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Work Order <br /> 1210 Elko Drive 2010 Mission Road 265 Riggs Avenue 13722 Cormenilo Road 6137 Edith Blvd.NE 511 Highway 213 Work Order# <br /> •:F Sunnyvale,CA 94089 Escondido,CA 92029 Merced,{A 45341 Santa Fe Springs,CA 9D670 Albuquerque,NM 87107 Chaparrol,NM 98081 Proposal#92233 <br /> ACT 408 548-5050 P 760 489.5600 P 209 722.4228 P 714 545-2191 P 505 349-5250 P 575 8240164 P Date 04_1 -1 g <br /> 409 549-5052 f 760 489.5625 F 209 722.8228 F 714 545-2287 F 505 344-7986 F 575 824-0208 F Acct.Sales Manager Henry pesous 8 <br /> Customer information Service Request si#- <br /> Name: Usrdeca Wfied Sc1DOi allid'iCtirerVM <br /> Address � M4 Description: ---.--._...__.._....---.--.-.--.--.-.--....._._...._....._...._._.__........_.__._._._..___. _._._...._.__._--_»_............. <br /> "t7m Thomas at <br /> Warrteca. CA 1 <br /> ...»....._............_.....__._._............_..__..»._._............................_..._._._«._................. <br /> ..._...__... -- ---- --- - ----- <br /> EPA ID# CAL0002MM <br /> � VMgW -ZO-DF-FEXER-070137750-271Main contact:)Gmbe <br /> Phone: 2-38-DF-BIO WASTE-PATH-HE&THWW-AiCT181160 <br /> _.�__..E,r,_.�.S.Gallo�PaFyDr+�nt�UN1-H2##6._.ppep.;op._...-•-.--.----.--.._....._____.__._.-_._.__. <br /> Secondary contact: <br /> Phone: 2-EA-38 GWk)n Siahamratt <br /> ds Drum a <br /> -'EA P"011>>dWiRi6di 1`4611 6iiiil-1: _� _ __._. _--.......__.--.-.-.-.--•---.._. <br /> Po# 1._-.EAS-.Fri.d..Energ�r.Rnr�c.l=ee»-.8`K. ..._._._...._._._._._.__._._-_—_-.-•--•--•-.-----._._._._._._...._.... <br /> Materials and Equipment <br /> New Reconditioned ------------- _ __._-- ..................._._._---• <br /> Supplies Metal Poly Fiber Metal Poly Fiber <br /> 85-gallon overpack <br /> ....._._._....................._....................._. -----.. ------------- <br /> 55-gallon closed top <br /> ._............ ..._._...... <br /> 55-gallon open top I ........_... - -- - -- —---------------------------_._ _ - ...---.-------•--- <br /> __.,___«.___,._.__ _.................................. <br /> 30-gallon closed top <br /> ------ -.__._-- ; ..._.........................-.---•-•-- <br /> --. - ._.__._......__.._._.____ m. ....._... _ ......_._.. <br /> 30-gallon open top <br /> i <br /> 20-gallon closed to i <br /> .................>- - Services <br /> 20-gallon open top --- - - Disposal Services: <br /> _«- <br /> 15-gaflorclosed top <br /> Quantityl Container Size Profile#/Waste Type Shipping Document# Treatment Facility <br /> .......... --- r---........ - - - -- .__--._., <br /> Z5-g on open top <br /> illon closed top ; 3 i_........ ...__...._...._ _...v f 7�iJ7 <br /> tu-gallon open top <br /> _...._....__..p_._..._.-..,....p.»..............«..................i...........-_.S_...._._- ._._._r i- ._......_..._.._._._ ....»..... .. ...«I.._._.._......................_.._._._. <br /> 5-gallon closed top I......_..._.... ...........l.--' --...-- — 1.3 Iso-« 71 o �e 3&3�%(t ._._.__. ..._......_.__.... <br /> .. __.__._—_------------------_..._.............._._. <br /> 5•gallon open top <br /> .........- -----•--•- -• --.._._...._._...._----_---_ -_.«.._........._ --- --.-._._._.._-._- <br /> 4-gallon open top - <br /> ;...........- - -r ---+-..... _.......... .._._...., -- ---...._.__.... - _........_...................._...------- - - <br /> PIH Packaging <br /> L._._......._..................... - - + - ......... _ -._.._._._.............................._..... <br /> - ----- -------...._._.._.._.._-_-- » -...«._�._._.... ------------------ <br /> 27S-gallon tote <br /> ----------------- <br /> Cubic Yard Box -- - - <br /> -__._.i_. .«.«_.... ._...___.-.._._._._...-. -- ... -.. ..........__...._--......__._._.._.._...------ --- ----- _..._.__�__ __ _ _. <br /> Oft Light Tube Drum <br /> .......... .........................._.I <br /> 8ft Light Tube Drum ;._..___._._.............. <br /> --•--._-.- <br /> Packing Materials # Transportation Services: <br /> Vermlculite,Bag Number of Containers Facility/Destination <br /> Clay Absorbent,Bag <br /> BubbleWrap,Roll t �-�-�.___tt._?_5......�..,..__..._.,....,.,...._._...._..._._._._.-._._._...._..__..__.__.___... <br /> Bubble Wrap Bogs,Box <br /> _.__ ._.»_._._..._._...._...._._.. . --.........._..... - _ _ _.... _....-......................-- -- - -........_._ _.....«__..«-._._.--- <br /> Drum Liners <br /> Pallet <br /> SuperSack -- Nomas: <br /> Radioactive Waste Boxes -- <br /> Biological Waste Boxes -- - -- - - <br /> Red Biological Waste Bags Labor: Hours/Regular Hours/Overtime Service Provided <br /> Personal Protective Equipment # Project Manger <br /> ......................... -- --- - ......_._._.................................. <br /> Level d cnemial i - <br /> ............ - <br /> Technict <br /> Level C <br /> _ .... Driver <br /> !-el B ......_......-.. ..... _....---...._..___.._._._-_.-_.__---- »__ ......«.................................... <br /> _s._..----._.....-----..._._._.__-_ <br /> IF Other: 0 <br /> Other Materials # Notes: <br /> -......................_.........._ Customer Signature: Date: <br /> _..............--.....-_..... y � I <br /> PRINT NAME: �. <br />