|
Pb,a, vka a iron
<br />2200 CHURCHILL ROAD. SPRINGFIELD, ILLINOIS 62706 (217) 752-6761
<br />-- Gam b,lvrtl b v]a m dNr Itxtilcnl Im+Mlw.l EPA Form 6700.2213-e~1
<br />Leax-0610
<br />Isc ex ere 1
<br />Pam ,apmae OMB !IO x000~0,e,. Erpis, )~]1~66
<br /> " NIFORM HAZARDOUS 1. Generator's US EPA ID No. ^ esI
<br />DBaarlemNo 2, age 1 hlpnlaliOn in me lllelled areas .s rot
<br /> .
<br />R S D 9 8 0 9 6 4 9 9 3 C 0 6 6
<br />WASTE MANIFEST rap]radWFanBrallBW,lwliarequrad
<br />0l l Illrtgis few.
<br /> 3. Gerlerata's Name end Matlkg Adktress National Electric, Inc. ~
<br />1pI!,
<br /> I
<br />L
<br />~ _
<br /> P
<br />O
<br />Box 935 -Hwy. 169 No.
<br /> .
<br />.
<br />Coffeyville, Re. 67337 t~Mwit
<br />i4" i'
<br />
<br />4. C]enerata's Ptlbne ~ 316-291-6380 tl
<br />0
<br /> 5. Transporter 1 Conparly Name 6. US EPA ID Nlanber Ci]oY Trrportar'a D g A I L
<br /> Santa Fe I L D 0 0 6 9 2 8 5 4 3 D.( 800 362-0393 TrttReporlere Pllorle
<br /> 7. Transporter 2 Company Name 6. US EPA ID IJIan6er EJtISb T7rtEporgh D
<br /> N t: W V A D 0 0 0 6 5 0 3 0 9 x'8001523++4065 TttlzuporteraPflae
<br /> 9. Desiglated FecilNy Name and Site Address 1U. US EPA ID Nlmber (iiICY '.'•: ,:' ,
<br />F~a
<br /> SCA Chemical Services .
<br />6 8
<br /> 11700 5. Stony Island Hfar~tyaPholr ,. '•. ;
<br /> Chicago, IL 60617 I L D 0 0 0 6 7 2 1 2 1 "'' -
<br /> 11. US DOT DesCflptibrl (Including Proper Shipping Name, Hazard Clees, and lD Numbsr) 12.Contair]ers 19.
<br />Total 10.
<br />Uit ~_ ~ E
<br />-~-
<br />
<br />a
<br />torn
<br />No. Typo
<br />Ouentit We~B NO.
<br />E a. 10/4.54 ~rlw Mader,
<br />N
<br />N Waste Polychlorinated Hiphenyls-ORM-E ON2315 RQ 001 TC 9,623 1 AualaeuealrMliew
<br />E 0 9 0 0 0 7
<br />R 0. 10/4.54 ®rilrwMwe.
<br /> 402 1 N
<br />-
<br />A Waste Polychlorinated Biphenyls-ORM-E UN2315 RQ 001 TC an e
<br />~Ie.~
<br />~
<br />U N U U U 7
<br />T
<br />o e. 10/4.54 ` °+•ra"rLa"°'r
<br />R
<br /> Waste Polychlorinated Biphenyls-ORM-E UN2315 RQ 001 TC 8,058 1 aieio,y~,,,w„e.,
<br /> 0 9 0 0 0 7
<br /> d 6M Ila/ Mnlw
<br /> ~ !>rluleruEvire.le.
<br /> ~y~W ~pp~
<br />°. .~'0s^ n, _r f.. .:
<br />}q.kYlYAeb
<br />~ • K HlMrlp Cadw for Waslss LMed Above
<br /> i !
<br />;'' i '`'"ffbo~ '~ u~ , .• ,': ~fy ." r
<br />-r.
<br />.. Product Code - 2174-P003 '- .
<br /> ; ~ ,`.~ : ~ ..,
<br />~~,;Qi~,yF~,1000 „ •...; ~ W~0' ~86
<br />4
<br />299'
<br /> ' ~ ;a,~k, ?113.rCA0•,hrp~ ~ ~ trrnF ~$,o,83-Gn.Q ~~~~,a,~; ~ 11
<br />r
<br />~r
<br />~ ~d
<br />e
<br />`~7~ Y'Tiu~aa! bC.f476. ~t-ici• .~i
<br />r
<br /> - '' Rail Car f CW6DC 100
<br />7
<br />~ ~
<br />, iD~ ~
<br />~ ~ `~*` i~`
<br />''
<br /> 17086,B0082,B0124,B0177,B0233,
<br />15. Speaal Handling lnswctions and Additional YltormationContaine manifest A's
<br /> B0245,C0175,C5841,G0249,G0346,G0384,I0442,M0294,
<br /> M0355,M2154,N5242,P0040,Q0460,55336,T5415,T54B4ArW0225,
<br /> W0226,W0227,W0366,W0438,W2066,W2161
<br /> See Enclosed Contingency Plan
<br /> 16. GENERATOR'S CERTIFICATIOlk l hereby declare that tfle contents of this consigrrrlent ere luly and accurately described
<br /> above W proper slyptg name end are dass6ied, packed, marked, and labeled, and are h all respects in proper condition
<br /> for traraport A~caccbrdtlg to applbabM Ynenlefarlal and rlatiorlal govxmkerltal reglietbru, erd Ninis regllatloro.
<br />~
<br />~
<br />-
<br /> I
<br />ail
<br />~ Date
<br /> Rinted/Typed Name Sight Month Day Year
<br /> S.G. Bale
<br />~ 7. Transporter 1 Acknowledgerrlenl of Receipt of Materials Date
<br /> Prilted/Typed Name onfh D~ Year
<br />S' ~ M
<br />i
<br /> Earl Alexander D
<br />~
<br />P
<br />0 8. Transporter 2 Adkrlowledgamenl Ot Receipt of Materials Date
<br />t Prk]ted/Typed Name Sklnatve Month Day Year
<br />E
<br />
<br />F 19. Disa~e~paney ~IMice~tio~nySpace ,, ~ ,, A
<br />~~Ceu+~U' ~'~r~II $- ~O~u~.pf.K/~' ~ 09~~~
<br />A
<br />C
<br />1
<br />~ 20. Facility Owner or Operator. Certification of receipt o1 hazardous materials covered by this manifest except as noted in
<br />T Gem 19. Data
<br />Y Printed/Typed Na
<br />m
<br />e Siglatlie Monfh Day Year
<br /> '
<br />/
<br />I~R-G /A- lyer./~o.v O 9 g6
<br />N LLM015 217 / 762-3637 '2{ HOL1R EMERGENCY AND SPILL ASSISTANC NUMBERS' OU151DE 61MOIS 600 / 1246602 or 202 / e26-2675
<br />DISTRIBUTION PART - 1 GENERATOR PART - 21EPA PART - 3 FACILITY PART - 1 TRANSPORTER PART - S EPA PART - 8 GENERATOR
<br />I I IM S<b, ]l. p,l tlY YMnbb, Er tr4Ml,a b F. ,ywb/. irlr b yO.b Ob NOIM1a, I,b, ba,l b r dA pwd1Y air\I !n a,.!
<br />••ar tiaF,aa WbrIOMOT dI'aI MY! Nganw Wblrw.. TY lamtiw.aPawl N'wrenbWyvel
<br />
|