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TRANSCRIPT
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Superfund Records Center (
<^0^ ^ ^ ^ SITE:__2i§L>iiErw r ^ ^ w BREAK: ____JLx^w^„ (L.CEW .„ THEL.C.D«»Nt:^^^^
^ ^ y ' ' ° °°'<=">= ESSEX CONN 06426 , „ , ^ ' ^03 , e , . e 2 „ TELEX 9 6 6 4 4 .
S%^i'crAtTlErL°, - X c ^ C T - , , , , ,
SDMS DociD 445518
DECEMBER 30, 1992 MS. MARILYN K. GOLDBERG
":»: B O X ' S ™ ™' ="™ '^^"^ CHANTILLY, VA. 22022
DEAR MS. GOLDBERG,
THE N S \ r S L ? r s 2 L ' ? E r T o l S ^ ^ ^ ^ ^ RECORDED XNEORMATION REGARDING BY THE L.C. DOANE COMPANY. ^^^^^TS RECOVERY SERVICE OF NEW ENCLAMT NEW ENGLAND
PLEAsr?"o;5?J?"„r' "*' "^^"™^ ' ^ ^ ' T„H H»CL0SEB I».OR«no.,
PLANT
-c; M.P. EAGAN PRESIDENT
1.
2.
3.
4.
5.
6.
ENCLOSURE B
Solvents Recovery service of Kev England 104(e) Information Request Form for Generators
THE L.C DOANE CO. P.O. BOX 975
Name of Respondent: RAILROAD AVE. . ESSEX. CT. 06426
Date Information Request Completed: DEC 29, 1992
For each transaction listed on Form 1 (attached), identify by chemical name the type of waste material that the Respondent sent for treatment or disposal to the Site or sent with a transporter for treatment or disposal to the Site. If the chemical name is not )aiown, please state the trade name and the name of the manufacturer. Also identify the transporter of each waste volume and identify who made the decision to bring the waste to the Site — the transporter, generator, or broker. Attach copies of all documents consulted, examined, or referred to in the preparation of answers to these questions.
At the end of Form 1 and consistent with the format of Form 1, identify and provide complete information on anv additional transactions which do not appear on Form 1 or transactions which are in some manner incorrectly recorded on Form 1. Attach copies of all documents which provide information on these transactions.
If you are not the generator of any of the wastes attributed to you in the listing of transactions on Form 1 (i.e., you sent waste materials to the Site for disposal or treatment that were generated by a person other than you), please complete steps a through d below:
a) Provide the information requested for that transaction on Form 1;
b) Highlight the transaction by placing an asterisk (*) to the left of the appropriate transaction date on Form 1; and
c) Provide the information requested on Form 2 (attached); d) Attach copies of all documents consulted, examined, or
referred in to the preparation of answers to these questions.
Please identify all persons consulted in the preparation of the answers to these questions. Indicate their relationship to the Respondent (e.g., current employee - environmental manager, past employee - maintenance department, etc.). Attach extra pages if necessary.
6. (cont inued)
N a m e : RAYMOND W. JENNINGS
A d d r e s s P .O . BOX 9 7 5 . RAILROAD AVE.
ESSEX. CT. 06426
P h o n e N o . (203) 767-8295
R e l a t i o n t o Respondent PLANT MANAGER
Name:
Address:
Phone No.
Relation to Respondent
Name:
Address:
Phone No.
Relation to Respondent!
Name:
Address:
Phone No.
Relation to Respondent:
FORM 1 Paget 1
Solvents Recovery Service of New England L.C. Doane Company/ The
Transaction Gallon Waste Type (3) Name/Address Name/Description of Who Date (1) Volume of Transporter Selected the Bite (4)
LICOUER THINNER THE L.C, DOANE COMPANY i 6 m m RE OfERV tJfclRViCE OF NEW ENGLAND -,oe n« WASTE FLAMMABLE 07/01/60 E. SOUTHINGTON. CT. 06489 EPA/DEP APPROVED FACILITY 3 8 5 . 0 0 LIQIITn N.n.fi 0001 LACQUER THINNER LVENT-ftfi oVfiRf SERVtCE THE L.C. DOANE COMPANY WASTE FLAMMABLE^, OF NEW ENGLAND 06/05/62 55.00 T.TqnTn N.n..s nnni LAZY LANE. SOUTHINGTON. CT 06489 EPA/DEP APPROVED FACILITY
(fotes: (1) The transaction date refers to the date the waste was delivered to SRSNE. This
date may differ from the date the waste left the generator's facility, (particularly if the transaction was brokered by another party), and therefore may not match exactly with your records. EPA expects you to make your best efforts to correlate your records with EPA's documents. This is to prevent double-counting of shipments in EPA's volumetric ranking.
,2) All gallon volumes are waste-in transactions to SRSNE.
;3) Please state waste type by chemical name. If the chemical name is not known, please state the trade name and the manufacturer's name.
.4) e.g. , XYZ Chemical Company - generator; :e T ABC Waste Trucking - transporter; Waa^ 1 Disposal Service EFG - broker. ( )
FORM 1 - ADDITIONAL TRANSACTIONS Page:
Solvents Recovery Service of New England L.C. Doane Company/ Tbe
Transaction Gallon Waste Type (3) Name/Address Name/Description of Wbo Date (1) Volxme HI of Transporter Selected the Site (4)
LACQUER THINNER SOLVENT RECOVERY SERVICE THE L.C. DOANE COMPANYWASTE FLAMMABLE LIQUID8/20/81 550 DOQl LAZY LANE SOUTHINGTON, CT. 06489 EPA/DEP APPROVED FACILITY
LACUCiEK THINNER SOLVENT RECOVERY SERVICEWITWITHH PAINT (FOR RECLAIM) THE L.C. DOANE COMPANY'
LAZY LANE, SOUTHINGTON, CT. 0648907/18/83 550 DOOl EPA/DEP APPROVED FACILITY LACQUER THINNER SOLVENT RECOVERY SERVICE THE L.C. DOANE COMPANYWITH PAINT (DISPOSE) LAZY LANE, SOUTHINGTON, CT. 0648907/18/83 75 DOOl EPA/DEP APPROVED FACILITY LACQUER THINNER .„^„,.. SOLJ
! M ^QVERY SERVICE THE L.C DOANE COMPANYWASTE PAINT RELATED MATERIAL ' ' t 03/06/8'? MQ. FT,AMMAfiT,E T.IQUID UWI263 NA1263 aTON CT 06489 EPA/DEP APPROVED FACILITY
WASTE PAINT SOLVENT RECOVERY SERVICE THE L.C DOANE COMPANY 03/06/85 50 FLAMMABLE LIQUID UN 1263 LAZY LANE, SOUTHINGTON, CT. 06489 EPA/DEP APPROVED FACILITY
I ^ 1 r
. '- /
THE L.C. DOANE COMPANY P O BOX 395 ESSEX. CONN 06426 203 767.8295 TELEX 966442
DESIGNERS AND MANUFACTURERS OF S P E C I A L I Z E D L I G H T I N G E Q U I P M E N T
DECEMBER 30, 1992
NO RECORDS AVAILABLE TO SUBSTANTIATE SHIPMENTS ON 07/01/60 OR
06/05/62.
THE L.C. DOANE COMPANY P O BOX 3 9 S . ESSEX. CONN 0 6 4 2 6 2 0 3 7 6 7 . 8 2 9 5 TELEX 9 6 6 4 4 2
DESIGNERS AND MANUFACTURERS OF S P E C I A L I Z E D L I G H T I N G E Q U I P M E N T
DECEMBER 30, 1992
ATTACHED IS ALL DOCUMENTATION ON THE L.C. DOANE COMPANY'S 08/20/81 SHIPMENT OF WASTE TO SOLVENT RECOVERY SERVICES OF NEW ENGLAND.
THE L.C. DOANE COMPANY P O BOX 3 9 S . ESSEX. CONN 0 6 4 2 6 2 0 3 7 6 7 . 8 2 9 5 TELEX 9 6 6 4 4 2
DESIGNERS AND MANUFACTURERS OF S P E C I A L I Z E D L I G H T I N G E Q U I P M E N T
DECEMBER 30, 1992
THE FOLLOWING INFORMATION WILL SUBSTANTIATE SHIPMENT ON 08/20/81. THIS INFORMATION IS STORED ON MICROFICHE.
SRS, INC. OF NEW ENGLAND, INC. LAZY LANE SOUTHINGTON, CT. 06489
$807.34 PAID 10/21/81 CHECK //000770
INVOICE 0468 10/3/81
SOURCE: 1981-82 JULY'81-JUNE'82 #27 L STATE NAT. BANK
HAZARDDUS^WASTE MANIFEST ANDtSHippiNG M p f l f ' 5^09^ : ^ ^ - > * " ; "c-sr. .rv-: MAILING ADDRESS
•'CO
i i i i S p J 5 f c ! P ^ "
CONTIMMta T|pM|SPORTER
WW AT W.J . H.WF.
« T ! — ^ M * gr Wtf
> . 0 - BCBt 3 » 5 .
laoo swOTui ST. Lnrorw, w . j . 07036 UJ KUJ - i a. zo.o
IF UORC THAN ONE MANIFEST^
SHIPPING M P E R <S USED: "^ J ^ U.S. OLO.T. SHIPPM6 NAME
, / g / ^ - ^
/ / / / . y A ' fl6<L z liJ <9
SPECIAL HANDLING INSTRUCTIONS INCLUDING ANV CONfiMNER EXEMPTION; ANO EMERGENCY RESPONSE INFORMATIOI
' . " I N THE EVENT OF A SPILL , CONTACT THE NATIONAL RESPONSE CENTER,U.S. COASTGUARD 1 -800 -424 -8802
KCQUIREa LA8CLS THJS IS TO CERTIFY THAT I AM THE PRIMARY TRANSPORTER AND HAVCACCEPTED DES(RieEDSHIPMENT IN PflOPERCONOITION
^ ^ FOR TRANSPORT TO THE IDENTIFIED • " ' - ' T g W i n i H E OF TRAHSPOWTE
too. THIS S TO CERTIFY THAT I AM THE CONTINUING IT?" TRANSPORTER ANO HAVE ACCEPTED THE •VAC'^ODS HEDI
Z S X
oEscieeo SHIPMENT IN PROPER CONDITION <o FOR T R A N S P O R T T O THE IDENTIFIED H.W.F.
, , • . • ^ . . . . . . . . • . . t - . . - I StGNATURC OF TRANSPORTER
(CU INDICATE ANY DIFFERENCES BETWEEN MANIFEST AND SHPMENT AND LIST REJECTED MATERIALS, INDICATE DISPOSITION
t UJ - I -.UJ
I CERTIFY THAT THE DESCRIBED WASTE(S) WAS DELIVERED BY THE AFOREMENTIONED DELIVERING TRANSPORTER
MANIFEST IS CORRECT TO THE BEST OF MY KNOWLEDGE o
! •) ( ) i)
>••• . - : " f - - i ? ;
S O L V K N T S R K C O V K R Y ^ S K R V I C B y,. . , . . . , * , v ^ ^ , , j ^ ^ _ . . . . O F N K W K N O L A N D , I N C . ,
,UtTOM DISTILLATIONS FOR INDUSTRY LAZY LANE * SOUTHINGTON. CONN. 0 6 4 8 9 PHONE 20Sr«28 -«084
. V t : ; . • • • • * ' . . . i i t - j . * . i i . . . . v .•," WS NO. DST. Na i u a o « ^ i«A»» a
-Z,Qjd/^ryy\\ #lr?V hMM^Iy-i •. ' •• '^ i f<t. : i f •. »'l:
•.'T^ iEt^^' a;# Customer ,# "... ,• r^ i - '4 /^- • • : r«? j -
.*? . , , . . . 4 . . - . ,. Vj.-^.?<
-1 • i i ' - . ; ; - i : 5 i \ i*-^*^. - DRUMS/.j^r~,: ^5^i CL g f fM COMPT. INCHES -OAtMMS /PRODUCT f - : i ; - TOTAL WEIGHTS I PLANT ORDER ^ -Myydy :
GKOSS
# •' S p . G r . ^ P 1\_ isyy</''^y^ vi fir'vwrv; , ; • ! . ,
• • • • - y y - . , . : - ? i i - ' # -:J^.- Sp.Gr ."S*
i . ^ ^ . - r - 4 j t •x:r-v; • -:^;;^^-t%r-i: | :^^ J 5 ^ f fei$:?^
S p . G r . - ^ ^ S K Q M INSTRUaiONS
• ' • • . - • ' •
; ^ yi.SaAAAMABLE-RED LABEL VACUUM TRUCK AT CUSTOMER REQUEST / /
TIME - • ^ K B a FINISH 1- ^viiDNpN-FLAMMABlE -.^g,-. OTHER COMMENTS! •:Mmy' . - • . - • < - - , . : • : y ^ ^ M d ? c -DELAY TIME IN TIMEOUT HOURS FREE EXCESS RATE MIL TO CUSTOMER
'•!.-' •• [ \ . •
y-•,<,,,<»: vf- , L O A D y:«/**^ ' y t .•• i f i*€,*^' ^•''^l^-i-x^.HdSi^. ...At •:. .
: • • • • - • - • ' • ' v • • • . • : • ; :
.T • t - ' i - i k ; * ^ . • . - . • • ,•. :^ <m-'d:m0y,- M'J^r:^/
R E A S O N FOR DBLAY •'-:• ^ r ^ ' * ? ! f 5 ^ ! ' 5 : J ^ ? : K l ; 4 ^ - * i > ; : ; 5 • ' •- ' \ ,v.- ' . : , . / ' ; .
'-.^v'W >^.i,-^*r., PUMPHJG PROfk DRUMS / / . ' , •
yy y .:.• • : . ' • • > ;
PUMPING INTO DRUMS f__/ - • • • • - • ' ; . , - ^ : , ' ? • ^ i ' * ' . . • , , « ^ ? * ^ ^ l R ^ • • ' • v • < • ' : , : • . ' • - . . . . „ ^ ,^ , - • " .
- .
OTHER>• EXPLAIN / / ^ - V • - . VerifW By d y ^ / d i & ^ C ' ^ y ' ^ ' f ^ y y ^ ^ '
PMpwty In GMd CwidiNMi I i M p i As NafMl
; SRS Shippw Or Rweiwr' X ' y y yy-d-^-vdy
FIRM. _Bt_ • SRS D*'iy»r__
, - , . i . . . " . „ - . - i ' - ; • " • > - " • . " • . • . • • • • " . - . , . • •• 1 i : . . - . •
III • <i«it.ii»m» ».«»«i r r i i i» iMi i lmi i« . -> i | - i i i i ' i r i i n i l i ^ i t i t i ^eatmiJ i i i i i i» i iU i ia t lU i imatmt^ i id l la i . .J iS.^ , CERTIFY THAT THE DESCRIBED WASTE(S)>«AS DELIVEREDBXTHEAFORElSE iJ f i aSe i rBe t^
MANIFEST IS CORRECT TOTHE BEST OF MY KNOWLEDGE. ^ BIGNATURE _
3 . G E N E R A T O R COMPLETED C O P Y
IIMVOICt
DATE no.
SRS, INC. 10/3/81 0468
1200 SYLVAN STREET LINDEN, NEW JERSEY 07036 li SOLVENTS RECOVERY SER
(201) 862-2000 m OF NEW ENGLAND, INC.
^ - ' CUSTOM DISTILLATIONS H LAZY LANE FOR INDUSTRY D SOUTHINGTON, CT 0648S
s rL.C. DOANE COMPANY n S r o H L P.O. Box 395 I D ESSEX, CT 0S426 P
T T O O
L J <y L
BATCH NO. SALES NO. CUST. CODE OUST. ORDER NO. TERMS
24 2171 P . O . 21174 NET 15 DAYS DATE SHIPPED B / L # SHIPPED VIA F.O.B
9 / 1 7 / 8 1 SRSNE PRFIPAID QUANTITY DESCRIPTION UNIT PRICE AMOUNT
550 GA CRUDE SOLVENT 396 GA RECOVERED SOLVENT-THINNER 1.06 4 1 9 . 7 6 154 GA BYPRODUCT . 27 4 1 . 5 8
1 NON-RECONDITIONABLE DRUMS 6 0 . 0 0 6 0 . 0 0 1 TRANSPORTATION-PICKUP 8/20 1 4 3 . 0 0 1 TRANSPORTATION-DELIVERY 1 4 3 . 0 0
72% YIELD
10 G20 807 .34
Pur S Z . \ ' . 2 Ord3r # Prico 0. KV
5 1981 f'ymn't Dais
Ih ( Id L. C. Doans Co
REccivED ra r-l
y - ^ ^
PLANT LOCATIONS:
SOLVENTS RECOVERY SERVICE SOLVENTS RECOVERY SERVICE OF NEW JERSEY, INC. OF NEW ENGLAND. INC. 1200 SYLVAN STREET LAZY LANE
LINDEN, N J . 07036 SOUTHINGTON, CONN. 06489
Exlcncicn 0. K.
CC»-V1:L:TG rcEiaovEr^Y SE.nivjcz: f ci= [:EVW' z-r:aLAr:z?, i r : c .
y\R^j LAZY LANE: SOUTHINGTON. CONN. 0 6 4 8 *
PHONC: I203> 6 2 8 - 8 0 8 4
REVISED QUOTATION
L. C. Doane Co. EFFECTIVE DATE: 1/1/82
Railroad Avenue MINIMUM QTY: 10 Drums
Essex, CT 06426 ATT: Mr. Raymond Jennings
RECOVERED SOLVENT: Thinner RECOVERY CHARGE: $ 1.31/gal., recovered (DIDO)
BY-PRODUCT CHARGE: $ .29/gal., difference between crude and recovered volumes, add
$ .15/gal. if less than 50% yield, add $ .20/gal. if less than 25% yield.
NON-RECONDITIONABLE DRUM DISPOSAL CHARGE: $ 60.00/drum
Recovery charge includes return in reconditioned drums.
MINIMUM RECOVERY BILLING: $250.00
TRANSPORTATION: 1-28 29-50 51-65 66-80 & TT
Pickup or Delivery $165. $180. $200. $220.
SRS Transportation Subject To: (1) $25/hr. pumping charge - one hour free time from bulk tanks. No free
time pumping into or out of drums. (2) $250/pump breakage charge if attributable to customer's crude. (3) All shipments must be accompanied by appropriate State Manifest.
SHIPPING INSTRUCTIONS: CRUDE TO: SRSNE RECOVERED TO: L. C. Doane Co.
Lazy Lane Southington, CT 06489
VIA: SRS Truck - Collect VIA: SRS Truck - Prepaid DELIVERY: Two to three weeks after receipt of crude material. TERMS: Net 15 Days.
THIS QUOTATION IS BASED UPON YIELD OBTAINED FROM A PRE-SHIPMENT SAMPLE. IT MAY BE MODIFIED AFTER THE FACT IF THE CRUDE SOLVENT AS DELIVERED DIFFERS MATERIALLY FROM PRE-SHIPMENT SAMPLE.
ALL QUOTATIONS SUBJECT TO REVISION IS NOT ACTED UPON WITHIN 60 DAYS. THANK YOU FOR THE OPPORTUNITY TO QUOTE OUR SERVICE. , 7 / ; ,
y' Eldon Thibodeau
/ r t j 811201
THE L.C. DOANE COMPANY PO BOX 395. ESSEX. CONN. 06426 203 767.B295 TELEX 966442
DESIGNERS AND MANUFACTURERS OF S P E C I A L I Z E D L I G H T I N G E Q U I P M E N T
DECEMBER 30, 1992
ATTACHED IS ALL DOCUMENTATION ON THE L.C. DOANE COMPANY'S 07/18/83 SHIPMENT OF WASTE TO SOLVENT RECOVERY SERVICE OF NEW ENGLAND.
THE L.C. DOANE COMPANY P O BOX 3 9 5 . ESSEX. CONN. 0 6 4 2 6 2 0 3 7 6 7 . 8 2 9 5 TELEX 9 6 6 4 4 2
DESIGNERS AND MANUFACTURERS OF S P E C I A L I Z E D L I G H T I N G E Q U I P M E N T
DECEMBER 30 , 1992
THE FOLLOWING INFORMATION WILL SUBSTANTIATE SHIPMENT ON 0 7 / 1 8 / 8 3 . THIS INFORMATION IS STORED ON MIRCOFICHE.
SRS, INC. OF NEW ENGLAND, INC. LAZY LANE SOUTHINGTON, CT. 06489
INVOICE 365 0 7 / 2 8 / 8 3 $72 .45 PAID 0 8 / 1 1 / 8 3 CHECK #013079
SOURCE: #57 A/P ' 8 3 - ' 8 4 FISCAL YEAR ' 8 4
V»te».«*'
1 . • ; : . -J . . , . - , . . . . ^ . . - j t > ^ . . j «».••• 1**,.*:^
^ d U & W A S T E MANIJ jESITANO^^^
.Tj*;>^)»f5raiEHATOH
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^i^^^^i^iiSp:^^^ STATE orcONNECrrcuT . ' * * ' X^ W'H?'.?*'?S fS
^
SHIPPINGORDER -.M v.. T^ fV^^ . - ; - - it-.A 1 .. w " yy:,.\dsll_
•.)^)d/^s y.: O F NEIMf E N G L A N D , I N C . ^^
d-d/=^ ^ S ^ ' ^ ^ ^ CUSTOM DISTILLATIONS FOR INDUSTRY LAZY LANE • SOUTHINGTON. CONN. 0648S PHONE 203 -628 -8084
_y<5 *—1 DATE SIS NO. n tc toa TIAKM FROM-TO
^^ / r . VtJ :5J ^ • ^ ' . - . ' ;
Customer # . I
>• rr." - / • V A .
DRUMS/ ' ^ . . . \ , o . . -•c >r'H^-79^
COMPT INCHES GAllOMS NPRODUCT TOTAL WEIGHTS
M PLANT ORDER
ctoss
..r-, ._,..r- V \ \ V . . ^ r . r — ^ • i n f ^ : - ^ ^ . ; # Sp .Gr . fAiir '
^ / / y 2 ^ 7 y h y y i 7 ^ ril # Sp.Gr . '
\ ; : ; ^ ^ . - # : - SpJGr. ''y'-''SPEQAL INSTRUaiONS
VACUUM TRUCK AT CUSTOMER REQUEST l _ / ^LAMMABLE-RED UBEL
• • • • • • • • • ^ j ^ - . ^
TIME START FINISH D NON-FLAAAMABLE > ' OTHER COMMENTS: DEIAY TIME IN TIME OUT HOURS FREE EXCESS RATE BILL TO CUSTOMER
J .
UN v,w
REASON FOR DELAY
PUMPING FROM DRUMS / _ / ,;,..',•', ,!.
PUMPING INTO DRUMS / _ / " y y ' . . . / ^ > Id / .
OTHER EXPLAIN / / Verified, By
l * M i v * d Ttta Abov* Oatcribad PropMty in Coed Conditioit-EsMpf^
FIRM. -BTL
IkUj , CERTIFY T H A T V H E D E S C V B E D W A S 7 E ( S ) WAS DELIVERED BY THE AFOREMENTIONED DELTvERlT^fi t l ^AKia>Ofn t'H
is MANIFEST IS CORRECT TO THE BEST OF MY KNOWLEDGE ' ^ ^ ' SIGNATURE ' o u " V-VJ.*3. GENERATOR COMPLETED COPY
'"»*«»'
I
THE L.C. DOANE COMPANY PO BOX 395. ESSEX. CONN 06426 203 767-8295 TELEX 966442
DESIGNERS AND MANUFACTURERS OF S P E C I A L I Z E D L I G H T I N G E Q U I P M E N T
DECEMBER 30, 1992
ATTACHED IS ALL DOCUMENTATION ON THE L.C. DOANE COMPANY'S 03/06/85 SHIPMENT OF WASTE TO SOLVENT RECOVERY SERVICE OF NEW ENGLAND.
THE L.C. DOANE COMPANY P O BOX 3 9 5 ESSEX. CONN 0 6 4 2 6 2 0 3 7 6 7 - 6 2 9 5 TELEX 3 6 6 4 4 2
DESIGNERS AND MANUFACTURERS OF S P E C I A L I Z E D L I G H T I N G E Q U I P M E N T
DECEMBER 30, 1992
THE FOLLOWING INFORMATION WILL SUBSTANTIATE SHIPMENT ON 03/06/85. THIS INFORMATION IS STORED ON MICROFICHE.
SRS, INC. 1200 SYLVAN ST. LINCOLN, N.J. 07036
$687.00 PAID 4/4/85 CHECK #018712
INVOICE 1291 03/21/85 DATE SHIPPED 03/06/85
SOURCE: #64 A/P START RANDUSTRIAL 1984-1985 END XEROX 1984-1985 YORK LABELS
V
STATE OF CONNECTICUT ^ ^ ^ ^ ^ " " DEPARTMENT OF ENVIRONMENTAL PROTECTION *
Hazardous Waste MANIFEST SECTION, State Office Building, Hartford, CT 06106
l>o»e print of type. (Form de«ign>d for u»a on elite (12-pitch) typewriter.) 1. Generator's US EPA 10 No. AAanifest 2. Page 1 Information in the ihoded oreai it not UNIFORM HAZARDOUS Document No. required by Federal low, but may be
WASTE MANIFEST trP D 980S8383S-- required by Stote law.
3. Cenerator't Nome and Mailing Address
THE L.C.ZMiaBB COMPAliY P.O.BOX 395
4 oeneEfiSB&yCOHN. 06426 f 203)7678295 S. Transpofler 1 Company Nome 6.- US EPA ID Number .__—f DiT i c i fC 'n i o iMJ .X --SOItlBBWT^RBOOtnSfiTSgHVICE OF HBW|CTD-QO 9 7 1'7-gO 4 7. TflDntpertar 2 Company Nome ESGLMID US EPA ID Number SMaTtsK ! ^4 i i l i l l • i f » * « ^ ^ .-E2
H » « ^ M g » » » i « » » » w » » , , u i ^ i > y , , | e H . I • • • Il • • - J , ^ , - , ^ W • > • • > • » . ^iftam-ttii'.
L&2Y LaHB S00THIHGT0H,C0I3N. 06489 C T DO 0 9 7 1 7 6 O i T ^ g ^ g ^ ' y ^ ^««">:» H^^:to3> a * ^ o i * 4 I * • . • . . . . . . . IH.
12. Container! 13. ' Total
No. Type Quantity n . u s DOT DeKt ip t lon (/nc/uding Proper Shipping Name, Haza rd Class, a n d ID Number)
AASTB F A I N T BEIATED MAZEBZAL
IFLMMABLE L I Q D I D ffftKtf#? H A - 1 2 6 3 0 04 D H ) 0 4 0 0
fiASlE PAZHT FLAMHABLB LIQUID 0B>1263 0 O I D H ) 0 0,5 0 r
'i * » • * ' •
3S
§!< 63 15 Special Handl ing Instructions and Additional Information
u A.FIH «4347~9060-FD B.PIN «4347-«061>DD
UlU O Q UIZ
16. GENERATOR'S CERTIFICATION: I hereby declare that the content ! of thTs consTgnnient o re TiJIIy a n d accurately descrTBed
25 above by p roper shipping name a n d are classified, packed, marked , a n d labe led , o n d are in a l l retpects in proper condit ion n I .for t ransport by h ighway according to appl icab le internat ional a n d na t io r ip l ^UVfc i i i i i i ^ ta l rew/ l t iTioir tJand al l aoo l icab le _ EO. Stote laws o n d regulotions. . y ^ ^ ^ ^ ^ ^ & ^ / f L
Printed/Typed Name
SAZMOHD W. JENNINGS !i 17. Transpor ter 1 Acknowledgement of Receipt of Materials
UJZ Printed/Typed Name
UUI 18. Tfontperter 2 Acknowledgement or Receipt of Moteriols Printed/Typed Name Monfh Oay / co r
li ' • ' I • I1.Z 19. Oitcreponcy Indication Spoce ot 5*
C
2 P I 20 FotililY Owner or Operator: Cert i f icat ion of receipt of hazardous materials covered by this manifest except as noted in I
£Item 19. Dote T Y Printed/Typed Name - T — Month Oay , fear
•A c . . . aTnn.^o') i-i OA\ . _ . r s t ^ a h.i. ^/^y^rt f\ a/\ A • 7 ^ 1 OZ.
PURCHASE ORDER N> THE L.C. DOANE COMPANY I 25046-000 P.O. BOX 395. ESSEX. CONN. 06426 LCD)
PURCHASING (203) 767-2379 This numt>er mutt appear on all Invoio PHONE: CORPORATE OFFICE (203) 767-8295 Shipping Papers, Packages and
MERS ANO MANUFACTURERS OF TELEX 966-442 Correspondence. ZEO LIGHTING EQUIPMENT
Conn. Tax Exempt Under R««ale No. Materiali. Tools
Taiabi* 5K)16-521 and Fuel Provision.
" > * - . _ • SOLVENTS RECOVERY SERVICE O D DOF NEW ENGLAND INC. P.O. Box 362 Southington, Connecticut 06489 ORIGINAL PURCHASE ORDER
HIP THE L. C. DOANE COMPANY ro Railroad Avenue PURCHASE ORDER CHANGE ORDER
Essex, Connecticut 06426 LEASE FURNISH THE FOLLOWING MATERIAL SUBJECT TO APPENDIX ATTACHED
lERETO AND FORMING PART OF THIS ORDER, AND TO ALL OTHER REQUIREMENTS CONFIRMATION { D J P ° , S T E
TIPULATED HEREIN. PAYMENT WILL BE MADE IN OUR CUSTOMARY MANNER.
DATE
, 0 1 / 3 0 / 8 5 DELIVERY
PURCHASE CONTACT NO.
REQUIRED SHIP VIA
PRIORITY RATING; QUOTATION
F.O.B.
NO. OR AUTHORITY
TERMS
Itenr I Quantity^ | L C D . Co. No;: Description U n i t P r i c e
1-55 gjallon drum PAINT-DISPERSE & THERMAL OBSTRUCT
8-55 ga l lon drums PAINT RELATED MATERIAL (THINNER)THERMAL DESTRl/CT
AS PER QUOTATIONS LAB#9061 & LAB #9060 DATED 22 JAN I'SS,
OU ARE REQUIRED TO FOLLOW THE PROVISIONS OF DMS REG. 1 ANO ALL OTHER APPI " * * ^ ' REGULATIONS AND ORDERS OF BOSA IN OBTAINING CONTROLLED MATERIALS CERTIFIED FOR NATIONAL DEFENSE USE UNDER DMS REG 1 ND OTHER PRODUCTS ANO MATERIALS NEEDED TO FILL THIS ORDER.
THE U C. DOANE COMPANY THIS PURCHASE ORDER VALID ONLY WHEN ACCEPTED BY YOU AT STATED PRICE. PLEASE SHOW YOUR DEU "**^' DATE ON ACKNOWLEDGMENT COPY, (^JactdCc
P U R C H A S I N G A G E N T
• i e ' s suD^ec: t o tne r e q u i r e m e n t s o t t n e . . d t i ' j n ,.»'t ' I ' 1 9 5 1 . (Un less o t n e r w i s e
PURCHASE OK' ' !^n .O