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THE CITY OF NEW YORK OFFICE OF THE CITY CLERK
141 WORTH STREET NEW YORK, N.Y.10013
May 23, 2017
VIA FIRST CLASS MAIL
Marjorie Landa Deputy Comptroller for Audit Office of the Comptroller One Centre Street, Room 1100 New York, New York 10007-2341
Re: Comptroller’s Draft Letter Report on the Office of the City Clerk’s Compliance with Local 36 (Audit Number SZ17-116AL)
Dear Deputy Comptroller Landa:
Thank you for the opportunity to respond to your May 9, 2017 draft Letter Report on the Office of the City Clerk & Clerk of the Council’s (“City Clerk’s”) Compliance with Local Law 36 which governs waste prevention, reuse and recycling by City Agencies. We acknowledge the findings and recommendations of the Comptroller with respect to areas of compliance and recommendations regarding areas of non-compliance. The specific findings are addressed in further detail below. In addition, we appreciate the Comptroller’s acknowledgement that the City Clerk has made efforts to address waste prevention, reuse, and safe handling of hazardous waste beyond the requirements of the local law.
Comptroller’s Findings: The City Clerk recycles designated materials pursuant to Local Law 36 criteria.
City Clerk Response: The City Clerk works closely with DCAS maintenance personnel to assist in proper recycling and disposition of waste. Labeled recycling containers are currently available in all public areas and separated into three separate streams: (1) mixed paper and cardboard, (2) metal, glass, plastic and cartons, and (3) garbage. Whenever possible, the Office of the City Clerk utilizes waste prevention, green purchasing, and reuse practices. Paper recycling bins are placed next to all bulk copiers and printers. A large majority of paper waste is shredded and recycled accordingly by DCAS personnel. We readily provide scanners for members of the executive staff and the Lobbying Bureau of the City Clerk and encourage the electronic distribution of documents whenever possible. For instance, the Lobbying Bureau is responsible for the enforcement of the City’s lobbying law and the regulation of approximately 2,000 lobbyists and
ADDENDUM IPage 1 of 3
4,000 lobbying clients. Since 2006, all filings which were previously completed on paper have been filed electronically and, to the extent practicable, all bulk correspondence is distributed electronically. In addition, to cut down on paper use, the Lobbying Bureau utilizes an electronic content management system called “Open KM”.
Comptroller’s Findings: The City Clerk has designated a lead recycling coordinator for its Manhattan Office and additional assistant coordinators for offices in each of the other four boroughs.
City Clerk Response: Damaris Acosta, Deputy City Clerk, currently serves as the agency’s Lead Recycling and Sustainability Coordinator. The City Clerk has designated an assistant coordinator for each office as follows: Bronx – Shirley Saunders; Brooklyn – Edison Stewart; Queens – Helen Sears; and Staten Island – Robin Aryakia.
Comptroller’s Findings: The City Clerk did not establish a Waste, Prevention, Reuse, and Recycling Plan as required by Local Law 36.
City Clerk Response: Although the City Clerk has not formally adopted a waste prevention, reuse and recycling plan, we currently have several policies and procedures in place that comply with the goals and directives of Local Law 36 of 2010. The City Clerk will establish a plan by the close of Fiscal Year 2016.
Comptroller’s Findings: The City Clerk did not submit an annual report for Fiscal Years 2012 to 2016 to its agency head and to DSNY as required by Local Law 36.
City Clerk Response: The City Clerk shall submit an annual report to its agency head and to DSNY by July 1 as required by Local Law 36.
Although the Office of the City Clerk has not fully complied with Local Law 36, we have made several efforts to address waste prevention, reuse, and the safe handling of hazardous waste in furtherance of the goals and directives of Local Law 36 of 2010. Whenever possible, the Office of the City Clerk purchases green products. The majority of our products are certified as non-toxic. For example, at the launch of our official “Right to Know” training program, we commenced utilizing lubricant sheets for shredders rather than shredder oil which is designated a toxic product. See Exhibit A. In addition, our office follows the environmentally safe disposal procedures mandated by COSH, PESH and OSHA. See Exhibit B.
In order to reduce paper use, our office utilizes multipurpose recycled paper. In addition, all of our printers are set to default duplex printing and we encourage staff to copy all documents double sided whenever possible. We encourage the reuse of all office products and always re-use rather than purchase new items. For instance, we collect all unused office supplies and stock them in our supply closet for distribution and re-use.
The Office of the City Clerk follows the Department of Sanitation’s contract to remove and dispose of agency generated electronic, lighting, mercury and sharp waste. See Exhibit D. With respect to obsolete office furniture, we follow DCAS’s Office of Surplus Activities policies and procedures. See Exhibit C.
ADDENDUM IPage 2 of 3
Thank you very much for your professionalism and attention during this audit. We appreciate the information that you have provided and will make best efforts to remain in full compliance with Local Law 36. Please feel free to contact my office if you have any further questions or require additional information.
Sincerely,
Michael McSweeney City Clerk
DBA
ADDENDUM IPage 3 of 3
ADDENDUM IIPage 1 of 38
ADDENDUM IIPage 2 of 38
EXHIBIT-B Acosta, Damaris (CityClerk}
From: Rowena Aquino (DCAS) Sent: To:
Friday, April 11, 2014 11:02 AM Acosta, Damaris (CityClerk)
Subject: Emailing: NYCWasteless - Spring 2014 SAFE Disposal Events
N¥C NYC 1 311 1 Office of the Resources Mayor
Recyces EMAIL A
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NOTE: Our mention of these resources and organizations does not constitute an endorsement. If you find any outdated info, or want to suggest additional listings, please use the NYCWasteless
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Brought to you by YC Oepartm nt
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Spring 2014 SAFE Disposal Events
D Share I Save
SAFE DISPOSAL EVENTS
V(N\'$ AU OMOTNE I FUW.MA8ll lEClRO, IC$
1
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ADDENDUM IIPage 3 of 38
This Spring, the NYC Department of Sanitation is holding five SAFE Disposal Events ( or in each borough) to provide NYC residents with a one-stop method to get rid ofpotentiall harmful household products. If you cannot attend any of the events, see harmful househol products for year-round disposal options.
Commonly used household products can be harmful to you, your family, your pets, city workers, and the environment if improperly stored, used, or discarded.
See press release.
• when & where
• who can participate • what to bring • how to package materials • what happens to this stuff • poison help hotline • SAFE events go social • event organizers • SAFE events in the news
ALSO SEE: harmful household products electronics recycling
When & Where
order flyers here
All events will be held from 10am to 4pm (rain or shine). For safety reasons, attendees may not unload their vehicles outside of the event area.
Date & Time Borough Location
Saturday, April 26 Queens 10AM-4PM
Sunday, May 4 Brooklyn 10AM-4PM
2
Cunningham Park MAP Cars enter on Francis Lewis Blvd between Union Turnpike & Grand Central Pkwy Watch Video Directions
Mccarren Park, Bedford Ave MAP between N 12th St & Lorimer St Cars approach from Driggs Ave & Lorimer St Watch Video Directions
ADDENDUM IIPage 4 of 38
Saturday, May 10 10AM-4PM
Sunday, May 11 I0AM-4PM
Saturday, May 17 I0AM-4PM
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Bronx
Manhattan
Staten Island
Who Can Participate
Orchard Beach Parking Lot Follow Park Dr to the end Watch Video Directions
MAP
Union Square, North Plaza MAP south side of 17th St between Park Ave & Broadway; cars approach from Park Ave & 20th St Watch Video Directions
Midland Beach Parking Lot MAP Father Capodanno Blvd & Hunter Ave cars approach from Midland Ave Watch Video Directions
Only NYC residential waste will be accepted. No commercial vehicles allowed. Resident~ MUST provide proof of NYC residency (NYS driver's license, utilitly bill, etc.).
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What to Bring
Below is a partial list of the types of items that will be accepted at the NYC SAFE Dispos Events. When deciding what items to bring, look for products labeled with the following signal words: DANGER, POISON, or CAUTION. Products labeled DANGER represent t highest hazard level. Please also bring any other materials stored in your home that you kl may be harmful.
automotive antifreeze auto batteries * x motor oil* x oil filters *
personal care medications * medications - controlled x mercury thermometers * x nail polish remover mothballs nail polish nail polish remover
syringes/sharps *
housewares fluorescent lamps and CFLs * fuel (lighter fluid, gasoline, kerosene)
3
household cleaners ammonia bleach cleaners {strong) metal polish
oven cleaner rubbing {isopropyl) alcohol
hobby supplies glues photo chemicals
electronics cell phones * computers & peripherals *
mice/keyboards * monitors* printers* scanners*
portable devices *
ADDENDUM IIPage 5 of 38
household batteries * mercury thermostats * x paint (latex)*
paint (oil-based) paint thinner and paint products pesticides/herbicides/insecticides pool chemicals rechargeable batteries * x
smoke detector turpentine
e-readers * mp3 players * tablets*
televisions & peripherals * cable/satellite receivers * DVD players * DVRs * VCRs * video game consoles *
LEGEND * click the link for alternative disposal options x cannot be discarded in the trash or recvcJmg
For all items, please read how to package materials below.
Items such as alkaline batteries and latex (water-based) paint no longer contain harmful materials and can be discarded in the trash. Latex paint must be dried out before the empt: can is recycled; or you can pursue reuse options.
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How to Package Materials
1. LOOK Tor Items Wltn DANGER, POISON, or CAUTION labels.
tA@+i l ~ POISON CAUTION
3. Do NOT mix prOducts.
5. Tightly seal containers. No open containers.·
2. READ labelS careruI1y tor safe handling.
4. Ensure all products are labeled clean
6. Place containers upr1!7lt In a sturdy boX.
• If an item 1$ loakr,~ p4d( ;, a lafflOI' 00/'ltmef' 111"/d use an ~11t matoriat SJc:h es kitty lttw or newspspe,; to $oek up excess fluid.
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4
ADDENDUM IIPage 6 of 38
What Happens to This Stuff
Depending on the product, materials collected will either be recycled, blended for fuel, or sent to licensed hazardous waste treatment facilities for safe disposal.
Electronics will be responsibly recycled or refurbished for reuse through e-cycleNYC.
Cell phones will be donated to the Mayor's Office to Combat Domestic Violence, through Hopeline® from Verizon.
All data will be removed from electronics and cell phones before processing.
Unwanted medications will be managed by environmental police and incinerated to preve accidental poisonings or entry into the water supply.
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Poison Help Hotline POISON~
Hew1 1-810-222-t
If you think a family member (or pet) has been exposed to a harmful product, call the NYC Poison Control Center Hotline at 1-800-222-1222 or 212-764-766i The Hotline is available 24 hours a day, 7 days a week.
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SAFE Events Go Social
Share photos, ask us questions, and tell us your thoughts! What are you planning to bring~
RSVP to these events and view photos. facebook.com/NYCrecycles
#SAFEdisposal twitter.com/NYCrecycles
Check-In! foursguare.com/NYCrecycles
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Event Organizers
These events are organized and funded by the DSNY Bureau of Waste Prevention, Reuse and Recycling.
We rely on several partners and contractors including Covanta Energy, Electronic Recyclt International, HopeLine® from Verizon, the Mayor's Office to Combat Domestic Violenc
5
ADDENDUM IIPage 7 of 38
and Veolia ES Technical Solutions.
Special thanks to our site partner: NYC Department of Parks and Recreation.
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SAFE Disposal Events in the news
• Epoch Times -April 3, 2014
lo VIEW' SITE MAP
I Privacy I Terms of
Copyright 2013 The City of New York Contact Us Policy Use
6
ADDENDUM IIPage 8 of 38
Michalos, Emmanuel (Cit,lClerk)
From: Sent: To: Subject:
Michales, Emmanuel (CityClerk) Tuesday, January 26, 2016 4:08 PM Gladys McCauley (DCAS) RE: e-waste
I EXHIBIT- C
Hi Gladys, Don Lepore gave me contact information for a Deputy Commissioner at Sanitation 3-4 years ago and he gave me the okay to use Veolia contract even though the City Clerk's office is a non-mayoral agency. Thanks for your help.
From: Gladys McCauley (DCAS) Sent: Tuesday, January 26, 2016 3:53 PM To: Michales, Emmanuel (CityClerk) Subject: RE: e-waste
Also, please keep in mind that only mayoral agencies have access to the DSNY-ASHC.
Gladys Genoves-McCauley I Manager, Office of Surplus Activities P: (718) 417-21561 F: (212) 313-31361 [email protected]
NW:E:E-1~=-Follow us on:
li~mic::i From: Gladys McCauley (DCAS) Sent: Tuesday, January 26, 2016 3:50 PM To: Michales, Emmanuel (CityClerk) Subject: e-waste
Hi,
See attached.
Follow us on:
litlmlc::i
1
ADDENDUM IIPage 9 of 38
Michalos, Emmanuel (Cit,lClerk)
From: Sent: To: Subject:
Donald Lepore (DCAS)
Thursday, January 22, 2015 9:55 AM Michalos, Emmanuel (CityClerk)
FW: Disposal questions Attachments: OSA Policy Procedures ManuaI_010713_Rev 050514.pdf
Good Morning Manny,
Sorry for the delay in getting this to you. As we discussed, you can request disposal authorization for your agency's surplus items in accordance with the attached OSA Policy & Procedures. In this document, you will find specific template wording that can be copied and paste to auctions (electronic relinquishments) for items needing scrap or destroy authorization. In section 3, Destroy Determination, you will find the process and template wording for metal content item disposal. You will also find the DSNY Operations contact number to arrange for bulk metal disposal.
Please feel free to give me a call if you have any further questions.
Don Lepore I Director, Office of Surplus Activities P: (212) 386-04721 F: (212) 313-3135 I [email protected]
N'IC Citywide I Office of Administrative Citywide Services P~urement
Follow us on:
Y041 l ..-uum:J
From: Donald Lepore (DCAS) Sent: Friday, January 16, 2015 2:28 PM To: Michalos, Emmanuel (CityClerk) Cc: Gladys Mccauley (DCAS); Elaine Richardson (DCAS); Radames Ortiz (DCAS) Subject: RE: Disposal questions
Manny,
1
ADDENDUM IIPage 10 of 38
Please see the below DSNY link for guidance on what should be considered electronic equipment. This can be a bit of a grey area and as you can see from the list, time clocks (I believe you were referring to the type that punch a date/time on documents) and shredders are not listed. As electronic equipment is generally defined as any item having a circuit board and operating by electricity, I would say time clocks and shredders are not to be considered electronic equipment. Such items fall more into the category of appliance/mechanical devices. I have conferred with DSNY and they are in agreement.
http://www.nyc.gov/html/nycwasteless/html/stuff/infofor agencies electronics def.shtml
Don Lepore I Director, Office of Surplus Activities P: (212) 386-0472 I F: (212) 313-3135 I [email protected]
Follow us on:
D 1
"':. CHywkle I Office of Ad .. . · .. mlnlstndive Cityw.. l·d. e .. . . Servlcn . Procurement
Yuu 1
·- ~ : ~ !} .• N, .. ---~~.. -
From: Michalos, Emmanuel (CityClerk) Sent: Thursday, January 15, 2015 3:07 PM To: Donald Lepore (DCAS) Subject: Disposal questions
Hi Don, please confirm that shredders and time clocks are electronic. Is there a list of electronic equipment?
2
ADDENDUM IIPage 11 of 38
Citywide Administrative Services
OFFICE OF CITYWIDE PURCHASING
POLICIES & PROCEDURES
OFFICE OF SURPLUS ACTIVITIES
ADDENDUM IIPage 12 of 38
Section 3.0 ELECTRONIC-WASTE RELINQUISHMENT - Electronic Waste (E-Waste) is any electronic
device, or their associated parts. Computers, printers, televisions, VCRs, stereos,
copiers, and fax machines are common electronic products. Many of these products can
be reused, refurbished, or recycled. However, many components of these products are
toxic and not biodegradable.
In 2010, the New York Department of Sanitation (DSNY) awarded an Agency Safe Handling
Contract (ASHC). As a result of the implementation of this "Contract to Remove, Handle,
and Process Agency-Generated Electronic, Lighting and Mercury Waste, and Sharp Waste,"
OSA no longer accepts relinquishment for materials/items covered under ASHC (i.e., E
Waste having no reuse or resale value).
Note: CPUs having their hard drive removed but all other integral components intact may
be considered functioning items and therefore having a reuse or resale value.
ASHC is accessible to Mayoral agencies based on the EPA Regulatory Law that stipulates
Mayoral agencies only; Non-Mayoral agencies do not have access to ASHC and therefore
must handle their E-Waste disposal needs via 3rd party vendors knowledgeable in the
recycling/disposal of such material. For information on the contract, please go to:
http://cityshare.nycnet/ashcontract
Your agency Information Technology Officer shall make a "hazardous waste determination"
for all items covered under the DSNY Contract. Items determined by this officer as having
reuse and/or resale value must be relinquished to DCAS/OSA in accordance with the
"Relinquishment Process" explained in Section 1 above. Depending on each agency's
hazardous waste determination, items not requiring relinquishment should include:
Universal Waste
• Mercury-containing lamps, including all fluorescent lamps, high intensity discharge (HD), neon, mercury vapor, high pressure sodium, and metal handle lamps;
• Mercury containing equipment such as thermostats, or blood pressure cuffs; • Batteries (excluding alkaline batteries which are to be disposed of as trash); • Used electronic equipment such as televisions, computers and associated hardware,
fax machines, printers, etc.
Hazardous Waste
• Broken mercury-containing lamps, including all fluorescent lamps, high intensity discharge (HD), neon, mercury vapor, high pressure sodium, and metal handle lamps.
• Broken and obsolete electronic equipment such as televisions, computers and associated hardware, fax machines, printers, etc. (CRT and LCD monitors smaller than
10
ADDENDUM IIPage 13 of 38
17" and CPU models older than Core 2 Duo/Core Dual are considered to be obsolete.)
NOTE: Electronic-Waste determination as to whether or not items have utilization or
revenue value must be accurate to avoid unnecessary relinquishment processing and
cancellations.
1. Mayoral Agencies - Generally, electronic items (as defined above) no longer needed by a
Mayoral Agency, are to be disposed of via ASHC. Exceptions are:
a. Unique electronic items or electronic items deemed by the agency IT Officer to have reuse and/or resale value; these may be submitted to DCAS/OSA in accordance with the "Relinquishment Process" explained in Section 1 above.
b. In the event that no transfer or sale is accomplished for such items, OSA will place the following statement in the "Notes" section: "E-Waste Disposal - Items received no internal claim interest or bids and are therefore deemed to have no reuse and/or resale value. In accordance with E-Waste policy and procedures, your agency is to dispose of the subject items via the ASHC."
c. The "Notes" field update will be received by the agency salvage officer (i.e., PSG automatically generates the notice). At this point, the agency has authorization to dispose of the subject items.
Electronic items deemed by an agency's IT Officer to have no reuse and/or sale value must be disposed of via ASHC; OSA will not accept them. If an agency submits an Electronic-Waste ltem(s) that it deems to have no reuse or sale value, OSA will release and immediately retract the subject online auction updating the "Notes" field with the following statement: "E-Waste Disposal - Items deemed to have no reuse and/or sale value. In accordance with E-Waste policy and procedures,
your agency is to dispose of the subject items via the ASHC. 11
2. Non-Mayoral Agencies - The same policy and procedures as detailed above for Mayoral
agencies shall apply to electronic item disposal for Non-Mayoral agencies with the exception
that Non-Mayoral agencies do not have access to the ASHC and must dispose of such items via
3rd party vendors knowledgeable in the recycling/disposal of E-Waste and all relevant Federal,
State, and Local environmental laws for such materials. DSNY provides a list of such vendors at
the following webs ite :
http://www.nyc.gov/html/nycwasteless/html/resources/prod serv electronics computers.shtml
11
ADDENDUM IIPage 14 of 38
3. Exceptions
a. Unique electronic items or electronic items deemed by the agency IT Officer to have reuse and/or resale value; these may be submitted to DCAS/OSA in accordance with the "Relinquishment Process" explained in Section 1 above.
b. In the event that no transfer or sale is accomplished for such items, OSA will place the following statement in the "Notes" section: "E-Waste Disposal - Items received no internal claim interest or bids and are therefore deemed to have no reuse and/or resale value. In accordance with E-Waste policy and procedures, your agency is to dispose of the subject items via a 3rd party vendor knowledgeable in the recycling/disposal of such items."
c. The "Notes" field update will be received by the agency salvage officer (i.e., PSG automatically generates the notice). At this point, the agency has authorization to dispose of the subject items.
d. DSNY's Bureau of Waste Prevention, Reuse and Recycling provides general recycling and disposal information (which you may find helpful in determining and soliciting the necessary services) at the following websites:
http://www.nyc.gov/htm I/ nycwasteless/htm I/ stuff /infofor agencies.shtm I
http://www.nyc.gov/waste less/vendors
e. Electronic recycling information for agencies can be found at:
http ://www.nyc.gov/html/nycwasteless/html/stuff/harmful hh prod electronics agencies.shtml
f . Information on what is considered electronic items can be found at:
http://www.dec.ny.gov/chemical/8788.html
FORMS REQUIRED/REFERENCED
Form Name/No. Description
Disposal Company Qualifications OSA's Sale Offering of any electronic items would require that Disposal Company Qualifications be incorporated into terms of sale.
Section 4.0 SEALED-BID SALES - With the transition to the PSG online auction service, the issuance
of sealed bid sales, once used for public offerings of all goods (i.e., non-automotive
materials), is now used only for specific types of offerings. Those offerings include any
sale by weight in the case of scrap metal, or any removal sale contract (i.e., term
contract) such as ballistic vests.
Material sold by sealed-bid requires a coordinated effort between OSA, the agency in possession of the property, and the ultimate purchaser. The OSA Salvage Appraiser (SA)
12
ADDENDUM IIPage 15 of 38
' . EXHIBIT-D
G)veOLIA CERTIFICATE OF ACCEPTANCE
FOR RECYCLING AND/OR DISPOSAL By accepting the waste products described by the document number below on this certificate, Veolia ES Technical Solutions L.L.C. {Veolia ES) certifies lo the generator that the transportation, storage or processing metheds employed are in accordance with the
Veolia ES permit parameters and all appllcable federal, state and local laws.
CITY CLERK
141 WORTH STREET, GROUND FLOOR
(NON MAYORAL)
NEW YORK, NY 10013
OFFICE OF CITY CLERK
851 GRAND CONCOURSE
ROOM B 131
BRONX, NY 10451
KEY: P = POUNDS, LFT = LINEAR FEET, LMP = LAMP, EA= EACH. Questions regarding this certificate should be directed to customer service, toll free at 1·800-556-5267.
DOCUMENT#: D8309576 PROCESSING FACILITY:
SALES ORDER#: 1640592 RECEIVED DATE: 7/1/16
VEOLIA ES TECHNICAL SOLUTIONS, L.L.C. 90 PLEASANT STREET
PROCESSING FACILITY EPA ID: MAC300017498 RETURN TRACKING#:
WEST BRIDGEWATER, MA 02379
CUSTOMER MANIFEST: STATE MANIFEST: SOL 190589 LINE NOTE:
Under civil and criminal penallles of Jaw for making or submission of false statements or representations (18 U.S.C 1001 and 15 U.S.C. 2615), I certify that the Information contained in or accompanying this document is true, accurate and complete. As to the identified information in this document, for which I cannot personally verify truth and accuracy, I certify as the company official having supervisory responsibility for the persons who, acting under my direct instructions, made verification that this information fs true, accurate and complete.
~4::::1f/7 4~ /
Kevin Shaver, Branch Manager
July 05, 2016
VEOLIA ES TECHNICAL SOLUTIONS, L.L.C. -1275 MINERAL SPRINGS DRIVE, PORT WASHINGTON, WI 53074 Document D8309576 Page 1 of 1
ADDENDUM IIPage16 of 38
Blanket
THE CllY OF NEW YORK DATE FINANCIALMANAGEMENTSYSTEM Junu. Wlb &u,.U'...,fC& j .Laf .. U NEW!x' MODIFICATIONr c ANCELr j 103 11 20162034472 ! PREPARED ' 1
PURCHASE ORDER DATE APPROVED Jun 22, 2016 DATESENTTOVENDOR l INSPECTION DIV TEL # J
VEND CUST # ( 00030415~1 508-341-0625
VENDOR NAME f Veolia Environmental Services
ATTENTION
ADDRESS I P.O. Box 73709
CITY, ST A TE & ZIP( Chicago, IL 60673-7709
DEPT ,. City Clerk
ADDRESS! I ADDRESS2
CITY, STATE & ZIP
ATTN
ACCTG LINENO.
1
BFY
16
FUND DEPT
·I ..... ~-.... ilL .. ~?~ APPR. I BUDGET I DETAIL I SUB UNIT CODE OBJECT OBJECT
JII ~~ J I -~101 . I . 6860 I REFERENCE REQUISmON
' REF j LINE# I LINE AMOUNT $
various
REPTCAT/QUICK
.c-= 1,262.14
DELIVERY DATE
City Clerk
ADDRESS I J
ADDRESS2
141 Worth Street, Ground Floor
CITY, ST ATE & ZIP New York, N.Y. 10013
ATTN L E. Michalos TEL# L ~1-2~~~3
CAPITAL PROJECT ID UNIT SUBUNIT TASK
.r-11 ; 11 J REFERENCE CODE
Electronic equipment disposal- 5 borough offices. Cost for 4 outer borough offices-$227.60( $62.07+$62.07+$103.46) x 4= $910.40. Cost for Manhattan office-2 boxes$351.74 ($62.07 x 4+$103.46). Pickup locations- Manhattan: 155 Worth Street, Ground Floor, New York, N.Y. 10013, E. Michalos(2U)669-8093, Queens: 120-55 Queens
EXTENDED IBlvd., Kew Gardens, N.Y. 11424, Room G-100, Ground Floor, Helen Sears,(718)286-2847, Bronx: 851 Grand Concourse, Bronx, N.Y. 10451, Room 8-131, Ground Floor, DESCRIPTION Shirley Saunders(718)590-5307, Brooklyn: Municipal Building, 210 Joralemon Street, Brooklyn, N.Y. lU0l, Room 205,Marie Lennon(718)802-4101, Staten Island:
Borough Hall- St. George, 10 Richmond Terrace, Staten Island, N.Y.10301, Room 311, Edison Stewart (718)816-2292
COMMENTS TOTAL ORDER AMOUNT $ I 1
1,262.14 ,
ADDENDUM IIPage 17 of 38
G)veOUA ~. REMIT TO LOCK BOX:
Veolia ES Technical Solutions, L.L.C. Electronics Recycling Division 28900 Network Place· Chicago, IL 60673-1289 Tel: 262 243 8900 us.vna.erdaccounting [email protected]
FEIN 13-4038062
Order To:
Contact/Phone:
CllY CLERK
141 WORTH STREET, GROUND FLOOR
(NON MAYORAL}
NEW YORK, NY 10013
E. Michales Michales 212 669 8093
CUSTOMER NUMBER
376698/1
WS#/G ENERATOR/DESCRIPTION/MAN IFEST #/BOL#
RECEIVED 7/6/16
2
3
657513 - MANHATTAN CITY CLERKS OFFICE -Recycle - Misc Electronic Scrap - BOL 190590
- Transportation -
- Supply NON-DOT Cubic Yard Box -
Register for FREE breaking environmental news from Veolia at http://veoliaes-ts.com/buzzsignupform
ln"°ice No:
Sales Order:
TERMS
1% 10, NET30 DAYS
Each
Each
Each
INVOICE
EW1171441
1640590
ln"°ice Date: 07/08/2016
Due Date: 08/07/2016
Ship To: MANHA TIAN CllY CLERKS OFFICE
155 WORTH STREET
GROUND FLOOR
NEW YORK, NY 10013 ACH PAYMENTS ACCEPTED
CREDIT CARDS ACCEPTED
.:..:/ _: ·
SHIP VIA
ORDER QUANTITY
4.00
1.00
4.00
~ "'
t ~,J .
NET UNIT PRICE
$62.0700
$103.4600
$62.0700
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$248.28
$103.46
$248.28
$600.02
ADDENDUM IIPage 18 of 38
- -- . . _.·: . .: . , .. - ; . -;---,-,.-.-:--- ---·--,----~----- - -- -----·--··---- .. --·,-:·-- ·--~-~~ ----·----~-~--t'."
·G)veoLiA ENVIRONMENTAL SERVICES
UNIVERSAL WASTE BILL OF LADING # 190590 Generator Name and MaJ.ling Address Location Address (if different) Emergency Contact
MA.NHAi'iAN Cl'fY CLERKS OFFICE 1-877 -81~1mN3642
155 WORTH STREET Contracted by VES-TS
Purchase Order# ··--NEWYORK NY 100·13 Document#
Sales Order#
Designated Facility _, . .. D Veolia ES Technical Solutions
. _,(.,, , . ..,. D Veolia ES Technical Solutions D Veolia ES Technical Solutions D Veolia ES Technical Solutions
5736 West Jefferson Street 1275 Mineral Springs Dr. 90 Pleasant Street 342 Marpan Lane Phoenix, AZ 85043 Port Washington, WI 53074 West Bridgewater, MA 02379 Tallahassee, Fl 32305
Per4D CFR 273.lB(d), 40 CFR 273.38(d), and 40 CFR 264.12(b), the Designated Facility noted wtthln this section •grees to rocelve the below isted shipmen! of Universal Wastes from the Generator.
HM Container Quantity
DOT Description Profile Number/
Count Type CntorWt Common Name
NMFCCode
UN3506, Mercury contained in manufactured ERG#172
Mercury Containing Articles
articles, 8 (6.1), PG 111, RQ (Refer to State Regulations)
UN2809, Mercury, 8 (6.1), PG Ill, RQ ERG#172 Mercury
UN3077, Environmentally Hazardous Substance ERG# 171 TSCA Exempt PCB Lamp Ballasts
solid, n.o.s., 9, PGIII, RQ (PCB)
UN3077, Environmentally Hazardous Substance, ERG#171 Mercury Batteries
solid, n.o.s., 9, PGIII, (Mercury)
UN2800, Batteries, wet, nonsplllable, 8, PGIII ERG#154 Lead Acid Batteries - Sealed
UN2794, Batteries, wet, filled with acid, 8, PGIII ERG#l54. lead Acid Batteries
UN3090, Lithium Batteries, 9, PGII ERG#138 Lithium Batteries
UN2795, Batteries, wet filled with alkali, 8, PGIII ERG# 154 NiCad Batteries - Wet
f;t:@ Batteries, dry, sealed, n.o .s. NiCad Batteries - Dry
ts1NJ Batteries, dry, sealed, n.o.s. Alkaline Batteries • f
:I\ft: Batteries, dry, sealed, n.o.s. Mixed Batteries
Lamps, Non-DOT Regulated {per 49 CFR 173,164{e)) Fluorescent Lamps 4' and under f'i . , . .,,
Lamps, Non-DOT Regulated (per 49 CFR 173.164(e)) fluorescent lamps 5' and over
Lamps, Non-DOT Regulated {per 49 CFR 173.164{e)l Circular/U-tube Lamps p
lamps, Non-DOT Regulated (per 49 CFR 173.164(e)l Compact Lamps
Lamps, Non-DOT Regulated (per 49 CFR 173.164(e)) Shattershield/Shielded
Lamps, Non-DOT Regulated (per 49 CFR 173.164(e)) HID Lamps
Lamps, Non-DOT Regulated (per 49 CFR 173.164{e)) Mercury Vapor/UV Lamps
Lamps, Non-DOT Regulated (per 49 CFR 173.164(e)) Incandescent lamps
Lamps, Non-DOT Regulated (per 49 CFR 173.164(e)l Broken Lamps
L{ t~J Non-DOT Regulated Electronic Equipment for Electronics
Recycling/Reuse/Remanufacture '
:~ -:~:.F Non-DOT Regulated Ballasts for Recycling Non PCB Light Ballasts·· ·
Generator/Shipper Certification This is to certify that the above named materials are properly classified, described, packaged, marked and labeled and are
Container Co~)Jt; Drums Pallets
in proper condition for transportation according to the applicable regulations of the Department of Transportation, All containers of waste are fully described above and are presumed to be full, unless the Generator has provided a detailed, verifiable breakdown of the wastes being picked up or delivered. Actual quantities will be determined upon Time In Time Out
~ipt at the Designated Facility. Loading Times
Sign:ure (; -~ vlu lL Date ~~J11_ Initials Date: /..,.._,___ .. -·c ' Please initial h:, confirm cmwts are correct
Transporter 1 I Transporter 2
Name ..d":r'-""' ••--• ,·,. .,,.,. ,..,. • .,._,,a,,.,...A• ~~-........... .-..._,o, . lljal}le
Phone ( ,1 TLc,o't,,91!.. •• - ~- t...~ ...... ~ ---~- .... ....,. ·-, .... ~,, -11lione . ..,_,.,,._ ... -·- Od
Signatu(;~<.-
l 1/ 1-011J-u ...... , A, ,cFAA AA ., .... , - .• Date6.i,.,.Jo.,. / '1:,. Signature I\ .,.--"') Date
Designated Facility: Received, subject to the classifications and regulations in effect on 1~ ~l"'I Lb the date of the issue of this Bill of Lading, the property described above in apparent good order, except as noted. Signature Date
Notes: /, , I L
C:\Documents and Settings\sJDiermann\Local Settings\Temporary Internet Files\Content.Outfook\l ll3PIVJ\UNfVERSAL WASTE Bill Wo1NG 102Sio13.docx Document Number. 999F100 Revised: October 25, 2013 ...
This document Is a controlle<I form. The use of this form is subject to the Port Washington Control of Records Policy C-029PW.
1ST TRANSPORTER
''\:
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ADDENDUM IIPage 19 of 38
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- .:1 -1 --..
·4
·-~. ··.:-- .. ···,:.
PICKUP/SALES ORDER: 1640590 Created/Updated by SASHAUGHNESSY _WBMA on 23-JUN-16.
BILL TO COMPANY#: 376698 CITY CLERK 141 WORTH STREET, GROUND FLOOR (NON MAYORAL) ~ . , .,--· _ .. :: , NEW YORK .. ---'irY 10013
PURCHASE ORDER: 20162034472 NE TERRITORY National Client
. SALESPERSON: MARKET ZONE: GENERAL NOTE: 8:30TO4:30
DESCRIPTION:
~ eB.QEIL.E fBQQUQI DESCRIPTION
PICKUP LOCATION: 412528 MANHATTAN CITY CLERKS OFFICE 155 WORTH STREET GROUND FLOOR .NEW YORK NY
EPA ID#: CESQG CONTACT NAME/PHONE: E. MICHALOS 212 669 8093
EFFECTIVE: SCHEDULE: SCHEDULED NOTES: PICK UP DELIVER BEFORE 6/30
FACILl1Y INSTRUCTIONS:
83/Yal( z_ __ .Qil
1 657513 EL..CMP-24 Recycle - Misc Electronic Scrap 2
2 TRANS Transportation 1
3 SUPPLY-094 Supply NON-POT Cubic Yard Box 2
LOADING TIME: QUANTITY LOADED:
- 1
10013
6/23/16
UM ~ EA 4
EA
EA . 4
PRINT DATE:
PICKUP.,NOT~~ ' ., ··-- - ., __ , -"0:!\11<~,>.::'li.:'1;!:-,.;~._.._,~y./""·;,l',Y;i,''•
... --···-· ·;
IYe.E ,l;Qfil. SO NQTE OF 2
OF 2
DELAY EXPLANATION: __________________________________ _
CUSTOMER SIGNATURE: ~C,./ )1{_. . .
6/23/16
DRIVER: PLEASE HAVE THE GENERATOR INITIAL BESIDES THE SUPPLIES TO INDICATE THEY HAVE RECEIVED THE SUPPLIES (THIS WILL BE USED INSTEAD OF THE BILL OF LADING) . .
DRIVER SIGNATURE: _________________________ DATE:. _______ _
y Page 1 of 1
• :.J~ ··'
ADDENDUM IIPage 20 of 38
,: " L --~~~ lillt .. ;l'l'o "--,.\t~.
To;_
MANHATTAN CITY CLERKS OFFICE 155 WORTH STREET
NEW YORK, NY 10013 . .E.mJE
Veolia ES·Technical Solutions, L.L.C. 90 Pleasant Street ·
West Bridgewater, MA 02379
~ ":..~:.., . .
l!..nim ~ Kind of Packaging Description .. i
~ LJ' 4 ~ C..vJ Transportation
Supply NON-DOT Cubic Yard Box
Sales Orde~ No. 1640590
Veolia ES Technical Solutions, L.L.C. is pleased to offer 1/2 hour free load/unload time, after that ·period of time the customer agrees for all . charges for loading/off loading in excess of 1/2 hour; ·
Consignee
-7 ( j . ' -i . · f· . (' • ,,. , , ~, ._ I ·Vi , . ,,
Signature: L-1., V Ve .(,. -- ' f, \; l, ·'-' v'-...)G~
c:. , '{v, '1 · r'' If\ I .--·--.. (\ .
Transporter
VeoUa ES ~nical soluti"\)s, L.L.c. · . Signature: -'"L-.- CJ ~ Date: G:,- 3 6 -l C \..;. . . ' ' ~ -Jt-ti...-L..i )
STRAIGHT BILL OF LADING - ORIGINAL - NOT NEGOTIABLE
G)veOUA
ADDENDUM IIPage 21 of 38
G)VEOLIA
CERTIFICATE OF ACCEPTANCE FOR RECYCLING AND/OR DISPOSAL
By accepting the waste products described by the document number below on this certificate, Veolia ES Technical Solutions L.L.C. (Veolia ES) certifies to the generator that the transportation, storage or processing metheds employed are in accordance with the
Veolia ES permit parameters and all applicable federal, stale and loca l laws.
?i!¼~t2f Jt;Jfi1ij1(f ~~f. CITY CLERK
141 WORTH STREET, GROUND FLOOR
(NON MAYORAL)
NEW YORK, NY 10013
~fi~,~ij?t~ EL-CMP-24
;gENE~J8f{ '1\JtJrr~f --MANHATTAN CITY CLERKS OFFICE
165 WORTH STREET
GROUND FLOOR
NEW YORK, NY 10013
KEY: P = POUNDS, LFT = LINEAR FEEt, LMP = LAMP, EA-' EACH. · Questions regarding this certificate should be directed to customer service, toll free at 1-800-556-5267.
DOCUMENT#: D8313642 SALES ORDER#: 1640590 RECEIVED DATE: 7/6/16 PROCESSING FACILITY EPA ID: MAC300017498 RETURN TRACKING#: CUSTOMER MANIFEST: STA TE MANIFEST: BOL190590 LINE NOTE:
PROCESSING FACILITY: VEOLIA ES TECHNICAL SOLUTIONS, L.L.C. 90 PLEASANT STREET WEST BRIDGEWATER, MA 02379
Under civil and criminal penalties of law for making or submission of false statements or representations (18 U.S.C 1001 and 15 U.S.C. 2615), I certify that the information contained in or accompanying this document is true, accurate and complete. As to the identified information in this document, for which I cannot personally ven1y truth and
. accuracy, I certify as the company official having supeNisory responsibility for the persons who, acting under my direct instructions, made verification that this information is true, accurate and complete.
VEOLIA ES TECHNICAL SOLUTIONS, L.L.C. -1275 MINERAL SPRINGS DRIVE, PORT WASHINGTON, WI 53074 Document D8313642 Page 1 of 1
ADDENDUM IIPage 22 of 38
G)vf:OUA ' REMIT TO LOCK BOX:
Veolia ES Technical Solutions, L.L.C. Electronics Recycling Division 28900 Network Place· Chicago, IL 60673-1289 Tel : 262 243 8900 us. vna.erdaccounting. [email protected]
FEIN 13-4038062
Order To: CllY CLERK
141 WORTH STREET, GROUND FLOOR
(NON MAYORAL)
NEW YORK, NY 10013
Contact/Phone: E. Michalos Michalos 212 669 8093
CUSTOMER NUMBER
376698/1
856224 - OFFICE OF THE CITY CLERK - Recycle -Misc Electro.nic Scrap - BOL 190588
2 - Supply NON-DOT Cubic Yard Box -
3 - Transportation -
Register for FREE breaking environmental news from Veolia at http://veoliaes-ts.com/buzzsignupform
ln1.0ice No:
Sales Order:
TERMS
1% 10, NET 30 DAYS
Each
Each
Each
EW1171442
1640593
Ship To:
INVOICE
ln1.0ice Date: 07/08/2016
Due Date: 08/07/2016
OFFICE OF THE CllY CLERK
210 JORALEMON ST
ROOM 205
BROOKLYN, NY 011201 ACH PAYMENTS ACCEPTED
CREDIT CARDS ACCEPTED
SHIP VIA
ORDER QUANTITY NET UNIT PRICE
1.00 $62.0700 $62.07
1.00 $62.0700 $62.07
1.00 $103.4600 $103.46
Total Amount: $227.60
~-i~U1})·· . ,r .n 111
~~ t...;,:
01,r:1c~i:: ()X~· 1 ... r<J~~ c·rrv (:: L.t~.:·::_:c ., ""l t: i lJ (: LI !? f :. f~-1) T ~'-;\ .. ~ .:"} J C: i::~ •
~l~!!ti~~.t:./;;~\~·; /;~t~:)/~t /·~'\. i, ;··./;i,2-r~·,·}::!:~ -~~:>•r,,<.,r\ , I~ - · , · ·, · • . , • • ,. . . ; ~ ,,, ,._ ·,· , ,.,,. v_i:J , ,_.,._, o v> • • , ~ • . • · •• ·' .,.-,, ' •' • •' .. . ' r. b
- - · •• - • • • - • • • 0 7 ,~ 20t
Page 1 of 1
ADDENDUM IIPage 23 of 38
• • •• • • • .' ··~ -T • • • • •• - - -·--·-- ,---,---;- - - ----- ---- ·--- ·--- ' ' ----........... ' .. . .·-- ·-·
G) vE~'iif-.. -ENVIRON®ENTAL SERVICES
UNIVERSAL WASTE BILL OF LADING # 190588 Generator Name and Mailing Address Location Address (If different)
Emergency Contact
OFFICE Of THE CITY CLERK 1-877-818-0087 Contracted b9'{,ffl_?5
210 JORAL.EMON ST Purchase Order # 1640593
BROOKLYN NY 011201 Document#
Sales Order#
Designated Facility
D Veolia ES Technical Solutions D Veolia ES Technical Solutions D Veolia ES Technical Solutions D Veolia ES Technical Solutions 5736 WestJefferson Street 1275 Mineral Springs Dr. 90 Pleasant Street 342 Marpan Lane Phoenix, AZ 85043 Port Washington, WI 53074 West Bridgewater, MA 02379 T'ailahassee, FL 32305
Per 40 CFR 273.18(d}, 40 CFR 273.38(d), and 40 CFR 264.12(b), the Designated facility noted within this section agrees tc receive the below listed shipment of Unive~I Wastes from the Generator.
HM Container Quantity
DOT Description Common Name Profile Number/
Count Type Cnt or Wt NMFCCode
UN3506, Mercury contained in manufactured ERG#/172
Mercury Containing Articles articles, 8 (6.1), PG ill, RQ (Refer to State Regulations)
UN2809, Mercury, 8 (6.1), PG Ill, RQ ERG#172 Mercury
UN3077, Environmentally Hazardous Substance ERGll 171 TSCA Exempt PCB Lamp Ballasts
solid, n.o.s., 9, PGIII, RQ (PCB)
UN3077, Environmentally Hazardous Substance, ERG#171 Mercury Batteries
solid, n.o.s., 9, PGIII, (Mercury)
UN2800, Batteries, wet, nonspillable, 8, PGIII ERG#154 Lead Acid Batteries - Sealed
UN2794, Batteries, wet, filled with acid, B, PGIII ERG#1S4 Lead Acid Batteries
UN3090, Lithium Batteries, 9, PGII ERG#/138 Lithium Batteries
UN2795, Batteries, wet filled with alkali, 8, PGIII ERG# 1S4 NiCad Batteries - Wet .,
!dkfi Batteries, dry, sealed, n .o.s. NiCad Batteries - Dry
I< :srr Batteries, dry, sealed, n.o.s. Alkaline Batteries It ::J fl@ Batteries, dry, sealed, n.o.s. Mixed Batteries 'H
'
I Lamps, Non-DOT Regulated (per 49 CFR 173.164(e)) Fluorescent lamps 4' and under ;t, Lamps, Non-DOT Regulated (per 49 CFR 173.164(e)) Fluorescent Lamps 5' and over ·:r I
Lamps, Non-DOT Regulated (per 49 CFR 173.164(e)) Circular/U-tube lamps
+:: '. Lamps, Non-DOT Regulated (per 49 CFR 173.164(e)) Compact Lamps
li½t lamps, Non-DOT Regulated {per 49 CFR 173.164(e)) Shattershield/Shield~d' '
Lamps, Non-DOT Regulated (per 49 CFR 173.164(e)) HID lamps
Lamps, Non-DOT Regulated (per 49 CFR 173.164(e)J Mercury Vapor/UV Lamp,s ·;:·,
Lamps, Non-DOT Regulated (per 49 CFR 173.164{e)) Incandescent Lamps
Lamps, Non-DOT Regulated (per 49 CFR 173.164(e)) Broken Lamps
:f&t } A t,J Non-DOT Regulated Electronic Equipment for Electronics
Recycllng/Reuse/Remanufacture
?ff ~
Non-DOT Regulated Ballasts for Recycling Non PCB Light Ballasts
' •
Generator/Shipper Certification This is to certify that the above named materials are properly classified, described, packaged, marked and labeled and are Drums Pallets in proper condition for transportation according to the applicable regulations of the Department ofTran.sportation. All Container Counts containers of waste are fully described above and are presumed to be full, unless the Generator has provided a detailed, verifiable breakdown of the wastes being picked up or delivered. Actual quantities will be determined upon Time lo Time Out
receipt at the Designated Facility. Loading Times
' /
r:'J<i:,_i,Wl'-;t-, / ' l ,,~- ~/j_ ~//& 1 Signatur(_.,..,. 4,t..e,.e. ~ Date Initials Date:
R' • - , Please Initial to canfirrn counts are corrc~ct - ' ' Transporter 1 ,JI. ~~ Transporter 2 Name Name
Phone vi:;ULIA. t.:.::J I r_;.J.a_\,'.. a!' = • ..-,ULU I lln--«.;i,, ~Pnr:Jrie ,u 7 ~01 f:MJUl.1{,..,-""
Signature Date Signature I'\ Date
Designated Facility: Received, subject to the classifications and regulations in effect on 1J:{~-- , /c ),,,c_ the date of the issue of this Bill of lading, the property described above In apparent good order, except as noted. Signature Date Notes: (/
V c,\Documents and Settings\sjblormann\Local Settlngs\Temporary loteroet Flle.<\Content.Outlook\1113PIVJ\UNIVERSAL WASTE Bill OF tADING 10252013.docx
This document Is a controlled form. The use of this form Is subject to the Port Washington Control of Records PoUcy C-029PW.
1ST TRANSPORTER
I .. <..
Document Numb.er: 999F100 Revised: October 251 2013
·-- - - ··--.·--·-- --·-- ----·--· ·-·- ·---·- -··- --···--·----
ADDENDUM IIPage 24 of 38
.,___
(
•• .,,. #fl ~t'WII
PICKUP/SALES ORDER: 1640593
BILL TO COMPANY#: 376698 C!lYCLERK 141 WORTH STREET, GROUND FLOOR (NON MAYORAL) NEW YORK t-.f>/"'' 10013
PURCHASE ORDER:
Created/Updated by SASHAUGHNESSY _WBMA on 23-JUN-16.
PICKUP LOCATION: 1497669 OFFICE OF THE CllY CLERK 210JORALEMON ST ROOM205 BROOKLYN
;,
NY / ,0.1120;1 · .. _>: . - ··" . '."
' -_.:·.~
'"_,;
PRINT DATE:
PICKUP NOTES:
SALESPERSON: MARKET ZONE: GENERAL NOTE:
20162034472 NE TERRITORY National Client
EPA JD#: CESQG CONTACT NAME/PHONE: MARIE L~NNON 718 802 4101
EFFECTIVE: SCHEDULE: SCHEDULED NOTES: PICK UP DEUVER BEFORE 6/30
,,, ,&i71
t.£ * :A ·:r .9-b0 6/23/16
)ll ~Dlr
DESCRIPTION: FACEUTY INSTRUCTION.S:
8 3o f -s- 1<
.LINE. PROF[LE PRODUCT DESCRJPTJON .l!M. .s.@. ~ .cmrr.. 1 856224 EL-CMP-24 Recycle - Misc Electronic Scrap
.Q.IY.
1 EA 4 OF 1
tZ:•i):\ii%(i/:Y!(it\/:://%i'i\I,,/i'.;}f}§PRPlSYtfi'g#f\?;1§J:st.tp~iy,,'!\!:@Nf,Q;Q,i)ijQugfc!¥ardiBox;:-:X:/i:f.'./t'ih\WiiBi!ilrmi@)Ji))\,)it:)J./::{::}iEJSJLi:\'.;:lfr4XWJZf'ii'.i1{,0FiiJ:5:U:'.iW1if'l\;lJ1
3 TRANS Transportation EA
LOADING· TIME: . ---------~- QUANTITY LOADED :, ________________ _
DE LAY EXPLANATION:----==,...-::==-,.~_,,-=:;..._....,...._,,,.=;---------......,,------------------
so NOTE
6/23/16
CUSTOMER SIGNATURE~~~ . ··. .
DRIVER: PLEASE HAVE ~R ~NmAL BESIDES THE SUPPLIES TO JNDICATE THEY HAVE RECEivED THE SUPPLIES (THIS WILL BE USED INSTEAD OF THE . BILL OF LADING)
DRIVERSIGNATIJRE: __________________________ DATE: _______ _ .: - ........ ;;.
! _.~"'.
1: tffJ
Page 1 of1
,/''·-
ADDENDUM IIPage 25 of 38
I
!
~ OFFICE OF THI;: CITY CLERK 210 JORALEMON ST BROOKLYN, NY 011201
From: .
Veolia ES Technical Solutions, L.L.C. 90 Pleasant Street
/ i'.. West Bridgewater, MA 02379
{~ . ~ · Kind of Packaging Description
J:i '' ....: ... _ ... :~ ...
/ ' 1 ·J 4 . Bf; ~ · Supply NON-DOT Cubic Yard Box
{.:_ {It,) Transportation . ,, ______ ./
··----.. ····-·-··
Sales Order No. 1640593
Veolia ES Technical Solutions, L.L.C. Is pleased to offer 1/2 hour free load/unload time, after that period oftime the customer agrees for all
;/<-/ .· ··-~··.
charges for loading/off loading in excess of 1/2 hour. . · ·
Consignee
. .----~ ')__ . i . _., ., ' ,, Siglj1atur~·:· -~A-PA--<'..£ k'. /;;(:_e.-j(. .. ,.c.et---,,,,.._/
V \
STRAIGHT BILL OF LADING - ORIGINAL- NOT NEGOTIABLE
Transporter . ,, .
Veolia ES.Tech,,-nic~~~olutl~Di:i, L.LC. .
Signature. . yf . ~ Date: ftt?I 2 . q /Jv C/
{ . ,, ' .
/
·· ;Q·• ·; v· ··e··o.······t1 1!A.·:· ·· '. . -· .. • • •. • • I ·_: • _..
·' '.... .·
ADDENDUM IIPage 26 of 38
G)veOUA CERTIFICATE OF ACCEPTANCE
FOR RECYCLING AND/OR DISPOSAL By accepting the waste products described by the document number below on this certificate, Veolia ES Technical Solutions L.L.C. (Veolia ES) certifies to the generator that the transportation, storage or processing metheds employed are In accordance with the
Veolia ES permit parameters and all appHcable federal, state and local Jaws.
CITY CLERK
141 WORTH STREET, GROUND FLOOR
(NON MAYORAL)
NEW YORK, NY 10013
OFFICE OF THE CITY CLERK
210 JORALEMON ST
ROOM205
BROOKLYN, NY 011201
KEY: P = POUNDS, LFT = LINEAR FEET, LMP = LAMP, EA== EACH. Questions regarding this certificate should be directed to customer service, toll free at 1·800-556-5267,
DOCUMENT#: 08309575 PROCESSING FACILITY:
SALES ORDER#: 1640593 RECEIVED DATE: 7/6/16
VEOLIA ES TECHNICAL SOLUTIONS, LL.C. 90 PLEASANT STREET
PROCESSING FACILITY EPA ID: MAC300017498 RETURN TRACKING#:
WEST BRIDGEWATER, MA 02379
CUSTOMER MANIFEST: STATE MANIFEST: SOL 190588 LINE NOTE:
Under civil and criminal penalties of law for making or submission of false statements or representations (18 U.S.C 1001 and 15 U.S.C. 2615), I certify that the Information contained in or accompanying this document is true, accurate and complete. As to the identified information in this document, for which I cannot personally verify truth and accuracy, I certify as the company official having supervisory responsibility for the persons who, acting under my direct instructions, made verification that this information is true, accurate and complete.
/.7/~2{?7 i~ Kevin Shaver, Branch Manager
July 06, 2016
VEOLIA ES TECHNICAL SOLUTIONS, L.L.C. • 1275 MINERAL SPRINGS DRIVE, PORT WASHINGTON, WI 53074 Document D8309575 Page 1 of 1
't
ADDENDUM IIPage 27 of 38
G)v~OLIA
REMIT TO LOCK BOX:
Veolia ES Technical Solutions, L.L.C. Electronics Recycling Division 28900 Network Place· Chicago, IL 60673-1289 Tel : 262 243 8900 us.vna.erdaccounting [email protected]
FEIN 13-4038062
Order To:
Contact/Phone:
Cl1Y CLERK
141 WORTH STREET, GROUND FLOOR
(NON MAYORAL)
NEW YORK, NY 10013
E. Michales Michalos 212 669 8093
CUSTOMER NUMBER
376698/1
WS#/GENERATOR/DESCRIPTION/MANIFEST#/BOL#
RECEIVED,76/16
2
3
856246 - OFFICE OF THE CITY CLERK - Recycle -Misc Electronic Scrap - BOL 190591
- Supply NON-DOT Cubic Yard Box -
- Transportation -
Register for FREE breaking environmental news from Veolia at http://veoliaes-ts.com/buzzsignupform
INVOICE
ln\Oice No: EW1171443
1640594
ln\Oice Date: 07/08/2016
Sales Order: Due Date: 08/07/2016
Ship To: OFFICE OF THE Cl1Y CLERK
BOROUGH HALL ST GEORGE
10 RICHMOND TERRACE RM 311
STATEN ISLAND, NY 10301 ACH PAYMENTS ACCEPTED
CREDIT CARDS ACCEPTED
TERMS SHIP VIA
1% 10, NET 30 DAYS
ORDER QUANTITY NET UNIT PRICE
Each
Each
Each
1.00
1.00
1.00
$62.0700
$62.0700
$103.4600
Total Amount:
;., ..
f ~llffi· t l ~ . l:}~~
O~ICE- 0.F 'T'l-rJ"' ,,,~, ,...., r r.,, ·:; :· Jl r , _, -I. .._ I _ l l •,L J. 1 '-~' ,.J,4i, .o .. "-
·VOUCJ:iJ'.i'. F' ED I.t~'\i(:~IC~ · 1 hereby certify that tf .. e fC,-.. .:.s ;,:.:;, . r >· ,.:,.lNI
h ..... ,e )..,,.,._-, -n~co'i :r;'.)ri ,.,-vi /,, . , tJ-·· r-.-1 "i<°'· ' ._,,,. , ·,._,., ;"•_ii> .. a\: l.K,V~4 At:;; ,\..~ ... ,- , .. .,.. c . ._ •. ~- : .•..• ,.- •~., ., ..- ~ .. - _., .. . . r.;-.Q
i,ye~""() ~': .~·~,,.;-i] ---··-··---- -- ·----~-----,,- ~., ... - . ___ _,__ , J. .. ( 1h - .
Page 1 of 1
$62.07
$62.07
$103.46
$227.60
ADDENDUM IIPage 28 of 38
.. , . - .. . ------.--.·--------------------·-·--·-·-·, . ---:: . .. 7 -., -.- ,-- .-.--- _t;-- - .
G)VEOLiA ENVIRONMENTAL SERVICES
UNIVERSAL WASTE BILL OF LADING # 19059:t Generator Name and Mailing Address Location Address (if different) Emergency Contact
'·· OFACf; OF THE CITY CLERK 1-877-81~~577
BOROU(m HALL ST GEORGE Contracted by .. '-'!:S.=T.S.
Purchase Order# ·-STATEN ISLAND NY 10301 Document#
Sales Order#
Designated Facility
0 Veolia ES Technical Solutions D Veolia ES Technical Solutions 0 Veolia ES Technical Solutions 0 Veolia ES.Technical Solutions 5736 West Jefferson Street 1275 Mineral Springs Dr. 90 Pleasant Street 342 Marpan lane Phoenix, Af. 85043 Port Washington, WI 53074 West Bridgewater, MA 02379 Tallahassee, Fl 32305
Per40 CfR 273.181d}, 40CFR 273.38(d), omd40CfR 264.12{b), the Deslgtiated Facility noted wtthin this sectfan agrees to receJve the below llsted shipment of Universal Wastes from the Generator.
HM Container Quantity
DOT Description Common Name Profile Number/
Count Type CntorWt NMFCCode
UN3506, Mercury contained in manufactured ERG#172
Mercury Containing Artldes
articles, 8 (6.1), PG 111, RQ (Refer to State R'e~ulations)
UN2809, Mercury, 8 (6.1), PG 111, RQ ERG#172 Mercury
UN3077, Environmentally Hazardous Substance ERG# 171 TSCA Exempt PCB Lamp Ballasts
solid, n.o.s., 9, PGIII, RQ {PCB)
UN3077, Environmentally Hazardous Substance, ERG#171 Mercury Batteries
solid, n.o.s., 9, PGIII, (Mercury)
UN2800, Batteries, wet, nonspillable, 8, PGIII ERG#154 lead Acid Batteries - Sealed
U N2794, Batteries, wet, filled with acid, 8, PGIII ERG#154 Lead Acid Batteries
UN3090, Lithium Batteries, 9, PGII ERG#138 Lithium Batteries
UN2795, Batteries, wet fl lied with alkall, 8, PGIII ERG# 154 NiCad Batteries - Wet
li:lI Batteries, dry, sealed, n.o.s. NiCad Batteries - Dry . !,,
IN.t/ Y\ Batteries, dry, sealed, n.o.s. Alkaline Batteries
'?NJ Batteries, dry, sealed, n .o.s. Mixed Batteries . ti ' ?Di >ts lamps, Non-DDT Regulated (per 49 CFR 173.164(e)) Fluorescent Lamps 4' and under ' .· .,
1/I'frlI ..
Lamps, Non-DOT Regulated (per 49 CFR 173.164(e)) Fluorescent Lamps 5' and over ;
::JfXi Lamps, Non-DOT Regulated (per 49 CFR 173.164(e)) Clrcular/U-tube Lamps •I).'
??! Ji lamps, Non-DOT Regulated (per 49 CFR 173.164(e)) Compact Lamps
I'/) lamps, Non-DOT Regulated (per 49 CFR 173.164(e)) Shattershleld/Shlelded
l!:~fff) lamps, Non-DOT Regulated (per 49 CFR 173.164(e)) HID Lamps "'
Lamps, Non-DOT Regulated (per 49 CFR 173.164(e)) Mercury Vapor/UV tamps
'" Lamps, Non-DOT Regulated (per 49 CFR 173.164(e)) Incandescent Lamps
{{ "· Lamps, Non-DOT Regulated (per49 CFR 173.164(e)) Broken lamps
{!;% i Q J;, Non-DOT Regulated Electronic Equipment for Electronics
Recycling/Reuse/Remanufacture
~Jimr Non-DOT Regulated Ballasts for Recycling Non PCB light Ballasts
Generator/Shipper Certification This is to certify that the above named materials are properly classified, described, packaged, marked and labeled and are Drums Pallets in proper condition for transportation according to the applicable regulations of the Department ofTransportation. All Container Counts containers of waste are fully des~flbed above and are presumed to be full, unless the Generator has provided a detailed,
~"°'"'' '""''"""' '"~ "'"' plru7d,IA Act,al q,ao@es will be dete,mioed opoo Time In Time Out
loading Times receipt at the Designat~"Fa ,illty. y
·=· rt ;j'' , j_ ___ / .. Signatur j{(2 ,....,:~'({~?~----, ---~;;e &/4a/r6- Initials Date:
/ . , / ~ - Please initial to conf;r m counts are correct
Transporter£ f\l.) \,J~ I Tran/porter 2
Name ' Name
Phone V F vc.ubtA i;;~ I t:\., .. J.?,m ,At~ .))YLU I IUJ'I!;'), !..fll.io'rfe
UI ,-o·1tHJOUf JY..-Signature Date Signature f\/) I\ Date
Designated Facility: Received, subject to the classifications and regulations in effect on ~ ff[._k L. i ,_ the date of the issue of this Bill of Lading, the property described above in apparent good
/ 7 order, except as noted. Signature Date
Notes: / ''-../ -..,- { I • ~
C;\ Oocuments and Settings\sjbtermann\local Settings\Temporary Internet Fil es\Content.Outlook\1113PIVJ\ UNIVE.RSAL WASTE 011/ lADING 102520U.dooc Ooc:oment Number: 999F100 Revised: Octc~e, 25, 2013
This document is a controlled form. The use of this form is subject to the Port Washing Ion Control of Records Polley C-029PW.
1ST TRANSPORTER .:,?;
ADDENDUM IIPage 29 of 38
.-.
PICKUP/SALES ORDER: 1640594 Created/Updated by SASHAUGHNESSY_WBMA on 23.JUN-16.
BILL TO COMPANY#: 376698 1 CITY CLERK '-· 141 WORTH STREET, GROUND FLOOR (NON MAYORAL) NEW YORK NY 100_!;3. ... , •.. PURCHASE ORDER: 201662034472
NE TERRITORY National Client
SALESPERSON: MARKET ZONE: GENERAL NOTE:
DESCRJPTION:
~ PB.OEJL,s P8QQ!JCT DESCRIPTIQN
PICKUP LOCATION: 1497670 1 OFFICE OF THE CITY CLERK BOROUGH HALL ST GEORGE 10 RICHMOND TERRACE RM 311 ST ATEN ISLAND NY 10301
EPA ID#: CESQG CONTACT NAME/PHONE: EDISON STEWART 718 816 22£!2
EFFECTIVE: 6/23116 . SCHEDULE: SCHEDULED NOTES: PICK UP AND DELIVER BY 6/30
Fft11Y,~NST:UCTIONS:
~ ucz.-.rT7 QTY .!JM. ~
1 B56246 EL-CMP-24 Recyc(e - Misc Electronic Scrap · 1 EA 4
2 SUl>.PLY-094 Supply NON-DOT Cubic Yard Box 1 EA 4
3 TRANS Transportation 1 EA
PICKUP NOTES:
~ .cQNL OF 1
DF 1
LOADING TIME: __________ _ QUANTl1Y LOADED:. ________________ _
DELAY EXPLANATION: __ ......,.,.... ___________________ .:...... __________ _
CUSTOMER SIGNAT,URE: __ ©=:._ _____________________________ _
PRINT DATE: 6{23/16
, _ .... j
SO NOTE
DRJVER: PLEASE HAVE THE GENERATOR INITIAL BESIDES THE SUPPLIES TO INDICATE THEY HAVE RECEIVED THE SUPPLIES (THIS WILL BE USED INSTEAD OF THE BILL OF LADING)
DRIVER SJGNATURI;: _________________________ DATE:. _______ _
Page 1 of 1
ADDENDUM IIPage 30 of 38
To;_
OFFICE OF THE CITY CLERK
BOROUGH HALL ST GEORGE STATEN ISLAND, NY 10301 f.r.Qm.:.
Veolia ES Technical Solutions, L.L.C.,._ 90 Pleasant Street
West Bridgewater, MA 02379
~ Size Kind of Packaging 4 DF
;~;f' .. _ .. ~
Description ;'supply NON-DOT Cubic Yard Box
Transportation
, ... ,.. .... ...,..,.,..,.,..,,. ..... ....,...~--·-.......,._....,·la"""·"-"'-""'-- ~v..._,,__ -~.--·
Sales Order No. 1640594
Veolia ES Technical Solutions, L.L.C. is pleased to offer 1/2 hour free load/unload time, after that period of time the customer agrees for all charges for loading/off Ioadin~ in excess of 1/2 hour.
Consignee Transporter .. ,,
~--· >:·
j'":.
Signat'ure: -~-----'-------(_/ ci;l.
,, ; ....
-~ ·}"· . ,'
. f,
~"- .. ,_,.,.)t..\ . Veolia ES Technla1 Solutiont:,: L.L.C.
Signature: ·:>-'{ ,· )~q ___ ,.(/,ll:·L --':.<;· Date: // -~:- c:.,. /···:>"<.-- .c.:::.._ ... ---;)-
STRAIGHT BILL OF LADING - ORIGINAL - NOT NEGOTIABLE
··eol,ll_A
ADDENDUM IIPage 31 of 38
~!-~iL'.!!i S?~
~~1
Property Removal Pass
i(i
i\:f[I!
'"- . ~1Tu 1,f Aw~1!~ ~1~ 1 on: !(~l:U ,fit,ehm: lf:~
tr~ i~l
ADDENDUM IIPage 32 of 38
·- -··-- ~-
DELLOPTIPLEX 755 PC
DELL OPTtPLEX 755 PC DELL OPTIPLEX 755 PC DELL O PT~PLEX 755 PC DELLOPTIPLEX 755 PC
BROTHER 282.0 FAX WIDMER TLED-3 TJME CLOCK
WIDMER TU:D-3 TlME CLOCK USA Time Clock, TLED-3
HP P4250DTN SHARP MICROWAVE, R-520LW-T
KOBRA 400 C4 SHREDDER
1:t.e e4Z5.Q12]Jj HP P4250DTN
APC UPS, MODEL#BE750G APC UPS, MODELl#BE500U
3M SUPER STACK HUB MULTI MODEM
.ADTRAN MODEM
15354618517 28415312533 41476006549 28475778709 24182680213
U61325B7J234052 268138 266875 5385
CNRXS65811 34527
17930611A10
&NRXR78904 CNRXS71324
5 B1026127063 JB0226001370 72AVlAE6037
7118591 M914A2145
623 629 625 631 626 627
1035 1036 1033 624 1023 639 fil;i4
612
216 218 219
CS)
en ....... II I',)
en .. ....... I',) CS)
" I-' en
" ., "h~ ~ ' CS)
II~ W
II
.,
" II
Q s :x X
X X
X X
ts) ,... l'v
I en a-, I.D I
w w CS) CS)
-!
ffl 0 H
R~tk\\lEb }if f~J.-~0 bT.J f~,rJ~\ ~\t\L~Cµ~~~/'is9o4J ::! p fTI
~ C ~ ~~ (p~ '-\- fui 'bv::,,roSM-,
~
~ Mi CS) l'v ....... CS) I',) .
ADDENDUM IIPage 33 of 38
G)veOUA CERTIFICATE OF ACCEPTANCE
FOR RECYCLING AND/OR DISPOSAL By accepting the waste products described by the document number below on this certificate, Veolia ES Technical Solutions L.L.C. (Veolia ES) certifies lo the generator that the transportation, storage or processing metheds employed are In accordance with the
Veolla ES permit parameters and all applicable federal, slate and local laws.
CITY CLERK
141 WORTH STREET, GROUND FLOOR
(NON MAYORAL)
NEW YORK, NY 10013
OFFICE OF THE CITY CLERK
BOROUGH HALL ST GEORGE
10 RICHMOND TERRACE RM 311
STATEN ISLAND, NY 10301
KEY: P = POUNDS, LFT = LINEAR FEET, LMP = LAMP, EA= EACH. Questions regarding this certificate should be directed to customer service, toll free at 1·800-556-5267.
DOCUMENT #: D8309577 PROCESSING FACILITY:
SALES ORDER#: 1640594 RECEIVED DATE: 7/6/16
VEOLIA ES TECHNICAL SOLUTIONS, L.LC. 90 PLEASANT STREET
PROCESSING FACILITY EPA ID: MAC300017498 RETURN TRACKING#:
WEST BRIDGEWATER, MA 02379
CUSTOMER MANIFEST: STATE MANIFEST: BOL 190591 LINE NOTE:
Under civil and criminal penalties of law for making or submission of false statements or representations (18 U.S.C 1001 and 15 U.S.C. 2615), I certify that the information contained in or accompanying this document is true, accurate and complete. As to the identified information in this document, for which I cannot personally verify truth and accuracy, I certify as the company official having supeNisory responsibility for the persons who, acting under my direct instructions, made verification that this information is true, accurate and complete.
gjil/j 7_:~ Kevin Shaver, Branch Manager
July 06, 2016
VEOLIA ES TECHNICAL SOLUTIONS, L.L.C. • 1275 MINERAL SPRINGS DRIVE, PORT WASHINGTON, WI 53074 Document D8309577 Page 1 of 1
ADDENDUM IIPage 34 of 38
G)veOUA ,·
REMIT TO LOCK BOX:
ve"olia ES Technical Solutions, L.L.C. Electronics Recycling Division 28900 Network Place· Chicago, IL 60673-1289 Tel: 262 243 8900 us.vna.erdaccounting [email protected]
FEIN 13-4038062
Order To:
ContacUPhone:
CllY CLERK
141 WORTH STREET, GROUND FLOOR
(NON MAYORAL)
NEW YORK, NY 10013
E. Michalos Michalos 212 669 8093
CUSTOMER NUMBER
376698/1
WS#/GENERATOR/DESCRIPTION/MANIFEST #/BOL#
RECEIVED 7/1/16
1 856223 - OFFICE OF CITY CLERK - Recycle -Misc Electronic Scrap - BOL 190589
2 - Supply NON-DOT Cubic Yard Box -
3 - Transportation -
Register for FREE breaking environmental news from Veolia at http://veoliaes-ts.com/buzzsignupform
INVOICE
ln\Oice No: EW1170244 ln\Oice Date: 07/07/2016
Sales Order: 1640592 Due Date: 08/06/2016
Ship To:
TERMS
OFFICE OF CllY CLERK
851 GRAND CONCOURSE
ROOM B 131
BRONX, NY 10451
SHIP VIA
ACHPAYMENTSACCEPTED
CREDIT CARDS ACCEPTED
CUSTOMER PURCHASE ORDER
1% 10, NET 30 DAYS 20162034472
Drum
Each
Each
ORDER QUANTITY
. ~-'\'tt ~ J"r,Je . t'<'i'.tt•~ ._...,._.,., "1:..i-:-
,
/f:tr;"'4::._, ,1?
l" '"· :,lt,H~
1.00
1.00
1.00
I NET UNIT PRICE
$62.0700
$62.0700
$103.4600
Total Amount:
01rf1CT UI , ., , c-:-r:.• ; :U{ ~,~3 .· · .. ,· . i,,;
t~~a;z.ce•"t!lj ,. ,., :: '' ,o-~,:;~~.r~~';;~';;;~ by~rJ,; -~-- ~··.:;... ,>- .. . .;t,.t::, t:.:.·,;:;J;;.:.-:c.
I ' _ / Y . . . . . ..... . -,,, :J;tL ~oL/r
I EXTENDED PRICE
Page 1 of 1
$62.07
$62.07
$103.46
$227.60
ADDENDUM IIPage35 of 38
.. ·- · .. ----···-, · ~ --- _..--...- -- .--, .-- -- --- - --- -- ---- -- -- ....---- --~- ,~----.-----~-- -- -- -- -- -..--- ---.--
G)veOLIA ENVIRONMENTAL SERVICES
UNIVERSAL WASTE Bill OF LADING # 1 Q0589.-o:,,a'Y ~
Generator Name and Mailing Address Location Address (if different) Emergency Contact
OFFICE. OF CITY CLERK 1-877-81~.ftm576 Contracted by VES-TS
851 GRAND CONCOURSE Purchase Order# I ,P"il'U ._,,~i
BfUJNX NY 10451 Document#
Sales Order#
Designated Facility
D Veolia ES Technical Solutions D Veolia ES Technical Solutions rVeolia ES Technical Solutions D Veolia ES Technical Solutions 5736 West Jefferson Street 1275 Mineral Springs Dr. 90 Pleasant Street 342 Marpan lane Phoenix, AZ 85043 Port Washington, WI 53074 West Bridgewater, MA 02379 Tallah;issee, Fl 32305
Per 40 CFR 273.l&(d), 40 CFR 273.3B(d}. and 40 CFR 264.12(b), lhe Designated Facititv noted within this section agrees to receive the below fisted shipment of Universal Wastes from t1ic Gent:rator.
HM Container Quantity
DOT Description Common Name Profile Number/
Count Type CntorWt f NMFCCode
UN3506, Mercury contained in manufactured ERG/#172
Mercury Containing Articles articles, 8 (6.1), PG Ill, RQ (Refer to State Regulations)
UN2809, Mercury, 8 (6.1), PG Ill, RQ ERG/#172 Mercury
UN3077, Environmentally Hazardous Substance ERG# 171 TSCA Exempt PCB Lamp Ballasts
solid, n.o.s., 9, PGIII, RQ (PCB)
UN3077, Environmentally Hazardous Substance, ERG#171 Mercury Batteries
solid, n.o.s., 9, PGIII, (Mercury)
UN2800, Batteries, wet, nonspillable, 8, PGIII ERG#154 Lead Acid Batteries - Sealed
UN2794, Batteries, wet, filled with acid, 8, PGIII ERG#154 Lead Acid Batteries
UN3090, Lithium Batteries, 9, PGII ERG#138 Lithium Batteries
UN2795, Batteries, wet filled with alkali, 8, PGIII ERG# 154 NiCad Batteries - Wet
f:ii{D Batteries, dry, sealed, n.o.s. NiCad Batteries - Dry
:ii L) Batteries, dry, sealed, n.o.s. Alkaline Batteries
\''; Batteries, dry, sealed, n.o.s. Mixed Batteries
;,;::,:.:.:: Lamps, Non-DOT Regulated (per 49 CFR 173.164(e)) Fluorescent Lamps 4' and under t, ::
1% :/ lamps, Non-DOT Regulated (per 49 CFR 173.164{e)) Fluorescent lamps 5' and over
li'i\i ' Lamps, Non-DOT Regulated (per 49 CFR 173.164(e)) Circular/U-tube lamps '
X "' lamps, Non-DOT Regulated (per 49 CFR 173.164(e)) Compact lamps
I\\;' lamps, Non-DOT Regulated (per 49 CFR 173.164(e)) Shattershield/Shielded
@?s Lamps, Non-DOT Regulated (per 49 CFR 173.164(e}) HID Lamps
I Lamps, Non-DOT Regulated (per 49 CFR 173.164(e)) Mercury Vapor/UV lamps
Lamps, Non-DOT Regulated (per 49 CFR 173.164(e)) Incandescent lamps ,: · .
Lamps, Non-DOT Regulated (per 49 CFR 173.164(e)) Broken lamps
l't'.{ J 11)}) Non-DOT Regulated Electronic Equipment for Electronics
Recycling/Reuse/Remanufacture
ff(}; Non-DOT Regulated Ballasts for Recycling Non PCB Light Ballasts
Generator/Shipper Certification This is to certify that the above named materials are properly dassifled, described, packaged, marked and labeled and are Drums Pallets In proper condition for transportation according to the applicable regulations of the Department of Transportation. All Container Counts ro~i~" o•="• •• foify '=•ib,a ,00~ '"' ~~ ,o b, '"'' ""'"' "" Seo=o• •~ o,o .. , • ,~,,,,
Time In Time Out ~"''"" ""'"'~""' "' --ba~ '"'"' p o, '"""J' Actoai qoaomJ~ will ho det.,mm<d ,poo receipt at the D;_s_ig~_ated Faci~ty.
Loading.Times
( '\ \ ~ / Date 6 -J#-/Jo Initials Date: Signature k?\_ \ k _Q_ J ,,\__/ -,_/'\.____><:,, Plea5e initfol to confirm c(H,nts are correct - --(:___,_.) Transporter 2 Transporter 1
Name Name -- -Phone // II v-~·-• • t;;;, I 1:.-\,t'il'lllt.il'I.I~ ~lb.I.I I lt,r,i;,, --Phcfr-te
~ ij__/4 617-8'18-IJIR.11 Date &1 -::Ja -I "" Signature /.//,, "A _ Signature .A - Date
Designated FacliTty: Rec;;-ived, subject to the classifications and regulatlonsln effect on .-:
~ ~ I, /1 ~ the date of the issue of this Bill of Lading, the property described above In apparent good order, except as noted. Signature Date Notes: /J \J
I
C:\Document.s and Settings\sjbiermann\local Settings\Temporary Internet Files\Content.Outlook\lll3PIVJ\ lJNIVEftSAL WASTE Bit{., LAOI NG 10252013.doo: Document Number. 999f100 Re111Sed: October 25, 2013
This documenl is a controUed form. The use of this form is subject to the Port Washington Control of Records Policy C-029PW.
i ST TRANSPORTER
ADDENDUM IIPage 36 of 38
'.f" ···'1~ ··~. : .·~,
PICKUP/SALES ORDER: 1640592 Created/Updated by SASHAUGHNESSY _WBMA on 23-~Ll/>-!'-itl.
BILL TO COMPANY#: · ': i76698 CITY CLERK ..... _ . 141 WORTH STREET, GRO:UND FLOOR (NON MAYORAL) . ,.. -,'. .. , NEW YORK NY - 10013
PURCHASE ORDER: SALESPERSON: MARKET ZONE: GENERAL NOTE:
DESCRIPTION:
20162034472 NE TERRITORY National Cltent
DESCRIPTION
. .. ... ~ .. .. PICKUP LOCATION: 1497668 1 OFFICE OF CITY CLERK 851 GRAND CONCOURSE ROOM B 131
. BRONX NY 10451
EPA ID#: CESQG CONTACT NAME/PHONE: SHIRLEY SAUNDERS 78 590 5307
EFFECTIVE: 6/23/16 SCHEDULE: SCHEDULED NOTES: PICK UP DELIVER BEFORE 6/30
. (1ClLITY IN:~UCTIONS:
- 't56DiJ J .Go
.QIY. l!M .slZE. .I.I.NE. PROFILE PRODUCT
1 856223 EL-CMP-24 Recycle • Misc Electrontc Scrap 1 EA 4
2
3
SUPPL Y-094
TRANS
Supply NON-_DOT Cubic Yard Box
Transportation
LOADING TIME:----------'-- QUANTITY LOADED:
1 EA 4
1 EA
PICKUP NOTES:
.IYfl;. ~ DF 1
DF 1
DELAY EXPLANATION: ____________________ ---,-_____________ _
CUSTOMER SIGNATURE: _______________ ...;...----,----------.-------
'::'·'. ... '
PRINT DATE: 6f23f16
---E:.~ ·~ .. ~.,.•·.
SQ t\lOT!; ·.;;r .. ~·
DRIVER: PLEASE HAVE THE GENERATOR INITIAL BESIDES THE SUPPUES TO INDICATE THEY HAVE RECEIVED THE SUPl'UES {THIS WILL BE USED INSTEAD OF THE . BILL OF LADING)
DRIVER SIGNATURE:--,------------------------- DATE:. _______ _
Paga 1 of 1
..:, ... ~:
·f,i
ADDENDUM IIPage 37 of 38
~
----~..... ·---·----------------------
Tu;_
OFFICE OF CITY CLERK . _851 GRAND CONCOURSE
BRONX, NY 10451 From:
' ~;,:·
Veolia ES Technical Solutions, L.L.C. 90. Pleasant .Street
West Bridgewater, MA 02379
.!J..!1ill. ~ Kind of Packaging 4 DF
-.-~-· .. :;.:·-:- :..··· ... ...
Description Supply NON-DOT Cub_lc Yard Box
Transportation
Sales-Order No. 1640592
Veolia ES Technical Solutions, L.L.C. is pleased to offer 1/2 hour free load/unload time, after that period of time the customer agrees for all charges for loading/off.loading in excess of 1/2 hour. .
....... "',
Consignee ,---.._ / \ \
. :\,,, I ·~ l \ :.:L . / ~ >------::; Signature: ~ -"- l •- , · -- Date: ~ - '
\i\ / ... .; ,\--- >'~:·.
STRAIGHT BILL OF LADING,~ ORIGINAL ~ NOT NEGOTIABLE
(i)veouA.
ADDENDUM IIPage 38 of 38