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2011 3rd Quarter
FRANKLIN CPI1NTY TREASURER CASH DEPOSIT SLIP 1 RECEIPT NUMBER i 7 t- ^ DATE 1 RECEIVED FROM - �,` �O©��� 1 1 I 1 EXPLANATION‘_ � `� " i F ADDITIONAL EXPLANATION III 1 0 f,5)\-1000 6-7_ i, II Ifl ®FNI 1 a ________________ [111111= 1 EMT= I FIE:=ErrE I =MTh 1 _. 1 f TOTAL ' 0 J n <,] t` j REC'D BY 1//- if 1 1 i ° r' tai 5 //viv j Recd by� 7 1 All claims and returned goods MUST be cs-2oi_2 PRINTED IN accompanied b Li n C?1f n� Y this bill. �JhAnj� w 4,P 7--,w,,. -I- pz y x o w m o 0- ...0 = N eta O - m w a, z I 'C T. N O Xm O m 7 N h o X CO O o w - N H H ` = ao H 03 i r Z0 �m O y 0 .:5 7 IC.-3 5 O J o J tr1 O 0) Cn O N O r ! I..1 a c• C c-a O N co G7 x C) Z a m W •i n n z r �,00 o a z s O Y -0 H H n a z En W rn nO N H 1-4 p o � N O o m ; a •C r r a c ru 0 2 O o o 5 2 < o d W m N cc A tl7 ■ '1 CA Cn cc)-n 9 •--I N O M -i O Q w m y W ..8 O r) r o oo N N N O Q7 Y CL G. C O 0 ° D3 D a CO• o m Z o L r • * n y / - 1. * o x a Z m 2 w o i 3 4 w N CJ � 0 I 1 G. 1: f to N CO 'd 1 o w 6 ds -1 a. o W.rri 00 o o ° m i 0 Pc C $ m . n °a ° C) 3 °- * n * z 0 a * * 2 mrt w � 69 °vG C7 � "` 0 rn W C�ro gl 7 N 1 O I- Eu� w ° O G CO G 0 c)ID Ea w o Pt m W W > \bo CI P, C'•gF. * * CO CO m Sp o O '.--t CC, m z 2 =C�51 October 17, 2011 Mr. Phil Tarquino Franklin County Planning Director 157 Lincoln Way East Chambersburg, PA 17201 RE: Franklin County Fees 3rd Quarter 2011 Dear Mr. Tarquino: The total amount of waste for the 3rd quarter of 2011 totaled 136,201.7 tons. Chambersburg Waste Paper is no longer paying the county fees to our facility, effective November 20, 2006. A total amount of 12,078.5 tons have been subtracted due to the tonnage for CWP. Enclosed is the check payable to Franklin County for $31,030.80 for the 3`d Quarter of 2011. This fee is based upon a total of 124,123.2 tons at$0.25 per ton. If you have any questions regarding these fees, please contact me at 717-709-1700. Thank you, Sam Donato IESI Blue Ridge Landfill District Manager P.O. Box 399 IESI Corporation 717-709-1700-Tel Scotland, PR 17254-0399 717-264-2285- Fax Primal on Req-ded Paper ic5I October 17, 2011 Mr. W Wayne Demoss Perry County Conservation District PO Box 36 New Bloomfield, PA 17068 Certified Mail: 7007 1490 0001 6724 4260 RE: Perry County Fees 3rd Quarter 2011 Dear Mr. DeMoss: The total amount of waste from Dauphin County for the 3`d quarter of 2011 totaled 47.9 tons. Chambersburg Waste Paper is no longer paying the county fees to our facility; therefore a payment will not be made. Please see attached documentation. If you have any questions regarding these fees, please contact me at 717-261-2685. Thank you, Sam Donato District Manager IESI Blue Ridge Landfill P.O. Box 399 IESI Corporation 717-709-1700-Tel Scotland, PR 17254-0399 ® 717-264-2285-Fax Printed on 12erycled Piper d o Lt CD CD H A A C7 '� J c- G. N 0 0° o 0' i..i 0 0 � 00 be 0 0 Zh 0 ON N oz E Ro c y eo r � 5 > � a 00 00 tr.) ,b ft oar o HO 0 P o C c 0 0 o cn cn ° n O zd cn � 0 o, 0 0 A A Z z P o > 00 00 ci) 0 o 0 © 0 0 0 CA CD 0 oO. ■G �p O b b ID * i I �' O rrti H b rri A. "! n cm OO O1 A C '+ I — O "C to D a0 0 y z z c O t o 0 0 o - y ■C ,.D 00 0o v ., d o — o - co,, `•' y VD N Oo to n n n C] H O\ o\ O., v� 0 0 00 00 5 O G H ^1 CO A7 0 0 0 0 0 0 ' K• a 00 oo oo oo oo oo n' 'b co ROOtC pO O r. eo 0 0 0 0 0 0 C 0 00 00 00 00 00 00 d N7 ~ N ■D o cc c 0 o: •o - ewe hod A A ^ _ �1 �1 A. w O, w co t 0 Co Co Co N A iv H C A J A O', p w O O 0 0 0 0 y .1 0 N 0 Cr1 m O O 0 0 0 0 co 0 0 0 0 0 O y H EA∎D 4) N N N LA In �D ON N O■ N N O0o A 000 N ►. pH 69 —EA H9 69 EA 69 w w .-- w CO CD �1 w - w qD �0 A N N N EA 69 ro 69 65 Hs 59 m 'CO '.D V1 c.)1 N (Ji `o m 00 00 I O A O w p po N - �1 A �1 00 00 _C�51 October 17, 2011 Adams County Solid Waste & Recycling 670 Old Harrisburg Road Suite 100 Gettysburg, PA 17325 RE: Adams County Fees 3rd Quarter 2011 Dear Bicky Redman: Enclosed is the check payable to Adams County for $14,829.25 for the 3`d Quarter of 2011. This fee is based upon a total of 5,931.7 tons at $2.50 per ton. If you have any questions regarding these fees, please contact me at 717-709-1700. Thank you, Sam Donato IESI Blue Ridge Landfill District Manager P.O. Box 399 IESI Corporation 717-709-1700-Tel Scotland, PR 17254-0399 717-264-2285-Fax IESI Blue Ridge Landfill Page 1 ADAMS COUNTY QUARTERLY OPERATION REPORT Printed on 10/04/2011 Transactions from 07/01/2011 through 09/30/2011 DEMOLITION& :USTOMER MUNICIPAL CONSTRUCTION Totals BILL HINKLE BUILDING&REMOLDELING 0.00 8.57 8.57 C.E.WILLIAMS 0.00 80.01 80.01 CHAMBERSBURG WASTE PAPER CO 217.45 59.24 276.69 CHAMBERSBURG WASTE PAPER-GIANT 110.74 0.00 110.74 CONEWAGO ENTERPRISES 0.00 7.56 7.56 D.H. MARTIN INC 0.00 14.70 14.70 GETTYSBURG COLLEGE 114.19 0.00 114.19 [ESI 2,038.44 147.67 2,186.11 LANDFILL BOX CASH CUSTOMERS 9.49 9.47 18.96 VIJ GEBHART 0.00 0.80 0.80 NEIDERER SANITATION 254.12 344.41 598.53 PATRICK ARENTZ GENERAL SERVICES 4.23 5.50 9.73 PECK'S REFUSE DISPOSAL 0.00 13.78 13.78 ROLLOFF UNLIMITED 0.00 224.66 224.66 STONESIFER& SONS SANITATION 1,428.73 149.12 1,577.85 TIGER WASTE DISPOSAL SERVICES 0.00 52.75 52.75 VARISH CONSTRUCTION 0.00 37.56 37.56 YORK WASTE DISPOSAL 367.67 230.84 598.51 Grand Total 4,545.06 1,386.64 5,931.70 Total Municipal and C&D Adams County waste 5,931.70 at 2.50 Dollars per ton $ 14,829.24 ;RpAdams.rpt BRADO2 ` ADAMS COUNTY SOLID WASTE IESI Corporation 10/11/2011 Ref Nbr Invoice Nbr Cust Nbr Invc Date Invoice Amount Amount Paid Disc Taken Net Check Amt 001831311 3RDQTR2011 09/30/11 14, 829.25 14, 829. 25 0.00 14, 829.25 101931674 THE FACE OF THIS DOCUMENT HAS A COLORED BACKGROUND ON WHITE PAPER-THE BACK CONTAINS AN ARTIFICIAL WATERMARK-HOLD AT AN ANGLE TO VIEW Fleet Maine, N.A. South Portland,ME IESt Corporation 52-153/112 2301 Eagle Parkway,Suite 200 Checlk# 101931674 Fort Worth,TX 76177 (817)632-4000 Check Date Check Amount 10/11/2011 ******$14,829.25 **Void after 120 days** **Not valid over$50,000 without two manual signatures** Fourteen Thousand Eight Hundred Twenty-Nine and 25/3.00 - USD PAY TO THE ADAMS COUNTY SOLID WASTE ORDER OF MS $ICKY REDMAN / 111-117 BALTIMORE ST GETTYSBURG, PA 17325 Authorized Signature II. LOL93 LEI ? I' 1:0 L L 20 L s 391: 80 2L680410 IL5I October 17, 2011 Dauphin County Solid Waste Authority 1620 South 19th Street Harrisburg, PA 17104 RE: Dauphin County Fees 3rd Quarter 2011 Dear Kelly Wolf: Enclosed is the check payable to Dauphin County for$784.00 for 3`d Quarter of 2011. This fee is based upon a total of 160.0 tons at $4.90 per ton. If you have any questions regarding these fees, please contact me at 717-709-1700. Thank you, sS 14- Sam Donato IESI Blue Ridge Landfill District Manager P.O. Box 399 IESI Corporation 717-709-1700-Tel Scotland. PR 17254-0399 ® 717-264-2285-Fax ■- CID N h bLo <¢ a a a -. 0 - - o F, 0 a 0 b .qq' 0 o 0 0 C 0 0 Q" w co Q 1 00 00 o c Z o a 00 FH aU — 0a w „ CI 0 U O o o o O o © N V O c o _ o 0 U .-rr 0 a w 0 ,.7 ts• w w 00, © oo 0 00 z0 "" 0 Z o 0 W G < 0 0 o O O o o U Q 4 cd 7) Ell o o O 5 Or O O 0 Uet a) a) w Q Q H 0 C.) o 0 x F J O LO A u Q 5a RDA01 - DAUPHIN COUNTY SOLID WASTHESI Corporation 10/11/2011 Ref Nbr Invoice Nbr Cust Nbr Invc Date Invoice Amount Amount Paid Disc Taken Net Check Amt 01831315 3RDQTR2011 09/30/11 784 . 00 784 . 00 0.00 784 . 00 101931677 THE FACE OF THIS DOCUMENT HAS A COLORED BACKGROUND ON WHITE PAPER-THE BACK CONTAINS AN ARTIFICIAL WATERMARK-HOLD AT AN ANGLE TO VIEW Fleet Maine,N.A. South Portland, ME IESI COrporatIOt1 52-153/112 2301 Eagle Parkway, Suite 200 Check# 101931677 Fort Worth,TX 76177 (817)632-4000 Check Date Check Amount 10/11/2011 *********$784.00 **Void after 120 days** **Not valid over$50,000 without two manual signatures** Seven Hundred Eighty-Four and 00/100 USD PAX TO THE DAUPHIN COUNTY SOLID WASTE ORDER OF 1800 LINGLESTOWN RD SArkt" SUITE 103 HARRISBURG, PA 17110-3343 Authorized Signature .-...._...._.._w___—, ___..___..,_.._.__ ._.....„......,...._.._..,.... .__„_....._...__.__........._._._.__- _.....,......._. _ n 4QA. is II' L0L93L67 ?I1' 1:0 1 L 20 L S 391: 80 2L6801,11' TOTAL TONS 136,201.7' FRANKLIN CO. FEE 0.25 TOTAL FEE $34,050.43 CWP TONS 12,078.5 CWP FEE 0.25 TOTAL CWP NON-PAYMENT $3,019.63 TOTAL TONS 124,123.2 TOTAL FEE TO PAY FRANKLIN CO. $31,030.80 °' o et N ar ,- O co Q 0 -o N 1!! O O O H N N N G, O, O, 0 O O ,--1 ,-t ■--1 W 44 a � 2 o a N g y o O en w a, r' J F 3 . 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E s5 a a rFM-BWMOI 60 Rev.10/2009 COMMONWEALTH OF PENNSYLVANIA Please Type or Print in Ink DEPARTMENT OF ENVIRONMENTAL PROTECTION Pennsylvania BUREAU WASTE MANAGEMENT DEPARTMENT OF ENVIRONMENTAL PROTECTION Act 101, The Municipal Waste Planning, 1 ita Recycling, and Waste Reduction Act QUARTERLY HOST MUNICIPALITY BENEFIT FEE REPORT A. General Information 1. Permit No. 1 0 0 9 3 4 2. ❑ January-March ❑ April-June ® July-September ❑ October-December 2 0 1 1 Year 3. Facility Name IESI PA BLUE RIDGE LANDFILL CORPORATION 4. Facility Address 1660 ORCHARD ROAD CHAMBERSBURG, PA 17201 5. Location GREENE E Township ❑ Borough g ❑ City (Name of Municipality) 6. County FRANKLIN 7. Contact Name SAM DONATO 8. Contact Title DISTRICT MANAGER 9. Contact Phone No. (717) 709-1700 10. Operator Name IESI PA BLUE RIDGE LANDFILL CORPORATION 11. Operator Address PO BOX 399 SCOTLAND, PA 17254 B. Fee Computation All weights must be expressed in tons rounded to the nearest 1/10 ton. 3 Cu.Yd.= 1 Ton, 1 Ton =2,000 Pounds Line Municipal Residual Sewage Processed Demolition/ Ash Asbestos TOTAL No. Month Waste Waste Sludge Infectious Construction 1 Month 1 36,682.1 3,136.5 31.9 0.0 2,349.5 0.0 0.0 42,200.0 2 Month 2 38,101.5 5,933.4 10.0 0.0 3,359.1 0.0 3.4 47,407.4 3 Month 3 41,365.3 2,100.0 17.8 0.0 3,105.7 0.0 5.5 46,594.3 4 Total Waste 116,148.9 11,169.9 59.7 0.0 8,814.3 0.0 8.9 136,201.7 5 Fee Calculation @$1.91 Ton -($1.91 X TOTAL on Line 4 x%of area) 260,145.25 6 Preexisting Agreement Credit 0.0 7 Net Fee 260,145.25 8 Discount for Timely Payment(1% Discount if paid before the Due Date) (0.01 x Line 7) 2,601.45 9 Penalty for Late Payment(5% Penalty for each month or part of month late) (0.05 x Line 7 x Mos.) 0.0 10 Net Fee Due(Payment MUST be enclosed with report to avoid penalty for late payment.) 257,543.80 C. Certification This is to certify that I have personally examined and am familiar with the information in this and any attached documents. I am aware of the Department of Environmental Protection's requirements for this report. To the best of my knowledge, information and belief, the submitted information is true, accurate and complete. I am aware that there are significant penalties for submitting false information. SAM DONATO ( -1, I>y .. 1 0 1 1 1 1• Name of Operator/Contact Signature o Oper or/Conta Date(mm/dd/yy) G.) a o. w o C z 69 N ti O O' (D o p W W d c>, 01 n. O O■ _n O 0 cn N N 0 CT On 0 00 W W — W W 6A ON O� yCy J x000 N N O� 00 Nti H O 0• tyl y y�y O `J trJ y W ro O H O ti O O Q O 141 0 0 c.) br 0 a CA oQ oO - N ∎ ny o �] • H O z w w z c� • o y o o o x r 0 cn © o O © 0 ci) a. O z y A A 00 N N H O O O O N� O O N F. b 9 M O r = cn z w CD cr co 4 p w W N 00 00 • O � �+ n J 1-,o o o -• • O 69 W to W W C7 vl w w 00 00 J W w CA CI) n m 0 0 Y o _ °o ° � rrn y Z � � y � 0 o E o C � � o ova 0 opt ° • o Yq C 0 o &) cn b r' °z ° ►dc o G4 w o y w 0 ID O oy °o 0o b7 rn A A O 41. 4. Cl) b 4 a 0 A is O J H J J O (Q O EN tN G1 9 p.1 A. • CD 0 • o ti • a C 11 O cr 69 'Cf 4 e O A d io r+ 0■ v,' 0 w W n tA o N (), y 0 �r 0 00 O O d 69 O o ce Ln W W 5. J W W Cn tri A a rrn ran y �+ how o O. ,o c o co 0 o 0 o CZG • 0 c CA br 0 oz - o o o con Z .r 00 ono Z R� 0 o y °o °o x P1 H 07 u in O 0 0 z � A A x O � o A A N ov t O 0'0 cu CA — — BRCRO3 GREENE TOWNSHIP MUNICIPAL A3STHorporation 10/11/2011 Ref Nbr Invoice Nbr Cust Nbr Invc Date Invoice Amount Amount Paid Disc Taken Net Check Amt 001831320 3RDQTR2011 09/30/11 257, 453.80 257, 453. 80 0. 00 257, 453. 80 THE FACE OF THIS DOCUMENT HAS A COLORED BACKGROUND ON WHITE PAPER-THE BACK CONTAINS AN ARTIFICIAL WATERMARK-HOLD AT AN ANGLE TO VIEW 80 Fleet Maine, N.A. South Portland, ME JESF Corporation 52-153/112 2301 Eagle Parkway, Suite 200 Check# 101931680 Fort Worth,TX 76177 (817)632 4000 Check Date Check Amount 10/11/2011 *****$257,453.80 **Void after 120 days** **Not valid over$50,000 without two manual signatures** Two Hundred Fifty-Seven Thousand Four Hundred Fifty-Three and 80/100 USD PAY TO THE GREENE TOWNSHIP Q SHIP MUNICIPAL RUTH ORDER OF 4182 SUNSET PIKE CH.AMBERSBURG, PA 17201 C;i64 l'1\4r / Authorized S gnatures II' LOL931168011' 1:0 L L 20 L 5 391: 8O 2L680to' 2560-FM-LRWM0168 Rev.8/2002 COMMONWEALTH OF PENNSYLVANIA 71 Please type or Print in Ink DEPARTMENT OF ENVIRONMENTAL PROTECTION BUREAU OF LAND RECYCLING AND WASTE MANAGEMENT Municipal Waste Landfill and Resource Recovery Quarterly Operations and Recycling Fee Report A. General Information 1. Permit No. 1 0 0 9 3 4 2. Qtr: ❑ January-March ❑ April-June ® July-September ❑ October-December 2 0 1 1 Year 3. Facility Name IESI PA BLUE RIDGE LANDFILL CORPORATION 4. Facility Mailing Address PO BOX 399 SCOTLAND, PA 17254-0399 5. Host Municipality GREENE 121 Township ❑ City ❑ Borough 6. County FRANKLIN 7. Facility Contact Name SAM DONATO 8. Phone No. 717-709-1700 B. Recycling Fee Computation (check payable to"Recycling Fund") Express all weights in tons rounded to the nearest ONE-TENTH ton. (1), 3 Cu.Yd. = 1 Ton, 1 Ton =2,000 Pounds Line Municipal Sewage Demolition/ No. Month Waste Residual Waste Sludge Processed Construction Ash Asbestos TOTAL 1 1 36,682.1 3,136.5 31.9 0.0 2,349.5 0.0 0.0 42,200.0 2 2 38,101.5 5,933.4 10.0 0.0 3,359.1 0.0 3.4 47,407.4 3 3 39,447.3 2,100.0 17.8 0.0 3,105.8 0.0 5.5 44,646.4 4 Total 114,230.9 11,169.9 59.7 0.0 8,814.4 0.0 8.9 134,283.8 5 Nonprocessible Waste(Resource Recovery Facilities); Process Residue or ADC(Landfills) (Tons) 0 . 0 6 Net Waste (Tons) 134,283.8 7 Fee Calculation @$2.00/Ton ($2.00 x Line 6) $ 268,567.6o 8 Discount for Timely Payment(1% Discount if paid before the Due Date) (0.01 x Line 7) $ 2,685.68 9 Penalty for Late payment(5% Penalty for each month or part of month late) (0.05 x line 7 x Mos.) $ 0.00 10 Credit from Previous Overpayment(attach documentation) $0.00 11 Net Fee Due(Payment MUST be enclosed with report to avoid penalty for late payment.) $ 265,881.92 C. Environmental Stewardship Fee Computation (landfills only; check payable to Environmental Stewardship Fund) 134, 283 . 8 Tons (from Line 4 TOTAL)x$0.25/ton =$ 33, 5 7 0 . 95 due. D. Disposal Fee Computation(landfills only; check payable to Environmental Stewardship Fund) 134, 283 . 8 Tons(from Line 4 TOTAL), minus 0 Tons ash and nonprocessible waste from RRF used as ADC, minus 0 Tons hazardous waste converted to nonhazardous x$4.00/ton = $ 537, 135 . 20 due. This is to certify that I have personally examined and am familiar with the information in this and any attached documents. To the best of my knowledge, information and belief, the submitted information is true, accurate and complete. I am•aware that there are significant penalties for submitting false information. SAM DONATO )1.... 1 1 1 7 1 1 Name of Authorized Representative(Print) Signature o'1Autho"ed •epresentat+7= Date(mm/dd/yy) 2560-FM-LRWM0168W Rev.12/99 COMMONWEALTH OF PENNSYLVANIA 71 Please Type or Print in ink DEPARTMENT OF ENVIRONMENTAL PROTECTION BUREAU OF LAND RECYCLING AND WASTE MANAGEMENT Municipal Waste Landfill and Resource Recovery Quarterly Operations and Recycling Fee Report A. General Information 1. Permit No. 1 I 01 01 9 13 14 1 2. Page 1 of 2 3. Month 7 Year 2 0 1 1 4. Number of Days of Operation 2 6 B. Monthly Operations Report Complete at least one worksheet for each month in quarter. Complete one line for each county within Pennsylvania from which you received waste and one line for each state from which you received waste. Continue on additional sheets as necessary. Reproduce additional blank copies of this form as needed. All weights must be expressed in tons rounded to the nearest tenth (0.1), 3 Cu.Yd. = 1 Ton, 1 Ton =2,000 Pounds. d PA County Code or State Abbrev. Sewage Processed Demolition/ If Out of State Municipal Residual Sludge Infectious Construction Ash Asbestos TOTAL 011 1,265.4 7.7 289.1 1,562.2 1 2 211 1, 316 .3 11 . 5 31 . 9 259 . 5 1, 619 .2 21 2 52 . 7 52 . 7 3 D IC 1,211 .4 1,211.4 4 2 8 4,989.3 1,296.6 1,138.4 7,424.3 5 21 9 12 .2 12 .2 6 7 MID 7, 629 . 7 110 . 5 528 . 7 8, 268 . 9 414 8 4 . 7 4 . 7 9 NIJ 351 . 3 1, 710 .2 2, 061 . 5 10 NIY 19,679.7 19,679.7 11 51 0 13 . 3 13 . 3 12 wIV 213 .4 54 . 0 267 .4 MONTHLY TOTAL 13 TOTAL 36,682.0 3,136.5 31.9 0.0 2,327.1 0.0 0.0 42,177.5 L 2560-FM-LRWM0168W Rev.12199 COMMONWEALTH OF PENNSYLVANIA Please Type or Print in Ink DEPARTMENT OF ENVIRONMENTAL PROTECTION BUREAU OF LAND RECYCLING AND WASTE MANAGEMENT Municipal Waste Landfill and Resource Recovery Quarterly Operations and Recycling Fee Report A. General Information 1. Permit No. 1 0 0 9 3 4 2. Page 2 of 2 3. Month 7 Year 2 0 1 1 4. Number of Days of Operation 2 6 B. Monthly Operations Report Complete at least one worksheet for each month in quarter. Complete one line for each county within Pennsylvania from which you received waste and one line for each state from which you received waste. Continue on additional sheets as necessary. Reproduce additional blank copies of this form as needed. All weights must be expressed in tons rounded to the nearest tenth (0.1), 3 Cu.Yd.= 1 Ton, 1 Ton=2,000 Pounds. PA County c Code or State Zi Abbrev. Sewage Processed Demolition/ If Out of State Municipal Residual Sludge Infectious Construction Ash Asbestos TOTAL 6 7 22 . 5 22 . 5 1 2 3 1 4 5 - 6 7 1 8 g , I 10 1 11 I 12 - MONTHLY TOTAL 13 TOTAL 36,682.0 3,136.5 31.9 , 0.0 2,349.6 0.0 0.0 42,200.0 rn M n < n o z r zz P, n x VD r< =. o c' o n z n z z > n it) o o z- z 4 ; n a rn O ,y ,. a dOd to 4 c d ro co w 4 n W — = c ∎0 1 A ■i-■ .., ■-• 5 ,,» : NO W r O\ :p N W N n 0 00 ■.■ �.+ � t e N O W W D -, O VO N 0 ∎-, O 0 t11 .0 ?' O O A N s-1 N O 0 N W A O N A p, N ON O ON ON N -4 O 00 A W O O ON A O O '„""3i z DO 00 00 W -, 1■■ N w A I_, j- ~ R. A W - d , 0 O O o o O o O O aN O O ►-, �1 = ^ S 0, 0 t11 O 0 O C N O A 0 O., 0 t11 a (/)O O N 0 0 0 0 W 0 00 0 1-■ 0 0 N 00 N N O O .y OZ 0 c Ro gyro 5 C" m N FFFF..,,rrrr....IIII . O O O O o O o O O O O ■+W-, O d Y O g aq O O O O O O O O O O O o �O O G) C ft 0 0 O O O O O O O O O O O 0 m m 4-.1.. b r m .0 0 — H O w 0 0 0 0 0 0 0 0 o O o 0 0 0 0 m N O 0 0 O 0 0 0 0 0 O 0 0 0 O Cl) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 o Cl) cn n O zd cnm N - CO 4. N W o O O A ONO O OWO o N vz 0 th tI1 ■D 0 0 0 0■ O. 0 W 0 I1 VI O z W N ON 0 0 0 0 0) 0 ON 0 )-■ A 0 Z O o o O O o 0 o O o o O O o . O O O O O O O O O O O O O O iX > Cl-) tz m b o 0 0 0 0 0 o O O o O O o O y S. O 0 0 0 0 O 0 0 O 0 0 0 0 0 O O O O O O O O O O O O O O O Cl) R. O N -- 1.4 O �D N 00 -1 ■- •,-+ ■�-, H O O N ON) �., Q■ O N �1 ON O� �-, N i--, (l1 h--, c H tv A' O N �1 W 0 ∎-■ A 00 N A 1+ N 0 N NO dq 0 Zni A N �1 ill Q1 00 N CN A �1 N r+ CD ---, N N 0 N 0 00 LA A 0 0 ---, N 00 Cl) .• • 2560-FM-LRWM0168W Rev.12199 COMMONWEALTH OF PENNSYLVANIA Please Type or Print In Ink DEPARTMENT OF ENVIRONMENTAL PROTECTION BUREAU OF LAND RECYCLING AND WASTE MANAGEMENT Municipal Waste Landfill and Resource Recovery Quarterly Operations and Recycling Fee Report A. General Information 1 0 0 9 3 4 1. Permit No. 2. Wage 1 of 1 3. Month 8 Year 1 1 2 0 4. Number of Days of Operation 2 7 B. Monthly Operations Report Complete at least one worksheet for each month in quarter. Complete one line for each county within Penn$ylvania from which you received waste and one line for each state from which you received waste. Continue on additional sheets as necessary. Reproduce additional blank copies of this form as needed. All weights must be expressed in tons rounded to the nearest tenth(0.1), 3 Cu.Yd. = 1 Ton, 1 Ton=2,000 Pounds. d PA County _c Code or State Abbrev. Sewage Processed Demolition/ If Out of State Municipal _ Residual Sludge Infectious Construction Ash Asbestos TOTAL 011 1, 499 . 0 25 . 0 563 . 8 2, 087 . 8 1 2 211 1, 624 . 4 23 . 7 396 . 1 2 , 044 .2 212 10 . 0 62 . 8 72 . 8 3 2 18 5,604.6 1, 760.1 1, 187.1 8,551.8 4 5 219 16 . 5 12 . 9 29 .4 s M ID 7,671.6 121.5 949.7 3 .4 8,746.2 7 N J 4, 003 . 1 4, 003 . 1 N Y 20,224.7 93 .2 20, 317 . 9 8 9 5 0 13 .2 6 . 5 19 . 7 10 WIV 272 . 3 55 .2 327 . 5 11 6 7 31 . 8 31 . 8 D C 1, 175.2 1, 175.2 12 • MONTHLY TOTAL 13 TOTAL 38,101.5 5,933.4 10.0 , 0.0 3,359.1 0.0 3.4 47,407.4 L 1 ril L Et ° p n x v',O Y i O , m d ° n y O � [ o d 4 c d ~n a a a Po 4 a C.4 N 07 7-+ N N Sz ON 01 1-, Q\ p c p O- O N W A O - O1 A 1 O A 0oo b p. A © N N 01 C U O\ Eh i•+ O W D p., N vo o J 00 0 --+ W tlI \O O \O 00 o o p go N \L.) vJ uI .:I'' - n Oo Oo W co N o N N 7 O 0 W o O o O W O O O o W u n Oi A O O . 0 O O O\ J J O O N 00 O 00 O V0 O O til o.w oo tt 0a o y r ... 0 0 o 0 0 0 0 0 0 0 0 o O d > �N°, 4 ar4 O o 0 0 0 0 0 © 0 © 0 0 © C) 1��77 = © 0 0 0 © = © 0 0 0 0 o rn M b C., o G p H R b o O w co p o o p 0 0 0 o 0 0 0 o O m o o o O o o o o O o o O o cn o o o o 0 0 o 0 0 0 0 o 0 © C4 cn _ n 0 Zd W co uWi W CA VD A - 00 O\ o a H ;O — (A ON W co 1.D N �1 co N O., W 0 O :1 N A i-- O -1 ■D O O �1 p-- 00 O `D ,D A A %.0 O ••■ I.+ 00 O 00 ■■■ A. Z Z P 0 O o O O o o O o O 0 O co co o O co o o O co o O co O a cn tc tri W O O co O O W coo o O O o y '' A O co O O O A O O C O O O O Fli A O O O O O A O O O o O O Cn Cl. O = O J co A 00 00 1+ N N H \O W W o O '.--.1 In o O O - b WJ W At4 es A � ` N W O.O.., �D J ON F-. t1 N O aq W �l ul �1 00 ∎■■ N A -1 N. J i-+ 00 � VD VD W ■-■ �I N A A * VD 00 N Cl) H. H 2560-FM-LRWM0168W Rev.12!99 COMMONWEALTH OF PENNSYLVANIA Please Type or Print In Ink DEPARTMENT OF ENVIRONMENTAL PROTECTION 71 BUREAU OF LAND RECYCLING AND WASTE MANAGEMENT Municipal Waste Landfill and,Resource Recovery Quarterly Operations and Recycling Fee Report A. General Information 1. Permit No. 1 0 0 9 3 4 2. Page 1 of 1 3. Month 9 Year 2 0 1 1 4. Number of Days of Operation 2 1 6 B. Monthly Operations Report Complete at least one worksheet for each month in quarter. Complete one line for each county within Pennsylvania from which you received waste and one line for each state from which you received waste. Continue on additional sheets as necessary. Reproduce additional blank copies of this form as needed. All weights must be expressed in tons rounded to the nearest tenth(0.1), 3 Cu.Yd.= 1 Ton, 1 Ton=2,000 Pounds. PA County 2 Code or State n Abbrev. Sewage Processed Demolition! If Out of State Municipal Residual Sludge Infectious Construction Ash Asbestos TOTAL . 011 1,780 .6 26.3 533.7 2,340.6 1 2 211 1, 905 . 6 10 .2 17 . 8 420 . 6 2, 354 . 2 3 212 34 . 5 — 34 . 5 4 DIC 1, 050 . 8 1, 050 . 8 218 5, 844 . 1 1,567.5 1,220. 0 8, 631 .6 5 6 21 9 13 . 6 13 . 6 7 MID 9, 579 . 2 116 .2 873 . 1 5 . 5 10, 574 . 0 8 NIJ 819 . 0 379 . 8 1 1, 198 . 8 9 NIY 18,161.3 18,161.3 10 l 51 0 14 . 9 14 . 9 11 WI V 278 . 2 20 . 9 299 . 1 12 61 7 3 . 0 3 . 0 MONTHLY TOTAL 13 TOTAL _39,447.3 2,100.0 17.8 '0.0 3,105.8 0.0 5.5 44,676.4 • i,' P K '-') P' 5 0 IZI q 6 C' �� _ H yz \ ° --- (/' d, -O y 0 -c y L ' --� � a L % o c 6 ci f v ' ----1-(--.p---____ t---j--) _---z..... f —° C ,-- (ea,...... z . ( J �- - � .- - - S. �� ?+ BEN N ,.. 'J.��l r` J rr .gyp O t.0 00 '. a /1 O DOJO A �O �O :0 W A O O Co O c w N O N N O N fM - -4 O UN 0 a. N a\ O O A — 1-+ W -4 A a\ O ON A 0 o H h7 W n w N N r.+ W I.+ IA J OJ 9N a , nril 0-1 J 00 O O O O O So N O O O O W © ~ O O �1 T O O © N 00 O O a o 0 �,y ,..0 tl0 V/. Ca. E. R. oy eo P 0 0 0 0 0 0 0 0 o o 0 0. 0 0 0 0 0 0 0 0 0 0 C0 -- ewe 0 O. 0 0 0 0 0 o O o 0 o 0 o rn rn b r 0 ii C ' y,'t/ a'' MI-) O w O = PPPPPPPPPPPOrri N O O O O O O O O o b O O O C C/) p --7 C O zd c/' 2 W „r rr 00 N A V1 C7 r- V1 W O O O O W O O O O W 0 0 O 00bC O O W O 000z 00 O O O 00 00 A P O O O O O O O O O O O O © O O CO O O O O O O O O O 0 0 0 0 0 0 0 0 0 0 0 0 o x a of rn ut O O O O O ut O O O O O O Cl) b Vt 0 0 0 O O in 0 0 0 0 0 0 0 — O O O 0 0 --+ O O O O O O C/) CD 0. Lit1.... 00 0.,0 N N H A Wtit i W t11 A W A 00 W I."+ O A A © O a teNv O t!1 ' i A. . C J ■l T 00 0 N A A n O O o w Ncfq 0 ,..+ ,.,_, BRRE02 RECYCLING FUND IESI Corporation 10/11/2011 Ref Nbr Invoice Nbr Cust Nbr Invc Date Invoice Amount Amount Paid Disc Taken Net Check Amt 001831325 3RDQTR2011 09/30/11 265, 881. 92 265, 881. 92 0. 00 265, 881. 92 101931681 THE FACE OF THIS DOCUMENT HAS A COLORED BACKGROUND ON WHITE PAPER-THE BACK CONTAINS AN ARTIFICIAL WATERMARK-HOLD AT AN ANGLE TO VIEW Fleet Maine, N.A. South Portland,ME IES1 Corporation 52-153/112 2301 Eagle Parkway,;Suite 200 Check# 101931681 Fort Worth,TX 76177 (817)632 4000 Check Date Check Amount 10/11/2011 *****$265,881.92 **Void after 120 days** **Not valid over$50,000 without two manual signatures** Two Hundred Sixty-Five Thousand Eight Hundred Eighty-One and 92/100 USD ____T".'°2".--*--1------3. -------- PAY TO THE RECYCLING FUND ORDER OF BUREAU OF WASTE MANAGEMENT P O BOX $550 I HARRISBURG, PA 17105-8550 ` Authorized Signatures -.......,....p_....-_...-.,.,...-.-....._...-...-...............-....-_..-..._-..a...,._..-..-.-..........,...`..-.,..-...............-.,..........-....-.,....-..-.....__,.._....-,.«-...._.-.....,._..... .....--....-......-......-.....a..-...-...:.._...,-......-.--.,....-..,..w....BQR, CQNTA N..ICN.P: .�� III LOL93L68LII' 1:0L20L5391: 80 2L680too BREN01 ENVIRONMENTAL STEWARDSHIPESNISbroration Ref Nbr Invoice Nbr Cust Nbr Invc Date Invoice Amount Amount Paid Disc Taken Net Ch0eck1Amt1 10/11/2011 001831323 3RDQTR2011 09/30/11 570, 706. 15 570, 706. 15 0. 00 570, 706. 15 101931678 THE FACE OF THIS DOCUMENT HAS A COLORED BACKGROUND ON WHITE PAPER-THE BACK CONTAINS AN ARTIFICIAL WATERMARK-HOLD AT AN ANGLE TO VIEW Fleet Maine, N.A. South Portland, ME JEST Corporation 52-153/112 2301 Eagle Parkway,Suite 200 Check# 101931678 Fort Worth,TX 76177 (817)632 4000 Check Date Check Amount 10/11/2011 *****$570,706.15 **Void after 120 days** **Not valid over$50,000 without two manual signatures** Five Hundred Seventy Thousand Seven Hundred Six and 15/100 USD 4/1 PAY TO THE ENVIRONMENTAL STEWARDSHIP FUND ORDER OF BUREAU OP WASTE MANAGEMENT C` P 0 BOX 8550 HARRISBURG, PA 17105-8550 Authorized Si natures ll' LOL93 LE, 7811' 1:0 LL20L5391: 80 2L680410 2560-FM-BWM0168D Rev.6/2006 FLOOD DEBRIS Please type or Print in Ink COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF ENVIRONMENTAL PROTECTION BUREAU OF WASTE MANAGEMENT Municipal Waste Landfill and Resource Recovery Quarterly Operations and Recycling Fee Report A. General Information 1. Permit No. D 1 0 0 9 3 4 2. Qtr: ❑ January-March ❑ April-June ® July-September ❑ October-December 2 l 0 1 1 Year 3. Facility Name IESI PA BLUE RIDGE LANDFILL COPORATION 4. Facility Mailing Address PO BOX 399 SCOTLAND, PA 17233 5. Host Municipality GREENE ® Township ❑ City ❑ Borough 6. County FRANKLIN 7. Facility Contact Name SAM DONATO 8. Phone No. 717-709-1700 B. Recycling Fee Computation (check payable to"Recycling Fund") Express all weights in tons rounded to the nearest ONE-TENTH ton. (1), 3 Cu. Yd. = 1 Ton, 1 Ton = 2,000 Pounds Line Municipal Sewage Demolition/ No. Month Waste _ Residual Waste Sludge Processed Construction Ash Asbestos TOTAL 1 1 0.0 0.0 _ 0.0 _ 0.0 0.0 0.0 0.0 0.0 _ 2 2 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 3 3 1,917.9 _ 0.0 0.0 0.0 0.0 0.0 0.0 1,917.9 4 Total 1,917.9 0.0 0.0 0.0 0.0 0.0 0.0 1,917.9 5 Nonprocessible Waste (Resource Recovery Facilities); Process Residue or ADC (Landfills)_(Tons) 0.0 6 Net Waste(Tons) 1,917.9 _ 7 Fee Calculation @$0.00/Ton ($0.00 x Line 6) _$0.0 8 Discount for Timely Payment(1% Discount if paid before the Due Date) (0.01 x Line 7) $ 0.0 9 Penalty for Late payment(5% Penalty for each month or part of month late) (0.05 x line 7 x Mos.) $ 0.0 10 Credit from Previous Overpayment(attach documentation) $ 0.0 11 Net Fee Due (Payment MUST be enclosed with report to avoid penalty for late payment.) $ 0.0 C. Environmental Stewardship Fee Computation (landfills only; check payable to Environmental Stewardship Fund) 0 Tons (from Line 4 TOTAL) x$0.25/ton = $ 0 due. D. Disposal Fee Computation (landfills only; check payable to Environmental Stewardship Fund) 0 Tons (from Line 4 TOTAL), minus 0 Tons ash and nonprocessible waste from RRF used as ADC, minus 0 Tons hazardous waste converted to nonhazardous x$4.00/ton = $ 0 due. This is to certify that I have personally examined and am familiar with the information in this and any attached documents. To the best of my knowledge, information and belief, the submitted information is true, accurate and complete. I am aware that there are significant penalties for submitting false information. SAM DONATO I 1 I 0 ( 1 Name of Authorized Representative(Print) Signature of Au orize epresentati Date(mm/dd/yy) ....................._.. . FLOOD DEBRIS WW COMMONWEALTH OF PENNSYLVANIA Please 2560-FM-B Type or Print M0188 in Ink 6/2006 DEPARTMENT OF ENVIRONMENTAL PROTECTION BUREAU OF WASTE MANAGEMENT Municipal Waste Landfill and Resource Recovery Quarterly Operations and Recycling Fee Report A. General Information 1. Permit No. D 1 0 0 9 3 4 2. Page 1 of 1 3. Month 9 Year 121011111 4. Number of Days of Operation 2 6 B. Monthly Operations Report Complete at least one worksheet for each month in quarter. Complete one line for each county within Pennsylvania from which you received waste and one line for each state from which you received waste. Continue on additional sheets as necessary. Reproduce additional blank copies of this form as needed. All weights must be expressed in tons rounded to the nearest tenth (0.1), 3 Cu. Yd. = 1 Ton, 1 Ton = 2,000 Pounds. PA County c Code or State Zi Abbrev. Sewage Processed Demolition/ If Out of State Municipal Residual Sludge Infectious Construction Ash Asbestos TOTAL _ 1 N Y 1,917.9 0.0 0.0 0.0 0.0 0.0 0.0 1,917.9 2 3 4 5 6 7 8 9 10 11 12 MONTHLY TOTAL 1,917.9 13 TOTAL 1,917.9 0.0 _ 0.0 0.0 0.0 0.0 0.0 .1";" P, °p w n w _ co t O N ,,=o", N 4. mt q � v No c , no d 0 , y z to z rii A 0 4 b H H c4 n w 0 0 0 < rte, - C a r� 0 0 00 a p*.ni V - O y O H `< , O r/J c< �"`� H O ►�.r d -tO ",O "s.O N vai N N N N O H O O w 0 o O 0 N ,ny 0 i„1 co co O N N - 0— T r-+ g SW 0 0 0 co a o o o H o o 0 R L. W W W pH N 00 00 00 W W W til N 00 00 00 A A A .-, H ? A A Vi U 11i 69 69 69 Q T O, '0 W W W .p 0 aon, J J J W W W N — A ¥ n @ a \ ( / � 2 § § H H \ _ • cA 5 777 \ § ? § \ CD\ ∎ 7 2 & \ / a 2 ® -• E; o § / 9 / \ \ - / CA / fp EZ H \ e ) _ p1 0 ) k 0 e / / 9 / CD \ • ( a ~ H n � y n a to 0 v, er o E c'T w o P V.)• co R O o C7 =i ON 0 Cg- rD eo co ^' a o 00 wCD t-,) CD CD O pH N b W = B5I October 11, 2011 PA Department of Environmental Protection Recycling Fund PO Box 8550 Harrisburg, PA 17105-8550 RE: Flood Debris 3rd Quarter 2011 To Whom It May Concern: IESI was informed on September 9, 2011 that our request to accept Flood Debris was approved. IESI started to accept flood debris on September 12, 2011. On September 14, 2011, IESI was notified that the Commonwealth's tipping fees of$0.25, $2.00, and $4.00 per ton were waived. Our system wouldn't allow for us to go back and take these fees out. Therefore, IESI continued to collect the fees for the flood debris. IESI accepted 1,917.9 tons of flood debris in the 3rd quarter of 2011. All of this tonnage was shipped from transfer stations in New York City to the Blue Ridge Landfill located in Scotland, Pa. Enclosed is a check for $11,986.88. Please consider this a donation to the Flood Relief Fund. If you have any questions regarding these fees, please contact me at 717-709-1700. Thank you, Sam Donato IESI Blue Ridge Landfill District Manager P.O. Box 399 IESI Corporation 717-709-1700-Tel Scotland, PR 17254-0399 717-264-2285 - Fax 2 560-FM-BWM0168D Rev.6/2006 FLOOD DEBRIS 1 Please type or Print in Ink COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF ENVIRONMENTAL PROTECTION j BUREAU OF WASTE MANAGEMENT Municipal Waste Landfill and Resource Recovery Quarterly Operations and Recycling Fee Report A. General Information 1. Permit No. D 1 0 0 9 3 4 2. Qtr: ❑ January-March ❑ April-June ® July-September ❑ October-December 2 0 1 1 Year 3. Facility Name IESI PA BLUE RIDGE LANDFILL COPORATION 4. Facility Mailing Address PO BOX 399 SCOTLAND, PA 17233 5. Host Municipality GREENE ® Township ❑ City ❑ Borough 6. County FRANKLIN 7. Facility Contact Name SAM DONATO 8. Phone No. 717-709-1700 B. Recycling Fee Computation (check payable to"Recycling Fund") Express all weights in tons rounded to the nearest ONE-TENTH ton. (1), 3 Cu. Yd. = 1 Ton, 1 Ton = 2,000 Pounds Line Municipal Sewage Demolition/ No. Month Waste Residual Waste _ Sludge Processed Construction Ash Asbestos TOTAL 1 1 0.0 0.0 _ 0.0 0.0 _ 0.0 0.0 0.0 0.0 _ 2 2 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 3 3 1,917.9 0.0 0.0 0.0 0.0 0.0 0.0 _1,917.9 4 Total 1,917.9 0.0 - 0.0 0.0 - 0.0 0.0 0.0 1,917.9 5 Nonprocessible Waste (Resource Recovery Facilities); Process Residue or ADC (Landfills) (Tons) 0.0 6 . Net Waste(Tons) 1,917.9 7 Fee Calculation @$0.00/Ton ($0.00 x Line 6) , $ 0.0 8 Discount for Timely Payment(1% Discount if paid before the Due Date) (0.01 x Line 7) $ 0.0 9 Penalty for Late payment(5% Penalty for each month or part of month late) (0.05 x line 7 x Mos.)_ $0.0 10 Credit from Previous Overpayment(attach documentation) $0.0 11 Net Fee Due (Payment MUST be enclosed with report to avoid penalty for late payment.) $0.0 C. Environmental Stewardship Fee Computation (landfills only; check payable to Environmental Stewardship Fund) 0 Tons (from Line 4 TOTAL)x$0.25/ton = $ 0 due. D. Disposal Fee Computation (landfills only; check payable to Environmental Stewardship Fund) 0 Tons (from Line 4 TOTAL), minus 0 Tons ash and nonprocessible waste from RRF used as ADC, minus 0 Tons hazardous waste converted to nonhazardous x$4.00/ton = $ 0 due. This is to certify that I have personally examined and am familiar with the information in this and any attached documents. To the best of my knowledge, information and belief, the submitted information is true, accurate and complete. I am aware that there are significant penalties for submitting false information. SAM DONATO 1 0 1 1 1 1 Name of Authorized Representative(Print) Signature of Au orize epresentati Date mm/dd/ ( Yy) FLOOD DEBRIS 2560-FM-BWM0168W Rev.6/2006 COMMONWEALTH OF PENNSYLVANIA Please Type or Print in Ink DEPARTMENT OF ENVIRONMENTAL PROTECTION BUREAU OF WASTE MANAGEMENT Municipal Waste Landfill and Resource Recovery Quarterly Operations and Recycling Fee Report A. General Information 1. Permit No. D 1 0 0 9 3 4 2. Page 1 of 1 3. Month 9 Year 2 0 1 1 4. Number of Days of Operation 2 6 B. Monthly Operations Report Complete at least one worksheet for each month in quarter. Complete one line for each county within Pennsylvania from which you received waste and one line for each state from which you received waste. Continue on additional sheets as necessary. Reproduce additional blank copies of this form as needed. All weights must be expressed in tons rounded to the nearest tenth(0.1),3 Cu.Yd.= 1 Ton, 1 Ton =2,000 Pounds. PA County c Code or State Abbrev. Sewage Processed Demolition! If Out of State Municipal Residual Sludge Infectious Construction Ash Asbestos TOTAL 1 N Y 1,917.9 0.0 0.0 0.0 0.0 0.0 0.0 1,917.9 2 3 - 4 i 5 - 6 7 8 - 9 10 11 12 MONTHLY TOTAL 1,917.9 13 TOTAL 1,917.9 0.0 0.0 0.0 _ 0.0 0.0 0.0 n. `n' fw ao W n N r N " 0 mac• A S ■. -.) E 4 A O 4 b Y z w n o 0 0 `< �, G a c o oo oo at' 70 b "�� g a o 2 , A 00 00 0 . a w 0. J J --.1 .� H N 0 O N N ,; 0o 0 0 N r 1 o ' w r g. O O O to a 00 00 00 y EA w w 00 00 00 U.) w w VI CA tm ix be Cc P .ASP P so so so im tJ1 V1 b9 EA b9 Ch ON cr, -d ~ ~ O OO W W W C0 O -- o Po o y � C ra 7 I S o a o oz y H \ 1 "'� n ba a c to _ CD n. fl 8 �' • 0 � NA; a 1 .d o 0- o oB ° - � ea% to m v00i 0 w O N Q 5 PI o 0. o w t r e�* N b poi ti O ") o � ° 54 � a H 0 s A n v' W c LfQ 13 5 ~ r7 ly -3. O �. a C O G gg r 0 1 !� 0 0 'S1 _ N O BRCO05 COMMONWEALTH OF PA IESI Corporation 10/11/2011 Ref Nbr Invoice Nbr Cust Nbr Invc Date Invoice Amount Amount Paid Disc Taken Net Check Amt 001833422 3RDQTR2011 10/01/11 11, 986.88 11, 986. 88 0.00 11, 986. 88 101931675 THE FACE OF THIS DOCUMENT HAS A COLORED BACKGROUND ON WHITE PAPER-THE BACK CONTAINS AN ARTIFICIAL WATERMARK-HOLD AT AN ANGLE TO VIEW Fleet Maine,N.A. South Portland, ME 1ESt Corporation 52-153/112 2301 Eagle Parkway,Suite 200 Check# 101931675 Fort Worth,TX 76177 Check Date Check Amount {817)632 4000 10/11/2011 ******$11,986.88 **Void after 120 days** **Not valid over$50,000 without two manual signatures** Eleven Thousand Nine Hundred Eighty—Six and 88/100 USD PAY TO TILE COMMONWEALTH OF PA ORDER OF 09 pADEE, 909 E 9LMEEtTON AVE HARRISBURG, PA 17110 Authorized ignature .._...®..._. .._..........A...>_..,._...,__..._.. _..._. ..z...,. .,,>....., .,.._..._.....:_... ......n._.-„._...._.._.___..._.n....,._.,__....__....-.-....._..,._....._.....,._-....,..... ..,.-..._.-..-...�..�... BOROER CONTAINS MICp...3RNl ll' LOL93L , ? 511' 1:0LL20L5391: 80 21680411'