Laserfiche WebLink
265 Rip Avenue 1210 Bim Drive 2213 Meyen Avenue 2501 S, Corney St., snit¢ B <br />Mead, CA 95341 Smiyvalk (A 94084 brantWo, (A 92029 SoHo Me, CA 42707 <br />209 122 4228 r 408 548-5050 P 760489 5600 P 714 545 2191 e <br /><...... ,.<«.- ,•. _-L.,.., 209 7228228 r 408 S4&505? t 760 489-5625 a 7Date <br />1a 545-2287 r <br />Work order # w <br />PmPosal a <br />Date <br />Acommt sales Pauruyor Brz�t T <br />Customer information <br />Service R �. <br />Name: a enjoy n rodocta <br />Address: 1323 Sam Stockton Strt'r4 <br />Lcxii, CA 9524 ( <br />EPA to # C11L 000 348 "??8 <br />Main Contact t'tuly Moyne, <br />Phone: - 5 -.?moi <br />Secondary contact: <br />Phone: <br />PO # <br />Description:- -.. Si�ai'.4 .# .��.est <br />to 1} i3I£C-SI <br />s '�T "' Vanaum TtU^.+ Lack - 10967i A <br />I '-Labor Tanker Driver <br />1 Pffwnal Protective Equipment-Levc[D <br />1 -Fuer"�$Frt�gyRe ou¢yB T�4o _ <br />Manifest and Generator Information <br />Pass <br />I rail <br />I Pass <br />all I Rmtain ID 1 Container mformation <br />Chlor D4ect 1311 Cont"is Total <br />ro <br />US DOT Description (Include ppmama, proper shipping m, Haz class antl to tro. Type CuaMity <br />- <br />WNaaWolume <br />Nat HazardoUs Watee, Uq,31d I <br />i T 9(10(1 <br />Cx <br />Manifest Number` t - Transporter to No Cp k. IY)u 070 5.10 <br />canarator EPA to NO. C 3$ ilk - - <br />Designated FacUty, and atldresa • tBfnCa;t ,.err T :P.SX1ka'+:z' T! 2*t.4Yh'?f ., C I;Cy' <br />IGM0 At a iixit Pas4 `ua�_ <br />1;a°:i? ity rime # o j rB,5-]301 . <br />USA EPA ID n.........CAD W 392 732 <br />State W a <br />Dis sat Services: <br />Transportation Services: <br />Man'dast Number SYta IntW9Ie# <br />4M. iSDF <br />NembBterCOMainars racaityJDeatfnadaa. <br />Nawfhxonditionod <br />Duw,ity Niac. SvPaP/ aaavap"On <br />SU dies <br />MePoly Fiber <br />w <br />Metal Po fiber <br />--- -- - <br />- - -- ---- <br />-_.. <br />55 -gallon closed top <br />- <br />-. <br />-_... .. :. _. <br />55 -gallon open top <br />_ <br />30 -gallon closed top <br />30 -gallon open top <br />15 -gallon closed to <br />15 -gallon open top <br />Labor. HourgtRagular Houneloverdins, serviosPruvidad <br />5- gallon closed top <br />Projocl Mannon <br />Chamoi__.....__.. ..... ... _.. - -...- <br />TccM1nician <br />Othor ♦\ <br />5. gallon open top <br />275allon tot[ <br />Nmtea: <br />Cubic Yard Boz <br />ate Light Tube Drum <br />Cuatomor Signature: - <br />Date: iA <br />3R Light Tubc Drum <br />Vermiculite, Ba <br />Clay Absorbent, Bag <br />PPE T <br />