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Home My WebLink About5 POINTS PLAZA UNDERGROUND STORAGE TANK REMOVAL_UNKNOWNG. REPORT PREPARATION A Licensed On -Site Supervisor may complete and sign this forth when the supervisor is acting in an approved capacity for tank removal -from -service or tank system repair activities. Licensed On -Site Supervisor: ILP Reg. No.: Exp. Date: Company: Telephone No.: FAX No.: Based on the results of the site investigation and the additional information presented herein, I ceni fy that the site investigation activities performed either by me, or under my direct supervision, including subcontracted work, were conducted in accordance with accepted industry standards/practices and further, that all such tasks were conducted in compliance with applicable TCEQ published rules, guidelines and the laws of the Slate of Texas. [have reviewed the information included within this repon, and consider it to be complete, accurate and representative of the conditions discovered during the site investigation. I acknowledge that if I intentionally or knowingly make false statements, representations, or certifications in this report, 1 may be subject to administrative, civil, and/or criminal penalties. Signature: Date: OR Project Manager: Brandon Shipman PM Reg. No.: 15978 Exp. Date: 3/12 Company: Rideeline Enizineerina LLC Telephone No.: 214.551.2617 FAX No.: 940.239.3576 Based on the results of the site investigation and the additional information presented herein. I certify that the site investigation activities performed either by me, or under my direct supervision, including subcontracted work, were conducted in accordance with accepted industry standards/practices and further, that all such tasks were conducted in compliance with applicable TCEQ published rules, guidelines and the laws of the State of Texas. [have reviewed the information included within this report, and consider it to be complete, accurate and representative of the conditions discovered during the site investigation. I acknowledge that if I intentionally or knowingly make false statements, representations, or certifications in this report, 1 may be subject to administrative, civil, and/or criminal penalties. PM Signature: Date: AND CAS Representative: Brideett McBride. P.E. CAS Reg No.: 0000121 Exp. Date: 4/12 Company: Rideeline Enizineering, LLC Telephone No.: 214.551.2617 FAX No.: 940.239.3576 By my signature affixed below, I cenify that I am the duly authorized representative of the Correction Action Specialist named and that I have personally reviewed the site investigation results and other relevant information presented herein and considered them to be in accordance with accepted standards/practices and in compliance with the applicable TCEQ published rules, guidelines and the laws of the State of Texas. Further, that the information presented herein is considered complete, accurate and representative ofthe conditions discovered during the site investigation. I acknowledge that if I intentionally or knowingly make false statements, representations, or certifications in this report, I may be subject io administrative, civil, and/or criminal penalties. Signature of CAS Representative: Date: Name of Tank Owner or Operator, or property owner contact: Reaean McPhail. City of La Porte Telephone No.: 281.470.5065 FAX No.: NA By my signature affixed below, I certify that I have reviewed this report for accuracy and completeness of information regarding points of contact and the facility and storage tank system history and status. I acknowledge that if I intentionally or knowingly make false statements, representations, or certifications in this repon related to the contact information, and the facility and storage tank system history and status information, 1 may be subject to administrative, civil, and/or criminal penalties. I attest that I have reviewed this report for accuracy and completeness. I understand that I am responsible for addressing this matter. Signature: Date: it Pa e7of8 TCEQ-0621 (revised 12/10I2003) -previous versions obsolete 9 COUNTY CODE LIST I Anderson 38 Childress 75 Fayette 112 Hopkins 149 Live Oak 186 Pecos 223 Tcrry 2 Andrews 39 Clay 76 Fisher 113 Houston 150 Limb 187 Polk 224 Throckmorton 3 Angelina 40 Cochran 77 Floyd 114 Howard 151 Loving 188 Potter 225 Titus 4 Aransas 41 Coke 78 Found 115 Hudspcth 152 Lubbock 189 Presidio 226 Tom Green 5 Archer 42 Coleman 79 Fort Bend 116 Hunt 153 Lynn 190 Rains 227 Travis 6 Armstrong 43 1 Collin 80 Franklin 117 1 Hutchinson 1 154 McCulloch 191 1 Randall 228 Trinity 7 Atascosa 44 Collin worth 81 Freestone 118 Irion 155 McLennan 192 Reagan 229 Tyler 8 Austin 45 Colorado 82 Frio 119 lack 156 McMullen 193 Real 230 U shur 9 Bailey 46 Corral 83 Gaines 120 Jackson 157 Madison 194 Red River 231 Upton 100 Bandem 47 Comanche 84 Galveston 121 Jasper 158 Marion 195 Reeves 232 Uvalde 11 Bastrop 48 Concho 85 Garza 122 JetT Davis 159 Martin 196 Refu io 233 Val Verde 12 Baylor 49 Cooke 86 Gillespie 123 Jefferson 160 Mason 197 Roberts 234 Van Zandt 13 Bee 50 Co ell 87 Glasscock 124 Jim Hogg 161 Matagorda 198 Robertson 235 Victoria 14 Bell 51 I Cottle 88 1 Goliad 125 Jim Wells 162 Maverick 199 Rockwell 236 Walker IS Bexar 52 Crane 89 Gonzales 126 Johnson 163 Medina 200 Runnels 237 Waller 16 Blanco 53 Crockett 90 Gray 127 Jones 164 Menurd 201 Rusk 238 Ward 17 Borden 54 Crosby 91 Grayson 128 Kames 165 Midland 202 Sabine 239 Washington 18 Bosque 55 Culberson 92 Gregg129 Kaufman 166 Milan 203 San 240 Webb 19 Bowie 56 Dallam 93 Grimes 130 Kendall 167 Mills 204 San Jacinto 241 Wharton 20 Brazoria 57 Dallas 94 Guadalupe 131 Kenedy 168 Mitchell 205 San 242 Wheeler 21 Brazos 58 Dawson 95 Hale 132 Kent 169 Montague 206 San Saba 243 Wichita 22 Brewster 59 Deaf Smith 96 1 Hall 133 Kerr 170 Montgomery 207 Schleicher 244 Wilbarger 23 Briscoe 60 Delta 97 Hamilton 134 Kimble 171 Moore 208 Scurry 245 Willac 24 Brooks 61 Denton 98 Hanford 135 King 172 Mortis 209 Shackelford 246 Williamson 25 Brown 62 DeWitt 99 Hardeman 136 Kinne • 173 Motley 210 Shelby 247 Wilson 26 Burleson 63 Dickens 100 Hardin 137 Kicberg 174 Nacogdoches 211 She. 248 Winkler 27 Bumet 64 Dimmit 101 Harris 138 Knox 175 Navarro 212 Smith 249 Wise 28 Caldwell 65 Donley 102 Harrison 139 Lamar 176 Newton 213 Somerville 250 Wood 29 Calhoun 66 Duval 103 Hartley 140 Lamb 177 Nolan 214 Start 251 Yoakum 30 Callahan 67 Eastland 104 Haskell 141 Lampasas 178 Nueces 215 Stephens 252 Young 31 Camcron 68 Ector 105 Has 142 La Salle 179 Ochiltrec 216 Sterling 253 Zapata 32 camp 69 Edwards 106 Hemphill 143 Oldham 217 Stonewall 254 Zavala 33 Carson 70 Ellis 107 Henderson 144 Orange 218 Sutton 34 Cass 71 El Paso 108 Hidalgo 145 Palo Pinto 219 Swisher 35 Castro 72 Emth 109 Hill 146 U-183 Panola 220 Tarr nt 36 Chambers 73 Falls 110 Hockle 147 Parker 221 Taylor 74 Fannin TCEO-0621 (revised 12/10/2003) - previous versions obsolete Page 8 of 8 Texas Commission on Environmental Quality PETROLEUM STORAGE TANK PROGRAM RELEASE DETERMINATION REPORT FORM FORM INSTRUCTIONS: Use this form to report the results of investigating a suspected or confirmed release or to report the results of permanent removal from service of a UST. The form should also be used to report the results of routine removal of an AST from service and/or for any routine environmental site assessment (ESA) at PST sites where a `no further action' letter from TCEQ is desired (routine AST removals and routine ESAs are not specifically regulated by TCEQ). Please note that leaking PST sites reported to the agency on or after September 1, 2003 are potentially subject to 30 TAC 350 ("TRRP") as well as to 30 TAC 334. Refer to investigating and Reporting Releasesfrom Petroleum Storage Tanks (RG-411) for more information. Please also note that initial (w/in 24 hours) reporting of all suspected or confirmed releases should be made using the PST Program Incident Report (IR) form (TCEQ-20097). Submit completed forms to the PST-RPR, TCEQ, MC 137, P.O. Box 13087, Austin, Texas 78711-3087. DO NOT MODIFY THIS FORM IN ANY WAY. Complete all applicable blanks. Incom lete forms, including forms missing relevant attachments, will be returned without review. RDR FORM CHECKLIST PLEASE NOTE: The following documents are required to be attached to this form upon submittal. Complete the checklist and attach each listed document to the back of the form, or provide a written statement explainingwhy a particular item on the checklist is not applicable/not available: 01 Copy of original Construction Notification forth filed with the TCEQ regional office for the field construction activity ✓ Scaled site diagram(s) showing location & layout of tank system(s) including pipe chases, dispensers, and any remote fill ports; all sampling points, North arrow, scale, nearest intersection of main roads. Previously removed tank systems should also be indicated. Written description of tank removal activities, including removal of substances from tanks, tank clean ing/purging/inerting activities, ✓ and tank condition (corrosion holes, tears, rust, etc.). Include description of piping and dispenser equipment condition. Written description of site sampling activities, including sample equipment used, decontamination procedures, sample collection and ✓ handling methods, sampling locations and summary of overall sampling rationale. Copies of signed laboratory reports, complete chain -of -custody and laboratory check -in sheet documentation including sample ✓ receipt temperature, sample preservation methods, date and time of sample collection, laboratory QA/QC etc. Waste disposal, treatment, recycling or reuse documentation, including waste manifests signed and dated by all relevant parties. ✓ Manifests should have all required signatures and dates, and show waste type, quantities and units. Photographs (originals or high resolution color copies) of the site showing all parts of tank system (tanks, dispensers, piping, etc.), ✓ all excavated areas including excavation bottoms, stockpiles, etc. See Eco Checklist comments below. Tank destruction documentation (no. of tanks, size(s), formercontents, tank composition [e.g., steel, fiberglass, etc.]) including date ✓ of disposal and facility name, address and contact information. Copy of amended UST or AST Registration and Self -Certification jorm (TCEQ-0724 or TCEQ-0659, respectively)as applicable. ✓ Originals should be sent to the PST Registration Team (MC-138), TCEQ, P.O. Box 13087, Austin, TX 78711-3087. Boring logs and well completion diagrams/well reports, as applicable. Logs should include field screening. _ _ _ Completed TRRP Tier I Ecological Exclusion Checklist (available at http://www.TCEO.state.tx.us/permitting/forms/eco.odf) NOTE: The Eco Checklist is mandatory for all sites which (a) report a PST release to TCEQ on or after September I, 2003, (b) have chemicals of concern (COCs) present above the method quantitation limits (MQLs), and (c) desire to not be subject to TRRP assessment/remediationrequirements. Persons planning on going directly into TRRP with their sites may submit the Eco Checklist later, as part of the APAR form (TCEQ-10325). See investigating and Reporting Releases from PSTs (RG411) for more information. Please note that the Eco Checklist itself also has required attachments - Part I, Item I requires one of the following [o be attached "...to depict the affected property and surrounding area": USGS topographic map, aerial photographs, or"other affected property photographs". If photographs other than aerial are used, ensure that the entire photographic package submitted with this form depicts the tank systems & excavation bottoms as well as all site features pertinent to ecological evaluation. ✓ RCAS/CAPM and/or LOSS signatures are required on page 7 of this form. SUMMARY TCEQ-0621 (revised 12/1012003) - previous versions obsolete Page 1 of 8 Based on the information obtained during this release determination and by comparing the contaminant levels to the laboratory method quantitation limits (MQLs) and to the PST Program action levels, check all that apply: ✓ No contaminants were detected above the greater of MQLs or background. ❑ Contaminants were detected above MQLstbackground, but below action levels. ❑ Contaminant levels were above action levels. ✓ Tank pit water was present. If present, sampled? ✓ Yes ❑ No ❑ A groundwater sample representative of the first water -bearing zone was collected and analyzed (i.e., monitoring well installed). ❑ A representative groundwater sample was collected and analyzed and one or more COCs exceeded action levels. ❑ The site does not pass the TRRP Tier I Ecological Exclusion Checklist. ❑ This site is a new LPST site (reported to the agency on or after September I, 2003), and therefore is subject to 30 TAC 350. ❑ This site will enter TRRP and an Affected Property Assessment Report form (TCEQ-10325) is the next submittal. ❑ This site was initially reported to (name, TCEQ office) on September I, 2003) and therefore is subject to 30 TAC 334 only. (date prior to ❑ This site is an existing LPST case, there is no new release, and this Release Determination Report is being submitted as the tank removal -from -service documentation. Is the responsible parry financially able to complete the next appropriate step? ❑ YES ❑ NO If no, and an LPST number is assigned to this case, you may contact the PST-RPR Section at 512/239-2200 to request information on the State -Lead option. Pursuit of this option requires submittal of detailed financial information including recent tax returns and other IRS documentation. Please note that pursuit of an LPST number has been Answer the following question if this is an LPST case subject to 30 TAC 334 only (i.e., originally reported to agency prior to September 1, 2003, and no new release occurred after that date). Is this case eligible for reimbursement of necessary corrective actions? ❑ YES ❑ NO If not, appropriate corrective action in accordance with applicable rules and guidance may continue without specific direction or approval from the PST-RPR Section, however, coordination with PST-RPR is recommended. If the site is eligible for reimbursement, all corrective action activities, with the exception of initial NAPL recovery and emergency abatement activities, must be preapproved prior to initiation. A. Pre-existing LPST ID No.? 6/NO DYES: TION (LPST no[s].) TCEQ Region: 12 TCEQ-0621 (revised 12110/2003) - previous versions obsolete Page 2 of 8 FacilityID No.: NA Required unless one of the following applies: ❑ Check here if tank registration is not required for this site (per 30 TAC §334.7), and check one of the following as applicable: ❑ the tank(s) are partially excluded or exempted from jurisdiction under 30 TAC Chapter 334. Specify type or usage of tank(s): ❑ the tank(s) were permanently removed from the ground before May 8, 1986 (provide date of removal ); ❑ the tank(s) remained in the ground but were emptied, cleaned, and filled with inert substance before January I, 1974 (provide date of activities: ); ❑ the tank(s) were out of operation, their existence was unknown (i.e., "ghost tank"), and they were permanently removed from service within 60 days of their discovery (provide date of discovery: Describe method of discovery: Tank Owner: Citv of La Porte Tank Owner Mailing Address: Block 199 Broadway Tank Owner City: La Porte State: TX Zi : 77571 Tank Owner Contact Person: Rea an McPhail Phone: 214-676-5341 Fax no.: NA Tank Operator if different from tank owner): Tank Operator Mailing Address: Tank Operator City: State: Zi : Tank Operator Contact Person: Phone: Fax no.: Land Owner (if different from tank owner and operator): Land Owner Mailing Address: Land Owner Ci State: Zi Land Owner Contact Person: Phone: Fax no.: If this site is a pre-existing LPST site with no new release or is a new LPST site which will be subject to TRRP (30 TAC 350), which of these parties will oversee the corrective actions at this site? ❑ Tank Owner ❑ Tank Operator ❑ Land Owner ❑ Other (not the contractor or consultant): Name: Address: City: State:_ Zip: Contact person: Phone: Fax: Please note that no matter which party conducts corrective action, the tank owner and the tank operator are jointly responsible for the necessary corrective actions. Facility Name: Historical Service Station Facility Physical Address: Block 199 Broadwa —Facility City: La Porte Coun : Harris County Code see p. 8): 101 TCEo-0621 (revised 12/10/2003) - previous versions obsolete Page 3 of 8 A. GENERAL INFORMATION continued Indicate ALL tanks currently and formerly located at this site (attach pages as necessary): Type (UST/AST) Product Type Size (approx. pal) Current: Date Removed from Service Former: UST Gasoline 750 July 1.2009 UST Gasoline 750 July 1.2009 B. SUSPECTED RELEASE INFORMATION Complete only this section and sections E through G as appropriate when the situation of a suspected release has occurred and it was documented that a release had not occurred. Date suspected release discovered: Reason release suspected: Date suspected release reported to TCEQ: Reported to: Possible source(s) of release: (check all that apply) Tanks: ❑ USTs O ASTs ❑ Piping ❑ Overfills/spills ❑ Unknown ❑ Other: Type of substance(s) suspected released: (check all that apply) O Gasoline ❑ Diesel ❑ Used Oil ❑ Aviation Gasoline ❑ Jet Fuel (type: ) ❑ Alcohol -blended fuel (Type and percentage or alcohol: O Other: (be specific Were UST/AST system tank and/or line tightness tests performed? ❑ YES or O NO (check one) If yes, attach test data and results. Did the tests indicate that all tanks and piping were tight? O YES or O NO (check one) If No, specify the portion of the tank system(s) that were found not to be ti hC Were any repairs conducted on the tank system(s)? O YES or O NO (check one) If yes, describe type(s) and location of repairs: Were tightness tests performed after repairs were conducted? O YES or O NO (check one) If yes, attach test data and results. Did the tests indicate that the repaired items were tight? ❑ YES or O NO If No, specify the portion of the tank system(s) that were found not to be ti ht: Were any soil confirmation samples collected? O YES or 0 NO (check one) If yes, were all potential source areas investigated? ❑ YES or ❑ NO If samples were collected, attach descriptions of sample locations, collection methods, and laboratory results. Were any groundwater confirmation samples collected? ❑ YES or O NO (check one) If yes, were all potential source areas investigated? ❑ YES or ❑ NO If samples were collected, attach descriptions of sample locations, collection methods, aquifer name, and laboratory results. Groundwater sampling is not required at this point unless there is reasonable suspicion of impact.) TCEQ-0621 (revised 1211012003) - previous versions obsolete Page 4 of 8 C. CONFIRMED RELEASE INFORMATION Complete this section only if a release was confirmed; i.e., contaminant levels exceeded M Ls Date release confirmed: Date release reported to TCE Reported to: Is this the first release from a UST or AST discovered at this site? ❑ YES ❑ NO Is there any other contamination or potential impacts to human health from any source other than the tank systems at this site? ❑ YES ✓ NO If yes, indicate type and location of contamination: Re oned to TCE by: Representing: Method of release discovery: ❑ Samples collected during tank removal -from -service activities ❑ Impact to utility line ❑ Samples collected during other tank system construction activities ❑ Impact to surface water ❑ Samples collected during release determination investigation ❑ Impact to water well ❑ Other: Method of release confirmation: (check all that apply) ❑ Soil samples ❑ Groundwater samples ❑ Surface water samples ❑ Documentation of presence of NAPL Source(s) of release: (check all that apply) Tanks: ❑ USTs ❑ ASTs ❑ Piping ❑ Overfills/spills ❑ Unknown ❑ Other: Substance(s) released: (chcck all that apply) ❑ Gasoline ❑ Diesel ❑ Used Oil ❑ Aviation Gasoline ❑ Alcohol -blended fuel (Type and percentage of alcohol: ) ❑ Jet Fuel (type: ) ❑ Other: (be specific) Amount of product released: Chemical Abstract Service registry #: (for hazardous substances) Were any soil samples collected? ✓ YES or ❑ NO (check one) If yes, attach descriptions of sample locations, collection methods and laboratory results. Type of native soil: (check one) ✓ Clay or silt ❑ Sand, gravel or rock Were any groundwater confirmation samples collected? ✓ YES or ❑ NO (check one) If yes, attach descriptions of sample locations, collection methods, aquifer name, and laboratory results. Known Impact(s): (check all that apply) ❑ Soil ❑ GW ❑ Surface Water ❑ Subsurface Utilities - type: ❑ Buildings ❑ Water wells ❑ Other sensitive receptors: Was the land owner (if different from the tank owner) notified of the contamination? ❑ YES or ❑ NO (check one) If Yes, attach copy of the letter which provided the notification. If No, documentation that notification was provided must be submitted within 30 days from the date the impact is discovered. Possibly Threatened: (check all that apply) ❑ GW ❑ Surface Water ❑ Subsurface Utilities - type: ❑ Buildin s ❑ Water wells ❑ Other sensitive receptors: Was NAPL detected (greater than 0.01 feet)? ❑ YES or ✓ NO (check one) If yes, describe how and where it was detected, the thickness detected, and the recovery actions taken: TCEQ-0621 (revised 12110/2003) - previous versions obsolete Page 5 of 8 D. ABATEMENT MEASURES Were abatement measures initiated to stop the release or to recover the released substance? ❑ YES or ✓ NO (check one) If yes, describe the abatement and/or recovery measures taken and the dates and duration of the activities: Were UST/AST system tank and/or line tightness tests performed? O YES or ✓ NO (check one) If yes, attach test results. Did the tests indicate that all tanks and piping were tight? O YES or ❑ NO If No, specify the portion(s) of the tank system(s) that were found not to be tight: Were any repairs conducted on the tank system(s)? O YES or ✓ NO (check one) If yes, describe type(s) and location of repairs: Were tightness tests performed after repairs were conducted? O YES or ✓ NO (check one) If yes, attach test results. Did the tests indicate that the repaired items were tight? O YES or ✓ NO If No, specify the portion of the tank system(s) that were found not to be tight, E. FIRE/I'CE /OTHER OFFICIALS NOTIFIED Were any other officials notified? ✓ YES ❑ NO (check one) If Yes, indicate: Name Representing Phone number Date(s)Notified TCEO -Austin TCEO - PST Program 512.239.1000 07/01/2009 TCEO - Region 12 TCEO - PST Program 713.767.3642 07/01/2009 City of La Porte La Porte Fire Department 281.471.5020 07/01/2009 Were any directives issued by the fire or other officials? ❑ YES ✓ NO If Yes, describe directives and actions taken in response to the directive: F. WASTE DISPOSITION Indicate the status of all wastes and other materials generated: Type of waste (soil, water, product) Quantity and Units Method and location of disposal or treatment Gasoline UST (steel) One (1) 750 gallons Hauled and recycled by Derichebourg Recycling - Houston- Texas Gasoline UST (steel) One (1) 750 gallons Hauled and recycled by Derichebourg Recycling - Houston. Texas UST Wash 150 gallons Transported & Treated by Liquid Environmental Solutions - Houston. Texas Histoical Tank Fluids 1,200 gallons Transported & Recycled by US Oil Recovery - Pasadena Texas Excavated Soils 260 cubic yards Transported & Recycled by HPP - Houston, Texas TCEQ-0621 (revised 12/10/2003) - previous versions obsolete Page 6 of 8 Mercuryy Environs LLC. n V0'��. N•' E.. 6813 H ghway;225 V Deer Park TX-77536 IIl'll�� Invo USA !'lumber.. 9020772 MAR 13 2009 Invoice Date: Mar 19, 2009 Page: 1 Voice: 281-476-4534 FaX: 281-476-4406 Dupicate I/ C�. ft &r .eVY�lf l w, V42li•..t�'� R w••5 �i F'�k �`_�,«:.� t' Ai �'::�.u�r.:ri :L�cei T.•:.':.w�[q�d�<.�p.. 11 LLB. 4M Effective Environmental 2025 Turning: Basin #818 Pq: La Po I7,n/ Houston, TX 77029 '^'{EN - a- ::�{.: I 'Iw' :.1 i y., _:•S. nS:ij�' � 4"�^ :H.Aa��iF. TI.',, M�Effective_ Per. Stu McBride' '•v Net 30 Days � �''i a Y!. i .p+. ['�. � � .l_ .M-:.J 1 -t�A �' 4.!^./: C • viY i 4 py ! �y�y � � ^ . 4 - u3•. 410 L 9020112-9020132 2/6/09Is 21.00 BTEX (Rush) 90.00 1;890.00 21.00 MTSE (Rush) 15.00 315.00 21.00 TPH (Rush) 90.00 1,890.00 21.00 Moisture (Rush) 30.00. mom 3.00 PAH 225.00 675.00 Subtotal 6,400.00 Sales Tax Total Invoice Amount 5,400.00 Payment/Credit Applied Chedc/Credit Memo No: "rTQ�'/});:"� — ;:a • •,:•" - t.M:7 i li. ,;.4.r.r-"' :C.a�I�,xt!!5ob! Z9/10 39Vd A2M63W 9RVb9/6TA7.. RA:T.A RAR7./7.T/TA tiunn Sustalnablllfyaf Work 2070 Genoa Red Bluff Houston, TX 77034 1*412 Effective Environmental, Inc. 2515 South Beltline Road Mesquite, TX 75181 Account # www.npprecycles.com 281-48 - 7 T Tf Z FEB 2 4 2009 t Invoice Date,."'� _Invoice# 2/16/2009 09-8041 ----- - - - - - - Due Date --------- -- 3/18/2009, J04 H00053 :�; �, qcc. z� d •4, um e z ', �,+, .,• e .. y 5` .. a. rBlanket PO�Number �a a ,. -.' q� �� JContract Number��'yy..� v } , p... 1:M� .Fc, .4 . W:r .:'.4. us.f a , _i.-"..'• _+ .. - VIA'.,. t:..J. .... i'o s r. "i '.tts! ,J£ 38599 , ' Material Code,;, i - r Ticket Number 'r f '.,.. Qty,. 7 +' •v Rate ?: {. a ,, ,Amount �, r 2/11/2009 0405 S11029022 20 6.50 130.00 2/11/2009 0495 S11029022 1 11.00 11.00 2/11/2009 0401 S11029023 20 0.00 0.00 2/11/2009 0405 S11029025 20 6.50 130.00 2/11/2009 0495 S11029025 1 11.00 11.00 2/11/2009 0405 S11029033 20 6.50 130.00 2/11/2009 0495 S11029033 1 11.00 11.00 2/11/2009 0401 S 11029049 20 `0.00 0.00' - 2/11/2009 0405 S11029053 20 6.50 130.00 2/11/2009 0495 S11029053 1 11.00 11.00 2/11/2009 0405 S11029060 20 6.50 130.00 2/11/2009 0495 S11029060 1 11.00 11.00 2/11/2009 0401 S11029069 20 0.00 0.00 2/11/2009 0405 S11029081 20 6.50 130.00 2/11/2009 0495 S11029081 1 11.00 11.00 2/11/2009 0401 S11029084 20 0.00 0.60 2/11/2009 0405 S11029094 20 6.50 130.00 2/11/2009 0495 S11029094 1 11.00 11.00 2/11/2009 0405 S11029098 20 6.50 130.00 2/11/2009 0495 S11029098 1 11.00 11.00 2/11/2009 0405 S11029102 20 6.50 130.00 2/11/2009 0495 S11029102 1 11.00 11.00 2/11/2009 0401 S 11029103 20 0.00 0.00 2/11/2009 0405 S11029106 20 6.50 130.00 2/11/2009 0495 S11029106 1 11.00 11.00 2/11/2009 0401 S11629116 20 0.00 0.00 2/11/2009 0405 S11029118 20 6.50 130.00 2/11/2009 0495 S11029118 1 11.00 11.00 2/11/2009 10405 S11029126 20 6.50 130.00 Subtotal erms - Net 30 Sales Tax (8.25%) Total Page 1 Sustainablifty at War* 2070 Genoa Red Bluff Houston, TX 77034 "We Effective Environmental, Inc. 2515 South Beltline Road Mesquite, TX 75181 Account# Invoice 2/16/2009 09-8041 - - - - - - - - - - - www.hpprecycles.com Due Date 281-487-0766 ----------- 3/18/2009 ------------ H00053 64 -iBlank 38599 Date Wieirial'Ude Ticket. Numb&�,,'-, -Qfy' .;. �' 'Ra't*e'� 1, Amount 2/11/2009 0495 S11029126 1 11.00 11.00 2/11/2009 0405 S11029127 20 6.50 130.00 2/11/2009 0495 S11029127 1 11.00 11.00 2/11/2009 0405 S11029134 20 6.50 130.00 2/11/2009 0495 S11029134 1 11.00 11.00 2/11/2009 0405 S11029135 20 6.50 130.00 2/11/2009 0495 S11029135 1 11.00 11.00 2/11/2009 • 0405 S 1109144 20 6.56 130.00' 2111/2009 0495 S11029144 I I l.00 . 11.00 2/1112009 0405 S1.1029148 20 6.50 130.00 2/11/2009 0495 S11029148 1 11.00 ILOO 2/13/2009 0405 S11029368 20 6.50 130.00 2/13/2009 0495 S11029368 1 11.00 11.00 2/13/2009 0405 S11029439 20 6.50 130.00 2/13/2009 0495 S11029438 1 11.00 11.00 2/13/2009 0405 S11029520 20 6.50 130.00 2/1312009 0495 S11029520 1 11.00 11.00 Subtotal $2,820.00 erms - Net 30 Sales Tax (8.25%) $0.00 Total $2,820.-00 Page 2 2070 Genoa Red Bluff Houston, TX 77034 Bill To: H00053 Effective Environmental, Inc. Mesquite, TX 75181 P.O. No. 38599 Invoice Backup Report Date Invoice # 2/16/2009 Attached 02/11/2009 01844 S11029022 Soil-2 0405 Y 20.00 6.50 $130.00 TxDOT Analytical Fee 0495 F 1.00 11.00 511.00 02/112009 01845 S11029023 Clean Concrete 0401 Y 20.00 0.00 $0.00 02/112D09 01844 S11029025 Soll-2 0405 Y 20.00 6.60 $130.00 TxDOT Analytical Fee 0495 F 1.00 11.00 $11.00 02/11/2009 01844 S11029033 Soil-2 0405 Y 20.00 6.50 $130.00 TxDOT Analytical Fee 0495 F 1.D0 11.00. $11.00 02/11/2009 01845 S11029049 Clean Concrete 0401 Y 20.00 0.00 S0.D0 02/11/2009 01844 S11029053 Soil-2 D405 Y 20.D0 6.50 $130.00 - T%DDT Analytical Fee 0495 F 1.00 11.00 $11.00 02/11/2009 01844 S11029000' Soil-2 0405 Y 20.00 6.50 $130.00 TOOT Analytical Fee 0495 F 1.00 11.00 $11.00 02/11/2009 01845 S11029069 Clean Concrete 0401 Y 20.00 0.00 S0.D0 02/11/2009 01844 S11029081 S011-2 0405 Y 20.00 6.50 $130.00 TxDOT Analytical Fee 0495 F 1.00 11.00 $11.00 02/112009 01845 S11029084 Clean Concrete 0401 Y 20.D0 0.00 $0.00 02/112009 01844 S11029094 Soil - 2 0405 Y 20.00 6.50„ - S130.00 -TxDOT Analytical Fee 0495 F 1.00 11.00 $11.00 02/112009 01844 S11029098. Soil - 2 0405 Y 20.00 6.50 , $130.00 TOOT Analytical Fee 0495 F 1.00 11.00 $11.00 ' 02/11/2009 01844 S11029102 Soil-2 0405 Y 20.00 6.50 $130.00 - TOOT Analytical Fee 0495 F 1.00 11.00 - $11.00 02/112D09 01845 S11029103 Clean Concrete 0401 Y 20.00 0.00. $0.00 02/112009 01844 S11029106 Soil-2 0405 Y 20.00 8.50 $130.00 TxDOT Analytical Fee 0495 F 1.00 11.00 $11.00 02/112009 01845 S11029116 Clean Concrete 0401 Y. 20.00 0.00 $0.00 02/112009 01544 S11029118 Soil-2 0405 Y 20.00 6.50 $130.00 TOOT AnalyOwl Fee 0495 F 1.00 11.00 $11.00 02/112009 01844 S11029126 Soil-2 0405 Y 20.00 6.50 $130.00 TOOT Analytical Fee 0495 F 1.00 11.00 $11.00 02/112009 01844 $11029127 Soil-2 0405 Y 20.00 6.50 $130.00 TxDOT Analytical Fee 0495 F 1.00 11.00 $11.00 02/112009 018" S11029134 Soil-2 D405 Y 20.D0 6.50 $130.00 TxDOT Analytical Fee 0495 F 1.00 11.D0 $11.00 02/112009 01844 S11029135 Soil-2 0405 Y 20.00 6.50 $130.00 TxDOT Analytical Fee 0495 F 1.00 11.00 $11.00 02/11/2009 01644 $11029144 S011-2 0405 Y 20.00 6.50 $130.00 TxDOTAnaytiwl Fee 0495 F 1.00 11.00 $11.00 02/112009 01844 S11029148 Soil-2 0405 Y 20.00 6.50 $130.00 TxDOT Analytical Fee 0495 F 1.00 11.00 $11.00 02/132009 01844 S11029368 Soil-2 0405 - Y 20.00 6.50 $130.00 TxDOT Anaytical Fee 0495 F 1.00 11.00 S11.00 02/13/2009 01844 S1102943a Soil-2 0405 Y 20.00 6.50 $130.00 TxDOT Analytical Fee 0495 F 1.00 11.00 '$11.00 02/132009 018" S11029520 S041-2 _0405 Y 20.00 6.50 $130.00 TxDOT Analytical Fee 0495 F 1.00 11.00 $11.00 Sultltotal $2,820,010 281-487-0766 www.hpprecycles.com Sustainablitty of Work 2070 Genoa Red Bluff Houston, TX 77034 Bill To Effective Environmental, Inc. 2515 South BeItline Road Mesquite, TX 75181 Account # ppY rec cles com wvvvw.i i 281-48iffn FEB242C Invoice 1 2/16/2009 1 09-8041- j ---- D-JE3a-, ----------- 3/18/2009 F100053 1W6 er BQke1.PCNumb ,,'!wContract1N(j 38599 --Wgter61-c6d ,'' `Ticket �unber�:," Rate jjAro A , -u 2/11/2009 0405 S11029022 20, 6.50 130.0V 2/11/2009 2/11/2009 0495 0401 S 1102:022 S1102 023 11 20 11.00 0.60 11.00 0.00 2/11/2009 0405 S11029025 20 6.50 130.00 2/11/2009 0495 S11029025 go I I * 00 11.00 2/11/2009 0405 S11029033 20 6.50 130.00 2/11/2009 0495 S11029033 IVA 1 11.00 IL-00 2/11/2009 0401 S11029049 20 0;00 0.00 2/11/2009' 0405 S11029053 io 6.50 130.00 2/11/2009 0495 S11029053 1 11.00 11.00 2/11/2009 0405 S11029060 20 6.50 130.00 2/11/2009 0495 S11029060 1 D 11.00 11.00 2/11/2009 0401 S11029069 20 0.00 0.00 2/11/2009 0405 S11029081 ;0 6.50 130.00 2/1112009 0495 S11029081 1 11.00 11.00 2/11/2009 0401 S11029084 20 0.00 0.00 2/11/2009 0405 S11029094 26 6.50 1301.00' 2/11/2009 0495 S11029094 1 11.00 11.00 2/11/2009 0405 S11029098 20 6.50 130.00 2/11/2009 0495 S11029098 1 11.00 11.00 2/11/2009 0405 S11029102 20 6.50 ✓ 130.00 2/11/2009 0495 S11029102 1 11.00 11.00 2/1112009 0401 S11029103 20 0.00 0.00 2/11/2009 0405 S11029106 20 6.50 130.00 2/11/2009 0495 S11029106 1 11.00 11.00 2/11/2009 0401 S11029116 20 0.00 0.00, 2/11/2009 0405 S11029118 20 6.50 130.00 2/11/2009 0495 S11029118 1 11.00 11.00 2/11/2009 10405 IS11029126 1 201 6.50 v' .130.0,01 1 Subtotal erms - Net 30 Sales Tax (8.25%) Total Page 1 Unn Sustainablifty at Work 2070 Genoa Red Bluff Houston, TX 77034 Effective Environmental, Inc. 2515 South Beltline Road Mesquite, TX 75181 Account # H00053 Invoice I Date ;.k",nvoice #. 2/16/2009 09-18041 r- - - - - - - - - - - www.hpprecycles.com Due Date 281A87-0766 r ----------- I 3/18/2009 ------------ E ftnketjPO,Nurnber,:. !.�,�'*..1�'��Contract 'Number 38599 Mater6l Code 'Tic�&t y .1, 'ate Amount 2/11/2009 0495 S11029126 1 11.00 11.00 2/11/2009 0405 S11029127 20 6.50 130.00 2/11/2009 0495 S11029127 1 11.00 11.00 2/11/2009 0405 S11029134 20 6.50 130.00 2/1112009 0495 S11029134 1 11.00 11.00 2/11/2009 0405 S11029135 20 6.50 130.00 2/11/2009 0495 S11029135 1 11.00 11.00 2/11/2009 0405 S 1109144 20 6.50 -1 130.00 2/11/2009 0495 S1.1029144 1 11.00 11.00 2/11/2009 0405 S11029148 20 6.50 130.00 2/1112009 0495 S11029148 1 11.00 11.00 2/13/2009 0405 S11029368 20 6.50 130.00 2/13/2009 0495 S11029368 . 1 11.00 11.00 2/13/2009 0405 S11029438 20 6.50 130.00 2/13/2009 0495 S11029438 1 11.00 11.00 2/13/2009 0405 S11029520 20 6.50 130.00 2/13/2009 0495 S11029520 1 11.00 11.00 Subtotal $2,820.00 erms - Net 30 Sales Tax (8.25%) $0.00 Total 4V,820.00; Page 2 -•. / 7l1 l 20701Genoa Red Bluff Houston, TX 77034 Bill To: H00053 Effective Environmental, Inc. Mesquite, TX 75181 P.O. No. 38599 Invoice Backu Re ort' Date_ Invoice#' 2/16/2009 Attached Job Number -Ticket No. rtwmcrintlon Material Code [Mit U Cft - RAI 2- Amou nt 02/11/2009 01844 S11029622 Soil-2 0405 Y 20.00 1 6.50 . $130.00 .. TxDOT Analytical fee 0495 F 1.00 11'.00 $11.00 02/11/2009 01845 S11029023 Clean Concrete 0401 Y 20.00 0.00 $0.00 02/11/2009 01844 S11029025 Soil-2 0405 Y 20.00 6.50 $130.00 TOOT Analytical Fee 0495 F 1.00 11.00 311.00 02/11/2009 01844 S11029033 Soil-2 0405 Y 20.00 -6.50 $130.00 TxDOT Analytical Fee 0495 F 1.00 11.00 $11.00 02/11/2009 01845 S11029049' Clean Concrete 0401 Y 20.00 . 0.00 $0.00 02/11/2009 01844 S11029053 Soil - 2 0405 Y 20.00 6.50 $130.00 TxDOT Analytical Fee 0495 F - 1.00 11.00 $11.00 . 02/11/2009 01a44 S11029060 Soil-2 0405 Y 20.00. 6.50 $130.00 TxDOT Analytical Fee 0495 F 1.00 11.00 $11.00 - 02/11/2009 01845 S11029069 Clean Concrete 0401 Y 20.00 0.00 $0.00 02/11/2009 01844 S11029081 Soil-2 0405 Y 20.00 6.50 5730.00 TOOT Analytical Fee 0495 F 1.00 11.00 $11.00 02/11/2009 01645 S11029084 Clean Concrete 0401 Y 20.00 0.00 $0.00 02/112009 01844 S11029094 Soil - 2 0405 Y 20.00 6.50 2130.00 . . TxDOT Analytical Fee 0495 F 1.00 11:00 �� $11.00 7 02/11/2009 01844 S11029098 Soil-2- 0405 'Y 20.00 6.50 $130.00 -' TxDOT Analytical Fee 0495 F 1.00 . -11.00 $11.00 02/112009 01a44 S11029102 Soil-2 0405 Y 20.00 8.50 $130.00 TOOT Analytical Fee 0495 F 1.00 11.00 $11.00 ' 02/112009 01845 S11029103 Clean Concrete 0401 Y 20.00 0.00 $0.00. 02/11/2009 01644 S11029106 Soll-2 0405 Y 20.00 6.50 $130.00 TOOT Analytical Fee 0495 F 1.00 11.00 $11.00 02/112009 01845 S11029116 Clean Concrete 0401 V 20.00 0.00 $0.00 02/11/2009 01844 S11029116 Soil-2 0405 Y 20.00 6.50' $130.00 TxDOT Analytical Fee 0495 F 1.00 11.00 $11.00 02/11/2009 01844 S11029126 Soil-2 0405 Y 20.00 6.50 $130.00 T%DOTAnalytical Fee 0495 F 1.00 11.00 $11.00 - 02/11/2009 01844 S11029127 Soil-2 0405 Y 20.00 8.50 $130.00 TXDOT Analytical Fee 0495 F 1.00 11.00 $11.00 02/112009' 01844 S11029134 Soil-2 0405 Y 20.00 6.50 $130.00 TxDOT Analytical Fee 0495 F 1.00 11.00 $11.00 02/112009 01644 S11029135 Soil-2 0405 Y 20.00 6.50 $130.00 TxDOT Analytical Fee 0495 F 1.00 11.00 $11.00 02/112009 01844 S11029144 Soil-2 0405 Y 20.00 6.50 'S130.00 TxDOT Analytical Fee 0495 F 1.00 11.00 $11.00 02/11/2009 01844 S11029148 Soil-2 0405 Y 20.00 6.50 $130.00 TxDOT Analytical Fee 0495 F 1.00 11.00 $11.00 07J13/2009 01844 S11029368 Soil-2 0405 Y 20.00 6.50 $130.00 TxDOT Analytical Fee 0495 F 1.00 11.00 $11.00 02/13/2009 '01844 S11029438 Soil-2 0405 Y 20.00 6.50 $130.00 TOOT Analytical Fee 0495 F 1.00 11.00 $11.00 02/13/2009 01844 S11029520 Soil - 2 0405 Y 20.00 6.50 $130.00 TOOT Analytical Fee 0495 F 1.00 11.00 $11.00 Sub I $2,820.00 281-487-0766 www.ppprecycles.com 'NAS1E NANAr,En\ENT Waste Management of South Texas Coastal Plans Landfill 1901 Alton St Houton TX 77055 (713)423-1793 Click here to pay!I INVOICE MAR 2 3 2009 Account Summary Description Amount Previous Balance 7,301.83 Total Credits and Adjustments 0.00 Total Payments Received 0.00 Total Currant Charges 2,485.59 Total Amount Due - 9,787.42 Total Amount Past Due 7,007.33 Service Period: 03101109 - 03115/09 Description Amount Landfill 2,485.59 Total Current Charges 2,485.59 If full payment of be invoiced amount is not receillied within 30 days of the invoice date, you will be charged a monthly late fee of 1.5% of the unpaid amount, with a minimum monthly charge of $3.00, or such lesser late fee allowed under applicable law, regulation or, contract. For each returned check, a fee will be assessed on your next billing a Ual to the maximum amount permitted by applicable state law. Customer: Account Number. Invoice Date: Invoice Number: Due Date: WM ezPay Account to: Page 1 of 3 EFFECTIVE ENVIRONMENTAL INC 216-0000993-1073-2 031162009 0022431-1073.7 Due Upon Receipt 00006-77205-83001 Current Invoice Amount Total Amount Due 2,485.59 1 9,787.42 Failure to pay this balance could necessitate further collection action. Please process your payment in full today. IN ORDER TO REDUCE PAYMENT PROCESSING TIME. PLEASE SUBMIT YOUR PAYMENT TO THE ADDRESS LISTED ON THE PAYMENT COUPON „n wg Want to pay this bill on-line? 6o to www.wm.com to learn more about WMezPay and make a convenient. Secure payment. Current Due Over 30 Overgo overgo Over 120 Total Out 2,780.09 3,099.77 3.209.40 693.15 0.00 1 9.787.42 OOP y �r �a f'ati to Sj>7x iv �KbRe- � i S top Ate- .W.l a, is Sviah Taaaa Coss Neon l ' I901 Mlon al lio,alon TX 71055 1713)421179] W Learn hwv.e TM7a Groh v....wm,GMNinhpram Doeun EFFECTIVE ENVIRONMENTAL INC 2515 S BELTLINE RD MESQUITE TX 75181-2015 Payment Coupon Plea" detach and inclose this Your Account Number portion wRh your Payment - do not 2164000993.1073.2 send cash. Invoke Data Your Invoice Humpar O311612009 0022431.1 p7]-] D. Oats Trial Due Amount Paid Due Upon Receipt 9.787.42 107321600.90993000224310000024855900000978742 8 1, Waste Management Coastal Plains Landfill PO Box 660345 Dallas, TX 75266 Weaia Marupwnenl rlaPEuces WM erPgn Pey your WM all PM1aM� ...-.. run. To Pay yPYI mai[a P M Wall 66s9I-2729. n 860.9fM-2]29. Front et -en -flat' collection 7o r'.r[p-irotirnelilul protection, p 67720.N]001 Think f reen.,Think Waste. Alantr,,rment FOR CHANGE OF ADDRESS OR ANY SERVICE ISSUES CONTACT NUMBER ON PAGE 1 Page 3 or 3 Customer: EFFECTWE .vas STE Ana nlafiE4d E1YT ENVIRONMENTAL INC Waste Management of South Texas Account Number. 216-0000993-1073-2 Coastal Plains Lenore Invoice Date: 03/162009 1901 Anon St Invoice Number: 0022431-1073.7 Houston TX 77055 Due Date: Due Upon Receipt WM ezPay Account 10: 0000677205-83001 Service Location: 216-993 EFFECTIVE ENVIRONMENTAL INC 2025 TURNING BASIN DR STE 800 HOUSTON TX 77029.4039 Date Ticket Description Quantity U/M Rate Amount MANF#: 000863222 .t SOIL CLASS 1 'K1O " V 8.01 TON 38.00 304.38 GNRTR:HO-CHE lI e TEXAS FLOW FEE FLAT LANDFILL 8.01 TON 48.06 48.06 GNRTR:HO-CHE ENVIRONMENTAL FEE (LARGE LOAD) 1.00 LOA 8.00 8.00 FUEL SURCHARGE 1.00 PCT 7.84 7.84 Ticket Total 368.28 03/06/09 884865 VEH#:501179 MANF#: 000863219 ASBESTOS CLASS 1 NON-IND 25.00 YDS 9.00 225.00 �O GNRTR:HO-CIT D TEXAS FLOW FEE FLAT LANDFILL (1 '` U 25.00 YDS 6.25 6.25 GNRTR:HO-CIT 1VL_T, ENVIRONMENTAL FEE (LARGE LOAD) 1.00 LOA 6.00 6.00 FUEL SURCHARGE 1.00 PCT 5.80 5.90 Ticket Total 243.05 03/O6/09 884914 VEH#:792 MANF#: 000863249 SOLIDS CLASS 1 ��V 40.00 YDS 36.00 1,440.00 GNRTR:HO-DRC FUEL SURCHARGE 11.00 PCT 36.34 36.34 TEXAS FLOW FEE FLAT LANDFILL 3.46 TON 20.78 20.76 GNRTR:HO-DRC ENVIRONMENTAL FEE (LARGE LOAD) 1.00 LOA 8.00 8.00 Ticket Total 1,505.10 03/12/09 885836 VEH#:501179 SOLIDIFICATION 10.00 EAC 25.00 250.00 MINUIMUM SERVICE SPECIAL WASTE 10.00 YDS 100.00 100.00 GNRTR:HO-GUL FUEL SURCHARGE 1.00 PCT 8.66 8.66 ENVIRONMENTAL FEE (LARGE LOAD) 1.00 LOA 8.00 8.00 TEXAS FLOW FEE FLAT LANDFILL GNRoUL 10.00 YOS 2.50 2.50 4 ��^(J tal h-` Tickett Total 369.18 ^ 0.00 Total Current Charges 2,485.59 raw eeerpdgp cr/llecliun rrr em•irartnmrrlal protection. Think Green.=Think Wa.sre:l9anageneenr FOR CHANGE OF ADDRESS OR ANY SERVICE ISSUES CONTACT NUMBER ON PAGE 1 Coastal Plains Landfill Original Alvin East Highway 6 Tickets 884865 Alvin, Ts, 77311 sa•n r,awrranwe Ph: (281)388-1708 Customer Name EFFECTIVEENV EFFECTIVE ENVIRO Carrier EFFECTIVE ENVIR0 EFFECTIVE ENVIK Ticket Pate 01186/20Q9 Vehicle* 50I1792 GaY•ent Type G•edit Account Container Volume Manual Ticket* Driver Hauling Ticket* Checks Route Billing * 0000993 State Waste Code CESO4062 Gen EPA ID CES06 Manifest 080863�19 Grid Destination PO Profile CPIL1921TX (Crushed Fuel Tank) Generator 110-CITYOFLAPORTE City of Laport - Intersection of Broadway 1 Main Time Scale Operator Inbound Gross 369EB lb In 03/06/2009 10:45:12 Inbound CAROLYN Tare 34540 lb Out 03/06/2009 11114151 Outbound 322 din Comments YSFs 24q.l4 Product Monday -Friday 8:60AM- 3100PM, Saturday 7:00AM-3:60PM LD% I CI Asbest Non -Intl- 100 2 FUEL -Fuel Surcharg I00 3 EVL-Env Fee Lg. - 10e Oty UDM ------------ 25.00 Yards x 1 Load Rate Fee Amount Total Fees Total Ticket Origin certify that my coot d.lner is RC TRc 335.12(c)(1)( Empty according to 40 CFR 261.7(b) in compliance with fG4�// / •iver's Signature 1 L La ER_ Soi�7S� ilwssPN os.c ••�„^ RO..x111Rb NillxpklgR➢S.,Yr.l OfWfkitlua URxOM IyUROM 1.6 RlNap. x. la )ENr�q RWar 14.. WmrRpOn1. U19 Ul.x 1 R MAWEV ;; ESQO I CESQO 972a29-12oo 0t7219 G B F of u Pote fe7ifYsb*Anw 0 mawjmdN dxW ROS W. P\E..aw Pr Y. V PI R 77571 Effoctiw Envjr mnhl, tm. .wwrxOAq x.r. x MYp Msr tla6. d P 100D Ea modal OYn ROF u s sine wrav W,. l% ]xel l Rrr4 R)1: MxR1 F.W. wa. r p.Ulo c.y.,,Prtl.,oiro. r{ppMiN.Mu..p¢owv, w NP.by(p N+\S r r,r. m..y Nnb 1MMnpbxw ms,rlsilm.beter{pa tiofq,.. CES04062 Y OO� .1?7 x OI: OUM brpia boR (K;f`?.f llp2lTi) w. ili 5151191 11 1011'1, El III rc ri.ga.tlr. Marmwdw wuwlWdO.uiYLww\aNP>niv rLub m\11..i.. xFdc..a.\.vYY.N.INRrr O,PN...\. r,w do+f.C.ysLpq fgo\r.10r1NNmvYtlN r.Pr.ra \..e.bd�In.rWiP.N...rnVw�.. i\jel.... e11�NIN.x EPAAA I (.11.fINdNwflYn...�tlyrW �YCwIlN 11y.�N ��dGY.l �i.l r4i.>•M1 Fn.CIo m.y.Ai \.u. W� nv.W ❑dp.,eu s. ❑E.olbu.. a � rr u..nn,.em�.a..+aR++duaer m\+aous i � : / i T : �C��!'ia� �✓ .' / mil+ G' N. f1. 0.Nr..ryNmspo ❑O.nR ❑TW OR ❑raVRTb ❑ru Ry ws �f.dr,w V.e, Mu...\4beu rs.r Uf.fNll MnOtl di ,1 Mums'/+..rR[<n..a+�n.a...I.Yfm.p..ms.b W.barYY�blt lFW W "rYMAiI Z Ol: MR x l mo..sr iahwaQ.w:ri�m.d.oadlcuo..sara+.f4b++. �y�mw:rw Pit BUF..sx------ R&S Tank Service, LLC. 1006 N 6th Street Conroe, Texas 77301 Bill To Effective Environmental, Inc. 2515 S. Beltline Road A Mesquite, TX 75181 Il.l fol FEB 19 2009 II1 Ship To Invoice Date Invoice # 2/18/2009 283 City Of La Porte 199 or Main La Porte, Tx �o/JJhI -'ll/J//'',I)j P.O. Number Terms Rep Ship Via F.O.B. Project 2/18/2009 Quantity Item Code Description Price Each Amount 0.5 Day Charge Day charge for UST consultation services 500.00 250.00 02/042009 - Arrive on site 12:00pm I Day Charge Day charge for UST consultation services 500.00 500.00 02/052009 - On site all day 6.5 Day Charge Day charge for UST consultation services 500.00 250.00 02/062009 - On site until 11:00 1 Day Charge Day charge for UST consultation services 500.00 500.00 02/072009.On site all day Total s1,500.00 M T I Services LLC 2150 Pansy Street Pasadena, TX 77503 11an Effective Environmental 2025 Turning Basin Suite 800 Houston, Tx. 77029-4052 `u Fc3 2 5 2009 Invoice Date Invoice # 2/11/2009 2074 Main &Broad y 1-a Pone, T r Q v l ,,, i Y / MTIS Job No. P.O. No. Terms Due Date Rep 08-1113 38599 Due on receipt 2/11/2009 RR Description Oty Rate Amount On 02-09-09 a service call was completed at this site to clean USTs, fiberglass tank, roll off boxes - Air Mover, operator, fuel and hoses 1 1,395.00 1,395.00 Site Supervisor - hole watch 6 38.00 228.00 Confined space technician 6 38.00 228.00 Pickup �1 Gloves, Tyvek suits, PPE, etc. /' 6 I I5.00 50.00 90.00 50.00 Thank you for your business. Total $1,991.00 Tel:713-947-1510/800-834-3861 Payments/Credits $0.00 Fax:713-947-1529 Balance Due $1,991.00 Order #: 38599 Straight Bill Eflading-Short Form -Original -Not Negotiable - Effective Environmental, Dallas 972-329.1200 NAME OF CARRIER: CARRIER NUMBER: Pickup DATEITIME: ZONE: Effective Environmental, Inc. - TXCESQG TX-87158/AR-H-1361 2/12/2009 12:00 AM TH21 FROM: SHIPPER (ORIGIN) TO: CONSIGNEE City of La Porte (1001735) Waste Management - Coastal Plains RDF 604 W. Fairmont Parkway 21000 East Highway 6 La Porte, TX 77571 Alvin, TX 77511 281.470.5065 ATTN: Reagan McPhail Site Address: MAPSCO: PO #: DELIVERING CARRIER: Effective Environmental, Inc. `-' PICKUP ITEMS --' # PACKAGES +HM KIND OF PACKAGE, DESCRIPTION OF ARTICLES, SPECIAL MARKS AND EXCEPTIONS 1 CM ❑ - Crushed fiberglass tank P2F_ P3F_ MDF_ SDF_ (4000Y) Non -regulated material (crushed fiberglass tank) RB/Tote#: , RB/Tote#: ,RBITote#: RB/Tote#: , RBlrote#: , RBITote#: ' PICK UP INSTRUCTIONS TO DRIVER WO for La Porte, TX Tank Removal Contact: Reagan McPhail City of La Porte 604 West Fairmont Parkway La Porte, Texas 77571 pw/c DN - DELIVERY ITEMS - uen +HM KIND OF PACKAGE, DESCRIPTION OF ARTICLES, SPECIAL MARKS AND EXCEPTIONS 1 91007-001 - Transportation ( Legacy #:) 1 75100.001 -Service Labor( Legacy #:) Trans Note: PICK UP ON -TIME: 7YES TIME IN: NOTES: 24 HOUR EMERGENCY CONTACT 972.329-1200 NO DELIVERY ON -TIME: EIYES TIME OUT: TIME IN: ❑ NO TIME OUT: PLACARDS SUPPLIED: 7YES ❑ NO DRIVER SIGNATURE: ❑ C.O.D. FEE: ❑ Prepaid ❑ Collect REMIT C.O.D. TO: Effective Environmental, Inc. - Dallas C.O.D. Amt $ : Total Charges $: Shlp .I btl bbthb b both• ohbpbpeM,rgwq drvrM. Nohppbl,x ,lh Wydegxetlrti gM.ofp .Mdg l. kry xbx Oydemlbtle by p,opx 11001. eM xegrF .p .p-d, r„xketl xtl Ybel-dlpkad "r. b M� to MM mrtllbnbVxxpp,l by hbhw xmdit bFlxnbwxl xttl ntlorul po1'xgrtl Iep,Iblprll, kclthv pgkF.xxe moitob,n. II tww* tlowYJ,x u1W oll. xldrrxp reYtM pbdt9F M tlOgtnpq MI M m,MExxI • Non Nbatdgb Sp dM WYN MYlreq. 1, r pgwbglb,ppx h rMy oNy b IM bpb o1 roy bWeCpe, tlth oonlpxry Ixe1y dor M pwwNl+wrN tlul roub rqY� bMYbal of • Spegb WttYe DYyrd Fob. MltlJon*. upon pw,xkp c,N x .I MI may EJ1tl En*onu,titl, I., xb xtlxN A brnc. FWr., tloii l Y nq dWpbled • hballou vab Dy USmA or Fpclotlb p ii,ti by pvewi to 11 R . dow I oo� Poll. Wp by TWA, r M 7tl1.,4,epohl„p pi, I hxpby of tl tlW tlb egtrU e11Nu dMNxy hm brn re In rF' pool gtlx unbr ghxMr "W. Now, I xtlb, my oon,pny hm'tied b rn .. FJIxIM FSKvnrMK In[ rmnikb b tlx rMr rYbINFd by pbtFtkkri x ghxwdtlr mtggcicbbn F�Mn b FFklrytlir amWtlbn wt rrrl b tlb rxun MmtlxlW rtuplea k! dkprY q tlb rgdwbd pbtlu> dWxed. Fxly Qxw x Oprbx: Dedaetlen q reuk� gnWxkpl mvgtl W tlL e0 el L�Ehb rrp r aV,xv.W nqM. us. on:averlrat 400 N. Richey Pasadena, Texas 77506 (713) 473-0013 (713) 472-5668 fax Sold To: Effective Environmental 2515 SouTH Beltline Road mesquite, TX 77581 FEB 2 4 2009. Invoice Invoice Number: 32105 Attenti on: Accounts Payable: Warren Roberson 972-329-120 QO g5Ya a� Invoice Date: Feb 12, 2009 Page: 1 -.Customer ID -, Customer PO Payment,Terms Effectve.Environmen i Net 30 Days Contract No: Shipping Method Ship Date Due Date US Mail 3/14/09 Quantity Item Description Unit Price Extension 1,000.00 City of LaPorte - Non -Regulated 0.16000 160.00 material (sludge) - Manifest # 000828971GBF ' 3,000.00 Manifest # 000828973GBF 0.16000 480.00 1,000.00 solids surcharge on manifest # 0.10000 100.00 000828971GBF - 10% Solids. 3,000.00 solids surcharge on manifest # 0.10000 300.00 000828973GBF - 10% Solids Total Invoice Amount 1040.00 Please'Send Remittance to: -US Oil Recovery LLC Late Fee if Paid After M 4/69 400 N.Richey Street Pasadena, TX 77506 Total Amount Due if Paid After DUe.Date .. 1,040.00 A late charge of 5% wi 11 be applied to all past due balances. 11109100,111 01-10111 .011110 18110 all 114111 fill 118811 gum /111100111 1011.01100111112 1Bill laoll 118111 uplol 18110 111 fool Order M.3809 Please print or type (Form desil)ned f6r use 64 elite (I 2-pitch) typewriter.) ENVIROPIMCNTA]. Form Approved. OMB No. 205O-W39 1. Ge.1 nerator to Number UNIFORM,MMMOUS . ... 2.'Pno 1 of 3. Emergency Response Ph" 4. Manifirst Tracking Number DUD 828973GBF WASTE MANIFEST, I !. TiCESICIG / CESQG 972-329-1200 5. Generator's Name and Melling Address Genertoof's SRO Address (it different am mating addiess) Oily of La Porte 604 W. Ffilrintrond Parkway Lo Porte, TX 77571 Generators Phors: yti t7n ;Pn,; ftTXNI- P,,g,n ilf!�Phqll 6. Traresip" I, Coqmny Name U.S. EPA ID Number Ping: 972-320-430' Effective Environmental. Inc. 94681AR it 4964 IR 7. Transporter 2 Company Nam U.S.EPA IDNumber. 8. Designated Facility Name and Site Addrast U.S. EPA ID Number . US 01I.Recovery LP 400 North Richw Street State IDP. 52123 TXR000061 540 Pasaderial TX 77506 Fall l Is Phone:.7 9,. i a 41 9b. U.S. DOT Description @dudsng Proper Shoping Name, Hazard Class, ID Numm, 10.Con 11.110121 12, Unit 13. Waste Codes No Type HM and Pac" Group (d 8")) 0111111111ty' NM. i. Non-Frigulated piateiial (sludge) PT . GESQ6951- A I G' Z 2. 3. 4. 14. Special Handling Instructions aid Additional Inlonnation Boo, 01: Tank sludjiti (PF:0902-2334) 17229 15. GENERATOR'SIOFFEROR'S CERTIFICATION: I twebly declare that ft contents of M consignment ant fully and accurately described above by are proper slipping name, and fee classilled, packaged, marked anil WrelodfAacarded, and are In al respects in prow condition for.trAsport acoxcing to applicable interrurtiotral and rudional governmental regulations. It export sidparent and I = the Primary Exporter. 1.6artry, tual the coments, of this carsifirment conform to the femme of M aftad*d EPAAdvowledgmtolConsen I comfy ftl the vests minimization statement Identified In 40 CFR 262.27(a) (if I'am a large quantity generator) or (b) Vil ortil X& quarAltrigeperator) is we. Ionth Day Year rQle signature Month Z4 ZWI�k ? At) 1 1:1 Import to U.S. El Export from ua`� Pod o'fentry/eAt: Transport& signature (for exports only): Date leaving U.S.: CA: 17. TransporterAdweledgimm of Receipt of Materials 0 Transporter I Pdn*nyped ture Month Day Year la-(L Is. w 6 1 ;;� K; 167 Transporter 2 Pri ntWTyped Name Signature Month. Day Year rz 18. Disomponq fee. Dectirparcy lrdCffe)n Space ❑ Quantity❑❑Residue El Porter Rejection ❑ Full ftelecdow, Mardlest Reforencet Number, 18b. Alternate Facility (or Cienerstor) U.S. EPA ID Number Zi LL FeciflYs Phone: ,u 1 f1c. Signature of Alternate Facility (w Generator) Month Day Year 19. Hazardous Waste Report Management Metlocl Coda Va., coda Im hazardous waste interment, d4osal, and recycling syshwrm) 1. P I?j 2. 1 1. 3. 4. 'TO. Designated Facilky owner or operator. Certification of receipt of hazardous materials wveW by Bs mended except as riled In Item I Be 1 721 Day Year MypefdNamrf S"'un, / EPA Form 8700-22 (Rev. M5) Previous editions are obsolete. DEMHATED FACUTYTOGENERATOR 181,111, 17115111111111011111111110 031011 - 31 - 1311111111111111 I8t!) 11914 11111111111.51 igloo III foul E ... ..... . rder 38599 NVJfl!0NMFrrPAL Form Awroved. OMB No. 2050-0039 I. GenemtcWID Number UNIFORM 4AZARDOUS 2. E, TBTNc Response Phone 4. Manifest Tracking Number 0.0 0828971 GBF •':WASTE MANIFEST TXCESQG /:CESQG 972-329-121 5. Ckineratoes Nam and Nailing Address, Gemmbrs Site Address l(if different than mailing La Porte... CRY of ... . .. . ....... U� .1—, ... ... Gine�t;�s Phone-' K" 6 Transporter I Company N D, Number �R iLvokawd blvif i -j y US.E PID NumbTTw ompim Name' ' �.., 8. Designated Facility Nam and Site Address U.S. EPA ID Number US Oil RocoverV LP .400 North Richav Street State ID#: 521123 Pvlibtdana� TX 77506 TXR.0.009.61 640 ?1b. U.S. DOT Descriptim (incWhV Pmper Shipping Name, Hazard Class, ID Number, 10: Containers Ii.-Total Q. Uph 13. Waste Codes, Mo. iType !HM and PaiWng Gmp Of any)) N amity, od I reg! ed niatediii a Es 1 , N nn RC G z 2. 3. Z E .14.-§p "let Hantllllg ajAd,1 on, I P 0 i"Yf. r fe 15, GENERATOR'SlOFFEROR'S CERTIFICATION;' I thereby declare that the contents of M omsignmerit are fully and accurately descrbed above by the proper shipping name, and am dessified packaged marked and labelediplacarded, and are in all respects in proper condition for transport ao=d1rg to applicable International and national governmental regulations. It expon'shilpment and I am the Primary Exporter, I 6edly that the contents of this consignment conform to the tams of the attached EPA Acknowledgment ofe sent. cenity,thidthewaste minimizabon staternen(ldentilled ln4OCFR262.27(a) (II lam a [a Rltam.advna I quantity Wimatow) is true. a Month Day .qYear . /r5 �'Cy 16. International Shipments 0 I.PDM 11 U.S. ❑ Export Im. Pon of entry/exit Transportaw signature (for exports orily): Date leaving U.S.:. 17. TrampXterAcluvwledgment of Receipt of Materials cx Tramporter I Pdntedfryped N Signature Month Day Year. 0 m z Tmnsporter2l�WWTYPWNuIM 'j, Signatured., Month - Day., - . Ydar, ::z '4��o f 18: 11 IMicaUan Spate ,Efl angry . 1❑,., -Y fh &Aue - ype� ❑ RPirilalRejection-." Manifest Reference Number. —1 So —Altemate Facility (or Generator) U.S:EPA 10 Number LL Facilltys Phone: IkS�RAlternate Yean. z 19. Hazardous Waste Report Management Method Codes (i.e., codes V hazardous waste treatment, disposal, and recycling system) 2. 3. 20. DesiIiiiateil Fa ofty OwnercrOperator' . Cerfilication of receipt of hazardous materials cornered by the manifesex6epilas noted in Itemllia o - Prin yped nature, V - Month- 'Day. Year ;,cj; J1 r ?v Z4 ERA22(Wv.`M!i)oPmYiW—s adillon's-a—re' obsolete .-, Mercury Environ, LLC 6913 Highway 225 Deer Park TX 77536 USA Voice: 281-476-4534 Fax: 281-476-4406 ,Effective Enyironmental 2025 Tuming Basin #818 Houston, TX'77029 71 0� MAR 13 20H J Invoice Number. 9020209 Invnir:P Date, Feh 20 ?nna Page: Dupycats W. . .. ... ..... ilbert Net 30 Day&,. ON .7 .2 Y2 2/09 %-.TE I ; .11 - - �mz- 2.00 BTEX 60.00. -:120.00 2.0 IWTBE 15.00 . 30.60 2.100 TPH 02.50 165.00 2.00 Moisture 30.00 60.00 .............................................. MB-#: 9020209-210 Prof: City of La Porte CLW-1 Subtotal 375.00 .Sales Tax Total Invoice Amount 375.00 Check/Credit Memo No: Payment./Credit Applied IT 7- - ZG/ZO 39Vd A8nO83W 9Att79y OTA7. AA:TA RAQ717TITA 03/20/2009 12:10 FAX 713 675 2265 CFF RECYCLING USA m 001/005 C ''`-- o IR O IE E TR ®GRICHEBOVRG MAR 20 2009 Recycling USA Fax: `�1 1� J�"_I - Pages: 4 .'�]� Phone: _ Date: 3 LV -=q Re: cc: Comments:!f7'- �ou Vl01vf, Derichebourg Recycling USA 7501 Wallisville Road Houston, Texas 77020 (713)675-2281 FAX (713) 675-2285 www.derichebourg.com 03/20/2008 12:10 FAX 713 675 2285 CFF RECYCLING USA m 002/005 WEIGHIIASTER CEKRIFTCATE ' TRUCK STALE' ♦ Derichebourg Recycling USA IMF t Wharf Street A Houston, TX 77012 Ticket : "f DER EBOURG phone: 713-923-2280 Purchasetl`Ff3A: TEFF00 SHIP DATE: 02/10/D9 0/09 Reryciaf A fax: 713-923-2284 EFFECTIVt> ENVIRONMENTAL 2515 S. e9ELTLINE ROAD NESOUITE, Tx 75181 Veh C TRK 304 CF to / 304 CFF Order A UNKNOWN Ln TCAJNT UNPREPARED LARGE 65020a 57460b 7560 0 7560 0.000OGT 0.00 34( �106 ALL WEIGHTS ARE REPORTED IN POUNDS UNLESS OTHERWISE INDICATED. ALL NON -POUND WEIGHTS ARE ASSUMED TO BE MANUAL WEIGHTS }}'� 'T,Q(AE'8':, �nli:.'.g444,f,- N. f o .. ..�. �`,'c. .1.. %. IG .a.;,H, •'° '.WOO TICKET COWIENT: 80LA 096458 a-------------------. WEIGHMASTERSIGNATURE I GRS Date 02/10/09 IGROSS TONS GRS Time 08:35 3.3750 CUSTOMER SIGNATURE (JOHNSON, (LAVIN) I THE Dote 02/10/D9 THE Time 08:52 a=SCALE 1 b-SCALE 2 C=SCALE 3 d=SCALE 4 mTIINUAL WEIGHT +-------------------- TICKET VOIDED AFTER 90 DAYS IF NOT PAID. accounting -ATM PAYMENT CARO VALID FOR TODAY ONLY... CFC Removal Verification 'Seller certifles that all refrigerant (including but not limited to chlorofluorocarbons (CFC's) and hydrochlorofluorocarbons (HCFC's), as defined In 608 of the Clean Air Act Amendments and 40 CFR Part 82) that has not leaked previously will be recovered from appliances to be delivered under this contract of Sale prior to delivery. Seller further certifies that any and all light ballasts, transformers, condensors, etc., etc., that might contain PCB-s are completely removed from your scrap material before entering Derichebourg Recycling USA's yard. Seller further agrees to indemnify and hold Derichebourg Recycling USA harmless from any claim, penalty, fine, fee, cost. attorney a fees or other liability resulting In whole or in pert from the sellers breach of this Certification.' I hereby certify that I have the right to possess and sell this property. Por medlo de esta firma; atestiguo y vennco quo yo so ei dues do esta propleciad y tengo el derenche de poseeria y de vendeda. RECEIVED BY DATE 03/20/2009 12:10 FAX 713 675 2285 CFF RECYCLING USA Q 003/005 "r DE.RICHEBIIOU'R'G Recycling SA PICKED LIP FROM: P.IIQK UPIDEk1VERY RECEIPT DEFtfClWgGMfldlRdcycling USA 7501'1'W,A'CLISVILLE. Rb- HOVSTON, TX 77010 (71;3) 675-2281 DISPATCHER EXT: 228 NAME omm"Mm §v TE: TIME2 ZP DRIVER: DA., N4�✓ TRUCK: 3a g BIN # IN: iv G L� OUT: y )sj 03/20/2009 12:10 FAX 713 675 2285 CFF RECYCLING USA. m 004/005 WEIGHMASTER CERTIFICATE TRUCK SCALE Derichebourg Recycling USA 1 Wharf Street A Houston, TX 77012 Ticket E: TCA09 DEMCHEBOURG phone:713-923-2280 PEFFEq IV Fran: ENVIROTEFFOONMENTAL SHIP DATE: 02/10/09 ReCrdinf A' fax: 713-923-2284 EFFECDT IVE ENVI RONMENTAI 2515 S. BELTLINE ROAD - MESQUITE, TX 75181 Vch N TRK 304 CF 10 N 304 CFF Order N UNKNOWN Ln a{3` TCAJPX UNPREPARED LARGE 66020e 57380b we 0 ALL WEIGHTS ARE REPORTED IN POUNDS UNLESS OTHERWISE INDICTED. ALL TICKET COMMENT: BOLN 0%457 WEIGHMASTER SIGNATURE CUSTOMER SIGNATURE (JOHNSON, GAVIN) e=SCALE 1 aSCALE 2 C=SCALE 3 d=SCALE 4 m=MANUAL WEIGHT TICKET VOIDED AFTER 90 DAYS IF NOT PAID. accoultinB —ATM PAYMENT CARD VALID FOR TODAY ONLY-- CFC Removal Verification a640 O.000OGT S I m WEIGHTS ARE ASSUMED TO BE MANUAL WEIGHTS GRS Date 02/10/09 IGROSS TORS GRS Time 10:42 I 3.8571 THE Date 02/10/09 THE Time 11:05 --------------------- 'Seller certifies that all refrigerant (inaludlrng but not limited to chlorofluorocarbons (CFC's) and hydrochlorofluorocarbons (HCFC's), as defined In 608 of the Clean Air Act Amendments and 40 CFR Part 82) that has not leaked previously will be recovered from appliances to be delivered under this contract of sale prior to delivery. Seller further certifies that any and all light ballasts, transformers, condensors, etc., etc., that might contain PCB's are completely removed from your scrap material before entering Derichebourg Recycling USA's yard. Seller further agrees to indemnify and hold Derichebourg Recycling USA harmless from any claim, penalty, fine, fee, cost, attorney's fees or other liability resulting in whole or in part from the sellers breach of this certification I hereby certify that I have the right to possess and sell this property. Por medio de esta firma, atestiguo y verifico clue yo so ei dueno de esta propledad y tengo el derencha de poseeria y Oe venderla. RECEIVED BY DATE 0.00 03/20/2009 12:11 FAX 713 G75 2285 CFF RECYCLING USA @j005/005 14 a1K :ire. RE+rT 096457 DERICHEBOU'RG DERICHE '6OR6,'li � . ing U.SA 7501. WAL—umn''LLE .RD_ Recycling USA N'alftM`N,"Yx.no2o (71:3) 67&228.1' MPATCHkf,it' ':22'8 PICKED UP FROM. E: �y r 3a 71ME;.. TRUCK: d BIN # IN: Li VC'..•Z-p OUT: MATFGIAI m=--t-mp-n u. 0 V0 1 JQQ� -- Y 'l TEXAS WATER MANAGEMENT, LLP Invoice PMB 4151 8000 Research Forest Dr. Suite 115 The Woodlands, TX 77382 281-685-4420 24hr. Dispatch BILL TO Effective Environmental, Inc. 2025 Turning Basin Suite 818 Houston, TX 77029 Attn: Matt Gilbert FEB 2 5 2009 DATE INVOICE # 2/17/2009 15116 P.O.# TERMS Ile Mae 99 Net 30 HOURS/QTY DESCRIPTION RATE AMOUNT 5 2/06/09 Cityof La Porte 199 Main Strt La Porte, TX 70.00 350.00 Pumped out tanks for removal. Remov and tranpso yclable water for disposal at LES 18% Fuel Charge 18.00% 63.00 3,000 Gallons/liquid waste removed & disposed 0.25 750.00 Manifest #3137 Thank you for your business. Total $1,163.00 Texas Water Management LLP PMB #151 8000 Research Forest Dr. Ste. 115 The -Woodlands, TX 77382 Work Order Date: D � Port of: % Customer: [ �� Customer: Address: Bill To: 6-ff C41LIe, E ✓'2c«4�tGd/Flx P.O. #: Equipment Utilized 200 Barrel Tanker Truck ❑ 70 Barrel Vacuum Truck ❑ 400 Gallon Vacuum Truck ❑ Other ❑ Hose Transport Truck # _ # of miles Time Log %• 00 Depart Facility Arrive at G, Pam' �_e .D Hoses Connected -IrCommence Loading Truck(s) - 5oComplete Loading Truck(s) Job Notes # 2817 ❑ 3" Coast Gaurd Approved Hose x Ft. ❑ 2" Coast Gaurd Approved Hose x Ft. ❑ Compressor, Diaphram Pump, Airline ❑ Other ❑ Other out of Houston area _�IlH oses Disconnected 0'60 Paperwork Signed /0-z, d Depart Job Site i c�-'00 Back To Depot O' Arrive at Facility 11'30 Trucks Unloaded and Cleaned PyMP/p eC7-1 -7-AA,4/< /-�t e&t-4M/u - Charges Transport Hrs. @ $ per hr. Disposal bbls/gal. @ $ bbls/gal Trailer Washout @ $ per washout Material Furnished _@ $ per @ $ per $ Authorization TWM Feprese❑Tatt��cP rver f n C lto er Re resentative S •�/ Print nn gn n "�-v% Shipping Manifest No. 3137 Texas Water Management LLP PMB #151 8000 Research Forest Dr. Ste. 115 The Woodlands, TX 77382 24 Hr. Dispatch: (281) 685-4420 Office: (832) 541-8481 Fax: (281) 252-4040 GENERATOR Facility Name: C,-, k OX 2-4 Facility Address: 'l �`i'1 S% �G p o f A Contact: Phone#: Material Classification (per Mater al chmctcrindon Quantity in Gallons: Soto J �-- L'iC�--T c I certify that the material being transferred on this shipment is not a hazardous waste as defined in 40 CFR Part 261, nor does it contain any PCB's or halogenated solvents. Title: Signat e• (lh 0141,r / enemlon Represenutik) Date: TRANSPORTER Company Name: ` 1 LW V^ Phone #: Date: L o Drivers Name: Signature: Truck #: O -A TCEQ #: 23 �; 1 `f DOT#: poi 2 (`f7Q6C EPA I.D. #: 1 �c6100� 6 36? 1 C.O.H. #: SSO IIquid Envir mir�vtal Sol UL.., RECEIVING FACILITY Of Texas, U Name: 250 Gem]olDr. Houston TX 77( Address: Office; (713) 6714800 EPA ID# • 3F , TCEQ Permit # = Permit # 2234A , (' \ Facility OSe atug Dame: G1'-. 1 �" Signature: Date: y TEXAS WATER MANAGEMENT, LLP Invoice PMB #151 8000 Research Forest Dr. Suite 115 The Woodlands, TX 77382 281-685-4420 24hr. Dispatch BILL TO Effective Environmental, Inc. 2025 Turning Basin Suite 818 Houston, TX 77029 Attn: Matt Gilbert )EVZ971D FEB 2 5 2009 Imp DATE INVOICE # 2/17/2009 15117 P.O.# TERMS I IT e 38599 Net30 HOURS/QTY DESCRIPTION RATE AMOUNT 11 2/05/09 City of La Porte 199 Main Str t La Porte, TX 70.00 770.00 Dispatched to 199 Main Street to purr ks and ground ter for Effective Environmental. Two loads - one work order #2818 18%Fuel Charge 18.00% 138.60 5,500 Gallons/liquid waste removed & disposed 0.25 1,375.00 Manifest # 3138 (TWM) 6,000 Gallonsiliquid waste removed & disposed 0.25 1,500.00 Manifest # 000863017 (company) Thank you for your business. Total $3,783.60 Texas Water Management LLP PMB #151 8000 Research Forest Dr. Ste. 115 # 2818 The Woodlands, TX 77382 Work Order Date: 2 s 0q Port of: Customer: , > A or\ -a., Customer: Address: F 1 a0� TX Bill To:N=.U�c=Ir^c.-1�14X P.O.#: Equipment Utilized 200 Barrel Tanker Truck ❑ 70 Barrel Vacuum Truck ❑ 400 Gallon Vacuum Truck ❑ Other ❑ Hose Transport Truck # Time Log ❑ 3" Coast Gaurd Approved Hose x _ ❑ 2" Coast Gaurd Approved Hose x _ ❑ Compressor, Diaphram Pump, Airline ❑ Other ❑ Other # of miles out of Houston area Ft. Ft. Depart Facility j Hoses Disconnected S�Arrive ati� Paperwork Signed pp Oo Hoses Connected ILLS? Depart Job Site 1/60 Back To Depot Commence Loading Truck(s) I �ti Arrive at Facility Complete Loading Trucks)?Trucks Unloaded and Cleaned Job Notes Ta.o lr- _5 o . t ✓ �/ Geo/� Charges Transport Hrs. @ $ per hr. Disposal bbls/gal. @ $ bbls/gal Trailer Washout _@ $ per washout Material Furnished _@ $ per @ $ per $ Authorization T Repre$entative o ier Re �ve 9 c epr Print t V O Sign big Shipping Manifest No. 3138 Texas Water Management LLP PMB #151 8000 Research Forest Dr. Ste. 115 The Woodlands, TX 77382 24 Hr. Dispatch: (281) 685-4420 Office: (832) 541-8481 Fax: (281) 252-4040 GENERATOR r Facility Name: e. J Facility Address: lool. L,.) Contact: Phone#11: 11 -- Material Classification(per Material Characterization Form): vecac�y�K Quantity in Gallons: SsO� I certify that the material being transferred on this shipment is not a hazardous waste as defined in 40 CFR Part 261, nor does it contain any PCB' or halogenated solvents. Signatu "f'��- Title: e: (Jr+ UC (Generators Aepreuntntive) Date: TRANSPORTER Company Name: qL',) M Phone #: Date: 'L $ ,p- cc Drivers Name: Signature: Name: / Address: EPA ID# TCEQ Permit # I I J Facility Operat rs Nam t G f Signature: Date: Truck #: o TCEQ #: 2'3714 DOT#: 005`2t9-716`�L EPAI.D.#: �1'XQeaao�6T`,1 C.O.H. #: Cf -6n` I,iquidEnOfTexas,LP G 29G61tomDT"Rous oll IN 011 TCEO Order #: 38599 3traigght Bill of Lading -Short Form -Original -Not Negotiable - Effective Environmental Dallas 972-329-1200 NAME OF CARRIER: CARRIER NUMBER: Pickup DATE/TIME: ZONE: .Texas Water Management - TXCESQG 2i5i2009 12:00 AM TH21 FROM: SHIPPER (ORIGIN) TO: CONSIGNEE City of La Porte (1001736) Liquid Environmental Solutions 604 W. Fairmont Parkway 250 Gellhorn Drive La Porte, TX 77571 Houston, Texas 77013 281.470.5065 ATTN: Reagan McPhail Site Address: MAPSCO: PO #: DELIVERING CARRIER: Texas Water Management »• PICKUP ITEMS »• # PACKAGES +HEN KIND OF PACKAGE, DESCRIPTION OF ARTICLES SPECIAL MARKS AND EXCEPTIONS 1 TT - Water with fuel -f5e60@) Non -regulated material (water with petroleum products) ••• PICK UP INSTRUCTIONS TO DRIVER •« WO for La Porte, TX Tank Removal Transportation by Texas Water Management Contact: Reagan McPhail City of La Porte 604 West Fairmont Parkway La Porte, Texas 77571 pw/c DIN «' DELIVERY ITEMS »' Quantity +HM KIND OF PACKAGE DESCRIPTION OF ARTICLES SPECIAL MARKS AND EXCEPTIONS 1 91007-001 -Transportation ( Legacy #:) 1 75100-001 - Service Labor ( Legacy M) Trans Note: «"»«»••«"««•••»'»"•'•»••• 24 HOUR EMERGENCY CONTACT •••"••»..:««..»».«».«««.«». 972.329-1200 PICKUP ON -TIME: EYES E NO DELIVERY ON -TIME I_IYES NO TIME IN: TIME OUT: TIME IN: TIME OUT: NOTES: P2F_ P3F_ MDF_ SDF_ PLACARDS SUPPLIED: EYES E NO DRIVER SIGNATURE: ❑ C.O.D. FEE: I I Prepaid L Collect REMIT C.O.D. TO: Effective Environmental, Inc. - Dallas C.O.D. Amt $ : TotalCharges $: ,u,pwammem,pool--. v, WN ep m"I-Mp -. R INe WM. WmYM W!U al a emlfr.,I. -e-r R eYaNea. puxe•l peaMYHY,y1 wEneX.MaHMy ,. En W. I, u wnMIcl' -MWMN'nq urlXy to Ne MY of my linarl4 W 6-IN-IIIII pema WIN OMe M oeMUSmePevitaaet011uMWmpMrYYp/,upYMeenvwe ap1 1mllxEuY lmP e WtoamR-C-tlMY- eNaMo Mlh* mmm0 NW -II"" "v9MnMepYepMY Weu a"e. F4u0, I eMmr ly�iiuon yONer wrWM 2mmuNullpnflluA le YIIYy 1l,h expeatlbn Mnrewp MlM lYum YmYMebewge0la 06p-eI OrIM IMevYYaeEu-L MYverW. I foaled 11131 Isllt gifts folio foil figs f II011tself glull until Beall falls ef11s Ifill Islet 11111130111 lllvl [live lit Iasi .. • Pr .. _ i 1 i Plese onnt or Ne:lForm desibnedforum on elite (12-oitrhltvoevmerl 2050.0039 • UNIFORM HAZARDOUS 1. Generator ID Number 2. Page 1 of 3. Emergency Response Phone - 1. Manllfesl TrecMng Number WASTE MANIFESTTyrpqr) n�' G17 G B F c o �n.,nn V :.� J 5. generators Name and MalMg Address, .. .. Generators Site Address (a different Man maifirg address) Ody ed LP I�Iprtn - . (1114 VV FnIrmGM f',Irfvray. 4&'M 6. Transparter l ConitiefirlyNor- 3 •' °tlUa`r c 10 U.S. EPA ID Number Phb: J31-f{E`,wU20 . mnsponer ompahy Nartle - -W.R. U.S. EPA ID Number 8. Designated Facility Name and Site Address U.S. EPA ID Number LIfn P(i f.I1W ?IIRMIII NI (lnhninpp ono i rt9hwn r Iva Slain tna. 7.%12000057Q00 rt(aA•IMI Te,41 i )Vl".' Fall a Phone: ' 98. 9b. U.S. DOT DesaipUo (uilludnp Proper Shipping Name, Hazard Class, ID Number, 1"Contalnam 11. Tonal 12. Unit HIM and Padding Group (ff any)) Quantity W1Nd. 13. Waste Cedes No. Type 1. Qf'lo" I.-VilA l 111i:I t'rlitl (N''dl r'1 ''Iidl: 1?MII i11fa1N{! 1(..:ti �.. t'... I wit Ni: Ft y m 2. W f9 3. 4. 14. Special Handling InsWdMs and Additional Information if 1. Water withtt/ff'F' P 15. GENERATOR'SIOFFEROR'S CERTIFICATION: I hereby declare Mat the coments of this consignment are fully, and accurately descdhetl above by the proper sniping name, and are classified, pacimged, marked and labeled/pWcarded, and am In all respects in proper condition fortransport according to applicable MtemeBonaland national gommmmtal regulations. II export shipment and I am the Primary Extorter, I wilily that the antents of this consignment conform to the tams of the attached EPAAdworedgment of Consent I minify that the waste minimization statement identified M 40 CFR 262.27(a) (ff I am a large quantity generator) or (b) (if I am a small quantity generator) is hue. Genenetors"emes PrtmeNTyped Name Signature Month Day Year '1 - .` J F I 6. ntemational Shipments ❑ Import to U.S. ❑ Export from U.S. Pon of entrylexg: Z Transporter signeWre (fa exports only): Date leaving U.S.: W 17. TransporterAdnovAedgrnenl of Receipt of Materials Transporter 1 Prlatedrfyped Name Signature Month Day Year O is. N Q Transporter 2 PrtnmNlyped Name Signature Monts Day Year ¢ F Discrepancy i18. 189, Discrepancy Indication Space ❑ entity ❑ Type ❑ Residue ❑ Partial Rejection ❑ Full Rejen:don Manifest Reference Number. 18b. Altertlata Facility (or Generator) U.S. EPA ID Number J_ V LL Faclitys Phone:in _ - w tile. Signature ofAllannate Facility (or Generator) Month Day Year Q ' N19. Hazardous Waste Report Management Method Codes (l.e., codes for hazardous waste treatment, disposal, and recycling systems) p 1. 2. 3' 4. 011 clfi 20 pea pna ed Facility O roar or Operator Certification of rece pl of haze does malanets coWred by the marillest except as ndedin Item 18a 1 PnnteN7yped Name .i. i Signature Month Day Year CKA ro notuu-zL(Ket. 3-U5) Y2VIOus eaeons'are Obsolete:' TRANSPORTER'S COPY EVERGREEN TANK SOLUTIONS 2101 LEE DRIVE BAYTOWN, TX 77520 713-984-0442 Customer: .296 , EFFECTIVE ENVIRONMENTAL:INC ATTN:. ACCTS PAYABLE 2515' S_BELT LINE RD MESQUITE,: TX 75181-2015 Sales Rep., MARC HAUCK . ** Please visit us at WWW. Page: 1 0 4 2009 v INVOICE 98712-0001 Invoice date :2/28/09'' Date out.:. 2/09/09, 7i'00 AM Billed thru: 2/28/09 Job.Loc..... EF_FECTIVE.ENV-CITY."OF Job No,........ 1..- EFFECTIVE -ENV. -CI P.O:•,#. 38599: Ordered.By CHRIS.HARFIELD Terms. Net 30.Days Written by.. CYCLE BILL .COM or call us (888) 600-TANK ** QtY $4Pmant.# Day, Amount.. 1 ROLL OFF BOX 25 YD R/T 9.00 180.00 N34032 Make: DRAGON Model: NA Ser #: 38396 SALES ITEMS: Qty Item number Unit Price 1 MIS-L-20-25YD-3BCR EA 25.000 25.00 LINER, POLY 3MIL DELIVERY CHARGE 190.00 Sub -total:. 395.00 Total: 395.00 BILLED 2/09/09 THRU 2/28/09. You have the right to purchase any rented equipment. Please contact our sales department for the price. CA I. Not withatandin9 anything to the contrary contained in this Agreement, Company hereby grants to Customer the option to purchase the Equipment for the option price available through ETS sales department. Customer may not assign this option and may exercise this option only by providing written notice to Company together with full payment of the option price prior to the termination of this Agreement. I have had the opportunity to read the terms and conditions on both aides of this agreement, I have received and understand the safety instructions on the operation of the equipment I am renting. I have received a complete copy of this agreement and agree to the terms and conditions on both aides. (Carefully read the terms and conditions on the reverse aide of this page.) X CGSTOMER SIGNATURE DATE NAPE PRINTED DELIVERED EY DATE Termal Payment Due Not 30 - Delinquency charges, at the maximum monthly rate allowed by law, will apply aD nays from toe once oc cnveic e. SUNBELT® RENTALS INVOICE SEND ALL PAYMENTS TO: SUNBELT RENTALS PO BOX 409211 ATLANTA, GA 30384.9211 io 7' ETIE nI F7 IL r CS i„ F �hn�� 1ozNYin CZe11D •� Jl:: RE EFFECTIVE ENVIRONMENTAL INC ti ATTN; JACKIE MCQUEEN _ Py 0 2515 S BELT LINE RD MESQUITE TX 75181-2015 IIIIILId111JII11L1111L111111i1111111d11111111,IJ1111 II JO JOB ADDRESS v �I BR CITY OF LA PORTE fill 199 MAIN ST LA LA PORTE, TX 77571-5438 713-447-6457 19372529-001 12410 Rill 2/23/09 PAGE 1 of 1 'EIVED BY CONTRACT NO. HARFIELD, CHRIS 19372529 NO. 4 • •, 1 - CITY OF LAPORTE PASADENA 5513 SPENCER HWY PASADENA, TX 77505-1517 281487-7171 QTY EQUIPMENT # Min Day Week 4 Week Amount 1 36" DOUBLE DRUM RIDE -ON ROLLER GAS 107.25 143.00 429.00 1295.00 286.00 92814 Make: WACKER Model: RD11A Ser#: 5633213 HR OUT: 285.000 HR IN: 289.300 TOTAL: 4.300 Billed from 2/18/09 thru 2/19/09 SALES ITEMS: Qty Item number Unit Price 1 ENVIRONMENTAL EA 3.570 3.57 ENVIRONMENTAL 3 GAS EA 5.300 15.90 2141XXX000 DELIVERY CHARGE 65.00 PICKUP CHARGE 65.00 FINAL BILL: 2/18/09 09:30 AM THRU 2119/09 12:50 PM. Equipment. Service. Guaranteed. 435.47 REMIT TO: NET DUE UPON RECEIPT Z 34.61 SUNBELT RENTALS Invoices not paid within 30 days may be subject • 470.06 PO BOX 409211 to a I-Y2%per month charge. ATLANTA, GA 30384-9211 OPkITAI DCTIID\I 1 H E FAXa-050 NEDERLAND FREEPORT CONROE 409-722-7368 979-233-7368 936-788-7368 FAX 409-722-8852 FAX 979-233-0888 FAX 936-756-3004 S 1 0 fl E s l BRYAN FFAX 979 82 -2496 MUSTANG RENTAL Account# Order # Brc Sls 572445 148077 001 62 LUFKIN NW HOUSTON 936-632-6775 713-838-7368 FAX 936-632-7227 FAX 713462-2290 I N V O I C E Sold To: 000 Ship To: EFFECTIVE ENVIRONMENTAL INC. PARKING LOT 2515 S. BELTLINE RD 199 MAIN ST MESQUITE TX 75781 SW HOUSTON 713-228-7368 FAX 713<776-8388 * C A S H / C O D Date Invoice # Page 02-06-09 01090482 1 LAPORTE Ship Via MRS-001 TX Entered By Customer Purchase Order Customer Contact Ord Date mwindfon 38599 + - CHRIS-713-447-6457 02-06-09 Model Serial Number Equip ID Customer Job number Customer Phone # 972-329-1200 Ord Ship B/O Part Number Description Unit Price UM, Extended Caterpillar equipment is rent to rent only, not for sale. 1 DELIVERY FRT. CHARGE 300.00 300.00 UNIT COST $306,200 EST USE:1 WK 1 Id# 009006150 FROM: 02-06-09 THRU: 03-06-09 0 Days Model-330D-L Serial#-MWP03005 CAT EXCAVATOR mtr out 693 0.00 1 Id# EOD480073 FROM: 02-06-09 THRU: 03-06-09 0 Days Model-48" Serial#-WAT08483 48" BUCKET FITS 330D-L mtr out 0 0.00 -- - Sub -Total- - --- --- 300-: 00 i STATE SALES TX. 18.75 CITY SALES TX 3.00 MTA 3.00 ALL PAYMENTS DUE AND PAYABLE AT OUR OFFICE IN HOUSTON, HARRIS COUNTY, TEXAS REMIT TO: MUSTANG RENTAL SERVICES P.O. BOX 4346, DEPT. 188 HOUSTON, TEXAS 77210-4346 Total Invoice Due By: 324.75 02/06/09 i H 'E Rental SIOHI. MUSTANG RENTAL SERVICES CHANNELVIEW 281-452-7368 FAX 281457-0501 BRYAN 979-775-7368 FAX 979-822-2496 NEDERLAND 409-722-7368 FAX 409-722-8852 LUFKIN 936-632-6775 FAX 936-632-7227 FEB 2 7 2009 Account# Order # Sls 572445 148077 �Brc 001 62 I N V O I C E FREEPORT CONROE 979-233-7368 936-788-7368 FAX 979-233-0888 FAX 936-756-3004 NW HOUSTON SW HOUSTON 713-838-7368 713-228-7368 FAX 7/1/j/, 6/22--2�/QJ0 FAX 713.776-8388 59� q Date Invoice # Page 02-23-09 .01090743 1 Sold To: 000 Ship To: EFFECTIVE ENVIRONMENTAL INC. PARKING LOT 2515 S. BELTLINE RD 199 MAIN ST. _MESQUITE TX 75781 LAPORTE Ship Via MRS-001 TX Entered By Customer Purchase Order Customer Contact Ord Date 38599 CHRIS-713-447-6457 02-06-09 Model Serial Number Equip ID Customer Job number Customer Phone # 972-329-1200 Ord Ship B/O Part Number Description Unit Price UM Extended Caterpillar equipment is rent to rent only, not for sale. 1 Id# 009006150 FROM: 02-06-09 THRU: 03-05-09 28 Days Model-330D-L Serial#-MWP03005 CAT EXCAVATOR 8,200.00 1 Id# EOD480073 FROM: 02-06-09 THRU: 03-05-09 28 Days Model-48" Serial#-WAT08483 48" BUCKET FITS 330D-L 0.00 STATE EQUIP SURCHARGE 164.00 ENVIRONMENTAL SURCHARGE 123.00 Sub Total 8,487.00 STATE SALES TX 520.19 CITY SALES TX 83.23 MTA 83.23 ALL PAYMENTS DUE AND PAYABLE AT OUR OFFICE IN HOUSTON, HARRIS COUNTY, TEXAS REMIT TO: MUSTANG RENTAL SERVICES P.O. BOX 4346, DEPT. 188 HOUSTON, TEXAS .77210-4346 Total Invoice Due By: 9,173.65 02/23/09 EVERGREEN TANK SOLUTIONS 2101 LEE DRIVE BAYTOWN, TX 77520 713-984-0442 Page: 1 xemir- wo: PO BOX 840600 DALLAS, TX 75284-0600, �aTF72 3`2-5170 w m EFFECTIVE ENV -CITY OF'LAPORTE EFFECTIVE ENV -CITY OF LAPORTE LA PORTE, TX 77571 C#: 972=329-1200 J#: 972-329-1200 Caetomer:. 296 EFFECTIVE.ENVIRONMENTAL INC ATTN: ACCTS PAYABLE 2515 S BELT LINE RD MESQUITE, ".TX 75181-2015 Sales Rep: ..MARC•HAUCK. ** Please visit us at WWW.EVRRGR R 0 4 2009 INVOICE Invoice #... 98719'0001 Invoice date 2/28/09 Date out.... 2/09/09 7:00 AM Billed thru. 2/28/09 Job Loc..... EFFECTIVE ENV -CITY OF Job No...... 1 - EFFECTIVE ENV -CI P.O. # 38599 Ordered By... CHRIS HARFIELD Terms....... Net 30 Days Written by.. CYCLE BILL .COM or call us (888) 600-TANK *• 4ty. Equipment # Day Amount: 1 VACUUM BOX 25 CU YD 25.00 2766 Make: DRAGON Model: NA Ser #: 76811 DELIVERY CHARGE BILLED 2/09/09 THRU 2/28/09. You have the right to purchase any rented equipment. Please contact our sales department for the price. Sub -total: Total: 500.00 190.00 690.00 690.00 v� ,x 9- OA v 2J 1. Not withstanding anything to the contrary contained in this Agreement. Company hereby grants to Customer the option to purchase the Equipment for the option price available through ETS sales department. Customer may not assign this option and may exercise this option only by providing written notice to Company together with full payment of the option price prior to the termination of this Agreement. I have had the opportunity to read the cams and conditions on both sides of this agreement. I have received and understand the safety instructions on the operation of the equipment I am renting. I have received a complete copy of this agreement and agree to the terms and conditions on both sides. (Carefully read the terms and conditions on the reverse side of this page.) N CUSTOMER SIGNATURE DATE NAME PAINTED DELIVERED BY DATE Terms: Payment Due Net 30 - Delinquency charges, at the maximum monthly rate allowed by law, will scaly 30 days from the date of invoice. EVERGREEN TANK SOLUTIONS 2101 LEE DRIVE BAYTOWN, TX 77520 713-984-0442 EFFECTIVE ENV -CITY OF LAPORTE EFFECTIVE ENV -CITY OF LAPORTE M� LA PORTE, TX 775.71 C#: 972-329-1200 J4: :972-329-1200 Customer: 296 EFFECTIVE ENVIRONMENTAL INC ATTN: ACCTS PAYABLE. 2515 S BELT.LINE RD MESQUITE, TX 75181=2015 Sales Rep: %MARC HAUCK Page: 1 A@m1L WO: PO BOX 840600 DALLAS, TX 75284-0600 281-332-5170 RAV"M INVOICE Invoice #... 98659-0001 Invoot ice date 2128/09 Date u..... 2/09/09 7:00 AM Billed thru. 2/28/09 Job Loc..... EFFECTIVE ENV -CITY OF Job No...... 1 - EFFECTIVE ENV -CI P.O. # 38599, Ordered By.. CHRIS HARFIELD Terms....... Net 30 Days Written by.. CYCLE BILL •• Please visit us at WWW.ZVERGREENTANK.COM or call us (888) 600-TANK •e Qty.. Equipment # Day Amount. 1 VACUUM BOX 25 CU YD 25.00 N17229 Make: MODERN Model: 25 YD VAC Ser #: 30155 DELIVERY CHARGE Sub -total: Total: BILLED 2/09/09 THRU 2/28/09. You have the right to purchase any rented equipment. Please contact our sales department for the price. 500.00 190.00 690.00 690.00 I. Not withstanding anything to the contrary contained in this Agreement. Company hereby grants to Customer the option to purchase the Equipment for the option price available through ETS sales department. Customer may not assign this option and may exercise this option only by providing written notice to Company together with full payment of the option price prior to the termination of this Agreement. I have had the opportunity to read the terms and conditions on both sides of this agreement. I have received and understand the safety instructions on the operation of the equipment I am renting. I have received a complete copy of this agreement and agree to the terms and conditions on both aides. (Carefully read the terms and conditions on the reverse side of this page.) X CUSTOMER SIGNATURE DATE NAME PRINTED DELIVERED BY DATE rarme: Payment Due Not 30 - Delinquency charges at the maximum monthly rate allowed by law, will apply 30 days from the date of invoice. Contact Us Phone: 866-694.7327 Email: customer.semice@liquidenviro.com Web: www.licuidenviro.com Invoice 607416 ill To: 097762-001 EFFECTIVE ENVIRONMENTAL (1/�/� BALCH SPRINGS, TX 75181 `^^" ' r.......•..,. 44 7nne FEB 16 2009 FO MEW"200 ■ o ENVIRONMENTAL —St2LU T'I O N S 097762-001 EFFECTIVE ENVIRONMENTAL 2515 BELTLINE RD BALCH SPRINGS, TX 75181 Service Ticket" -.. .. ". ,.'m ... .. ,. ..." ,.. .. a .-,. Item I Quantity _ UoM -- r : ` . ` Description - Unit Value Total - 486709.7.i...:215109 1 6000.00 GALLONS CLASS I Manifest# 00086301 0.0956.0 SubTotal: S7o.00 570.00 - Comments Energy Fee: Enviro Fee: Total: 19.95 5.90 595.85 - Thank you for your business. k::rlkw'. ument "a� D . ays• ,. n.. ,•60 -- ays.n. .�� ays„" 1,047.44..Y _ - .0.00 - 0.00 - - - 0.00 r " : Remit to Address (Payments Only): Accounts Receivable Liquid Environmental Solutions PO Box 671064, Dept. 4 Dallas, TX 75267-1064 Detach and remit bottom Portion with payment CustomeiNo.% - 097762 Terms; .- DUE UPON RECEIPT Invoice ` ' 607416 Date - 2/11/09 Amours[;' -595.85 To pay using a credit card please complete the section below and return by mail or FAX TO 619-330.2285 attention Accounts Receivable Name on Card: Billing Zip Code: Card No.: ExpirationDate: Signature: Date: I I��I�llll�l 1111I111Cmilli 1111111111 loll II111111111111I 11111111111111 11111111III OIII.iiiii 111111111 milli I110i III loll 13 �� Order tic 385�9� I't 12 'tch' vmiter) ERvoNMa�ru. Form Approved.0 OEM. 2050-0039 zk Please ' print or type. (Form designed for use on e t e ( -p1 )type UNIFORM HAZARDOUS 1. Generator ID Number 2. Page 1 of 3. Emergency Response Phone 4. Manifest Trackin Number G B F 0 0 0 6 3.017 WASTE MANIFEST 5. Generetoya Nacre end Malltrtg Address - - Cenersto's Site Address (d different then mailing address) City of La Porte 604 W. Parkway, eFaTiiryymorrt L fxmaProa%fs Pfooe77571 8. Transporter 16066 e McPhail U.S. EPA ID Number PM1:281$8Sd420 7. Transporter 2 Company Nameptirwant - U.S. EPA ID Number 8, Designated Facildy, Name and Site Address U.S. EPA ID Number Llould Environmerrtal S001tionS 250 Gellhoro Drive State 0e:.N2234 TXR000067000. _• Houston. Te)MS.77013 - - Facilil Is Phone: tie 9b. U.S. DOT - iMu ing roper Stripping Name, Hazard Class, ID Number, 10. Contagiers ii. Total 12. Unit 13. Waste Codes No. Type HIM and Pacing Croup Of any)) 0.uangly WtNd. 1. ... ck: Non-ragfdated material (water with petroleum products) , I Tr /„ G2. orHR D w O: , 3. 4. 14. Special Handling Instructions and Additional Information , 01>Waterwith fuel (PF:) 15. GENERATOR'SIOFFEROR'S CERTIFICATION: I hereby declare that the contents of this consignment am fully and accurately described above by the proper sNppi g name, and are classified, packaged, marked and Iebeecyplacarded, and are In all respects in proper condition for transport according to applicable International and national govemmentxl.regulations. If export shlpmenl and I am the Primary Exporter, I cmtl1Y that the contents of ode consignment conform to the terms of the attached EPAAcknaMedgmenl of Consent I certify that the waste minimization statement Identified In 40 CFR 282.27(a) (If I am a large quantity generator) or 8 am simall quangry tor) Is We. Genre sl erofs PnntedR N - /}P � SignaN .Month .Da Year / o J11675teffiaderial Shipments' ❑ eepen to U.S. ❑ Export from U.S. of emrym4 F = Transport( signature (M exports only): Date leaving U.S.: W 17. TransporterAclmmNedgment of Receipt of Materials O Transporter 1 P Name ., Signature Month Day Year q _. a -- Transporter 2 PriffitearTyped Name - SlgnaNre Month Day Year of F Discrepancy i18. He. Discrepancy Indication Space ❑ mangy ❑ Type ❑ Residue ❑ Partial Raised. ❑ Full ReledOon Manifest Reference Number 181b. Alternate Facility for Generator) U.S. EPA ID Number J U a LL Fadlitys Phone: w 18c Signature of Alternate Facility (or Generator) - Month Day Year Q 2 h19. Hazardous Waste Report Management Medal Codes (I.e., codes for hazardous waste Moment, disposal, and rwydhV sys ) 1. 2. 3. 4. 01: H020 20. Designated Fatlllty Omer or -redo, Certification of mceipt o roans materials covered by the manifest a as ricled,41hin 18a Pnntedityped Name _ f, - - SignaN Day Year EPA Form 8700-22 (Rev. 3-05) Previous editions are obsolete. DESIGNATED FACIL.ITYTO DESTINATION STATE (IF REQUIRED) Pulido 'Trucking, L.P. 514 W 16tn Street Houston, TX 77008 (0)713-514-0500 (F)713-514-0511 MUMETT I BILLING INFORMATION OU FEB 21 Effective Environmental 2025 Turning Basin Ste.#818 Houston, TX 77029 INVOICE DATE INVOICE # 2/18/2009 29819 5 2Q09dOB SITE l From: Effective Environmental P.O. No. TERMS DUE TE JOB# v ays 3/20/2009 DATE ITEM DESCRIPTION QTY RATE TKT# TRK# AMOUNT 2/I 1/2009 Trans/Ro... Transportation Roll -Off/ 12 65.00 408999 123 780.00 Picked up loads @ Effective to be dumped at HPP HPP Tkt.# S 11029025, S 11029060, S 11029094, S 11029106, S 1 1029127, S11029148 2/11/2009 Trans/Ro... Transportation Roll -Off/ 12 65.00 475731 140 780.00 Picked up loads @ Effective to be dumped at HPP HPP Tkt.#S 1 1029023, S 11029049, S11029084,SII029103,S11029118. S11029135 2/11/2009 Trans/Ro... Transportation Roll -Off/ 12 65.00 810154 136 780.00 Picked up loads @ Effective to be dumped at HPP HPP Tkt.#S 11029022, S 11029053, S11029081,S11029102,S11029126, S11029144 Total Page 1 Pulido 'Trucking, L.P. 514 W 16th Street Houston, TX 77008 (0)713-514-0500 (F)713-514-0511 BILLING INFORMATION Effective Environmental 2025 Turning Basin Ste.#818 Houston, TX 77029 INVOICE DATE INVOICE # 2/18/2009 29819 JOB SITE From: Effective Environmental To: HPP P.O. No. TERMS DUE DATE JOB# Net 30 days 3/20/2009 DATE ITEM DESCRIPTION QTY RATE TKT# TRK# AMOUNT 2/13/2009 Trans/Ro... Transportation Roll -Off/ 8 65.00 690353 126 520.00 Picked up loads @ Effective to be dumped at HPP FIPP Tkt.# S 11029368, S 11029438, S11029520 Fuel S-C... 15% Fuel Surcharge 429.00 429.00 Total $3,289.00 Page 2 CU OMER' ORDER NO. _ Uri �C� DAT % NAME C L' ' LlVLf�Yr. a:l {'tl ADDRESS CITY, STATE, ZIP ar. X SOLD BY A H / C.O.D. CHARGE Oil ACCT. MDSE RETD. PAID OUT OUAN. DESCRIPTION AMOUNT 1 I*CY\ �k ) 2 3 U 4 5 /✓ 6 7 6 9 10 11 12 RECEIVED BY KEEP THIS SLIP FOR REFERENCE m - 3705 y "'� TRUCKER'S COPY RECEIVED BY: (a' uorporauon trlrr). I ne carrier/customer shall save and hold HIPP harmless from all liability, damages, loss, claims, demands and/or actions of any nature which arise out of or are related to, such transportation or handling. CARRIER Bill of Lading I Customer Use I CorpHPP Cor -Customer No.: 1100053 Sales Order No.: 01844 Transport to: HPP Corp 2070 Genoa Red Bluff Houston, Texas 77034 (281)487-0766 Fax (281) 487-0769 PO or Contract No. Customer Namc: Cffective Cnvinsnmental, htc. 2515 South B Itlinc Rd.. Mesquite. Texas 75ISI Parcel 199. Main St.and R. oadwav, Ln Porte, TX 77571 Material Description: Class 2 Soil Cubic Yards: PO# 38599 Non DOT Regulated, Non Hazardous N wicm The can icr/customer involved in the traospenetion or hmulling of mmerials cowered by this document is an independent comy and shall not be dwncd for any purpose to be an employee. agent or mpresentmive of SouNern Crashed Concrete and/or HPP. nnc carder shall U,e and hatd SCC and npP hatadess rrnm liability, damages, loss claims, demands and/or actions of any nature which arise out oror are related to, sudn transponatinn or handling. Gamramr ,arxarts materials transponed are non.hazardmus recpdahles. and arc not a regulated hazardous waste. Process to TxDOTSpec lie... #247, #276, #400 andlor other appropriate Non DOT Re ulated Non -Hazardous J Date: �) �; `specification. Truck M / .� Time: Custonur �/� Signature://A� �j�y�(,fi(i(�� ,r ��' r'� �� /�� Cartier 6(Y a � Signature: '� 1 n A,•Qrl �l•.1.7 "(.L1 TRUCKER'S COPY 2070 Genoa Red Bluff Houston, Texas 77034 (281) 487-0766 Fax (281) 487-0769 Sustainability at Work www.hporecycles.com n CUSTOMER NAME: HAULER NUMBER ; MAULER'NAME.g .aF �. T"I,. TRUCK NO d}�{�,,� tiMS� .I MATERIAL DESCRIPTION: �.::t � � ,7« .�.� t��DELIVERV rADORESS��.td, I"T' •�(,j I.'G. i��S1?I � ''4ii . RECEIVED BY. ��c wEro �'OV,1f�• NO. -.' I' TICKET NO. %GROSS t r'" r TARE. - NET .. y "'y .UNITS "WEIGHED BY: o. K .,TOTALS FOR;T-His ORDER TO DAY'. LOADS I TS NOTICE: The carrier/customer involved in the transportation or handling of materials covered by this document is an independent entity and Shall not be deemed for any purpose to be an employee, agent, or representative of FIPP Corporation (HPP). The carrier/customer shall save and hold HPP harmless from all liability, damages, loss, claims, demands and/or actions of any nature which arise out of or are related to, such transportation or handling. CARRIER Bill of Lading HPP - Transport to: HPP Corp ' Corp 2070 Genoa Red Bluff Houston, Texas 77034 (281)487-0766 Fax (281) 487-0769 -Customer No.: 1100053 PO or Contract No. Sales Orda No.: 01844 Customer Name: 1:17ective Lrvirormcntel. Inc. 2515 South nehline Rd.. Mesquite, Texas 75 18 1 Parcel 199, (Main St. and Broadway, La forte, TX 77571 Material Description: Chv s 2 Soil Proeecr to 7xDOT Spec Iran #247, #276. #400 andlor other appropriate ,specification. Truck #: le> C'rtatotnef -- Signature: I Customer Use I Cubic Yards: PO# 38599 Non DOT Regulated, Non Hazardous Notice: the carrier/customer involved in the imnspormlioa or handling o1'numen ds covered by this doetunenl is no independent emity and shall Iwo he deemed ror anv putpose to he am amployec, agent or reoescnmtivc of Soudrcrn Coshed Con.ew and/or IIPP. I he Cartier shall save and hold SCC and I II'I' harmless from liability. damages. loss claims, demands anNnr actions of any name which arise mn of ,, arc related to, such mnnspoomion or handhIIg. Cenemtor ivarrmlB 111.1i :flals Iml staved are non-hazardmu recyclable. and are .,,It a muld:ucd Imzanlons wnsm. Date: Time: Carrier Signature " TRUCKER'S COPY UAHHIEH Bill of Lading Customer Use HPP Transport to:.HPP.Corp Corp 2070 Genoa Red Bltlff Houston, Texas 77034 (281)487-0766 Fax (281) 487-0769 Cuslomcr No.: I100053 PO or Contract No. Sales Order No.: 01844 Customer Namc: ElTeclivt Environmental, Inc. 2513 South Beltline Rd., Mesquite, Texas 75181 Pared 199, Main St. and Broadway. U Porte. TX 77571 A71tcrial Description: Class 2 Soil Prrrecs's In T.cDOT Spec Item #247, #276, #400 rauUar other appropriate specification. Truck #: Cubic Yards: Iw PO# 38599 Non DOT Regulated, Non Hazardous Notice: The Carr1et01Tlolner involved in dm IransPortatloa car handling of ul:ncrials covered by this docnmem is an indcPcndcnl cnthy and shall not be denncd fur any Purpose to be an amployce. agent or representative of Srnnlmm Cnuhed C."1=e and/or HPP. The carrier $hall save and hold $CC and ❑PP harmless Ginn hahilihy. damages, loss dams. demands nnJ/nr nctiuns of any onu c< hich arise nut urar:uc related to, such Inasponation or handling, Cicnermlar wunnnta mmerials Irnlslumetl ore non-ha'ranlous rccyclables: and are nnl a.repdaled h:nnrdaus wv51c. Date: Time: Customer Carrier Signature: $1Ellaltlrl': '* ~" TRUCNER'SCOPY � SIGNATURE: CARRIER aIGNA|URF:—__ Bill of Lading HPP Corp. Customer No.: 1100053 Sales Ordcr No.: 01844 Transport to: HPP Corp 2070 Genoa Red Bluff Houston, Texas 77034 (281)487-0766Fax (281)487-0769 PO or Contract No. Customer Name: 1511ective (environmental. Inc. 25 15 South nclllinc Rd., Mesquite, Texas 76I81 Parcel 199, Main SI and d Broadway, I Porlc TX 77971 Material Description: Class 2 Soil Process to TCDOT Spec lteur #247. #276, #400 and/or other appropriate specification. Truck #: Signature Signature: / d- Customer Use Cubic Yards: j 0 PO# 38599 Non DOT Regulated, Non Hazardous Notice: Me cnriedcuslou¢r involved in the tmnspunution or handling or mIDerials covered by this docrnnenl is an independent entity and shall net to deemed for any pugnose 14 be on employee. ni nn or represcrinakc ors .... on,... Crudtcd Conerne nnNor NPP.'ILe carrier sbnit save nod hold SCC:md 1 [IT hnnnlcss from liability, dnmagcs. loss 'W....; demands amVor anions of any allure which arise out ot'or ore rdatud In. such tntupnnation or handling. Gun aator wamms materials tnn¢ryntal are non-hamodous rccyclahles, and arc not a regulated haurcous waste. Non DOT Regulated Non -Hazardous �� ✓�j Date: Time: ' Carrier Signature: LL TRUCKER'S COPY CARRIER Bill of Lading HPP Corp. QlStotttcr No.: 1100053 Sales Order No.: 01844 Transpon to: HPP Corp 2070 Genoa Red Bluff Houston. Texas 77034 (281)487-0766 Fax (281) 487-0769 PO or Contract No. Customer Name: Enective Environmental. Inc. 2i1j South Belli ine Rd.. Mesquite. Texas 75181 Pnrccl 199. Mn'n SI •tad llrortolwa,% I 1't • "I'C 77571 Material Description: Class 2 Soil Process to T.rDOT Spec Item # 247. # 276, #400 andlor other npproprinte Specification. Truck #: i Customer Signature: Custmner Use Cubic Yards: !% l PO# 38599 Non DOT Regulated, Non Hazardous Notice: The in the Imnslgnalion or handling of materials cowered by this document is an indgmndemt entiq and shall not be deemed foram' purpose to be an employee, acntt or retucseut,awe of Sombcmt Crashed Concrete; ndfor 11PI'. 1Lc cattier shall save :md hold SCC mul III'I' harmless front liabili'V. dmnugcs, loss claitaS, denmmis and/or actions of any nature which prise oat of or arc related W. Inch mmspmmion or handling. Genemmr warrants materials transported are non -hazardous tccyclables, and are not a regulated hazardous waste. Non DOT Regulated Non -Hazardous Date: Time: Carrier Signature: TRUCKER'S COPY CARRIER Bill of Lading Customer Use CorpHPP Cor Cuslomcr No.: 1100053 Sales Order No.: 01844 Transport to:--HPP.Corp 2070 Genoa Red Bluff Houston, Texas 77034 (281) 487-0766 Fax (281) 487-0769 PO or Comma No. FL25110SO119h Name: 'Effective Environmental. Inc. Bcltline Rd., Mesquite. Texas 75181 . 1171in St. and Br r M •n • r a Porte, l'C 77"� Material Description: Class'_ Soil !'racers to TcDOT Spec item #247. #276, #400 onrf/rir Other Opproprinre speciftcation. Truck #: / d 3 Customer Signature Cubic Yards: J PO# 38599 -Non DOT Regulated, Non Hazardous Notice: The caniericusmmer involved in the Iransp(roaliun or handling of Ionocrials covered by this docmrent is an mdependcm anitv:md shall .,or be deemed forany purpose to be an employee, agent or representative of southern Crushed Gn.cone and/or HIT. The carrier shall save and hold $CC and HIT hamdess from liahilil, damages, loss claims, demands and/or actions of am• nmum which anise onl "for are related to, such transportation or handling. Gencmtor warrams mar"i:ds onnspun cd ,are non-h=rdous recyclablcs. and are not a ngulared hazvdmns waste. Date: Time: Carrier F Signmure O.A �, , qp 75731 12 �cusl OM— ER'S ba0E171V0.— GATE-- Aoo��a(EJss CITY. STA Wd/ CASH C.O.D. ARGE ON ACCT MMCISSE PAID OUT SOLD BY QUAN. OESCRIPTiON AMOUNT 3 i 0 I I 0 I j 0 10 12 RECEIVED BY�I I -KEIV THIS $UP Fr RE RclNOc TRUCKER'S COPY s 2070 Genoa Red Bluff Houston, Texas 77034 (281).487-0766 Fax (281) 487-0769 SuMainnhility at Work www.hpprecycles.com ER MATERIAL e, MATERIAL DESCRIPTION: RECEIVED BY: `�o wErD s'•.�i. OOVMY• TICKET NO. NET - UNITS - LOADS UNITS NOTICE: The carrier/customer involved in the transportation or handling of materials covered by this document is an independent entity and shall not be deemed for any purpose to be an employee, agent, or representative of HPP Corporation (HPP). The carrier/customer shall save and hold HPP harmless from all liability, damages, loss, claims, demands and/or actions of any nature which arise out of or are related to, such transportation or handling. CARRIER Bill of Lading'/ HPP Transport to: HPP Corp Corp. 2070 Genoa Red Bluff HUIISIOn, -rexas 77034 (281)487-0766 Fax (281) 487-0769 Custunsr No.: 1100053 PO or Contract No. Sales Order No.: 01845 Customer Name: GlTectivc Gneironniental. Inc. 2 15 South neltline Rd., Mesquite. Texas 75181 i nrcet 199, INS I. and Iiromhv:n• La Porte TX 77571 Material Description: Clam Concrete Customer Use Cubic Yards: PO# 38599 Non DOT Regulated, Non Hazardous Notice: [lie carrierlc otonrer ins'oh'ed in the transportation Or handling or aw,anals corcad by this donm:au is no independent asily and shall .or t,e deemed for any purpose to be an employee agent or representative of Snmhcm Crashed Concrete and/or 1111P. the carrier shall sas'c and hold SCC r d 111-11 harmless from liability, dmnages, lots claims, demands nonVor actions nr aov Imnne which price rap of Or are related to. such transportation or handling. Genemror 11a1ranl3 InnICI :ds tvansponed ate non-hamduus recyclahles, and arc not a rcgol W h:nanlous waste. Non DOT Regulated Non -Hazardous Process to T.cDOT Spec hen, #247, #2761 #400 rnrel/nr other appropriate specifcmion. I Date: Truck #: I s Time: l Customer / G' . ,% t �� (�/, / / t(/"O ` `,err Carrier Sirlaturc' ,`.r'.c�! ,�'e 7isignmurc: TRUCKER'S COPY we 2070 Genoa Red BluffHouston, Texas 77034 (281) 487-0766 Fax (281) 487-0769 SuMaivability it Work www.hpprecycles.com CUSTOMER NO.. ( P.O. NUMBER°`.,-r may (, �r 'T� �,y i[T tr JOa:NUMBER - 0�. - " Box NO •.. yy ; . SALES ORDER NO. TICKET NO. CUSTOMER NAME: ,GROSS�Y�. `y •;'.. r; 'TARE; - .NET. UNITS' i ;MAULER NUMBER` HAULERNAME n �,,,'� ,p TRUCK NO:-}°i�4"^� yi DATE t- ?'- TIME ' 'WEIGHED BY: MATERIAL DESCRIPTION: ...Jb ^' - ,1TOTALS FORTHIS ORDER TODAY LOADS UNITS . j.GDELIVEIiV ADDRESS :Fh � �y,k�';'��y:.�M,l" NOTICE: The carrier/customer involved in the transportation or handling of materials covered by this document is an independent entity and shall not be deemed for any purpose to be an employee, agent, or representative of HPP RECEIVED BY: Corporation (HPP).The carrier/customer shall save and hold HPP harmless from �0�`.� wE,oy� all liability, damages, loss, claims, demands and/or actions of any nature which A;' v arise out of or are related to, such transportation or handling. cavM�• CARRIER SIGNATURE: SIGNATURE: Bill of Lading HOP Transport to: HPP Corp Corp 2070 Genoa Red Dluff Ilouslon, Texas 77034 (281)487-0766 Fax (281) 487-0769 Customer No.: 1100053 110 or Contract No, Sales Order No.: 01845 Ctatomer Nmnc: Fll'cctive Gnvirummetltal.Inc. 25I5 Sunth IICld ire Rd- Mesquite, Texas 75 18 1 ha reel 199, Main SI. hill Bra:Id Na v, I Porll' TN 77571 Material Description: Clean Court Cie Process to TxDOT Spec /rent #247. 4276, #400 anrUtr other appropriate speclfcatlnn. A . Truck #: pppi Customer Signmure: Cubic Yards: Customer Use I PO# 38599 Non DOT Regulated, Non Hazardous Nolim The carrier/customer nwoleed in the Transportation or handling of materials Covered by this document is an indgacndan cntinand shall nut Ix cleaner/ ror any purpose to be an anploq'CC. agent or m;ac""tatice of 4outhan C. mlicd Concrete nnNor hlIT. Thc canicr shall save and hold WCand lil'I' harmless from liahilip'. dnnages, loss claims, demands:ruUnr anions of :nrr nature which arise out if entc related to. such transportation or handling. Gnmrainr a:mnnts umneriels tnnslrmnd are nun-huanlmis rceyelables, and are not a rePulated haz;oolums was, Non DOT Regulated, Non -Hazardous Date:(�- Time: y� Carrier T Signature: F TRUCKER'S COPY 2070 Genoa Red Bluff MIMI Houston, Texas 77034 (281) 487-0766 Fax (281) 487-0769 Sustainahility at Work WWW.hpprecycles.com 61;-inngc"4_ ) ,JOB'NUMBER yp; .,, •.; :: 'BOX NO.SALES ORDER NO.J."TICKET NO. 1• CUSTOMER NAME: _.fit,, GROSS _ TARES - NET / - UNITS HAULER NUMBER�1`i :HAULER NAME=� ,l. :TRUCK NO I' �' rl ,DATE 5 TIME. ' WEIGHED BY ,.'+ • .. .. 11:.'1. MATERIAL DESCRIPTION:..'.TOTALS FOR THIS ORDERTODAVt,: " LOADS UNITS NOTICE: The carrier/customer involved in the transportation' or handling of • �'.' materials covered by this document is an independent entity and shall not be deemed for any purpose to be an employee, agent, or representative of HPP RECEIVED BY: Corporation (HPP). The carrier/customer shall save and hold HPP harmless from c Wee �e`:•' d9�, all liability, damages, loss, claims, demands and/or actions of any nature which ' arise out of or are related to, such transportation or handling. � CouMla a CARRIER SIGNATURE: SIGNATURE: Bill of Lading HPP Transport to: HPP Corp Corp. 2070 Genoa Red Bluff Houston, Texas 77034 (281)487-0766 Fax (281)487-0769 Customer No.: 1100053 110 or Contract No. S;des Order No.: 01845 Customer Name: FITeclive Environmental, hat. 2515 South Bchlinc lid.• Mcsyuitc.'I czas 75181 Pa reel 199, \lain SL and Broathvay. La Po rlc, T,\ 77571 Material Description: Clain Concrete Prams m TxDOT Spec Item #247, #276, 4400 and/or other nppropriale• specification. Truck #: Customer Signature: Cubic Yards: Customer Use PO# 38599 Non DOT Regulated, Non Hazardous iNaliec:'lltc cmriedatstonter invoh,cd in the ImnsPnmuion or handling or materials covered by this document is an indelwndcat unity and shall not Iw deemed for any purpose to 0. at crolovec, agent or representative nrsomhctn Crushed Concrete and/or I [PP. The ennicr shall save and hold SCC and I11T hat dcss from liability, danmges, loss el:dms, davands and/or actions ol'mry nnturc .which arise ow ororaic rcl rcd to, such umisportation ar Imndliii, Generator rranants materials transported arc nun-hannlous rceydables, and :nc not a rcgul.wJ lururdoas tvnstc. Non DOT Regulated, Non -Hazardous C i Date Time: Carrier Signattre: 'TRUCKER'S COPY 02 2070 Genoa Red Bluff Houston, Texas 77034 (281)487-0766 Fax (281) 487-0769 Sustainabilily at Work www.hpprecycles.com CUSTOMER NO. � { -% J .�S � ; 1 .JOB PO NUMBERI,�, M...,; r �� t ..M ., NUMB _ ,.._ ,r'r. F_. , BOX NO; :. r-,. _.� SALES ORDER NO.' �- TICKET NO. . CUSTOMER NAME: -�' 'GROSS,-�M:;.. '� `• TARE _.-fir ;,- NET _ -' 'UNITS HAOLER'NUMBER:r�'.IiAULER,NAME_r,�vsfl"i. TRUCK NO Z.nr`+�EL~!X_nd ;DATES `j ,�;,' WEIGHEDBY- vs.. yTIME-„f MATERIAL DESCRIPTION: <-y (� y..70TAC5 FOR THIS ORDER_ ODAY. - LOADS UNITS y NOTICE: The carrier/customer involved in the transportation or handling of materials covered by this document is an independent entity and shall not be '-.:. , �. • • :.. -. i ., ...--.deemed for any purpose to be an employee, agent, or representative of HPP Corporation (HPP).The carrier/customer shall save and hold HPP harmless from RECEIVED BY: all liability, damages, loss, claims, demands and/or actions of any nature which A s arise out of or are related to, such transportation or handling. �ovxr' CARRIER Bill of Lading I Customer Use I HPP Transport to: HPP Corp Corp 2070 Genoa Red Bluff Houston, -rexas 77034 (281)487-0766 Fax (281) 437-0769 Customer No.: 1100053 110 or Contract No. Sales Order No.: 01845 Cubic Yards: PO# 38599 Non DOT Regulated, Non Hazardous Customer Maine: 1:11ective Environmental. Inc. Notice: the carrier/nunumr ineolyed in the transportation or handling it n twri:ds 25 15 South Itel Cline lid, Mesquite. Texas 75 1 A 1 covered by this discontent is an independent entity and shall not be deemed Int any Parcel 199, Alain tit. and Brmuhyay, la forte. TX 77571 purpose to bean anplovee, ages nr representamc of Snnhcn Cnrslmd Concrete ardor I IPPthe carrier Shull save and hold SCC and IIPP hornless hnu. liability. damages. loss claims, demands and'or actions of any nature which arise um ul'ot at A'lalerlal l)C>Cflhll011: talon (,Ullerl'Il' rdatal to. such tran5panalion or handling. Genennr mamnls nmlerials nansoned arc nun-haznNais agelables. and arc not a rcgulaed h:nnrdnus ryastc. Process in TMOT.Spee their 4247, #276, #400 anNur other appropriate No DOT Re elated Non -Hazardous -- .specrfcorimr. n Date:y, / Truck #: Time: Customer Carrier -r Signature: � Slgllalnrt': TRUCKER'S COPY TICKET NO. UNITS ' C VRCV O f ' �70TALS:FOR THIS ORDER TODAY •:.:. ��. y, 1.. LOADS _ UNITS NOTICE: The carrier/customer involved in the transportation or handling of materials covered by this document is an .independent entity and shall not be deemed for any purpose to be an employee, agent, or representative of HPP Corporation (HPP). The carder/customer shall save and hold HPP harmless from all liability, damages, loss, claims, demands and/or actions of any nature which arise out of or are related to, such transportation or handling. 2070 Genoa Red Bluff Houston, Texas 77034 (281) 487-0766 Fax (281) 487-0769 Sustainnbilily at Work www.hpprecycles.eom CUSTOMER NAME: HAULER NUMBER.?"MAIILERNAME3vni }$TRUCK NO �. �;;'� �3 MATERIAL DESCRIPTION DELIVEfiV,ADDRESS RECEIVED BY: ��c wpro CouM`• CARRIER SIGNATURE:_ Bill of Lading HPP Transport to: HPP Corp Corp. 2070 Genoa Rcd Bluff Houston, Texas 77034 (281)487-0766 Fax (281) 487-0769 Ctistumcr No.: 1100053 PO or Contract No. Sales Order No.: 01844 Customer Name: Effective Environmental. Inc. 2515 South Uelllinc lid., Mesquite, Iesxs 75181 Parcel 177 (Main St. and lirnmhrav, La Porte. T.X 77571 Material Description: Class 2 Soil Process to T.eDOTSpee lien, #247, #276, #400 andlor other appropriate specification. Truck M Customer Use Cubic Yards: PO# 38599 Non DOT Regulated, Non Hazardous Native: 111e carriedcostoner involved in the tnnsponaiiun or handling of ,nawrials covered by this duconent is an indcpcndem entity nod shall not be deemed for any purpose to Iw an employee. agent or representative of Southem Cnishcd Concrete and/or I1PPAIc offer shill save and hold SCC and 1I1P harmless from liability. damages. loss claims, demands and/or actions of any mnturc ,hich . rise out of wore related to, such transpnmmion or handling. Genconor warrants in:ncri:ls Imosi oncd arc non-Imzardmu regclablcs, and are not a regulated hazardous waste. Non DOT Regulated, Non -Hazardous Date: 7 Time: ` Customer i�� Carrier Signature: /n SiLllalure: TRUCKER'S COPY 2070 Genoa Red Bluff . . . . . . Houston, Texas 77034 (281) 487-0766 Fax (281) 487-0769 Sustain.bilityat Work www.hpprecycles.com 'CUSTOMER NO. " j__. , - , . ;, � , .q6x NO.. :4_ -SALES ORDER No. TICKET NO, -GROSS nTAIR E i, V ',UNITS' HAU(ER DATE TIME" WEIGHED BY:; lo: MATERIAL DESCRIPTION:J.'7. R THIS'O D R-TO TOTALS PO WE DAY LOADS U1,T], IN VEFF NOTICE: The carder/customer involved in the transportation or handling of materials covered by this document is an independent entity and shall not be deemed for any purpose to be an employee, agent, or representative of HPP RECEIVED BY: 1ju,411un (HPP). The carrier/customer shall save and hold HPP harmless from all Corporation damages, loss, claims, demands and/or actions of any nature which arise out of or are related to, such transportation or handling. CARRIER SIGNATURE:— SIGNATURE: Bill of Lading EE /• HPP Transport to: HPP Corp Corp. 2070 Genoa Red Bluff Houston, Texas 77034 (281) 487-0766 Fax (281) 487-0769 Customer No.: 1100053 PO or Contract No. Sales Order No.: 01844 Customer Name: Errective Environmental, Inc. 2515 South Dehlinc Rd., Mesquite, Texas 75181 Parcel 199, Main St. and Broadway, La Porlc, TX 77571 Material Description: Class 2 Soil Process to T.cDOT Spec hem #247, #276, #400 andlor other appropriate specification. Truck #: Customer Use Cubic Yards: ,� L' PO# 38599 Non DOT Regulated, Non Hazardous Notice: The carriedcuslomcr invoked in the tmnsponztion or handling or amerials covered by this document is an independent entity and shill not Ine deemed for any purpose to be an employee. agent or represcotmive of Sowhan Cashed Concrete and/or HIT. 71a carrier shall save and hold SCC and lil'P hamtless from liability, damages, loss claims. demands and/or actinns of any nature which nrisc out of or are related to, sack Imnspo Cation or handling. Generator wtura us materials transported are non -hazardous recyclables, and arc not o rcgul.wd laurdous wasm.. Non DOT Re ulate`d Non -Hazardous Date: L . rc?o Time: Customer Carrier Signature: Signature: :y. o.... JIM TRUCKER'S COPY IM2070 Genoa Red Bluff Houston, Texas 77034 t (281)487-0766 Fax (281) 487-0769 Sustainubility al Work www.hpprecycles.com SALES ORDER NO. I TICKET NO. CUSTOMER NAME: ',TARE NET UNITS V-.�'1.'-'."!:.) HAULER NUMBER' ;HAULER NAME I-• • l° TRUCK NO :, n..<W .� ;DATE ,,,t r" �:., yTIME[WEIGHED BY*. MATERIAL DESCRIPTION: TarALS' FO RTN ISORDERTODAY LOADS UNITS NOTICE: The carrier/customer involved in the transportation or handling of materials covered by this document is an independent entity and shall not be deemed for any purpose to be an employee, agent, or representative of HPP RECEIVED BY: Corporation (HPP). The carrier/customer shall save and hold HPP harmless from all liability, damages, loss, claims, demands anc/or actions of any nature which arise out of or are related to, such transportation or handling. SIGNATURE: CARRIER SIGNATURE: — - --------- Bill of Lading jp Hpp Transport to: HPP Corp Corp 2070 Genoa Red Bluff Houston, Texas 77034 (281) 487-0766 Fax (281) 487-0769 Customcr No.: 1100013 I'O or Contract No. Sales Order No.: 01344 CnSlomer Nan,c: rlrective 1invironmental, Inc. . 2515 Soulh 13cliline Rd.. Mcsquilc.'rcxas 75181 1'arcd I'M, i\iota SI. cant/ Itroathrn r. I: t 1'm'tc. TS 77i71 Matcri:d Ikscription: Class 2 Soil ProCeS.1'to T.VDOT Spec Item #247, #276, 9400 and/or other appropriate specificorion. Truck #: I-2 �) /� Cusumur Signaune: I Customer Use I Cubic Yards: PO# 38599 Non DOT Regulated, Non Hazardous Naricr: Thc canwricustonicr involved in the tmnsponation or Imndl in of materials covered by this docontenl is an independent entity and shall not be den:omd for any purpose to bean employee. agent or apresentaliec of Sotnhertt Crushcd Concrete and/ar I IPP. 1Lc carrier shall save and hold SCC and m'1' harmless hom liability, dmnagcs. loss claims. dcmn nts:naVnr actions afan. nature which arise out of or arc rclamd to, such trans,�oaiian nr Imndlinr-.. Gencrmnr sssnoans maerials transpnrmd are nun -hazardous rccycl:ddcs, and arc cam a rcgolamd hazm lous srasm. Non DOT Re ulated Non -Hazardous Date: .( Q} Time: Crier nature: -i'i, �" ./�„✓.!_ (J 3 'TRUCKER'S COPY ` 2070 Genoa Red Bluff Houston, Texas 77034 (281) 487-0766 Fax (281) 487-0769 Susl:linabilily at Wrrrk www.hpprecycles.com CUSTOMER NAME:' MAULER NUMBER.�';HAULER.NAME�Y�i .TRUCK MATERIAL DESCRIPTION buaNO: ;�y, .-,';'�,j: SALES ORDER NO: TICKET NO, tGROSST. t ,•" TARE r' '.l Er:,,.- - UNITS' ;'W661-16YI 1'-- T T'ia IVIALSFUR:TRIS ORDER TODAY,: ,. ."'t LOADS I UNITS NOTICE: The carrier/customer involved in the transportation or handling of material cover b this s e y document Is an Independent entity and shall not be A - • � - _ deemed for any purpose to be an employee, agent, or representative of HPP RECEIVED BY: - Corporation (HPP). The carrier/customer shall save and hold HPP harmless from all liability, damages, loss, claims, demands and/or actions of any nature which arise out of or are related to, such transportation or handling. �COYNIN, ' CARRIER Bill of Lading y�to l HPP Transportto: 1-IPPCorp Corp 2070 Genoa Red BILIff Houston, Texas 770J4 (281) 487-0766 fax (281) 487-0769 Customer No.: 1100053 PO or Contract No. Sales Order No.: 01844 Cuslonter Name GlPeclive I nvirunntental. Inc. 2515 South 13elllinc Rd.. Mesquile,'I'exas 75111 Parcel 199, Main Sl. and Rroademv, La Porte '1'N 77,71 Material Description: Class 2 Soil Process to TaDOT Spec lien, 4247. 4276, 9400 andlor other appropriate .cpeciJica ion. i Truck #: Customer Signature: ' d I Customer Use 1�vCubic Yards: PO# 38599 Non DOT Regulated, Non Hazardous Notice: Me cnn'icr/glstonler invnlecd in the vanslwnalion or handling ollnalerials co, crcd by this docmncnl is al independent emilp and .ah:dl nut be Jcciocd for any Purpose to be an employee. igeoI or representative of Soulbcnl ('nshcd C co,le and%or IIPP. 'I'I,c carrier shall save earl hold SCC and I IPP banulcn fmm liability, changes, loss claims, dcnnnds and/or anions of anv mmrc t,od, arise oul of or me relalcd to, such trmslwr:vinn or handling. Gener:nrn uarmnt, materials tnmspnrled arc non-harndous rccyclahles, and arc not p reached lurz:uduus tnuic. Non DOT Reetted Non -Hazardous Date: / ' II Time: Carrier Signature: :a TRUCKER'S COPY 2070 Genoa Red Bluff Houston, Texas 77034 (281) 487-0766 Fax (281)487-0769 Swtainability at Work W Ww.hpprecycles.coni .;- •.. `BOX NO - SALES ORDER NO. i TICKET NO. `. CUSTOMER NAME: s•,•. - s 'NET UNITS HAULER NUMBER :;t ... ... HAULER NAME v1i ...-yyTRUCK 5 * '' AT '• : ,TIME ., -. ... WEIGHED eYi.,. ', 4 MATERIAL DESCRIPTION: "--.: TOTALS FOR THIS ORDER TODAY' LOADS .,. UNITS 5;• s, �..C2t DEUVERY ADDRESS ;y yWlrLr a9g L rfa,"1.: NOTICE: The carrier/customer involved in the transportation or handling of materials covered by this document is an independent entity and shall not be deemed for any purpose to be an employee, agent, or representative of HPP RECEIVED BY: Corporation (HPP). The carrier/customer shall save and hold HPP harmless from Je��c WE�9y� all liability, damages, loss, claims, demands and/or actions of any nature which °fD arise out of or are related to, such transportation or handling. CARRIER SIGNATURE: SIGNATURE: 1 �Lt Bill of Lading HPP Transport to:..HPP Corp Corp 2070 Genoa Red Bluff Houston, Texas 77034 (281)487-0766 Fax (281)487-0769 Customer No.: H00053 PO or Contract No. Sales Order No.: 01844 Customer Name: Effective C-rwironmcntal, Inc. 2515 South Bcltline Rd.. Mesquite, Texas 75181 Parcel 199 Main St and Broadway. Ln Parse, TX 77571 Material Inscription: Chess 2 Soil Proces'.r io TcDOT Spec hem #247, N776, 0400 and/ar order appropriate specification. Truck #: I Customer Use I Cubic Yards: 'U PO# 38599 Non DOT Regulated, Non Hazardous Notice: Thc caniedcusm ter involved in the tmnsponmion nr handling of nmterials covered by this document is an independent enmy and shall not be dwried for anv purpose to be an employee agent or representative of Southcni Cmslmd Concrctc and/or HIT. The carrier shall save and hold SCC ant] HP1' harmless [part liahilil" damages, loss claims, demands and/or neimos or any noun which arise on ofor:ac rdared to, such transportation or handling. Generator %.arnms m:ncrials vanspura] are non -hazardous rgeyelabics. and ire nor a regulated Imzardmrs ovnste. Non DOT Re -elated Non -Hazardous Date: / `��/ i Time: Cuswmer r�r ////� Carrier Signature: $i.,OaluR: TRUCKER'S COPY ntldfvtu by: Gorporati Q eV`G N'E/o6F9 all liability, p: arise out .. � � •eau++� CARRIER on (HPP). The carrier/customer shall save and hold HPP harmless from damages, loss, claims, demands and/or actions of any nature which of or are related to, such transportation or handling. Bill of Lading HPP Corp Customer No.: H00053 Sales Order No.: 01844 Transport to: HPP Corp 2070 Genoa Red Bluff Houston, Texas 770J4 (281) 487-0766 Fax (281) 487-0769 PO or Contract No. Customer Name: Effective Environmental, Inc. 2515 $anh Bcltline Rd., Mesquite,'I'cxas 75181 Parcel 199, Main SI and Broadway1g Pr ne l'\ 77-71 Material Description: Class 2 Soil •cess to Tx00T Spec /tent #247, #270, #400 anNor other appropriate 'ification. 5 Customer Use Cubic Yards: C PO# 38599 Non DOT Regulated, Non Hazardous Notice: The carrier/cusmmer involved in the transportation or handling of materials covered by this document is an independent entity and shall not be deemed for any purpose to be an employee, agent or representative of southern Cmshcd Concrete and/or HPP. 3Le caner shall save and hold SCC and IIPP harmless from liability, damages, loss claims, demands and/or actions of any nature which arise out Of or are related to. such transponation or handling. Generator warrants materials transponed arc non -hazardous reeycables, and are not a regulated hazardous waste.. Non DOT Regulated. Non -Hazardous Date: �� ✓� t Time: — Carrier Signature: Z ifs TRUCKER'S COPY I;AHHIEH Bill of Lading P Customer Use I HPP Transport to: HPP Corp Corp 2070 Genoa Red Bluff Houston, Texas 770J4 (281)487-0766 Fax (281) 487-0769 Customer No.: 1100053 PO or Contract No. Sales Order No.: 01944 i Customer Name: El7ective Environmental, Inc. 2515 South 6eldInc Rd., Mesquite, Texas 75181 1':u cel 199 Alain St. and Broadway, La Pnarl,, TX 77571 Material Description: Class 2 Soil Process to T.<DOTSpec /rein #247, #276, #400 andlor other appropriate .speciJicalion. Truck #: Customer Signature: Cubic Yards: PO# 38599 Non DOT Regulated, Non Hazardous Notice: The wirier/cNtonmr involved in the transpuoation ur handling of onne6als covered by this document is an independent cmiiy and shall not he deancd for any purpose to be an employee, agent or representative of Snwhern Cntshed Concrete and/or HPP. 7Tc carrier shall save and bold SCC and INT hamdess from linhility, dainages, loss claims, demands and/or actions ofany mmnre which nnse nut of or are related In, such transportation or handling. Gcncmtor wnrrnnts materials an stoned are non -hazardous recyelablcs, and arc not a reguLned hazardous wire. _J Date: Time: vtG"r7�� —Y Carrier ` Signature: Non DOT Re • ulated Non -Hazardous t --7i/ < TRUCKER'S COPY m• wt 2070 Genoa Red Bluff a. Houston, Texas 77034 P-2 (281) 487-0766 Fax (281) 48770769 Sustainability of Work www.hpprecycles.com CUSTOMER NAME: HAULER NUMBERR HAULER'NAME s�:.: ii {TRUCK,NO'NfiW i�t; ;�� MATERIAL DESCRIPTION: v?k;:6La*ERY ADDRESS;�c` w,yi"y. .1:"smv};n:.r.c: RECEIVED BY: `sc wErQ ¢; 9 e COYMry, t, LOADS UNITS NOTICE: The carrier/customer involved in the transportation or handling of materials covered by this document is an independent entity and shall not be deemed for any purpose to be an employee, agent, or representative of HPP Corporation (HPP). The carrier/customer shall save and hold HPP harmless from all liability, damages, loss, claims, demands and/or actions of any nature which arise out of or are related to, such transportation or handling. CARRIER Bill of LadingHI -- r Customer Use Hpp Transport to: HPP Corp Corp 2070 Genoa Red Bluff Houston, Texas 77034 FCubicds: l (281)487-0766 Fix (231)487-0769 Customer No.: H00053 PO or Contract No. Sales Order No.: 01844 Customer Name Efrective Environmental. Inc. 25I $ South Ueltline Rd., Mesquite, Texas 75181 1'nrccl 199. 1\lain St and Rrourhvsr La Porte T\ 77-71 Material Description: Class 2 Sail Process to TxDOrSpec /rem #247, R276, #400 an for other appropriate specification. Truck #: Customer J/h e(tp/ Signature: PO# 38599 Non DOT Regulated, Non Hazardous Notice: 7Le caoie /customer involved in the Imnsperinlion nr hnndliag or nmenals covered by Ibis document is an indcpa¢Icm entity and shall not be fee ed for any purpo c to be an employee, agent or represmuative of smnhcm Crushed Concrete Ind/or HPP. The comer shall save and hold SCC and IIPp hannlcss from liability, damages, loss claims, demands and/or actions orany mane which arise out of or vc related to, such transportation or handling. Generator waromas materials �mnsported are non -hazardous recyclables. and arc not a regulated hazardous waste. Non DOT Re ulated Non -Hazardous Date: Time: % U • �� Carrier Signature: Qv t w�.3ff.'i� r•.J!-.1 . Scot alms go �!J K I rtUL:nrn'J I:UNY t 2070 Genoa Red Bluff Houston, Texas 77034 i (281) 487-0766 Fax (281) 487-0769 Sustainability at Work WWW.hpprecycles.com CUSTOMER NAME: HPAII:ER N11A19ER',Y.. FIAl1LEfl NM1E �.s Y�,^ L- :TRUCK NOc1I,'`q" � `` - i`�' MATERIAL DESCRIPTION: •. i4 ` f :� °# ti JDEL1VERYADDRES$ RECEIVED BY: JO�ac WFrey� Rr 9 eOYXr' SIGNATURE: — Bill of Lading HPP Transport to: HPP Corp Corp. 2070 Genoa Red Bluff Houston. Texas 77034 (281) 48 7-0766 Fax (281) 487-0769 Customer No.: H00053 PO or Centracl No. Sales Order No : it 844 Cusmmcr Name Ln'eciivc Environmental. Inc. 2515 South Beltline Kd.. NIcsquite. Texas 75181 Parcel 11)9, al' St and 0 a Iw c Ln Porte IN 77571__j Material Description. Class : Soil process to TxDOT Spec lien, =747. #276. #400 and/or other appropriate specification. i iP I .1. LOADS I ;'*0 UNITS NOTICE: The carrier/customer involved in the transportation or handling of materials covered by, this document is an independent entity and shall not be '1 `deemed for any purpose to be an employee, agent, or representative of HPP Corporation (HPP). The carrier/customer shall save and hold HPP harmless from all (lability, damages, loss, claims, demands and/or actions of any nature which arise out of or are related to, such transportation or handling. %ra CARRIER SIGNATURE: Customer Use lCubic Yards: � PO# 38599 Non DOT Regulated, Non Hazardous Soti,c: the ca.:::: ev.. ame: m,oi,cd nth- translwnmun or handling of ma;enal, w, erne b,un5 document is an independent entity and shall nor be deemed fo: ary purpose to be an employee, agent or representative of Southem Crushed Cores;' and/or 14pP. The conic, shall save and hold SCC and IIPP harmless &em liability, danmges, loss claims. demands and/or actions of any n,ture ,hich arise no, of or are related to. such onasponmion or handling. Generator warrants materials transported arc non -hazardous rcc,clabics. and air, not a ngnlaled hazardous wasto.. Date: Time: Non DOT Regulated, Non -Hazardous r"� a -�� z Truck #: Customer Sienaaue: Carrier Signawre: I KUUKI=X'5 COPY t '• 2070 Genoa Red Bluff f, Houston, Texas 77034 (281) 487-0766 Fax (281) 487-0769 suslainability at Work www.hpprecycles.com STOMER NAME: Ila HAULER NUMBER-°� xHAIILEfi'IJAAIE �.y,,,Y,,,�'i' 2TRUCK+NO+y.�' y �syr�k t1 MATERIAL DESCRIPTION: f <s,;. F„�±.K7q�'DEUVERY ADORESS�-�I.�`w'{rd:F;�sikYbS��E:jC!. RECEIVED BY: Je��c wE/oy� n; a 9�ecouxrs l�4 HPP Corp. Bill of Lading Transport to: HPP Corp 2070 Genoa Red Bluff Houston, Texas 77034 (281)487-0766 Fax (2S I ) 487-0769 QISIOIIIcr No.: 1100053 PO or Contract No. Sales Order No.: 01844 EIGHED BV - ;W �L!. Il ,i sl •d i'1ll -i n4tf`r.�-�hN9..'70TALS FOR'THIS ORDER TOOAV y �"' LOADS <; q; UNITS NOTICE: The carrier/customer involved in the transportation or handling of materials covered by this document is an independent entity and shall not be deemed for any purpose to be an employee, agent, or representative of HPP Corporation (HPP). Thecarrier/customer shall save and hold HPP harmless from all liability, damages, loss, claims, demands and/or actions ',-6any nature which arise out of or are related to, such transportation or handling: CARRIER elrnlnT: IOC ^• Customer Use Cubic Yards: PO# 38599 Non DOT Regulated, Non Hazardous Notice: The carrier/customer involecd in the transportation or handling or Customer Name: Effective Environmental, Inc. materials covered by this document is an independent entity and shall nor be 2515 South BeIllinc Rd., Mesquite. Texas 75181 deemed for any pugwse m be an anployec, agent or represenrmive of Suuthcm I'nrccl 199, Main St. and Brundway, I,a Porte Tx 77571 Crushed Concrete and/or HPP. The carrier shall save and hold SCC and HPP harmless from liability, damages. loss claims, demands andhor actions of anv nature which arise out of or are related to, such trenspontion or handling. Gcnerxtonvarrmus materials transported are non -hazardous recydablcs, and arc Material Description: Class 2 Soil not a regulated haz2rdous waste.. Process to TxDOT Spec Item #247, #276, 4400 and/or other appropriare Non DOT Re ulate//ed Non -Hazardous specification. Date: Time: Truck Customer - Carrier Sustainability at Work '2070 Genoa Red BUT Houston, Texas 77034 (281) 487-0766 Fax (281) 487-0769 www.hpprecycles.com TOMER NAME: : ` I. � ..:, r.C,,.. .1.. tin iit"evil:.. . I, .. :I , HAULER NUMBER HAULEB!IJAME a s, a y9t v� STRUCK NO jy ,l�,li. i• Y4.7 MATERIAL DESCRIPTION: pn�"_'',DELIVERY ADDRESS.n rk �'ajy'a.rT?:T"�i<ea+�y:�; oi ailt%�a RECEIVED BY: �a0 WErC QJO.:...... y�9 Bill of Lading; HPP Transport to: HPP Corp Corp. 2070 Genoa Red Bluff Houston, Texas 77034 (281) 487-0766 Fax (281) 487-0769 Customer No.: 1100053 PO or Contract No. Sales Order No.: 01944 I Customer Name: Effective Environmental, Inc. '_� I> South l3chline Rd., Mesquite. Mesas 75181 j P ecl 199 t1a'n St and Rroadtvnv Ln Pone. TX 77571 Material Description: Class'- Soil I RUCKER'S COPY !•'r)t r al•: .t. LOADS I t'�' UNITS NOTICE: The carrier/customer involved in the transportation or handling c materials covered by this document is an independent entity and shall not b: deemed for any purpose to be an employee, agent, or representative of HPI Corporation (HPP). The carrier%customer shall save and hold HPP harmless fron all liability, damages, loss, claims, demands and/or actions of any nature Whicl arise out of or are related to, such transportation or handling. CARRIER+ SIGNATURE:.; Process to TcDOT Spec Gem 9247. '276, 4400 and/or other appropriate Date specification. /I Cubic Yards: Customer Use PO# 38599 Non DOT Regulated, Non Hazardous Notice: T1¢ carriedcustomer involved in the transportation or handling of materials covered by this document is an independent entity and shall not be deemed for any purpose to bean enployce, agent or representative of Southern Crushed Concrete and/or HPP. -nm carrier shall save and hold SCC and I IPI' hmraless from liability. damages, loss claims, denands and/or actions of any nature which arise out oror are relacd to. such transportation or handling. Generator warrants materials transported nre nomhamrdous recychbles. and arc not a regulaied hazardous wHslc.. Non DOT Regulated Non -Hazardous Truck #: Customer Time Carrier enaturc: Bill of Lading Customer Use I HPP Transport to:.HPP.Corp Corp 2070 Genoa Red Bluff Houston, Texas 77034 (28 1) 487-0766 Fax (281)487-0769 Customer No.: H00053 PO or Contract No. Sales Ordcr No.: 01844 F omer Name: Effective Environmental. Inc. 5 South Ucltlinc Rd.. Mesquite. Texas 75181cell 199. (Main St. and Rraxde•tr I n Porte TX 77571 Material Description: Class 2 Soil Process to 7.cD0TSpec /lent #247. #276, #400 anNor other appropriate .specification. Customer �/ 1\� Signnturc: Bill of Lading HPP Transport to:-.HPP-Corp Corp 2070 Genoa Red Bluff Houston, Texas 77034 (281)487-0766 Fax (281)487-0769 Customer No.: H00033 PO or Contract No. Sales Order No.: 01844 Customer Nang: Effective Environmental, Inc. 2515 South Ucltlinc Rd.. Mcaluile, Texas 75181 Parcel PM stain St.and Iiruadway. La Porte TX 77571 Material Description: Class 2 Soil Cubic Yards: , PO# 38599 Non DOT Regulated, Non Hazardous NntiM the artier/customer involved in the transportation or handling ofmntcrials' cnverect by this dnnnmem is all independent enlity and shall not be deemed For ;toy pugtose to be an emplovice, agenl.or represcnuaice of Southern Crushed Concrete and/or III'I'. The nnier shall save and hold SCC and HPP harmless front liability. daotaces, loss claims, demands and/or nations ofuny nature which arise all of w are acletcd 10, such transportation or handling. Generator %varrants materials a:msponed arc nmmlnnnlmu r¢rclatoks. and are not a regulated hamrdotls waste. Date: Time: Carrier Signature: I Customer Use I Cubic Yards: %-C) PO# 38599 Non DOT Regulated, Non Hazardous Notice: the carver/customer involved in the transportation or handling of mateonhs covered by this docuntea is an independau entity and shall not be deemed for any Purpose in an amplovee. agent or representative of soothem Crashed Concrete and/or 11111'. The carrier shall save and hold SCC and IIPI' harmless front fimbibly. dantaves, loss claims, demands and/or actions of any nature which arise out of or arc related to, such transportation or handling. Generator warrants taterials manspstned arc noroharardous recvclables, and arc not a regulated hamrdous waste. Process to TxBOT Spec /rear #247, #276. 4400 unrUnr other appropriate specification. Date: Truck M % I t (� Time: Customer Carrier Signature: Signature: t Bill of Lading Hpp Transport to: HPP Corp Corp 2070 Genoa Red Bluff Houston, Texas 77034 (281) 487-0766 Fax (281) 487-0769 Customer No.: H00053 Po or Contract No. - Sales Order No.: 01944 Customer Name. Effective Environmental. Inc. 2515 South Bclthric Rd., Mesquite. Mesas 75181 Parcel 199, Main St. and BrontMnv, let Poric. TX 77,71 Material Description: Class 2 Soil Process to T.rDOT Spec hen, 4247, #276, #400 andlor other appropriate spec;fical;nn. Truck #: i Customer Signoturc I Customer Use I Cubic Yards: PO# 38599 Non DOT Regulated, Non Hazardous Notice 1Le can cncusmnrcr in,.1, d in the transportation or Handling of malcrials . envemd by this dncumenl is an independem Cathy and stall nor be decamd for any purpnse to be air emplopec, agent or representative of so town, Crushed Concrete andlor lil'P. llra carrier shall save and hold SCC and HIT hannicss from liability, damages, loss claims, dcmm... s and/or actions ofmry rmrurc rvhich arise tan of or na related to, such tmnsponation or handling. Gcncmtor rv;nrants malcrials innspuned ,are non-tazardous recyclablcs. and are not n regulated hazardous waste. Non DOT Regulated Non -Hazardous Date: 0`/'6 Time: 7SZ Carrier Sirmauue: TEXAS _ = = COMMISSION ON ENVIRONMENTAL TCEO QUALITY CORRECTIVE. ACTION REFERENCE FORM THIS FORM MUST BE SUBMITTED WITH APPLICATIONS FOR LPST CORRECTIVE ACTION SPECIALIST REGISTRATIONS INSTRUCTIONS FOR COMPLETING CORRECTIVE ACTION REFERENCE FORM Pursuant to 30 Texas Administrative Code Chapter 30. Subchapter E. any person applying for a registration as an LPST Corrective Action Specialist must submit statements from three (3) different clienticuslomers. not related by blood or marriage. for whom the applicant performed corrective action services within the immediate nfecndine 24 months. Limit each reference to one specific job done within a specific time period. Specify the physical address where the work was performed. If no physical address exists. provide directions to the location using information easily found on a map (i.e. job site located on the north side of Stale Hwy 59. three miles east of the State Hwy 59 intersection with Farm to Market Road 4510). Ensure the application and any attachments have been accurately completely. Any incomplete or omitted information may result in a delay of the processing of the application or possible denial of the application. Ensure the form is completed legibly and signed before submission. SECTION I - BUSINESS NAME OF APPLICANT 711A:MEUSINESS OR COMPANY APpi ii PLYING FOR REGISTRATION: EG7'IV E EWV12vNME/vTAt ��. SECTION II - CLIENT INFORMATION (customer for whom the work was provided) NAME CLIENT REPRESENTATIVE COMPLETING FORM: TITLE: Ra�� Iwcyaw�•fr CooReruarot R�+�+�a �. zhar CLIENTICOMPANY BUSINESS NAME: CLIENT/COMPANY TELEPHONE- NUMBER: GTy of Cx1�wE Zb%-H70-Sows JOB SITE ADDRESS (Street addrass or dvecl ons to site). CITY: STATE: ZIP CODE: BfxK Mcl ,S&aAoww (A 1?ov]E x 77571 SECTION III - CLIENT'S EVALUATION OF CORRECTIVE ACTION PERFORMED BY APPLICANT A. SHOW THE PROJECT DATES THAT THE APPLICANT PERFORMEFO CORRECTIVE ACTION ACTIVITY FROM _IA�I.n"ALY zoo 9 To 4 r 20 m 9— B. WHICH OF THE CORRECTIVE ACTIONS WERE PERFORMED By THE OSPRA PPLICANI' ON THE DATES n Chapter LISTED TX Water Code XLPST —TiWtL u RCRA C. WHAT TYPE OF CORRECTIVE ACTION WAS PERFORMED? o n ENGINEERING o GEOLOGY HYDRO GEOLOGY V OTHER IF OTHER EXPLAIN: _[r)e J2).—SGT5.o;: CORRECTIVE ACTION REFERENCE FORM -CONTINUED D. PROVIDE A BRIEF DESCRIPTION OF THE CORRECTIVE ACTIONS PERFORMED BY THE APPLICANT ( i.e. Phase II activities, sell of ground water clean up, limited site assessments, bio-remcdiation, writing of remedial action plans. etc.). Those include, but are not limited to, corrective action activities performed at leaking petroleum storage tank (LPST) sites. Resource Conservation and Recovery Act (RCRA) sites. Oil Spill Prevention and Response Act (OSPRA) sites, Texas Water Code Chapter 26 sites, or any other corrective action activities conducted under the auspices Of the TCEO, the Texas General Land Office, The Texas Railroad Commission or the United States Environmontal Protection Agency. C -w,_C-pMI- �ATJof TF Te. �M�TSTC E. WAS THE ACTIVITY COMPLETED TO YOUR SATISFACTION? YES n NO IF NO EXPLAIN: ��B.Y—S�IT.LsF ✓'a �-- �onx cnwpieTFl, �.,Ls�tL.Y—II ��_c�Eet.E..Y F. WOULD YOU EMPLOY THE APPLICANT AGAIN FOR CORRECTIVE ACTIVITIES? YES n NO IF NO EXPLAIN: G. WOULD YOU OR HAVE YOU RECOMMEND�D.THE APPLICAN"r TO YOUR BUSINESS ASSOCIATES OR YES n NO COLLEAGUES? IF NO EXPLAIN: iH1�E_Rwic_u.u�—��=r�.wJvE —T_O 9� So Ft. INDICATE YOUR GENERAL ASSESSMENT OF THE APPLICANT IN THE FOLLOWING CATAGORIES: OUALI FY OF PERFORMANCE jUXCEILLENT r. GOOD n POOR n UNCERTAIN BUSINESS INTEGRITY EXCELLENT n GOOD ,t POOR n UNCERTAIN SEC ION IV - SIGNATURE �j n 1I• c � rQ0. Q I9 ka 1 L- , DO HEREBY ATTEST THAT THE ABOVE STATEMENTS AND IS Print or Type Name TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE. SIGNATURE. _ _ DATE: