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Work Order Elko Drive 2010 Mission Rood 265 Riggs Avenue 13722(ormenito Rood 6137 Edith Blvd.NE 51 1 highway 213 Work Order# 1639 -. .. Sunnyvale,CA 94089 Escondido,CA 92029 Meshed,CA 95341 Santo Fe Springs,(A 90670 Albuquerque,NM 87107 Choporiol,NM 88081 Proposal# ACT` 408 54851150 P 760 489-5600 P 209 722.4228 P 714 545.2191 P SOS 349.5250 P 575 824.0164 P Date 25-WY-18 enviro 408 548.5052 F 760 489-5625 F 209 722-8228 F 714 545.2287 F 505 344.7986 F 575 B24-0208 f Acct.Sales Manager ,fat a loran Frig Customer Information Service Request 1 Name: Mameca �JiWf�t:i School Di&id (*sierra Address: 1704 TfOF7f;Qsw'l escriptlon:............._......... _—_.___ Manteca, CA$ 7 ----__._.__. EPA IQ# C r��q{ 2 766 _......_....._...... Main Contact: WinAarly WrigW Z%19.8 a 1 -15-DF-RSR-070137754-271 Phone: 1 -Ell-15 Galbt►"Drum LIN I H2J15-Open Top —�— Secondary Contact: 266-EA-Fuel Energy RecowryF*o-9% Phone: PO# 1"V76 Materials and Equipment NewReconditioned -...-�--�------�-----�--�--�-�--_ _._._..W._.._._.__.. .._..._._......._._.__..._._._._._._..._.........-•----.--.—.- Supplies Metal Poly Fiber Meta] Poly Fiber ._..—_«...-._._.-.___-.----•-.------.---._.__..................._.... 85-gallon overpack .._.......................................... --- 55-gallon closed top I l l 55-gallon open top __ _ __....- ._.« __---._ ....._.....--.---•----•-•---._. .__._._. ------ - 3d gallon closed top ---- -- - 30-gallon open top 20-gallon closed top .........._...................._..........._...._..---; ---.__._-.._.. Services 20-gallon open top ---_ -_ -- -_ Disposal Services; t5 gallon closed lop ; J Quantity Container Size Profile#/Waste Type Shipping Document# Treatment Facility 15-gallon open top _......_._------........._._............. - - --- - .... ----------------------- ---- ._...._._._._._.. E_.........-.«...._----..._._.... _..._.__._.__E__._....___.y.__.__._._.. _._.. .._._. ._.._ _._..........._._....� _.-_._. _.._W..µ .._._.�....._.. ----- ---I ...... Jallon open top --•_ --__ .__._. 5-gallon closed top - I i : t S-gallon open top l 1-gallon open top ---•--._..�_._—._...-- ----- -._.__.........a-....».»....... ......... .-_._..----------•------- - ---------i-----..._....._...._ .........�...»«....»i».»._...._.___...- ...... ----- PIH Packaging I ..._......._... 275-gallon tote .._.......-__.. --._....-: �_...«...___.,....................-......._........- --- -.-.-- ----- Cubic Yard Box - - 4ft Light Tube Drum --+- -._._..._........... _« _ ._.. _._. «..-._..... ..-•-•-•-- --. - -- -.----- - _._. _..................---------- 8ft Light Tube Drum Packing Materials # Transportation Services: Vermiculite,Bag Number of Containers Facility/Destination Clay Absorbent,Bag Bubble Wrap,Roll - ----- --IChemist ....-.-.---- _ - ......................_.... .._....._......- ...- - ----- - - --._-. .__._......- Bubble Wrap Bags, Box -_.-._._«......_._._....._._._ .............-•--•---._............._......._------ ......_.................._.__._-_._.__._._____._._.._....._._..«.._.........._.,.._._._..-__-•_--_-- Drum Liners Pallet ._..-...__....._...._.__________._..............__.__._._._....- Supersack dotes: Radioactive Waste Boxes _-- Biologicai Waste Boxes Red Biological Waste Bags Labor: Hours/Regular Hours/Overtime Service Provided Personal Protective Equi ent # Project Manger Level D , Level C Technician ) ................................ Level B Driver ' ptfrer' _ .. .. _._ ;._..._ _ _........_.... -............_...._........-- - - --------—................--........ Other Materials # Notes: ._..._-------------_._...---- Customer Signature: "} �( f l^ i i r oats: 4S ) .._._._.... PRINT NAME: