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SHIPPING PAPER <br /> Required to transport over 10 pounds of hazardous waste <br /> Waste picked upat: <br /> Date Picked Up <br /> Destination: Lodi Electric Utility <br /> (Consolidation 1331 S. Ham Lane <br /> Site) Lodi, California <br /> (209) 333.6762 <br /> EPAID: CAD981970825 <br /> Container Weight Common Name and Description CA Waste Proper DOT Shipping Name,Hazard <br /> Quantity or No. and Class, UN/NA ID#, Packing Group <br /> and Size Volume Hazardous <br /> Property <br /> Transformer oil over 500 ppm PCB 731 "RQ"Polychlorinated Biphenyls,9, UN <br /> Toxic 2315, PG II (Mineral Oil containing PCBs <br /> >500 PPM) <br /> Transformer oil 5-499 ppm PCB 731 "RQ"Polychlorinated Biphenyls, 9, UN <br /> (Untested transformer oil assumed to be or Toxic 2315, PG II (Mineral Oil containing PCB's 5- <br /> tested and found to be 5-499 ppm PCB) 499 PPM) <br /> Non-PCB Oil-transformer oil less than 5 Used Oil, Non-RCRA Hazardous Waste, <br /> ppm PCB,hydraulic oil,motor oil,lube oil (Used Oil Liquid <br /> _ or turbine oil circle t e ofoil) <br /> Label) #223 <br /> Oily Water-Contaminated with PCBs- 261 Environmentally Hazardous Substance <br /> oil/water mixture with 5 ppm or more PCB Toxic Liquid,N.O.S.,9,UN 3082,PG III(Water <br /> _containing PCBs>5 ppm) <br /> Oily Water- No PCBs-oil/water mixture Oil/Water mixture, Non-RCRA Hazardous <br /> with transformer oil less than 5 ppm PCB, 221 Waste, Liquid <br /> hy�Cl�auliaffil,mottr oil,lube oil orturbine <br /> Oi circ 4 c 0 t <br /> PCB Oily Solids-rags,filters,debris over 261 "RQ")environmentally Hazardous Substance, <br /> 5 ppm PCB Toxic Solid, N.O. S., 9, UN 3077, PG III_ <br /> Non-PCB Oily Solids-fat,sweep,rags, Non-RCRA Hazardous Waste,Solid,N.O.S. <br /> absorbent,debris,filters.other: <br /> 223 <br /> contaminated with transformer oil less than Toxic <br /> 5 ppm,hydraulic oil, motor oil,lube oil <br /> or turbine oil- LGkcle all that apply) <br /> Other: <br /> Transporter'sCertification: "Thisisto certifythat the above-named materials are properly classified,described, <br /> packaged,marked and labeled,and in proper condition for transportation according to the applicable regulations of the <br /> Department ofTransportation." <br /> Date Transported LEU Driver's Name'(Print) LEU Driver's Signature <br /> Date Received at Service Center Warehouse Signature <br />