Document 3DkNnL7D8rXegw9Rq19LkVYx

_____ll__ X) PROJECT LOCATION c STREET ADDRESS Ik s. )_a< --U4_ -- ** - _ 7 VJ I # la L?*-, *1 _ fw* . - ^ . .-^ .ajAuu< ZIF^w-?rf ;3>^-J38UR- a 'ilTu ^k^anm `^*~ *" `*-- k . Ubb^jGlaiV^dllttUl^Mrit *7;'. rt^ouaiiNE - L.A'.,-.. < ': 7 ,, ; ;/,---;? i' 'HMi 7) PROJECT PHONE (304) 333 4372 w r. -, V *M'P' ., .,*. i j ) CONTRACTOR 3 NA| KAn$)ft $&&& \!&VV m DATON ROUOI" - LA - 70898 <:) COIURACTOK'S PHONL ' 504) 389 630p ^7 ^ 9) UWMLL'L; NAHI- ARP ilAH ING "ADDRESS^-, 'if : , 'i"'it) j y ` ft V 03/26/v/ * V ^__ ._ estit^red"a^i"6uahtXTY ^ .' ,; "*" ;,:...; v l-A-;.. i.u i'UtJSA LA-DIV. F 'i hir .130 PLAAi.'i Winr: ;. a 70763 ;ioo fto i sa rro ; ^ CU * * .- "-tS^ ik :' 1 '' l27"'* DE8I8HA'tED'r*I)ISP^^piiTl " T - ) > )W! !!'P PHOHL (304} 353 1817 K 80 1 .J I . V U-ITLF.V V YPi. I' HAUL T Hi ii "it i:> F . A J FvHAK F , UF\ . ft :j , "f :- * + + 4 4 T* * 4 T * UVI-il. R 'OPE.KA'TTJR 15) W.VtTL rRAHOPORTUV i:n disposal sni \ bO t-APX1i uc~ {14) SI(3 -- -- -------- .1 . niai-ftti ir lit - TT[nrT^--~*^T P": 5,, .'. I'CiW? ........ ................ : 16) QUANTITY "|17>-' fROJECT- .J Ti T`r. . ^ /" , .... SHIPPING CLASSIf ` "'/'^'I `i 70} PRJNTED/TYPED NAME *+*** T RANSPORTER v, . 77) DATE RECEIVED IjL Kv 24 >"' PRIfSTELVJ^PED^ LANDTI LL jf. fe!t._2 aLJL_ 76)) QQUUAANNTTIITTYY RREECCEEIIVVEEDD /QQQdzT . JZSpoABS,..t... . > PRINTED/TYPED NAME) A u*4 . n,^g P' ":. . 4Kt3T)F'* *#** 30) SPEC/al CONDITIONS OR COrtrCNTjM . :-- AX1-...-.:..^--^.-. C.iIP; :- 6 W7 TL l>LO i GREEN-OWNER I YE ik.:.-.. . '.i- Jti.y--';- rLL | PINK-TF CONFIDENTIAL DO 008138 STATE OS LOUT ST. ANA DEPARTMENT OF ENVIRONMENTAL. QUALITY AIR QUALITY DIVISION P.O. Box 82135 Baton Rouge, Louisiana 70884-2135 ASBESTOS DISPOSAL ; . ' j. ' - - l"s` *V' v `V ' -'v 1,*. . -. _.. -\ Y "**? "*' * vt'TV' ` '"Q * " * r- 'L .^ja a/i * , - '^3 ADVF NO. 69324 00, PRIiLOU V Vu.' ` *-<6^. JS-> . "' j. ' ` -.A*.4, 't J v''. ' . -prif.* ' , 4aM FACILITY CODE. ;5; _ JlC j- '.i.T/VTWjgy n '. O 1280 05008 $9t 'V r /V;V" -f v ` ` . -V - ' .* VERIFICATION FORM . PROTECT 'LOCATION *T 8TREET~ADDRESS - ZIP*' ! 3) ISSUE DATE ' ~ ,,> -T :'V.'s?'''' CHLORINATED METHANES LA. HWY. 1 7 I LAQUEMINE - LA - 70765 M r--%4 , . / \ ` >,r.i'v;:T' ^ ; .**'> 'Sim&mmL. :-c^2 1 RSfTiriSti " J ' 1 `-a- -\v& C) PROJECT PHONE (504). 353 6001 i-, . L -.#*6-^T;* * O0/S9Z96mW^mWW-: 'V ............. >s ................. - --- a*-**-**?# V- ` ' ' r3a , _U 1.1 .n,.,,,,,n,,, 1ll--r-im ...-.in ,,in.,m,,,-.\tnr,,,n.....n --------------,, .., , > ' f) ' , L ^ fr-V fifty- ) CONTRACTOR'S NAME & MAILING ADDRESS - ZIP 5 7) . PROJECT ,Ttj/ PETRIN CORPORATION I'.O. BOX 8023? A A TON ROUGE - LA - 70898 ' j* - PROJECT COMPLETE DATE `' GMT i 'A-:': T! }R 'S !::T HON!-. ( 504 ) 389 6300 09/10/96 I iii.c-.;:.R c NAM!-' AND MAIL.IMG ADDRESS - ZIP " i i).... Esf i:mated'acm"quant ITY LUC >.! ..i.tSiT LA.D.I 9 0 FT323 SQ FTO CU FT .!* ! , t , I; i PRpDyCEp F^R THE ASBESTOS DATABASE DATE: _ JO-1 ~*j(> "12)....designated"disp6sal SITE . ; Master I ); ` T'l`1 -. 11 GAMl. Onttil DOW CHEM - BLOCK 80 ___ ___ _ \ v VJ 14) SIGNATURE^, ii *., AiHIARi. Si-., Jv/r* r* *. -l.4* 'r T T ** 4 * 4 .{ 4 4***4 4 4************* ***** *Y>K**%*):A))OK*S|C3^C )jc 5|t J|{ 5jC rv ' ft1*' 16) QUANTITY J17) DATE PROJECT . fl " S ^ W^yi v. TRAHSPORT'I" R LTvV^r-M t-AL Cj* v SHIPPED i- t jCOMPLETED ' ____ :____ >zh5>63 r. 8) D LGPUT a; 'Ll! Ctv-i <^>VeM^cAL - mJ'vi.o*jM.eMrr.c - Gl.oe.wC. 60 UArlOf^LL SHIPPING CLASSIFICATION **> AsbestosClas^ NA2212^111- P<H ' '</ DATE:.. si' ll PPED.....^ RQ 1 lb (.454 Kg) c(`V printed/typed'name R\CvA6feL s. C3vueMa)|J v: L ^ re H*4MW M A Mi I "I IP > ll>l ' ; -C` jtA*A4ci(c4c]k VRAi 1SP0RTER 2.:) DATE RECE: /P PRmTED/TYPBD NAME >. MrfP^S vv ' .25) S|QNATU _____________ + ! 46 4*)IJt*ir**^^*)4:******A*A#*i:A#)W#*A#***AA*A**A*l^'3|^*t};***#*^#*|r#*jyc*****J|:*H!*?. i ..AMD!- ill_cvOj. U^vd_ES_,,.._,, j__________ 216S)0\QGUA!,-n'vITiTlwRdFT^TJV-E.D OZ^> ;.-T:.- pk:; \h rD/mu} ?-iame^ Co'/PlMUf^-w *44x4 4***4'4 *4**4 - . .-..A! CONDITIONS OR 5MMENTS: < ! 27) D.ATE BURIED 29) SIGNATURE. CONFIDENTIAL ^ .<.5*. .J--3?-w_______ ^ CCAfe- |Cl|c4.A*)|c^~ 00 0081.39 .- p. n- ow-'-' P:. m: : gw-land; 111. ":"p ink" transporter i gold-owner A -^[*r ' '- ,FrAVI" OF LOUISIANA -' * :, -: * ^-------- - - .'#-.r-!:,J^:'3f-^/Vi.f x. "_.,. ,_-, l' l-^. yj"*i `Jr:; _ - r, * ' '^**4*r: 'ln<. 1 ' * ` *, ^ 1 ' -^- ,"1 "*'J""" :. -.>*'* ,,,. t:-jj6v WM*^. $**?:** V ^nKEPZ&rft ^ OOV.R Tl'KlNr OF ENVIRONMENTAL QUALITY AIR QUALITY DIVISION r: 2V^ig$&*V vV' v-'- f'-fW*' l3rt-'' 'A****TM-' F.O. Box 82135 \^^ Baton Rouq#. Louisian* 70004"*2x35 >- v. -f i . `ft"' " *V . **? "' J " `` ----------------------- - -- -- wvoOjjJ-FrCc i LOCATION A STREET ADDRESS -ZIP .. .13) " ISSUE DATE ............ CHLORINATED METHANES : A. HWY. % " , V i LAOUEtllNE 4 LA u ' * * v *`**^fT ", . ; +' '$'>* :$ S'*-'; Txv> n.VrON ROUGE - LA - 70090 .<, " 4 ' 1 ' PROJECT COi .I'N iKnf rof'. s l-'BONi f'SOA) 30V 6300 ** math; 7mVi inau TNG add^f/^V " -II. .......... .1 l ,,-i-i v . * J- 3,N' '. I 11) ESTIMATED ACM QUANTITY < , ,, 4 10 FT323 80 FTO . CU Ft; WQDUCEOEQH. THE^B^T<^DATAASE ; "i2) DFSI GNATED DIfl^OQALB ITE MAsiinNo. 1R1V-----JTTTS^T 'J *L ,%Xr DOW CHEW - BLOCK 80 ' S%i^ i '.- > ,.-1. .-, NAI1L 1 , ; . I I-*' .'.I ! ,, UF . ; 1A) SIGNATURE^, W. -..A>\/' 4f ' v I >(^1 ... . ... . . 'F..': C- -.. . i; i m,N' ,* "3iv 11 p -Brv^n ^6{. t !`.i !,.,,',| <-v, |, ^ *>.1-* '^ .................. !16> ClUANTITY '' D7* DATE PROJECT I: i -. S,,H3I1P&PEj*D*Jtr.____iJ T -JC01PLetED; ` "- ` - J _,: ';>raf;-. Vt ^ <^'^c*v-\iC6l - (a4i.o*iH9WrM. Oft4.k\i''|*S - Gtoc-vt 60 LA^OtMyL ' 1 .... ..........-- * EiHIPPINO CLASSIFICATION J -AL<^to,< NA2212^44,3 j '&L.* 1 )b (t,4q Kfl), **'' -,U___ f-RINTLD/TYPED NAME WIAVf* . *>'.: ^ y:. *5?;* *************'4t**************^ r.u `SHORTER ` I>ATE RECEIVED .1 I'KI/TTED/TYPI ^liT^ ******n f .^DFILL_<'-- C`->_ W rT3AMTlTY FfXFIVCD r >./ ' jka.... A *>.wi.-i. T -...fr^-r-LjLl- "' Itir'll L>.' i Jl/LT HAHE^ rnUBH * Vfe*+*V*i:*^*1***4******#***************lf*4)Wt#iil^ * > si`u:i.ii cowprrjONs or oejmmentsi '* ' '#"'; " ''- , CONFTDFNTTAl ^ D0 008140 . ;-'' ; ' 1.1,;. r T>rp'r SRFOl~WNER|"^l7r0iij l ANPF TLl. ( PINK~TRANSPCWTER% OOLD WP ' - , STATE. OF LOUISIANA * DEPARTMENT OF ENVIRONMENTAL DUALITY 'I . ADVF N0:. 97177,00 ,v*.. <t& AIR QUALITY DIVISION P.O. Box 821.35 PRI iLOW '->N FACILITY COE F Baton Rouge, Louisiana 70884-2133 1280 85008 : ' AUG 2 91998 ' v" ASBESTOS DISPOSAL VERIFICATION FORM - kM* , t) r'ROTEX;T""L!oCATION~ St^STREET^ADDRESS"-" zip"""" "T"35~7.I88Ue"dATF r f* CHLORINATED METHANfS LA. HWY. 1 PLAQUEMINE - LA . ^ L-- ^ . '.y^' ~'r <J" 2) PROJECT PHONE )" ' coNTRACfOR 's 'NAME & MAILING ADDRESS - .ZtP*ViFmiECt V *& ` Vf - v - .-.7 PETRIN CORPORATION Li3ilSL.3 P.O. BOX 80239 BATON ROUGE - LA -- 70098 PROJECT COMPtJ^Tfc' SnHk L ->* * ` , ,mv;. roc "L PHONE (504) 389 6300 09/11/74 :is i 7U*'- * 'PL-NoV C 'NAME' AND NATL INC'ADDRESS ' Zip' L- .-`. j 1 .1 ,i'...E,USA !, A . D .1 V . LG LG> ... V.O . `1 Ai ' / i .A /0/65 11) ESTIMATED ACM QUANTITY "t , - AO F TO SQ FTO 'u FT M 12) DESIGNATED DISPOSAL ITE .fii; : >W ,!:! i 'I .ONE. . L>A4":S3 IBi? DOW CHEM - BLOCK 80 -#. r! MUD ' 1 iTy.D NANI' i^) signatiuurrver-atw f .O'Y f .. A.' I4 IA NT SR.. *f if A f{ s*` f ^ y yy:-;-y * y y yy yyyyyyyy yyyyyyyyyyy yy^yyyyyyyyyyyyyyyyyyyiM^**#*#*#*#****^ 'i" I- i'E'C>i^ OoJ d.0r-fcj-*>v C D.\_ 16) QUANTITY J17) DATE PROJECT l'7-i'.VI E T KANSPi JR'I E.P J vAo(Jvaf Art*, Shipped I COMPLETED 1 -.... :_________________________ ...................................^ 1 P 1 Hi ()' : A!. , ' '.!. i r" T7o^> C*LnM(.C** '0*'***- >0 U-^*Fx -A'i(a-oU'Me::vjni.c DATL SHIPPED .................. _....,,...>'.li.5>k______ ' j RRINTED/TYPED NAME SHIPPING CLASSIFICATION Asbestom, Class 9, NA2212,111 RQ - 1 lb (.454 K0> i*/i|ll' iVrl' "i y 4 4 y )|^yyy)(i y^y .ranspprter 77 - DATE RECEIVED ;;-> fe-l7*9t :> " !. 23V ATE Wtoiiap?/ _____ _______ *_____ __________________ ________ ____;: _ ;' Yfep./Y* LA ; "V-RINTED/TYPED NAME' " "|"25) SI ^ ' 3/5*X/f &>/ 5*>< ' 4 4 4 4y4yyyyy*y*yyyyyy*yyy*y*yyyy***y**y**y*y)Mcy*#)ffSFSr#)(!*4cxrt(t|:*i3it;.___, AND*- ILL___________ ____ _____________ *_______________ 'I,%& : ) UiJAMI I TY Fdr.CE J VED 27) DATE BURIED , L ) r,i';IN': \ L'/'T A T D I'iAMi" 29)~ilGNATURE~ CONFIDENTIAL p* yyyyyy < y y 4 y* y+ 4 y y+ yyyyyyy:yyyyyyyynt:yyyyyyn(!yyyy)(c*yy#yy*y*#i|#*y:)tc4#j|ci|t*)(:4#3(c44>Mt*4#4i|t* ,;H LAV Sp,-r':.A' r.ONDinONL OR COMMENTSs " '-tlV-' 00 0081.4! K'# GRFi-'* OWNER; YELLOW-LANDFILL ; PINK-TRANSPORTER; GOLD-UwNER N\T^***v'&. J i STATE OF ' '- ... '.^f^t.'^ky^ii^'-r. ;' _ ,-tV ., -Sw . &' '*,P? irt--- ' "_ .- --VC*. g jt~*Jr- 'jk 1 V' 'M- LOUISIANA ' .- :.- ,,..., ... ... _... .. *i 2 '"."S .^'"l ` '' "* ' ` /-- J'1' ' ` -**-* " - ` fVy^-7 DEPARTMENT OF ENVXRONM0rft|. ^ AIR QUALITY DIVISION P.Ci. Box 8?135 . \' B.1O0 Rou,.. /-.: ; ?r.tf , % PROJECT LOCATION, 8. . , v......'*&r*$st?Hi%^jrfC8<4W4 CHLORINATED NET)i a-. Hwr.- ,.M :'*.:-i&tel ^ y' - -* .. '*. . . & -'.-v 2) PRpJEQT pHONE (MT * ->........... fir %r* !&*v SSL"* ^S85S3MP*-5pi BATON ROUGE - LA - 708a7n8a **, ^ CON 1 RAf./( OR ' S PHONE (504 ) 387 6300 0*NEF:vS NAME AND i^ILING"ADDREi5"'-"ZIP' p,r,: mect ' ''-fc-ji igffi.V'''V ffci } 11) E8TMATED AON , ;>OW I:HEM.USA I.A. 1> IV . !'(1 HUY, IMG pi ATijr M1 Nl. WUC,THE ASBESTOS DATAgASE phohk DATE-IC/ i~8Ii^7" Poif>$&%._ l :> '. ONHs P _ 1 ) PRINTr.D/TYPLt- NAME I SUMAC F - A.1RMAKT , OR. ! 40 FTO ltfG^tTp 'v; ., /iCU,Fte ; -1:J--- **V* fc.\,. ?*T-W. j I?J--j^8IGNAfB75l8POiAi:"il ! 'Daw'''ta:.fe'*'*:'"'^,$p-p/. fVc-'8.-Vili J __ v*:' '. tfV?iT%. ; ^ "gjgfjJJyu^gjr - - - "* HWNI.R/OPERATOR pf>i 0^CAv 116) QUANTItY 'J i' WA'jrr n <ANO.i.',.O....R...'l.E...R.... f.e.l4, ,.. ^u^--J^l>J 1- TSNoIPPE^D r*f- y.r' -w' !I. : .-;TOtiW$UETE0 1 C,< DISPOSAL Si.Ti. Dc.^> Ck'^.ic*W -fti-ow. !>0 L, i u*"Mr:-l.'"-. V*"-**"-___________________ i .-',. DATE SHIPPED ..... J SHIPPING CL^SSIF^CATIpN'C " ^ mh<m^' ' ............ ' ..... .RQ * ST:ANSP0RTER PP> DATE RECEIVED ./i _ *&$ 4 i^4-4f****$*$******^*** -WDF tLL_i2.,,:yLL-Vv> IV, t ..HP QUANFITY _i_______ RECEIVED 3kfiL_lh_______ * i.'8j PRINT ED/TYPED NAME *"4 :!''. + --r 14< + p * * * *+**^# t.#A ^ SO > iiPCCIAL CONDITIONS OR < ^ DAI iLIliHilmliihUW^^ w'w 'iSII ' .*;* 2^^JQWAT`" -^eL4"T8 #.&>$ CONFIDENTIAL. DO 008142 ..*>!-: t J W; rt-; - n; rj > AREEN- HU^Eftp ;ILL L | PINK-TRAN3PQRTER|' STATE- OF LOUISIANA DEPARTMENT OF ENVIRONMENTAL QUALITY AIR QUALITY DIVISION P-O. Box 82135 Baton Rouge, Louisiana 70884-2135 ADVF NO. 79220 00 PRI SLOW FACILITY CODE 1280 85008 314 ASBESTOS DISPOSAL VERIFICATION FORM 1) PROJECT LOCATION & STREET ADDRESS - ZIP METHANES PLANT LA. HWY., P.O. BOX 150 PLAQUEMINE -- LA - 70765 2) PROJECT PHONE (504) 353 4572 5)......CONfRAcfOR 'S NAME ^. MAILING-ADDRESS ZIP PETRIN CORPORATION P.O. BOX 80239 BATON ROUGE - LA - 70898 6) CONTRACTOR'S PHONE (504) 389 6300 9 ) ~OWNER7s"NAME"""AND "inAI LINtr"ADDRESS"~-~zip 3) ISSUE DATE 02/26/97 ~4) EXPIRATIONDATE 05/26/97 ~7) PR6jECT~START_DATE 03/12/97 PR0JECT"c6MPLifi"DATi 03/19/97 11) EST1MATED~ACM^QUANTITY DOW CHEM.USA LA.DIV. PO BOX 150 PLAQUEMINE L.A 70765 80 FTO SQ FTO CU FT 12) designated~disposal"site 10) OWNER PHONE (504) 353 1817 DOW CHEM - BLOCK 80 13) PRINTED/TYPED NAME THOMAS F . A1RHART, SR. W ^ ^ ^ vj,' dp ^ O- O/ <i> Or iOr Of ijp Uf Oi idp \Jy df d df ^ Up d/ iL- Up O - ^ up tv jf. T1 * -T 'T't1* *T * 'T* * *rL T1 T- * T1 *' * * -T- t * " `T* *T` T1 * 'r* * * * 'F ^ ^ /f. .q. OWNER/OPERATOR 15) WASTE TRANSPORTER T7)" SIGNATURE* ......... vLra-lLp vh. ^ ^ \L ^ ^ *Ar Or df d< tL df dp Ov ib tb ^ d/dr ^ vL1 d<d ^ * -T T t t1 `t1 t t t t ^ t t T1 JTk t rp rp ^ fp ^ ^ ^ ^ ^ ^ ^ ^ ^ t a* .6) QUANTITY 17) DATE PROJECT SHIPPED COMPLETED 18) DISPOSAL SITE 19) DATE SHIPPED 20^ PRINTtB/TYPED' NAME SHIPPING CLASSIFICATION Asbestos, Class 9, NA2212.111 RQ = 1 lb (.454 Kg) 21T SI ONAT URE sb ^b id/ Jf \|p 'jb -d/ d J/ dp d lif "df Lb d dp Up d d< dp vb Lb d ^p vU d d At d \b \b Up d/ ib dp Lb^ -At d d d. tbdf ib tb d> dp dp df dpdp ^ df d. dp dp dp tb ib dp `bd'd*d*dd ^dp >b >b ^ b ^ * 'T* * *' * rfS- ^ ^ pF T> * ** t ^ ^ T1 * * t- ^ t t ^ ^ -T1 * * ^F ^ ^ qv ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^F ^^^ TRANSPORTER 22) DATE RECEIVED ?3) DATE DELIVERED ^ ^ 24 ) F'R I N'T ED/'T YPE'.D NAME TbT SIGNATURE vb dp dp dp 'dp vb dp ib b \bf dp dp vb vLp b \b vt# ^ -b vb \b -b -b Lb Up ^ ^ ^ ^ ^ Lb ^ Lb ib |p dp ^ ^ vLp <b %b \b Lb ^ Up ^ ^ Up ^ Lb ^ Up ib di ib Lb <b dp tb Lb d/ ^ ib ^ dp ^ dp ^ dp tb Up Lb ^ ^ ^ ^ U> b T* 4* T * ^ * *' T T* qL t T ^|V )F t T ^ ^ qL ^ ^ ^ qL ^ 4L ^ ^ ^ ^ ^ ^ ^ *qL ^ ^ ^ ^ ^ ^ ^ ^ ^ iqL T ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^^^^^^^^^ LANDFILL_______ 26) QUANTITY RECEIVED 27) DATE BURIED 28) PRINTED/7YPED NAME 297"SIGNATURE confidential d' ^ Hb d/ b sb ^b ^ ^ ^ Lb %b U" ib ^ dp ^ ^ dp ^ Lb Lb b ^ ^ ^ Lb *b Sb Sb ^ ^ ^ ^ Lb dp ^ ^ ^ Up ^ ^ vb ^ Lb d# dp Lb Lb ^ dp ^ ^ ^ ^ ^ ^ ^ dp Lb ^ ^ dp^ ^ dp ^ * q1 q* q F q* q1 q q q q p^^ q q- q q q q q ^^l ^ qv ^ q ^ q q q q q q q q ^ ^ ^ ^ ^ ^ ^ ^ qv q q q qq q q q q q q q q q q q q q qq qq q qq p^ qq.p. q qqq qq 30) SPECIAL CONDITIONS OR COMMENTS: 00 OO8I43 COPIES:: WHI7 F -DEQ; GREEN-OWNER; YELLOW-LANDFILL ; PINK-TRANSPORTER; GOLD-OWNER