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Environmental Commission – Nov. 20, 2020

20201120-002a: Lone Star Riverboat Cruises January 2018-October 2020 pump-out records — original pdf

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Lone Star Riverboat Cruises Lone Star Pump-outs: January 2018-October 2020 2020 February 7 February 25 June 12 September 8 October 19 2018 March 7 June 1 July 13 September 25 December 28 2019 March 22 May 2 June 7 June 8 July 5 August 7 September 18 October 21 December 11 Notes: Lone Star has two 200-gallon capacity holding tanks. Each date listed above represents one 200- gallon pump-out. As part of contract compliance, Lone Star Riverboat provides PARD with monthly reports, including invoices from hauler, Sellman Enterprises, Inc. Septic Services, and City of Austin Water Utility manifests for hauled liquid waste. All manifests going back to 2015 are on file. ~ Waste Track ing Form Generator Information ,,, Lt v c.. "'-- Bt!> H- -r ?41 . ...J - No. Generator Name: U?/v& 5-,~, \. Address: ·5" I ?:.r '57 It:>/ This waste was removed from my: County: -1-/A-~cJ ( f Telephone: ----"C:_ /_ L _ J.L..._2-_7'---'-/--'J'-t--'j' - - - D Grease Trap ..--Gl..--Septic Tank D Other _ _ _ _...,,,..._....,.., ___ _ D Grit Trap D Chemical Toilet (Specify) OR This waste is: D Sewer Sludge D Water Treatment Sludge My waste tank or trap holds up to ______ gallons. The transporter removed a total of _ ..-Z-. __ ··~ ____ gallons. Date of last pumping: ______________ _ As the generator's representative, I certify that this waste contains no hazardous materials, was removed from this address on __l_; _1_; f ~ at ---1..l=:~ D a.m . • Q15.m., and is to be transported to a facility that the Texas Commission on Environmental Quality has authorized to receive these wastes. . ~ Generator Name (printed) _:J?.:ffe~ vf i:,;JV Generator's Signa&Z"~ Transporter Information Business Name: ) G- C<- v<--\.A~ Address r) ~ 0 'f. nu1J4 rl 7'tJ0rd l j 7 J Telephone: ~( l- ·1 f L t?OG> <-- TCEQ Registration Number: _~_1_5"'_L_5 ______ _ GBRA Permit Number: -= - - - - - - -- - - - - - Vehicle Capacity: _ __ J_~_<>_.v _____ .,.--___ gallons Truck License Number: I t'Vf L i l (. / 17 Grease Trap Conditions Inches of grease: _ _ __ Inches of solids: ____ _ Method of measurement used : _ ______ _ _ _ I Condition of trap: AS A COURTESY TO THE CUSTOMER, PLEASE CHECK THE TRAP FOR NEEDED REPAIRS AND NOTIFY THE OWNER IF REPAIRS ARE NEEDED. The liquid waste hauler shall completely evacuate al l traps and interceptors during servicing. It sha ll be unlawful to allow in the servicing of the trap, the discharge of liquid, semi-solids, or solids to be discharged back into a grease or grit trap after servicing. On___}___} , I transported gallons of the waste described under Generator Information above to waste -z...c» receiver: Guadalupe-Blanco River Authority - FM 20 plant. TCEQ Permit or Registration No. WQ0010210002 I certify that the information provided above is correct and that only the waste certified for removal by the generator is contained in this waste transport vehicle. I am aware that falsification of this trip ticket may result in revocation of my waste transportation permit, criminal prosecution, and/or civil penalties. Driver Name (printed) _____________ _ Driver Signature _______________ _ Receiver Information Business Name: Guadalupe-Blanco River Authority - FM 20 Plant Address: 4435 FM 20 East (Creekview), Lockhart, Texas 78644 TCEQ Permit or Registration No. WQ0010210002 Telephone: (512) 398-6391 As the representative of this business, I certify that each of the following statements is true: • The Texas Commission on Environmental Quality has authorized this business to accept the waste specified under • The transporter named above delivered _____ gallons of this waste to this business on___}___} __ _ "Generator Information" above. at _ _ : __ oa.m. Op.m. • This waste has been recycled or disposed as required by the TCEQ authorization for this business. Site Operator Name (printed) ___________ _ Site-Operator Signature _ _________ __ _ White copy - Transporter Yellow copy - Generator Pink copy - GBRA Green copy - FM 20 Plant Gold copy - GBRA RUD-039/ WstTrk-0102/ Austex/350bklts/06/03/2016 -m ... Q) c: Q) (!) ~ >< G'> z ~ c ;o m city ot Ausun / 1 rav1s L-ounty Austin Water Utility .....____ Manifest I Trip Ticket for Hauled Liquid Waste Number: ~ 1-N_a_m_e_: ~<-_t;_Aj_,-'-"'~f'~(_"'t_~ _<.._~A~/_vl.__,_'f'_·"""' _ _,,,,"-"'T-~H.__,r'---------+-Address: /o I '7 / 5T :; City: If v') ~,- ~ "-' State: {fe Zip Code: 7 r/7Dl/ Indicate the waste type (must check one) and, if applicable, the interceptor (or trap) capacity: 0 Wastewater Treatment Plant Sludge 0 Food Service Grease Interceptor (or Trap) ___ __ _ ····--Capacity = _________ (gal.) ~ 0 Chemical Toilet 0 o,seP'tic Tank I Sewage Holding Tank __ ________ _________ _ Capacity = / D Wastewater from Sanitary Sewer System 0 Grit I Mud I Oil I Lint Interceptor (or Trap) _____________ _ Capacity = (gal.) (gal.) 0 Other - Specify Source and Type of Waste: Gallons Removed: 7 ..... ~_ .. ___________ ~~~~~ -~e Removed: p""'~/_· ~/_f_ ... ___ _ As the representative for the generator of this waste, I certify that the information provided is true and correct; a facility authorized by the Texas Commission on Environmental Quality (TCEQ) to receive these wastes. Printed Name: 1/':\ . ( ..,oQ.r-1\/\f~~ Signature: Zip Code: 7.J' h I J ... ~ TCEQ Registration No.: 2 ( )- <=>S ~ COA Permit No.: m ... As the representative for the transporter of this waste, I certify that the information provided is true and correct; and that this waste was collected in I- accordance with Title 30 of the Texas Administrative Code, Chapter 312, Subchapter G and the Austin City Code. ~ons Transported:~ Vehicle License No.: Date Relinquished: 7 J Printed Name: ~ . lA.- '/ -,V (. '-'-> 5 Note: This section 1s for documenting transfers of wastes between vehicles operatir:ig underthe same TCEQ Registration Number. The transfer of waste Signature: ;::.::.-..~- or re istered with the TCEQ. (J) ,... 0 c Ill -< ..... §: m z .. !!! 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Q) s:: Q) C> 0 Other - Specify Source and Type of Waste: Gallons Removed: 2 -=-<? - 0 Wastewater from Sanitary Sewer System As the representative for the generator of this waste, I certify that the information provided is true and corre facility authorized by the Texas Commission on Environmental Quality (TCEQ) to receive these w::;a::;:s:»>-..>-.r£ · nd that this waste is to be transported to a ~te Removed: J / ::1 j 0 . Printed Name: . -\'" J / LfiJ<.·-"~ "- v1..--- Business Name : ~ & l ~ 64 - ~ ~"-1.. __ - City: lj lJ VA- J State: (-:(') " -..... ''"'" ..V Signature: Address: Zip Code: ~ TCEQ Registration No.: 2 f5£'::J _ ~ COA Permit No.: 7 } ro '- As the representative for the transporter of this waste, I certify that the information provided is true and correct; and that this waste was collected in I- - - ---- ~Ions Transported: z. ~ .... -. --~e Relinquished: - - Vehicle License No.: J.y !.( i]y. 2.6 ?f I 1 Printed Name: accordance with Title 30 of the Texas Administrative Code, Chapter 312, Subchapter G and the Austin City Code. 7 -Z __.--;; _..- I to :ny secondary transporter must be at a Type V facility that is eith~rmitted by or registered with the T~Q. ~ --- ( v c_ <--c..> - / (•' /l ;( '1 Signature: . ( , ___ _ Note: This section is for documenting transfers of wastes between vehicles operating under the same TCEQ Registration Number. The transfer of waste 1. Was this waste transferred to the vehicle identified above from a previous transporter vehicle?· --------·------ -·-------- ---- --- ...... a:> O') ...... 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ID :::i (/) ' I (/) ©> ©> ©> (/) _J a::: a::: < :z:: :z:: <!> _J ©> < <!> 0 0 5 ' (] ~ z 0 u 0 0 0 0 0 z z z z z - - - - - - - - - - ·fit CJ) CJ) CJ) CJ) w w w w - - - - - >- >- >- >- >- - - - - - • ..... ~ ~ " _J _J w > !:ic:: w w z ::!! w 0 i= ~ z a::: a::: !:ic:: 0 w _J w < <!> w CJ) w u ..... :::i ::!! z a.. !:ic:: <!> _J a::: i= z 0 w < w < i= 0 >- w a.. 0:: ID ~ u ~ CJ) w ::!! I- w N u w I- < z ::!: <!> _J w ii) co a::: ..... w 0 :::i z CJ) w ::!! a::: (.) w a.. a.. a <!> I- !:ic:: 0 w > a.. I- w ..... ::!! !:ic:: :z:: a::: 0 w ::::!: a::: :=: I- z :::i x (/) w I- w a::: _J ~ >- 0 °t w < 0 I- ..... :::i CJ) a.. ~ 0 < :a:; w ..... CJ) z x >- ~ w CJ) _J ~ <!> 0 (.) CJ) _J _J I Cl') ::!! a:::: UJ I- Name: City: ... 0 -<ti ... Cl> c: Cl> (!) City of Austin I Travis County Austin Water Utility Manifest I Trip Ticket for Hauled Liquid Waste I State: ' ( / '7 f Address: / 0 ( Zip Code: 7 ') 7oy Number-1a1a4 5 0 . Indicate the waste type (must check one) and, if applicable, the interceptor (or trap) capacity: 0 Wastewater Treatment Plant Sludge 0 Food Service Grease Interceptor (or Trap) ___ _____ ____ Capacity = __________ (gal.) 0 Chemical Toilet _,/ .GJ' Septic Tank I Sewage Holding Tank ___________ _____ __ __ Capacity= 0 Wastewater from Sanitary Sewer System O Grit I Mud I Oil I Lint Interceptor (or Trap) __ _____ _______ Capacity= (gal.) (gal.) D Other - Specify Source ar.id Type of Waste: Gallons Removed: ~·.,:;· - - - T Date Removed: C/ Z-5 /II As the represe ntative for the generator of this waste, I certify that the information provided is true a~~rect; and that this waste is to be transported to a facility authorized by the Texas Commission on Environmental Quality (TCEQ) to receive~a~. Printed Name: ~ C"' .!Ot\-NWtU.- Business Name )<b C-f.._jz_ 1 t-4 ... l) City: e J,) i4- ... ~ TCEQ Registration No.: °2-f L!--::!" ~ ~ermit No.: 7 2 I State: (~ _ __ J:all~ns Transported: z.r:-~"> Signaturp~ Address~ (XU/ ')'t-t·t /7"{/ Zip Code: 7 ! (, (o Vehicle License No.: J(ij k' 2 ,...1.J_ __ _ x f Date Relinquished: hone: .r (""{. ·u z_ ~?. - ~ As the representative for the transporter of this waste, I certify that the information provided is true and correct; and that this waste was collected in I- accordance with Title 30 of the Texas Administrative Code, Chapter 312, Subchapter G and the Austin City Code. Printed Name: -r-c /L ,tf, t/ Note: This section is for docum~nting transfers of wastes between vehicles operating un~the~ame TCEQ Registration Number. The transfer of waste -I ro aoy :::'::.~~:::~:.:::·,::::::.~::::~.':~:::::::::::~::::::,::~·~·-~CE~--= ~HHU D y,, Signature: ~---z__ fd <-C...O) D No ES, indicate the previous Manifest I Trip Ticket No. here:- _. - -- -- -- - -- - -- - - - - - -- - -- - - -- - - ' ,2 ~ ~ l/J 1 1 ~ I 2. Is this waste being transferred from the vehicle identified above to a different (new) transporter vehicle? --------------········O Yes 0 No If YES, complete the section below for the vehicle accepting this waste and initiate a new Manifest J Trip Ticket including the new "Transporter l~o· and the original "Generator Info" (duplication of the generator's signature would not be required). _ r;;:w Manifest I Trip Ticket No.: Gallons Tra~sferred: I Ne-:Vv:hicle License No.: ~nsfer Date: - - - __ _ As the representative for the transporter receiving this transferred waste , I certify that the information provided is true. and correct. I State: I Phone: 0 Disposal Site 0 Permitted Transfer Station 0 Registered Transfer Station TCEQ Type I or Type v Permit No.: OR TCEQ Registration No.: I Time Received: E e Received: 0::: As the representative for the facility receiving this waste, I certify that: • The TCEQ has authorized this facility to accept the waste specified under "Generator Info" above; • The waste was received by this facility on the date and time indicated; and • The waste has been transferred, recycled or disposed of as required by the TCEQ authorization for this facility. Printed Name: Facility Name: - City: Check One: Cl> ... -~ ~llo;s Rec~ived: Printed Name: AWU 12/2006 Signature: Address: Zip Code: Sigf!ature: WHITE - Austin Water Utility; YELLOW - Generator (Initial); GREEN - Generator (Final); PINK - Receiver; GOLD - Transporter Name: loiJ$ ~{'""?';'\.. City: t.+ J ~ l l "'-..) A.I{}~"'- 1) Dil-t"ir I State: ~ft) City of Austin I Travis County Austin Water Utility Manifest I Trip Ticket for Hauled Liquid Waste Number10 3 4 :!. 5 I Address: IQ { 4 1 Zip Code: 7 r "J!>'/ IZ!- sr -- I Phone: "jo ytoo7 b"Y rcP Indicate the waste type (must check one) and, if applicable, the interceptor (or trap) capacity: 0 Wastewater Treatment Plant Sludge 0 Food Service Grease Interceptor (or Trap). ______ _____ Capacity = 0 Chemical Toilet J;;;J s(ptic Tank I Sewage Holding Tank __ _____ ___ ________ __ Capacity= 0 Wastewater from Sanitary Sewer System 0 Grit I Mud I Oil I Lint Interceptor (or Trap) __ ___ _________ Capacity = 0 Other - Specify Source and Type of Waste: c--- - - - - - - - - - Gallons Removed: ""'2,..op - - - - - - - As the representative for the generator of this waste, I certify that the information provided is true and ~-611d"that this waste is to be transported to a facility authorized by th: Texas Commission on Environmental Quality (TCEQ) to receive t~~ foate Removed: / Z.. z.;f IS - - - l ._ _ - - Printed Name: ~ • c~~\,f\f E} \...._ Signature: (gal.) (gal.) (gal.) - Business Name : {e (. <- s'. ;..-;, 14 /\) . JjJl)J4 City: TCEQ Registration No.: 2 { )"=>)- j State: z;: - - _L - - - - --+ Address: 'ff ( t(_ ~~ ?' 2·/,l1 ,[fl Zip Code: ?a 1:,,6 I Phone: '; n .. JI z. 0 cl ~ ''L Vehicle License No.: I - - - - - - - .._____ - j Gallons Transported· 2 ~ k. 13 'j.ZG.J2 I Date Relinquished: l __ ___ 73 - - - - - COA Permit No.: - - As the representative for the transporter of this waste, I certify that the information provided is true and correct; and that this waste was collected in accordance with Title 30 of the Texas Administrative Code, Chapter 312, Subchapter G and the Austin City Code. Signature:--:--:, --z.._.... Printed Name: -( (-" .,(-1 (,.~ -;:.., (.,'-'-.'.> ( ---- - ---~- - - - - - - - - - - - - - - - - Note: This section is for documenting transfers of wastes between vehicles operating under. t e same TCEQ Registration Number. The transfer of waste J to any secondary transporter must be at a Type V facility that is either permitted by or registered with the TCEQ. I t?e' - 1. Was this waste transferred to the vehicle identified above from a previous transporter vehicle? --- ---- ----- ------------- --- -----0 Yes 0No If YES, Indicate the previous Manifest I Trip Ticket No. here: 2 . Is this waste being transferred from the vehicle identified above to a different (new) transporter vehicle? ----- --- ----- ---------0 Yes 0No If YES, complete the section below for the vehicle accepting this waste and initiate a new Manifest I Trip Ticket including the new "Transporter Info" and the original "Generator Info" (duplication of the generator's signature would not be required). t•w M'";t"t I T'ip Ti~':t No., Gallons Transferred: - - ---r. - t- -- - - New Vehicle License No.: - - L ransfer Date: -- - - - - I As the representative for the transporter receiving this transferred waste, I certify that the information provided is true and correct. I Printed Name: Signature: - - - - - - - - - - - Facility Name: >- City: Check One: --- - - - r State: - - - - I Address: - --+.- - - Zip Code: 0 Disposal Site D Permitted Transfer Station D Registered Transfer Station - - - -- Gallons Received: - - - As the representative for the facility receiving this waste, I certify that: - - - - - - - 0R - -- - - - - - l Date Received: I Phone: - -- - - - - - ...J. - I TCEQ Type I o r Type V Permit No.: 1 TCEQ Registration No.: - - _ _ _L_ - I Time Received: - - • The TCEQ has authorized this facility to accept the waste specified under "Generator Info" above; • The waste was received by this facility on the date and time indicated; and • The waste has been transferred, recycled or disposed of as required by the TCEQ authorization for this facility. Printed Name: AWU 12/2006 Sign'alure: WHITE - Austin Water Utility; YELLOW - Generator (Initial); GREEN - Generator (Final); PINK - Receiver; GOLD - Transporter - - - .2 .E ... 0 -Cl! .... Q) c: Q) C> 0 -.E ... Q) t 0 c.. "' c: Cl! ... I- .2 c: ... .! "' c: Cl! .... I- .2 c: ... Q) > ·a; Q) a:: (.) SELLMAN ENTERPRISES, INC. INVOICE# Q3133Q SEPTIC SERVICES Septic Pumping and Rep airs DATE: __._/_z_z_r_l._f _' .,,,__.., LOCATION: ... • I.If! 1#j- 7 ,"7 ] J / , , TIME OUT- CASH I CHECK I c7GE I ON ACCOUNT r.o. # I TOTAL TIME· DESCRIPTION AMOUNT '-) ~ P.O. BOX 1377, BUDA, TX 78610 AUSTIN SOUTH 512-445-5489 NORTH 512-837-11 99 BUDA 512-312-0002 FAX 512-295-5534 BILL TO: TIMEIN· SOLD BY - r - ..Pl:JMP SEPTIC TANK EXT PUMPING TIME DIGGING TIME EXT GALLONS SYSTEM TYPE TANK SIZE AEROBIC BRAND OTHER SERVICE CALL PROPER WATER LEVEL INLET TEE OK OUTLET TEE OK TANK DAMAGE SYSTEM FAILURE COMMENTS HRS @ HRS@ GAt @ GAL @ CONV. 0 LPDO ()Y~S () NO ()YE~()NO ()YES ()NO ()YES ()NO ()YES ()NO .,_) 14 l. ..,. L '- I./, -/U(,, = = = = = = = = = SUB TOTAL TAX TOTAL : I y ~ IY-/ 1 TERMS· Due Upo~eceipt <:,; ~,,/ }(!" SIGNATURE: I hereby acknowledge and accept satisfactory work as described above . - $25.00 RETURN CHECK FEE F • City of Austin I Travis County Austin Water Utility Manifest I Trip Ticket for Hauled Liquid Waste . / .:.> ~ame: (..,o,<> 6- -5-rii-""'- City: 14-vs T l __, / "... .. {v~ A 60 47 i state~_y? Number· 1058235 I Address: / 6 I ) + Zip Code: 7 fJ7o( / :!!:- 51 I Phone: ~o '( (,CJ? i yr;J Indicate the w aste type (must check one) and, if applicable, the Interceptor (or trap) capacity: 0 Wastewater Treatment Plant Sludge 0 Food Service Grease Interceptor (or TrapJ.. .................... Capacity= 0 Chemical Toilet ~tic Tank I Sewage Holding Tank ......... .. ........ .. .............. .. .. Capacity= 0 Wastewater from Sanitary Sewer System 0 Grit I Mud I Oil I Lint Interceptor (or Trap) ...... -:-.. ...... .. .......... Capacity= - -- (gal.) (gal.) (gal.) D Other - Specify Source and Type of Waste: - - - Gallons Removed: 2 4:' .;> As the representative for the generator of this waste, I certify that the information provided i~ct; and that this waste is to be transported to a facility authorized by the Texas Commission on Environmental Quality (TCEQ) to receive th ·z te . r ate Removed:? 2 2 /</ - - Printed Name: W - ~sines~ame : 5 c ( <-t 'L/A- ,J City: P; J)/)4- - TCEQ Registration No.: Z.. / e;-b )"" COA Permit No.: 7 ') ~ 'N~ / .... J - Zip Code: Signature: ~ Y" Address: t(r;-C( l\..c l.. C~ 5tif rrtl - Vehicle License No.:t{ /?X ZL J f I Date Relinquished: 7o(/ D - I I I State: ~ J Gallons Transported: Z~ - - Phone: S-/ZJ /z__ 6 ~a (_ - --- - As the representative for the transporter of this waste, I certify that the information provided is true and correct; and that this waste was collected in accordance with Title 30 of the Texas Administrative Code, Chapter 312, Subchapter G and the Austin City Code. Printed Name: --(6 £,ll y {c,J ( c_~ • Signature:~~ Note : This section is for documenting transfers of wastes between vehicles operating under the same TCEQ Registration Number. The transfer of waste to any secondary transporter must be at a Type V facility that is either permitted by orregistered with the TCEQ. 1. Was this waste transferred to the vehicle identified above from a previous transporter vehicle? .................... .......... ............ .. .. .. .... .. ............ 0 Yes 0No If YES, indicate the previous Manifest I Trip Ticket No .. here: 2. .Is this waste being transferred from the vehicle identified above to a different (new) transporter vehicle? .. .............. .. .......................... 0 Yes 0 No If YES, complete the section below for the vehicle accep ting this waste and initiate a new Manifest I Trip Ticket including the new "Transporter Info" and the original "Generator Info" (duplication of the generator's signature would not be required). - - - New Manifest I Trip Ticket No.: - Gallons Transferred: - - - - New Vehicle License No.: -- Transfer Date: - - - As the representative for the transporter receiving this transferred waste, I certify that the information provided is true and correct. Printed Name: I Facility Name: ~ Check One: 0 Disposal Site 0 Permitted Transfer Station 0 Registered Transfer Station f - - - - - - Gallons Received: J Date Received: Signature: Address: - - Zip Code: - I State: _JP~one: - -- TCEQ Type r or Type V Permit No.: OR TCEQ Registration No.: As the representative for the facility receiving this waste, I certify that: • The TCEQ has authorized this facility to accept the waste specified under "Generator Info" above; • The waste was received by this facility on the date and time indicated; and • The waste has been transferred, recycled or disposed of as required by the TCEQ authorization for this facility. Time Received: - - - - - ..... 0 -s:::: - 0 -<ti ..... Q) s:::: Q) (!) 0 -s:::: ..... Q) ~ 0 a. (/) s:::: <tl ... I- .E s:::: -... ~ (/) s:::: <ti ... I- .E s:::: ..... Q) .2: Q) " Q) 0:: Printed Name: AWU 12/2006 Signature: WHITE - Austin Water Utility; YELLOW - Generator (Initial); GREEN - Generator (Final); PINK - Receiver; GOLD - Transporter City of Austin I Travis County . Austin Water Utility Manifest I Trip Ticket for Hauled Liquid Waste Number: 1058190 Name: t..;,~£5rJ.t .. h City: ~ /;f <.J S7/__-~ - /lfve....._ /)6AT J state: ~~ Zip Code: 7 olo-;;-- ~~one:5( <- ] G l I fti>_ t Address: /iJ/ ) /.zL 51 Indicate the waste type (must check o ne) and, if applicable, the interceptor (or trap) capacity: 0 Wastewater Treatment Plant Sludge D Food Service Grease Interceptor (or Trap)_ ____ ___ __ __ Capacity= _ ____ ____ .(gal.) 0 Chemical Toilet ~eptic Tank I Sewage Holding Tank __________________ __ Capacity= D Wastewater from Sanitary Sewer System D Grit I Mud I Oil I Lint Interceptor (or Trap} __ ~ ---------- Capacity= (gal.) (gal.) ... 0 1iS ... Cl> s:: QI C> 0 Other - Specify Source and Type of Waste: Gallons Removed: "J...&>I:::> Printed Name: -i::<:J. Ctcr Vff'l-t-. Business Name :fr:; ( \..-~~ I Date Removed: '?'" --z... l'f As the representative for the generator of this waste, I certify that the information provided is true and correct; and that this waste is to be transported to a facility authorized by the Texas Commission on Environmental Quality (TCEQ) to receive thes te . Signature: Address: fj 5f .}yt l( i( 'f tvz l'(ff Zip Code: //£/v__ _jPhone~/Z'J/2,000 ~ _ TjJpip/- -=--=rtate: -c : ( ) - ~ City: ~ T CEQ Registration No.:;2._ { S-<..} ~ GOA Permit No.: J} f! As the representative for the transporter of this waste, I certify that the information provided is true and correct; and that this waste was collected in I- ~ _____ j Vehicle License No.: k t? 4'. L '- J J__ ] Gallons Transported:~ l Date Relinquished: accordance with Title 30 of the Texas Administrative Code, Chapter 312, Subchapter G and the Austin City Code. Signature: -~ -z_._ _ _ ~ <-'-°S transfers of wastes between vehicles operating under the same TCEQ Registration Number. The transfer of waste . the TCEQ. !!! >< G) z ~ c: ::0 m .-.....:.:. >\\ n )> -i ~ §: m 0 n c: :r ::I m n ;>; 0 !Jl ("') ::0 :;; ::! 0 z CD r r 0 { -i r 0 0 ~ 0 z '\ ( - :::::-- c en~ men-< ~ ~ ~ - en en en - -- /,:..... z z z z z 00 000 ' ' r :I: :c Ci) Ci) ;;o l> :::0 l> r- en en r- (§) @(§)@ n 0 z :'i= 0 1 r ::tl 0 0 fl II fl fl fl fl fl II II -z (') '1 z 0 ~ < 0 m 0 m :it: 0 N (0 <O ~ 00 w ~ City of Austin I Travis County Austin Water Utility Manifest I Trip Ticket for Hauled Liquid Waste j Name: L City: dr.J fir ,,.,.J ~( UE-''-. Bt>/.t/' l state: r-V- ) /'fl~ Address: / J ( Zip Code: 7'6 Juy Indicate the waste type {must check one) and, if applicable, the interceptor {or trap) capacity: Number: t ,... C: ~?:: 3 l _ ~one: 1)/-z_ 1' z _J_ lj_ ~IC l _ _ • , 0 yP Service Grease Interceptor (or Trap) ______ ___ ___ Capacity= ________ _ (gal.) <"OSeptic Tank I Sewage Holding Tank ____________________ Capacity = _ _ _______ (gal.) D Grit I Mud I Oil I Lint Interceptor {or Trap) ___ __ _________ Capacity= _ ________ {gal.) 0 Wastewater Treatment Plant Sludge ... 0 Chemical Toilet 0 -C'O ... ~ tD Other ::_ Specify Source and Type of Waste: 0 Wastewater from Sanitary Sewer System Q) allons Removed: ZCA::> _ _ _ _ _ _ r - I Date Removed: ~ 7 IT _ s the representative for the generator of this waste, I certify that the information provided is t~ue facility authorized /~l~e refs .. com~n on Environmental Quality {TCEQ) to receive these ' a&J! 1 Printed Name: JI ~ (}-" .Q ~ c_lL__ Business Name : ) 6 LL l ~ /,J. , ..) Signature: ) Address: and ___.; ' ( 5f 1.(.€ <-<... t/ f It,/ tTf-1 rreoct; ~ that this waste is to be transported to a \ <? G...J.-. ~ ~ ~ 13 t) Q 4- - ~ ~~e~trat1on No.: ~ £2"~ ') _ ~ COA Permit No.: .; 7 - - - ~ate:~ Zip Code: 7 /f' LI 0 I Phone. f tL J. rz O~o "2.:__ I Ve~e Liceo"' No A' jy 2£. ? )" fc:uons Transported: Zco ~ate Relinquished: - C'O '- As the representative for the transporter of this waste, I certify that the information provided is true and correct; and that this waste was collected in I- accordance with Title 30 of the Texas Administrative Gode, Chapter 312, Subchapter G and the Austin City Code. - - - - - - - - - - - - - - - - - --~-,,, - Printed Name: ( C:: /\, / l '1 -ru <... ~ } r Signature: ~ ~ Note: This section is for documenting transfers of wastes between vehicles operating under the same TCEQ Registration Number. The transfer of waste to any secondary transporter must be at a Type V facility that is either permitted by or registered with the TCEQ. - Was this waste transferred to the vehicle identified above from a previous transporter vehicle? ______ ________ _________________ __ O Yes 0No - - _ _ _ If YES, indicate the previous Manifest I Trip Ticket No. here: Is this waste being transferred from the vehicle identified above to a different (new) transporter vehicle? ----·-- ---------- -- ---0 Yes 0No If YES, complete the section below for the vehicle accepting this waste and initiate a new Manifest I Trip Ticket including the new "Transporter Info" and the original "Generator Info" (duplication of the generator's signature would not be required). - - - - - - - - - - I New Vehicle License No.: New Manifest I Trip Ticket No.: -;all~Transferred: _ __ F ansfer Date: - - - - - - ~ As the representative for the transporter receiving this transferred waste, I certify that the information provided is true and correct. 1. 2 . 0 -c ... ~ Ill c: C'O ... I- Printed Name: Facility Name: City: Signature: Address: -----~l_s_ta __ t_e~:~~-------+-Z-ip_c_o_d_e_: ______ ----'-~~- Check One: D Disposal Site .2 c ... Q) > ·a; ~ Gallons Received: - - - 0 Permitted Transfer Station D Registered Transfer Station - ~ ~ate Received: TCEQ Type I or Type V Permit No.: OR TCEQ Registration No.: 0::: As the representative for the facility receiving this waste, I certify that: • The TCEQ has authorized this facility to accept the waste specified under "Generator Info" above; • The waste was received by this facility on the date and time indicated; and • The waste has been transferred, recycled or disposed of as required by the TCEQ authorization for this facility. Printed Name: AWU 12/2006 Signature: WHITE - Austin Water Utility; YELLOW - Generator (Initial); GREEN - Generator (Final); PINK - Receiver; GOLD - Transporter 0 -c 0 -ca ... ... (I) c (I) C> - .2 c ... (I) t:: 0 Q. fl) c ta ... I- 0 -c -... fl) J!! c ca ... I- 0 'E -... (I) > ·a; () (I) 0:: / City of Austin I Travis County A r w t urn II y us in a er Manifest I Trip Ticket for Hauled Liquid Waste Name: U:uUe: S (H ,,,_ Atue~ f3o.,1--r ; - - - Address: / t.>( 7 /51 f ( State:~ Zip Code: )1 Je>Y City: ~Tt,,v Indicate the waste type (must check one) and, if applicable, the interceptor (or trap) capacity: D Wastewater Treatment Plant Sludge D Food Service Grease Interceptor (or Trap) _____ _____ __ Capacity= D Chemical Toilet ~eptic Tank I Sewage Ho lding Tank ______ ______________ Capacity= D Wastewater from Sanitary Sewer System D Grit I Mud I Oil I Lint Interceptor (or Trap) __ ___ _________ Capacity= Number: 058 225 I Phone: {""IZ. J z_; / f Pr_ - (gal.) (gal.) (gal.) D Other - Specify Source and Type of Waste: Gallons Re moved: 7.,ce - - --- - - - - ~e Removed: & It> l'J ._ As the representative for the generator of this waste, I certify that the information provided is true and correct; and that this waste is to be transported to a facility autho rized by the Texas Commission on Environmental Quality (TCEQ) to receive these wastes. Printed Name: Business Name : ) c ( <....- t~ ..::A..) City: gJvH- - TCEQ Registration No.: ;2. l )i_ S-- - - COA Permit No.: 7J ~ Signature: Address: '(.r-Y fE~ c.( )a.tt1// ! state: ~ Zip Code: 7J£/t) T Phone<;: / L.. J / z c:> ~.::) ' - ..L - Vehicle License No.: l(/jf.U/f I Gallons Transpo~ed: -z..,"" - - Date Relinquished: As the representative for the transporter of this waste, I certify that the information provided is true and correct; and that this waste was collected in accordance with Title 30 of the Texas Administrative Code, Chapter 312, Subchapter G and the Austin City Code. Printed Name: -{i:,d_ /f / ' To(_,<-c.::.J Signatur: : 0~ Note: This section is for documenting transfers of wastes between vehicles operating under the same TCEQ Registration Number. The transfer of waste to any secondary transporter must be at a l'ype V facility that is eithe,,,ermitted by Of registered with the TCEQ . - 1. Was this waste transferred to the vehicle identified above from a previous transporter vehicle? ___ ___________________ ___________ O Yes - 0No If YES, indicate the previous Manifest I Trip Ticket No. here: 2.- Is this waste being transferred from the vehicle identified above to a different (new) transporter vehicle? ----------- -----------0 Yes 0No If YES, complete the section below for the vehicle accepting this waste and initiate a new Manifest I Trip Ticket including the new ''Transporter Info" and the original "Generator Info" (duplication of the generator's signature would not be required). New Manifest I Trip Ticket No.: New Vehicle License No.: As the representative for the transporter rece iving this transferred waste , I certify that the informatio n provided is true and correct. Gallons Transferred: Printed Name: Facility Name: City: - Check One: D Disposal Site - - ~nsfe r Date: - - Signature: Address: Zip Code: I State: ' rn~: - 0 Permitted Transfer Station D Registered Transfer Station Gallons Received: ~ate Received: TCEQ Type I o r Type V Permit No.: OR TCEQ Registration No.: I Time Received: - As the representative for the facility receiving this waste, I certify that: • The TCEQ has authorized this facility to accept the waste specified under "Generator Info" above; • The waste was received by this facility on the date and time indicated; and • The waste has been transferred, recycled or disposed of as required by the TCEQ authorization for this facility. Printed Name: AWU 12/2006 Signature: WHITE - Austin Water Utility; YELLOW - Generator (Initial); GREEN - Gene rator (Final); PINK - Receive r; GOLD - Tra nsporter - - · - - - - - - - - - - City of Austin I Travis County Austin Water Utility Manifest I Trip Ticket for Hauled Liquid Waste Number: 1.062979 .... 0 ~ c: Cl> Q) ~me: u...wc s-r"-''L Ff...( Uc~ Y,,0 74-7 ~: [.+vs-r f ,.._) ~ _ - I State: ~ - Address: fu( ) I :I. 5r: LZip Co~: / 0 7c; L ___ I Phone: , ! lJ~/ I J f j' Indicate the waste type (must check one) and, if applicable, the interceptor (or trap) capacity: D Wastewater Treatment Plant Sludge D Food Service Grease Interceptor (or Trap)_ _____ ______ Capacity= __________ (gal.) D Chemical Toilet efseptic Tank I Sewage Holding Tank _______ _______ ______ Capacity= _ _ _______ (gal.} D Wastewater from Sanitary Sewer System D Grit I Mud I Oil I Lint Interceptor (or Trap) __________ ___ _ Capacity= _ _ ___ ____ (gal.) D Other - Specify Source and Type of Waste: (!) Gallons Removed: L ._,,. I Date Removed: 7 :/ /~ _ -- - As the representative for the generator of this waste, I certify that the information provided is true and c~·< and that this waste is to be transported to a facility authorized by the Texas Commission on Environmental Quality (TCEQ) to receive these-'- ;--.r"\ <r v- /'_ ~G \ __.N ~Nll'J~\L... Printed Name: Signature: BusinessName : /ct<....tl(.-..J-v ~ ~ty: -/;0::- - i ~CEO Registration No.: Z-lS°<oF - _ {state: \ .l\. - Address: Yrif l(ELCY - ;pCode: 7_,~J('( Et;'/7..31~ ouo ( = f vehicleLicense~o.: .K. l;p{_ z..(,37 __ ft' tt7H _ J Date Relinquished: l Gallons Transported: 2- 0 0 - - -----11 - - · - ~ GOA Permit No.: 7 ) e As the representative for the transporter of this waste, I certify that the information provided is true and correct; and that this waste was collected in f- accordance with Title 30 of the Texas Administrative Code, Chapier 312, Subchapter G and the Austin City Code. _ Printed Name: --rc_- d "'( 1 I<--> <... ' -""'_5 Signatur~-~ Note: This section is for documenting transfers of wastes between vehicles operating under the same TCEQ Registration Number. The transfer of waste to any secondary transporter must be at a Type V facility that is either permitted by or registered with the TCEQ. If YES , indicate the previous Manifest I Trip Ticket No. here: ~. Was this waste transferred to the vehicle identified above from a previC:s transporter vehicle? = ----= ------------0 Yes ~ rNewM'"ife~•;p TkoketNo. _ _ __ - - - - - =- I NewVehicleLicense No.: If YES, complete the section below for the vehicle accepting this waste and initiate a new Manifest I Trip Ticket including the new "Transporter Info" and the original "Generator Info" (duplication of the generator's signature would not be required). 2. Is this waste being transferred from the vehicle identified above to a different (new) transporter vehicle? _____ ___ ____________ __ O Yes .2 c: .... ~ 111 - - - - 0No 0No - __ I Transfer Date: __ As the representative for the transporter receiving this transferred waste, I certify that the information provided is true and correct. Signature: Addres~ Zip Code: I Check One: D Disposal Site 0 Permitted Transfer Station D Registered Transfer Station .... Cl> > - ·a; () ~ r - Gallons Received: ___ =1 itate : I j Phone: ___ , ____ ___ - - - --·- l Date Received: TCEQ Type I or Type V Permit No.: OR TCEQ Registration No.: J Time Received: - - - - - - -.... As the representative for the facility receiving this waste, I certify that: • The TCEQ has authorized this facility to accept the waste specified under "Generator Info" above; • The waste was received by this facility on the date and time indicated; and • The waste has been transferred, recycled or disposed of as required by the TCEQ authorization for this facility. .... ~~~~~~~~~~~~~~~~~~~--- -~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~--- , Sig.n_ature: Printed Name: 12/2006 WHITE - Austin Water Utility; YELLOW - Generator (Initial); GREEN - Generator (Final); PINK - Receiver; GOLD - Transporter Gallons Transferred: Printed Name: Facility Name: City: City of Austin I Travis County Austin Water Utility Manifest I Trip Ticket for Hauled Liquid Waste Number: ln63009 Name: Lo .::1£s-rt4.#'l... City: t+-v~-rf _ 1LlV€~ ;)o1'lI._ ~-~ =t/J Address: /u( 5 I Z!= 5'r ~P Code: -7 J' 7 6 <( ~hone: 0 z. ? <.; / 'J J Y Indicate the waste type (must check one) and, if applicable, the interceptor (or trap) capacity: D Wastewater Treatment Plant Sludge 0 Food Service Grease Interceptor (or Trap)_ _________ __ Capacity = _ ________ ~tic Tank I SewagEJ Holding Tank _______________ ___ __ Capacity= 0 Grit I Mud I Oil I Lint Interceptor (or Trap) ___ ___ _____ ___ Capacity = _ _ _ _ _ _ ___ (gal.) (gal.) (gal.) ... 0 Chemical Toilet 0 -E 0 Wastewater from Sanitary Sewer System D Other - Specify Source and Type of Waste: Cl> s:: Cl> (!) Gallons Removed : z-.._~c:o I Date Removed: As the representative for the generator of this waste, I certify that the information provided is true and correct; facility authorized by the Texas Commission on Environmental Quality (TCEQ) to receive these wastes. Printed Name: ~ u~;..tv-l evL--- Signature: ~.c.-~u his waste is to be transported to a Business Name : L ~ (. '- p., IA .......,; ~ B ()~)±_ .2 City: s:: ~ TC= Q Registration No.: ·z { S-( _) ~ GOA Permit No.: 7 J r St''"'ix rm Address: i/ > y I{ -( \ -l. i / v'/.,/ /-E/( Zip Code' 2 3 { /O rm 1 0"" S/(. 11 z ~ ·~..,. L 1 "icle License No.:x II'/.'{ (. 'J r ~allons Transported: z~... -- I Date Relinquished: Ctl .._ As the representative for the transporter of this waste, I certify that the information provided is true and correct; and that this waste was collected in I- accordance with Title 30 of the Texas Administrative Code, Chapter 312, Subchapter G and the Austin City Code. -?" - - z _ Printed Name: Signature: - .:> Note: This section is for documenting transfers of wastes between vehicles operating uncte;: the same TCEQ Registration Number. The transfer of waste to any secondary transporter must be at a Type V facility that is either permitted by or registered with the TCEQ. .... z :;;) 0 :;: < 'I ; "" 0 0.: -,_ z :::> 0 t.> t.> <( z 0 ::c Cl) < <..> - ~ w (!) 0::: < ::c ,......_ z <..> 0 :.:: ... ;::: <..> w ii: ::c <..> <..> Cl) > - - - w c \ .... t V' ' r- rt r- 'C'""f ~ "" '/" ......... 0 °\ :rt w u 5 > z w c ~ f z 0 ~ u 0 ...J t: ..... . (.) z ~ (/) v w"'~ (') 0 (/) w ~ ..... Nin 8 "? ~ s: '"?;:! U) -U~ .:t:o"' 00 ....... oc\JgJ . ..- ::::> ..- . >< CD MN D.. ~ ~ NII) I- ~w ~ <'i ;'.;:;~ w (/) ~ c LL t- ..... :::> z (.) 9-. 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I- w --' en I- z w ::i! ::i! 0 (.) \_ ''- Ir \ l ...I ~ 0 I- ~ --' ~ 0 I- ID ::::> en z o:::w ::::>w t- LL w~ 0::: (.) ow C! :::c ~(.) ~ ~ ~ ~ 0 .Q ti) -0 Ql =@ 0 "' ~ "' ti) -\!: ~ c .9 0 .l!! "' ~ r ti) -.9- Cl> 0 (I) Q:: ::: 0 :§- Cl> ::s Q w 0:: :::> !;;: z w >< <!> (./) ::ii: 0::: t- (i) City of Austin I Travis County Austin Water Utility Manifest I Trip Ticket for Hauled Liquid Waste Number: 1 'J63Q76 City~{ us"/'(<_,..; .£ 0 Wastewater Treatment Plant Sludge c: .... D Chemical Toilet 0 -E Cl> c: Cl> Name: ( •/;U <!' ,;-rti./--A. A /v C:"'- ~o,ltr _ J Address: (,,[ ') /ft 57 - I State: y(/i - - Zip Code: 7 r ?o .v I Phone: <';: lz ?Z? / tJ ,/' Indicate the waste type (must check one) and, if applicable, the interceptor (or trap) capacity: D Food Service Grease Interceptor (or Trap) ____________ Capacity= (gal.) _r:;;}Septic Tank I Sewage Holding Tank····------··----·--- Capacity= _ ______ __ (gal.) D Wastewater from Sanitary Sewer System D Grit I Mud I Oil I Lint Interceptor (or Trap) ______ ________ Capacity= _________ (gal.) D Other - Specify Source and Type of Waste: (!) Gallons Removed: L~v- - - I Date Rem:ed: r I J. I ~ _;_ - As the representative for the generator of this waste, I certify that the information provided is true and correct; and that this waste is to be transported to a facility authorized by the' Texas Commission on Environmental Quality (TCEQ) to receive these~ Printed Name: ~ .J ~W C''t.A..- I Business Name : )f·' ( L _. 1 1 t--4 , v Signature: ~ !f5 f( It £_. J l.. y >?if I r II Address: I State: ly Zip Code: ~ 7 .JC/ 6 ~ne: ) ( z J / l 1 Vehicle License No.: I{ e 'I Zl J J c. 0 0 ?.. I Gallons Transported: ? ....,r.. Date Relinquished: 1 As the representative for the-transporter of this waste, I certify that the information provided is true and correct; and that this waste was collected in accordance with Title 30 of the Texas Administrative Code, Chapter 312, Subchapter G and the Austin City Code. - - - - ? - Signature: - ~? - ;;:- - Note: This section is for documenting transfers of wastes between vehicles operating under the same TCEQ Registration Number. The transfer of waste to any secondary t[a.nsporter must be at a Type V facility that is either permitted by 01 registered wlth the TCEQ. ~ City: ... BU t.J If ~ TCEQ Registration No.: 0 a. I/) c: ns ... I- COA Permit No.: !J Printed Name: -re- /I I'( t 1 1. Was thi w -I m ;;o ~ CJ) 0 c: (l) ~ 0 :::s ~ (l) C') (l) ;t;· - (JI x i5 z ~ c: ;;o m ::r Cl> <il er '<: <I> <"> ,.. :;:, o. ~ <8- ~ -<I> :;:, Q. Ill <"> 0 ([) 1a. Cl> Ill "" Cl> iii' 0 0 -< ~ ~ Ill Cl> Q. Cl> Cl> <"> ::i. er ([) Q. 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II II II II II II II II II . - " )> ;;: 0 c z ... - - CJ r= r -I 9 ZUl oo :0 ;o c 0 -1 -i I I )> CJ c.n c.n c .......... Ul 0 NN -i >< Co .I:> - ..... w .;:..Z ~(J'l _.,. ' ..... c.n ' ..... ..,. _.,. <O CX> <O<O (,) "Tl CJ c c ]:> -I ' Cl) >< _.,. 00 ..... 0) 0 ?<~ CJ'1N ..... ~ ~c ~~~ 010 . o c.n o CJ'1N w .;:.. 00 m I I V2 ~ 00 s: ;:::-. m )> (J "ti z ~ ::!m ~ ("') z ..... 00 -I ~mm ~ :::0 ,, ~ < "ti , , s::i.. - ~("')- ~ moo ~ oo m 00 ..... ~ -z r . (') 0 ~ 5 z t ("') z c ~ < Q m 0 m :it 0 U) 0 ....J O') U) r ~ ~ City of Austin I Travis County Austin Water Utility Manifest I Trip Ticket for Hauled Liquid Waste ·-- -~ -~-.... Number: 1063072 Name: City: ~ Lo~t:."'i_rPl/\.. 11tv€/\- ~( J Address: /(J( ) ·/ff c::;,.,- Av'/1"! ~ ___ I State: 5"T l Z~ Code_:_ 7 j'/z:f_ ~hone: $1z..}_-z7 !]__JP~ Indicate the waste type (must check one) and, if applicable, the interceptor (or trap) capacity: 0 Wastewater Treatment Plant Sludge D Food Service Grease Interceptor (or Trap). __________ _ Capacity= ___ ______ (gal.) ~;ic Tank I Sewage Holding Tank ..... ... ...... ...... Capacity = D Grit I Mud I Oil I Lint Interceptor (or Trap) _______ ______ _ Capacity = ________ _ (gal.) (gal.) D Chemical Toilet 0 Wastewater from Sanitary Sewer System 0 Other - Specify Source and Type of Waste: Gallons Removed: Ze---""" : Date Removed: /o 2..( / J As the representative for the generator of this waste, I certify that the information provided is true and corre facility authorized by the Texas Commission on Environmental Quality (TCEQ) to receive these waste . his waste is to be transported to a Printed Name: ~- ~ )~t°'· l- Signature: Business Nam~ ~ ) C __{_ <--e...__ .... A .,,J ~ City: {; U l;l ;of -~]State: 1 . / tddre~s: ij) l( t( if '-!:--Y \ ~f-t f l It._ _ f Zip Code: 7 f /, ( () __l Vehicle License No. : l( f 3 K Z.c,. J 5· ~~one: >7-z. ) /Z <X.;>~ ""\._- -; ~ TCEQ Registration No.:A { c ~ COA Permit~o.: "' '- As the representative for the transporter of this waste, I certify that the information provided is true and correct; and that this waste was collected in ~ate Relinquished-: - - - - - - - ~allons Transported: 2.&.A- ,..- ) } ~ .._ .2 - accordance with Title 30 of the Texas Administrative Code, Chapter 312, Subchapter G and the Austin City Code. Printed Name: -r""'~ A .-C 1. -CL <-...::> Note: This section is for documenting transfers of wastes between vehicles operating unt;°r the same TCEQ Registration Number. The transfer of waste Signatur;--::::7--z._ I- .. . . . . . !!! >< C) z ?:j c ;o !"':' ::r <!> (il ~ J2 c .... .e I/) c: "' .... I- "' Q) ~ ill' " ~ ~ ~ Q) "' g. "' " & <!> Q. Q) 0- 0 ~ 0 :s ... QI > "iii tJ Cl) ~ Al/l -< -< -< m m m - - - - - - - - -- - - z z z 0 0 CJ) CJ) CJ) 0 - L :<" - -< m m - - z z 0 0 CJ) CJ) ~ ~ -< m ~ 0 (") CJ) c:: 0 :!: CJ) z -I 3:: -I ;:s;; .- m m 3:: c -I z )> -I ~ :s: -I )> m m r= G"> c:: m 0 ;;o ;:s;; m CJ) ., ;;o z "tJ CJ) 0 .- ;;o m -I m m 0 :I: -I "tJ < m 0 m Ci ;;o -I m ;;o m m ~ (") 0 ;:s;; -I .- m .- ;;o .- m < m .- )> )> ;;o z )> ' CJ) m c m "tJ -< >< (5 x c:: ~ -I :s: CJ) -I ;:s;; -I G"> G"> z "tJ "tJ m c:: CJ) :s: .- G"> :s: m m ::;! .- -I "tJ 0 3: z -I "tJ G"> Ci ::! ~ :!: z m ;:s;; "tJ z m CJ) m llJ CJ) Ci N llJ $;! z c CJ> 0 r 0 !D -< -t ~ m ~ ·~ v. u '\\ - n > CJ> :c :I: :I: m- 0 G"> .- )> @ ;;o G"> ;;o )> .- CJ) CJ) @ @ @ (") e z ~ 0 .- "tJ c 0 -t ~ m 0 c :-:t 1.\ -t 0 ~ r- -t ~ !"':' n n ;o ... :c m ~ n ~ "' 0 z I - - - - ~ ;o ~ i - - - 0 :z: > (") (") g z .... - :c 9 .. II II II II II II II II II . - > ~ 0 c: z .... to ...s. r r -I 0 r " 0 (") \. ~ 5 "' z . -I 0 ~ r CJ) c: llJ -I 0 ~ ~ .- IJ ~ .c.. - f'J . ~ - ' ~ (")~ :I: . mg (") ;;o "m "Tl -4 me m ;;o z ( r ~ ;.r t v -... ...... • ..... , , , , , - - - City ofAu;tin I Travis Coul)ty Manifest I Trip Ticket for Hauled Liquid. Waste Austin Water l{~ility . ~ ~ - .. .. , - - ---+-· A_d_dress: ;(D~ /)If-?( /o.N "' . ,.{ - ) P'-'·f/li~'j_ /l/:J _ I Phone:/:{ z JL/ / V \)1 ~ City: ( +.u ~ "(. ,._, State: _,.- Zip Code: f j' 7o'f Indicate the waste type (must check one) and, if applicable, the interceptor (or trap) capacity: -----~----------~~------~- .2 D_ Wastewater Treatment Plant Sludge c: ,,.., 0 Chemical Toilet [J..FOOd Service Grea~e Interceptor (or Trap) _________ ___ Capacity = - --------- (gal.) 0 Septic Tank I Sewage Holding Tank _____ ___ ____________ Capacity = (gal.) 0 Wastewater from Sanitary Sewer System D Grit I Mud I Oil I Lint Interceptor (or Trap) ______________ Capacity= _ _ _______ (gal.) D Other - Specify Source and Type of Waste: I I I I Gallons Removed: ~ ~=.,:/ ____ E~o_a_t_e Removed: ~ f ( ) ____ -- - As the representative for the generator of this waste, I certify that the information provided is~true an~correc · and that this waste is to be transported to a facility authorized by the T exas Commission on Environmental Quality (TCEQ) to receive these wa . Printed Name: ·r~\. ~~ .. ~ £K_...,. B . usiness ame : N ) .f- ( I..... be- 1. .'4 ,. J City: ... a> TCEQ Registration No.: 2-( 5- '-J-- t:: g_ ~ COA Permit No.: ----~ / J ____ I_ ;:,S_itaa_itee::_ ~ Zip Code: c=- F - ns Transported: z.. oc.. Signature: Add ress. '1. J 7 ~ t l (.\ · ~,'r.-·d I l J.1<,, / 0 1 ( ,- tr\ 1/ . - Vehicle License No.: i/12 't 22_0J __J_Date Relinquished: 1 ~1 It /'f __ - - - - --1 hone;, I (.,_ j / ~ n 00 (._ } <ti '- As the representative for the transporter of this waste, I certify that the information provided is true and correct; and that this waste was collected in ._ accordance with Title 30 of the Texas Administrative Code, Chapter 312, Subchapter G and the Austin City Code. Printed Name: ~ ~l'1. ~ (_ '--<-> Note: This section is for documlnting transfers of wastes between vehicles operating under th'e-5ame TCEQ Registration Number. to any ~~~rter mu~~ ~~~ci~ t~is~h~~ ~ or registered with the TCEQ. 1 , 1 .. Signature:..,..-Z _ ~ - - - · - The transfer of waste 0 -c · ... ., If w -I ~ f z c 0 ~ 0 0 ...I ....... (IQ ~ (") NIO . (.) z .. ~ Cl) ..... wen~ Cl) w ~ ..... 0 <O <8:h -<.>~ ,.._ Cl N~ o:::;:~ ... >< ::i~ . Q,; 0:: ~ Cil(")N N IO 0:: w ~ <i. u;~ w Cl) u.: c t- z (.) ~ Ill w i= ~ ....:- ,.._ z Q. 0-; ..... <Cw . .g >< :re Cl) ~ 0 Ill :::> u:; lO __, <:i: ::c -__, .. 0 f- f- ... ::i o::: 0 0 Ol Ol co Ol ~~ Z~"' -'<l'<X> f- • • cnN N i;: ..... ~ ~ 10 ,._ ' ~ t\' ("') .... z ::> 0 ~ < ' II II II II II II II II II - ~ ....I ~ 0 .... ~· ~ .... -r- ~ ~ ...J t! 0 .... Ill ::> t./) "" c:i a: -... z a <.> <.> < ~ r----,.-- w (!) Q: < :I: - (,,) I ~ (,,) w % (,,) - % rn < (,,) - \- r >- ai _, 0 Q z Q .... "- ii: (.) 1:l 0 @) @) @) ...I t./) t./) a::: c( a::: ::c ::c <!> @) ...I c( <!> '...._ - 0 c c... ...I 0 :> z 0 (.) I ( -: 0 0 0 0 0 z z z z z - - - - - ' - - - - - ::- t./) ,ID· t./) en t./) - - - - - w w w w 7' - - - - ~ >- >- >- >- >- i .., ~ ., ,I ...I w > w w ~ z . - c ...J :iE w a::: a::: z ~ j:: ~ 0 w ...I w ::> t./) w <!> w :iE z ...I (.) <!> ~ c... ...J i== z 0 w c( en c( 0 ~ m .... (.) :;:: w w .... c... w ii: j:: ~ :iE ...I z w .... w a::: w .... c (.) N c( :iE <!> ...I c;; :iE :iE w ii5 a::: ::> z c( t./) .... (.) w w .... w w c... a <!> c... ...I ~ .... ::.:: 0 w ~ c... :iE .... .... z .... a::: 0 w ::c t./) z .... w a::: :iE t./) == ::> x <!> x > ~ w ...I ::> t! >- 0 c... w c w en en c( 0 t./) c... ~ 0 ~ ~ (.) - -- - -- City of Austin I Travis County Austin Water Utility Manifest I Trip Ticket for Hauled Liquid Waste Address: / o / ) , / _1:I - - - -- - - - - -- -,.---- Number· 1091728 - - - - - -- 1 Phone: Yu if(,, 6 7 t ({ y J 0 Food Service Grease Interceptor (or Trap)_ ____ _______ Capacity = _ ___ _____ (gal.) ~,.Septic Tank I Sewage Holding Tank __ ____ ___ __ _________ Capacity = D Grit I Mud I Oil I Lint Interceptor (or Trap) _____ __ ____ ___ Capacity = (gal.) (gal.) Indicate the waste type (must check one) and, if applicable, the interceptor (or trap) capacity: D Chemical Toilet .g D Wastewater Treatment Plant Sludge s:: ... 0 .... ~ D Wastewater from Sanitary Sewer System i 0 Other - Specify Source and Type of Waste: 0 ,__ Gallons Removed: -; =- C, - - .. Cl) - - - - As the representative for the generator of this waste, I certify that the information provided is true and correct; and that this waste is to be transported to a facility authorized by the Texas Comr ·ssion on Environmental Quality (TCEQ) to receive t~ese.,wa e-s - - - - - - Printed Name: -;--<"\ \ J J ;r..'~ " '\l' Mr i ,,- · v \-' - N "- ! ._ Signature: _Business Name: ) ~_t _'---_ _ ,_·_i _""_"_._v ___ ____ ________ A_d_dress: r/)t/ \!{ (; ( ( v St-t..-t --rtL_ ___ _ _ _ _ __, ~ ~-u t.) '/v-i_,' _ - - - - --~' s_t_at_e:_-c_~_·~~--- Zip Code: 7 r (,,I/) - - 1 Phon:: )/~'~~~/_2._o_o_c_~_t ___ --t ... ~ TCEQ Registration No.: 7.. ( --, ( ~ 0 - -- - - - - - ;- COA Permit No.: s:: ~ I- IJ ..::;, / - _, - l Gallons Transported: Vehicle License No.: l{ { J )(7...(,,, 7 ) ~"' · -:_-_ _ - -J ate Relinquished: - As the representative for the transporter of this waste, I certify that the information provided is true and correct; and that this waste was collected in accordance with Title 30 of the Texas Administrative Code, Chapter 312, Subchapter G and the Austin City Code. Printed Name: - - - I .:: / t A $ l . - . - - ( 1 / <.. l..- L. J Signature: - - - -? -. 1 " • .1.. . T i. · !!! >< Q z ~ c: ;:o ~ G> z (/) -I 0 ~ .-- 0 m CD -< ~ m 0 m ~ >< C5 >< c: -I ;!: -I "ti "ti G> c: en )> ;!: .- .- ;!: m z -I ~ 0 c=; "ti z m en -I > 3: z m ;;s:; G> 3: G> m -I "ti "ti 1 en (") 0 ;!: en - I ;;!!: m m ;!: z -I -n en .- ~ c: ;:o m )> z -I ;;s:; .-m 0 -I )> -I :!: m )> m G> m 0 ;;s:; )> > en -< > 0 z "ti en 0 -< m -I m z en c: .- ;:o ;:o m 0 ~ :i:: ;;s:; -I m 0 -I "ti tD en m m c=; ;:o -I ;:o m c=; N m m m ~ (") tD '-I .- 0 ~ ;;s:; m .- z ;:o .- 0 m < m .- - - - - ~ -< m - - (,/') en - - - -- --< -< en - -- -z z .- @ ~ -< m Ci) )> m (") z z 0 0 0 0 ~ r- - \ -- en --l ~ z 0 ~ ~ 0 G> )> .- @ :i:: :i:: ;:o ;:o en (,/') @ @ - 1- - - - r::- "ti 0 0 - 0 m (/) -n n -I )> (/) ~ ::r m 0 (") c: :-:! ::r m n " ::r )> ;:o C> m ' - - - ;:o "ii ~ 0 z ~ \ ~ > ..., ..., g :'i 9 "" .. ~ II II II II II II II II II I )> !: 0 c: z ~ ' en c: tD -I 0 > > >< .- - I" ... \, ..... 0 ~ r ~ v, -.J ~ r- r- -t 0 I r "" r- 0 0 ~ 5 z c: i\ ) .., ~ en m I I I (,.) z cn o o ;'CJ 9 :;IJ C -1-1 I )> IJ:J CJlCJl C __,.__,.en 0 I\) I\) -I >< ai:t - .... (,) z --.ICJl ' __,..,,. ' --'" (Jl """ <OCO """ <O <O to c: c ]> -t ' OJ >< """ .... ,, S< ~ (Jll\) --'" ~~c 1\) 1\)Q <O V:.i ~ ens: :::t. m )> ""O z \:) ;p ::! m ~oz .... en -4 ~mm :::a :::0 l::l ~ < ""O :::0 l::l.. - )> co ~o- ~ men l::l en m en ..... - ~ z Z:§ (Jl l\) ~ O'> 0 ' t 0 c z ~ < Q m 0 m =it '-l ~ (J.) N w ~ .c:. City of Austin I Travis County Austin Water Utility Manifest I Trip Ticket for Hauled Liquid Waste Number: 1091 7 Address: /1 ( 5 I ;-r 5r Zip Code: City: l-1 v . ... 0 -~ (I) c: (I) <.:> ! - - - - - Indicate the waste type (must check one) and, if applicable, the interceptor (or trap) capacity: D Wastewater Treatment Plant Sludge EJ Food Service Grease Interceptor (or Trap). ____ _______ Capacity= ____ _____ (gal.) D Chemical Toilet )21,...Septic Tank I Sewage Holding Tank ..........•. ..••.... Capacity= _ ________ (,gal.) ·' D Wastewater from Sanitary Sewer System D Grit I Mud I Oil I Lint Interceptor (or Trap) __ _____ _______ Capacity= _ _____ ___ (gal.) D Other · Specify Source and Type of Waste: Gallons Removed;P ~ As the repre; entative for the generator of this waste, I certify that the information provided is Jfu~ andf orrect; and that thi waste is to be tra7 1:1o;ted to a facility authorize, by the Texas Commission on Environmental Quality (TCEQ) to receive these )Yastes. [ Date Removed: 7_ 7..5" .Z..u / . \ \ \~ \\0 ke~ Signature: { f/ /l/Z/t/) ~- Printed Name: Business Name : 'f ~ ( {. {A;? LI'" ~ City: IJ l/ ,~dl _ I State: -\fa 1 Address: trf'i1 ft< c" Lr.... v f jt,( rr ff Zip Code: 7 J :.,i.-6-----~-P-h_o_n-e:-~--.-/-~-}-/_"2._(.)_. ehicle License No.: L·\..1} X. ~) '-"---,-)-.-l--1 __ ~ TCEQ Registration No.: 2 f)fc:. :r ~ COA Permit No.: ~ } ~ As the representative for the transporter of this waste, I certify that the information provided is true and correct; and that this waste was collected in I- I Gallons Transported: 2. "le:':. accordance with Title 30 of the Texas Administrative Code, Chapter 312, Subchapter G and the Austin City Code. Printed Name: Cff A ''\. y {v u~ _)-... Note: This section is for documenting transfers of wastes between vehicles operating under the same TCEQ Registration Number. The transfer of waste Signaturr=. ~ ~ -z__ } iate Relinquished_: __ _ _ __ f . . . . . . . . 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It l ' l' , -fl't (') ~ :::c . mg (') ::0 " m ..,, -t me m ::o z II II II II II II II II !I - ~ z -4 I CD , _ ::oc zcn 00 j " ~ -I -I -4 . .. 0 I r ~~ $fg ~ w~Z -.JCJl en m :u r- ~ r- c.-:i :J:I;i.. (Jl(.11 c CD ~ ens:: ........ en 0 00~ - x ~- m )> N N-1 . \1 z w ;p -tm ..... ~ ..... CD ~oz ..... en -t c 0 ~~ }> ~mm :;;a :;;a ;::; < \1 -4 .... ' °' x CJ1 " ' ~~c :;;a ..... $::l... - NNO ~§> CXI ~ (")- en ~ ~men l::l en m CJlN w 0 ..... en ~ z . l::l ~ j " t (") 0 0 ~ 5 z N z 0 ~ < 0 m 0 m :;e: w ~ "' <.O t a> ~ City of Austin I Travis County Austin Water Utility Manifest I Trip Ticket for Hauled Liquid Waste .··~ Number: 1111961 0 Grit I Mud I Oil I Lint Interceptor (or Trap) ______ __ ______ Capacity"' _________ (gal.) Business Name : 5 (7 ,_ '- j"l·:l ,q ·U .2 City: .5 r ... G>· TCEQ Registration No_: t: 0 0.. COA Pe~it No.: } J § .... t- Address: _y )l( ~ f Ct i s·~i-1 i ·r ~------------1 .~~~__,_[ s_t_are:~-'~~-rZ-ip_c_o_d_e=·~-+)_c_1~t_'b __ ~~[_P __ ho_n_e:_-t.;_/_z_ J __ /_"G_'_~_~_v_'-'_··_-z~·~ Vehicle License No.: k f] X L ( J r J_~~-te Relinquished:_L -~ns T~ansported: -z_.p o ··- - - - -- - - - t As the representative for the transporter of this waste, I certify that the information provided is true and correct; and that this waste was collected in i accordance with Title 30 of the Texas Administrative Code, Chapter 312, Subchapter G and the Austin City Code. Printed Name: -r:£A ,.'/ .... ; . 7-:., t-C....-0 5 Signature:-:-::-~_5) 7~---- - . . ~ .. ,, ,,...... '·'". --~:--... ,:.::- :· ~·( .•. ' · :-· .. ·"1'.. (b \'t _J ~ ~ ~ al => fh ....J ~ 0 f- ~ ~ J!I!;, • : .. " tt " tt " fl II U II z 0 ~ ·· .. ··, 0 ,( 0 _J ·--· ···· ... 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(.) ~-·-.\ City of Austin I Travis County Austin Water Utility Manifest I Trip Ticket for Hauled ~iquid Waste Number: 1112088 :>'r 5t Name: CQ.~€ S!~-Fl -l....t~ ---- I Address: /0/_2 / City: , , ~ 1 __ tt._vSTr·""" _ " -/' -+-___l_ Zrp Code: 7 q ., LJL./"-> 7 _____ ,,1 Phone~ ) -2.LZ.. , / <- Indicate the waste type (must check one) and, if applicable, the interceptor (or trap) capacity: I State: _ 0 Food Service Grease Interceptor (or Trap)_ ___ ________ Capacity= - - - - - - - - - ~ p tic Tank I Sewage Holding Tank ___ _____________ ____ Capacity= --~------(ga 0 Grit I Mud I Oil I Lint Interceptor (or Trap) _____ ____ ____ _ Capacity = (ga (ga .2 0 Wastewater Treatment Plant Sludge c: .... 0 -E 0 Wastewater from Sanitary Sewer System 0 Chemical Toilet 0 Other - Specify Source and Type of Waste: Cl) c: Cl)'· C>~ .1 0 J.) M Q ?"t Business Name :_i_c l 1... i:C..-J ""4.l'l) .E City: c: ·~ ~CEQ Registration No.: A,_ {)Co - 5 <; ( t/ 2~ ~ COA Permit No.: E As the representative for the transporter of this waste, I certify that the information provided is true and correct; and that this waste was collected in I- Address: y;,-/ ~ €c<-__:j__ __ip.r TH I Zip c_ode: _, ?//, . $_ ~ " J re._~ J Vehicle License No.:tt- ( J ;( L C. 1 5' _ ~ Date Relinquished: _ _ J Gallons Transported: 2_L·,__::_ _ _ accordance with Title 30 of the Texas Administrative Code, Chapter 312, Subchapter G and the Austin City Code. l ;ate: I ) S Phone- . '7 t 2- j_f ~ c ~c 1-. Signature: - -=---===-- 00 QC) <.D N (Y') :st: w 0 5 > ~ . 0 z z 0 ~ 0 0 ...J \ \. 0 0 Q.. ....I 0 > z 0 0 00 00 0 z z z z z ----- ----- ----- ----- en en en en en ~~~~~ ~ ~ 0 0 w w ~ w I I- w I- ....I w 1- :::> ....1 z 0 -.s. QJ 0 ~ c: 0 :§:, QJ Cl en ::!: 0:: w ..... City of Austin I Travis County Austin Water Manifest I Trip Ticket for. Hauled Liquid Wastes Address: I~ 1 c:, / '} "f Zip Code: 7 y J ._°;> ; ; / I State: ~ -\"TC: <_ T - Numberl 1. 2 G 9 3 l J Phone: ;, f 7 f "c.'. 7 /? j ;J . ' ; 1. Indicate the waste type (check one) and, if applicable, the tank, interceptor or trap capacity: 0 Food service grease interceptor or trap waste 0 Chemical toilet I portable toilet waste 0 Wastewater from a mobile food vendor 0 Grit I mud I oil / lint interceptor or trap waste 0 Wastewater treatment plant sludge 0 Wastewater from sanitary sewer system _Jl.Septic tank I sewage holding tank waste D Other - specify ~ource and type of waste: - - - - - - - - -,- - - - - - - Tank:, interceptor or trap capacity: ____ ...._(g.,.,a""ll"""o'"'ns,,..) 2. This section applies to any waste removed from food service grease interceptors or traps that are subject to Austin City Code specified pump-out frequency requirements . All food service grease interceptors or traps located within the City of Austin (COA) or located at any property that receives wastewater service from Austin Water must comply. If needed, contact1Austin Water to obtain the requested COA Pollution Control Device ID. -~ - . - a) Was this waste removed from a grease interceptor or trap that is subject to Austin City Code pump-out requirements? 0 Yes 0No If NO, skip b) through f) below: b) COA Pollution Control Device ID: c) Percent solids/grease (estimate): d} Is interceptor in good operating condition? D Yes e) Is submission of pump-out report.requiredi.p Yes DNo 0No D unknown If ID unknown, provide device's GPS coordinates (in decimal degrees) below Latitude: =3=0·~-------- Longitude: -97. I it any interceptor pro.blem or defect observed, please describe below f) Pump-out reporting done by: 0 Generator 0 Hauler 0 N/A Name or initials of person reporting: - - - - - - - - - - - - - - Gallons Removed: "/_c ;.:;:;> Date Removed: / ( Z. -.....-::.. As the representative for the generator of this waste, I certify that the information provided is tr~ an~orrect; az d t~ waste is t~e transported to a facility authorized by t~exJS Commission on Environmental Quality (TCEQ) to receivet /hese;w;~e's. _ / / _ Signature: I/~ ~ . Printed Name: Hauler Business Name: I o l c·ty· 'E i . ~ _;.;;rC~ReglstrC:!ti®.J)Jo. : f'. 1 -, tV') J . · /. "i .:;..._ • . ' .. . 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