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Work Order <br /> °r I#,,, 1210 f ub Drive 2010 Mission Rood 265 Riggs Avenue 13722 Cormenar Road 6137 Edith B vd.NE 511 Highway 213 Work Order# <br /> -sem Sunnyvale,CA 94089 Escondido,CA 92029 Merced,CA 95341 Santo hSprings,CA 90670 Albuquerque,NSA 87107 Choporral,N9 88081 Proposal 11306 50 <br /> ACT° 08 548-5050 P 760 489.5600 P 209 722-4228 P 714 545.2191 P 505 349.5250 P 575 824-0164 P Date 3o-Nou18 <br /> 4D8 548.5052 F 760 4895625 f 209 722.8228 F 714 545.2287 F 505 344.7986 F 575 824-0208 F Acct Sales Manager Pict Flares <br /> Customer Information Service Request f <br /> Name: Menteca UrdfPed Sc8looi Ofatrlct (Sierra Hq <br /> Address: Description: __ --- .... _ ____ ----... <br /> 170011toena•St <br /> Manbcar CA @5337 <br /> EPA ID# CAL00072FT66 50'Z71-FDR-D7D <br /> -5-DF 1377 <br /> Main Contact:i{mbsrty Wlrigt rA-.M --i� -- DF----._........._._._._..__1377....— --._._.__... __........TOP, <br /> . ._. .............._............__-.. ... - ..._._.. <br /> Phone: 1 -EA-15 Odbn PdyDrum UNI H2N 5-Open Top <br /> Secondary Contact: <br /> Phone: 237-EA-Fuel&Enelryy Recovery Fee-0% <br /> PO P <br /> Materials and Equipment <br /> New Reconditioned .......... <br /> Supplies Metal Poly Fiber Metal Poly Fiber ---_ <br /> 85-gallon overpack <br /> 55-gallon closed top i -- -- -- -------------___._w_.__..__ <br /> 55-gallon open top f i - ---•---•--- -•---.................... <br /> ..._._.__ _ <br /> 30-gallon closed top ? <br /> --_ __....---..................................... <br /> —_. — ...«..... <br /> 3G-gallon open top I ' <br /> 20-gallon closed top Services <br /> 20-gallon open tap -- - _ Disposal Services: <br /> 15-gallon closed top i E Quantity Container Size Profile#/Waste Type Shipping Document# Treatment Facility <br /> 15-gallon open top i <br /> , <br /> 1 i I f�y <br /> P } <br /> allon closed to � O{0 !)-7slvFLC <br /> --.�.-----,-....- ,,.. .............._L.._._.__._ <br /> jallon open top = <br /> l <br /> 5-gallon closed top <br /> 5-gallon open top -- <br /> 1-gallon open top -- <br /> , ! - <br /> , <br /> PIH Packaging t--�--.... _..._._-.---� ---•----..,..;._.........«.._...._._----._....__...._._�.�._.�--•- <br /> i <br /> E i i <br /> 275-gallon tote -- <br /> 3 i I <br /> i i E <br /> Cubic Yard Box --- _... ._..—._ _._ «._.--..-•-•-•-•- -•- <br /> Oft Light Tube Drum <br /> Bft Light Tube Drum .._.............._........._...._.............,._. <br /> Packing Materials # Transportation Services: <br /> Vermiculite,Bag Number of Containers Facility/Destination <br /> Clay Absorbent,Bag <br /> _._....__..._._r___._. ._ .. ................................._.--__.........,.............,.;....--_.___._._..._.. .._..._....__._....__..___............................._...— <br /> Bubble Wrap,Roll ..__.........«.-.._. � <br /> Bubble Wrap Bags, Box I <br /> Drum Liners <br /> Pallet <br /> SuperSack Notw-, <br /> Radioactive Waste Boxes - <br /> Biological Waste Boxes —_...._.- <br /> Red Biological Waste Bags u -- Labor: Hours/Regular Hours/Overtime Service Provided <br /> Personal Protective Equipment Project ManW <br /> Level D Chemist <br /> Level C -- __— Technic -- <br /> _-_._.__.___,„,....... ' <br /> Level B Driver -- <br /> ------... <br /> Other: <br /> Other Materials # <br /> Notes: <br /> Customer Signature:J, <br /> tN-A r . Date• <br /> PRINT NAME: <br /> wl <br />