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6. NON-HAZARDOUS MA I ERIALC HAULLNG AIAMFEST <br /> NAME AmGr-ic.an t'oQW Pftpocr� CoHP4Ny LOT# I _ <br /> ADDRESS 0 Krug i ( e- PHONE NO <br />' CITY, STATE,ZIP Lq o5w d 3S <br /> G CONTAINERS No / 0 VOLUME Z 3 WEIGHT <br />' E TYPE TANK DUMP �` DRUMS dARTONS OTHER <br /> N WASTE DESCRIPTION S 01 1 GENER�MNG PROCESS. L2 6 T <br /> J <br /> F, COMPONENTS OF WASTE Pi'M COMPONENTS OF WASTE PPM <br /> R D;esc l 3 400 <br /> A <br /> 1 T ' <br /> a <br />' PROPERTIES pH S .() SOLID___ X LIQUID S4URRy U1Hh <br /> x rte ll <br /> HANDLING INSTRUCTIONS - <br /> _ _ Lar L o a d <br /> GENERATOR CERTIFIES THIS WASTE AS DESCRIBED IS I&M. NON-HAZARDOUS <br /> BY &u for Dou We6�r4ayer (A_FPL) DATE S q <br />' I PRINT OR TYPE FULL NAME <br /> 1 COMPANY NAME-� Tru e kUACA PHONE NO 20 35- P (D <br /> H <br /> A . �ERVICE ORDER NO <br /> �ta- <br /> U CITY, STATE,ZIP C C A 015376 WICK UP DATE 8 1 1 <br />' L G 00 2 TO g <br /> E TRUCK IDN 3 TRAILER NO. '-3 EPA 1D NO <br /> R DRIVE s �� �_ DATE $ S 4 <br />' NA PRINT OR TYPE FULL NAME [� <br /> PROCESSOR : <br /> PORT COSTA MATERIALS, INC DISPOSAL M$T HOD- THERMAL REMEDIATION <br />' 9000 CARQUINEZ SCENIC DRIVE <br /> PORT COSTA,CA 94569 PHONE. (4151602-1200 <br /> IF MOVEMENT BY OTHER THAN TRUCK,CALL FOR APPROPRIATE FORM <br /> P c M <br />