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HomeMy WebLinkAbout2004 3rd Quarter rFM.LRWMO168W Rev.12/99 COMMONWEALTH OF PENNSYLVANIA Please Type or Print in Ink DEPARTMENT OF ENVIRONMENTAL PROTECTION 71 Recycled Paper BUREAU OF LAND RECYCLING AND WASTE MANAGEMENT Municipal Waste Landfill and Resource Recovery Quarterly Operations and Recycling Fee Report A. General Information 10/20/04 1. Permit No. 1 0 1 I 1 I 0 0 2. Page 1 of 1 3. Month 8 Year 2 0 0 4 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 (.1),3 Cu. Yd.= 1 Ton, 1 Ton=2,000 Pounds. PA County Code or State Line Abbrev. Sewage Processed Demolition/ If Out of State Municipal Residual Sludge Infectious Construction Ash Asbestos TOTAL 1 0 1 3,507.7 274.7 108.9 486.2 4,377.5 2 0 5 - 3 2 1 2,942.6 920.5 94.5 1,030.2 4,987.8 4 2 2 5,946.7 3,788.6 1,492.6 1,364.9 12,592.8 5 2 8 5,073.9 922.6 80.6 969.8 7,046.9 6 2 9 360.6 175.0 48.5 584.1 7 5 0 18.1 18.1 8 6 7 27.8 132.0 159.8 9 M D 3,475.4 1,968.9 814.6 522.0 6,780.9 10 V A 101.3 26.2 127.5 11 W V 1,233.8 101.7 2.0 1,337.5 12 - MONTHLY TOTAL. 13 TOTAL 22,660.1 8,178.2 2,619.0 - 4,555.6 - - 38,012.9 LonthlY total includes 4,493.3 tons of alternate daily cover material. 2560-FM•LRWM0168W Rev.12/99 COMMONWEALTH OF PENNSYLVANIA Please Type or Print in Ink DEPARTMENT OF ENVIRONMENTAL PROTECTION EMI" Recycled Paper BUREAU OF LAND RECYCLING AND WASTE MANAGEMENT Municipal Waste Landfill and Resource Recovery Quarterly Operations and Recycling Fee Report A. General Information 10/20/04 1. Permit No. 11 0 1 1 1 1 0 0 2. Page 1 of 1 3. Month 9 Year 1 2 0 0 4 4. Number of Days of Operation 21 5 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 (.1),3 Cu. Yd.= 1 Ton, 1 Ton=2,000 Pounds. PA County Code or State Line Abbrev. Sewage Processed Demolition/ If Out of State Municipal Residual Sludge Infectious Construction Ash Asbestos TOTAL 1 0 1 3,412.8 297.7 133.8 479.2 4,323.5 2 2 1 3,137.3 852.2 56.3 1,049.6 5,095.4 3 2 2 8,050.1 4,350.7 1,349.8 324.3 14,074.9 4 2 8 4,841.3 983.1 7.7 829.1 6,661.2 5 2 9 368.4 217.9 81.7 668.0 6 3 8 8.2 8.2 7 5 0 51.7 51.7 8 6 7 16.4 40:2 65.0 121.6 9 M D 2,338.2 2,004.3 60.5 410.3 4,813.3 10 V A 89.4 25.0 9.7 124.1 11 W V 719.4 145.4 104.0 968.8 12 - MONTHLY TOTAL * 13 TOTAL 23,008.6 8,900.9 1,648.3 - 3,352.9 - - 36,910.7 LonthlY total includes 5,391.0 tons of alternate daily cover material. Nalliali FRANKLIN COUNTY TREASURER CASH DEPOSIT SLIP RECEIPT NUMBER D �J pATE OMB r RECEIVED FROM .„ I no '►'��.n NATION - EXPLANATION ADDITIONAL EXPLANATION U1370°° L±LEI1ILIDo c;-i le, 1 111191 :12. \ V -=-3 gIIIIIIIII , ,, C-- 3 \--1- --i0D-ifflff-1-:CED ,, I C:: :11 C:=1:3 OaLFIE113 • \ 1C- Di :-:3 Gall211:13 C:::31 C3 ELECII:M] 1 \-- :1 --3 CEII:Calii , TOTAL .ll©g, n , REC'D BY till Aai Y'� ,s� V I,A1 C 00,in Nv Ise °I72O Cbambersburo, A. r� 2� er's Date ., Customer's_______,-- ustom � Order No. i Name MD SE PAID OUT. ON RETD. Address C O D CHARGE ACCT AMOUNT SOLO BY ® PRICE S C R I T N PI0 pE QUO. ,. . -,__ :A.t J C ReC'd py// Y�(/panied by this bill. J UST be aCD' soY'NK j �0�� M NI Bairns and returned goods �, �J�iN�+Q�,'�-I�llew GS 201 2 PRINTED IN US.A Waste Management Service Center FOR INQUIRitS C.�tLL: o P.O. Box 3027 WASTE MANAGEMENT Houston, TX 7725 866-834-2080 .teck No.0003533897 Doc Date Invoice Number/Description Original Amount Discount Amount Amount Paid 09/30/2004 2086-09/30/04 24,587.85 0.00 I 0061///3RD Q LF FEE 24,587.85 EI !!I Vendor Number Name I 0000035880 County Of Franklin Check Number Date Total Amount Discounts Taken PoQJ Paid Amoum 0003533897 10/19/2004 $24,587.85 $0.00 I $24,587.85 WASTE MANAGEMENT Houston, TX 77253 _ 866-834-2080 Check No.0003533897 Doc Date Invoice Number/Description Original Amount Discount Amount Amount Paid 09/30/2004 2086-09/30/04 24,587.85 0.00 24,587.85 0061///3RD Q IF FEE Vendor Number Name 0000035880 County Of Franklin Check Number Date Total Amount Discounts Taken Total Paid Amount 0003533897 10/19/2004 $24,587.85 $0.00 $24,587.85 THIS DOCUMENT HAS A COLORED BACKGROUND AND MICROPRINTING IN THE ENDORSEMENT SIGNATURE LINE.THE REVERSE SIDE OF THIS DOCUMENT HAS AN ARTIFICIAL WATERMARK. W4 y i Waste Management Service Center BANK OF AMERICA CHECK NO 0 0 0 3 5 3 3 8 9 7 p r k,, P.O. Box 3027 DE COMMERCIAL DISBURSEMENT ACCOUNT ' NORTHBROOK,IL WASTE MANAGEMENT Houston,TX 77253 70-2328/719 (/��SECURITY IJ DETAILSEON BAC DEO DATE: 10/19/2004 PAY EXACTLY PAY EXACTLY **** ; $24,587.85*** TWENTY-FOUR THOUSAND FIVE HUNDRED EIGHTY-SEVEN AND 85/ 100 US DOLLAR**** E-(4. :--- _COUNTY OF FRANKLIN ' ___. _ AuTHO ED M. 218 N 2Nd St TO THE Chambersburg,PA 17201 _ ___�uP ORDER AUTHORIZED SIGNATURE OF 11'000353389711' 1:0 7 19 2 3 2841: 87654...03 I. 78116 q 8d ` ) ■ in in k ° � u ei C1.- .'-n ƒ \ 2 To C / y § N ii E § c £ b N o E 0 § § K 3 a u U. & ]‘*cil k z\ } 5° @ 0 k[ / 4 / I/ @nw N F '� $ ) § k\/ / k a) c E E ƒ i--6 . 0)g2 § al § > - . I/ k j u » /= w = � _ _ } \ ) \ k < b -J 0 » ƒ ( mac 50 _02 \ o & Eft q � k 7 � » /� � ) @ � 0 If3, . o o CD It c � \ § p 2 < \ / 2o _ Cu- -/ k $ if) a) n § 7 d 2 § 2 c to / i.: . k k � � \� CO .0 3 a) _\ § _- \ ƒ. 7 §co E 0 f k MI k ) 2 - E � § E) -c �� Cu 2 E 2 k . >, co \ } 0 k f22k / § J « o « Q a g < A 4 2 a J § = o 32 :I"' o � Ro < F � U) I ' � r � 2 g $ � .. k = _ _ I ) q ; 000 � o ■ ■ ■ 2560-FM.LRWM0168W Rev.12/99 COMMONWEALTH OF PENNSYLVANIA Please Type or Print in Ink DEPARTMENT OF ENVIRONMENTAL PROTECTION Recycled Paper BUREAU OF LAND RECYCLING AND WASTE MANAGEMENT Municipal Waste Landfill and Resource Recovery Quarterly Operations and Recycling Fee Report A. General Information 10/20/04 1. Permit No. I 11 0 I 1 I 1 I 0 I 0 I 2. Page 1 of 1 3. Month 7 Year ( 2! O I 0r 4 J 4. Number of Days of Operation 12 I 6 I 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 (.1),3 Cu. Yd.= 1 Ton, 1 Ton=2,000 Pounds. PA County Code or State Line Abbrev. Sewage B Processed Demolition/ If Out of State Municipal Residual Sludge B Infectious Construction Ash Asbestos TOTAL - 1 10 I 1 I 3,418.5 259.7 169.5 393.7 4,241.4 2 1 2 I 1 I 1,962.2 694.8 31.4 698.5 _ 3,386.9 3 12 12 I 6,747.8 3,356.7 1,873.9 650.9 12,629.3 4 12 18 I 4,828.8 1,043.7 17.4 916.1 6,806.0 5 2 19 353.9 202.1 87.4 _ 643.4 6 5 I 0 I 232.6 232.6 7 6 17 13.2 387.6 _ 400.8 8 M I D 4,118.1 1,325.2 785.5 345.0 6,573.8 9 VIA 130.9 37.1 168.0 10 W I V 1,639.8 119.9 9.7 1,769.4 11 12 I MONTHLY TOTAL * 13 TOTAL 23,432.6 7,039.2 2,890.9 - 3,488.9 - 36,851.6 Lonthly total includes 3,539.5 tons of alternate daily cover material. laillillilli