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Home My WebLink AboutREMOVAL LETTER, LANDFILL MANIFEST - 21-00778 - 227 S 3rd W - Demolition of 5 homesGreat Basin Services, Inc P.O. Box 238 Blackfoot, Idaho 83221 Office: 208-785-1767 Cell: 208-681-6462 10-26-2021 RE: Asbestos removal from house at 221 South 3' West, Rexburg, Idaho To Whom it may concern: Great Basin Services, Inc., has removed the asbestos materials as identified in the Asbestos inspection report. The sheet vinyl flooring of the main floor bathroom, the flooring of the basement bathroom, and a storage in the bathroom has been removed using EPA approved removal methods and with trained and certified Asbestos workers. All asbestos has been taken to an EPA approved landfill as required. A signed landfill manifest showing proper disposal has been included in the attached paperwork. The remaining debris can be disposed of as non - asbestos containing materials. Dave Price, Owner, Great Basin Services, nc c U&EPA WASTE SMTMENT RECORD FOR REGULATED ASBESTOS WASTE MATERIAL R.Q. Hazardous Substance: Solid N.O.S. (asbestos): ORM-E NA-9188 GENERATOR 1 Work site name: t4ovev, Pe,(6ur l r _I-Q 93-446 Location: 3-4 Mailing Address: 1�232 �) a_<gnyi View OR. PC-x'IURy --CID 83�/1/17) r ; C.� Owner's Name: G p.A • Owner's Phone: Q 2? ' — 73ia 2 Operator's Name: Great Basin Serv' es, Inc. Contractor I.D. Number: csiz / I D�2,7CT-O I Mailing Address: P.O. Box 238 Blackfoot, ID 83221 Contact Person: Dave Price Operator's Phone: 208-785-1767 3 Waste Disposal Site (WDS) DESTINATION: Name: Bannock County Landfill WDS Phone: 208-236-0607 Mailing Address: 1500 N. Fort Hall Mine Rd. Pocatello, ID 83201 Site Address/location: 1500 N. Fort Hall Mine Rd. 4 Name and address of responsible agency (Local, District or EPA� Office where demulitionlrenovatton notification was sent): 5 Description of waste materials 6. C611tainers 7. 'Total Quantity Number Type (Cubic Yards) 7 f4cna it e— t L 8 Special Handling Instructions and additional information: 9 OPERATOR'S CERTIFICATION: I hereby declare dial the contents of this consignment are fully cumtely described above by proper shipping name and are classified, packed, marked and labeled, mid are in all respects in proper copthriq for transpo by highway according to applicable international and government regulations. (Obtain signature in Item 10 before taking Gold shectfor rc= Dave Price Owner _ _ f�10 PrimcrUtyped Name Title Signature Date atLaoO/Yvl TRANSPORTER 10 Transporter I (Acknowledgement of receipt of materials) Name: Great Basin Services, Inc. Phone: Address: P.O. Box 238 ' Blackfoot, ID 83221 --- --- - J)- -= - - Printed/typed Name Dave Pnce 1'itc tVner Stgaature D:nc IstNwon'ri yY) 11 Transporter 2 (Acknowledgement of receipt of materials) Name: Phone: Address: Printed/typed Name Title Signature Date (hihmmvy� WASTE DISPOSAL SITE 12 Discrepancy indicationspace: 13 WASTE DISPOSAL SITE CERTIFICATION: I hocby certify dial the above mmned a' net alb accepted and to the best of my knowledge die In going is true, accurate and complete except as noted in them 12. ,-�� .beEr-ion,� luz1 Printed/typed Name Tide Signaom Date (n1e1n)Drrv) Upon transfer: Owner/operatorrenins GOLD, Transporter retains PINK, WDS retains YELLOW and sends completed WHITE copy to operator in item 2. AT km PovnnF Iv. • alx kw to 9221 • nCq Ms p D&D ENVIRONMENTAL CONSULTING, INC. CERTIFICATE OF TRAINING This is to Certify That DAVE PRICE 0919 Has Successfully Completed an EPA/AHERA Asbestos Refresher Training Class Under Section 206 of the Toxic Substance Control Act, Title 11. In: CONTRACTOR/SUPERVISOR Course Dates: November 2. 2020 No. of Hours: 8 Certificate No CSRI10220-01 Expires: November 2. 2021 d. ff. 4 ,P Douglas A. Aldinger, DirbltorVTraining D&D Environmental Consulting, Inc. 7345 South Pierce Street, Suite 104 Littleton, CO 80128 (303)870-1032 D&D ENVIRONMENTAL CONSULTING, INC. CERTIFICATE OF TRAINING This is to Certify That BOBBIE CHAVEZ 2956 Has Successfully Completed an EPA/AHERA Asbestos Refresher Training Class Under Section 206 of the Toxic Substance Control Act, Title II. In: CONTRACTOR/SUPERVISOR Course Dates: November 2, 2020 No. of Hours: 8 Certificate No CSR110220-02 Expires: November 2. 2021 a Douglas A. Aldinger, Direct6j of Training D&D Environmental Consulting, Inc. 7345 South Pierce Street, Suite 104 Littleton, CO 80128 (303) 870-1032 D&D ENVIRONMENTAL CONSULTING, INC. CERTIFICATE OF TRAINING This is to Certify That CIMS EARLY 6040 Has Successfully Completed an EPA/AHERA Asbestos Refresher Training Class Under Section 206 of the Toxic Substance Control Act, Title II. In: CONTRACTOR/SUPERVISOR Course Dates: November 2. 2020 No. of Hours: 8 Certificate No CSRI 10220-03 Expires: November 2. 2021 4 Douglas A. Aldinger, D' ctor of Training D&D Environmental Consulting, Inc. 7345 South Pierce Street, Suite 104 Littleton, CO 80128 (303) 870-1032