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I <br />eared, u 45341 5aanyvdc, U 94064 760 0dn, 60 97014 711 45 ;posal <br />2097724728 a 4085485050 t IG0464ib00 v 714545.2a <br />��� 2b5 Ri98s Avemle Sonvule Dtiae 2213ido, (Ah 7029 250 A07FA�1�10.ul <br />2097288226 r 4085485952 t 1604895625 s 714545-2 <br />omay# <br /># <br />Salee Manager : Brian T <br />Customer Iniermatiort Service Request <br />Name: CRLC LLC dba VsNeyTTrwt t&ptoduLu Description: W Ft 2r T Ali i <br />Address: 1313 9aath S cold <br />j 41. OA 9524t) <br />EPA ID # CAL 000346275 Vaagitunl`ntr�,�carvfrDa _ _.... <br />Main Contact: Cody Mayer <br />Phona. 2W-200-2994 1—T—Vaocon'rru Cmatte—I0967P2 <br />1 - L ake Tanker Driver <br />Secondary Contact:_....-.- . <br />Phare: j-F�smal tvciiglupmem -Level D <br />1-1"A gnrxV Fc«wetyFx-3.5"la _ _...._._ <br />Maaitesf and Generator tnformallon <br />Chlor D -tett <br />Paa <br />Fad <br />Pats <br />Fail Retain ID <br />Cantabtey inforuralien <br />pH <br />Containers <br />NO. ryp+ <br />Total <br />4uxnaq <br />vWigtdlvoiwm <br />US DOT Description {include proper shipping name. Naz class and ID) <br />kdca Ha4xde+aLg7aie La,4ct <br />T <br />Ti' <br />SOD <br />C7 <br />_..---- -- __ .. ... <br />Manifest Number , c I1 Tranaportrr W No CAI:' <br />.. _.�.., <br />(, } CYiii 5S0 <br />............_. .-.____._ <br />t3oneMor EPA ID NO <br />_ <br />CAE, CW 348 <br />m. <br />270 <br />D ignatetl PaclHy and address AjtD:nmf IsaldTijj ,�T%. +U7p6i1�Y F{�pgr T7g-II <br />__ ._ ���� eS ty <br />l x}40 AitmxTa mass kaud <br />i..rvr.,ttttxe, CA 94551 <br />q+� p(gott@ ('fj�j}4�j-'j$Qf <br />FaciF _ <br />A ID M CAD 081 382'732 <br />seta ID e <br />bis osat Services: <br />Transportation Services: <br />Manifest Humber _.S$a PrdHte# OTY fYtnF <br />Namber of Cmntstaera FectlilylDesdnaeon <br />New Racondiiiormd <br />Ouedty Miec.SePply <br />$U ilea <br />Metal poly Fiber Metal I Pbty I Fiber <br />_.. _. <br />55 -gallon closed tap <br />_.. ..... <br />'. <br />_i <br />�-}_ ._ <br />_ <br />55 -gallon open top <br />30 -gallon closed top <br />30 -gallon open top <br />15 -gallon closed top <br />15 -gallon open top <br />4atiar, Hours4 alar Nounl4vetY{me ServttaProVWed <br />5- gallon closed top <br />Prged M,nonr <br />cnerMn <br />Tacnnidan <br />Tune, <br />!l -gallon open Top <br />275 -gallon roto <br />Cubic Yard Box <br />_ <br />_. \ _. <br />Light Tuba Drum <br />_-- <br />Customer Signature: <br />Date: ��''�'`1� 7 <br />8ft Light Tube Drum <br />Vermiculite, Bag <br />Clay Absorbent, Da <br />PPE <br />