HomeMy WebLinkAbout302520 08/31/16 4qq
CITY OF CARMEL, INDIANA VENDOR: 00352914
d ONE CIVIC SQUARE AMERICAN INDUSTRIAL SERVICES CHECK AMOUNT: $*****4,074.80*
9 ,=QCARMEL, INDIANA 46032 8500 GEORGETOWN ROAD CHECK NUMBER: 302520
MifroNc�, INDIANAPOLIS IN 46268 CHECK DATE: 08/31/16
F�
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 36W100-07 531.20 OTHER EXPENSES
651 5023990 36W100-08 617.00 OTHER EXPENSES
651 5023990 36W334-01 2,926.60 OTHER EXPENSES
VOUCHER # 166051 WARRANT# ALLOWED
00352914 IN SUM OF $
AMERICAN INDUSTRIAL SERVICES
8500 Georgetown Road
Indianapolis, IN 46268
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
36W33401 01-736H-08 2,926.60
3b W 1000 ,r G /zoo 130/,6 c�,,, �,z�.� rr,�,..�--✓
3 s Lf
Voucher Total 60
Cost distribution ledger classification if
claim paid under vehicle highway fund
Prescribed by State Board of Accounts City Form No.201 (Rev 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or bill to be properly itemized must show, kind of service, where
performed, dates of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
00352914
AMERICAN INDUSTRIAL SERVICES Purchase Order No.
8500 Georgetown Road Terms
Indianapolis, IN 46268 Due Date 8/30/2016
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/30/2016 36W33401 2,926.60
I hereby certify that the attached invoice(s), or bill(s) is (are)true and
correct and I have audited same in accordance with IC 5-11-10-1.6
Date Officer
-------------
_ INVOICE
_ 8500 Georgetown Road '
rlcim Indianapolis,IN 46268
Phone: (317)871-4090
Fax:(317)8714094
TOLL FREE 1-800-877-4955
INVOICE NO: 36W334-01
INVOICE DATE:8/24/2016
CLIENT:
PROJECT INFORMATION
PROJECT ID:
MR JOHN DUFFY DESCRIPTION: LAMPS
CITY OF CARMEL UTILITIES LOCATION: CAMEL HHW
30 WEST MAIN STREET,STE 220
CARMEL,IN 46032
CONTRACT NO S07574
CONTACT: BILL PROJECT MGR:GREG SPEARS
WORK PERFORMED THRU: 5/13/2016 _
WASTE MANAGEMENT SERVICES
DESCRIPTION UNIT QUANTITY PRICE/UNIT TOTAL
FLUORESCENT LAMPS(1 TO 4FT.) 2399.00 $ 0.50 $ 1,199.50
FLUORSCENT LAMPS(5 PLUS FT.) 88.00 $ 0.95 $ 83.60
COMPACT/U SHAPED/CIRCULAR LAMPS 1730.00 $ 0.95 $ 1,643.50
HID LAMPS 0.00 $ 2.50 $ -
MERCURY 0.00 $ 6.75 $ -
TOTAL
INVOICE $ 2,926.60
TERMS: NET 30 DAYS
LATE PAYMENTS WILL BE CHARGED INTEREST AT 1.5%PER MONTH
REMIT PAYMENT TO: AMERICAN INDUSTRIAL SERVICES,8500 GEORGETOWN RD,INDIANAPOLIS,IN 46268-1647
' i 8
INVOICE
A 11 illim 1 41 _ Ila 18500 Georgetown Road
— Indianapolis,IN 46268
Phone: (317)871-4090
Fax:(317)871-4094
TOLL FREE 1-800-877-4955
INVOICE NO: 36W100-08
INVOICE DATE:8/23/2016
CLIENT:
PROJECT INFORMATION
PROJECT ED:
MR.JOHN DUFFY DESCRIPTION: ROLL OFF DISPOSAL
CITY OF CARMEL UTILITIES LOCATION:
30 WEST MAIN STREET,STE 220
CARMEL,IN 46032
CONTRACT NO S07574
CONTACT: BILL KELLAM PROJECT MGR:GREG SPEARS
WORK PERFORMED THRiT: 8/10/2016 -
WASTE MANAGEMENT SERVICES
DESCRIPTION UNIT QUANTITY PRICE/UNIT TOTAL
DISPOSAL(LANDFILL ROLL OFF BOJ) 6.95 $ 60.00 $ 417.00
TRANSPORTATION 1.00 $ 200.00 $ 200.00
TOTAL
INVOICE $ 617.00
TERMS: NET 30 DAYS
LATE PAYMENTS WILL BE CHARGED INTEREST AT 1.5%PER MONTH
REMIT PAYMENT TO: AMERICAN INDUSTRIAL SERVICES,8500 GEORGETOWN RD,INDIANAPOLIS,IN 46268-1647
6
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CCAS SERV I CErS, INC.
4 I NDOT 0992164 SOURCE PLT *2329"_*2329
2920 E US 5r
MOR R I STOWN, IN 46161 � TICKET 48786
DATE/TIME PRODUCT HAULER/TRUCK LOCATION
---------------------------------------------------------------------------------
4:3030 PM LID BY TON 2OC 1.86N 217 C 1.'86NI 11\1
CUSTOMER QTY UNIT PRODUCT P1-3 T CE AMOUNT
AIS 6. 95OTan L_IU BY TON
AMERICAN ENVIRONMENTAL/AIS COUNTY: HAMILTON OTHER FEES:
LATEX/WATER BASE PAINT FEE
Order No: 29407 FREIGHT
Loads Tod asf „ 'l ZONE
Oty. Today : 6. 95 FAQ. EXEMPT
P. O. CARMErL. HHW 20CY TARE TOTAL
METRIC POUNDS TONS LATE: /WATER LASE PAINT
-------------------- ---
GROSS 22. 270 49100 24. 550 BRIAN/66
TARE:. 15. 970* 35200* 17. 600*
NET 6. 300 13900 6. 95f.1) AS DRIVER FOR THIS COMPANY, I AFFIRM NO
HAZARDOUS WASTE IS CONTAINED IN THIS LOAD
Predetermined TaWEICHMASTErR: Vickie Linville DRIVER ___. _.��_..._✓ ��_.._
---
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LIGHTING RESOURCES, LLC
v��tiyO PFSOy9
805 E.Francis Street °
Ontario,CA 91761 s�iESCORW�`
(909) 923-7252 •Fax (909) 923-7510
(8BB) 923-7252
Facility EPA ID#IN0000351387
AMERICAN INDUSTRIAL SERVICES 06/30/2016
8500 Georgetown RD
Indianapolis, IN 46266
CERTIFICATE OF RECYCLING
-]
Lighting Resources, LLC certifies that the material listed below has been received from:
CITY OF CARMEL HHW
Title transfers to Lighting Resources, LLC upon our acceptance of material. Mercury Containing Lamps and or Crushed
Mercury Containing Lamps are de-manufactured and processed in accordance with all local,state and federal regulations by a
Lighting Resources, LLC facility (CAR000156125, IN0000351387, TXD008029191, FLR000070565). Mercury Containing
Calcium Phosphate Powder is retorted and separated into benign phosphor powder and mercury in a commodity form in
accordance with our Indiana facility (IN0000351387). Mercury Containing Devices/Articles are de-manufactured and
processed in accordance with all local,state and federal regulations. Batteries are waste reduced and processed under 40cfr
273 Universal Waste Rule and are sent to an EPA approved and LR audited recycler for proper recovery and recycling.
Electronic Scrap (including non-PCB Ballasts, Capacitors, and or Transformers) are sent to an LR audited recycler for proper
recovery and recycling. PCB Ballast, Capacitors and or Transformers are de-manufactured, recycled and the PCB wastes are
incinerated in accordance with our Arizona facility (AZD983476680) Ballast Processing Regulations or by an EPA approved and
LR audited recycler. All materials are transported by a licensed, registered universal/hazardous waste hauler. Thank you for
safeguarding important natural resources while contributing to the preservation of our environment.
Bill of Lading#: IN 53-0000012060
Hazardous Waste Manifest#:
Generator: CITY OF CARMEL HHW
901 N RANGELINE RD
Carmel, IN 46032
Inventory —
1,730.00 COMPACT LAMPS
2,347.00 F-48 LAMPS
88.00 F-96 LAMPS
52.00 FB-40 LAMPS
Certified by: :9va
Authorized Signature
1522 E.Victory Street,Suite#4 498 Park 800 Drive 1007 SW 16th Lane 101 E.Bowie St. 1919 Williams St.,Suite 350
Phoenix,AZ 85040 Greenwood,IN 46143 Ocala,FL 34471 Fort Worth TX 76110 Simi Valley,CA 93065
(602)276-4278 (317)888-3889 (352)509-3001 (817)921-1440 (805)624-3050
NON-H ZAADOUS 1.Generalor ID Number 2-Pa 1 of 3.Emergency Response Phone 4.Waste Tracking Number
ESTI-MANIFEST _ _
5.Generator's Name and Wing Address Generators Site Address(d different Hn maiTmg a fess)
( CITY OF CARMEL HHW
901 N. RANGELINE ROAD, CARMEL, IN 415D32
I Generators Phone:
6.Transporter 1 Company Name U.S.EPA ID Number
AMERICAN INDUSTRIAL SERVICES,LLC FN R 0 Q.0 A 17 3 5
7.Transporter 2 Company Name U.S.EPA ID Number
8.Designated FacTty Name and Site Address U.S.EPA ID Number
LJCvIiTING RESOURCES,INC.
498 PARK 8W DRIVE
GREENWOOD,IN 46143
Faci s Phone:
9.Waste Shipping Name and Description 10.Containers 11.Tow 12.Unit
No. Type Quanb7y W1Nal.
f
-' o -
�a
w
2• NOWHAZAROOUSINON-REGULATED FLUORESCENT LAMP
3.
4.
13. Special Handing Instructions and Additional Information
• WEAR APPROPRIATE PROTECTIVE GEAR WHEN HANDLING. EMERGENCY CONTACT: AMERICAN INDUSTRIAL SERV
AT 1-317-339.1430.
14.GENERATOR'SJOFFEROR'S CERTIFICATION:I hereby dedare that the contents of this ooWgnment are lugy and accurately described abova by the proper shipping name,and are classified,packaged,
r marked and labeloplacarded,and are to all respects in proper oondirdon for transport according to applicable Inlemaliwal and national governmental regulations.
Generators/Offerors Printeffyped Name Signature Month Da 1(e4
L.r,'l 1 I Irks 1/,e.
j 15.International nmWs
} ❑Impod to U.S. ❑Export from U.S. Por[of entrylexil:
z
Transporter Signature for Wits orgy): Dale Wylog U.S
.-
w 16.Transporter Ac nowledgmeal of Receipt of Materials
Transporter 1 Pdnted/Typed Name _
Signature Mon Day Y
N v �3 -
a Transporter 2 PrintekUfyped Name Signature Month Day Year
17.Discrepancy
i7a Discrepancy Irtdicafion Space E E Type Residue El Partial Resection ❑FW ReJectbn
Manifest Reference Number.
17b.Alternate Pacify(or Generator) U.S.EPA ID Number
i' 2
w FacT s Phone:
17c.Signature of Alternate FacTly(or Generator) Month Day Year
k
z
c�
rn
c
C
18.De Urialed FacMy Owner or Operator.Cer5flca110n of recelpl of maledals covered by the manifest except as noted In Item i7a
I.`• Printed/Iyped Name � J �� Signature � r Month Day Year
l
DEESIGNATEED FACILITY TO GENERATOR
VOUCHER # 165997 WARRANT # ALLOWED
00352914 IN SUM OF $
AMERICAN INDUSTRIAL SERVICES
8500 Georgetown Road
Indianapolis, IN 46268
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
36W10007 01-736H-08 531.20
8123
Voucher Total 531.20
Cost distribution ledger classification if
claim paid under vehicle highway fund
Prescribed by State Board of Accounts City Form No.201 (Rev 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL .
An invoice or bill to be properly itemized must show, kind of service, where
performed, dates of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
00352914
AMERICAN INDUSTRIAL SERVICES Purchase Order No.
8500 Georgetown Road Terms
Indianapolis, IN 46268 Due Date 8/23/2016
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/23/2016 36W10007 531.20
hereby certify that the attached invoice(s), or bill(s) is (are)true and
;orrect and I have audited same in accordance with IC 5-11-10-1.6
Date Officer
' -0 . INVOICE
_ _ 8500 Georgetown Road
Indianapolis,IN 46268
Phone: (317)871-4090
Fax:(317)871-4094
TOLL FREE 1-800-877-4955
INVOICE NO: 36WI00-07
INVOICE DATE:8/4/2016
CLIENT:
PROJECT INFORMATION
PROJECT ID:
MR.JOHN DUFFY DESCRIPTION: ROLL OFF DISPOSAL
CITY OF CARMEL UTILITIES LOCATION:
30 WEST MAIN STREET,STE 220
CARMEL,IN 46032
CONTRACT NO S07574
CONTACT: BILL KELLAM PROJECT MGR:GREG SPEARS
WORK PERFORMED THRU: 7/15/2016
WASTE MANAGEMENT SERVICES -
DESCRIPTION UNIT QUANTITY PRICE/UNIT TOTAL
DISPOSAL(LANDFILL ROLL OFF BOX) 5.52 $ 60.00 $ 331.20
TRANSPORTATION 1.00 $ 200.00 $ 200.00
TOTAL
INVOICE $ 531.20
TERMS: NET 30 DAYS
LATE PAYMENTS WILL BE CHARGED INTEREST AT 1.5%PER MONTH
REMIT PAYMENT TO: AMERICAN INDUSTRIAL SERVICES,8500 GEORGETOWN RD,INDIANAPOLIS,IN 46268-1647
6 iR
r ' CGS SERVICES, INC.
� lNDOT 0992164 SOURCE PLT #2329
2920 E US 52
MORRISTOWN, IN 46161 /���w TICKET 483513
��- .
DATE/TIME PRODUCT HAULER/TRUCK LOCATION
--------------------------------------------------------------------------------
7/15/2016 LIQT CG992 C8992 6
11 :49: 15 AML1Q BY TON 20C123N 20C123N IN
CUSTOMER QTY UNIT PRODUCT PRICE AMOUNT
________________________________________________________________________________
AIS 5. 520Ton LIQ BY TON
AMERICAN ENVIRONMENTAL/AIS COUNTY: HAMILTON OTHER FEES:
LATEX/WATER BASE PAINT FEE
Order No: 29407 FREIGHT
Loads Today : 1 ZONE
Qty. Today : 5. 52 TAX EXEMPT
GROSS -----------------
P. O. CARMEL HHW 20CY TARE TOTAL
METRIC POUNDS TONS LATEX/WATER BASE PAINT
-- ------- --------------
GROSS
_____________________GROSS 20. 120* 44360* 22. 180* /92
TARE 15. 110* 33320* 16. 660* ���/
�
w�
NET 5. 010 11040 5. 520 AS DRIVER FOR THIS COMPANY, I AFFIRM NO
HAZARDOUS WASTE IS CONTAINED IN THIS LOAD
J.
* Manual Weight WEIGHMASTER: Vickie Linville DRIVER ~~/
AEC uI NDY x Ma
y 23 2005 O9:38AM P1
FAX ANO
v s , 317 ;F371.4094 P-02
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CBS cE.RYICE_S, INC
1 N DOT 0992164 SOUF<CE PLT *2329 1300
2920 E US 52
MORRIST'OWNs IN 4 1C,1 � � TICKET 483594
DATE/TIME PRODUCT HAULER/TRUCK LOCATION
-----------------------------------------
7/15/2018 LIU(' qGS02 C OS92 f
CUSTOMER Ca TY UNIT PRODUCT PR1ICE AMOUNT
---------------------------------------------------------------------------------
A.i 6. 71OTon LIU BY TON
AMERICAN E NY:I ROS• MENTAL./AIS COUNTY: HAMILTON OTHER FEES:
LATEX PAINT/EMPTY ASPHALT SEALER/ALKA LSA FEE
Order No : 292695 FREIGHT
Loads Today t 1 ZONE
Ot wo Today ; 6. 71 TAX EXEMPT
GROSS Scale 1,
Po 0. HAMILTON CD HH I 0CY TARE TCSIi=L
----------------------------------------------------------------------------------
METRIC POUNDS TONS LATEX PAINT/EMPTY ASPHALT SE.ALEEi/AL_.KA BA
----------------------- DALE/92
GROSS 21. 200 46740 23. 370
TARE" 15. 110* 33320 1€. f160*
NET 6. 090 13420 6. 70D AS DRIYE.R FOR THIS COMPANY, 1 AFFIRM NO
HAZARDOUS WASTE 19 CONTAINED IN THIS LOAD
Predetermined TaWEICHMASTER: Yickie Linville Z~,1•E'.IYER
....... .... .
a
� CC3S Serria?s Inc.` ' •.
s _ leoeox_RLJ& xgzo5cuss2 NON,HAZARDOUS'WASTE VERIFICATION NOTICE
Morr town
IN-A
�,^.� �'y=; Fax�765-i63-6174:.•,; '
Generator info ati6n�To be�c mpla ad by the Generator&submitted to CGS prior to initis!disposal.)
Generator Norrie NAMIIfON GO NT Y HHW CENTS Mailing Address: 1717 E.PLEASANT ST County; HAMILTON
f Contact!+lame JEFF RVSH_FO TH City: NOBLESViLLE .` State: IN
ContactPhone; � gip•
Contact'Fa10113M.1-1.
Representative,Consultant;or i bird Party information
Company Name; ;,AIS Mailing Address: 8500 GEORGETOWN RD County:
Contact Name: , City: INDPLS State: IN
Contact Phone: Zip:
Cnntact Fax:,'
_ Location_of-Waste':___ - —- - - --- - - - —
Sireet Address: 1717 E.�LEASANT City; NOBLiiaviLLE State: IN Zip:
Waste inf9rmatlon.
Narrie of-Waste ;LATEXMATE BASED PAINT, EMPTY CANS OP ASPHALT SEALER, ALKALtNE.BATTERlE8
Est. annual amount of waste Cyds: Tons: 100. Gallons: Drums;'
Is the above wa to material a result of a onetime project cleanup? ..NO .
Description of process''generating.t a waste: HOUSEHOW WASTE COLLECTIONS -
Verlftcatir n
isi is'verlkation notice a�esult of a significant raw material change or a process change? NO
Was this waste previously permitted or verified? . ld0 ...
[Generator Notification(if any of a following apply, please indicate with a yes)
The above waste is a: (indicate by circling) sell 1 lud / i uid
Is this waste a ha rdous waste that is defined by USEPA and/or state regulation? NO
Does the Waste contain regulated radioactive material? NO
Does the waste contain regulated concentrations of Polychlorinated Biphenyls(PCB's)? NO
{ Does the waste generate fugitive dust? NO
Is the waste hot or capable of generating heat?:• NO
Is the waste a regulated Asbestos-containing material? NO
Have tate characteristics of t is waste changed since-a waste determination was performed? NO.
By signing tris waste'notiflcatio sheet, I hereby attest the above information on_this:waste-notificatiarris--true-and-= -
_.accurate.l-hereby-acknowledge that-docurt entation fhat supports the waste determination will be made available upon
' request to the landfill and IDEM.
Gen.Signature: Tt#ie; �..Firms
Name(Print): t Co:,Name: , .ry �^ •Crate:; fay 4Q.c�4
Landfill Verification ast Deterrriination: _ Verification Number. ag
Approval Signature: Date: ' l
Transporter information(to be fitted out by Transporter)
Company Name: Drivers Signature
Mailing Address:
isposal Site Information(to be filled out by Disposal Site}
Site Name: CGS Services Inc.. IDEM Facility ID P. 73-01
Address; PO Box 212 Morristown IN 46141 Volume(Weight): G-111.
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Authorized Signature: Date: AL51- llp
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