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10536 Trinity Pkwy, Stockton, CA 95219 COKLBGMKR
<br /> 05/24/2018
<br /> PHOTO#5
<br /> Wast&shiingjaer
<br /> PACIFIC GAS AND ELECTRIC COMPANY
<br /> HAZARDOUS WASTESHIPPING PAPER v°apr Gos And _
<br /> SHIP FROM j EI¢Ctrlc Compon:,
<br /> C..e And elonrte Company SHIP TO
<br /> .ter now nonnr_s. "� 2 Y R' NAME: Pacific Gas And E14-1c Company
<br /> ADDRESS: y04(1 itil
<br /> CrrY:sTOCar r'cnN State: CA Zip: 9 7 I CITY: ,r T
<br /> nATF GErvERATEO: / r / PED. STAT
<br /> was torr waste field at any Interim loca�n? sy s No -e I ARRIVED T CONSOLIDATION$TE„ TELEPHONE:
<br /> It yes,facriity name and address: a N°(circle one) Emergency Contact:
<br /> PSC Industrial Inc.8T,.577-2669
<br /> .-. [•^•��-.r,. Name of Driver; Outzourcing,
<br /> . n
<br /> REMOTELY-PI---.-----HUS WgSTE a r Internal lob Numter
<br /> - 7/h Haaardou[Wane tplltlr(soll and aebrls conlamina[rd with minenl oul. w• c`o °.�.ury+ Un�tS
<br /> xx1 I q 1
<br /> - umna,fon nota rrP.rgp o.s Ppm vcol au csP us sIN`�
<br /> nnminnetl 0111 ou[ft. e,Uq a,"CB ❑Mpwm_ypm P[a.(5�9 PPm1Pp xL
<br /> W -_J-Ppm) •x
<br /> G[ e.poNerera o„n4nowm.mi.npmm sa.9e ��� { q q
<br /> _ _ on'RCM Hrz Oou[Wa[tr.Uqultl, �YnknOWlllltl•[[ume050-a99 ovm vCB 16x ••�„
<br /> H. ere0elemAilpB M,ry IPCa ❑4no �pm v CB(tJl9 ppm) 161 ` t011a
<br /> evufpmb,rl Oso 'oPm PCs rf Ppm)
<br /> ❑unknown tlr,.umatl 136199 ppm PCB) T31 I 4{,.
<br /> on RCRA Ha:arapu[1V.arG SONtl
<br /> """.P'PCO V W a
<br /> Ipnlned lCR-[amaminrfed elenrinlequlpmrrrt) .o�N.-far r.meum
<br /> ❑unAnp d•rsumed 90J99 ppm o[B
<br /> 161
<br /> RQU ,PPIypllorinned BlpnrnYn, I,".9.Pis9v11a
<br /> - tollq 9,PG 11 nor ee nequ pm<nt. - _ .q"`rno r•-c,..
<br /> O pebda conteminatea wlM PCB oil! 161
<br /> R QUN3.32 Porycnlonnalea arpaerryl[, ❑oil-Rlletl elrRn ale - 4s, S011a Yan. ,n ...2 c.,n0
<br /> ulA 9.PG II < qu Pment• a - }
<br /> • )ll .cCP
<br /> tuber of tennlner Hrrrrdov[ sy. Ilqula
<br /> rypr• ansa MATERIAL(IN-SERVICE ELECTRICAL EQUIPMENT Y-ate'''``"`a-%--a
<br /> R4 Un2315,PPlycnlo...... Blpnerryl[,Uquld,9,PG If Qt�ntliv Units PSv,rcel
<br /> leaY.InR,oil-filled tlendvl e9ul lNon- I Stare .s^pp.
<br /> pmrm wmn zz7o eanpm pr unw,own, .
<br /> •s,vmea �^a epwPT.r�,.,,.,.x:wvna
<br /> •6,. I,Gu10
<br /> of Pu'r ply
<br /> ipment manelfacture and serial# _
<br /> cord Keeping requirements art three years for non-PCB wasres and flue years for PCB- Ftaminated waste. I _
<br /> (, utred:Department ol7nnsportatlort(DOT)Emergency Response Guidebook(ERG)corresponding pages.Potentlallly required su _
<br /> I ➢ortatlon License,(II)OTSCTranspon.tion Regulatory Exemption Application Variance and(111)OTSE Hazardous Waste Transporter Registration,
<br /> F DoortIng Pape o,k:i')CHP Flazardous Materials,
<br /> vie or gegtslnflon.ERG/or oB/PCBs Is 171 and can be found In[he Remote Waste Management Procdure.
<br /> iv)00T Ha—douse Materials
<br /> (waste perShIpment pervehlcle from an unstaffed lath',or spill may not exceed 1,500 pounds or SOO gallons.See Attachment 4 of the Rem to Waste Management Procedures.
<br /> e PCB cpncentntlon It unknown,you must assume the equlpment and/or debris to be SO to 499 ppm PCB.A gulde for estlmationg the RQend Ight of PCB Is available on the back.
<br /> Vofume ofpure PCB meets or exceeds one pound In any one contain
<br /> er(the Reportable Quantity(RQ)for PCBs),use the shipping name with R I In description,otherwise use Non-RCRq(tend or Gquldl
<br /> Retain thls document for 3 yea-1
<br /> �
<br /> 24 1g
<br /> Saeed, REHS Page 5 of 5
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