Laserfiche WebLink
2 arcod,C Ayewa Sunnyv8le CA 9 2213 Nei, CA 92 29 25015. GormeY Sl.,SuBe B <br />Nand, CA 45341 Sunnyvale, CA 94064 Fstondlde, CA 42029 Santa brw, CA 42707 <br />209 722-4228 r 408 5485050 a 760 489-5600 r 71M1 5452191 r <br />209 722.8228 t 408 548-5052 t 760 489-5625 r 719 SA52287 t <br />work order # -745;7, <br />Proposal tl 3 y <br />Dem <br />Account sates, Mans, t <br />r <br />Customer information <br />Service Re uestn <br />Name: t:RT.0 Y. IX dba VattayTewingPtnduets <br />Address: 1313 ScyAh 3t�CEon Stroll <br />Loch, CA 35230 <br />EPA ID # CAL 000 348 278 <br />Main Contact: Cody j&ysr <br />Phone: �,� <br />secondary Contact. <br />Phone: <br />PO # <br />_... <br />Description' wak _ i -fir* 77452---__ <br />_ ., e,.'.7i1--_ <br />3atr-241:.Rfih32-1� <br />I–MADE-D-MAR 2-1-2Q <br />i _ TT – VaC a m Tiutic--Waste –109GOICA.._..—._.. _..-. <br />L-LaberSaDktsDri¢er <br />I—al1'4SS5tyIB nt-I..cvS',5� ._ —.. -. - <br />1 –Fuel &F.na.w.ktcowryFec.-3 5°/s,_...._._._ _. .... <br />Manifest and Generator InfiRWation <br />Pass <br />Fail <br />Pass, Fail Retain ID <br />Container information <br />Chbr D-tett <br />PH <br />I r I <br />Containers <br />N. Tyre <br />Total <br />quavery <br />weiahwoiare <br />US DOT Description (Include Proper shipping name, Hn class and IDI <br />Non Hazar-dous Waete, Liquid <br />1 <br />TT <br />' cu,J <br />G <br />Manfest NTransporter ID No <br />Generator EPA ID NO. <br />Designated Facllty and address r F -p' <br />I OR40 Altamont Pans Road <br />c <br />VSA FPA 10 tl <br />418i 74; <br />-AD 392 <br />stem IP a <br />Cfisposal;8 rvices: <br />Transportation Services: <br />Manifest Number Sian Proiitetl qTY: TEPP <br />Number of Conetinera Facaity/Veadnellon <br />ik <br />• .:' <br />Now " Rawnaltlolred.. <br />cr anhy Mmu. sup* tbaodpaon <br />- <br />Supplies <br />: Metal Poly:. Fiber Metat Pott flbeE. <br />_.._ <br />.. _.. __.. <br />55 -gallon closed top <br />..... '.. <br />;. _.. <br />-. <br />55 -gallon open top <br />30 -gallon closed top <br />30 -gallon open top <br />15-gaaon oloaad top <br />I5 -gallon open top <br />tabor. HoursRtegular HoutstOvertims Servies Provided <br />5- gallon closed top <br />Project Manger <br />Chemist --- - <br />Technician_.-� <br />Driver <br />5-gallono ntoP <br />Cubic Yard Sox <br />- <br />__.. _.. <br />Oft Light Tube Drum <br />8tt Light Tube Drum <br />Customer Signature: <br />Date: <br />Vermicutite, Bag- <br />Clay Absorbent, Bag <br />PPE <br />