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AUDUBON TEXACOTrooper Rd. & Audubon Rd.
Audubon, PA 1 9403666-9964
ca*
Zf
AR2000VI
-
SOURCEK7.5 MINUTE SERIES) USGS COLLEGEVILLE a VALLEY FORGE, PA. QUADS.
SITE LOCATION MAPVALLEY FORGE CORR CENTER,VALLEY FORGE,PA. f
SCALE 1:24000 __
> A HaHiburton Company
-
James Gibbons
-
oCO0)
n ^£ 'D- -*.3 *£ -
-
RECOVERY INC. BOX 254 D PAOLI, PA. D̂ &'a'O/l. .f ^— S *~> J-~^ {>*,. i. s
1760 211AREA____ DATE.
CUSTOMERNAMEj ADDRESS.
|i
A^ '
ORDER NO._______________^PHONE NO_
DRIVER /^ggg-^y________TRUCK.PRODUCTS CHECK? APPROPRIATE BOX OR BOXESW.O.Ĵ T GAS L^/ FUELD WATER D OTHER DSOLIDS D SUPPLIES D POOL D LABOR D
BS&W %
| PRODUCT
NET
^̂ •̂ t
HAZ
QUANTITY
L̂&&
y1 hereby certify that the aboveis true and correct as lis'ted
RATE
NON-HAZ l̂ S'
-
Ptease print or type. (Form designed for use on elite (12-pltch) typewriter.)____________________Form Approved. OMB No. 2000-0404. Expires 7-31-86
UNIFORM HAZARDOUSWASTE MANIFEST
1. Generator's US ERA ID No. Manifest Document No.I •:. ••.••« i - - - :" .5 . 2. Page 1of -
Information in the shaded areasis not required by Federal law.
3. Generator's Name and Mailing AddressT .? \ , •: :• TV:=> '•<A. State Manifest Document Number
B. State Generators JD._,̂"*T'i.̂ fTil4. Generator's Phone ( _________________________ _ ..„
5. Transporter 1 Company Name 6. US EPA ID Number C. State Transporter's ID/ff .,Y-K L'~ •; '•- ~ _ =? F« ____ '-' ; ?0 a
-
Ptease print or type, (Form designed for use on elite (12-pitch) typewriter.)___________________Form Approved. OMB No. 2000-0404. Expires 7-31-86
WASTE MANIFEST1. Generator's US EPA ID No. Manifest Document No. 2. Page 1
OfInformation in the shaded areasis not required by Federal law.
3. Generator's Name and Mailing Address A.: a State Manifest Document Number•
B. ri'State Generator's JD4. Generator's Phone ( - * )5. Transporter 1 Company Name 6. US EPA ID Number
- v - i 1 C. ̂!Sta te Transporter's'7. Transporter 2 Company Name 8. US EPA ID Number___________________ i________________
E.;?j?State Transporter's JDB.T4 Transporter's Phone"
9. Designated Facility Name and Site Address 10. US EPA ID NumberSAFETY-KLEEN CORP.
I11. US DOT Description (Including Proper Shipping Name, Hazard Class and ID Number)
HM
12. ContainersNo. Type
13.Total
Quantity14.UnitWt/Vol
.'vj Waste" N6~̂
Waste, Petroleum Naphtha. Combustible Liquid, UN 1255D001
DM
b.o
F002-F004Waste, Compound, Cleaning, Liquid, Corrosive Material, NA 1760 DM
c.Waste. Perchloroethylene. ORM-A, UN 1897F002
DM
d.
Additional DescripHons for Materials Listedl
15. Special Handling Instructions and Additional Information
'" "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 regulations.Unless I am a small quantity generator who has been exempted by statute or regulation from the duty to make a waste minimizationcertification under Section 300_(b) of RCRA, I also certify that I have a program In place to reduce the volume and toxtelty of waste generatedto the degree I have determined to be economically practicable and I have selected the method of treatment, storage or disposal currentlyavailable to me which minimizes the present and future threat to human health and the environment_______________________| DatePrinted/Typed Name Signature -i-''\ '• Month Day Year
'/'< ' -•' ••" ' I '-I i17. Transporter 1 Acknowledgement of Receipt of Materials ' I Date
Printed/Typed Name-.-•«•'
Signature v .• , . Month Day Year,: X
i i.̂-'"Transporter 2 Acknowledgement of Receipt of Materials I Date
Printed/Typed Name Signature Month Day Year
I I I18. Discrepancy Indication Space
I 20. Facility Owner or Operator Certification of receipt of hazardous materials covered by this manifest except as noted In Item 19.
Printed/Typed Name Signature Month Day Year\ I I
EPA FORM 8700-22 (3-84)
GENERATOR COPY
-
_ .or use on elite (12-plteh) typewriter.) ______ Form Approved. OMB No. 2000-0404. Expire?7-31-e6'Form* ~ ~~" "" "~" ""ISZARDOUSMANIFEST
1. Generator's US EPA ID No. Manifest Document No,
fs Name and Mailing Address
4. Gen-inter's Phone ( - - )
2. Page 1of
Information in the shaded areasis not required by Federal law.
5. Transporter 1 Company Name 6. US EPA ID Number C;JyStateTransporter's ICft fc—̂ .tf Ft '72D.alTransPorter's Phone. :2|̂ /gfrXi
7. Transporter 2 Company Name 8. US EPA ID Number fê State.Transpprter'sFcSTfahsporteVs Phone 7
9. Designated Facility Name and Site Address 10. US EPA ID NumberSAFETY-KLEEN CORP.
11. US DOT Description (Including Proper Shipping Name, Hazard Class and ID Number)HM
12. ContainersNo. Type
13.Total
Quantity14.UnitWt/Vo:
.'{Waste No.
Waste, Petroleum Naphtha. Combustible Liquid. UN 1255D001
DM n'xf' ~4
b.Waste, Compound. Cleaning, Liquid, Corrosive Material, NA1760""F002-F004" " ' """' ~~"————.-.-. ..._
DM
c.Waste, Perchloroethylene. ORM-A. UN 1897
.— F002 .. -.— •— • •• - •- -.—»-> -DM
» ̂ ': ,j_V . -'iT - s
d.
*rAddl«6MlJ3ê riptl6nsforMaterjais%lsl
15. Special Handling Instructions and Additional Information
16. GENERATOR'S CERTIFICATION: I hereby declare that the contents of this consignment are fully and accurately described above by proper shipping name andare clasilfled, packed, marked, and labeled, and are In all respects In proper condition for transport by highway according to applicable international and nationalgovernment regulations.Unless I am a small quantity generator who has been exempted by statute or regulation from the duty to make a waste minimizationcertification under Section 3002(b) of RCRA, I also certify that I have a program in place to reduce the volume and toxlcity of waste generatedto the degree I have determined to be economically practicable and I have selected the method of treatment storage or disposal currentlyavailable to me which minimizes the present and future threat to human health and the environment_______________________(____DataPrinted/Typed Name Signature ——r- ,/•-.. / f-'~ •',' Month Day Year* . ' I '.' .• . . A \ **,"* ' . , . _ _ • . ,** _ ~- • .
17. Transporter 1 Acknowledgement of Receipt of Materials , . " I DatePriritod/Typed Name Signature^ ,. , Month Day Year
I I18. Transporter 2 Acknowledgement of Receipt of Materials Date
Printed/Typed Name Signature Month Day Year____________________________________I___I I
19. Discrepancy Indication Space
- SO. Facility Owner or Operator: Certification of receipt of hazardous materials covered by this manifest except as noted In Item 19.Y
-
Please print or type. (Form designed for use on elite (12-pltch) typewriter.)_______________Form Approved. OMB NO. 2000-0404. Expires r-31-seUNIFORM HAZARDOUS 'WASTE MANIFEST
•\. Generator's US EPA ID No. Manifest Document No. 2. Page 1of '
Information in the shaded areasis not required by Federal law.
3. Generator's Name and Mailing Address A. State Manifest Documen̂ Niimb̂
• -,:;•: /•£-•''•.'. '.-.;"."'• --.'.•'•••' T; •""'."*• , «.' "B.; -State Generator's ID
4. Generator's Phone ( - - ̂ ) "- •"• •- ~ '•"5. Transporter 1 Company Name 6. US EPA ID Number Ci.jjState.Transporter's ID0, _ Kug-i V'-P?
0; Srransportefs Phone ,,21 5 /64 7 6 60 €7. Transporter 2 Company Name 8. US EPA ID Number______________ _____ I __________
EfSSStateTransporter's ID ", :-V>rr. :;•-"?:?£:.FSvTransporter's Phone yK:
9. Designated Facility Name and Site Address 10. US EPA ID NumberSAFETY-KLEEN CORP.
GMjState Facility's ID"'' ' • '
H.̂ vFacilitys Phone
11. US DOT Description (Including Proper Shipping Name, Hazard Class and ID Number)HM
12. Container-No. Type
13.Total
Quantity14.Unit
j>..- ' 1. ' v.-St: Waste No.".'' •
ERATO
F002-F004
Waste, Petroleum Naphtha, Combustible Liquid, UN 1255D001
DM
b.Waste, CompoundrCfeahrng,"Oquid7Corrosive Material.~NA~1760~ -DM
c.Waste, Perchlo"ro,myle?ie7OlRM-A7"UN"l897""—————'——— —F002
DM
d.
15. Special Handling Instructions and Additional Information
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 for transport by highway according to applicable international and nationalgovernment regulations.Unless I am a small quantity generator who has been exempted by statute or regulation from the duty to make a •waste minimizationcertification under Section 3002(b) of RCRA, I also certify that I have a program In place to reduce the volume and toxlcity of waste generatedto the degree I have determined to be economically practicable and I have selected the method of treatment, storage or disposal currentlyavailable to me which minimizes the present and future threat to human health and the environment. I DatePrinted/Typed Namey ^--r^v-
Signature, , Month Day Year
17.' Transporter 1 Acknowledgement of Receipt of Materials ,-' Date"Printed/Typed Name
.-Signature • ,• Month Day Year
1 - 118.--'Transporter 2 Acknowledgement of Receipt of Materials ' I Date
Printed/Typed Name Signature Month Day Year
_____________________________________I I I19. Discrepancy Indication Space
120. Facility Owner or Operator Certification of receipt of hazardous materials covered by this manifest except as noted in Item 19.
Printed/Typed NameftftZQiTiLg^
~ • • ttth ~ua\Signature ~ ' • nth "Day Year- I i I
EPA FORM 8700-22 (3-84)
GENERATOR COPY
-
Ptease print ortype. (Form designed for use on elite (12-pitch) typewriter.)_____________________Form Approved. OMB No. 2000-0404. Expires 7-31-86
UNIFORM HAZARDOUSWASTE MANIFEST
1. Generator's US EPA ID No. Manifest Document No. 2. Page 1of
Information in the shaded areasis not required by Federal law.
3. Generator's Name and Mailing Address A..*State Manifest DocumentWumber
B.:,State Generator's ID4. Generator's Phone ( . )5. Transporter 1 Company Name 6. US EPA ID Number Transporter's ID
D. ̂Transporter's Phone ̂3%/64T66Cfe7. Transporter 2 Company Name 8. US EPA ID Number E.*fState Transporter's ID —;:
Fir»Transporter's Phone '9. Designated Facility Name and Site Address 10. US EPA ID Number
SAFETY-KLEEN CORP.G.«--State Facility's ID•~*-A VÂ -.-.-.'J :t*>.-S13̂ SMfc*-.V4̂ _JS«_
H.?-? Facility's Phone '"-''-'"gK̂ *' --.̂ X̂
11. US DOT Description (Including Proper Shipping Name, Hazard Class and ID Number)HMQ
ENE
A - D™TOR
12. ContainersNo. Type
13.Total
Quantity14.UnitWt/Vol
*-'' - I
-i/Waste No-a.
Waste, Petroleum Naphtha, Combustible Liquid, UN 1255 DM
b.Waste, Compound, Cleaning, Liquid, Corrosive Material, NA 1760F002-F004
DM
C.Waste. Perchloroethylene. ORM-A, UN 1897F002
DM
15. 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.
I DatePrinted/Typed Name Signature • = Month Day Year
'~ I I17. Transporter 1 Acknowledgement of Receipt of Materials ' / •' Date
Printed/Typed Name Signature , • Month Day Year
I I18. Transporter 2 Acknowledgement of Receipt of Materials •' Date
Printed/Typed Name Signature ' Mont/? Day Year_________________________________I I i
19. Discrepancy Indication Space
20. Fadfity Owner or Operator Certification of receipt of hazardous materials covered by this manifest except as noted in Item 19.r Date
Printed/Typed Name Signature A R 2 0 0 UMbrttl Day Year_____________^_______________I i I
EPA Form 8700-22 (3-84)
GENERATOR COPY
-
Ptease print or type. (Form designed for use on elite (12-pitch) typewriter.)________________Form Approved. OMB No. 2000-0404. Expires 7-31-86UNIFORM HAZARDOUSWASTE MANIFEST
1. Generator's US EPA ID No. Manifest Document No. 2. Page 1of
Information in the shaded areasis not required by Federal law.
3. Generator's Name and Mailing Address; :.•:;.: :• T .- ,. ̂-: ~ 7--r:- •-••.•-..•»-« i 2*1 '
4. Generator's Phone ( * 1 -' ) c 7 ""; ~ '-•-""
A.;TiState Manifest Document Number ,.../̂̂•.-~?~"':'''•' "'v>?'
. . . - . • • ,
5. Transporter 1 Company Name 6. US EPA ID NumberO.,fJTiansporter's Phone: 21SX64 7 660 6
7. Transporter 2 Company Name 8. US EPA ID Number
9. Designated Facility Name and Site Address 10. US EPA ID NumberSAFETY-KLEEN CORP.
'•'.- i V .". K :\ < -' •
___________________________________ I
11. US DOT Description (Including Proper Shipping Name, Hazard Class and ID Number)HM
12. ContainersNo. Type
13.Total
Quantity14.Unit
Wt/Voi
Waste. Petroleum Naphtha, Combustible Liquid, UN 1255D001 j
DM/ ,i .,/-
-Waste,CompouncT.'Cieaning; Liquid;t̂ ribslvTMaterial,"N/T1760"'F002-F004
DM
Waste,~Perchloroethylene, ORM-A, UN 1897F002
"DM
an'diing*|36__S;î or Wastes Listed 'Abo\ie J®.-. ••:,.. .-:_*!€
15. Special Handling Instructions and Additional Information1-13;*-.2-i::-;
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 for transport by highway according to applicable International and nationalgovernment regulations.Unless I am a small quantity generator who has been exempted by statute or regulation from the duty to make a waste minimizationcertification under Section 3002(b) of RCRA, I also certify that I have a program in place to reduce the volume and toxteity of waste generatedto the degree I have determined to be economically practicable and I have selected the method of treatment storage or disposal currentlyavailable to me which minimizes the present and future threat to human health and the environment_______________________| Date
X Printed/Typed Name Signature , Month Day Year
17. Transporter 1 Acknowledgement of Receipt of Materials DatePrinted/Typed Name"-N ' ; -TT
SSignature ,-">- , /"t _î . Month Day Yearj'-" // :'si , ̂ . i " . /~ • // . —
18. Transported Acknowledgement of Receipt of Materials / I DatePrinted/Typed Name Signature Month Day ' Year
____________________________________I I I19. Discrepancy Indication Space
flR20007 I20. Facility Owner or Operator Certification of receipt of hazardous materials covered by this manifest except as noted In Item 19.Date
Printed/Typed Name Signature on/ft Day Year______________________ I i
EPA FORM 8700-22; (3-84)
GENERATOR COPY
-
Please print or typa. (Form designed for use on elite (12-pilch) typewriter.)________________________Form Approved. OMB No. 2000-0404. Expires 7-31 -86
UNIFORM HAZARDOUSWASTE MANIFEST
1. Generator's US EPA ID No. Manifest Document No. 2. Page 1of
Information in the shaded areasis not required by Federal law.
3. Generator's Name and Mailing Address A. • State Manifest Document Number
B. State Generator's ID4. Generator's Phone ( • )5. Transporter 1 Company Name 6. US EPA ID NumberKt"? TY-1- - V :'.- C J • "- I P; ^-J^S-r~ '
C. State Transporter's JDp &-S.HK 172DT̂ Transporter's Phone •.-. -. s* * * 3 -"J u * o
7. Transporter 2 Company Name 8. US EPA ID Number E.- State Transporter's IDF.-y.jTransporter's Phone
9. Designated Facility Name and Site Address 10. US EPA ID NumberSAFETY-KLEEN CORP.
Il^O —1?, «*£ -' -" -. •
-
Form Approvwo. t
**l
GENERATORI
^TRHANSP0RTER
'
I Kt
14.Is.
7.
9.
11.
a.
b.
c.
d.
oenerato-* Namo «nd Mailing AddressTr-BON 'TEX4CGf I.NC
i D tJ 5 C M P 5 t ? 4 0 1Generator's Phone ( 215) 55 f. -5964Transporter 1 Company Name 6.?=TY-KL«£N-CQ?.P. ITransporter 2 Company Name ' 8.
IDesignated Facility Name and Site Address 10.SAFETY-KLEEN CORP.^o-i :_42^G ;>.-:£. vriiLL ?:•
US DOT Description (Including Proper Shipping Name. Hazard Cla.HM
;̂ Manifest Document No.' J 3 1 6 3 3
US EPA ID Number-£, TO 00 ? l"i ̂49US EPA ID Number
US EPA ID Number
-1- n-̂ -1075 >"> ••• î i.,_., . . 12. Contass and ID Number) No.
WiSTc, PET«D_~U« NAPHTHA*X CCflSUSTl 3LE 1.1'J'JIC. UNI25^
*,,«•„
•**'
15.
J.
16.
Special Handling Instructions and Additional Information-1 33 -02-10 3 '*
$? ̂ .'A-K .-•• -- ; 'Â . ', ••• .".. •: • • v*'"'-*''." '•-
B.' -State, Generator's ID , _ :. ~g ,.JA
C. State Transporter's IDp ̂ _ ̂ Q j 72D. Transporter's Phone 2 15 /.4 3 0 0 0 9 6E. . State Transporter's IDF. Transporter's Phone ";G. State Facility's ID
H. Facility's Phone
iners 13.Total
Type Quantity
fy' i
214.Unit
WtA/ol
p
15/4^000961.
Waste No.
,0001
"•"'"'- "-.•*'. '-':•' •4'.'-
'-." ..v.- /*''̂ » ''•-
1 •.,':"•.• '*' '-̂.'. .',
K;>i.jHancNing Codes for, vyastes Listed Above yr,;
GENERATOR'S CERTIFICATION: 1 hereby declare that the contents of this consignment are fully and accurately described above bare classified, packed, marked, and labeled, and are hi all respects in proper condition for transport by highway according to applicabgovernment regulations. ;Unless 1 am a small quantity generator who has been exempted by statute or regulation from the duty to make a waste minimizecertification under Section 3002(b) ol RCRA, 1 also certify that 1 have a program in place to reduce the volume and toxfclty of waste generto the degree 1 have determined to be economically practicable and 1 have selected the method of treatment storage or disposal curreavailable to me which minimizes the present and future threat to human hearth and the environmentPrinted/Typed Name 'i'' ;•]._ _,._ r f .•;,. x ••• , •-•;.-. - ;
;
/ propere Intern
tionatedntly
Signature '/•- f .
17. _Xransporter 1 Acknowledgement of Rec?ipt' of Materials ', /..-,-Printed/Typfd Name /' / / / '"'
18.
Signature / /// //"
Transporter 2 Acknowledgement of Receipt of Materials / . ''Printed/Typed Name
19.
20.
Discrepancy Indication Space
Signature
flR?Facility Owner or Operator: Certification of receipt of hazardous materials covered by this manifest except as'norea rmiem ...
Printed/Typed. Name
shipping name andational and national
DateMonth Day Year•' \ 'I \
DateMonth Day Year
DateMonth Day Year
1 1
OMW ——Signature
DateMonth Day Year
\ \EPA FORM 8700-22 (3-84)
-
Please print or type. (Form designed for use on elite (12-pitch) typewriter.)________________________Form Approved. OMB No. 2000-0404. t
UNIFORM HAZARDOUSWASTE MANIFEST
1. Generator's US EPA ID No. Manifest Document No.
3. Generator's Name and Mailing Address
4. Generator's Phone ( 2 If) ' £• :
2. Page 1of
Information in the sha.is not required by Fedt
B.4̂ State Ge"herator's"lD' i.~J v ,%** '-> 1'• ' &
5. Transporter 1 Company Name 6. US EPA ID NumberI : '•" 1 "' \. P.-'STransporter's Phone ̂ 71
7. Transporter 2 Company Name 8. - US EPA ID Number .*» State Transporter's ID t-*-" fr*
9. Designated Facility Name and Site Address 10. US EPA ID NumberSAFETY-KLEEN CORP.
--.--jr-?.o ftf Facimy's Phonef^̂ *p • n r " •', ? f P K .'. . .̂ i.'-r&s'Ti*-;& v i; T̂ iî rT- *"fe.it I3M4̂
GENERA
b.OR
11. US DOT Description (Including Proper Shipping Name, Hazard Class and ID Number)HM
12. ContainersNo. Type
13.Total
Quantity-"̂ Tr" !'-TT-"? OL ;";(';-' ?i« f1 f- ~ -.;;,.I'."•EL.S'f I-:L c L'!'.:__'« •' ^ ii r
c.
d.
J'.*i"Additiotfar Descriptions for Materials-if' • •- " :1> ; - f ._•-'- •(•'•• *':H,*l!$»ê--7*-.1 Ĵ -̂ P %T-"'*la ' " ' ̂ ̂-' V' '*'" - ' "'V̂ "'̂ *̂ *"̂
K;{̂ Handlî )̂cfeŝ r"V/asies Listed.Abov:"9ijj, ? f, 7______tj
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 for transport by highway according to applicable international and nationalgovernment regulations. AUnless I am a small quantity generator who has been exempted by statute or regulation from the duty to make a waste minimizationcortiftcatkxi under Section 3002(o) of RCRA, I also certify that I nave a program In place to reduce the volume and toxlcity of waste generatedto the degree I have determined to be economically practicable and I have selected ttie method of treatment, .storage or disposal currently ,————————available to me which minimizes the present and future threat to human hearth and the envtnjnment. • I DatePrinted/Typed NameV ' *~tf: t' f
Signature '/ , j' ; Atonl/j Dajj, Xaar'- ^ \r ''
17. Transporter 1 Acknowledgement of Receipt of Materials " .'/.•' / .• ' Dale-- •PrinteoVTyijed Name
5 < ; ,-; . ^ /Signature S" ' ,' • ''.-••" Month Day Year
18. Transporter 2 Acknowledgement of Receipt of Materials DatePrinted/Typed Name Signature Month Day Year
____________________________________i i i19. Discrepancy Indication Space
FAIt
20. Facility Owner or Operator: Certification of receipt of hazardous materials covered by this manifest except as noted In Hem 1Y
Printed/Typed Name Signature " Atontt Day____________________________________I i I
EPA FORM 8700-22 (3-84)
GENERATOR COPY
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