audubon texaco · page 1 t document no. of information in the shaded areas is not required by...

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


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


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


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


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 '


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:


GMjState Facility's ID"'' ' • '

H.̂ vFacilitys Phone


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.


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


1. Generator's US EPA ID No. Manifest Document No. 2. Page 1of


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


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


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



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


'•'.- i V .". K :\ < -' •

___________________________________ I



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




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


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


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*


--.--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



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

audubon texaco · page 1 t document no. of information in the shaded areas is not required by...

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