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8 <br /> . 6. NON-HAZARDOUS MATERIALS HAULING MANIFEST <br /> NAME A G s_d ciat e S�. LOT# 171- <br /> ADDRESS <br /> 71ADDRESS 5501 W- Mnh a v e PHONE NO C6-02 )- 352-6388 <br /> - <br /> CITY,STATE,ZIP _phoenix, Az_ _85031 <br /> G CONTAINERS Na VOLUMi O�,o Y a s W EIGHT-12 0 0 tons <br /> E TYPE TANK DUMP DRUMS CARTONS OTHE.'. <br /> N WASTE DESCRIPTION_5,1t.T-Sa^ GENERATING PROCESS <br /> E COMPONENTS OF WASTE PPM COMPONENTS OF WASTE PPM <br /> R zi.e.se1. , 8500 ,.li& Ugaev <br /> T '' Ptlhyl Benzene ✓ <br /> 0 <br /> R PROPERTIES pH SOLID_X_ LIQUID SLURRY OTHER <br /> • <br /> HANDLING INSTRUCTIONS <br /> WREIGNA <br /> RTIFIES THIS WASTE AS DESCRIBED 1S 100%NON-HAZARDOUS <br /> DATE.- <br /> �,` <br /> PRINT OR'TYPE FULL NAME <br /> �� I ■111 11�1 IIIiUI�I111iIPIIPiI I�IIIPIII� y <br /> COMPANY NAME PHONE NO 707 374-2881 <br /> H <br /> A ADDRESS P . p„ 13nx IFiq SERVICE ORDER NO <br /> U CITY, STATE,ZIP,R.l,.r) y f c t.a i C a _ q 4 5 7 1 1 PICKUP DATE 7/1/91 <br /> E TRUCK I D NO �3 -� TRAILER NO 1 Q EPA ID NO <br /> R DRIVE f L� / i A," 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 /> may 1991 P C M *alp so <br />