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38A-050 (11) Complete Recycling Solutions, LLC Date 3 «' Receiving Worksheet Job#: CRS Pick-Up F---j -Customer Drop Quantity per container r of containers Description of Product Oty U/M IS VORI Ire L:► Start Time : AM/PM End Time : AM/PM Receiver Purchase Order# PACKING SLIP f t Orton Job # SHIPPER Northampton State Hospital CONSIGNEE Complete Recycling Solutions, LLC STREET DESTINATION Power Plant T STREET 16 Mozzone Boulevard ORIGIN Earle Street (Route 66) CITY/ST/ZIP Taunton, MA 02780 CITY/ST/ZIP orthampton MAC (p)866-277-9797 NO.S IPPING TYPE OF _ UNITS KIND OF PAGING,DESCRIPTION OF ARTICLES CLASS NEIGH UNIT CONTAINER (SUBJECT ro coxxscnox/ P �, L-1 1d5X Universal Waste-Mercury Containing Lamps for recycle I 'E- 6X A 2 U R-v V\5 Lighting ballast for recycle C �, `A i 1 Mercury Contained in Manufactured Articles K K I G G . SThis is to Certify That The Above Materiels M Property Clessilred,Described,Packaged,Marked And Labeled And An to Proper Condition For Transportation,According To The Applicable regulations Of The Dept.Of Transportsti n. EAERATOR TRANSPORTER L Northampton State Hospital Complete Recycling S lut'o LL Signature: Signature: ' PDate: �- Date: -; --t STRAIGHT BILL OFLADING-ORIGINAL-NOT NEGOTIABI 27 SERVICE TRANSPORT GROUP, INC. 58 PYLES LANE, NEW CASTLE, DE 19720 PHONE:(877)999-9559 N°_ 12 A 61 WASTE SHIPMENT RECORD S.T.G.# 1. Material Origin Site r Generator: Name/Address Generator: Phone# All A 44 2. Removal Contractor:Name/Address Contractor: Phone# A.C.T. Abatement Corporation 18 Broadway Contact: 978-794-9530 Lawrence NA 01840 Stu Gregerman 3. Responsible Agency: Name/Address 4. US DOT Class-FRIABLE ASBESTOS ONLY U.S. EPA Region I UF'K Federal Building RQ ASBESTOS,9, NA 2212, PG III Bus Lon, MA 02203-2211 CC 5. Description of Materials Containers Total Quantity H Specify ria le r Non-Friable No. Type W f,,�/ Pi ��SW �fiw► a0 W �✓ a 6/ T ,Ir,s•i rho wrfAl �- a o Bd e 64 t7 6. Special Handling Instructions 24-hour emergency spill response no. 800-424-9300 7.Generator Certification: This is to certify that the above named materials are property classified,described,packaged,marked and labeled and are in proper condition for transport by highway according to the applicable regulations of the Department of Transportation,US E.P.A.,and any otherstate government agency.I certify that the foregoing is true and correct to the best of my knowledge.H the waste shipment is not as I stated,I accept the RETURN of the COMPLETE LOAD to the generator's service location at the generators expense. Printed/Tip-0 Name&Tits Signa Date 8, Transporter 1 (Acknowledgement of Receipt of Materials) 'If blank,Transporter 2 serves as sole transporter. Company Name&Address Signature: Telephone No. W S,q/+1t' S Printed Name: l Date: O _ - a Title: v N Z 9. Transporter 2(Acknowledgement of Receipt of Materials) a * Company Name&Address Signature: Telephone No. Ih- Service Transport Group, Inc. 877-999-9559 58 Pyles Lane Printed Name: Date: New Castle, DE 19720 Ti 10.Discrepancy Indication Space: l W ' N 11.Waste Disposal/Recycling Site Owner or Operator's Certification H J (Receipt of above Waste Exce t as Noted in 10 ; a Company Name&Address i U) BFI Imperial Landfill Signature: Telephone No. l d 11 Boggs Road 724-695-0900 i U) Imperial, PA 15126 Printed Name: Date Permit No. 100620 Title: SERVICE TRANSPORT GROUP, INC.. 58 PYLES LANE, NEW CASTLE, DE 19720 PHONE:(877)999-9559 Na 12' 483 WASTE SHIPMENT RECORD S.T.G. # AQc) 1. Material Origin Site Generator: Name/Address Generator: Phone. AkAo 50 be All fly ��,,,� 0'j i! 1401S r�q 1 c .x-Fay, 7 5 l 2. Removal Contractor: Name/Address Contractor: Phone# A.C.T. Abatement Cox4poration 978-794-9530 1,3 t3roadway Contact: Lw rrence, INA 01340 Stu Gregerinan 3. Responsible Agency: Name/Address 4. US DOT Class-FRIABLE ASBESTOS ONLY U.S. SPA. .Ragion I Jr K Federal .Building RQ ASBESTOS,9, NA 2212, PG III Boston, MA 02203-2211 (� 5. Description f Materials Total Quantity H Sped riabl or Non-Friable No. Type { t rr U CC IF Friable(enter required information) A�y4 C 1 out j d(} () 1211 hIrt St?(7 qs S ZIF Non-Friable(check one): ❑Category I p Category II W 6. Special Handling Instructions 24-hour emergency spill response no. 800-424-9300 7. Generator Certification: This is to certify that the above rimed materials are properly classified,described,packaged,marked and labeled and are in proper condition Tor t fort by highway according tp;the a&iicable regulations of tqe Department of Trartsportation,US E.PA., 'any other state government agency.I certify thatthe foragoin artd�orrect to the 604 aiy knowledge.If the waste shipment is not as I stated,I accept the R N of the CO ET LOAD to the generator's service kicatiori ftSe generators expense,: Printed/Typed Name&Title pignatur4 Date 8. Transporter 1 (Acknowledgement of Receipt of Materials) *If blank,Transporter 2 serves as sole transporter. Company Name&Address Signature y � °�r "- Telephone No. W Printed Name:4t��AZ Date:L/l, F � v G �� fy i 2 Title: d N _ -9. Transporter 2(Acknowledgement of Receipt of Materials) a Company Name&Address Signature-,. � '. A Telephone No. 877-999-9559 F Service Transport Group, Inc. '7- "R 58 Pyles Lane PrintegName: - r ¢`' ti`�` Date: New Castle, DE 19720 Title: 10.Discrepancy Indication Space: r W ~ 11.Waste Disposal/Recycling Site Owner or Operator's Certification H (Receipt of above Waste Except as Noted in 10 aCompany Name&Address n O BFI Imperial Landfill Signature: Telephone No. 11 Boggs Road 724-695-0900 W Imperial, PA 15126 Printed Name: �/ ' Date Permit No. 100620 Title: l WHITE-Disposal Site•GREEN-S.T.G.• YELLOW-Contractor•PINK-Generator•GOLD'-Pick Up Receipt V iJ .aL i 58 PYLES LANE, NEW CASTLE,DE 19720 PHONE:(877)999-9559 N2 115380 WASTE SHIPMENT RECORD S.T.G. # 1. Material Origin Site Generator: Name/Address Generator: Phone# Ntr�Mp�W ,54. gqo 441 m,45 S bcv(,10/� IT8-7 7a a-F� �� y 3-8 s—,fl V r s rt�1 63y o 12. Removal Contractor:Name/Address Contractor: Phone# A.C.T. Abatement Corporation 255 Erving Ave. Contact: 978-794-9530 Lawrence MA 01841 Stu Greqarman 3. Responsible Agency:Name/Address 4. US DOT Class-FRIABLE ASBESTOS ONLY U.S. EPA Region I JFK Federal Building RQ ASBESTOS, 9, NA 2212, PG III Boston, MA 02203-2211 0: 5. Description o Materials Containers Total Quantity NSpecify a le r Non-Friable No. Type a fi00 eA -5 W `,� - z W 6.Special Handling Instructions � 24-hour emergency spill response no. 800-424-9300 7. Generator Certification: This is to certify that the above named materials are property classified,described,packaged,marked and labeled and are in proper condition for transport by highway according to the applicable regulations of the Department of Transportation,US E.P.A.,and any other state government agency.I certify that the foregoing is true and correct to the best of my knowledge.It the waste shipment is not as I stated,I accept the RETURN of the COMPLETE LOAD to the generator's service location at the generator's expense. Printed/Typed N me Title Signature Date f yp O rA p - eL- "�1 2. g "l%, r-a o--o3 8. Transporter 1 (Acknowledgement of Receipt of Mate als) 'If blank,Transporter 2 serves as sole transporter. Company Name&Address C ACC A 0 A T�n1 F NT Cd�� . Signature: I1MEs Telephone N . WS S �2v)ti 9I9`79µ S`3a 11- �'�� ' Printed Name: f f F-10 Date: o W2 c� 0 18 y ! f -act-D3 pI Title. Q9. Transporter 2(Acknowledgement of Receipt of Materials) cc Company Name&Address Signature: Telephone No. E' Service Transport Group, Inc. 877-999-9559 58 Pylet ane Printed Name: Date: New Castle, DE 19720 Title: W 10.Discrepancy Indication Space: Ii- N 11.Waste Disposal/Recycling Site Owner or Operator's Certification J (Receipt of above Waste Except as Noted in 10 a Company Name&Address OBFI Imperial Landfill Signature: Telephone No. a 11 Boggs Road 724-695-0900 y Imperial, PA 15126 Printed Name: Date Permit No. 100620 Title: WHITE-Disposal Site•GREEN-S.T.G.• YELLOW-Contractor•PINK-Generator•GOLD-Pick Up Receipt . 27 SERVICE TRANSPORT GROUP, INC.- 58 PYLES LANE, NEWCASTLE, DE 19720 ? PHONE:(877)999-9559 370 WASTE SHIPMENT RECORD S.T.G.# N' 115 1. Material Origin Site Generator: Name/Address Generator: Phone# 1-7 r t M)Z 7 NA V�( ; ix ;V-5 2. Removal Contractor: Name/Address A04tamwt 0=p=at40n ontractor: Phone 255 ZrVUV Ave. Contact: 976-794-9530 Law=X*,, MA 01"I Stu GrWyacwn 3. Responsible Agency:Name/Address 4. US DOT Class-FRIABLE ASBESTOS ONLY U*S. EPA flagion I JFK red"al al"414V RO ASBESTOS,9, NA 2212, PG III Soatmo KA 0220-1-2211 Containers Total Quantity I= 5. Description of Mat Type 0 Specify Friable or4un-Fnaole No. 14 L W z 6.Special Handling Instructions 24-hour emergency spill response no. 800-424-9300 7.Generator Certification: This is to certify that the above named materials are properly classified,described,packaged,marked and labeled and are in proper condition for transport by highway according to the applicable regulations of the Department of Transportation,US E.P.A.,and any other state government agency:I certify that the foregoing is true and correct to the best of my knowledge.If the waste shipment is not as I stated.I accept the RETURN of the COMPLETE LOAD to the generator's service location at the generators expense. Date Printed/Typed Name&Title Signature 0 8. Transporter I (Acknowledgement of Receipt of Materials) *If blank,Transporter 2 serves as sole transporter. Company Name&,Address Signature: Telephone No. Printed Name: Date: cc 0 Title: rA Z 9. Transpo— 2(Acknowledgement of Receipt of Materials) 4 Company Name&Address Signature: Telephone No. 1Z 877-999-955.9 Service Transport G0oup, Inc. 58 Pyles Lane Printed Name: Date: New Castle, DE 19720 I Title: 10.Discrepancy Indication Space: 11.Waste Disposal/Recycling Site Owner or Operator's Certification (Receipt of above Waste Except as Noted in 10) Company Name&Address H BFI Imperial Landfill Signature: Telephone No. 0 11 Boggs Road 724-695-0900 U) Imperial, PA 15126 Printed Name: Date Permit No. 100620 Title: WHITE-Disposal Site•GREEN-S.T.G.• YELLOW-Contractor•PINK-Generator•GOLD-Pick Up Receipt 6 SERVICE TRANSPORT GROUP, INC. 38 PYLES LANE, NEW CASTLE, DE 19720 PHONE:(877)999-9559 114 7 384 WASTE SHIPMENT RECORD S.T.G.# 1. Material Origin Site Generator: Name/Address, Generator: Phone# zjp j � I Z4 0' 2. Removal Contractor: Name/Address Contractor: Phone# 0( Contact: 3. Responsible Agency: Name/Address 4. US DOT Class-FRIABLE ASBESTOS ONLY U.S. EPA Region I JFK Federal Building RQ ASBESTOS, 9, NA 2212, PG III Boston, MA 02134 F z CC 5. Dpsor!riptinn of Materials- Containers ITotal Quantity 0 Specify Friable or Non-Friable No. Type LU Z L11 6. Special Handling Instructions 24-hour emergency spill response no. 800-424-9300 7. Generator Certification: This is to certify that the above named materials are property classified,described,packaged,marked and labeled and are in proper condition for transport by highway according to the applicable regulations of the Department of Transportation,US E.P.A.,and any other state government agency.leertify that the foregoing is true and correct to the best of my knowledge.If the waste shipment is not as I stated,I accept the RETURN of the COMPLETE LOAD to the generators service location at the generAjoes expense. LiO�— tAj-I AR Printed/Typed Name&Title Signatuirie Date 8. Transporter I (Acknowledgement of Receipt of Materials) *If blank,Transporter 2 serves as sole transporter. Company Name&Address Signature: Telephone No. -C' CC rK H Printed Name: Date: CC 0 Title: IL Z 9. Transporter 2(Acknowledgement of Receipt of Materials) 4 IT Company Name&Address Signature: Telephone No.11— Service Transport Group, Inc. 877-999-9559 58 Pyles Lane Printed Name: Date: New Castle, DE 19720 Ti 10.Discrepancy Indication Space: uj 11.Waste Disposal/Recycling Site Owner or Operator's Certification J (ReceiDt of above Waste Except as Noted in 10) ,4 Company Name&Address (h BFI Imperial Landfill Signature: Telephone No. 0 11 Boggs Road 724-695-0900 IL Imperial, PA 15126 Printed Name: Date Permit No. 100620 Title: WHITE-Disposal Site•GREEN•S.T.G.• YELLOW-Contractor-PINK-Generator•GOLD•Pick Up Receipt 6 'SERVICE T_ RANSP•ORT GAMT9 INC. rte- PHONE:(87'7)999-95 58 PYLE PLANE, NEW CASTLE, DE 1972'0 - _ zr ' WASTE SHIPMENT RECORD S.T.G.# .1, 1. Material Or1giITSlfe Chen r Name ddress,.-- Generator: Phone# 2. Removal Contractor: Name/Address ., Contractor: Phone# rl � (� jb'�� ll:..r F !�.� F R,f� t� �.€'+•' f f G'i • ;; n ��r r Contact: 3. Responsible Agency: Name/Address 4.-US QOT Class-FRIABLE ASBESTOS ONLY U.S. EPA Region JFK Federal Building RQ ASBESTOS,9, NA 2212, PG III Boston, MA 02134 X 5. Description of Materials---, Conta;nem Total Quantity H Specify Friable o on-Friabl Nc. Type dill ti {'. A/y 0 W v id }} Z W 6. Special Handling Instructions (� 24-hour emergency spill response no. 800-424-9300 7. Generator Certification: This is to certify that the above named materials are property classified,described,packaged,marked and labeled and are in proper condition for transport by highway according to the applicable regulations of the Departmentof Transportation,US E.P.A.,and anyotherstate government agency.l certify that the foregoing is true and correct to the best of my knowledge.If the waste shipment is not as I stated,I accept the RETURN of the COMPLETE LOAD to the generator's service location at the generators expense. Print ied/Typed Nam &Title" Signature I Date/ 8. Transporter 1 (Acknowledgement of Recent of Materials) 'If blank,Transporter 2 serves as sole;'transpo rte r. Company Name&Address Signature: rf Telephone No. cc t ... Printed Name: <�` >�', : }1} :<. Date: ? a Title: 1A ' f Z 9. Transpoi cer 2 (Acknowledgement of Receipt of Materials) Q V Company Name&Address Signature: Telephone No. cc 11- Service Transport Group, Inc. 877-999-9559 58 Pyles Lane Printed Name: Date: New Castle, DE 19720 Title.' Ftii-jj 10.Discrepancy Indication Space: 11.Waste Disposal/Recycling Site Owner or Operators Certification 4{ J (Receipt of above Waste Except as Noted in 10 Q Company Name&Address Nf BFI Imperial Landfill Signature: Tid6phone No.. IL 11 Boggs Road 695-090 £' ,' N Imperial, PA 15126 Printed Name: D Permit No. 100620 Title: WHITE-Disposal Site•GREEN-S.T.G.• YELLOW-Contractor•PINK-Generator•GOLD-Pick Up Receipt 27 SERVICE TRANSPORT GROUP, INC. 58 PYLES LANE, NEW CASTLE,DE 19720 PHONE:(877)999-9559 WASTE SHIPMENT RECORD S.T.G.# 1. Material Origin Site J Generator: Name/Address Generator: Phone# V C 2. Removal Contractor: Name/Address ontractor: Phone# A.C.T. Abaft 1w Corplwation 255 Erving Ave, Contact: 918-794-9i3:0 Lavrewoo, 14A 01841 SW Qrwisoun 3. Responsible Agency: Name/Address 4. US DOT Class-FRIABLE ASBESTOS ONLY U I S I "A abVidn I JFX 0e sal SuiWing RQ ASBESTOS,9, NA 2212, PG III Wistmp NA 02203-2211 -7 CC 5. Description of Materials Containers Total Quantity 0 Specify Friable or Non-Friable No. Type r - 11 6 r_,..i 1 ( Z LL11 6. Special Handling Instructions 24-hour emergency spill response no. 800-424-9300 7. Generator Certification: This is to certify that the above named materials are property classified,described,packaged,marked and labeled and are in proper condition for transport by highway according to the applicable regulations of the Department of Transportation,US E.P.A.,and any other state government agency.I certify that the foregoing is true and correct to the best of my knowledge.If the waste shipment is not as I stated,I accept the RETURN of the COMPLETE LOAD to the generator's service location at the generator's expense. I Printed/Typed Name& Ibe Signature Date 8. Transporter I (Acknowledgement of Receipt of Materials) *If blank,Transporter 2 serves as sole transporter. Company Name&Address r Signature: Telephone No. Printed Name: Date: 0 Tide: U) Z 0. Transporier 2(Acknowledgement of Receipt of Materials) Company Name&Address Signature: Telephone No. 877-999-9559 Service Transport Group, Inc. Printed Name: Date: 58 Pyles Lane New Castle, DE.19720 Title: [W 10.Discrepancy Indication Space: to 11.Waste Disposal/Recycling Site Owner or Operator's Certification (Receipt of above Waste Except as Noted in 10) J 4 Company Name&Address W BFI Imperial Landfill Signature: Telephone No. 0 11 Boggs Road 724-695-0900 IL W Imperial, PA 15126 Printed Name: Date Permit No. 100620 Title: WHITE-Disposal Site•GREEN-S.T.G.• YELLOW-Contractor•PINK-Generator•GOLD-Pick Up Receipt 6 SERVICE TRANSPORT GROUP, INC. '8 PYLES LANE, NEW CASTLE, DE 19720 PHONE:(877)999-9559 .V . WASTE SHIPMENT RECORD 11,7 315 S.T.G.# 1. Material Origin Site Generator:Name/Address Generator: Phone# Irz 2. Ret-novalContractor: Name/Address Contractor: Phone# r, '. 4' O 3. Responsible Agency: Name/Address 4. US DOT Class-FRIABLE ASBESTOS ONLY U.S. EPA Region I JFK Federal Building RID ASBESTOS, 9, NA 2212, PG III Boston, MA 02134 CC 5. Description of lvlateLFjal-,. Containers Tota! Quantit 0 Specify Friable or Non-Friable No. Type lz W Z W 6. Special Handling Instructions 24-hour emergency spill response no. 800-424-9300 7.Generator Certification: This is to certify that the above named materials are properly classified,described,packaged,marked and labeled and are in proper condition for transport by highway according to the applicable regulations of the Department of Transportation,US E.P.A.,and any other state government agency.I certify that the foregoing is true and correct to the best of my knowledge.If the waste shipment is not as I stated,I accept the RETURN of the COMPLETE LOAD to the generator's service location at the generator's expense. Print Name&Title Signature Date 8. Transporter I (Acknowledgement of Receipt of Materials) *If blank,Transporter 21serves as sole transporter. Company Name&Addifess Signature: Telephone No. V Printed Name:X-I';'Y- Date: Ix 0 Title: Z 9. Transporter 2(Acknowledgement of Receipt of Materials) 4 17. Company Name&Address Signature: Telephone No. 877-999-9559 F- Service Transport Group, Inc. Printed Name: Date: 58 Pyles Lane New Castle, DE 19720 TitW 10.Discrepancy Indication Space: LU 11- 11.Waste Disposal/Recycling Site Owner or Operator's Certification (A (Receipt of above Waste Except as Noted in 10) Company Name&Address j 1A BFI Imperial Landfill Signature: Telephone No. 0 11 Boggs Road 724-695-0900 IL IL Imperial, PA 15126 Printed Name: Date Permit No. 100620 Title: WHITE-Disposal Site•GREEN-S.T.G. YELLOW-Contractor•PINK-Generator•GOLD-Pick Up Receipt 27 SERVICE TRANSPORT GROUP, INC. 58 PYLES LANE, NEWCASTLE, 6E 19720 PHONE:(877)999-9559 N'm- 115,179 WASTE SHIPMENT RECORD S.T.G-.4-. 1. Material Origin Site Generator:Name/Address Generator: Phone# (A Ad 2. Removal Contractor:Name/Address Contractor: Phone# J A.CoTo Abatwnnt Lbcporatim 2S5 LVVUYJ Ave, Contact: 976-744-9530 Likvrahmo, Ah t l#3rit Stu 4z"ormw 3. Re nsible Agency:Name/Address 4. US DOT Class-FRIABLE ASBESTOS ONLY 121# UsT 0. APA PaVi6n Al ift radecal iWing RQ A66ESTOS','9, NA 2212, PG III Boston, NA 0,2203-2211 5. Description of Materials 'Containers Total Quantity 0 Specify bl5or Non-Friable 4 No. -7. cc W 6.;Special Handling 14tructons 24-hour eme;ge'r1dy Vill,response no. 800-424-9300 7.Generator CertiXti6n: This is to certify that the above named matterialls are property classified,describedlpacktged, 'marked arid labeled and are in proper condition for transport by highway according to the applicable regulations of the Department of Transportation,US E.P.A.,and any other state gove mm a nt agency.I certify that the foregoing is true and corrict to the best of my knowledge.If the waste shipment is not as I,stated,I accept the RETURN of the COMPLETE LOAD to the generator's service location at the generators expense. J Printed/Typed NaMe A Title ell Signature Date 8. Transporter I (Acknowledgement of Receipt of Materials) *If blank, Transporter r 2 serves as sole transporter. -i Company Name&Address ti Signature: Telephone No. W r. eft n Printed Name: Date: cc 0 IL Title: VC, ........... I N. z 4 (Acknowledgement of Receipt of Materials) .jC 9. Transpor=2 Company Name&Address Signature: Telephone NO. 7-1 Service Transport Group, Inc. 1177-999-9559 58 Pyles Lane Printed Name: Date: New Castle, DE 19720 P. , -1 Title: 10.Discrepancy Indication Space: 11.Waste DisposaVRecycling Site Owner or Operator's Certification (Receipt of above Waste Except as Noted in 10) Corrrpany Name&Address 0 BFI Imperial Landfill Signature: Telephone No. 0 IL 11 Boggs Road 724-695-0900 J0 Imperial, PA 15126 Printed Name: Date Permit No. 100620 Title: WHITE-Disposal Site!_GREEN-S.T.G.• YELLOW-Contractor•PINK-Generator•GOLD-Pick Up Receipt \ w ° 27 SERVICt TRANSPORT GROUP, INC. Az 58 PYLES LANE, NEW CASTLE,DE 19720 PHONE:(877)999-9559 N21 1153\69 WASTE SHIPMENT RECORD S,T.G. #_R_ 1, Material Origin Site ,r Generator:Name/Addrress Generator: Phone# r� wv.�� lb r�Y•}� �^, 'Yti 15�, (Yuwk PIS 2. Removal Contractor: Name/Address Contractor: Phone# A.C.T. Abatemwt Cwpwetiw 255 Erving Ave. Contact: 978-794-950 F,awrewas MA 01841 Stu Gregaxman 3. Responsible Agency:Name/Address 4. US DOT Class- FRIABLE ASBESTOS ONLY U.S. EPA I'legibn I x JFX Fe>clera.l, HuildiN RO ASBESTOS, 9,NA 2212, PG III t n,, JOA 02203-2211 ,CC 5. Descripti aterials Containers Total Quantity Specify -ble)r Non-Friable Nr Type Q .a W CMC4k A Ana p s LLI `..� Z �c►o� �iC s 6.Special Handling Instructions 24-hour emergency spill response no. 800-424-9300 7.Generator Certification: This is to certify that the above named materials are property classified,described,packaged,marked and labeled and are in proper condition for transport by highway according to the applicable regulations of the Department of Transportation,USE.P.A.,and any other state gavemment agency.I certify that the foregoing is true and correct to the best of my knowledge.It the waste shipment is not as I stated,I accept the RETURN of the COMPLETE LOAD to the generators service location at the generator's expense. r ' Printed/Typed Name&Title Si al Date . SV V 1 1 ^ �Z- r^' 8. Transporter 1 (Acknowledgement of Receipt of Materials) `If blank,Transpiter 2 serves as sole transporter. f Company Name&Address Signature: Telephone No. .: L.._ Printed Name: Date: aTitle: r aZ 9. Transpoi 2(Acknowledgement f Receipt of Materials) Company Name&Address 1 H Signature Telephone No. f411�le 877-999-9559 Service Tran s po rt Group, Inc. s Printed Name:/�1d jeA `r'C Date: 58 Pyles Lane s New Castle, DE 19720 Title: vt r, 10.Discrepancy Indication Space: W ~ 11.Waste Disposal/Recycling Site Owner or Operator's Certification -� (Receipt of above Waste Except as Noted in 10 a Company Name&Address CA BFI Imperial Landfill Signature• lephone No. 0 11 Boggs Road 724-695-0900 N Imperial, PA 15126 Printed Name: Date Pen-nit No. 100620 Title: I' WHITE-Disposal Site•GREEN-S.T.G.• YELLOW-Contractor•PINK-Generator•GOLD-Pick Up Receipt >; 27 - �F: -- SERVICE TRANSPORT GROUP, INC. *�s.:oi� /V 58 PYLES LANE, NEW CASTLE, DE 19720 PHONE:(877)999-95,59. N1. 115377 WASTE SHIPMENT RECORD S.T.G.# 1. Material Origin Site Generator:Name/Address Generator: Phone# j pc_o �Ioi2TNAMP7_c2,U MAI, s 1�PV�� /HFNT 97 77A Hc5yr4.41 c.�3 BKPNf► U1,rrA '"� Ncut7 M :,,: Prat / 4 . 6 �/! 3a J 2. Removal Contractor: Name/Address Contractor: Phone# A.C.T. AbataaMnt C PPOration 978-794-9530 2'i5 EtCVi Ave. Contact: Stu r< zYt�n I��, MA 01841 .. 3. Responsible Agency: Name/Address 4. US DOT Class- FRIABLE ASBESTOS ONLY -; U.S. EPA Region I jfX Pfede al Building RO ASBESTOS, 9, NA 2212, PG III Bmtons MA 02203-2211 5. Description of Materials Containers Total Quantity J H Speci ri ble r Non-Friable No. Type -, � ic4 .� 3 iS � Wc -`N s u.(n4-i o f Z 6.Special Handling Instructions 24-hour emergency spill response no. 800-42,4-9300 7. Generator Certification: — This is to certify that the above named materials are property classified,described,packaged,marked and labeled and are in proper condition for transport by highway according to the applicable regulations of the Department of Transportation.US E.P.A.,and any other state government agency.I certifythat the foregoing is true and correct to the best of my knowledge.If the waste shipment is not as I stated,f accept the RETURN of the COMPLETE LOAD to the generator's service location at the generators expense. Printed/Typed Name&."Title M Signature Date 8. Transporter 1 (Acknowledgement of Receipt of Materials) 'If blank,Transporter ryes as sole transporter. �- Company Name&Address Signature: � Telephone No. FW„ Printed Name: Date: / ' 7 Title: �� . ZQ 9. Transpo 2(Acknowledgement of Receipt of Materials) A Company Name&Address Signature: / '% %�� `�" Telephone No. � ; 877-999-9559 F� Service Transport Group, Inc. µ 58 Pyles Lane Printed Name: �� Date: - �� New Castle, DE 19720 Title: - r10.Discrepancy Indication Space: ~ 11.Waste Disposal/Recycling Site Owner or Operator's Certification +' N (Receipt of above Waste Except as Noted in 10 ` Q Company Name&Address O BFI Imperial Landfill Signature: Telephone No. _ 11 Boggs Road;• 724-695-0900 f Imperial, PA 15126 Printed Name—_ Date Permit No. 100620 Title: WHITE-Disposal Site•GREEN-S.T.G.• YELLOW-Contractor•PINK-Generator•GOLD-Pick Up Receipt • " �, 27 r SERVICE TRANSPORT GROUP, INC. 58 PYLES LANE, NEW CASTLE,DE 19720 PHONE:(877)999-9559 N . li5376 WASTE SHIPMENT RECORD S.T.G. #JL-LM 1. Material Origin Site Generator: Name/Address Generator: Phone# r OLD w©9tNAM Tod srAt1 No*tA4 tAA5.5 N3 jSuFAvA ✓rsTA57'. (o340 iQt b L 40AT904Mi*1 , MA be err 1•� � 1 y 3 01 -j 2. Removal Contractor:-Name/Address Contractor: Phone# A.C.T. Abatwant C*rpwaticn 155 Exving Ave. Contact: 978-794--3530 Lawrt tee, MA 01841 Stu GreqelvW 3. Responsible Agency: Name/Address 4. US DOT Class-FRIABLE ASBESTOS ONLY C .S. EPA Region I JFK Federal Buil4iArlg RO ASBESTOS,9,NA 2212, PG III Bobton, MA 02203-2211- ._ 5. Desc.hption Materials Containers Total Quantity .' F Specify riable r Non-Friable No. ©(j Y,0 7A,,,44 type c�3 04 1,, W N3 u 4 Z :. 6.Special Handling Instructions 24-hour erpergency spill response no. 800-424-9300 ..J 7. Generator Certification: This is to certify that the above named materials are property classified,described,packaged,marked and labeled and are in proper condition for transport by highway according to the applicable regulations of the Department of Transportation,US E.P.A.,and any other stale government agency.I certify that the foregoing is true and correct to the best of my knowledge.If the waste shipment is not a3 I stated,I accept the RETURN of the COMPLETE LOAD to the generators service location at the generators expense. Printed/Typed Name Title Signature Date 8. Transporter 1 ( cknowledgeffient of Receipt of Materials) `If blank,Transporter 2 Ayes as sole transporter. Company Name&Address J Signature: ,J Telephone No. LLI Printed Name: Date: a Title: ' r r t/f - Z 9. Transporter 2(Acknowledgement of Receipt of Materials) Company Name&Address SigpaL ,.,- �.T _ lephone Na II=II- Service Transport Group, Inc. L-` - 877-999-9559 P P, '' i Printed Nam t3>2\ '' ter`''- Date: - 58 Pyles Lane - New Castle, DE 19720 L Title: �..., . W 10.Discrepancy Indication Space: ~ 11.Waste Disposal/Recycling Site Owner or Operator's Certification y (Receipt of above Waste Exce t as Noted in 10 Company Name&Address ? Telephone No. (A BFI Imperial Landfill Signature: .; 'v` 7 72495-0900 O 11 Boggs Road Imperial, PA 15126 Printed Name:` ''`'' Date 1 -- Permit No. 100620 Title: Y WHITE-Disposal Site•GREEN-S.T.G.• YELLOW-Contractor•PINK-Generator•GOLD-Pick Up Receipt fi 27 SERVICE TRANSPORT GROUP, INC. 58 PYLES LANE, NEW CASTLE,DE 19720 PHONE:(877)999 9559 ,� � '�$ WASTE SHIPMENT RECORD S.T.G. #T/�'7�.5~ i 1.* 1. Material Origin Site Generator. Name/Address 1 Generator: Phone# /VGA 5 5 Ot PC �U r•�7 P; P �U/�j 2. Removal Contractor: Name/Address Contractor: Phone# A.C.T. Abatwwt CCWP0ratiCX1 255 Fxving Ave. Contact: 978-794-9530 LW rerwe, MA 01861 Stu Greqerma 3. ResRonsible Agency:Name/Address 4. US DOT Class- FRIABLE ASBESTOS ONLY U,S. EPA Regim 1 JFX Federal Wild kV RO ASBESTOS, 9, NA 2212, PG III Sostrai, MA 02203-2211 CC 5. Description of Materials Containers Total Quantity HSpecify Friabie ur Nun-Friable No. Iypq T,N5u ti+ l kY►./ 4' F"f? ,�cetl�ti W ` W 6. Special Handling Instructions � 24-hour emergency spill response no. 800-424-9300 7. Generator Certification: This is to certify that the above named materials are properly classified,described,packaged,marked and labeled and are in proper condition for transport by highway according to the applicable regulations of the Department of Transportation,US E.P.A.,and any other state government agency.l certify that the foregoing is true and correct to the best of my knowledge.If the waste shipment is not as 1 stated,I accept the RETURN of the COMPLETE LOAD to the generator's service location at the generators expense. Printed/Typed Name&Title Signatur Date 8. Transporter 1 (Acknowledgement of Receipt of Materials) 'If blank,Transporter 2 serves as sole transporter. Company Name&Address � ��,� �'I Signature: � Telephone No. LLI � / J '""' Printed Name:( 170 Date: Oa Title: Z 9. Transpo,� 2(Acknowledgement of Receipt of Materials) ox Company Name&Address Signature: Telephone No. H Service Transport Group, Inc. �~ 877-999-9559 p p 58 Pyles Lane Printed Name-- C`'r'`'te� Date: New Castle, DE 19720 Title: rc-- 10.Discrepancy Indication Space: W H11.Waste Disposal/Recycling Site Owner or Operator's Certification J (Receipt of above Waste Except as Noted in 10 r 4 Company Name&Address / y (a BFI Imperial Landfill Signature: ' Telephone No. C 11 Boggs Road 724-695-0900 H Imperial, PA 15126 Printed Name: Date O AI- Permit No. 100620 Title: -- WHITE-Disposal She•GREEN-S.T.G.• YELLOW-Contractor•PINK-Generator•GOLD-Pick Up Receipt 27 SERVICE TRANSPORT GROUP, INC. 58 PYLES LANE, NEW CASTLE,DE 19720 PHONE:(877)999-9559 tlol' V2.1061 WASTE SHIPMENT RECORD S.T.G. # 1. Material Origin Site t Generator:Name/Addfess Generator: Phone# Yv. ry 1, q z_; Ve 71 -:71 A/f/I 2. Removal Contractor: Name/Address Contractor: Phone# A.C.T. AOatawant Corb-ioratiOn 1 a acoadway 978-794-9530 Contact: !Awronce, MA 01840 Stu Gregarman 3. Responsible Agency: Name/Address 4. US DOT Class-FRIABLE ASBESTOS ONLY U,S, EPA Region I J?K Paderal Building RO ASBESTOS, 9,NA 2212, PG III Boston? MA 02203-2211 di 5. Description of Materials Containers Total Quantity 0 Specify na6l;" r Non-Friable No. Type .IV9 W Z 6 6. Special Handling Instructions 24-hour emergency spill response no. 800-424-9300 7.Generator Certification: This is to certify that the above named materials are properly classified,described,packaged,marked and labeled and are in proper condition for transport by highway according to the applicable regulations of the Department of Transportation,US E.PA,and any otherstate government agency.I certifythaithe foregoing is true and correct to the best of my knowledge.N the waste shipment is not as I stated,I accept the RETURN of the COMPLETE LOAD to the generator's service location at the generators expense. Printed/Typed Name Title Signature ,r Date A 8. Transporter 1 (Acknowledgement of Receipt of Materials) *If blank,Transporter 2 serves as sole transporter. Company Name&Address Signature: Telephone No. cc Printed Name: i Date: 0 Title: IL Z a. Transporter 2(Acknowledgement of Receipt of Materials) Company Name&Address Signature: Telephone No. cc 877-999-9559 11• Service Transport Group, Inc. 58 Pyles Lane Printed Name: Date: New Castle, DE 19720 Title. 10.Discrepancy Indication Space: 11.Waste Disposal/Recycling Site Owner or Operator's Certification (Receipt of above Waste'Except as Noted in 10) Company Name&Address 0 BFI Imperial Landfill Signature: Telephone No. 0 IL 11 Boggs Road 724-695-0900 (A Imperial, PA 15126 Printed Name: Date Permit No. 100620 Title: WHITE-Disposal She•GREEN-S.T.G.• YELLOW-Contractor•PINK-Generator•GOLD-Pick Up Receipt 27 SERVICE TRANSPORT GROUP, INC. 58 PYLES LANE, NEW CASTLE,DE 19720 PHONE:(877)999-9559 WASTE SHIPMENT RECORD S.T.G.# 1. Matey'al Origin Site f i 1, rl Generator: Name/Address Generator: Phone# 2. Removal Contractor: Name/Address Contractor: Phone# A.C.T. Abatwvsnt COrPOrati0l' 978-794-9530 i a arowway Contact: - I&IOrairmt .4A 01640 Stu fen 3. Responsible Agency: Name/Address 4. US DOT Class-FRIABLE ASBESTOS ONLY U.S. WA Region I jrK Fadoral Building RO ASBESTOS,9,NA 2212, PG III bostont MA 02203-2211 jC 5. Description of Materials containers Total Quantity 'e., No. e-,Typ 'on-Friabl" 0 Specify Friable.or,,N z ull 6. Special Handling Instructions 24-hour emergency spill response no: 800-424-9300 7.Generator Certification: This is to certify that the above named materials are properly classified,described,packaged,marked and labeled and are in proper condition for transport by highway according to the applicable regulations of the Department of Transportation,US E.P.A.,and any other state government agency.I certify that the foregoing is true and correct to the best of my knowledge.It the waste shipment is not as I stated,I accept the RETURN of the COMPLETE LOAD to the generators service location at the generators expense. Printed/T ped Name& itle Signature Date T /J . 8. Transporter I (Acknowledgement of Receipt of Materials) *If blank,Transporter 2 serves as sole transporter. Company Name&Address cc . ` _-) Signature: Telephone No. Printed Name: Date: 0 Title: Z Transporter 2(Acknowledgement of Receipt of Materials) 4X cc Company Name&Address Signature: Telephone No. 877-999-9559 Service Transport Group, Inc. 58 Pyles Lane Printed Name: Date: New Castle, DE 19720 Title: W 10.Discrepancy Indication Space: I- 11.Waste Disposal/Recycling Site Owner or Operator's Certification (Receint of above Waste Except as Noted in 10) Company Name&Address IIA BFI Imperial Landfill Signature: Telephone No. 0 11 Boggs Road 724-695-0900 fA IL Imperial, PA 15126 Printed Name: Date Permit No. 100620 Title: WHITE-Disposal Site•GREEN•S.T.G.• YELLOW-Contractor•PINK-Generator•GOLD-Pick Up Receipt 27 SERVICE TRANSPORT GROUP, INC. 58 PYLES LANE, NEW CASTLE,DE 19720 PHONE:(877)999-9559 N? 111377 WASTE SHIPMENT RECORD S.T.G.# 1. Material Origin Site* Generator: Name/Address Generator:Phone# IV4.A jcj: o 2. Removal Contractor: Name/Address Contractor: Phone# A.C.T. AbatsWnt CorporatiW J55 xxving Aw. Contact: $tu c 970-794-95M Lwraa# Mh 01641 3. Res Agency: Name/Address 4. US DOT Class- FRIABLE ASBESTOS ONLY U.S. NPA Regidn I in raderal Building RO ASBESTOS,9, NA 2212, PG III Dwtono NA 02203-2211 f7 CC 5. Description of Materials Containers Total Quantity 0 Specifyfeiat r Non-Fdab,-s No. Type 64 1) P!, TAJ 0IQ Z La 6.Special Handling Instructions 24-hour emergency spill response no. 800-424-9300 7.Generator Certification: This is to certify that the above named materials are property classified,described,packaged,marked and labeled and are in proper condition for transport by highway according to the applicable regulations of the Department of Transportation,US E.P.A.,and any other state government agency.I certify that the foregoing is true and correct to the best of my knowledge.If the waste shipment is not as I stated,I accept the RETURN of the COMPLETE LOAD to the generator's service location at the generators expense. Printed/Typed Name&Title Signature Date 8. Transporter 1 (Acknowledgement of Receipt of Materials) *If blank,Transporter 2 serves as sole transporter. • Company Name&Address Signature: Telephone No. -4/ Printed Name: Date: CC 0 Title: Q 9. Transpor!=2(Acknowledgement of Receipt of Materials) Company Name&Address Signature: Telephone No. Service Transport Group, Inc. 877-999-9559 58 Pyles Lane Printed Name: Date: New Castle, DE 19720 Title: 10.Discrepancy Indication Space: 11.Waste Disposal/Recycling Site Owner or Operator's Certification 1j (Receipt of above Waste-Excer)t as Noted in 10 4 ) Company Name&Address U) BFI Imperial Landfill Signature: Telephone No. 0 11 Boggs Road 724-695-0900 IIL U) Imperial, PA 15126 Printed Name: Date O Permit No. 100620 Title: WHITE-Disposal Site•GREEN-S.T.G.• YELLOW-Contractor•PINK-Generator•GOLD-Pick Up Receipt 6 SERVICE TRANSPORT GROUP, INC. 68 PYLES LANE, NEW CASTLE, DE 19720 PHONE:(877)999-9559 WASTE SHIPMENT RECORD S.T.G.# 1. Material Origin Site Generator: Name/Addrer,,s Generator: Phone# x/1) Ajj 2. Removal Contractor: Name/Address Contractor: Phone# Contact: l'-ft A 3. Responsible Agency: Name/Address 4. US DOT Class-FRIABLE ASBESTOS ONLY U.S. EPA Region I JFK Federal Building RQ ASBESTOS, 9, NA 2212, PG III Boston, MA 02134 CC 5. Descripti!2LI of Materials Containers Total Quantity 0 Specit4friabl r Non-f=riable No. Type CC LL1 6. Special Handling Instructions 24-hour emergency spill response no. 800-424-9300 7. Generator Certification: This is to certify that the above named materials are property classified,described,packaged,marked and labeled and are in proper condition for transport by highway according to the applicable regulations of the Departmentof Transportation,US E.P.A.,and any otherstate government agency.I certify that the foregoing is true and correct to the best of my knowledge.If the waste shipment is not as I stated,I accept the RETURN of the COMPLETE LOAD to the generator's service location at ftr-"neratoes expense. Printed/Typed Name&Title Signature Date 8. Transporter 1 (Acknowledgement of Receipt of Materials) *If blank,Transporter 2 serves as sole transporter. Company Name&Address Signature: Telephone No. F.CC M LL1 Printed Name: Date: CC 11 _ Title: I t 7 Q 9. Transporier 2 (Acknowledgement of Receipt of Materials) 4 4 Company Name&Address Signature: Telephone No. 11— Service Transport Group, Inc. 877-999-9559 58 Pyles Lane Printed Name: Date: New Castle, DE 19720 I Title- 10.Discrepancy Indication Space: z 11.Waste Disposal/Recycling Site Owner or Operator's Certification (Receiivt of above Waste Except as Noted in 10) �j Company Name&Address 0 BFI Imperial Landfill Signature: Telephone No. 0 11 Boggs Road 724-695-0900 Imperial, PA 15126 Printed Name: Date Permit No. 100620 Title: WHITE-Disposal Site•GREEN-S.T.G.• YELLOW-Contractor•PINK-Generator•GOLD-Pick Up Receipt 27 SERVICE TRANSPORT GROUP, INC. 58 PYLES LANE, NEW CASTLE, DE 19720 PHONE:(877)999-9559 NV() 11670 WASTE SHIPMENT RECORD I;� S.T.G.# 1. Material Origin Site Generator:Name/Address Generator: Phone# fl. - Jj / � J y,E ,•s,z j/t,7`, 5 1 P, "flu 2. Removal Contractor: Name/Address Contractor: Phone# A.C.T. Abatemit Cori*ration 18 brvncWay Contact: 978--794--9530 jAwrenimj, VIA 01840 Btu 3. Responsible Agency: Name/Address 4. US DOT Class-FRIABLE ASBESTOS ONLY U.S. ZPA ion I JVX 4POdSM2 Wi.1diN RO ASBESTOS,9, NA 2212, PG III CC 5. Description of Materials.,----, Containers Total Quantity Sp�.dfy Friable o_Non-Friable. No. _ Type rJ' `°'.rt• W Z 6.Special Handling Instructions 24-hour emergency spill response no: 800-424-9300 7.Generator Certification: This is to certify that the above named materials are property classified,described,packaged,marked and labeled and are in proper condition for transport by highway according to the applicable regulations of the Department of Transportation,US E.P.A.,and any other state government agency.I certify thatthe foregoing is true and correct to the best of my knowledge.if the waste shipment is not as I stated,I accept the RETURN of the COMPLETE LOAD to the generator's service location at the generators expense. Printed/Typed Name&Title Signature E. Date .•'!��/ r�e. �l f.'I'�''.:✓//�% tr S • .f�.:� 1 i:..F.:,.-�� f�- �P_.ia.T'� �, f 8. Transporter 1 (Acknowledgement of Receipt of Materials) 'If blank, Transportel2 serves as sole transporter. Company Name&Address �l Signature: `�� ,�:• Telephone No. CC 9 J W t �� jaiit/ r t Printed Name: �p � � � � Date: Oa Title: tf Nf ` Q9. Transpo�-,2(Acknowledgement of Receipt of Materials) 4 Company Name&Address Signature: Telephone No. 877-999-9559 H Service Transport Group, Inc. Printed Name: Date: 58 Pyles Lane New Castle, DE 19720 Title: W 10.Discrepancy Indication Space: N 11.Waste Disposal/Recycling Site Owner or Operator's Certification - (Receipt of above Waste Exce t as Noted in 10 . a Company Name&Address CBFI Imperial Landfill Signature: Telephone No. IL 11 Boggs Road 724-695-0900 N Imperial, PA 15126 Printed Name: Date Permit No. 100620 Title: WHITE-Disposal Site•GREEN-S.T.G.• YELLOW-Contractor•PINK-Generator•GOLD-Pick Up Receipt r SERVICE TRANSPORT GROUP, INC. 58 PYLES LANE, NEW CASTLE, DE 19720 PHONE:(877)999=9559 "' WASTE SHIPMENT RECORD S.T.G.# , . 1. Material Origin Site Generator:Name/Address Generator Phone# y t #�j�r, .t �=t.;h ] 'n. d :� �,• i tA kO t'4i 3 11,x+a•.' �. ., J t� r. :•y _xA . V r: 2. Removal Contractor Name/Address �- Contractor: Phone# Contact: 3. Responsible Agency: Name/Address 4. US DOT Class-FRIABLE ASBESTOS ONLY U.S. EPA Region I f JFK Federal Building RQ ASBESTOS,9,NA 2212, PG III Boston, MA 02134 CC 5. Description of Materials , Containers Total Quantity H Specify.rd ble or Non-Friable No. Type CC o W 6. Special Handling Instructions t7 24-hour emergency spill response no. 800-424-9300 7.Generator Certification: This is to certify that the above named materials are properly classified,described,packaged,marked and labeled and are in proper condition for transport by highway according to the applicable regulations of the Department of Transportation,US E.P.A.,and any other state govemment agency.I certify that the foregoing is true and correct to the best of my knowledge.If the waste shipment is not as I stated,l accept the RETURN of the GOMPLETE LOAD to the generator's service location at the generators expense. Printed/Typed Name&Title Signature ; Date _s ' f 8. Transporter 1 (Acknowledgement of Receipt of Materials) 'If blank,Transporter 2 serves as sole transporter. Company Name&Address r Signature: �. : ---'` Telephone N . CC E� F Printed Name: �"" Date: CC ' a Title::=:: r 2. a Q3. Transporter 2(Acknowledgement of Receipt of Materials) '4 Company Name&Address Signature: Telephone No. H Service Transport Group, Inc. 877-999-9559 58 Pyles Lane Printed Name: Date: New Castle, DE 19720 Title:: 10.Discrepancy Indication Space: W • } N 11.Waste Disposal/Recycling Site Owner or Operator's Certification (Receipt of above Waste Except as Noted in 10 _ Q Company Name&Address N BFI Imperial Landfill Signature: Telephone No. O 11 Boggs Road 724-695-0900 N Imperial, PA 15126 Printed Name: Date Permit No. 100620 Title:'' WHITE-DispotakSile•GREEN-S.T.G.• YELLOW-Contractor•PINK-Generator•GOLD-Pick Up Receipt ,., 6 SERVICE TRANSPORT GROUP, INC. .,8 PYLES LANE, NEW CASTLE,DE 19720 PHONE:(877)999-9559 WASTE SHIPMENT RECORD Ni 117373 S.T.G. # 1. Material Origin Site Generator:Name/Address Generator: Phone# Ao T 'A, fill 2. Removal Contractor: Name/Address Contractor: Phone# A A Contact: 3. Responsible Agency:Name/Address 4. US DOT Class-FRIABLE ASBESTOS ONLY U.S. EPA Region I JFK Federal Building RID ASBESTOS,9, NA 2212, PG III Boston, MA 02134 CC 5. Description of Materials - Containers Total Ov_qntih., 0 Specify.Friablo or Non-Friable No. Type Uj Z LLI 6. Special Handling Instructions 24-hour emergency spill response no. 800-424-9300 7. Generator Certification: This is to certify that the above named materials are property classified,described,packaged,marked and labeled and are in proper condition for transport by highway according to the applicable regulations of the Department of Transportation,US E.P.A.,and any other state government agency.I certify that the foregoing is true and correct to the best of my knowledge.If the waste shipment is not as I stated,I accept the RETURN of the COMPLETE LOAD to the generators service location at the generators expense. Printed/Typed Name&Title Signature Date 8. Transporter I (Acknowledgement of Receipt of Materials) *If blank,Transporter 2 serves as sole transporter. Company Name&Address Signature: Telephone No. N Printed Name: Date: CC 7� 0 Title: IL 1A Z 9. Transporter 2(Acknowledgement of Receipt of Materials) 4 Company Name &Address Signature: Telephone No. 1z Service Transport Group, Inc. 877-999-9559 58 Pyles Lane Printed Name: Date: New Castle, DE 19720 Title- 10.Discrepancy Indication Space: LU 11.Waste Disposal/Recycling Site Owner or Operator's Certification _j (Receipt of above Waste Except as Noted in 10) q Company Name&Address 0 BFI Imperial Landfill Signature: Telephone No. 0 11 Boggs Road 724-695-0900 IL Imperial, PA 15126 Printed Name: Date Permit No. 100620 Title: WHITE-Disposal Site•GREEN-S.T.G.• YELLOW-Contractor•PINK-Generator•GOLD-Pick Up Receipt a t I * ERVICE TRANS RT GROUP, INC. 58 PYLES LANE',NEW CASTLE, DE 19720 PHONE:(877)999-9559 MR inO6O WASTE SHIPMENT S.T.G. # 7. 1. Material Origin Site Generator:Name/Add�ess ! Generator: Phone# OLD �VOAT 4-AAAM PAA5qCVf OA, t dAMPT0?J I A A D fa 5 2. Removal Contractor: Name/Address Contractor: Phone# A.C.T. 1bat eMnt: OorPOration 18 =��'�waY Contact: 978--799953© j,3WI +t1C2, }A 01 840 Stu GreW man 3. Responsible Agency: Name/Address 4. US DOT Class- FRIABLE ASBESTOS ONLY U.S. EPA :Region I JFK Federal Building RQ ASBESTOS, 9, NA 2212, PG III Boston, MA 02203-2211 jC 5. Description-Qf Materials Containers Total Quantity H Specify ria 11 or Non-Friable No. Tyke )oaf 4 r'rc;A W Z W 6. Special Handling Instructions (� 24-hour emergency spill response no. 800-424-9300 7. Generator Certification: This is to certify that the above named materials are property classified,described,packaged,marked and labeled and are in proper condition for transport by highway according to the applicable regulations of the Department of Transportation,US E.P.A.,and any other state government agency.I certify that the foregoing is true and correct to the best of my knowledge.If the waste shipment is not as I stated,I accept the RETURN of the COMPLETE LOAD to the generator's service location at the generator's expense. Printedrryped Na a Title Signat re Date J Div ' s 0 fk 8."Tra sporter 1 (Acknowledgement of Receipt of Materials) `If blank,Transporter 2 serves as sole transporter. Company Name&Address Signatures _ v—�_�''^ Telephone No. /V1 A Date: � �� d Title: H Z 9. Transporter 2(Acknowledgement of Receipt of Materials) 4 Company Name&Address Signatures�" Telephone No. F- Service Transport Group, Inc. 877-999-9559 58 Pyles Lane Printed Name: Date: New Castle, DE 19720 Title: W 10.Discrepancy Indication Space: ~ 11.Waste Disposal/Recycling Site Owner or Operator's Certification N (Receijpt of above Waste Exce t as Noted in 10 4 Company Name&Address Q OBFI Imperial Landfill Signature: Telephone No. 0 11 Boggs Road 724-695-0900 N Imperial, PA 15126 Printed Name: Date `-r'� a No.. —100620 Title: `WHITE-Disposal Site•GREEN-S.T.G.• YELLOW-Contractor•PINK-Generator•GQLVPi&. p Receipt a is _'6'�RVICE TRANS t)RT GROUP, INC. 27 58 PYl-ES LANE, NEW CASTLE, DE 19720 PHONE:(877))9999-9559 NOW � 062 WASTE SHIPMENT RECORD S.T.G. # tl� •� 1. Mate • I On In Site -4 ,� o { �� ' G�rator: Name/Address j Generator: Phone# A v+S Ir A 7 10—7-7;? 2. Removal Contractor: Name/Address Contractor: Phone# A.C.T. Abat t Corporation 113 Broadway Contact: 978-794-9530 Lawrerue, •MA 01840 Stu Gregermaln 3. Responsible Agency:Name/Address 4. US DOT Class- FRIABLE ASBESTOS ONLY U.S. EPA Region 2 ' JFK Federal adlding RID ASBESTOS,9,NA 2212, PG III Boston, MA 02203-2211 5. Descripti f Mate ' Is Containers Total Quantity HSpeci sable r on-Friable No• Type Q CC a;A pc L-5 (A t/v•.r W 6.Special Handling Instructions C7 24-hour emergency spill response no. 800-424-9300 7.Generator Certification: This is to certify that the above named materials are property classified,described,packaged,marked and labeled and are in proper condition for transport by highway according to the applicable regulations of the Department of Transportation,US E.P.A.,and any other state government agency.I certify that the foregoing is true and correct to the best of my knowledge.If the waste shipment is not as I stated,('accept the RETURN bf the COMPLETE LOAD to the generator's service location at the generators expense. Printed/Typed Name& ide Signature Date F s ql tc 340_03 8. Transporter 1 (Acknowledgement of Receipt of Materials) 'If blank,Transporter 2 serves as sole transporter. Company Name&Address —. j _ Signature- Telephone No. W ' Printed Name: �"� Date�.,�/�� C Title: l :1"vg C6 U) Z 0. Transporier 2(Acknowledgement of Receipt of Materials) Company Name&Address Signature:. =' Telephone No. H Service Transport Group, Inc. n { r 877-999-9559 58 Pyles Lane Printed Name:+;e 1(nr / rIrnd Date: New Castle, DE 19720 Title: 10.Discrepancy Indication Space: W ~ 11.Waste Disposal/Recycling Site Owner or Operator's Certification rA (Receipt of above Waste Exce t as Noted in 10 .1 Q Company Name&Address OBFI Imperial Landfill Signature: Telephone No. IL 11 Boggs Road �� 724-695-0900 H Imperial, PA 15126 Printed Name: Date NO No.. 100620 Title: *WHITE-Disposal Site•GREEN-S.T.G.• YELLOW-Contractor•PINK-Generator•GOLD-Pick Up Receipt f ihRVICE TRANSPORT GROUP, INC. r 5-8 PY—LE"_S LANE, NEW CASTLE, DE 19720 PHONE:(877)999-9559 WASTE.SHIPMENT RECORD S.T.G. Of. 1. Material Origin Site Generator: Name/Add ess Generator: Phone A• � pFve jy �w� q�8- 742 F 2. Removal Contractor: Name/Address Contractor: Phone# A.C•T. A[a eft'Ont: C q)OratiOn 18 F3roadway Contact: 978-794-9530 L awrrenc 01840 Stu tex an 3. Responsible Agency: Name/Address 4. US DOT Class-FRIABLE ASBESTOS ONLY U.S. EPA Region I JFK Fed"al Builcling RO ASBESTOS,9, NA 2212, PG III Bost m, Ih 02203--2211 Y Y CC 5. Description o Materials ConWncrs Total Quantity -? 10 Specify nable r Non-Friable No Type W W 6. Special Handling Instructions 24-hour emergency spill response no. 800-424-9300 i 7. Generator Certification: This is to certify that the above named materials are property classified,described,packaged,marked and labeled and are in proper condition for transport by highway according to the applicable regulations of the Department of Transportation,US E.P.A.,and any other state government agency.I certify that the foregoing is true and correct to the best of my knowledge.If the waste shipment is not as I stated,f accept the RETURN of the COMPLETE LOAD to the generator's service location at the generators expense. Pdntedff Name Tity� ,t, Signa. a Date 8. Transporter 1 (Acknowledgement of Receipt of Materials) 'If blank,Transporter 2 serves as sole transporter. -- Company Name&Address Signature: Telephone No. W w AtA( A S 4 Printed Name: A. 4Q 6z ��1l�tr► Date: ,. 'Ow Title: IL -- z Transporter 2(Acknowledgement of Receipt of Materials) �? Q - '<^ -.. J �=rr Telephone No- _ � Company Name&Address Signature,��f . c,°(..;' �- <�.• H Service Transport Group, Inc. i 877-999-9559 Printed Name: �r r4ic � C1nr k Date: 58 Pyles Lane i New Castle, DE 19720 Title: '; '.V y�f 10.Discrepancy Indication Space: ..; W ~ 11.Waste Disposal/Recycling Site Owner or Operator's Certification r°I H Recei t of above Waste Except as Noted in 10 {. Company Name&Address t, a to BFI Imperial Landfill Signature: Telephone No. d 11 Boggs Road 724-695-0900 H Imperial, PA 15126 Printed Name: \ j, Date y� +•'� J Permit No. 100620 Title: WHITE-Disposal Site•GREEN-S.T.G.• YELLOW-Contractor•PINK-Generator•GOLD-Pick Up R ' ipt 6' - SERVICE TRANSPORT GROUP, INC. 58 PYLES LANE, NEW CASTLE, DE 19720 PHONE:(877)999-9559 117379 WASTE SHIPMENT RECORD S.T.G.# cfe37 / 1. Material Origin Site Generator:Name/Address Generator: Phone# I f I A M4�'s�1 Mj 5S j�ca v� /�� ?-76— 77d 1436 V '5" 6340 Deve-) 2. Removal Contractor: Name/Address Contractor: Phone# fi ASATEMEI-T; 7�c � Q18- 79y OA.6 UJA Contact: T Nt 14a Imes 9 J L A Wk 0td4v 3. Responsible Agency:Name/Address 4. US DOT Class-FRIABLE ASBESTOS ONLY U.S. EPA Region I .x JFK Federal Building RQ ASBESTOS,9, NA 2212, PG III Boston, MA 02134 5. Descriptf f Materials Containers Total Quantity 0 Specify riab or Non-Friable N,c. 0 Type a 8 W Z (30i -ef '^j,u 1,0 j (.3w W 6. Special Handling Instructions 24-hour emergency spill response no. 800-424-9300 7.Generator Certification: This is to certify that the above named materials are properly classified,described,packaged,marked.and labeled and are in proper condition for transport b)t.highway. according to the applicable regulations of the Department of Transportation,US E.P.A.,and any other state government agency.I certify that the foregoing is true and correct to the best of my knowledge.If the waste shipment is qot�s I stated,I accept the RETURN of the COMPLETE LOAD to the generators service location at the generator's expense. Printed/Typed Name&Title Signature Date 8. Transporter 1 (Acknowledgement of Receipt of Materials) 'If blank,Transporter 2 sejves as sole transporter. Company Name&Address Signature: lc.; %. Telephone Printed Name: C Date: Title• 1,61c r ` a 9. Transporter 2(Acknowledgement of Receipt of Materials) Company Name &Address Signature: ,;�� ^��M. Telephone No. I F Service Transport Group, Inc. —i; 877-999-9559 i 58 Pyles Lane Printed Name: {c�t+ i",: r'' ,. t Date: New Castle, DE 19720 10.Discrepancy Indication Space: r>' H H 11.Waste Disposal/Recycling Site Owner or Operator's Certification ; (Receipt of above Waste Except as Noted in 10 QCompany Name&Address H BFI Imperial Landfill Signa re: /f �. �G� 1 �� Telephone No. zi a 11 Boggs Road - 724-695-0900 N Imperial, PA 1512 Printed Name: - - r� i Date L-2 V Permit No. 100620 Title: i WHITE-Disposal Site•GREEN-S.T.G.• YELLOW-Contractor•PINK-Generator•GOLD-Pick Up Receipt 27 f } SR]k VICE TRANSPORT GROUP, INC. I i 58 PYLES.�s.NNE, NEWCASTLE, DE 19720 PHONE:(877)999-95 9., [� WASTE SHIPMENT RECORD S.T.G. # *. i l 1. Material Origin Site ( • Generator: Name/Address Generator: Phone# ,Ill t 14A /-1 X155 bf�vC �v r►� .+ 9 7$•'"�I�` Ad aat rtvt�+ ._ . ' 2. Removal Contractor: Name/Address ontractor: Phone# AC-t Ac +r ��r �:.. m-79 �l ( 1 Contact: t r�,,� �•- j 9S' D 3. Responsible Agency:Name/Address 4. US DOT Class-FRIABLE ASBEST�04• # • 6 RQ ASBESTOS,9, NA 2212, PG III o 2 5. Description of Mater' Containers_ otal Quantity F Specify Friable on-Fnabf No. Type eo f r 4 bo ACV 0,0eA.J% W Z ,A; ICA W 6.Special Handling Instructions 24-hour emergency spill response no. 800-424-9300 7.Generator Certification: This is to certify that the above named materials are property classified,described,packaged,marked and labeled and are in proper condition for transport by highway t according to the applicable regulations of the Department of Transportation,US E.P.A.,acid any otherstate govemment agency.I certify that the foregoing is true and correct 1 to the best of my knowledge.If the waste shipment is not as I staiLd accept the RETURN of the COMPLETE LOAD to the generatorts ser4ke location at the generator's expense. T r- i � Printed/Ty ed Name&Titl Signature Data r--1 8. Transporter 1 (Acknowledgement of Receipt of Materials) `If blank,Transporter 2 serves as sole transporter. Company Name&Address E Signature: =-� Telephone No. IM Printed Na e: � i' • tT F. rrrrrr� Date• e Title: T>r-1 � N Z 3. Transporter 2(Acknowledgement of Receipt of Materials) _ a Company Name&Address Signature:� TeV(hone No. cc 877-999-9559 IH Service Transport Group, Inc. 14 q P ` I 58 Pyles Lane Printed Name: Date: New Castle, DE 19720 10.Discrepancy Indication Space: ~ 11.Waste Disposal/Recycling Site Owner or Operator's Certification r 1 (Receipt of above Waste Exce t as Noted in 10 QCompany Name&Address O BFI Imperial Landfill Signature: Telephone No. : ., a 11 Boggs Road 724-695-0900 H Imperial, PA 15126 Printed Name: Date Permit No. 100620 Title: WHITE-Disposal Site•GREEN-S.T.G.• YELLOW-Contractor•PINK-Generator•GOLD-Pick Up Receipt F 27 � • PJ "SERVICE TRANSPORT GROUP, INC. 58 PYLEE,S LANE, NEW CASTLE, DE 19720 PHONE:(877)999-9559 � ►, .1�J �0 WASTE SHIPMENT RECORD 8.T.G. #6e37 1. Material Origin Site Generator: Name/Address Generator: Phone# A10PL7Wl01 Pj,6K1 .SrATE; &011rf . AA�5. PrV€10'0/x7 ex/7 118- 3 1-7.1 flt7 Poi'1iCD l�'QDt'" .� &e.4 017A 63*0 2. Removal Contractor: Name/Address Contractor: Phone# A.C.T. Abatemwt Corporatim 255 Irving Ave. Contact: 978-794-9530 Lawrenmp MA 01841 Stu Gragerman 3. Responsible Agency: Name/Address 4. US DOT Class- FRIABLE ASBESTOS ONLY U.S. EPA Regic in I ,,� JI,C FW"a1 &WAimig RO ASBESTOS, 9, NA 2212, PG III -, ,oston, MA 02203-2211 c ? , cc 5. Description of Ma ' Containers Total Quantity r H Specify Friable on-Friable No. TYPe z W 6.Special Handling Instructions C7 .t24-hour emergency spill response no. 800-424-9300 7.Generator Certification: - This is to certify that the above named materials are property classified,described,packaged,marked and labeled and are in proper condition for transport by highway according to the applicable regulations of the Department of Transportation,US E.P.A.,and any;:otherstate government agency.I certify that the foregoing is true and correct to the best of my knowledge.If the waste shipment is not as I stated,l accept the RETURN ofthe COMPLETE LOAD to the generator's service location at the generators expense. Prin ed/Typed Name&Title I 1 Signatur Date 8.Transporter 1 (A(cknow�dgertbnt fie ei t . al 'If blank,Transporter 2 serves as s le transporter. :Company Name&Address •s ,� Signature: Telephone No. W �I ! L �7 / S Printed Name: Date: cc 11L Title: ,,, X�3 H Z 9. Transporter 2(Acknowledgement of Receipt of Materials) 4 Company Name&Address Signature: �_ ` Telephone No. H Service Trapsport Group, Inc. � 877-999-9559 _- 58 Pyles Lane Printed Name:• ��' �' f� Date: New Castle, DE 19720 1 Title: W 10.Discrepancy Indication Space: ~ 11 Waste Disposal/Recycling Site Owner or Operator's Certification H (Receipt of above Waste Except as Noted in 10 aCompany Name&Address CBFI Imperial Landfill Signature:, y Telephone No IL 11 Boggs Road 724-695-0900 1A Imperial, PA 15126 Printed Name: Date Permit No. 100620 Title: t. Lwmw WHITE-Disposal Site•GREEN-S.T.G.• YELLOW-Contractor•PINK-Generator•GOLD-Pick Up Receipt :d ' ' 6 SERVICE TRANSPORT GROUP, INC. 58 PYLES LANE, NEW CASTLE, DE 19720` PHONE:(877)999-9559 O. 117385 WASTE SHIPMENT RECORD S.T.G.# 1. Ma(erjal Origin Site + Generator: Na 57e/Address Generator: Phone# A Qwe-10p,---J 1-79.'riz fK r 1 a � (03,40, LU tk Nc 'A p f,*, M4-SC (�A o(s3 r-cr Wo , .s �1 3� 2. Removal Contractor: Name/Address �rcu•L�� 5� ontractor: Phone# ALT `Ate 0_4 3; )G � A t• 918.7g�i wLa,G.,E,w MAS1 . . 01840.1olo Contact 3. Responsible Agency: Name/Address 4. US DOT Class-FRIABLE ASBESTOS ONLY U.S. EPA Region I JFK Federal Building RQ ASBESTOS,9, NA 2212, PG III Boston, MA 02134 CC 5. Description of Matedals, Containers Total Quantity 0 Specify Friable dr Non-Friable No. Type H W 1'I f f L rte.b ov Lac = sG d Z W 6. Special Handling Instructions C7 24-hour emergency spill response no. 800-424-9300 7. Generator Certification: This is to certify that the above na�ned materials are property classified,described,packaged,marked and labeled and are in proper condition for transport by highway according to the applicable regulations of the Department of Transportation,US E.P.A.,and any other state government agency.I certify that the foregoing is true and correct to the best of my knowledge.If the waste shipment is not as I stated,I accept the RETURN of the COMPLETE LOAD to the generator's service location at the generator's expense. � 1 A .. w 3)-63 Printedd yped ame&Title Signature Date B. Transporter 1 (Acknowledgement of Receipt of Materials) 'If blank,Transporter 2 serves as sole transporter. Copany Name&Address �A Signature: Telephone No. ' ° 1 ,Printed Name: Date: 4 t,� C 1 Title: " �i• P �✓-�� IL Z 9. Transposer 2(Acknowledgement of"Receipt of Materials) a Company Name&Address Signature: Telephone No. CC N Service Transport Group,anc. , // 877-999-9559 58 Pyles Lane Printed Name: `��'�� .�;Ko>5e'� Date: New Castle, DE 19720 J"! �Z - t/1, Title' �+ W 10.Discrepancy Indication Space: ~ 11.Waste Disposal/Recycling Site Owner or Operator's Certification y (Receipt of above Waste Except as Noted in 10 QCompany Name&Address O BFI Imperial Landfill Signature: ,��-r,�q y � Telephone No. 11 Boggs Road 724-695-0900 Imperial, PA 15126 Printed Name: Date 'c Permit No. 100620 Title: 3IM46- WHITE-Disposal Site•GREEN-S.T.G.• YELLOW-Contractor•PINK-Generator•GOLD-Pick Up Receipt 6 SERVICE TRANSPORT GROUP, INC. .: . 58 PYLES LANE, NEW CASTLE, DE 19720 : PHONE:(877)999-9559 117386 WASTE SHIPMENT RECORD S.T.G.#DQ 1. Material Origin Site / Generator:Name/Addre s Generator: Phone.# 43 g G3 q AIDAI a A MIA 041-32 2. Removal Contractor: Name/Address 1 Contractor: Phone# ACT A6AT'FA�E� KoaPnRATlO�' 9 ]Y- 7rW I e �A OA.0 w A It Contact: 3 AI A 01641 3. Responsible Agency: Name/Address 4. US DOT Class-FRIABLE ASBESTOS ONLY U.S. EPA Region I JFK Federal Building RQ ASBESTOS, 9, NA 2212, PG I11 Boston, MA 02134 CC 5. DescriptivaaWaterials Containers Total Quantity O Speci Friabl r Non-Friable Nc. Type Z A 6. Special Handling Instructions .3; ;k7 24-hour emergency spill response no. 800-424-9300 7.Generator Certification: This is to certify that the above named materials are properly classified,described,packaged,marked and labeled and are in proper condition for transport by highway according to the applicable regulations of the Department of Transportation,US E.P.A.,and any other state government agency.I certify that the foregoing is true and correct to the best of my knowledge.If the waste shipment is not as I stated,I accept the RETURN of the COMPLETE LOAD to the generator's service location at the generator's expense. Printed/Typed Name I Title Signature Date T1 -A �4� '. 8. Transporter 1 (Acknowledgement of Receipt of Materials) *If blank,Transporter 2 serves as sole transporter. Company Name&Address / , g Iz Signature: Ul tt Telephone No. W �� M As 49 �. Printed Name: Date: O Title: Q• a.•y. a -, Q 9. Transpoi-(6r 2(Acknowledgement of Receipt of Materials) Company Name&Address Signature: , Telephone No. I- Service Transport Group, Inc. f 877-999-9559 58 Pyles Lane Printed Name: �� .W.vzrl ��' '� Date: New Castle, DE 19720 Title'� W 10.Discrepancy Indication Space: ~ 11.Waste Disposal/Recycling Site Owner or Operator's Certification (Receipt of above Waste Except as Noted in 10 QCompany Name&Address 0 BFI Imperial Landfill Signature: / rz�.�y� L Telephone No. O 11 Boggs Road 724-695-0900 (A Imperial, PA 15126 Printed Name: Date Permit No. 100620 Title: WHITE-Disposal Site•GREEN-S.T.G.• YELLOW-Contractor•PINK-Generator•GOLD-Pick Up Receipt r 27 SERVICE TRANSPORT GROUP, INC. 58 PYLES LANE, NEW CASTLE, DE 19720 PHONE:(877)999-9559 N'? R5379 WASTE SHIPMENT RECORD 1. Material Origin Site Generator: Name/Address Generator: Phone# 5f-A 4 ' la 01. ,!�^� 9 7 7 7d �. NAM -/UA.) / �f lac yr+ I /E'11'f o �/ 3 6 `�0 2. Removal Contractor: Name/Address Contractor: Phone# A.C.T. AbatemWt Corporation 255 9kVi ng Ave. Contact: 978-794-9530 ILawrenos, MA 01 1341 Stu GregaMpq 3. Responsible Agency: Name/Address 4. US DOT Class- FRI$BLE ASBESTOS ONLY « � .:. U.S. -EPA Region I ' �. x JFK Federal Euil3lny RO ASBESTOS, 9, NA 2212, PG III Boatone MA'02203--2211 CC 5. Description of Materials , 4 ,Containers Total Quantity N Speci nabie r Non-Friable _'. No. +Type 0 a e 114 04 � � ? Z W �:. ... 6. Special Handling I 'tructions } � 24-hour emergency spill=response no. 800-424-9300 7. Generator Certiktion:' This is to certify that the above named mattedais are properly,classified,described;packaged,marked artd labeled and are in proper condition for transport by highway according to the applicable regulations of the Department of Transportation,USE.P.A.,and any other state government agency.l certify that the foregoing is true and correct to the best of my knowledge.If the waste shipment is not as I stated,I accept the RETURN of the COMPLETE LOAD to the generator's service location at the generators expense. Printed/Typed Na Tiffe Signa re Date 8. Transporter 1 (Acknowledgement of Receipt of Materials) *If blank,Transporter 2 serves as sole transporter. Company Name&Address ` Signature: J!r Telephone No. LLI�.• Yom, rte- q Printed Name: Date: aTitle: ►�/ to Z 9. Transpo� kn 2(Acowledgement of Receipt of Materials) .4 _w Company Name&Address Signature:."'If"<x Telephone No. N .. Service Transport Group, Inc.. V 877-999-9559 58 Pyles Lane Printed Name: l c"'r Date: "New Castle, DE 19720 t�� Ti 1 : �.l r Ll : Z U W 16.Discrepancy Indication Space: N 11.Waste Disposal/Recycling Site Owner or Operator's Certification J Recei t of above Waste Exce t as Noted in 10 7Tl% a Company Name&Address' C BFI Imperial Landfill Signature: _01 Telephone No. IL 11 Boggs Road 724-695-0900 H Imperial, PA 15126 Printed Name: Date Permit No. 100620 Title: `�1 fD /�- WHITE-Disposal Site•,GREEN-S.T.G.• YELLOW-Contractor•PINK-Generator•GOLD-Pick Up Receipt p. r i 6 SERVICE TRANSPORT GROUP, INC. 58 PYLES LANE, NEW CASTLE, DE 19720 PHONE:(877)999-9559 WE 117384 WASTE SHIPMENT RECORD S.T.G. # -2093 1. Material Or!ggin Site Generator: Namee/AddressL Generator: Phone# A04h Hak,pt;r► ¢5 t (v n Crg �.at.. r• PlcA4 pid,' c.r 0.600, 43 s 5-�rc-_A t034o hGrih Lk,",p4aA MA-5s 6W41 9-T(-4 y4A' AS 0143A 2. Removal Contractor: Name/Address Contractor: Phone# ALT f�ICre.� yha.Y1� I"1� , i 8 l�r crs�:�t�� t4wt.'c•u. mrrzG 41840- Iola Contact: ••9'(y.� No)'Wc d 3. Responsible Agency: Name/Address 4. US DOT Class-FRIABLE ASBESTOS ONLY U.S. EPA Region-I --JFK Federal Building f3Q ASBESTOS,9, NA 2212, PG III Boston, MA 02134 CC 5. Description,of Mater' Containers Total Quantity. 0 Specify Friable"r o n-F cable No. r ype Q W P,X i Ins Ics..�r as '&l J4. bb 13 a s 3U S Z W 6.Special Handling Instructions (� 24-hour emergency spill response no. 800-424-9300 7.Generator Certification: This is to certify that the above named materials are properly classified,described,packaged,marked and labeled and are in proper condition for transport by highway according to the applicable regulations of the Department of Transportation,US E.P.A.,and any other state government agency.I certify that the foregoing is true and correct to the best of my knowledge.If the waste shipment is not as I stated,I accept the RETURN of the COMPLETE LOAD to the generator's service location at the generator's expense. Printed/T a t t Date 8. Transporter 1 (Acknowledgemept of Receipt of Materials) 'If blank,Transporter 2 serves as sole transporter. Company Name&Address � Signatt,Ire: �* . ' Telephone No. 't Printed Name: Date: + a Title: joplvc r /'J, Vl Z �9. Transposer 2 (Acknowledgement of Receipt of Materials) . 4 Company Name&Address Signature: Telephone No. I- Service Transport Group, Inc. 877-999-9559 58 Pyles Lane Printed Name: I- ,u C t1t G1 t-tt.-r Date: New Castle, DE 19720 Title: YVI ON W 10.Discrepancy Indication Space: _. 11.Waste Disposal/Recycling Site Owner or Operator's Certification - J (Receipt of above Waste Except as Noted in 10 a Company Name&Address N BFI Imperial Landfill Signature: Telephone No. G 11 Boggs Road 724-695-0900 N Imperial, PA 15126 Printed Name: __ Date Permit No. 100620 Title: / / . WHITE-Disposal Site•GREEN-S.T.G.• YELLOW-Contractor•PINK-Generator•GOLR--Pick Up Receipt 27 ' e SERVICE TRANSPORT GROUP, INC. 58 P-- S LANE, NEW CASTLE, DE 19720 PHONE:(877)999-95599 N2 115380 WASTE SHIPMENT RECORD S.T.G. # '1YL� 1. Material Origin Site Generator: Name/Address Generator: Phone# NO�T q3 Pao.,AVrsIA. r wl�t . h� A v eti S UW 130 `l 2. Removal Contractor: Name/Address Contractor: Phone# A.C.T. Abatment CorpWation 255 EWing AVe. Contact: 978-794-•9330 L wrewe MA 01841 Stu Graqwnan 3. Responsible Agency: Name/Address 4. US DOT Class-FRIABLE ASBESTOS ONLY U.S. EPA Region I in FW al Building RQ ASBESTOS,9, NA 2212, PG III Eton, MA 02203-2211 C 5. Description of Materials Containers Total Quantity H speci ale r Non-Friable No. Type W F /IS kA I nJ i oAj Z W 6.Special Handling Instructions C9 24-hour emergency spill response no: 800-424-9300. 7.Generator Certification: This is to certify that the above named materials are property classified,described,packaged,marked and labeled and are in proper condition for transport by highway. according to the applicable regulations of the Department of Transportation,US E.P.A.,and any other state government agency.I certify that the foregoing is true and correct' to the best of my knowledge.If the waste shipment is not as I stated,I accept the RETURN of the COMPLETE LOAD to IN generator's service location at the generator's expense. Printed/Typed Name&Title Signature Date 8. Transporter 1 (Acknowledgement of Receipt of Mat 'als) 'If blank,Transporter•2 serves as sole transporter. Company Name&Address F A a 5 A b n T t P V ©k.{� Signature: r � Telephone l NV'. W 9,79-790.5 +i}p f qv'"'J A Printed Name: i/ ,A L� Date: Ote l r AW/1 (�VC A a 3 Title: f o� H a 9. Transports-&2(Acknowledgement of Receipt of Materials) r �� p Company Name&Address Signaturey�` ,y.�� >_ Telephone No. H Service Transport Group, Inc. 877-999-9559 58 Pyles Lane Printed Name:�� Date: New Castle, DE 19720 Title: `n �%' 10.Discrepancy Indication Space: W ~ 11.Waste Disposal/Recycling Site Owner or Operator's Certification N (Receipt of above Waste Exce t as Noted in 10 "4 a Company Name&Address Telephone No. O BFI Imperial Landfill Signature: .-,r-rt-�, �,�,,..1. p a 11 Boggs Road 724-695-0900 H Imperial, PA 15126 Printed Name: Date Permit No. 100620 Title: 3 II� - WHITE-Disposal Site•GREEN-S.T.G.• YELLOW-Contractor•PINK-Generator.-GOLD-Pick Up Receipt 6 • %SERVICE TRANSPORT GROUP, INC. - ©ftnq 58 PYLES LANE, NEW CASTLE, DE 19720 PHONE:(877)999-9559 W 117408 = WASTE SHIPMENT RECORD S.T G.# � 1. Material Origin Site Gen r..atbr:Na a/Address Generator: Phone# Alor,7JIAML�lo.r 3-l- 1.105 f 4A 155 Nape/Address lv G 0" 978- .7?4 to 0 1UN411A 11 M 0 Ad A-1 A 2. Removal Contractor: Name/Address ontractor: Phone# A CT ASATtM Fir ; 11 -79� / k n A D WA`/ Contact: 3. Responsible Agency: Name/Address 4.US DOT Class- FRIABLE ASBESTOS ONLY U.S. EPA Region 1 JFK Federal Building RQ ASBESTOS,9, NA 2212, PG III Boston, MA 02134 ' it 5. Description of Material Containers ToJal Quantity h Specify Friable o on-Friabl No. � - Type - - W P o o F �41R f A ( W C)O O Z W 6. Special Handling Instructions C7 24-hour emergency spill response no. 800-424-930b 7.Generator Certification: This is to certify that the above named materials are:properly classified,described,packaged,marked and labeled and are in proper condition for transport by highway according to the applicable regulations of the Department of Transportation,US E.P.A.,and any otherstate government agency.I certify thatthe foregoing is true and correct { ^ to the bekt of my knowledge.If the waste shipment is not as I stated,I accept the RETURN of the COMPLETE LOAD to the generators service location at the generator's bxpense. r r PrintedfTyped Nm &Title Sign atur Date XA HO 8. Transporter 1 (Acknowl'etment of Receipt cfLateri`Is) 'If blank,Transporter 2 serves as sole ransporter. Company Name&Address Signature: Telephone No. W r �f F- � /t�c✓ l _ Printed Name: eh Date: O a Title: Lw l k t '�h-5-/23 y � - Q �9. Transporier 2 (Acknowledgement of Receipt of Materials) Company Name&Address Signature: Telepfone o. cc c- Service Transport Group, Inc. /�l 877-199p- 58 51}^ Pyles Lane Printedt�me:' � if� ,o+c Date:,- New Castle,4DE 19720 r /(s' / 3 Title: W 1 d.Discrepancy Indication Space: t H 11.Waste Disposal/Recycling Site Owner or Operator's Certification . Recei t of above Wa?;te Except as Noted in 10 r' ' Q Company Name&Address `' y O BFI Imperial Landfill Signature: 3 Telephone IL 11 Boggs Road` 24-695 0 a Imperial, PA 15126 i H p Printed Name: r'jt D te` D Permit No. 100610 Title: WHITE-Disposal Site•GREEN-S.T.G.• YELLOW-Contractor•PINK-Generator•GOLD-Pick Up Receipt 27 J - +°"SERVICE TRANSPORT GROUP, INC. 58 PYLES LANE, NEW CASTLE, DE 19720 PHONE:(877)999-9559 116710 WASTE SHIPMENT RECORD S.T.G. # tvff 1. Material Origin Site Generator: Name/Address Generator: Phone# /Yo�1 Irr.ai4�ry STg7p Nosr1le / X5.5 ,0evc-10/''nne^-7' 91f-774- R1, 66 Pa-TIC-0 Ar-ole fj 8ve Av 1//J04 S7` 6ifo 2. Removal Contractor:Name/Address Contractor: Phone# A.C.T. Abatgramt Colrp©ration 978-794-9 3� 18 Broadway Contact: Lawrermg MA 81840 Stu caegermin 3. Responsible Agency:Name/Address 4. US DOT Class-FRIABLE ASBESTOS ONLY U3 S. EPA Region I Jj'K r'ec�l Building RQ ASBESTOS,9, NA 2212, PG III 1,nn, MA 02203-»2211 CC 5. Description of Material Containers Total Quantity 10 Specify-Friable o Non-Friable. No. �0-..f�� ; ';.�/ Type �+ W Z e 6.Special Handling Instructions 24-hour emergency spill response no. 800-424-9300 7.Generator Certification: This is to certify that the above named materials are property classified,described,packaged,marked and labeled and are in proper condition for transport by highway., according to the appl"ble regulations of the Department of Transportation,US E.P.A.,and any other state government agency.I certify that the foregping is true and correct` lQttl_best of my knowledge.If the Waste shipment is not as 1 stated,I accept the RETURN of the COMPLETE LOAD to the generator's service location al the generators expense. PrintedTi yped I ' Signature&Ti i Date � �� ora►s c T i � .2•�a y�� 8.Transporter 1 (A"o edgement of Receipt of Materials) `If blank,Transporte 2 serves as sole transporter. Company Name: dresst— .-•� Signature: , Telephone No. F_ ��G =�=—. Date: �, �,.i�� Printed Name: CC a Title: Q 9. Transporiz 2(Acknowledgement of Receipt of Materials) i Company Name&Address Signature: , . ✓� 1 �"�� Telephone No. � / 877-999-9559 F- Service Transport Group, Inc. Vuly�tJ 58 Pyles Lane Printed Name: tI r Date: New Castle, DE 19720 Title: W 10.Discrepancy Indication Space: ~ 11.Waste Disposal/Recycling Site Owner or Operator's Certification fA - J (Receipt of above Waste Exce t as Noted in 10 Q Company Name&Address W BFI Imperial Landfill Signature: r?7 z?.(�Y vim. Telephone No. 11 Boggs Road 724-695-0900 H Imperial, PA 15126 Printed Name: Date Permit No. 100620 Title: 3Ild WHITE-Disposal Site•GREEN-S.T.G.• YELLOW-Contractor•PINK-Generator•GOLD-Pick Up Receipt �~ 6 SERVICE TRANSPORT GROUP, INC. 58 PYLES LANE, NEW CASTLE, DE 19720 PHONE:(877)999-9559 NS- 117373 WASTE SHIPMENT RECORD S.T.G.# OP�74- 7 1. Material Origin Site Generator: Name/Address Generator: Phone# ,^ 43 3 .tia V tS�,e (0340 M 0^1 MA V e ur ., S 2. Removal Contractor: Name/Address = • Contractor: Phone# A �r AigA�� All qid 79q t r,e 0.4 O Contact: ?530 3. Responsible Agency:Name/Address 4. US DOT Class-FRIABLE ASBESTOS ONLY U.S. EPA Region I ' JFK Federal Building RQ ASBESTOS,9, NA 2212, PG III Boston, MA 02134 IY 5. Description of Materials Containers Total Quantity H Specify riab or Non-Friable No. D Type / Q L'. ^.0 r-M Fj Q V W - Z W 6. Special Handling Instructions C7 24-hour emergency spill response no. 800-424-9300 7.Generator Certification: r This is to certify that the above named materials are properly classified,described,packaged,marked and labeled and are in proper condition for transport by highway according to the applicable regulations of the Department of Transportation,US E.P.A.,and anyother state government agency.l certify thatthe foregoing is true andcorrect to the best of my knowledge.If the waste shipment is not as I stated,I accept the RETURN of the COMPLETE LOAD to the generator's service location at the generator's expense. 1 i Printed/Typed Name&Title Signa ure Date 0 -S Pe Cue 8. Transporter 1 (Acknowledgement of Receipt of Materials) "If blank,Transporter 2 serves as sole transporter. Company Name&Address Telephone No. 11Z Signature: W H b,(, oke - '��1.� Printed Name: 4.,14Mj6e__ Date: CC /� d Title: !�!�t ? Z V. Transp er 2(Acknowledgement of Receipt of Materials) Company Name&Address Signature: :�J '{r -'' Telephone No. H Service Transport Group, Inc. ' t,. ,' 877-999-9559 58 Pyles Lane Printed Name: 6 Date: New Castle, DE 19720 Title, 10.Discrepancy Indication Space: W 11.Waste Disposal/Recycling Site Owner or Operator's Certification (Receipt of above Waste Except as Noted in 10 QCompany Name&Address CBFI Imperial Landfill Signature! Telephone No. 0. 11 Boggs Road 724-695-0900 ak N Imperial, PA 15126 Printed Name: Date O - Permit No. 100620 Title: WHITE-Disposal Site•GREEN-S.T.G.• YELLOW-Contractor•PINK-Generator•GOLD-Pick Up Receipt .� 27 SERVICE TRANSPORT GROUP, INC. 58 PYLES LANE, NEW CASTLE,DE 19720 PHONE:(877)999-9559 Q � � WASTE SHIPMENT RECORD S.T.G.# �J313 1. Material rigin Site Generator:Name/Address Generator: Phone# , .��M� MA,�, oe,,jf top ,,,,_r.� 3 2. Removal Contractor: Name/Address Contractor: Phone# A,C jll. Abateaent: c orporatian 1 �way Contact: 975-794-9530 Lawrence, ger:�MA 01840 Stu Gr� 3. Responsible Agency: Name/Address 4.US DOT Class- FRIABLE ASBESTOS ONLY U.S. Epp geqion T Jk,'✓ Feral Building RQ ASBESTOS, 9, NA 2212, PG III Bost;=, mA 02203-2211 5. Descri n a Materials ,,� �� Containers Total Quantity , O Specify,-Kriabl or Non-Friable t` No. Type IF Friable(enter required information) W = IF Non-Friable(check one): ❑Category 1 0 Category 11 W 6.Special Handling Instructions 24-hour emergency spill response no. 800-424-9300 7.Generator Certification: This is to certify that the above named materials are properly classified,described,packaged,marked and labeled and are in proper condition'for transport by highway according to the applicable regulations of the Department of Transportation,US E.P.A.,and any other state government agency.I certify that the foregoing is true and correct to the best of my knowledge.If the waste shipment is not as I stated,I accept the RETURN of the COMPLETE LOAD to the generator's service location at the generator's expense. Printed/Typed Name&Title Signature f 1 Date 8. Transporter 1 (Acknowledgement of Receipt of Materials) 'If blank,Transporter 2 serves as sole transporter. Company Name&Address �, T ,' 4 „� Signature: '�.�.�� ,,mow Telephone No. LLI '0j l Printed Name: fi+ �� Date: ` C•_ A a J Title: C, o r C N Z 1.9. Transpoi ler 2(Acknowledgement of Receipt of Materials 4 Company Name&Address ' `""" Signature: f' Telephone No. F Service Transport Group, Inc.�''jQ/1,{ ,rl�a 1 rt ,f. 877-999-9559 58 Pyles Lane ,.y Printed Name: Date: New Castle, DE 19720 aca l +F✓�'rr�G.0 Y -� Title: ' W 10.Discrepancy Indication Space: ~ 11.Waste Disposal/Recycling Site Owner or Operator's Certification N (Receipt of above Waste Except as Noted in 10 `� aCompany Name&Address 0 BFI Imperial Landfill Signature: '� Telephone No. O 11 Boggs Road 724-695-0900 N Imperial, PA 15126 Printed Name: ,: Date 1 Permit No. 100620 Title: -) WHITE-Disposal Site•GREEN-S.T.G.• YELLOW-Contractor•PINK-Generator•GOLD-Pldf UpkReceipt SERVICE-TRANSPORT GROUP, INC. 58 PYLES LANE, NEW CASTLE, DE 19720 PHONE:(877)999-9559 ALAA 122271 WASTE§HIPMENT RECORD S.T.G.# 1. Material Origin Site Generator: Name/Address Generator: Phone. 1%jr0� Ac�6lr�► ,w+9g ifs Wo�� .r M%treAl 4c,,./ '0 G 77 891J.700 l 70 CevTie 7,- �... �a c P•�r� s7� ln, ow I MIS O; 1 JjV AIT04- , M4 Oa l S fm 2. Removal Contractor: Name/Address ; Contractor: Phone#. A.C.T. Abatattent Corporation 18 Broadway Contact: 978-794-9830 Lawrence MA 01840 Stu Gregenrian 3. Responsible Agency: Name/Address 4. US DOT Class-FRIABLE ASBESTOS ONLY U.S. EPA Region I JFK Federal Building `RQ ASBESTOS,9, NA 2212, PG III Boston, PIA 02203--2211 CC 5. Description of Materials Containers Total Quantity F Specify f=riable or Non-Friable No. Type _: 'Q IF Friable(enter required information) W W IF Non-Friable(check one): ❑Category 1 ❑Category II 6. Special Handling Instructions 24-hour emergency spill response no. 800-424-9300 7.Generator Certification: This is to certify that the above named materials are properly classified,described,packaged,marked and labeled and are in proper condition'for transport by highway according to the applicable regulations of the Department of Transportation,US E.P.A.,and any other state government agency.I certify that the foregoing is true and correct to the best of my knowledge.If the waste shipment is not as I stated,I accept the RETURN of the COMPLETE LOAD to the generator's service location at the generator's expense. Printed/Typed Name&Title Signature Date o yo u c.4�G: 2 3la(/a,?— 8. Transporter 1 (Acknowledgement of Receipt of Materials) 'If blank,Transporter 2 sery a sole ransporter. Company Name&Address ------�— - -- Signature Telephone No. Ila s ;T04 s ,�1 P1"� 979 We Or xy¢ Printed Name: . Date: C a Title: !!/Il/>o� a 4/01 r N a0. Transporter 2(Acknowledgement of Receipt o Materials `" F" Company Name&Address Signature: ,-'l'.�.. ...,• ;-;..�., Telephone No. H Service Transport Group, Inc. r k � r� ,f° 877-999-9559 -58 Pyles Lane 4 rtta/ 10,e,A< Printed Name: Date. New Castle, DE 19720 C'A_;Z ej-0 itl f`% �, 10.Discrepancy Indication Space: W ~ 11.Waste Disposal/Recycling Site Owner or Operator's Certification H Recei t of above Waste Except as Noted in 10 �. Company Name&Address BFI Imperial Landfill Signature: i Telephone No. 11 Boggs Road t 724-695-0900 1A Imperial, PA 15126 Printed Name: -) Date i Permit No. 100620 Title: WHITE-Disposal Site•GREEN-S.T.G.• YELLOW-Contractor-PINK-Generator GOLO-Pic Receipt • 27 SERVICE TRANSPORT GROUP, INC. 58 PYLES LANE, NEW CASTLE,DE 19720 PHONE:(877)999-9559 122270 WASTE SHIPMENT RECORD S.T.G.#T7 1. Mat ri sit al origin r Generator: Name/Address Generator: Phone, � ��rj'��-�✓ASt�,�7� f�ct� �r�T ti At�adlP�j� �1 S9cF 170 (PA Ire ST� 170 CPAuPr f tr/7o,v /�f �1oZ/ Y6 a,.c. ^4 o ?186 2. Removal Contractor: Name/Address Contracto: Phone# A.C.1'. k3atement Corporation 18 Broadway Contact: 976-? 4-9530 Lawrence mA 01840 Stu Gregerman 3. Responsible Agency: Name/Address 4. US DOT Class-FRIABLE ASBESTOS ONLY U.S. EPA Region Z JFK Federal Building RQ ASBESTOS,9, NA 2212, PG III Boston, MA 02203-2211 j% 5. Description of Materials Containers Total Quantity H Specify Friable or Non-Friable No. Type IF Friable(enter required information) ZIF Non-Friable(check one): 0 Category 1 p Category II J2_i -11 6.Special Handling Instructions 24-hour emergency spill response no. 800-424-9300 7. Generator Certification: This is to certify that the above named materials are property classified,described,packaged,marked and labeled and are in proper condition Tor transport by highway according to the applicable regulations of the Department of Transportation,US E.P.A.,and any other state government agency.I certify that the foregoing is true andcorrect to the best of my knowledge.If the waste shipment is not as 1 stated,I accept the RETURN of the COMPLETE LOAD to the generator's service location at the generator's expense. Pyriyntted/Ty ed Name�&' Title Signature Date 8. Transporter 1 (Acknowledgement of Receipt of Materials) *If blank,Transporter 2 se es as sole transporter. Company Name&. Address _~~ Signature: - - Telephone No. FW„ Printed Name: �+� Date: CC dTitle: U) Q 9. Transporter 2(Acknowl edgeme f Receip f Materials Signature: Telephone No.Company Name&Address 9-9559 H Service Transport Group, Inc.I% Printed Dame: Date: 58 Pyles Lane oCt c ,New Castle, DE 19720 G1-2`�Q.3 Title: 10.Discrepancy Indication Space: W ~ 11.Waste Disposal/Recycling Site Owner or Operator's Certification 1A (Receipt of above Waste Except as Noted in 10 Company Name&Address BFI Imperial Landfill Signature: Telephone No. 11 Boggs Road �,� 724-695-0900 H Imperial, PA 15126 Printed Name: Date Permit No. 100620 Title: - WHITE-Disposal Site•GREEN-S.T.G.• YELLOW-Contractor•PINK-Generator•GOLD-Pick Up Ffeceipt 27 SERVICE TRANSPORT GROUP, INC. 58 PYLES LANE, NEW CASTLE, DE 19720 PHONE:(877)999-9559 ,"p 12226 WASTE SHIPMENT RECORD S.T.G. #7kK3j7 1. Material Origin Site / Generator:`Name/Address Generator: Phone, U /7o C'e.,Try 2. Removal Contractor: Name/Address Contracto Phone# A.C.T. AbateLnent OorPcration 978-794-9530 18 Broadway Contact: lawrenre, VIA 01840 Stu Gregeninan 3. Responsible Agency:Name/Address 4.US DOT Class-FRIABLE ASBESTOS ONLY U.S. EPA Region I JFK Fa3exal Wildiry j RQ ASBESTOS,9, NA 2212, PG III Boston, MIA 02203--2211 IC 5. Description of Materials Containers Total Quantity 10 Specify Friable or Non-Friable No. Type ._ IF Friable(enter required information) ZIF Non-Friable(check one): ❑Category 1 0 Category 11 / ,4,r 79aq.f 12 W 6.Special Handling Instructions 24-hour emergency spill response no. 800-424-9300 7.Generator Certification: This is to certify that the above named materials are properly classified,described,packaged,marked and labeled and are in proper condition'for transport by highway according to the appfiicable regulations of the Department of Transportation,US E.P.A.,and any other state government agency.I certify that the foregoing is true and correct to the best of my knowledge.If the waste shipment is not as(stated,l accept the RETURN of the COMPLETE LOAD to the generators service location at the generator's expense. PrintedlTyped ame&Title n �J Signature Date /rl t� / 71alz4ov 8. Transporter 1 (Acknowledgement of Receipt of Materials) 'If blank,Transporter 2 serves as sole transporter. Company Name&Address " Tele hone No. Signature: P cc H Printed Name: vale'.- 0 Title: IL Z 9. Transposer 2(Acknowledgeme t of Recei f Materials a �..� if, .,. Company Name&Address 1 / Signature: r r , .., Telephone o. 1- Service Transport Group, Inc./ti/(,t, A y�/axdA/ I r,,l 877-999'9559 58 Pyles Lane Printed Name: Date: f New Castle, DE 19720 4-.11—03 itl 10.Discrepancy Indication Space: W ~ 11.Waste Disposal/Recycling Site Owner or Operator's Certification N (Receipt of above Waste Except as Noted in 10 .j Company Name&Address BFI Imperial Landfill Signature: Telephone No. 11 Boggs Road - 724-695-0900 N Imperial, PA 15126 Printed Name: Date C Permit No. 100620 Title: WHITE-Disposal Site•GREEN-S.T.G.• YELLOW-Contractor•PINK-Generator•GOLD-Pick Up eceipt + + 27 SERVICE TRANSPORT GROUP, INC. 58 PYLES LANE, NEW CASTLE, DE 19720 PHONE:(877)999-9559 122268 WASTE SHIPMENT RECORD S.T.G.#7f IL17 1. Material Origin ite Generator: Name/Address Generator: Phone# 617 8 Pave?aoo /11/I fOA/ 0,2 19 2. Removal Contractor: Name/Address �.J�y� Contra r': Phone# A.C. . L31.dtementr Corporat:�orl 18 Bro&3way Contact: 978-794-9530 i awrawe MA 01 840 Stu Greger 3. Responsible Agency: Name/Address 4. US DOT Class-FRIABLE ASBESTOS ONLY ,.P Region JFX FWeral Building RQ ASBESTOS,9, NA 2212, PG III Bostcn, MA 02203-2211 5. Description of Materials Containers Total Quantity NSpecify.Fiiabie or Non-friable No. Type IF Friable(enter required information) -� 1 W Z IF Non-Friable(check one): ❑Category I ❑Category II W 6. Special Handling Instructions ' 24-hour emergency spill response no. 800-424-9300 7. Generator Certification: This is to certify that the above named materials are properly classified,described,packaged,marked and labeled and are in proper condition'for transport by highway according to the applicable regulations of the Department of Transportation,US E.P.A.,and any other state government agency.l certify that the foregoing is true and correct to the best of my knowledge.If the waste shipment is not as I stated,I accept the RETURN of the COMPLETE LOAD to the generator's service location at the generator's expense. u Printedf7ped Name&Title Signature Date ror"4 5 8. Transporter 1 (Acknowledgement of Receipt of Materials) 'If blank,Transporter 2 serves as sole transporter. Company Name&Address c' Signature: L�� Telephone k 9f 9S F /nC' �-� '� Printed Name: / ��' P Date: IL Title: /'1� 'f '7A H Q 9. Transporter 2(Acknowledgeme t of Rec i Mate ' IS) Company Name&Address / Signature: Telephone No. IF Service Transport Group, Inc. 144p /►�Jajeda�/ a 87e: 9559 58 Pyles Lane �&C ci ( 0,t;r'JZ,L Printed Name: s" Date: New Castle DE 19720 11-11-03 ``-3 i I y. W 10.Discrepancy Indication Space: ~ 11.Waste Disposal/Recycling Site Owner or Operator's Certification N (Receipt of above Waste Except as Noted in 10 J Company Name&Address BFI Imperial Landfill Signature: Telephone No. 11 Boggs Road 724-695-0900 N Imperial, PA 15126 Printed Name: Permit No. 100620 Title: WHITE-Disposal Site•GREEN-S.T.G.• YELLOW-Contractor•PINK-Generator•GOLD-' dc Up Receipt a e v n 27 SERVICE TRANSPORT GROUP, INC. 58 PYLES LANE, NEW CASTLE,DE 19720 PHONE:(877)999-9559 We 221092 WASTE SHIPMENT RECORD S.T.G.# !� 1. Material Origin Site enerator: Name/Address Generator: Phone# 61G.a rc�n� � &xO(A ate' Mar's I�vS�on 2. Removal Contractor: Name/Address Contractor: Phone# A..C.T. Abatement Corporation 18 Broadway Contact: 978-794-9530 l awry, MA 01840 Stu GMjffl=a 3. Responsible Agency: Name/Address 4. US DOT Class-FRIABLE ASBESTOS ONLY U.S. EPA Rea-gion I JFK Federal Buli..lding RQ ASBESTOS,9, NA 2212, PG III Boston, MA 02203-2211 jC 5. Description of Mater1 Containers Total Quantity O Specify Friable on- riabl No YPe N . 30 f W W ti t 6.Special Handling Instructions(� 24-hour emergency spill response no. 800-424-9300 7.Generator Certification: This is to certify that the above named materials are properly classified,described,packaged,marked and labeled and are in proper condition for transport by highway according to the applicable regulations of the Department of Transportation,US E.P.A.,and any other state government agency.I certify that the foregoing is true and correct to the best of my knowledge.If the waste shipment is not a§I staled,I accept the RETURN of the COMPLETE LOAD to the generators service location at the generator's expense. } q2_ Printed/Typed Name&Title Signature Date 8. Transporter 1 (Acknowledgement of Receipt of Materials) 'If blank,Transporter 2 serves as sole transporter. Company Name&Address t NL� �'�(,��.t_,�,•,� �� Signature: �_� �- Telephone No: cc H !ti r •c Wr-'` Printed Name: Date: 13 („ ►w r\ <. rJ Title: IL H Z G. Transporter 2(Acknowledgemen of Receip Materials) a Company Name&Address Signature, ' ' `` Telephone No. cc 877-999-9559 H Service Transport Group, Inc. .,Z"� ��/ it 58 Pyles Lane Printed Name: -4: % ' ' Date: New Castle, DE 19720 1 Title: 10.Discrepancy Indication Space: W . ~ 11.Waste Disposal/Recycling Site Owner or Operator's Certification N Recei t of above Waste Exce t as Noted in 10 J a Company Name&Address OBFI Imperial Landfill Signature: Telephone No. 11 Boggs Road _ 724-695-0900 IL Imperial, PA 15126 Printed Name: ' Date -} Permit No. 100620 Title: WHITE-Disposal Site•GREEN-S.T.G.• YELLOW-Contractor-PINK-Generates•GOLD-Pic Up Receipt 27 SERVICE TRANSPORT GROUP, INC. 58 PYLES LANE, NEW CASTLE, DE 19720 PHONE:(877)999-9559 MR 121091 WASTE SHIPMENT RECORD S.T.G. # 1. Material Origin Site Generator: Name/Address, Generator: Phone# ir Ct 2. Removal Contractor: Name/Address Contractor: Phone# A.C.T. Abatment COMOMUCln 978-794-9530 18 Broadway Contact: Lawrence, MA 01840 Stu Glygerman L__ 3. Responsible Agency: Name/Address .4. US DOT Class- FRIABLE ASBESTOS ONLY U.S. F.PA Region I irl Federal Building RID ASBESTOS,9, NA 2212, PG III Bostm, MA 02203•2211 CC 5. Descrippfixoqf Materials - Containers Total Quantity 0 SpecifytFriabld or-Non-Friable No. Type Z W 6. Special Handling Instructions 24-hour emergency spill response no. 800-424-9300 7. Generator Certification: This is to certify that the above named materials are properly classified,described,packaged,marked and labeled and are in proper condition for transport by highway according to the applicable regulations of the Department of Transportation,US E.PA.,and any otherstate government agency.I certify that the foregoing is true and correct to the best of my knowledge.If the waste shipment is not as I stated,I accept the RETURN 1 of the COMPLETE LOAD to the generator's service location at the generators expense. 'i-j'2jk- SL4 ' -I Printed/Typed Name&Tide Signature Da 8. Transporter 1 (Acknowledgement of Receipt of Materials) *If blank,Transporter 2 serves.as sole transporter. Company Name&Address Signature No. Printed Name: i�k U+IJA/A Date:1536 0 Title: _jQ * S. Transpofl;�r 2(Acknowledgement of Receipt f aterials) * Company Name&Address Signature Telephone No. CC 877-999-9559 11- Service Transport Group, Inc. NO Printed Name: L li"2 Date: 58 Pyles Lane oc-a New Castle, DE 19720 qk—V 3 1 Title: 10.Discrepancy Indication Space: 11.Waste Disposal/Recycling Site Owner or Operator's Certification J (Receipt of above Waste Except as Noted in 10) Company Name&Address N BFI Imperial Landfill Signature: Telephone No. 0 11 Boggs Road 724-695-0900 Imperial, PA 15126 Printed Name: Date Permit No. 100620 Title: MITE-Disposal Site•GREEN•S.T.G.• YELLOW-Contractor•PINK-Generator•GOLD•156 U eceipt � e ?.• q • 27 2 SERVICE TRANSPORT GROUP, INC. 58 PYLES LANE, NEW CASTLE, DE 19720 PHONE:(877)999-9559 NPA 1211090 WASTE SHIPMENT RECORD S.T.G.#`t 311 1. Material Origin Site c � �enerator: Name/Address Generator: Phone# 9.7,8 V7,t I t r Au �xrc.hlG�c� 5� s;i w 54re-f-L 019g GStrdal'G WAS- 5 M s Q"L.It j 2. Removal Contractor: Name/Address Contractor: Phone# A.C.T. Aabatemmt Corporation 18 Broadway Contact: 978-794-9530 Lawrence, MA 01840 Stu 3. Responsible Agency: Name/Address 4. US DOT Class- FRIABLE ASBESTOS ONLY U.S. EPA Region I JFX Federal Building RID ASBESTOS, 9, NA 2212, PG III Bost+cm, MA 02203-•2211 CC 5. Descrip.4Wa.oWaterials Containers Total Quantity HSpeci Friable r Non-Friable No. Type T. W 6.Special Handling Instructions t7 24-hour emergency spill response no: 800-424-9300 7.Generator Certification: This is to certify that the above named materials are property classified,described,packaged,marked and labeled and are in proper condition for transport by highway according to the applicable regulations of the Department of Transportation,US E.P.A.,and any otherstate gave mment agency.I certify that the foregoing is true and correct to the best of my knowledge.If the waste shipment is not as I stated,I accept the RETURN of the COMPLETE LOAD to the generators service location at the generators expense. ! ki `it : 3 Z7 Lo 2- Printed/Typed Name&Title Signature Date 8. Transporter 1 (Acknowledgement of Receipt of Materials) 'If blank,Transporter 2 serves as sole transporter. Company Name&Address Signature: ." Telephone I lep one q5�� f. Printed Name: Date.: -11�lay C Title: L #A Z g. Transpofbgr 2(Acknowledgement of Receipt of Materials) a Company Name&Address - af.4.r--""' Signature ,'-FO`' pry__ Telephone No. 11r / Axk .� 877-999-9559 H Service Transport Group, Inc. x.44// f ,, `t 58 Pyles Lane �trcct ! Q/e'*Ua�. Printed Name: r Date: New Castle, DE 19720 4� ttL,a 10.Discrepancy Indication Space: W ~ 11.Waste Disposal/Recycling Site Owner or Operator's Certification (Receipt of above Waste Exce t as Noted in 10 4 a Company Name&Address OBFI Imperial Landfill Signature: Telephone No. 0. 11 Boggs Road 724-695-0900•( H Imperial, PA 15126 Printed Name: �� Date r Permit No. 100620 Title: WHITE-Disposal Site•GREEN-S.T.G.• YELLOW-Contractor•PINK-Generator•GOL -Pick Up Receipt t • . • �_ a:Z. i 27 SERVICE TRANSPORROUP, INC. 58 PYLES LANE, NEW CASTLE, DE 19720 PHONE:(877)999-9559 NOP M079 WASTE SHIPMENT RECORD S.T.G.# IT 1. Material Origin Site Generator: Name/Address + Generator: Phone# t /0 1'Ya:Vw`�'n t L Jv 4rlcitlCri ,� S4"1,1 , ;� c: ` �f a b% 10-44)v% w] Ulf I 2. Removal Contractor:Name/Address Contractor: Phone# A.C.T. Abatement Corporation 18 Broadway Contact: 978•-794-9530 Lawrence, MA 01840 Stu Gregerman 3. Responsible Agency: Name/Address 4. US DOT Class-FRIABLE ASBESTOS ONLY U.S. EPA Region I; . JFX Federal Building RQ ASBESTOS,9, NA 2212, PG III .Bost onp MA 02203.-2211 CC 5. Descn'ptfon. f Materials Containers Total Quantity Specify sable ar Non-Friable No. Type W Z W 6.Special Handling Instructions Ci 24-hour emergency spill response no. 800-424-9300 7. Generator Certification: This is to certify that the above named materials are properly classified,described,packaged,marked and labeled and are in proper condition for transport by highway according to the applicable regulations of the Department of Transportation,US EPA.,and any other state government agency.(certify that the foregoing is true and correct to the best of my knowledge.If the waste shipment is not as I stated,I accept the RETURN of the COMPLETE LOAD to the generator's service location at the generators expense. - Printed/Typed Namj&Title Signature Date . 8. Transporter 1 (Acknowledgement of Receipt of Materials) 'If blank, Transporter 2 serves as sole transporter. Company Name&Address CC i 7 (�s E •jg ;`,�,. r +- Signature: z� Telephone No.. Printed Name: Date- CC (, '�mac . MA d Title: tx , U) Z S. Transpor"fer 2(Acknowledgement of Receipt qf Materials) Company Name&Address . y ,, Signature Telephone No. H Service Transport Group, IQE� /%;e4�k, i! :� 877-999-9559 58 Pyles Lane /t Printed dame: _ `r''`f'� ,. Date: �( � �D.3.t/f� New Castle, DE 19720 Oc E1� or.3 Title: r 10.Discrepancy Indication Space: ` W ~ 11.Waste Disposal/Recycling Site Owner or Operator's Certification H (Receipt of above Waste Except as Noted in 10 J a Company Name&Address O BFI Imperial Landfill Signature: Telephone No. 11 Boggs Road 724-695-0900 Imperial, PA 15126 W P Printed Name: Date Permit No. 100620 Title: 1 WHITE-Disposal Site•GREEN-S.T.G.• YELLOW-Contractor•PINK-Generator•GOLLk- .fdt Up Receipt i i S 7 ERVICE TRANSPO SOUP, INC. 58 PYLES LANE, NEW CASTLE, DE 19720 PHONE:(877)999-9559 � ��' $ WASTE SHIPMENT RECORD S.T.G.# I1 1. Material Origin Site .,Generator: Name/Address Generator: Phone# l / ac f 2. Removal Contractor: Name/Address Contractor: Phone# A.C.T. Abatement CbrP=ati0n 978-794-9530 18 sway Contact: Lawrence, MA 01840 Stu Gregerman 3. Responsible Agency:Name/Address 4. US DOT Class-FRIABLE ASBESTOS ONLY U.S. EPA Region I JFR Federal Building RO ASBESTOS,9, NA 2212, PG III Boston,, MA 02203-2211 CC 5. Description.ofMateriafs--. - Containers Total Quantity 0 Specii'y Friable ,or Non-Friable No. Type W - - Z W 6. Special Handling Instructions 24-hour emergency spill response no: 800-424-9300 7. Generator Certification: This is to certify that the above named materials are properly classified,described,packaged,marked and labeled and are in proper condition for transport by highway according to the applicable regulations of the Department of Transportation,US E.P.A.,and any other state government agency.I certify that the foregoing is true and correct to the best of my knowledge.If the waste shipment is not as I stated,l accept the RETURN of the COMPLETE LOAD to the generator's service location at the generators expense. ". VIX PrintedlTyped Na e&Title Signature Da U q tj Ai"1 8. Transporter 1 (Acknowledgement of Receipt of Materials) 'If blank, Transporter 2 serves as sole transporter. . Company Name&Address Awl 4I.r. t' Signature: telephone No. if n H16 f" .°.� }` ` Printed Name: 14e,.r fir :_ Date: O Title: a • Z 9. Transporter 2(Acknowledgement of Receipt of Materials) r 4 Company Name&Address g .,. '-.-�`b Telephone No. Signature: ;.�';� �.r- II— Service Transport Group, Inc.iva e� Ala rf Iii-/I ` �,, ,; 877-999-9559 Printed Name: -�' Date: 58 Pyles Lane V C& I New Castle, DE 19720 Title: W 10.Discrepancy Indication Space: ~ 11.Waste Disposal/Recycling Site Owner or Operator's Certification - H Recei t of above Waste Exce t as Noted in 10 4 Company Name&Address Q OBFI Imperial Landfill Signature: _ Telephone No. IL 11 Boggs Road r 724-695-0900 N Imperial, PA 15126 Printed Name: Date /3 Permit No. 100620 Title: t WHITE-Disposal Site•GREEN-S.T.G.• YELLOW-Contractor-PINK-Generator•GOLD-Pick Up Receipt w _ �yyyZ'rs-:'rs 27 �- SERVICE TRANSPORT GROUP, INC. 58 PYLES LANE, NEW CASTLE,DE 19720 PHONE:(877)999-9559 NR 121077 WASTE SHIPMENT RECORD S.T.G. # Zk- 7 1. Material Origin Site Generator: Name/Address Generator: Phone# UI4 t2. Tos*n tutu i I `x� 97 9- y75 F?-,- 1.C,nd 5- (c.� � cS�u^�-Lt S1 02 9 8 2. Removal Contractor: Name/Address Contractor: Phone# A.C.T. Ataat,emertt Corperation 18 Broadway Contact: 978-?34-4530 Lawrenoe MA 01840 Stu (kegerman 3. Responsible Agency: Name/Address 4. US DOT Class-FRIABLE ASBESTOS ONLY U.S. EPA Region i JFK Federal Balding RID ASBESTOS,9, NA 2212, PG III Bt�tston, HA 02203-•2211 IC 5. Description-ofMaterials Containers Total Quantity N Specify sable r Non-Friable No. Type Q � W , Z W 6.Special Handling Instructions � 24-hour emergency spill response no. 800-424-9300 7.Generator Certification: This is to certify that the above named materials are property classified,described,packaged,marked and labeled and are in proper condition for transport by highway according to the applicable regulations of the Department of Transportation,US E.P.A.,and any other state government agency.I certify that the foregoing is true and correct to the best of my knowledgee.If the waste shipment is not as I'stated,I accept.the RETURN of the:COMPLETE LOAD to the generator's service location at the generator's expense. PA 03 te Printed/Typed Na e&Title Signature l. Da 8. Transporter 1 (Acknowledgement of Receipt of Materials) 'If blank,Transporter seryVs as sole transporter. Company Name&Address Signature: VVII Te h phone No. IQ JrVV 11."W%w f � ,Y1` " Printed Name: ice' D te: cc dn a Title: U) Z 3. Transporter 2(Acknowledgemen f Recet Material * Company Name&Address / Signature: �* `r' =•.� ` Telephone No. IH Service Transport Group, Inc. ' ( , jciaG .c�I , , 877-999-9559 .�.. ,: :,.,L /f �'i Date: 58 Pyles Lane 40 / f7Qivc Printed'�lame: ._� r, �rf 4 New Castle, DE 19720 0-3. Title:, W 10.Discrepancy Indication Space: ;;F- 11.Waste Disposal/Recycling Site Owner or Operator's Certification (Receipt of above Waste Except as Noted in 10 4q Q Company Name&Address OBFI Imperial Landfill Signature: Telephone No. d 11 Boggs Road '` i ' 724-695-0900 N Imperial, PA 15126 Printed Name: `' Datee Permit No. 100620 Title: t "j WHITE-Disposal Site•GREEN-S.T.G.• YELLOW-contractor•PINK-Generator•GOLD-Pick UplReceipt O � J SERVICE TRANSPORT GROUP, INC. 58 PYLES LANE, NEW CASTLE, DE 19720 PHONE:(877)999-9559 I' M076 WASTE SHIPMENT RECORD S.T.G.# Ie 7 1-Material Origin Site anerator: Name/Addre � Generator: Phone# cc ls� GNGur,c• �: U2�i ✓ V)AS3 0-2-111 2. Removal Contractor: Name/Address Contractor: Phone# A.C.T. Abateumt Corporation 18 Broadway Contact: 978-794-9530 Law 3. Responsible Agency: Name/Address 4. US DOT Class--FRIABLE ASBESTOS ONLY U.S. EPA Region S JFK Federal Building RQ ASBESTOS, 9, NA 2212, PG III Boston, ?tA 02203-2211 CC 5_Description of Materials Containers Total Quantity N Specify Friable on=Friabl No. a ype W Z 6. Special Handling Instructions 24-hour emergency spill response no. 800-424-9300 7. Generator Certification: This is to certify that the above named materials are properly classified,described,packaged,marked and labeled and are in proper condition for transport by highway according to the applicable regulations of the Department of Transportation,US E.P.A.,and any other state govemment agency.l certify that the foregoing is true and correct to the best of my knowledge.If the waste shipment is not as I stated,I accept the RETURN of the COMPLETE LOAD to the generator's service location at the generator's expense. } Printed/Typed Name&Title Signature Dat h,.w 8. Transporter 1 (Acknowledgement of Receipt of Materials) 'If blank,Transporter 2 serves as sole transporter. Company Name&Address ( Signature: �l1• elephone No. cc /fit- f }'7 1• t (r 4 G��( Printed Name: cc Date: ��0 1 Title. f i Je� I fff IL U1 Z 9. Transposer 2(Acknowledgement of Receipt of Materials * Company Name&Address / '""' Signatures/ t'tr'< �` "}1°f f Telephone No. H Service Transport Group, Inc. /_ 877-999-9559 Printed"Name: r �- �t��/ r-;: r";• Date: 58 Pyles Lane J4.dCr-/ 'OttVC4- � f• J New Castle, DE 19720 `�-�q-o3 .T ,' ;• 10.Discrepancy Indication Space: W f- 11.Waste Disposal/Recycling Site Owner or Operator's Certification N (Receipt of above Waste Except as Noted in 10 J Q Company Name&Address W BFI Imperial Landfill Signature: Telephone No. d Boggs 11 Road 724-695-0 rrn Imperial, PA 15126 Printed Name: Date T Permit No. 100620 Title: ! - WHITE-Disposal Site•GREEN-S.T.G.• YELLOW=tractoe-PINK-Generator•GOLD-Oa Up R eipt 27 SERVICE TRAN �-PORT GROUP, INC. 7 PHONE:(877)999-9559 I 58 PYLES LANE, NEW CASTLE, DE 19720 WASTE SHIPMENT RECORD NIRS 121075 S.T.G.If 1. Material Ori in Site een a or: Name/Address Generator: Phone# e,C 2. Removal Contractor: Nam=e/ dress Contractor: Phone A.C.T. Abateirent tion _-o9530 18 Broadway 9 78-794 Contact: an L,&vwrence, MA 01840 Stu Grecr-i 3. Responsible Agency: Name/Address o- 4:`OS DOT Class- FRIABLE gSBESTOS ONLY U.S. -EPA Region I J •X Federal Building RG ASBESTOS,9, NA 2212, PG III Boston,, HA 02203-2211. X 5. Description of Materials Containers ITotal Quantity, 0 SpecifV5n-a-b-1�)or Non-Friable No. Type 49 W Z W 6.Special Handling Instructions 24-hour emergency' Spill response no. 800-424 7.Generator Certification: t above named m at6d*dk This is to certify that the a are property cl'ssified,desc packaged,marked w4labei0alif% in Ore,condition I port k, hi a on or ran�po � ighway j the' Ii bl lotions f the:��rirn:e% _tth!*egp ions o e TT ran, yjj;�Vy.l4a .ip hd according to efpphca -7Lqpodq.,M-1 YS an bi�fie c genera(l5_rs'stirQ)i166ati6n at the generators ed�f pt-th expense. V P IV _T C Printed/7yped Name&Title Signature r 1pat 8. Transporter I (Acknowledgement of Receipt of Materials) *If blank,Transporter 2 serves as sole transporter. Company Name&Address -Signature: Tel 4 er ,,--N o. 0 7 A 6 r, e W < Printed Name: SIL"W Date: cc 0 Title: 4r 7 L Z _g.—Transpoifer 2(Acknowl6dgemerij of Recei f Materials) Company Name&Address Signature: Telephone No. cc . I- Service Transport Group, Inc e all 877-999-9559. C. Printed Ile- Date: 58 Pyles Lane d New Castle, DE 19720 _;cwe: 4 10.Discrepancy Indication Space: 11.Waste Disposal/Recycling Site Owner or Operator's Certification J (Receit)t of above Waste Except as Noted in 10) N TeleCompany Name&Address phone No. BFI Imperial Landfill Signature: 0 11 Boggs Road _724-695-0900 IL Imperial,PA 15126 '4ZAnted Name: Date Permit No. 100620 ,Title: WHITE-Disposal Site•GREEN-S.T.G.• YELLOW-Contractor-PINK-Generator•G='-f'k*jjp.Receipt 27 SERVICE TRANSPORT GROUP, INC. 58 PYLES LANE, NEW CASTLE, D F`l 9720 PHONE:(877)999-9559 0 WASTE SHIPMENT RECORD MT 2.074 S.T.G.# 1. Material Origin Site Generator: Name/Address Generator: Phone# Se 'e Ck 'V .07e V3 o 2. Removal Contractor: Name/Address Contractor: Phone# A.C.T. Abatawnt Corporation 18 Broil&wsay Contact: 978-794-9530 Law-rencep MA 01840 Stu Gregerman 3. Responsible Agency: Name/Address 4. US DOT Class- FRIABLE ASBESTOS ONLY U.S. EPA Region I JFK Federal Riding RQ ASBESTOS,9, NA 2212, PG III Bostcn,, MA 02,203-2211 X 5. Description of Matqflals.....' Containers Total Quantity 0 Specify Friable No. Type LU Z 6. Special Handling Instructions 24-hour emergency spill response no. 800-424-9300 7.Generator Certification: This is to certify that the above named materials are property classified,doscribdd,packaged,marked and labeled and are in.prop_erponoitiorn for twsp4d by highway -KcQrong to-the applicable regulations of the Department of Transportation,US E.P.A.,'ind ariy other state government agency.I certify that the foregoing is true and correct to the best of my knowledge.If the waste shipment is not as I stated,I accept the RETURN of the COMPLETE LOAD to the generator's service location at the generator's expense. Signature Printed/Typed Name&Title ate f , 7/0-3 8. Transporter 1 (Acknowledgement of Receipt of Materials) *If blank,Transporter 2 serves as sole transporter. Company Name&Address (V\ Signature: Telephone No. -Tam-;�l< 3 0 r C1. S V'.j VA EL, Printed Name: O."i L_trO A-.-vrJ Date: 0 Title: uA ;2f>r tit (i 1' 41117103 Q9. TransportVir 2(Acknowledgement of Receipt of Materials) Company Name&Address }} Telephone No. Service Transport Group, Inc. IwAxA A414e#' A' 877-999-9559 58 Pyles Lane L V cc, )0*o,Ve.,r Printed Name- Date: New Castle, DE 19720 Title: 10.Discrepancy Indication Space: 11.Waste Disposal/Recycling Site Owner or Operator's Certification A (Receit)t of above Waste Except as Noted in 10 ,g ) Company Name&Address N BFI Imperial Landfill Signature: Telephone No. 11 Boggs Road 724-695-0900 Imperial, PA 15126 Printed Name: Nile. Date 11k. Permit No. 100620 Title: A WHITE-Disposal Site•GREEN-S.T.G,• YELLOW-Contractor-PINK-Generator•GOLD•rock Up Receipt e � SERVICE TRANSPORT GROUP, INC. 58 PYLES LANE, NEW CASTLE,DE 19720 PHONE:(877)999-9559 \ � 121073 WASTE SHIPMENT RECORD S.T.G.it XALL? 1. Material Origin Site Generator: Name/Address Generator: Phone# 03-0.5 Ae-redAuD 'Rowkwn M 19 Al 4 • 497.1// 2. Removal Contractor: Name/Address Contractor: Phone# A.C.T. Ataatement Corporation 978-799-9530 18 Broadway Contact: Lawrence, MA 01840 Stu Gregerman 3. Responsible Agency: Name/Address 4. US DOT Class-FRIABLE ASBESTOS ONLY U.S. EPA Region I JFK Federal Building RQ ASBESTOS,9, NA 2212, PG III Boston, MA 02203-2211 CC 5. Description of Materials Containers Total Quantity. N Specify Friable or Non-Friable No. Type Q W Z tj 6. Special Handling Instructions 24-hour emergency spill response no. 800-424-9300 7.Generator Certification: �. This is to certify that the above named materials are property classified,described,packaged,marked and labeled and are in proper condition for transport by highway according to the applicable regulations of the Department of Transportation,US E.P.A.,and any other state government agency.I certify that the foregoing is true and correct i to the best of my knowledge.If the waste shipment Is not as I stated,I accept the RETURN of the COMPLETE LOAD to the generator's servicg location at the generators expense. Printed/Typed Name&Tide Sig we Date 8. Transporter 1 (Acknowledgement of Receipt of Materials) 'If blank,Transporter 2 serves as sole.transporter. Company Name&Address � �.r-• � Signature: S VY � .... Telephone No. QC',q� /�� L. Date: FW., �9'--a'JI��DG,,�A� Printed Name: �:��1 P J�— IM � Title: t N Z 9. Transporter 2(Acknowledgement of Receip, f aterials) * Company Name&Address � � Signature: Telephone No. H Service Transport Group, Inc. ��`` �` 877-999-9559 58 Pyles Lane r:z t . '. C'.< Printed Name: Date: New Castle, DE 19720 V'X Title: W 10.Discrepancy Indication Space: ~ 11.Waste Disposal/Recycling Site Owner or Operator's Certification N (Receipt of above Waste Exce t as Noted in 10 Company Name&Address BFI Imperial Landfill Signature: Telephone No a 11 Boggs Road 724-695-0900 Imperial, PA 15126 �; Printed Name: Date Permit No. 100620 Title: .f WHITE-Disposal Site•GREEN-S.T.G.• YELLOW-Contractor•PINK-Generator•GOLIJ-Pick Up Receipt « 27 ERICE ' RANSPO ` OUP, INC. 58 PYLES LANE, NEW CASTLE, DE 19720 PHONE:(877)999-9559 W.I. 121071 WASTE SHIPMENT RECORD S.T.G.# 1. Material Od 9�n7Svite "'B��_ Generator: address ,�r,, Generator: Phone# lj�r� O1 M W to 2t 1 2. Removal Contractor: Name/Address Contractor: Phone# A.C.T. Abatement C=P=atitin 978-719-953U 18 Broadway Contact: Law:retuce, t4A 01840 Stu Gregerman 3. Responsible Agency: Name/Address 4. US DOT Class- FRIABLE ASBESTOS ONLY U.S. EPA Region I JPK Federal Btal 4i.ng RQ ASBESTOS,9, NA 2212, PG 111 i3ostcn, NIA 02203--2211 IY 5. Description of Materials Containers Total Quantity H Specify Friable or Non-Friable No. Type CC a W Z W 6: Special Handling Instructions t7 24-hour emergency spill response no. 800-424-9300 7. Generator Certification: This is to certify that the above named material are property classified,described,packaged,marked and labeled and are in proper condition for transport by highway according to the applicabi�regulations of the Dertment of Transportation,US EP.A.,and any otherstate government agency.I certify that the foregoing is true and correct to the best of my knowledge.N the waste shipm@:nt is not as vstated,I accept the RETUT of the COMPLETE LOAD to the generator's serviT location at the generators expense. Printed/Typed Name&Title S' ature Date 8. Transporter 1 (Acknowledgement of Receipt of Materials) 'If blank,Transporter 2 serves as sole transporter. Company Name&Address Signature: Telephone No. CC W Printed Name: 2&e—y"- IV 1tw ate: 00. Title: uQ H Q Q. Transpot er 2(Acknowledgement of Receipt of Mated Company Name&Address �j;'i�"'"• Signature r ,' Telephone No. 1- Service Transport Group, Inc. q fir' +litt f1j' !� r'� 877-999-9559 Printed Name: r'<' Date: 58 Pyles Lane J occ / j New Castle,DE 19720 ~IT 10.Discrepancy Indication Space: ~ 11.Waste Disposal/Recycling Site Owner or Operator's Certification 5. H (Receipt of above Waste Except as Noted in 10 gg Company Name&Address OBFI Imperial Landfill Signatu Telephone No. IL 11 Boggs Road 724-695-0900 y Imperial, PA 15126 Printed Name: Date Permit No. 100620 Title: WHITE-Disposal Site•GREEN-S.T.G.• YELLOW-Contractor-4 PINK-Generator•GOLD Pick Up Receipt 24 SERVICE TRANSPOR " 1OUP, INC. P.O. BOX 2132, BRISTOL, PA 19007 PHONE:(877)999-9559 WASTE SHIPMENT RECORD S.T.G.# 1. Material"'O 'gin Si Generator: ame/4 Id ss Generator: Phone# kr� 4'75 S t So{ � w S- 4t .r.L 4 f bo e'LQ I h1 15� Zvfilofl ihZ-'S a-zil I 2. Removal Co tractor:Name/Address Contractor: Phone# t t)r C O c LAX,' S Contact: Q S 3 C.fik3f C.'& -MA'r-e 3. Responsible Agency:Name/Address 4. US DOT Class-FRIABLE ASBESTOS ONLY U.S. EPA Region JFK Federal Building RQ ASBESTOS, 9, NA 221.2, PG III Boston, MA 02203-2211 CC 5. Deseviptiorf'UUMptenals Containers ITotal Quantity` O Specify° viable 9t Non-Friable No. Type Z W 6. Special Handling Instructions t7 24-hour emergency spill response no. 800-424-9300 7. Generator Certification: This is to certify that the above named materials are properly classlf�d,described,packaged,marked and labeled and are in proper condition for transport by highway . according to the applicable regulations of the Department of Transportation,US E.P.A.,and any other state government agency.I certify that the foregoing is true and correct to the best of my knowledge.N the waste shipment is not as I stated,I accept the RETURN of the COMPLETE LOAD to the generators service location at the generator's expense. r LLh , Printed/Typed Name&Title Signature Dat 8. Transporter 1 (Acknowledgement of Receipt of Materials) 'If blank,Transporter 2 serves as sole transporter. Company Name&Address _ Signature:. '�- -�1 Telephone No. Printed Nam? D / CC at 4J � dTitle: t vt 1 Z 9. Transpo`r[er 2(Acknowledgeme ecei to ' , * Company Name&Address , � �� Signature '°� ' jet '� Telephone No-'` f '' 877.999-9559 H Service Transport Group, Inc. ,r` fl. .1 printed�Name � =` I Date: r P.O. Box 2 1. .1 > Bristol, PA 19007 Profile#00534 {. Title. 10.Discrepancy Indication Space: W ~ 11.Waste Disposal/Recycling Site Owner or Operator's Certification N Recei t of above Waste Except as Noted in 10 QC"m FI Imperial�dfIl� N Signature: Telephone No. p Rom 930&Boggs.Road ` 724-887-9400 H Imperial,PA 13926 Printed Name: ` Date r- -05-0900 r F PezmitNo. 100620 Title: ' ,�-v.*,", i one-vncEN-S.T.G.• YELLOW-Contractor•PINK-Genera4or•GOLDS�rPIck Up Receipt 27 SERVICE TRANSPORT GROUP, INC. 58 PYLES LANE, NEW CASTLE, DE 19720 PHONE:(877)999-9559 t X12 63 WASTE SHIPMENT RECORD S.T.G. # 1. Material Origin Site Generator: Name/Address Generator: Phone# V �,� ,,,,tom � � A 2. Removal Contractor: Name/Address Contractor: Phone# 111- , 774 Contact: / 5 3 3. Responsible Agency: Name/Address 4. US DOT Class- FRIABLE ASBESTOS ONLY RQ ASBESTOS,9,NA 2212, PG III tA 5. Description of Mater%CIS_. Containers Total Quantity H Specify Friable�rf�on-Friabl No. r ypr ii xa.11 ; .:.`.iry4 �f � ,� i Y t.JL�'�.t-:�" •,•"t�y �; ft'-t:"`t (J x+�^a.+ W ti6.Special Handling Instructions� 24-hour emergency spill response no. 800-424-9300 7.Generator Certification: This is to certify that the above named materials are property classified,described,packaged,marked and labeled and are in proper condition for transport by highway according to the applicable regulations of the Department of Transportation,US E.P.A.,and any other state government agency.I certify that the foregoing is true and correct to the best of my knowledge.If the waste shipment is not as I stated,I accept the RETURN of the COMPLETE LOAD to the generator's service location at the generators expense. Printed/Ty ed Name&Titl! ((( r Signature Date 8. Transporter 1 (Acknowledgement of Receipt of Materials) 'If blank,Transporter 2 serves as sole transporter. Company Name&Address Signature: Telephone No. W Printed Name: Date: IL Title: H Z 9. Transpol—ter 2(Acknowledgement of Receipt of Materials) 4 Company Name&Address Signature: Telephone No. H Service Transport Group, Inc. 877-999-9559 58 Pyles Lane Printed Name: Date: New Castle, DE 19720 Title: W 10.Discrepancy Indication Space: ~ 11.Waste Disposal/Recycling Site Owner or Operator's Certification N (Receipt of above Waste Exce t as Noted in 10 Company Name&Address Q N BFI Imperial Landfill Signature: Telephone N9. a 11 Boggs Road IL Imperial, PA 15126 Printed Name: Date Permit No. 100620 Title: WHITE-Disposal Site-GREEN-S.T.G.• YELLOW-Contractor•PINK-Generator•GOLD-Pick Up Receipt Wva "` E.P.A. AGENCY #99 18439 CT,MA,IQI,VT,NH,ME NY GENERATORS /ASTE MANAGEMENT GENERATORS ��// t ` EPA Region 2 /V-V.6 EPA New England 290 Broadway,26th Floor O.Box 144•Portland,CT 06480 1 Congress Street New York,NY 10007-1866 60)342-0667 - Fax:(860)342-4866 Boston,MA 02114-2023 (212)264-6770 it of State 1-800-212-3867 (617)918-1111 '� O� B# Q,57 ASBESTOS DISPOSAL & DOCU+++""MENTATION FORM C, :)b Number _ ad\37 P.O.# GENERATOR/BUILDING OWNER ontractor /"I(_T i 6A-TE:M.ENT ,T_,Ak MX.5 'brovd�olpm�.-1 ddress V��t3�W Address / 2 �e�^ t J iSJ- s� -,�}I &P-t;Ge- State_," Zip OI B`{ ey`-cl-vJS v state,�� zip ity elephone Number 4 76. 7 q4_ 8530 Phone Number _ a--G3 LID ate Container Del. Date of Pickup GENERATING LOCATION r)LD A)0/-TN4nl pTQJ 51; l�sP fA ype of Container_Qp^j 3 0 Y-D Address n - &A-1 _ 'OLUME CY Friable❑ Non-Friable City ^ #A-f-1 `p P F� State/4 zip fl ag❑ Drum ❑ Wrapped V" Other❑ `v U`� ~ Phone Number ASBESTOS, 9, NA2212, PG III P1,4 ,edify the above named material does not contain free liquid as defined by 40 CFR part 260.10 or any applicable state law,is not a hazardous waste as defined by ) CFR part 261 or any applicable state law, has been properly described, classified and packaged, and is in proper condition for transportation according to ESHAP standards for asbestos waste disposal found in 40 CFR part 61.150. hipper's Certification: I hereby declare that the contents of this consignment are fully and accurately described above by the proper shipping name, and are assified, packaged, marked and labeled/placarded, and are in all respects in proper condition for transport according to applicable international and national )vemment regulations. kUTHORIZED SIGNATURE ransporter 1. �A11'4 ,river: Registration#: Date: Signature State/# Acknowledgement of receipt of materials. ransporter 2: aste ManqadeQent1nc., PO Box 144, Portland,CT 06480 iriver. Registration#:LJ%216_ Date: i ature State/# Acknowledgement of receipt of materials. EMPORARY STORAGE/TRANSFER FACILITY: WASTE MANAGEMENT lab. - 203 PICKERING STREET* PORTLAND,CT 06480 PHONE:(800 72-3867 PERMIT#SW 1130223 leceived By: Date: It 0 Certification of receipt of materials covered by this manifest. 'ransporter 3: SAM'S TRAM RTMON GEORGETOM, MA 888-352— )river: A e gist ration A �)6/ Date: Sig lure State Acknowledgement of receipt of materials. i e?X andfill Name: WA, TF MANAf71�ENT ()F NFw HAr[psHTRF Phone No: 603-330-0217 ocation: RtMF:STRR, NH ()-jR39 Permit#: DES-SW-SP-95-On1 approximate Volume of Asbe os R eived: )iscrepancy If Any: ieceived by:_ Date: Certification of receipt of materials covered by this manifest. y - E.P.A. AGENCY #99 37922 Cv T,MA,RI,VT,NV,ME NY GENERATORS WASTE MANAGEMENT GENERATORS EPA Region 2 LOGANO EPA New England 290 Broadway,26th Floor EMERGENCY RESPONSE P.O.Box 144-Portland,Cr 06480 1 Congress Street New York,NY 10007-1866 (860)342-0667 - Fax:(860)342-4866 Boston,MA 02114-2023 (212)264-6770 TELEPHONE Out of State 1-800-272-3867 (617)918-1111 V 5— n('0 1�v opit� #1-800-272-3867 FB# I&Oql ASBESTOS DISPOSAL & DOCUMENTATION FORM I w9's� Job Number —>a;Z3 / P.O.# n^GENERATOR/BUILDING OWNER Contractor l�-C7�l4-8�4T�M�NT a.1NC /t'LA S De ye /0,0"^�^�� Address le ACC 0kJ AX Address 43 hae-j* UrS�A City kAWP-ENC E State M_Zip 016!40 City ��✓�n/5 St at Zip Telephone Number 4 7 8- 1�4-q 53 0 Phone Number _ ,63 yO Date Container Del. Date of Pickup 34-6 GENERATING N �q LOCATIQ D e^' J��l. �6SPI � Type of Container d V a P Address VOLUME d CY Friable❑ Non-Friable �� `r` to z '�_ o�T 4 p Bag❑ Drum❑ Wrapped(5f Othrri u Phone Number , ASBESTOS, 9, NA2212, PG III �1 I certify the above named material does not contain free liquid as defined by 40 CFR part 260.10 or any applicable state law,is not a hazardous waste as defined by 40 CFR part 261 or any applicable state law, has been properly described, classified and packaged, and is in proper condition for transportation according to NESHAP standards for asbestos waste disposal found in 40 CFR part 61.150. Shipper's Certification: I hereby declare that the contents of this consignment are fully and accurately described above by the proper shipping name, and are classified, packaged, marked and labeled/placarded, and are in all respects in proDer condition for transport according to applicable international and national government regulations. AUTHORIZED SIGNATURE ` Transporter 1: Name Address Telephone# Driver: Registration# Date: Signature State/# Acknowledgement of receipt of materials. Transporter 2: Waste Mana ement-eWK Inc. PO Box 144 Portland CT 06480 1-800-272-38867 Driver. Registration#: (C:r Dater b4_6 Signature State/# Acknowledgement of receipt of materials. X--+C—i r! TEMPORARY STORAGE/TRANSFER FACILITY: WASTE MANAGEMENT4FeT INC. 9 203 PICKERING STREET• PORTLAND,CT 06480 PHONE:(800)27 -3867 PERMIT#SW 1130223 Received By: A A. Date: Certification of receipt of materials covered by this manifest. Transporter 3, SAM'S SPORTATION GEORGETOWN, MA 888-352-6689 N � U / /� Telepn Driver: Registration A r D ignature State/# Acknowledgement of receipt of materials. -andfill Name: WASTF MANAC,FmP TT op NFW HAMPSHTRE Phone No: 603-330-0217 _ovation: RCrHFSTP$, NH 01839 Permit# DES-SW-SP-95-001 kpproximate Volume of Asbestos- eceiv )iscrepancy If Any: 3eceived by: Date: Ce ication of receipt of materials covered by this manifest. 1:1'1Dy I -/,CK1=0ATn0 VIUR E.P.A. AGENCY #99 37922 CT,MA,RI,VT,NH,ME NY GENERATORS WASTE MANAGEMENT GENERATORS EPA Region 2 &i GANO EPA New England 290 Broadway,26th Floor EMERGENCY RESPONSE P. Boz 144•Portland,CT 06480 1 Congress Street New York,NY 10007-1866 TELEPHONE (860) ox 14 67 • Fax:,CT 342-4866 Boston,MA 02114-2023 (212)264-6770 (617)918 1111 #1-800-272 Out of State 1-800-'272-3867 3867 FB# ASBESTOS DISPOSAL & DOCUMENTATION FORM Job Number _ q,c1 P.O.# GENERATOR/BUILDING�OWNER V1 V Contractor { / Address C Address City s �A Zip c./ ? City State _ Zip Phone Number ?T) Telephone Number Date Container Del. Date of Picku p �'- '}? GENERATING LOCATION j_ 1111:'7 /1 AN 7 d� Type of Container s `!" j ' Address ,�; 7� �` C: 1: VOLUME ,i CY Friable❑ Non-Friable Fc J city !V �f , V Pte Zip Bag❑ Drum❑ Wrapped X] Other❑ Phone Number s �,ASBESTOS, 9, NA2212, PG III !A certify the above named material does not contain free liquid as defined by 40 CFR part 260.10 or any applicable state law,is not a hazardous waste as defined by W CFR part 261 or any applicable state.law, has been property described, classified and packaged, and is in proper condition for transportation according to 4ESHAP standards for asbestos waste disposal found in 40 CFR part 61.150. 3hi per's Certification: I hereby declare that the contents of this consignment are fully and accurately described above by the proper shipping name, and are r ed, packaged, marked and labeled/placarded, and are in all respects in pro r condition for transport according to applicable international and national ment regulations. y1 ` AUTHORIZED SIGNATURE Y '" { Transporter 1: Address Name ; . �"•. Telephaie# Driver: Registration#: Date: Signature State/# Acknowledgement of receipt of materials. Transporter 2: Waste Management of CT Inc., PO Box 144 Portland CT 06480 1-800-272-3867 Driver: Registration#: -: f - Date: , } {� � Signature State/# Acknowledgement of receipt of materials. TEMPORARY STORAGE/TRANSFER FACILITY: WASTE MANAGEMENT OF CT INC. • 203 PICKERING STREET•.PORTLAND,CT 06480 PHONE:(800)272-3867 PERMIT#SW 1130223 3eceived By: Date: Certification of receipt of materials covered by this manifest. Transporter 3: Telephone# Name Address )river: Registration#: Date: Signature State/# Acknowledgement of receipt of materials. Will Name: Phone No: .ocation: Permit A kpproximate Volume of Asbestos Received: Ascrepancy If Any: ieceived by: Date: Certification of receipt of materials covered by this manifest. rt E.P.A. AGENCY # 99 CT,MA,RI,VT,NH,ME NY GENERATORS `F ` GENERATORS EPA Region 2 ' EPA New England 290 Broadway,26th Floor ~ 1 Congress Street New York,NY 10007-1866 F. � lqq.'-portlatid;CT 06480 Boston,MA 02114-2023 (212)264-6770 (860)342=0667 ' Fax:(860)342-4866 (617)918-1111 Out of State 1-800-272-3867 FB# ,�,� �7 ASBESTOS DISPOSAL & DOCUMENTATION FORM C 14 Jl-# Z/'5— Job Number 0� P.O.# GENERATOR/BUILDING OWNER Contractor , .� l' A T [r4 t,- /V /:5 5 D()tre. '0 1%-"J Address ! �5) -' :A 10WR J Address City y-�r �`1>�C.,t e State /`'1 Zip C t fi 1 �� F sta �A Zip •p{��. !; ;j Phone Number 70 — °?'d . 3 4 0 Telephone Number }' '# / Date Container Del. Date of Pickup .3- .5'C _ GENERATING LOCATION Type of Container t.1P 3 0 Y Address t VOLUME C CY Friable❑ Non-Friable® airy };, State Zip 3ag❑ Drum❑ Wrapped r' Other 0 ` Phone Number RQ, ASBESTOS, 9, NA2212, PG III Pl/4 certify the above named material does not contain free liquid as defined by 40 CFR part 260.10 or any applicable state law,is not a hazardous waste as defined by W CFR part 261 or any applicable state law, has been properly described, classified and packaged, and is in proper condition for transportation according to JESHAP standards for asbestos waste disposal found in 40 CFR part 61.150. V ier's Certification: I hereby declare that the contents of this consignment are fully and accurately described above by the proper shipping name, and are d, packaged, marked and labeled/placarded, and are in all respects in proper condition for transport according to applicable international and national lovemment regulations. 4UTHORIZED SIGNATURE transporter 1: ZA )river: Registration#: Date.: Signature State/# Acknowledgement of receipt of materials. 'ransporter 2: Waste Mane 'ent of CT Inc. PO Box 144 Portland, CT 06480 )river: ';j e +'t f a. 't-t Registration#:<<! !'`' /' Date: L #/ ;•1, ;. Signature State I Acknowledgement of receipt of materials. 'EMPORARY STORAGE/TRANSFER FACILITY: WASTE MANAGEMENT OF CT INC. • 203 PICKERING STREET• PORTLAND,CT 06480 PHONE:(800)272-3867 PERMIT#SW 1130223 ieceived By: Date: Certification of receipt of materials covered by this manifest. 'ransporter 3: )river: Registration A Date: Signature State/# Acknowledgement of receipt of materials. an Name: Phone No: ocation: Permit#: .pproximate Volume of Asbestos Received: liscrepancy If Any: eceived by: Date: Certification of receipt of materials covered by this manifest. WMMNMMWMhW E.P.A. AGENCY #99 37905 CT,MA,Rl,VT,NH,ME NY GENERATORS ;ASTE MANAGEMENT GENERATORS EPA Region 2 LOGANO EPA New England 290 Broadway,26th Floor EMERGENCY RESPONSE O.Box 144•Portland,Cr 06480 1 Congress Street New York,NY 10007-1866 TELEPHONE 60)342-0667 • Fax:(860)3424866 Boston,MA 02114-2023 (212)264-6770 jt of State 1-800-272-3867 (617)918-1111 S3 I ) #1-800-272-3867 B# (off ASBESTOS DISPOSAL & DOCUMENTATION FORM Q :)b Number _ ZZ%9 P.O.# GENERATORIBUILDING OWNER ontractor / er aSf / �l0 /�a y Address ddress C<Q ity � zce State IN, D/��6 C'� evey5 e Zip S� Phone Number y� 2 elephone Number ?r 9 < ate Container Del. Date of Pickup 3 3 163 GENERATING LOCATION /� � rYor�aihPrv�v �iTr f�bt/,�i��-� ype of Container 30 rd OOPAl ; "� Address/� p� 6 'OLUlME CY Friable E] Non-FriableN City � . sta� Zip /ycy��cr�t/?'a ag E] Drum L] Wrapped K Other❑ Phone Number RO, ASBESTOS, 9, NA2212, PG 111 ;ertity the above named material does not contain free liquid as defined by 40 CFR part 260.10 or any applicable state law,is not a hazardous waste as defined by )CFR part 261 or any applicable state law, has been properly described, classified and packaged, and is in proper condition for transportation according to ESHAP standards for asbestos waste disposal found in 40 CFR part 61.150. hipper's Certification: I hereby declare that the contents of this consignment are fully and accurately described above by the proper shipping name, and are assified, packaged, marked and labeledtplacarded, and are in all respects in proper condition for transport according to applicable international and national )vemment regulations. WTHORIZED SIGNATURE � °"'� /fir S&> ransporter 1: Name ess Teleplane# giver: egi !recelpt Date: Signature State/#cknowledgem t o of materials. ransp7rz T I/ 144 Portland CT 06480 11-800-272-3867 Registration# ��Y C�7.ate: 3 al e giver: State/# Acknowledgement of receipt of materials. 'EMPORARY STORAGE/TRANSFER FACILITY: WASTE MANAGEMENT OF CT INC. • 203 PICKERING S ET• PORTLAND,CT 06480 PHON (800)272-3857 PERMIT#SW 1130223 teceived By: Date: Certification of receipt of materials covered by this manifest. Addr SA ess M'S TRANSPORTATION GEORGETOWN, MA 888-352-6689 Name 'ransporter 3: T leowe I ►river: Registration A 0-!5X736 Al0f*- Date: State/# Signature Acknowledgement of receipt of materials. andfill Name: WASTE MANAGEMENT OF NEW HAMPSHIRE Phone No: 603-330-0217 ovation: ROCHESTER NH 03839 Permit A DES-SW-SP-95-001 ,pproximate Volume of Asbes eived: iiscrepancy If Any: leceived by:_ Date: Certification of receipt of materials covered by this manife . ��^s��s