Department of Toxic Substances Control Maureen F. Gorsen, Director 1001 “I” Street P.O. Box 806 Sacramento, California 95812-0806 Linda Adams Agency Secretary Cal/EPA Arnold Schwarzenegger Governor Examples Manifests The following are eleven examples of typical manifests. The first manifest in each example shows the how the information would look on the current manifest. The second manifest shows the information looks like on the new manifest. These examples are provided for comparison only. Generators are still obligated under 22 CCR 66262.20 to properly complete manifests, including use of proper shipping names. The eleven examples include: 1. Paint related waste (thinner) This example should reflect how the changes would appear. 2. PCB Contaminated soil This manifest shows some additional requirements for PCB wastes. 3. Asbestos containing waste This manifest shows some additional requirements for asbestos wastes under the NESHAP. This example also shows how fractional amounts are reported. 4. Used Oil This manifest shows a consolidated manifest. 5. Fuel contaminated soil This manifest shows a different site and mailing address. 6. Import This manifest shows a load coming from Mexico. Note: the example does not include the EPA Acknowledgement of Consent. 7. Export This manifest shows a load shipped to Germany. This example does not include the EPA Acknowledgment of Consent. 8. Lab Pack w/continuation sheet Lab pack and continuation sheet with more than two transporters. 9. Partially rejected load This manifest shows how a single container would be shipped back to the generator. 10. Full load rejection This manifest shows how a full load would be rejected and sent to an alternate TSD. 11. Container Residue This manifest shows how a container residue would be shipped back to the generator. 5/31/06 Printed on Recycled Paper
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Embed
Department of Toxic Substances Control · Rafael Montero Rafael Montero 09 05 06 Johnston McCullen Johnston McCullen 09 05 06 H131 Guy Williams Guy Williams 09 10 06 U.S. CUSTOMS
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Transcript
Linda Adams Agency Secretary
Cal/EPA
Arnold SchwarzeneggerGovernor
The following are eshows the how the the information lookonly. Generators aincluding use of pro The eleven exampl 1. Paint related w
2. PCB Contamin
3. Asbestos cont
4. Used Oil
5. Fuel contamin
6. Import
7. Export
8. Lab Pack w/co
9. Partially reject
10. Full load reject
11. Container Res
5/31/06
Department of Toxic Substances Control
Maureen F. Gorsen, Director 1001 “I” Street P.O. Box 806
Sacramento, California 95812-0806
Examples Manifests
leven examples of typical manifests. The first manifest in each example information would look on the current manifest. The second manifest shows s like on the new manifest. These examples are provided for comparison re still obligated under 22 CCR 66262.20 to properly complete manifests, per shipping names.
es include:
aste (thinner) This example should reflect how the changes would appear.
ated soil This manifest shows some additional requirements for PCB wastes.
aining waste This manifest shows some additional requirements for asbestos wastes under the NESHAP. This example also shows how fractional amounts are reported. This manifest shows a consolidated manifest.
ated soil This manifest shows a different site and mailing address. This manifest shows a load coming from Mexico. Note: the example does not include the EPA Acknowledgement of Consent. This manifest shows a load shipped to Germany. This example does not include the EPA Acknowledgment of Consent.
ntinuation sheet Lab pack and continuation sheet with more than two transporters.
ed load This manifest shows how a single container would be shipped back to the generator.
ion This manifest shows how a full load would be rejected and sent to an alternate TSD.
idue This manifest shows how a container residue would be shipped back to the generator.
Printed on Recycled Paper
KAnder
Text Box
Example # 1 (page 1)
C A D 1 2 3 4 5 6 7 8 9 1
The Munsters 100 Universal City Plaza Universal Studios, CA. 91608 213 555-1313
12345678
Transylvania Transport C A T 9 8 7 6 5 4 3 2 1 (800) 555-6651
Gateman, Goodbury and Graves 513 West Mortuary Blvd Mockingbird Heights, CA 90023 C A D 0 0 0 1 2 3 7 8 9
C A D 0 0 0 1 2 3 7 8 9 (800) 555-5417
1234
5678
RQ, Waste Paint Related Materials, 3, UN1263, PGII, (D001) 0 0 2 D M 0 0 0 2 5 G
EMERGENCY GUIDE #128/ CONSOLIDATED LOAD/ 95% OIL, 5% WATER (PERCENTAGES MAY VARY) WEAR APPROPRIATE PROTECTIVE CLOTHING 520 GAL LUBE/ GAL INDUSTRIAL/ GAL FUEL OIL
LARRY MONDELLO LARRY MONDELLO 09 05 06
LARRY MONDELLO LARRY MONDELLO 09 05 06
H061
Clarence Rutheford Lumpy Rutheford 09 05 06
Example 5 (page 1)
C A D 9 8 2 0 5 6 7 0 3 C 3 6 5 1 1
Bubba Berley LLC Attention: Grady Wilson PO Box 4006 1006 Kyle Canyon Road San Ramon CA 94583 925 555-4333
12345678
Sanford & Son’s
C A R 0 0 0 0 9 1 5 7 9 (213) 555-2645
Ocean Pacific Lines, 1416 Chevy Street Chevy Chase, MD 20815 M D D 0 1 9 2 9 7 1 0 0 301/555-0044
Osmond Environmental 123 Brothers Road Orem, UT 84057 U T D 1 0 2 2 1 0 3 9 0
U T A H 4 9 - 2 2
(800) 555-1544
1234
5678
Non-RCRA Hazardous Waste, Solid (Fuel Waste) 0 0 1 C M
0 0 0 2 2 T
611
None
11a. Site Clean-up @ 4707 South Central, Los Angeles 03
cvx site # 211416
In case of emergency or information call: Geraldo Rivera at (925) 555-4333 Osmond Environmental Project No. 014 Z5 2947 ERG #: 171
Container No. 31250-1 Railcar No. ECYY 98073
Grady Wilson agent for Bubba Berley LLC Grady Wilson 0 9 0 4 0 6
Lamont Sanford Lamont Sanford 0 9 0 4 0 6
Rollo Larson for OPRR Rollo Larson 0 9 0 4 0 6
Donnie Osmond Donnie Osmond 0 9 2 4 0 6
Example 5 (page 2)
CAD982056703 1 (925) 555-4333 123456789 ABC
Bubba Berley LLC Attention: Grady Wilson PO Box 4006 1006 Kyle Canyon Road San Ramon CA 94583
Non-RCRA Hazardous Waste, Solid (Fuel Waste) 1 C M 2 2 T
For information call: Geraldo Rivera at (925) 555-4333 Osmond Environmental Project No. 014 Z5 2947 ERG #: 171
Container No. 31250-1 Railcar No. ECYY 98073
Grady Wilson agent for Bubba Berley LLC Grady Wilson 09 05 06
Lamont Sanford Lamont Sanford 09 05 06
Rollo Larson for OPRR Rollo Larson 09 05 06
H131
Donnie Osmond Donnie Osmond 09 25 06
C A D 2 9 5 3 6 9 3 0 0 1
CES Refining 507 Tule Street, Santa Clara 95050 408 555-6834
ZORRO DE MEXICALI, S.A. DE C.V. CALLE 5 DE MAYO P. IND. LAS CALIF. III MEXICALI, B C MX
12345678
H A H Q 0 0 2 3 1 0 6 3
TONOS (MEXICAN HAULER)
M E X I C O
Quad County Motor Transport M O D 0 8 9 9 8 3 0 5 9 800-555-6981 CES Refining 507 Tule Street Santa Clara, CA 95050 C A D 2 9 5 3 6 9 3 0 0
C A D 2 9 5 3 6 9 3 0 0
(408) 555-6834
1234
5678
RQ, Environmentally Hazardous Waste Solid, n.o.s., (lead) 9, UN3077, PGIII, (D008) 0 1 0 D M 0 3 4 1 6 K
181
D008
11a. Solder Dross (60% Tin – 40% Lead). 01
Wear Gloves, Goggles DOT ERG #171 24 Hour Transportation Emergency Phone: 408-555-3572 (Digital Pager). This material restricted from land disposal according to 40CFR sec. #268.40 and/or 22CCR Sec. #66268.40.
On behalf of ZORRO DE MEXICALI, S.A. DE C.V.
Diego de la Vega Diego Vega 0 9 0 4 0 6
Rafael Montero Rafael Montero 0 9 0 4 0 6
Johnston McCullen Johnston McCullen 0 9 0 4 0 6
Guy Williams Guy Williams 0 9 1 0 0 6
U.S. CUSTOMS OTAY MESA HAZMAT
SEP 04 2006 INSPECT R, BADGE # O
Example 6 (page 1)
CAD295369300 1 (408) 555-3572 123456789 ABC
CES Refining 507 Tule Street, Santa Clara 95050 (408) 555-6834
ZORRO DE MEXICALI, S.A. DE C.V. CALLE 5 DE MAYO P. IND. LAS CALIF. III
MEXICALI, B C MX
TONOS (MEXICAN HAULER) MEXICO
Quad County Motor Transport MOD089983059
CES Refining 507 Tule Street Santa Clara, CA 95050 (408) 555-6834 CAD295369300
9b. Solder Dross (60% Tin – 40% Lead). Wear Gloves, Goggles. DOT ERG #171 This material restricted from land disposal according to 40CFR sec. #268.40 and/or 22CCR Sec. #66268.40.
On behalf of ZORRO DE MEXICALI, S.A. DE C.V.
Diego de la Vega Diego Vega 09 05 06
X
Otay Mesa, California
Rafael Montero Rafael Montero 09 05 06
Johnston McCullen Johnston McCullen 09 05 06
H131
Guy Williams Guy Williams 09 10 06
U.S. CUSTOMS OTAY MESA HAZMAT
SEP 05 2006 INSPECTOR, BADGE #
Example 6 (page 2)
Example 7 (page 1)
C A 3 4 8 0 2 0 0 2 1 5 1
Klammath Army Depot, Bldg 57 Attn: SMSI-PWV Sasquatch, CA 93116 530 555-0064
12345678
B & B Trucking Co.
M O T 0 0 0 0 8 4 9 2 1 800 555-0475
Southern Gulf Lines, Inc. L A 0 0 0 0 0 1 7 0 1 2 504-555-9038
VBE GMBH Blechtrommel strasse 101 D-40080 Dusseldorf, Germany P A 5 2 0 0 0 0 5
011 94-34223-46-110
1234
5678
RQ, Waste Cartridges for Weapons, Inert Projectile, 1.4S, UN0012, II, (D003)
0 0 2 CM 2 3 5 6 0 P 331
D003
07
ERG #114 CONTAINER# CRUX1668101, 12,320#; CONTAINER# CRUX8113912, 11,240# Point of Departure from United States is South Port, NC 24-hr Emergency Response U.S. Army Operations Center 1-703-697-0218 (call collect)
and conforms to the terms of the attached EPA Acknowledgement of Consent