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. 6. NON-HAZARDOUS MATERIALS HAULING MANIFEST <br /> NAME rVM_- _Assnciate� LOT# 17 1 <br /> ADDRESS 9fjW .,1111, Mobave PHONE NO (602 ) 352-6388 <br /> CITY,STATE,ZIP Pboenlx Az 85031 <br /> G CONTAINERS No VOLUM%&00yds WEIGHT -1200 tons <br /> E TYPE TANK DUMP DRUMS CARTONS OTHER <br /> - <br /> N WASTE DESCRIPTION_ c, z ty c nr3_ _ _ _ GENERATING PROCESS <br /> E COMPONENTS OF WASTE PPM COMPONENTS OF WASTE PPM <br /> R D.is.-Qj:,j r 8500 avmt _Toluene <br /> A GnS n 7 I no l G 4' fw fes) xyleap. v <br /> T RPn7.ene <br /> 0 <br /> PROPERTIES PH- SOLID-X- LIQUID SLURRY OTHER <br /> • R <br /> HANDLING INSTRUCTIONS <br /> VIERAO CERTIFIES THIS WASTE AS DESCRIBED IS 100%NON-HAZARDOUS <br /> �� DATEA RE 6PRINT OR PE FULL NAME <br /> COMPANY NAMEU rrPn Gnme,�___ .. PHONENO 707 374-2881 <br /> H <br /> A ADDRESS 369 SERVICE ORDER NO <br /> U CITY, STATE,ZIP PICK UP DATE 7/1/91 <br /> E TRUCK 1 D NO . TRAILER NO �- r� -L-•- EPA ID NO <br /> R DRIVER_I 3' � ��—` �` _- , __ DATE f <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 /> Muy i991 m <br />