTS OF WASTE PPM COMPONENTS OF WASTE PPlr: <br /> R 8500 OiUit Toluene v <br /> T <br /> O <br /> PROPERTIES pH SOLID Y _ LIQUID SLURRY OTHE <br /> • R <br /> HANDLING INSTRUCTIONS <br /> E O CERTIFIES THIS WASTE AS DESCRIBED IS 100%NON-HAZARDOUS <br /> B <br /> � <br /> �� DATE <br /> IGNA RE 6PRINT ORlrYPE FULL NAME <br /> COMPANY NAME PHONE NO 707 374-2881 <br /> H <br /> A ADDRESS_p- 0--flax 9 SERVICE ORDER NO <br /> U CITY, STATE,ZIP P i,n Vi ck a, ra - 94521 PICKUP DATE 7/1/91 <br /> L TRUCK I D NO 49) �f r TRAILER NO C J EPA ID NO <br /> E <br /> r: A ! <br /> R DRIVEf ` - DATE <br /> J/J IGNATURE PRINT OR TYPE FULL NAME <br /> f a� +• <br /> PROCESSOR : <br /> PORT COSTA MATERIALS,INC DISPOSAL METHOD-THERM-AL REMEDIATION <br /> . 9000 CARQUINEZ SCENIC DRIVE <br /> PORT COSTA,CA 94569 PHONE (415) 602-1200 <br /> IF MOVEMENT BY OTHER THAN TRUCK,CALL FOR APPROPRIATE FORM <br /> PGM <br /> stay 1991 pop Go* <br />