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--Wnrk Order <br />265CMAveaue 121086116re 2213"5 Avemta 2581 S.Osrnxey54Sufie 8 <br />Merced, CA 95341 S myraie, G 94089 bmthdo, CA 92029 kaon AaaC U 4270) <br />7091224228 P 408 W -SW P 768 489-5600 P 714 5452191 P <br />c <br />workordor0 <br />Proposal 0 <br />°- <br />"to <br />Account Salus Mans r <br />us rimer <br />Nan'u: GRLC LLC dba Valley T Pn,dads <br />Address. 1313 &VAh ati3�^: on, Strad <br />C A 852dU <br />EPA In # CA L OW 34s 27S <br />Main Contact: Cwy Meyer <br />Phone269 IM- <br />phmo SContact:otleryContact:]—P <br />PO # <br />Service Re uest <br />Description: <br />work talzdff 3154 <br />_.._ — <br />rtr.26FDEE'x!l ..__ -- --- <br />1 PT Vacuum Tnick Waate — 1091570CA <br />3—L.xhTexy,._92�'_A�iV.cr. <br />a' Praiativc Egitlpincnt. drtS'S�.:�...-.... _.... _.. <br />7 —Fu i Fnasgg Recaray F -_3 5°fa <br />Manifest and Go erat4sr 9 ortnation <br />Pias Fall <br />Pass <br />Fail Retain 10 <br />Contamr information <br />Chlor Ddoct pH <br />_......... — <br />Container <br />No. Type <br />--- <br />Total <br />uvaMlp <br />w«sutrvauaw <br />US DOT Description (include proper shipping name, Has class and to) <br />Nan F.azrrdouc Waste, Liquid <br />! <br />TT <br />45W <br />e. <br />GoneralorEPAIDNO, <br />USA 8PA # i s <br />Manihat Number i L'Ql t_9 Transporter ID No I,++ OW o7O 54O <br />Designated Facility and address tlltaritvxat L.stSditll&pcae r,-, .Rewva€ acid <br />WM0 Altamont Pass Toad <br />Ltveamyc, CA 94,55'; <br />---------.. <br />stew ro a <br />Dispose{ Services:' <br />Transportation Services: <br />Manifest ehrmber I size ProHlea an TSW <br />NnmharMCantainees Pesllltyrosasnatim <br />New <br />Pp onditibheal <br />Q.."y Yiva:9Uyp7y epsvi{ma. <br />Supplies <br />MMaI Poty Fiber <br />Metal I Poly IFiber <br />- <br />S5 -gallon closed top <br />_ <br />55-gallonopen top <br />30 -gallon closed top <br />30 -gallon open top <br />15 -gallon dosed top <br />15 -gallon open top <br />Lahor: N6Ur1RagUlar HOUrslbvartlme Service PtnWdod <br />5 -gallon closed top <br />Pralact M:mgar <br />chemist <br />iechniri/a_n�..� � <br />Other. <br />5 -gallon open top <br />275 -gallon rota <br />Notee. <br />Cubic Yard Boz <br />_ <br />4k Light tube Drum <br />Customer Signature: <br />Date: <br />8ft Light Tube Drum <br />Vermiculite, Bag <br />C lay Absorbent,Ba <br />PPE <br />