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8 <br /> 6. NON-HAZARDOUS MATERYALS HAULING MANIFEST <br /> Ttnvr AcsQczate <br /> NAME �-- LOT#.� !7 <br /> ADDRESS -5.601 W- Mnh a v_e PHONE NO (602 ) 352-6388 <br /> CITY, STATE,ZIP Phoenix, Az 85031 <br /> G CONTAINERS No VOLUIvfZ 00ydS 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 Di s.e z_... 8500 O-V�,+ v <br /> T ✓ <br /> O <br /> R PROPERTIES pH SOLID_y LIQUID SLURRY OTHER <br /> • <br /> HANDLING INSTRUCTIONS <br /> WIGNA6 <br /> RTIFIES THIS WASTE AS DESCRIBED IS 100%NON-HAZARDOUS <br /> l <br /> t�� DATE <br /> 6PRINT OR` PE FULL NAME <br /> COMPANY NAME-Ie A==a n G m p G PHONE NO 707 374-2881 <br /> H <br /> A ADDRESS p- a - gCLx ,;Fg SERVICE ORDER NO <br /> U CITY, STATE,ZIP PICK UP DATE_j//1/91... <br /> L - <br /> E TRUCK I D NO ? U TRAILER NO EPA ID NO <br /> SIGNATURE PRRtr OR TYPE FULL NAME <br /> r <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 /> May 1991 p c m <br /> !i! oo*$@ <br />