1577_6.PDF
PDF 395 KB Posted
- Attached to
- **EXPIRED** Lamp, Ballast, Mercury Containing Equipment, and Battery Recycling, and PCB Disposal Services
- Contract number
- 505ENT-M15-LMPBLLSTR-01
- Issued by
- Wisconsin
About this file
This is a Straight Bill of Lading document from Lamp Recyclers, Inc., located in Green Bay, Wisconsin, serving as a hazardous waste transportation and disposal manifest. The document facilitates the proper transportation and recycling of various types of universal waste and hazardous materials in accordance with Department of Transportation regulations for the State of Wisconsin.
The document covers a comprehensive range of materials for recycling and disposal including fluorescent lamps of various sizes, UV lamps, HID lamps, lithium batteries, lead acid batteries, PCB ballasts and transformers, elemental mercury, expired electronic equipment, and other universal waste items. Each material type is classified with appropriate UN shipping numbers and hazard classifications, with specific packaging and transportation requirements. The service includes pickup and delivery with proper certification and documentation, waste container exchange programs for barrels and drums, and specialized handling for regulated hazardous materials. The document establishes clear chain of custody through required signatures from generator, transporter, and receiving facility representatives, ensuring compliance with environmental regulations and proper material handling throughout the disposal process.
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Other files
| File | Type | Posted |
|---|---|---|
| 1577_4.DOCX | DOCX document | |
| 1577_9.PDF | ||
| 1577_7.PDF | ||
| Lamp Recyclers Inc. - Contact List 3.2.2017.doc | DOC document | |
| Contract Pricing 7-11-2016.xlsx | XLSX spreadsheet | |
| User Guide-Lamp Ballast 2.21.17.docx | DOCX document | |
| Pickup Request Form - State FInal.pdf |
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Text version
Purchase Order #: IB Codes:
Quantity Quantity Quantity Quantity
/ lbs.
Quantity Container Type Total Weight
Material Type
Lithium Batteries
4' & under Fluorescent Lamps
Universal Waste Mixed Batteries
Material Type
UN3028, Batteries, Dry, containing Potassium Hydroxide, Solid, Electric, Storage, 8, PG III
Other Lamps:
Quantity / Material / Shipping Information
Transportation Charge:
NA3077, RQ, Hazardous waste solid, N.O.S., 9, PG III
Non-PCB Capacitors / Transformers
Other Lamps:
U-Shape and Circular HID (All Types)
Incandescent
Flood / Spotlights
Fluorescent Compacts
UN2800, Batteries, Wet, Non-spillable, 8, PG III
Spent Lead Acid Batteries
CERTIFICATION: The individual signing this Bill of Lading on behalf of Generator acknowledges the above materials are properly classified, described, packaged, marked, labeled, and in proper condition for transportation according to the applicable regulations of the Dept. of Transportation. The individual also certifies all packages contain the material as described and does not contain any non-described materials and items received are subject to Lamp Recyclers, Inc. terms and conditions on the reverse side of this Bill of Lading or an established Contract. The transporter certifies the above materials were picked up and/or delivered in good condition or as otherwise noted.
PCB Ballasts
Confidential Paper Destruction
Spent Lead Acid Batteries (Gel)
Non PCB Ballasts
Elemental Mercury
PCB Capacitors / Transformers
Latex Paint Materials
Expired Electronic Equipment
5' & over UV Lamps 5' & over Fluorescent Lamps
4' & under Shatter-Shield Lamps
Material Type Material Type
Universal Waste Ni Cad Batteries
Broken Lamps
5' & over Shatter-Shield Lamps
Material Type
Total Lamps Received:
Department of Transportation Shipping Description
Loose / Taped Bulbs
UN3028, Batteries, Dry, containing Potassium Hydroxide, Solid, Electric, Storage, 8, PG III
4' & under UV Lamps
Alkaline Batteries
Date:
UN2794, Batteries, Wet, Filled with Acid, 8, PG III
DOT Proper Shipping Description for all lamp types above - UNIVERSAL WASTE (Lamps) for recycling
UN2809, RQ, Mercury, 8(6.1), PG III
UN3090, Lithium Batteries, 9, PG II
Crushed Fluorescent Lamps
UN2315, RQ,Polychlorinated Biphenyls, Liquid, 9, UN2315, PGIII
Non-Regulated waste material
Non-Regulated waste material
Non - Regulated Special Waste
UN2315, RQ,Polychlorinated Biphenyls, Liquid, 9, PGIII
Date: Arrive: Depart:
4' Barrel (Exchanged / New) 8' Barrel (Exchanged / New) Waste Containers (Drum / Pail)
Generator Information: Billing Information:
Mercury Devices
Waste batteries, Alkaline, dry, Non-spillable
Generator Signature:
Date:
Transporter Signature:
Date:
Transporter Notes:
Receiving Facility Signature:
Expired TV's or Monitors Expired Electronics Equipment for Recycling
Barrel Stands
Requested By:
Expired Electronics Equipment for Recycling
Non - Regulated Special Waste
LRI Profile #:
UN3506, Mercury contained in manufactured articles, 8(6.1), PG III
Lamp Recyclers, Inc.
3055 Holmgren Way, Green Bay, WI 54304
1-800-558-1166
Directions:
Receiving Hours:
Shipping Contact:
Straight Bill of Lading Telephone #:
Emergency Response Number: 1-800-424-9300 (Chemtrec) / Customer # CCN684047
EPA ID #:
STATE OF WISCONSIN - Facility Name
Picked Up Delivered
File details come from the government source that posted it. Updated .