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8 <br /> . 6. NON-HAZARDOUS MATERIALS HAULING MANIFEST <br /> NAME ,TyM A s s n C t e 5 ..._, LOT# 1 7 { <br /> ADDRESS -9601 W- Mnh a v p PHONE NO (6 0 2 ) 352-6388 <br /> CITY, STATE,ZIP .phoenix, Az 85031 <br /> G CONTAINERS No VOLUMi800yds WEIGHT-1200 tans <br /> E TYPE TANK DUMP DRUMS CARTONS OTHER <br /> - <br /> N WASTE DES&PTION_Silty Sand GENERATING PROCESS <br /> E COMPONENTS OF WASTE PPM COMPONENTS OF WASTE PPM <br /> R nj acze, 8500Tolueme v <br /> T ✓ <br /> O <br /> PROPERTIES pH SOLID x LIQUID SLURRY OTHER <br /> - <br /> R <br /> HANDLING INSTRUCTIONS <br /> x E 0 CERTIFIES THIS WASTE AS DESCRIBED IS 100% NON-HAZARDOUyS, <br /> / B DATE L � <br /> IGNA RE &PRINT ORIYPE FULL NAME <br /> COMPANYNAME_Wa1,-ron rnme,; PHONENO 707 374-2881 <br /> H <br /> A ADDRESS 12 . n . gni 364 SERVICE ORDER NO <br /> U CrI7Y,STATE,ZIPR.�.Q. y i c i-a , CIA -_ q 4 9 71 -PICKUP DATE 7/1/91 <br /> L f � r <br /> E TRUCK 1 D NO TRAILER NO EPA ID NO <br /> R DRIVE `' DATE <br /> SIGNATURE PRINT OR TYPE FULL NAME j <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 I c m <br />