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5151 99 Frontage Rd RECORD ID: COGLRUWXG <br /> 09-03-20 EMERGENCY RESPONSE <br /> PHOTO 7: <br /> lmat'e of 1 lazardous Waste Shipping Paper. <br /> Pnciflc Cac and <br /> ELF <br /> COMPANY � Electric Company' <br /> PACIFIC CAS AND EL <br /> HAZARDOUS WASTE SHIPPING PAPER SHIP TO <br /> SHIP FROM NAfr1E: PacdicGasandEleGncCompany- <br /> NAME: Pacific Gas and Elec'alc Company- ADDRESS: q <br /> LOCATION 1 ADDRE55: CITY: -'Irxy L <br /> C4CLKk-OfVC Z 7I_L_ STATE: CA ZIP: ONE— <br /> CITY: <br /> NE ( ) <br /> CIT— TY:---- State. CA- ZIp <br /> SHIPPED: ! ! ARRIVED AT CONSOLIDATION SITE 1: <br /> GATE GENERATED: Out <br /> ! <br /> was this waste held at anyintermloca6an7 Yes o (circle one) Emergeney.Contact: PSC Industrial Outsoui Int real Job Numborfl-20-CeJ49 t <br /> r�� <br /> It yes,lacility name and address: Name of Driver: G .lS F����^� Physlcal Amounts requlrinfl <br /> CA Waste Quantity' units Stale shippin paper <br /> Numberui Container REMOTELY GENERATED HAZARDOUS WASTE2 code <br /> Containers Type' ISO I los. sold <br /> 9 11on.rfazardous Waslo sollds(Sell and debris contaminated with mineral oil) 222 >1 ga an <br /> - I I1on•HCHA Ha:arzlnus Waslo,L'puiJ �"I <br /> watcrwhUanslolmeroil<SPpm PCB 221 r qo bons rqu;d <br /> `)N\ ❑used lmnsbmmro:l<S ppm PCs I >IO Ds. <br /> 1 2y Ihs. Ipu�d <br /> Non•RCRA Hazardous Wasic,Liquid,(oil filled capacitors<5 ppm PCD) 223 <br /> ^ n PCD 5A9 ppm( 61, Required for any arnaunl <br /> Non•RCRA Hazardous Waste,Liquid, U krlavn gip' 'ate 731 krs. Liquid <br /> (PCD•conlaminated oil) ❑krm r. m PCD .A ppm) 731 �' <br /> ❑unxno—and assumed 50-099 ppm PCB <br /> Non•RCfiA Hazallous Yrasic.Solid, <br /> Ukrwwn__ppm PCD 261 kgs. Sand Required for any a:rau11 <br /> (sell f dohris cnnlominalcd'rite PCB) ❑unxnrr n and assumed 50-499 pom PCD 261 <br /> tron•RCRA hlazardous Waste,Liquid, G krlor'n____.•ppm PCU('r49 ppmi Required for any aount <br /> PCB-contaminatcd oil-filed electricalG knave pm PCD 1150 Pprnl 731 kgs. Lpuxl <br /> m <br /> ( a unnrlovrrl and ns5.mied(50-199 a PCS_ 731 <br /> equ moor <br /> -- Non•RCRA Hazardous Waste,Solid, Ivlaln_jtpm PLO Required for any arrwunt <br /> (Drained PCO <br /> conlaminaled electrical <br /> ❑unkncr:n and assumed 50-499 nmPCD <br /> 261 kgs. Solid <br /> e uipmentl Any containerwi;h--tpound <br /> RQ,UN3437,polycldo6l ted BlphcnYls, U dra+Ice ciec0cal cqugwncrl' 26. kgs. Solid i of rum PCn <br /> Solid,9,PG It ❑debris contaminated v i2i PCB eil' <br /> G d4'yeo eiecairaI equ�anent' Any conlalner wi lh�1 pOL-nd <br /> I RQ,UNZ]i s,PolyehlorinaicU U�pllenyL•' G pre ed e1ccuica o.l' 731 y9s Uqud of pum PCn <br /> Liquid,O,PG 71 <br /> RvanGry' Vnl's Physical Amounts requiring <br /> tmrrber of container Hazardous MATERIAL(IN-SERVICE ELECTRICAL EQUIPMENT) state shipping paper <br /> conialnem Typo' faaterial l <br /> RQ,UN2315,Polychlorinated Dipho nyls,Liquid,'),PG II Any equipment with 21 Pa'r'd of <br /> X (Non-lcakin9,utb6sed ciecliwi equlpmentrri0t X270 gallons of unkruwn,as,.—rJ50A99 porn PCO I lg-. Liquid Pam PCD <br /> co—tm!1cn` <br /> Equipment manufacturer and serial <br /> 1. Record keeping requirements are three years for non-PCB wastes and free years for PCB-contaminated wastes. <br /> s.Potentially required supporting paperwork: ()CHP Hazardous Materials <br /> 2. REQUIRED:Departmentof Transportation(DOT)Emergency Response Guidebook(ERG)corresponding page <br /> Transportation License, (ii)DTSC Transportation Regulatory Exemption Application Variance and(iii)DTSC Hazardous Waste Transporter Registration,(iv)DOT Hazardous Materials <br /> Coilificato of Registration.ERG for oil/PCBs is 171 and can be found in Ilio Remote Waste M.anagemenl Procedure. <br /> 3. Total waste per shipmentpor vehicle from an unstaffed facility or spill may not exceed 2,500 pounds or 500 gallons.See Attachment 4 of the Remote Waste Management Procedure. <br /> 4. If the PCB concentration is unknown,you must assume the equipment and/or debris to be 50 to 499 ppm PCD. A guide for estimating the RQ and weight of Pira is available on the back. <br /> (I Bic volume of pure PCB meets or exceeds one pound in any one container(the Reportable Quantity(RO)for PCBs),use the shipping name with RQ in desplion,otherwise use Non- <br /> RCRA(solid or liquid). <br /> Revised 5/1/201:1 <br /> o..,_ <br /> Pane i of,-:, "' <br /> CLAUDIA MURO. EHS Page 7 of 8 <br />