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38A-050 (12) e. 27 SERVICE TRANSPORT GROUP, INC. 51PYLES LANE, NEW CASTLE, DE 19720 PHONE:(877)999-9559 k N2 127254 i WASTE SHIPMENT RECORD S.T.G. #_j-S-(: - isposal Site•GREEN-S.T.G.• YELLOW-Contractor•PINK-Generator•GOLD-Pick Up Receipt 1. Material Origin Site T Generator: Name/Address Generator: Phone# 2. Removal Contractor: Name/Address Contractor: Phone# Contact 1"4.4 '0,17 3. Responsible Agency: Name/Address U A , , / r 4. US DOT Class- FRIABLE ASBESTOS ONLY F RQ ASBESTOS, 9, NA 2212, PG III X11- ,/, IC 0 5. Description of Materials Containers 146 Total Quantity Specify Friable or Non-Friable 44C A'� No. Typ- CC IF Friable(enter required information) LLI Z IF Non-Friable(check one): ❑Category 1 ❑Category 11 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 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/Typ d Name&Title Signature Date 4. 40&-- 8. Transporter 1 (Acknowledgement of Receipt of Materials) *If blank, Transporter 2 serves as sole transporter. CC Company Name&Address Signature: k/0"'I Telephone No. LL1 111- Printed Name: CC Date: 0 1 Title: U) z 4 9. Transporter 2 (Acknowledgement of Receipt of Materials) 1z Company Name&Address Signature: Telephone No. 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 (Receipt of above Waste Exceot as Noted in 10) .j to A&L Salvage.Inc. 11225 SR 45 0 P-0.Bo-,,333 Signature: Telephone No. N a L)�sbon. O'H 4.432 Printed Na-­me: 724-695-0900 Date 330-42-1-3739 Fe:Mi'4'_.AJ Er A 20n3-2 Title: - isposal Site•GREEN-S.T.G.• YELLOW-Contractor•PINK-Generator•GOLD-Pick Up Receipt SERVICE TRANSPORT GROUP, INC. 58 PYLES LANE, NEW CASTLE, DE 19720 PHONE:(877)999-9559 2 13012 WASTE SHIPMENT RECORD IM O a W z W a IM W H O Ia U) z Q F- W F N J O a N 1. Material Origin Site SIP', p n .,j' Generator: Name/Address rn Generator: Phone #1 2. Removal Contractor: Name/Address -f-- ontractot Phone # Contact: yk "/y"y j"?$/y+;:'sc^ 3. Responsible Agency: Name/Address 4. US DOT Class- FRIABLE ASBESTOS ONLY o RQ ASBESTOS, 9, NA 2212, PG III dl 5. Descrjption_of gaterials Total_Quantity Spegi R fy Friableor No.-Friable, Nu• /' Type - IF Friable(enter required information) 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.Jf 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 8. Transporter 1 (Acknowledgement of Receipt of Materials) *If blank, Transporter 2 se ves as sole transporter. Company Name & Address Signature: Telephone No. Printed Name: Date: 9. Transporter 2 (Acknowledgement of Receipt of Materials) Company Name &Address Service Transport Group, Inc. 58 Pyles Lane New Castle, DE 19720 10.Discrepancy Indication Space: Signature: r V41 ; ,Ri Telephone No. 877-999-9559 Printed Name: A Date: \V 11.Waste Disposal/Recycling Site Owner or Operator's Certification Recei t of above Waste Exce t as Noted in 10 Company Name &Address f I A& L Salvage, Inc. Signature: ';--� - 11225 S.R. 45 ) P.O. Box 333 Lisbon, OH 44432 Printed Name: ' Permit No. OH EPA 2003-2 ',. Title: ' l vgN�aal JLLC ]I CCIVJ.1.U.• rtLww-contractor•PINK-Generator•GOLD-Pick Up Receipt elephone No. 330-424-3739. Date: i" :f �r 7 SERVICE TRANSPORT GROUP, INC. 58 -'ES LANE, NEW CASTLE, DE 19720 PHONE:(877) 999-9559 a:y � WASTE SHIPMENT RECORD r S.T.G. --- -.- _�• "I-1 11tid-VI-nivn-ueneraror•uUw-MCK up neceipr 1. Material Origin Site Generator: Name/Address_ Generator: Phone # 2. Removal Contractor: Name/Address Contractor: Phone# d Contact: 1 _ 3. Responsible Agency: Name/Address 4. US DOT Class- FRIABLE ASBESTOS ONLY RQ ASBESTOS, 9, NA 2212, PG III M 5. Description of Materials Containers Total Quantity O Specify Friable or Non-Friable ��. Tvoe Q W IF Friable(enter required information) 61 Z IF Non-Friable(check one):©Category I [I Category II r 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 Date ' _. .. ._ n.. ,Q(t pp y �1 y % tr i �• r 3.f ! .. i6- 8. Transporter 1 (Acknowledgement of Receipt of Materials) *If blank, Transporter 2 serves a§sole transporter. Company Name &Address r �, �o :r 7. Signature- `�^-�.� .` - Telephone No. W _ H Printed Name Date: d Title: N Z 9. Transporter 2 (Acknowledgement of Receipt of Materials) Q 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 H 11.Waste Disposal/Recycling Site Owner or Operator's Certification (Receipt of above Waste Except as Noted in 10 Q Company Name & Address U) � A & L Salvage, Inc. ' Signature: r� ,�;. ,: %,� ;, ,. ,. , ;' Telephone No. IL 11225 S.R. 45 f N P.O. Box 333 Printed Name: 330-424-3739 Lisbon, OH 44432 Date: Permit No. OH EPA 2003-2 Title: --- -.- _�• "I-1 11tid-VI-nivn-ueneraror•uUw-MCK up neceipr SERVICE TRANSPORT GROUP, INC. 1 58 P)t7l_ES LANE, NEW CASTLE, DE 19720 111 PHONE:(877)999-9559 ,J 1.7240 WASTE SHIPMENT RECORD S.T.G. # 7 HI E-Disposai Site•GREEN-S.T.G.• YELLOW-Contractor•PINK-Generator•GOLD-Pick Up Receipt 1. Material Origin Site Generator: Name/Address Generator: Phone # A, 2. Removal Contractor: Name/Address Contractor: Phone# 7 Contact: 3. Responsible Agency: Name/Address 4. US DOT Class- FRIABLE ASBESTOS ONLY RQ ASBESTOS, 9, NA 2212, PG III W 5. Description of Materials Containers ITotal Quantity 0 Specify Friable or Non-Friable No. Type CC IF Friable(enter required information) LLI Z IF Non-Friab0j(check one): ❑Category I ❑Category 11 l' rye 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 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 Njame &Title Signature Date ; _V >71_X 8. Transporter 1 (Acknowledgement of Receipt of Materials) *If blank, Transporter 2 serves as sole transporter. Company Name & Address Signature: Telephone No. Printed Name: Date: 0 p. 1 Title: Z 9. Transporter 2 (Acknowledgement of Receipt of Materials) 4 M 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: W F_ V; 11.Waste Disposal/Recycling Site Owner or Operator's Certification (Receipt of above Waste Except as Noted in 10) .j Company Name & Address Z 0 0 A & L Salvage, Inc. Signature: r !7 r Telephone No. IL 11225 S.R. 45 (A P.O. Box 333 Printed Name: 330-424-3739 Lisbon, OH 44432 Date: Permit No. OH EPA 2003-2 Title: — HI E-Disposai Site•GREEN-S.T.G.• YELLOW-Contractor•PINK-Generator•GOLD-Pick Up Receipt SERVICE TRANSPORT GROUP, INC. 7 58 PYLES LANE, NEW CASTLE, DE 19720 N2 140437 WASTE SHIPMENT RECORD PHONE:(877) 999-9559 * S.T.G. 4T.Sd�s-z WHITE-L)isposal Site*GREEN-S.T.G.- YELLOW-Contractor-PINK-Generator-GOLD-Pick Up Receipt 1. Material Origin Site Generator: Name/Address Generator: Phone# State F'ass D ve-lc)-_-Areenit Finrance Ai3tlio-rity 13-587--6)200 43 V1_-Fti '-h ni-i^t, `-4 .01432 2. Removal Contractor: Name/Address Contractor: Phone # r "d 'u,.)1i'- F.x;, rt- 1.n • 40 T�J.. linit 1 603-1 94-6465 Contact ontact: 3. Responsible Agency: Name/Address 4. US DOT Class- FRIABLE ASBESTOS ONLY ion I : IV- "I- i "! RQ ASBESTOS, 9, NA 2212, PG III 02114-2023 M 5. Description of Materials Containers Total Quantity 0 Specify Friable or Non.-Friable No. T,:,e IF Friable(enter required information) LLI /Z 4 - Z IF Non-Friable(check one): 0 Category 1 ❑Category 11 U1 (j 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. Printed/Typed Name &Title Signature Date J­_C9, I L 41-23f4 -M 8. Transporter 1 (Acknowledgement of Receipt of Materials) *If blank, Transporter 2 serves as sole transporter. Company Name &Address ,L.41- Signature: ::;W-01C07 Telephone No. UJI -4 Printed Name: r" 1, 4.,d_-e I Date: 0 d. Title: z 9. Transporter 2 (Acknowledgement of Receipt of Materials) j 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: W F. ;; 11.Waste Disposal/Recycling Site Owner or Operator's Certification A (Receipt of above Waste Except as Noted in 10) .1 V) Company Name & Address A & L Salvage, A Inc. Signature: .1e, L"t". -V Telephone No. 0 11225 S.R. 45 P.O. Box 333 Printed Name: 1P, 330-424-3739 Lisbon, OH 44432 Date: Permit No. OH EPA 139120 Title: WHITE-L)isposal Site*GREEN-S.T.G.- YELLOW-Contractor-PINK-Generator-GOLD-Pick Up Receipt 7 SERVICE TRANSPORT GROUP, INC. 58 PYLES LANE, NEW CASTLE, DE 19720 PHONE:(877) 999-9559 WASTE SHIPMENT RECORD F N fff-S-2 140455 S.T.G. vvtii i E-uisposai Site•UHEEN-S.T.G.• YELLOW-Contractor•PINK-Generator•GOLD-Pick Up Receipt 1 Material Origin Site Generator: Name/Address Generator: Phone# Cc 43 1-uem,-i"Vista 7 2. Removal Contractor: Name/Address Contractor: Phone# ��Ilal-JL ty Try. 3. Responsible Agency: Name/Address 4. US DOT Class- FRIABLE ASBESTOS ONLY Z;PA -7. a, t rtr RQ ASBESTOS, 9, NA 2212, PG III 211 M 5. Description of Materials Containers Total Quantity 0 Specify Friable or Non-Friable Nom. Tvpe IF Friable- i ,-(enter required information) . -: \ tit, Uj Z � L-Fii a ble(check. one): ❑Category 1 0 Category 11 6.".Special Handling Instructions 24-hour emergency spill response no. 800-,42-9360 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 certifythat 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 sb9natLIrb Date V 8. Transporter 1 (Acknowledgement of Receipt of Materials) *If blank, Transporter 2 serves as so transporter. Company Name &Address Y. Signature: Telephone No. LU Printed Name: I Date: 0 Title: Z 9. Transporter 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 J Title: 4 10.Discrepancy Indication Space: 11.Waste Disposal/Recycling Site Owner or Operator's Certification A (Receipt of above Waste Except as Noted in 10) Company Name & Address V) A & L Salvage, Inc. Signature: Telephone No. 0 11225 S.R. 45 P.O. Box 333 Printed Name: /, 330-424-3739 Lisbon, OH 44432 Date: Permit No. OH EPA 139120 'j Title: fx- Y vvtii i E-uisposai Site•UHEEN-S.T.G.• YELLOW-Contractor•PINK-Generator•GOLD-Pick Up Receipt * .. , 'Pl. SERVICE TRANSPORT GROUP, INC. I 58 PYLES LANE, NEW CASTLE, DE 19720 PHONE:(877)999-9559 I WASTE SHIPMENT RECORD �,..37239 S.T.G. # WHITE-Disposal Site•GREEN-S.T.G.• YELLOW-Contractor•PINK-Generator•GOLD-Pick Up Receipt 1. Material Origin Site Generator: Name/Address Generator: Phone# 2. Removal Contractor: Name/Address Contractor: Phone# Contact: 3. Responsible Agency: Name/Address 4. US DOT Class- FRIABLE ASBESTOS ONLY ;. . RQ ASBESTOS, 9, NA 2212, PQ III IM 5. Description of Materials Containers Total Quantity 0 Specify Friable or Non-Friable Type IF Fria'ble.(enter required information) 7W 1141 __ -;n ale&-Is Z IF No/in-Friable(check one): ❑Category 1 ❑Category 11 Z,1.4 #40"Ja !? 4q W O 6. Special Handling Instructions 24-hour emergency spill response no. 6Q-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, Printed/Typed Name &Title Signature Date Jj� 71-Y 8. Transporter 1 (Acknowledgement of Receipt of Materials) *If blank, Transporter 2 serves as sole transporter. Company Name &Address Signature: Telephone No. LU Printed Name: Date: 0 1 Title: (n Z < 9. Transporter 2 (Acknowledgement of Receipt of Materials) Company Name &Address Signature: Telephone No. ­4 Service Transport Group, Inc. 877-999-9559 58 Pyles Lane Printed Name: 7 Date: New Castle, DE 19720 I I 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) _j Q Company Name & Address fill 0 A & L Salvage, Inc. Signature: Telephone No. 11225 S.R. 45 P.O. Box 333 Printed Name: 330-424-3739 Lisbon, OH 44432 Date: Permit No. OH EPA 2003-2 Title: WHITE-Disposal Site•GREEN-S.T.G.• YELLOW-Contractor•PINK-Generator•GOLD-Pick Up Receipt SERVICE TRANSPORT GROUP, INC. 58 PYCES LANE, NEW CASTLE, DE 19720 PHONE:(877) 999-9559 it"�'? 140456 WASTE SHIPMENT RECORD S.T.G. # WHITE-Disposal Site•GREEN-S.T.G.• YELLOW-Contractor•PINK-Generator•GOLD-Pick Up Receipt 1. Material Origin Site Generator: Name/Address Generator: Phone# St , -t grzrAt t a.-N� al - t � v- 431 Vlota 7". 2. Removal Contractor: Name/Address Contractor: Phone# 1 Uy--i t 1 Contact: r3, st, rTD� nl C- 3. Responsible Agency: Name/Address 4. US DOT Class - FRIABLE ASBESTOS ONLY T.A St— t �t 1101) RQ ASBESTOS, 9, NA 2212, PG III CC 5. Description of Materials Containers Total Quantity 0 Specify Friable or Non-Friq,hle No. Type IF Friable(enter required information) ul Z — IF Non-Friable(check one): ❑Category 1 ❑Category 11 UJI 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,de1srribed,packaged,marked and labeled and are in proper condition for transport by highway according to the applicable regulations of the Department of Transportation,ME.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;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, 8. Transporter 1 (Acknowledgement of Receipt of Materials) *If blank, Transporter 2 serves as sole transporter. Company Name & Address IM Signature: Telephone No. LU Printed Name: Date: 0 Title: Z 4 9. Transporter 2 (Acknowledgement of Receipt of Materials) Im Company Name & Address Signature: 41 I , - Telephone No. I– Service Transport Group, Inc. r,, 877-999-9559 58 Pyles Lane New Castle, Printed.'Name:." Date: DE 19720 Title: 10.Discrepancy Indication Space: W 11– 11.Waste Disposal/Recycling Site Owner or Operator's tor's Certification (Receipt of above Waste Except as Noted in:10) Company Name & Address V) A& L Salvage, Inc. Signature: ;A Telephone No. 0 11225 S.R. 45 IL U) P.O. Box 333 Printed Name: 330-424-3739 Lisbon, OH 44432 Date:, Permit No. OH EPA 139120 Title: WHITE-Disposal Site•GREEN-S.T.G.• YELLOW-Contractor•PINK-Generator•GOLD-Pick Up Receipt k�,t­I SERVICE TRANSPORT GROUP, INC. 58 PYLES LANE, NEW CASTLE, DE 19720 41 PHONE:(877)999-9559 WASTE SHIPMENT RECORD lob)1`; N2' 13724d S.T.G. WHITE-Disposal Site•GREEN-S.T.G.• YELLOW-Contractor•PINK-Generator•GOLD-Pick Up Receipt 1. Material Origin Site Generator: Name/Address Generator: Phone# 2. Removal Contractor: Name/Address Contractor: Phone# Contact: 3. Responsible Agency: Name/Address 4. US DOT Class- FRIABLE ASBESTOS ONLY RQ ASBESTOS, 9, NA 2212, PG III M 5. Description of Materials Containers Total Quantity 0 Snecify or Non-Friable No. 'Friable M IF Friable(enter required information) 7 9bz X UJI Z IF Non-Friable(check one): ❑Category I JD Category 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 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. PrintedlTyped 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. Printed Name: Date: M 0 "j- C CL Title: Z 9. Transporter 2 (Acknowledgement of Receipt of Materials) M 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: W I- 11.Waste Disposal/Recycling Site Owner or Operator's Certification (Receipt of above Waste Except as Noted in 10) Company Name & Address U) A & L Salvage, Inc. Signature: I 4,f ,' Telephone No. 0 M 11225 S.R. 45 U) P.O. Box 333 Printed Name: 330-424-3739 O Lisbon, OH 44432 Date-, Permit No. OH EPA 2003-2 Title: WHITE-Disposal Site•GREEN-S.T.G.• YELLOW-Contractor•PINK-Generator•GOLD-Pick Up Receipt SERVICE TRANSPORT GROUP, INC. 58 PYLES LANE, NEW CASTLE, DE 19720 PHONE:(877) 999-9559 INIII 140426 WASTE SHIPMENT RECORD S.T.G. #0 r5y_/4: WHITE-Disposal Site•GREEN-S.T.G.• YELLOW-Contractor•PINK-Generator•GOLD-Pick Up Receipt 1. Material Origin Site Generator: Name/Address Generator: Phone# L 3 imia Viota 4 —U 2. Removal Contractor: Name/Address Contractor: Phone# ti 0 7 Contact,-, rj pt-_Cn, I ic.r Ij '0 3. Responsible Agency: Name/Address 4. US DOT Class- FRIABLE ASBESTOS ONLY str-eet "t-C. 11`{ RID ASBESTOS, 9, NA 2212, PG III 5. Description of Materials Containers' Total Quantity 0 Specify Friable or Non-Friable No Type CC IF Friable(enter required information) Z IF Non-Friable(check one): 0 Category 1 ❑Category 11 71- 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 certifythat 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 Signaf6re Date 8. Transporter 1 (Acknowledgement of Receipt of Materials) "If blank, Transporter 2 serves as sole transporter. Company Name & Address Signature: Telephone No. Printed Name:7/ CC J-)A-1 Date: / / Title: Z 9. Transporter 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: W F- N 11.Waste Disposal/Recycling Site Owner or Operator's Certification (Receipt of above Waste Except as Noted in 10) .j Company Name & Address 0 0 A& L Salvage, Inc. Signature: Telephone No. 11225 S.R. 45 P.O. Box 333 Printed Name:. 330-424-3739 Lisbon, OH 44432 Date: Permit No. OH EPA 139120 Title: WHITE-Disposal Site•GREEN-S.T.G.• YELLOW-Contractor•PINK-Generator•GOLD-Pick Up Receipt SERVICE TRANSPORT GROUP, INC. 58 PYLES LANE, NEW CASTLE, DE 19720 PHONE:(877) 999-9559 ,,° j WASTE SHIPMENT RECORD 1- J.37228 S.T.G. # \\, WHITE-Disposal Site•GREEN-S.T.G.• YELLOW-Contractor•PINK-Generator•GOLD-Pick Up Receipt ,w_� 1. Material Origin Site Generator: Name/Address Generator: Phone# 2. Removal Contractor: Name/Address Contractor: Phone# t . Contact: - 3. Responsible Agency: Name/Address 4. US DOT Class- FRIABLE ASBESTOS ONLY RQ ASBESTOS, 9, NA 2212, PG III jr 5. Description of Materials Containers Total Quantity O Specify Friable or Non-Friable No Type IF Fr le,enter required information) `:1;; IV ty ? •^ W Z A IF Non-Friable check one): p Category I J Category II � _ ...j, '°_ e� lt�' tfi 3 ♦ '?`t ,L ti�'f' W � .f 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. ' Prinfed/Typed Name &Title Signature ` Date 8. Transporter 1 (Acknowledgement of Receipt of Materials) 'If blank,Transporter serves as sole transporter. Company Name &Address Signature: Telephone No. W Printed Name: Date: a Title: Z 9. Transporter 2 (Acknowledgement of Receipt of Materials) Q Company Name &Address Signature: *:. ,=;, Telephone No. F- Service Transport Group, Inc. 877-999-9559 58 Pyles Lane Printed Name: ' `=> Date: New Castle, DE 19720 Title: C`.V 10.Discrepancy Indication Space: W IN N 11.Waste Disposal/Recycling Site Owner or Operator's Certification J (Receipt of above Waste Except as Noted in 10 Q Company Name & Address OA & L Salvage, Inc. Signature: f'` r Telephone No. a 11225 S.R. 45 N P.O. Box 333 Printed Name: 330-424-3739 G Lisbon, OH 44432 Date: , Permit No. OH EPA 2003-2 Title: 7 WHITE-Disposal Site•GREEN-S.T.G.• YELLOW-Contractor•PINK-Generator•GOLD-Pick Up Receipt ,w_�