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S <br /> 6. ICON-HAZARDOUS NIA I ERIALS HALLL'�G IlIAN'IFEST <br /> NAME Amrnc4 n Fo R f 0 dG �' � —'--- ---- <br /> LOT# L$ <br /> ADDRESS 1000 r<ru5C kldm F14Ce- PI'lONLNO &3s" I'd 61S <br /> CITY, STATE, ZIP <br /> G CONTAINERS No 10 VOLUME Z 3 WEIGHT <br /> E rl"PE TANK DUMP x DRUMS VARTONS OTHER <br /> N WASTE DESCRIPTION S 0' � c r.NER-kTING PROCESS -UST <br /> E COMPONENTS OF WASTE PPM COMPONENTS OF WASTE PPM <br /> R tDI e5<< 3 400 <br /> A "la air �� 14 -"o <br /> 1 T <br /> 0 <br /> PROPERTIES PH—L.10 SOLID_- x LIQUID S4URRY U1 HE <br /> HANDLING INSTRUCTIONS -r-qrg L O a d <br /> GENERATOR CERTIFIES THIS WASTE AS DESCRIBED IS 16% NON-HAZARDOUS <br /> I3Y �1, for DatW4cm�aver �A�PC) DATE $ - 191 <br /> I PRINT OR TYPE FULL NAME <br /> COMPANYNAME Tru c lyr�_ PHONE NO <br /> H + <br /> A ADDRESS I�l� ZO APs� G ro'+L t " �, �ERVICE ORDER NO <br /> U CITY, STATE,ZIPnzt4 C -E 5 3 7 La WICK UP DATE T <br /> E TRUCK I D NO 0 TRAILER NO, EPA ID NO I <br /> R' DRIVE / r S R_ �l r���1 <br /> SIGNAT� PRINT OR TYPE FULL NAME <br />' PROCESSOR ! <br /> PORT COSTA MATEIUALS, INC DISPOSAL ME T HOD - THERMAL REMEDIATION <br /> 9000 CA.ROUINEZ SCENIC DRIVE <br /> PORT COSTA,CA 94569 PHONE, (415) 602-I200 <br /> IF MOVEMENT BY OTHER THAN TRUCK, CALL FOR APPROPRIATE FORA3 <br /> May i�y1 p c m <br /> iYlrr �� �• <br /> IA <br />