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Work Order <br /> •jj, 1210 Elko Drive 2010 Mission Raad 265 Riggs Avenue 13122 fanneaita Road 6131 Edith lilvd Nf 511 Highway 213 Work Order s <br /> .: Sunnyvale'cA94089 <br /> Escondido,[A 92029 Merced,CA 95341 Sonia fe Springs,[A 90670 Albuquerque,NN.87107 fhopoual,NM 88081 Proposal a 27 nO <br /> ACT 408 548. 0 760 489-5600 P 209 722-4228 P 714 545-2191 P SOS 349-5250 P 575 824-0164 Penviro 408 548. 2 760 489-5625 F 209 722.8226 f 714 545.2287 f SOS 344.7986 f 575 821-9208 F Acct.Sales Manager Pat Horst <br /> Customer Information Service Request <br /> Name: Manteca Unllfled SCivial DEr Gt(Sieml <br /> Address:17W Thoitnas St Description:____.._.---------........... _..__ ................................... <br /> ...___ <br /> Manteca, CA 95J3T - <br /> EPA 0# M 001=57E6 _ _DF_MER Q7D13T75a2T1 <br /> Main Contact: Kmbeft W igW -0�Q . — <br /> Phone: t lltorti•po�F Divin—�C RTl42.�i. .T _........................... <br /> Secondary Contact: 237-EA-Fuel&Enemy RewyeryFee-8% <br /> Phone: _ _. -._...._... --- ---_...-.......»...._ .»... - <br /> Po P017-02744 <br /> Materials and Equipment <br /> Supplies New - Reconditioned -- --___ _ _ -- --- -................._------ <br /> Metal Poly Fiber Metal Poly Fiber <br /> 85-gallon overpack <br /> 55-gallon closed tap <br /> _......_._. _.-.... __. .._..............L.-........... <br /> 1 I I <br /> 55-gallon open top ---- -- -_...__._ _..-- - -..._._._—._.. - .__._._................... --__....._._... <br /> 30-gallon closed top <br /> 30-gallon open top <br /> 20-gallon closed top Services <br /> ----- --- -f- - - _-- --- <br /> 20-gallon open top <br /> Disposal Services: <br /> 15-gallon closed top <br /> P i - Quantity Container Size Profile#!Waste Type Shipping Document s Treatment Facility <br /> ---� a-.-..•....•.••_ <br /> en to <br /> 15-gallon o r ^ <br /> ? � I <br /> 9 P P --:_.!__._......._':.._tr]Il: �.�i_�[fy(J C �....-.__....................... <br /> .allon closed top <br /> jallon open top <br /> 5-gallon closed top <br /> 5-gallon open top <br /> I <br /> I-gallon open top —1--- — F ---- <br /> P1H Packaging <br /> 275-gallon tote i c .-...".�"_"__--�-_— __-_ •-.-----.__._.*—.__._—_....-._...._.. I _.---•-•----•_..-_- <br /> Cubic Yard Box i -»«....... i <br /> ._........_._ ...___...,,..t_..,. _ _. —_�—_ —_ _._...j .».__._..---------------I-•--------_' _._......-..---- <br /> 4ft Light Tube Drum ! <br /> Tu __.__.._....._..-_.--•- <br /> Sft Lightbe Drum <br /> — <br /> Packing Materials # Transportation Services: <br /> vermiculite,Bag -- Number of Containers Facility/Destination <br /> Clay Absorbent,Sag ft <br /> Bubble Wrap,Roll <br /> Bubble Wrap Bags,Box <br /> Drum Liners ..-......... <br /> __.—_._._____ <br /> Pallet <br /> Super-Sack Naga: - <br /> Radioactive Waste Boxes <br /> _................ �. -- <br /> Biological Waste Boxes <br /> Red Biological Waste Bags --_— Labor: Hours/Regular Hours/Overtime Service Provided <br /> Personal Protective Equipment # Project Manger <br /> Level f] Chemlet <br /> C� s <br /> Level C Technician __.._L._.....- „,__...._._.....__—. <br /> Level B Driver �* <br /> ....... ...................................,. .............................--._._._._._.__..._...... _._....:"---._._.._._._._"..._._...... <br /> Other: <br /> Other Materials # Notes: <br /> - - ---.............. <br /> --_........____-___..... Customer Signature: k li ! 1 f Dote, e r r <br /> PRINT NAME: <br />