2000-P03096 - remove oil/fuel tank

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DETERMAN BROWNIE INC. • 1241 72nd Ave. NE • Fridley, MN 55432 SHIPPING MANIFEST f. _ .,�'._ :}-, Date: Work Order. Bill To: Transporter: , ; ,f 4 : ; ;r. � , ,�- DETERMAN BROWNIE INC. i` 1241 72ND AVE. N.E. MINNEAPOLIS, MN 55432 SITE EPA I.D. No.: Manifest No.: Lletarman to Com fete Truck Date Checked O#ioad HM Gallons Product Descri tion No. Received In B tocation GASOLINE 3, UN1203, II, FLAMMABLE LI�UID . ,", � FUEL OIL 3, NA 1993, III, FLAMMABLE LIQUID PETROLEUM PRODUCTS, NOS, 3, UN1268, III N/A USED OIL (NOT US DOT REGULATED) Pick-U PoinUJob Site Destination DETERMAN BROWNIE INC. , : F ;,, � .� � 1241 72ND AVE. N.E. � MINNEAPOLIS, MN 55432 The Generator is responsible for the cost of the analysis and disposal of the TRANSPORTER CERTIFICATION—This is to certity the above named materials are above named materials in compliance with State and Federal regulations. ¢Foperly classified,packaged,marked,Iabeled,and are in proper condition for GENERATOR transportation according to the applicable regulations of the Department of � Transportation. NAME(PRINT): TRANSPORTER NAME(PRIPIT): �' ` SIGNATURE: TRANSPORTER SIGNATURE: POTENTIAL HAZARDS FIRE OR EXPLOSION FIRE Flammable/combusiible material;may be ignited by sparks or flames. Small fires:Dry chemical,CO2,Water spray or regular foam. Vapors may travel to a source of ignition and flash back. Large fires:Water spray,tog or regular foam.Move container from fire area if you can Containers may explode in heat or fire. do so without risk.Apply cooling water to sides of container that are exposed to Vapor explosion hazard indoors,outdoors or in sewers. flames until well after flames are out.Stay away from the ends of the tank. Runoff to sewer may create fire or explosion hazard. For massive fires in cargo area,use an unmanned hose holder or monitor nozzles;if HEALTH HAZARD this is impossible,withdraw from the area and let fire bum. May be poisonous if inhaled or absorbed through the skin.Vapors may yyithdraw immediately in case of rising sound trom venting safety device or any cause dizziness or suffocation.Contact may irritate or bum skin and eyes. discoloration of tank due to fire. Fire may produce irritating or poisonous gases.Runoff from fire control or SPILL OR LEAK dilution in water may cause pollution. Shut off ignition sources;no flares,smoking,or flames in hazard area.Stop leak if EMERGENCY ACTIOIV you can do it without risk.Water spray may reduce vapor;but it may not prevent Keep unnecessary people away;isolate hazard area and deny entry. Stay upwind and keep out of low areas.Positive pressure setf-contained �9nition in closed spaces. breathing apparatus(SCBA)and structural fire fighter's protective clothing Small Spills:Take up with sand or other noncombustible absorbent material and will provide limited protection. Isolate for 1/2 mile in all directions if tank,rail Place in containers for later disposal. car,or truck tank is involved in a fire. Large Spills:Dike far ahead of liquid spill for later disposa�. CALL FOR EMERGENCY ASSISTANCE: FIRST AID 1. Determan Welding and Tank Service...............................612/571-8110 Move victim to fresh air and call emergency medical care;if not breathing.give 2.Rick Anderson......612/574-2392 3.Gerald Krob........612/429-3439 artificial respiration;if breathing is difficult,give oxygen. 4.Jim Determan.......612l755-3740 5.Vern Peterson....612J241-1880 In case of contact with material,immediately flush eyes with running water for at least If spill or water contamination occurs call: 15 minutes.Wash skin with soap and water.Remove and isolate contaminated NATIONAL EMERGENCY RESPONSE NO. 1-800-424-8802 clothing and shoes at site. WHITE-WORK ORDER YELLOW-OFFICE COPY PINK-CUSTOMER COPY