department of toxic substances control · rafael montero rafael montero 09 05 06 johnston mccullen...
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Linda Adams Agency Secretary
Cal/EPA
Arnold SchwarzeneggerGovernor
The following are eshows the how the the information lookonly. Generators aincluding use of pro The eleven exampl 1. Paint related w
2. PCB Contamin
3. Asbestos cont
4. Used Oil
5. Fuel contamin
6. Import
7. Export
8. Lab Pack w/co
9. Partially reject
10. Full load reject
11. Container Res
5/31/06
Department of Toxic Substances Control
Maureen F. Gorsen, Director 1001 “I” Street P.O. Box 806
Sacramento, California 95812-0806
Examples Manifests
leven examples of typical manifests. The first manifest in each example information would look on the current manifest. The second manifest shows s like on the new manifest. These examples are provided for comparison re still obligated under 22 CCR 66262.20 to properly complete manifests, per shipping names.
es include:
aste (thinner) This example should reflect how the changes would appear.
ated soil This manifest shows some additional requirements for PCB wastes.
aining waste This manifest shows some additional requirements for asbestos wastes under the NESHAP. This example also shows how fractional amounts are reported. This manifest shows a consolidated manifest.
ated soil This manifest shows a different site and mailing address. This manifest shows a load coming from Mexico. Note: the example does not include the EPA Acknowledgement of Consent. This manifest shows a load shipped to Germany. This example does not include the EPA Acknowledgment of Consent.
ntinuation sheet Lab pack and continuation sheet with more than two transporters.
ed load This manifest shows how a single container would be shipped back to the generator.
ion This manifest shows how a full load would be rejected and sent to an alternate TSD.
idue This manifest shows how a container residue would be shipped back to the generator.
Printed on Recycled Paper
Example # 1 (page 1)
C A D 1 2 3 4 5 6 7 8 9 1
The Munsters 100 Universal City Plaza Universal Studios, CA. 91608 213 555-1313
12345678
Transylvania Transport C A T 9 8 7 6 5 4 3 2 1 (800) 555-6651
Gateman, Goodbury and Graves 513 West Mortuary Blvd Mockingbird Heights, CA 90023 C A D 0 0 0 1 2 3 7 8 9
C A D 0 0 0 1 2 3 7 8 9 (800) 555-5417
1234
5678
RQ, Waste Paint Related Materials, 3, UN1263, PGII, (D001) 0 0 2 D M 0 0 0 2 5 G
214 D001
Lacquer thinner/paint add EPA Codes: F002, F003, F005 01
AP #6329 Gloves, goggles & Protective clothing Emergency contact: CHEMTREC 1-800-424-9300 ERG: 128
Herman Munster Herman Munster 0 9 0 4 0 6
Al Lewis Al Lewis 0 9 0 4 0 6
Goodbury Gateman Goodbury Gateman 0 9 0 5 0 6
Example # 1 (page 2)
CAD123456789 1 (800) 424-9300 123456789 ABC
The Munsters 100 Universal City Plaza Universal Studios, CA 91608
(213)555-1313
1313 Mockingbird Lane Mockingbird Heights, CA
Transylvania Transport CAT98765432
Gateman, Goodbury and Graves 513 West Mortuary Blvd Mockingbird Heights, CA 90023 (800) 555-5417 CAD000123789
D001 F002 F003
X RQ, Waste Paint Related Materials, 3, UN1263, PGII, (D001)
2 DM 25 G F005 214
AP #6329 Gloves, goggles & protective clothing. ERG #: 128
Herman Munster Herman Munster 09 05 06
Al Lewis Al Lewis 09 05 06
H020
Goodbury Gateman Goodbury Gateman 09 05 06
Example 2 (page 1)
C A D 9 8 7 6 5 4 3 2 1 1
The Electric Company 1445 Sesame Street Television Land, CA 510 555-6900
12345678
Orange Trucking C A R 0 0 0 0 6 9 2 2 9 (209) 555-0455
Toxic Waste Management, Inc. 15253 New Coastline Road Cookpot City, CA
C A T 0 0 0 7 1 1 6 4 6
C A T 0 0 0 7 1 1 6 4 6 (209) 555-1179
1234
5678
RQ, Polychlorinated Biphenyls, Solid Mixture, 9, UN2315, PG II 0 0 2 DT 2 0 0 0 0 K
261
None
EB3552 03
Out of service Date: 10/18/05 , 18 cu yds.
CHEMTREC Emergency Response Number (800)424-9300 TWM Contract
Morgan Freeman Authorized Agent for The Electric Co. Morgan Freeman 0 9 0 4 0 6
Matt Cointreau Matt Cointreau 0 9 0 4 0 6
Rita Moreno e|àt `ÉÜxÇÉ 0 9 0 4 0 6
Example 2 (page 2)
CAD987654321 1 (800)424-9300 123456789 ABC
The Electric Company 1445 Sesame Street Television Land, CA
510 555-6900
Orange Trucking CAR000069229
Toxic Waste Management, Inc. 15253 New Coastline Road Cookpot City, CA (209) 555-1179 CAT000711646
261
RQ Polychlorinated Biphenyls, Solid Mixture, 9, UN2315, PG II 2 DT 20,000 K
EB3552 ERG#: 171 Out of service Date: 10/18/05, 18 cu yds.
Morgan Freeman Authorized Agent for The Electric Co. Morgan Freeman 0 9 05 06
Matt Cointreau Matt Cointreau 09 05 06
H132
Rita Moreno Rita Moreno 0 9 05 06
Example 3 (page 1)
C A C 0 0 0 0 9 8 3 0 7 6 7 1 6 9 1
Galactic Empire Imperial Center Coruscant, CA 91333 805 555-1755
12345678
H A H Q 2 3 - 0 3 9 2 2 0
Millennium Falcon Transportation C A D 7 9 4 4 0 8 0 2 1 (559) 555-7099
Hutt Disposal Facility 1 Wayfar Road Tatooine, CA 95555 C A L 0 0 0 0 1 4 7 7 2
C A L 0 0 0 0 1 4 7 7 2 (800) 555-1304
1234
5678
RQ, Asbestos, 9, NA2212, PG III
0 2 3 D F 0 0 0 0 7 Y 151
None
RQ, Asbestos, 9, NA2212, PG III
0 3 0 B A 3 1 / 4 Y 151
None
11a.) 90% ACM Acoustical Plaster 11b.) 19% ACM TSI Pipe Lagging 03 03
Project: Death Star Yavin 4 orbit, Yavin, CA EMERGENCY CONTACT: Call D. Vader at (800) 555-3594
Transporter Address: 6064 S. Kessel St. Corellia, CA
Governing Agency: San Joaquin Valley Unified APCD 2700 M Street, Suite 275 Bakersfield, CA 93301
D. Vader for Grand Moff Tarkin Darth Vader 0 9 0 4 0 6
Han Solo Han Solo 0 9 0 4 0 6
Jabba Desilijic Tiure Jabba Desilijic Tiure 0 9 0 7 0 6
Example 3 (page 2)
CAC000098307 1 (800) 555-3594 123456789 ABC
Galactic Empire Imperial Center Coruscant, CA 91333
(805) 555-1755
Death Star In orbit around Yavin 4 Yavin, CA
Millennium Falcon Transportation CAD794408021
Hutt Disposal Facility 1 Wayfar Road Tatooine, CA 95555 (800) 555-1304 CAL000014772
151
RQ Asbestos, 9, NA2212, PG III
23 DF
7 Y
151
RQ Asbestos, 9, NA2212, PG III
30 BA 3 Y
9b1) 90% ACM Acoustical Plaster
9b2) 19% ACM TSI Pipe Lagging
Governing Agency: San Joaquin Valley Unified APCD 2700 M Street, Suite 275 Bakersfield, CA 93301
Transporter address and phone no. : 6064 S. Kessel St. Corellia, CA (559) 555-7099
D. Vader for Grand Moff Tarkin Darth Vader 09 05 06
Han Solo Han Solo 09 05 06
H132 H132
Jabba Desilijic Tiure Jabba Desiliji Tiure 09 08 06
Example 4 (page 1)
C A D 0 6 5 5 3 0 0 4 4 1
HASKELL ENVIRONMENTAL SERVICES P.O. BOX 104 MAYFIELD, CA 96591 916 555-5747
12345678
HASKELL ENVIRONMENTAL SERVICES
C A D 0 6 5 5 3 0 0 4 4 (916)555-5747
HASKELL ENVIRONMENTAL SERVICES 485 MAPLETON DRIVE MAYFIELD, CA 96591 C A D 0 6 5 5 3 0 0 4 4
C A D 0 6 5 5 3 0 0 4 4
(916) 555-5747
1234
5678
WASTE PETROLEUM OIL, 3, NA1270, PGIII
0 0 1 T T
0 0 5 2 0 G
221
None
RECYCLABLE OIL 01
EMERGENCY GUIDE #128 / CONSOLIDATED LOAD / 95% OIL, 5% WATER (PERCENTAGES MAY VARY) WEAR APPROPRIATE PROTECTIVE CLOTHING / 24-HR. EMERGENCY CONTACT: CHEMTREC @ 800-424-9300
520 GAL. LUBE/ GAL. INDUSTRIAL/ GAL. FUEL
Larry Mondello Larry Mondello 0 9 0 4 0 6
Larry Mondello Larry Mondello 0 9 0 4 0 6
Clarence Rutheford Lumpy Rutheford 0 9 0 4 0 6
Example 4 (page 2)
CAD065530044 1 (800) 424-9300 123456789 ABC
HASKELL ENVIRONMENTAL SERVICES P.O. BOX 104 MAYFIELD, CA 96591
(916) 555-5747
485 MAPLETON DRIVE MAYFIELD, CA 96591
HASKELL ENVIRONMENTAL SERVICES CAD065530044
HASKELL ENVIRONMENTAL SERVICES 485 MAPLETON DRIVE MAYFIELD, CA 96591 (916) 555-5747 CAD065530044
221
X WASTE PETROLEUM OIL, 3, NA1270, PGIII
1 T T 520 G
EMERGENCY GUIDE #128/ CONSOLIDATED LOAD/ 95% OIL, 5% WATER (PERCENTAGES MAY VARY) WEAR APPROPRIATE PROTECTIVE CLOTHING 520 GAL LUBE/ GAL INDUSTRIAL/ GAL FUEL OIL
LARRY MONDELLO LARRY MONDELLO 09 05 06
LARRY MONDELLO LARRY MONDELLO 09 05 06
H061
Clarence Rutheford Lumpy Rutheford 09 05 06
Example 5 (page 1)
C A D 9 8 2 0 5 6 7 0 3 C 3 6 5 1 1
Bubba Berley LLC Attention: Grady Wilson PO Box 4006 1006 Kyle Canyon Road San Ramon CA 94583 925 555-4333
12345678
Sanford & Son’s
C A R 0 0 0 0 9 1 5 7 9 (213) 555-2645
Ocean Pacific Lines, 1416 Chevy Street Chevy Chase, MD 20815 M D D 0 1 9 2 9 7 1 0 0 301/555-0044
Osmond Environmental 123 Brothers Road Orem, UT 84057 U T D 1 0 2 2 1 0 3 9 0
U T A H 4 9 - 2 2
(800) 555-1544
1234
5678
Non-RCRA Hazardous Waste, Solid (Fuel Waste) 0 0 1 C M
0 0 0 2 2 T
611
None
11a. Site Clean-up @ 4707 South Central, Los Angeles 03
cvx site # 211416
In case of emergency or information call: Geraldo Rivera at (925) 555-4333 Osmond Environmental Project No. 014 Z5 2947 ERG #: 171
Container No. 31250-1 Railcar No. ECYY 98073
Grady Wilson agent for Bubba Berley LLC Grady Wilson 0 9 0 4 0 6
Lamont Sanford Lamont Sanford 0 9 0 4 0 6
Rollo Larson for OPRR Rollo Larson 0 9 0 4 0 6
Donnie Osmond Donnie Osmond 0 9 2 4 0 6
Example 5 (page 2)
CAD982056703 1 (925) 555-4333 123456789 ABC
Bubba Berley LLC Attention: Grady Wilson PO Box 4006 1006 Kyle Canyon Road San Ramon CA 94583
(925) 555-4333
4707 South Central Los Angeles, CA 90002
Sanford & Son’s CAR000091579
Ocean Pacific Lines MDD019297100
Osmond Environmental 123 Brothers Road Orem, UT 84057 (800) 555-1544 UTD102210390
611
Non-RCRA Hazardous Waste, Solid (Fuel Waste) 1 C M 2 2 T
For information call: Geraldo Rivera at (925) 555-4333 Osmond Environmental Project No. 014 Z5 2947 ERG #: 171
Container No. 31250-1 Railcar No. ECYY 98073
Grady Wilson agent for Bubba Berley LLC Grady Wilson 09 05 06
Lamont Sanford Lamont Sanford 09 05 06
Rollo Larson for OPRR Rollo Larson 09 05 06
H131
Donnie Osmond Donnie Osmond 09 25 06
C A D 2 9 5 3 6 9 3 0 0 1
CES Refining 507 Tule Street, Santa Clara 95050 408 555-6834
ZORRO DE MEXICALI, S.A. DE C.V. CALLE 5 DE MAYO P. IND. LAS CALIF. III MEXICALI, B C MX
12345678
H A H Q 0 0 2 3 1 0 6 3
TONOS (MEXICAN HAULER)
M E X I C O
Quad County Motor Transport M O D 0 8 9 9 8 3 0 5 9 800-555-6981 CES Refining 507 Tule Street Santa Clara, CA 95050 C A D 2 9 5 3 6 9 3 0 0
C A D 2 9 5 3 6 9 3 0 0
(408) 555-6834
1234
5678
RQ, Environmentally Hazardous Waste Solid, n.o.s., (lead) 9, UN3077, PGIII, (D008) 0 1 0 D M 0 3 4 1 6 K
181
D008
11a. Solder Dross (60% Tin – 40% Lead). 01
Wear Gloves, Goggles DOT ERG #171 24 Hour Transportation Emergency Phone: 408-555-3572 (Digital Pager). This material restricted from land disposal according to 40CFR sec. #268.40 and/or 22CCR Sec. #66268.40.
On behalf of ZORRO DE MEXICALI, S.A. DE C.V.
Diego de la Vega Diego Vega 0 9 0 4 0 6
Rafael Montero Rafael Montero 0 9 0 4 0 6
Johnston McCullen Johnston McCullen 0 9 0 4 0 6
Guy Williams Guy Williams 0 9 1 0 0 6
U.S. CUSTOMS OTAY MESA HAZMAT
SEP 04 2006 INSPECT R, BADGE # O
Example 6 (page 1)
CAD295369300 1 (408) 555-3572 123456789 ABC
CES Refining 507 Tule Street, Santa Clara 95050 (408) 555-6834
ZORRO DE MEXICALI, S.A. DE C.V. CALLE 5 DE MAYO P. IND. LAS CALIF. III
MEXICALI, B C MX
TONOS (MEXICAN HAULER) MEXICO
Quad County Motor Transport MOD089983059
CES Refining 507 Tule Street Santa Clara, CA 95050 (408) 555-6834 CAD295369300
D008 181
RQ Environmentally Hazardous Waste Solid, n.o.s., (lead), 9, UN3077, PGIII, (D008) 10 DM 3416 K
9b. Solder Dross (60% Tin – 40% Lead). Wear Gloves, Goggles. DOT ERG #171 This material restricted from land disposal according to 40CFR sec. #268.40 and/or 22CCR Sec. #66268.40.
On behalf of ZORRO DE MEXICALI, S.A. DE C.V.
Diego de la Vega Diego Vega 09 05 06
X
Otay Mesa, California
Rafael Montero Rafael Montero 09 05 06
Johnston McCullen Johnston McCullen 09 05 06
H131
Guy Williams Guy Williams 09 10 06
U.S. CUSTOMS OTAY MESA HAZMAT
SEP 05 2006 INSPECTOR, BADGE #
Example 6 (page 2)
Example 7 (page 1)
C A 3 4 8 0 2 0 0 2 1 5 1
Klammath Army Depot, Bldg 57 Attn: SMSI-PWV Sasquatch, CA 93116 530 555-0064
12345678
B & B Trucking Co.
M O T 0 0 0 0 8 4 9 2 1 800 555-0475
Southern Gulf Lines, Inc. L A 0 0 0 0 0 1 7 0 1 2 504-555-9038
VBE GMBH Blechtrommel strasse 101 D-40080 Dusseldorf, Germany P A 5 2 0 0 0 0 5
011 94-34223-46-110
1234
5678
RQ, Waste Cartridges for Weapons, Inert Projectile, 1.4S, UN0012, II, (D003)
0 0 2 CM 2 3 5 6 0 P 331
D003
07
ERG #114 CONTAINER# CRUX1668101, 12,320#; CONTAINER# CRUX8113912, 11,240# Point of Departure from United States is South Port, NC 24-hr Emergency Response U.S. Army Operations Center 1-703-697-0218 (call collect)
and conforms to the terms of the attached EPA Acknowledgement of Consent
Jan Bronski Jan Bronski 0 9 0 4 0 6
Oskar Matzerath Oskar Matzerath 0 9 0 4 0 6
Leo Schugger Leo Schugger 0 9 1 1 0 6
Gunther Grass Gunther Grass 1 0 0 2 0 6
Example 7 (page 2)
CA3480200215 1 (703) 697-0218 (call collect) 123456789 ABC
Klammath Army Depot, Bldg 57 Attn: SMSI-PWV Sasquatch, CA 93116 (530) 555-0064
B & B Trucking Co. MOT000084921
Southern Gulf Lines, Inc. LA0000017012
VBE GMBH Blechtrommel strasse 101 D-40080 Dusseldorf, Germany 011 94-34223-46-110 PA5200005
D003 331
RQ Waste Cartridges for Weapons, Inert Projectile, 1.4S, UN0012, II, (D003) 2 CM 23560 P
ERG #114 CONTAINER# CRUX1668101, 12,320#; CONTAINER# CRUX8113912, 11,240# 24-hr Emergency Response U.S. Army Operations Center
Jan Bronski Jan Bronski 09 05 06
Leo Schugger x
South Port, North Carolina 9/16/06
Oskar Matzerath Oskar Matzerath 09 05 06
Leo Schugger Leo Schugger 09 11 06
H040
Gunther Grass Gunther Grass G th G
10 02 06
1234
5678
12345678
Example 8 “old “ (page 1)
C A D 0 0 0 0 3 0 9 4 9 1 2 5 0 2 2
Doc Brown’s – Missile & Space Propulsion P.O. Box 122232 Hill Valley, CA 95183-6000 916 555-2778
H A H Q 3 6 0 0 8 8 5 1
Tannen Environmental Services M A D 0 5 2 2 2 3 9 3 0 (916) 555-2611
McFly Environmental C A T 0 0 0 7 4 2 4 2 6 800-555-8159
Tannen Environmental (Dolomite), Inc. 12417 Philadelphia Street Dolomite UT 35061 U T D 7 7 1 2 5 5 2 8 9
U T D 7 7 1 2 5 5 2 8 9
(801) 555-0018
X Isocyanates, Toxic, N.O.S., 6.1, UN2206, PGII (Toluene Diisocyanate, Isophrone Diisocyanate)
0 0 1 D F 0 0 1 0 6 P
331
Non-RCRA
X Isocyanates, Toxic, N.O.S., 6.1, UN2206, PGII (Isophrone Diisocyanate, Hexamethylene Diisocyanate) 0 0 2 D M 0 0 3 7 1 P
331
Non-RCRA
X Toxic, Liquids, Organic, N.O.S., 6.1, UN2810, PGII (Glycidol, Tin Dilaurate)
0 0 1 D F 0 0 1 2 8 P
331
Non-RCRA
X Waste Flammable Liquids, N.O.S., 3, UN1993, PGII (iso-Octane, Nitropropane)
0 0 1 D F 0 0 0 5 5 P
551
D001
07
07
ERG a) AP2103955 Lab Packs (1 x DF 30) 155b) AP2103955 Lab Packs (2 x DM 55) 155c) AP2103955 Lab Packs (1 x DF 55) 153d) (1 x DF 30) 128 AP2103955 Lab Packs 07 07
24 Hour Emergency Number (916) 555-6900 Contact: Dr. Brown Avoid Inhalation and Skin Contact – Wear gloves, goggles, proper PPE
WO# JD410725
Dr. Emmit Brown Emmit Brown 0 9 0 4 0 6 Biff Tannen Biff Tannen 0 9 0 4 0 6
Marty McFly Marty McFly 0 9 1 1 0 6
Robert Zemeckis Robert Zemeckis 0 9 1 6 0 6
Example 8 “old” (page 2)
CAD000030949 12502 2 of 2
Doc Brown’s – Missile & Space Propulsion P.O. Box 122232 Hill Valley, CA 95183-6000
12345678
HAHQ36008851 3
Tannen Environmental Services MAD052223930 (408) 555-5000
4 McFly Environmental CAT000742426
(800) 555-8159
X Waste Paint Related Material, 3, UN1263, PGII, RQ (D001)
001 DF 00250 P
331 D001
X
Waste Flammable Liquids, Toxic, N.O.S., 3, UN1992, PGII (Acetone, Methylene Chloride)
001 DF 00063 P
551 D001
X
Corrosive Liquids, N.O.S., 8, UN1760, PGII (Aminopropyltriethoxysilane, Diiodomethane)
001 DF 00025 P
331 Non-RCRA
X
Waste Corrosive Liquid, Acidic, Inorganic, N.O.S., (Chromic Acid, Hydrochloric Acid), 8 UN3264, PGII, RQ (Chromic Acid)
001 DF 00209 P
792 D002
X Environmentally Hazardous Substance, Solid, N.O.S., 9, UN3077, PGIII (Antimony Oxide, Cupric Sulfate)
001 DF 00062 P
141 Non-RCRA
X
Waste Corrosive Liquids, Toxic, N.O.S., 8, UN2922, PGII (Sulfuric Acid, p-Nitroaniline)
001 DF 00035 P
791 D002
X
Toxic Liquids, Organic, N.O.S., (Hydrazine, Methylhydrazine), 6.1, UN2810, PGIII, RQ (Hydrazine, Methylhydrazine)
001 DF 00250 P
134 Non-RCRA
X
Waste Corrosive Liquid, Acidic, Inorganic, N.O.S., (Chromic Acid, Sulfuric Acid), 8, UN3264, PGII, RQ (Chromic Acid)
001 DF 00045 P
792 D002
X
Waste Trifluoroacetic Acid, 8, UN2699, PGI
001 DF 00013 P
551 D002
11-a,b,c,d,e,f,g,h,i- LDR Attached ERGa) D035, D039 AP2103955 Lab Packs (1 x DF 55) 128b) F002, F003 AP2103955 Lab Packs (1 x DF 30) 131c) AP2103955 Lab Packs (1 x DF 10) 154d) D007 (1 x DF 55) 154 AP2103955 Lab Packs
07
e) AP2103955 Lab Packs (1 x DF 20) 171 f) AP2103955 Lab Packs (1 x DF 20) 154 g)( AP2103955 Lab Packs 1 x DF 55) 151 h) AP2103955 Lab Packs (1 x DF 20) 154 i) (1 x DF 55) 154 AP2103955 Lab Packs
3
Thomas Wilson Thomas Wils n o 9 1 1 0 6 4
Michael Fox Michael Fox 0 9 1 5 0 6
Example 8 “new” (page 1)
CAD000030949 2 (916) 555-6900 123456789 ABC
Doc Brown’s – Missile & Space Propulsion P.O. Box 122232 Hill Valley, CA 95183-6000 (916 ) 555-2778
535 N. Victory Boulevard Hill Valley, CA 95183-6000
Tannen Environmental Services MAD052223930
McFly Environmental CAT000742426
Tannen Environmental (Dolomite), Inc. 12417 Philadelphia Street Dolomite UT 35061 (801) 555-0018 UTD771255289
331
Isocyanates, Toxic, N.O.S., 6.1, UN2206, PGII (Toluene Diisocyanate, Isophrone Diisocyanate)
1 DF 106 P
331
Toxic, Liquids, Organic, N.O.S., 6.1, UN2810, PGII (Glycidol, Tin Dilaurate)
2 DM 371 P
331
Isocyanates, Toxic, N.O.S., 6.1, UN2206, PGII (Toluene Diisocyanate, Isophrone Diisocyanate)
1 DF 128 P
D001 551
Waste Flammable Liquids, N.O.S., 3, UN1993, PGII (iso-Octane, Nitropropane)
1 DF 55 P
ERG 9b. 1) (1 x DF 30) 155 AP2103955 Lab Packs
2) (2 x DM 55) 155 AP2103955 Lab Packs 3) (1 x DF 55) 153 AP2103955 Lab Packs 4) (1 x DF 30) 128 AP2103955 Lab Packs
Dr. Emmit Brown Emmit Brown 09 05 06
Biff Tannen Biff Tannen 09 05 06 Marty McFly Marty McFly 09 11 06
H040 H040 H040 H040
Robert Zemeckis Robert Zemeckis 09 16 06
Example 8 “new (page 2)
CAD000030949 2 of 2 123456789 ABC
Doc Brown’s – Missile & Space Propulsion
3 Tannen Environmental Services MAD052223930
4 McFly Environmental CAT000742426
D001 D035 D039
5. Waste Paint Related Material, 3, UN1263, PGII, RQ (D001)
1 DF 250 P 331
D001 F002 F003 6. Waste Flammable Liquids, Toxic, N.O.S., 3, UN1992, PGII (Acetone, Methylene Chloride)
1 DF 63 P 551
331 7. Corrosive Liquids, N.O.S., 8, UN1760, PGII (Aminopropyltriethoxysilane, Diiodomethane)
1 DF 25 P
D002 D007 792 8. Waste Corrosive Liquid, Acidic, Inorganic, N.O.S., (Chromic Acid, Hydrochloric Acid), 8 UN3264, PGII, RQ (Chromic Acid)
1 DF 209 P
141
9. Environmentally Hazardous Substance, Solid, N.O.S., 9, UN3077, PGIII (Antimony Oxide, Cupric Sulfate)
1 DF 62 P
D002 791 10. Waste Corrosive Liquids, Toxic, N.O.S., 8, UN2922, PGII (Sulfuric Acid, p-Nitroaniline)
1 DF 35 P
134 11. Toxic Liquids, Organic, N.O.S., (Hydrazine, Methylhydrazine), 6.1, UN2810, PGIII, RQ (Hydrazine, Methylhydrazine)
1
DF
250
P
792 D007 D002
12. Waste Corrosive Liquid, Acidic, Inorganic, N.O.S., (Chromic Acid, Sulfuric Acid), 8, UN3264, PGII, RQ (Chromic Acid)
1 DF 45 P
D002 551 13. Waste Trifluoroacetic Acid, 8, UN2699, PGI 1 DF 13 P
27b. - LDR Attached 5) (1 x DF 55) ERG 128 AP2103955 Lab Packs 6) (1 x DF 30) ERG 131 AP2103955 Lab Packs 7) (1 x DF 10) ERG 154 AP2103955 Lab Packs 8) (1 x DF3 55) ERG 154 AP2103955 Lab Packs
9) (1 x DF 20) ERG 171 AP2103955 Lab Packs 10) (1 x DF 20) ERG 154 AP2103955 Lab Packs 11)(1 x DF 55) ERG 151 AP2103955 Lab Packs 12) (1 x DF 20) ERG 154 AP2103955 Lab Packs 13) (1 x DF 55) ERG 154 AP2103955 Lab Packs
3 Thomas Wilson Thomas Wilson 09 11 06 4 Michael Fox Michael Fox 09 15 06
5. H040 6. H040 7. H040 8. H040 9. H040
10. H040 11. H040 12. H040 13. H040
Example 9 (page 1)
C A 0 0 0 0 0 7 1 5 4 8 1
James Buchanan HS 86 188th Street Los Angeles, CA 90011 213 555-4913
12345678
Sweathog Transportation
N Y D 0 0 0 0 3 9 0 5 0
800 555-0475
Kotter Resources 74811 Brooklyn Street Mojave, CA C A D 9 8 0 2 2 5 2 4 1
661 555-6142
1234
5678
HAZARDOUS WASTE, LIQUID, N.O.S., 9, NA3082, PGIII, RQ X (D011) (ERG #171) (PHOTO FIXER SILVER SOLUTION) (9#/GAL)
0 6 1 D F 0 1 5 0 9 G 541
D011
NON-RCRA HAZARDOUS WASTE LIQUID, (PHOTOGRAPHIC SOLUTION)(8#/GAL)
0 0 8 D F 0 0 0 7 4 G 541
X HAZARDOUS WASTE, LIQUID, N.O.S., 9, NA3082, PGIII, RQ (D011), erg#171) (PHOTOFIXER SILVER SOLUTION) (9#/GAL) 0 0 4 D F 0 0 1 8 0 p
541 D011
01 01
105667530 01
MSFT R/T# 105605895 0-007-60 EMERGENCY RESP 800-468-1760 (24 HR). IF UNDELIVERABLE RETURN TO GENERATOR. SWEATHOG TRANSPORTATION AUTHORIZED TO RETAIN LICENSED SUBSEQUENT CARRIERS AS NECESSARY.
MICHAEL WOODMAN MICHAEL WOODMAN 0 9 0 4 0 6
VINNIE BARBARINO VINNIE BARBARINO 0 9 0 4 0 6
1 drum of solution (item 11b) was rejected due to unknown contamination. Remanifested on Manifest #987654321 CBA & sent back to generator.
Gabe Kotter Gabe Kotter 0 9 0 8 06
Example 9 (page 2)
CA0000071548 1 800-468-1760 123456789 ABC
James Buchanan HS 86 188th Street Los Angeles, CA 90011 (213) 555-4913
Sweathog Transportation NYD000039050
Kotter Resources 74811 Brooklyn Street Mojave, CA (661) 555-6142 CAD980225241
D011 541
RQ HAZARDOUS WASTE, LIQUID, N.O.S., 9, NA3082, PGIII, (PHOTO FIXER SILVER SOLUTION), (D011) 61 DF 1509 G
541
NON-RCRA HAZARDOUS WASTE, LIQUID (PHOTOGRAPHIC SOLUTION) 8 DF 74 G
D011 541
RQ HAZARDOUS WASTE, LIQUID, N.O.S., 9, NA3082, PGIII, (PHOTO FIXER SILVER SOLUTION), (D011) 4 DF 180
1
p
MSFT R/T# 105605895 0-007-60 05667530 IF UNDELIVERABLE RETURN TO GENERATOR. SWEATHOG TRANSPORTATION AUTHORIZED TO RETAIN LICENSED SUBSEQUENT CARRIERS AS NECESSARY. ITEM 9b. 1: ERG#171, 9#/GAL; 9b.2: 8#/GAL; 9b.3: ERG#171, 9#/GAL.
MICHAEL WOODMAN MICHAEL WOODMAN 09 05 06
VINNIE BARBARINO VINNIE BARBARINO 09 05 06
x
1 drum of solution (item 9b.2.)was rejected due to unknown contamination. 987654321 CBA
H010 H010 H010
Gabe Kotter Gabe Kotter 09 08 06
C A 8 0 5 4 2 0 0 7 5 7 1
9 CES/CEV ENVIRONMENTAL FLIGHT 1546 “A” STREET BURPLESON AFB, CA 95309-1807 530 555-4264
12345678
STRANGELOVE ENVIRONMENTAL
C A D 6 3 0 7 7 2 8 2 0
310 555-3400
JDR REFINING 587 WRITE STREET SANTA CLARA, CA 95050
C A D 0 0 6 2 3 2 9 5 3
(408) 555-6834
1234
5678
RQ, HAZARDOUS WASTE, LIQUID, N.O.S. (CADMIUM, CHROMIUM), 9, NA3082, PGIII (D006, D007, D011)
0 0 1 T T 2 4 8 2 0 P 541
D011
11a. 4153 Additional EPA Waste Codes: D006, D007 01
11a) ERG:171 24 Hour Emergency Response: Buck Turgidson (310) 555-5010 SP4400-00-D0003-0410 USE APPROPRIATE PERSONAL PROTECTIVE EQUIPMENT P.O. #1266
Lionel Mandrake Lionel Mandrak 0 9 0 4 0 6
TJ KON
09/08: Load was rejeaccepted and sent to
Merkin Mu
(323) 555-6505 CAT136330080
AD Environmental 3506 W. 62nd St. Los Angeles, CA 90023
910-916-13
G TJ Ko
cted due to unknown contamination. Generalternate TSD by Transporter.
ffley Merkin Muff
Example 10 (page 1)
e
ng 0 9 0 4 0 6
ator identified alternate TSD, not
ley 0 9 1 0 06
CA8054200757 1 (310) 555-5010 123456789 ABC
9 CES/CEV ENVIRONMENTAL FLIGHT 1546 “A” STREET BURPLESON AFB, CA 95309-1807 (530) 555-4264
STRANGELOVE ENVIRONMENTAL CAD630772820
JDR REFINING 587 WRITE STREET SANTA CLARA, CA 95050 (408) 555-6834 CAD006232953
D011 D006 D007
RQ HAZARDOUS WASTE, LIQUID, N.O.S. (CADMIUM, CHROMIUM), 9, NA3082, PGIII (D006, D007, D011) 1 TT 24820 G 541
9b.1: ERG:171 9b.1. 4153 SP4400-00-D0003-0410 USE APPROPRIATE PERSONAL PROTECTIVE EQUIPMENT P.O. #1266
Lionel Mandrake Lionel Mandrake 9 05 06
TJ KONG TJ Kong 09 05 06
X
Load was rejected due to unknown contamination.
AD Environmental 3506 W. 62nd St. Los Angeles, CA 90023 CAT136330080
Merkin Muffley 09 10 06
H010
Stan Kubrick Stan Kubrick 09 08 06
910-916-13
Example 10 (page 2)
Example 11 (page 1)
C A D 0 1 3 4 9 4 9 5 0 1
Starfleet Environmental (San Jose), Inc. 1701 Federation Way San Jose, CA 95133 408 555-4515
12345678
Vancouver Pacific W A D 9 8 8 6 0 6 5 6 2
(800) 555-7778
Starfleet Environmental (Dilithium), Inc. 16100 S. Altair Road Dilithium, UT 84892
U T D 7 7 1 2 5 5 1 8 9
(801) 555-0018
1234
5678
WASTE FLAMMABLE LIQUIDS, N.O.S., (PETROLEUM DISTILLATES), 3, UN1993, PGIII, RQ (D001,D004, D009, D011, D033)
0 0 1 T C 2 5 2 5 1 G 331
D001
Additional EPA Waste
a. D004, D005, D006, D007, D008, D009 b.
Approvals: a. AP061602104 b.
07
Codes c.
d. c. d.
ERG#: 128 Railcar#: GATX638750 Auth#: 57397 DPO#: 23533 Emergency Contact: 3-E Company @ 1-800-468-1760
Leonard McCoy Bones McCoy 0 9 0 4 0 6
Montgomery Scott Montgomery Scott 0 9 0 4 0 6
There is Approx. 2500 gal. left in GATX638750. Heel remaining in rail tanker is being rejected back to generator 9/18/06.
Pavel Chekov Pavel Chekov 0 9 1 4 06
Example 11 (page 2)
CAD013494950 1 (800) 468-1760 123456789 ABC
Starfleet Environmental (San Jose), Inc. 1701 Federation Way San Jose, CA 95133 (408) 555-4515
Vancouver Pacific WAD988606562
Starfleet Environmental (Dilithium), Inc. 16100 S. Altair Road Dilithium, UT 84892 (801) 555-0018 UTD771255189
D001 D004 D009
WASTE FLAMMABLE LIQUIDS, N.O.S., (PETROLEUM DISTILLATES), 3, UN1993, PGIII, RQ (D001,D004, D009, D011, D033) 1 TC 25251 G D011 D033 331
9b.1: ERG:128 9b.1. Approvals: a. AP061602104 Railcar#: GATX638750
Auth#: 57397 DPO#: 23533
Leonard McCoy Bones McCoy
9 05 06
Montgomery Scott Montgomery Scott 09 05 06
X
There is Approx. 2500 gal left in GATX638750. Heel remaining in rail tanker is being rejected back to generator 9/18/06. 987654321ABC
H040
Pavel Chekov Pavel Chekov 09 14 06
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