Laserfiche WebLink
10 <br />• C12:I NVINHAl 261 <br />731 <br />731 <br />261 <br />731 <br />731 999£90000 ASNOdS32:1AONIASH31A1 31-122:1'm:inn vianvio • <br />• <br />S. <br />• <br />• <br />Feat Gas and <br />Elberfc Camplioe PA.Q5i1C: <br />HAZARDOUS WASTE SHIPPING PAPER <br />SHIP FROM <br />STATE: CA <br />ARRIVED AT CONSOLIDATION SITE: 2 I <br />Emergency Contact: dostrial Outsourcing, Inc, al10-667-7455 <br />Name of Driver: ERG Pa for OU I PCBs: VI <br />Contalters e • NomOer of Container <br />'z c RI Clean us - soil end debris contaminated with transformer ol1,5 in PCB Non-RCRA kievardous WMtD. Sold. <br />Non-RCRA Haaerdoos Waste, Liquid Et oily weal with hansformer oil <6 pm PCS <br />REMOTELY GENERATED HAZARDOUS WASTE2 <br />0 used trardlormer oll< 5 PCB <br /> <br />CA Waste Quantity) Code <br />NAME: <br />ADDRESS: <br />CITY: <br />SHIP 70 <br />'k <br />Peat: Gas ir.ri Elootic Corn an - <br />O(.) f <br />ZIP: TELEPHONE: <br />CITY: -1 <br />DATE 'GENERATED: <br />Was this waste bold at any Interim lonaSen? <br />if yes, facility came od address: <br />State: CA 2 <br />3f1t/2 1 SHIPPED: 3 ) t k <br />Yes (circle ens) <br />Amounts recittIng <br />n <br />Pacific Gas and Electric C gas, <br />LOCATION! ADDRESS: • <br /> <br />tl 951ton a <br /> <br />flundseraf <br />Conolters <br />Non-IICRA Hazardous Waste, Liquid, toll tilled capacitors <5 ppm PCB) <br />Non•BCRA Haszrdous Wants, Liquid, 0 known PC8 [5-49 ppm) <br />(PCB-cOnteminatad oil ) 0 {moo ppm PCB ?ED ppm) <br />noknown and assumed 50499 PCB <br />Y:riorm _ppm PC 0 imiclown end easomod 50-499 PCB <br />0 known_ppm PCB 16-49 ppml <br />kaown PCB pso .ppmD <br />0 unimowo and assumed a9 . P <br />0 ',mown _ppm PCB <br />0 unknown and assumed 50-499 ppm FC0 <br />OrItIn electrical oquIpMootr, <br />dobrla cortarOnaloci Will, PCB 0101 <br />Li ct-Herl electrical Ku:prowl' <br />0 PC3 contardaolod <br />MATERIAL (IN•SERVICE ELECTRICAL EQUIPMENT) <br />RO, Polychlorinated uNzais, PG III <br />(Non-laaking, aiectri=loquIpmeni. volt ;2270 galore of uniciown, assualed 50-499 ppm PCB <br />concentration <br />NorACRA Haan:too; Waste, Solid. <br />soli /debris contaminated with PCB <br />NorailICRA RezartousINasui, Liquid, <br />(PCB-contaminated oll-filed electrical <br />ui rnao0 Alan-RCRA Hazardous Wants. Solid, <br />(Drained PCB•contominated elecUlcal <br />e ul moot . . <br />RQ, West' PolyclaorInaterl Blphonyls, 9, <br />1.162316, PG III <br />Kt Waste Polychlorinated Erphenyls, <br />LIN2313, PG III Physical <br />Slate <br />AnusUnts requiring <br />shi • Ins alSer <br />Any eqtnprnantUnti poundot • <br />Mr° PER,. <br />...------ <br />Equipment manufacturer and serial it <br />Record iteeo;n3 requiremeMs are Three years for non-PCB wastes and five years for PCB-contaminated wastes (archive permanently) <br />Fcts <br />Thrtlal y resJired supporting paperworic CHP Hazardous Materials Transportation License * DTSC Transportation Regulatory Exemption Application Varicose r.r..1 <br />ezr_ <br />rrd,p,s Waste Transpeer Regis,tration ' DOT Hazatcus Materals Certificate of Registration <br />Prfic)3,P l <br />veh!cle may not exceed 2,500 pounds!sh',prneet or 500 galions/shipmerd.wIth the exception of PCB wastes > 5 ppm PCB no Weight maximum). <br />client BOdior debris to be 50 to 499 ppm PCB. A guide for estimating the RQ and weight of PCB is <br /> <br />.:„; Pr:. , I. <br />c' p or OXC ds :,., s urxrvy,•,11, you trust 11S5L11P13 Gila 6qUi p o u n d In any one corkter (the Reportable Quantity (RQ) for PCBs), use the sh*.ppinc name vo, <br /> <br />: - - ' . , '0 ..,'.7"rr D', '.ife PCB rsseLs 3Ci one <br />Revised 03128)20C e.