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SDMS DpcID 451805 Litton 1725 Jetlerson Davis Highway
C o r p o r a t e Swy^crfnnd Records Center Suite 60 Crystal Square two Arlington Virginia
SITE ^ C K E 22202-3585
B 1 ^ F A K bull Tel 703 692-3918 Fax 703 892-3970 OTHER ^jT^Or
November 16 1992
Ms Marilyn K Goldberg US Environmental Protection Agency PO Box 221470 Chantilly Virginia 22022
Re Solvents Recovery Service of New England Superfund Site
Dear Ms Goldberg
In response to EPAs transactional document review for the above-referenced Site attached please find the following documents
1 Additional Transactions Form and supporting documents for Winchester Electronics a division of Litton Systems Inc
2 Transactional Review Forms and supporting documents for the Decatone Division Westminster Massachusetts
If you have any questions on this matter please do not hesitate to call me at (703) 892-3918
Sincerely
rill M Palmer Environmental Affairs Counsel
ends
JMPkta
ATTACHMENT IIB (continued)
Transactional Review Form
Name of RespondentDecatone (Westminster MA)
Column 1 Column 2 Column 3 Column A Column 5 Column 6
Date of EPA EPA Your Description of Issues Transaction Document Volume Volume Your Documentation Comments
Volume based on 25500 91269 100667 341726 305745 See Att 1 amp EPA not 28 5 00 Tbs
Assumptions
3871 100322 4865-46 0 See Attachment 2 No Quantity Shown
102371 100335 203500 0 See Attachment 3 No Reference to
See Attachment 4 amp 1lS71 100336 1540-On 1 100 EPA Assumptions Volume Based on 20
not 28 drums
See Attachment 5 amp Volume Rased on 61472 100346 39 1600 3909 EPA Assumptions 32600 not 32660 Lbs
with respect to illeqible volume entries EPA to code lowest volume
)
ATTACHMENT IIB (continued)
Transactional Review Form
Name of Respondent Decatone (Westminster MA)
Column 1 Column 2 Column 3 Column 4
Date of EPA EPA Your Transaction Document Volume Volume
103172 100352 vi 395203 0
32073 100360 V 3556 35 1398 00
4373 100361 3302 15 2403 00
41973 100362 3294 96 1456
53073 100364 ] 1760 00 0
62273 100364 3000 00 0
Column 5
Description of Your Documentation
See Attachment 6
See Attachment 7 amp EPA Assumptions
See Attachment 8 amp EPA Assumptions bullV
See Attachment 9 amp gt EPA Assumptions
See Attachment 10
See Attachment 11
Column 6
Issues Comments
Volume illeaible
Volume based on 11660 Lbs
Volume based on 20040 libs
No Ref erence to Decatone
No Keterence to Decatone
with respect to illeqible volume entries EPA to code lowest volume
3
ATTACHMENT IIB (continued)
Transactional Review Form
Name of Respondent Decatone (Westminster MP)
Column 1 Column 2 Column 3 Column 4 Column 5 Column 6
Date of EPA EPA Your Description of Issues Transaction Document Volume Volume Your Documentation Comments
No Reference to 71373 100367 325600 0 See Attachment 12 Deratnnp
No Reference to 92173 100371 31 1750 See Attachment 13 Derat-nnp
)
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ATTACHMENT IIC (continued)
Additional Transactions Form
Name of Respondent Winchester Electronics Division of Litton Systems Inc
hazardous waste carbons (freonite)
Column 1 Column 2 Column 3 Column 4 Coltunn 5
Date of Volume of Waste Description of Name and Address Transaction Transaction Type Documentation
(please attach) of Generator (for brokered transshyactions only)
21682 2 drums Waste chlnri nat-pd fluoro- Conn DEP NA
mixed manifest with oil
41682 4 drums Waste chlori natPfi flunra- Conn DEP NA carbons (freonite) mixed hazardous waste with oil manifest
HAZARDOUS WASTE M^ iST AND SHIPPING PAPER J U l b b b b
I liwwwwt t nmr9ar f r n n
OENEMTOR gKIWnmtvn mdash^
t( Ifiu ffer 7t43wiirj M i^ i ^ pfMMARr TRANSPORTER
T^1 ^
CONTINUING TRANSPORT
HWF
- I fFMORE THAN ONE M A N I F ^ T
o o
STATE Of CONNECTICUT ^ S WASTE MANIFEST AND SHIPPING PAPER 61 0028033 DEPARTMEN O f ENVIRONMENTAL PROTECTION M4HirpoundST NUMflER
i ugt y i f t i ^ t i ^ i j fl i^^o PRWARY TRANSPORTER
CONTINUING TRANSPORTER raquo shy
E f l A C A H M ncau iREo e THIS IS TO CERTIFY THAT I AM THE CONTINUING
TRANSPORTER ANO HAVE ACCEPTED THE OESClitBEO SHIPtlaquoENT IN PROPER CONDIJtQN FOB TRANSPORT TO THE IDENTIFIED H
INDICATE ANY DIFFERENCES B E T W E A I MANIFEST ANO SHIPMENT AND LIST REJECTED MATERIALS INDICATE DISPOSITION OF REJECTED SHIPMENT
^laquoI^FOREMENTIONE0 OEUVWNC TRANSPORTER AMO THAT THE INFORMATIOIf OH THIS I CERTIFY THAT THE DESCRIBED WASTEISI WAS DELIVEREtTBT^t l^FOI
XS o MANIFESTISCORRECTTOTHEBESTOFMY KNOWLEDGE __ ^ u _ -bdquogj-|^
l
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SHIPPING PAPER IS USED
RONMENTAL PROTECTION MAILI^JGADDftfeSS - f PHONE NUMBER
I iST NUMBER
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SPECIAL HANDLING INSTRUCTIONS INCLUDING ANY CONTAINER EXEMPTION ANO EMERGENCY RESPONSE INFORMATION
TO 0 ^ ^ L L C O
IN THE EVENT OF A SPILL CONTACT THE NATIONAL RESPONSE CENTER U S COAST GUARD 1-80(M24laquoa02
lfV(mmmmtyenitmJIgtTHIS IS TO CERTIFY THAT t AM THE PRIMARY TRANSPORTER Ari04MVE AOCCPTEO THE DESCRIBED SHIPMEirr IN PROPER CONDITION FOR TRANSPORT TO THE IDENTIFIED HWF
THIS IS TO CERTIFY THAT bull AM THE CONTINUING TRANSPORTER ANO HAVE ACCEPTED THE DESCRIBED SHIPMENT IN PROPER CONDITION FOR TRANSPORT TO THE IDENTIFIED HWF
IICHATUWE Of JIWIIyyTCW
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I CERTIFY THAT THE DESCRIBED WASTEISI WAS DELIVERED BY TH^^ AFOREMENTIONED DELIVERING TRANSPORTER ANO THAT THE INFORMATION ON THIS
MANIFEST IS CORRECT TOTHE BEST OF MY KNOWLEDGE oia i ^ ^ umm (U firrvMoii roMPirrrn cnnv
i HAZAKzJk J l STATE OF CONNECTICUT JUS WASTE MANIFEST AND SHIPPING PAPER
^^^5Ilf^Ll^pound^^iP^^^^AL PROTECTION^ MAILING ADDRESS bull
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ltCAgivi^gtl C o g6SS lecf^i i4 iMAierbltYS(k70amp NTIintNGTRA
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QENERATOfl A A A
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AiraMAttiy^ShMSfitrmiictt 00NTINUINCTRAIltlaquoPORTER W^
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IN THE EVENT OF A SPILL CONTACT THE NATIONAL RESPONSE CENTER U amp COAST GUARD l-80lgt42MBa9
REOURID LABELS THB ISTO CERTIFY THAT t AM THE PRIMARY TRANSrORTER Alto-HAVE ACCEPTED THE DESCRtaEDSHIPMENT IN PROPER CONDITION FOR TRANSPORT TO THE IDENTIFIED HWF TEI D
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MANIFEST ISCORBECT TO THE BEST OF MY KNOWLEDGE ^^n^^alaquo^^^ um i n r i A i n i i r o M i i r T m cnPY
ATTACHMENT IIB (continued)
Transactional Review Form
Name of RespondentDecatone (Westminster MA)
Column 1 Column 2 Column 3 Column A Column 5 Column 6
Date of EPA EPA Your Description of Issues Transaction Document Volume Volume Your Documentation Comments
Volume based on 25500 91269 100667 341726 305745 See Att 1 amp EPA not 28 5 00 Tbs
Assumptions
3871 100322 4865-46 0 See Attachment 2 No Quantity Shown
102371 100335 203500 0 See Attachment 3 No Reference to
See Attachment 4 amp 1lS71 100336 1540-On 1 100 EPA Assumptions Volume Based on 20
not 28 drums
See Attachment 5 amp Volume Rased on 61472 100346 39 1600 3909 EPA Assumptions 32600 not 32660 Lbs
with respect to illeqible volume entries EPA to code lowest volume
)
ATTACHMENT IIB (continued)
Transactional Review Form
Name of Respondent Decatone (Westminster MA)
Column 1 Column 2 Column 3 Column 4
Date of EPA EPA Your Transaction Document Volume Volume
103172 100352 vi 395203 0
32073 100360 V 3556 35 1398 00
4373 100361 3302 15 2403 00
41973 100362 3294 96 1456
53073 100364 ] 1760 00 0
62273 100364 3000 00 0
Column 5
Description of Your Documentation
See Attachment 6
See Attachment 7 amp EPA Assumptions
See Attachment 8 amp EPA Assumptions bullV
See Attachment 9 amp gt EPA Assumptions
See Attachment 10
See Attachment 11
Column 6
Issues Comments
Volume illeaible
Volume based on 11660 Lbs
Volume based on 20040 libs
No Ref erence to Decatone
No Keterence to Decatone
with respect to illeqible volume entries EPA to code lowest volume
3
ATTACHMENT IIB (continued)
Transactional Review Form
Name of Respondent Decatone (Westminster MP)
Column 1 Column 2 Column 3 Column 4 Column 5 Column 6
Date of EPA EPA Your Description of Issues Transaction Document Volume Volume Your Documentation Comments
No Reference to 71373 100367 325600 0 See Attachment 12 Deratnnp
No Reference to 92173 100371 31 1750 See Attachment 13 Derat-nnp
)
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ATTACHMENT IIC (continued)
Additional Transactions Form
Name of Respondent Winchester Electronics Division of Litton Systems Inc
hazardous waste carbons (freonite)
Column 1 Column 2 Column 3 Column 4 Coltunn 5
Date of Volume of Waste Description of Name and Address Transaction Transaction Type Documentation
(please attach) of Generator (for brokered transshyactions only)
21682 2 drums Waste chlnri nat-pd fluoro- Conn DEP NA
mixed manifest with oil
41682 4 drums Waste chlori natPfi flunra- Conn DEP NA carbons (freonite) mixed hazardous waste with oil manifest
HAZARDOUS WASTE M^ iST AND SHIPPING PAPER J U l b b b b
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HWF
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STATE Of CONNECTICUT ^ S WASTE MANIFEST AND SHIPPING PAPER 61 0028033 DEPARTMEN O f ENVIRONMENTAL PROTECTION M4HirpoundST NUMflER
i ugt y i f t i ^ t i ^ i j fl i^^o PRWARY TRANSPORTER
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SPECIAL HANDLING INSTRUCTIONS INCLUDING ANY CONTAINER EXEMPTION ANO EMERGENCY RESPONSE INFORMATION
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ATTACHMENT IIB (continued)
Transactional Review Form
Name of Respondent Decatone (Westminster MA)
Column 1 Column 2 Column 3 Column 4
Date of EPA EPA Your Transaction Document Volume Volume
103172 100352 vi 395203 0
32073 100360 V 3556 35 1398 00
4373 100361 3302 15 2403 00
41973 100362 3294 96 1456
53073 100364 ] 1760 00 0
62273 100364 3000 00 0
Column 5
Description of Your Documentation
See Attachment 6
See Attachment 7 amp EPA Assumptions
See Attachment 8 amp EPA Assumptions bullV
See Attachment 9 amp gt EPA Assumptions
See Attachment 10
See Attachment 11
Column 6
Issues Comments
Volume illeaible
Volume based on 11660 Lbs
Volume based on 20040 libs
No Ref erence to Decatone
No Keterence to Decatone
with respect to illeqible volume entries EPA to code lowest volume
3
ATTACHMENT IIB (continued)
Transactional Review Form
Name of Respondent Decatone (Westminster MP)
Column 1 Column 2 Column 3 Column 4 Column 5 Column 6
Date of EPA EPA Your Description of Issues Transaction Document Volume Volume Your Documentation Comments
No Reference to 71373 100367 325600 0 See Attachment 12 Deratnnp
No Reference to 92173 100371 31 1750 See Attachment 13 Derat-nnp
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ATTACHMENT IIC (continued)
Additional Transactions Form
Name of Respondent Winchester Electronics Division of Litton Systems Inc
hazardous waste carbons (freonite)
Column 1 Column 2 Column 3 Column 4 Coltunn 5
Date of Volume of Waste Description of Name and Address Transaction Transaction Type Documentation
(please attach) of Generator (for brokered transshyactions only)
21682 2 drums Waste chlnri nat-pd fluoro- Conn DEP NA
mixed manifest with oil
41682 4 drums Waste chlori natPfi flunra- Conn DEP NA carbons (freonite) mixed hazardous waste with oil manifest
HAZARDOUS WASTE M^ iST AND SHIPPING PAPER J U l b b b b
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STATE Of CONNECTICUT ^ S WASTE MANIFEST AND SHIPPING PAPER 61 0028033 DEPARTMEN O f ENVIRONMENTAL PROTECTION M4HirpoundST NUMflER
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ATTACHMENT IIB (continued)
Transactional Review Form
Name of Respondent Decatone (Westminster MP)
Column 1 Column 2 Column 3 Column 4 Column 5 Column 6
Date of EPA EPA Your Description of Issues Transaction Document Volume Volume Your Documentation Comments
No Reference to 71373 100367 325600 0 See Attachment 12 Deratnnp
No Reference to 92173 100371 31 1750 See Attachment 13 Derat-nnp
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ATTACHMENT IIC (continued)
Additional Transactions Form
Name of Respondent Winchester Electronics Division of Litton Systems Inc
hazardous waste carbons (freonite)
Column 1 Column 2 Column 3 Column 4 Coltunn 5
Date of Volume of Waste Description of Name and Address Transaction Transaction Type Documentation
(please attach) of Generator (for brokered transshyactions only)
21682 2 drums Waste chlnri nat-pd fluoro- Conn DEP NA
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ATTACHMENT IIC (continued)
Additional Transactions Form
Name of Respondent Winchester Electronics Division of Litton Systems Inc
hazardous waste carbons (freonite)
Column 1 Column 2 Column 3 Column 4 Coltunn 5
Date of Volume of Waste Description of Name and Address Transaction Transaction Type Documentation
(please attach) of Generator (for brokered transshyactions only)
21682 2 drums Waste chlnri nat-pd fluoro- Conn DEP NA
mixed manifest with oil
41682 4 drums Waste chlori natPfi flunra- Conn DEP NA carbons (freonite) mixed hazardous waste with oil manifest
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ATTACHMENT IIC (continued)
Additional Transactions Form
Name of Respondent Winchester Electronics Division of Litton Systems Inc
hazardous waste carbons (freonite)
Column 1 Column 2 Column 3 Column 4 Coltunn 5
Date of Volume of Waste Description of Name and Address Transaction Transaction Type Documentation
(please attach) of Generator (for brokered transshyactions only)
21682 2 drums Waste chlnri nat-pd fluoro- Conn DEP NA
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41682 4 drums Waste chlori natPfi flunra- Conn DEP NA carbons (freonite) mixed hazardous waste with oil manifest
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ATTACHMENT IIC (continued)
Additional Transactions Form
Name of Respondent Winchester Electronics Division of Litton Systems Inc
hazardous waste carbons (freonite)
Column 1 Column 2 Column 3 Column 4 Coltunn 5
Date of Volume of Waste Description of Name and Address Transaction Transaction Type Documentation
(please attach) of Generator (for brokered transshyactions only)
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ATTACHMENT IIC (continued)
Additional Transactions Form
Name of Respondent Winchester Electronics Division of Litton Systems Inc
hazardous waste carbons (freonite)
Column 1 Column 2 Column 3 Column 4 Coltunn 5
Date of Volume of Waste Description of Name and Address Transaction Transaction Type Documentation
(please attach) of Generator (for brokered transshyactions only)
21682 2 drums Waste chlnri nat-pd fluoro- Conn DEP NA
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ATTACHMENT IIC (continued)
Additional Transactions Form
Name of Respondent Winchester Electronics Division of Litton Systems Inc
hazardous waste carbons (freonite)
Column 1 Column 2 Column 3 Column 4 Coltunn 5
Date of Volume of Waste Description of Name and Address Transaction Transaction Type Documentation
(please attach) of Generator (for brokered transshyactions only)
21682 2 drums Waste chlnri nat-pd fluoro- Conn DEP NA
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ATTACHMENT IIC (continued)
Additional Transactions Form
Name of Respondent Winchester Electronics Division of Litton Systems Inc
hazardous waste carbons (freonite)
Column 1 Column 2 Column 3 Column 4 Coltunn 5
Date of Volume of Waste Description of Name and Address Transaction Transaction Type Documentation
(please attach) of Generator (for brokered transshyactions only)
21682 2 drums Waste chlnri nat-pd fluoro- Conn DEP NA
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41682 4 drums Waste chlori natPfi flunra- Conn DEP NA carbons (freonite) mixed hazardous waste with oil manifest
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ATTACHMENT IIC (continued)
Additional Transactions Form
Name of Respondent Winchester Electronics Division of Litton Systems Inc
hazardous waste carbons (freonite)
Column 1 Column 2 Column 3 Column 4 Coltunn 5
Date of Volume of Waste Description of Name and Address Transaction Transaction Type Documentation
(please attach) of Generator (for brokered transshyactions only)
21682 2 drums Waste chlnri nat-pd fluoro- Conn DEP NA
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ATTACHMENT IIC (continued)
Additional Transactions Form
Name of Respondent Winchester Electronics Division of Litton Systems Inc
hazardous waste carbons (freonite)
Column 1 Column 2 Column 3 Column 4 Coltunn 5
Date of Volume of Waste Description of Name and Address Transaction Transaction Type Documentation
(please attach) of Generator (for brokered transshyactions only)
21682 2 drums Waste chlnri nat-pd fluoro- Conn DEP NA
mixed manifest with oil
41682 4 drums Waste chlori natPfi flunra- Conn DEP NA carbons (freonite) mixed hazardous waste with oil manifest
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ATTACHMENT IIC (continued)
Additional Transactions Form
Name of Respondent Winchester Electronics Division of Litton Systems Inc
hazardous waste carbons (freonite)
Column 1 Column 2 Column 3 Column 4 Coltunn 5
Date of Volume of Waste Description of Name and Address Transaction Transaction Type Documentation
(please attach) of Generator (for brokered transshyactions only)
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HAZARDOUS WASTE M^ iST AND SHIPPING PAPER J U l b b b b
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ATTACHMENT IIC (continued)
Additional Transactions Form
Name of Respondent Winchester Electronics Division of Litton Systems Inc
hazardous waste carbons (freonite)
Column 1 Column 2 Column 3 Column 4 Coltunn 5
Date of Volume of Waste Description of Name and Address Transaction Transaction Type Documentation
(please attach) of Generator (for brokered transshyactions only)
21682 2 drums Waste chlnri nat-pd fluoro- Conn DEP NA
mixed manifest with oil
41682 4 drums Waste chlori natPfi flunra- Conn DEP NA carbons (freonite) mixed hazardous waste with oil manifest
HAZARDOUS WASTE M^ iST AND SHIPPING PAPER J U l b b b b
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HWF
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o o
STATE Of CONNECTICUT ^ S WASTE MANIFEST AND SHIPPING PAPER 61 0028033 DEPARTMEN O f ENVIRONMENTAL PROTECTION M4HirpoundST NUMflER
i ugt y i f t i ^ t i ^ i j fl i^^o PRWARY TRANSPORTER
CONTINUING TRANSPORTER raquo shy
E f l A C A H M ncau iREo e THIS IS TO CERTIFY THAT I AM THE CONTINUING
TRANSPORTER ANO HAVE ACCEPTED THE OESClitBEO SHIPtlaquoENT IN PROPER CONDIJtQN FOB TRANSPORT TO THE IDENTIFIED H
INDICATE ANY DIFFERENCES B E T W E A I MANIFEST ANO SHIPMENT AND LIST REJECTED MATERIALS INDICATE DISPOSITION OF REJECTED SHIPMENT
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INDICATE ANY DIFFERENCES BETWEEN MANIFEST AND SHIPMENT AND LIST REJECTEOMfiTERIALS INDICATE DISPOSITION OF REJECTED SHIPMENTK
I CERTIFY THAT THE DESCRIBED WASTEISI WAS DELIVERED BY THE AFOREMENTIONED QELtVEBlNa-TRANJ R AND THAT THE INFORMATION ON THIS bullbullgto 4 X 2 o O MANIFEST IS CORRECT TO THE BEST OF MY KNOWLEDGE O
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iSTATE OF CONNECTICUT s WASTE MANIFEST AND SHIPPING PAPER CT 0042205 DERARTMEN-^plj[poundfgtIVIRONMgJjlTAraquo-PROTECTION MANIFEST HUM9EH 1 y
QENERATOfl A A A
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AiraMAttiy^ShMSfitrmiictt 00NTINUINCTRAIltlaquoPORTER W^
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jjgf- V^y tfg9 - J^fltl8S^r^^^ PRNIIARYTIIANaPOnTER
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SPECIAL KIANDLING INSTRUCTIONS INCLUDING ANY CONTAINER EXEMPTION AND EMERGENCY RESPONSE INFORMATION
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bull I P^PJ t CERTIFY THAT THE DESCRIBED WASTEISI WAS DELIVERED BY THE AFOREMENTIONED DELIVER|NltJ TRANSPORTER AND THAT THE INFORMATION ON THIS
MANIFEST ISCORBECT TO THE BEST Qf MY KNOWLEDGE _ ^ laquo E E ] shyu MOfffH =c t r Tfelaquo
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ATTACHMENT IIC (continued)
Additional Transactions Form
Name of Respondent Winchester Electronics Division of Litton Systems Inc
hazardous waste carbons (freonite)
Column 1 Column 2 Column 3 Column 4 Coltunn 5
Date of Volume of Waste Description of Name and Address Transaction Transaction Type Documentation
(please attach) of Generator (for brokered transshyactions only)
21682 2 drums Waste chlnri nat-pd fluoro- Conn DEP NA
mixed manifest with oil
41682 4 drums Waste chlori natPfi flunra- Conn DEP NA carbons (freonite) mixed hazardous waste with oil manifest
HAZARDOUS WASTE M^ iST AND SHIPPING PAPER J U l b b b b
I liwwwwt t nmr9ar f r n n
OENEMTOR gKIWnmtvn mdash^
t( Ifiu ffer 7t43wiirj M i^ i ^ pfMMARr TRANSPORTER
T^1 ^
CONTINUING TRANSPORT
HWF
- I fFMORE THAN ONE M A N I F ^ T
o o
STATE Of CONNECTICUT ^ S WASTE MANIFEST AND SHIPPING PAPER 61 0028033 DEPARTMEN O f ENVIRONMENTAL PROTECTION M4HirpoundST NUMflER
i ugt y i f t i ^ t i ^ i j fl i^^o PRWARY TRANSPORTER
CONTINUING TRANSPORTER raquo shy
E f l A C A H M ncau iREo e THIS IS TO CERTIFY THAT I AM THE CONTINUING
TRANSPORTER ANO HAVE ACCEPTED THE OESClitBEO SHIPtlaquoENT IN PROPER CONDIJtQN FOB TRANSPORT TO THE IDENTIFIED H
INDICATE ANY DIFFERENCES B E T W E A I MANIFEST ANO SHIPMENT AND LIST REJECTED MATERIALS INDICATE DISPOSITION OF REJECTED SHIPMENT
^laquoI^FOREMENTIONE0 OEUVWNC TRANSPORTER AMO THAT THE INFORMATIOIf OH THIS I CERTIFY THAT THE DESCRIBED WASTEISI WAS DELIVEREtTBT^t l^FOI
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RONMENTAL PROTECTION MAILI^JGADDftfeSS - f PHONE NUMBER
I iST NUMBER
iW r^ _ | C i | l lt
laquolaquoiB4W9r t
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Z o o K O
Ul
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REOUIIIED L A U U
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PLACARDI flCOUIREO
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SPECIAL HANDLING INSTRUCTIONS INCLUDING ANY CONTAINER EXEMPTION ANO EMERGENCY RESPONSE INFORMATION
TO 0 ^ ^ L L C O
IN THE EVENT OF A SPILL CONTACT THE NATIONAL RESPONSE CENTER U S COAST GUARD 1-80(M24laquoa02
lfV(mmmmtyenitmJIgtTHIS IS TO CERTIFY THAT t AM THE PRIMARY TRANSPORTER Ari04MVE AOCCPTEO THE DESCRIBED SHIPMEirr IN PROPER CONDITION FOR TRANSPORT TO THE IDENTIFIED HWF
THIS IS TO CERTIFY THAT bull AM THE CONTINUING TRANSPORTER ANO HAVE ACCEPTED THE DESCRIBED SHIPMENT IN PROPER CONDITION FOR TRANSPORT TO THE IDENTIFIED HWF
IICHATUWE Of JIWIIyyTCW
INDICATE ANY DIFFERENCES BETWEEN MANIFEST AND SHIPMENSHIPMENTT ANANOO LISLISTT REJECTEOMAVERIALS^ INDICATE DISPOSITION OF REJECTED SHIPMENTREJECTEtnlAVERIi
I CERTIFY THAT THE DESCRIBED WASTEISI WAS DELIVERED BY TH^^ AFOREMENTIONED DELIVERING TRANSPORTER ANO THAT THE INFORMATION ON THIS
MANIFEST IS CORRECT TOTHE BEST OF MY KNOWLEDGE oia i ^ ^ umm (U firrvMoii roMPirrrn cnnv
i HAZAKzJk J l STATE OF CONNECTICUT JUS WASTE MANIFEST AND SHIPPING PAPER
^^^5Ilf^Ll^pound^^iP^^^^AL PROTECTION^ MAILING ADDRESS bull
hl ti QA H I k i X ^ ^ ^ ^ i 11 frQg77^ PRIMARY TRANSPORTER
ltCAgivi^gtl C o g6SS lecf^i i4 iMAierbltYS(k70amp NTIintNGTRA
CO r S|ymicRelt^laquo^ltYy ^ ( K ^ IF MORE THAN ONE MANIFEST I Ul SHIPPING PAPER IS USED
INDICATE ANY DIFFERENCES BETWEEN MANIFEST AND SHIPMENT AND LIST REJECTEOMfiTERIALS INDICATE DISPOSITION OF REJECTED SHIPMENTK
I CERTIFY THAT THE DESCRIBED WASTEISI WAS DELIVERED BY THE AFOREMENTIONED QELtVEBlNa-TRANJ R AND THAT THE INFORMATION ON THIS bullbullgto 4 X 2 o O MANIFEST IS CORRECT TO THE BEST OF MY KNOWLEDGE O
Cl 0028070
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iSTATE OF CONNECTICUT s WASTE MANIFEST AND SHIPPING PAPER CT 0042205 DERARTMEN-^plj[poundfgtIVIRONMgJjlTAraquo-PROTECTION MANIFEST HUM9EH 1 y
QENERATOfl A A A
4dinckedr f lt c L ^ s J^ ^ 4 PRIMARY TRANtfORTER
AiraMAttiy^ShMSfitrmiictt 00NTINUINCTRAIltlaquoPORTER W^
(0 HWF HI ^ l raquo l l ^ a u r r y X t IF MORE THAN ONE MANIFESTT A a
STATE OF CONNECTICUT ^ S WASTE MANIFEST ANO SHIPPING PAPER ( iiU4 rJJU DEP^RTMEH gtF ENVIRONMENTAL PROTECTION MAILING ADDRESS PHONE NUMBER STATE EPA 10 NO
jjgf- V^y tfg9 - J^fltl8S^r^^^ PRNIIARYTIIANaPOnTER
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SPECIAL KIANDLING INSTRUCTIONS INCLUDING ANY CONTAINER EXEMPTION AND EMERGENCY RESPONSE INFORMATION
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RCOUHIEO l A I E L t THIS IS TO CERTIFY THAT I AM THE PRIMARY TRAHSPdHTER AND H4iyE ACCEPTED THE OeSCRIBEO SHIPMENT IN PROPER CONDITION FOR TRANSPORT TO THE IDENTIFIED HWF raquo ^ D
t W N A T U R l Of j f H ^
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8 TRANSPORTER AND HAVE ACCEPTED THE DEXRIBED SHIPMEin IN PROPER CONDITION FOR TRANSPORT TO THE IDENTIFIED HWF
SIGNATURE p r TRANVORTER
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bull I P^PJ t CERTIFY THAT THE DESCRIBED WASTEISI WAS DELIVERED BY THE AFOREMENTIONED DELIVER|NltJ TRANSPORTER AND THAT THE INFORMATION ON THIS
MANIFEST ISCORBECT TO THE BEST Qf MY KNOWLEDGE _ ^ laquo E E ] shyu MOfffH =c t r Tfelaquo
W A m i s MANH-bai l ANUbHIHPINU I n l c Ut- lltUNNttlKULI
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( 2 layf tgtvP Soo Ht^qfebdquoCf n p B ^ 9 f tcku^rim facg^V S^i
t MODE THAN ONE MANIFEST l l bullgt l t i(4C l i 1 4pound^r7yTjOT3ypraquor HtMNG PAPER IS USED
DOT HAZARD US DOT SturPINO NAME CLASS jj)5sirsi^8S3ic
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SPECIAL HANDLING INSTRUCTIONS INCLUDING ANY C0NTAINE1TEXEMPTION AND EMERGENCY RESPONSE INFORMATION
IN THE EVENT OF A SPILL CONTACT THE NATIONAL RESPONSE CENTER U amp COAST GUARD l-80lgt42MBa9
REOURID LABELS THB ISTO CERTIFY THAT t AM THE PRIMARY TRANSrORTER Alto-HAVE ACCEPTED THE DESCRtaEDSHIPMENT IN PROPER CONDITION FOR TRANSPORT TO THE IDENTIFIED HWF TEI D
MO bull -jiii^iiiLKc^ v -r - ^ - ^ i ^ r nACAnm Rcouineo THIS ts TO CERTIFY THAT I AM THE CONTINUING
TRANSPORTER AND HAVE ACCEPTED THE - OESCRIBEO SHIPMENT IN PROPER CONDITION FOR TRANSPORT TO THE IDENTIFIED HWF ^fejiiltli(Kferaquolt^
SIGHATUnE OF
KAJH INDICATE ANY DIFFERENCES BETWEEN MANIFEST AND SHIPMENT AND LIST REJECTED MATERIALS INDICATE DISPOSITION OF REJECTED SHIPMENT
I CERTIFY THAT THE DESCRIBED WASTEISI WAS DELIVERED BY THE AFOREMENTIONED DELIVERING TRANSPORTER ANO THAT THE INFORMATION ON THIS
MANIFEST ISCORBECT TO THE BEST OF MY KNOWLEDGE ^^n^^alaquo^^^ um i n r i A i n i i r o M i i r T m cnPY
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9-5shy9-r
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fi^^ h^ ^^^-^7^ 7M il J - t raquo
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SRP029 bull l y lt F n w | ^ f c i m i - bdquo 11 4 ^ g ^ - ^ -laquoIraquoJraquofSI
ATTACHMENT IIC (continued)
Additional Transactions Form
Name of Respondent Winchester Electronics Division of Litton Systems Inc
hazardous waste carbons (freonite)
Column 1 Column 2 Column 3 Column 4 Coltunn 5
Date of Volume of Waste Description of Name and Address Transaction Transaction Type Documentation
(please attach) of Generator (for brokered transshyactions only)
21682 2 drums Waste chlnri nat-pd fluoro- Conn DEP NA
mixed manifest with oil
41682 4 drums Waste chlori natPfi flunra- Conn DEP NA carbons (freonite) mixed hazardous waste with oil manifest
HAZARDOUS WASTE M^ iST AND SHIPPING PAPER J U l b b b b
I liwwwwt t nmr9ar f r n n
OENEMTOR gKIWnmtvn mdash^
t( Ifiu ffer 7t43wiirj M i^ i ^ pfMMARr TRANSPORTER
T^1 ^
CONTINUING TRANSPORT
HWF
- I fFMORE THAN ONE M A N I F ^ T
o o
STATE Of CONNECTICUT ^ S WASTE MANIFEST AND SHIPPING PAPER 61 0028033 DEPARTMEN O f ENVIRONMENTAL PROTECTION M4HirpoundST NUMflER
i ugt y i f t i ^ t i ^ i j fl i^^o PRWARY TRANSPORTER
CONTINUING TRANSPORTER raquo shy
E f l A C A H M ncau iREo e THIS IS TO CERTIFY THAT I AM THE CONTINUING
TRANSPORTER ANO HAVE ACCEPTED THE OESClitBEO SHIPtlaquoENT IN PROPER CONDIJtQN FOB TRANSPORT TO THE IDENTIFIED H
INDICATE ANY DIFFERENCES B E T W E A I MANIFEST ANO SHIPMENT AND LIST REJECTED MATERIALS INDICATE DISPOSITION OF REJECTED SHIPMENT
^laquoI^FOREMENTIONE0 OEUVWNC TRANSPORTER AMO THAT THE INFORMATIOIf OH THIS I CERTIFY THAT THE DESCRIBED WASTEISI WAS DELIVEREtTBT^t l^FOI
XS o MANIFESTISCORRECTTOTHEBESTOFMY KNOWLEDGE __ ^ u _ -bdquogj-|^
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SPECIAL HANDLING INSTRUCTIONS INCLUDING ANY CONTAINER EXEMPTION ANO EMERGENCY RESPONSE INFORMATION
TO 0 ^ ^ L L C O
IN THE EVENT OF A SPILL CONTACT THE NATIONAL RESPONSE CENTER U S COAST GUARD 1-80(M24laquoa02
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SPECIAL KIANDLING INSTRUCTIONS INCLUDING ANY CONTAINER EXEMPTION AND EMERGENCY RESPONSE INFORMATION
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bull I P^PJ t CERTIFY THAT THE DESCRIBED WASTEISI WAS DELIVERED BY THE AFOREMENTIONED DELIVER|NltJ TRANSPORTER AND THAT THE INFORMATION ON THIS
MANIFEST ISCORBECT TO THE BEST Qf MY KNOWLEDGE _ ^ laquo E E ] shyu MOfffH =c t r Tfelaquo
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ATTACHMENT IIC (continued)
Additional Transactions Form
Name of Respondent Winchester Electronics Division of Litton Systems Inc
hazardous waste carbons (freonite)
Column 1 Column 2 Column 3 Column 4 Coltunn 5
Date of Volume of Waste Description of Name and Address Transaction Transaction Type Documentation
(please attach) of Generator (for brokered transshyactions only)
21682 2 drums Waste chlnri nat-pd fluoro- Conn DEP NA
mixed manifest with oil
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TO 0 ^ ^ L L C O
IN THE EVENT OF A SPILL CONTACT THE NATIONAL RESPONSE CENTER U S COAST GUARD 1-80(M24laquoa02
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IICHATUWE Of JIWIIyyTCW
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MANIFEST IS CORRECT TOTHE BEST OF MY KNOWLEDGE oia i ^ ^ umm (U firrvMoii roMPirrrn cnnv
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INDICATE ANY DIFFERENCES BETWEEN MANIFEST AND SHIPMENT AND LIST REJECTEOMfiTERIALS INDICATE DISPOSITION OF REJECTED SHIPMENTK
I CERTIFY THAT THE DESCRIBED WASTEISI WAS DELIVERED BY THE AFOREMENTIONED QELtVEBlNa-TRANJ R AND THAT THE INFORMATION ON THIS bullbullgto 4 X 2 o O MANIFEST IS CORRECT TO THE BEST OF MY KNOWLEDGE O
Cl 0028070
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ttftampR|ft WASTEIFEST AND SHIPPING PAftH^^^R TATE OF CONNECriCUl cf |U280bU PpPAIiVM^Ni EflVIROr^MEMTAL PROTECTION M4A 1 NUMKB
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SPECIAL KIANDLING INSTRUCTIONS INCLUDING ANY CONTAINER EXEMPTION AND EMERGENCY RESPONSE INFORMATION
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RCOUHIEO l A I E L t THIS IS TO CERTIFY THAT I AM THE PRIMARY TRAHSPdHTER AND H4iyE ACCEPTED THE OeSCRIBEO SHIPMENT IN PROPER CONDITION FOR TRANSPORT TO THE IDENTIFIED HWF raquo ^ D
t W N A T U R l Of j f H ^
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bull I P^PJ t CERTIFY THAT THE DESCRIBED WASTEISI WAS DELIVERED BY THE AFOREMENTIONED DELIVER|NltJ TRANSPORTER AND THAT THE INFORMATION ON THIS
MANIFEST ISCORBECT TO THE BEST Qf MY KNOWLEDGE _ ^ laquo E E ] shyu MOfffH =c t r Tfelaquo
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SPECIAL HANDLING INSTRUCTIONS INCLUDING ANY C0NTAINE1TEXEMPTION AND EMERGENCY RESPONSE INFORMATION
IN THE EVENT OF A SPILL CONTACT THE NATIONAL RESPONSE CENTER U amp COAST GUARD l-80lgt42MBa9
REOURID LABELS THB ISTO CERTIFY THAT t AM THE PRIMARY TRANSrORTER Alto-HAVE ACCEPTED THE DESCRtaEDSHIPMENT IN PROPER CONDITION FOR TRANSPORT TO THE IDENTIFIED HWF TEI D
MO bull -jiii^iiiLKc^ v -r - ^ - ^ i ^ r nACAnm Rcouineo THIS ts TO CERTIFY THAT I AM THE CONTINUING
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I CERTIFY THAT THE DESCRIBED WASTEISI WAS DELIVERED BY THE AFOREMENTIONED DELIVERING TRANSPORTER ANO THAT THE INFORMATION ON THIS
MANIFEST ISCORBECT TO THE BEST OF MY KNOWLEDGE ^^n^^alaquo^^^ um i n r i A i n i i r o M i i r T m cnPY
ATTACHMENT IIC (continued)
Additional Transactions Form
Name of Respondent Winchester Electronics Division of Litton Systems Inc
hazardous waste carbons (freonite)
Column 1 Column 2 Column 3 Column 4 Coltunn 5
Date of Volume of Waste Description of Name and Address Transaction Transaction Type Documentation
(please attach) of Generator (for brokered transshyactions only)
21682 2 drums Waste chlnri nat-pd fluoro- Conn DEP NA
mixed manifest with oil
41682 4 drums Waste chlori natPfi flunra- Conn DEP NA carbons (freonite) mixed hazardous waste with oil manifest
HAZARDOUS WASTE M^ iST AND SHIPPING PAPER J U l b b b b
I liwwwwt t nmr9ar f r n n
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t( Ifiu ffer 7t43wiirj M i^ i ^ pfMMARr TRANSPORTER
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o o
STATE Of CONNECTICUT ^ S WASTE MANIFEST AND SHIPPING PAPER 61 0028033 DEPARTMEN O f ENVIRONMENTAL PROTECTION M4HirpoundST NUMflER
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INDICATE ANY DIFFERENCES B E T W E A I MANIFEST ANO SHIPMENT AND LIST REJECTED MATERIALS INDICATE DISPOSITION OF REJECTED SHIPMENT
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I iST NUMBER
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laquolaquoiB4W9r t
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REOUIIIED L A U U
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^8 ^ y r o t lt S
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SPECIAL HANDLING INSTRUCTIONS INCLUDING ANY CONTAINER EXEMPTION ANO EMERGENCY RESPONSE INFORMATION
TO 0 ^ ^ L L C O
IN THE EVENT OF A SPILL CONTACT THE NATIONAL RESPONSE CENTER U S COAST GUARD 1-80(M24laquoa02
lfV(mmmmtyenitmJIgtTHIS IS TO CERTIFY THAT t AM THE PRIMARY TRANSPORTER Ari04MVE AOCCPTEO THE DESCRIBED SHIPMEirr IN PROPER CONDITION FOR TRANSPORT TO THE IDENTIFIED HWF
THIS IS TO CERTIFY THAT bull AM THE CONTINUING TRANSPORTER ANO HAVE ACCEPTED THE DESCRIBED SHIPMENT IN PROPER CONDITION FOR TRANSPORT TO THE IDENTIFIED HWF
IICHATUWE Of JIWIIyyTCW
INDICATE ANY DIFFERENCES BETWEEN MANIFEST AND SHIPMENSHIPMENTT ANANOO LISLISTT REJECTEOMAVERIALS^ INDICATE DISPOSITION OF REJECTED SHIPMENTREJECTEtnlAVERIi
I CERTIFY THAT THE DESCRIBED WASTEISI WAS DELIVERED BY TH^^ AFOREMENTIONED DELIVERING TRANSPORTER ANO THAT THE INFORMATION ON THIS
MANIFEST IS CORRECT TOTHE BEST OF MY KNOWLEDGE oia i ^ ^ umm (U firrvMoii roMPirrrn cnnv
i HAZAKzJk J l STATE OF CONNECTICUT JUS WASTE MANIFEST AND SHIPPING PAPER
^^^5Ilf^Ll^pound^^iP^^^^AL PROTECTION^ MAILING ADDRESS bull
hl ti QA H I k i X ^ ^ ^ ^ i 11 frQg77^ PRIMARY TRANSPORTER
ltCAgivi^gtl C o g6SS lecf^i i4 iMAierbltYS(k70amp NTIintNGTRA
CO r S|ymicRelt^laquo^ltYy ^ ( K ^ IF MORE THAN ONE MANIFEST I Ul SHIPPING PAPER IS USED
INDICATE ANY DIFFERENCES BETWEEN MANIFEST AND SHIPMENT AND LIST REJECTEOMfiTERIALS INDICATE DISPOSITION OF REJECTED SHIPMENTK
I CERTIFY THAT THE DESCRIBED WASTEISI WAS DELIVERED BY THE AFOREMENTIONED QELtVEBlNa-TRANJ R AND THAT THE INFORMATION ON THIS bullbullgto 4 X 2 o O MANIFEST IS CORRECT TO THE BEST OF MY KNOWLEDGE O
Cl 0028070
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ttftampR|ft WASTEIFEST AND SHIPPING PAftH^^^R TATE OF CONNECriCUl cf |U280bU PpPAIiVM^Ni EflVIROr^MEMTAL PROTECTION M4A 1 NUMKB
MAILING ADDRESS PHONE NUMBER OENCRATOR
l ^ i 5^ 4ll^lcJieuro^l^f)lA(1tefiPt77^ (^Ol)274-gigylt M I M A H V TiMtWoKTEll
4 S Qrocun Pfe^g(4^Hy Cishy (2o3)y5^-g SdS-^^^ rraquoT7 i^
laquoampraquolt 3 GENFRATOn rOMPI FTPD nOPY
iSTATE OF CONNECTICUT s WASTE MANIFEST AND SHIPPING PAPER CT 0042205 DERARTMEN-^plj[poundfgtIVIRONMgJjlTAraquo-PROTECTION MANIFEST HUM9EH 1 y
QENERATOfl A A A
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AiraMAttiy^ShMSfitrmiictt 00NTINUINCTRAIltlaquoPORTER W^
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STATE OF CONNECTICUT ^ S WASTE MANIFEST ANO SHIPPING PAPER ( iiU4 rJJU DEP^RTMEH gtF ENVIRONMENTAL PROTECTION MAILING ADDRESS PHONE NUMBER STATE EPA 10 NO
jjgf- V^y tfg9 - J^fltl8S^r^^^ PRNIIARYTIIANaPOnTER
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K
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SPECIAL KIANDLING INSTRUCTIONS INCLUDING ANY CONTAINER EXEMPTION AND EMERGENCY RESPONSE INFORMATION
IN THE EVENT OF A SPILL CONTACT THE NATIONAL RESPONSE-CENTER USL COAST GUARD t-ialM24-laquoBin
RCOUHIEO l A I E L t THIS IS TO CERTIFY THAT I AM THE PRIMARY TRAHSPdHTER AND H4iyE ACCEPTED THE OeSCRIBEO SHIPMENT IN PROPER CONDITION FOR TRANSPORT TO THE IDENTIFIED HWF raquo ^ D
t W N A T U R l Of j f H ^
i NO J mdash PLACARM REQUIRED THIS IS TO CERTIFY THAT I AM THE CONTINUING
8 TRANSPORTER AND HAVE ACCEPTED THE DEXRIBED SHIPMEin IN PROPER CONDITION FOR TRANSPORT TO THE IDENTIFIED HWF
SIGNATURE p r TRANVORTER
INDICATE ANY DIFFERENCES BETWEEN MANIFEST ANO SHIPMENT AND LIST REJECTED MATERIALS INDICATE DISfgtOSITION OF REJECTED SHIPMENT
bull I P^PJ t CERTIFY THAT THE DESCRIBED WASTEISI WAS DELIVERED BY THE AFOREMENTIONED DELIVER|NltJ TRANSPORTER AND THAT THE INFORMATION ON THIS
MANIFEST ISCORBECT TO THE BEST Qf MY KNOWLEDGE _ ^ laquo E E ] shyu MOfffH =c t r Tfelaquo
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SPECIAL HANDLING INSTRUCTIONS INCLUDING ANY C0NTAINE1TEXEMPTION AND EMERGENCY RESPONSE INFORMATION
IN THE EVENT OF A SPILL CONTACT THE NATIONAL RESPONSE CENTER U amp COAST GUARD l-80lgt42MBa9
REOURID LABELS THB ISTO CERTIFY THAT t AM THE PRIMARY TRANSrORTER Alto-HAVE ACCEPTED THE DESCRtaEDSHIPMENT IN PROPER CONDITION FOR TRANSPORT TO THE IDENTIFIED HWF TEI D
MO bull -jiii^iiiLKc^ v -r - ^ - ^ i ^ r nACAnm Rcouineo THIS ts TO CERTIFY THAT I AM THE CONTINUING
TRANSPORTER AND HAVE ACCEPTED THE - OESCRIBEO SHIPMENT IN PROPER CONDITION FOR TRANSPORT TO THE IDENTIFIED HWF ^fejiiltli(Kferaquolt^
SIGHATUnE OF
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MANIFEST ISCORBECT TO THE BEST OF MY KNOWLEDGE ^^n^^alaquo^^^ um i n r i A i n i i r o M i i r T m cnPY
HAZARDOUS WASTE M^ iST AND SHIPPING PAPER J U l b b b b
I liwwwwt t nmr9ar f r n n
OENEMTOR gKIWnmtvn mdash^
t( Ifiu ffer 7t43wiirj M i^ i ^ pfMMARr TRANSPORTER
T^1 ^
CONTINUING TRANSPORT
HWF
- I fFMORE THAN ONE M A N I F ^ T
o o
STATE Of CONNECTICUT ^ S WASTE MANIFEST AND SHIPPING PAPER 61 0028033 DEPARTMEN O f ENVIRONMENTAL PROTECTION M4HirpoundST NUMflER
i ugt y i f t i ^ t i ^ i j fl i^^o PRWARY TRANSPORTER
CONTINUING TRANSPORTER raquo shy
E f l A C A H M ncau iREo e THIS IS TO CERTIFY THAT I AM THE CONTINUING
TRANSPORTER ANO HAVE ACCEPTED THE OESClitBEO SHIPtlaquoENT IN PROPER CONDIJtQN FOB TRANSPORT TO THE IDENTIFIED H
INDICATE ANY DIFFERENCES B E T W E A I MANIFEST ANO SHIPMENT AND LIST REJECTED MATERIALS INDICATE DISPOSITION OF REJECTED SHIPMENT
^laquoI^FOREMENTIONE0 OEUVWNC TRANSPORTER AMO THAT THE INFORMATIOIf OH THIS I CERTIFY THAT THE DESCRIBED WASTEISI WAS DELIVEREtTBT^t l^FOI
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l
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(0
HUl
- ^oluewl 9^lt^^vgt^ultH Ul t r MORE THAN ONE MANIFEST
SHIPPING PAPER IS USED
RONMENTAL PROTECTION MAILI^JGADDftfeSS - f PHONE NUMBER
I iST NUMBER
iW r^ _ | C i | l lt
laquolaquoiB4W9r t
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Z o o K O
Ul
z Ul
o
REOUIIIED L A U U
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PLACARDI flCOUIREO
^8 ^ y r o t lt S
x 2 o u
SPECIAL HANDLING INSTRUCTIONS INCLUDING ANY CONTAINER EXEMPTION ANO EMERGENCY RESPONSE INFORMATION
TO 0 ^ ^ L L C O
IN THE EVENT OF A SPILL CONTACT THE NATIONAL RESPONSE CENTER U S COAST GUARD 1-80(M24laquoa02
lfV(mmmmtyenitmJIgtTHIS IS TO CERTIFY THAT t AM THE PRIMARY TRANSPORTER Ari04MVE AOCCPTEO THE DESCRIBED SHIPMEirr IN PROPER CONDITION FOR TRANSPORT TO THE IDENTIFIED HWF
THIS IS TO CERTIFY THAT bull AM THE CONTINUING TRANSPORTER ANO HAVE ACCEPTED THE DESCRIBED SHIPMENT IN PROPER CONDITION FOR TRANSPORT TO THE IDENTIFIED HWF
IICHATUWE Of JIWIIyyTCW
INDICATE ANY DIFFERENCES BETWEEN MANIFEST AND SHIPMENSHIPMENTT ANANOO LISLISTT REJECTEOMAVERIALS^ INDICATE DISPOSITION OF REJECTED SHIPMENTREJECTEtnlAVERIi
I CERTIFY THAT THE DESCRIBED WASTEISI WAS DELIVERED BY TH^^ AFOREMENTIONED DELIVERING TRANSPORTER ANO THAT THE INFORMATION ON THIS
MANIFEST IS CORRECT TOTHE BEST OF MY KNOWLEDGE oia i ^ ^ umm (U firrvMoii roMPirrrn cnnv
i HAZAKzJk J l STATE OF CONNECTICUT JUS WASTE MANIFEST AND SHIPPING PAPER
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hl ti QA H I k i X ^ ^ ^ ^ i 11 frQg77^ PRIMARY TRANSPORTER
ltCAgivi^gtl C o g6SS lecf^i i4 iMAierbltYS(k70amp NTIintNGTRA
CO r S|ymicRelt^laquo^ltYy ^ ( K ^ IF MORE THAN ONE MANIFEST I Ul SHIPPING PAPER IS USED
INDICATE ANY DIFFERENCES BETWEEN MANIFEST AND SHIPMENT AND LIST REJECTEOMfiTERIALS INDICATE DISPOSITION OF REJECTED SHIPMENTK
I CERTIFY THAT THE DESCRIBED WASTEISI WAS DELIVERED BY THE AFOREMENTIONED QELtVEBlNa-TRANJ R AND THAT THE INFORMATION ON THIS bullbullgto 4 X 2 o O MANIFEST IS CORRECT TO THE BEST OF MY KNOWLEDGE O
Cl 0028070
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iSTATE OF CONNECTICUT s WASTE MANIFEST AND SHIPPING PAPER CT 0042205 DERARTMEN-^plj[poundfgtIVIRONMgJjlTAraquo-PROTECTION MANIFEST HUM9EH 1 y
QENERATOfl A A A
4dinckedr f lt c L ^ s J^ ^ 4 PRIMARY TRANtfORTER
AiraMAttiy^ShMSfitrmiictt 00NTINUINCTRAIltlaquoPORTER W^
(0 HWF HI ^ l raquo l l ^ a u r r y X t IF MORE THAN ONE MANIFESTT A a
STATE OF CONNECTICUT ^ S WASTE MANIFEST ANO SHIPPING PAPER ( iiU4 rJJU DEP^RTMEH gtF ENVIRONMENTAL PROTECTION MAILING ADDRESS PHONE NUMBER STATE EPA 10 NO
jjgf- V^y tfg9 - J^fltl8S^r^^^ PRNIIARYTIIANaPOnTER
i N l f t ^ ^ M V A laquo laquo | i raquo i r bull bull M ^ J M L I ^ ICJaxrii u l i bull f ^ ^ 1^3-1 y-rvj-
INUINOTRANSteRTCR V
mdash4 I bull (0 Ul
fiIFMORETHWIONEIiniiNtFEST J T o S S S S i f SHIPPING PAPER IS USED V K X E S K M I 11
mJk mdashj ^ ^ l ^ W t ^ V J I LL IL CONTAINER DOT HAZARD UNNA UNIT EPA WASTE DESCRIPTION OR WASTE
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SPECIAL KIANDLING INSTRUCTIONS INCLUDING ANY CONTAINER EXEMPTION AND EMERGENCY RESPONSE INFORMATION
IN THE EVENT OF A SPILL CONTACT THE NATIONAL RESPONSE-CENTER USL COAST GUARD t-ialM24-laquoBin
RCOUHIEO l A I E L t THIS IS TO CERTIFY THAT I AM THE PRIMARY TRAHSPdHTER AND H4iyE ACCEPTED THE OeSCRIBEO SHIPMENT IN PROPER CONDITION FOR TRANSPORT TO THE IDENTIFIED HWF raquo ^ D
t W N A T U R l Of j f H ^
i NO J mdash PLACARM REQUIRED THIS IS TO CERTIFY THAT I AM THE CONTINUING
8 TRANSPORTER AND HAVE ACCEPTED THE DEXRIBED SHIPMEin IN PROPER CONDITION FOR TRANSPORT TO THE IDENTIFIED HWF
SIGNATURE p r TRANVORTER
INDICATE ANY DIFFERENCES BETWEEN MANIFEST ANO SHIPMENT AND LIST REJECTED MATERIALS INDICATE DISfgtOSITION OF REJECTED SHIPMENT
bull I P^PJ t CERTIFY THAT THE DESCRIBED WASTEISI WAS DELIVERED BY THE AFOREMENTIONED DELIVER|NltJ TRANSPORTER AND THAT THE INFORMATION ON THIS
MANIFEST ISCORBECT TO THE BEST Qf MY KNOWLEDGE _ ^ laquo E E ] shyu MOfffH =c t r Tfelaquo
W A m i s MANH-bai l ANUbHIHPINU I n l c Ut- lltUNNttlKULI
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( 2 layf tgtvP Soo Ht^qfebdquoCf n p B ^ 9 f tcku^rim facg^V S^i
t MODE THAN ONE MANIFEST l l bullgt l t i(4C l i 1 4pound^r7yTjOT3ypraquor HtMNG PAPER IS USED
DOT HAZARD US DOT SturPINO NAME CLASS jj)5sirsi^8S3ic
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SPECIAL HANDLING INSTRUCTIONS INCLUDING ANY C0NTAINE1TEXEMPTION AND EMERGENCY RESPONSE INFORMATION
IN THE EVENT OF A SPILL CONTACT THE NATIONAL RESPONSE CENTER U amp COAST GUARD l-80lgt42MBa9
REOURID LABELS THB ISTO CERTIFY THAT t AM THE PRIMARY TRANSrORTER Alto-HAVE ACCEPTED THE DESCRtaEDSHIPMENT IN PROPER CONDITION FOR TRANSPORT TO THE IDENTIFIED HWF TEI D
MO bull -jiii^iiiLKc^ v -r - ^ - ^ i ^ r nACAnm Rcouineo THIS ts TO CERTIFY THAT I AM THE CONTINUING
TRANSPORTER AND HAVE ACCEPTED THE - OESCRIBEO SHIPMENT IN PROPER CONDITION FOR TRANSPORT TO THE IDENTIFIED HWF ^fejiiltli(Kferaquolt^
SIGHATUnE OF
KAJH INDICATE ANY DIFFERENCES BETWEEN MANIFEST AND SHIPMENT AND LIST REJECTED MATERIALS INDICATE DISPOSITION OF REJECTED SHIPMENT
I CERTIFY THAT THE DESCRIBED WASTEISI WAS DELIVERED BY THE AFOREMENTIONED DELIVERING TRANSPORTER ANO THAT THE INFORMATION ON THIS
MANIFEST ISCORBECT TO THE BEST OF MY KNOWLEDGE ^^n^^alaquo^^^ um i n r i A i n i i r o M i i r T m cnPY
STATE Of CONNECTICUT ^ S WASTE MANIFEST AND SHIPPING PAPER 61 0028033 DEPARTMEN O f ENVIRONMENTAL PROTECTION M4HirpoundST NUMflER
i ugt y i f t i ^ t i ^ i j fl i^^o PRWARY TRANSPORTER
CONTINUING TRANSPORTER raquo shy
E f l A C A H M ncau iREo e THIS IS TO CERTIFY THAT I AM THE CONTINUING
TRANSPORTER ANO HAVE ACCEPTED THE OESClitBEO SHIPtlaquoENT IN PROPER CONDIJtQN FOB TRANSPORT TO THE IDENTIFIED H
INDICATE ANY DIFFERENCES B E T W E A I MANIFEST ANO SHIPMENT AND LIST REJECTED MATERIALS INDICATE DISPOSITION OF REJECTED SHIPMENT
^laquoI^FOREMENTIONE0 OEUVWNC TRANSPORTER AMO THAT THE INFORMATIOIf OH THIS I CERTIFY THAT THE DESCRIBED WASTEISI WAS DELIVEREtTBT^t l^FOI
XS o MANIFESTISCORRECTTOTHEBESTOFMY KNOWLEDGE __ ^ u _ -bdquogj-|^
l
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^^vgttwJbull^vraquoliCU^cAL^4 CONTINUING TRANSPORTER
(0
HUl
- ^oluewl 9^lt^^vgt^ultH Ul t r MORE THAN ONE MANIFEST
SHIPPING PAPER IS USED
RONMENTAL PROTECTION MAILI^JGADDftfeSS - f PHONE NUMBER
I iST NUMBER
iW r^ _ | C i | l lt
laquolaquoiB4W9r t
_Q
Z o o K O
Ul
z Ul
o
REOUIIIED L A U U
W D YCI tlaquogt
PLACARDI flCOUIREO
^8 ^ y r o t lt S
x 2 o u
SPECIAL HANDLING INSTRUCTIONS INCLUDING ANY CONTAINER EXEMPTION ANO EMERGENCY RESPONSE INFORMATION
TO 0 ^ ^ L L C O
IN THE EVENT OF A SPILL CONTACT THE NATIONAL RESPONSE CENTER U S COAST GUARD 1-80(M24laquoa02
lfV(mmmmtyenitmJIgtTHIS IS TO CERTIFY THAT t AM THE PRIMARY TRANSPORTER Ari04MVE AOCCPTEO THE DESCRIBED SHIPMEirr IN PROPER CONDITION FOR TRANSPORT TO THE IDENTIFIED HWF
THIS IS TO CERTIFY THAT bull AM THE CONTINUING TRANSPORTER ANO HAVE ACCEPTED THE DESCRIBED SHIPMENT IN PROPER CONDITION FOR TRANSPORT TO THE IDENTIFIED HWF
IICHATUWE Of JIWIIyyTCW
INDICATE ANY DIFFERENCES BETWEEN MANIFEST AND SHIPMENSHIPMENTT ANANOO LISLISTT REJECTEOMAVERIALS^ INDICATE DISPOSITION OF REJECTED SHIPMENTREJECTEtnlAVERIi
I CERTIFY THAT THE DESCRIBED WASTEISI WAS DELIVERED BY TH^^ AFOREMENTIONED DELIVERING TRANSPORTER ANO THAT THE INFORMATION ON THIS
MANIFEST IS CORRECT TOTHE BEST OF MY KNOWLEDGE oia i ^ ^ umm (U firrvMoii roMPirrrn cnnv
i HAZAKzJk J l STATE OF CONNECTICUT JUS WASTE MANIFEST AND SHIPPING PAPER
^^^5Ilf^Ll^pound^^iP^^^^AL PROTECTION^ MAILING ADDRESS bull
hl ti QA H I k i X ^ ^ ^ ^ i 11 frQg77^ PRIMARY TRANSPORTER
ltCAgivi^gtl C o g6SS lecf^i i4 iMAierbltYS(k70amp NTIintNGTRA
CO r S|ymicRelt^laquo^ltYy ^ ( K ^ IF MORE THAN ONE MANIFEST I Ul SHIPPING PAPER IS USED
INDICATE ANY DIFFERENCES BETWEEN MANIFEST AND SHIPMENT AND LIST REJECTEOMfiTERIALS INDICATE DISPOSITION OF REJECTED SHIPMENTK
I CERTIFY THAT THE DESCRIBED WASTEISI WAS DELIVERED BY THE AFOREMENTIONED QELtVEBlNa-TRANJ R AND THAT THE INFORMATION ON THIS bullbullgto 4 X 2 o O MANIFEST IS CORRECT TO THE BEST OF MY KNOWLEDGE O
Cl 0028070
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ttftampR|ft WASTEIFEST AND SHIPPING PAftH^^^R TATE OF CONNECriCUl cf |U280bU PpPAIiVM^Ni EflVIROr^MEMTAL PROTECTION M4A 1 NUMKB
MAILING ADDRESS PHONE NUMBER OENCRATOR
l ^ i 5^ 4ll^lcJieuro^l^f)lA(1tefiPt77^ (^Ol)274-gigylt M I M A H V TiMtWoKTEll
4 S Qrocun Pfe^g(4^Hy Cishy (2o3)y5^-g SdS-^^^ rraquoT7 i^
laquoampraquolt 3 GENFRATOn rOMPI FTPD nOPY
iSTATE OF CONNECTICUT s WASTE MANIFEST AND SHIPPING PAPER CT 0042205 DERARTMEN-^plj[poundfgtIVIRONMgJjlTAraquo-PROTECTION MANIFEST HUM9EH 1 y
QENERATOfl A A A
4dinckedr f lt c L ^ s J^ ^ 4 PRIMARY TRANtfORTER
AiraMAttiy^ShMSfitrmiictt 00NTINUINCTRAIltlaquoPORTER W^
(0 HWF HI ^ l raquo l l ^ a u r r y X t IF MORE THAN ONE MANIFESTT A a
STATE OF CONNECTICUT ^ S WASTE MANIFEST ANO SHIPPING PAPER ( iiU4 rJJU DEP^RTMEH gtF ENVIRONMENTAL PROTECTION MAILING ADDRESS PHONE NUMBER STATE EPA 10 NO
jjgf- V^y tfg9 - J^fltl8S^r^^^ PRNIIARYTIIANaPOnTER
i N l f t ^ ^ M V A laquo laquo | i raquo i r bull bull M ^ J M L I ^ ICJaxrii u l i bull f ^ ^ 1^3-1 y-rvj-
INUINOTRANSteRTCR V
mdash4 I bull (0 Ul
fiIFMORETHWIONEIiniiNtFEST J T o S S S S i f SHIPPING PAPER IS USED V K X E S K M I 11
mJk mdashj ^ ^ l ^ W t ^ V J I LL IL CONTAINER DOT HAZARD UNNA UNIT EPA WASTE DESCRIPTION OR WASTE
US DOT SHIPPING NAME WTVOL z CLASS NO CODE NO NO ANALYSIS IF WASTE tt-N01 o o ltiik4 AUTttcyaroeU fULC^ C ^ V ^
K
IU
z
SPECIAL KIANDLING INSTRUCTIONS INCLUDING ANY CONTAINER EXEMPTION AND EMERGENCY RESPONSE INFORMATION
IN THE EVENT OF A SPILL CONTACT THE NATIONAL RESPONSE-CENTER USL COAST GUARD t-ialM24-laquoBin
RCOUHIEO l A I E L t THIS IS TO CERTIFY THAT I AM THE PRIMARY TRAHSPdHTER AND H4iyE ACCEPTED THE OeSCRIBEO SHIPMENT IN PROPER CONDITION FOR TRANSPORT TO THE IDENTIFIED HWF raquo ^ D
t W N A T U R l Of j f H ^
i NO J mdash PLACARM REQUIRED THIS IS TO CERTIFY THAT I AM THE CONTINUING
8 TRANSPORTER AND HAVE ACCEPTED THE DEXRIBED SHIPMEin IN PROPER CONDITION FOR TRANSPORT TO THE IDENTIFIED HWF
SIGNATURE p r TRANVORTER
INDICATE ANY DIFFERENCES BETWEEN MANIFEST ANO SHIPMENT AND LIST REJECTED MATERIALS INDICATE DISfgtOSITION OF REJECTED SHIPMENT
bull I P^PJ t CERTIFY THAT THE DESCRIBED WASTEISI WAS DELIVERED BY THE AFOREMENTIONED DELIVER|NltJ TRANSPORTER AND THAT THE INFORMATION ON THIS
MANIFEST ISCORBECT TO THE BEST Qf MY KNOWLEDGE _ ^ laquo E E ] shyu MOfffH =c t r Tfelaquo
W A m i s MANH-bai l ANUbHIHPINU I n l c Ut- lltUNNttlKULI
^ mmm f^^^mt^^r^^ - t mdash l shy
i i l j^^gt2f20$)274rgff HraquoltgtWtirhraquoUCUraquogtgtcgtVC a ^ S Uo^7i^^LuiS i i^ imf i^ i^^o^7s ^S raquoNTtNUINO TIIAN3P0RTER
( 2 layf tgtvP Soo Ht^qfebdquoCf n p B ^ 9 f tcku^rim facg^V S^i
t MODE THAN ONE MANIFEST l l bullgt l t i(4C l i 1 4pound^r7yTjOT3ypraquor HtMNG PAPER IS USED
DOT HAZARD US DOT SturPINO NAME CLASS jj)5sirsi^8S3ic
U STC OAI rg^
SPECIAL HANDLING INSTRUCTIONS INCLUDING ANY C0NTAINE1TEXEMPTION AND EMERGENCY RESPONSE INFORMATION
IN THE EVENT OF A SPILL CONTACT THE NATIONAL RESPONSE CENTER U amp COAST GUARD l-80lgt42MBa9
REOURID LABELS THB ISTO CERTIFY THAT t AM THE PRIMARY TRANSrORTER Alto-HAVE ACCEPTED THE DESCRtaEDSHIPMENT IN PROPER CONDITION FOR TRANSPORT TO THE IDENTIFIED HWF TEI D
MO bull -jiii^iiiLKc^ v -r - ^ - ^ i ^ r nACAnm Rcouineo THIS ts TO CERTIFY THAT I AM THE CONTINUING
TRANSPORTER AND HAVE ACCEPTED THE - OESCRIBEO SHIPMENT IN PROPER CONDITION FOR TRANSPORT TO THE IDENTIFIED HWF ^fejiiltli(Kferaquolt^
SIGHATUnE OF
KAJH INDICATE ANY DIFFERENCES BETWEEN MANIFEST AND SHIPMENT AND LIST REJECTED MATERIALS INDICATE DISPOSITION OF REJECTED SHIPMENT
I CERTIFY THAT THE DESCRIBED WASTEISI WAS DELIVERED BY THE AFOREMENTIONED DELIVERING TRANSPORTER ANO THAT THE INFORMATION ON THIS
MANIFEST ISCORBECT TO THE BEST OF MY KNOWLEDGE ^^n^^alaquo^^^ um i n r i A i n i i r o M i i r T m cnPY
l
WW ^ ^14 i i M i i r r c a i MIMU t i t t i e f l l H I d I R I b H
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^^vgttwJbull^vraquoliCU^cAL^4 CONTINUING TRANSPORTER
(0
HUl
- ^oluewl 9^lt^^vgt^ultH Ul t r MORE THAN ONE MANIFEST
SHIPPING PAPER IS USED
RONMENTAL PROTECTION MAILI^JGADDftfeSS - f PHONE NUMBER
I iST NUMBER
iW r^ _ | C i | l lt
laquolaquoiB4W9r t
_Q
Z o o K O
Ul
z Ul
o
REOUIIIED L A U U
W D YCI tlaquogt
PLACARDI flCOUIREO
^8 ^ y r o t lt S
x 2 o u
SPECIAL HANDLING INSTRUCTIONS INCLUDING ANY CONTAINER EXEMPTION ANO EMERGENCY RESPONSE INFORMATION
TO 0 ^ ^ L L C O
IN THE EVENT OF A SPILL CONTACT THE NATIONAL RESPONSE CENTER U S COAST GUARD 1-80(M24laquoa02
lfV(mmmmtyenitmJIgtTHIS IS TO CERTIFY THAT t AM THE PRIMARY TRANSPORTER Ari04MVE AOCCPTEO THE DESCRIBED SHIPMEirr IN PROPER CONDITION FOR TRANSPORT TO THE IDENTIFIED HWF
THIS IS TO CERTIFY THAT bull AM THE CONTINUING TRANSPORTER ANO HAVE ACCEPTED THE DESCRIBED SHIPMENT IN PROPER CONDITION FOR TRANSPORT TO THE IDENTIFIED HWF
IICHATUWE Of JIWIIyyTCW
INDICATE ANY DIFFERENCES BETWEEN MANIFEST AND SHIPMENSHIPMENTT ANANOO LISLISTT REJECTEOMAVERIALS^ INDICATE DISPOSITION OF REJECTED SHIPMENTREJECTEtnlAVERIi
I CERTIFY THAT THE DESCRIBED WASTEISI WAS DELIVERED BY TH^^ AFOREMENTIONED DELIVERING TRANSPORTER ANO THAT THE INFORMATION ON THIS
MANIFEST IS CORRECT TOTHE BEST OF MY KNOWLEDGE oia i ^ ^ umm (U firrvMoii roMPirrrn cnnv
i HAZAKzJk J l STATE OF CONNECTICUT JUS WASTE MANIFEST AND SHIPPING PAPER
^^^5Ilf^Ll^pound^^iP^^^^AL PROTECTION^ MAILING ADDRESS bull
hl ti QA H I k i X ^ ^ ^ ^ i 11 frQg77^ PRIMARY TRANSPORTER
ltCAgivi^gtl C o g6SS lecf^i i4 iMAierbltYS(k70amp NTIintNGTRA
CO r S|ymicRelt^laquo^ltYy ^ ( K ^ IF MORE THAN ONE MANIFEST I Ul SHIPPING PAPER IS USED
INDICATE ANY DIFFERENCES BETWEEN MANIFEST AND SHIPMENT AND LIST REJECTEOMfiTERIALS INDICATE DISPOSITION OF REJECTED SHIPMENTK
I CERTIFY THAT THE DESCRIBED WASTEISI WAS DELIVERED BY THE AFOREMENTIONED QELtVEBlNa-TRANJ R AND THAT THE INFORMATION ON THIS bullbullgto 4 X 2 o O MANIFEST IS CORRECT TO THE BEST OF MY KNOWLEDGE O
Cl 0028070
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MAILING ADDRESS PHONE NUMBER OENCRATOR
l ^ i 5^ 4ll^lcJieuro^l^f)lA(1tefiPt77^ (^Ol)274-gigylt M I M A H V TiMtWoKTEll
4 S Qrocun Pfe^g(4^Hy Cishy (2o3)y5^-g SdS-^^^ rraquoT7 i^
laquoampraquolt 3 GENFRATOn rOMPI FTPD nOPY
iSTATE OF CONNECTICUT s WASTE MANIFEST AND SHIPPING PAPER CT 0042205 DERARTMEN-^plj[poundfgtIVIRONMgJjlTAraquo-PROTECTION MANIFEST HUM9EH 1 y
QENERATOfl A A A
4dinckedr f lt c L ^ s J^ ^ 4 PRIMARY TRANtfORTER
AiraMAttiy^ShMSfitrmiictt 00NTINUINCTRAIltlaquoPORTER W^
(0 HWF HI ^ l raquo l l ^ a u r r y X t IF MORE THAN ONE MANIFESTT A a
STATE OF CONNECTICUT ^ S WASTE MANIFEST ANO SHIPPING PAPER ( iiU4 rJJU DEP^RTMEH gtF ENVIRONMENTAL PROTECTION MAILING ADDRESS PHONE NUMBER STATE EPA 10 NO
jjgf- V^y tfg9 - J^fltl8S^r^^^ PRNIIARYTIIANaPOnTER
i N l f t ^ ^ M V A laquo laquo | i raquo i r bull bull M ^ J M L I ^ ICJaxrii u l i bull f ^ ^ 1^3-1 y-rvj-
INUINOTRANSteRTCR V
mdash4 I bull (0 Ul
fiIFMORETHWIONEIiniiNtFEST J T o S S S S i f SHIPPING PAPER IS USED V K X E S K M I 11
mJk mdashj ^ ^ l ^ W t ^ V J I LL IL CONTAINER DOT HAZARD UNNA UNIT EPA WASTE DESCRIPTION OR WASTE
US DOT SHIPPING NAME WTVOL z CLASS NO CODE NO NO ANALYSIS IF WASTE tt-N01 o o ltiik4 AUTttcyaroeU fULC^ C ^ V ^
K
IU
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SPECIAL KIANDLING INSTRUCTIONS INCLUDING ANY CONTAINER EXEMPTION AND EMERGENCY RESPONSE INFORMATION
IN THE EVENT OF A SPILL CONTACT THE NATIONAL RESPONSE-CENTER USL COAST GUARD t-ialM24-laquoBin
RCOUHIEO l A I E L t THIS IS TO CERTIFY THAT I AM THE PRIMARY TRAHSPdHTER AND H4iyE ACCEPTED THE OeSCRIBEO SHIPMENT IN PROPER CONDITION FOR TRANSPORT TO THE IDENTIFIED HWF raquo ^ D
t W N A T U R l Of j f H ^
i NO J mdash PLACARM REQUIRED THIS IS TO CERTIFY THAT I AM THE CONTINUING
8 TRANSPORTER AND HAVE ACCEPTED THE DEXRIBED SHIPMEin IN PROPER CONDITION FOR TRANSPORT TO THE IDENTIFIED HWF
SIGNATURE p r TRANVORTER
INDICATE ANY DIFFERENCES BETWEEN MANIFEST ANO SHIPMENT AND LIST REJECTED MATERIALS INDICATE DISfgtOSITION OF REJECTED SHIPMENT
bull I P^PJ t CERTIFY THAT THE DESCRIBED WASTEISI WAS DELIVERED BY THE AFOREMENTIONED DELIVER|NltJ TRANSPORTER AND THAT THE INFORMATION ON THIS
MANIFEST ISCORBECT TO THE BEST Qf MY KNOWLEDGE _ ^ laquo E E ] shyu MOfffH =c t r Tfelaquo
W A m i s MANH-bai l ANUbHIHPINU I n l c Ut- lltUNNttlKULI
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( 2 layf tgtvP Soo Ht^qfebdquoCf n p B ^ 9 f tcku^rim facg^V S^i
t MODE THAN ONE MANIFEST l l bullgt l t i(4C l i 1 4pound^r7yTjOT3ypraquor HtMNG PAPER IS USED
DOT HAZARD US DOT SturPINO NAME CLASS jj)5sirsi^8S3ic
U STC OAI rg^
SPECIAL HANDLING INSTRUCTIONS INCLUDING ANY C0NTAINE1TEXEMPTION AND EMERGENCY RESPONSE INFORMATION
IN THE EVENT OF A SPILL CONTACT THE NATIONAL RESPONSE CENTER U amp COAST GUARD l-80lgt42MBa9
REOURID LABELS THB ISTO CERTIFY THAT t AM THE PRIMARY TRANSrORTER Alto-HAVE ACCEPTED THE DESCRtaEDSHIPMENT IN PROPER CONDITION FOR TRANSPORT TO THE IDENTIFIED HWF TEI D
MO bull -jiii^iiiLKc^ v -r - ^ - ^ i ^ r nACAnm Rcouineo THIS ts TO CERTIFY THAT I AM THE CONTINUING
TRANSPORTER AND HAVE ACCEPTED THE - OESCRIBEO SHIPMENT IN PROPER CONDITION FOR TRANSPORT TO THE IDENTIFIED HWF ^fejiiltli(Kferaquolt^
SIGHATUnE OF
KAJH INDICATE ANY DIFFERENCES BETWEEN MANIFEST AND SHIPMENT AND LIST REJECTED MATERIALS INDICATE DISPOSITION OF REJECTED SHIPMENT
I CERTIFY THAT THE DESCRIBED WASTEISI WAS DELIVERED BY THE AFOREMENTIONED DELIVERING TRANSPORTER ANO THAT THE INFORMATION ON THIS
MANIFEST ISCORBECT TO THE BEST OF MY KNOWLEDGE ^^n^^alaquo^^^ um i n r i A i n i i r o M i i r T m cnPY
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hl ti QA H I k i X ^ ^ ^ ^ i 11 frQg77^ PRIMARY TRANSPORTER
ltCAgivi^gtl C o g6SS lecf^i i4 iMAierbltYS(k70amp NTIintNGTRA
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INDICATE ANY DIFFERENCES BETWEEN MANIFEST AND SHIPMENT AND LIST REJECTEOMfiTERIALS INDICATE DISPOSITION OF REJECTED SHIPMENTK
I CERTIFY THAT THE DESCRIBED WASTEISI WAS DELIVERED BY THE AFOREMENTIONED QELtVEBlNa-TRANJ R AND THAT THE INFORMATION ON THIS bullbullgto 4 X 2 o O MANIFEST IS CORRECT TO THE BEST OF MY KNOWLEDGE O
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MAILING ADDRESS PHONE NUMBER OENCRATOR
l ^ i 5^ 4ll^lcJieuro^l^f)lA(1tefiPt77^ (^Ol)274-gigylt M I M A H V TiMtWoKTEll
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iSTATE OF CONNECTICUT s WASTE MANIFEST AND SHIPPING PAPER CT 0042205 DERARTMEN-^plj[poundfgtIVIRONMgJjlTAraquo-PROTECTION MANIFEST HUM9EH 1 y
QENERATOfl A A A
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jjgf- V^y tfg9 - J^fltl8S^r^^^ PRNIIARYTIIANaPOnTER
i N l f t ^ ^ M V A laquo laquo | i raquo i r bull bull M ^ J M L I ^ ICJaxrii u l i bull f ^ ^ 1^3-1 y-rvj-
INUINOTRANSteRTCR V
mdash4 I bull (0 Ul
fiIFMORETHWIONEIiniiNtFEST J T o S S S S i f SHIPPING PAPER IS USED V K X E S K M I 11
mJk mdashj ^ ^ l ^ W t ^ V J I LL IL CONTAINER DOT HAZARD UNNA UNIT EPA WASTE DESCRIPTION OR WASTE
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K
IU
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SPECIAL KIANDLING INSTRUCTIONS INCLUDING ANY CONTAINER EXEMPTION AND EMERGENCY RESPONSE INFORMATION
IN THE EVENT OF A SPILL CONTACT THE NATIONAL RESPONSE-CENTER USL COAST GUARD t-ialM24-laquoBin
RCOUHIEO l A I E L t THIS IS TO CERTIFY THAT I AM THE PRIMARY TRAHSPdHTER AND H4iyE ACCEPTED THE OeSCRIBEO SHIPMENT IN PROPER CONDITION FOR TRANSPORT TO THE IDENTIFIED HWF raquo ^ D
t W N A T U R l Of j f H ^
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8 TRANSPORTER AND HAVE ACCEPTED THE DEXRIBED SHIPMEin IN PROPER CONDITION FOR TRANSPORT TO THE IDENTIFIED HWF
SIGNATURE p r TRANVORTER
INDICATE ANY DIFFERENCES BETWEEN MANIFEST ANO SHIPMENT AND LIST REJECTED MATERIALS INDICATE DISfgtOSITION OF REJECTED SHIPMENT
bull I P^PJ t CERTIFY THAT THE DESCRIBED WASTEISI WAS DELIVERED BY THE AFOREMENTIONED DELIVER|NltJ TRANSPORTER AND THAT THE INFORMATION ON THIS
MANIFEST ISCORBECT TO THE BEST Qf MY KNOWLEDGE _ ^ laquo E E ] shyu MOfffH =c t r Tfelaquo
W A m i s MANH-bai l ANUbHIHPINU I n l c Ut- lltUNNttlKULI
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( 2 layf tgtvP Soo Ht^qfebdquoCf n p B ^ 9 f tcku^rim facg^V S^i
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DOT HAZARD US DOT SturPINO NAME CLASS jj)5sirsi^8S3ic
U STC OAI rg^
SPECIAL HANDLING INSTRUCTIONS INCLUDING ANY C0NTAINE1TEXEMPTION AND EMERGENCY RESPONSE INFORMATION
IN THE EVENT OF A SPILL CONTACT THE NATIONAL RESPONSE CENTER U amp COAST GUARD l-80lgt42MBa9
REOURID LABELS THB ISTO CERTIFY THAT t AM THE PRIMARY TRANSrORTER Alto-HAVE ACCEPTED THE DESCRtaEDSHIPMENT IN PROPER CONDITION FOR TRANSPORT TO THE IDENTIFIED HWF TEI D
MO bull -jiii^iiiLKc^ v -r - ^ - ^ i ^ r nACAnm Rcouineo THIS ts TO CERTIFY THAT I AM THE CONTINUING
TRANSPORTER AND HAVE ACCEPTED THE - OESCRIBEO SHIPMENT IN PROPER CONDITION FOR TRANSPORT TO THE IDENTIFIED HWF ^fejiiltli(Kferaquolt^
SIGHATUnE OF
KAJH INDICATE ANY DIFFERENCES BETWEEN MANIFEST AND SHIPMENT AND LIST REJECTED MATERIALS INDICATE DISPOSITION OF REJECTED SHIPMENT
I CERTIFY THAT THE DESCRIBED WASTEISI WAS DELIVERED BY THE AFOREMENTIONED DELIVERING TRANSPORTER ANO THAT THE INFORMATION ON THIS
MANIFEST ISCORBECT TO THE BEST OF MY KNOWLEDGE ^^n^^alaquo^^^ um i n r i A i n i i r o M i i r T m cnPY
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iSTATE OF CONNECTICUT s WASTE MANIFEST AND SHIPPING PAPER CT 0042205 DERARTMEN-^plj[poundfgtIVIRONMgJjlTAraquo-PROTECTION MANIFEST HUM9EH 1 y
QENERATOfl A A A
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jjgf- V^y tfg9 - J^fltl8S^r^^^ PRNIIARYTIIANaPOnTER
i N l f t ^ ^ M V A laquo laquo | i raquo i r bull bull M ^ J M L I ^ ICJaxrii u l i bull f ^ ^ 1^3-1 y-rvj-
INUINOTRANSteRTCR V
mdash4 I bull (0 Ul
fiIFMORETHWIONEIiniiNtFEST J T o S S S S i f SHIPPING PAPER IS USED V K X E S K M I 11
mJk mdashj ^ ^ l ^ W t ^ V J I LL IL CONTAINER DOT HAZARD UNNA UNIT EPA WASTE DESCRIPTION OR WASTE
US DOT SHIPPING NAME WTVOL z CLASS NO CODE NO NO ANALYSIS IF WASTE tt-N01 o o ltiik4 AUTttcyaroeU fULC^ C ^ V ^
K
IU
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SPECIAL KIANDLING INSTRUCTIONS INCLUDING ANY CONTAINER EXEMPTION AND EMERGENCY RESPONSE INFORMATION
IN THE EVENT OF A SPILL CONTACT THE NATIONAL RESPONSE-CENTER USL COAST GUARD t-ialM24-laquoBin
RCOUHIEO l A I E L t THIS IS TO CERTIFY THAT I AM THE PRIMARY TRAHSPdHTER AND H4iyE ACCEPTED THE OeSCRIBEO SHIPMENT IN PROPER CONDITION FOR TRANSPORT TO THE IDENTIFIED HWF raquo ^ D
t W N A T U R l Of j f H ^
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8 TRANSPORTER AND HAVE ACCEPTED THE DEXRIBED SHIPMEin IN PROPER CONDITION FOR TRANSPORT TO THE IDENTIFIED HWF
SIGNATURE p r TRANVORTER
INDICATE ANY DIFFERENCES BETWEEN MANIFEST ANO SHIPMENT AND LIST REJECTED MATERIALS INDICATE DISfgtOSITION OF REJECTED SHIPMENT
bull I P^PJ t CERTIFY THAT THE DESCRIBED WASTEISI WAS DELIVERED BY THE AFOREMENTIONED DELIVER|NltJ TRANSPORTER AND THAT THE INFORMATION ON THIS
MANIFEST ISCORBECT TO THE BEST Qf MY KNOWLEDGE _ ^ laquo E E ] shyu MOfffH =c t r Tfelaquo
W A m i s MANH-bai l ANUbHIHPINU I n l c Ut- lltUNNttlKULI
^ mmm f^^^mt^^r^^ - t mdash l shy
i i l j^^gt2f20$)274rgff HraquoltgtWtirhraquoUCUraquogtgtcgtVC a ^ S Uo^7i^^LuiS i i^ imf i^ i^^o^7s ^S raquoNTtNUINO TIIAN3P0RTER
( 2 layf tgtvP Soo Ht^qfebdquoCf n p B ^ 9 f tcku^rim facg^V S^i
t MODE THAN ONE MANIFEST l l bullgt l t i(4C l i 1 4pound^r7yTjOT3ypraquor HtMNG PAPER IS USED
DOT HAZARD US DOT SturPINO NAME CLASS jj)5sirsi^8S3ic
U STC OAI rg^
SPECIAL HANDLING INSTRUCTIONS INCLUDING ANY C0NTAINE1TEXEMPTION AND EMERGENCY RESPONSE INFORMATION
IN THE EVENT OF A SPILL CONTACT THE NATIONAL RESPONSE CENTER U amp COAST GUARD l-80lgt42MBa9
REOURID LABELS THB ISTO CERTIFY THAT t AM THE PRIMARY TRANSrORTER Alto-HAVE ACCEPTED THE DESCRtaEDSHIPMENT IN PROPER CONDITION FOR TRANSPORT TO THE IDENTIFIED HWF TEI D
MO bull -jiii^iiiLKc^ v -r - ^ - ^ i ^ r nACAnm Rcouineo THIS ts TO CERTIFY THAT I AM THE CONTINUING
TRANSPORTER AND HAVE ACCEPTED THE - OESCRIBEO SHIPMENT IN PROPER CONDITION FOR TRANSPORT TO THE IDENTIFIED HWF ^fejiiltli(Kferaquolt^
SIGHATUnE OF
KAJH INDICATE ANY DIFFERENCES BETWEEN MANIFEST AND SHIPMENT AND LIST REJECTED MATERIALS INDICATE DISPOSITION OF REJECTED SHIPMENT
I CERTIFY THAT THE DESCRIBED WASTEISI WAS DELIVERED BY THE AFOREMENTIONED DELIVERING TRANSPORTER ANO THAT THE INFORMATION ON THIS
MANIFEST ISCORBECT TO THE BEST OF MY KNOWLEDGE ^^n^^alaquo^^^ um i n r i A i n i i r o M i i r T m cnPY
iSTATE OF CONNECTICUT s WASTE MANIFEST AND SHIPPING PAPER CT 0042205 DERARTMEN-^plj[poundfgtIVIRONMgJjlTAraquo-PROTECTION MANIFEST HUM9EH 1 y
QENERATOfl A A A
4dinckedr f lt c L ^ s J^ ^ 4 PRIMARY TRANtfORTER
AiraMAttiy^ShMSfitrmiictt 00NTINUINCTRAIltlaquoPORTER W^
(0 HWF HI ^ l raquo l l ^ a u r r y X t IF MORE THAN ONE MANIFESTT A a
STATE OF CONNECTICUT ^ S WASTE MANIFEST ANO SHIPPING PAPER ( iiU4 rJJU DEP^RTMEH gtF ENVIRONMENTAL PROTECTION MAILING ADDRESS PHONE NUMBER STATE EPA 10 NO
jjgf- V^y tfg9 - J^fltl8S^r^^^ PRNIIARYTIIANaPOnTER
i N l f t ^ ^ M V A laquo laquo | i raquo i r bull bull M ^ J M L I ^ ICJaxrii u l i bull f ^ ^ 1^3-1 y-rvj-
INUINOTRANSteRTCR V
mdash4 I bull (0 Ul
fiIFMORETHWIONEIiniiNtFEST J T o S S S S i f SHIPPING PAPER IS USED V K X E S K M I 11
mJk mdashj ^ ^ l ^ W t ^ V J I LL IL CONTAINER DOT HAZARD UNNA UNIT EPA WASTE DESCRIPTION OR WASTE
US DOT SHIPPING NAME WTVOL z CLASS NO CODE NO NO ANALYSIS IF WASTE tt-N01 o o ltiik4 AUTttcyaroeU fULC^ C ^ V ^
K
IU
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SPECIAL KIANDLING INSTRUCTIONS INCLUDING ANY CONTAINER EXEMPTION AND EMERGENCY RESPONSE INFORMATION
IN THE EVENT OF A SPILL CONTACT THE NATIONAL RESPONSE-CENTER USL COAST GUARD t-ialM24-laquoBin
RCOUHIEO l A I E L t THIS IS TO CERTIFY THAT I AM THE PRIMARY TRAHSPdHTER AND H4iyE ACCEPTED THE OeSCRIBEO SHIPMENT IN PROPER CONDITION FOR TRANSPORT TO THE IDENTIFIED HWF raquo ^ D
t W N A T U R l Of j f H ^
i NO J mdash PLACARM REQUIRED THIS IS TO CERTIFY THAT I AM THE CONTINUING
8 TRANSPORTER AND HAVE ACCEPTED THE DEXRIBED SHIPMEin IN PROPER CONDITION FOR TRANSPORT TO THE IDENTIFIED HWF
SIGNATURE p r TRANVORTER
INDICATE ANY DIFFERENCES BETWEEN MANIFEST ANO SHIPMENT AND LIST REJECTED MATERIALS INDICATE DISfgtOSITION OF REJECTED SHIPMENT
bull I P^PJ t CERTIFY THAT THE DESCRIBED WASTEISI WAS DELIVERED BY THE AFOREMENTIONED DELIVER|NltJ TRANSPORTER AND THAT THE INFORMATION ON THIS
MANIFEST ISCORBECT TO THE BEST Qf MY KNOWLEDGE _ ^ laquo E E ] shyu MOfffH =c t r Tfelaquo
W A m i s MANH-bai l ANUbHIHPINU I n l c Ut- lltUNNttlKULI
^ mmm f^^^mt^^r^^ - t mdash l shy
i i l j^^gt2f20$)274rgff HraquoltgtWtirhraquoUCUraquogtgtcgtVC a ^ S Uo^7i^^LuiS i i^ imf i^ i^^o^7s ^S raquoNTtNUINO TIIAN3P0RTER
( 2 layf tgtvP Soo Ht^qfebdquoCf n p B ^ 9 f tcku^rim facg^V S^i
t MODE THAN ONE MANIFEST l l bullgt l t i(4C l i 1 4pound^r7yTjOT3ypraquor HtMNG PAPER IS USED
DOT HAZARD US DOT SturPINO NAME CLASS jj)5sirsi^8S3ic
U STC OAI rg^
SPECIAL HANDLING INSTRUCTIONS INCLUDING ANY C0NTAINE1TEXEMPTION AND EMERGENCY RESPONSE INFORMATION
IN THE EVENT OF A SPILL CONTACT THE NATIONAL RESPONSE CENTER U amp COAST GUARD l-80lgt42MBa9
REOURID LABELS THB ISTO CERTIFY THAT t AM THE PRIMARY TRANSrORTER Alto-HAVE ACCEPTED THE DESCRtaEDSHIPMENT IN PROPER CONDITION FOR TRANSPORT TO THE IDENTIFIED HWF TEI D
MO bull -jiii^iiiLKc^ v -r - ^ - ^ i ^ r nACAnm Rcouineo THIS ts TO CERTIFY THAT I AM THE CONTINUING
TRANSPORTER AND HAVE ACCEPTED THE - OESCRIBEO SHIPMENT IN PROPER CONDITION FOR TRANSPORT TO THE IDENTIFIED HWF ^fejiiltli(Kferaquolt^
SIGHATUnE OF
KAJH INDICATE ANY DIFFERENCES BETWEEN MANIFEST AND SHIPMENT AND LIST REJECTED MATERIALS INDICATE DISPOSITION OF REJECTED SHIPMENT
I CERTIFY THAT THE DESCRIBED WASTEISI WAS DELIVERED BY THE AFOREMENTIONED DELIVERING TRANSPORTER ANO THAT THE INFORMATION ON THIS
MANIFEST ISCORBECT TO THE BEST OF MY KNOWLEDGE ^^n^^alaquo^^^ um i n r i A i n i i r o M i i r T m cnPY
STATE OF CONNECTICUT ^ S WASTE MANIFEST ANO SHIPPING PAPER ( iiU4 rJJU DEP^RTMEH gtF ENVIRONMENTAL PROTECTION MAILING ADDRESS PHONE NUMBER STATE EPA 10 NO
jjgf- V^y tfg9 - J^fltl8S^r^^^ PRNIIARYTIIANaPOnTER
i N l f t ^ ^ M V A laquo laquo | i raquo i r bull bull M ^ J M L I ^ ICJaxrii u l i bull f ^ ^ 1^3-1 y-rvj-
INUINOTRANSteRTCR V
mdash4 I bull (0 Ul
fiIFMORETHWIONEIiniiNtFEST J T o S S S S i f SHIPPING PAPER IS USED V K X E S K M I 11
mJk mdashj ^ ^ l ^ W t ^ V J I LL IL CONTAINER DOT HAZARD UNNA UNIT EPA WASTE DESCRIPTION OR WASTE
US DOT SHIPPING NAME WTVOL z CLASS NO CODE NO NO ANALYSIS IF WASTE tt-N01 o o ltiik4 AUTttcyaroeU fULC^ C ^ V ^
K
IU
z
SPECIAL KIANDLING INSTRUCTIONS INCLUDING ANY CONTAINER EXEMPTION AND EMERGENCY RESPONSE INFORMATION
IN THE EVENT OF A SPILL CONTACT THE NATIONAL RESPONSE-CENTER USL COAST GUARD t-ialM24-laquoBin
RCOUHIEO l A I E L t THIS IS TO CERTIFY THAT I AM THE PRIMARY TRAHSPdHTER AND H4iyE ACCEPTED THE OeSCRIBEO SHIPMENT IN PROPER CONDITION FOR TRANSPORT TO THE IDENTIFIED HWF raquo ^ D
t W N A T U R l Of j f H ^
i NO J mdash PLACARM REQUIRED THIS IS TO CERTIFY THAT I AM THE CONTINUING
8 TRANSPORTER AND HAVE ACCEPTED THE DEXRIBED SHIPMEin IN PROPER CONDITION FOR TRANSPORT TO THE IDENTIFIED HWF
SIGNATURE p r TRANVORTER
INDICATE ANY DIFFERENCES BETWEEN MANIFEST ANO SHIPMENT AND LIST REJECTED MATERIALS INDICATE DISfgtOSITION OF REJECTED SHIPMENT
bull I P^PJ t CERTIFY THAT THE DESCRIBED WASTEISI WAS DELIVERED BY THE AFOREMENTIONED DELIVER|NltJ TRANSPORTER AND THAT THE INFORMATION ON THIS
MANIFEST ISCORBECT TO THE BEST Qf MY KNOWLEDGE _ ^ laquo E E ] shyu MOfffH =c t r Tfelaquo
W A m i s MANH-bai l ANUbHIHPINU I n l c Ut- lltUNNttlKULI
^ mmm f^^^mt^^r^^ - t mdash l shy
i i l j^^gt2f20$)274rgff HraquoltgtWtirhraquoUCUraquogtgtcgtVC a ^ S Uo^7i^^LuiS i i^ imf i^ i^^o^7s ^S raquoNTtNUINO TIIAN3P0RTER
( 2 layf tgtvP Soo Ht^qfebdquoCf n p B ^ 9 f tcku^rim facg^V S^i
t MODE THAN ONE MANIFEST l l bullgt l t i(4C l i 1 4pound^r7yTjOT3ypraquor HtMNG PAPER IS USED
DOT HAZARD US DOT SturPINO NAME CLASS jj)5sirsi^8S3ic
U STC OAI rg^
SPECIAL HANDLING INSTRUCTIONS INCLUDING ANY C0NTAINE1TEXEMPTION AND EMERGENCY RESPONSE INFORMATION
IN THE EVENT OF A SPILL CONTACT THE NATIONAL RESPONSE CENTER U amp COAST GUARD l-80lgt42MBa9
REOURID LABELS THB ISTO CERTIFY THAT t AM THE PRIMARY TRANSrORTER Alto-HAVE ACCEPTED THE DESCRtaEDSHIPMENT IN PROPER CONDITION FOR TRANSPORT TO THE IDENTIFIED HWF TEI D
MO bull -jiii^iiiLKc^ v -r - ^ - ^ i ^ r nACAnm Rcouineo THIS ts TO CERTIFY THAT I AM THE CONTINUING
TRANSPORTER AND HAVE ACCEPTED THE - OESCRIBEO SHIPMENT IN PROPER CONDITION FOR TRANSPORT TO THE IDENTIFIED HWF ^fejiiltli(Kferaquolt^
SIGHATUnE OF
KAJH INDICATE ANY DIFFERENCES BETWEEN MANIFEST AND SHIPMENT AND LIST REJECTED MATERIALS INDICATE DISPOSITION OF REJECTED SHIPMENT
I CERTIFY THAT THE DESCRIBED WASTEISI WAS DELIVERED BY THE AFOREMENTIONED DELIVERING TRANSPORTER ANO THAT THE INFORMATION ON THIS
MANIFEST ISCORBECT TO THE BEST OF MY KNOWLEDGE ^^n^^alaquo^^^ um i n r i A i n i i r o M i i r T m cnPY
W A m i s MANH-bai l ANUbHIHPINU I n l c Ut- lltUNNttlKULI
^ mmm f^^^mt^^r^^ - t mdash l shy
i i l j^^gt2f20$)274rgff HraquoltgtWtirhraquoUCUraquogtgtcgtVC a ^ S Uo^7i^^LuiS i i^ imf i^ i^^o^7s ^S raquoNTtNUINO TIIAN3P0RTER
( 2 layf tgtvP Soo Ht^qfebdquoCf n p B ^ 9 f tcku^rim facg^V S^i
t MODE THAN ONE MANIFEST l l bullgt l t i(4C l i 1 4pound^r7yTjOT3ypraquor HtMNG PAPER IS USED
DOT HAZARD US DOT SturPINO NAME CLASS jj)5sirsi^8S3ic
U STC OAI rg^
SPECIAL HANDLING INSTRUCTIONS INCLUDING ANY C0NTAINE1TEXEMPTION AND EMERGENCY RESPONSE INFORMATION
IN THE EVENT OF A SPILL CONTACT THE NATIONAL RESPONSE CENTER U amp COAST GUARD l-80lgt42MBa9
REOURID LABELS THB ISTO CERTIFY THAT t AM THE PRIMARY TRANSrORTER Alto-HAVE ACCEPTED THE DESCRtaEDSHIPMENT IN PROPER CONDITION FOR TRANSPORT TO THE IDENTIFIED HWF TEI D
MO bull -jiii^iiiLKc^ v -r - ^ - ^ i ^ r nACAnm Rcouineo THIS ts TO CERTIFY THAT I AM THE CONTINUING
TRANSPORTER AND HAVE ACCEPTED THE - OESCRIBEO SHIPMENT IN PROPER CONDITION FOR TRANSPORT TO THE IDENTIFIED HWF ^fejiiltli(Kferaquolt^
SIGHATUnE OF
KAJH INDICATE ANY DIFFERENCES BETWEEN MANIFEST AND SHIPMENT AND LIST REJECTED MATERIALS INDICATE DISPOSITION OF REJECTED SHIPMENT
I CERTIFY THAT THE DESCRIBED WASTEISI WAS DELIVERED BY THE AFOREMENTIONED DELIVERING TRANSPORTER ANO THAT THE INFORMATION ON THIS
MANIFEST ISCORBECT TO THE BEST OF MY KNOWLEDGE ^^n^^alaquo^^^ um i n r i A i n i i r o M i i r T m cnPY
