Laserfiche WebLink
6. NON-HAZARDOUS MATERIALS HAULING MANIFEST <br /> NAME Ampriran Fnrest Products Company LOT# <br /> ADDRESS PHONE NO (5 0 3 ) 635-1465 <br /> CITY,STATE,ZIP Lake Oswego, Oregon 97035 <br /> G CONTAINERS. No z 0_,., VOLUME z 3 WEIGHT <br /> E TYPE TANK DUMP 2LX-X DRUMS CARTONS OTHER,,,,` <br /> N WASTE DESCRIPTION qail GENERATING PROCESS UST <br /> • <br /> E COMPONENTS OF WASTE PPM COMPONENTS OF WASTE PPM <br /> R 3400 PPM <br /> A 470 PPM <br />' T <br /> O <br /> PROPERTIES. pH—B,-Q— SOLID--= LIQUID SLURRY OTHER <br /> R .. <br /> HANDLING INSTRUCTIONS�arn Loads. <br /> GENERATOR CERTIFIES THIS WASTE AS DESCRIBED IS 100%NON-HAZARDOUS <br />' I3Y -� v �NAhY <br /> DATE 7A PRINT O TYPE FULL <br />' COMPANY uckincr PHONE NO (2 0 9 ) 835-8770 <br /> H <br /> A ADDRESS SERVICE ORDER NO. <br />' U CITY,STATE,ZIP mrarx, Ca. 95376 PICK UP DATE 8/5/91 <br /> L - <br /> E TRUCK I.D.NO. TRAILER NO EPA ID NO 0 9 00-:0 0 9� <br />' R DRIVEgJ7 �� r R <br /> DATE n_ftL_ <br /> jL <br /> SIGNATURE PRINT OR TYPE FULL NAME ++ <br /> PROCESSOR : <br />' PORT COSTA MATERIALS,INC. DISPOSAL METHOD-THERMAL REMEDIATION <br /> 1000 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 1"I } P-c M <br />