Document jBXVQqRQg9ojZJ8BkymRzog1R
Inspection Entry Date/Time Inspection Exit Date/Time
Regulatory Program Type of Inspection
EPA REGION 6 Enforcement Division INSPECTION REPORT
05/10/2024 08:45 AM (CT) 05/10/2024 10:00 AM (CT) RCRA Focused Compliance Inspection (FCI)
Announced: No Access: Granted
Facility or Site Name Facility/Site Identifier Facility/Site Physical Address City, State, Zip Code County/Borough Generator Status NAICS Type of Operation
Geographic Coordinates
CIMA Services LP TXR000081245 3334 Strawberry Rd Pasadena, TX 77504 Harris None 237120, 481112 CIMA Services LP is an end-to-end transporter and transfer facility for various types of waste. 29.660403, -95.192998
Additional Persons Participating in Inspection:
Name
Title
Organization
Dedriel Gardner
Inspector
EPA REGION 6
John Penland
Inspector
EPA REGION 6
Anshul Paripati
Contractor
Eastern Research Group (ERG)
Email Gardner.Dedriel@epa.gov Penland.John@epa.gov Anshul.Paripati@erg.com
Phone (281) 983-2133 (214) 665-9717 (571) 535-1503
Lead Inspector: Cameron Tanaka
Cameron Tanaka Date: 2024.07.25 23:15:20 -04'00' Digitally signed by Cameron Tanaka 07/25/2024
ERG
Cameron.Tanaka@erg.com
(703) 633-1632
ext. 11632
Page 1 of 6
CIMA Services LP
Inspection Date(s): 05/10/2024
SECTION I - INTRODUCTION Site Entry and Purpose of the Inspection Type of inspection: Focused Compliance Inspection (FCI)
The Port of Houston and surrounding facilities were selected for inspection based on an Environmental Justice and Regional initiative to evaluate facilities at ports receiving or transporting Resource Conservation and Recovery Act (RCRA)-regulated hazardous wastes, and/or have an International Convention for the Prevention of Pollution from Ships (MARPOL) Annex V Certificate of Adequacy (COA) issued by the U.S. Coast Guard (USCG).
This report is based on information supplied by the facility representatives, inspector observations, port related facilities, and records including photographs taken (see Appendix 1), verbal or written statements made during or after the on-site inspection, and/or materials shown, demonstrated, or submitted to the EPA during or after the on-site inspection. In addition, information gathered prior to or after the inspection from a review of EPA, State, and public records may be included in this report.
Attendees
Title/Organization Lead Inspector/ Contractor/ERG RCRA Inspector/ Contractor/ERG Inspector/Enforcement Officer/EPA Region 6
Name
Phone
Email
Opening Closing Conf. Conf.
Cameron Tanaka (703) 633-1632 Cameron.Tanaka@erg.com N/A
N/A
ext. 11632
Anshul Paripati (571) 535-1503 Anshul.Paripati@erg.com N/A
N/A
John Penland (214) 665-9717 Penland.John@epa.gov N/A
N/A
Page 2 of 6
CIMA Services LP
Inspection Date(s): 05/10/2024
Facility General Description
Tenant/Area CIMA Services LP
Inspection Date
05/10/24
Process Description CIMA Services LP (CIMA) is a transport company that operates as a transporter and transfer facility at this location. They have an administrative office, a laydown area for storing equipment, and mechanic shops on this site. They occasionally will store hazardous waste drums on site as a transfer facility for no longer than 10-days. In general, however, they do not bring any material back to this facility. CIMA does not have a MARPOL COA.
Area of Concern
Yes
Page 3 of 6
CIMA Services LP
Inspection Date(s): 05/10/2024
SECTION II - OBSERVATIONS
Tenant: CIMA Services LP
Section: 2.1
Date: 05/10/24, 8:45 AM Contains AOC: Yes Contains CBI: No
Lead Inspector: Cameron Tanaka
Attendees: Shane McCauley (Safety/Training) and Melissa Schepsnaide (Environmental)
CIMA is located in Pasadena near the Vince Bayou River and operates as a transporter for hire. The company serves as an end-to-end transporter and uses tankers for transport (EPA ID TXR000081245). This location is split into two sections: an administrative office, and the laydown area to store tankers, forklifts, dirty equipment, and any drums received as part of deliveries. After completion of deliveries, tankers will proceed to third parties for washouts and servicing. Mr. McCauley stated that the facility does not generate hazardous waste but does occasionally generate used oil and paint waste. When the inspection team inquired about reception of hazardous waste drums, Ms. Schepsnaide stated that the drums typically stay on-site for roughly two days. CIMA does not have a MARPOL COA. The inspection team then performed a visual inspection of the facility. Observations and Areas of Concern (AOCs) are discussed below along with facility responses where relevant.
During the inspection, the inspection team observed CIMA's laydown area. The facility did not have either used oil or any hazardous waste drums onsite at the time of the inspection. However, CIMA did have paint waste. While inspecting the paint waste area, the inspection team observed three non-empty 55-gallon drums that were improperly labeled, and one of the three drums did not have a lid (see Appendix 1 - Photos 1, 2, and 3) [AOC #1 - CIMA did not clearly label containers used to store waste paint with the words "Universal Waste: Paint and Paint Related Waste" - 30 TAC 335.262(c)(2)(F); AOC #2 - CIMA was storing waste paint in open containers - 30 TAC 335.262(c)(2)(A)]. In her first follow-up email (see Appendix 2), Ms. Schexsnaider included photographs of the paint waste storage area, depicting that all the containers were labeled and sealed properly (see Appendix 4).
The inspection team did not observe other AOCs at the time of the inspection. A closing conference was conducted at approximately 9:45 AM with Mr. McCauley and Ms. Schepsnaide. The AOCs were communicated during the closing. During the closing conference, the inspection team requested documents from CIMA, which Ms. Schepsnaide provided as attachments to her two follow-up emails from May 17, 2024 (see Appendix 2 and Appendix 3). The requested documents and their associated appendices are listed as follows:
CIMA's spill response plan (see Appendix 5 and Appendix 6); Documentation of CIMA's most recent spill response (see Appendix 7); CIMA's hazardous waste manifests for April 2024 (see Appendix 8); CIMA's most recent transfer manifests (see Appendix 9).
The ERG inspection team noted no issues with the documentation provided.
Page 4 of 6
CIMA Services LP
Inspection Date(s): 05/10/2024
SECTION III - RECORDS REVIEW
No RCRA regulated records were reviewed during this focused onsite inspection.
SECTION IV - APPARENT AREAS OF CONCERN
The presentation of Area(s) of Concern does not constitute a formal compliance determination or violation. Tenant: CIMA Services LP
AOC #1 - CIMA did not clearly label containers used to Citation: 30 TAC 335.262(c)(2)(F) store waste paint with the words "Universal Waste: Paint and Paint Related Waste."
Section: 2.1
AOC #2 - CIMA was storing waste paint in open containers.
Citation: 30 TAC 335.262(c)(2)(A) Section: 2.1
SECTION V - FOLLOW UP
Follow-Up
Any facility follow-up items are as discussed in each facility's observations in Section II. Documents or files provided by the facilities were transmitted via email and included responses to AOCs or provision of documents requested.
Communication Log
During and after the inspection, additional information was emailed to EPA including: 1. 05/17/24 CIMA email #1 - Melissa Schexsnaider sent spill response documents and photographs of corrective actions implemented at the facility. 2. 05/17/24 CIMA email #2 - Melissa Schexsnaider sent CIMA's most recent transfer manifests and copies of their RCRA hazardous waste manifests for April 2024.
Page 5 of 6
CIMA Services LP
SECTION VI - LIST OF APPENDICES Appendix 1. Photograph Log Appendix 2. Follow-Up Email #1 from CIMA Appendix 3. Follow-Up Email #2 from CIMA Appendix 4. Follow-Up Photographs from CIMA Appendix 5. CIMA Spill Prevention & Response Program Appendix 6. CIMA Transportation Emergency Response Plan Appendix 7. CIMA Incident Report - Spill at Laydown Yard Appendix 8. CIMA RCRA Hazardous Waste Manifests for April 2024 Appendix 9. CIMA Most Recent Transfer Manifests
Inspection Date(s): 05/10/2024
Page 6 of 6
APPENDIX 1. PHOTOGRAPH LOG
UNITED STATES ENVIRONMENTAL PROTECTION AGENCY
Photograph Log
Location: CIMA Services City: Pasadena
Photo No. 1 County/Parish: Harris
State: Texas
Photo Name: DSC04195 Date of Photo: 05.10.2024 Time of Photo: 9:37 hrs Photographer: Anshul Paripati Description: Overview of paint waste area in CIMA's laydown area.
UNITED STATES ENVIRONMENTAL PROTECTION AGENCY
Photograph Log
Location: CIMA Services City: Pasadena
Photo No. 2 County/Parish: Harris
State: Texas
Photo Name: DSC04196 Date of Photo: 05.10.2024 Time of Photo: 9:37 hrs Photographer: Anshul Paripati Description: Close-up of a paint drum that was previously open before the picture was taken and did not have a label in CIMA's paint waste area.
UNITED STATES ENVIRONMENTAL PROTECTION AGENCY
Photograph Log
Location: CIMA Services City: Pasadena
Photo No. 3 County/Parish: Harris
State: Texas
Photo Name: DSC04197 Date of Photo: 05.10.2024 Time of Photo: 9:37 hrs Photographer: Anshul Paripati Description: Close-up of two more drums in CIMA's paint waste area without proper labeling.
APPENDIX 2. FOLLOW-UP EMAIL #1 FROM CIMA
Appendix 2 Page 1 of 2
Appendix 2 Page 2 of 2
APPENDIX 3. FOLLOW-UP EMAIL #2 FROM CIMA
Appendix 3 Page 1 of 2
Appendix 3 Page 2 of 2
APPENDIX 4. FOLLOW-UP PHOTOGRAPHS FROM CIMA
Appendix 4 Page 1 of 2
Appendix 4 Page 2 of 2
APPENDIX 5. CIMA SPILL PREVENTION & RESPONSE PROGRAM
Cima Services, LP Safety Management System
Spill Prevention & Response Program
Owner: Dion Schoening
Approver: Matt Taylor
Issuing Dept: Safety
Doc No: Initial Issue Date
Revision Date: Revision No.
Next Review Date: Page:
CSM-036 05/11/2011 08/30/2023 2 08/30/2026 Page 1 of 5
Purpose
The purpose of this program is to inform interested people, including personnel that Cima Services, LP. is complying with requirements for preparing and maintaining a Spill Prevention plan by providing a written plan that describes the equipment, manpower, procedures, and adequate countermeasures for preventing and controlling spills.
Scope
This program applies to all work operations at all sites where personnel may be exposed to potential spill situations under normal working conditions or during an emergency.
Responsibilities
Supervisors shall inform all applicable personnel of the equipment, manpower, procedures, and steps to prevent and control a spill. Supervisors shall also encourage any suggestions that Cima Services, LP personnel have for improving the Spill Prevention program, to strive for clear understanding, safe behavior, and involvement in the program from every level of the company. Cima Services, LP. is committed to developing and maintaining an effective and comprehensive program.
Cima Services, LP. shall implement proper planning and preventative measures to minimize the likelihood of spills, and to clean up spills quickly and successfully should they occur. Good housekeeping practices shall be followed with clean and organized storage labeling and secondary containment.
Authorized Personnel are personnel who are designated to handle fuel, lubricants, or other regulated substances and ensure cleanup is accomplished in accordance with applicable agency regulations and requirements. Applicable personnel shall be briefed on procedures to respond to a spill during training.
Copyright 2017 Cima Services, LP All rights reserved. Appendix 5 Page 1 of 5
Cima Services, LP Safety Management System
Spill Prevention & Response Program
Owner: Dion Schoening
Approver: Matt Taylor
Issuing Dept: Safety
Doc No: Initial Issue Date
Revision Date: Revision No.
Next Review Date: Page:
CSM-036 05/11/2011 08/30/2023 2 08/30/2026 Page 2 of 5
Spill Kit Equipment
Cima Services, LP. must maintain spill kits containing sufficient quantities of absorbents and barrier materials to adequately contain and recover foreseeable spills. Spill kits should include, but are not limited to the following:
Absorbent pads, Straw bales, Absorbent clay, Sawdust, Floor-drying agents, Spill containment barriers, Plastic sheeting, Skimmer pumps, Holding tanks, Goggle, Gloves.
Equipment shall be located near fuel storage areas and other locations as necessary to be readily available to control foreseeable spills.
Designated personnel shall perform inspections and test equipment to ensure that it is in good repair. Designated personnel shall regularly inspect hoses, pipes, valves, and tanks to ensure equipment is free of leaks. Any equipment that is leaking or in need of repair shall be immediately removed from service and repaired, prior to resuming work.
All construction equipment (i.e., forklift, MEWP, earth moving equipment, etc.) shall have a condensed spill kit attached or immediately available to the operator of said equipment. The spill kit should consist of at a minimum but not limited to the following:
Absorbent pads, Goggles, Gloves, Spill containment barriers.
Copyright 2017 Cima Services, LP All rights reserved. Appendix 5 Page 2 of 5
Cima Services, LP Safety Management System
Spill Prevention & Response Program
Owner: Dion Schoening
Approver: Matt Taylor
Issuing Dept: Safety
Doc No: Initial Issue Date
Revision Date: Revision No.
Next Review Date: Page:
CSM-036 05/11/2011 08/30/2023 2 08/30/2026 Page 3 of 5
Fuel Storage
Cima Services, LP. shall ensure the following proper fuel storage practices are followed: Proper signage at and adjacent to fuel storage areas to include "Fuel Storage Area- No Smoking within 50 ft." A minimum of a 20lbs. fire extinguishers must be located and readily available at all fuel storage locations. The extinguishers shall be located no less than 25 ft and no more than 75 ft from these locations. Tools and materials to stop the flow of leaking tanks and pipes shall be kept on site. Fuels, lubricants, waste oil, and any other regulated substance shall be stored in aboveground tanks only. Storage tanks and containers must conform to all applicable industry codes. A suitable secondary containment structure must be utilized at each fuel storage site. Secondary containment areas must not have drains. Precipitation may be drawn off as necessary.
Refueling
Fuels must be dispersed during daylight hours only. Fuel dispensing operations shall always be attended by Authorized Personnel. Personnel
must be stationed at both ends of the hose during fueling unless both ends are visible and are readily accessible by one person. Refueling shall take place in upland areas that are more than 100 feet from wetlands, streams, and water bodies (including drainage ditches), and water supply wells.
Initial Spill Management
Upon immediately recognition of any fuel, oil, hazardous material, or other regulated substance spill, or upon learning of conditions that shall lead to an imminent spill, personnel discovering the situation shall:
Initiate actions to contain the fluid that has spilled or is about to spill, and initiate action to eliminate the source of the spill to the maximum extent that is safely possible.
Notify the crew supervisor and provide the following information: Location and cause of the spill,
Copyright 2017 Cima Services, LP All rights reserved.
Appendix 5 Page 3 of 5
Cima Services, LP Safety Management System
Spill Prevention & Response Program
Owner: Dion Schoening
Approver: Matt Taylor
Issuing Dept: Safety
Doc No: Initial Issue Date
Revision Date: Revision No.
Next Review Date: Page:
CSM-036 05/11/2011 08/30/2023 2 08/30/2026 Page 4 of 5
Type of substance that spilled, Whether the spill has reached or is likely to reach any surface water.
Upon recognition of a spill or a potential spill, the supervisor or Authorized Personnel shall: Assess the situation and determine the need for further action, Direct subsequent activities and further assign responsibilities to other personnel, Notify management and if needed applicable authorities for assistance.
Cima Services, LP. shall report spills to the appropriate federal, state, and local agencies as soon as possible. Additionally, Cima Services, LP. is responsible for ensuring that all cleanup activities required by a jurisdictional agency are satisfactorily met and in compliance.
Copyright 2017 Cima Services, LP All rights reserved. Appendix 5 Page 4 of 5
Cima Services, LP Safety Management System
Spill Prevention & Response Program
Owner: Dion Schoening
Approver: Matt Taylor
Issuing Dept: Safety
Doc No: Initial Issue Date
Revision Date: Revision No.
Next Review Date: Page:
CSM-036 05/11/2011 08/30/2023 2 08/30/2026 Page 5 of 5
Review Date 08/30/2023
Change Log
Rev Number
Reviewed By
2
Adalberto Villarreal
Owner Approved Dion Schoening
Copyright 2017 Cima Services, LP All rights reserved. Appendix 5 Page 5 of 5
APPENDIX 6. CIMA TRANSPORTATION EMERGENCY RESPONSE PLAN
CIMA SERVICES, L.P.
TRANSPORTATION EMERGENCY RESPONSE PLAN
AND
PROCEDURE MANUAL
Appendix 6 Page 1 of 22
CIMA SERVICES, L.P. TRANSPORTATION EMERGENCY RESPONSE PLAN
1.0 2.0 3.0 4.0 5.0 6.0 7.0 8.0 9.0 10.0 11.0 12.0 13.0 -
Appendix -
Table of Contents
Purpose Scope Personnel Training and Certifications Documentation/Forms Spill Prevention Procedures Loading / Unloading Emergency Response Procedures Clean Up Activities Management Responsibilities Reporting Requirements Failure to Report a Spill Emergency Phone Numbers and Response Contractors
Emergency Notification Report Emergency Response Coordinator Notification List Emergency Response Companies State Notification List
2
Appendix 6 Page 2 of 22
1.0 PURPOSE
CIMA Services, L.P. is an acknowledged leader in waste transportation. As a leader in our field we have developed a Spill Prevention and Contingency Plan to respond to any transportation emergency should one occur.
This plan is designed to facilitate a quick and effective response to a transportation emergency involving a hazardous material or hazardous waste. In addition, this plan satisfies the basic response plan requirements of 49 CFR Part 130 by establishing incident mitigation procedures for an emergency involving a petroleum oil transported in bulk packaging.
2.0 SCOPE
The CIMA Services Transportation Emergency Response Plan provides a mechanism for effectively responding to a transportation incident throughout the continental United States. The plan encompasses the entire chain of events surrounding an incident, beginning with initial notification and preliminary containment operations and progressing through clean up activities and remedial actions.
A copy of this plan must be maintained at our principles place of business and at each location where dispatching of motor vehicles occurs. It must also be kept in the cab of each motor vehicle transporting a hazardous material, hazardous waste, or petroleum oil.
3.0 EMERGENCY RESPONSE PERSONNEL
3.1 Driver - the operator of the motor vehicle involved in the emergency.
3.2 First Responder (awareness level) - witnesses or discovers a release of a hazardous material and who is trained to notify the proper authorities.
3.3 First responder (operation level) - responds to releases of hazardous materials in a defensive manner without trying to stop the release.
3.4 Hazmat Technician - responds aggressively to stop the release of hazardous materials.
3
Appendix 6 Page 3 of 22
3.5 Hazmat Specialist - responds with and in support of hazmat technicians, but who have specific knowledge of various hazardous materials.
3.6 Incident Commander - assumes control of the incident scene beyond the first responder awareness level.
3.7 Emergency Response Coordinator - the Company employee contacted from the Emergency Response Coordinator Notification List who must determine the level of response needed and employ the resources necessary to effectively mitigate the transportation emergency.
4.0 TRAINING AND CERTIFICATIONS
All Company emergency response personnel must, as a minimum, have the following:
4.1 Completion of 24 or 40-hour training in accordance with 29 CFR 1910.120(e) or (p).
4.2 Current certifications of medical qualification. 4.3 Current certification of fit test for respirators used. 4.4 Current annual 8-hour refresher training.
Training requirements for the following personnel are tiered. This means the training requirements are cumulative for each successive level. The descriptions below merely summarize the required specialized training. For determining actual training requirements content, refer to 29 CFR 1910.120(q)(6).
4.5 First Responder - Awareness Level
Training is targeted at teaching personnel to recognize the human hazards present during these emergencies and how to protect themselves against such hazards. The required training also includes how to accurately and fully report the necessary information to the proper agencies so that subsequent emergency responders are fully informed.
4.6 First Responder - Operations Level
In addition to all of the above training, personnel must be training to prepare them to respond to a release in a defensive manner from a safe distance without actually trying to stop the release. This includes training in containment methods such as diking, ditching,
4
Appendix 6 Page 4 of 22
and use of absorbent material or drip pans; activities that do not require chemical protective clothing.
4.7 Hazmat Technician
In addition to all of the above training, personnel must be trained to assume a more aggressive role than above in that they will approach the point of release in order to plug, patch or otherwise stop the release. They must also receive training to be able to classify, identify and verify known and unknown materials by using field survey instruments and equipment. They must also be training to select and use proper specialized personal protective equipment (PPE). Training also would include methods to perform advanced control, containment and/or confinement operations within the capabilities of the resources and PPE available.
4.8 Hazmat Specialist
In addition to all of the above training, personnel are trained to serve as the most senior and knowledgeable member of the hazmat team. They must receive training which will provide the necessary skills and knowledge to include (1) how to implement the emergency response plan developed under SARA Title III, (2) how to develop a site safety and control plan, (3) how to properly use and calibrate field instrumentation (such as multiple organic vapor analyzers and photoionization detectors), and (4) an understanding of the emergency response portions of the state response plan.
4.9 Incident Commander
The commander level requires at least 24 hours of training at the first-responded operations level, with additional training and experience in how to manage emergency incidents. At a minimum, the additional training is to include (1) implementation of a Company emergency response plan, (2) the hazards and risks faced by responders working in PPE, and (3) how to implement local emergency response plans.
5.0 DOCUMENTATION/FORMS
5.1 DOT Form F 5800.1 - Hazardous Materials Incident Report; to be filed with DOT within 30 days of a hazardous materials incident as defined in 49 CFR 171.16(a), with a copy to the Regional Transportation Compliance Manager.
5
Appendix 6 Page 5 of 22
5.2 Incident Notification Report - for internal use and preparation of DOT Forms; copy to the Compliance Manager.
5.3 State / Local Notification Reports - To be completed as required in accordance with state/local reporting requirements; copy to the Compliance Manager.
6.0 SPILL PREVENTION PROCEDURES
6.1 Prevention if the first priority. Avoid spills by following safe handling procedures and developing safe work habits.
6.2 The dispatcher will get as much information as possible from the customer to be able to select the proper equipment, procedures, and routing for the safe completion of the task.
6.3 Check your equipment to insure that it is in a safe condition. Do not operate unsafe equipment.
6.4 Drive defensively.
6.5 It is the drivers responsibility to ensure the vehicle he/she operates is properly equipped to reasonably handle emergencies.
6.6 Before leaving on a trip, the driver will:
Read and understand all instructions and directions required
for the safe performance of the task.
Check his equipment to insure safe operations.
Make certain he has all required personal protective
equipment and that it is serviceable.
6.7 In transit the driver will:
Obey all Federal, State and local laws.
Follow designated routes.
Maintain a professional attitude.
Check vehicle frequently for leaks or unsafe conditions.
Keep ignition sources at least 25 feet from flammable
materials.
Attempt to keep any spilled materials from going into sewers,
drains, or water ways.
6
Appendix 6 Page 6 of 22
7.0 LOADING / UNLOADING
7.1 When unloading material the driver will:
Supervise the loading of his vehicle.
Make sure all binders are tightly secured.
Check the integrity of containers.
Check for proper markings and labels.
Check and verify manifests for quantity.
Install proper placards as indicates on the manifest.
Secure the load properly for safe transportation to
destination.
7.2 When unloading the driver will:
Wear necessary personal protective equipment.
Be in attendance at all times.
Insure that entire contents have been unloaded.
Make certain that all hazardous material has been washed
out of the container and off the ledges of the truck bed.
Get necessary paperwork signed and retain the transporter
copy.
Contact the dispatcher upon completion of unloading
process.
8.0 EMERGENCY RESPONSE PROCEDURES
The primary components of an effective emergency response are:
Treatment of any injured persons.
Protection of the health and safety of those in the immediate
area.
Control the scene by keeping unnecessary people away.
Contain any spilled material.
Collect and package any spilled material.
Transport waste material to an approved disposal facility.
Decontaminate equipment and area.
8.1 Driver Responsibilities
In most cases, the driver of the vehicle is the first person aware of a transportation emergency involving the release of a hazardous material, such as a spill or fire. The time period immediately following the discovery of a hazardous material release is the most critical and will likely determine the overall success of the ensuing
7
Appendix 6 Page 7 of 22
response effort. Therefore, it is vital that the driver possesses a thorough knowledge of the contents of this plan and has been fully trained in the handling of hazardous materials in accordance with 49 CFR Part 172, Subpart H, including first responder techniques.
Upon discovery of a release of a hazardous material, including a hazardous waste or petroleum oil, a driver must:
8.1.1 Secure the area. Park the unit away from homes, traffic, waterways, or businesses. Keep unauthorized personnel out of the area, using barrier tape if possible.
8.1.2
Stay near the vehicle unless he feels directly threatened, or he is ordered to move away by authorities already on the scene. Do not disconnect the trailer unless ordered to do so by the proper authorities or, if by doing so, it will protect the cargo. Remain upwind from the incident scene at all times.
8.1.3 Set out reflectors or triangles.
8.1.4
Protect the manifest and related paperwork. If asked to relinquish, do so only to the proper authorities (see 8.1.7). If forced to abandon the immediate scene, leave the paperwork with the responding authorities. If this is not possible, keep the shipping documents with you, but be prepared to produce them when response authorities arrive.
8.1.5
If the severity of the incident warrants notification, contact the local police and fire department via the citizens band radio. If unable to contact either, ask a passerby to notify the agencies.
8.1.6
The driver should then contact their immediate supervisor or, if unavailable, the Emergency Response Coordinator (see 8.3) located closest to the incident scene, and provide the following information:
The telephone number to establish communications
with the scene.
Location of incident.
Type of incident (leaking drum, overturned tanker,
etc.).
Quantity of material spilled.
Proper shipping name, hazard class, identification
number, and packing group of hazardous material.
8
Appendix 6 Page 8 of 22
Include additional description information and RQ
designations if they apply.
Profile number.
Shipper/generator name, location, and phone
number.
Description of geographic area, including distance to
any streams, rivers, or lakes.
Nature and extent of any injuries or property damage.
Name of government agencies on the scene.
Weather conditions.
An estimate of what level of response will be needed.
If the driver is unable to leave the incident scene to contact their supervisor, they should wait until relieved by the proper authorities and then make the call.
8.1.7
Upon arrival of a representative from the police or fire department, the driver should brief the responding authority regarding the nature of the incident, any actions taken to mitigate it, and allow them to inspect the shipping documents.
8.1.8
Depending on the type and quantity of hazardous materials involved, defensive containment procedures may be implemented by drivers who are trained as first responders (operations level). Defensive containment procedures include the placement of polyethylene, clay absorbent, and absorbent boons around storm drains and access paths to waterways, as well as diking the area surrounding the spill to restrict its mobility.
A driver must not attempt to directly halt the spill or enter a trailer to search for a leaking drum by himself; to do so may result in personal injury or death. Until additional emergency response personnel arrive at the site, only defensive actions as described above should be performed.
8.1.9 Emergency equipment to be kept on board a vehicle transporting a hazardous material, hazardous waste, or petroleum oil must, at a minimum, include (if applicable):
Citizens band radio or mobile phone
Skin and eye neutralization solution
Three emergency reflective triangles or emergency
reflectors
9
Appendix 6 Page 9 of 22
Polyethylene coated tyvek suits
Safety glasses and eye goggles
First aid kit
Hard hat
Fire extinguisher
Rubber and leather gloves
Rubber boots or boot covers
Barrier tape
Spill kit, containing (if applicable):
Box/Flatbed Trailer Kit
Cargo Tank Kit
Salvage drum Bag absorbent Polyethylene Shovel Broom Absorbent pads
Plastic drum Bag absorbent Polyethylene Shovel Broom Absorbent pads Rubber hammer Discharge cap
W / gaskets Spare rupture disc
Due to physical constraints, units designated to transport roll off boxes are excepted from carrying spill kits.
8.1.10
It is the driver's responsibility to ensure the equipment listed in 8.1.9 is present and in proper condition for use. Any reusable equipment which has been contaminated through contact with a hazardous material must be decontaminated in accordance with current health and safety procedures.
8.1.11 The driver should maintain communications with their supervisor on an hourly basis unless otherwise instructed.
8.1.12
The driver should only communicate with properly identified authorities and offer no comment to media representatives.
8.1.13 The driver must remain on the scene until relieved by a company employee.
10
Appendix 6 Page 10 of 22
8.2 Initial Notification
Company dispatchers, operations managers, or other management personnel who are contacted by a company driver or representative from a law enforcement, fire, or regulatory agency informing them of a transportation emergency should obtain the information listed in Section 8.1.6. In order to facilitate the recording of this information, an emergency Notification Report Form has been developed and is located in the Appendix.
After recording the details of the transportation emergency, the Emergency Response Coordinator located closest to the incident should be contacted as soon as practicable and all relevant information provided to them.
8.3 Emergency Response Coordinator
The Emergency Response Coordinator is responsible for coordinating the response to a transportation emergency, obtaining all pertinent information regarding the nature of the event, and ensuring that all required notifications are completed.
The list of company Emergency response Coordinators and their corresponding telephone numbers is located in the Appendix.
The initial call to the Emergency Response Coordinator may originate from a variety of sources, including the driver, the driver's immediate supervisor, a representative of a law enforcement agency or fire department, a regulatory official or CHEMTREC.
8.3.1
At some point during or immediately following the initial call, the Emergency Response Coordinator should determine if the Emergency Notification Report Form (Appendix) has been completed. If it has, the report should be faxed or otherwise relayed to the Emergency Response Coordinator. If not, the Emergency Response Coordinator should obtain the information required to complete the report.
8.3.2
The Emergency Response Coordinator should them attempt to communicate with the driver or a response official at the incident site to verify the initial information and obtain a current report of the situation to determine if circumstances have changed.
11
Appendix 6 Page 11 of 22
8.3.3 Depending on the nature and extent of the spill or incident, the Emergency Response Coordinator may contact additional Company personnel from the following list:
General Manager Health and Safety Manager Environmental manager Transportation Manager (if not already apprised)
8.3.4
With the assistance of the company personnel listed in 8.3.3 and based on the information provided by the driver, the Emergency Response Coordinator will determine the type and level of response required to address the incident.
8.3.5
The Emergency Response Coordinator is responsible for contacting one or more of the emergency response companies listed in the Appendix and dispatching them to the incident site. If it is apparent from the initial call that a major incident has occurred, the Emergency Response Coordinator should activate one of these response companies before making the additional notifications in 8.3.3.
8.3.6
After the response company has arrived at the incident site, the Emergency Response Coordinator is responsible for maintaining communications with the supervisor of the response company or incident commander to monitor and coordinate the spill response efforts.
8.3.7
In addition to an outside response company, the Emergency Response Coordinator is responsible for ensuring that, whenever necessary and practicable, additional Company personnel are dispatched to the incident site to provide support and to direct the activities of the responders. Upon arrival, these on-scene personnel are responsible for keeping the Emergency Response Coordinator informed of the status of the current situation.
8.3.8
A written emergency response and control plan may be required for each response. The plan must include the scope of work, the chemical and physical hazards and the control measures for these hazards. The Emergency Response Coordinator is responsible for assuring proper development and implementation of this plan.
12
Appendix 6 Page 12 of 22
8.4 Incident Mitigation Techniques
The following incident mitigiation techniques are designed to halt the release of a hazardous material and, by doing so, reduce or eliminate any harmful effects to the environment. These techniques are not intended for use by the driver unless additional support personnel have arrived at the site. All personnel employing these response techniques must be trained in accordance with 29 CFR 1910.120 and 49 CFR Part 172, Subpart H. In addition. They must have donned appropriate personal protective equipment, performed any air monitoring required and, for company personnel, received confined space entry permits, if applicable.
8.4.1 Leaking Drums
Discovery of a leaking drum in transit is usually accomplished by the driver during routine inspections of the vehicle and its load. Often, the released material will be pooled at the rear of the trailer or may be leaking through a seam in the trailer's floorboards.
After discovery of a leak, the driver should institute the defensive response and notification procedures outlines in Section 8.1. Once the appropriate personnel have been notified and additional help has arrived, the following proactive measures should be implemented:
Locate the leaking drum. Pooling of material at the
rear of a trailer does not necessarily indicate that the
problem drum is located nearby. The released
material may have traveled a substantial distance
from the leaking drum to the point where it is first
discovered.
Once the leaking drum has been located, it should be
isolated from its neighboring packages. Enough free
space should be created to allow full inspection of the
drum and provide sufficient work area. Often, this
required an additional vehicle into which unaffected
packaging can be transferred.
If the leak is discovered at the top of the drum, this
can usually be corrected by either tightening the
bung, tightening the ring attachment bolt, or replacing
the lid gasket.
13
Appendix 6 Page 13 of 22
If a hole is discovered at the bottom or side of the
drum, the drum should be laid on its side and rolled
until the leak is located at the top. A patch consisting
of a wooden or threaded plastic plug can be inserted
into the hole and, if necessary, held in place with duct
tape.
Once the leak has been repaired, return the drum to
the vertical position and with the use of a forklift,
winching device or equivalent method, place the
damaged drum inside a steel or plastic salvage drum
authorized for this purpose by 49 CFR Section
173.3(c).
Spilled material should be absorbed with a clay
absorbent and placed in the salvage drum around the
damaged drum to provide additional cushioning and
absorbent capability. The salvage drum can then be
sealed.
8.4.2 Cargo Tank Releases
Due to the significant volumes involved, the increased threat to human health, and the greater potential for environmental damage, releases from cargo tanks must be dealt with in a quick and effective manner.
After initial discovery of a leak, the driver should park the vehicle in a secure location, notify the proper authorities, and depending on the extent of the release, begin defensive response techniques as described in 8.1.8.
Tank leaks can occur in wither the tank shell, manhole closures or the pipe/valve system. For instance, a slight leak at a valve can sometimes be controlled by fully closing the valve or tightening a screw-on cap. A leak in a discharge or intake line may be controlled by isolating the line and discontinuing the flow of material. If the leak is small, a wellplaced bucket may contain the released material.
If a vehicle accident results in a breech or tear in the cargo tank shell, more aggressive techniques will be required to limit the release. If the damage is slight, wooden plugs or golf tees can sometimes be used to plug the hole to reduce or stop the flow until a transfer can be completed. Often, a cargo tank on its side will be leaking from its dome.
14
Appendix 6 Page 14 of 22
In this case, tightening the dome clamps may halt the flow of material.
In more serious situations, the principle objective is to limit the flow and confine the material already released until a second tanker arrives and a transfer of the damaged tanker's contents can be accomplished.
8.4.3 Dump Trailers and Roll Offs
With dump trailers and roll off containers, the rear tailgate seal and the body floor are the areas most prone to leakage. While enroute, the agitation of the material may cause absorbed liquids to separate out and pool at the rear of the unit. If a liner is not used, or it has torn, and the tailgate is not securely fastened, leakage of this liquid may result.
In some instances, tightening the tailgate may alleviate the problem. If not, it may be necessary to move the material away from the rear door, open it to clean out any material preventing a good seal, and a silicone sealant applied before reclosing. An appropriate absorbent material can be added to absorb the free liquids.
If leakage continues, a transfer into a second container will become necessary. Before beginning the transfer, the second box should be lines and a substantial layer of absorbent material placed on top of the liner.
8.4.4 Petroleum Oil Releases
Releases involving petroleum oils and petroleum derivatives, such as solvents, must be managed in a safe and effective manner due to their flammability/explosion potential and the threat they may pose to the marine environment if the spill occurs near a waterway.
A release of a petroleum oil should be managed in accordance with the response and notification procedures outlines in this plan. Additional areas of concern include the following:
Keep all sources of ignition well away from the scene,
including vehicle exhausts, camera and radio
equipment, etc.
15
Appendix 6 Page 15 of 22
Employ grounding/bonding procedures while
conducting material transfers.
Take extra precautions to ensure the spill does not
reach a storm drain or access path to a waterway by
constructing dikes, berms, etc.
The maximum potential discharge for any vehicle is its maximum capacity. Should a catastrophic failure of a cargo tank occur which results in the discharge of all of its content to a waterway, it is critical the notifications described in 8.1.5 and 8.1.6 are completed as quickly as possible. The designated Emergency Coordinator must then mobilize a response team selected from those listed in the Appendix, which is equipped with containment booms, skimming equipment, pumps, etc. to effectively contain and collect the spill, thereby limiting the subsequent damage to the marine environment.
9.0 CLEAN UP ACTIVITIES
After the emergency situation is under control, site remediation becomes the primary objective. All spilled material and any soil or debris contaminated with the material should be removed and transported to an appropriate disposal facility. The company performing the site remediation will not necessarily be the same company that initially responded - it will depend on the Company's capabilities in this area.
The Emergency Response Coordinator or other designated person will determine if a need for testing exists to ensure the site has been effectively remediated. If so, samples will be taken in accordance with company guidelines and sent to an approved lab for analysis.
10.0 MANAGEMENT RESPONSIBILITIES
If appropriate, these positions and reporting procedures will be followed.
10.1 Transportation Manager or his employee upon notification of a spill will:
Assume responsibility of obtaining all pertinent information
from the driver or the person reporting the incident in order
to complete the Preliminary Incident Report.
Determine if the driver is handling the spill in a professional
manner.
16
Appendix 6 Page 16 of 22
Determine the need for an Emergency Response Team and
activate one when required.
Report the incident, if reportable, to the required agencies
with in the designated time frame.
Assist the driver and response personnel with any technical,
financial, and supervisory support to manage the spill in
accordance with the procedures contained in the Emergency
Response Guide.
Furnish pertinent technical information to the responding
agencies to minimize exposure and other hazards.
10.2 The On Scene Coordinator or Incident Commander will:
Determine the extent of remediation required to restore the
scene to an environmentally acceptable condition.
When there is doubt to the extent of contamination soil
samples will be gathered and sent to an approved
environmental testing laboratory for evaluation. The results
will determine the extent of remediation required to restore
the scene to its original condition.
The On Scene coordinator is in charge of the scene
operations.
10.3 The Operations Manager will:
Assume the duties of the Transportation Manager in his
absence.
Provide support in the overall operations to minimize injuries,
exposure, and environmental damage.
Keep the Transportation Manager informed of any injuries
and in the clean-up progress.
Assure that all injured personnel have medical attention.
Notify the customer that an incident has occurred and keep
him informed to the progress of the clean up.
Ensure that all appropriate agencies have been notified.
Ensure the restocking of all emergency response supplies
upon completion of the response.
10.4 The Dispatcher's Duties are:
Assume the duties of the Operations Manager in his
absence.
Mobilize personnel and equipment as needed in response to
contain the spill.
Coordinate the removal of all contaminated material.
17
Appendix 6 Page 17 of 22
Evaluate and utilize all resources available to assist in the
operation.
Act as liaison between Management and on scene
personnel.
11.0 REPORTING REQUIREMENTS
11.1 Federal Notifications
DOT
Per 49 CFR 171.15, each carrier who transports hazardous materials (including hazardous wastes) shall, at the earliest practicable moment, notify DOT by calling 800-424-8802 to report a transportation incident (including loading, unloading, and temporary storage) in which:
11.1.1 As a direct result of hazardous materials -
A person is killed; or A person receives injuries requiring his or her
hospitalization; or Estimated carrier or other property damage exceeds
$50,000; or An evacuation of the general public occurs lasting one
or more hours; or One or more major transportation arteries or facilities
are closed or shut down for one hour or more; or The operational flight pattern or routine of an aircraft is
altered; or
11.1.2 fire, breakage, spillage or suspected contamination occurs involving radioactive or etiologic agents.
Information to be supplied to DOT at the time of the notice shall include:
Name of reporter. Name and address of carrier represented by reporter. Phone number where reporter can be contacted. Date, time, and location of incident. The extent of injuries, if any. Classification, name and quantity of hazardous
materials involved.
18
Appendix 6 Page 18 of 22
Type of incident and nature of hazardous materials involved and whether a continuing danger to life exists at the scene.
In addition to the telephone notification, requirements in Section 171.12, DOT also requires written notification pursuant to Section 171,16 for any unintentional release of a hazardous material from its package during transportation. Such notice must be made on DOT form 5800.1 within 90 days of the incident.
Comprehensive Environmental Response, Compensation, and Liability Act (CERCLA)
If an incident occurs in which a hazardous substance (as defined in 40 CFR Part 302) is released to the environment in an amount equal to or greater than its reportable quantity, the National response Center must be contacted immediately at 800-424-8802.
Toxic Substance Control Act (TSCA)
All releases of PCB-containing material ( 50 ppm) in excess of 10 lbs must be reported to the EPA Regional Office, Pesticides and Toxic Substances Branch.
11.2 State Notifications
Individual reporting requirements vary from state to state. If uncertain as to whether a spill has exceeded a certain states reporting limit, consult with your site manager. State authority contact numbers are listed in the Appendix.
11.3 Local Notifications
Local notifications include the police and fire departments. There may also be an organized hazardous materials response team, though these are usually managed as a division of the fire department. In most localities, dialing 911 will connect the caller to the emergency dispatch center. If not available, dial the operator for assistance.
12.0 FAILURE TO REPORT A SPILL
Failure to report a spill will result in disciplinary action and possible
termination.
19
Appendix 6 Page 19 of 22
Failure to report a spill is a severe violation of Federal Regulations
that can result in stiff penalties, fines, and can result in arrest.
Under the current law, a driver failing to report a spill of hazardous
material can be imprisoned up to one year. Report all spills, no
matter how small, to your dispatcher or operations manager.
Management will decide of the spill meets the federal reporting
requirements.
20
Appendix 6 Page 20 of 22
13.0 EMERGENCY PHONE NUMBERS and RESPONSE CONTRACTORS
CIMA Services, L.P. Pasadena, Texas 713-946-5053
Corporate RSO ER Contact - Matthew W. Taylor Cell Phone 832-557-5849
Non-Radiological ER Primary Contact - Ray Thomas Cell Phone 832-508-4991
Non-Radiological ER Second Contact - Juan Amezquita Cell Phone (832) 858-2881
For Secondary Response OMI Deer Park, Texas 800-645-6671
ChemTrec - USA, Canada 800-424-9300
TCEQ - Emergency Spill Reporting 800-832-8224
EPA - Region 6 Dallas Main - 214-665-6444
National Response Center 800-424-8802
USDOT-FMCSA 800-832-5660
21
Appendix 6 Page 21 of 22
22
Appendix 6 Page 22 of 22
APPENDIX 7. CIMA INCIDENT REPORT - SPILL AT LAYDOWN YARD
Appendix 7 Page 1 of 2
Appendix 7 Page 2 of 2
APPENDIX 8. CIMA RCRA HAZARDOUS WASTE MANIFESTS FOR APRIL 2024
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6. Transporter 1Company Name
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I Baytown, TX 77521
U.S. EPA ID Number
CIMA Servlcee LP
7. Transporter 2 Company Name
j TXR0000812'46 90781
U.S. EPA ID Number
8. Designated Facility Name and Site Address
Texas Molecular 2526 lndel)!ndance pkwy Deer Perk, TX 77538 Facility's Phone: 281-830-2525
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U.S. EPA ID Number
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7. Transporter 2 Company Name
U.S. EPA ID Number
8. Designated Facility Name and Site Address
Texas Molecular 2626 lndeJ)!ndence pkwy Deer Park, TX 77538 Facility's Phone: 281-930-2526
IU.S. EPA ID Number
TXD00071 9518
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marked and labeled/placarded, and are in all respects in proper condition for transport according to applicableinternationaland nationalgovernmental regulations. Ifexport shipment and I am the Primary
Exporter, I certify that the contents of this consignment conform to the terms of the attached EPAAcknowledgment of Consent.
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8. Designated Facility Name and Site Address
Texas Molecular 2525 lndeP@ndanoe pkwy
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marked and labeled/placarded, and are in all respects in proper condition for transport according to applicable internationaland national governmental regulations. If export shipmentand I am the Primary
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1)132oona ERG#128
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15. GENERATOR'S/OFFEROR'S CERTIFICATION: I hereby declare that the contents of this consignment are fully and accurately described above by the proper shippingname, an:f are classified, packaged, marked and labeled/placarded, and are in all respects in proper condition for transport according to applicable internationaland national governmental regulations. If export shipment and I am the Primary ExportIece~rt~ that the contents of this consignment conform to the terms of the attached EPAAckn01Aedgment of Consent.
I certify
waste minimization stalement identified in 40 CFR 262.27(a) (if Iam a large quantity generator) or (b) (ifl a m ~ ~ - - ,:,, true.
VGenerr~tor)' ~r's Printedd~ypee
I
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Month Day Year
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-OESIGNATED FACILITY TO EPA's a-MANIFEST SYSTE!M
Appendix 8 Page 4 of 104
' l
Please print or type
UNIFORM HAZARDOUS , 1. Generator ID Number
WASTE MANIFEST
TXR000083683
5. Generalo(s Name and Mailing Address
Form Approved 0MB No 2050-0039
2. Page 1of , 3. Emergency Response Phone
11
832-557-5849
1 Manier1 ac8n4u7en 4 ~ ~ 7 FLE
Generato(s Site Address (if different than mailing address)
E n eWi Trans f e r Partn ers
1235 EeMle Pointe Drive
Mont Belv au TX 77535
Generato(s Phone: 281-386-3673
6. Transporter 1 Company Name
Ener~ransfer MB Free IV & V
8740
1942
IBaytown , TX 77521
U.S. EPA IDNumber
CIMA Sarvlcea LP
7. Transporter 2 Company Name
ITXR000081245 U.S. EPA ID Number
90781
8. Designated Facility Name and Site Address
Texas Molecular 2525 lndeJ>!ndence Pkwy Deer Park, TX 77536 Facility's Phone: 281..Q30-2525
I
U.S. EPA ID Number
TXD000719518
I
32299
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0
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~ X (Benzene, Hydrogen S ulftd e ), 3, 111, RQ, D 018
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1 TT 14. rn/J
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M 1~ -tn'>U nM-t G 0018
3.
4.
14. Special Handling Instructions and Additional Information
1)13200 727 ERG#128
Job# 1221-20-036-TRAN
Frac4
SWR#96797
15. GENERATOR'S/OFFEROR'S CERTIFICATION: I hereby declare that the contents of this consignment are fully and accurately described above by the proper shipping name, ard are classified, packaged,
marked and labeled/placarded, and are In all respects in proper condition for transport according to applicable internationaland national governmental regulations. If export shipmen! and I am the Primary
Exporter, Icertify that the contents of thisconsignment conform to the terms of the attached EPAAckn01Aedgment of Consent.
I certify that the waste minimization statement identified in 40 CFR 262.27(a) (if I am a large quantity generator) or (b) (ifUll'A.a small quantity generator) is true.
Generatr ; ; : ; d ; ; ~
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I
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I (..v I I .
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DESIGNATED FACILITY TO EPA's e-MAlnFEST SYSTEM
Appendix 8 Page 5 of 104
11era1tL .!iq~of
Please print or type.
UNIFORM HAZARDOUS 11. Generator ID Number
WASTE MANIFEST TXR000083683
5. Generator's Name and Maill~ Address
En~ Transfer ertners 1235 E~le Pointe Drive Mont Belv eu TX 77535 Generator's Phone: 281-385-3573
3?6 t/ C
Form Approved. 0MB No. 2050-0039
2. Page 1of 13. Emergency Response Phone
11
832-557-5849
4
1 Mania!i ca:r10 35 8 FLE
Generator's Sile Address (ifdifferent than mailing address)
Ene~ Transfer MB Freo IV &V 8740 M 1942
IBaytown, TX 77521
6. Transporter 1 Company Name
CIMA Servlcea LP
U.S. EPA ID Number
1TXRooooa124s 90781
7. Transporter 2 Company Name
U.S. EPA ID Number
8~ esignateu ac11ity Nah eand Sile Address
exes oecuer 2525 lnde~ndence Pkwy Deer Perfc, TX 77536 Facility's Phone: 281 -9302525
I
U.S. EPA ID Number
TXD000719518
I
32299
9a. 9b. U.S. DOT Description (including Proper Shipping Name, Hazard Class, ID Number, HM and Packing Group (if any))
10. Containers
No.
Type
11. Total Quantity
12. Unit Wt.Nol.
13. Waste Codes
1
0~ X UN1993, Wasta Flammable liquids, n.o.s. (Benzene, HydrogenSulflde), 3, Ill, RQ, 0018
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0013 102H D001
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14. Special Handling Instructions and Additional Information
1) 13200727 ERG#128
Job# 1-221=28-886--TRAN , ~~{-- ~Cf- d-;)l,
Frac4
SWR#96797
15. GENERATOR'S/OFFEROR'S CERTIFICATION: I hereby declare that the contents of this consignment are fully and accurately described above by the proper shipping name, ard are classified, packaged,
marked and labeled/placarded, and are in all respects in proper condition for transport according to applicable internationaland national governmental regulations.If export shipmentand I am the Primary
Exporter, I certify that the contents of this consignment conform to the terms of the attached EPA Acknowledgment of Consent.
I certify that the waste minimization statement identified in 40 CFR 262.27(a) (if I am alarge quantity generator) or (b) (ilJ,jm a small quantity generator) is true.
I i f ~ Generator's/Offerer's Printed/Typed Name
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DESIGNATED FACILITYTO EPA's e-MANIFEST SYSTEM
Appendix 8 Page 6 of 104
/lt!1t.lI l l
Please print or type
Form Approved 0MB No 2050-0039
UNIFORM HAZARDOUS , 1. Generator ID Number
WASTE MANIFEST TXR000083683
5. Generator's Name and Maili~ Address
EneWj Transfer artners
123 E~le Pointe Drive
Mont Bel\i eu TX 77535
Generator's Phone: 281-385-3573
2. Page 1 of , 3. Emergency Response Phone
4
11
832-o57-5849 1 Manier18n4u!f()
Generator's Site Address (if different than malling address)
E ~ Transfer MB Free IV & V
8740 M 1942
IBaytown, TX 77521
3 6 2
FL E
6. Transporter 1 Company Name
CIMA Sarvloaa LP
U.S. EPA ID Number
ITXR000081245 90781
7. Transporter 2 Company Name
U.S. EPA ID Number
8f~eitMo~u1er Sile Address
IU.S. EPA ID Number
2525 lndes>@ndence Pkwy
Deer Perk, TX 77536
Facility's Phone: 281-930-2525
TXD000719518
I
32299
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10. Containers
No.
Type
11. Total Quantity
12. Unit Wt.Nol.
13. Waste Codes
1
0' UN1993, Waste Flammable liquids, n.o.s.
X (Benzene, Hydrogen Sulflde), 3, 111, RQ, 0018
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1 TT ~ G 0018
3.
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14. Special Handling Instructions and Additional Information
1)13200727 ERG#128
Job# 1221-20-036-TRAN Frac4
SWR#96797
15. GENERATOR'S/OFFEROR'S CERTIFICATION: I hereby declare that the contents of this consignment are fully and accurately described above by the proper shipping name, artl are classified, packaged,
marked and labeled/placarded, and are in all respects in proper condition for transport according to applicable intemationaland national governmental regulations. If export shipment and Iam the Primary Exporter, I certify that the contents of thisconsignment conform to the terms of the attached EPAAcknowledgment of Consent. I certify that the waste minimization statement identified in 40 CFR 262.27(a) (if I am alarge quantity generator) or (b} (ifl am asmall quantity generator) is true.
I ~~ Generator's/Offeror's Printed/Typed Name
Al>.5rL~rJ(4
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Month I Day Year I
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Signature
1 r~\J.U t : z ~ r\-trY'\ EPAForm 8700-22 (Rev. 12-17) Previous edlllons are ol~ isolem:--
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DESIGNATED FACftfflr TO EPA's e-MANIFEST SYSTEM
Appendix 8 Page 7 of 104
'Please print or type
UNIFORM HAZARDOUS , 1. Generator IDNumber
WASTE MANIFEST TXRQQ0084890
51:G: eneralo(s~ ameand Maili~ Address
n~r ransfer ertners 12 E~le Pointe Drive Mont Beri eu TX 77535
Generato(s Phone: 281-385-3573
6. Transporter 1 Company Name
CIMA Sarvlan LP
1./J? 5{1 FormApproved 0MB No. 2050-0039
2. Page 1of 1 3. Emergency Response Phone
11
832""557-5849
1 Manlotr8n4u~to 4 408 FLE
Generato(s SiteAddress (Ifdifferent than mailing address)
Ene~TransferMB FracVI &VIII 877 M 1942
IBaytown, TX 77521
U.S. EPA ID Number
ITXR000081245 90781
7. Transporter 2 Company Name
U.S. EPA ID Number
8~ esignaleu ac111Iy Name and Site Address
exas o acuter 2525 lndeJ>!ndenoe Pkwy Deer Perk, TX 77536 Facility's Phone: 281-9302525
9a. 9b. U.S. DOT Description (including Proper ShippingName, Hazard Class, ID Number, HM and Packing Group (if any))
10. Containers
No.
Type
I
U.S. EPA ID Number
TXD00071 9518
I
11 . Total Quantity
12. Unit Wt.Nol.
32299
13. Waste Codes
1
00,: X UN1993, Wasie Flammable liquids, n.o.s. (Benzene, Hydrogen Sulfide), 3, Ill, RQ, 0018
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14. Special Handling Instructions and Additional Information
1) 13200729 ERG#128
Job#ffi1..28 8'41 TRAN
I22-1 l'4 - ~
Frao8
SWR#97386
I ~d J- ;}'-{~ rJJ7
15. GENERATOR'S/OFFEROR'S CERTIFICATION: I hereby declare that the contents of this consignment are fully and accurately described above by the proper shipping name,ard are classified,packaged,
marked and labeled/placarded, and are in all respects In proper condition for transport according to applicable internationaland national governmental regulations. If export shipmentand I amthe Primary
Exporter, I certify that the contents of this consignment conform to the lenms of the attached EPA Acknowledgment of Consent.
I certify that the waste minimization statement identified in 40 CFR 262.27(a) (if I am a large quantity generator) or (b) (if! am asmall quanlity generator) is true.
Generato(s/Offero(s Printed/Typed Name
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EPA Form 8700-22 (Rev. 12-17) Previous ed11ions are obsolete.
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I
Month Day Year
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DESIGNATED FACILITY TO EPA's a-MANIFEST SYSTEM
Appendix 8 Page 8 of 104
Please print or type. UNIFORM HAZARDOUS 11. Generator ID Number
WASTE MANIFEST TXR000081347
5ejenerato(s, ame an~ ailifj A~ ress
neWJ rans r a ner&
1235 Etmlu Pointe Drive Mont BelvTeu TX 77535
Generato(s Phone: 281-385-3573 6. Transporter 1 Company Name
CIMA Servlc.aa LP
//dTI//IL :JJ :2 80/
t/tf 7 ~ mApproved. 0MB No. 2050-0039
2. Page 1of 13. Emergency Response Phone
4
1
832-557-5849 1.ManlotrHn47b0 592 FLE
1
Generato(s Site Address (if different than mailing address)
Ene~ Transfer MB Frac I, II & Ill 9850 M 1942
I Baytown, TX 77521
U.S. EPA ID Number
!TXR000081245 90781
7. Transporter 2 Company Name
U.S. EPA ID Number
8, O~si nalei jacjf'tj()NaTie and SiteAddress
1 as o uat 2525 Independence Pkwy
Daer Park, TX 77536
281 30 2525
Facility's Phone:
--9
I
U.S. EPA ID Number
TXD000719518
I
32299
9a. 9b. U.S. DOT Description (including Proper Shipping Name, Hazard Class, ID Number, HM and Packing Group (if any))
10. Containers
No.
Type
11 . Total Quantity
12. Unit Wt.Nol.
13. Waste Codes
1
0::: UN1993, Waste Flammable !!quids, n.o.a.
0 X (Benzene, Hydrogen Sulfide), 3, 111, RQ, 0018
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0013 102H 0001
1 TT t-/ ,,v, G 0018
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3.
4.
14. Special Handling Instructions and Additional Information
1)13200728 ERG#126
Job# 1221-20-030-TRAN Fmc3
SWR#96793
15. GENERATOR'S/OFFEROR'S CERTIFICATION: I hereby declare that the contents of this consignment are fully and accurately described above by the proper shipping name, ard are classified, packaged, marked and labeled/placarded, and are In all respectsin proper condition for transport according to applicable international and national governmental regulations. If export shipment and I amthe Primary
Exporter, I certify that the contents of this consignment conform to the terms of the attached EPA Acknowledgment of Consent.
I certify that the waste minimization statement identified in 40 CFR 262.27(a) (if Iam a large quantity generator) or (P) (ill am a small_swantity generator) is true.
Generato(s/Offero(s Printed/Typed Name
He Vl vi l/
...I 16. International Shipme~ts j:...
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l }2,oti,o ~ / l - - tf (Z-i EPA Form 8700-22(Rev. 12-17) Previous editions are obsolete.
Signature
I
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DESIGNATED FACILITY TO EPA's a-MANIFEST SYSTEM
Appendix 8 Page 9 of 104
Please print or type UNIFORM HAZARDOUS 11. Generator ID Number
WASTE MANIFEST TXR000081347
5. Generato(s Name and Mailing Address
Enesfi Transfer Partners 123 Ea~le Pointe Drive Mont Belv au TX 77535
Generalo(s Phone: 281-386-3673
6. Transporter 1Company Name
CIMA Service& LP
7. Transporter 2 Company Name
8. Designated Facility Name and Site Address
Texas Molecular 2525 lnde~ndence Pkwy Deer Perk, TX 77536 Facility'sPhone: 281..g3Q-2525
llfft!J?l 9~/ijtJ f
L/._<,')C, b FormApproved OMBNo 2050-0039
2. Page 1of 13. Emergency Response Phone
11
832--557-5849
14. Manlnt~ra~n~u~/n ~ -9 ~
Generato~s Site Address (if different than mailing address)
l
FLE
TranSfor MB Frac I, II &Ill
~~M 1942
IBaytown, TX 77521
U.S. EPA IDNumber
ITXR000081245
U.S. EPA ID Number
I
U.S. EPA IDNumber
90781
TXD000719518 32299
I
9a. 9b. U.S. DOT Description (including Proper Shipping Name, Hazard Class, ID Number, HM and Packing Group (if any))
10. Containers
No.
Type
11. Total Quantity
12. Unit WI.Nol.
13. Waste Codes
1.
0:: 0
UN1993, Wasta Flammable liquids, n.o.s.
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2.
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3.
4.
14. Special Handling Instructions andAdditional Information
1) 13200728 ERG#128
~
--- TRAN
Job# -1 &,,rt. , ......, v_,,..,
I,~ I - rJ.'-I ~ {),9'{
Frac3
SWR#96793
15. GENERATOR'S/OFFEROR'S CERTIFICATION: I hereby declare that the contents of thisconsignment are fully and accurately described above by the proper shipping name, ard are classified, packaged,
marked and labeled/placarded, and are in all respects in proper condition for transport according to applicable internationaland national governmental regulations. If export shipment and I am the Primary
Exporter, I certify that the contents of this consignment conform to the terms of the altached EPAAcknovAedgment of Consent.
I certify that the waste minimization statement identified in 40 CFR 262.27(a) (if I am alarge quantity generator)or (b) (ifl am asmall quantity generator) is true.
Generato(s/OOsfe fs Printed/Typed Name,<
, k t-1 Iev-
1M J.A _
...I 16. International Shipments
i:-
lliport to U.S.
z Transporter signature (for exports only):
ISignalur<;h,J,,- ~
D Export from U.S .
Port of entry/exit: Date leaving U.S.:
Month Day Year
I I,/ I II l r.N
0:: 17. Transporter Acknol'Aedgment of Receipt of Materials
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~ Transporter 1 Printed/Typed N_a?-T;.me
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z Transporter 2 Printed/Typed Name /
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f:n..~-J,l'l ,j
/
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I Signature
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Monlh Day Year
14 IJ/l lM
Month Day Year
I I I
18a. Discrepancy Indication Space D Quantity
Type
Residue
D Partial Rejection
r~ 18b.AlternateFacility (or Generator}
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~ Facility's Phone:
C
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Manifest Reference Number:
U.S. EPA ID Number
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20. Designated Facility Owner or Operator: Certification of receipt of hazardous materials covered by the manifest except as nctedin Item 18a
ud A ; ; ; Printed/TypNpmMed
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EPA Form8700-22 (Rev. 12-17) Previous edItIons are obsolet@'.
Signature
I
DESIGNATED'FACILITY TO EPA's
D Full Rejection
IMonth I Day Year
I
Month Day Year
I lf I~ 1zY
eMANIFEST SYSTEM
Appendix 8 Page 10 of 104
17-- 9-0
/;dtllfC 8~ 16tP/l
Please print or type.
UNIFORM HAZARDOUS 11. Generator ID Number
WASTE MANIFEST TXR000081347
51enerato(s, ame and Mailip Address
nem ransfer ertneni 123 E~le Pointe Drive
Mont Belv eu TX 77030
Generato(s Phone: 281-385-3573
6. Transporter 1 Company Name
CIMA Servloaa LP
~iJL/ {; Form Approved. 0MB No. 2050-0039
2. Page 1of 13. Emergency Response Phone
11
832~57-5849
r .Manlotran47bO 600 FLE
Generato(s Site Address (if different than mailing address)
Eneo,Ttansfer Mil Free I, It & Ill 9850 M 1942
Baytown, TX ns21
1
U.S. EPA ID Number
ITXR000081245 90781
7. Transporter 2 Company Name
U.S. EPA ID Number
8.f~~~eAAii~~u'lar Site Address
I
U.S. EPA ID Number
2525 lndaP@ndence Pkwy Deer Perk, TX 77536 Facility's Phone: 281-9302525
TXD000719518
I
32299
9a. 9b. U.S. DOTDescription (including Proper Shipping Name, Hazard Class, ID Number, HM and Packing Group (if any))
10. Containers
No.
Type
11. Total Quantity
12. Unit Wt.Nol.
13. Waste Codes
1
0:: 0
UN1993, Waste Flammable llqulds1 n.o.s.
w~ X (Benzene, Hydrogen Sulfide), 3.111, RQ, 0018
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2.
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0013 102H D001 1 TT L/, rn/1 G 0018
3.
4.
14. Special Handling Instructions and Additional Information
1)13200728 ERG#128
Job# 1221 2-0 030TRAN l:}3- I - 'Ji../ - ;J).Lj
Frac3
SWR#96793
15. GENERATOR'S/0FFER0R'S CERTIFICATION: I hereby declare that the contents of this consignment are fully and accurately described above by the proper shipping name,ard are classified, packaged,
marked and labeled/placarded, and are in all respects in proper condition for transport according to applicable internationaland national governmental regulations. If export shipment and Iam the Primary
Exporter, I certify that the contents of this consignment conform to the terms of the attached EPA Acknowledgment of Consent.
I certify that the waste minimization statement identified in 40 CFR 262.27(a) (if I am alarge quantity generator) or (b) (if/ am asmall quantity generator) is true.
~t::;~d/TiK-0~"' ~~
-I 16. International Shipments
~
Import to U.S.
3l: Transporter signature (for exports only):
~~ D Export from U.S.
Port of entry/exit:
Date leaving U.S.:
Month Day Year
I LI Iit I ~'I
.. 0:: 17. TransporterAckno1\1edgment of Receipt of Materials
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V,
z Transporter 2 Printed/Typed Name /
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Signature
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Signature
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-/
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Month Day Year
l t-1 1/J l w
Month Day Year
I I I
18. Discrepancy
18a. Discrepancy Indication Space D Quantity
Type
0Res/due
0 Partial Rejection
0 Full Rejection
r~ 18b.Alternate Facility (or Generator)
::i
u
~ Facility's Phone:
Manifest Reference Number:
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in 19. Hazardous Waste Report Management Method Codes (i.e., codes for hazardous waste treatment,disposal, and recycling systems)
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20. Designated Facility Owner or Operator: Certification of receipt of hazardous materials covered by the manifest except as nded in Item 18a
U.S. EPA ID Number
I
14.
I Day Year
Month
I
j A'2- / 1/t 1i r Printed~CJY//rt:,,rJ?
V-trtf-t1~
EPA Form 8700-22 (Rev. 12-17) Previous editions are obsolete. I/
I Signatur~
1Mt/
DESIGNATt DFACILITY TO EPA'se-MANIFEST SYSTEM
Appendix 8 Page 11 of 104
Please print or type.
UNIFORM HAZARDOUS 1. Generato, ID Number
WASTE MANIFEST
3
5. Generator's Name and Mailing Address
Odf)ell Terminals Houston 12211 Port Rd
Ge
2. Page 1 of 3 Eme,gency Response Phone
Odf)ell Terminals Houston 12211 Port Rd
seabrook. TX 77586
U S. EPA ID Number
FLE
ame
Hetr 6or ..S
8. Designated Facility Name and Site Address
fhV
Oun Harbors Deer Park. LLC 2027 Independence Parkway South
La Porte, TX T/571
Facili s Phone:
28 30- 00
9a 9b. U.S DOT Description (indud1ng Proper Shipping Name, Hazarn Class, ID Number, HM and Pad<Jng Groop fd any))
_,,NI 1
U.S EPA IDNumber
3 ;i;i;._SD
TX0055141378 50089
10. Containers
No.
Type
11 . Total Ouanti1y
12. Unit WI.Not
13. Waste Codes
a::
o
UN2023, Waste Eplchlorohydrln SOiution, 6.1 (3), 11, RQ
~
1 TT '-J'il}C> p U041
Wl------ - - - - - - - - - - - - - - - - - - - - - - - - - - + - - - - + - - - + - - - - - - + - - - - + - - - - - --+------.------1
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14. Speoal Handhng Instructions and Addrtlonal lnfo,mation
l}CH1445958 RG#l31P
Job/PO #1127-24-435 TRA
.55T7 01003
15 GENERATOR'SIOFFEROR'S CERTIFICATION: I hereby declare that the cootents of this cons,gnment are fully and rately descnbed above by the proper shipp,ng name, attl are classified, packaged, marked and labeled/placarded, and are In all respects in proper condition for transpo,t ac:corn,ng lo applicable inte bonal national governmental regulatx>ns If export shipment and I am the Pnmaf)Exporter, I certify that the cootents of lhis cons,gnment confo,m to the terms of Ille attached EPAAcknowledgment f Consent. I certify that Ille waste minimization statement Identified ,n 40 CFR 262.27(a) (~ I am a la,ge quanbty generator) or ) fdl am smaH quantity generator)
.s
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4
18 Discrepancy
1Ba Discrepancy Indication Space
1~ 18b.Altemale Facility (or Generator)
0 Ouanbty
0 Residue
MalVfest Reference Number.
O Partial Re)8Cbon
U.S. EPA 10 Number
u...J
~ Fadi ty's Phone:
~ l-1=ac- .""Sl_gn_a-tur_e_of~A~l1e-m_at_e=Fa-c=,1t-y (o_, G,e-ne-ra-to..r..),_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ___.__ _ _ _ _ _ _ _~
0 FuARejection
M-on-th- -Da- y -Y-ea-r""'
<~ 1-1-9._H_az_arn_ou_s_W_as_te_R_e_po_rt M_an_ag_ eme_nt_M_et_ hod_C_odes_r_,,.e-.,-co-de- s fo-r_ha_zarn_o_us_w_aste_ l_reat-men-t,-di_sp_os_al, - and-re-cyc-ling- s-yste_m_s_) _ _ _ _ _ _ _ _ _ _ _ __,__ _..__ __.__~
f f l i - : - - - - - - - - - - - - - - - r , : - - - - - - - - - - - - - - = - --:'-;....;.-_;__ _ _ _ _. , . . , - - - - - - - - - - - - - - - - - 1
o 1.
2
1
4
Appendix 8 Page 12 of 104
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t .lrd'.~r #: h81:iB09- lri (t )
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UNIFORM HAZARDOUS 11. Generator ID Number
WASTE MANIFEST
TXD098200637 I ~1010
5. Generator's Name and Malling Address A TIN :Glint Penrr~a
Braskem America, Inc
Form Approved. 0MB No. 2050-0039
2. Page 1or , 3. Emergency Response Phone
4
2
1
281 9~0-2076
1 Manlo ' t i t : ; u~7R
Generator's Site Address ~r different than mailing address)
1 4 5
FLE
8811 Strang Rd
Generator's Phone:LaPorte. T.l( n571
6. Transporter 1 C-Ompany Name
CIMA Services LP
7. Transporter 2 C-Ompany Name
770-82 64!:J
I
Pi'l#: 7139-.16-5053
~IAIB INt- 90781
8. Designated Facility Name and Sile Address
Philip Reciama on Services Houston. LLC
4050 Homestead Road Faciily's Phone: Houston. TX 77028
713-67~.:300
9a . 9b. U.S. DOT Descllptlon (lncludlng Proper Shipping Name, Hazard Class, JD Number, HM and Packing Group (if any))
a::
0
~ )(
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1. UN1893, W/STE f'LAMMABlE I IQUIO"l N 0.S (XY [ N,:, OLUENE). 3, PG II, E.RG 78
2. UN3175, WASTE SOLIDS CONTAINING l-'l.A,\11,,/11.BU= LIU UID, tJ.0.!;
(HEXANE, Ml~ffRAL OIL). .C:i. PG II (R - 100), ERG ''.l3
3.
IJN18J0, 1/'/A\STE SULFUR!r. ACID, fi, p,) II i:RO Hr
X
St;t;; ID#. IX-30771
10. C-Ontainers
No.
Type
\
OM
\ DM
\ UF
U.S. EPA ID Number
I
TX. 000081246
U.S. EPA ID Number
I
U.S. EPA ID Number
I
11. Total 0uanltty
nm 74100338
12. Unll WtNol.
13. Waste C-Odes
;)50
lS
\60
0007 204H F003 p
D001 9417 310H t1001 p
9468 119H 0002 p
4. U!-11993, WA'3TE FLAMMABLE I !QUIDS. ~.J f) $. (til'XAN ). ,l, P .~ If.
)(
ERG 126
14 . Specia l Handling lnstnrctlons and Additional ln!ormatlon
01; (CED86190}Lab Solvents 02; (736751NC1 3) z PPE/Debrl"
0082 115H D001
\ Tr cl.000 p
\ I l..1- 'l-4 ..-').18 )::11),
03; (2400003418)Sutfuric acid PPE Debris
04; (C13 079)Whlte Emulaion/Bioscrub/Natti res Edge
15. GENERATOR'SI0FFER0R'S CERTIFICATION : I hereby declare that the contents or this consignment are fully and acrurately described above by the proper shipping name, ard are dasslfied , packaged,
ma,ked and labeled/placarded, and are in all respects in proper cooditlon for transport according to appllcableitemational and na~alJ~m, ee,\~u~Uolnf esx ~rt shipment and I am the Primary
Exporter, I cenlfy that the contents of this consignment confonn to the terms of the atlached EPAAcknov~edg f f i ~ ~/
1. ,n en
I certify that the waste minimization statement idenUfied in 40 CFR 262.27(a) (if I am a large quantity generator) or (b) (irt ag, a smat;quanUty ge!}'!rator) Is true.
Generator's/Offeror's c l: : ~ : C ,}/\ I /<tu,r\
..J 16. International Shipments
I'--
Import to U.S.
~ Transporter signature (for exports only):
Signature
I D Export lrom U.S.
UM./;, ai/r
,J
Port or entry/exit:
Dale leaving U.S.:
1'"'q I~ 1t11
------ a:: 17.TransporterAcknov.ledgment of Receipt orMaterials
~ Transporter!'APrioted;ffyped Nam~\t
0
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rn Transporter 2'1'rinted/Typed Name
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Month Day Year
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Type
OResldue
D Partial Rejection
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118b.Alternate Facility (or Generator)
Manifest Reference Number:
U.S. EPA ID Number
s u
~ Facility's Phooa:
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02. H'\ 41
03. H1 4 1
13'
20. Designated Facility Owner or Operator: Certif,:ation or receipt or hazardous materials covered by the manifest except as nded in Item 18a
vv-/:_}/: i.--c,> Prinledffyped N~~f -s ~
ISig n a t v
l ..
M EPA Form 8700-22 (Rev. 12-17) Previous ed1llons are obsolete.
DES IGNATED
I 14
FAC ILIT'(
Month I Day Year I
04 . H1 41
Month Day Year
TO EPA's e-MANIFEST SYSTE I 4 I '1- 18./.M
Appendix 8 Page 13 of 104
~kic3
Please, onnt or tvo,e. IForm desIianed for use oner,te (1 20I1Ch) tvoewn1er..\
UNIFORM HAZARDOUS WASTE MAN IFEST 121. Generator ID Number
(Contin uation Sheet)
TXD098200637 / 31010
24 . Generator's Mame Brssl<001 AfflEll"foo, Inc
3011 S1rang Rrl
I .- Q -----" ~ -,,-.....-. ..
25. Transponer _ _ Company Name
26. Transponer _ _ Company Name
27a. 27b. U.S. DOT Description (including Proper Shipping Name, Hazard Class, ID Number, HM and Pacl<ing Group(~ any))
05. NONRCAA / NONDOT REGUlATED ~A1"ERIA.l. (USED DRA!N fl)
06. NONRCRA/NONOOT REGULATE. ~.IATERIAL (OIi. CONTAMINATI:O 01:.BRIS)
07. NONRCRAINONOOT REGULAiEO M.~TERIAl. (RC-R~ EMPTY METAL CONTAJNEAS)
a:
0
08. NONRCRA I NONOOT REGULATED M~TE~IAL (RCRA EMPTY
~
POLY CONTAINERS)
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1 22. Page
2
Ordat #: 500869--01 (E)
Form Annroved 0MB No 2050--0039 23. Man Hest Tracking Number
1
ENT 1272143
28. Conlalners
No.
Type
y DM
U.S. EPA ID Number
I
U.S. EPA ID Number
I
29. Tola! Quantily
30. Unit WINol.
~Oo p
31. Was le Codes
0066 219i
'J
I ~a
\
DM 5W
0066 2191
OM CiJ2 6t> p 9426 3{)81
p ,sv p 9431 4061
32. Special Handling Instructions and Additional Information
05: (C139158)Uood Drain Oil 08: (C567000D}Oil contaminated debris
08: (C10057-l)RCRA Empty Poly Containers
07: (C109380lRCRA Emotv Metal Conb!lln..rs
.c ~ ~-- a: 33.Transoorter
Acknowledament orReceiot ar Materials
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AcknovAedomenl orReceiot of Materials
rii PrintedfTyped Name
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~ 35. Discrepancy
! Sign~
~
Signature
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Month Day Year
1LJ., I~ 1'2'/-
Month Day Year
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06. H1 41
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07, H141
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08. H141
Ill
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. , EPA Form 8700-22A (Rev. 3-05) Previous ed1Lions are obsolete.
DESIGNATED FACILITY TO DESTINATION STATE (IF REQUIRED)
Appendix 8 Page 14 of 104
Please print or type. 1
U_NIFORM ~RDOUS 1 Gene~8ij~719286 / 30489
WASTE MANIFEST
5. Generalofs N ~ s LP I 1'1;u1t1n UUIIIU
n East
. Order#: 687024-01 (E)
Form Approved. 0MB No. 2050-0039
z~'1fl~!~f 15 4 FLE 2
, . Pag;l ~, 3.
Man, r f1 8 n ~ i " - 7 s
Generator's Site Addless Qffllfeient than mailng address)
11807 Port Rd
Generalofs Phone;S eabrook. TX 775 86 6. Transporter 1 CoBa~a
I ervtcesLP
(281) 281-3417
7. Transporter 2 Company Name
I)~ f:U)LoG,LJ
8. Designated Facil,~Name and SiteAddressI
S Ecology Texas, Inc.
3277 County Road 69
Facilit's Phone: Robstown, TI< 78380
I
I
361-387-3518
9a. 9b, U.S. DOT OescripUon QnciJding Proper Shipping Name, Hazaro Class, ID Number, HM and Pacillng Group fd any))
I
. i::-nr !1:i-
State I~ 90781
State ID#: TX-50052
10. Containers
No.
Type
U.S. EPA ID Number
I
TXR000081246
U.S. EPA ID Number
I )vl1,i ~~ i"'t.f~8~8
U.S. EPA IO Nuniler
I
11. Total Quantity
TXD069452340
12. Unit WtNol.
13. Wasle Codes
a:
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1. UN2789, WASTE.ACETIC ACID, GlAC!AL SOWTION, 8 (3), PG II, ERG 132
2. U.N3082, ENVIRONMENTAU.Y HAZARDOUS SUBSTANCES, LIQUIP, N.O,S. (VINYL ACETATE, DIETHANOlAMINE), 6, PG II~ ERG t71
3. UNS082, EN\IIRONMENTAU.Y HAZARDOUS SUBSTANCES, LIQUID,
-~
N.O.S. (VINYL ACETAlE, DIETHANOLAMINE), 9, PG Ill, ERG 171
4.
'(')l/
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0028 219H D001
DM CJ/ (;,O(IJ p 0002
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-
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-
TP os-ocXJ
......
-
0030 2191 p
0030 2191 p
14. Special Handling Instructions and Additional Information
01: (O9O125121-0)Acetlc Acid Wash
03; (090125726-0}Vlnyl Acetate Scrubber Waste (High BTL ~
02: (0901257.26-0)VlnylAcetate Scrubber Waste (High.BTU)
\\,~--- ~'-\-').'\:)-~
15. GENERAT0R'S/0FFER0R'S CERTIFICATION: I hereby"declam that the cx,ntenls of this consignment am l \ . i l J I ~
IPP,ing name, ard a1e dassified,_packaged,
marked and labeled/placarded, and are in all respecls In proper condition for transport according to applicable lntemaUonal and national governmental regulaUons. 1f export shipment and I am the Primary
Exporter, I certify that the contents of this consignment conform to the tenns of the attached EPA Acknowledgment of Consent.
I certify that the waste minimization statement Identified in 40 CFR 262.27(a) (if I am a large quantity generalor) or (b) (ifI am a sman quantity generator) lstrue.
Gen7fr;,ar,;-:;;Naef
~ 16. International SHpmenlS
Import to U.S.
Z Transpqrter signature (for exports only):
Sil' - d g n a t u rI ~
I ::- ~
D Export from U.S.
Port of en!Jy/exit Date leavlng U.S.:
Month Day Year
lo qi n<1 I "7 u 1
a:: 17. Trans"porterAcknovw1edgment of Reoeipt_of Materials
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Signature ~
I ~
Sig n a t u - ~ ~ e "- \
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18. Discrepancy 18a. Discrepancy Indication Space
J 0 Quantity
OType
ORes!due
'--- ./ D Partial R~jection
l J ., Manifest Referenre Number.
~ 18b.A!temals Faciily (or Generator)
::::r 0 ~ Facifity's Phone:
C
w
18c. Signature of A!tamate Fac!!ity (or <?enerator)
~
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0
01. -#1'Z2,.
12.
02,t-.ifz:9----
13. 0 3 . ~
r . \foll'l-
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20. Designated facillty CJwl:ler or Operator. Certification of receipt of haza'rdous materials covered by the manifest except as nded in Item t8a
U.S. EPA ID Nlmlber
I
, ..
l ~ , f l Pr1nted(Typed Name ~
I Signature ; : } _ _ L
~
-
1 / Y EPA Form 8700-22 (Re\;. 1:2-17) Previous editions are obsolete.
DESIGNATED FACILITY TO EP~'$
Month Day Year
IOl/l(')UI 'J.U
IMolf I :f I}8/_/
0 Full Rejection
IMonth I Day Year I
jMon~ ~a~I ~
e-MANIFEST SYSTEM
Appendix 8 Page 15 of 104
018476155FLE
Order #: 587008-01 (E)
Please print or type.
UNIFORM HAZARDOUS 11. Generator 10 Number
WASTE MANIFEST
TX0096602941 / 30985
5. Generators Name and Mal ingAd<lress ATTN:Glen Davis
LBC Houston LP (West)
FLE 2. Page 1of l3. Eme.rg~es~~~
11
'W2a,.2S.1::~.1.s;. .
Form Approved. 0MB No. 2050-0039 ,4. Manifest Tracking Number
D1 AL1 7 R1 ~ Fi
Generatofs Site Address (if different than mailing address)
11080 Port Road
Generalofs Phone:Seabrook. TX 77586
6. Transporter 1 Company Name
CIMA Services LP
281-291-3417
u s 7. Transporter 2 Company Name
/?(j)LO{;l/
8. Designated Facility Name andSaeAddress
US Ecology Texas, Inc.
32TT County Road 69 . Faeility's Phone: Robstown, TX 78380
361-387-3518
9a. 9b. U.S. DOT Description (including ProperShipping Name, Hazard Class, ID Number, HM and Packilg Group (iiany))
I
Ph#; 713-946-5053 9\ate lnfi. Dn781
State ID#: TX-60052
10. Containers
No.
Type
U.S. EPA ID Number
1 TXR000081245
U.S. EPA 10 Number
] l l.lll.q'/o~t.J ~~3~
U.S. EPAID Number
I
11. Total Quantity
TXD089452340
12Unit WtNol.
13. Waste Codes
n::
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1. NA3077, HAZARDOUS WASTE. SOLID, N.O.S. (BENZENE, ACETONE), 9, PG IIL ERG 171
2
03
0012 409H U002
OM no7D!.') p U031 U140 U154
3.
4.
14. Special Handling Instructions andAdditional lnloonation
01: (090125249-0)HAZ PPE/Debrfs
Emergency Contact Glen Davis '\\C\-- ,A...1.9-.~..1.. 12:i
15. GENERATOR'S/OFFEROR'S CERTIFICATION: I hereby declare that the contents of this consignment are fully and accurately described above by Iha proper slipping name, ard are dassified, packaged, marked and labeled/placarded, and are in al respects In proper condition for transport acmrding to applicable internationaland national governmental regulations. If export shipmen! and I am the Primary Exporter, I certify Iha! !he contents of this consignment confonn lothe tennsofthe al!ached EPAAcknowledgment ofConsent I certify that the waste minimization statement identified in 40 CFR 262.27(a) (if I am a large quantity generator) or (b) (if ijlljl'a\maDquantity generator) Is true.
G7A1'An:5~~N P /
-' 16. International Shipments
~
Import to U.S.
~ Transporter signature (for exports only):
n:: 17. TransporterAcknowledgment clRe<:elpt of Materials w ~
0
~:"/2 /4._~/'Jh D..
I:Q t\\ rter 2 PmtedlTyped Name ./.. __
e,ko,-:.. ~ 1v.. o. a , u r
18. Discrepiricy
v
Signa~tu
I 11 D Export 1rom Jf.'
'Sign~ Sigrum.re
I
~) j\i!:1--
Port of en'sy/ex,tf Date leaving U.S.:
,..,.-;
c
---------o..__
\.J
./
Month Day Year
14 IL lll.J
Month Day Year
1L/. I tJ l:lli
IMo;r I Jy Ii:J
18a. Discrepancy Indication Space
118b. Al!emale Facility (or Generator)
5 u
~ Facility's Phooe:
D Quantity
Type
0 R esidue Manifest Reference Number:
C
w
18c. SignatureofAllemate Facility (or Generator)
!;i
z
Cl
u.i
19. HazardousWaste Report Management Method Codes (I.e., codes for haza111ouswaste treatment disposal, andrecycling systems)
Qw 1. 01. H132 12. 13
0 Partial Rejection U.S. EPA 10 Number
I
14
0 Full Rejection
IMonth I Day Year I
20. Designated Facility Owner or Operator. Certification ofreoilpt ol hazardous materials covered by the manifest except as nded in llem 18a
Printed/Typed Name
l ~t:h~iJ __/ ~ ~ ..
g EPAForm 8700-22 (Rev. 12-17) Previouseditions are obsolete.
Signa1Ure
I
~
Month Day Year
I .t/ ltc:> I~
DESIGNATED FACILITY TO EPA's e-MANIFEST SYSTEM
Appendix 8 Page 16 of 104
Pleaseprint or type
._UN ~MHAZARDOU S 11. Generator ID Number
,_UASTE MANIFEST
TX0073912974
5. Generators Name and MelingAddress
30966
2. Page 1 of 13. Emergency Response Phone
11
713-247-9331
l Form Approved 0 MBNo 2050-0039
. Man'rt1raRn~u"7b~ 4 1 ~ 7 FLE
Generators Site Address (If different than miil ng address)
te~ffrntlnental Terminal Co. LLC
~943 nde~ndence s Pkwy
Le Porte, 77571
Generalors Phone: 281-884-0357 6. Transporter 1 Company Name
tercontlnental Terminals Co.LaPorte ~943 lnde~ndence S Pkwy
I La Porte, 77571
U.S. EPA ID Number
CIMA Sarvlces LP
7, Transporter 2 Company Name
[lXR000081245 90781
U.S. EPAID Number
8. Designated Fed0ly Name and Site Address
US Ecolo~y Texas, LP
3277 Co a 69
Robstown, 1X 78380 Fadlily's Phone: 800-2423209
93. 9b, U.S. DDT Desufpllon (lnr:ludlng Proper Shipping Namo, Hazard a ass,IDNumber,
HM and Packing Group (if any))
10. ConlaJnars
No.
Type
I
U.S. EPAID Number
TXD069452340
I
11. Tolal Quantity
12..Unil WUV<A
50052
13. Was!e Codes
1.
0::
a
NA30n, Hazardous waste, solid, n.o.s.
~ X (Benzene, Toluene), 9, 111, RQ
w i.
ffi
CJ
1 CM rs
01 an ~10Ll ln0111 y UD19 U077 U159
,
3.
/ i ~ ..
-
4,
14. sp,i,t H'OWffi~~J~6~ddi1fN'i/2'8"Uon ERG#171
Job# 1088-24-422-TRAN
Box#
U159, U162, U188, U220 R"\ '2..SZS
15. GENERATOR'SIDFFERDR'S CERTIFICATION: I hereby dedare thot tho contenls of tNs conslgrvnent ere fuDy end BCQJ/lltely desc,,l>esf abovo by the proper shi>P(ng name, ard are c/as.sified, package<f,
marl<ed end labeled/placarded, and are Inall respects In proper condi1ion for transport aocording to appi cablo lntcmaUonaland naUonal governmenlal regulations. If export shipment end I amthe Primary
Exporter, I certify thal the conlenls of this oonslgnment conform to the terms of th attadled EPA Ad<nc,,o.1edgment or Consent
I certify that the waste mlnlmlzaUon stalemenI Identified In~O CFR 262.V(a) ~f I em e farile quantity generator) or (b) OIi am asfl'ajl q~uly generator) Is true.
b , Generators/Offerot's PrintedfTyped.~Nm
Slgnal!Jlll
-4 ' 0.: G.('( -fu.rr
..J 16. lntemalfonal Shipments
~ Transport.er slgnarure (for exports only):0 lmpoo to U.S.
I
n~ " ,: :~(A.VS:-,
D Export horn u.s.V
Port of ent,yi~\c
Dale leaving U.Sc
Month Day Year
I i.f I K11J.I
I0:: 17, Transporter Ad<nov.ledgment of Receipt of Materials
~ Transporter I Pri~Naroo
t.
~
a
n.
--1' YQt,t(>_, 1$ co
Transporter 2 PlinledfTyped Name
18, D~etepMcy
Slgnafum
I Slgnahlre
I
r -
.1 / , , . , ~ ,
. #--V--
f'IJ
. .'l .;.-.
\.J _-..-
,... ~,
J -Z'1
Month Oa)yM Year
b 'v/ I~ ;;, 1,,
Month Day Year
I I I
18a. Discrepancy lndlcaUon Space 0 Quantity
OType
0 Resldue
Partial Re)ec1/on
1~ 18b.Allemale Facillty (or Generator)
::! u
if Facili ty' Phone:
Manifes t Relerenoe Number:
- 0 18c. Signature of Aliemale Facility (or Generator)
~
z
CJ 19. Hazardous Wa sle Report Menagemant Method Codes (I.e., codes for hazardouswaste treaiin'enl, d~posal, and recycling ystemo)
iCiil 1.
-
-.J.
H132
12'
J3'
20. Designated Facifity o.vner or Operalo<: Certifical!on of receipt of hazardous malerials cove<ed by lhe manifest except as ntled In Item 18a
PMted/fyped Name
'"91lal\Jlll
U.S. EPA ID Number
I
14.
-
j --- - - -- M A./N>D\' {.P41c-~,/A"f'
I
~
---- EPA Form 8700-22 (Rev. 12-17) Previous edlUons are obsolete.
DESIGNATED FACILITY TO EPA's
D Full Rejectloo
lMonUl I Dey Year I ttc I ch3it
e-MANIFEST SYSTEM
Appendix 8 Page 17 of 104
~ ~.r.,t.;
:
' UNll'ORM HAZARDOUS 11. Gsne,aiDflDNumbar
~WASTE MANIFEST
TX007391.2874
6l Gooera!ot's ~me BIii f~a'lTiwAddrfss
nterfp,n nan e erm nal Co. LLC 1943 nde~ndence S Pkwy La Porte, 77571 Genera!ofs Phone: 281 -B84-03S7
6. Transporter 1 Company Name
CIMA Services LP
30966
Form Approved, 0MB No, 2050-0039
1 5 8 2. Page 1or , 3. Emergency Response Phone
4
11
713-247-9331 1 . ManoTFt47bR Gene,aio<'s SiteAddress f~ differnnt lhan maling address)
Intercontinental Termlnals Co.LaPorte 1943 lnde~ndenca S Pkwy
l Ls Porte, 77571
FLE
U.S. EPA ID Number
J TXR000081245
90781
7. Transporter 2 Company Name
U.S. EPA ID Number
\j19tt~foomli ,.ElXB~stt~dress
3277 eo a69
Rohsrown, TX 78380
Facility's Phone:
800-242-3209
I
U.S. EPA ID Number
TXD069452340
I
50052
9a. 9b. U.S. DDT Description (lnduding Proper Shipping Namo, Hazatrl aass, ID Number, HM and Pacl<lng Group Of any))
10. Containers
No.
Type
11. Total Quantity
12. Uril WINol.
13. Waste Codes
~ 1NA3077, Hazardous waste, solid, n.o.s.
0 X (Benzene, Toluene), 9, Ill. RQ
~ w
:z
2.
w
(!l
0190 319H 0018
1 CM ?:fD y U019 U077 U159
J.
4.
14. Sp~ H"{')"~~~~~ddllj>J"ll~.,milioo ERG#171 U159, U162, U188,U220
JO!Jff' 1 UC Q-:.:,q-4~- fKAN
Box 11 n..,-1lo\"t;\--
,
,
~ -
15. GENERATOR'S/OFFEROR'S CERTIFICATION: I hereby declare that tho contonts of this consignment are fully and accurately described above by the proper shipping name, ard are classified, pacl<aged,
mat<ed and labeled/placarded, and are In all respects In proper oondition for lransport acoording lo applicab!e lntemalionaland national governmental regulaUons . If export shipment and I em tho Primary
Export,,r, I ce,tify that the contents or this consgnment a,nfoon to the term, of the ettaciled EPAAclatow!eclgmenl of Consenl
I cot1ily that the wasto minimization staleJMnt Identified In 40 CfR 262.27(e) ~f I am alarge quantity genaraiDf) or (Ii) ~fl am a smaQ quantity generalor) Is IJ\le,
: : f a . ~ Generalof$/Qlferof, Printed/Typed Name
1
-{;rr-
J 16. lntemational Shipments
;:..
Import lo U.S.
:z Tnnsporter signaturo (for exports orly):
Signature
I .._ptJm.A; :1'14-
Export from U.S. -
Port or enlry/exll:
Dale leaving U.S.:
Month Day Year
.' .~ l'f 1~ 11>{
g~ 17. Transporter AcknoY.iedgmentof Receipt of Malllllals
w
li2 Transporter 1Printed/Typed Name
0
c..
do4~u1,,'
<n
z Transporter 2 Prinledlfyped Name
18. Diserepancy
Signature
I
Signab.tm
I
~ \"'
Month Day Year
I l-\ IS IV-I
Month Oay Year
I I I
18a. Dlsr.tepancy lndlcatlon Space
118b.Nlemale Facilily (orGenera!or)
5 u
~ Facili1y's Ph0110:
OUantily
Type
0Reskfue Manifest Re ference Number.
C 18c. Signatun1 ofNtemate Facllily (orGenerator)
~1 19. Hazanfous Wa1toReport Management Method Codes (Le., codes for ha,atdous waste lreatmont,disposal, and racycllng ay,tem,)
in 1.
C
12.
t H132
20. Deslgnaled Facllil)' DwnerorOperalor. Certillcalion al recalptol hauitdou, malertafs <Dvered by Iha manlfestexcapt es ncll!d InItem 1Ba .
Printed/Typed Name
l - MA7'Uc:J ,,./4k.F- ..,,,_,,,_,;; ..
EPA Foi:rn 87()()..22 (Rev. 1217) Previous editions are obsolete.
,....,-, Signab.Jre I
DESIGNATED
0 Partial ReJecilon U.S. EPA ID Number
I
,4.
~
--~ FACILITY TO EPA's
0 Full Rejecilon
IMonth I Day Year I
,M~tt,,q,!<r
e-MANIFEST SYSTEM
Appendix 8 Page 18 of 104
~ Jcr
Please print or type.
1
UNIFORM HAZARDOUS 1 GeneratriJ'-'ff~i
WASTE MANIFEST
/ 33eJ3
5. Generato(s Na"U'fi~1~~
(HOtDIOn) Inc
Ord=r C-, a8S12-03 (E)
r ~ ~ FLE Form Approved 0MBNo. 2050-0039
12. Pag' 1of , 3. Emerg~~'7!6~
Ma ~n t1 A ~ u 1 ~ 1
Generato(s Site Address (if different than matting address)
12211 PorlRd Generato(s Phooe:S:::br'oo!c. TX 7'/tf43 6.Transporter 1 coe r . ' : ! ' ~ ~ LP
7. Transporter 2 company Name
281..20,,M900S
8 Designat~ Facmi,~ ~ s~ r d o n _ B:lyport
-, 10020 8oyport BMI. Facifity's Phone: Pc:=den!!, TX 77f/47
281 74--4210
9a . HM
a:
0 t:
~
w z w
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9b. U.S. DOT DesclipCion 0nctuding Proper Shipping Name. Hazard Class, ID Number, and Packing Group (if any))
1. UN1~ WNlffS ~ a UCIUIOO, N.0.0. C0UIT10H ~ . RE~). a, PG ERB 12'
2.
I .....~,-- - -
&=bl~C0781
Ste, JOO: TX-39008
10. Cootainers
No.
TyPe
TT
U.S. EPAIDiN~ ~ , I 246
U.S. EPA ID Number
I
U.S. EPA ID Number
TXR00003128e
I
11. Total Quantity
12. Unit W1Nol .
10.?'{1 G
13. Waste Codes
0008 218H 0001 0018 0038
3.
4.
"
14. Special Handling Instructions andAddrtional lnfoonation
01: (1131<4}Wct:::d~
112724-434-TRAN
Ern::rgenty Con=ct ~ Taytor
'<.
15. GENERATOR'S/OFFEROR'SCERTIFICATION: I hereby declare thal the contents of this coosignment are fully and accurately described above by the proper shipping name, artl ..-e classified. packaged.
maiked and labeled/placa~. and are In all respects in proper condition for transport according to appllcatlkliritemationaland national governmental regualions. If export shipment and I am the Primary
Exporter, I certily that the contents of ll>s consigMient confonm to lhe tenms of lhe attached EPAAcknowlellgment <if Consent.
I certify that the waste minimization statement identified in 40 CFR 262.27(a) ft I am a large quantity gene~tor) or (bY0fl ama smanquantity g_ner~tor) is true.
GeneraLJ0fferoPr C/~ ed 73 U .S ~
..... 16. lntemafonal Shipments
i:-
Import lo U.S.
~ Transporter signature (for exports only):
s;gna~ / ~
1
0 Export from U.S.
Port of entry/exit
Date leaving U.S.:
Month Day Year
I LI 1 10 rzv
c,:: 17.Transporter Acl<nov,1edgment of Receipt of Materials
LU
Transporter 1 Pmled/Typed Name
i ,/4. u,
I';,, ,,.;
Transporter 2 Printed/Typed Name
;{ /nl,
!I-
18. Discrepancy
,-i.;.1 Ju
Signature
I
Signal\xe
I
, l r r/,r;/ ,,//'; -(,..1,,-:i/f
Month Oay Year
I'-/ I 10 1z11
1't-'/' 1/1 I z) '
r 18a. Discrepancy Indication Space
~ 18b. Attemate Faciity (or Generator) ::l 0
.t Facility's Phone:
0 Quantity
Type
Residue
Manifest Reference Number:
C
w
18c. Signature or Alternate Facii ty (or Generator)
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)I 6 Cw 1. 01 , l:iOIC1 i -S 12 13.
20. Designated Facility Owner 01 Operator: Certificatioo of receipt of hazardous materials covered by the manHest except as nded in Item 18a
Pmted/Typed Name
Signature
~
I ._, ) ;
EPA Form 8700-22 (Rev. 12-17) Prevmus ed1~ons are obsolete.
f7
I,:,.. -/ - - - - -
Partial Rejection
Ful Rejectioo
U.S. EPA ID Number
I
r
IMonth I Day Year I
Month Day Year
I i I I;_/ 1L -;
DESIGNATED FACILITY COPY
IF YOU RECEIVED THIS MANIFEST, YOU HAVE; Rl;,SPONSIBILITIES UNDER THE e-MANIFEST ACT. SEE INSTRUCTIONS ON REVERSE SIDE,
Appendix 8 Page 19 of 104
Please print or type.
UNIFORM HAZARDOUS 11. Generator ID Number
WASTE MANIFEST TXR000083683
5. Generator's Name and Mailfn.ii Address
Ene5i'i Transfer artners 123 e~le Pointe Drlva Mont Belv eu TX 77535 Generato(s Phone: 281-3BS-3673
6. Transporter 1 Company Name
CIMA Servlcos LP
a lltft/ltl
:J ~7,'6 t:./ f .t6/ 5t./ (} Form Approved. 0MB No. 2050-0039
2. Page 1of 1 3. Emergency Response Phone
r FLE 1 1
832-557-5849
Manlnt~ra~n~u~7~ ~ ? 7
Generato(s Sile Address (if different than ma(i inV address)
--
EnerR Transfer MB Pree & V 8740 M 1942 Baytown, TX 77521
I
U.S. EPA ID Number
1~000081245 90781
7. Transporter 2 Company Name
.Pesi; atiUa~lity NafEeand Site Address
~ ex s oecuar 252S Independence Pkwy Deer Perk, TX 77536 Facility's Phone: 281-9302525
9a. 9b. U.S. DOT Description (including Proper Shipping Name, Hazard Class, ID Number, HM and Packing Group (if any))
10. Containers
No.
Type
U.S. EPA ID Number
I
U.S. EPA ID Number
TXD000719518
I
11. Total Quantity
12. Unit WI.Nol.
32299
13. Waste Codes
1
0::: UN1993, Wasta Flemmeblo llqulds, n.o.s.
0 X (Benzene, Hydrogen Sulffde), 3, Ill, RQ, 0018
w ~
z
2.
w
(!)
0013 102H 0001
1 TT 4. r/}11 G D018
3.
4.
14. Special Handling Instructions and Additional Information
1)13200727 ERG#128
Job# 1221-20-036-TRAN Fruc 5
SWR#96797
15. GENERATOR'S/OFFEROR'S CERTIFICATION: I hereby declare Iha! the contents of this consignment are fully and accurately described above by the propershipping name, ard are classified, packaged,
marked and labeled/placarded, and are in all respects in proper condition for transport according lo applicable internationaland national governmental regulations. If export shipment and I am the Primary
Exporter, I certify Iha! the contents of this consignment conform lo the terms of the allached EPAAcknowledgmenl of Consent.
I f u r , ~ r y I certify that the waste minimization statement identified in 40 CFR 262.27(a) (if Iam a large quantitygenerator) or (b) (if l am asmall quantity generator) is true.
Generalo(s/Offero(s Printed/Typed Name
,A-u.1 flL~
I~
J;: ~~
....I 16. International Shipments j:..
Import to U.S.
~ Transporter signature (for exports only):
0::: 17. Transporter Ackn01Aedgmenl of Receipt of Materials
w
I i Transporter 1 Printed/Typed Name
0
a..
~ v i i " . r,,1\'/)
en
z Transporter 2Printed/Typed Name ,/
~
I-
D~mu.s.
,l .... ~.rL,., ,x; /'
Signature
I
Signature
I
Port of entrv6it: . /
Date leaving U.S.: / -
r ///' / /- ~
- -- /'
Month Day Year
I t-t 101- I ~--1
Month Day Year
I u 1/1r lH
Month Day Year
I I I
l18. Discrepancy 18a. Discrepancy Indication Space
D Quantity
~ 18b. Alternate Facility (or Generator)
:::i
u
~ Facility's Phone:
Type
0Residue Manifest Reference Number:
C w
18c. Signature of Alternate Facility (or Generator)
!.i
z
(!) in 19. Haz~ dous Waste ~eport Management Method Codes (i.e., codes for hazardous waste treatment, disposal, and recycling systems)
w 1
C
2
3
+l \~ (.)
1
A
1
D Partial Rejection U.S. EPA ID Number
I
14,
D Full Rejection
IMonth I Day Year
I
20. De~ n~d Facllity'owner or Operalo :~cation of receip o~hazardous materials covered by the manifest except as ncted in Item 18a
j -~ t h J{ /OA Prinrl et0rr~
01 ..
- - EPA Form 8700-22 (Rev. 12-17) Previous edIt1ons are obsolete. -
l ,c,
I Sign~ur - -
/-
IMrfI ,
DESIGNATED FACILITY TO EPA's e-MAN(FEST SYSTEM
Appendix 8 Page 20 of 104
Please print or type. 1
UNIFORM HAZARDOUS 1 f~ ~tiJ~~t383
WASTE MANIFEST
5et1~1 ~Sc~ffiri'anffilr,Jllaffffij'rs
123 E~la Pointe Orlve
Mont Belv eu TX 77535
281-385-3573
Generalo(s Phone:
6di~~ ~T~ t~
orm pproved 0MB No 2050 0039
1 12. Pa e 1of 3. Emergen~ i isY-~ B4Q 1 Manlotrsn47b6 4 32 8 FLE
5 r1t~1 i js M1Pff/5Jitd/l:Uf ~ffl~ aiQl i dws)
8740 M 1942
Baytown, TX 77521
I
U.S. EPA ID Number
ITXR000081245 90781
7. Transporter 2 Company Name
8Nm9i!Jell.Keffwa1"Jrmd Site Address
2525 lnde~ndenca Pkwy Daer Perk, TX 77536
281-930-2525
Facility's Phone:
9a. 9b. U.S. DOT Description (Including Proper Shipping Name, Hazard Class, IDNumber, HM and Packing Group (if any))
c::: 1UN1993, Waste Flammable llqulds, n.o.s.
w0~ X (Benzene, Hydrogen Sulfide), 3, 111, RQ, 0018
z
2.
w
(!)
U.S. EPA ID Number
I
U.S. EPA ID Number
TXD000719518
32299
10. Containers
No.
Type
1 1T
I
11. Tolal Quantity
'-1. ~on
12. Unit Wt.Nol.
G
13. Wasle Codes
0013 102H D001
DU18
3.
4.
14. Special Handling Instructions and Additional Information
1)13200727 ERG#128
,JUUff- - -- --- I IV\'I
11a 1-- :;1.1.,. 'J--J. 6
t-rec o
~ Vll'm lft "Hf
15. GENERATOR'S/OFFEROR'S CERTIFICATION: I hereby declare that the contents of this consignment are fully and accurately described above by the proper shipping name, ard are classified, packaged,
marked and labeled/placarded, and are in all respects in proper condition for transport according to applicable internationaland national governmental regulations. If export shipment and I am the Primary
Exporter, I certify that the contents of this consignment conform to the terms of the attached EPA Acknowledgment of Consent.
I certify that the waste minimization statement identified in 40 CFR 262.27(a) (if I am a large quantity generator) or (b) (ifl am a small quantity generator) is true.
Generato(s/Offero(s Printed/T~e
Jtw-t.S ~INl/15
Sig1~atureI /
I ,.. ~
Month Day Year
I 4 1.,,)9 I 9-t/
......J 16. International Shipments
Import to U.S.
~ Transporter signature (for exports only):
D Export fro;U.S.
Port of entry/exit:
Date leaving U.S.:
/
"'c::: 17. TransporterAcknowledgmentof Receiptof Materials
w
~ r Transporter 1Printed/Typed Name
0
0..
I n ll'lh. " ,l-/'J
z Transporter 2 Printed/Typed Nanm / ~
I-
.L ,,.. ...(L,,, ,/ ./
Signature
I
Signalure
I
/
rv7,L ~
Month Day Year
I t../ 1o9' 1~
Month Day Year
I I I
18. Discrepancy 18a.Discrepancy Indication Space
D Quantity
Type
0Residue
D Partial Rejection
D Full Rejection
l Manifest Reference Number:
~ 18b.Allernate Facility (or Generator)
::i
u
i'.i!: Facility's Phone:
C
I w
18c. Signalure of Alternate Facility (or Generator)
!ci:
z
S2 19. Hazardous Waste Report Management Method Codes (i.e., codes for hazardous waste treatment, disposal, and recycling systems)
"Cw' 1. 12.
~\~ nfl' 13"
U.S. EPA ID Number
I
14.
Month I Day Year
I
20. Designated Facility Owner or Operator: Certification of receipt of hazardous materials covered by the manifest except as ncted in Item 18a
' I
Printed/Typed Name
l ~f). l~-z- _'(;, l~ ~y~ ..
EPA Form 8700-22 (Rev. 12-17) Previous ed1t1ons are obsolete.
Signature
I
i ~ l.J.f'""..
DESIGNATED FAClLITY TO EPA's e-MANIFEST SYSTEM
Appendix 8 Page 21 of 104
Please print or type.
UNIFORM HAZARDOUS , 1. Generator ID Number
WASTE MANIFEST TXR000083683
\
, 2.Pr
5. Generato(s Name and Mail~n Address
Enei'! Transfer ertners 123 Ee~le Pointe Drive Mont Belv eu TX 77535
Generato(s Phone:281-396-3673
6. Transporter 1 Company Name
CIMA Servlaea LP
7. Transporter 2 Company Name
s Desii ate~ a~li Na~ eand SiteAddress 1ex s o uar 2525 lndeJ)!'!ndence pkwy Deer Perk, TX 77536 Facility's Phone: 281-9302525
9a. 9b. U.S. DOT Description (including Proper Shipping Name, Hazard Class, ID Number, HM and Packing Group (ifany))
0c,:: 1 X UN1993, Waste Flammable llqulds, n.o.s. (Benzene, Hydrogen Sulffde), 3, Ill, RQ, 0018
w ~
z
2.
w
(!)
l
Form Approved. 0MB No. 2050-0039
01 1of 3. Emergency Response Phone 832-057-5849
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Generato(s Site Address (if different than maIIzny address)
Enor~ransfer MB Free I & V
8740 1942 Baytown, TX 77521
I U.S. EPA ID Number
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ITXR000081245 90781
U.S. EPA ID Number
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Tx.O000719518 32299
10. Containers
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Job# 1221-26"896-TRAN l!)..J-/ ....,.Lf,,. :)..{}-/
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SWR#96797
15. GENERATOR'S/OFFEROR'S CERTIFICATION: I hereby declare that the contents of this consignment are fully and accurately described above by theproper shipping name, ard are classified,packaged,
marked and labeled/placarded, and are in all respects in proper condition for transport according toapplicable internationaland national governmental regulations. If export shipment and Iam the Primary
Exporter, I certify that the contents of this consignment conform to the terms of the attached EPAAcknovAedgment of Consent. a,(u,
I certify that the waste minimization statement identified in 40 CFR 262.27(a) (if I am a large quanlity generator) or (b) (ifl am.JlrSma uantity generator) is true.
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l ~(). l ~ "t > l ~ EPA Form 8700-22 (Rev. 12-17) Previous editions are obsolete.
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DESIGNATED FA-CILITY TO EPA's e-MANIFEST SYSTEM
Appendix 8 Page 22 of 104
Please print or type
f /IC!;tl!?l g~5'};t:J
.:3g.56 L, Form Approved. 0MB No. 2050-0039
UNIFORM HAZARDOUS 11. Generator ID Number
WASTE MANIFEST
f XR.000083f.8~i
5._Generator's Name and Mail!fill Address
E11ergy Trnnsfer Partnem 123:53 E!:!qlc Pointe OriYe Mont Relv1eu TX t7535 Generator's Phone: 281-38!1-3573
6. Transporter 1 Company Name
GIMA Servloea LP
~nerator's Sile Address (if differ~nt t~an malling address)
E:11e1gy Trd1tsk1 MB l 12.u IV-~ V 8740FM 1942
8oyton1, TX 77!i21
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f lXR.O00081245
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e,oesignated fa<;ilily Na111e and Site Address
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10. Containers
No.
Type
11. Total Quantity
12.Unit Wt.Nol.
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1.
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15. GENERATOR'S/OFFEROR'S CERTIFICATION: I hereby declare lhat the contents of this consignment are fully and accurately described above by the proper shipping name, ard ara classified, packaged,
marked and labeled/placa1ded, and are In all respects In proper condition for transport according to applicable International and national governmental regulations. If export shipment and I am lhe Primary
Exporter, I certify that the conlenls of this consignment oonlorm to the terms of the attached EPAAcknowledgmenl of Consent
I certify that lhe_waste minimization statement identified in 40 CFR 262.27(a) (if I am alarge quantlly generator) or (b) (ffl am asmall quanUty generator) is true.
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EPA Form 8700-22 (Rev. 12-17) Prev10us editions are obsolete.
DESIGNATEDFACILITY TO EPA's e-MANIFEST SYSTEM
Appendix 8 Page 23 of 104
Appendix 8 Page 24 of 104
Appendix 8 Page 25 of 104
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Form Approved. 0MB No. 2050-0039
UNIFORM HAZARDOUS 11. Generator ID Number
WASTE MANIFEST i XR000084890
5. Generato(s Name and Mail~n Address
EneWi Transfer ertners 1235 Ee~lo Pointe Drive Mont Belv eu TX 77535
Generalo(s Phone: 281-385-3573
6. Transporter 1 Company Name
CIMA Servl089 LP
847 2. Page 1of 1 3. Emergency Response Phone
11
832-557-5849
,4.Manioti8 n
Generato(s Site Address {ifdifferent than mailing address)
En ~ Transfer MB Fmc VI & VIII 8774 M 1942
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llXR000081245 90781
7. Transporter 2 Company Name
U.S. EPA IDNumber
11-f~. si nalefJac1Iity Narieand Site Address
as oocuar 2525 lnda~ndanoe Pkwy
Deer Perk, TX 77536
Facility's Phone: 281-9302525
9a. 9b. U.S. DOT Description {including Proper Shipping Name, Hazard Class, ID Number, HM and Packing Group {if any))
10. Containers
No.
Type
IU.S. EPA ID Number
TXO0D0710!>18
I
11. Total Quantity
12. Unit Wt.Nol.
32299
13.Waste Codes
1
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SWR#97386
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15, GENERATOR'S/OFFEROR'S CERTIFICATION: I hereby declare that the contents of this consignment are fully and accurately described above by the proper shipping name, ard are classified, packaged,
marked and labeled/placarded,and are In all respects in proper condition for transport according toapplicable internationaland national governmental regulations. If export shipment and I am the Primary Exporter, I certify that the contents of this consignment conform to the terms of the attached EPAAcknowtedgment of Consent.
I certify that the waste minimization statement identified in 40 CFR 262.27(a) {if Iam a large quantity generator) or {b) {if! am asmall quantity generator) is true.
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EPA Form 8700-22 (Rev. 12-17) Previous ed11ions are obsolete.
I
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DESIGNATED FACILITY TO EPA's a-MANIFEST SYSTEM
Appendix 8 Page 26 of 104
Please print or type.
UNIFORM HAZARDOUS 11. Generator ID Number
WASTE MANIFEST
TXRO0008489O
5. Generato(s Name and Mailing Address
,,
Form Approved. 0MB No. 2050-0039
12. Pa~e 1of 3. Emergency Response Phone
832-557-5849
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EnesW! Transfer Partners
123 E~le Pointe Drive
Mont Belv eu TX 77535
Generato(s Phone: 281-386-3673
6. Transporter 1 Company Name
Eneih1ran fer MB Frac VI & VIII
877
1942
IBaytown, TX 77521
U.S. EPA ID Number
CIMA Servlaaa LP
7. Transporter 2 Company Name
11XR000081245 90781
U.S. EPA ID Number
8. Designated Facility Name and Site Address
Texes Motocular
2525 lnde~ndence Pkwy
Deer Perk, TX 77536
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281-930-2525
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TX0000719518
I
32299
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Type
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SWR#97386
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15. GENERATOR'S/0FFER0R'S CERTIFICATION: I hereby declare that the contents of this consignment are fully and accurately described above by the proper shipping name, ard are classified, packaged, marked and labeled/placarded, and are in all respects in proper condition for transport according to applicable internationaland national governmental regulations. If export shipment and I am thePrimary
Exporter, f certify that the contents of this consignment conform to the tenms of the attached EPAAcknowledgment of Consent. I certify that the waste minimization statement identified in 40 CFR 262.27(a) (if I am a large quantity generator) or (b) (ifl am a small quantity generator} is true.
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EPA Form 8700-22 (Rev. 12-17) Previous editions are obsolete.
I \ \2;,
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DESIGNATED FACILITY TO EPA's e-MANIFEST SYSTEM
Appendix 8 Page 27 of 104
Please print or lype.
UNIFORM HAZARDOUS WASTE MANIFEST
2. Page 1 of
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Form Approved. 0MB No. 2050-0039
550 FLE
ess)
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10. Containers
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Type
1 TT
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1) 13200729 ERl-,#1' 8
12h/1s29 A41 ,:
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15. GENERATOR'S/OFFEROR'S CERTIFICATION: I hereby declare lhal the contents of thisconsignment are fully and accurately described above by the proper shipping name, ard are classified, packaged, marked and labeled/placarded, and are In all respects in proper condiLion for transport according to applicable international and national governmental regulations. If export shipmen! and I am lhe Primary Exporter, Icertify lhat the contents of this consignment conform lo the lerms of lhe allached EPA Acknowledgment of Consent. I certify lhat the waste minimization slalemenl identified In 40 CFR 262.27(a) (if I am a large quantity generator) or (b) (if I am a small quantity generator) is true.
Generators/Offerors PrinledfTyped Name
Month Day Year
D ....1 16. International Shipments
.Z_.. Transporter signature (for exports only):
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ffi 17. Transporter Acimowledgmenl ofReceipt of Materials Iii: Transporter 1 Printed/Typed Name
Signature
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EPA Form 8700-22 (Rev. 12-17) Previous edilions are obsolele.
0 EPA's e-MANIFEST SYSTEM
Appendix 8 Page 28 of 104
Please print or type
UNIFORM HAZARDOUS 11. Generator ID Number
WASTE MANIFEST
fXR000Q84890
5. Generato(s Name and Mailing Address
EnorWi Transfer Partners
1235, F.~le Pointe Drive Mont Behi eu TX TT535 Generato(s Phone: 28 1-386-3573
11erv I 1-tl- ..161600
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FormApproved OMBNo 2050-0039
2. Page 1of 1 3. Emergency ResponsePhone
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Generato(s Site Address (if different than mailing address)
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6. Transporter 1 Company Name
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7. Transporter 2 Company Name
U.S. EPA ID Number
11 ,ROOuOB 1~Af1
U.S. EPA ID Number
90781
8. Designated Facility Name and Site Address Texae Molecular
I
U.S. EPA ID Number
2525 1nde~ndenrePkwy
Dear Park, rx 77536
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Job# 1z~1-z6-C4i -TRAN
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8WR# 973~6
15. GENERATOR'S/OFFEROR'SCERTIFICATION: I hereby declare that the contents of this consignment are fully and accurately described above by the proper shipping name, ard are classified, packaged,
marked and labeled/placarded, and are in all respects in proper condition for transport according to applicableInternationaland national governmenlal regulations. If export shipmentandI a~\ thePrimary
k Exporter, I certify that the contents of this consignment conform to the terms of the attached EPA Acknol'Aedgment of Consent.
I certify that lhe waste minimization statement identified in 40 CFR 262.27(a) (if I am alarge quantity generator) or (b) Ii'' ~ I I quantityge~) is true.
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EPA Form 8700-22 (Rev. 12-17) Previous editions are obsolete.
DESIGNATED FACILITY TO EPA's
D Full Rejection
IMonth I Day Year
I
, Mr7, J J l - /
e-MAf0IFEST SYSTEM
Appendix 8 Page 29 of 104
Please print or type
UNIFORM HAZARDOUS 11. Generator ID Number
WASTE MANIFEST TXR000086238
5. Generato(s Name and Maili~ Address
Ene~ Transfer ertnars 1235 E~le Pointe Drive
Mont Belv eu TX 77535 Generato(s Phone: 2ih-385-3573
6. Transporter 1 Company Name
CIMASaNloea LP
:3Ll; 7MJ1,
Lj;2/6e:,
Form Approved. 0MB No. 2050-0039
2. Page 1of , 3. Emergenc\fResponse Phone
11
832-o57-5849
4
1Manlcftan~rt6 580 FLE
Generato(s Site Address (if different than mailing address)
E ~ Trentfer MB Frsc VII
87 M 1942
I Baytown, TX 77521
U.S. EPA ID Number
ITXR000081245
90781
7. Transporter 2 Company Name
U.S. EPA ID Number
mt9a,eMo~Nu ; r Site Address
I
U.S. EPA ID Number
2625 lndapgndenoe Pkwy Deer Perk, TX 77536 Facility's Phone: 281-930-2525
TXD000719518 32299
I
9a. 9b. U.S. DOT Description (including Proper Shipping Name, Hazard Class, ID Number, HM and Packing Group (if any))
10. Containers
No.
Type
11. Total Quantity
12. Unit Wt.Nol.
13. Waste Codes
1
c.:: UN1993, Waste Flamm!ble llqulds, n.o.s.
0 X (Benzene, Hydrogen Sulflde), 3, Ill, RQ, D018
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1 TT t..tsnr: G 0018 1
3.
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14. Special Handling Instructions and Addilional Information
1)13200726 ERG#128
Job# 1221-20-046-'IRAN Fmc7 SWR#97836
15. GENERATOR'S/OFFEROR'S CERTIFICATION: Ihereby declare that the contents of this consignment are fully and accurately described above by the propershipping name, ard are classified, packaged,
marked and labeled/placarded, and are in all respects In proper condition for transport according to applicable internationaland nalional governmental regulations. If export shipment and I am the Primary
Exporter, I certify that the contents of this consignment conform lo the terms of the attached EPA Acknowledgment of Consent.
I certify that thewaste minimization statement identified in 40 CFR 262.27(a) (if I am alarge quantity generator) or (b) (ifl am a small quantity generator) is true.
.. Vr~~ t : : ; ~t ~r~d;;~ AJA
...J 16. lnternatltl'nal Shipment~
j:...
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z Transporter signature (for exports only):
- .., - - 1srure~
~ -
....
D Export from U.S.
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Month Day Year
In'-11 -xn 1,;2,4.
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18. Discrepancy 18a. Discrepancy Indication Space
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\ - \ \ ~ 14' 20. Designated Facility Owner or Operator: Certification or receipt of hazardous materials covered by the manifest except as ncted in Item 18a
Printed/Typed Name
cf) f') . ( (~ . ~ 1 -
lEPA Form 8700-22 (Rev. 12-17) Previous editions are obsolete.
Signature
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DESIGNATED FACILITY TO EPA's
D Full Rejection
IMonth I Day Year
I
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e-MANIFEST SYSTEM
Appendix 8 Page 30 of 104
cj(V)A
Please print or type UNIFORM HAZARDOUS 11. Generator ID Number
WASTE MANIFEST f)(Rll00081347
S~ enerato(s~ ame ant ait~ A~ ress
neWi rena r a ners 1235 ~le Pointe Drive
Mont Belv eu TX 77535 Generatots Phone: 281-38 5- 3573
6. Transporter 1 Company Name
CIMA Servl089 LP
7. Transporter 2 Company Name
f /Jt!1il/lC $~300
e I 'IsIO Form Approved 0MBNo 2050-0039
2. Page 1 of , 3. Emergency Response Phone
11
832-657--5840
1Manlfot 1c8gl r 9ei 4 696 FL E
Generato(s Site Address (if different than mailing address)
Ene~ Tranaft r MB r roe I. II Ill
9850 M 1942
I Baytown, TX 77521
U.S. EPA ID Number
ITXR000081245
U.S. EPA IDNumber
90781
81D: ~ , eAA~ r~6lf"dSile Address
I
U.S. EPA ID Number
2525 lndepende1100 Pkwy
Deer Perk, TX 77536
Facility's Phone: 281-9302525
TXD000719518 32299
I
9a. 9b. U.S. DOT Description (including Proper Shipping Name, Hazard Class, ID Number, HM and Packing Group (if any))
10. Containers
No.
Type
11. Total Quantily
12. Unit WINol.
13. Waste Codes
1
r::t:: UN1993, Wasta F11:1mmable llqulds, n.o.a.
0 X (Benzene, Hydrogen Sulftde), 3, Ill, RQ, 0018
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w
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0013 102H D001
1 TT lf.soo G 0018
3.
4.
14. Special Handling Instructions and Additional Information
1)13200728 l:;l{G#128
Job# 12?1-?.4-224-TRAN Frac 1
SWR#96793
15. GENERATOR'S/OFFEROR'S CERTIFICATION: I hereby declare that the contents of this consignment are fully and accurately described above by the proper shipping name, ard are classified, packaged, markedand labeled/placarded, and are inall respects inproper condition for transport according lo applicable internationaland national governmental regulations. If export shipment and Iam the Primary Exporter, I certify that the contents of this consignment conform to lhe terms of the attached EPAAcknowledgment of Consent. I certify Iha! the waste minimization slalemenl identified in 40 CFR 262.27(a) (if I amalarge quantity generator) or (9MiflJllll a sro.all quantity generatorl is true.
Ge7 1 1 ; ; : ;n' ; i: ; 1~
....I Hi. International S11ipments
i-
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z Transporter signature (for exports only):
r::t:: 17. Transporter Acknowledgment of Receipt of Materials
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20. Designated FacilityOwner or Operator: Certification of receipt of hazardous materialscovered by the manifest except a ~ in Item_18a
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Signature
l \.Y) , ('~ r>.CAX~ ..
EPA Form 8700-22 {Rev. 12-17) Previous editions areobsolete.
I
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DESIGNATED FACIDiYTO EPA's
D Full Rejection
IMonth I Day Year
I
11+ 1r ~
e-MANIFEST SYSTEM
Appendix 8 Page 31 of 104
Appendix 8 Page 32 of 104
Please print or type
UNIFORM HAZARDOUS 11.Generator ID Number
WASTE MANIFEST j)(RQ00081347
5J)eneratorst jme an~ Mail~- A~ ress
Enfs>i rans r a ners 123 ~ le Pointe Drive
Mont Belveu TX 77535
Generators Phone: 281-385-3573
6. Transporter 1 Company Name
CIMA SJrvl l 1:1
f II t;t,1/Jt- s~/:2 oo
a 'f3 I/ / Form Approved 0MB No. 2050-0039
2. Page 1of 13. Emergency Response Phone
11
832-557 5849
1 Maniffi 1 c8,g4u~ri 4 698 FLE
Generators SiteAddress (ifdifferent than mailing address)
Energ~ Ttuntfer MB r c I, II & Ill
9850 M 1942
I Baytown, TX 77521
U.S. EPA ID Number
ITXR000081246 90781
7. Transporter 2 Company Name
U.S. EPA ID Number
sp ~ rteAA~~CtTiiFnd SiteAddress
I
U.S. EPA ID Number
2526 lndepgndanco Pkwy
Deer Park, TX 77536 2e1.gso.2s2s
Facility's Phone:
TXD000719~18 32299
I
9a. 9b. U.S. DOT Description (including Proper Shipping Name, Hazard Class, ID Number, HM and Packing Group (if any))
10. Containers
No.
Type
11 . Total Quantity
12. Unit Wt.Nol.
13. Waste Codes
1
0::: UN1993, Waste flammable llqulds, n.o.s.
0 X (Benzene, Hydrogen Sulflde), 3, 111, RQ, 0018
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2.
w
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0013 102H 0001
1 TT ,L-/. fl"1 G 0018
3.
4.
14. Special Handling Instructions and Additional Information
1}1 3200728 ERG#128
Job# 1221-24-i,..-lRAN Frac 1
SWR#96793
15. GENERATOR'S/OFFEROR'S CERTIFICATION: I hereby declare that the contents of U1is consignment are fully and accurately described above by the proper shipping name, ard are classified, packaged,
marked and labeled/placarded, and are in all respectsin proper condition for transport according to applicable internationaland national governmental regulations. If export shipment and I am the Primary
! 1nr- Exporter, I certify that thecontentsof thisconsignment conform to the terms of the attached EPAAcknowiedgment o(ionsenl.
I certify that the waste minimization statement identified in 40 CFR 262.27(a) (if I am a large quantity generator) or ( (ifl am Ifsmall quantitygenerator) is true.
Gener~~:erorsPri;:;/~d t e
I Signature
ff I
...I 16. lntemational Shipments
....
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z Transporter signature (for exports only):
D Export from U.S. '-{
V V
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/
Month Day Year
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Prinledffyped Name
l ~1: Q ) . ~ ; ~.. EPA Form 8700-22 (Rev. 12-17) Prev1oused1t1ons are obsolete.
Signature
I
1Mn I X+ 1m
DESIGNATED FAClI'ITY TO EPA's a-MANIFEST SYSTEM
Appendix 8 Page 33 of 104
79- ?-O
I Please print or type UNIFORM HAZARDOUS WASTE MANIFEST
1. Generator ID Number
TXR000081347
-,
2. Page 1of 1 3. Emergency Response Phone
11
832-557-5849
4
IMania!rc84u~ti 704 FLE
5~ eneralo(sf ame ani Mail~ A~ ress
neWi rans er a nera 123 Ea~le Pointe Drive Mont Belv eu TX 77535
Generalo(s Phone: 281-385-3573
Generalo(s Sile Address (if different than mailing address)
Eneoo~ rranstet MB Frac 1. II & Ill 9850 M 1942
IBaytown, TX 77521
6. Transporter 1 Company Name
CIMA Servlaet. LP
U.S. EPA ID Number
ITXRooooa12~ 90781
7. Transporter 2 Company Name
U.S. EPA ID Number
Bf.e~inalei ja~'lilY. Narie and SileAddress
e s oocuar 2525 lndePQndenoo Pkwy Deer Perk, TX 77536 Facility's Phone: 2819302525
I
U.S. EPA ID Number
TXD000719518
I
32299
9a. 9b. U.S. DOT Description (including Proper Shipping Name, Hazard Class, ID Number, HM and Packing Group (if any))
10. Containers
No.
Type
11. Total Quantity
12. Unil WI.Nol.
13. Waste Codes
1
00:: X UN1993, Was1e Flemmeblo llqulds, n.o.&, (Beiuene, Hydrogen Sulflde). 3, 111, RQ, 0018
i w
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2.
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0013 102H D001
1 TT '-/. xoo G 0018
3.
4.
14. Special Handling Instructions and Additional Information
1)13200728 E:RG#128
Job# 1221-24-224-TRAN Frao 1
SWR#96793
15. GENERATOR'S/OFFEROR'S CERTIFICATION: I hereby declare Iha! the contents of this consignment are fully and accurately described above by !he proper shipping name, ard are classified, packaged, marked and labeled/placarded,and are in all respects in proper condition for transport according lo applicable international and national governmental regulations. If export shipmen! and Iam the Primary
Exporter, I certify Iha! the contents of this consignment conform lo the terms of the attached EPAAcknovAedgmenl of Consent.
I certify that the waste minimization statement identified in 40 CFR 262.27(a) (if I am a large quantity generator) or (b) (ifl am a Sflall quantity generator) is true.
~~r:~;;A Mae~b--0{2_ _
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18. Discrepancy 18a. Discrepancy Indication Space
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1! ~1~ m
EPA Form 8700-22 (Rev. 12-17) Previous editions are obsolete.
DESIGNATro-J!ACILITY TO EPA's e-MAN FEST SYSTEM
Appendix 8 Page 34 of 104
/leTll/lt .361680f
Please print or type
UNIFORM HAZARDOUS 11. Generator ID Number
WASTE MANIFEST TXR000081347
5. Generator's Name and Mailing Address
'It./ 76 {; Form Approved 0MB No 2050-0039
2. Page 1 of , 3. Emergency Response Phone
11
832-657-5849
4
1 Maniot1 acftLt~t1 71 1 FLE
Generator's Site Address (if different than mailing address)
EneW! Transfer Partners 1235 E~le Pointe Drive Mont Balv eu TX 77535
Generator's Phone: 281-386-3673
Ene~ Tranafur MB Frao I, II & Ill 9850 M 1942
IBaytown, TX 77521
6. Transporter 1 Company Name
U.S. EPA IDNumber
CIMA Servlcas LP
7. Transporter 2 Company Name
1TX},(ooooa124s 90781
U.S. EPA ID Number
8. Designated Facility Name and Site Address
Texas Molecular
2525 lnde~ndenca PkwY
Dear Perie, TX 77536 Facility's Phone: 281-830 ,2525
9a. 9b. U.S. DOT Description (Including Proper Shipping Name, Hazard Class, IDNumber, HM and Packing Group (If any)}
10. Containers
No.
Type
IU.S. EPA ID Number
TXD000719518
I
11. Total Quantity
12. Unit Wt.Nol.
32299
13. Waste Codes
1.
0::: 0
UN1993, Waste Flammable llqulds, n.o.a.
~ X (B nzena, Hydrogen Sulfide), 3, Ill, RQ, 0018
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1 TT 4 )l'J/) G 0018
,
3.
4.
14. Special Handling Instructions and Additional Information
1) 13200728 ERG#128
Job# 1221-24-224-TRAN Fruc2
SWR#96793
15. GENERATOR'S/OFFEROR'S CERTIFICATION: I hereby declare that the contents of thisconsignment are fully and accurately described above by the proper shipping name, and are classified, packaged,
marked and labeled/placarded, and are in all respects In proper condition for transport according to applicable internationaland national governmental regulations. If export shipment and I am the Primary
Exporter, I certify that the contents of this consignment conform to the terms of the attached EPAAcknowledgment ofrtoent.
I certify that the waste minimization statement Identified in 40 CFR 262.27(a) (if Iam a large quantity generator) or (b) am-~.4lia11 q~antity generator) is true.
j ' Gener:1t :ror's PriAeJ7~me
,- - ...I 16. lnterfflllional Shipments
~
D Import to U.S.
z Transporter signature (for exports only):
Signature
I D Export from U.S. f
Alf/_/,,.--
Ill/~
Port of entry/exit: Date leaving U.S.:
Month Day Year
10 1.?>' I ,?ff
0::: 17. TransporterAckno1~edgmentof Receipt of Materials
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0
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18. Discrepancy 18a. Discrepancy Indication Space
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20. Designated Facility Owner or Operator: Certification of receipt of hazardous materials covered by the manifest except as ncted in Item 18a
l ~9:--- \l) ~ r~~rm~ Printed/TypedName -s\. .. EPA Form 8700-22 (Rev. 12-17) Previous ed1t1ons are obsolete.
Signature
I
DESIGNATED FACILITY TO EPA'seMANIFEST SYSTEM
Appendix 8 Page 35 of 104
,lhJ1Vlfl- J6., S 60 f'
Please print or type
UNIFORM HAZARDOUS 11. Generator ID Number
WASTE MANIFEST
I Xl-\00008134'l
5. Generator's Name and Mailing Address
E:nartj I runsfer Partnen
1235 E~le Pointe Drive Mont EliJIV eu TX 77535 Generator's Phone: 281-385-3573
6. Transporter 1 Company Name
L IMA ~orvlt&J LP
7. Transporter 2 Company Name
i /t /J 6 Fora.pproved. 0MB No. 2050-0039
2. Page 1of , 3. Emergency Response Phone
11
li32 ~57-!W49
r- Manin!1acA~u~~t1 71 q FLE
Generator's Site Address (if different than mailing address)
I nerg~ Iran:n I Mf3 I r CI, II Ill
?850 M 1942
Ib ,ytown, TX 77521
U.S. EPA ID Number
j l..J- 0000812 b
U.S. EPA ID Number
90781
8. Designated Facility Name and Sile Address
I tttas Molnc:ular 2525 Independence Pl-.wy
Deer Pmt, fX 77536
Facilily's Phone: 201 .q3O.2s2s
9a. 9b. U.S. DOT Description (including Proper Shipping Name, Hazard Class, ID Number, HM and Packing Group (if any))
10. Containers
No.
Type
I
U.S. EPA ID Number
T)(0000719518
I
11. Total Quanlity
12. Unit WI.Nol.
32299
13. Waste Codes
1.
0:: 0
UN1993, Waste I lemmable liquid.,, n.o.o.
~ X (Benzene, Hydrogen $ulffda), 3, Ill, RQ, D018
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2.
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1 TT 14so6 G D018
.,
3.
4.
14. Special Handling lnstruclions and Additional Information
1)13200728 ERG#126
Job# 1221-24-224 l hJ. N frllC 2
SWR#96793
15. GENERATOR'S/OFFEROR'S CERTIFICATION: I hereby declare that the contents of this consignment are fullyand accurately described above by lhe proper shipping name, ard are classified, packaged,
markedand labeled/placarded, and are in all respects in proper condilion for transport according to applicable internationaland national governmental regulations. If export shipment and I am the Primary
Exporter, I certify that the contents of this consignment conform to the lerms of the attached EPAAcknowledgment ol Consent.
b~"" I certify that the wasteminimization slatement identified in 40 CFR 262.27(a) (if I am a large quantilygenerator) or (b) (ifl am asmall quantity generalor) is true.
Generalo/r'P r 7 { ,ed~ ed NamJ t l rt?
I~ ~ _ . : : : ,
Month Day Year
I LI 111 7 1,gv
....I 16. lnle"1ational Shipments
j:...
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0:: 17. Transporter Acknowledgment of Receipt of Materials
w
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0::
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, I" .,,<
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Monll1 Day Year
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Month I Day Year I
l (S) . CRX\t \), ~ 20. Designated Facility Owneror Operalor: Certification of receipt of hazardous materialscovered by the manifest except~
Prinled/Typed Name
Signature
.. EPA Form 8700-22 (Rev. 12-17) Previous ed11ions are obsolete.
I
\_
in Item 18a
IM~ ( 5 \ 1 J l f
DESIGNATED FACIIITY TO EPA's e-MANIFEST SYSTEM
Appendix 8 Page 36 of 104
4
Please print or type UNIFORM HAZARDOUS 11. Generator IDNumber
WASTE MANIFEST rXR000081347
5. Generatofs Name and Mailing Address
Enerfi Transfer Partners 1235 E~le Pointe Drive Mont Belv au TX 77535
Generatofs Phone: 281-386-3673
6. Transporter 1 Company Name
lltftl Ill .:;~2 8 tJ fJ
t1s.2 2 C
2. Page 1of 13. Emergency Response Phone
11
832-657-5849
r FormApproved. 0MB No. 2050-0039
Manin! 1ac;~t~t1 7 ? 1 FLE
Generatofs Site Address {if different than mailing address)
Lnern I runsfi,t MB f'l't'C I, II & Ill 9850 M 1942
IB ytown, TX ns21
U.S. EPA IDNumber
CIMA Services LP
7. Transporter 2 Company Name
ITXR000081245 90781
U.S. EPA ID Number
8. Designated Facility Name and SiteAddress
Texas Molecular 2525 lnde~ndence Pkwy Doer Perk, TX 77536 Facility's Phone: 281-930 2525
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1)13200728 ERG#126
Job# 1221-24-224-TRAN Frac2
SWR#96793
15. GENERATOR'S/OFFEROR'S CERTIFICATION: I hereby declare that the contents of this consignment are fullyand accurately described above by the proper shipping name, and are classified, packaged,
markedand labeled/placarded,and are in all respects in proper condition for transport according to applicable internationalandnational governmental regulations. If export shipmentand I am thePrimary
Exporter, I certify that the contents of this consignment conform tothe terms of the attached EPAAcknowledgment of Consent.
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11
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1) 13200728 ERG#128
Job# 1221-24-224-TRAN Free 2
SWR#96793
15. GENERATOR'S/OFFEROR'S CERTIFICATION: I hereby declare that the contentsof this consignment are fully and accurately described above by the proper shipping name, ard areclassified, packaged,
marked and labeled/placarded, and are in all respects in proper condition for transport according to applicable internationaland national governmental regulations. If export shipmen! and Iam the Primary
Exporter, Icertify that the contents of this consignment conform to the terms of theattached EPAAcknowledgment ofConsent.
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Appendix 8 Page 38 of 104
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WASTE MANIFEST TXR000081347
5. Generato(s Name and Mailing Address
En~ Transfer Partners 12 E~le Pointe Drive Mont P-alv '3U TX 77535 Generato(s Phone: 281-385-3573
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1) 13200728 ERG#128
Job# 12?1-24-224-TRAN Frec2
SWR#96793
15. GENERATOR'S/OFFEROR'S CERTIFICATION: I hereby declare that the contents of this consignment are fully and accuratelydescribedabove by the proper shipping name, ard are classified, packaged,
marked and labeled/placarded, and are in all respects in proper condition for transport according to applicable inlemalionaland national governmental regulations. If export shipment and I am the Primary
Exporter, I certify that the contents of this consignment conform to the terms of the allached EPA Acknowledgment of Consent.
I certify that the waste minimization stalement Identified in 40 CFR262.27(a) (if I am alarge quantity generator) or {b) (ifl am asmall quantity generator) is true.
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DESIGNATEDFACILITY TO EPA's a-MANIFEST SYSTEM
Appendix 8 Page 39 of 104
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UNIFORM HAZARDOUS 11. Generator IDNumber
WASTE MANIFEST TXR000081347
5EGenerato(s,1ame ani Mail~ A~ ress
neWi rans er a ner&
123 E~le Pointe Drive
Mont Belv eu TX 77535
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11
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2526 lnda~ndenoe Pkwy
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1)13200728 ERG#128
Joh# 1221-24-224-TRAN Fnac2
SWR#96793 ,
,
15. GENERATOR'S/OFFEROR'S CERTIFICATION: I hereby declare that the contents of this consignment are fully and accurately described above by the proper shipping name, ard are classified, packaged,
marked and labeled/placarded, and are in all respecls in proper condition for transport according to applicable internationaland national governmental regulations. If export shipmen! and Iam the Primary
Exporter, I certify !hat the contenls of this consignment conform to the terms of the attached EPAAckn01Aedgment of Consent.
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DESIGNATED FACILITY TO EPA's e-MANIFEST SYSTEM
Appendix 8 Page 40 of 104
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;9ertt/lL .J4:i. oo f
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UNIFORM HAZARDOUS 11. Generator ID Number
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11
832-657-5849
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14. Special Handling Instructions and Additional Information
1)13200729 ERG#128
Job# 1221-24-227-TRAN Frac e SWR#-97386
15. GENERATOR'S/OFFEROR'S CERTIFICATION: I hereby declare that the contents of this consignment are fully andaccurately described above by the proper shipping name, ard are classified, packaged,
marked and labeled/placarded, and are in all respecls In proper condition for transport according to applicable lnternaUonaland national governmental regulations. If export shipment and I am the Primary Exporter, I certify that the contents of this consignment conform to the terms of the attached EPAAcknowledgment of Consent.
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Appendix 8 Page 41 of 104
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UNIFORM HAZARDOUS 11. GeneratorIDNumber
WASTE MANIFEST I XR00ooa '890
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E,ner~ 1mnsfor Partnc re 12:35 Ea~le Pointe flrive Mont elv au TX 77535
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11"p 000081245 90781
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l ~D000719510
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32199
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1) 13200729 1,;;RG#126
Jo~ 1221-24-227-TMN fraca
SWRII 97386
15. GENERATOR'S/OFFEROR'SCERTIFICATION: I hereby declare that the contents of lhis consignment are fully and accurately described above by the proper shipping name, and are classified, packaged,
marked and labeled/placarded, and arein all respects in proper condition for transport according to applicable international and national governmenlaIregulations. If export shipment and I am the Primary
Exporter, Icertify that the contents of this consignment conform to the terms of the attached EPAAcknowledgment of Consent.
r:r;a/;;,;f)y!j;iMJ/fvf > ~ I certify that the waste minimization statement identified in 40 CFR 262.27(a) (ifI.2JIJ a large quantitygenerator) or {b) (ifI am asmall quantitygenerator) istrue.
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DESIGNATED FACILITY TO EPA's a-MANIFEST SYSTEM
Appendix 8 Page 42 of 104
Please print or type
UNIFORM HAZARDOUS , 1. Generator ID Number
WASTE MANIFEST TXR000085238
5. Generalofs Name and Mailing Address
EneWi Transfer Partners 1235 E~le Pointe Drive Mont Befv au TX 77535
Generalofs Phone: 281-386-3673 6. Transporter 1 Company Name
CIMA Sarvlaas LP
7. Transporter 2Company Name
! /lt!tf1/Jl
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832-557-5849
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En~ Tran r MB FrucVII 87 M 1942
IBaytown, TX 77521
U.S. EPA ID Number
ITXR000081245
U.S. EPA ID Number
90781
8. Designated Facility Name and Sile Address
Texas Molecular 2525 lnde~ndence Pkwy Deer Pane, TX 77536 Facility's Phone: 281--930-2525
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10. Containers
No.
Type
I
U.S. EPA ID Number
TXD000719518
I
11. Total Quantity
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14. Special Handling Instructions and Additional Information
1)1 3200726 ERG#128
Job# 1221-24-227-TRAN Frac7 SWR#97636
15. GENERATOR'S/OFFEROR'S CERTIFICATION: I hereby declare that the contents of this consignment are fully and accurately described above by theproper shipping name, ard areclassified, packaged,
marked and labeled/placarded, and are in all respects in proper condition for transport according to applicable internationaland national governmental regulations. If export shipment and I am the Primary
Exporter, I certify that the contents of this consignment conform to the terms of the attached EPA Acknowledgment of Consent
P,i1;~;~:~; Icertify that the waste minimization statement Identified in 40 CFR 262.27(a) (if Iam alarge quantity generator) or (b) (ifl am asmall quanUty generator) is true.
Signalure
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__, 16. International Sh1pn1eiils
i-
l~port to U.S.
z Transporter signature (for exports only):
I~ D Export from U.S.
....?' ~
Port of entry/exit: Date leaving U.S.:
IMon~ I Dy l~l{
\
0::: 17. Transporter Acknov~edgment of Receipt of Materials
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DESIGNATEDFACILITY TO EPA's eMANI!.=ES "SYSTEIV
Appendix 8 Page 43 of 104
Please print or type
~ UNIFORM HAZARDOUS 11. Generator ID Number
WASTE MANIFEST TXR000085238
5. Generato(s Name and Mailing Address
/18Ttllll, :36,.SCOf
1/!J. g8 Yorm Approved. 0MB No. 2050-0039
2. Page 1of 1 3. Emergency Response Phone
11
832 -557-5849
14. Manlfot 1ac8g4u~;a; 7 ~ 3 FLE
Generato(s Sile Address (if different than mailing address)
EneWi Transfer Partner& 1235 E~a Pointe Drive Mont Beh1 u TX 77535 Generato(s Phone: 2ii1-386-3673
6. Transporter 1 Company Name
En~ Transfer MB FmcVII 87 M 1942 eaytown1 TX 77521
1
U.S. EPA ID Number
CIMA Sarvl088 LP
7. Transporter 2 Company Name
ITXR000081245 90781
U.S. EPA ID Number
8. Designated Facility Name and Site Address
Texas Molecular 2525 lnde~ndeooe Pkwy Deer Perk, TX 77536 Facility's Phone: 281-930-2525
I
U.S. EPA ID Number
TX0000719518
I
32299
9a. 9b. U.S. DOT Description (including Proper Shipping Name, Hazard Class, ID Number, HM and Packing Group (if any))
10. Containers
No.
Type
11. Total Quantity
12. Unit Wt.Nol.
13. Waste Codes
1.
0:: 0
UN1993, Waste Flammable liquids, n.o.s.
~ X (Benzene, Hydrogen Sulfide), 3, 111, RQ, 0018
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14. Special Handling Instructions and Additional Information
1)13200726 ERG#128
Job# 1221-24-227-TRAN Frac7 SWR#97836
15. GENERATOR'S/OFFEROR'S CERTIFICATION: I hereby declare that the contents of this consignment are fully and accurately descrbed above by the proper shipping name,and are classified, packaged,
marked and labeled/placarded, and are in all respects in proper condition for transport according to applicable international and national governmental regulations. If export shipmentand I am the Primary
Exporter, I certify that the contents of this consignment conform to the terms of the attached EPAAcknm~edgment of Consent.
r I Icertify that the waste minimization slalemenljlenlified in 40 CFR 262.27(a) (if I am a large quantity generator) or (b) (ifl am asmjitquantilyJWJlllwllor) is true.
Generato(s/Offero(sPrinled/TypedN: i c : A /
/ ~ i ~ V J . - 1 .<5' Signatu~
, ...I 16. internalionat Shipments
Import lo U.S.
i:-
z Transporter signature (for exports only):
- D Export from U.S.
Port of entry/exit:
Date leaving U.S.:
~
-
Month Day Year
14. l.!1'-/ l ?-l/
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Month I Day Year I
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Printed/Typed Name
l t1 A-- ~t }I/;; I 1
e,l},/'IJ,,____.
EPA Form 8700-22" (Rev. 1:Z-17) Previous ed1tfons are obsolete.
Signature
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V"bESIGNATED FACILITYTO EPA's e-MANIFEST SYSTEM
Appendix 8 Page 44 of 104
Please print or type
UNIFORM HAZARDOUS 11. Generator ID Number
WASTE MANIFEST TXR000085238
5..{,eneralo(s,tJ.ame an<I.Mail[!lgAdjlress
1:nerav Tmnster t-'a"ners 12353Eagle Pointe Drive Mont Belvla~ TX 77535
Generalo(s Phone: 2a1-385-3573
6. Transporter 1Company Name
CIMA Servloee LP
7. Transporter 2 Company Name
8.r ~ ~eMo1tlurdr dSite Address
2526 lndaP@ndenoo Pkwy
Deer Park, TX 77536
Facility's Phone: 2819302525
9a. 9b. U.S. DOT Description (including Proper Shipping Name, Hazard Class, ID Number, HM and Packing Group (if any))
i 1
0::: UN1~, Waste Flammable liquids, n.o.fl.
X (Benzene, Hydrogen Sulfide), 3, Ill, RQ, D018
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Form Approved 0MB No. 2050-0039
Generalo(s SileAddress (if different thanmalling address)
Energy Transfr.r MB Free VII 879<fFM 1942 Bnytown, TX 77521
1
U.S. EPA ID Number
I rxROOO0a12s
U.S. EPA ID Number
I
U.S. EPA ID Number
90781
1XD000719518 32299
10. Containers
No.
Type
1 TT
I
11. Total Quantity
12. Unil Wt.Nol.
13. Waste Codes
L\SOt G 'l
0001 102H D001
0018
4.
14. Special Handling Instructionsand Additional Information
1) 13200726 ERG#128
Job# 1221-24-227-TRAN Frac7 SWR#97636
15. GENERATOR'S/OFFEROR'S CERTIFICATION: I hereby declare that the contents of this consignment are fully and accurately described above by the proper shipping name, ard are classified, packaged, marked and labeled/placarded, and are in all respects in proper condition for transport according to applicable intemationaland national governmental regulations. If export shipment and I am the Primary
Exporter, I certify that the contents of thisconsignment conform lo the terms of the attached EPAAcknowledgment of Consent I certify 1ha1 the was1e minimization sla1ement identified in 40 CFR 262.27(a) (if I am a large quantity generator) or (b) (ifl am a small (lUantity generator) is true.
Month Day Year
....1 16. International Shipments
~
D Import lo U.S.
0 Export from U.S.
Port of entry/exit: _ _ _ _ __ _ _ _ _ __ __ _ _ __
Z Transporter signature (for exports only):
ffi 17. Transporter Acknol'~edgment of Receipt of Materials
Date leaving U.S.:
r ~ Trans~r '. Printed/T~d Nrme \
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- - Month Day Year
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Printed/Typed Name }Jlr,,;.}.L Mr,,~
I Signature
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EPA Form 8700-22 (Rev. 12-171 ffrev1ous editio'\is'are obsolete.
D~ NATED FACILITY TO EPA's e-MANIFEST SYSTEM
Appendix 8 Page 45 of 104
Please print or type UNIFORM HAZARDOUS , 1. Generator ID Number
WASTE MANIFEST f XH000085238
5. Generators Name and Malling Address
Form Approved 0MB No 2050-0039
2. Page 1of 13. Emergency Response Phone
11
{ 3'> 5!)1 !.>849
14 Manlfot1 acR14u~e1 7~ s FLE
Generators Site Address (if different than mailing address)
:no~ rransfi r Partnc.n. 1235 Ea~lo Pointe DrlvP. Mont e..1111 eu TX 77535
Generators Phone: 281-386-3673
6. Transporter 1 Company Name
E1 rn Trun ter MIJ ~ r c VII
8790 M 1042 0uytown, TX 77521
1 U.S. EPA ID Number
CIMA Sorvl~ LP
7. Transporter 2 Company Name
ITAR000081245
U.S. EPA IDNumber
90781
8. Designated Facility Name and SileAddress
Texas Molecular 2525 Independence Pkw)t
Deer Part, TX 77536
Facilily's Phone: 281-930-2525
lU.S. EPAID Number
1X0000719~18
32299
I
9a. 9b. U.S. DOT Description (including Proper Shipping Name, Hazard Class, ID Number, HM and Packing Group (if any))
10. Containers
No.
Type
11. Total Quantify
12. Unit Wt.Nol.
13. Wasle Codes
1.
ct:
0
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14. Special Handling Instructions and Additional Information
1)13200726 f<G#128
Job# 1221-24-227-1 RAN Fn:c 1 SWR#9f6'36
15. GENERATOR'S/OFFEROR'S CERTIFICATION: Ihereby declare that the contents of thisconsignment are fully and accurately described above by the proper shipping name, ard are classified,packaged,
marked and labeled/placarded,and are in all respectsin proper condition for transport according to applicable internationaland national governmental regulations. If export shipment and I am the Primary
Exporter, I certify that thecontentsof this consignment conform to the terms of U1eattached EPAAcknowledgment of Consent.
I certify that the waste minimization statement identified in 40 CFR 262.27(a) (if I am alarge quantity generator) or (b) (ifl am asmall quantity generator) is true.
,#
Generators/Offerers Printed/Typedde~a '. ~ , 1
"'Je1-~;,,r,t1_, d
~
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Import to U.S.
z Transporter signature (for exports only):
I Si~ 0Exporttr'4s.
- - ~ -D ~/
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Port of entry/exit: Date leaving U.S.:
- ./A - ~ .,,~' - --
Month Day Year
I i/ lJ,<;-"b74'
ct: 17. Transporter Ackn01Aedgment of Receipt of Materials
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Printed/Typed Name
Signature
l b . ~ ~ ~ (Q\AJ.f'\ ..
EPA Form 8700-22 (Rev. 12-17) Previous edI1ions are obsolete .
I
DESIGNATED FACILITY TO EPA's
Month Day
It> t./1/S
Month Day
I
I
Year
ldV
Year
I
D Full Rejection
IMonth I Day Year
I
1<t 1\~0f-
e-MANIFEST SYSTEM
Appendix 8 Page 46 of 104
/lt!ftl/ll 8~1)~ 0 f
Please print or type
UNIFORM HAZARDOUS 11. Generator ID Number
WASTE MANIFEST IXR000085238
51)G: enerato(sf ame and Mailrnli' Address
ne~ renafer ertnera 123 ~ le Pointe Drive
Mont Belv au TX n535
Generato(s Phone: 281-38S-3S73
6. Transporter 1 Company Name
CIMA Sarvlooa LP
7. Transporter 2 Company Name
l/. ~JI, / ; Form Approved 0MB No 2050-0039
018491756 2. Page 1of 13. Emergency Response Phone
11
832-557-5849
14. Manifest Tracking Number
Generato(s Site Address (if different than mailing address)
En~ Transfer MB FracVII 87 M 1042
Baytown, TX n521
I
U.S. EPA ID Number
FLE
!TXR000081245 90781
U.S. EPII IDNumber
8~~~eM&~~~rdSite Address
2525 Independence Pkwy
Deer Perk, lX 77536 Facility's Phone: 281930-2525
9a. 9b. U.S. DOT Description (including Proper Shipping Name, Hazard Class, ID Number, HM and Packing Group (if any))
1
Ci:: UN199a, Wttai!l Flammable llqulds, n.o.s.
0 X (Benzene, Hydrogen Sulflde), 3, Ill, RQ, 0018
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10. Containers
No.
Type
1 TT
I
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TXD000719M 8 32299
I
11. Total Quantity
12.Unit Wt.Nol.
13. Waste Codes
0001 102H D001
'-I, ('rJa G 0018
3.
4.
14. Special Handling Instructions and Additional Information
1) 13200726 ERG#128
Job# 1221-24-227-T~AN Freet SWR#97636
15. GENERATOR'S/OFFEROR'S CERTIFICATION: Ihereby declare that the contents of this consignment are fully and accurately described above by the proper shipping name, ard are classified, packaged,
marked and labeled/placarded, and are inall respects in proper condition for transport accordingto applicable intemationaland national governmental regulations. If export shipment and tam the Primary
Exporter, I certify that the contents of this consignment conform to the terms of the attached EPAAcknowtedgment of Consent.
I certify that the waste minimization statement identified in 40 CFR 262.27(a) (if I am alarge quantity generator) or (b) (ifl am asmall quantity generator) 1.. true.
Generato(s/Offero(s PrintedfTyped Na/ e
D:rf'ro-A /,v .' .~DA
...I 16. International Shipments
~
Import to U.S.
~ Transporter signature (for exports only):
ISi~ tur ) . J k ~ ! g _
D Export from U.S.
Port of entry/exit:
'
Date leaving U.S.:
Month Day Year
14 loR~t/
Ci:: 17. TransporterAcknowledgment of Receipt of Materials
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18. Discrepancy 18a. Discrepancy Indication Space
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Month I Day Year I
~ 20. Designated Facility Owner or Operator: Certification of receipt of hazardous materials covered by the manifest except as nded in Item 18a
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l \_\ ) . (1<j\9.:- ~ ( C ~ EPA Form 8700-22 (Rev. 12-17) Previous editions are obsolete.
I
1~ ( ? S ~
DESIGNATED FACILITY TO EPA'sa-MANIFEST SYSTEM
Appendix 8 Page 47 of 104
/ltt;l//ft ,.J0 9;;. tJ f
Please print or type UNIFORM HAZARDOUS 11. Generator ID Number
WASTE MANIFEST TXR000085238
5. Generatofs Name and Mailing Address
En~ Transfer Partner& 12 E~le Pointe Drive Mont Belv ou TX 77535
Generatofs Phone: 281-386-3679
6. Transporter 1 Company Name
CIMA Sarvloee LP
7. Transporter 2 Company Name
8. Designated Facility Name andSiteAddress
Texas Molecular 2625 lnde~ndence Pkwy
Deer Perk, TX 77536
Facility's Phone: 281-930-2525
t / ~ 3 5(] Form Approved 0MB No 2050-0039
2. Page 1 of 13. Emergency Response Phone
11
832-657-5&49
r Manlfot 1 acAg~uqe1 7 ~ 7 FLE
Generatofs SiteAddress (if different than mailing address)
En~Trransfer MB FreeVII
87
1942
aaytown, TX 77521
1
U.S. EPA ID Number
ITXR000061245 90781
U.S. EPA ID Number
I
U.S. EPA ID Number
TXD000719518 32299
I
9a. 9b. U.S. DOT Description (including Proper Shipping Name, Hazard Class, ID Number, HM and Packing Group (if any))
10. Containers
No.
Type
11. Total Quantity
12. Unit WINol.
13. Waste Codes
1.
D::: 0
UN1993, Wesie Flammable llqulds, n.o.s.
~ X (Benzene, Hydrogen Sulflde), 3, Ill, RQ, D018
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2.
w
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0001 1MM nnn1 1 TT l-f j'Q(} G 0018
3.
4.
14. Special Handling Instructions and Additional Information
1) 13200726 ERG#128
Job# 1221-24-227-TRAN Frec7 SWR#97836
15. GENERATOR'S/OFFEROR'SCERTIFICATION: I hereby declare that the contents ofthis consignment are fullyand accurately described above by the proper shipping name, and are classified, packaged, marked and labeled/placarded, and are in all respects In proper condition for transport according to applicable internationaland national governmental regulations. If export shipment and I am the Primary
Exporter, I certify that the contents of this consignment conform to the terms of the attached EPAAcknol'Aedgment of Consent.
I certify that the waste minimization statement identified in 40 CFR 262.27(a) {if I am a large quantity generator) or (b) (if! am asmall quantity generator) is true.
Generatofs/Offerofs Printed/Typed Name
IL ~ fli r.,,rfi.s 1-'1.X.-l,re
, :,-I 16. International Shipments
I-
Import to U.S.
z Transporter signature (for exports only):
D::: 17.TransP<?rter AcknovAedgment of Receipt of Materials
-- w
Ii:: Transporter 1 Printed/Typed Name
ht> l ,. -1 0
0.
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en
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n'
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/
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~
~
Month Day Year
I 4 lo? I~c./
Month Day Year
I vi lo 7 1?-c/
Monlh Day Year
I I I
l18. Discrepancy 16a. Discrepancy Indication Space
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....I
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D Quantity
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I
C
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j (A { lo lh- Prinr(1t
~ J ' C'-._J
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EPA Form 8700-22 (Rev. 12-1 7) Previous editions are obsolete.
Signature
I -
,,,, DESIGNATED FACILITY TO EPA's
D Full Rejection
IMonth I Day Year
I
1il 13y i-84
e-MANIFEST SYSTEM
Appendix 8 Page 48 of 104
11 - :)CJ
.I
-
Please print or type
UNIFORM HAZARDOUS 11. Generator ID Number
WASTE MANIFEST TXR000085238
5. Generato(s Name and Mailing Address
En~Transfer Partners 12 ~le Pointe Drive Mont Bolv ou TX 77535 Generato(s Phone: 2M1-386-3673
6. Transporter 1 Company Name
CIMA Servlcas LP
7. Transporter 2 Company Name
2. Page 1of 1 3. Emergency Response Phone
11
832-657-5849
r FormApproved. 0MB No. 2050-0039
Manier 1acR lt~e1 9 7 ~ q FLE
Generato(s Sile Address (if differenl than mailing address}
Ene[P~ Tnmsfer MB Frac VII 879 M 1942
IBaytown, TX 77521
U.S. EPA ID Number
ITXR000081245
U.S. EPA ID Number
90781
8. Designated Facility Name and Site Address
Texas Molecular 2525 lnde~ndence pkwy Dear Perk, TX 77536 Facility's Phone: 281-930-2525
9a. 9b. U.S. DOT Description (including Proper Shipping Name, Hazard Class, ID Number, HM and Packing Group (if any}}
10. Containers
No.
Type
I
U.S. EPA ID Number
TXD000719518
I
11. Total Quantity
12. Unit Wt.Nol.
32299
13. Waste Codes
1.
0:: 0
UN1993, Waste Flammable llqulds, n.o.s.
~ X (Benzene, Hydrogen Sulftde), 3, Ill, RQ, 0018
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2.
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OM1 1101H nnn1
1 TT :4 ,1VJ G 0018
I -
3.
4.
14. Special Handling Instructions and Additional Information
1)13200726 ERG#128
Job# 1221-24-227-TRAN Frac7 SWR#97836
15. GENERATOR'S/OFFEROR'S CERTIFICATION: I hereby declare that the contents of this consignment are fully and accurately described above by the proper shipping name, ard are classified, packaged,
marked and labeled/placarded, and are in all respects inproper condition for transport according to applicable international and national governmental regulations. If export shipment andI am the Primary
Exporter, I certify that the contents of this consignment conlonm to the terms of the attached EPAAcknov~edgment of Consent.
I certify that the waste minimization statement Identified in 40 CFR 262.27(a} (if I am a large quantity generator} or (b} (if I am a small quantity generator} is true.
Generato(s/Offero(s Printed/Typed'Jme
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j:...
Import to U.S.
z Transporter signature (for exports only):
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0 Export from U.S.
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Date leaving U.S.:
Month Day Year
I 4 I v, l '.d-Y
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IMonth I Day Year
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1 S \ ~ { ~ a J \ i 20. Designated Facility Owner or Operator: Certification of receipt of hazardous materials covered by the manifest except as ncted in Item 18a
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EPA Form 8700-22 (Rev. 12-17) Previous ed1"t1ons are obsolete.
Signature
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""U'ESl~ ATED FAClt::fPP TO EPA's a-MANIFEST SYSTEM
Appendix 8 Page 49 of 104
J
Cct>?/4
Please print or type. UNIFORM HAZARDOUS 11. Generator ID Number
WASTE MANIFEST TXR000085238
5.,J,enerato(s,liame anil, Maillj]g Adlfress
Energy: Transter l"'enners 12353 Eagle Pointe Drive
Mont Belvleu TX 77535
Generato(s Phone: 281-385-3573
6. Transporter 1 Company Name
CIMA ServlCM LP
7. Transporter 2 Company Name
s De~l!JDateg facjlit~ Narn__e and Site Address 1exus Moroouiar 2525 lnde~ndenoo Pkwy
Deer Perk, TX 77536
Facility's Phone: 281-930-2525
9a. 9b. U.S. DOT Description (including Proper Shipping Name, Hazard Class, ID Number, HM and Packing Group (if any))
1
UN1993, Waste Flammable llqulds, n.o.s. (Benzene, Hydrogen Sulfide), 3, Ill. RQ, 0018
2.
/ICTI.I!ft- _g4 )a:,/J
i j1/t)_j (J Form Approved. 0MB No.2050-0039
Generato(s Site Address (if different than mailing address)
En~im: tranaftsr MB F C VII 8790-FM 1942
IBaytown, TX 77521
U.S. EPA ID Number
11XR000081246
U.S. EPA ID Number
I
U.S. EPA IDNumber
lXD000719&18
90781 32299
10. Containers
No.
Type
I
11. Total Quantity
1 TT ~~ ('/1/l
'(
12. Unit Wt.Nol.
13. Waste Codes
0001 102H 0001 G 0018
3.
4.
14. Special Handling Instructions and Additional Information
1)13200726 cRG#128
Job# 1221-24-227-TRAN Frac7 SWR#97836
15. GENERATOR'S/OFFEROR'S CERTIFICATION: I hereby declare that the contents of this consignment are fully and accurately described above by the proper shipping name, ard are classified, packaged,
marked and labeled/placarded, and are in all respects inproper condition for transport according toapplicable internationaland national governmental regulations.If export ship/ent I am thePrimary
Exporter, I certify that the contents of this consignment conform to the terms of the attached EPAAcknowledgment of ConseQI.
I certify that the waste minimization statement identi~ed in 40 CFR/J2.27(a) (if I am alarge quantity generator) or (b) (if~ asmall quantity generator) istrue.
/ll@Aic z _-- .. :h:./4 t;; ;:r Ge~;(;;::;~~e
I Signature
o
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6 ....1 16. International Shipments
~
D Import to U.S.
D Export 1fr .S.
~ Port of entry/exit: _ _ _ __ _ _ _ __ _ _ _ __ _ __
z Transporter signature (for exports only):
Date leaving U.S.:
;
ffi 17. Transporter Acknowledgment of Receipt of Materials
~ Transporter 1 Printed/Typed N_a_m_e _..._..,
Signature
Month Day Year
~
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~ Transporter 2 Printed/Typed Name /
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l18. Discrepancy 18a. Discrepancy Indication Space ~ 18b. Alternate Facility (or Generator)
D Quantity
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fi:l 18c. Signature of Alternate Facility (or Generator)
Month I Day Year
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~ 19. Hazardous Waste Report Management Method Codes (i.e., codes for hazardous wastetreatment,disposal, and recycling systems)
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EPA Form 8700-22 (Rev. 12-17) Previous editions are otlsolete.
I Signatu~
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Month Day Year
I [( 117 rz-r
DESIGNATED FACILITY TO EPA's e-MANIFEST SYSTEM
Appendix 8 Page 50 of 104
Please print or type
UNIFORM HAZARDOUS 11. Generator ID Number
WASTE MANIFEST TXR000085238
5. Generato(s Name and Mailing Address
EneWi Transfer Partners 123 E~lo Pointe Drive Mont Bolv eu TX n535
Generato(s Phone: 281-386-3673
6. Transporter 1 Company Name
CIMA Sarvloea LP
7. Transporter 2 Company Name
Form Approved 0MB No. 2050-0039
2. Page 1of 13. Emergency Response Phone
11
832-557-5849
4 7h1
1 Manin! ~t;~u~t1
FLE
Generato(s Site Address (if different than mailing address)
E ~ Tranafer MB Free VII 87 M 1942 Baytown, TX ns21
1
U.S. EPA ID Number
ITXR000081245 90781
U.S. EPA ID Number
8. Designated Facility Name and Site Address
Texas Molecular 2525 lnde~ndence Pkwy Deer Park, TX 77536 Facility's Phone: 281-830-2525
9a. 9b. U.S. DOT Description (including Proper Shipping Name, Hazard Class, ID Number, HM and Packing Group (If any))
1.
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UN1993, Waste Flammable llqulds, n.o.a.
~ X (Benzene, Hydrogen Sulflde), 3, Ill. RO, 0018
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I U.S. EPA ID Number
10. Containers
No.
Type
TXD00071A518
I
11. Total Quantity
12. Unit Wt.Nol.
32299
13. Waste Codes
nnn1 10?1-1 i)001
1 TT lli<;nd G 0018
3.
4.
14. Special Handling Instructions and Additional Information
1)13200726 ERG#128
Job# 1221-24-227-TRAN Frac7 SWR#97636
15. GENERATOR'S/OFFEROR'S CERTIFICATION: I hereby declare that the contents of this consignment are fully and accurately described above by the proper shipping name, ard are classified, packaged,
marked and labeled/placarded, and are inall respects in proper condition for transport according to applicable Internationaland national governmental regulations. If export shipment and I am lhePrimary
Exporter, I certify that the contents of this consignment conform to the terms of lhe attached EPAAcknowledgment of Consent.
Icertify that the waste minimization statement identified in 40 CFR 262.27(a) (if I am a large quantity generator) or (b) (ifI am asmall quantity generator) is true.
Generato(s/~.,___,_ n-'-tedfTvnort.Name
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I Signa~
Month Day Year
I l/ Ig6 I 2<1
...I 16. International Shipments
~
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z Transporter signature (for exports only):
0 Export from U.S.
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-\-\\04 20. Designated Facility Owner or Operator: Certification of receipt of hazardous materials covered by the manifest except as nded inItem 18a
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' EPA Form 8700-22 (Rev. 12-17) Previous editions are obsolete.
DESIGNATED FACILITY TO EPA'se-MANIFEST SYSTEM
Appendix 8 Page 51 of 104
Please print or type.
UNIFORM HAZARDOUS 11 . Generator ID Number
WASTE MANIFEST
_
5. Generators Name and Mailing Address
I'
12. Page 1of 13. Emergency Response Phone
E Form Approved. 0MB No. 2050-0039
, 4. Manifest Tracking Num~e:_ -" J3 E F L
1
Generators Site Address (if different than mailing address)
Generators Phone: 6. Transporter 1 Company Name
7. Transporter 2 Company Name
8. Designated Facility Name and Site Address
U.S. EPA ID Number
IU.S. EP/\ ID Number
I
U.S. EPA ID Number
Facility's Phone:
I
9a. 9b. U.S. DOT Description (including Proper Shipping Name, Hazard Class, ID Number, HM and Packing Group (if any))
10. Containers
No.
Type
11 . Total Quantity
12. Unit Wt.Nol.
13. Waste Codes
1.
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14. Special Handling Instructions and Additional Information
It --- ------ - - -.... - ---
1 -. .
15. GENERATOR'S/OFFEROR'S CERTIFICATION: I hereby declare that the contents of this consignment are fully and accurately described above by the proper shipping name, ard are classified , packaged, marked and labeled/placarded, and are in all respects in proper condition for transport acccrding to applicable international and national governmental regulations. If export shipment and I am the Primary Exporter, I certify that the contents of this consignment conform to the terms of the attached EPA Acknowledgment of Consent. I certify that the waste minimization statement identified in 40 CFR 262.27(a) (if I am a large quantity generator) or (b) (ifl am a small quantity generator) is true.
Generators/Offerers Printed/Typed Name
...1 16. International Shipments j:....
D Import to U.S.
~ Transporter signature (for exports only):
Signature
I
D Export from U.S.
Month Day Year
I I I
Port of entry/exit: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ Date leaving U.S.:
ffi 17. Transporter Acknowledgment of Receipt of Materials
Ii: Transporter 1 Printed/Typed Name
~ z Transporter 2 Printed/Typed Name ~
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18. Discrepancy
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120. Designated Facility Owner or Operator: Certification of receipt of hazardous materials covered by the manifest except as nded in Item 18a ~Printed/Typed,.,....--Name- - - - - - - , S , , . . . . . . . . , - - - l g n a t u r e- - - - - - , - , - - - , , -Mo- nth -Day Year
EPA Form 8700-22 (Rev. 12-17) Previous editions are obsolete.
1
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TRANSPORTER COPY
Appendix 8 Page 52 of 104
Please print or type
UNIFORM HAZARDOUS , 1. Generator ID Number
WASTE MANIFEST TXROOQQ81347
5. Generato(s Name and Mailing Address
Tralllfar Partnara 1 ~Pointe Drive M- ont Belli TX 77535 Generato(s Phone: 281-386-3673
6. Transporter 1 Company Name
/it!1tl/ll
a /) f2 t/{) j>
,.j '/ L/~ 1~
Form Approved 0MB No 2050-0039
2. Page 1of , 3. Emergency Response Phone
11
832-657-5849
,4. Manifot1acAg~u~e1 Rq 7 FLE
Generato(s SiteAddress (if different than mailing address)
T...,.,_ MB Frao I, 11 6 Ill
~
1942
Bllyfown, TX 77521
1
U.S. EPA IDNumber
CIMA Serva LP
7. Transporter 2 Company Name
ITXR000081246 90781
U.S. EPA ID Number
8. Designated Facility Name and Site Address
Texas Molecular
2525 lnde~ndnoa PkwY
Daer Park; TX 77538 Facility's Phone: 281-830-2525
9a. 9b. U.S. DOTDescription (including Proper Shipping Name, HazardClass, ID Number, HM and Packing Group (if any))
1.
0:::
0 UN1993, Wuta Flammable llqulds, n.o.a.
~ X (Benzene, Hydrogln Sulflde), 3, Ill, RQ, D018
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2.
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10. Containers
No.
Type
1 TT
I
U.S. EPA IDNumber
TXD000719518
I
11. Total Quantity
12. Unit Wt.Nol.
32299
13. Waste Codes
~StQC G I
0011 10,M bM1
0018
3.
4 .
14. Special Handling Instructions and Additional Information
1) 13200728 ERG#l28
Job# 1221-2C-224-~ Frac 1
SWR#98703
15. GENERATOR'S/OFFEROR'S CERTIFICATION: I hereby declare that the contents of this consignment are fully and accuratelydescribed above by the propershipping name,arrl areclassified,packaged, marked and labeled/placarded, and arein all respectsin proper condition for transport according toapplicable internationaland national governmental regulations. If export shipmentand I am the Primary Exporter, Icertify that the contents of this consignment conform to the terms of the attached EPAAcknowledgment of Consent. I certify that the waste minimization statement Identified in 40 CFR 262.27(a} (if I am alarge quantitygenerator} or (b} (ifI am asmall quantity generator} is true.
Iyrata : ~ed/Ty~ d; ;m~ OJ r( )
..J 16.~nternational Shipments
i-
lJ Import to U.S.
z Transporter signature (for exports only):
I - - - - . lure ./7 ~ /?_ 'J
Y 17?) ,V
. , ~ , , - 4 _ .Jl:/.At:',f _,-
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Month Day Year
Int.I I <012 \.1
!0::: 17. TransporterAcknovAedgment of Receipt of Materials
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1 \ ~ _('\-tr,v"\ I~~ 20.Designated Facility Owner orOperator: Certification of receipt of hazardous materials oovered by the manifest except as ncted in Item 18a
Printed/Typed Name
(~~
..
EPA Form8700-22 (Rev. 12-17) Previous ed1!1ons are obsolete.
Signature
I
DESIGNATED FACILlT'i' TO EPA's a-MANIFEST SYSTEM
Appendix 8 Page 53 of 104
.I
Please print or type UNIFORM HAZARDOUS WASTE MANIFEST
/ltTtllft
11. Generator ID Number
TXROCJ0081347
J~ ggtJf
L/3(}~ /;
12. P~e 1of 1 3. Emergen;;:;;~~g
FormApproved 0MB No. 2050-0039
14,Manlfnt1acRg~uqe1 Rq 9 FLE
5. Generato(s Name and Mailing Address
Tn1111far Partnn Pointe Drive
M- ont B~e TX 77535
Generato(s Phone: il1-386-3673
6. Transporter 1 Company Name
CIMA SeNlaea LP
7. Transporter 2 Company Name
Generato(s SiteAddress {if different than mailing address)
..,.,..MB Frac ' II a Ill
~
1942
!Baytown, TX 77521
U.S. EPA ID Number
ITXR000081245
U.S. EPA IDNumber
90781
8. Designated Facility Name and Sile Address
Texas Molecular
2625 lndeJ)!ndenoa PkWY
Deer Park; TX 77538 Facility's Phone: 281-830-2525
I
U.S. EPA IDNumber
TXD000719618
I
32299
9a. 9b. U.S. DOT Description (including Proper Shipping Name, Hazard Class, ID Number, HM and Packing Group (if any))
10. Containers
No.
Type
11. Total Quantity
12. Unit Wt.Nol.
13. Waste Codes
1.
a=
0
UN1993, Waste Flammable liquids, n.o.a.
~ X (Benzene, Hydrogen Sulfldt ), 3. Ill, RQ, 0018
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2.
w
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1 1T 4.mn G 0018 . ,
3.
4.
14. Special Handling Instructions and Additional Information
t) 13200728 ERG#128
Job# 1221-2'-Di-lRAN Frac 1
SWR#98793
15. GENERATOR'S/OFFEROR'S CERTIFICATION: I hereby declare that the contents of lhis consignment are fully and accurately described above by the proper shipping name, ard are classified, packaged, marked and labeled/placarded, and are in all respects inproper condition for transport according to applicable Internationaland national governmental regulations. If export shipment and I am thePrimary
Exporter, I certify that the contenlsof this consignment conform to theterms of the attached EPAAcknowledgment of Consent.
I certify that the waste minimization statement identified in 40 CFR 262.27{a) (if I am a large quantity generator) or {b) (ifl am a small quantity generator) is true.
R ~ 0 0
V t ;;;;~:;:rryp; ~ ~ I t5
,... 11l."to,ternational Shipments
I-
Import to U.S.
z Transporter signature (for exports only):
_,,,s1}/u~ ~ ~
1
l
Export from U.S.
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Date leaving U.S.:
Month Day Year
10 41 ~'81~~
a= 17. Transporter AcknovAedgmen\ of Receipt of Materials . w
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0
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104 l~J l:2.l\
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l18. Discrepancy 18a. Discrepancy Indication Space
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Printed/Typed Name
Signature
l b ~ c t ~ EPA Form 8700-22 (Rev. 12-17) Previous editions are obsolete.
I
Thi'.
DESIGNATED FACILTN TO EPA's
D Full Rejection
IMonth I Day Year
I
,-4~~
e-MANIFEST SYSTEM
Appendix 8 Page 54 of 104
Please print or type
UNIFORM HAZARDOUS 11. Generator ID Number
WASTE MANIFEST TXR000081347
=51;=i1i,~. .
Pointe Drive
Mont Be TX 77535
Generato~s
Phone:
281
~
3
6. Transporter 1 Company Name
CIMA Servtaea LP
12. P1e 1of 1 3. Emergen&.12~-SMQ
r Form Approved 0MB No. 2050-0039 Manier 1acRn~tft1 90 0 FLE
5~~faBe~=,:ilrigid1,rs)
1942 Baytown, TX 77521
I U.S. EPA ID Number
ITXR000081246 90781
7. Transporter 2 Company Name
8ftiil1.16tilrd Site Address 2626 lndel)!ndenoa PkwY
Daer Park: TX 77538 Facility's Phone: 281-930-2626
U.S. EPAID Number
I
U.S. EPA ID Number
TXD000719518
I
32299
9a. 9b. U.S. DOT Description (including Proper Shipping Name, Hazard Class, ID Number, HM and Packing Group (if any))
10. Containers
No.
Type
11. Total Quantity
12. Unit Wt.Nol.
13. Waste Codes
00:: X UN1993, Wute Flammable llqulda, n.0.1. (Benzene, Hydrogen Sulflde), 3, Ill, RQ. D018
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3.
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14.Special Handling Instructions andAdditional Information
1)13200728 ERG#128
Job# 1221-24-224-lRAN Frao1
SWR#98793
15. GENERATOR'SIOFFEROR'S CERTIFICATION: I hereby declare that the contents of this consignment are fully and accurately described above by the proper shipping name, ard areclassified, packaged, marked and labeled/placarded, and are In all respects inproper condition for transport according to applicable International andnational governmental regulations. If export shipment and I am the Primary
Exporter, I certify that the contents of this consignment conform to the terms of the attached EPA Acknowledgment of Consent.
Icertify that the waste minimization statement identified In 40 CFR 262.27(a) (if I am alarge quantity generator) or (b) (ifl am asmall quantity generator) is true.
Gr?J~:fl t : r inte<~;ei h
...I 16. International Shipments
j:...
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z Transporter signature (for exports only):
0:: 17. Transporter Acknowledgment of Receipt of Materials
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It../ l?--s- I ~
Month Day Year
I Lf I ~r I~<I
Month Day Year
I I I
18. Discrepancy
18a. Discrepancy ln~ication Space D Quantity
Type
0Residue
D Partial Rejection
0 Full Rejection
r Manifest Reference Number:
~ 18b.Alternate Facility (or Generator)
:::i
u
~ Facility's Phone:
Cl
I w
18c. Signature ofAlternate Facility (or Generator)
~
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12.
i-1-r~ 13'
U.S. EPA ID Number
I
14
Monlh I Day Year
I
20. Designated Facillty Owner or Operator: Certification of receipt of hazardous materialscovered by themanifest except as nded in.ltem 18a
l j); }1 ) L - - PrintedrTyped /"1 j;~ ~_&/4...,,-..
- EPA Form 8700~2 (Rev. 12-17) irrev,ous ecl1t1ons are obsolete.
Signature
I
Month Day Year
Iit I~ llvf
DESIGNATED FACILITY TO EPA's a-MANIFEST SYSTEM
Appendix 8 Page 55 of 104
79- ;;o
Please print or type UNIFORM HAZARDOUS 11. Generator ID Number
WASTE MANIFEST TXR000081347
5. Generato(s Name and Mailing Address
E ~ Tl"lnafar Partnera 1 ~le Pointe Drive Mont Belv u 'TX 77535
Generato(s Phone: 2il1--386-3673 6. Transporter 1 Company Name
CIMA Servlaee LP
7. Transporter 2 Company Name
1/ertJnt 86;t&o,P
2. Page 1of 1 3. Emergency Response Phone
11
832-657-58'9
n 'f't/.5CtJFormApproved 0MB No. 2050-0039
14 Mantini1acAg~u~t; q 1 FLE
Generato(s SiteAddress (ifdifferent than mailing address)
Tranlfer MB Frao I, II & Ill
~
1942
!Baytown, TX 77621
U.S. EPA ID Number
ITXR000081246
U.S. EPA ID Number
90781
8. Designated Facility Name and Site Address
Texaa Molecular 2525 lndel)!ndenoe pkwy Daer Park, TX 77538 Facility's Phone: 281-930-2525
I
U.S. EPA ID Number
TXD000719518
I
32299
9a. 9b. U.S. DOT Description (including Proper Shipping Name, Hazard Class, ID Number, HM and Packing Group (if any))
10. Containers
No.
Type
11. Total Quantity
12. Unit Wt.Nol.
13. Waste Codes
1.
0:: 0
UN1993, Waata Flammable llqulda, n.o.a.
~ X (Benzene, Hydrogen Sulftde), 3. Ill, RQ, D018
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2.
w
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M1l 102H M01
1 TT '-/__, ,v, G 0018
3.
4.
14. Special Handling Instructions and Additional Information
1)13200728 ERG#128
Job# 1221-24-~TRAN Frao 1
SWR#98793
15. GENERATOR'S/OFFEROR'SCERTIFICATION: I hereby declare that the contents of this consignment are fully and accurately described above by the proper shipping name, ard are classified, packaged, marked and labeled/placarded, and are in all respectsin proper condition for transport according to applicable internationaland national governmental regulations. If export shipment and I am the Primary
Exporter, I certify that the contents of thisconsignment conform to !he terms of the attached EPAAcknowledgment of Consent.
t certify that !he waste minimization statement identified in 40 CFR 262.27(a) (if t am a large quantity generator) or (b) (ifl am asmall quantity generator) is true.
hA- Generato(s/Offero(s Printed/Typed Name
U,lll ht>t~-J.- \h:,,1/ f\k1r~
-I 16. lht~mationat Shipments
j:....
Import to U.S.
z Transporter signature (for exports only):
Signature
I tJ/,,,
D Export from U.S.
, Port of enlry/exit:
Date leaving U.S.: /
Month Day Year
14 1~1--1:J-V
0:: 17. Transporter Acknol'Aedgment of Receipt of ~aterials
w
~ Transporter 1 Printed/Typed Name
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ll.
. _ ,_A./'A'll
en
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18. Discrepancy
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~a+ 20. Designated Facility Owner or Operator: Certification of receipt of hazardous materials covered by the manifest except as ncted in Item 18a
Printed/Typed Name
Signature
l <t) (~r ~~ f\n~ ..
EPA Form 8700-22 (Rev. 12-17) Previous ed1t1ons are obsolete.
I
DESIGNATED FACILITY TO EPA's
D Full Rejection
IMonth I Day Year
I
~ro,~
eMANIFEST SYSTEM
Appendix 8 Page 56 of 104
Please print or type UNIFORM HAZARDOUS 11. Generator ID Number
WASTE MANIFEST fXROOQQ81347
~enerato(5fraiiaWrllfi:lnara
1 R ~ 1 e Pointe Drive Mont Betv ui TX n535 Generato(s Phone: 2 1-385-3&7S
fatf9l C ,4tfv/lt 3?J!JC)/
'II/5 /
Form Approved 0MB No 2050-0039
2. Page 1of 13. Emergency Response Phone
11
8.12-667-5849
4 , .Manlcr
902 FLE
ienerato(s Site Address (if different than malling address)
rantflr MB Frac I, II &Ill
~
1942
IBaytown, TX 77521
6. Transporter 1 Company Name
CIMA Servloea LP
U.S. EPA ID Number
ITXR000081246 90781
7. Transporter 2 Company Name
U.S. EPA ID Number
6f8t{i,tb~lfnd SiteAddress
I
U.S. EPA ID Number
2626 lnde~ndenoe pkwy
Daer Park; TX 77538
.
Facility's Phone:
281-930-2625
TXD000719518
I
32299
9a. 9b. U.S. DOT Description (including Proper Shipping Name, Hazard Class, ID Number, HM and Packing Group (if any))
10. Containers
No.
Type
11 . Tota l Quantity
12. Unit WI.Nol.
13. Waste Codes
00::: X UN1993, Wasta Flammable llqulda, n.o.a. (Benzene, Hydrogen SuHlde), 3. Ill, RQ, 0018
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2.
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0013 102H 0001 1 TT 4, YJO G 0018
3.
4.
14. Special Handling Instructions and Additional Information
1)13200728 ERG#128
Job# 1221-24-224-mAN Frac 1
SWR#98793
15. GENERATOR'S/OFFEROR'S CERTIFICATION: I hereby declarethat the contents of this consignment are fully and accurately described above by the proper shipping name, ard are classified, packaged,
marked and labeled/placarded, andare in all respects in proper condition for transport according to applicable internationaland national governmental regulations. If export shipment and Iamlhe Primary
Exporter, I certify that the contents of this consignment conform to the terms of theattached EPAAcknowledgment of Consent.
I certify that the waste minimization slalement identified in 40 CFR 262.27(a) (if I am a large quantity generator) or {b) (ill am a small quantity generator) is true.
r ~ Ge"itl~r.~rinte~:r:m~
,... 16. lnt~rnationa'I Shipments
I-
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z Transporter signature (for exports only):
~0::: 17. TransporterAcknov~edgment of Receipt of Materials
w
~ Transporter 1 Printed/Typed Name
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C.
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en
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/4 t>..h\ ba -'1 /
Signature
I
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/
~ ,,_- L~
-
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Month Day Year
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Month Day Year
I '-1 12-?I~
Month Day Year
I I I
18. Discrepancy 18a. Discrepancy Indication Space
D Quantity
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l 18b. Alternate Facility (or Generator)
Manifest Reference Number:
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5 u
~ Facility's Phone:
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en 19. Hazardous Waste Report Management Method Codes (i.e., codes for hazardous waste treatment, disposal, and recycling systems)
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~a+ 13"
I 14
I
I Month I Day Year I
20. Designated Facility Owner or Operator: Certification of receipt of hazardous materials covered by the manifest except as nded in Item 18a
Printed/Typed Name
l '~~1:: 0 ..
EPA Form8700-22 (Rev. 12-17) Previous edItIons are obsolete.
Signature
I
n
_ i-
..J't-J... I Y""'\
1~ f t ~
DESIGNATED 1=Jtt:ILITY TO EPA'se-MANIFEST SYSTEM
Appendix 8 Page 57 of 104
Please prinl or type.
UNIFORM HAZARDOUS , ,. Generator ID Number
WASTE MANIFEST
T X R 0 0 0 0 81 3 4 7
5. Generato(s Name and Malling Address
E ~Transfer Partn8f9 1 ~Pointe Drive
Mont Belv
TX 77535
Generato(s Phone: a81-386-387S
6. Transporter 1Company Name
II e!Tlt!1l .361 f tltJ f
G t/3 7 {j FormApproved. 0MB No. 2050-0039
2. Page 1 of , 3. Emergency Response Phone
r n FLE 1 1
832-557-5849
Manin! 1 acA~u~t1 q 1
~ Generato(s Site Address (if different than malling address)
T,.,,.,.,. MB Frac I, II aIll
M 1942 !Baytown, TX 77621
U.S. EPA ID Number
CIMA 8en,laea LP
ITXR000081246 90781
7.Transporter 2Company Name
U.S. EPAIDNumber
8. Designated Facility Name and Site Address
I
U.S. EPA ID Number
T exaa Molecu lar
2626 lndeP@ndence pkwy Deer Park, TX 77538 Facility's Phone: 281-&30-2525
TXD000719518 32299
I
9a. 9b. U.S. DOTDescription(including Proper Shipping Name, Hazard Class, ID Number, HM and Packing Group (if any))
10. Containers
No.
Type
11. Total Quantity
12. Unit WtNol.
13. Waste Codes
1.
00::: UN1993, Wnte Aammabhs liquids, n.o.a.
~ X (Benzene, Hydrogen Sulftde), 3, Ill, RQ, 0018
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1 TT r-,-/- J?IO G 0018
3.
4.
14.Special Handling Instructions andAdditional Information
1) 13200728 ERG#128
Job# 1'21-24-224-TRAN Frao 1
SWR#96793
15. GENERATOR'S/OFFEROR'SCERTIFICATION: I hereby declare that the contents of this consignment are fullyand accurately described above bytheproper shipping name, ard are classified, packaged,
marked and labeled/placarded, andareInall respectsin proper condition for transport according toapplicable internationaland national governmental regulations. if export shipment and Iam thePrimary
Exporter, I certify that the contentsof this consignment conform to the terms of theattached EPAAcknowledgment of Consent.
I certify that the waste minimization statement identified in 40CFR262.27(a) (if I ama large quantity generator) or (b) (ill am asmall quantity generato_!)~ truir.-
J Ge7ei o2 /0fferot s rintee~rry ed Name I~~/~ flI r . t<('(} r;t'~.I
., ..J 16. International Shipments
j:...
Import to U.S.
z Transporter signature(for exportsonly):
Export fromVU.S. ~Poarrtt,of entry/ex.it:
Date leaving U.S.:
Month Day Year
I v/ I 19 1;,.,r
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w
~ Transporter 1 Printed/Typed Name
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18. Discrepancy 18a.Discrepancy Indication Space
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::i
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\.x\cA 20.Designated Facility Owner or Operator: Certification of receipt of hazardous materialscovered by the manifest except as nded in Item 18a
PrintedfTyped Name
Signature
l ,t>. ~ l - 'h. M i h EPA Form 8700-22 {Rev. 12-17) Previous editions are obsolete.
I
DESIGNATED FAC1t1TY TO EPA's
Month Day Year
I .,.J I Iv l?<I
Month Day Year
I I I D Full Rejection
IMonth I Day Year
I
I ~~
eMANIFEST SYSTEM
Appendix 8 Page 58 of 104
11?!<\ ~
Please print or type UNIFORM HAZARDOUS 11. Generator ID Number
WASTE MANIFEST TXR000081347
5..nenerato(s,l;a=il~:lnss
12353=Pointe o:
Mont Betv TX 77535
Generato(s Phone: 281-385-3573
6. Transporter 1 Company Name
CIMA Servlaea LP
/jtJ1tl#l ...94 560~
r '13 8..S I::
Form Approved 0MB No. 2050,0039
2. Page 1 of 1 3. Emergency Response Phone
11
832-667-6849
Manier1acs~t~ti 9 0 4 FLE
Generato(s Site Address (if different than mailing address)
Trantl'lr MB Free l, II & Ill M19'2
IB- aytown, TX 77521
U.S. EPA ID Number
iTXR0000812'6 90781
7. Transporter 2 Company Name
U.S. EPA ID Number
~-1'6trm1rd SiteAddress
2626 lndeptndanoe pkwy Daer Park, TX 77538 Facility's Phone: 28i -930-2S2S
I
U.S. EPA ID Number
TXD000719518
I
32299
9a. 9b. U.S. DOT Description (Including Proper Shipping Name, Hazard Class, ID Number, HM and Packing Group (if any))
10. Containers
No.
Type
11. Total Quantity
12. Unit Wt.Nol.
13. Waste Codes
0a:: X UN1993, Wnta Flammable liquids, n.0.1. (Benzene, Hydrogen Sulfide), 3, Ill, RQ, D018
~ w
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2.
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(!)
1 TT
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0013 102H 0001 0018
3.
4,
14. Special Handling Instructions and Additional Information
1)13200728 ERG#128
Jobi 1Zl124-224TRAN Frao1
SWR#98793
15. GENERATOR'S/OFFEROR'S CERTIFICATION: I hereby declare that the contents of this consignment are fully and accurately described above by the proper shipping name, ard are classified, packaged, marked and labeled/placarded, and are in all respects in proper condition for transport according to applicable international and national governmental regulations. If export shipmentand I am the Primary Exporter, I certify that the contentsof thisconsignment conform to the terms of the attached EPAAcknowtedgment of Consenl. I certify that the waste minimization statement identified in 40 CFR 262.27(a) (if I am alarge quantity generator) or (b) (ifl am a small quantity generator) is lrue.
~ ~ ~ r ~ J v \ ~e J 2 -
:--1 16. International Shipments
I-
Import to U.S.
z Transporter signature (for exports only):
~ / {fl _,.., AJ/t
D Export from U.S.
Port of entry/exit:
Date leaving U.S.:
Month Day Year
I i./1!lP. '2f.-. ./,
u../ ,h a:: 17. TransporterAcknowledgment of Receipt of Materials.
w
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(/)
z Transporter 2 Printed/Typed lt.lme
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18. Discrepancy 18a. Discrepancy Indication Space
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:J
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l o . ~ l"J. EPA Form 8700-22 (Rev. 12-17) Previous ed"itions are obsolete.
Signature
I
~
DESIGNATED FACILITY TO EPA's
Month Day Year
1q 1; ~ 1b
Month Day Year
I I I 0 Full Rejection
IMonth I Day Year
I
e-MANI 1~ -FEST SYSTEM 1\r o ~
1
Appendix 8 Page 59 of 104
I l
.Please print qr type UNIFORM HAZARDOUS 11. Generator ID Number
WASTE MANIFEST
TXRQOQ081347
/l-r!TtlIi t,, <3.J6a?f
'l~tJ..6(I Form Approved 0MB No. 2050-0039
12. Pr 1of 1 3. Emergen;;;:;;:~Q
ns 4
1 Manlnt 1acA~u~t1 q
FL E
5. Generato(s Name and Mailing Address
ZTra'11far Partnara
Polnte Drive
M- ont Be
TX 17535
Generato(s Phone: a81-386-3673
6. Transporter 1 Company Name
CIMA Servlaea LP
7. Transporter 2 Company Name
Generato(s Site Address (if different than mailing address)
Trantfar MB Frac I, II aIll
~
1942
!Baytown, TX 17521
U.S. EPA ID Number 11 -- - - 0 8 1 2 4 6 U.S. EPA ID Number
90781
8. Oesignaled Facility Name and Site Address
Texas Molecular 2526 lndeJ)!ndanae pkwy Daer Parle:; TX 77538
Facility's Phone: 281-030-2525
9a. 9b. U.S. DOT Description (including Proper Shipping Name, Hazard Class, ID Number, HM and Packing Group (if any))
10. Conlainers
No.
Type
I
U.S. EPA ID Number
TXD000719518
I
11 . Total Quantity
12. Unit Wt.Nol.
32299
13. Waste Codes
1.
0::
0
UN1993, Wnta Flammable llqulda, n.o.e.
X (Benzene, Hydrogen Suffldt), 3, Ill, RQ. D018
~
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2.
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1
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I
0013 1n'>M 0001 0018
3.
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14. Special Handling Instructions and Additional Information
1) 13200728 ER8#128
Jab# 12,21-2'-22A-TRAI N Free 1
SWR#P8793
15. GENERATOR'S/OFFEROR'S CERTIFICATION: I hereby declare that the contents of this consignment are fullyand accurately described above by the proper shipping name, ard are classified, packaged, marked and labeled/placarded, and are In all respects in proper condition for transport according to applicable Internationaland national governmental regulations. If export shipment and I am the Primary Exporter, I certify that the contents of !his consignment conform to the terms of the attached EPAAcknowledgment of Consent. I certify that the waste minimization statement identified in 40 CFR 262.27(a) (if I am alarge quantity generator) or (b) (if! am asmall quantity generator) Is true.
I ~~jo(s.~ dl;JaEe
~ ~
,\H ~,.
~~
:-I 16. International Shipments
I-
D Import to U.S.
z Transporter signature (for exports only):
~ ~Maa D Export fromU.S.
71..U-.: Port of entry/exit:
d-1.
Date leaving U.S.:
l~n~ 1 / S - - ~
g0:: 17. TransporterAcknowledgment of Receipt of Materials
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-
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Year
I
l a. 18.Discrepancy Une/7.16'r,oulrlhf' b lanJ{. ,,.,.,
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20. Designated Facility Owner or Operator: Certification of receipt of hazardous materials covered by the manifest except as ncted in Item 18a
J
l 1/4,J 4 ( / - / Printed?t;/1/}-t;t'-J
e1~
Signature
I
.
Month Day Year
I '/ IL> 12..Y
EPA Form 8700-22 (Rev. 12-17) Previouseditions are obso!f!te.
DESIGNATED FACILITY TO EPA's e-MANIFEST SYSTEM
Appendix 8 Page 60 of 104
Appendix 8 Page 61 of 104
17-- ~o
11ert111t .:3 ~ o6'cJ ~
Please print or type
UNIFORM HAZARDOUS 11. Generator ID Number
WASTE.MANIFEST
TXR000081347
5. Generafo(s Name and Mailing Address
=Transfer Partners Pointe Drive
Mont Betv TX 77536 -
Generato(s Phone:il1-386-3573
6. Transporter 1 Company Name
CIMA Servlaea LP
7. Transporter 2 Company Name
Lf563 ( ; Form Approved. 0MB No. 2050-0039
'l 4 q n7 FLE 0 R 91 12. P~e 1of 13. Emergen~~:;~;.g 4. Manifest Tracking Number Generato(s Sile Address (if different than mailing address)
Trantrer MB Free I, 111111
~
1942
! Baytown, TX 77521
U.S. EPA ID Number
ITXR000oa1245 U.S. EPA ID Number
90781
8. Designated Facility Name and Site Address
Texas Molecular 2525 lnde~ndenoe pkwy Daer Park, TX 77536
I
U.S. EPA IDNumber
TXD000719518
32288
Facility's Phone: 281-830-2525
9a. 9b. U.S. DOT Description (including Proper Shipping Name, Hazard Class, ID Number, HM and Packing Group (if any))
1.
0::
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~
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2.
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10. Containers
No.
Type
I
11. Total Quantity
12. Unit Wt.Nol.
13. Waste Codes
001:1 !102M t>001
1 rr 14 ,,,.,,,} G 0018
3.
4.
14. Special Handling Instructions and Additional Information
1) 13200728 ER8#128
Job# 1221-24-224-TRAN Frao1
SWR#98793
15. GENERATOR'S/OFFEROR'SCERTIFICATION: I hereby declare that the contents of this consignment are fully and accuratelydescribed above by the proper shipping name, ard are classified, packaged,
marked and labeled/placarded, and are in all respects in proper condition for transport according to applicable International and national governmental regulations. If export shipment and I am the Primary
Exporter, I certify that lhe contents of this consignment conform to the terms of the attached EPAAcknowledgment of Consent.
I certify that the waste minimization statement identified in 40 CFR 262.27(a) (if I am a large quantity generator) or (b) (ill am a sm_JII quantity gel)e(ator) is true.
Generato(s/Offero(s Printed/Typed N1a2 me Z
/ 2 _ ..,.Mf,,,.v
... Lg~/ . ,
...I 16. International Shipments
j:...
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z Transporter signature (for exports only):
ISignature~ ~
D Export from U.S.
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Month Day Year
I 4 110 I,'Jl/
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/
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I '-4 I/I} I?-'I
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I I I
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w 18c. Signature ofAlternate Facility (or Generator)
Type
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11 ,3y U) 19. Hazardous Waste Report Management Method Codes (i.e., codes for hazardous waste treatment, disposal, and recycling systems)
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13
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Pri n t e d / T y G : a ~ ~
r \ ~ ,' \ \ ('1 ~ EPA Form 8700-22 (Rev. 12-17) Previous edi"tions are obsolete.
Signature
I
DESIGNATED
D Partial Rejection
U.S. EPA ID Number
I
r-
-
A--
FACILITY TO EPA's
D Full Rejection
IMonth I Day Year
I
Month Day Year
I 4 110 I '2$'
eMANIFEST SYST!:M
Appendix 8 Page 62 of 104
I' / Please print or type
UNIFORM HAZARDOUS 11. Generator ID Number
WASTE MANIFEST TXRQQ0081347
~nerato ( 5 f ; r . 1 : ; i l ~ -
121Wi=Polnte Drive
Mont Belv 2d TX 77S3S
Generato(s Phone: 1-385-35'73
6. Transporter 1 Company Name
CIMA Servlaee LP
J1tt1tl/lL
2. Page 107 -:i. Emergency Response Phone
11
832-667-5849
g3 :2c1c:;I
r3993a Form Approved 0MB No. 2050-0039
ManierrAnLtct1 9 0 8 FLE
Generato(s Site Address (if different than mailing address)
Trantfer MB Free I, II & Ill
~
1942
IBaytown, TX 77521
U.S. EPA ID Number
ITXR0000812'6 90781
7. Transporter 2 Company Name
8JW1.{&llffilf"d Site Address
2626 lndeP@nd~ PkWY
Daer Park TX 7 538 ' 281~30-2626
Facility's Phone: 9a. 9b. U.S. DOT Description (including Proper Shipping Name, Hazard Class, ID Number, HM and Packing Group (if any))
U.S. EPA ID Number
I
U.S. EPA ID Number
TXD000719518 32299
l 10. Containers
No.
Type
I
11. Total Quantity
12. Unit Wt.Nol.
13. Waste Codes
0:: UN1993, Wnta F11mm1ta llqulda. n.o.a.
w0~ X (Benzene, Hyd,ogen Sufflde), 3, Ill, RQ, D018
z
2.
w
(!)
1 TT
0013 102H 0001
'-(, e;a>G D018
3.
4.
14. Special Handling Instructions and Additional Information
1) 13200728 ERG#128
Job# 1221-214-224-TRAN Fnao2
SVVR#98793
15. GENERATOR'S/OFFEROR'S CERTIFICATION: I hereby declare that the contents orthis consignment are fully and accurately described above by the proper shipping name, ard are classified, packaged, marked and labeled/plaeiirded, and are in all respects in proper condition for transport according to applicableinternational and national governmental regulations. If export shipment and I am the Primary
Exporter, I certify that the contents or this consignment confonn to the terms of the attached EPAAcknowledgment of Consent.
I certify that the waste minimization statement Identified in 40 CFR 262.27(a) (if I am a large quantity generator) or (b) (ifl am mall quantity generator) is true.
1:;a Generato(s/Offero(s Printed/Typed Name / " ',,d'-4,.
/~ '
Signatuu~e
/ 1 t ~ 1P' i l~ -L=--~~
....I 16. lnlemational Shipments
I
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z Transporter signature (for exports only):
D Export from U.S.
,,?- Port of entry/exit:
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Month Day Year
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18. Discrepancy 18a. Discrepancy lndieiition Space
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....I
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Month I Day Year I
20. Designated Facility Owner or Operator: CerlifiCiiUon of receipt of hazardous materials covered by themanifest except as nded in Item 18a
Printed/Typed Name
Signature
l ~M\1. ~h (,\, " ..
EPA Form 8700-22 (Rev. 12-17) Previous ed1hons are obsolete.
I
\
. _j'\ --y..._i_ ,.r-,..
1~ 1\ Dt m
DESIGNATED FAclLITYTO EPA's a-MANIFEST SYSTEM
Appendix 8 Page 63 of 104
Please print or type
UNIFORM HAZARDOUS , 1. Generator ID Number
WASTE MANIFEST TXR000081347
5. Generato(s Name and Mailing Address
f aZTranlfer Partnara Polnte Drive Mont Be TX 77535 Generato(s Phone: 281-386-3173
6. Transporter 1 Company Name
CIMA Servlaea LP
7. Transporter 2 Company Name
/leflll/l 8B; L/80f /l
1/~llu Form Approved 0MB No. 2050-0039
, 2. P~ttor , 3. Emergen;;;:;;:;.g ,4. Manlot 1acR4u~e1 q nq FLE
Generato(s Site Address (if different than mailing address)
Tranarer MB Frao ' II & Ill
~
1942
IBaytown, TX 77521
U.S. EPA ID Number
ITXR000081246
U.S. EPA ID Number
90781
8. Designated Facility Name and Site Address
Texas Molecular
2525 lndeSJ!ndenoe PkWY
Dear Park; TX 77538 Facility's Phone: 281~30-2525
I
U.S. EPA ID Number
TXD000719518
I
32299
9a. 9b. U.S. DOT Description (including Proper Shipping Name, Hazard Class, IDNumber, HM and Packing Group (if any))
10. Containers
No.
Type
11. Total Quantity
12. Unit Wt.Nol.
13.Waste Codes
1.
a::
0
UN1993, Waate Flammable llqulda, n.o.a.
~ X (Benzene, Hydrogen Sulftd1), 3, Ill, RQ, 0018
w
z
2.
w
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0011 10~ M01
1 TT 14 S-no G 0018
3.
4.
-
14. Special Handling Instructions and AddiLional Information
~)13200728 ER8#128
Jab# 1221-24424-TRAN Frac 2
SWR#98793
15. GENERATOR'S/OFFEROR'S CERTIFICATION: I hereby declare that thecontents of this consignment are fully and accurately described above by the proper shipping name, ard are classified, packaged, marked and labeled/placarded, and are in all respects in proper condition for transport according lo applicable inlemationaland national governmental regulations. If export shipment and I am the Primary Exporter, Icerttha=t tfyntents of this consignment conform to the terms of the attached EPAAcknowledgment of Consent. Icertify that the e imization slaleme~entified in 40 CFR 262.27(a) (if I amalarge quantity generator) or (b) (ifl am a ~gene~rue.
Generalo(ssLO (s Pri dfTyped Na,m~e
~ / C,-rt. -~ , , I / ~
....I 16. lntematioy shipments
j:...
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z Transporter signat~re (for exports only):
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Month Day Year
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Signature
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DESIGNATED FACILITY TO EPA's
D Full Rejection
IMonth I Day Year
I
IM ~ 1\ c 1 c t ) t : r
eMANIFEST SYSTEM
Appendix 8 Page 64 of 104
Appendix 8 Page 65 of 104
~f P~ 3 Please printor type UNIFORM HAZARDOUS 11. Generalor ID Number WASTE MANIFEST TXR000081347
5. Generalo(s Name and Mailing Address
Traf'llfer Partnara Pointe Drive
M- ont B~a TX 77535 Generato(s Phone:H1-386-3673
6. Transporter 1 Company Name
/id!#/}l, .91ttJ~C)fl
I I/Jl9C 12.P~e 1of 3. Emergen;;;:;;:;.g
Form Approved 0MB No. 2050-0039
14. Manll;;t~ac~g~u;e; q 1 1 FLE
Generalo(s Site Address (ii different than mailing address)
Tranlflr MB Frac I, II & Ill
~
1942
Baytawn. TX 77521
1
U.S. EPA ID Number
CIMA Servlaea LP
7. Transporter 2 Company Name
c~M" 5ervi'v1
8. Designated Facility Name and Site Address
cl
Tex.a Molecular 2626 lndeP!ndanoe pkwy Deer Park; TX 77538 Facility's Phone: 281-830-2525
ITXROOOOB12'6 90781
U.S. EPA ID Number
ITX \<-00@1 '7- '1 S"
U.S. EPA ID Number
TXD000719618 32299
I
9a. 9b. U.S. DOT Description (including Proper Shipping Name, Hazard Class, ID Number, HM and Packing Group (ii any))
10. Containers
No.
Type
11 . Total Quantity
12. Unit WtNol.
13. Waste Codes
1. c,::
0 UN199.1, Wnta Flammable llqulda, n.o.a.
~ X (89nzene, Hydrogln Sutftd ). 3, Ill, RQ, 0018
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2.
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14. Special Handling Instructions and Additional Information
I) 13200728 ERG#128
Job# 1221-2A-224-1RAN Frao2
SWR# N793
15. GENERATOR'S/OFFEROR'S CERTIFICATION: I hereby declare that the contents of this consignment are fully and accurately described above by the proper shipping name, ard are classified, packaged,
marked and labeled/placarded, andare in all respects in proper condition for transport according to applicable internationaland national governmental regulations. If export shipmen! and I am the Primary
Exporter, I certify that the contents of this consignment conform to the terms of the attached EPA Acknowledgment of Consent.
I certify that the waste minimization slatement identified in 40 CFR 262.27(a) (ii I am a large quantity generator) or (b) (ill am a small quantity generator) is true.
r Generato(s/Offero(s Printed/Typed Name
H ~V\V-1,,,/
u,e,i/bC.
...I 16. International Ship~ents
~
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z Transporter signature (for exports only):
/I ;;;;_, c,:: 17. TransporterAckno\'Aedgment of Receipt of Materials
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--
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I 'I I 11~ L.1., /
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20. Designated Facility Owner or Operator: Certification of receipt of hazardous materials covered by the manifest except as ncted in llem 18a
U.S. EPA ID Number
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Printed~ypemde
l 0 ~ ~ / CV,?7,,,C-;-r,,
I Signat~
EPA Form 8700-22 (Rev. 12-17) Previous editions are obsolete.
DESIGNATED FACILITY TO EPA's
D Full Rejection
I I Month Day Year
I
Month Day Year
1-f' I/ ~ 1zr
e-MANIFEST SYSTEM
Appendix 8 Page 66 of 104
Please print or type.
UNIFORM HAZARDOUS 11. Generator ID Number
WASTE MANIFEST
TXR000081347
5.J3enerato(5iiame~nMail~=dress
ee.-, ~- I'll r
era
12353 =Pointe Drive
Mont Betv TI< 77535
Generato(s Phone: 281-386-3573
6. Transporter 1 Company Name
CIMA Servloea LP
Form Approved. 0MB No. 2050-0039
832 12. Pr 1of 13. Emerge ~~&4Q
4. Manifest Tracking Number
01RLl q 191 2 FLE
Generato(s Site Address (if differenl than mailing address)
~ - M B Frac I, II a Ill
IBaytown, TI< 77521
U.S. EPA ID Number ITXR000081246
90781
7. Transporter 2 Company Name a ~ N ! e f " d Site Address
U.S. EPA ID Number
I
U.S. EPA IDNumber
2626 lnde~ enoe pkwy Daer Park, TX 77538 Facility's Phone: 281-930-2 &2&
TXD000719518 I
32299
9a. 9b. U.S. DOT Description (including Proper Shipping Name, Hazard Class, ID Number, HM and Packing Group (if any))
10. Containers
No.
Type
11. Total Quantity
12. Unit Wt.Nol.
13. Waste Codes
0 ' X
w ~
z w
(.!)
UN1993, Wnta A1mm1ble llqukla, n.0.1.
(Benzene, Hydrogen Sulftde), 3, Ill, RQ, 0018
2.
0013 102H D001
1 TT 14 r~,o G D018
3.
4.
14. Special Handling Instructions and Additional Information
1) 13200728 ERG#128
Job# 1221-24-224-TRAN Frao2
SWR#88793
15. GENERATOR'S/OFFEROR'S CERTIFICATION: I hereby declare that the contents of this consignment are fully and accurately described above by the proper shipping name, ard are classified, packaged, marked and labeled/placarded, and are In all respects in proper condition for transport according to applicable intemationaland national governmental regulations. If export shipmentand I am thePrimary
Exporter, I certify that the contents of this consignment conform to the terms of the attached EPAAcknowledgment of Consent.
I certify that the waste minimization statement identified in 40 CFR 262.27(a) (if I am a large quantity generator) or (b) (ifl am asmall quantity generator) is true.
t4 Generato(s/Offero(s Printed/Typed Name
e n ..-ii C 1A P.1/1.1 <
..J 16. lntern~tional Shipmerlls
....
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z Transporter signature (for exportsonly):
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/ ~ ,, , / f ~
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Printed/Typed Name r
Signature
l "n .( ~ ,t)('" ~ I
EPA Form 8700-22 (Rev. 12-17) Previous editions are obsolete.
DESIGNATED FAcl[ITY TO EPA's
D Full Rejection
IMonth I Day Year
I
1Lf i\1-qjlf
e-MANIFEST SYSTEM
Appendix 8 Page 67 of 104
Please print or type
UNIFORM HAZARDOU S 11. Generator ID Number
WASTE MANIFEST
T X R O Q 00 81 3 47
5. Generato(s Name and Mailing Address
E ~Transfer Partnn 1 :=Pointe Drive Mont Belv TX 77535 Generato(s Phone: i t'1-38&-387S
6. Transporter 1 Company Name
C IMA Servlaea LP
7. Transporter 2 Company Name
/lf!fl//ll .:}~ tJcjjf /I
I./II'/3 l?
Form Approved. 0MB No. 2050-0039
12. P~e 1of 13. Emergen= ~ g 14Manlfnt1 acAg~u~t; q 1 3 FLE
Generato(s SiteAddress (if different than mailing address)
Trantfer MB F,ao I, II & Ill
~
1942
I Baytown, TX n &21
U.S. EPA ID Number
ITXR000081246 U.S. EPA IDNumber
90781
8. Designated Facility Name and Site Address
Tex&I Molecular 2526 lndel)!ndenoe pkwy Deer Park: TX 77t)_ Facility's Phone: 281-8 2526
9a. 9b. U.S. DOT Description (including Proper Shipping Name, Hazard Class, ID Number, HM and Packing Group (if any))
0:: 0
~ X
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(!)
1.
UN1993, W ate Fla mma ble llqulda, n.0.1. (Benzene, Hydrogen Sulftde), 3 , 111, R Q. 0018
2.
10. Containers
No.
Type
1
TT
I U.S. EPA ID Number
T X D 00 07 1 9 61 8
I
11. Total Quantity
12. Unit Wt.Nol.
32299
13. WasteCodes
l./<;/;r;, G
I
M1~ 1MM r'IM1
0018
3.
4.
14. Special Handling Instructions and Additional Information
1) 13200728 ERG#128
Job# 1221-24-224-TRAN Frac2
SWR#98793
15. GENERATOR'S/OFFEROR'S CERTIFICATION: I hereby declare that the contents of this consignment are fully and accurately described above by theproper shipping name,ard are classified,packaged, marked and labeled/placarded, and are in all respects in proper condition for transport according toapplicable lnlernationaland national governmental regulations. Ifexport shipmentand I am the Primary
Exporter, I certify that the contents of this consignment conform to the tenms of the attached EPAAcknowledgment of Con~t. sen
I certify lhaJfae71aste minimization statement identified in40 CFR 262.27(a) (if Iam a large quantity generator) or (b) (ifI s qu~erator) Is true.
y , // 0 Gene,0ato( Ar< o gri;te;dfTyped Nam T
' 1 ) { / '/A
...I 16. mter1onal Shipments
j:..
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z Transporter signature (for exports only):
Signature / _ / / /
I V , / -A
)
D Export from U.S. /
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Month Day Year
Iv-f I 1.i;i--~
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18. Discrepancy 18a. Discrepancy Indication Space
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Monlh I
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PrinledfTyped Name
Signature
l b. '\ ~ i ,~ro~ r~ . ~ ..
EPA Form 8700-22 (Rev. 12-17) Previous editions areobsolete.
I
)I ,
DESIGNATED FACILITY TO EPA's e-MANIFEST SYSTEM
Appendix 8 Page 68 of 104
' '
Please print or type
UNIFORM HAZARDOUS 11. Generator ID Number
WASTE MANIFEST
TXROQOQ81347
5_Generato(1ame~nMail~~ ress
... r- C>V ra
r
11111
12353: ~le Pointe Drive Mont Belv u TX 77835
Generato(s Phone: fd1-385-3S73
6. Transporter 1 Company Name
CIMA Servloee LP
1/tfl//lt 9,118tJf
t/.J t/7 ~ Form Approved 0MB No 2050-0039
2. Page 1oil 3. Emergency Response Phone
11
832-657-5849
1 Manlfot1c8g4u9ei 4 914 FLE
a Generato(s Site Address (if different than mailing address)
Transfer MB Free I, II Ill
M1942
I -Baytown, TX 77521
U.S. EPA ID Number iTXR000081245
90781
7. Transporter 2 Company Name
v.-~1rm;,1md SiteAddress
2626 lndeJ)!ndence PkWY
Daer Park, TX 77538
Facility's Phone: 281.f30-2625
U.S. EPil ID Number
I
U.S. EPA ID Number
TXD00071CM518
32299
I
9a. 9b. U.S. DOT Description (including Proper Shipping Name, Hazard Class, ID Number, HM and Packing Group (if any))
10. Containers
No.
Type
11. Total Quantity
12. Unit Wt.Nol.
13. Waste Codes
0:: UN1993, Waate Flammable liquids, n.o.s.
0 X (Benzene, Hydn,gan S ulflde), 3, Ill. RQ, 0018
~
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2.
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0013 102H 0001
1 TT '-I.SO( G 0018
,
3.
4.
14. Special Handling Instructions and Additional Information
1) 13200728 ERG#128
Job# 1221-2A-22A-TRAN Frac2
SWR#9879S
15. GENERATOR'S/OFFEROR'S CERTIFICATION: I hereby declare that the contents of this consignment are fully and accurately described above by the proper shipping name, ard are classified, packaged, marked and labeled/placarded, and are in all respects in proper condition for transport according to applicable international and national governmental regulations. If export shipment and I am the Primary
Exporter, tl~rtithat the contents of this consignment conform to the terms of the attached EPAAcknov~edgment of Consent.
I certify Iha aste minimization statement identified in 40 CFR 262.27(a) (if I am alarge quantity generator) or (b) (ifl am as ~ t y ge11erator) is true.
1 Z v too7s/ :/r4 or, Printed/Typed Name
I
~ fh ut..
/Ill r'/IC
...I f6. lllternatiQl\al Shipments
t--
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z Transporter signature (for exports only):
I X:ture
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- ~ ~/ ,/
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Month Day Year
Io\.\ Iol,'s Io2-\.\.
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Month Day Year
II I
18. Discrepancy 18a. Discrepancy Indication Space
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...I
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Partial Rejection
'
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14.
D Full Rejection
Month I Day Year I
Printed/Typed Name
l ~ r } \ ~ ; ~ .. -
EPA Form8700-22 (Rev. 12-17) Previous editions are obsolete.
Signature~
I
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l
'Ut
DESIGNATED FACILITY TO EPA's e-MANIFEST SYSTEM
Appendix 8 Page 69 of 104
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UNIFORM HAZARDOU S 11. Generator ID Number
WASTE MANIFEST TXROQOQ81347
5. Generato(s Name and Mailing Address
Form Approved. 0MB No. 2050 0039
12. P~e 1of 13. Emergen;;:;;~~g
4. Manifest Tracking Number
0 1R4q 1q1 ~ FLE
Generato(s Site Address (if different than mailing address)
ZTranafar Partners Polnta Drive M- ont Be TX 77535
Generato(s Phone: 2il1-3BfHl673 6. Transporter 1 Company Name
ranlflr MB Frao I, II & Ill
~
1942
IBaytown, TX 77521
U.S. EPA ID Number
CIMA Servloea LP
7. Transporter 2 Company Name
ITXR000081246 90781
U.S. EPA ID Number
8. Designated Facility Name and SiteAddress
Texas Molecular
2525 lndes>1ndJnoa PkwY
Deer Park, TX 7538 Facility's Phone: 281-930-2525
I
U.S. EPA IDNumber
TXD000719618
I
32299
9a. 9b. U.S. DOT Description (including Proper Shipping Name, Hazard Class, ID Number, HM and Packing Group (if any))
10. Containers
No.
Type
11 . Total Quantity
12. Unit Wt.Nol.
13. Waste Codes
1.
0:: 0
UN1993, Waste Flammable llqulda, n.o.a.
i X (Benzene, Hydrogen Sulftde), 3, Ill, RQ, 0018
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14. Special Handling Instructions andAdditional Information
I) 13200728 ERG#128
Job# 1221-24-224-lRAN Frac2
SWR#98793
15. GENERATOR'S/OFFEROR'S CERTIFICATION: I hereby declare that the contents of this consignment are fully and accurately described above by the proper shipping name, ard are classified,packaged, marked and labeled/placarded, and are in all respects in proper condition for transport according toapplicable internationaland national governmental regulations. If export shipment and Iam the Primary
Exporter, Icertify that the contents of this consignment conform to the terms of the attached EPAAcknowledgment of Consent.
I certify that the waste minimization statement identified in 40 CFR 262.27(a) (if I am a large quantity generator) or (b) (ifl am a small quantity generator) is true.
rs ,Generato(s/Offero(s PrintedfTyped Name
-
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...I 16. International Shipments j:...
Import to U.S.
z Transporter signature (for exports only}:
lsnli_2,L- -
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Port of entry/exit: Date leaving U.S.:
Month Day Year
I C,f l?-</ IN
0:: 17. Transporter Ackno1Aedgment of Receipt of Materials
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l r,h . ~ I ~ EPA Form 8700-22 (Rev. 12-17) Previous editions are obsolete.
<~
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DESIGNATED FACILITYTO EPA's
Month Day Year
I Lt I '.Yll .:Jc/
Monlh Day Year
I I I D Full Rejection
IMonth I Day Year I
r<t~WVP7r
eMANIFEST SYSTEM
Appendix 8 Page 70 of 104
Appendix 8 Page 71 of 104
Please print or type
UNIFORM HAZARDOUS 11. Generator IDNumber
WASTE MANIFEST TXR000081347
f/tJfdlll
12. P~e 1of 1 3. Emergen;;:;;~~g
$6~6{)/' 41151 C
rt!'J/5,I b FormApproved 0MB No.2050-0039
Manifnt~tRgJu~e1 91 7 FLE
5. Generato(s Name and Malling Address
Tranllfar Partners E~Polnte Drive M- ont Balv TX 77535
Generalo(s Phone:211-386-3673
6. Transporter 1 Company Name
= , Generalo(s SileAddress (ifdifferent than mailing address) Trantfer MB Frac I, II & Ill M 1942 !Baytown, TX 77521
U.S. EPA ID Number
CIMA Servlaaa LP
7. Transporter 2 Company Name
8. Designated Facility Name and Sile Address
Texas Molecular 2526 lndeJ>!ndence ptc:wy Daer Pe~ TX 77538 Facility's Phone: 281-930-2525
ITXR0oooe1245
U.S. EPA ID Number
I
U.S. EPA ID Number
TXD000719518
I
90781 32299
9a. 9b. U.S. DOT Description (including Proper Shipping Name, Hazard Class, ID Number, HM and Packing Group (if any))
10. Containers
No.
Type
11. Total Quantity
12. Unit WI.Nol.
13. Waste Codes
1.
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~ X (Benzene, Hydrogen Sulfide), 3, Ill, RQ, 0018
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14. Special Handling Instructions and Addilional Information
I) 13200728 ERG#128
Job# 1221-2A-224-TRAN Frac2
SWR#98793
15. GENERATOR'S/OFFEROR'S CERTIFICATION: Ihereby declare that the contenls of this consignment are fully and accurately described above by the proper shipping name, ard are classified,packaged,
marked and labeled/placarded, and are in all respects in proper condition for transport according to applicable internationaland national governmental regulations. If export shipment and I am the Primary
Exporter, I certify that the contents of this consignment conform to the terms of the attached EPAAcknov~edgment of Consent.
Il f I certify that the waste minimization statement identified In 40 CFR 262.27(a) (if I am alarge quantity generator}f>r (b) (iftm a~all quantity generator) is true.
Gener~~fero(Ar,~~ed Name
ISignal
D ...J 16. International Shfpments
i-
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z Transporter signature (for exports only):
0::: 17. Transporter Ackno~edgment of Receipt of Materials
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/
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l ~n. t 1 t l \ r { ) C l l i ~ EPAForm8700-22 (Rev. 1217) Previous editions are obsolete.
I
DESIGNATED FACILITTTOEPA's
D Full Rejection
IMonth I Day Year
I
~@,~
a-MANIFEST SYSTEM
Appendix 8 Page 72 of 104
018491935FLE
Appendix 8 Page 73 of 104
018491936FLE
Appendix 8 Page 74 of 104
Appendix 8 Page 75 of 104
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UNIFORM HAiARDOUS , 1. Generat,;,r ID Number -
WASTE MANiFEST
' TXDCIIID35214 / !D483
5. Generators Name and Mailing Address
lmllliltlaullan.
~
1822'1.aPartaAwway
Generators Phone.
TX Tl017
6. Transporter 1 Company Name
aWl.9111..._LP
7. Transporter 2 Gompany Name
lJS G'CoLo6L/
8. Designated Facility Name and Site Address
U8fo111wt--.1nc.
32t7~Aca Facilify's Phor:N: ~ . TX 1'1110
9a. 9b. U.S. DOT Description (including Proper Shipping Naine, Hazard Class, tb Number,
HM and Packing Group (~any))
Order t: 588797-01 (E)
Form Approved . 0MB No. 2050-0039
Generators Site Address(~ different than mailing address)
......----- I
Plll:71S'fll9083 U.S. EPAID'Number : I ncRJ00081M5
- . . . ,IOI: l'X-800i2'
10. Containers
No.
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TXDOI0452340
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01: (080124411-0)INY Pat W..-1.Jqulda
15. GENERATOR'S/OFFEROR'S CERTIFICATION: I hereby declare that the contents of tli'IS tonsignment are fully and accurately described above by the prc,plir shipping name. ardare classffled,packaged, marked and labeled/pillcarded, and are in atl respects in proper condition for transport acciifding to applicable internationaland national governmental regutatioos. If export shipment ana I am the Primary
Exporter, I certify that the contents of this consignment confom, to the tem,s of the attached EPA Acknowtedgment of Consent
I certify that the waste minimi_zation ~tatement iden~ed in 40 CFR 262.27(a) (WI .am a large qua~
tor) or (2) (~I am a small quanti!Y generator)is ~ -
_, 16. lntemational't!llipments
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D lmporftoU.S.
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Printed/Typed Name
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Month Day Year
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EPA form 8700-22 (Rev. 12-17) Previous editions are 61,solete.
l II
DESIGNATED FACILITY TO-EPA's e-MANIFEST SYSlfEM
Appendix 8 Page 76 of 104
Ple~e print or type.
--r, - ,
1 UNIFORM HAZARDOUS 1 Generflc&~74 / 30483
WASTE MANIFEST
5. Generato~s Nan~f.f6ti~A~
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1 12. Pag 1of 13. E m e Q ~ ' 1
r Form Approved. 0MB No. 2050-0039 Manier18nLt9i 94 0 FLE
Generato~s Site Address (if different than mailing address)
9822 LaPorta f'INWII) Generato~s PhoneHoulton, TX 77017 6. Transporter 1 CoCIW.aServlcu LP
7. Transporter 2 Company Name
381-242,0230
I
Phi: 713-848,,G063 Slal81Df:80781
8. Designated Faci,m.; ~Sit AAAauc,dres
a n Services Houston, LLC
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713-679-2300
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Sta18 ID#: lX-30271
10. Containers
No.
Type
\ OM
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I TXR000081246
U.S. EPA ID Number
I
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TXD074198338
I
11. Total Quantity
12. Unit Wt.Nol.
13. Waste Codes
0132 219H 0001
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3 - NONRCRA / NONIX>T REGULATED MATERIAL (BREAl(THROUBH)
0132 219H
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01: (M8894atM&,Ortpolw UneClaanlng #JW 02: (2400012422)N-Propyt Alcohol
03: (2400012420)8nNlkttm,uah Eme,gency C0ntact: Matt Taylor
15. GENERAT0R'S/0FFER0R'S CERTIFICATION: I hereby declare that the contents of this consignment are fully and accurately described above by the proper shipping name, ard are classified, packaged , marked and labeled/placarded, and are in all respects in proper condition for transport according to applicable internationaland national governmental regulations. If export shipment and I am the Primary Exporter, I certify that the contents of this consignment confonn to the tenns of the attached EPA Acknowledgment of Consent. I certify that the waste minimization statement identified in 40 CFR 262.27(a) (if I am a large quantity generator) or (b) (ifl am asmall quantity generator) is true.
f \ ~ ~ i n ~~
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Signature
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~
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Month Day Year
v / ~ 7 / Q _ Printed/Typed Name
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.. EPA Form 8700-22 (Rev. 12-17) Previous ed1tIons are obsolete. :
DESIGNATED FACILITY TO EPA s e-MANIFEST SYSTEM
Appendix 8 Page 77 of 104
Please print or type
UNIFORM HAZARDOUS 11. Generator ID Number
WASTE MANIFEST
TXR0000M890
5. Generato(s Name and Mailing Address
Transfer Paltnera
le Potnte Drive
M- ont B~e eu TX 17535
Generato(s Phone: 2i1 - - - --~
6. Transporter 1 Company Name
;;ert1!fl !J~ 1::J t>t
$ q~f~ orm Approved. 0MB No. 2050-0039
1 2. Page 1of 13. Emergency Response Phone
11
832-557-58'9
14. Manifo t ac;t~ u~t;
Generato(s Sile Address (if different lhan mailing address)
q 1 1 FLE
Ene~ranlfer MB FracVI & VIII 877 1942
IBaytown. TX nS21
U.S. EPA ID Number
CIMA Servlaee LP 7. Transporter 2 Company Name
8. Designated Facilily Name and Site Address
Texas Molecular
2525 lndeS)!ndanoa PkWY
0.r Park: TX n538 Facilily's Phone: 281-930-2625
9a. 9b. U.S. DOT DescripLion (Including Proper Shipping Name, Hazard Class, ID Number, HM and Packing Group (if any))
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No.
Type
1 TT
ITXR0oooe1245
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I
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90781
TXD000719518
I
11. Total QuanLily
12. Unit WINol.
32299 13. Waste Codes
'-f1>00 G
IM11 l n.,._, 0018
r'\M1
3.
4.
14. Special Handling Instructions and Additional Information
1) 13200729 ERG#128
Job# 1221-24-227-TRAN Frac8 SWR#97388
15. GENERATOR'S/OFFEROR'S CERTIFICATION: I hereby declare Iha! the conlenlsof this consignment are fullyand accuratelydescribed above by the proper shipping name, ard are classified, packaged,
marked and labeled/placarded, and are In all respects in proper condilion for transport according lo applicable inlernallonaland naLional governmental regulaLions. If export shipmen! and I am Iha Primary
Exporter, I certify !hat lhe conlenls of!his consignment conform lo lhe terms of lhe allached EPAAcknowledgment of Consent.
l certify Iha! the wasle minimization statement Identified in 40 CFR 262.27(a) (if I am alarge quanLily generator) or (b) (ill am asmall quantily generator) is true.
Generalo(s/Offero(s PrinledfTyped Name
..,.""'" ~ O\WAt'O\
..J 16. International Shipments
j:...
Import loU.S.
z Transporter signature (for exports only):
Signature
I ~ D Export from U.S.
-<:il(.,A_ __..,
Port of enlry/exil: Daleleaving U.S.:
Month Day Year
1ll I U l).tl
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PrinledfTyped Name
Signature
l ~. ~~ ~- ~~ ..
EPA Form 8700-22 (Rev. 12-17) Previous edI1ions are obsolete.
I
DESIGNATED FACILITY TO EPA's
Month Day Year
I o/' I // 12v
Month Day Year
I I I D Full RejecUon
IMonth I Day Year
I
12 1( t J p
e-MANIFEST SYSTEM
Appendix 8 Page 78 of 104
/IC'ft1/f~ 3.-1, Mt'f
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UNIFORM HAZARDOUS , 1. Generator ID Number
WASTE MANIFEST
f X R0 0 0 0 8 4 8 9 0
5 ~ e n e r a l o f s f n a e n a ~ tl~ 8 ' 1 1
1ffllYi=Po1nte Drive
Mont Belv TX 7715315
Generalofs Phone: 2ih-385-3S7S
6. Transporter 1 Company Name
CIMA Sarvlaa LP
7. Transporter 2 Company Name
1 1 lcs~r9i 2.Page 1of , 3. Emergency Response Phone
'3951/ f.J
4
1
832-657-6849 Manlot
Form Approved 0MB No 2050-0039
942 FLE
r ~ n e r a l o,f s~ = f M B e F =v t l a v i W )
877 1942
IBaytown, TX 77~1
U.S. EPA ID Number
ITXROoooe12.u;
U.S. EPA ID Number
90781
v=eMoci~mr.;nd Sile Address
2626 lndel)!ndenoa pkwy
0.r Pa~ TX 77538 Facility's Phone: 281-930-2626
9a. 9b. U.S. DOT Description (including Proper Shipping Name, Hazard Class, ID Number, HM and Packing Group (if any))
1
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No.
Type
1 TT
I
U.S. EPA ID Number
TXD000719618 3 2299
I
11. Total Quantity
12. Unil Wt.Nol.
13. Waste Codes
0013 102H D001 G ~5'0'1 0018
3.
4.
14. Special Handling Instructions and Additional Information
1) 13200729 ERG#128
Job# 1221-24-227TRN4 Frace SWR#97388
15. GENERATOR'S/OFFEROR'S CERTIFICATION: I hereby declare that the contents of lhls consignment are fully and accurately described above by the proper shipping name, ard are classified, packaged,
marked and labeled/placarded, and are in all respects in proper condition for transport according to applicable intemationaland national governmental regulations. If export shipment and Iam the Primary
Exporter, I certify that the contents of this consignment conform to the terms of the attached EPA Acknowledgment of Consent.
I certify that the waste minimization statement identified in 40 CFR 262.27(a) (if I am a large quantity generator) or (b) (if I am a small quantity generator) is true.
G8!'7;;::;z::t?;t,~~1,!~
...I 11i.1nternational ShipTrients ~
D Import to u.s'.
z Transporter signature (for exports only):
Sig~
I D Export from U.S.
p~ Date leaving U.S.:
Month Day Year
I 4 I, 6._ l!'l1'11
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~ Transporter 1 Printed/Typed Name
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13
Month Day Year
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Month Day Year
I I I D Full Rejection
IMonth I Day Year
I
l 1D . ~ ~~- ~ 20. Designated Facility Owner OL.Jlll..eralor: Certification of receipt of hazardous materialscovered by the manifest except as ncted in Item 18a
Printed/Typed Name
Signature
..
EPA Form 8700-22 (Rev. 12-17) Previous edIlIons are obsolete.
I
14 1~ ~
DESIGNATED FAcfLITY TO EPA'se,MANIFEST SYSTEM
Appendix 8 Page 79 of 104
Please print or type
UNIFORM HAZARDOUS , 1. Generator ID Number
WASTE MANIFEST TXR000QM89Q
5. Generator's Name and Mailing Address
t e-ra;tb :J~.5~cJ
/l I'
L/J56 (:J
FormApproved 0MB No 2050-0039
2. Page 1of , 3. Emergency Response Phone
r 1 1
832-567-68'9
Manlot1 acRdu~t1 Q L11 FLE
Generator's Site Address (if different than mailing address)
Ene~ Trarnr Partnera
12 E~Polnta Drive
Mont Betv id TI.(_U~-
Generator's Phone: 1
.-w
6. Transporter 1 Company Name
Ene~TranlferMBFrac VI aVIII
877 1942
I8own, TX 77521
U.S. EPA ID Number
CIMA Servlaee LP
7. Transporter 2 Company Name
ITICROoooe1245 90781
U.S. EPA ID Number
8. Designated Facility Name and Site Address
Texu Molecular 2525 lndeP@ndence pk,wy Daer Park, TX 77536 Facility's Phone: 281-830-2525
9a. 9b. U.S. DOT Description (including Proper Shipping Name, Hazard Class, ID Number, HM and Packing Group (if any))
10. Containers
No.
Type
I
U.S. EPA IDNumber
TXD000718618
I
11. Total Quantity
12. Uni! Wt.Nol.
32299
13. Waste Codes
1.
0::
0 UN1993, Waata Flammable llqulda, n.o.a.
~ X (Benzene, Hydrogen Sulftde), 3. Ill, RQ, 0018
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2.
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1 TT '/:500 G 0018
I
3.
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14. Special Handling Instructions and Additional Information
1) 13200729 ERG#128
Job# 1221-24-227-TRAN Frac8
SWR#97388
15. GENERATOR'S/OFFEROR'S CERTIFICATION: I hereby declare that the contents of this consignment are fully and accurately described above by the proper shipping name,ard areclassified, packaged, marked and labeled/placarded, and are In all respects in propercondition for transport according to applicable internationaland national governmental regulations. Ifexport shipment and Iam the Primary Exporter, I certify that the contents of this consignment conform to the terms of the attached EPAAcknov~edgmenl of Consent. I certify that the waste minimization statement identified in 40 CFR 262.27(a) (if I am a large quantity generator) or (b) (ifI am asmall quantity generator) is true.
2 - Generator's/Offeror's Printed/Typed Name
--- '.fl~'. ~ UV(i~
...I 16. International Shipments
D
i-
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z Transporter signature (for exports only):
Signature
I D Export from U.;
,, .L7 ~
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run v i entry/exit: Date leaving U.S.:
Month Day Year
ll:54 ltS" I~
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en Transporter 2 Printed/Typed Name
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18. Discrepancy
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r 18a. D!screpancy Indication Space
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, 4.
D Full Rejection
IMonth I Day Year
I
l ' Q)~r ) ~ \ \ )y '' ) j 20. Designated Facility Owner or Operator: Certification of receipt of hazardousmaterials covered by the manifestexcept as ncted in Item 18a
Printed/Typed Name
..
EPA Form 8700-22 (Rev. 12-17) Previous edIt1ons are obsolete.
Signature
I
~~
l~ .1\ ~
DESIGNATED FACILlTY TO EPA's e-MANIFEST SYSTEM
Appendix 8 Page 80 of 104
Please print or type
UNIFORM HAZARDOUS , 1. Generator ID Number
WASTE MANIFEST TXR000QM890
= 5. Generalo(s Name and Mailfii'n Address Transfer artnn Pointe Drive M- ont Be TX 77535 Generalo(s Phone: 2fl1-385-3573
6. Transporter 1 Company Name
CIMA Servloaa LP
/J tJTtlIt L- (3~ / ;2cJ,/J
'3851b Form Approved. 0MB No. 2050-0039
2. Page 1 of , 3. Emergency Response Phone
11
832-M7-S849
4
1 Manierr8n~t9i 944 FLE
Generalo(s Sile Address (if different than mailing address)
Eneftlranafer MB Free VI &VIII 877 1942
IBaytown, TX 77521
U.S. EPA ID Number
!TXR000081246 90781
7. Transporter 2 Company Name
U.S. EPA ID Number
v=e~Nu;;nd Sile Address
I
U.S. EPA ID Number
2626 lnde~ndence pkwy DMr Park; TX 77538 Facility's Phone: 281-830-2625
TXD000719518
I
32299
9a. 9b. U.S. DOT Description (including Proper Shipping Name, Hazard Class, ID Number, HM and Packing Group (if any))
10. Containers
No.
Type
11. Total Quantity
12. Unit WI.Nol.
13. Waste Codes
1
00::: X UN1993, Wn18 Flammable tlqulda, n.0.1. (Benzen. Hydrogen Sulfld). 3. Ill, RQ, 0018
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1 TT
~&o
0013 102H 0001 G D018
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14. Special Handling Instructions andAdditional Information
1)13200729 ERG#128
Job# 1221-24-227-TRAN Frac8 SWR#97388
15. GENERATOR'S/OFFEROR'S CERTIFICATION: I hereby declare that thecontents of this consignment are fully and accurately described above by the proper shipping name, ard are classified,packaged, marked and labeled/placarded, and are in all respects inproper condition for transport according to applicable internationaland national governmental regulations. If export shipment and I am the Primary Exporter, I certify that the contents of this consignment conform to the terms of the allached EPAAcknowledgment of Consent. I certify lhal the waste minimization statement identified in 40 CFR 262.27(a) (if I am alarge quantity generator) or (b) (ifl am a small quantity generator) is true.
G~(s/Offero(s Printed~ed Name
,.- ~~1 L.AfMll.#JC:,,
...I 16. l~lernational Shipments
....
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z Transporter signature (for exports only):
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I I~ ( / 7 )
D Export fromU.S.
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,~ 1 /Z 1 ~
J~ 0:: 17. TransporterAcknol'~edgment of Receiptof Materials
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~
en Transporter 2 Printed/Typed Name
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, 4.
D Full Rejection Month I Day Year
I
20. Designated Facility Owner or Operator: Certificatlo'l_of receipt of hazardous materials covered by the manifest except as ncted in Item 18a
j Printed/Typed Name
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Signature
I
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DESIGNATEDFACIOTY TOEPA's e-MANIFEST SYSTEM
Appendix 8 Page 81 of 104
Please print or type
t !? e;rl/!?t s~:i t1tJ
~..JI/Ya
Form Approved. 0MB No. 2050-0039
UNIFORM HAZARDOUS , 1. Generator ID Number
WASTE MANIFEST
TXR000084890
5. Generalo(s Name and Mailing Address
ZTransfer Partnara Polnte Drive
M- ont Be TX 77535 Generalo(s Phone: 281-386-3573
6. Transporter 1 Company Name
2. Page 1of 1 3. Emergency Response Phone
11
832-667-5849
r- Mania! i3cg:tst1
Generato(s Site Address {if different than mailingaddress)
E~ nnfer MB FracVI & VIII 877 1942 !Baytown, TX 77521
g 4 5
FLE
U.S. EPA ID Number
CIMA Servlcea LP
7. Transporter 2 Company Name
ITXR000081246 90781
U.S. EPA ID Number
8. Designated Facility Name and Sile Address
Texu Molecular 2525 lndeP@ndance f'kwy Deer Pa~ TX 77538 Facility's Phone: 281-9~2625
9a. 9b. U.S. DOT Descriplion {including Proper Shipping Name, Hazard Class, ID Number, HM and Packing Group (if any))
10. Containers
No.
Type
I
U.S. EPA ID Number
TXD000719618
I
11. Total Quanlily
12. Unit WI.Nol.
32299
13. Waste Codes
i 1.
IX:
0
UN1993, W aste Fla mmable llqulds, n.O.1.
X (Benzene, Hydrogen Sulflde ), 3 , 111, R Q, D01 8
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1 TT li S'otJ G 0018
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14. Special Handling Instructions and Addilional Information
1)13200729 ERG#128
Job#. 1221-24-227-TRAN Frac 8 SWR#97388
15. GENERATOR'S/OFFEROR'S CERTIFICATION: I hereby declare that the contents of this consignment are fully and accurately described above by theproper shipping name, ard are classified, packaged,
marked and labeled/placarded, and are in all respects in proper condition for transport according toapplicable internationaland national governmental regulations. If export shipment and I am thePrimary Exporter, I certify that thecontentsof this consignment conform to the terms of theallached EPAAcknovAedgmenl of Consent.
g;.41::. I certify that lhe waste minimization statement identified in 40 CFR 262.27{a) {if I am alarge quantity generator) or (b) {ifl~ small q~ generator) is true.
~ f " Get,:,;si/:O:ff:e;ror''C i~ i ,~~- ame
_. 16. International Shipljlents.\: -n
~
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z Transporter signature {for exports only):
ISigo l .( '\
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~
/exit:
Date leaving U.S.:
Month Day Year
lt-1 l 1P I $/
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~ Facility's Phone:
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14
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20. Designated Facility Owner or Operator: Certification of receipt of hazardous materials covered by the manifest except as ncted in Item 18a
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l \flM~ n ~ 1~t\ ..
EPA Form 8700-22 (Rev. 12-17) Previous editions are obsolete.
I
~K\
DESIGNATED FACILITTTO EPA's e-MANIFEST SYSTEM
Appendix 8 Page 82 of 104
l}erv/lt .:36/ 'l~tJ/
Please print or type
UNIFORM HAZARDOUS I 1.GeneratorlDNumber
WASTE MANIFEST
TXR000084890
5. Generator's Name and MailFl'n Address
EaiTranafer al'tnera
1
~le Pointe Drive
Mont Belv eu TX 77535
Generator's Phone: 281-385-3573
r is"~t919 2. Page 1or 13. Emergency Response Phone
11
832-657-5849
t/t/3 Sb
Manlc f
Form Approved. 0MB No. 2050-0039
46 FLE
Generator's Site Address (ii different than mailing address)
Eneff: Tranafer MB Free VI & VIII 877 M 1942
IBeymwn, TX 77521
6. Transporter 1 Company Name
U.S. EPA ID Number
C IMA Servlaee LP
ITXROOOoe1245 90781
7. Transporter 2 Company Name
U.S. EPA ID Number
v=euo~~;;nd Sile Address
2526 lndePfndance PkwY
Dear Park, TX 77538 Facility's Phone: 281-930-2 &2S
9a. 9b. U.S. DOT Description (including Proper Shipping Name, Hazard Class, ID Number, HM and Packing Group (ii any))
10. Containers
No.
Type
IU.S. EPA IDNumber
TXD00071 9518
I
11. Total Quantity
12. Unit Wt.Nol.
32299
13. Waste Codes
1
0::
UN1993, Waste F11mm1ble llqulda , n.0.1.
0 X (Benzene, Hydrogen S ulflda), 3. Ill, RQ, D018
~
w
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2.
w
(!)
l 0013 102H D001
1 TT l'-1, .roo G 0018
3.
4.
14. Special Handling Instructions and Additional Information
1)13200729 ERG#128
JotJ# 1221-24-227-TRAN Frac8 SWR#97388
15. GENERATOR'S/OFFEROR'S CERTIFICATION: I hereby declare that the contents or this consignment are fully and accurately described above by the proper shipping name, ard are classified,packaged, marked and labeled/placarded, and are In all respects in proper condition for transport according to applicable internationaland national governmental regulations. II export shipment andI am the Primaiy Exporter, I certify that the contents or this consignment conform to the terms or the attached EPAAckno1Aedgment of Consent. I certify that the waste minimization statement identified in 40 CFR 262.27(a) (ii I am a large quantity generator) or (b) (ill am asrwuanlity generator) is true.
G();~~~~e~1 5 16. International S~1pm"11t~ I
el1/4P11 .
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lJ Import lo U.S.
z Transporter signature (for exports only):
I~ ~ :_------'
-
D Export f~om U.S.
Port of enliy/exit:
Date leaving U.S.:
_,,.
Month Day Year
I L/ I ~:J-1;}-(./
0:: 17. Transporter AcknovAedgment or Receipt or Materials
w
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~
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0
a.
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en
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l 18. Discrepancy 18a. Discrepancy Indication Space
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, 4.
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IMonth I Day Year
I
l J1rxJ-- ra-~ 1i0 20. Designated Facility bwner or Operator: Certification ofreceipt of hazardous materials covered by the manifest except as nded In Item 18a
PrintedfTyped Name }A(}<f,f-EPA Form 8700-22 (Re~ 12-17) Previous ed1"1lons are obsolete.
Signature
I
th
/1'... -
1~
DESIGNATED FACILITY TO EPA'se-MANIFEST SYSTEM
Appendix 8 Page 83 of 104
Please print or type
UNIFORM HAZARDOUS 11. Generator IDNumber
WASTE MANIFEST
TXR000QM890
5. Generalo(s Name and Mailing Address
=Transfar Partnans Pointe Drive
Mont Batv TX 77535 -
Generato(s Phone: 2ih-386-36'73 6. Transporter 1 Company Name
11erv11t .111; :i~~I'
#/~Ila
Form Approved 0MB No. 2050-0039
2. Page 1of 13. Emergency Response Phone
4
11
832-657-5849 1 Manin!1acA~u~t1
Generalo(s SileAddress (if different lhan mailingaddress)
Ene~Tranafer MB FracVI aVIII
877
1942
IBaytown. TX 77521
q 4 7
FL E
U.S. EPA ID Number
CIMA Servlaa LP
7. Transporter 2 Company Name
ITXR0000812'6 U.S. EPA ID Number
90781
8. Designated Facility Name and Sile Address
I
U.S. EPA ID Number
Texas Molecular
2625 lndaP@ndance PkwY
Deer Pa~ TX 77538
Facility's Phone: 281-830-2525
TXD000719618
I
32299
9a. 9b. U.S. DOT Description (including Proper Shipping Name, Hazard Class, ID Number, HM and Packing Group (if any))
10. Containers
No.
Type
11. Total Quanlily
12.Unit Wt.Nol.
13. Wasle Codes
1.
i:x:
0
UN1993, Waste Flammable llqulds, n.o.a.
~ X (Benzene, Hydrogen Sulflde), 3, Ill, RQ. 0018
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2.
w
(!)
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1 1T 4 ~DO G 0018
3.
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14. Special Handling Instructions and AddiUonal Information
1) 13200729 ER8#128
Job# 1221-24-227-TRAN Frac8 SWR#97386
15. GENERATOR'S/OFFEROR'S CERTIFICATION: I hereby declare that lhe contents of this consignment are fully and accurately desclibed above by the proper shipping name, ard are classified, packaged,
marked and labeled/placarded, and are in all respectsin proper condition for transport according toapplicable inlemationaland national governmental regulalions. If export shipment and I am thePrimary
Exporter, I certify that lhe conlenls of this consignment conform to the lerms of lhe allached EPAAcknol'Aedgmenl of Consent.
Icertify !hat the waste minimizalion slalemenl identified in 40 CFR 262.27(a) (if I am alarge quanlily generator) or (b) (ifl am asma]l.Qjjenlity ge~~true.
Gy71;;~;,ni1;;.N7j P1#/,P1/J f )
..J T6. lhlemaliolial Shipme!lls
V I/
~
0 l;port lo U.S.
2!: Transporter signature (for exports only):
IY~
0 Export from U.S.
- - Port of enlrylexil:
Dale leaving U.S.:
Month Day Year
IOLf I .2:\lo'.24
i:x: 17. Transporter Acknowtedgmenl of Receipt of Materials
w
t:
0
Tra n & , ; 7 r r y ~ t t ~
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en Transporter 2 Printed/Typed Nallfe
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I
Month Day Year
I o'-11 oU l;ll\
Monlh Day Year
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l18. Discrepancy 18a. Discrepancy Indication Space
0 Quantity
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::i
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Type
0Residue
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I
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w 1.
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13.
14.
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Printed/Typed Name
Signature
l \fJ. ~ ~~- ( ~ ..
EPA Form 8700-22 (Rev. 12-17) Previous edI1ions are obsolete.
I
DESIGNATED FACILITY TO EPA's
0 Full Rejeclion
I I Day Year Monlh I
1zt~~
a-MANIFEST SYSTEM
Appendix 8 Page 84 of 104
Please print or type
UNIFORM HAZARDOUS I 1.GeneratorlDNumber
WASTE MANIFEST
T X RO0 0 0 M 8 9 0
5-~~;=f=
Mont Belvleu TX 77535
Generato(s Phone: 281-388-3573
6. Transporter 1 Company Name
CIMA Servlaee LP
7. Transporter 2 Company Name
~11&1h'Ur.rnd Site Address
2626 lndeptndance pkwy Dear Park: TX 77538 Facility's Phone: 281.Q30-2S2S
9a. 9b. U.S. DOT Description (including Proper Shipping Name, Hazard Class, ID Number, HM and Packing Group (if any))
11a1t1IJ~
3? f tJoo
J t/I/t/ b
Form Approved 0MB No. 2050-0039
Generato(s Site Address (if different than malling address)
Enesm-J')anater MB Frac VI a VIII
877~FM 1942
IBaytown, TX 77521
U.S. EPA IDNumber
1TXROoooe12.-&
U.S. EPA IDNumber
IU.S. EPA IDNumber
90781
TXD00071 9518 32299
10. Containers
No.
Type
1 TT
I
11 . Total Quantity
LI, o,17
12. Unit Wt.Nol.
13. WasleCodes
0013 1O2H D001 G 0018
3.
4.
14. Special Handling Instructions and Additional Information
1) 13200729 ERG#128
Jobl#122124--227TRAN Frac8
SWR#97386
15. GENERAT0R'S/0FFER0R'S CERTIFICATION: I hereby declare that the contents or this consignment are fully and accurately described above by the proper shipping name, ard are classified, packaged, marked and labeled/placarded, and are in all respects in proper condition for transport according to applicable internationaland national governmental regulations. If export shipment and I am the Primary Exporter, I certify that the contenls or this consignment conform to the terms of the attached EPAAcknowledgment of Consent. I certify that the waste minimizalion statement identified in 40 CFR 262.27(a) (if I am a large quantity generator) or (b) (ifl am asmall quantity generator) is true.
Month Day Year
.-J 16. International Shipments 1-
D Import to U.S.
Z Transporter signature (for exports only):
ffi 17. Transporter Acknowledgment or ~eceipt of Materials
~ Transporter 1 PrintedfTyped Name
~
--,-;;,1'1/}/" H7
~ Transporter 2 PrintedfTyped Name
/
~
I-
18. Discrepancy
Export ffo;;U.S.
Signature
I Signature
I
I Lf l:Js I;></ \....--' - .
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Month Day Year
14 l::;.r L~-l/
Month Day Year
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Appendix 8 Page 85 of 104
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~ UNIFORM HAZARDOUS 11. Generator ID Number
WASTE MANIFEST
TXR0000M890
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15. GENERATOR'S/OFFEROR'SCERTIFICATION: I hereby declarethal the contentsof this consignment are fully and accurately described above by the proper shipping name, ard are classified, packaged, marked and labeled/placarded, and are in all respects in proper condition for transport according to applicable inlernationaland national governmental regulations. If export shipment and Iam lhe Primary
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UNIFORM HAZARDOUS I 1.Generator lDNumber
WASTE MANIFEST TXR0000M890
5. Generato(s Name and Mail~'n Address
EneW! Tranafer artnera 123 ~le Pointe Drive Mont Belv u TX 77535 Generato(s Phone: 281-35-3573
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15. GENERATOR'S/OFFEROR'S CERTIFICATION: I hereby declare that the contents of this consignment are fullyand accurately described above by the proper shipping name, ard are classified, packaged,
marked and labeled/placarded, and are in all respects in proper condition for transport according to applicableinternationalandnational governmental regulalions. If export shipmentand I am the Primary
Exporter, I certify that the contents of this consignment conform to the terms of the attached EPAAcknowledgment of Consent.
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DESIGNATED FACILITY TO EPA's e-MANIFEST SYSTEM
Appendix 8 Page 87 of 104
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Please print or type UNIFORM HAZARDOUS 11. Generalor ID Number
WASTE MANIFEST T)(ROOQ084890
5. Generalo(s Name and Malling Address
Trarmfer Partnera Pointe Drive
M- ont B~a TX 77535
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ITXR0oooe124& 90781
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Texas Molecular 2525 lndeptndanoa pkwy Deer Partc, TX 77538 Facility's Phone: 281~30-2525
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15. GENERATOR'S/OFFEROR'S CERTIFICATION: Iherebydeclare thal lhe oontenls or this oonsignment are fully and accurately described above by the proper shipping name, ard are classified, packaged,
marked and labeled/placarded, and are in all respects In proper oondilion for transport according toapplicable Internationaland national governmental regulations. If export shipment and I am the Primary
Exporter, I certify that lhe contents of this consignment conform to the terms or the attached EPAAckn01Aedgment or Consent.
I certify that the wasleminimization statement Identified In 40 CFR262.27(a) (if I am alargequanlity generalor) or (b) (ifl am asmall quantity generalor) Is lrue.
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Appendix 8 Page 88 of 104
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UNIFORM HAZARDOUS 11. Generator ID Number
WASTE MANIFEST TXR0000848QO
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1) 13200729 ERG#128
Joo# 1221-24-227-TRAN Frac8 SWR#97386
15. GENERATOR'S/OFFEROR'S CERTIFICATION: I hereby declare that the contents of this consignment are fully and accurately described above by the proper shipping name, ard are classified, packaged,
marked and labeled/placarded, and are in all respects In proper condition for transport according to applicable internationaland national governmental regulations. If export shipmen! and Iam the Primary
Exporter, I certify that the contents of this consignment conform to the terms of the attached EPAAckn01Aedgment of Consent.
I certify that the waste minimization statement Identified in 40 CFR 262.27(a) (if I am a large quantity generator) or (b) (ifl am a small quantity generator) is true.
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Appendix 8 Page 89 of 104
Please print or type. UNIFORM HAZARDOUS 11. Generator ID Number
WASTE MANIFEST T)(RQ00084890
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4 f ft)(/ ', Form Approved. 0MB No. 2050-0039
2. Page 1of 13. Emergency Response Phone
11
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E~ Tranlt'er MB Fnlc VI & VIII 877 1942
IBaytown, TX 77521
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CIMA Servloea LP
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ITXR000081246 90781
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Texas Molecular
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TXD00071 9618
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Jot,tt. 1221-24,,227-TRAN Frac8
SWR#97388
15. GENERATOR'S/OFFEROR'S CERTIFICATION: Ihereby declare that the contents of lhis consignment are fully and accuralely described above by the proper shipping name, ard are classified, packaged,
marked and labeled/placarded, and are in all respects inproper condition for transport according to applicable international and national governmental regulations. If export shipment and Iam the Primary
Exporter, I certify that the contents of this consignment conform lo the terms of theallached EPAAcknowledgment of Consent.
I certify lhal the waste minimization statement identified in 40 CFR 262.27(a) (if I am alarge quantity generator) or (b) (ill am a small quantity generator) is true.
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Appendix 8 Page 90 of 104
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WASTE MANIFEST
TXR000084890
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Transfer Partn8111 le Pointe Drive
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CIMA ServlaM LP
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vaeuoll:mt.rd Site Address
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14. Special Handling Instructions and Additional Information
1) 13200729 ERG#128
Joo# 1221-24-227-TRAN Fn1c 8 SWR#97386
15. GENERATOR'S/OFFEROR'S CERTIFICATION: I hereby declare lhal the contents of this consignment are fully and accurately described above by the proper shipping name, ard are classified, packaged,
marked and labeled/placarded, and are In all respects in proper condition for transport according to applicable internationaland national governmental regulations. If export shipment and Iam the Primary
Exporter, I certify that the contents of this consignment conform to the terms of the attached EPA Acknowledgment of Consent.
Icertify that the waste minimization statement identified in 40 CFR 262.27(a) (if I am alarge quantity generator) or (b) (ifl am asmall quantity generator) is true.
Generato(s/Offero(s PrintedfTyped Name
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Mon!h Day
I I
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20. Designated Facility Owner or Operator: Certification of receipt of hazardous materials covered by the manifest except as nded in Item 18a
PrintedfTyped Name
Signature
l ~ -l:'\Z\tr -~b . J\~ ~h~~ ..
EPA Form 8700-22 (Rev. 12-17) Previous edItIons are obsolete.
I
DESIGNATED FACILITY TO EPA'se-MANIFEST SYSTEM
Appendix 8 Page 91 of 104
c 1'M.J 17- ,,;;-o
!
Please print or type.
3 8 5 0 / ! Form Approved. 0MB No. 2050-0039
UNIFORM HAZARDOUS 11. Generator ID Number
WASTE MANIFEST TXROOQQM890
5. Generato(s Name and Mailing Address
Energy Trarllfer Partnera 12353'Eaale Pointe Drive Mont Batvlel, TX 77535
Generato(s Phone:281-3~673 6. Transporter 1 Company Name
2. Page 1or 3. Emergency Response Phone
11
832-657-5849
Generato(s Site Address (if different than malling address)
E ~Tranlter MB Free VI aVIII
877~FM 1942
IBaytown, TX 77521
U.S. EPA ID Number
CIMA Servlaea LP
7. Transporter 2 Company Name
11-_ ..:.--..-1246
U.S. EPA ID Number
90781
8. Designated Facility Name and Site Address
Texas Molecular
2626 lnde~ndenoa PkWY
Daer Park; TX 77538 Facility's Phone: 281-130-2525
I
U.S. EPA ID Number
TXD000719518
I
32299
9a. 9b. U.S. DOT Description (including Proper Shipping Name, Hazard Class, ID Number, HM and Packing Group (if any))
10. Containers
No.
Type
11. Total Quantity
12. Unit Wt.Nol.
13. Waste Codes
1.
0::
0 UN1993, Wata Flammable llquld&, n.o.a.
~ X (Benzene, Hydrogen Sulflde), 3, Ill, RQ, 0018
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3.
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14. Special Handling Instructions and Additional Information
11) 13200729 ERG#128
Job# 1221-24-227-TRAN Frac8 SWR#97386
15. GENERATOR'S/OFFEROR'S CERTIFICATION: I hereby declare that the contents of this consignment are fully and accurately described above by the proper shipping name, ard are classified, packaged,
marked and labeled/placarded, and are in all respects in proper condition for transport according lo applicable internationaland national governmental regulations. If export shipment and Iam the Primary
Exporter, I certify that the contents of this consignment conform to the terms of the attached EPA Acknowledgment of Consent.
+ + ~ v Icertify that the waste minimization statement identified in 40 CFR 262.27(a) (if I am alarge quanLily generator) or (b) (ifl ani;l small quantity generator) is true.
Generalo(s/Offero(s Printed/Typed Name I':\ f) /)
ISignature ~
Month Day Year
~a.sh - 'fl<....
~
I G-/ I Ji l?-'I
....1 16. International Shipments j:...
D Import lo U.S.
D Export from U.S. /
Portofenlry/exil: _ _ _ __ _ _ _ _ _ _ _ __ _ __ _
z Transporter signature (for exports only):
ffi 17. Transporter Ackno1Aedgment of Receipt of Materials
--c. Ii;: Transporter 1Printed/Typed Name
~
00 Transporter 2 Printed/Typed Name
~
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Signature
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I v/ I us' ~ti
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18. Discrepancy
r 0. 18a. Discrepancy Indication Space
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--,-;,v=-"1 ,ear
i~~=~=H- =a=za=rd=ou=s=W:R=e=~p=:osrt=l=:=e93-\ra:n=ag=e:me=n=tM=e=lh=od=:c:=.=es=(i=.e==cod=e=s=fo=r=ha=z=ar=do=us=1,=a=st=e=tre=a=tm=e=n,t=d=ips;:=_sa=l,=a=nd=r=ec=yc=lin=g=s=ys=te=m=s)============i= =_============~====~=== =~ ===: 4
I
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120. Designated Facility Owner or Operator: Certification of receipt of hazardous materials covered by the manifest except as ncted in Item 18a
1-::e-,-Prlien.d,../..T,,,y; p--e-:d-,N,,--ame~
_ _ _ : _~ _ ,~ . . ~- r~r~
,,a---. - ~ -IS,,,--igna,--lure...:,__-,-'.,r ......\..._--,,:u e----t,n.t--Y - . J-1Z\=M,-1\--l;:Q ;:::--~-:-;:Y:;:ri
EPA Form 8700-22 (Rev. 12-17) Prevmus editions are obsolete.
DESIGNATEDFACILITYTO EPA'se-MANIFEST SYSTEM
Appendix 8 Page 92 of 104
. /7- ;)-O, .
Please print or type UNIFORM HAZARDOUS , 1. Generator ID Number
WASTE MANIFEST TXROOOQM890
= 5. Generator's Name and Mail~n Address Transfer artnara Pointe Drive M- ont Be TX 77535 Generator's Phone: 2ih-385-3573
6. Transporter 1 Company Name
CIMA Servlaaa LP
7. Transporter 2 Company Name
/J er11flt &11q1tJI
b 2. Page 1 of , 3. Emergency Response Phone
r 1 1
832-557-5849
L/t/5/ Form Approved 0MB No 2050-0039 Manierr8nLt9i ~ h OFLE
Generalor's Site Address (if different than mailing address)
Tnnfer MB Frac VI & VIII
8~M 1942
IBaytown, TX 77521
U.S. EPA ID Number
ITXR000081246
U.S. EP/\ ID Number
90781
I
v = 'eU0~~1ar Sile Address
U.S. EPA IDNumber
2526 lndes>tndenca PkwY
Daer Park, TX 77536 Facility's Phone: 281-830-2S2S
TXD00071 9518
I
32299
9a. 9b. U.S. DOT Description (including Proper Shipping Name, Hazard Class, ID Number, HM and Packing Group {if any))
10. Containers
No.
Type
11. Tolal Quantity
12. Unil Wt.Nol.
13. Waste Codes
1
0:: 0
UN1993, Wnta Flammable llqulda, n.o.a.
i X (Benzene, Hydrogen Sulflde), 3, 111, RQ, 0018
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0013 102H D001 1 1T it-t \ /M G 0018
3.
4.
14. Special Handling Instructions and Additional Information
1)13200729 ERG#128
JotJ#.1221-24-227-TRAN Frac8 SWR#97388
15. GENERATOR'S/OFFEROR'S CERTIFICATION: I hereby declare that the contents of this consignment are fully and accurately described above by the proper shipping name, ard areclassified,packaged,
marked and labeled/placarded, and are in all respects in proper condition for transport according to applicable internationaland national governmental regulations. If export shipment and I am the Primary
Exporter, Icertify that the contents of this consignment conform to the terms of the attached EPAAcknowledgment ofConsent.
I certify that the waste minimization statement identified in 40 CFR 262.27(a) (if I ama large quantity generator) or (b) (ill am asmall quantity generator) is true.
Generator's/Offerer's Printed/Typed Name
:r;~K. r-
ISignalurea / 7
- ' 16. International Shipments
~
Import to U.S.
z Transporter signature (for exports only):
D Export from U.S.
,,/
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Date leaving U.S.:
Month Day Year
I l-/ I Is I Jc/
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20. Designated Facility Owner or Operator: Certification of receipt of hazardous materials covered by the manifest except as nded in Item 18a
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l ~\1 r
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Signature
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1M2t 1\ ~~
DESIGNATED FACILITY TO EPA's e-MANIFEST SYSTEM
Appendix 8 Page 93 of 104
'Please print or type.
frv ct 11/
s 1 11e1//l}t.
2~tJ/
S 9Jt/(; Form Approved. 0MB No. 2050-0039
UNIFORM HAZARDOUS 11. Generator ID Number
WASTE MANIFEST
TXRQQ0084890
5. Generato(s Name and Mailing Address
2. Page 1of 1 3. Emergency Response Phone
11
832-657-5849
14. Manlnt 1ac~g~u~t1 q h 1 FLE
Generato(s Site Address (if different than mailing address)
=Traf\lfer Partners Pointe Drive M- ont Be TX 77535
Generato(s Phone:281~673 6. Transporter 1 Company Name
Ene~ranafar MB Frac VI & VIII 877 1942 !Baytown, TX 77521
U.S. EPA IDNumber
CIMA 8ervl089 LP
7. Transporter 2 Company Name
ITXROoooe124s 90781
U.S. EPA ID Number
8. Designated Facility Name and Site Address
Texas Molecular
2625 lndapgndence PkwY
Deer Park, TX 77536 Facility's Phone: 281-830-2525
IU.S. EPAIDNumber
TXD000719518
I
32299
9a. 9b. U.S. DOT Description (including Proper Shipping Name,Hazard Class, ID Number, HM and Packing Group (if any))
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No.
Type
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14. Special Handling Instructions and Additional Information
1)13200729 ERG#128
Job# 1221-24-227-TRAN Frac8
SWR#97386
15. GENERATOR'S/OFFEROR'S CERTIFICATION: I hereby declare that the contents of this consignment are fully and accurately described above by the proper shipping name,ard are classified, packaged, marked and labeled/placarded, and are in all respects in proper condition for transport according to applicable intemalionalandnational governmental regulations. If export shipment and I am the Primary Exporter, I certify that the contentsof this consignment conform to the terms of theattached EPAAcknowledgment of Consent. I certify that the waste minimization statement identified in 40 CFR 262.27(a) (if Iam alarge quantity generator) o_ljb) (if.l.amasma!wl\Jantity generalor) is true.
Geno (: rferoY i ] : ~ ; : , ,<
-I 16. lnTernational Shipmenls
~
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isrtf:1-::_ '\
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Month Day Year
lb/ I (I 1ac...
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en
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Prinled/TT~d Name ~
Signature
Month Day Year
l Scxb ;l~ - L1 1Y J\/~
EPA Form 8700-22"'(Rev. 12-17) Previous ed1"t1ons are obsolete.
I
1/( le</
DESIGNATED FACILITY TO EPA'se-MANIFEST SYSTEM
Appendix 8 Page 94 of 104
1/t!Ttl/ll 3~ 7~(//
Please print or type
UNIFORM HAZARDOUS , 1. Generator ID Number
WASTE MANIFEST TXRQOQQM890
5-Generato(sfni~~tl~ara
1 =Pointe Drive
Mont Belv TX 77S3el
Generato(s Phone: 281-388-3573
6. Transporter 1 Company Name
CIMA. Servlcea LP
l // tJ 6 C Form Approved 0MB No. 2050-0039
2. Page 1 of , 3. Emergency Response Phone
11
832-667-6849
14.Manin!1raRn~uqb1 q 6 ? FLE
Generato(s Sile Address (if different than mailing address)
ranafer MB Frac VI a VIII
8 ~
1942
IBaytown, TX 77521
U.S. EPA ID Number
ITXR0000812'6 90781
7. Transporter 2 Company Name
U.S. EPII ID Number
v:=eUa~~lar"d SileAddress
2526 lndeJ)!ndenoe PkwY
Deer Park, TX 77538 Facility's Phone: 281-930-2526
I
U.S. EPA ID Number
TXD000719518
I
32299
9a. 9b. U.S. DOT Description (inciuding Proper Shipping Name, Hazard Class, IDNumber, HM and Packing Group (if any))
10. Containers
No.
Type
11 . Total Quantity
12. Unit Wt.Nol.
13. Waste Codes
1
a::: UN1993, Wnta Flammable Hqulda, n.o.a.
0 X (Benzene, Hydrogen Sultkfe), 3, Ill, RQ, D018
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3.
4.
14. Special Handling Instructions and Additional Information
1) 13200729 ERG#128
Job# 1221-24-227-TRAN Frac8 SWR#97388
15. GENERATOR'S/OFFEROR'S CERTIFICATION: I hereby declare Iha! the contents of this consignment are fully and accurately described above by the proper shipping name, ard are classified, packaged, marked and labeled/placarded, and are in all respects in proper condition for transport acoordlng to applicableinternalional and national governmental regulations. If export shipment andI am the Primary
Exporter, I certify that the contents of this consignment conform to the terms of the attached EPAAckno~Aedgment of Consent.
I certify that the waste minimization statement identified in 40 CFR 262.27(a) (If I am a large quantity generator) or (b) (ill am a small quantity generator) is true.
y;to(s/Offero(s Prinled/Typed Name
'/,.,,;f/s f1,,-r'~..k~/"P,
:-I 16.'IQternational Shipments
I-
~ Import to U.S.
z Transporter signature (for exports only):
tDtc,~-IK D Exportfrom U.S.
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/ Port of entry/exit:
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Month Day Year
Io t.\l QI l;t~
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l 18. Discrepancy 18a. Discrepancy Indication Space
~_, 18b. Alternate Facility (or Generator)
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I Day Year
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I
J+r1r1 20. Designated Facil~y Owner or Operator: Certification of receipt of hazardous materials covered by the manifest except as nded in Item 18a
rYli/-- V Printed/Typed N374
M / l a. /,..
l ftv--- EPA Form 8700-22 (Rel/. 12-17) Pre-Mus editions are-obsolete.
Signature
I
1MCF I~ 1? i
V"DESIGNATEDFACILITY TO EPA'seMANIFEST SYSTEM
Appendix 8 Page 95 of 104
Please or type.
UNIFORM HAZARDOUS WASTE MANIFEST
1GenerD ID Nunilef
TXRQOOOM810
5. Generata's Name and Mai'lrlg AdclT1!Ss
Har1ree 18518 De Zavlllla Rd
a . ~ TX 77530
Genara!ol's Pima: .-1-836-41
II. Tl'lnpOl18f 1 ~ Name
CIMAs..1aaLP
7. Transpcmr 2 Corrc,any Name
97309
2. ~ 1ol 3. Emergency Ra$i)orlsl8 Plme
1
832-567-6849
Generato(s Si1B Addll!SS (d dillel'ent Ital maiing adciea)
a.nneMaw Termlnal 1851.a De Zavlllla Rd ChanneMaw, TX 77530
U S. EPI\ ID Nvrmer
TXR000081245 907
US. EPAIOttrmber
8. lleslgnat8d Fadity Name a'ld Sita Addr9$$
r~Corp.
Fradona, KS 88738
Facii Ptooe: 800-~7224
9a. 9t>. U.S.D O T ~ (rdlfll!I PTOper &lippilg Name,Haza1I <:lass. ID Number, HM Md P3liilg G,oup (1f any))
a 1.
g NA3077, H8Zllfdous wata, tolld, n.o.a.
X
Toluene). 9, Ill, RQ
ffi 2.
(!)
U.SEPAIDN\.lnt.
KSD9808332S
10. ~
Ho.
Type
1 CM
3.
FLE
4.
1 . Sl)l!d;d ~ m:slNdlons and .-ocfllional Information
) PQ-220519-002-F ER8#171
JobJ1271-24-053-TRAN
DAFWatta
()1BL6
~i) 1)S(-'ZS-S3Y1
15. GENERATOR'SIOFFEROR'S CBTIFICATIOM: I hereby dedare Iha! Ille oon1en1S of 1M oons.grtnert ani IIAly ard accura181y tlesalled a!xM! by lhl Pl1l!lM s/wn9 lliml. S:-0 .n classffled, pad:aged, rnatb!d am labelaG'placard, and are In all mi,eds r, pn:lPef anfr..oo tor !ran5pat a:mrd'mg l o ~ irf.emaliona!ard na'.IMal ga,,emmenla! ,vgliations ff export s/uplnln1 nl Iam 1he Plima1'
~ - Icertify Olat ll'e conlen1S af ~ c:olSlgi orient anbm 10 lhe llnmS of lhe atlaa1ed E l ' , \ ~ al c.ons.nt I oeltify lllal lhe wasl8 ITinirnim0n s1alement identified in 40 CFR 262.27(a) [~ I n a l.wge qu.wility ~ ) Of (b) (~I am a$1:,a'l ~ genera101') Is !M.
loU .S.
Monlh Day Yea-
18. 0 l s a e p n : y
st 18a. Oi5m!pancy trdc:aliltl $j)aC& 18b. Mema'e Facilty (or <:leroemlr)
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~
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Moret, Duy Year
it--_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ____._ __.___...._---t
i 19Haz3dous
I Me1tlod ~foe . a>de5 lor hazaldcLIS w3S1e ~ (f<Sl)OSlll, aod reqm,g systemS)
~ 1.
2.
l
Appendix 8 Page 96 of 104
018491993FLE
Pllase print or type.
'~ UNIFORM HAZARDOUS ,1. Generator ID Number
WASTE MANIFEST TXD026481523
5. Generator's Name and Mailing Address
Kinder M~n GP 906 Clinton r Galena Park, TX 77547
Generator's Phone: 713-823-2893 6. Transporter 1 Company Name
CIMA Services LP
30573
2. Pag~ 1 of 13. Emergency Response Phone
11
832-557-5849
r Form Approved. 0MB No. 2050-0039
Manifot 1ac~g4u~e; q q 3 FLE
Generator's Site Address (if different than mailing address)
I Kinder MorPBn GP
I 906 Clinton r IGalena,Park, TX 77547
i
I
U.S. EPA ID Number
:
ITXROoooa124s 90781
7. Transporter 2 Company Name
U.S. EPA ID Number
Uiii~~ ,exa~;t~dress
I
U.S. EPA ID Number
32nCoRd69 Robstown, TX 78380 Facility's Phone: 800-242"3209
TXD069452340
I
50052
9a. 9b. U.S. DOT Description (including Proper Shipping Name, Hazard Class, ID Number,
HM and Packing Group (if any)) '
a:: 1. NA3077,Hazardous waste, solld, n.o.s.
0 X (Benzene, Toluene), 9, Ill, RQ (0018)
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10. Containers
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11 . Total Quantity
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12. Unit Wt.Nol.
13. Waste Codes
0001 319H 0018 V 0023 0024 0025
3.
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14. Special Handling Instructions and Additional Information
1) 0900TT052-0 ERG#171
PO# 1009-24-974-TRAN Haz Debris {:Jo~ lnL-~ 51
Additional RCRA Codes: D028,D028,U002,U012
U019,U052,U120,U125,U140.U154,Uf 59,U181,U220
15. GENERATOR'S/OFFEROR'S CERTIFICATION: I hereby declare that the contents of this consignment are fully and accurately described above by the proper shipping name, ard are classified, packaged,
marked and labeled/placarded, and are in all respects in proper condition for transport according to applicable international and national governmental regulations. If export shipment and I am the PrimarY
Exporter, I certify that the contents of this consignment conform to the terms of the attached EPA Acknowledgment of Consent.
I certify that the waste minimization statement identified in 40 CFR 262.27(a) (if I am a large quantity generator) or (b) (ifj;tf'(1a s11Jqu~enerator) is true.
Gener-/a0 tor'~rinted!Type,zN,me ,-
,df Jj 12?1 '$, .. N>fl II a/tJ~)
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I ~
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Appendix 8 Page 97 of 104
018492017FLE
Appendix 8 Page 98 of 104
018492020FLE
Appendix 8 Page 99 of 104
018492024FLE
Order#: 592092-01 (E)
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Form Approved. 0MB No. 2050--0039
UNIFORM HAZARDOUS 11. Generatot IDN ~/
WASTE MANIFEST
35997
5. Generatoi's ~ ~ i t } ~ LLC
POBox458
Generatots Phone:Galena Park, TX .77647
6. Transporter 1 Com...Pil.!1i i::1ame
CIMA. Services LP
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1mga uownsveam SeMces Galena Perk
12510 Amertcan Patrolaum Road
I Galena Park, TX 77547
Phtk 713-948-S053 State ID#: 80781
U.S. EPA ID Number
I TXR000081245
U.S. EPA ID Number
I
U.S. EPA ID Number
3ZT7 County Road 69
State 10#: TX~2
TXD089452340
Faciily's Phone: Robstown, TX 78380
381-387-3518
I
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! 1. NAll077; tMZARDQUSWASTE, SCUD, N.O.S.
i 7 X (CHROMIUM). 9, PG DI, ERG 171
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Job/PO# 1327-24-012-TRAN
01: (090141062-0)Chromlum Contaminated Olly Debris
Emergency Contact Matt Taylor
15. G~NERATOR'S/OFFEROR'S CERTIFICATION: I hereby declare that the con!enls ofthis consignment are fuiy and a~te.'y described above by the proper shipping name, aid ate classified, packaged,
marked and labeled/placarded, !nl are in all respects in proper conallion for transport accocding to appicab!e intematio land national governmental regulations. If export shipment and I am the Primary
Exporter. I certify that the c:ontenlll of this ainsignment a,n,'cxrn to the terms of the attached EPAAdmow!edgment of C t
I certify that the waste minirrization statement identified in 40 CFR 262.27(a) (~ I am a large quanlily generator) or fI am a small.QUtity generator) is trupJ
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a!!: Transportersignature (for exportsonly):
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DESIGNATED FACILITY TO EPA's e-MANIFEST SYSTEM
Appendix 8 Page 100 of 104
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UNIFORM HAZARDOUS 11. Generator ID Number
WASTE MANIFEST
TXR000083093 / 959!52
5. Generator's Name and Mailing Address
KMCCSplllar
LT\'\t2LtDa~ f) ~ #: 592103-01 (E)
Form Approved 0MB No 2050-0039
2. Page 1of 1 3. Emergency Response Phone
1
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Generator's Stte Address (ifdifferentlhan mailing address)
407 CllntDn Dr
Generator's PhoneGalena Pattt. TX nM7
6. Transporter 1Company Name
CIMA8eNlcMLP
7. Transporter 2 Company Name
832-638-2617
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U.S. EPA ID Number
8. Designated Facility Name and Site Address
a.n Hamcn La Porte, L.P.
500 Independence Parkway South
Facility's Phone: laflorta. TXn571
281-884-5500
9a. 9b. U.S. DOT Descliption(induding Proper Shipping Name, Hazard Class, ID Number, HM and Pad\ing Group (if any))
S11111910#:TX~8
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Errargency Conlact: Ma1lhew Taylor
15. GENERATOR'S/OFFEROR'SCERTIFICATION: I hereby declare that the contents of this consignment are fully and accurately described above by the proper shipping name, ard are dassified, packaged, marked and labeled/placarded, and are in all respects in proper condition for transport accolding to applicable international and national governmental regulations. Ifexport shipment and I am lhe Primary Exporter, I oertify that the contents of thisconsignment conform to the terms of the attached EPAAcknowledgment of Consent. I certify that the waste minimization statement identified in 40 CFR 262.27(a) (if Iam a large quantity generator) or (b)(ifI am a small quantity generator) is true.
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marked and labe\f1d/placarded, and are in all respecls in proper condition for transport according to applicable internationaland national governmental regulations. If export shipment and I am the Primary
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marked and labeled/placarded, and are in all respecls in proper condition for lransport according lo applicable inlernalional and national governmental regulations. If export shipment and I am lhe_J'rimary
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Appendix 8 Page 104 of 104
APPENDIX 9. CIMA MOST RECENT TRANSFER MANIFESTS
018492017FLE
Appendix 9 Page 1 of 2
018492020FLE
Appendix 9 Page 2 of 2