104(e) response from jackson services

Jadisoru SERWCE^LINENS-UNIFORMS-DUST CONTROL

P 0 Box 706, 960 24th Ave , Columbus, NE 68601Ph 4025642824

Date January 10, 1990

From JACKSON SERVICES, INC960-24th AvenueColumbus, Nebraska 68601

Re U S Environmental Protection AgencyInformation Request dated January 4, 1990

1. Jay James Jackson, President/General ManagerP 0 Box 706Columbus, Nebraska 68601(402-564-2824)

2. (a) Jay James JacksonP 0 Box 706Columbus, Nebraska 68601President/General ManagerJACKSON SERVICES, INC

Richard HirschbrunnerP 0 Box 706Columbus, Nebraska 68601 2041450Plant ManagerJACKSON SERVICES, INC

Omar GodejohnP 0 Box 706Columbus, Nebraska 68601Plant EngineerJACKSON SERVICES, INC

Oliver LosekeP 0 Box 706Columbus, Nebraska 68601Washroom SupervisorJACKSON SERVICES, INC

John Cook (Retired)2316 6th StreetColumbus, Nebraska 68601Former Plant EngineerJACKSON SERVICES, INC >

(b) 1 JACKSON SERVICES, INC Hazardous £JWaste File P 0 Box 706, Columbus, *-*:Nebraska - Jay James Jackson ^j

"QUALITY AND SERVICE SINCE 1926"—!»-.„,„ ,„, ,„ r,i LOGOM ATTM CUSTOM DESIGNED MATS

2 SAFETY KLEEN CORP - Uniform HazardousWaste Manifest FileHwy 281 SoBehind G I DodgeElk DriveGrand Island, NE 68801

3 STATE OF NEBRASKA DEPARTMENT OF ENVIRON-MENTAL CONTROL Hazardous Waste GeneratorAnnual Report Forms

4 US ENVIRONMENTAL PROTECTION AGENCYR C R A Inspection, Reports andCorrespondence byJohn W BoskyU S Environmental Protection Agency25 Funston RoadKansas City, Kansas 66115

Correspondence with Mike SteffensmeierSection SupervisorHazardous Waste SectionLand Quality DivisionP 0 Box 98922Lincoln, NE 68509-8922

(c) Please find enclosed copies identified as2-C

(d) Pulled all materials from JACKSON SERVICES,INC Hazardous Waste Files

3 Please find enclosed copies identified as 3

4 a through g Please find enclosed copies identi-fied as 4 a through g

(h) Please find enclosed copy identified as 4-h

(i) Please find enclosed copy identified as 4-i

5 Other than very small spills from drycleaning machine,which were soaked up in rags and dried in the dry-cleaning dryer, please refer to enclosure identifiedas 2-c, Mr John W Bosky's letter dated May 24,1988

6 Please find enclosed copies identified as 6-a,6-b,c,d

8

9

10

VILLAGE WASH HOUSE2621 10th StreetColumbus, Nebraska 68601

The Village Wash House was constructed in 1964 bymy late father, Lee C Jackson In the early yearsthe nature of business was coin-operated laundryand dry cleaning Soon the dry cleaning died out

January 1, 1988 I assumed ownership of the VillageWash House At that time the coin operated drycleaning machines were gone The only item relatedto dry cleaning remaining was a 300 gallon undergroundperchloroethylene tank Upon discovery of this tankI decided to remove it When we excavated the tankI had the people from Ecology and Environment Inc(they were in town performing a soil-gas investi-gation) inspect it They found no holes, but theysaid there may be approximately one-half gallon stillin the tank I was advised to leave the filler capoff and let it evaporate When the tank was dry alocal blacksmith took it to cut up and use for steelscrap pieces

(a) 1964

(b) Virgin Perchloroethylene

(c) 300 Gallons, underground, under concretefloor2621 10th StreetColumbus, Nebraska 68601

(d) Steel

(e) No leaks, surface rust, cut up for scrap

(f) May 1988 (Hadn't been used for approximately15-20 years)Fill sand for holeConcrete replaced floor

Please find enclosed copies identified as 8 A to E

Please find enclosed copies identified as 9

Minnie JacksonDeceased1926 - 1957

OOoVO-+

Lee C JacksonDeceased1957 - 1971

Terry L JacksonDeceased1971 - 1975

11 Does Not Apply

12. Does Not Apply

13 Does Not Apply

Please find enclosed copy ofFreedom of Information Act Request Number (7)RIN 88-972Requested by Jay James JacksonPreliminary Soil - Gas Results10th Street Site, Columbus, NebraskaE & E/FIT, May 1988

s

s of Nebraskalartment ofironmcntcil Control

Waste GeneratorIL Report Formt1endaryear19__>E READ THE DIRECTIONS FOR COMPLETING THIS FORM ONE VERSE SIDEThis report is due no later than March 1 19___

NED05P964040RICH HTRSCHBRUiMNrr,JACKSON S V C f INC.960 2VTH AVENUECOLUMBUS NI- 68601

FACILITY ADDRESS

PHONE #

GENERATION INFORMATION

1DEC/EPA

HAZARDOUSWASTE NO

UN1897

UN1897UN1897UN1897UN1897

UN1897

» ——•

2

WASTE DESCRIPTION

Perchloroethylene

PerchloroethvlenePerchloroethylenePerchloroethylenePerchloroethvlene

Pe rchloroe thylene

3AMOUNT

ORQUANTITY(POUNDS)

600

750300202101

1170

TREATMENT, STORAGE, DISPOSAL INFORMATIONON SITE

4

| Re

cycl

e

I eIO

t)«ao

OFF SITE5

Vu>K

IT

X

X

y

X

X

X

1-

G>

U)

0)

0

6FACILITY

USED(tffromC)

NED00068'

NED000687:NED000687!NED000687:

NED000687:NED000687!

7SHIPMENT

DATE(S)

186 3-12-87

86 4-23-8786 6-5-87.86 7-17-87.86 8-28-8786 12-10-87

Or -jITE TREATMENT, STORAGE OR DISPOSAL FACILITIES USEDNAMESafetv-Kleen Corp.____ ADDRFRsGrand Island, NE NED000687187NAME.NAME.

ADDRESS.

ADDRESS.

LIST THE NAME AND ID# FOR TRANSPORTERS USED FOR OFF SITE SHIPMENTS

WASTE MINIMIZATION (NARRATIVE DESCRIPTION)Some of the shipments *ere collected from previous year which had been sitting around1-n 55 gal drum, vhich we put Into Safety Kleen containers and shipped out. This IBwhy we generated more than the standard. Next year will be less because all storedhas been recycled.

/A

CERTIFICATION AutX i JL S

M* (Of obtaining Iha Inlormalion I believe thai the Inlormalion >» (rue accurate and complete lam aware that •/ / 6*/y r-~£", A S* .* T ""•ttat* ara«ifinUlcant panalllaa lor aubmllllno lalaa Inlormallon Including (he ooatlbllltv ol line and Imorlton Title \S {/ /•( E^>/\t> KM/Imwl

10th Street

1 A

R101991

ate of Nebraskacpartmcnt ofrwironmental Control

Hazardous Waste GeneratorNnual Report Formr calendar year 19__EASE READ THE DIRECTIONS FOR COMPLETINGEHEVERSESIDE)TE This report is due no later than March 1,19___

NED056964040JACKSON SVCi INC.RICH HIRSCHBRUNNERP. 0. BOX 706COLUMBUS NE 68601

,0FACILITY

PHONE

B

L.

GENERATION INFORMATION

1DEC/EPA

HAZARDOUSWASTE NO

UN1897

UN1897

UN1897

UN1897

UN1897

UN1897

2

WASTE DESCRIPTION

Per chloroethy lentPerchloroethylemPerchloroethylenEPerchloroethylenePerchloroethylenePerchloroethylenE

3AMOUNT

ORQUANTITY(POUNDS)

585

405

465

195

79065

TREATMENT, STORAGE, DISPOSAL INFORMATIONON SITE

4

| R

ecyc

le

«o>£

¥0V)

\ D

ispo

se

OFF SITE5

! R

ecyc

le

X

XX

X

XX

rea£•

VoZ

'. D

ispo

se

6FACILITY

USED(# from C)

NED0006r-

NEDOOOBfNED0006J

NED0006!

NED0006J

NED0006J

7SHIPMENT

DATE(S)

7186 1-7-88

7186 2 -5 -88

7186 3 -4 -88

7186 4 -7 -88

7186 5 - 2 7 - 8 8

7186 8-18-88

OFF SITE TREATMENT, STORAGE OR DISPOSAL FACILITIES USED«1 NAME Safety-Kleen Corp ADDRESS Grand Island

_________________ ADDRESS_____________

______________ ADDRESS_____________

NED000687187

#2 NAME.

#3 NAME. ID*

D LIST THE NAME AND \DH FOR TRANSPORTERS USED FOR OFF SITE SHIPMENTSSame as C ___________________________

£ WASTE MINIMIZATION (NARRATIVE DESCRIPTION)As of August 1, 1988 we have discontinue the use of Perchloroethyleneend all machinery associated with it's use That is why qualities ofwaste in August were reduced dramatically, that was our final shippmeniPlease remove us as a small quanity generator and all other additionalcaper work associated with being a small quanity generator__________

F CERTIFICATION AuthorizedSignature.

Title.

UNITED STATES ENVIRONMENTAL PROTECTION AGENCYREGION 7

25 FUNSTON ROADKANSAS CITY KANSAS 66)15

MAY 2 5 1988

HEI'PRAHDUn

SUBJECT: Transmittal of Inspection Report - RCRA

FROI1:

TO:

John R. HelvigActing Chief, EMCM/ENSV

Michael J. SandersonChief, RCRA/WSTIl

This memorandum transmits the following RCTIA ccnpliance inspectionreport performed by the Environmental Monitoring and Compliance Branch,Environmental Services Division.

Facility

Jackson Services,Inc.Columbus, ME

ActivityEPA I.D. Number Number

NED058964040 APF82

Areas of Non-Corrpl iance

1. Failure to obtainsigned manifest copies.

2. Containers not dated.

3. Required informationnot posted by telephone.

Attachment

RECEIVEDMAY 2 £1908

USEPA, RCRA Branch

RCRA INSPECTION REPORT RECEIPT AND FOLLOW-UP REQUEST

Facility Name: <***», &***** JZ-Facility Location:

EPA ID Number :

Date of Inspection: tr"*7sr*7Inspector: ^/t>fl^ C^ , S6*t*.S

Activity Number: / V . Inspection Type:

Date Report Transmitted: / /

*Date Report Received: / /

Âdditional Information Requested/Needed Not Included In Report:

^Photographs Taken: <^^^~~ iPhotographs 1n Report:Âdditional Copies Needed (Specify Which)

Âdditional Information Needed By: / /

Field Notes Taped [Yes(jNg>*D1spos1t1on Retain, Dlscar-3, Transcribe.

^Samples Taken: ^~ ^Samples Analyzed:*Dispos1t1on: Retain, Discard, Analyze more (specify which)

*Report Reviewed By:

*Date Review Completed: / /

*Items to be completed by RCRA Branch, WSTH and returned to Chief, FieldInvestigations Section, EMCM/ENSV

REPORT OF RCRA COMPLIANCE INSPECTION

AT

JACKSON SERVICES, INCORPORATED

COLUMBUS. NEBRASKA

EPA I.D. NUMBER: NED05B964040

MAY 5, 1988

BY

U.S. ENVIRON! ENTAL PROTECTION AGENCYRegion VII

Environmental Services Division

INITODUCTION

At the request of the Waste Management Division (WSTM) , a RCRA Carpi lanceEvaluation Inspection was performed at the Jackson Services, Incorporatedfacility in Columbus, Nebraska, on May 5, 1988. The inspection wasconducted under the authority of Section 3007 of the Resource Conservationand Recovery Act (RCRA) , as amended. This narrative report and attachmentspresent the results of the inspection.

PARTICIPANTS

Jackson Services, Incorporated (Jackson) :Jay J. Jackson, President and General ManagerRichard C. Hirschbrunner, Plant Manager

U.S. Environmental Protection Agency (EPA) :John W. Bosky, Environmental Engineer

INSPECTION PROCEDURES

Upon arrival at the Jackson facility, I contacted Messrs. Jackson andHirschbrunner, who acted as the official facility representatives during thecourse of the inspection. I presented them with my EPA credentials andexplained the purpose of the inspection and the procedures that I wouldfollow. The inspection consisted of a discussion of facility operations,waste generation and waste management practices, a review of the availableliazardous waste related documents, and a visual inspection of the hazardouswaste accumulation/storage area. At the conclusion of the inspection, Isummarized and reviewed my findings and reconmendations with Messrs. Jacksonand Hirschbrunner. Next, I provided Mr. Jackson with a RCRA InspectionConfidentiality Notice which he signed as acknowledgment of receipt. A copyof this document is attached. I then presented Mr. Jackson with -a Notice of

01

Violation which he signed as acknowledgment of receipt. A copy of thisdocument is also attached. In addition, photocopies were obtained offacility documents which have been attached to this report, along with adocument receipt.

FACILITY DESCRIPTION

The Jackson facility conducts a conmercial/industrial textile rentaloperation for items such as uniforms, linens and dust control products.Doth wet laundry and dry cleaning processes are conducted at the Jacksonfacility. The wet laundry process averages around 53,000 pounds per week.The dry cleaning process averages around 680 pounds per week during thecolder season (200 pounds per week during the warmer season). Jacksonoperates one dry cleaning unit that uses perchloroethylene as the cleaningsolvent. The dry cleaning unit contains both a filter bag system and anintegral solvent distillation system. Wastes generated from the drycleaning unit are filter bag residue and still bottoms residue. These twowastestreams are accumulated in separate 15-gallon containers, and both havebeen classified as F002 listed hazardous wastes. These wastes are currentlybeing transported off site to a Safety-Klean facility (NED0006871B6). Basedon information provided by facility representatives and a review of facilitydocuments, Jackson regularly generates over 100 kg of hazardous waste permonth, and consistently accumulates over 100 kg of hazardous waste prior tooff-site shipment.

FTTDING5 AND OBSERVATIONS

1. Jackson regularly generates over 100 kg of hazardous waste per month,and consistently accumulates over 100 kg of hazardous waste prior to off-site shipment. Because of this, NDEC Title 128, Chapter 6-001 requiresJackson to comply with the regulations established under NDEC Title 128,Chapter 23.

2. Jackson has filed a Notification of Hazardous Waste Activity with theNebraska Department of Environmental Control (NDEC). The NDEC acknowledg-ment of this notification is included as Attachment I. A copy of Jackson's1987 Annual Report is included as Attachment II.

3. Facility representatives stated that the hazardous wastes generated byJackson since late 1986/early 1987 have been disposed of through Safety-Kleen. It was further stated that all filter bag residue generated by

* Jackson prior to this was disposed of with the facility trash* Facilityrepresentatives also indicated that still bottoms residue has beenaccumulated on site in drums for many years (three 55-gallon drumsaccumulated on site when Jackson initiated disposal through Safety-Kleen).When asked wliy only three drums of this waste had been accumulated overtime, facility representatives speculated that an accumulation of the stillbottoms residue had been destroyed in a fire at the facility in September1981 (or had been removed during the clean-up process). Mr. Hirschbrunnerstated that he had worked at Jackson for 15 years and was not aware of anystill bottoms residue being disposed of with the facility trash. ^

4. Copies of the manifests that have been used for the off-site shipment ofhazardous waste are included as Attachment III. Pursuant to 1-DEC Title 128,Chapter 17-002.08 as cross referenced by Chapter 23-003.06, Jackson did nothave the manifest copy with a TSD signature for three manifests (2/5/88,1/9/87, 12/15/86). Additionally, Jackson failed to satisfy the exceptionreporting requirements pursuant to NDEC Title 128, Chapter 18-003.02 ascross referenced by Chapter 23-003.07.

5. At the time of this inspection, Jackson was storing four 15-galloncontainers of hazardous waste. All of these containers were closed andlabeled "Hazardous Waste." However, none of the containers were datedpursuant to NDEC Title 128, Chapter 19-004 01C as cross referenced byChapter 23-003.03.

6. Jackson had not posted the location of spill control equipment adjacentto" the facility telephone pursuant to NDEC Title 128, Chapter 23-003.09B.

1. The Jackson facility is located at 960 24th Avenue. The facility wassaid to have been located at this site since 1926. Jackson also operates acoin-operated facility at 10th Street and 26th Avenue (Village Washhouse).Dry cleaning irachines were formerly utilized at this facility. Mr. Jacksonstated that he has recently become aware of a 200 to 300-gallon undergroundtank located at the Village Washhouse site (apparently used to store virginperchloroethylene)._ He further stated that he had discussed his intent toremove this tank with the NDEC on the day prior to this inspection.

^ £<5hn W. B o s k y / Bill^J. Fairless, Ph.D.; Chief/Environmental Engineer Environmental Monitoring and Compliance'Date: ms/f^ Branch .Activity Ndmber: APF82 Date. £/$•/ ?f

Attachments:Notice of Violation (1 page)Attachment I - Acknowledgment of Notification (1 page)Attachment II - 1987 Annual Report (1 page)Attachment III - Manifests (15 pages)KCRA Inspection Confidentiality Notice (3 pages)Document Receipt (1 page)

Notice of Violation Pursuant to Requirementsof the Resource Conservation and Recovery Act (RCRA)

TO: Facility Name- (/<;#:£&^j &**>* C&=~>Address;"

(: s4j

_EPA ID Number: s4j£&Qj~2' </ '/<•</ &(/F) Date:

During an Inspection just completed to determine compliance with the requirements ofSubtitle C of RCRA and regulations promulgated pursuant thereto, the followingviolations were Identified:

Citation - /7>-,i/£L /*2f'-/J0 *?C_. Description of Violation

/

00.7. t>3 •?

his notice is provided to call your attention to those areas of noncompHance at thearliest possible time. This notice does not constitute a compliance order (Adminis-

trative Civil Complaint) Issued pursuant to Section 3008 of RCRA and may not be acomplete listing of all violations which may be Identified as a result of this 1nspect1or

Th e, rx'go .fo'i *J' <- . 2~ss<- 1 s hereby requested to submit 1n writing within 10days of receipt of this notice a description of all corrective actions taken and/orschedule for completion of necessary correction actions to be takenChief, RCRA Branch, U. S. Environmental Protection Agency, Region VII, 726 MinnesotaAve.. Kansas City, Kansas, 66101. The corrective actions taken bywill be considered In subsequent enforcement follow-up. Should civil penalties beassessed, corrective act1on(s) will be considered 1n assessing the penalty amount.

If you have any questions on this Notice or wish to discuss your response, you may call

This Notice prepared by Alr W // ) S^2<r-^C) Da'te;^

The undersigned person hereby acknowledges that he/she has received a copy of thisNotice and has read sarfie.

*&'<

7-EPA-3500.7 (Rev. 5/85)

RC

«RCRA INSPECTION CONFIDENTIALITY NOTICE Facility

If you are not authorized by your company to make confidentiality claims, this notice will be sent b/certified mail, along with the receipt for documents, samples, and other materials, to the Owner,Operator, or Agent in Charge of your firm, within two days of this date That person must return astatement, specifying any information which should receive confidential treatment

This statement from the Owner, Operator, or Agent in Charge should be addressed to

Mr David A WagonerDirector, Waste Management DivisionUnited States Environmental Protection Agency726 Minnesota AvenueKansas City, Kansas 66101

and mailed by registered, return receipt requested mail with m seven (7) calendar days of receipt ofthis Notice

Failure by your firm to submit a written request that information be treated as confidential, eitherat the completion of the inspection or by the Owner, Operator, or Agent in charge, within the sevenday period, will be treated by the EPA as a waiver by your company of any claims for confidentialityregarding the inspection data

To be completed by the facility official receiving this Notice

I have received and read this Notice

' " ' N a m e

Title

Signature

Date

If there is no one on the premises of the facility who is authorized to make businessconfidentiality claims for the firm, a copy of this Notice and other inspection materialswill be sent to the Owner, Operator, or Agent in charge of the company If there isanother company official who should also receive this information, please designatebelow

Name

Title

Address

US ENVIRONMENTAL PROTECTION AGENCYRCRA INSPECTION

CONFIDENTIAL! TY NOTICE'

Name and Address oi Inspector(s)

or«S

US ERA, Region VIIENSV Division25 Funston RoadKansas City, Kansas 66115

Name and Address of Facility ,~~9 CrO

Owner Operator, or Agent m Charge

\7~Tit le

Address

Name of Individual to Whom Notice Given Title

J~~Date

It is possible that ERA will receive public requests for release of the information obtained duringinspection of the facility above Such requests will be handled by ERA in accordance with provisionsof the Freedom of Information Act (FOI A), 5 U S C 552, ERA regualtions issued thereunder, 40CFR Part 2, and the Resource Conservation and Recovery Act, Section 3007, as amended ERA isrequired to make inspection data available in response to FOIA requests, unless the Administrator ofthe Agency determines that the data contains information entitled to confidential treatment

Any or all of the information collected by ERA during the inspection may be claimed confidential,if it relates to trade secrets or commercial of financial matters that you consider to be confidentialIf you make claims of confidentiality, ERA will disclose the information only to the extent, and bythe means of the procedures set forth in the regulations (cited above) governing EPA's treatment ofconfidential information Among other things, the regulations require that the ERA notify you inadvance of publicly disclosing any information you have claimed and certified confidential

To claim information confidential, you must certify that each claimed item meets all of the followmg criteria

1 Your company has taken measures to protect the confidentiality of the information, and itintends to continue to take such measures

2 The information is not, and has not been, reasonably obtained without your company's consentby other persons (other than governmental bodies) by use of legitimate means (other than discovery based on a showing of special need in a judicial or quasi judicial proceeding)

3 The information is not publicly available elsewhere

4 Disclosure of the information would cause substantial harm to your company's competitiveposition

At the completion of the inspection, you will be given a receipt for all documents, samples, andother materials collected At that time you may make claims that some or all of the information isconfidential and meets the four criteria listed above

US ENVIRONMENTAL PROTECTION AGENCY726 MINNESOTA AVENUE

KANSAS CITY, KANSAS 66101

REQUEST FOR CONFIDENTIAL TREATMENT

Name of Individual Title Date

Firm Name Firm Address

Information for which Confidential Treatment is requested

Acknowledgement of Claimant

The undersigned requests that confidential treatment of the information described be provided inaccordance with provisions of the Freedom of Information Act (FOIA), 5 U S C 552, EPA regulations issued thereunder, 40 CFR Part 2, and the Resource Conservation and Recovery Act (RCRA),Section 3007, as amended The undersigned further acknowledges that he/she is authorized to makesuch claims for his/her firm

The undersigned also certifies that each item described above meets all of the following criteria(1) The company has taken measures to protect the confidentiality of the information, and it intendsto continue to take such measures. (2) The information is not, and has not been, reasonably attainable without the company s consent by other persons (other than governmental bodies) by use oflegitimate means (other than discovery based on a showing of special need in a judicial of quasi-judicial proceeding, (3) The information is not publicly available elsewhere, and (4) Disclosure ofthe information would cause substantial harm to the company's competitive position

Signature (Owner, Operator, or Agent)

Namejzl Inspector Title

/ .. ss*frs/ ~*~ //^ u>

Title

Inspector's Signature _

US ENVIRONMENTAL PROTECTION AGENCY

RECEIPT FOR SAMPLES AND DOCUMENTS

^inspector (s) Name and Address

\J &? *J £_x rZ? *".£ ^C~/r

US EPA, Region VIIENSV Division25 Funston RoadKansas City, Kansas 66115

Firm Name and Address

\/?(C/*?£ 0*J JiffCJ > (. *~ , -J£<*~' c.y /~ tO 2. iJ ?^~ Ji tJ fff^S ^rLO/u^^^o^^ «X-o^/^ sf n^/{ *» CfivQ/

Name of Individual ^^^

\/** y1' ^ \s*4<jk.£' & T »l /

Date Collected Samples were /

./"^.^j" -~ j-~~/£// CD PURCHASED fcy RECEIVED NO CHARGE D BORROWED

Sample Numbers x Amount Paid for Samples

Duplicate Samples Requested Method of Payment

D YES D NO CD CASH D VOUCHER D TO BE BILLED

The documents and samples of chemical substances and/or mixtures described below were collectedin connection with the administration and enforcement of the Resource Conservation and RecoveryAct

Receipt for the document(s) and/or sample(s) described below is hereby acknowledged

Signatore [Owner, Operator, or Agent/

Title

Title

Inspector* S/gnature L

s8s

STATE OF N E B R A S K ADEPARTMENT OF ENVIRONMENTAL CONTROL

KAY A ORRGOVERNOR

DENNIS GRAMSDIRECTOR

December 22. 1987

Richard HirschbrunnerJackson Svc. IncP 0 Box 706Columbus Nebraska 68601

Dear Mr Hirschbrunner

This is to acknowledge that you filed a Notification of Hazardous WasteActivity on December 2. 1987 for the facility located at the address shown belowto comply with both state and federal regulations The DEC/EPA IdentificationNumber, type of hazardous waste activity and a description of hazardous wasteare listed below This number must be included on all shipping manifests fortransporting hazardous waste, on all annual reports that generators of hazardouswaste and owners of hazardous waste treatment, storage and disposal facilitiesmust file with the state on all applications for hazardous waste permits andother correspondence related to your hazardous waste management activities

o

DEC/EPA Identification Number NED058964040

Installation Address 960 24th Avenue, Columbus. NE 68601

Type of Hazardous Waste Activity Small Quantity Generatort

Description of Hazardous Waste D001. F002

The State of Nebraska received Final Authorization on February 7. 1985 toconduct the state's hazardous waste program in lieu of the respective federalprogram The Nebraska Department of Environmental Control is to be notified ofany additions to and/or modifications of the information provided on yournotification All questions or assistance pertaining to the handling of hazard-ous waste should also be directed to this office

Sincerely.

Mike Steffensmeier. Section SupervisorHazardous Waste SectionLand Quality Division

MS/ths

xc Chet McLaughlin. U S EPA-Region VII

PO BOX 98922, ITNCOLN, NEBRASKA 68509-8922, PHONE (402)471-2186AN FOUAL OrrORTUNITY/AfHRMAIIVE ACTION FMPIO\ER

/' // f '* 4 ri«se print or type (Form designed lor me on elllo (12 pilch) typewriter)

/ to,Form Approved OMB No 2050 0039* gxplret 9 30-86

UNIFORM HAZARDOUSWASTE MANIFEST

1 Generator a US EPA ID No

NEDD5O964O4O y , ' "Manliest Document No

j-47786_____2 Page 1

ol JInformation In the shaded areasIs not required by Federal law

Generator a Name end Mailing AddressSON SVC24TH AVE . PO I3OX 706MDUS ' - NE easoi ' '

4 uencralor'g Phon« ( 4 Q 2) 564-2824 ' ' ' v

A:*, Siale Manifest Document Numbert'w/ -

^^U^^'^''B? I Slate Generator s ID' '/£, C'. V^s?,{j-\ J. A T . c i>i>«Mi . ' K/r-" s, ,1 ?!/•,• Ji.: itt ^^i^gfe. //«K^ fr i-y^ /'' M'»- S

5 Transporter 1 Company Name _ «. ,.

— V — rnpp.6 tr US EPA ID. Number , 'V'-f Oft^ P'

Tianaporter'B Phone'3 on /3R4—11 Transporter 2 Company Name } f ' - ' ^ r . , ',, * • ' 9 ''','"* US EPA ID Number^-, i^, ,vE '-"Stale Transporters ID ><t \ x<i "'<»i <*• -»»i

11 US DOT Description (Including Proper Shipping Name, Hazard Class and ID Number}^'12 Containers. i . v 13 ,-" ,'

W Tola)"1-'.• <• Quanllty

. 14Unit

Wt/Vol

RQ, ' W O S T E PERCHLORDETriVL'ENEi >-''"'v / ' ' " ' T - JORM-A, UN1097't(EPA',J TOXI CITY, ,'F OO2) >',' J

'

£Jf:

'. ', • ! ' ' * V' 'a V * (V // i"

. ,i '4 ,-T k^ .f •vt'* •* it Ji

^f??ft*r?Sf-fe-^'j

NOTICES TM1 ACCORDANCE'WITH -4O CFR 260,7]THAT HIE. t-JASTC DCSCmjJCD AJ 'Hf tSTC PCrtCHASTE. THE W A S T E CONTAINS THE FOLLOWINGSTANDARD IS NOTED; TETRACHLOROETHYLENE(C

J .

GEN IRATOR P DESNOTICILOkOlCONST.05 F

•fl—f C3TRICTEDEATMENT.ITU

PM)

-:NT WHOS

15 Special Handling Instructions and Additional Information

5-065-51-10736*7786 6PTTFRR m 'IK nm~* IIMOFl TUPPCBI P» TH HPMFPflTHP

1E GENERATOR S CERTIFICATION I hereby declare that the conlenti ol Ihli conilgnmenl are lully and accurately described above by proper ihlpplng nime and•re clastilied packed marked and labeled and are In all reipecti In proper condition for transport by highway according lo applicable International and national

< government feQulatloru \ ( ( » I 'H I >m • large quantity generator I cerllly that I have a program In piece to reduce the volume and loxlclty ol watte generated to (he degree I hevedetermined lo be economically practicable and that I have telected the practicable method ol treatment, storage or disposal currently available to mewhich minimize! the present and future threat lo human health and Ihe environment OR If I am a smell quantity peneralor I have made a good lalth ' ——•flort to minimize my waste generation and telecl Ihe best wasle managemenl method Ihol li available lo me anolhtl I ca/ijllord s___ * DiliFlirted/Typed Na « ' Month Day Year

f? Transporter 1 Acknowledgem?fit ol Receipt ol Materials^Panted

QrTnted/Typed Name

CL.

Month Day Year

tB Transporter 2 Acknowledgement ol Receipt ol MaterialsPrinted/Typed Name Signature

• IMonth Day YearI i 1

}9 Discrepancy Indication Space ( § ^ ^ _

. '.«. ' ;\ '..i* • i i • • • • * i ,•.. i.1 "-..I; .,,".,*/ , -.f^ .f i,

clJliy Owner or Operator Certification of recelpt'ol hazardous materials covered by this manliest except. ' • *' , > -,' >'V - ' . «•' 1 ' ' ^ > t . ,; J^ '/I fl ' . ' • ' / y

775

' v '«<t print or typo (Foim designed lor uso on elite (12 pitch) typowillor ) i <* ''____> « ' ^ - Form Approvod OMG No 2oSO 0039 Expltei D 30 88


1 Generator s US EPA ID NoNED050964040'/ '

Manliest Document No.28250 . '

t Information In the shaded areasr Is not /equlred by Federal law

Inerator c Name and Mailing Address

SON' svc <f( ,

24TH AUE - " PO UOX 7O6*_UMBUS - ' NE 68601 ,

Generator s Phone ( 402) 564-2824

,-, - ^ : ; l v ' " r i ', • I '<€. •A.;1 Stale Manifest Document Number ' ,-tBS|'( Slate Generator's VOJf^i»%

5 Transporter 1 Company Name

SflFETY-KLEEN-CORP.6 US EPA ID NumberI ILUOS1060408

Cc-StateJt'a'nsporler'slD^'"^1! ",.'D Transporters Phone 308/304- I 6It

7. Transporter 2 Company Name , \ , ' US EPA ID Number E Stale Transporter's ID

9 Designated Facility Name end Site AddressSrtFETY-KLEEN CORP.HIGHWAY 201 SOUTHBEHIND CI DOUCE-ELK DRGHAND TSLANDj WE 60001

10 US EPA ID Number

I NEDD00607106

I. Stale|facimy'4j.D,I.-v.,vri>il- M.' ,''

H FBdiliy'8 Phone , ,v/ /'<.,,• JY-', * •> /^y\."?..'l'T^^ r-308/384-16161 £

11 US DOT Description (Including Proper Shipping Name, Hazard Class and ID Number)I HM

X

12 ContainersNo Type '- Wa'ste Klo _,_;"

«Q, W A S T E PFRCHLOROETHYLENE,DHM-A, UN1897 lEPA t TOXICITYf F002)

NOTICE: INTHE

ACCORDANCE WITH 40 CFR 268|7WASTE. THE WASTE CONTAINS THE FOLLOWINGSTANDARD IS NOTED; ,T ET RAC HL OROCTHYLENE (

* '* iK Handling Codes for Wastes Listed Above

15 Special Handling, Instructions and Additional Inlormatjon. , j ' , (L

' " ''i\- > *

328250 kT E R R ' 0 3 • . WK 8809 'M« l ) ' ' ' '

../A •.1 * • • • * " » «- > « J ; \ ^ /» ..' ' ^ '-16 GENERATOR S CERTIFICATION I hereby declare (hat the content) ol this consignment ar« lully and accurately described cbove by proper shipping n&mi a/id

, which minimize! the present end future threat lo human health and the environment on, III am a email quantity Generator, I hive made » good l»l|h ) |——-r^————tlion lo mlnlmli* my w»«(« o«n»f«tlon «nd «el»et lh« b««l >vail8 ma^agemenl method Ihal It ayallabl» lo ma tng lhal I can illofd ( '^~) ' s" ' | * *• \ Dale •-

\T Ttansporter 1 Acknowledgement ol Receipt ot Materials •• i IV i / M " '' t • J " l' D»le' Month Day Year.edfTyped Name

18 Transporter 2 Acknowledgement ol Receipt ol MaterialsMonl/> Day Year

I___I IPrinted/Typed Name

1B Discrepancy Indication Space

Owner or Operator Certification of receipt of hazardous materialsA

this manlfosljpxcepl as noted In Hem 19

EPA Form B700-22 (Rev B 86} prevloua edllloru obaolele

, ORIGINAL - RETURN TO GENERATOR Safety Kleen (9 66) C

- VPlo'aso print or typa (Form deslgnod for use on elite (12 pilch) typewriter) Form Approved QMB No 2050 0039 Expires 9 30 8E


1 Generator's US EPA 10 NoNCD058964040

Manifest Document No18384 '

Page 1of

Informallon In the shaded areei 'Is not required by Federal law '

I

Generator s Name and Mailing AddressCKSON SUC0 24TH AV£LUWBUS NEGenerator's Phone ( 402) 564-28^4

A. ^late Manifest Dooumenl Number '

PO BOX 70660601 B Slate Generator's ID\'.$

' ^

5 Transporter 1 Company NameSAFETY-KLEEN-CORP.

US EPA ID NumberlLDOMOf i04QR

C . State Transporter's ID T"i'D Transporter 8 Phone 3 0 8 / 3 B 4 — 1 6 It

7. Transporter 2 Company Name US EPA ID Number E ' Stale Transporter s ID ' 'ffans'pofre'r'»PJwiet& ./

D Designated Facility Name and Site AddressSAFCTY-KLEEN CORP, ,HIGHWAY 281 SOUTHBEHIND GI DODGE-ELK ORGHANO ISLAND, NE 6B801

10 US EPA ID Number , State

1 NFDOOOfeRTlOSH; Facility's; Phone'»lp 1 r t-ffi pyw rr ^- , i 'v /V \

30'0/3B4-1616

11 US DOT Description (Including Proper Shipping Name. Hazard Class end ID Number)HM

12 Containers• No Type

• 13. Total 'Quantity •

14Unit

Wt/Vol

RQ> WASTE PERCHLOROETHYLENE,;. ., 1 C,DRM-AI 1UNi897 I%(JPA.?. TOxiciTYrjF,002) •••

I '/»,- /, 1. It •(f**-\ •/• -( ^ (liII'N^^M QQZy^ifi

rNDTICE:'i,IN' ACCORDANCE -WITH '40* CFR »268.7,T u r *r _*r )j g i/1A ST^ P tL-S-CR-I HH^D AS ^ W A ? T C P C R C t*

1 - '„ I,

/THEn n n

V.GEN R"ATOR-./P

c- vir T T rDES"r'NOTICE.

WASTE.• THE'WASTE CONTAINS THE .FOLLOW INGSTANDARD-* IS NOTED? T,ETR ACHLORQETHYLENE (( C

, -; ,*• »^

ITU,05-F

:NT, WHOS TR EATMENT;i\ ;'V'"« 'v"\

16 Special Handling Instructions and Additional Information' •, ' i' !5-065-51-1073

0183B4 6PT . /TFRR 03 WK 8805__________

16 GENERATOR 5 CERTIFICATION I hereby declare that the contents ol this consignment are fully and accurately descilbed above by proper shipping name and«re classified packed ma/ked, and labeled and are In all respects In proper condition for transport by highway according to applicable International and nationalgovernment regulations t , , . . . }II I am • large quantity generator I certify that I have a progrem In place to reduce the volume and loilclty ol wait* generated to the degree I havedetermined 10 be economically practicable and that I have selected the practicable method ol treatment storage or disposal currently available to mewhich minimizes the present and future threat to human health and the environ - • - - • • • - •• . . _ . . . _ _ _ _ _ _ _ _ _.._..*.ellon to minimize my waste generation and select the best wssle management

inmenl OR IFI em a small quantity generator I have made a good faith ril method the) Is available to me and that I can aflord , /. ———_^___^___ _*? ,-r '

DateMonth Day

1517 Transporter 1 Acknowledgement ol Receipt of Materials

Monln Da Year

18 Transporter 2 Acknowledgement of Receipt ol MaterialsPrinted/Typed Name

1fl Discrepancy Indication Space

1 i

t 120 Faculty Ownor or Operator Certification of rocolpl of hazardous malorlals covered by this manifest except as noted Jn Item 19

'/Inted/Typed Name I > SlgnatixS--! ,1 Date

^ t Won//) Da/

EPA Form 6700-22 (Rev B 86) previous editions obsolete^ • * 1290

• / x 1 ' / * •A " * I H ' * | / ( I ' f ' l ^ i ' k ? 1 ^ ' •

»*r • t>'>>.' ,-•,• 'i ' ORIGINAL -RETURN TO GENERATOR ,'V, .' S"ety Klee,n (9 86)* * i » * * / /1| i + i ^

4 I ', * - '

' <

lease prlnl or lypo (Form designed (or use on elite (12 pilch) typewriter) Form Approved OMB No 2050-0039 Expires e 30 66


1 Generator a US EPA 10 NoNED05B964040* '

Manifest Document No63316 ;•'. -

eralor t Name and Mailing Address.) „SON SUC ' .' v - • < • ' > "S- v

24TH .AUE ,- . ," " ' 'CULUKBUS \ / ' / i NE 686014* Generator s Phone { * O2 )' 5 6 A-2 824 •M ' *"'

' . * , ,?! W; 1P O b o x -706 ; )

2 , Page 1'- ol v 1

Information In the shaded BIBSIIs not required by Federal law

5 Transporter 1 Company Name, SAFETY-KLEEN-CORP.

6 • US EPA IDJJumber \tI iLuos i f J eo ' ^op ' D i tTrnnsporter 5 Phone 308/3U<i'-1616

7 Transporter 2 Company Name ,( US EPA ID Number. EM Slate Transporter a<>»"• 'i j>J! Vi' "> I^,V.v- i,'

9 Designated Facility Name and Site AddressSAFETY-KLEEN CORP,HIGHWAY 281 SOUTH , .DEHIND GI DODGE-ELK ORGRAND ISLANU, NE ____ 68601

. ('.10 >; , US EPA ID NumW$<•' / ,-

< \ i l - . V

i.,

I NED0006a7106

G '

» - 1 6 l 6

11 US DOT Descrlpllon (Including Proper Shipping Name, Hazard Class and ID Number)HM

12 ContainersNo Type

i 13Total

Quantity

14Unit

Wt/Vol// Waste No

RQ, WASTE PERCHLOROCTHYLENE,ORM-A, UN1D97 JEPA| TOXICITY, F002} F002

NOTICE: IN ACCORDANCE WITH 40 CFR 268,7,I 1.1 A

THEi none

G E N p R A T O R P J O U I D E S N O T I C E

W A S T E . THE W A S T E C O N T A I N S THE F O L L O W I f N GSTANDARD IS NOTED*, TETRAC ML O R O E T HYLENE ( 0

C O f S S T05 P

nvPft) NT WHDS TR E A T M E N T

}*ifV1' "•'VA51 ,' tl

K ' Handling Codes lor Wastes Listed Above \

.'»ir>**\«f ",'^4 pj * '

15 Special Handling Instructions and Additional Information5-065-51-1073662316 6PTTERR 03 WK 8801

16 GENERATOR S CERTIFICATION I hereby declare that the conionli of lhl> consignment are fully and accurately described above by proper (hipping name and«re c<»3llled packid ma/kad a/id labeled asid are In all reipecli In proper condition for litntport by hlphway (cocrdlng to applleabl* IntirnailonaJ and nalJonaJgovernment regulationi(Mams large quantity generator I certify that I have a program In place to reduce the volume tnd fa!x!city of waite generated to the degree I havedetermined to be economically practicable and that I have soloclsd the practicable method ol Ireatmyil storage or disposal currently ivajlable to mewhich mmimlioi the pwenl and luture threat to human heallh and the environment ORJH-Btq a iifiall quanlrty generator I have made I ogbd faJlh i————————cllorl to mlnlmliB my waste generation and aelecl the boat watte management method-mat li ayullable to me eno that I caryollCJd / a __I__ Dale

SHWW Mo?lh

\17 Transporter 1 Acknowledgement Of Receipt ol Materials Dslt

"w < (KS Wo/j/A DayU\1\71

1B Transporter 2 Acknowledgement ol Receipt ol Materials Dale

Month Day Year

ifl: Discrepancy Indication Space ', ' - •> /»„

C , <<l"" 't . i

Facility Owner or Operator Certification of receipt ol hazardous materials covered by this manliest exiopl as noted In Item 19

(O /)/ r DateP/lnled(Typpd.Nam8

iEPA Form 8700-22 (Rev B 86) previous editions obsolete 1290^'

Selety Kleen (9-66) U

iprint or type (Form designed lor use on ellle (12 pitch) typewriter)I . .

Form Approved OMB No 2050-0039 Explrea B 30-68

' UNIFORM HAZARDOUSWASTE MANIFEST

1 Generator's US EPA ID No Manllost Document No 2 • Page 1o f t

Information In the shaded areasIt not required by Federal law

4 Generator e Phone (

'a Name and Mailing Address . I

)

A. . Stale Manifest Document Numbers..' .-,y yl'V^yi JJuuk W a «7;/V*7 ", 7 ? Mftft &* Afr»ff3y "i^jftft *•&*»'> '•* *

' Bw Slete Generator i

nsoorter Jl Company Name 6 US EPA ID NumberIJTU) D •»• Transporter 8 Phona

Z. Transporter 2Company Name ' '• ]•« i - v. " i r - 4 -t- I I

US EPA ID Number E i Stale Transporter's ID '•"•^•* ; A -^ _

9 Designated, Facility Name end Site Address ,' 10 US EPA ID Number} " ' \ „ •

< -'' « "P.iG.'v Slate FaclllTyVlDi<t tf-U \'~'f)»«i«fl'lt''* *•

11 US DOT Description (Including Proper Shipping Name, Hazard Class and ID Number)

lW* Stiff,-*!f|C«

*m^»*.J

15 Special Handling Instructions

«< «'i '» •' fit ** * if1 >

12 Container!No Typ'e

'3TotalQuantity

14Unit

Wl/Vol

16. GENERATOR S CERTIFICATION I hereby declare that the conlenli of thli contlgnment are fully and accurately described above by proper ahlpplng name and«/• ci»t»i«d picked m*/ked and .labeled, and are In aJI retptcu In proper condition lor t/tniport by highway aooo/dlng to applicable l/iterna^onal and nationalgovernment regulaUone ~~ < t, , ',,,./' | »• i, • {, « ^ ,•* * t "tJ'.u* ' t ' " * s ' 4 ' i iIf I am a large quantity generator*! certify thai I have a program In place lo reduce the volume and loxJclty of waste generated to the degree t have i , i\ /determined lo be economically practicable and that I have (elected the practicable method ol treatment, storage or disposal currently available lo me ,which mlnlmlzel the present and Mure threat to human health and the environment, OF1 If I am a email quantity generator I have made t 8°od I*1* I———————————•llort lo minimize my waste generellon and select the best waste management method Ihal la available lo me and that I can afford f _____«• | DatePrinted/Typed Name i i- ; (

17 Transporter 1 Acknowledgement of Receipt of Materials Dateriled/Typed Name Month Day Year

18 transporter 2 Acknowledgement of Receipt of Materials DateP/lnted/Typed Name

ISignature Month Day Year

i I i10 Discrepancy Indication Space

i •<> • 1,1 v ii I , ) ol ' i i, ii .1

'aclllty Owner or Operator Certification of receipt of hazardous materials

EPA Form 8700-22 (Rev We) prevtout »dlUon* obaolele

ORIGINAL-'RETURN TO GENERATOR

lean prim orlypa (Form designed for use on elite (12 pitch) typewriter) Form Approved OMB No 3XXKM04 Explrej 7-31-86


1 Generator i US EPA ID No Manliest Document No 2 Page 1 Information In the shaded areasIs not required by Federal law

3. Generators Name and Mailing Address 'Slate Manifest Document Number

•4 Generator* Phone (B..'§talo Generator's ID ..r

5. Transporter 1 Compsny.Name 6, US EPA ID Number P., Slate Transporter'!

7. Transports 2 Company Name US EPA ID Number E J StatiTransporters ID 'V\F 1 Transporter's ? ' >~"\' -

9 Designated Facility Name and Site AddressSAFETY-KLEEN CORP

10 US EPA ID Numberr

G, State

\11 US DOT Description (Including Proper Shipping Name. Hazard Class and ID Number)

MM


13Total

Quantity

14Unit

Ac I -' Waste No

O001

uoinpounu, L/ieaning, Liquid, corrosive Maieriai,F002-F004 ' p*.

Waste. Perchloroethylene. ORM-A, UN 1897F002 ' ___ " "'

DMii .•>•' >-i


IS GENERATOR S CERTIFICATION I hereby declare that the contents of this consignment are fully and accurately describedabove by proper shipping name and are classified packed marked end labeled and are In all respects In proper condition lortransport by highway according to applicable International and national governmental regulations

17 Transporter 1 Acknowledgement of Receipt of Materials DatePrint SIB

18 Transporter 2 Acknowledgement of Receipt ol Materials

Month Day Year

DatePrinted/Typed Name Signature , Month Day Ysar

I___I I19 Discrepancy Indication Space

ficUily Owner or Operator Certification of receipt of hazardous materials covered by this manifest except as noted In Item 10

ORIGINAL-RETURN TO GENERATOR

'lease print or type (Form designed for Die on ollle (12 pitch) typewriter) Form Approved 0MB No 2000-0404 Expires 7 31-BC


1 Generators US EPA ID No Manliest Document No

Name end Mailing Address

hone

2. Page 1Of /5

Information In the shaded areasIt not required by Federal law

A""State Manliest Document Number >. 5tr

£ Transporter! Company Name US EPA JD Number '.

7. i Transported 2 Company Name ,,/ 8 US EPA ID Number . , .\>\:<\> - » . . • * . - ' t.« ^f.Stale.Transporler'a I

9 Designated Facility Name and Site Address ' \SAFETY-KLEEN CORP '

10 . , US EPA ID Number,; <<\. * \ ' \ ; f'f <,' • 'j . Vjltf i '" ]^ ' i

0 r

11 US DOT Description (Including Proper Shipping Namt, Hazard C/flM antf /O Numbtr)

WecteTPelroleurrrNairfithB. CornbOitlble knquldJJN 1255 .

aste Cofnpokfnd. CJeflnlna Llo<fTd<-Corroslve MatvmJfNA 1760

Waste Perchloroethylene. ORM-A, UN 1697F002

12 Container*No Type

13 iTotal

Quantity14

UnitWt/Vol O

A .f lit' -. J V f >,!P^ Waste No ;^^ ***• i''t : '

]£. Special Handling Instructions and Additional Information

16 GENERATOR S CERTIFICATION I hereby declare that the contents of this consignment are fully and accurately describedabove by proper shipping name and are classified packed marked and labeled and are In all respects In proper condition fortransport by highway according to applicable International and national governmental regulations

Daterloled/Typ_ed Name Month Day Yaar

17 Transporter 1 Acknowledgement of Receipt of Materials DateMonth Day Yaar

18 eipl ol'Materials DatePrlnled/Typed Name Signature Month Day Year

i l l '16 , Discrepancy Indication Space ,\

• . *

acUlty Owner or Operator Certification of receipt of hazardous materials covered by this manifest except as noted In Item 19 ' 1.' J77o

pateV P Name S Ci-" '»."«• ' 7'-

-'- -T i ''*f •/ * Wo/i/ft D»x V»«/' , tn' -

t- • • J ; T '• * f ORIGINAL-RETURN TO GENERATOR• ' . • ' ' • • •„» * EPA Forrp 8700-22 (3-84) Q"

r r

' . . ' • £ . . 'Mease print or type (Form designed lor use on elllo (12 pilch) lypowrllar) Form Approved OMB No 2050-0039 E«plre» 6 30 68


1 Generator B US EPA ID No Manliest Document No54010J

Page 1of *

Information In the shaded areasIs not required by Federal lew

3^^ eweneralor s Name and Mailing AddressSON SVC24TH AVE

LIMB US NEGenerator's Phone ( 4 Q 2 } 564-2024

PO B O X 1 7 0 668601' B h SlaleGeneretor 8'

•5 Transporter 1 Company Name US EPA ID Number

D Transporter B Phoney nfl/q 84-17. Transporter 2 Company Name US EPA 10 Number E Stale Transporter s ID

9 Designated Facility Name and Site AddressS A F E T Y - K L E E N CORP.HIGHWAY 281 SOUTHBEHIND GI DDDGE-ELK DR

:• ft fin T^I ft >;n. UP____6.

10 US EPA 10 Number ; State

I

H" Faclllly s Phone.U L';.V ,~>" > L * r ~

11 US DOT Description (Including Proper Shipping Name. Hazard Class and ID Number)I HM

X


13Total

Quantity

14Unit

IWl/Vol1/1' Waste No

HASTE PERCHLDROETHYLENE,ORH-A* UN1897 ^ ,»» - F O O Z

' iI -

•'';'

? r * »Codes (or Wastes Listed Above. >„


3-065^51-1073^ '954010^ .

ns and Additional Information ../.'. , I* c ^ '- / ' « » i . ?'' " ^ ' t> /» ' I 'S ' /*

'A, •- I!' ,«'^ f jf^ fr K^JiU1""'*.-: ' 'ff ^^V '^ , ^'^Va^^ '.. -rV

ATION I h*i«by declar* that tht conltnli of Ihli condgnment tit lully tnd tccuraltly described tbovt by proper ihlpplng nt16 GENERATOR S CERTIFICATEt/e clftisllled packed marked and labeled,government regulation! , i _ ,,i j 'lf> am a large qua/illry generator I certify thatdetermined to be economically practicable ~ '___ _ _ . _ _ _ _ . _ . . . _ _ . . , , . . _ . . . »WBW1OUI I IW plobllwawlv IIIVIIIWW Wl M V01IIIVI I I I Vlhll nyo Vf WIW^/W«* t>wll WIMIJ WWIHVIV tw Iliv I - |

which minimizes the piesenl and future threat to human heaJlh and the envtronmenl OR, If I am e. imall quatllty oeneialor, I hav* mad* a good Idth ' i—e/lort te mlnlmli» my watle generation and telert the bell watl» manaBemenl mclhod Uial l» available lo me and Uial I can .Herd/ . » -• «(. ) a | "•(*• Oil*

ed/Typed Name , . v. v>

f)Ltulrf '{OI'Slgnal Day

T7 transporter 1 Acknowledgemenl ol Receipt ol Materials X •' Dale

^*~ j" ' ' / ^' T ^^_ -^ff l^ fM-^ ff I . -~~j'——!• •

IB Transporter 2 Acknowledgement ol Receipt ol Materials

18 Discrepancy Indication Space

or Operator Certification ol receipt of hazardous materials covered by this manifest except as noted In Item 19^ /? __* Dale

/.PA Form 6700-22 (Rev B 86; pr»vfou» •dllton* Obsoltlt

(• '

I ORIGINAL - RETURN TO GENERATOR Safety Ween (666)

1290

6

Pleas* print or type (Form designed lor use en elite (12 pilch) typewriter) Form Approved OMB No 8050-0039 Expires 9 30-B8

UNIFORM HAZARDOUSWASTE MANIFEST "

1 Generator • US EPA 10 No Manliest Document No53221 . 2. Page

ofInformation In the shaded areasIs not required by Federal law

I

Generator's Name and Mailing AddressCKSON SVC) 24TH AYE'LUMBUS' NEGenerator's Phone ( 402 ) 564-2824

P O ' B O X ! 7 0 668601

...Slale Manifest Document Number vV> ..5^$ ] t #4^ && •-'•^iAX'fT oAr-SwWy'.^JKi.AM* /.


SRFETY-KLEEH-CDRP.6 US EPA ID Number

Transporters Phoned OB/3 84-161 ti7. Transporter 2 Company Name US EPA ID Number, E" Stale Transporters • jt"_»'

8 Designated Facility Name and Site AddressSAFETY-KLEEN'CORP.- .-.HIGHWAY-281 SOUTH. f l

BEHIND GI DODGE-ELK DR.GRAND ISLAND.' NE»- 6RR01

10 US EPA ID Number,: ,.«

I 1 ." •I.';'Facility s

•* '4 ,> '•. • i i i i ••11 US DOT Description (Including Proper Shipping Name, Hazard Class and ID Number) ',1

HM

12. Containerst No'''] Type

13 . .•1 Total M' Quantity "

14Unit

WuVol

XIRQ.-WASTE' PERCHLOROETHYLENE

:.-;{• uif ,i •!

'<',,«« r

i. ;,^-vK /Handling Codes for Wastes Listed Above v :^.jMHl'-M' ^-i ,'JVf "" " "

lH>2 t.t?4!H"#iutf*<lii


5-065-51-1073253221 6PTTERR 03 WK 8721

16 GENERATOR S CERTIFICATION I hereby declare that the conlenll ol Ihli consignment a/e fully and accurately deicrlbed above by proper thlpplng name and•re classified packed marked and labeled and are In all reipecu In proper condition lor tranipori by highway according lo appllc&bU International and nailontlgovernment regulallona iIf I am a targe quantity generator I certify lhal I have a program In place lo reduce the volume and toxlclly of watte generated to the degree I have

• - • • - • • . . . . . . . . - • ' - - - - — - - • • , mB|hod o f Ueslment.slorsge. o r disposal currently avaJlsblele medetermined lo be economically practicable and thai I have selected the practicable i _ _ . . . .•which mlnlmlzel Ihe present and future threat to human health and the environment OR, If I am a email quantity generator, I hare made s good lalth p^Itqrt to mlnlmne my waste generation and eeleet Ihe best waale management method Ijiqi ll available lo me and thai I can aflflfcl _______|^

Nemp ,»v% t ^ \ , X*~ Slgna/ty f)_ . ..% _ «-^ j/ 7, . . .Month, D»y,Dale

A7 H.ransporter 1 Acknowledgement of Receipt of Materials

16 Transporter 2 Acknowledgement ol Receipt of MaterialsMonth Day YearI I I


:aclllly Owner or Operator Certification of receipt of hazardous materials covered by this manifest except as noted In Item 18. Vf

EPA Fern 8700-22 (Ray 9-66) previous editions obsolete .i " i , - ' M "I ' ' l l r ' V * i >, ' , ,-'"^''v ' ' l ' h - ' S J ' J 1 ] iWX.Allr , ^ 'J'Wk:-''^ -uV '^ R I G l r 5 J A B E T U R N T 0 1 G E N E R A T O F l 8" l j f1

12DO IX)

Safety Ween (0-66) D

1 1 .' A "r '

Please print or type (Form designed for use on elite (12 pilch) typewriter) '. >' Form Approved 0MB No 2050-0039 Expires 9 30-8

UNIFORM HAZARDOUSWASTE MANIFEST V- '

4J UNIFORM HAZA' WASTE MANl

yM^ Generator s Name iI^P^KSONVSVC}e ^ . ~\ t f tt t * «• ••

1 Oeneralor • USS EPA ID No i1 t «

W " ?Manliest Document No 2 ',

/of-V''I Information In the shaded areas,(Is not required by Federal law

J..24TH1 AVE.',Phone (

5 Transporter 1 Company Name '•• ' l )l

LE7. Tiansportor 2 company NameTT

US EPA ID Number,

tTZ.o_^fl n *c <v? ^? j D ^-Transporter's Phoned n a / ^ R A -1 A1US EPA ID Number E Slale Transporter's ID v1

g Designated Facility Name and Site Address

SAFETY-KLEEN CORP. .HIGHWAY 281 SOUTHT

BEHIND GI DODGE-ELK.DR

10 US EPA ID Number ,

13Total

Quantity12. Container!

No Type11 US DOT Description (Including Proper Shipping Name. Hazard Class and ID Number)

WASTE PERCHLORDETHYLENE,DRK-A, UN1897,

Special Handling Instructions and Additional Information

5-065-51-1073657898 6PT

4>JGEN Tl6 J 116l 'GENERATOR S CERTlF'ltATlCtf "T hereby decla/e that the content! ol thlt consignment a/a fully and accurately deteribed above by proper shipping namt ande/e clasillied packed marked and labeled and a/e In all reipecte In proper condition lor transport by highway according to applicable International and nallonaJgovernment regulallona ' " tf, , . tIf I am a large quantity generator,' I certify that I have a program In place to reduce the volume and loxlclry ol wule generated to the degree I have ' , ]determined to be economically practicable and that I have selected the practicable method ol ueelmeni, storage or disposal currently available to ma ji . |which minimizes the present and future threat to human health and the environment OR, III am a smaJI quantity generator, I have made • good laJthy,————————————•llort^mlnlmlze my wasle_gene^allpn and eeled the^beil waate management method that le available to me and thai I can aflord -r..<-wi - | Date

Month Day Year]

v'17 transporter 1 Acknowledgement ol Receipt of Materials > '" ' '» J .• '» DateSlgna Month Year]

TB Transporter 2 Acknowledgement of Receipt of Materials < *'< '?• • / •< ,,i U,* . . ,i*\ y- Date

Printed/Typed Name ',-• Signature 4 i, , MonlADa/

19 Discrepancy Indication Space 'M1v>lj j,,.-, ,. - , i |v n i*.'

I11

:acuity Owner or Operator Certification of receipt of hazardous materials covered by this manifest except as noted In Item 10

86) previous edition* obsolete£PA Fwm B700-;

ORIGINAL - RETURN TO GENERATOR Safety Kleen (9 66) '

'teCTB print or type (Form designed tor ma en elite (12 pilch) typewriter) Form Approved 0MB No 2050 0039 Expires 9 30 6f


1 Generator 8 US EPA ID No Manliest Document No16650

Page 1ol 3

Information In the shaded areasIs not required by Federal law

eneralor e Name and Mailing Addresssorr svc24TH AVE

cUHBUS NEA Generatora Phone ( 4 0 2 ) 564-2B24

A. Slate Manliest Document Number

PO B O X . 7 0 66860K B Stale Generator 8 ID

, vv7 ?<<r it** (•. V • * <* A r

5 Transporter 1 Company NameS & F F T Y - K 1 FFVJ -T H SP .

6 US EPA ID Number C. Stale Transporter's IDV - ,D Transporter's Phone 308/384-161

7. Transporter 2 Company Name US EPA ID Number E ' State Transporter's IDF, -.Transporter,* phone , .-

9 Designated Facility Name and Site AddressSAFETY-KLEEN.CORP.- „HIGHWAY 281 SOUTHBEHIND GI DDDGE-ELK-DR

T S i fl M D . ME_____AH

10 US EPA ID Number

nnn.<,R7i

G Slate Facility's ID •' 'r t"' " i ," >

H- F.aclllty/sjljone tf- 4 . ; , ,, ,'>/ ? -:>.'-1. r 3nf i /^R4-1

13Tola)

Quantity12 Containers

No Type11 VS DPT Description (Including Proper Shipping Name, Hazard Class and ID Number)

W A S T E PERCHLOROETHYLENEf ,'V.;F002: ,DRH-A,- UN1B97*

J. • * - I ^1I *»'Vo'1»'Nr(V'i 7 -J-*-, |i> -t<iVi

15. Special Handling Instructions and Additional Information '

3-065-51-1D73,916650 6PT'T F R R n^ ____________

16 GENERATOR S CERTIFICATION I hereby declare thai the contents of this consignment are fully and accurately described above by proper chipping name and•re clesiiliod packed ma/kod end labeled end a/e In ell respects In proper condition lor transport by highway according to applicable Internationalby nighwi

I L"l • Vduty to make a waste minimization

government regulationsUnless I am a amall quantity generator who has been exempted by alalule or regulation from the duty .certification under Section 3002(b) of RCRA I alto certify that I have a program In place lo reduce Ihe volume and toxlclry of waste generatedto the degree I have determined lo be economically practicable and I have aelecled Ihe method of treatment, storage or disposal currentlyavailable ID m« which minimizes Ihe present end future Inteal to human health and the environment. ' , j

a/id natlonaJ

Data

Facility Owner or Operator Certification ol receipt ol hazardous materials covtrrod by/V>ls manliest e/cepyos noted In Item IB/ / " / One

£K1290

ORIGINAL- RETURN TO GENERATOR

EPA Form B700-22 (« 8' •-» «45k"*

rase print or type (Form designed for use on elite (12 pilch) typewriter) Form Approved QMS No 2050-0039 Expire! 8 30-88


1 Generator • US EPA ID No Manliest Document No67973

2. Pagel.of


neretor s Name and Mailing AddressS O N ' S V C f , . j - « • « ' » •Z A T H s A Y E t - ' . • « ! " PO BOX',706 1

JHBUS. • * - N E : _ _ .4 Generator's Phone ( A 0 2 ) 5 64-2824 ?*» **»

r- ,

5 Transporter 1 Company Name I,,'*, '•; i,

SAFETY-KLEEN-CDRP. "«!"«8,, , US EPA ID Number j,.^'1° NFDQOQ687186' - D ^Transporter's Phone 3 08/384- 16lt

7. Transporter 2 Company Name ., I., ti

;, ,. 8'

US EPA ID Number E " Stale Transporter's ID^Vv yt>-H7»

9'< Designated Facility Name and Site Address i,' i> ," < 10SAFETY-KLEEN CORPi^, " ll/itC' .'I^V^,'HIGHWAYVZ81 SOUTHT ""e «^.BEHIND GI 'DODGE-ELK.OR I .GRAND ISLAND. NE 68801_____I

US EPA ID Number

NEDOOOS87186 8/384-161<11 US DPT Description (Including Proper Shipping Name, Hazard Class and ID Number)

"TST12. Containers

I HM

'

No Type13 ,Total •'

Quantity

14Unit

Wl/Vol

jf I-M r,'l^, „-.N;^ Waste No )

WASTE PERCHLORDETHYLENE,DRM-A,- UN1897L •• { >,

K > Handling Codes for Wastes Listed Above', '>' 'iV' '> > J ? >l "l"J V ' '

* - "


5-065-51-1073067973 6PTT E R R 03 ____

16 GENERATOR S CERTIFICATION I hereby declare thai the contend ol thli contignment ere fully and accurately described ebove by proper ihlpplng name andAre classified packed marked ajid labeled, and ve In all respecli In proper condition lor transport by highway according lo applicable International and nationalgovernment regulations t i. • i ' t * 'f

If I am a large quantity generator I certlly (hat I have a program In place lo reduce the volume end loxlclty of waile generated to the degree I havedetermined to be economically practicable end that I have selected Ine practicable method of Irealmont storage or disposal currently available to mewhich minimizes the present and lulure threat lo human health end the environment OR, III am a small quantity generator, I have made • good lalth•Itarl to minimize my waste generation and select the best waste management method that Is available lo me and that I can allord. Dale

/ lyPrlnted/Tvped Nv

V oCSlgnaWe , Month Day Year

17 Transporter 1 Acknowledgement of Receipt ol Materials Date

18 Transporter 2 Acknowledgement of Receipt of Materials " / DatePrlnled/Typed Najne Signature Month Day Year

I I I16 Discrepancy Indication Space • _> . • , , t * r ,, . . , , , * ' < .

- .» , .»- V ' -} ' M' - r - ;^ ,,.;•' -r-^1 ."-i'A* / ..'.• '-,A ' • ; ' , ' " x'j ' - i 1 ", |.,:/r'. v t ' ' ) f » - , o ' . " v t . . f % - ...o s v - f, , - - . , - ) . ' . « . . . .,.'1 v , ' « • , ' [ • -i i ,« i»'J' -^ • , i . 1 * 1 « " , ' • • • '»H» / ^ ' ' ' > ; - ; • ,. y ?/..,-. •, ^A ?« ^ ,j , «.: f ,\fr

' ' . ' . ', -1 »v IM'/'^'i4 v{,^*4t ' " ''

,clllty O^er or Operator Certlncallon of receipt pf hazardous materials coverirtnw Ihlyminlfest except as noted In Item IB , T* _Dale

21»A Form 870022 (R«v MB) prevloua edition* obeolele ^ 4' ,5rl ' ' . ' /o •tii'l\,.' , '! i '., ^' • '

•5 - ' - , ' ' . . ' '* ' *"'» . «> '' I -i, ' r i\M-• , - t , 'v \ ' , . • . ' ' ' * i

1 ' ' ' 11 » ' ' ' * * ~ I ^

12DO

i. ORIGINAL - RETURN TO GENERATOR Safety Kloen (9-66) !

1 . «Pleaee print or type (Form designed for use on elite (12 pilch) typewriter) Form Approved 0MB No 8050-0039 Expires 9 30-88


1 Generator s US EPA 10 Nof .

Manifest Document No61924 »'

Page 1of *


Generator s Name and Mailing Address ,KSDN SVC ' f

24TH AVE ' PD BOX 706LUHBUS NE 68601

4 Generator s Phone ( 4 0 2 ) 564-2824. ________

State Manliest Document Number

. Slate Generator's

5 Transporter 1 Company NameSAFETY-KLEEN-CmP.-

6 US EPA ID Numberi NEDOOD6R71B6 D« Transporter s Phoned DB/3 04-16 16

7 Transporter 2 Company Name US EPA ID Number Ex Stale Transporter s ID' -F,, Transporter's T

9 Designated Facility Name and Sile AddressSAFETY-KLEEN CORP.HIGHWAY 281 SOUTHBEHIND GI DODGE-ELK,DRGRAND ISLAND, NE 60001

10 US EPA 40 Number

NFD000687186

G ' Stability's,

308/384-161611 US DOT Description (Including Proper Shipping Name, Hazard Class and ID Number)

HM '


13Total

Quantity

14Unit

Wt/Vol

IWaste No

WASTE PERCHLDRDETHYLENEtURM-At UM1897* F002

^ '

k*' JWV ' •- ', j, t -. ' i

••v.f , > . Ift?4iC'fi?"T'"I

1nT^£ n *•». ,", '(

15 Special I5-065-361924.TERR

Handling Instructions end Additional InlormaUon > , \?*IK#':-; .'.: :-s f >.••> 03 , 'HK 8709.'-1' I'.'V.-.'*:7 V . - «

16. GENERATOR S CERTIFICATION I haraby dacla/a that lha contanli of Uila conitgnmenl ara fully and accurately dascrlbad abova by propar ahlpplng n&m» and•ra claitiliad packed marked and labeled and a/a In all ratpecu In propar condition (or transport by highway according to applicable IntarnaUonaJ and nationalgovernment regulallona <, '. ' '" ' " ' . ' / , ' ^ i >II I am a large quantlly generator, I certify thai I have a program In place to reduce the volume and toxlclty of wtile generated to Ihi'degree I have

or dlspoaaJ currently available to me \ *•,

determined to be economically practicable and thai I have aelecled the practicable method of treatment, tloragewhich minimizes the present and future threat to human health and the environment OR, If I am a amall quantity generator, I have made a good faitheffort lo minimize my wa»te generation and aelect the bet I waste management method that li available le me and that I can allerd ' | Dale

Month Day Year

17 Transporter 1 Acknowledgement of Receipt of Malerlajs

'

18 Transpofler 2 Acknowledgement of Receipt ol MaterialsMonth Day YearI I I

P/Jnled/Typed Name


aclllty Owner or Operator Certification of receipt of hazardous materials covered by VJIs manifest txcept as noted In It^m 19_______ ___ 1 U_ nil

Signature /

EPA Fofm B (Hev e 86) pravtou* editions obsolete 1290 O^"

ORIGINAL - RETURN TO GENERATOR Safety Heen (9 86) '

- •Plcaae print or typo (Form designed for me on ellle (12 pitch) typewriter)'"" f ,' ' -V', "•' ' .

Form Approved 0MB No 80500039 Expires 9 30-E


1.' Genoralor s \JS EPA ID No Manliest Document No

ofInformation In the shaded areasIs not required by Federal law

3^ Generator s Name and Mailing Address

, 2 4 T H { A V E ji.UMBUS'Generator s Phone ( ^02 ) 56^-2824

PD. BOX I 70 6 ,NE 68601.

A' 'State Manliest Document Number , ' ,M'i y/f41"' \<~tJ\ 'i.^f'i < r'A-" -I** ' 'I .{•$* \ Vt; '.'«i JkS .' " i*'B r State Generator's ID.y.'r'

5. Transporter 1 Company Name 8 US EPA 10 Number ' Stale Transporter a IDD - Transporter s Phone 3 Oa/3R4-161f

7 Transporter 2 Company Name .1 I"

US EPA ID Number E Stale Transporter s ID,' Transporter» Phorje.'J^ r'£ '

9 Ceslgnaled Facility Name and Site AddressSAFETY-KLEEN!CORP;-,HIGHWAYV281 SOUTH'^ >BEHIND GI DODGE-ELK.OR

10 ' US EPA ID Number G „ State Facility's ID> / ' -_ ' \ (

I's Phone j.,. «.-.'

US DOT Description (Including Proper Shipping Name. Hazard Class and ID Number)12 Containers

No Type13

TotalQuantity

14Unit

Wt/Vol

IWaste No

W A S T E PERCHLOROETHTLENE,-DRM-A.-UN1897- ,' F002' .j i

^ i "

tltonal Descriptions for Materials Listed Above

RECTCLEi1 . -x .M,.*..^ "lf •», -

\ < K. Handling Codes (or Wastes Listed Above

. S *

•' '15 Special Handling Instructions and Additional Information

5-065-51-1073787748 6PT* •TF.RR 03 '

16 GENERATOR S CERTIFICATION I hueby declare that the content* ot tWi consionmenl are lully and accurately described above by proper shippingare classified packed marked and labeled, and a/8 In all respecti In proper condition lor l/anipori by highway according lo applicable InlernailonaJ agovernment regulation* ' * > i » * ' ^ , i ' t t v ' l s ' i • ( • t

Unlett I am a tmall quantity generator who hai been exempted by etalule or regulation from the duly to make • waste minimization v. 'certilicalion under Section 3002(b) ol RCRA I also certify that I have I program In place lo reduce the volume and loxlclly ol watle generated „ ' , _• ^ * .

name andtnd nallonaJ

(o the degree I have dolermlnod lo be economically practicable and I have (elected the method of Irealment, atorage or dlapoaal currentlyavailable lo me which minimize! the preaenl and future Ihreal to human health and the environment <________^_^ (* > \ <

lnled/Typed Narne - l'i • < J Slanature Month Day Year

i7 Transporter 1 Acknowledgement ol Receipt ol Materials < Date

,'"

18 Transporter 2 Acknowledgement of Receipt of Materials DataP/lnled/Typed Name Signature £?ay

___I I19 Discrepancy Indication Space ,

I ..fcl|'S.-

ZJBbcJII

^ ^ ^ Int«

ty Ownor or Oporalor Certification of receipt of hazardous materials covered by (his manifest except as nolod In Hem 19

inted/Typed Name1 Date

Signature Month Day Year

I I I '(0

(1290

\)

EPA Form B700 22 (4 85

ORIGINAL - RETURN TO GENERATOR

/type designed for me on elite J12 pilch) typewriter ) Form Approved 0MB No 2000-0404 Explrei 7-31 t

, ORM HAZARDOUSVASTE MANIFEST

1 Generator's US ERA ID No Manliest Document No

/f/Generators Name and Mailing Address

S V C . { /. 2'.TH AVt -',« , •)

/ 4 Generator s Phone ( 4Q2 ) 5 6 4 - 2 S 2 4

PO ' B O X 7066 0 6 0 1

Page1of ,


A ., Stale Manliest Document Number;-'? -n*^£ j^V^-teW-.^-" '

State

5. Transporter 1 Company Name 6 ' US EPA ID NumberI N F D O O O / S R T 1 R6

C,V Stale Transporter's ID"D V^.Trapsportefo Phone} OS

7. Transporter 2 Company Name , ,A US EPA ID Number E*" Slate TfanspQrlers ID y.,

fl. Designated Facility Name and Site Address » ,SAFETY-KLEEN CORP

H I G H W A Y 2(ll SOUTHHPf lNO T S L A M O , Nr .

Addrew « , • 10 , US EPA ID Number (. i Slate ID

',8801

11 US DOT Descnptlon (Including Proper Shipping Name, Hazard C/aw and ID Number)HM


13Total

Quantity

14Unit

Wt/Vo

IWaste No

- Waste. Petroleum Naphtha. Combustible Liquid. UN 1255 DM

Waste, Compound, Cleaning, Liquid,"Corrosive Material, NA 1760 DM

4

Waste Perchloroethylene, ORM-A. UN 1897 DM

K . Handling Codes (or Wastes Listed Above% - r


-3 ,Ji? 0 6 3 51C GENERATOR S CERTIFICATION I hereby declare that the contents of this consignment are fully and accurately described above by proper shipping name anc

•re classified packed marked and labeled and are In all (•tpecli In proper condition for transport by highway according lo applicable International and nationsgovernment regulationsUnless I am a amall quantity generator who hat been exempted by atalule or regulation from the duty lo make a waste minimizationcertification under Section 3002(b) ol RCRA, I also certify that I have a program In place to reduce the volume and loxlclty of waste generated

, lo the dcgioe I have determined lo be economically practicable and I have selected Ihe method of treatment storage or disposal currently ,———————————f available lo me which minimizes the present and lulure threat lo human health and Ihe environment,____________________________Data___

Y P/Jnled/Typed Name.L. 0 O l*\

Signature Month Day Yn

17 Transporter 1 Acknowledgement of Receipt of Materials DateUonlfi Diy Ytt

IB Transporter 2 Acknowledgement ol Recerpt of Materials DalePrinted/Typed Name ..V Signature

IMonth Day fat

I I I19 Discrepancy Indication 8p*M * ( (. • .. .T, , «•- u i ' ', , , ;„ ij • \ Jf ' , >

.-i'v ' ? ;' ^ ,'. ...u.n'j iv- ;.•/?' < > » , » . ' « rL j-iJ » . j-.".J~"> r ' \ " ( V , . ) % v '• -: • • ' f' ( | i' '. • '• ' ' ' • ' ii . . » > . . « . .•/ • > »r'*M Yi.1''',1;1 -.• , ;.. ' . ' ,- > ' ' *\* r> ^.-.^^iLvt.'/l •-. ,• ' ____ •• . •> . • , ;.. ' . ' ,- > ' ' *\* r> ^.-.^^Lvt.'/l •Faculty Owner or Operator Certification of receipt of hazardous maUrUls covered by this manifest except aa noted In Item 19 * •"* •. » J

_________________ v _____ > 1 , ' •• _____________________ ' > , . ' • -. j" S

f>«lnl^i'l/Tu»uj4 I T • • 1 1 • 0 i _ _ _ i . _ _ I . . .

Date^ Pflntod/Typed NameI I ' • ' " . .

Signature ' . • , ^ <v)fl i . 4 t 4 if

•> Month

' I ' 1

Day Yt

EPA FORM B700 22 (3 l~* <«.

GENERATOR COPY

INC.

LINENS-UNIFORMS-DUST CONTROLP 0 Box 706, 960 24th Ave , Columbus, NE 68601

Ph 402-564-2824

May 10, 1988

Michael J. Sanderson, Chief RCRA BranchU. S Environmental Protection Agency Region VII726 Minnesota AvenueKansas City, KS 66101

RE Inspection & compliance of Jackson Services, Inc., 960 24th AvenueColumbus, NE 68601

EPA ID Number NED058964040

After review of citation and description of violation, we at Jackson Serviceshave done the following corrective action

1.) CHAPTER 17-002 andCHAPTER 18-003.02 A & B Final Manifest Copies - 3 not signed

Attached you will find copies from our TSD facility representativeshowing copies of their receipt of hazardous product and the reasonfor not being signed. We also have informed our TSD representativesof the need for signed copies which they will work on to correct,

2.) CHAPTER 23-003.03CHAPTER 19-004 01 C & D Hazardous Waste Storage Container Dated

We have instituted a company policy effective immediately that whencontainers become full, they will be sealed and dated as to when thiswas completed. Also, one additional step is a log will ,be kept whenstorage containers were filled, sealed and dated and when TSD repre-sentative picked up a shipment.

3.) CHAPTER 23-003.09B Location of Spill Control Equipment notlisted by telephone.

We now have an information sheet attached to the wall by the nearesttelephone showing the emergency telephone numbers of personnel, etc.to contact, along with a map showing the location of hazardous materialspill control materials.

Jay J. Jackson ^President/General Manager X?Q

sl2s

S T A T E O F N E B R A S K ADEPARTMENT OF ENVIRONMENTAL CONTROL

KAY A ORR DENNIS GRAMSGOVERNOR DIRECTOR

July 1 1988

Jay JacksonJackson Services860 24th AvenueColumbus. Nebraska 68601

RE RCRA Compliance InspectionNED058964040 '

Dear Mr Jackson

Enclosed is a copy of the report generated as a result of the RCRAcompliance inspection conducted May 5, 1988 by Mr John Bosky. U S ERA RegionVII During the inspection, the following areas of noncompliance with Title 128- Rules and Regulations Governing Hazardous Waste Management in Nebraska wereidentified

1) Failure to file an exception report when not receiving signedmanifests back from the designated facility within 45 days after wastewas shipped off-site (Title 128 Chapter 18. 003 02)

2) Failure to properly date a container of hazardous waste (Title 128,Chapter 19 004 QIC)

3) Failure to post information near the telephone as required by Title128. Chapter 23. 003 09

I have reviewed your May 10 1988 response to the U S EPA Region VIINotice of Violation which was issued following the inspection, and find that themeasures implemented adequately address the violations listed above

If you have any questions regarding the report or require assistance indetermining your responsibilities under Title 128. please contact Carol Wilsonof my staff at (402) 471-4217

Sincerely,

Mike SteffensmeierSection Supervisor ^Hazardous Waste Section 333Land Quality Division *-*;+

ro<2MS/CEW/ths o=fEnclosure

PO BOX 98922, LINCOLN, NEBRASKA 68509-8922, PHONE (402)471-2186

asa print or type (Form designed (or use on elite (12 pilch) typewriter) Form Approved OMB No 2050-0039 Expires 9-30-88

J UNIFORM HAZARDOUS.WASTE MANIFEST

1 Generator's US EPA ID No Manifest Document NoI 57898

^operator's Name and Mailing Address

, -KSON SVC160 24TH AYECOLUMMJ?,^ , ,4 TjeneratorsPhone { 4fl_2_)

PO BOX 706NE 68601

Pagelof 1


.5 Transporter 1 Company Name ej f lLCTT KLCDi CORP.7 Transporter 2 Company Name

US EPA ID NumberT n f\ i\ i0 6 8 7 1 9 6 D -^Transporters PhoneSne — 1 A1 AUS EPA ID Number 'p State Transporter's ID

'B Designated Facility Name and Site Address

LsAFETY-KLEEN CORP.HIGHWAY 281 SOUTHBEHIND GI DODGE-ELK DR

10 US EPA ID Number

Htpr ^rowuiiy.o riiuiio^^*;,,-^"^^^, ff ^-i ~ ;

te^^O*4wg As; .-1Al A13

TotalQuantity

12. ContainersNo Type

DOT Description (Including Proper Shipping Name. Hazard Class and ID Number)

W A S T E PERCHLORDETHYLENE,DRM-A, UN1397


5-065-51-1073,57898 6PT657898

iff VENERATOGENERATOR'S CERTIFICATION Thereby declare thai the content! ol thli consignment are fully and accurately described above by proper shipping name andare classified packed marked, and labeled, and are In all respect* In proper condition lor Uantport by highway according to applicable International and nationalgovernment regulations. •If I em t large quantity generator I certify that I have a program In place to reduce the volume and toxlclty ol waste generated to the degree I havedetermined to be economically practicable and that I have selected the practicable method ol treatment storage, or disposal currently available to mewhich minimizes the present and future threat to human health and the environment OR, III am a small quantity generator I have made a good laltheffort lojnlnjmize my waslagene/atlon and select the best waste management method that Is available to me ana that I can allord Dale

17 Transporter 1 Acknowledgement of Receipt of. Materials

TB Transporter 2 Acknowledgement of Receipt of MaterialsPrinted/Typed Name

f ISignature Month Day Year

I I I18 Discrepancy Indication Space

aclllty Owner or Operator Certlncatlon of receipt of hazardous materials covered by this manifest except as noted In Item 19» D"B

A Form £700-22 (Rev 9-86) previous editions obsolete 1290

saletij'Kleei

Dear Drycleaner.

If any one issue were to be voted "the nost prevalent issue of the '80's', nodoubt hundreds of thousands of small businesses throughout the U.S. would namethe encumbrance of environmental regulations on small quantity generators.Since the proposed regulations back in 1983, the reauthorization of theResource Conservation and Recovery Act in 1984 and the implementation of allthe regulations in 1985 and 1986, hazardous waste has been front page news.Environmentalists lobbied for change. Politicians voted affirmatively forjust about every environmental legislation that was considered. Industryexperts lobbied for relief. The Environmental Protection Agency wrote theregulations. Only a few focused their attention on solutions and we are proudto say that Safety-Kleen has been the front runner in providing thesesolutions to small businesses. In fact, today Safety-Kleen provides low costenvironmentally sound solutions to over 300,000 small quantity wastegenerators In the U.S., including over 15,000 drycleaners. Despite the factthat industry experts predicted that drycleaners would pay from $8,000 to513,000 a year for proper waste disposal, Safety-Kleen customers pay less than10Z of that on average.

Our pricing strategy has been to recognize the plight of the smallbusinessman. We realize that gas stations, body shops, printers, drycleaners,etc. cannot afford to pay the traditional costs related to hazardous wastedisposal. Maintaining this strategy has been difficult in view of the manymillions of dollars capital Investment and operating losses that we haveexperienced servicing the drycleaning industry. Drycleaning waste is unique,difficult, and expensive to process. Several companies just this past yearhave discontinued their service to drycleaners simply because they could notafford to keep up with the cost of regulatory compliance and the spiralingcost of disposal and insurance. If it were not for our success in otherbusiness areas, we could not continue to support the drycleaning industry.

Safety-Kleen stands committed to the drycleaning industry. We will continueto work hard to maintain our pricing strategy to prevent major price increasesin our rates. On the otherhand, we cannot continue to operate at a loss. Weknow that the most significant drain on our profitability is the fact that weservice drycleaners on an infrequent basis, at random, and often have to make

(continued)

777 BIG TIMBER ROAD ELGIN, ILLINOIS 60123 PHONE 312/697-8460

more than one trip to a plant to get the waste. Like any service business, wehave fixed costs of doing business and inefficiency can only 1'ead to higherprices. * In reviewing our more successful businesses, we see that the way tokeep costs and prices down is to service our customers on a specific serviceschedule with a minimal service fee to offset our fixed cost of doingbusiness. We see that the quality of service is improved to our customers andwe are ultimately able to provide the service for much less.

In an attempt to prevent a major price increase in 1987, we will beginservicing all of our drycleaner customers on a set four week serviceinterval. Our sales representative will leave a calendar with your scheduledservice weeks on it. Every four weeks we will come by and pick up yourwaste. To cover our costs, we will charge a service fee of $40 which willinclude your first drum of waste every four weeks. We realize that you maynot have waste every four weeks, but hope that you can understand that ourcost of maintaining vehicles, equipment, facilities, and insurance warrantthis fee. If you have at least one drum of waste every four week service, thetotal waste transport, storage, recycling, and disposal of that drum will beincludes in the service fee. Any waste over and above the first drum will bebilled out at our current national prices.

What this means is that for a minimum of $520 a year, we will*

1. Provide at least 13 waste services per year2. Properly label the containers3. Inspect all containers and prepare them for transport4. Transport the containers in licensed waste hauling vehicles on

proper manifest documents5. Properly store, treat, and dispose of the waste in accordance

with the state and federal regulations6. Maintain proper hazardous waste permits and insurance

Our new service schedule and service fee will begin January 5, 1987. Fromthat time forward, all services will be done on a scheduled basis. Emergencyservices will be billed an additional $25 at time of service.

While we feel that $520 a year is a small price to pay for doing the rightthing, and we know that preventing a major price increase is in everyone'sbest interest, some of our customers may not agree. If you feel that $40 aservice is too much to pay, please notify our rep and he will cancel yourscheduled service. Those customers that are not on our service schedule willpay much higher rates for disposal (more in line with traditional wastedisposal costs) or a sign up fee of $100 to get back on the service schedulein 1987. '

(continued)

Our 1987 Scheduled Waste Service Fees are as follows;

Service Fee (includes first drum of waste).........$40.00 iWaste Standard Cartridge (4 per container).........SI1.00 eachWaste Jumbo Cartridge (1 per container)............$22.00 eachWaste Split Cartridge (2 per container)............$11.00 eachWaste Still Residue (14-Gallon Drum)...............$35.00 per drumWaste Filter Powder (14-Gallon Drum)...............$35.00 per drumWaste Container Use Fee............................$ 5.00 per drum

Unscheduled Waste Service Fees

Each waste container...............................$85.00

Below is a printed form. Please indicate which service you would prefer andgive it to our sales rep at the time of your next service.

We do appreciate your patronage and will continue to work towards the lowestpossible cost for your waste disposal needs.

Sincerely,

pnn 0. Lucksrketing Manager \ \Jarety-Kleen Corp.Drycleaner Service

JOL/pzEnclosure

to, Please schedule my plant for bervice on a regular four week berviceschedule.

D Please cancel service at my plant. I understand that to sign back up forscheduled service will cost $100 and if I want service on an unt>cheduledbasis it will cost $85 per waste container.

PLANT NAME

ADDRESS

CITY, STATE

oivaii wr / i rwn

DRV CLEANER SERV1CB GENERATOR777 BIO TIMBER ROAD • ELOIH, R. (0110 LOCATION

P 46732BILL TO (IF DIFFERENT FROM LOCATION)

Safety-Kleen agrees to collect and treat, In accordance with applicable federal and state regulations, those quantities of filter cartridges, fillpowder and still residues containing perchloroethylene, petroleum naptha or trlflurotrlchloroethane dry cleaning solvents (herein ' Wastes") sforth below and generated by customer In Its dry cleaning operation at the above address

L Customer agrees to store Its Wastes In containers provided by Safety-Kleen and agrees not to mix Its Wastes together or with other wasmaterials Customer agrees to Indemnify Safety-Kleen against all claims, demands and losses Incurred as a result of the failure of customer •to do. or as a result of any release by customer of Wastes on the premises of customer Customer agrees that all Wastes generated byduring the term of this agreement will be collected and treated solely by Safety-Kleen

I All storage equipment and containers provided by Safety-Kleen shall be and remain the property of Safety-Kleen, and upon termination of thagreement shall be returned to Safety-Kleen In good repair and operating condition

I. Customer agrees to the following waste recycling fees

UMBO CARTRIDGES

PLfT CARTRIDGES Ea

TJLL RESIDUE Ea

/oTOTAL ANNUAL ESTIMATE

i This contract shall be binding upon the parties for a period of one year from the date hereof, and shall belutomatlcally renewed thereafter for consecutive one-year periods, unless written notice of cancellation byilther party, or a price Increase by Safety-Kleen, Is given not less than thirty (30) days prior to any anniversary date

SUB TOTAL

TAX

TOTAL " s 0 6

PRODUCT NUMBER

*"

DESCRIPTION

\-*&gmm**V:MEN TJM£CE IVE O»ECTI O N S^5Scfe ^^^^_

CA&H n 1 TOTAL RECEJVED

~"C^^^ fcuMB£A |

APPLY PAYMENT TO"

D TODAYS SERVICE/BALE

D PREVIOUS BALANCE AS FOLLOWS

MV. * A1JOIJMT .

NV I AkinilMT*

PRICE UNIT OFMEASURE

PRODUCTTOTALS —

NAME

D3£.JOHN)

X

——— >>

QUANTITY

TITLEt^ l)iVi

/Z./F*v)/J

(VOICES ARE SUBJECT TO AN INTEREST CHARGE OF THE LESSER OF DRIVERS SIGNATURE &% PER MONTH (18% PER ANNUM) OR THE MAXIMUM RATE ALLOWED Y1 LAW ON ANY UNPAID INVOICES THAT ARE NOT PAID WITHIN 30 DAYS,

SIGN

/^ _

fCOr•>!

INVCODE

PRODUCTTAX

TOTAL PRODUCTCHARGE

CHARGESirROU ABOVE)

l DUEl$fxD'

SALES AMOUI

——————— )7

CI^Otx'<_X<A/^

iUJiALCUSTOMER SIGNATURE

TRANSPORTER

DRY CLEANER SERVICE .-7T7 BlOYtMBEfl ROAD/J^WM. ILLINOIS 80120 JCt5-33»C£JF-51-1.0?J CHUCK

SVC ""

NS 68601"k A PD et)X 70j6 /Iff

SERVICE DATE | SALESMAN-S NO e4e!iBtT 8AJ-ES TAX EXEMPTION NUMBER

1-3038114CHAIN F\ CUSTOMER C,O NUMBER OENERATOfVCUSTOUW mONl I CART US BOTP/6 WOO f/f SVC TAX

01 rioi IQQI

QENERATCHJ USA BPA ID NO-,

»ji,Fx>«^M*^ «• * ^ "* f / 4 J? ' * r ^ * » xW fl*V "* s rf)k ^ » ^ * * ^ ' V ^ j j**Tl8 ' ^f î * "iL •£ I* *'^^ i | i* /fc- 3L * ^^ ^*^ \\V i **^ \ ^^' ' ii /^ ^ »* ^ î * "

*" i * • i',J •.''•v* ' , > ' TOTALPTY; • j , V t ' ' ' n* ** *•?! ' ilr^'vj" *^ ^ *•'*•*'<}'/.1 •» Ntt DM ). 7' -, HO. DF > POUNDS * ~ US DOTOESChlPDONffNOLUOINQ PRQPgRBMlPPtNO NAME. HA*ARPCU88. AND PT •• '*•

__ Waste-, Petroteuin'N^phtha, CombuVflbfe t qurdnVN-I S '' ' ' -*

© I>BIONATEDFACtL/TYNAMEANQ.AODREte*^r/-£

HIGHWAY 281 SOUTH

,.''AO'f » it • \ «"i 1H»AEPArPNO. NEQtV

601 |«7ATEIDNO ---.»^.GKAfJO IS L A HO « H E __^68 80^

DESCRIPTION; * • \ PRICE ^Sâ^ jOUANnrY ' cx&f- BALESAM<PRODUCT-NUMBER

NAME (CHANOE)

OHAMI MT ACCOUNT- FC* THK THAKUOTTWi UHLJBI«THVmilt MDWATIO M THiT«N.

APPLY PAYMBfJT TOTOTAL RECEIVED MVDICn Altl UtJCBT TO AM IHTtBOT OHAmf OF TWOF 1H» KK UONTH (IH HH ANMOU) CM

MAXIMUM RATI AOOWTO (T LAW ON ANT UNMO M-voiea THAT AW NOT MID wrrxM H OAT*.

CemFICATO* I HtXDYACCVR*TT.» OUCRIBtD ABOVf (TAND ART IN AU. HttnonTONAL AND NATIONAL GOVERNMENT

iWAKftt^JMSBW-

Q TODAYS SERVICE/SALED PREVIOUS BALANCE AS FOLLOWS

CHECK NUMBER»« 4twT THI OOWTJMTI OF TMU CONStONMENT AM FUU.TIIPTWa NAUI AMD AM OLASJiraB*PACXEO.UAItXBr;W40 Pkt-N FOfTTHANVOMT IY WOHWAT AOtoSoJMJ TOAFfUOAMl Cm

Please print or type (Form designed tor use on elite (12 pitch) typewriter) Form Approved OMB No 2050-0039 Expires 9 30-88

I'd UNIFr"vw^^Ben^K--d.COLU4 Gen

ORM HAZARDOUSVSTE MANIFEST

1 Generator s US EPA ID No Manifest Document No| 87748

erator's Name and Mailing AddressSOU SVC24TH AVE PO BOX 706MBUS NE 68601erator's Phone ( 402 ) 564-2824

5. Transporter 1 Company Name


6

BI

0 Designated Facility Name and Site Address 10SAFETY-KLEEN: CORP.HIGHWAY 281 SOUTHBEHIND GI DODGE-ELK OR ,c p a w n TCI lun. MF fieuni 111 US

G HM

£ ** XnT DoR

C.

d

•Rdd*•

t-uRf" I *'

«v-i - -

US EPA ID Number

US EPA ID Number

US EPA ID Number

12 ContaDOT Description (Including Proper Shipping Name Hazard Class and ID Number)

No

WASTE PERCHLOROETHYLENE, ADRM-A,-UN1897 *)

tional Descriptions for Mate

RECYCLE «'-^*^y«f

, - '- T

lals Listed Above

4/* 3X,1"«"'"*V ''' '"--" •%;•

tv - - . " . . ^ *

2 Page 1 Information In the shaded areas. 1 Is not required by Federal law

A. State Manifest Document Number

B State Generator s ID

C State Transporter s IDD Transporters Phone 3 08/3 84-1 6 LAE State Transporter s IDF Transporter's Phone -^G State facility s ID

H Facility's Phone" ' '" 30

mers '-13 14Total UnitType Quantity WWol

/) 36O p

8/384-16161

Waste No

F002

,

•

K Handling Codes for Wastes Listed Above. ' -•. •* • f^*. v .t

>-t. - >J-f •*-,,- ' • i -\ * * " ' • *

• > i15 Special Handling Instructions and Additional Information

5-065-51-1073787748 6PTTFRR f13

16 GENERATOR S CERTIFICATION 1 hereby declare that the contents care classified packed marked and labeled and are In all respects In prgovernment regulationsUnless 1 am a small quantity generator who has been exempted by sitcertification under Section 3002(b) of RCRA 1 also certify that 1 have a pro(to the degree 1 have determined to be economically practicable and 1 hat

/ available to me which minimizes the present and future threat to human health

A^finted/Typed Name .f. <^£>K

T \1 transporter 1 Acknowledgement of Reqelpt of MaterialsA PrinN S* ^

S^vpe^ame----^^

o 18 Transporter 2 Acknowledgemen!

// //'y/0/ff/r/of Receipt of Materials

T Printed/Typed NameR

>f this consignment are fully and accurately described above by properoper condition for transport by highway according to applicable Intern

itute or regulation from the duty to make a waste minimizationjram In place to reduce the volume and toxlcity of waste generatede selected the method of treatment storage or disposal currentlyand the environment ^_

Signature / // /^ / £^ j)

C/r / j> ~ s /?

s/s*^£4i' *^&£^P£/%&&%' / / "

Signature

chipping name andauona! and national

Date

Month Day Year

DateMonth Day Year

f 1 & \fi*7Dale

Month Day Year1 1


rAC ^^

1 ^^padlity Owner or Operator Certification of receipt of hazardous mat

V ——————————————————————I Printed/Typed Name

enals covered by this manifest except as noted In Item 19

SignatureDate

Month Day Year1 1

BKL290 EPA Form 8700-22 (4 85)

ORIGINAL - RETURN TO GENERATOR

aase print or type (Form designed lor use on elite (12 pilch) typewriter) Form Approved OMB No 2050-0039 Expires 9 30-88

UNIFORM HAZARDOUSIASTE MANIFEST

1 Generator B US EPA ID No Manifest Document Noj 61924

rator's Name and Mailing AddressSON SVC

9u- 24TH AVECOLUMBUS NE4 Generator's Phone ( 402 j 564-2824

PO BOX68601

706

Page!of A



'B^,,State Generator'* ID,-K •_"',:•" ~^"\ »-••' fe'v-r

5 Transporter 1 Company NameSAFETY-KLEEN-CDRP,

US EPA ID NumberNPDOOD6R7186

C State transporter's ID. :D Transporter sPhone30B/r38fr-161fe

7. Transporter 2 Company Name US EPA ID Number E State Transporter s ID 'F ' Transporter's Phone'.»

0 Daslgnated Facility Name and Site AddressSAFETY-KLEEN CORP.HIGHWAY 281 SOUTHBEHIND GI DODGE-ELK DRGRAND ISLAND, NE 68301

10 US EPA ID Number

I KIFD000687186

p ( State Facility JB ID^ £-;^,

H - Facility s Phone -308/384-1616

11 us;[ HM

DOT Description (Including Proper Shipping Name. Hazard Class and ID Number)12 Containers

No Type18

TotalQuantity

14Unit

Wt/Vol

IWaste No

WASTE PERCHLDPQETHYLENE,URM-A, UN1897 F002

litional Descriptions for Materials Listed Above „•:

VV" .>•'.. , T X,," " "^ '

15 Special Handling Instructlpns and Additional Information5-065-51-1073361924 6PTTERR 03 WK 8709

16 GENERATOR S CERTIFICATION I hereby declare that the contents of this consignment are fully and accurately described above by proper shipping name endore classified packed marked and labeled and are In all respects In proper condition lor transport by highway according to applicable International and nationalgovernment regulationsH I am a large quantity generator I certify that I have a program In place to reduce the volume and toxlclty of waste generated to the degree I havedetermined to be economically practicable and that I have selected the practicable method of treatment storage or disposal currently available to mewhich minimizes the present and future threat to human health and the environment OR, If I am a small quantity generator I have made a good faith •-effort to minimize my waste generation and select the best waste management method that la available to me and that I can affyrd__________I Date

Month Day Year

-~ S17 Transporter 1 Acknowledgement of Receipt of MaterialsMonth Dav Ye

16 Transporter 2 Acknowledgement of Receipt of MaterialsMonth Day YearI I I

Printed/Typed Name

Ifi Discrepancy Indication Space

'Uity Owner or Operator Certification of receipt of hazardous materials covered by y)ls manifest

Signature

^ Form 8 (Rev &-66) previous editions obsolete -^ I1290

ase print or type (Form designed tor use on elite (12 pitch) typewriter) Form Approved 0MB No 2050-0039 Expires 9-30-88

UNIFORM HAZARDOUSVSTE MANIFEST

1 Generator a US EPA 10 No Manifest Document No67973

irator s Name and Mailing AddressM ..SON SVC96U 24TH AVECOLUMBUS NE

» Generator s Phone ( 402) 564-2824

PO BOX68601

706

2 Pa8e 1of J



B ' State Generator's ID ''-

5 Transporter 1 Comparfy Name

SflFETY-KLEEN-CORP.US EPA ID Number

NEDQOQ687186C State Transporter s IDD Transporter's Phone 308/384-161 <

7. Transporter 2 Company Name US EPA ID Number E Slate Transporter's IDF Transporter's Phone „

9 Designated Facility Name and Site AddressSAFETY-KLEEN CORP.HIGHWAY 281 SOUTHBEHIND GI DODGE-ELK.DRGRAND ISLAND. NE 68801

10 US EPA ID Number

NED0006871B6

G - State Facility s ID ,-., - -„--W .=« w*rv-*f - "H Facility s Phone

" 308/384^161411 US DOT Description (Including Proper Shipping Name, Hazard Class and ID Number)

HM12 Containers

No Type13.

TotalQuantity

14Unit

Wt/Vol

IWaste No

W A S T E PERCHLOROETHYLENE,DRM-A, UN1897 '-F002

Jltional Descriptions for Materials Listed Above

RECYCLES -'• -> "**>'-W- vK Handling Codes for Wastes Listed Above

15 Special Handling Instructions and Additional Information5-065-51-1073067973 6PTTERR 03_______ ______

16 GENERATOR'S CERTIFICATION I hereby declare that the contents of this consignment are fully and accurately described above by proper shipping name andare classified packed marked and labeled and are In ell respects In proper condition lor transport by highway according to applicable International and nationalgovernment regulations •til am o large quantity generator I certify that I have e program In place to reduce the volume and toxlclty of waste generated to the degree I havedetermined to be economically practicable and that I have selected the practicable method of treatment storage or disposal currently available to mewhich minimizes the present and future threat to human health and the environment OR, If I am a small quantity generator I have made a good faitheVort to minimize my waate generation and aelect the beat waste management method that is available to me and t 'that I can atfor; Date

Month Day Year

17 Transporter 1 Acknowledgement of Receipt of Materials

IB Transporter 2. Acknowledgement of Receipt of MaterialsPrinted/Typed Name Month Day Year


£lllty Owner or Operator Certification of receipt of hazardous materials coveurtTby/ l

Printi Signatu

>A Form 8700^22 (Rev MB) previous editions obsolete 1290

'lease print or type (Form designed (or use on elite (12 pilch) typewriter) Form Approved 0MB No 2050-0039 Expires 9 30-66

i UNIFORM HAZARDOUS^HTVASTE MANIFEST

1 Generator's US EPA ID No Manifest Document No| 16650

^^enerator e Name and Mailing Address^ uKSON SVC560 24TH AVE PO BOX 706COLUMBUS NE 686014 Generator's Phone ( < t02 ) 564-28245 Transporter 1 Company Name<CiFFTY-ICI FFM-mPP.


6 US EPA ID Number1

8 US EPA ID Number1

9 Designated Facility Name and Site Address 10 US EPA ID NumberSAFETY-KLEEN CORP.HIGHWAY 281 SOUTHBEHIND 51 DDDGE-ELK OR 1rxpaun T«U awn. MF ARp.ni 1 MFnnon.«,fl7i a*

11 US3 HM

;-E X*t —— ——r to3i

c

•

12 Conta3OT Description (Including Proper Shipping Name, Hazard Class and ID Number)

No

U A S T E PERCHLORDETHYLENEi / IORH-A, UN1BS7 ^

additional Descriptions for Materials Listed Above , . , , . - ,

FORi-RECfCLE' - - . ' / - • * ' ' 'Vr^-1 , ' • • ' . ' ~> ~^' '

'--'/ f~~\ 'A *'•"•'" f>J ' '-

2 Page 1 Information In the shaded areas. 1 Is not required by Federal law

A State Manifest Document Numberi,' ' "-•>' ,

B State Generator si .1. f* N

ID

C State Transporter's IDD Transporters Phone 308/384-161 6E State Transporter s IDF Transporter's PhoneG State Facility's ID

H Facility s Phone** L* " 7" ""

Iners J3 ,TotalType Quantity

t< 30O

^> "X ',

sn14Unit

Wt/Vol

P

8/384-16161

Waste No

F002

• : • >K. Handling Codes for Wastes Listed Above

•< ''t i, -_ 'v. - A


5-065-51-1073916650 6PTT F R R 03

16 GENaregoveUnlecertito th

1 avail

ERATOR S CERTIFICATION 1 hereby declare that the contents of this consignment are fully and accurately described above b:lassified packed, marked, and labeled, and are In all respects In proper condition for transport by highway according to applicabrnment regulations .m 1 «m a email quantity generator who has been exempted by statute or regulation from the duty to make a waste mlnlmluication under Section 3002(b) of RCRA 1 also certify that 1 have a program In place to reduce the volume and toxicity of waste genere degree 1 have determined to be economically practicable end 1 have selected the method of treatment storage or disposal curnable to me which minimizes the present and future threat (9 human health and the environment t|

y propele interr

lionated)ntly

^PnntgQpedNa^^ & j £ * £ TE^*^^tW^

r 17 Transporter 1 Acknowledgement of Receipt of Materials _ ,/ ^^^ ^ ^ S

\2%ftfln*pe'd Name — •* — *~ / &**£/ Sig;:5:^^^^^^^ /

\

D 18 Transporter 2 Acknowledgement of Receipt of Materials " ' S/ ^^ J* **" r

[ Printed/Typed Name

19 Cisc

I*

repancy Indication Space

Signafure

lity Owner or Operator Certification of receipt of hazardous materials covered bwils manifest e/cepyas noted In Item 1i . // &£ * / / /

shipping name endational and national

DateMonth Day Year(^ 1 /oin*^

DateMonth Day Year

DateMonth Day Year

\ \

9

T^Wr/cf lUffltf/lL sTre////r/ llJIfltyDate

H£i 22+37

Cn

5K1290 ERA Form 8700-22 (4-85)

'tease print or type (Form designed for use on elite (12 pilch) typewriter) Form Approved OMB No 2050-0039 Expires 9 30-68


1 Generator s US EPA ID No Manifest Document No57898

knerator's Name and Mailing Address

(SON SVC24TH AVE

Dk ,Phone ( ,)PO BOX 706

NE 68601

2 Page 1of 1


A. StateManifest Document Number

,*' State Generator's ID,'


E T Y K L E E NUS EPA ID Number C -"State Transporter's ID *-

IIT LE2 Co

D Transporters /7RA-17 Transporter 2 Company Name US EPA ID Number E State Transporter's ID

F1" Transporters Phone.-9 Designated Facility Name and Site Address

SUFETY-KLEEN CORPfHIGHWAY 281 SOUTHBEHIND GI DODGE-ELK DR

10 US EPA ID Number G ;State Facility's ID ^,.

H Facility s Phone -

G.JAND NE 6860111 US DOT Description (Including Proper Shipping Name, Hazard Class and ID Number)

HM


13Total

Quantity

14Unit

Wt/Vol

IWaste No

WASTE PERCHLDRDETHYLENE,ORM-A, UN1897 -F002

Bdltlonal Descriptions for Materials Listed Above

RECYCLE

K Handling Codes for Wastes Listed Above'


-065-51-107357898 6PT

16 GENERATOR S CERere classified packed marked and labeledgovernment regulations

hereby declare that the contents ol this consignment are fully and accurately described above by proper shipping name andlied and are In all respects In proper condition lor transport by highway according to applicable International and national

If I am a large quantity generator, I certify that I have a program In place to reduce the volume and toxlclty of waste generated to the degree I havedetermined to be economically practicable and that I have selected the practicable method of treatment storage or disposal currently available to me

* which minimizes the present and future threat to human health and the environment OR, III am a small quantity generator I have made a good faithettort tomlnjmize my wastegene/ation and select the best waste management method that Is available to me and thai I can afford Date

Month Da Yearn te } r tpe ! Name

Transporter 1 Acknowledgement of Receipt of MaterialsMonth. Dav Year

Transporter 2 Acknowledgement of Receipt of MaterialsMonth Day YearI I I

Discrepancy Indication Space ,

clllty Owner or Operator Certification of receipt of hazardous materials covered by this manifest except as noted In Item 19

PA Form 8700-2B (Rev £66} previous editions obsolete

^I v * DBte

Year

971290

IA.K /n ocx I

jase print or type (Form designed for use on elite (12 phch) typewriter) Form Approved 0MB No 2050-0039 Expires 6 30-B8

UNIFORM HAZARDOUSMANIFEST

1 Generator s US EPA ID No Manifest Document No53221

Name and Mailing AddressSON SVC24TH AVE PO BOX 706

COLUMBUS NE 686014 Generator's Phone ( 402 ) 564-2824___________

2 Page 1of *


A.f State Manifest Document Number~", Stale'Generator's ID-V>V,

* f ~ V T »•"•",


SAFETY-KLEEN-CORP-6

I

US EPA ID Number State Transporter'* ID'-•>D Transporters Phone308/384-161 6

7 Transporter 2 Company Name US EPA ID Number E Slate Transporter B ID.', Transporter's Phone'*••?

9 Designated Facility Name and Site AddressSAFETY-KLEEN CORP.HIGHWAY 281 SOUTHBEHIND GI DODGE-ELK DRG R A N D ISLAND- ME 6B8Q1

10 US EPA ID Number

NFDOOQ6871RA

fi State Facility s JD *-••', 4'? ?.-'i

H Facility's" Phone" \ <*..""

11 US DOT Description (Including Proper Shipping Name. Hazard Class and ID Number)HM '


13Total

Quantity

14Unit

Wt/Vol- Waste No

RQt WASTE PERCHLOROETHYLENE,DRM-A, UN1897 CEPA, TOXICITY, F002)

iditional Descriptions for Materials Listed Above - 4/; ..^-7^ -.--^ *ij-.-ij-r.-»> - - V? / j- ./sw. .J.jjfja Jrr^-:' ^-ff"t^f • "* J=*-*s^


5-065-51-1073253221 6PTTERR 03 WK 8721

16 GENERATOR S CERTIFICATION I hereby declare that the contents ol this consignment are lully and accurately described above by proper chipping name andare classified packed marked and labeled and are In all respects In proper condition for transport by highway according to applicable International and nationalgovernment regulations .III am a large quantity generator I certify that I have a program In place to reduce the volume and toxldty of waste generated to the degree I havedetermined to be economically practicable and that I have selected the practicable method ol treatment, storage or disposal currently available to mewhich minimizes the present and future threat to human health and the environment OR, If I am a small quantity generator I heyp made a good faitheffort to minimize my waste generation and select the best waste management method that Is available to me and that I can mHf Date

Signal

A7 transporter 1 Acknowledgement of Receipt of Materials DateYear

18 Transporter 2 Acknowledgement of Receipt of Materials '/Z

Printed/Typed Name Signature Month Day YearI I I


"aclllty Owner or Operator Certification of receipt of hazardous materials covered by this manifest except as noted In Item 19

PA Form 8700-22 (Rev 646) previous editions obsolete 1290

C.lot, Iflwn IO DC\

'iBase print or type" (Form designed for uae on elite (12 pitch) typewriter) Form Approved, 0MB No 2050-0039 Expires 9-30-88


1 Generator's US EPA ID No Manifest Document No[54010,

Pagelof !


Ci^JMBUS

ierator s Name and Mailing AddressSON SVC24TH AVE

A .' State Manifest Document Number

4 Generator's Phone ( 402 ) 564-2324

PO BOX 706NE 68601 B State Generator's ID " j. ,--

; T - -'•* ~~ -'< * " »S. Transporter 1 Company Name 6 US EPA ID Number C -"• State Transporter's ID

B K D ' Transporter's Phoned flP7. Transporter 2 Company Name US EPA ID Number E Slate Transporter's ID

F ' Transporter's Phone9 Designated Facility Name and Site AddressSAFETY-KLEEW CORP.HIGHWAY 281 SOUTHBEHIND 51 DODGE-ELK DR

10 US EPA ID Number G _ State Facilit's JD

H : Facility's Phone

13Total

Quantity11 US DOT Description (Including Proper Shipping Name Hazard Class and ID Number)

' HM '

WASTE PERCHLOROETHTLENE,ORM-A, UN1897

itional Descriptions for Materials Listed Above „-


5-065-51-1073S54010 6PTJTFBP n-3 Mlf RT1 7

16 GENERATOR S CERTIFICATION I hereby declare that the contents of this consignment ore fully end accurately described above bv proper shipping name andare classified packed marked and labeled and are In all respect* In proper condition for transport by highway according to applicable International and nationalgovernment regulationsn I am a large quantity generator I certify that I have a program In place to reduce the volume and toxlclty of waste generated to the degree I havedetermined to be economically practicable and that I have selected the practicable method of treatment storage, or disposal currently available to mewhich minimizes the present and future threat to human health and the environment OR, If I am a small quantity generator I have made a good faith i—anorl to minimize my waste generation and select the best waste management method that Is available to me ana that I can afford/___________[ Date

•Jnte Nam Slgna Month Day. Year

17 Transporter 1 Acknowledgement of Receipt of Materials Date

1B Transporter 2 Acknowledgement of Receipt of'Materials

1fl. Discrepancy Indication Space

Owner or Operator Certification of receipt of hazardous materials covered by this manifest except as noted In Item 19

Signature Month

t Fonn 8700-22 (Rev 846) previous editions obsolete 1290

nr>T.iiMA! - Qtr-n irar i TO n Safety Kleen (9-86) '

•sse print OT type (Form designed for use on elite (12-pltch) typewriter) Form Approved OMB No 2000-0404 Expires 7 31-66

UNIFORM HAZARDOUS'ASTE MANIFEST

1 Generator s US EPA ID No Manifest Document No

tor's Name and Mailing Address

2 Page 1of X;

Information In the shaded areast is not required by Federal law

A i State Manifest Document Number

B ? -State Generator's ID ' ••

er 1 Company Name US EPA ID Number C -' State Transporter s 10D Transporters

7 Transporter 2 Company Name US EPA ID Number E ' State Transporter's IDF •< Transporter's Phone'"-.

a Designated Facility Name and Site AddressSAFETY-KLEEN CORP

10 US EPA ID Number G State

H.,:Facility8 Phone, '"

11 US DOT Description (Including Proper Shipping Name, Hazard Class and ID Number)HM


13Total

Quantity

14Unit

Wt/VoJ-Waste No

Waste Perchloroethytene ORM-A, UN 1897F002

K, • Handling Codes for Wastes tisted Above' "


16. GENERATOR S CERTIFICATION I hereby declare that the contents of this consignment are fully and accurately describedabove by proper shipping name and are classified packed marked and labeled, and are In all respects In proper condition fortransport by highway according to applicable International and national governmental regulations

I DateMonth Day Year

17 Transporter 1 Acknowledgement of Receipt of Materials DatePrint Month Day Year

16 TrBnsporterTAcknowledgement o o*f Materials / / DatePrlnteoTTyped Name Signature Monfri Day Year


LIclllty Owner or Operator Certification of receipt of hazardous materials covered by this manifest except as noted In Item 19

Punted/Typed Name Slofiati[ DateMonth Day Year\-i\mn

P*GOTO-^-

ORIGINAL-RETURN TO GENERATOR EPA Form 8700-22 (3-84)

ease print or type (Form designed for use on elite (12-pllch) typewriter) Form Approved 0MB No 2000-0404 Expires 7 31-86


1 Generator's US EPA ID No Manifest Document No

neratora Name and Mailing Add res*

4 Generator's Phone ( )

2 Page 1 Information In the shaded areasIs not required by Federal law

A State Manifest Document Numberi r ^ r - -^ \ x ^T. f.

B State Generator's ID;.

5 Transporter 1 Company.Name US EPA ID Number C State Transporters IDD Transporter's Phony jftf2. jg^

7 Transporter 2 Company Name US EPA ID Number E State Transporter's IDF Transporter's Phone

9 Designated Facility Name and Site AddressSAFETY-KLEEN CORP

10 US EPA ID Number G. State Facility's ID

IH Facility s Phone

11 US DOT Description (Including Proper Shipping Name, Hazard Class and ID Number)12 Containers

No Type13

TotalQuantity

14Unit

Wt/Vol

IWaste No

ombustible Liquid, UN 12550001

ae uompouna, uieanmg Liquig uorrosive iviaieriai,F002-F004

Waste Perchloroethylene ORM-A UN 1B97F002 ___ ____ ________

DM

K Handllng'Codes for Wastes


16. GENERATOR S CERTIFICATION I hereby declare that the contents of this consignment are fully and accurately describedabove by proper shipping name and are classified packed marked and labeled and are In all respects In proper condition fortransport by highway according to applicable International end national governmental regulations

Dat9

'nted/Typed Name/T7/M

Month Day Year

17 Transporter 1 Acknowledgement of Receipt of Materials Date

16 Transporter 2 Acknowledgement of Receipt of MaterialsPrinted/Typed Name Signature Month Day Year


Owner or Operator Certification of receipt of hazardous materials covered by this manifest except as noted In Item 19

ORIGINAL-RETURN TO GENERATOR PA Form 8700 22 (3-84)

X prtrrt or type (Form designed tor use on elite (12-pHch) typewriter) Form Approved 0MB No 2050-0039 Expires 6-30-BB


1 Generator's US EPA ID No Manifest Document NoManifest Docume

14-Qkt/TIterator s Name and Mailing Address

)4 Generator's Phone (

2 Page 1of


A State Manifest Document Number

B . State Generator s JD - ^4^X4.- * ' ' « ' '

5 I«£ns»orter 1 Compan NameC

US EPA ID Number

orC '• StateTransporter's ID "D Transporter s Phone JOTS

7. Transporter 2 Company Name US EPA ID Number E Stale Transporter's ID-F, Transporter's Phone"

8 Designated Facility Name and Site Address 10 US EPA ID Number

H rf: Facility's Phone** "„*-

13Total

Quantity11 US DOT Description (Including Proper Shipping Name, Hazard Class and ID Number)

MM

K ,v Handling Codes for Wastes Listed Above. »* -s ,- " - A i - -<< i^,V v, if ,. V v1v r: J' •-. •.-«, 4 r\ > r "-j,- , ", »-, , , .*,»,-. fc^ si, , *. 1 - 4' W ^ .- •=— ~-»-_

r^'r^^^^^^^vvfit^, /. -'.- « - "" *M-<*- ^^TT ^


16 GENERATOR S CERTIFICATION I hereby declare that the content* of this consignment are fully and accurately described above by proper shipping name andare classified packed marked and labeled and are In ell respects In proper condition for transport by highway according to applicable International and nationalgovernment regulations ,tf I am a large quantity generator I certify that I have a program In place to reduce the volume and toxlclty of waste generated to the degree I havedetermined lo be economically practicable and that I have selected the practicable method of treatment storage or disposal currently available to mewhich minimizes the present and future threat to human health and the environment OR, If I am a small quantity generator, I have made a good faith ,———————————effort to minimize my waste generation and select the best waste management method that Is available to me and thai I can afford fI Date


16 transporter 2 Acknowledgement of Receipt of Materials Date

Printed/Typed Name Signature Month Day YearI I I

1fl Discrepancy Indication Space

llty Owner or Operator Certification of receipt of hazardous materials this manlfesA.

except as noted In Item 19Date

Prlntej Signal Month Day Ye,

I/3LIIQ ~4 Form £700-22 (Rev P-B6J previous editions obsolete 1290

ease print or type (Form designed lor use on elite (12 pilch) typewriter) Form Approved 0MB No 2050-0039 Expires 8-30-68

UNIFORM HAZARDOUS/ASTE MANIFEST

1 Generator'* US EPA ID NoNED056964040

Manifest Document No62316

'nerator's Name and Mailing Address.SON SUC24TH AUE

COLUHBUS Nfc4 Generator's Phone ( *O2 ) 564-2824

PU BOX66601

706

Page 1of J


A State Manifest Document Number

B 1 State Generator's IDj ™. „., _:f> <NED058964040

5 Transporter 1 Company NameSAFETY-KLEEN-CORP.

US EPA ID NumberILD05106040S

C1 State Transporter s IDD -Transporters Phone 308/384-1616

7 Transporter 2 Company Name US EPA ID Number E •> Stale Transporter s IDTransporters Phone * t,',

8 Designated Facility Name and Site AddressSAFETY-KLEEN CORP.HIGHWAY 281 SOUTHBEHIND CI DODGE-ELK DRGRAND ISLAND i NE____68S01

10 US EPA ID Number

NEDOOC6H71ti6

; State Facility's ID"

H Facility s Phones•».. V., - 308/384-1616

11 US DOT Description (Including Proper Shipping Name, Hazard Class and ID Number)

R Q , W A S T E PERCHLOROETHYLENE»ORH-A, UNISS? IEPA, TOXIC ITY , F002)


13Total

Quantity

14Unit

Wt/Vol

iWaste No

3'.

F002

NOTICE: IN ACCORDANCE WITH 49 CFR 268i7i•4-1

THE GEN K A T O R PilOUIDES NOTICE

WASTE. THE WASTE CONTAINS THE FOLLOWINGSTANDAHD IS NOTED* TETRACHLOftOETHYLENE(0

CONST05 PPH)

ITUKNT kHOS TReATMENT' '

K . Handling Codes for Wastes Listed Above -,O 'tif.,n^*,-*' *'^r ~ *e-- _,f- ' f i-

15 Special Handling Instructions and Additional Information5-065-51-1073662316 6PTTERR 03 UK 8B01

16 GENERATOR S CERTIFICATION I hereby declare that the contents of this consignment are fully and accurately described above by proper shipping name andare classified packed marked and labeled and are In all respects In proper condition lor transport by highway according to applicable International and nationalgovernment regulations / ,If I am a large quantity generator, I certify that I have a program In place to reduce the volume and t/xlcrty of waste generated to the degree I havedetermined to be economically practicable and that I have selected the practicable method of treatment storage or disposal currently available to mewhich minimizes the present and future threat to human health and the environment OR_JH-wo a sinall quantity generator I have made a ggbd faitheffort to minimize my waste generation and select the best waste management melhod/rfiat Is available to me and that I caryhllord /



TV Discrepancy Indication Space

iclltty Owner or Operator Certification of receipt of hazardous materials covered by this manifest except as noted In Item 19r\ Date

Printed/Typed. Name Signature Month Day Year.I 717 I

'A Form B700-22 (Rev 046) previous editions obsolete 1290

»asa print or type (Form designed for use on elite (12 pilch) typewriter) Form Approved QMS No 2050-0039 Expires 9-30 B8


1 Generator's US EPA ID NoNLU058964040


rater's Name and Mailing AddressSON SUC

' 24TH AUECLU.UMBUS NE

4 Generator's Phone ( 4 0 2 ) 564-28^4

PO 3UX63601

706

Page 1of



B State Generator s ID

5 Transporter 1 Company NameSftFETY-KLEEN-CORP.

US EPA ID NumberILDQ«S1 O

C State Transporter 8 ID ''D Transporter's Phone 30 8/384—1 6 1 6

7 Transporter 2 Company Name US EPA ID Number E Stale Transporter s ID' •• Transporter's Phone

9 Designated Facility Name and Site AddressSAFETY-KLEEN CORP.HIGHWAY 281 SOUTHBEHIND GI DODGE-ELK DRGRAND ISLAND. NE____68801

10 US EPA ID Number

I N E D 0 0 0 6 6 7 1 0 b

Q State Facility's ID r[ < ,<-v ',- vy -.-, ' !

H Facility's Phone308/3B4-1616

11 USHMI HM

5OT Description (Including Proper Shipping Name, Hazard Class and ID Number)12 Containers

No Type13

TotalQuantity

14Unit

Wt/VolWaste No

RQ, WASTfc PERCHLOROETHYLENE,DRM-A, UN1897 (EPAj TOXICITY> F002) 3 Di<\ FOD2

Jl / I: 6 r LTHE GEN RATUR P

•- M'- I T -DES NOTICEi~CTr>

WASTE. THE WASTE CONTAINS THE FOLLOWINGSTANDARD IS NOTED, TETRACHLOROETHYLENE{0

CONST.05 F

ITUPM)

NT UH05 TR EATMENT

J

,i

*r*t

is*

<*••

^^Btional Descriptions for Materials Listed Above '^.f-i* ,,~ ' , -•" , > - - .^^r , , , „-> .- I <>- ' ' . f *"- ,/rtvV,',' *i -"* U A. .'. '' ' .- ''1 - ''. ^ECYCLE% -^-; :c?. .^v^^^^,^ '.-^ •/•% -• "i" ,x> ". ~ I'/'v-* ,7 '*''"• •^** -1"" < r> ~ «"f'j"*!* ,- -^' -''," ",,?

^ -k'*^- •»'»','.r^-:^ 7 ^-H s it- < t S ;/*sK.-~>;

<,r*l><.."

K (Handllng Codes for Wastes Usted Above p ,

n'^ 1r~x-'cf v"d.'.Vi-V-+vC ,Vl«'rfc'i.3'i ' VT


5-065-51-1073018364 6PTTCRR 03_____UK 8805__________

16 GENERATOR S CERTIFICATION I hereby declare that the contents of this consignment are fully and accurately described above by proper shipping name andare classified packed marked end labeled and are In all r.spects In proper condition for transport by highway according to applicable International and nationalgovernment regulationsIf I am a large quantity generator, I certify that I have a program In place to reduce the volume and toxlclty of waste generated to the degree I havedetermined to be economically practicable and that I have selected the practicable method of treatment storage or disposal currently available to mewhich minimizes the present and future threat to human health and the environment OR, If I am a small quantity generator I have made a good faitheffort to minimize my waste generation and select the best waste management method that Is available to me and that I can afford Dat*

tinted/Typed Na

ansporter 1 Acknowledgement of Receipt of MaterialsMonth Day Year

Transporter 2 Acknowledgement of Receipt of MaterialsMonth Day Year\ I I

Printed/Typed Name

Discrepancy Indication Space

Owner or Operator Certification of receipt of hazardous materials covered by this manifest except as noted In Item 19 i Date

Pflnted/Typed Name Slgnatu/e—0, Month Day Year

I I I>A Form 8700-22 (Rev 9-66) previous editions obsolete 1290

e *.!«*. I/I.*... in aei I .

ease print or type (Form designed (or me on elite (12 pilch) typewriter) Form Approved OMB No 2050-0039 Expires B-30-88

UNIFORM HAZARDOUS/ASTE MANIFEST

1 Generator's US EPA ID NoNED058964040


rator's Name and Mailing Address(SON 5UC

S_v 24TH AUECOLUMBUS NE

4 Generator's Phone ( 4O2) 564-2824

PO BOX6B601

706

2 Page 1of J



B.-State" Generator's ID J/. ,


SAFETY-KLEEN-CORP.

US EPA ID NumberILD051O604OB

C State Transporter's IDD Transporter s Phone 3OB/384-1 felt

7 Transporter 2 Company Name US EPA ID Number E ' Slate Transporter s ID ••F Transporter's Phone '"V*1 VY '•

9 Designated Facility Name and Site AddressSAFETY-KLEEN CORP.HIGHWAY 281 SOUTHBEHIND CI DOUCE-ELK DRGRAND ISLAND* NE 66801

10 US EPA ID Number

NED0006B7186

G State Facility's ID;-*

H Facility's Phone308/384-161*

11 US DOT Description (Including Proper Shipping Name, Hazard Class and ID Number)HM


13Total

Quantity

14Unit

wt/voili

Waste No

RQ, WASTE PERCHLOROETHYLENEfCRH-A, UN1897 (EPA, TOXICITY, F002) —— F002

tbo

NOTICE: IN ACCORDANCE UITH 40 CFR 268,7iTHAT THE hlAST£ DESCRIBED AS 'HASTE PbRCH

THE GEN ERATOR P«jn i T c

DES NOTICE

WASTE. THE WASTE CONTAINS THE FOLLOWINGSTANDARD IS NOTED? TETRACHLOROETHYLENE«

CONS!.05 F

ITUPHJ

ENT WHOS = Tf EATtlENT ,"\

K Handling Codes for Wastes Listed Above 'j'o* .> J.< . * -1 'I -n jA t " ' , ' , I-

'i f

15. Special Handling Instructions and Additional Information5-065-51-1073*328250 6PTTERR O 3 U K 8809 _________

16 GENERATOR S CERTIFICATION I hereby declare that the contents of this consignment are fully and accurately described above by proper shipping name andare classified packed marked and labeled and are In aJI respects In proper condition for transport by highway according to applicable International and nationalgovernment regulations «If I am a large quantity generator I certify that I have a program In place to reduce the volume and toxlcity of waste generated to the degree I havedetermined to be economically practicable and that I have selected the practicable method of treatment storage or disposal currently available to mewhich minimizes the present and future threat to human health and the environment OR, if I am a small quantity generator I have made a good faithellort to minimize my waste generation and select the best waste management method that is available to me ana that I can afford Date

Printed/Typed NameAft

Month Day Year' |y Iff/

17 Transporter 1 Acknowledgement ol Receipt of Materials Date

am Month Day Year3 11-

18 Transporter 2 Acknowledgement of Receipt of Materials DatePrimed/Typed Name Signature Month Day Year

I _ _ _ I I19 Discrepancy Indication Space

Illty Owner or Operator Certification of receipt of hazardous materials cpj^redby this manifest except as noted In Item 19/ l

frinted/Typi SignatjDate

Mffth Dt

'A Form 6700-22 (Rev 8-66) previous editions obsolete 1290

iese print or type (Form designed tor use on elite (12 pitch) typewriter) Form Approved OMB No 2050-0039 Expires 9 30-88


Generator s US EPA ID NoNEDDS8964040

Manifest Document No1^47786______

rator s Name and Mailing Address'ISDN SVC

V 24TH AVE PO BOX 706COLUHDUS NE 68601

4 Generator's Phone ( 402) 564—2824 ___________

Pagelof J


A,' State Manifest Document Number? S , >

^ State Generator's ID

5. Transporter 1 Company Name— ift FFM—

6I

US EPA ID NumberTI nnsi n

C Slate Transporter's ID ,D Transporters Phone 300/304—1 61 t

7. Transporter 2 Company Name US EPA ID Number E Stale Transporter s ID'F Transporter's Phone %•" T «*- •? >

0. Designated Facility Name and Site AddressSAFETY-KLEEN CORP.HIGHWAY 281 SOUTHBEHIND GI DODGE-ELK DR

10 US EPA ID Number Q- State Facility s ID-'

H*- Facility's Phone "* f^~

US DOT Description (Including Proper Shipping Name, Hazard Class and ID Number)HM


13Total

Quantity

14Unit

Wt/Vol, ' I ^

'= ; Waste No

RQ, WASTE PERCHLOROETHYLENE,ORH-A. UN1897 (EPA, TOXICITY, F002) L F002

NOTICE: IN ACCORDANCE WITH 40 CFR 268,7]THAT THE. WASTE HCSCRIdCD A3—'MASTC PCRCrWASTE. THE WASTE CONTAINS THE FOLLOWINGSTANDARD IS NOTED; TETRACHLOROETHYLENE(t

THE GEN ORATOR p.'<n» uINT MHOS

DE5 NOTICEC3TRICTCD

TJEATHENT,CONS1.05 f

ITU

J ^^Oltlonal Descriptions for Materials LJsled Above ' . ' - • --'./v-l! ', v ' -».^A? t--"1- ,>l'1 V '> " • * ' ' -

K , Handling Codes for .Wastes Ljsted Above .,'.'" ' '

'„">


S-O65-51-10736477B6 6PTTFPR f>1_______\iiK RQ 1 "3________ IINHFI TUPPfiBI P TH

16 GENERATOR S CERTIFICATION I hereby declare that the contents of this consignment are fully and accurately described above by proper shipping name andare classified packed marked and labeled and are in all respects In proper condition (or transport by highway according to applicable International and nationalgovernment regulations .If I am a large quantity generator, I certify that I have a program In place to reduce the volume and toxlclty of waste generated to the degree I havedetermined to be economically practicable and that I have selected the practicable method of treatment storage or disposal currently available to mewhich minimizes the present and future threat to human health and the environment OR If I am a small quantity generator I have made a good faith •————————————effort to minimize my waste generation and select the best waste management method that Is available to me and that I can afford /________I Dale

Printed/Typed Na

Transporter 1 Acknowledgemtnt of Receipt of Materials Date

—Wnted/Typed NameOt~\

Signaturi Month Day Year

18 Transporter 2 Acknowledgement of Receipt of Materials DatePrinted/Typed Name Signature Month Day Year

I I i19 Discrepancy Indication Space

ty Owner or Operator Certification of receipt of hazardous materials covered by this manifest except as noted In Item 19^ A /I Date

rrlnted/Typed Signature^ Month Day

A Form 8700-22 (Rev 9-86} previous editions obsolete 1290

safety-meed®

August 1, 1988

Jackson Svc.960 24th Ave,P. 0. Box 706Columbus NE 68601

Gentlemen.

Please note I am sending a copy of a manifest which

had an error on it. The Type of container was not filed in,

and should have a DM in it.

Please correct your copy to comply with regulations.

Ellie Stobbe308-384-1616

EDSEnclosure

TCI CY Oin OC1 AA7Q

xtype (Form designed for use on elite (H-ptich) typevJtier)' Form Approved 0MB Ho 2050-0039 Expires 9-3048

HAZARDOUSfcWASTE MANIFEST

1 Qanerator'i USJEPA ID NoN60058964040

Manlleit Document No75205

generator's Name and Mailing Address-exsoN -svc

=}-»0 24TM dVE , ' *, •* * »CCLUMBUS ,„ . tkv

4 Generator's Phone ( 4O1F)"66601

2 Page 1of J

Information In the shaded areasla not required by Federal law

£. Transporter 1 Company Name US EPA ID NumberD ^

7. Traruportar 2 Company Nam* US EPA ID Number J' State Transporter's ID"

9 Designated Facility Name and Site AddressSflFCTY-<L££M CO»P»HICHÂY 231 SOUTHOCHI.MO CI OOOGE-tLK OR

10 US EPA ID Number Statj FBpHH/jilP. ^ i i,.r. 5-

i" r, V

-£«l«11 US DOT Description (Including Proper Shipping Name, Hazard Class and ID Number)

HM

12. ContainersNo Type

13Total

Quantity

14Unit

Wt/Vol

. i I,I>, ^ Waste No

OVJH—A,'-V

T W JAHCt W I T H 40 CFJJ 263 ,7 , THE RATQRr- AI r- J i

lo^toc^ •ferric^:t7TCB,

1-1^^»^»*» j ji«i

, fri£ l«A-,Tt C O N T A I N SI«> VOTFf. ; Ti T«

THE TOLLOKIXC. M<~ { O

CQNSTl.05

TUfi ST etHOSi

Âdditional Descriptions for. Materials Lis.,/-^ - - ^-'-T' -,>•.Jj-

15 Special Handling Instructions and Additional InformationS-06S-.J1-IO73

>S -bPT03______«> ^ '< r i_______IF UfcOrL T . P|?TUmn TO C "«<* P A TOP

16 GENERATOR S CERTIFICATION I hereby declare that the content! ol thu consignment are fully and accurately de»rrlbed above by proper chipping name endare claatifiad packed marked, and labeled and are In all re»pect» In proper condition lor uanaport by highway accordlno. to applicable International and nationalgovernment regulations. _Îf I am s lar /quantlty generator I certify that I have a progrsi&n place tu reduc* the volume and toxlelty of watts generated to the degree I havedetermined $fbe economically practicable and that I have selected th« practicable method of treatment ttorage or dlipoaal currently svajlable to mewhich mmimue] the present and future threat to human health and the environment OR, If I am a small quantity generator I have made a ocod taJtheffort to minimize my waste generation and select the belt waste management meldacl that la available to me and thai I can artyd, ~ Date

A Printed/Typed Namen U

Sjan#u*\flu U

f ) Af«/7M Day Yea

17 Transporter 1 Acknowledgement of Receipt of Materials Date£rlnted/Typed Name Slgnatyre,

~Day Year

16 Transporter 2 Acknowledgement of Receipt of Material! DatePrinted/Typed Name Signature Month Day Year

\ I i19. Discrepancy Indication Space

Facility Owner or Operator Certification of receipt of hazardous materials covered by this manifest except as noted In Item 19' Date

773» -t-

°Wo5"

Printed/Typ«d Name/ /A //, <>•-) /y /'

Signature. MOH//J Day VearI ' I .- 1 '

ERA Farm B70&-22 (Rev 9-86) previous editions obsolete 1290

TRANSPORTER Safety Kleen (9-68)'

<B36 print or type (Form designed tor use on elite (12 pilch) typewriter) Form Approved QMS No 20500036 Expires 8-30-88

U IFORM HAZARDOUSSTE MANIFEST

1 Generator's US EPA ID NoNEDOS8964O40

Manifest Document NoT5205

ierator'8 Name and Mailing Addressj> .XSON SUC960 24TH AWECDLUflBUS NE4 Generator s Phone ( 402) 564-2824

PO BOX68601

706

2. Page 1ol ]


A State Manifest Document Number,"v

' '

B .. State Generator s ID


SAFETY-KLEEN-CQRP.US EPA ID Number C State Transporter's ID -~"

D Transporters Phone 308/384—16167 Transporter 2 Company Name US EPA ID Number E State Transporter s ID

F Transporter's Phone t - ,/9 Designated Facility Name and Site AddressSAFETY-KLEEN CORP.HIGHWAY 201 SOUTHBEHIND GI DODGE-ELK DRGRAND ISLAND* NE 68B01

10 US EPA ID Number

I NED0006B7186

G, State Facility e ID jr-ls, > <"'- ,

H, Facility's Phone308/384-1616

US DOT Description (Including Proper Shipping Name. Hazard Class and ID Number)I HM __ __


13Total

Quantity

14Unit

Wt/VorI

Waste No

RQ, WASTE PERCHLORDETHYLENE,ORM-AI UN1897 (EPA, F002) 506 FOO2

NOTICE: IN ACCORDANCE WITH 40 CFR 268,7, THE GEN ERATOR P NOTICEiTRICTEP

WASTE. THE HASTE CONTAINS THE FOLLOWINGSTANDARD IS NOTED; TETRACHLOROETHYLENE(0

CONSTITUENT HHOS.05 PPM)

TREATMENT

Jditional Descriptions for Materials Listed Abovej r.'',-,:." /

FOR'RECYCLE-^

K .. Handling Codes for Wastes Usted Above"

15 Special Handling Instructions and Additional Information5-O65-51-1O732752O5 6PTTERR O3______MK 8821____ IF UNDELIUERASLF, RETURN TO GENERATOR

16 GENERATOR S CERTIFICATION I hereby declare trial the contents ol this consignment are fully and accurately described above by proper shipping name andare classified packed marked and labeled and are In all respects In proper condition lor trantport by highway according to applicable International and nationalgovernment regulations iK I am a larg* quantity generator I certify that I have a program In place to reduce the volume and toxlclty ot watte generated to the degree I havedetermined lo be economically practicable and that I have (elected the practicable method of treatment storage or disposal currently available to mewhich minimizes the present and future threat to human health and the environment OR, III am a small quantity generator, I have made a pood faitheffort to minimize my waste generation and select the best waste management metha^ that Is available to me anpthat I can aflq '

Month Day YePrinted/Typed Name

17 Transporter 1 Acknowledgement of Receipt of MaterialsMonth Day Year

18 Transporter 2 Acknowledgement of Receipt of MaterialsMonth Day YearPrinted/Typed Name


,-aclllty Owner or Operator Certification of receipt of hazardous materials covered by this manifest

Printed/Typed

In Item 19Date

Month Day Year

EPA form 6700-22 (Rev 9-66) previous editions obsolete 1290

r>

I • •*. ' \rase prim or type (Form designed for USB on elite (12 pilch) typewriter)

1

Form Approved OMB No 2050-0039 Expires 9-30-88

UNIFORM HAZARDOUSfASTE MANIFEST

1 Generator's US EPA ID NoNiID05b964040


Water's Name and Mailing AddressSON SUC

- 24TH AVECOLUMBUS NE4 Generator's Phone ( 402 ) 564-2824

PD UOX68601

706

2 Page 1of »


A. • State Manifest Document Number

B ' State Generator t ID'

5, Transporter 1 Company NameSflFFTY-KLEEN-CURP.

US EPA ID NumberTLDO'Sl 060408

C Stale Transporter's ID "L « *,,j -D Transporter's Phone30 6/384-1 6 16

7. Transporter 2 Company Name US EPA ID Number E State Transporter s IDF' Transporter'6 Phone *t

9 Designated Facility Name and Site AddressSAFETY-KLEEN CORP,HIGHWAY 2B1 SOUTHBEHIND GI DODOE-ELK DRGRAND ISLANUi NE____680O1

10 US EPA ID Number

I NFD0006n7186

G, -State FacllltxXID \y ^-'^

H Facility's P h o n e ' - - - - _ ., ^ j_ < h .>,f"Z'<+..>' \ ,r \ 3OB/3B4-1 61 6

11 US DOT Description (Including Proper Shipping Name. Hazard Class and ID Number)' 'HM

PCPCHLORLkTHYLcNh,B97 (EPA, F002)• ___ n


13Total

Quantity

14Unit

Wt/Volfh. Waste No i ',

RQ, cORM-A, UN1B97 506 F002 ' '.

7

NUTICC: IN ACCORDANCL WITH 40 CFR 260j7,- * i_ ] / - tT riir F f c T ^ )> n r r T ) j-i 7^0 l t J A Q T ^ ~ r>j- L _f* i-i

THE >ENt RATOR PI- t. • » T

OWIPES'NOTICEWASTL. THE WASTE CONTAINS THE FOLLOWINGSTANDARD IS NOTED; TETRACHLOROETHYLENE(0

CONST.05 P

ITUf1PM)

NT WHOSl TR lATHENT

ditlonal Descriptions for Materials Listed Above ^ . ,.;;s

FOR'RECYCLE " :• "„-"- J.'j.f- '• ;

K -: Handling Codes for Wastes Listed Above


5-065-51-1073589842 6PTT E R R 03 WK ft H 2 5____ IF UNPFLIUF.RrtBLEi K f c T U R N TO Gtr-NEHATOft

16 GENERATOR S CERTIFICATION I hereby declare that the contents of this consignment are fully and accurately described above by proper shipping name andare classified packed marked and labeled and are In all respects In proper condition tor transport by highway according to applicable International and nationalgovernment regulations ,If I am a large quantity generator I certify that I have a program In place to reduce the volume and toxlclty of waste generated to the degree I havedetermined to be economically practicable and that I have selected the practicable method of treatment storage or disposal currently available to mewhich minimizes the present and future threat to human health and the environment OR If I am a small quantity generator I have made a good faith ,———————————effort to minimize my waste generation and select the best waste management method that Is available to me and thai I can afford___________I Date

of Recplpt 61 Valerlals17 Transporter 1 AcknowledgemeMonth Day Year

I IPrinted/Typed Name

t oVnecelpTof Materials18 Transporter 2 AcknowledgemeMonth Day Year\ I I

Printed/Typed Name

Pnnted/Typed Name Signature Afo/>//> Da/ Vea/-I___I


"cllity Owner or Operator Certification of receipt of hazardous materials covered by this manifest except as noted In Item 19Date

Printed/Typed Name Signature Month Day Year

I I I>A Form 8700-22 (Rev 9-86) previous editions obsolete 1290

,' " « t ,

lease print or type (Form designed lor use on elite (12 pilch) typewriter) Form Approved 0MB No 2050-0039 Expires 9-30-68


1 Generator's US EPA ID NoNED058964040


nerator s Name and Mailing AddressCSON SUC24TH AVE

COLUMBUS NE4 Generator's Phone ( 402 ) 564-2824

PO BOX68601

706

Page 1of J


A. - State Manifest Document Number ,

B, State Generator s ID *j_ - ' '-,

5. Transporter 1 Company NameSAFETY-KLEEN-CDRP.

US EPA ID NumberILD051060408

C State Transporter's ID ; •' *"D Transporters Phone308/384—1616

7. Transporter 2 Company Name ,JUS EPA ID Number _ _ - E Stale Transporter s IDF -Transporter's Phone te;

9 Designated Facility Name and Site AddressSAFETY-KLEEN CORP.'HIGHWAY 281 SOUTHBEHIND GI DODGE-ELK DRGRAND ISLAND* ME 6BB01

10 US EPA ID Number

NED000687166H Facility's Phone - ' -

W" " 308/384-1616

US DOT Description (Including Proper Shipping Name, Hazard Class and ID Number)HM '


13Tqtal

Quantity

14Unit

Wt/Vo)

IWaste No

RQ, HASTE PERCHLOROETHYLENEtORH-AV UN1897 IEPA, F002) 506 F002

NOTICE: IN ACCORDANCE WITH 40 CFR 268,7, THETHAT TIIC MftSTC DCSCRIDCD AG • WASTE PERCH .OROG

GENIKATOREfHti.CHC* n

PI OUI3ES NOTICEiTRICTCD

HASTE. THE HASTE CONTAINS THE FOLLOWINGSTANDARD IS NOTED! TETRACHLOROETHYLENEf0

CONSTITUENT UHOSC TREATMENT05 P

dltlonal Descriptions for Materials Listed Abovev , . ; ' < • • ' - " j_£ ' ~ • •«x RECYCLE v • - " ; • : . * "

K Handling Codes for Wastes Listed Above' '*•>,•: .. * x '•. ff , »

<\.v~


S-O65-51-1O73907899 6PTTERR O3_____MK 8829 IF UNDELIUERABLE. RETURN TO GENERATOR

16 GENERATOR S CERTIFICATION I hereby declare that the contents of this consignment are fully and accurately described above by proper shipping name and•re classified packed marked and labeled and are In all respects In proper condition lor transport by highway according to applicable international and nationalgovernment regulationsIf I am a large quantity generator I certify that I have a program In place to reduce the volume and toxlclty of waste generated to the degree I have

isposal currently availadetermined to be economically practicable and that I have selected the practicable method of treatment storage or disposal currently available to mewhich minimizes the present and future threat to human health and the environment OR, if I am a small quantity generator I have made a good faitheffort to minimize my waste generation and select the best waste management method that Is available to me and that I can afford Date

Punted/Typed Name Signature Month Day YearI I


18 Transporter 2 Acknowledgement of Receipt of Materials DatePruUed/Typed Name Signature Month Day Year

\ i I19 Discrepancy Indication Space

ity Owner or Operator Certification of receipt of hazardous materials covered by this manifest except as noted In Item 19Date


\ I I

PA Form 6700-22 (Rev 9-86) previous editions obsolete 1290

. DCTI IDKI Tn /^ Salatv Kleen (9-8R1 '

August 1, 1988

Safety-Kleen Corp.Box 1800Elgin, IL 60121

Dear Sir

We at Jackson Service have made some production changes and we will no

longer require your services.

Please take the necessary arrangements to pickup your container and

any paper work you may have for us to sign, also check into credit

for our last two no pickup charge

Thank you for the excellent service and if we would ever require your

services again we would not hestiate.

Thank you,

Richard Hirschbrunner

RH/csr

s

Please pnm or type (Form designed lor use on elite (12 pilch) typewriter) Form Approved 0MB No 2050-0039 Expires 9-30-68


1 Generator s US EPA ID NoNED058964040


enerator a Name and Mailing AddressCKSON SVC

^0 24TH AUECOLUftBUS NE

4 Generator's Phone ( 402 )564-2824

PO BOX68601

706

Page 1of 1


A. State Manifest Document Number t-'fB State Generator s ID


SfiFFTY— ICLFF N CORP.

6 US EPA ID Number

LLLJHQ51 0604OBC State Transporter s ID "" •T-

D Transporter's Phone30 8 384—16167. Transporter 2 Company Name a

J_US EPA ID Number E Slate Transporter s ID

F Transporter's Phoned9 Designated Facility Name and Site Address

SAFETY-KLEEN CORP*HIGHWAY 281 SOUTHGRAND ISLAND* NE 68801

10 US EPA ID Number G - State Facility's JD t ,- , „

BEHIND GI DODGE-ELKiN£DQO0687186

DR H Facility's Phone*-\ * i ••3OB 3HA—1

11 US DOT Description (Including Proper Shipping Name Hazard Class and ID Number)HM


13Total

Quantity

14Unit

Wt/Vol

IWaste No

RQ WASTE PERCHLOROETHYLENEORN-A UN1097(EPA F002) 506

F002

u

' ICE: IN ACCORDANCE WITH 40 CFR 268|7, THli GENTHE WASTE DESCRIBED AS 'WASTE PERCHLORIIETH Y

A: TE. THE WASTE CONTAINS THE FOLLOWING CON: TITUBARD I-G NOTED; TETRACIILOnO CTHYLCNC ( 0 •<nal Descriptions for Materlafs L'sted Above u - ,. ^,

RATOR PROVIDESENEjNT

• IS AWHOSE

NOTICERESTRICTED

TREATMENTK Handling Codes for Wastes Listed Above

'

15 Special Handlmg Instructions and Add,t,onal information 8833 cooooooo 23SS41 5-065-51-1073 03IF UNDELIUERAfiLE. RETURN TO GENERATOR.FOR RECYCLE

16 GENERATOR S CERTIFICATION I hereby declare that the contents of this consignment are lully and accurately described above by proper shipping name andare classified packed marked and labeled and are In all respects in proper condition lor transport by highway according to applicable International and nationalgovernment regulationsIf I am a large quantity generator I certify that I have a program In place to reduce the volume and toxlclty of waste generated to the degree I havedetermined lo be economically practicable and that I have selected the practicable method ol treatment storage, or disposal currently available to mewhich minimizes the present and luture threat to human health and the environment OR, III am a small quantity generator I have made a good laltheffort to minimize my waste generation and select the best waste management method that Is available to me and that I can afford _ Dale

Printed/Typed Name

Transporter 1 Acknowledgement ol Receipt of MaterialsMonth Day Yintednyped Na

tftr\ransporier 2 Acknowledgement of Receipt of Materials

Month Day YearI I I

Printed/Typed Name

Discrepancy Indication Space

acility Owner or Operator Certification of receipt of hazardous materials covered by this manifest except as noted In Item 19i I________ Date S*

O^_*.Printed/Typed Name Signatui MonVf DjItttt

EPA Form 8700-22 (Rev 9-86) previous editions obsolete 1290

Ratatv Kleon /OJIfil I

1 lt I \lease prim or type (Form designed tor use on ellla (12-plteh) typewriter) Form Approved 0MB No 20500039 Expires 9-30-8B


1 Generator's US EPA ID No Manifest Document No

)neralor's Name and Mailing Address*Vk O.JC

706

4 Generator's Phone ( ' ^ » )a << * -1£ t, i

2 Page Vof *


A. ~ State Manifest Document Number > *» 1

State Generator's IDo*v-.J &> ',' •' *•*,.,^/:":>,75' 5T^? 't ." :"~'

5. Transporter 1 Company Name., ,»",- r « .. ^ i v< , «,j ;, r-(

US EPA ID NumberS i Of v>4Cfl

C , S^tatflfrT-ransporter's IDD Transporter B Phoned Qq

7 Transporter 2 Company Name US EPA ID Number State Transporter's I -t ^ T ,c r —

9 Designated Facility Name and Site Address*** ~I /- ".i, » J\, C'if'.>1,3 is <!' « . t'lz,i .>Mt , ,

10 US EPA ID Number G -State

» » -j c,-'-.- '•*>-; -^ $\^*-> •' t

H Facility's Phone '• l'; ,"

1 1 USMM

>OT Description (Including Proper Shipping Name, Hazard Class and ID Number) 12 ContainersNo Type

13Total

Quantity

14Unit

Wl/Vol- - ' ' r \,. Waste No t -.

* IT jfl 1*

).'f-* ij.-i t M Ji. .. f :,' .' J I, i"/ .-"'"/ ' "%

t ly ^ « 4 ,* •*

ZCf tT f*re.' /.>

wi th Art rj »?«»S • V r t C T ' -

f-OLL

Lli,13 H

T >j,>

-tV'OB^S 5^J> r trtj^gc^-^.,- ^KilltVtA'. r Jit'-^tT -*•1 V «3iX i ,',V -_ >- {Sj rt-»'tfi*^" JV-»» »4 ,*• V •> >J- .,,-'5v , I r -' J-4->f K. j. 1 - ,' *-^A^ •-(-v v, - '-, v ' .V • .,v- -, rr

15 Special Handling Instructions and Additional Information ,, , * ,«r » ' . .CL . i , < - » i c » x.'TO+fi. T^ .."r.-la, C.«- '.). wV LK

> c Li ^ "j * 5».o^*j-ai~j

16 GENERATOR S CERTIFICATION I hereby declare that the contents of this consignment are fully and accurately described above by proper shipping name and•re classified packed marked and labeled and are In all respects In proper condition for transport by highway according to applicable International and nationalgovernment regulationsIf I am a large quantity generator, I certify that I have a program In place to reduce the volume and toxlclty of waste generated to the degree I havedetermined to be economically practicable and that I have selected the practicable method of treatment storage or disposal currently available to mewhich minimizes the present and future threat to human health and the environment OR, If I am a small quantity generator I have made a good faitheffort to minimize my waste generation and select the best waste management method thai Is available to me andthat I can afford Date

Printed/Typed Name Signature\, ' _

17 Transporter 1 Acknowledgement of Receipt of Materials Dateprinted/Typed Name( a* V Signature Month Day Y,ear


1 I I19 Discrepancy Indication Space

acllity Owner or Operator Certification of receipt of hazardous materials covered by this manifest except as noted In Item 19Date


\ I IPA Form 8700-22 (Rev 9-66) previous editions obsolete 1290

A&L MID WEST LABORATORIES, INC.13611 "B" STREET • OMAHA, NE 68144 • (402) 334-7770

REPORT NUMBER 8-055-1501 February 24, 1988 Ml

SUBJECT: Perckloroethylene AnalysisJackson Services #1232Attention: Dick960 24th AvenueColumbus, NE 68601

LAB.NO.

49919

SAMPLEIDENT.

Sobd

ANALYSIS

Perchloroethylene

LEVELFOUND

0028%

DETECTIONLIMIT

0001%

METHOD

EPA 624

Respectfully submitted,

uCraig KubitschekAnalytical Chemist

S T A T E O F N E B R A S K ADEPARTMENT OF ENVIRONMENTAL CONTROL

KAY A ORRGOVERNOR

DENNIS GRAMSDIRECTOR

December 22 1987

Richard HirschbrunnerJackson Svc. IncP 0 Box 706Columbus. Nebraska 68601

Dear Mr Hirschbrunner

This is to acknowledge that you filed a Notification of Hazardous WasteActivity on December 2. 1987 for the facility located at the address shown belowto comply with both state and federal regulations The DEC/EPA IdentificationNumber, type of hazardous waste activity and a description of hazardous wasteare listed below This number must be included on all shipping manifests fortransporting hazardous waste, on all annual reports that generators of hazardouswaste and owners of hazardous waste treatment, storage and disposal facilitiesmust file with the state, on all applications for hazardous waste permits, andother correspondence related to your hazardous waste management activities

DEC/EPA Identification Number NED058964040

Installation Address 960 24th Avenue. Columbus. NE 68601

Type of Hazardous Waste Activity Small Quantity Generator

Description of Hazardous Waste D001. F002

The State of Nebraska received Final Authorization on February 7. 1985 toconduct the state's hazardous waste program in lieu of the respective federalprogram The Nebraska Department of Environmental Control is to be notified ofany additions to and/or modifications of the information provided on yournotification All questions or assistance pertaining to the handling of hazard-ous waste should also be directed to this office

Sincerely.

Mike Steffensmeier. Section SupervisorHazardous Waste SectionLand Quality Division

MS/ths

xc Chet McLaughlin. U S EPA-Region VII sSi

PO BOX 98922, LINCOLN, NEBRASKA 68509-8922, PHONE (402)471-2186AN Frill AT OPPORTUNITY/AFFIRM ATI VF ACTION FMPI.OVFR

-3-

11^'

^

9°'

53'

*l m-aJjr

10th Street4R102051

uz(U

mM

O n

lOlh STREET ^

o >«« • n**0 m eA *

«• *

5 *

o

*32

S

(

D£8B

6

• • *

• « *

2

og w.a/'O 8^ W Of[ Proftr Lot

&m

Xm01

«

MS 95 M «_

7

63 93'M

*B S

63 98' M I(f * — *

//5 90 M

—If

a

«Z

X

S'

( it

§ 944 ft J4J t« M ?

- k

9 f / > STREET

&

UJ

«

^

40

ft]

\»" • 604/2J/i

LEGEN• -found Moni

»-Holl In ComR-RecordedM-Mroiured

FIELD NOTES

At A, found 1/2" J.P., ot surface of concrete streetAt B, found 1/2" | B , ot surface of concrete streetAt C, found 1" |.P , 0 5' deep Sold IP is not recorded ond Is 0 2'

west of ond 0 22' north of proper locationAt [>, found monument wellAt E, found 3/4" I.P , Inside 4" I.P., at surface of concrete street

DESCRIPTION

All of Lot 8 and the eost 50 feet of Lot 7, Block 128, Original City of Columbus, PlatfeCounty, Nebraska.

SURVEYOR'S CERTIFICATE

I, Richard L. Ronkar, certify that ! am a registered land surveyor of the State of Nebraska,thot this survey was mode under my direction on April 23, 1982, ond that the survey is trueand complete os shown, to the best of my knowledge, that all monuments set, together witrthose found, ore of the chorocter ond occupy the positions shown thereon, and are sufficieto enable the survey to be retraced

Richard L Ronkar, Nebraska L.S. No 38

|f01S

CMAMauCMctoo, UVnota (OM5

; Commitment* Yon Make*

/ RENEWAL DECLARATION

PAGE 1

DECLARATIONSYOUR SERVICE INDUSTRY PACKAGE

LICY NUMBER FROM POLICY PERIOD TO COVERAGE IS PROVIDED BY AGENCY

04558504 02/28/89 02/28/90 TRANSCONTINENTAL INSURANCE CO. 0188345NAMED INSURED AND ADDRESS AGENT

iCKSON SERVICES. INC.60 24TH AVENUE/OLUM8US. NE 68601

BECHER-CURRY CO2415-13TH STCOLUMBUS NE 68601

COMMERCIAL PROPERTY COVERAGE PART - DECLARATIONS

{ ) "X" IF SUPPLEMENTAL DECLARATIONS IS ATTACHE

NAMED INSURED IS: ( ) INDIVIDUAL () JOINT VENTURE (

) PARTNERSHIP ( X ) CORPORATION) OTHER:

Y PERIOD: THIS POLICY BECOMES EFFECTIVE AND EXPIRES AT 12:01 A.M.STANDARD TIME AT YOUR MAILING ADDRESS SHOWN ABOVE.

IN RETURN FOR THE PAYMENT OF THE PREMIUM. AND SUBJECT TO ALL THE TERMSCONTAINED HEREIN. WE AGREE WITH YOU TO PROVIDE THE INSURANCE AS STATED,

DESCRIPTION OF PREMISESPREM. 5LDG.LOCATION. CONSTRUCTION \ND OCCUPANCYNO. NO.1 1 JOISTED MASONRY BUILDING OCCUPIED AS LAUNDRY RENTAL SERVICE

LOCATED: 960 24TH AVENUE. COLUMBUS. NE.

PERSONAL PROPERTY COVERAGE ON THE MASONRY BUILDING OCCUPIED ASLAUNDRY RENTAL SERVICE LOCATED: 2621 1OTH ST.»COLUMBUS. NE.

COVERAGES PROVIDED - INSURANCE AT JH<= DESCRIBED PREMISES APPLIES ONLY FORCOVERAGES FOR WHICH A LIMIT OF INSURANCE IS SHOWN.

PREM.NO.1

SLOG.NO.1

COVERAGE

BUILDINGPERSONAL PROPERTYEXTRA EXPENSE

LIMIT OFINSURANCE

$340.000$900.000$150.000

COVERED CAUSESOF LOSS

SPECIAL INCL* THEFTSPECIAL INCL. THEFTSPECIAL INCL. THEFT

+COINSURANC

90X90X*

*40/80/100

PERSONAL PROPERTY $30 .000 SPTCIAL INCL. THEFT 90X CO

•I- IF EXTR* EXPENSE COVERAGE, LIMITS ON LOSS PAYMENT

CNAMtuCMcteo, IttMfe MM!

Commitmenta You Make*

RENEWAL DECLARATION

PAGE 2


LICY NUMBER FROM POLICY PERIOD TO COVERAGE IS PROVIDED BY AGENCY

L2 04SS8504 02/28/69 02/28/90 TRANSCONTINENTAL INSURANCE CO, 0188345NAMED INSURED AND ADDRESS AGENT

JACKSON SERVICESt INC.S60 24TH AVENUE/COLUMBUS* NE 68601


OPTIONAL COVERAGE - APPLICABLE ONLY XHEN ENTRIES ARE MADE IN THE SCHEDULE BELC

AGREED VALUE

PREM. BLDG. EXPIRATIONNO. NO. DATE COVERAGE AMOUNT

REPLACEMENT COST (X) INFLATION GUARD (PERCENTAGE

PREM. BLDG.NO. NO.

BUILDING PERSONAL PERSONAL PROPERTYPROPERTY INO.UDING "STOCK*

BUILDING PERSONALPROPERTY

12

11

XX

PREM* BLDG. * MONTHLY LIMIT OFNO. NO. INDEMNITY f FRACTION)

* MAXIMUM PERIODOF INDEMNITY (XJ

* EXTENDED PERIODOF INDEMNITY (DAYS

MORTGAGE HOLDER(S) |* APPLIES TO BUSINESS INCOME ONL.1__________________________________

PREMISES NO. BUILDING NO. MORTGAGE HOLDER NAME AND MAILING ADDRESS1 1 FIRST NATIONAL BANK

2623 13TH STREETCOLUMBUS, NE. 68601

03cn»

CNAPUuCMueo, IWmte WHS

Coinmlttnents Yon Make"

RENEWAL DECLARATION

PAGE 3


/LICY NUMBER FROM POLICY PERIOD TO COVERAGE IS PROVIDED BY AGENCY

/2 04558504 02/28/89 02/28/90 TRANSCONTINENTAL INSURANCE CO, 0188345NAMED INSURED AND ADDRESS AGENT

JACKSON SERVICES. INC*£60 24TH AVENUE

JCOLUMBUS. NE 68601


r

DEDUCT ISLE

$250 EXCEPTIONS: *soo

FORMS AND ENDORSEMENTS APPLICABLE AT TIME OF ISSUANCE:

i CABLE TO ALL COVERAGES:0090(11-85)* CP 0010(11-85). CP 0050(11-85), CP 1030(11-85). G-55601-D,0186(4-86), CP 0124(12-87), P-55-r45-A, G-54T75-B

APPLICABLE TO SPECIFIC PREMISES/COVERAGES:PREM. BLDG.NO. NO. COVERAGES FORM NUMBER

PREMIUM FOR THIS COVERAGE PART: PREMIUM PAYABLE AT INCEPTION * 9*186.

COUNTERSIGNED: BY_DATE AUTHORIZED AGENT

>E DECLARATIONS AND THE GENERAL DECLARATIONS, IF APPLICABLE, TOGETHER WITHT>«; COMMON POLICY CONDITIONS, COVERAGE FORM(S) AND FORMS AND ENDORSEMENTS, IFANY. ISSUED TO FORM A PART THEREOF, COMPLETE THE ABOVE NUMBERED POLICY.

S5161-A (1/86 ED.)CJT

CNAPtaUChluge, Ittnoto MKU

its Yon Make"

NEWAL DECLARATION

PAGE 1


LtWjfe&Jr^ 3

f^BER

1 55 85 04

FROM POLICY PERIOD TO

02/28/89 02/28/90

COVERAGE IS PROVIDED BY

TRANSCONTINENTAL 'INSURANCE CO.^ NAMED INSURED AND ADDRESS

mi —————— - ———————* p50N SERVICES* INC.^Krff2*TH AVENUE|>MlMBUS. NE 68601'

AGENT

AGENCY

01883455


F

COMMERCIAL GENERAL LIABILITY COVERAGE PART DECLARATIONS

POLICY PERIOD: THIS POLICY BECOMES EFFECTIVE AND EXPIRES AT 12Z01 A.M.STANDARD TIME AT YOUR MAILING ADDRESS SHOWN ABOVE.

IN RETURN FOR THE PAYMENT OF THE PREMIUM.-AND SUBJECT TO ALL TERMSCONTAINED HEREIN. WE AGREE WITH YOU TO PROVIDE THE INSURANCE AS STATED.

UDIT PERIOD IS ANNUAL. UNLESS OTHERWISE STATED.

LIMITS OF INSURANCE

EACH OCCURRENCE LIMITPERSONAL AND ADVERTISING INJURY LIMITMEDICAL EXPENSE LIMITFIRE DAMAGE LIMITPRODUCTS-COMPLETED OPERATIONS

AGGREGATE LIMITGENERAL AGGREGATE LIMIT (OTHER THAN

PRODUCTS-COMPLETED OPERATIONS)

$ 500,000* 500*000* 5*000« 50*000S 5OO.OOO

S 500*000

ANY ONE PERSONANY ONE FIRE

NAMED INSURED IS:( ) INDIVIDUAL ( , ) JOINT VENTURE ( , ) -PARTNERSHIP( X J ORGANIZATION (OTHER THAN JOINT VENTURE OR PARTNERSHIP)BUSINESS DESCRIPTION:LAUNDRY

LOCATION OF ALL PREMISES YOU OWN. RENT OR OCCUPY:

960 24TH AVE.. COLUMBUS* NE.2621 10TH ST.. COLUMBUS. NE.

CMAPUu

lU You Make*

RENEWAL DECLARATION

PAGE 2

DECLARATIONSYOUR SERVICE INDUStRY PACKAGE

^jfV NUMBER

' 04558504 <


02/28/89 02/28/90


TRANSCONTINENTAL 'INSURANCE CO*NAMED INSURED AND ADDRESS

KSON SERVICES* -INC*24 TH AVENUE

UMBUS, NE 68601 .

AGENCY

018834550AGENT

BECHER-CURRY CO2415-13TH STCOLUMBUS N£ 68601

FORMS AND ENDORSEMENTS APPLICABLE AT TIME OF ISSUANCE:

IL 00 21 11 85 - BROAD FORM NUCLEAR EXCLUSIONCG OOOK 11-85), CG 0004(2-86)* CG 0041(5-86)• P-55172-A.G-55157-0. CG 2028(11-85), IL 0259(9-86)

PREMIUMS$S$$

IN TRANSITION PROGRAM: -

MIUM 'FOR THIS COVERAGE PART: PREMIUM PAYABLE AT INCEPTION S 520

THESE DECLARATIONS AND THE GENERAL DECLARATIONS, IF APPLICABLE, TOGETHERWITH THE COMMON POLICY CONDITIONS, COVERAGE FORM(S) 'AND FORMS AND ENDORSE-MENTS, IF ANY* ISSUED TO FORM A PART THEREOF, COMPLETE THE ABOVE NUMBEREDJPOLICY.1__________________________________________________________________________

TERS I GNED - $ f BY.DATE AUTHORIZED AGENT

SsI70-A (1/B6 ED.)

PAGE

I

CNAPUUChicago. IMnoll HMf

itments You Make*

RENEWAL DECLARATION

ICY NUMBER FROM POLICY PERIOD TO COVERAGE IS PROVIDED BY AGENCY

04558504 02/28/89 02/28/90 TRANSCONTINENTAL INSURANCE CO. 016834550NAMED INSURED AND ADDRESS AGENT

(SON SERVICES* INC*24TH AVENUEIMBUS* NE 66601:

BECHER-CURRY CO24I5-13TH ST'COLUMBUS NE 66601

GENERAL LIABILITY SCHEDULE

ADDITIONAL DECLARATIONS AND SCHEDULE BELOW ARE AN EXTENSION OF THOSE ISSUEDONNECTION WITH COMMERCIAL GENERAL LIABILITY INSURANCE.

LIMITS OF INSURANCE

OCCURRENCE LIMIT * 500. OOOONAL C ADVERTISING INJURY LIMIT S 500. OOOU^KXPENSE LIMIT S 5.000 ANY ONE PERSON

^^\GE LIMIT - * 50. OOO ANY ONE FIRE-COMPLETED OPERATIONS AGGREGATE LIMIT S 500.000

)AL AGGREGATE LIMIT $ 500.000ER THAN PRODUCTS-COMPLETED OPERATIONS) *

SCHEDULE

'IPTION OF HAZARDS CODELOCATION IF DIFFERENT NO*ADDRESS SHOWN IN ITEMDECLARATIONS)

SES OPERATIONS

DRY RENTAL SERVICE-UDING PRODUCTS/LETED OPERATIONS 14734

•

PREMIUMBASES ASDESCRIBEDIN THESCHEDULE

* (A)* (P)* IS)

S) '1.500.000

RATES (ADVANCE PREMIUMS

PROPERTYDAMAGE& BODILY. INJURY

** <A) -** CP)** ts>

..332

PROPERTYDAMAGE& BODILY

INJURY

,498

o;r\>:

I i

PAGE

CMAMu*CMcceo. Uttoofe

iCnminitjnents You Make*

RENEWAL DECLARATION ,

'NUMBER

4558504


02/28/89 02/28/90


TRANSCONTINENTAL INSURANCE CO*NAMED INSURED AND ADDRESS

ON SERVICES* INC*4TH AVENUEBUS* NE 68601

AGENT

AGENCY

018834550

BEC HER- CURRY XO2415-13TH STtCOLUMBUS NE 68601 ~

IPTION OF HAZARDS CODELOCATION IF DIFFERENT NO.ADDRESS SHOWN IN ITEMDECLARATIONS)

ITS/COMPLETED OPERATIONS

^

M BASES

PREMIUMBASES ASDESCRIBEDIN THESCHEDULE

* IP)* (S)

RATES


INJURY

** IP)** CS)

i

TOTAL

**RATES

| ADVANCE PREMIUMS


INJURY

I

- 498- -» i

EA

YROLL

)SS SALES

CA) = PER 1*000 SQUARE FEET OF AREA

<P) = PER $1.000 OF PAYROLL-

CS) = PER *1.000 OF GROSS SALES

(1/86 ED*)

COMMERCIAL PROPERTY

THIS ENDORSEMENT CHANGES THE POLICY PLEASE READ IT CAREFULLY

CHANGES -This endorsement modifies insurance provided under

COMMERCIAL PROPERTY COVERAGE PART

A The changes below apply to the following formsBUILDING AND PERSONAL PROPERTY COV-ERAGE FORMCONDOMINIUM ASSOCIATION COVERAGEFORMCONDOMINIUM COMMERCIAL UNIT- 'OWNERS COVERAGE FORM 1

BUILDERS'RISK COVERAGE FORM ,'TOBACCO SALES WAREHOUSES COVERAGEFORM

1 Under PROPERTY NOT COVERED, the follow-ing ts added

Covered Property does not include water2 The DEBRIS REMOVAL Additional Coverage

is replaced by the followingDebris Removal

a We will pay your expense to remove debrisof Covered Property caused by or resultingfrom a Covered Cause of Loss that occursduring the policy period The expenses willbe paid only if they are reported to us within180 days of the earlier of(1) The date of direct physical loss or damage,

or(2) The end of the policy period

b The most we will pay under this AdditionalCoverage is 25% of(1) The amount we pay for the direct loss or

damage plus(2) The deductible in this policy applicable to

that loss or damageBut this limitation does not apply to any ad-ditional debris removal limit provided in theLimit of Insurance section

c This Additional Coverage does not apply tocosts to(1) Extract "pollutants" from land or water, or(2) Remove, restore or replace polluted land

or water3 The following Additional Coverage is added

POLLUTANTSthe following

Pollutant Clean Up and RemovalWe will pay your expense to extract"pollutants" from land or water at the de-scribed premises if the release discharge ordispersal of the "pollutants" is caused by orresults from a Covered Cause of Loss that oc-curs during the policy period The expenseswill be paid only if they are reported to uswithin 180 days of the earlier ofa The date of direct physical loss or damage,

orb The end of the policy periodThe most we will pay for each location underthis Additional Coverage is $10000 for thesum of all such expenses arising out of Cov-'ered Causes of Loss occurring during eachseparate 12 month period of this policy Thislimit is in addition to the Limits of Insurance

4 Paragraph 2 of the LIMITS OF INSURANCESection is replaced by the following2 Debris Removal, but if

a The sum of loss or damage and debris re-moval expense exceeds the Limit of Insur-ance, or

b The debris removal expense exceeds theamount payable under the 25% Debris Re-moval coverage limitation in paragraph 2 babove,

we will pay up to an additional $5 000 foreach location in any one occurrence under theDebris Removal Additional Coverage

5 The following DEFINITION is added"Pollutants" means any solid, liquid, gaseousor thermal irritant or contaminant, includingsmoke, vapor, soot fumes, acids, alkalis chemicalsand waste Waste includes materials to be recy-cled, reconditioned or reclaimed

INJ^r ~~\ ""3

OreO^

CP 01 86 04 86 Copyright, ISO. Commercial Risk Services Inc , 1986 Pane 1 «* •» i~i

13i UNITED STATES ENVIRONMENTAL PROTECTION AGENCY

REGION VII726 MINNESOTA AVENUE

SEP 1? in°° KANSAS CITY, KANSAS 66101

Jay J. Jackson, PresidentJackson Services/ Inc.P.O. Box 706Columbus, Nebraska 68601

Dear Mr. Jackson:

Re: Freedom of Information Act RequestNumber (7JRIN 88-972

This is in response to your Freedom of Information Act request forresults of soil and gas sampling done at the 10th Street site in"Columbus, Nebraska.

Enclosed is a document responsive to your request. It is providedwithout charge. If you have any questions about this record, pleasecontact Ms. Cecilia Tapia, Superfund Branch, at (913)236-2856.

Sincerely yours,

'</

fb? David A. Wagoner, DirectorWaste Management; Division

Enclosure

Table 1Preliminary Soil-Gas Results

10th Street Site, Columbus NebraskaE & E/FIT, May 1988

SampleNumber

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

Depth(feet)

3

4

4

5

5

5

5

9

5

5

5

5

5

5

5

3

Location

NV of Village Vash House

SV of Village Vash House

SE of Village Vash House

NE of Village Vash House

Middle City Parking Lotbehind Liberty Cleaners &Shirt Launderers

Behind Old Liberty Cleanerslocation, 2417 llth St.

10' behind Liberty Cleaners,1061 25th Avenue

10' behind Liberty Cleaners,1061 25th Avenue

Behind Old United Cleaners,2519 llth Street

~60' NV of Liberty Cleaners,1061 25th Avenue (Across25th Ave)

NE of Jackson Services

SE of Jackson Services

NV of Jackson Services

SV of Jackson Services

South edge of RR right-of-way 'under 33rd Ave. overpass

South edge of RR right-of-wayeast of 30th Ave.

PCE, ng/1

68.3

<40

1,420

107

<40

10,000

146,000

37,100

3,140

1,030

68.5

<40

731

241

<40

<40

Table 1 (Cont )Preliminary Soil-Gas Results

10th Street Site, Columbus NebraskaE & E/FIT, May 1988

SampleNumber

17

18

19

20

21

22

23

24

25

26

27

28

29

30

31

32

33

34

Depth(feet)

5

5

5

5

5

4

5

5

5

5

5

5

3.5

4

5

5

5

5

Location

NV corner of llth St. & 27thAve.

NE corner of llth St & 25thAve.

North edge of RR right-of-wayeast of 23rd Ave

SV corner of city maintenance yard,10th St. & 30th Ave.

SE corner of 8th St. & 28th Ave.

SV corner of 8th St. & 25th Ave.

NE corner of 8th St. 23th Ave.

SE corner of 10th St & 23 Ave

NV corner of 12th St & 27th Ave

NV corner of 12th St & 24th Ave

SE corner of 13th St. & 22rd Ave.

SV corner of 10th St. & 25th Ave.

SV corner of 9th St. & 26th. Ave.

SE corner of 10th St. & 28th Ave.

SE corner of 9th ST. & 29th Ave.

SE corner of 10th St. 26th Ave.

NV corner of 10th St. & 24th Ave.

NE corner of 10th St & 24th Ave.

PCE, ng/1

177

162

143

<40

<40

67.1

<40

<40

<40

<40

<40

23,600

340

73 2

<40

<40

<40

<40

CO

Table 1 (Cont.)Preliminary Soil-Gas Results

10th Street Site, Columbus NebraskaE & E/FIT, Hay 1988

SampleNumber

35

36

37

38

39

40

41

42

43

Depth(feet)

5

5

5

5

5

5

5

5

5

Location

SV

SV

10'

NE

NV

NV

SE

NE

SV

corner

corner

south

corner

corner

corner

corner

corner

corner

of

of

of

of

of

of

of

of

of

llth

llth

St

St

sample

10th

10th

9th

llth

12th

12th

St

St

St

St

St

St

. &

. &

#7

. &

. &

. &

. &

. £.

. &

26th

27th

25th

26th

25th

24th

29th

26th

Ave.

Ave.

Ave

Ave.

Ave.

Ave.

Ave

Ave.

PCE, ng/1

<40

<40

85,400

63,800

1,810

416

2,970

<40

<40

ng/1 « nanograms per liter of air.

O^-fc"

104(e) response from jackson services

Documents