The URL can be used to link to this page

Home My WebLink AboutRMDL2006-03674r-., Ala. N-W 9(c only SOLD &tof5e IS•, $A Dom. ,j�► a 6101#605 1 CITY OF COLLEGE STATION Building Inspection Department Received Reviewed 12'hgo GENERAL WORK NOTE # 24, 30, 31, 32 CITY OF COLLEGE STATION BUILDING INSPECTION DEPARTMENT REVIEWED FOR COMPLIANCE PER NOTES ON PERMIT NO COMMENTS Y� PER OTES ON PLANSISHEETS ES ON T -------- SAW CUT AND REMOVE EXISTING CONC. WALK NUMBERED NOTES 1. REMOVE EXISTING ALUMINUM WINDOW SYSTEM AND FILL OPENING PER DETAIL. 2. REMOVE EXISTING ALUMINUM STOREFRONT AND FILL OPENING PER DETAIL. 3. REMOVE EXISTING STEEL DOOR AND SIDELIGHT SYSTEM. VERIFY THAT FRAME I5 NOT LOAD BEARING. 4. DEMO DOORS AND HAUL AWAY. 5. REMOVE DOOR AND FRAME AND REINSTALL ON SOUTH WALL OF STORAGE 107. 6. CLOSE OPENING WITH 3-1/2" WOOD STUDS 916" O.C. WITH 1/2" OR 5/8" GYP. BOARD EACH SIDE. (VERIFY GYP. BOARD THICKNESS FOR WALL THICKNESS TO MATCH EXISTING.) 7. INSTALL NEW FILTER/GRILLE IN THIS WALL FOR NEW HVAC. 8. DEMO EXISTING WALLS. 9. NEW 3/4" COX PLYWOOD PLENUM PLATFORM 24" A.F.F. FOR NEW FAN/COIL. NEW 2-1/2 TON SPLIT DX AC SYSTEM WITH NO HEAT. SUPPLY AIR DUCTS TO ROOM 109 SHALL BE GALV. SHEET METAL WITH INTERIOR INSULATION. 10. DEMO EXISTING MILLWORK. 11. MILLWORK TO REMAIN. 12. DEMO EXISTING WOOD RAMP. DEMO 100 S.F. OF SIDEWALK AND ADD 3 CRAPEMYRTLES (50 GAL.) 13. DEMO EXISTING WOOD DOOR AND SIDELIGHT. PROVIDE AND INSTALL NEW 4'-0" X 6'-8" STEEL DOOR AND FRAME WITH SIDELIGHT. GLAZE SIDELIGHT WITH ALUMINUM SKINNED (BOTH SIDES)1/2" PLYWOOD IN STEEL FRAME GLAZING POCKETS. PAINT FRAME AND DOOR. PROVIDE KEYPAD ENTRY LOCK TO MATCH SAME AT ADJACENT JP COURT BUILDING. 14. NEW 3/4" CDX PLYWOOD PLENUM PLATFORM. REPLACE 7-TON AC DUAL FAN SYSTEM WITH NEW 3-TON SINGLE FAN/COIL SPLIT DX SYSTEM WITH 10-KW ELECTRIC STRIP HEAT. BLOCK OFF VENTS TO I.T. ROOM 109 AND REMOVE COMDUSTION AIR/FLUE VENTS THROUGH ROOF. SEE ARCHITECT FOR SPECIFICS. 15. REMOVE EXISTING GAS WATER HEATER AND REPLACE WITH NEW 10 GALLON ELECTRIC. CAP GAS SERVICE AT METER. 16. ADD 24"X24" TRANSFER GRILLE TO DOOR #8. 17. ADD 12"X12" TRANSFER GRILLE TO DOOR #4. -� 18. REPLACE SERVICE ENTRANCE PANEL WITH NEW 200-AMP RAINTIGHT PANEL WITH MAIN BREAKER AND PADLOCK HASP. REWORK FEEDER CONDUIT TO MEET CODE. REMOVE ALL EXTERIOR CONDUIT RUNS AND ATTACHED BOXES/DEVICES. PATCH HOLES. 19. AT DOOR #2 ADD FLOOR STOP TO LIMIT DOOR SWING TO 90 DEGREES. REUSE EXISTING LOCKSET - KEYING BY OWNER. 20. INSTALL 10 LF OF DATA CABLE TRAY SUSPENDED FROM CEILING. SEE ARCHITECT FOR LOCATION. 21. PROVIDE TWO 30-AMP 120V L5-30R ELECTRIC OUTLETS AT THE CABLE TRAY 7-6" A.F.F. SEE ARCHITECT FOR EXACT LOCATION. 22. ADD 120V DUPLEX OUTLET ON DEDICATED 20-AMP CIRCUIT. THREE REQUIRED IN I.T. ROOM 109. 23. RELOCATE TWO OF THREE EXISTING LARGE STONES (1000 LBS. +) TO OTHER AREAS OF THIS SITE. SEE ARCHITECT FOR EXACT LOCATIONS. 24. REMOVE ALL CARPETING AND TACK STRIPS FROM ENTIRE BUILDING. 25. PROVIDE AND INSTALL ONE FLUORESCENT LIGHT FIXTURE IN I.T.109 TO MATCH EXISTING. LOCATE AT DELETED CLOSET AND MATCH PATTERN OF EXISTING LIGHTS. 26. PROVIDE AND INSTALL 11 FLUORESCENT DOWN LIGHTS ON OUTSIDE WALLS AS SHOWN ON THE DRAWING. MOUNT 8'-0" A.F.F. AND CIRCUIT TO PHOTO CELL. 27. REPAIR AND PAINT CANOPY. 28. ADD NEW CONCRETE RAMP OVER STEPS. PROVIDE NEW GALVANIZED STEEL HANDRAILS BOTH SIDES. SEE DRAWINGS. 29. REMOVE EXISTING ANTENNA AND RELATED CONDUITS. PATCH WALL. 30. REPAIR AND PAINT DAMAGED FASCIAS, TRIM, AND GUTTERS. PAINT ALL NON -MASONRY SURFACES. 31. POWER WASH EXTERIOR MASONRY. 32. PROVIDE AND INSTALL LANDSCAPING AS SHOWN ON THE DRAWINGS. 33. PROVIDE AND INSTALL ONE FLUORESCENT DOWNLIGHT AT SOFFIT OF PORCH. CIRCUIT WITH OTHER EXTERIOR LIGHTS. BUILDING PERMIT CITY 01� C ttEGE STATION 1101 TEXAS AVE COLLEGE STATION, TX 77840 PHONE: (979)764-3570, FAX: (979)764-3496 ---------------------------------------------------------------------------- Application Number 06-00003674 Date 12/14/06 Property Address . . . . . . 1500 GEORGE BUSH DR Property ID: 195755-0001-0010 R #. Tenant nbr, name . . . . . . JP OFFICE #3 Application type description COMMERCIAL, REMODEL/RENOVATION Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . SINGLE FAMILY RESIDENTIAL Application valuation 60000 Owner Contractor ------------------------ ------------------------ COLLEGE STATION ISD JACODY, INC 1812 WELSH AVE # 120 WICK MCKEAN COLLEGE STATION TX 778404800 2400 FROST COLLEGE STATION TX 77845 (979) 696-7745 --- Structure Information 000 000 OLD JP OFFICE/ STORAGE Construction Type . . . . . COMBUSTIBLE (UNPROTECTED) Occupancy Type . . . . . . BUSINESS Other struct info . . . . . IMPACT/PRORATA FEES PAID NA HEATED AREA 2500.00 INTERIOR WALL TYPE SHET TAZ 311.00 ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc . . KW Permit Fee . . . . 300.00 Plan Check Fee .00 Issue Date . . . . 12/14/06 Valuation . . . . 60000 Expiration Date . . 6/12/07 Qty Unit Charge Per Extension BASE FEE 260.00 10.00 4.0000 THOU BLDG, VAL 50001-100000 40.00 ---------------------------------------------------------------------------- Special Notes and Comments PROVIDE ADDRESS ON COMMERCIAL BUILDINGS -FRONT 5" NUMBERS REAR - 2" HIGH NUMBERS WITH NAME OF BUSINESS THE TEXAS DEPARTMENT OF HEALTH REQUIRES AN ASBESTOS SURVEY IN CERTAIN CIRCUMSTANCES - CALL TDH @ (254) 778-6744 FOR MORE INFORMATION PROVIDE COMBUSTION AIR FOR GAS FIRED APPLIANCES PER CHAPTER 17, 2003 INTERNATIONAL RESIDENTIAL CODE Electrical conduit installation shall be installed per city specs and is the responsibility of the owner and/or ----------------------------- --------- ---------------------- BUILDING DEPT R PRESENTATIVE: /i,/ BUILDING PERMIT CITY OP COLLEGE STATION 1101 TEXAS AVE COLLEGE STATION, TX 77840 PHONE: (979)764-3570 FAX: (979)764-3496 ---------------------------------------------------------------------------- Page 2 Application Number . . . . . 06-00003674 Date 12/14/06 ---------------------------------------------------------------------------- Special Notes and Comments contractor. Contact the electrical division at (979) 764- 6314 for more information. ELECTRICAL SHALL BE INSTALLED PER 2002 National Electrical Code & LOCAL AMENDMENTS ELECTRIC STRIP HEATING NOT ALLOWED FOR RESIDENTIAL PROPERTIES WITH FLOOR AREA GREATER THAN 500 Sq. FEET PROVIDE EXTERIOR LANDING LEVEL WITH THE INTERIOR FLOOR FOR REQUIRED EXIT DOOR(S) PROVIDE FIRE EXTINGUISHERS) - VERIFY LOCATION AND PLACEMENT WITH THE FIRE MARSHALL'S OFFICE (MIN. 2A10BC) Assure Proper GFI Locations, Including One Within 25' Of Outside A/C Unit HANDRAILS SHALL COMPLY WITH SECTION R-311 (2003 IRC) OR SECTION 1009 (2003 IBC) AS APPROPRIATE PROVIDE A KNOX BOX FOR FIRE DEPARTMENT ACCESS. REQUIRED EXIT DOORS SHALL BE OPENABLE FROM THE INSIDE WITHOUT THE USE OF A KEY,TOOL OR SPECIAL KNOWLEDGE/EFFORT All outdoor lighting must be in compliance with Section 7.10, Outdoor lighting Standards of the City's Unified Development Ordinance All roof and ground -mounted mechanical equipment shall be sreened from view or isolated so as not to be visible from any public right-of-way or residential district within 150 feet of the subject lot, measured from a point five feet above grade. Such screening shall be coordinated with the building architecture and scale to maintain a unified appearance. Acceptable methods of screening rooftop equipment may include, but are not limited to encasement, parapet walls, or partition screens. COLLEGE STATION ELECTRICAL DIVISION REQUESTS THAT THE METER CAN/ELECTRICAL SERVICE DISCONNECT BE LOCATED ON THE STRUCTURE AS CLOSE AS POSSIBLE TO THE SECONDARY FEEDER CONDUIT FROM THE TRANSFORMER. (see site plan for location of conduit or contact electrical division) CONSTRUCTION ACTIVITY BETWEEN THE HOURS OF 10:00 PM AND 7:00 AM MUST COMPLY WITH THE NOISE ORDINANCE (MAX. 55 DBA) PROVIDE PANIC HARDWARE ON EXIT DOORS If PEX water supply piping is sleeved below the slab, seal annular space at ends with caulk, foam or other means. ANY CHANGES OR ALTERATIONS TO SUBMITTED PLANS MUST BE RESUBMITTED AND APPROVED BEFORE WORK IS DONE IN ORDER TO -------------------------------------------- ---------- --------------- BUILDING DEPT REPRESENTATIVE: APPLICANT: BUILDING PERMIT CITY OF COLLEGE STATION 1101 TEXAS AVE COLLEGE STATION, TX 77840 PHONE: (979)764-3570 FAX: (979)764-3496 Application Number . . . . . 06-00003674 Page 3 Date 12/14/06 Special Notes and Comments ASSURE CODE COMPLIANCE POST PERMIT CARD ON JOB SITE WHEN WATER MAIN PRESSURE EXCEEDS 80 PSI, AN APPROVED PRESSURE REDUCING VALVE SHALL BE PROVIDED THAT LIMITS THE MAXIMUM STATIC WATER PRESSURE TO 80 PSI ALL SILLS AND BOTTOM PLATES IN CONTACT WITH CONRETE MUST BE TREATED OR NATURALLY RESISTANT TO INSECTS AND DECAY ALL PLUMBING, ELECTRICAL, AND HVAC (mechanical) WORK MUST BE PERFORMED BY LICENSED CONTRACTORS. CONTACT BUILDING DEPARTMENT FOR INSPECTIONS PRIOR TO COVERING ANY WORK PROVIDE NEW EXTERIOR WALLS WITH A MOISTURE BARRIER, EXTERIOR FINISH MATERIAL, 13-R INSULATION, AND GYPSUM BOARD TO MATCH EXISTING WALLS. CALL IN FOR A FRAMING INSPECTION PRIOR TO INSULATION AND COVERUP. Fee summary Charged Paid Credited Due --------------------------------------------------------- Permit Fee Total 300.00 300.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 300.00 300.00 .00 .00 ------------------------------------ --------- - - - - -- BUILDING DEPT REPRESENTATIVE: APPLICANT: lop, APPLICATION FOR BUILDING PERMIT 1101 TEXAS AVENUE ` COLLEGE STATION, TX 77840 (979) 764-3570 (979) 764-3496 FAX CITY OF COLLEGE STATION WWW.CSTX.GOV Planning. c5.'_Deue(opment Services: ADDRESS/LOCATION: DATE: f RCC REG APPLICATION # TEMP POLE # h70#?Vrtt1_(/ 100 kill, LOT BLOCK SUBDIVISION / SEC/PH BUSINESS/OWNER NAME: �� CA L-4N -t/ PHONE: CONTRACTOR/HOMEOWNER: T A•( ooy1 44 L'- PHONE: �"✓ 13 CONTRACTOR ADDRESS: I C —276 - W�P '160u ELECTRICIAN: �(�� PLUMBER: /1� HVAC: — k._ V1 cam: GOOD CENTS (Residential only): CLASS OF WORK ACCESSORY/STORAGE LOCATION RE -ROOF ADDITION MOVING SHELL ONLY DEMOLITION (Asbestos Survey) NEW CONSTRUCTION " SLAB ONLY DUPLEX (Landscape Plans) REMODEL/RENOVATION- SWIMMING POOL TENT/CANOPY DESCRIPTION OF WORK: A)iA)oZ- 4C 1J0VA-10 PROPOSED USE: 00 N7`u SDI a ol, f= HOMEOWNER ASSOCIATION/ARCHITECTUAL OR DESIGN REVIEW COMMITTEE APPROVAL: TEXAS ACCESSIBILITY STANDARD (TAS) PROJECT REGISTRATION# EABPRJ VALUATION: $ t & Do 0 12--- TOTAL AREA?-50 D HEATED AREA: ZS�O (Cost of Labor and Materials) PUBLIC SEWER SEPTIC/TREATMENT SYSTEM SEWER TAP: WATER TAP: ❑ OTHER TAP: TEMP POLE GARAGE TYPE SIZE SIZE SIZE SINGLE a ATTACHED NUMBER OF BEDROOMS: NUMBER OF BATHROOMS: INTERIOR WALL TYPE: EXTERIOR WALL TYPE: FOUNDATION TYPE: ROOF TYPE: DOUBLE a TRIPLE CARPORT II SIGNATURE OF APPLICANT: 'If proposed work involves new commerciff construction or facade improvements/renovations to an existing commercial property, building elevations are required. Official Use Only Z:�, �-- � ;& ,- Plans Examiner Zoning Official Fire Marshall Cp nts: ES r NO Energy Code Compliance Information ' % Glazing of exterior walls Insulation R value of exterior walls Insulation R value of ceiling 1 (flat areas) Insulation R value of ceiling 2 (vaulted areas/no attic) Glazing SHGC Glazing U-Factor R value of ductwork A/C SEER Rating 08/03/2006 13:18 FAX 070 823 8003 RRAZOS COUNTY WJ003 HOMOGENEOUS AREA REPORT INSPECTION District: College Station ISD Number: 049-A Building: 100 Anderson IDENTIFYING INFORMATION Description of Material: 12x12 nail-oa ceiling tile Location in Building: Office areas Type of Mat"11& : Friable Miscellaneous Size of Area: Approx. 1,200 sq.ft. Number of Samples Taken: 2 Assumed to be ACM: No Inspector: K. Burcham Inspection Date: 3 / 21 / 94 Sampling Method Used. Random Grid Sample Analysis Results: (copies of the actual lab analysis are appended to this plan.) Material Classification: Types of Damage: Severity of Damage: Accessibility: Occupants: Duration: Ease of Access: Notes: NONE Inspection Completed By; No Asbestos No Asbestos ASSESSMENT Accreditation Number. 455 - 57 -1507 Sample 001-A-1 and 001-A-2taken from office areas. Photos 3 and 4. RECOMMENDED RESPONSE ACTION u6/u3i2uu6 15:16 FAX 979 623 6993 BRAZOS COUNTY 141ou2 HOMOGENEOUS AREA REPORT INSPECTION District: College Station ISD Building: 100 Anderson Number. 049-B IDENTIFYING INFORMATION Description of Material: Sheetrock/surfacing Location in Building: Throughout with some covered by wood panelling Type of Material: Friable Miscellaneous Size of Area: Approx. 4,000 sq.ft. Number of Samples Taken: 2 Assumed to be ACM: No Inspector. K. Burcham Inspection Date: 3/21/94 Sampling Method Used: Random Grid Sample Analysis Results: (copies of the actual lab analysis are appended to this plan.) Material Classification: Types of Damage: Severity of Damage: Accessibllity: Occupants: Duration: Ease of Access: Notes: NONE Inspection Completed By: Accreditation Number. 455 -57 -1507 0-e1% Chrysotile Asbestos (in teatarizer) No Asbestos ASSESSMENT Sample 049-B-i taken from wall into storeroom, and 049-11-2 taken from mechanical room. Photos 5 and 6. RECOMMENDED RESPONSE ACTION ti 06/03/ZU06 15:16 FAX 979 8t9 0193 BRAZUS CUUNIT 4JUU4 HOMOGENEOUS AREA REPORT INSPECTION District: College Station ISD Number. 049-C Bullding: 100 Anderson IDENTIFYING INFORMATION Description of Material- Roof tar Location in Building: Throughout the roof area Type of Material: Non -Friable Miscellaneous Size of Area Approx. 2,640 sq.tt. Number of Samples Takeu: 1 Assumed to be ACM: No Inspector: K. Burcham Accreditation Number. 455-57.IS07 Inspection Date: 3/21/94 Sampling Method Used: Random Grid Sample Analysis Results: (copies of the actual lab analysis are appended to this plan.) Material Classification: Types of Damage: Severity of Damage: Accessibility: Occupants: Duration: Ease of Access: Notes: NONE Inspection Completed By:, No Asbestos No Asbestos ASSESSMENT Sample 001-C-I.taken above the main entryway. Photo 7. RECOMMENDED RESPONSE ACTION 06/03/2006 15:18 FAX 979 $23 6993 BRAZOS COUNTY I�005 TEA" WATER COMMiSMON P.O. Box 1308.7, Capkol Static _ A•' -tin, Texas 78711-Ml privy a type- (Form designed for use on elite (12 PRO) typewritor•) ' • Form approved. OMe No. 2050-0=9. et<Piros 0"0' l4 UNIFORM HAZARDOUS 1. Generators US A 10 No. Manifest 2. age 1 Information in the shaded areas ppcument No. of 1 is not required by Federal law. WASTE MANIFEST • • • ' ' ' ' ' ' 3. Generators Name and Mailing Address Ak•6tme.Manilest•Oocument Number "• = Collsge Station T.S;D. 0 "7 �4 1812 Welsh. " a. State -Generators ID _ olle ,eiou9 Texas 77840 �'"rw ;'-:""c•.,'```'-;':.' "'DHO1 4. $ner s Phone 1 4 9 40 s. Transporter 1 Company Name 6. US EPA ID Number ;G..Stste.z�n�rs ID D. tshWrtel's Phone '' _ Bnvirontaental C act r State.7'nvlltportar�iD ,:- g 7. Transporter 2 Company Name 8. US EPA ID Number E. Longhorn Disposal Company F TMnsportvs•Phone - • • , —4341 9. Designated Facility Name and Site Address 10. US EPA 10 Number Austin CommunityLandfill is »�; '�.s•249'C' 9708 Giles Bond H.Faalittyy'sPhone _ ,W f«,r��r;+ Austin, Toxas 78754 . . . . . . . . ' . 11A. 11, Us DOT Description (including Proper Shipping Name. Hazard Class, and ID .12. Containam Try unit : Waste No. No. Type WI/Vol HM Number) L Waste Which Contains' Non''Fri,A61e Asbestos 9Q BA . D T :'••277270 3 E ... 1 E b. R � O N C. I I J. Adtfdorpd t)esarlpUons for Materials 4 fated Atrave . �•» :.cut �. a '�: ua:raa• rr7.aarr?rr�,sab;'�e� L.: K.; KandUng Codes'tor Wastes fisted Above .�ar'•a+:•' _:y: • -- Fjctj.:.t �., .'v 9ireE1• L' !f•'.• '::7T,.=.c.l6idw, "�.•-.:r' ;'Tj( :' rFCMUCIA Ali"' .• ' � ;•�8;1 ':r.�f'CJ?:::iS�i.4' - - Cal: •Ti;l@'aet�;c ` , r'" .i �:i •'.:1.•Sl:�. i:�• L`:o�� . .. 15. Special Handing Instructions and Additional Information Disposal must he in accordance with TDH MSWHR 25 TAC 325,136 (b) (6) or other handling pl4M stppr*Ved in writing by TDH•, • - 16. (iiENEAATON'S CEAtiFICATION: I hereby dsdars that the corkam of this consignmere are fully end aeeuralely described above t7y MdPer shlppirg mime end ate classified. packed, marked. and labeled. and are in all respects In proper condition for transport by highway aocotdrng to apple IrrtsmsDOnal and national govemnrni regulations, kW kx** appfkabfe stale mguisdone_. II I am a large awr+ttty geresntar, I ce" plat I have s program in place to reduce the volume and toeidty Of wasps perrorated to the degree. I have determined to be method of trWment, sf kenerrygyy prat, ,pie and that I have eareaed the preatieabls ortago. or disposal currently avallable.to me which minimizes the. present and future ttvesa w human health acid the anvrronment: OR.11 am a small quahtlty generator, have'rrade $godd faittt effoA a mktltltize MY waste perterstion and select ble the bast waste management method that is svailsto me and that I can afford. 609 hlonM Day Year Printedfryped No 9 il-C.S S.I. SD. 17. Transporter 1 Ack rn of fieevlpt of Materials Wnth Date Ye A Printedrr Name Signabrro �' . "s E c feoarR-_r a1 a. Transporter 2 Acknowked erftent of Rerce' t of Materials Date T PrintedlTyptd Nameff Signature Month Day Year A L nighQ12 DisggsalC �` t 9. Discrepancy Indcation Space 20. F wn elllty Oer or r- Certification of reoei of has rdous materi :cued y this manifest except as noted in Item 19. _ . _ Date . T r Ig re . M th Day >' ar Nauru r�Q , c. _, White - orlolnal nk-T90 Facility YOIIOw-Transporter Green-6enerator's eSt COPY ub/u3/20Ud 15:18 FAA V79 823 6993 bKA'LUS CUUNTI 41UU0 • •when using pre Undafm Waste 6tarrlffest for rail or water (bulk sh(tnnch?) QW96001181 shOrnents refer to she app/icab/a TWC regu/BCona + ' x REPORT SPILLS AND/OR DISCHARGES TO THE TEXAS SPILL -RESPONSE CENTER AT 5121463-7727 (24 HOURS) ItwRUCTKM TO GENERATOR (PWate Type or Print Clearly) (1)' Enter the Gensrator's U.S. EPA twelve diglt identification number and the unique five digit number assigned to this manifest by the generator it you ar- dripping hazardous We=. (2) Enter the total number of pages used to complete thle manifest (3) 'Ei arAootnit6rtictooW and malling address. (4) Provide a phone number where an authorized agent of your firm maybe reached in the event o1 an emergency. (5) Enter the company marne of the first transporter and their U.S. EPA tO Number. (t) • It applicable. enW the company frame of the second transporter and their U.S. EPA ID Number. It more than two tre tsportere are used, enter each additional wWottet's information on the Contirluatidn Sheet (EPA farm 8700.22A). m .Eater the company name. site address, and U.S. EPA ID Number of the faeifitydesignated to receive the waste Gated on this manifest. COMPLETE ALL STATE OF TEXAS IWORMAMON A. THROUGH M. IN THE SHADED AREAS. (P) Complbte the waste desolplion table is follows: (A) • f EM I IA - When shipping an EPA/OUT regulated hazardous waste or material -in cwguncftn wttr steely state regulated waste eater an 'e in the MM box before each EPA/DOT regulated wastelmoteria) description. (8) ITEM 11 - Plrtei'fie US. DOT Proper Shlpptng Name, HazararlaWsrid 10 Number (UN/NA) for each waste identified If it Is a Class I nonhazardous waste use the Texas Witte Code description. (C) tr.EM 12 - Mier the number at eomalners for. each waste arld the appropriate abbmwlatlon for type located In Subchapter A of the TWC Industrial Sold Waffle Rules. (D) ffBM 13 - enter the total quantity of waste described on each line. (E) OEM 14 - Enter the appropriata-lef or from the table below for the unit of measure. G o GWIcrrs (liquids only) Y a Cubic Yards M a Metric Tone (1000 kg.) P a Pounds L a Liter (Liquids Only) N . Cubic Motors T a Tons (2000 Ibp.) K = ICh"ms _ . (1) f W 1- Enter the appropriate TWC Slate Waste Code for goon waste you are shipping. (10) The Generaw must read, sign (by hand), and date the certification statement If a mode -other than highway i5 used, the word 'highway" should be fined out and tie appropriate mode (W4 water or air) Inserted in the space below. -in signing the waste minimization certification statement, those•generawl'S shipping hazardouswaste who have not been exempted by staWW or regulation from the duty to make a waste minln'aaeon Cer0ficatlan are also Certifying thu they have completd with slip waste minimization requirements. - (11) The manifest must be signed and dated by the firth transporter M the presence of Cie Generator. If more than one transporter Is to be used, the Generator must provide addMonal copias for their use. -(12) Garraralor mains green copy, sanding remaining copies with the driver. fNSTRucnaNS r•OR THE TRANSPORTER (Please Type or Print clearly) (1) As driver of the transport vehicle, you am responstble for ensuring that all waste received by you arrives at the specified destination. —42) Sign and date the :space provided, cwt* g the waste amounts iih PART t were- received for transport E: If NOTyou are unable to carry out the delivery of the ghlMlant as spedfle i, dial the emergency phonamumbers given In PART I notifying the GENERATOR. (3) Upon.dsiivgry,orthe•shipment, On TSO Fadill) Dwner/Operstor iaf0sly'ri %r thg ohipmaK in your presence and fill In•"dalm received'. (4)' Ssparata 0,0 yelow copy and Ron for 'your records. leave the remWnhg otlplet wdh the TSD Fertility Owner/Operator. , INSTRUCTIONS TO TREATMENT, STORAGE AND DAlPOSAL•(TSD) FACILITY OWNER/OPERATOR (Please Type or Prim Clearly) (1) lire authorized representative of the destgrowd (or'Attemate) faOkWf owner or operator must note• In TREM /9 any signifieartt discrepancy between the wasts dow1bild on the maNfett and the waste actually received at the facility: ' (Z) Erwr day reealwd and sign In the presence of the driver dec!>Arjng ieCW of thewasaa and vest yim the *11. des in the table In PART L (3) Retain the pink copy for your records and return the completed original (white) copy to the GENERATOR. U.S. EPA and TWC regulation require that copies of thle UWWm Nazerdous Waste Manifest be Mabnd for a Wod of three (3) years in your company neocOs. 00 flat taro to TWC unless OUWW* n no flied by 111e011 dapartrhsrrm. , Puree repasng WMn for this collection of InfwmiWCn fs etUmatad to average: 37 Jnlnrltet for genetalons, 15 minutes for transporters, and 10 minutes for triune % star e nd dWotel faalltfee. This Includes grna fw ramria 9 inahrrrdit 98ft^n9 date. and =W0WV and reviewing tine form. Sand eoreements residing one burden 00IM R VWUW9 uggeoprrs for'•fodooirg this burden. lo: Chiet. Info nlrerion PoU4 (matron. PM-223, U.S. EnviAe menfat Protection Agency, 401 M Street SW WaIrJnMn. DC 2D45o: and 10 tug �floi-of tabfareson and Regulatory Aftsls, Oflbe of Management and Budget. Washington, DC 2050.