department of toxic substances control · rafael montero rafael montero 09 05 06 johnston mccullen...

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Department of Toxic Substances Control Maureen F. Gorsen, Director 1001 “I” Street P.O. Box 806 Sacramento, California 95812-0806 Linda Adams Agency Secretary Cal/EPA Arnold Schwarzenegger Governor Examples Manifests The following are eleven examples of typical manifests. The first manifest in each example shows the how the information would look on the current manifest. The second manifest shows the information looks like on the new manifest. These examples are provided for comparison only. Generators are still obligated under 22 CCR 66262.20 to properly complete manifests, including use of proper shipping names. The eleven examples include: 1. Paint related waste (thinner) This example should reflect how the changes would appear. 2. PCB Contaminated soil This manifest shows some additional requirements for PCB wastes. 3. Asbestos containing waste This manifest shows some additional requirements for asbestos wastes under the NESHAP. This example also shows how fractional amounts are reported. 4. Used Oil This manifest shows a consolidated manifest. 5. Fuel contaminated soil This manifest shows a different site and mailing address. 6. Import This manifest shows a load coming from Mexico. Note: the example does not include the EPA Acknowledgement of Consent. 7. Export This manifest shows a load shipped to Germany. This example does not include the EPA Acknowledgment of Consent. 8. Lab Pack w/continuation sheet Lab pack and continuation sheet with more than two transporters. 9. Partially rejected load This manifest shows how a single container would be shipped back to the generator. 10. Full load rejection This manifest shows how a full load would be rejected and sent to an alternate TSD. 11. Container Residue This manifest shows how a container residue would be shipped back to the generator. 5/31/06 Printed on Recycled Paper

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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

KAnder
Text Box

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