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1 <br /> 8 <br /> 6. NON-HAZARDOUS MATERIALS HAULING MANIFEST <br /> NAME Amp-ri roan Fnrest_ Products . Company LOT# � K <br />' ADDRESS 4nCIn Kr11SP__Way Plarp PHONE NO (503 ) 635-1465 <br /> CTTY, STATE,ZIP Lake— Oswego. Oregon 97035 <br /> G CONTAINERS. No.--!-Q— VOLUME 2 3 WEIGHT <br /> E TYPE. TANK DUMP--MX--X DRUMS CARTONS OTHER— <br /> N WASTE DESCRIPTION - n i ] GENERATING PROCESS UST <br /> E COMPONENTS OF WASTE PPM COMPONENTS OF WASTE PPM <br /> R lli Peet 3400 PPM <br /> A>, Mnt.nr Of! 470 _PPM <br /> T <br /> 1 O <br /> PROPERTIES. pH R _ 0 SOLIDS LIQUID SLURRY OTHER <br /> R <br /> HANDLING INSTRUCTIONS _ Tarp Loads . _ <br /> GENERATOR CERTIFIES THIS WASTE AS DESCRIBED IS 100%NON-HAZARDOUS <br /> 1 BY DATE � <br /> PRINT oit TYPE FULL NAME <br /> 1 <br /> COMPANY NAME Keel ina Trucking PHONE NO (209 ) 835-8770 <br />' H <br /> A ADDRESS_ 1 477n W_ Grant Line-Rd. SERVICE ORDER NO <br /> . . s <br /> U CITY,STATE,ZIP Tracy. Ca. 95376 PICK UP DATE 8/5/91 <br /> f ' <br /> E TRUCK I D.NO ff� S �� 3 TRAILER NO jVA& EPA ID NO <br /> IR DRIVER, ? N f - /��f �` r� 1Gdls�r DATE <br /> SIGNATYR.E PRINT OR TYPE FULL NAME <br /> PROCESSOR: <br />' PORT COSTA MATERIALS,INC. DISPOSAL.METHOD-THERMAL REMEDIATION <br /> 4000 CARQUINEZ SCENIC DRIVE <br /> PORT COSTA,CA 94569 PHONE: (415)602-1200 <br /> IF MOVEMENT BY OTHER THAN TRUCK,CALL FOR APPROPRIATE FORM _ <br /> } RM <br /> May 1991 asci•.s..• = <br />