2024 Satellite Event Invoices.pdf

33004169356

08/06/2024

5648399 WM Newberg Transfer HHW

Thank you for choosing Clean Earth for your environmental solutions. June 2024 Newberg HHW.

MARION COUNTY PUBLIC WORKS

5155 SILVERTON RD NE

SALEM, OR 97305-3802

WM NEWBERG TRANSFER HHW

2904 WYNOOSKI RD.

NEWBERG, OR 97132

NET 30

SITE ADDRESS:

INVOICE #

INVOICE DATE

PLEASE REMIT TO

ORDER

29338 Network Pl. Chicago, IL 60673-1293

p. (866) 303-7344

e. CleanEarth-ESOLAR@cleanearthinc.com

ATTN.: Andrew Johnson

CUSTOMER ID # TERMS109245AX#

SERVICE DATE 06/22/2024

06/22/2024 Doc No. 328644-24 Manifest 328644-24 Waste Receipt KNT-G9026

MC000320-02 - BULK FUELS/PETROLEUM

DISTILLATES FUEL BLEND

3.00 @ 1A $1,480.11 493.370 / T275

MC000320-02 - BULK FUELS/PETROLEUM

DISTILLATES FUEL BLEND

2.00 @ 1B $270.00 135.000 / DM55

MC000350-02 - LOOSEPACK OIL BASE PAINT,

STAINS, ADHESIVES, TARS, PETROLEUM

DISTILLATES TO FUELS

7.00 @ 1C $4,340.00 620.000 / BX

MC000350-02 - LOOSEPACK OIL BASE PAINT,

STAINS, ADHESIVES, TARS, PETROLEUM

DISTILLATES TO FUELS

16.00 @ 1D $2,480.00 155.000 / DM55

MC000610-02 - HHW-LOOSEPACK - PESTICIDES,

REQUIRES INCINERATION

4.00 @ 2A $3,600.00 900.000 / BX

MC000610-02 - HHW-LOOSEPACK - PESTICIDES,

REQUIRES INCINERATION

21.00 @ 2B $5,485.83 261.230 / DM55

MC000850-02 - HHW LOOSEPACK- INORGANIC

ACIDS, TREAT

3.00 @ 2C $525.00 175.000 / DM55

MC000860-02 - HHW LOOSEPACK- INORGANIC

BASES, TREAT

6.00 @ 2D $930.00 155.000 / DM55

MC000860-02 - HHW LOOSEPACK- INORGANIC

BASES, TREAT

2.00 @ 2E $310.00 155.000 / DM55

MC000852-04 - HHW LOOSEPACK, INCLUDING

METALLIC MERCURY, MERCURY CMPDS,

BROKEN THERMOMETERS, BATTER

1.00 @ 2G $927.50 927.500 / DM05

MC000520-04 - HHW-LOOSEPACK - OXIDIZERS,

REQUIRES TREATMENT

1.00 @ 2H $1,200.00 1200.000 / DM55

MC000240-02 - AEROSOLS, PESTICIDES,

PETROLEUM DISTILLATES TO INCINERATION

4.00 @ 2I $3,600.00 900.000 / BX

MC000222-03 - HHW FIRE EXTINGUISHER, DRY

CHEMICAL

2.00 @ 3A $644.00 322.000 / DM55

MC000920-02 - PCB LIGHT BALLASTS, FOR

INCINERATION

1.00 @ 3B $325.00 325.000 / DM05

MC000410-01 - FLAMMABLE SOLIDS, REQUIRES

INCINERATION

1.00 @ 3C $150.00 150.000 / DM05

MC000430-04 - HHW DANGEROUS WHEN WET

- REQUIRES INCINERATION.

1.00 @ 3E $150.00 150.000 / DM05

07/02/2024

1Page #

Clean Earth Environmental Solutions Inc. 2601 Stout Heritage Parkway, Suite 200 - Plainfield, IN 46168 www.cleanearthinc.com

DIRECT INQUIRES TO: ESOL Customer Experience Inquiries_eso@cleanearthinc.com

33004169356

08/06/2024

5648399 WM Newberg Transfer HHW

Thank you for choosing Clean Earth for your environmental solutions. June 2024 Newberg HHW.

MARION COUNTY PUBLIC WORKS

5155 SILVERTON RD NE

SALEM, OR 97305-3802

WM NEWBERG TRANSFER HHW

2904 WYNOOSKI RD.

NEWBERG, OR 97132

NET 30

SITE ADDRESS:

INVOICE #

INVOICE DATE

PLEASE REMIT TO

ORDER

29338 Network Pl. Chicago, IL 60673-1293

p. (866) 303-7344

e. CleanEarth-ESOLAR@cleanearthinc.com

ATTN.: Andrew Johnson

CUSTOMER ID # TERMS109245AX#

SERVICE DATE 06/22/2024

Labor Charges :

HHW COLLECTION EVENT - 201-450 CARS, PER

CAR

444.00 @ $7,992.00 18.000 / E

$36,129.92INVOICE TOTAL

$34,409.44

$1,720.48Energy & Insurance

Sub Total

2Page #

Clean Earth Environmental Solutions Inc. 2601 Stout Heritage Parkway, Suite 200 - Plainfield, IN 46168 www.cleanearthinc.com

EßI Provider: tlean Earth 1877, ã77-?;ËÊ9 5648399

Manifest Doc. No.

328644-2,

2. Pagel

! of3

NON.HAZARDOUS

WASTE MANIFEST

1. Generator's US EPA lD No.

ËxE

3. Generator's Name and Ma¡l¡ng Address lll llerberg Tranefer HHI 29tâ4 liynooeki Rd,

4. cenerator'sPhone( ilEfBEßE On glTTZ l97lrryl.I-Wr67

5. Transporter 1 Company Name

CLETII EåRÎH SPECIALÎT TâSTË 6.

I

US EPA lD Number ülls000ltgg{ A. Transporter's Phone

{612t285-9865

7. Transporter 2 Company Name

Chr,hn\ r^\ TY nnsc¿.,, lc,Etr Qßzqu7aßL+ US EPA lD Number8. B. Transporter's Phone t¡

9. Designated Facility Ñame and Site Addiess .l0.

BUnLrltETOtt EilWnO[ñËtTÅL, LLC. f,Err 2fi?4i 77th lvenue South f HMr fiËltÎ r tå !ÐGt2 I

US EPA lD Number

IâDltlrt28l?67 12531 A72-g/g'Ð

C. Facility's Phone

11 Waste Shipping Name and Descript¡on 12. Containers

No, I ryp"

13.

Total

Quantity

14.

Unit

WtA,/ol

ÏI

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[ fftrilt z DI

T5o Pb.

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9qoo

I6 d.

l¡l¡lll¡ rl.lll ¡Il¡tlIU [llE¡¡lL r¡ l0¡¡ EDI¡¡EO, I

D. Additional DescriDtions for Materials Listed Above¡l ffi*80'# - m¡ nELS/PSf$LElt l,EÍIlünS nßt [. - lFlt $U ffß r¡Tl ill il lÍffiFu - H[.x iln"8rnmffl.nH 0¡$flu.$[s HnL $. - ¡trt $u $ffi $tl ltl el tffil{ - UIE[F$ll0& [Æ Plnfr $fil6r rmEI - rFt lt.lÉ-l

E, ¡l t I, Handling Codes for Wastes L¡sted Above ll c) d)iri rS. Spèü'alHånälfilÎEtlücllúnðaïUfüifiüffàlTñör/mhrt¡rrt or!¡rÐt ¡r'r..,¡ - rræ rrm-t rt' shipping name international and byERATOR RTIFICATo.1 GEN 'S Ec that contentsthe thisof areand n allareand lacardedclassif¡ed, are fully and accurately described condition for transport

Btinted/Tvoed Name

A5{'r.r., L,ùArl< r,^\( Month Year

17. Transporter 1 Acknowledqement of Receipt of Malerials

{Ë|"iliï'ffi:l Dav

2L Year

G E N E R A T o R

T R A N s P o R T E R <yy" ( Day o2 Month Year

ls. oi""ryfiÁ"y lndication Space r

20. Facility Owner or Operator: Certification of receipt of waste materials covered by this manifest item 19.as

F A c I L I T Y Prinred/r'Pedt"'"Êd^te, M9JL

Signature Month Day Year

ORIGINAL - RETURN TO GENERATOR

'24 Jtff: 1S pt I;tffi

¡t BESPIIilSE IItFttRltATIflt, t8771

NON HAZARDOUS

WASTE MANIFEST

(Continuation Sheef)

Man¡fest Document No,21. Generator s US EPA lD No.

ETE aaAEit-2L areas ie not required by Federal law.2 lnformation in

L^ State Manilest Documgnt Number lll llerberg Trensfer HHI 29O4 ïytooaki Bd, tIEflBERE flR 97132 (97tr4o1-ø3l87

23. Generator s Name

M. State Generators lD

State Transporter s lD s

24. Transporter ? Company Name \rnr{ß-- 25. US EPA lD Number f',l.t,,À ï\ g otr+-he. r,r.r.lLrrlú6sÞo MNtlD0@4- 4O qzq P. Statg Transporter s lD s

26. Transporter_Company Name 27. US EPA lD Number

28. US DOT Description (lncluding Proper Shipping Name, Hazard Class and lD Number) l-HM I I ruo"No.

29. Containers 30 Total

Ouantitv

Unit

WUVol

R.

Waste No.

c¡ 'Lt'luct a

I Lt fiætr ilnt flLlE, ffirnc, s,0,s,t41-t, tI ?aml 6,1wf o ffi(l541

4 DI '52ru I b.

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I/ 6 D] 'Zlos d un7l9 üilFTIC tuttl tIüUDg, 1.0.9. tmÍfi ilmnffi, ffiÍn rEltsItICtT[' I PflI EnÊt${l

I z D] ' Too e un79r flï?f[[l0nrffi stunlots I pËII ErE(Ëll fu )IJ , I F,O

s. ; Uffi ilmffi [InütD üffitmlm$tlMBt {&ü} lnß{t72}t P

I DÍ 150 f n u3t39 0TIDIZInß U$'ID, X,0.9. tffDf,fFil pmf¡uDt, ptrrsrul t llIIlTItltE[rSl tl'ffiI].EEl{llll

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G E N E R A T o R

T R A N s P U R T E R d.mf6l$ü'Ut-L00ælßf - fgf@ES=NWnE rc - mUlP.tt, T. Handlíng Codes for Wastes Listed Above r+,4*tl*t"+ Descriptions for Materials Listed Above ml-urmtfr - ncr5-Dz ttll tcffi¿-ß - flil ipt of Materials

Day o of Date u, Ackn ilEr1 - il116-8 r9t fl üct0t2Ft2 - spüÎr$il$r ilmßffiIC 0t$ts, mMl -lcIE, ÎNtÎ - il116-t t?l d¡ ffinH-m - mr rJIWÆr- ItTl6-B t8l el tüH88e-02 - [[f U¡{FEPACI- il0nmllg 8tSßS, \|onth Day Year a-2ffiztì NameP

F c I

L I

T

35. Discre/ancy lndication Space -/

ORIGINAL RETURN TO GENERATOR

rtü RE5P0I¡SE $tFEnüATrUll, lË?71

2-

NON HAZARDOUS

WASTE MANIFEST

rs Noo.

tinuation

22. Page otÍ I lnformation in the shaded areas is not required by Federal law

L. State Manifest Document Number23. Generator s Name llll llevberg Transfer HHf 2flù4 lynaoeki Bd.

IETBERC OR 97132 (971t4ø1-ø387

M. State Generator s lD

N. State Transporters lD24. Transporter Company Name 25. US EPA lD Number s P. State Transporters lD26. Transporter _Company Name 27. US EPA lD Number

I

Unit

WWo ption (lncluding Proper Shipping Name, Hazard Class and lD Number)

TrM I

28. US DOT Descri

29. Containers

No. I ruo"

30.

Total

Quantitv

R.

Waste No.

DF LLI Tz a x urm|| FItË DIIIHISIEf,S 2.2 WBtyßt

I DÍ 6o t llmä¿ frLtgamnilâilD 8IF[Ixu.g, mLID I mII ngtt?ttb.

x

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{Àlt \Ê 1 p e W2tß hÅlr*ß¿a,* '.2,¡5.iV , Þ.o.r "(bl¡at),t)ftì s.

h.

t.

T. Handling Codes for Wastes Listed Above g,iîlí iB st bt ct üe)

S. Additional Descriptions for Materials Listed Above et w&-ß - [n FIm 8mlffiEffE0, Düt gD[IGtt - Wgt u5r Dr fficcg&ct - pr llm i¡tt ¡ñ ñ Èffi¡.'ã

G E N E R A T o R

3'z fimhffiqmilHnïfdFlolffiå{fi' t iH$ ffii¡$ifffi;;,ffiiäioË*' PEmomü Dlsrltu - ncæ

Date33.Transporler_Acknowledgmenl of Receipt of Materials

\4onth Day Year tl Printed/Typed Name Signature

34.Transporter ,L Acknowledgment of Receipt of Materials Date \lonth Day Year tl

T R

N ù P o R T E R

Name S¡gnature

F c I

L I

T

35. Discrepancy lndication Space

I

ONICII'JAI NTTI JN¡J TO CEÍ'JER¡JOR

33004243889

12/04/2024

5762088 Yamhill County Fairgrounds

Thank you for choosing Clean Earth for your environmental solutions. McMinnville HHW 9-28-24

MARION COUNTY PUBLIC WORKS

5155 SILVERTON RD NE

SALEM, OR 97305-3802

YAMHILL COUNTY FAIRGROUNDS

2070 NE LAFAYETTE AVE

MCMINNVILLE, OR 97128

NET 30

SITE ADDRESS:

INVOICE #

INVOICE DATE

PLEASE REMIT TO

ORDER

29338 Network Pl. Chicago, IL 60673-1293

p. (866) 303-7344

e. CleanEarth-ESOLAR@cleanearthinc.com

ATTN.: Andrew Johnson

CUSTOMER ID # TERMS109245AX#

SERVICE DATE 09/28/2024

09/28/2024 Doc No. 527113-24 Manifest 527113-24 Waste Receipt KNT-H6055

MC000320-02 - BULK FUELS/PETROLEUM

DISTILLATES FUEL BLEND

2.00@ 1A $986.74 493.370 / T275

MC000350-02 - LOOSEPACK OIL BASE PAINT,

STAINS, ADHESIVES, TARS, PETROLEUM

DISTILLATES TO FUELS

9.00@ 1B $5,580.00 620.000 / BX

MC000350-02 - LOOSEPACK OIL BASE PAINT,

STAINS, ADHESIVES, TARS, PETROLEUM

DISTILLATES TO FUELS

27.00@ 1C $4,185.00 155.000 / DM55

MC000610-02 - HHW-LOOSEPACK - PESTICIDES,

REQUIRES INCINERATION

3.00@ 1D $2,700.00 900.000 / BX

MC000610-02 - HHW-LOOSEPACK - PESTICIDES,

REQUIRES INCINERATION

24.00@ 2A $6,269.52 261.230 / DM55

MC000850-02 - HHW LOOSEPACK- INORGANIC

ACIDS, TREAT

4.00@ 2B $700.00 175.000 / DM55

MC000860-02 - HHW LOOSEPACK- INORGANIC

BASES, TREAT

4.00@ 2D $620.00 155.000 / DM55

MC000520-04 - HHW-LOOSEPACK - OXIDIZERS,

REQUIRES TREATMENT

1.00@ 2E $1,200.00 1200.000 / DM55

MC000410-01 - FLAMMABLE SOLIDS, REQUIRES

INCINERATION

2.00@ 2G $300.00 150.000 / DM05

MC000420-03 - SPONTANEOUSLY

COMBUSTIBLE, HHW-LOOSEPACK, REQUIRES

INCINERATION

1.00@ 2H $150.00 150.000 / DM05

MC000430-04 - HHW DANGEROUS WHEN WET

- REQUIRES INCINERATION.

1.00@ 2I $406.35 406.350 / DM55

MC000240-02 - AEROSOLS, PESTICIDES,

PETROLEUM DISTILLATES TO INCINERATION

4.00@ 2J $3,600.00 900.000 / BX

MC000222-04 - HHW FIRE EXTINGUISHER, DRY

CHEMICAL

2.00@ 3A $644.00 322.000 / DM55

10/07/2024

Labor Charges :

HHW COLLECTION EVENT - 201-450 CARS, PER

CAR

442.00@ $7,956.00 18.000 / E

1Page #

Clean Earth Environmental Solutions Inc. 2601 Stout Heritage Parkway, Suite 200 - Plainfield, IN 46168 www.cleanearthinc.com

$37,062.50INVOICE TOTAL

$35,297.61

$1,764.89Energy & Insurance

Sub Total

2Page #

Clean Earth Environmental Solutions Inc. 2601 Stout Heritage Parkway, Suite 200 - Plainfield, IN 46168 www.cleanearthinc.com

WASTE MANIFEST

1. Generator's US EPA lD No.N Manifest Doc. No.

Eõtt tô õ¡

2. 1Page of

3. Generator's Name and Mailing Address

Tarhlll County FaÍrgrounda 2O7O nE Lafayette Ave4. Generalor'sPhone.( lùlfftfVfnE nR GXft",ß lstrllr?a-s?tc,

5. Transporter 1 Company Name flLEfI tAnTH çÞtif:Tr¡ Tr s¡q,rg 6.

I

US EPA lD Number

¡Eeâ¿lôr t ôarar¡

A. Transporter's Phone f Í.ttt?aç-aûÂ|í f 7 2 8. ID B. Trañfpõrtei'lPhóne- - - -

,{ct¿rY 6gfá

9. Designated Facility Name and Site Address

BURLIllETÍtt EilVInOHüEnTAL, ?.ü'243 77th Avenue South

TTM-IIÊI? E^ qntr¡-]

10.

LLt. rEnl

I

US EPA lD Number l¡¡tlt*¡r arôr ar¿?t

C. Facility's Pñone

,¿irG.{¡t ottat_ôÆ 11 Waste Shipping Name ând Descriplion -f2lÕonlainãrs

No. I ryp"

--- 13.

Total

Quantity

14.

Unit

Wt^/ol n a.

ÐD?-

ÎP

ïgtÒ utm tutrlt.E ugE[q 10.s. t],['mlffi DIstIl¡.tTISr ruImSt 3 DEII EEEnæl'

P

-l

b. -JF -+wqÐLq

T

c. liltãl P¡ilÎ,)I[tlIÐ ünru I PBII ffitr?rt M CF ü5oD P d.

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D. Additional Descriptions for Materials Listed Above al tr*ilÞtz - H[.r RtHslpErHrAË DISÍIL.¡ÎES RIE Dt - üTr IFCA üB üït nt il ffircF}2 - Hlr rutrSrpßffir.nñ DIsfIt¿tT[s RH.0t - tmt Æt¿ t]'ß$ll llt ct ffiÞE - urËlPltl tlIL us Htrr, $¡& rmsl - üt lft-t

I

E. Handling Codes for Wastes Lisled Above ladl

ts. SitÈ¡f,ÈdlÍill$ñlrß¡cmd4flEffil[JnflIùtdåftdúllllf' srrtrs, IDIEI - t]t t]t-l ttt tt of tn above by proper shipping name ng to applicable international and are fully and accurately condition

16 ENERATOR'SG Ec contents lhis areand allareandclassif¡ed, alsoul t¡mes aboveisted arealatth

*Æ#rTü^Lt) alXa¿¡ ç ydt, "'fff/ \ (TffiJi*

17 of Materials

18, of Materials

1 of

Year

2 of

G E N E R A T o R

T R A N s P o R T E R

1 9. Discrepanfiriáication Space a I

20. Facility Owner or Operator: Cerl¡fication of receipt of waste materials covered by th¡s manifest except as noted in item 19.

F A c I L I T Y

Printed/fyped Name

\A'ä',i;"i"ù\r il". I o rrr) 'snatuv \ lìtJ+rltl, [\ I

Day Year6taMonth f Prov lE77' 577-2669 3762088

ORIGIÀ¡AL. RETURN TO GENERATOR

':li'Ìi:r:!i".i 5 i=¡q å:u**

RESPOITSE IIIFORIIATIBIT, IE77I

WASTE MANIFEST

(Continuation Sheef)

21. Generator's US EPA lD No. Manifest Document No. 22. Page lnformation ¡n ule shadEü¡t¡aÍ,¡ areas is not required by Federal law.

L. Sfåte ftJÞnlfest Document Number

Yanhill County Fairgrounda 2O7O IIE Lafayette Ave

{3t .tl.r-tÌ23. Generator's Name

M. State Generator's lD

N. State Transporter's lD24. Trans US EPA lD Number

O, Transporter's Phone e P, State Transporter's26. Transporter _CompanfName 27. US EPA lD Number

31.( Unit

WtA/ol

28. US DOT Description (lncluding Proper Shipping Name, Hazard Class and lD Number)

IHMI I ruo"No.

29. Containers 30.

Total

Ouantitv

, R.- Waste No.

0os a.

a uzgll mnc sLIDg, fn$[Ic, 1,0,s. 12,{Ð, tgÎffiLilt cfl,mlEt0 6;l PBII [¡E{rslt, lloæ b.

I 027 DI 98oo tmgÐ flnlc ueulffi, Fulfrt[J, 0ffilllc, s,0,9, t2,1-0, lEllllflE,f,fllmml 6.r {31 pgll ffitl3il..,-c.

I w'l DI gobtßø6l gmfBItE Hq'ID, rcIDIc, ilffilllc, i.0,5. tnmumc åCID, PfrB[nG mIDt I ?Cil ffillü||"..

T d h4lAl¿ DI

^l^Ø.öwtn7t9 ct$rlc tl¡tll [Iq,IDs, t 0.s. fgnilfi xnn0IIDE, ffiIut t lFlå ItICfnt I PtIÍ H6llSll .::' r'

I oo'l

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T

1.

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I h.

00L

DT

3f I trlffi FutuBtE sltltB, fn6rüc, x.0.5, (mpmüsE, nuDlmlamE[ltt t t PfrIr ffillßr :i

)i t.

Þl DI l(e umt88 ffi.F-[Et1It6, SIIID, 0l6tIIC, lt.0.s, tltBptfit t,?pÍiil

DIGÍI3FI

S. Additional Descriptíons for Materials Listed Above

¡l H*ll-02 - EII-lJIfF[Efflf - 9ßç1f:1lEç]'. DBlt¡Eqrtt¡r'-.,ttrl¡-E-r¡r. rr ,.

T. Handling Codes for Wastes Listed Above

¡l ¡l ¡l.Il ^l rll -l Ll ¿l

G E N E R A T o R

T R A N s P o R T E R

PJ¡tl¡õtmudil?rtfüDtfirrnln, tür-Hrmrcr - ilctr-m I ature tueiËrUrÍr ¡nqlfsgffiFr¡¡¡¡no ilc t6tITCTI.F cl ICe0e85C-t2 nm rmPrm- runûrxrc nHl ItTl6-t' dlt7trCIB, ilm860-u UIEEPIfi-mr Imnm[Ic NBTT Illl6'B (8'0tsEs, el ïce0e850-02 uIFtPmr-mr ilflmruc g¡s:us, 34.Transporter -) Acknowledgment of Receipt of Materials Date sig It/lonth Day Year

I to lar lz4 F c I

L I T

35. Discrepancy lndièation Space

ORIGIT.¡AL. RETURT,¡ TO GENERATOR

¡T¡FIIß ?4 HOUE ETIEREEilCT RESPTI¡ISE rilFoBltATIOil, 1877'

WASTE MANIFEST

nerator's US EPA lD lnformation in the areas ¡s not required by Federal law.

23. Generator's Name Document Number

Yamhlll County Falrgroundr 2g7O fE Lafayette Ave M. State Generator's lD

24. Transporter _Company ame US EPA lD Number N.

Transporter's Phone

26. Transporter_Company Name 27. US EPA lD Number P.

Transporter's Phone

DOT Description (lncluding Proper Shipping Name, Hazard Class and lD Number)

29. 30.

Total

No.

Waste No.

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ORIGINAL .RETI,R¡I TO GEî\¡ERATOR

Date 0912712024 funN,4 toltlq Page I of 3

Order # 5762088 CleanEarthr Ordered on 0912712024 Business Segment HHW Location

Job Started 0912812024 Account Rep 999 House Account

Generator ( 33106 ) Yamhill County Fairgrounds

2070 NE Lafayette Ave

MCMINNVILLE,OR 97128

Onsite Contact Name On Site Manager

Billing ( 1506 ) Marion County Public Works

Contact Name Thomas Kissinger

1222 Zone #

Epa ld

Fax #

Phone #

Phone # oR40

EXE

(503) 434-5716

(503) 566-4139

Sales Coordlnator : John Pltmãn

Demurrage Applicable? No

Customer Notes:

PO#

Information needs updating(circle if it does):

Detailed Job Description

ME ID

Yamhill County HHW McMinville

Manifests 527113-24 Scheduled

Line ltem Description Container Shipping Billing

001 1

001 3

001 4

001 5

001 6

001 7

AFOl

AFOl

AFO6

AFO6

tNc14-F rNc14-F

WAT16-A

WAT16-8

WAT16-8

STAB06-6

REC04-H1

tNC15-D1 tNcl5-D2 tNc15-W

INCO2

tNc02

PCBOl

LFOT

MC000320-02

MC000320-02

MC000350-02

MC000350-02

MC000610-02

MC000610-02

MC000850-02

MC000860-02

MC000860-02

MC000520-04

MC000852-04

MC000410-01

MC000420-03

MC000430-04

MC000240-02

MC000240-02

MC000920-02

MCO00222-04

- BULK FUELS/PETROLEUM DISTILLATES

- BULK FUELS/PETROLEUM DISTILLATES

- LOOSEPACK OIL BASE PAINT, STAINS,

- LOOSEPACK OIL BASE PAINT, STAINS,

- HHW-LOOSEPACK. PESTICIDES,

- HHW-LOOSEPACK - PESTICIDES,

- HHW LOOSEPACK- INORGANIC ACIDS,

- HHW LOOSEPACK- INORGANIC BASES,

- HHW LOOSEPACK- INORGANIC BASES,

- HHW-LOOSEPACK - OXIDIZERS,

- HHW LOOSEPACK, INCLUDING

- FLAMMABLE SOLIDS, REQUIRES

- SPONTANEOUSLY COMBUSTIBLE,

. HHW DANGEROUS WHEN WET -

- AEROSOLS, PESTICIDES, PETROLEUM

- AEROSOLS, PESTICIDES, PETROLEUM

- PCB LIGHT BALLASTS, FOR

- HHW FIRE EXTINGUISHER, DRY

0.00TP

0.00 DF

0.00 cF

O,OO DF

0.00 cF

0.00 DF

0.00 DF

0.00 DF

0.00 DF

0.00 DF

0.00 DF

0.00 DF

0.00 DF

0.00 DF

0.00 cF

0.00 DF

0.00 DF

0.00 DF

0.0000 P

0.0000 P

0.0000 P

0.0000 P

0.0000 P

0.0000 P

0.0000 P

0.0000 P

0.0000 P

0.0000 P

0.0000 P

0.0000 P

0.0000 P

0.0000 P

0.0000 P

0.0000 P

0.0000 K

0.0000 P

0.0000 P

0.0000 P

0.0000 P

0.0000 P

0.0000 P

0.0000 P

0.0000 P

0.0000 P

0.0000 P

0.0000 P

0.0000 P

0.0000 P

0.0000 P

0.0000 P

0.0000 P

0.0000 P

0.0000 K

0.0000 P

Date 0912712024 Page z of 3

Order # 5762088 CleanEartho

Items Del ivered/Replaced ll NotesItems picked-up ìt55G Poly Open Top

" Prr^l-n cf lù55G Poly Closed Top

55G Metal Closed Top

55G Metal Open Top

30G Poly Open Top

30G Metal Open Top

30G Metal Closed Top

15G Poly Open Top

15G Metal Open Top

15G Metal Closed ïop

5G Poly Open Top

5G Metal Open Top

CYB

Liners

4275G Tote

330G Tote

Vermiculite (bag)

Oil Dry (bag)

(Galaxy Bags

8x4' Lightbulbs

Universal Pads (15"x20") (bale)

Oil-Only Pads (1 5"x20") (bale)

85 MetalOverpack

95 Poly Overpack

Other

Other

MedicalSupplies

8G Poly Open Top

18G Poly Open Top

2G Poly Open Top

1.5 Quart

5G Carboy

RX35 (20G CF)

Date 0912712024 Page 3 of 3

Order # 5762088 CleanEarth" Labo¡ Getegoriec Arrival Time Departure Time

SUP Supervisor

CH Chemist

Project Manager

Technician

0perator

0ther

Vehiclsa Unit # Arrival Time Departure Time

Pickup Truck/Car/Van

Box ïruck w/Liftgate

Tractor w/Tanker

Roll Off Truck

Vacuum Straight Truck

Vacuum Tractor Trailer (70bt

Bobtail Roll-off (1 30bbl)

EquiprnenlPPE

Description Amount , Description Amount

Level C w/Polytyvek Leather Gloves (per pair)

Level C dSaranex Neoprene Gloves (per pair)

Level C MBanicade Chemical Boots (per pair)

Level D Haz lVat Boots (per pair)

Modified Level D Half Face Respirator

Tyvek Suit Full Face Respirator

Tyvek Suit - Poly Coated Defender Cartridges

Tvyek Suit - Saranex Defender Cartridges w/HEPA

Tyvek Suit - Barricade Other

PV/Nitrile Gloves (per pair) 0ther

DATE:

DRIVER:

GENERATOR SIGNATURE

I llllrililililililililililrliluiluilililuilurl llll ililtr[ililllil$

TIME IN : TIME OUT:

TRAILER#:

". End Order 5762088 Form (pvQFormo) Printed Ogl27l2O24 at 16:01:23 by PITMANJO .-