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PACIFIC GAS AND ELECTRIC COMPANY FaciticGas arid <br /> HAZARDOUS WASTE SHIPPING PAPER Elecfric Cvrrrp80y. <br /> SHIP FROM SHIP TO C. <br /> NAME: Pac&Gas and Elet lric Cornpan - NAME: Pacific Gas and Electric Comoan <br /> LOCATION 1 ADDRESS: 1 ( uJ �fj P�-j FL. ADDRESS: 1 ' <br /> CITY: Opr <br /> - State: CA zip: STATE: CA ZIP: TELEPH©NE: <br /> DATE GENERATED: 1 to CIT l=JSI�rPPED: a-� �r / t ARRIVED AT CONSOLIDATION SITE 1: P-'t f a�T7 <br /> ��- la <br /> Was this waste held at any interim Location? Yes!No ,!'ante one) Emergency Contact: PSC Industrial Outso= Inc. 800-SS7- 4 <br /> Ify b r 0( name and address: Name of Driver -- i'- -- s�,�,� - <br /> Number Dr ERGe for Oil/PCBs: 3 7Z <br /> Coma cr REMOTELY r GENERATED HAZARMUS WASTE] CAwasle <br /> Code Quantiltyt Units Physical Amounts reglprirxT <br /> �.y Non-RCRA Haxaroous Waste.solid State sh' r <br /> ill cle�n -sdl acid deb4is owbn irkvcd with trartsfomw Oil<5 DOM PCB) 6111 0 016 lbs, r1 <br /> tioa-RCRA Hararbaus Waste_Ligtad 17 Oi y water%ill eanstar a<5 ppm Pce 222 - <br /> 0 used twsformer al<5 DDM ne 221 9 Eru d >1 6on <br /> NOn--RCRA P-archers Wast,,Liq id,{oil filled r_apac;L=<5 ppm PCB) 223 <br /> Non-RCRA Hazardous Waste.Liquid. 13 knakn bm igvid >10�, <br /> _ppm PCB lS�d9 qpm] 261 <br /> TCH^contaffirwed ail) 13 JL—_ppm PCB(>50 ppml 731 <br /> r0 w1known and assumed 50-494 Dom PCE 731 kgs Regrired kY area>ount <br /> Uor ;ZCRA Hazardous Waste.Solid. 0 k+Orm^ppm PCS, <br /> scil fd,9ris canfammasd with 0 v.10n and assumed SD499 PCE 251 kgs Sad RectiW kr any Vaunt <br /> Note RCRAi Kazardou5 Was4, Liquid. 0 known`ppm PCB P-4.°.pprn) 251 - <br /> IPCEcorcanirmed oi1•r,11ed ckctrieaf ❑ mknam and ppm FICB[-,,APpm$) 731 kys. Liquid ReOtared br any armnt <br /> ui ent s Pi94 PCE 731 <br /> NorwRCRA Hazardous Waste Solid. 0 iuwwn_ytm PCB <br /> (Drained PCB-coruaniinared dectriaf ❑unknorm and assumed 50494 ppm PCH 261 k�S So tl Pegct rM for zay artiDunt <br /> RQ,Waste Pofychbr na[cC B phtn}�s,9. draped QktttiC21 egriprrrent)� <br /> UUM5.PG 31 0 debris mr!aakina;ed wedr PC8 oil), 261 Sold Aty C.'rQMerwitn>1 pound <br /> RQ.Waste Polychlorinated Eiphen)dS.9. O o1-Sled tleGriul eq'4'W t" Of a PGE <br /> LIMS.PG V1 p PCs contaminated al, 731 LqW Ary=Uirw with>1 pouid <br /> d Dort PCE <br /> l+ltmrheF DI Container HaZardOers <br /> containers Trpc t,Ritesial IASATERAL(IN-SERVICE ELECTRICAL EQUIPMENT) Physical kno u>ts requires <br /> m <br /> X RQ,PolychlOrirlated Biphenyls,9,liNZ315,PG Qt Sate Pam <br /> INon-ieak ,cdZed el-wicN Agwpmgaentwith 227o 0M of unknOW.assumed 50.499 ppm PCB k1s. � Arty �ph 1 pound of <br /> trlcentraGat <br /> i <br /> A <br /> Equipment manufacturer and serial#: <br /> 9. Record keeping requirements ere three years for nM-PCB wastes and five years for PCB-contaminated wastes(archive permanently) <br /> ! 2. Potentially required supporting paperwork. CHP Hazafdous Materials Transportabon License ' DTSC Transportation Regulatory Exemption Application Variance and <br /> Hazardous Waste Transporter Registration ' DOT Hazardous Materials Cerisfi.rate of Registma on <br /> 3. Total waste shipment per vehid-e may not exceed 2.500 poundsfshiptnent or 500 gallonstshipment with the exception of PCB wastes >5 ppm PC8(no we?ght maximum). <br /> 4. If the PCB concentration is unknown,you must assume the equipment and/or debris to be 501 to 499 ppm PCB. A guide for estimating the RQ and weight of PCB is <br /> available on the back. If the volume of pure PCE meets or exceeds one pound in any one container(the Reportable Quantity(RQ)for PCBS),use the shipping name vAth <br /> RQ in description,otherwise use bion-RCRA(solid or liquid). <br /> Page+ of 2 <br /> Revised 03128/2008 <br />