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Work Order ATTACHMENT C <br /> � 1210 Elko Olive 2014 Al Rood 265 Riggs Arcauf 13122 Coil Road 6131 El Bird NE ill N gh"313 work order r <br /> Sua lrvok,CA 94069 Eswilidt.CA 42024 Melad,CA 45341 Santo Fe Springs,CA 9067C,Alhuauerque,NO 87107 Chopol NO 88081 Proposal r 1�7ep B <br /> ACT` 408 54$•5050 P 760 489.5600 P 209122-41x8 P 714 545.2191 P 1505 349-5250 P 575 B24-0164 u Date <br /> aawra 408 54 5052 F 760 489.5625 F 209122.8728 F 714 545.2287 F 1505 344.7986 F 575 824.0208 F Acct.Sales Manager FU FIX <br /> Customer Inforlmo lon Service Request <br /> Name: Yertbcs USD I Ls#v p Nph Sdwal <br /> Address: 45#7 W Lli ltroQ Fid Description: .---_._.-- ------- .......... <br /> Lill CA 9=1 __------ <br /> ._ <br /> EPA ID# CALODBMI 12 4- - -810 WABTE-NC1NEViI►T1pH{ -AGT256i51 <br /> Main Contact: Kimbell llVtrigl 20HO <br /> Phone- _.2='EC=PiiiROnalfFi+otsdlieEqu�enttMl=� D --- <br /> 400- Fu1d AEt�*ty�1R�s <br /> Secondary Contact: <br /> Phone: <br /> PC# PCM 742 4A <br /> Materials and Equipment <br /> New Reconditioned --- ..-...__...,---- _.._ __. . .._...._..�----•—^_.. <br /> Supplies Metal Poty Fiber Metal Poly Fiber <br /> 85-9ation overpack <br /> 55-gallon closed top ,...._...._.. -._...... .... <br /> 55-gallon open top <br /> 30-gallon closed tap - <br /> 30-gallon open top - -- <br /> 20-gallon closed top I servi0ol3 <br /> 20-gallon open top <br /> DlnpaSel ServirreS: <br /> 15-gallon closed top ! - Ouantity Container Size Profile#/festa Type Shipping Document it Treatment Fill lity <br /> 15-gallon open top <br /> allon ciaeed top - <br /> ____ 1 <br /> 10-gallon open top <br /> 5-gallon closed top 1 <br /> 5-gallon open top <br /> 1-gallon open top - <br /> PIH Packaging i <br /> 275-gallon tote <br /> Cubic Yard Box <br /> Oft Ligni Tube Drum <br /> $ft Light Tube Drum <br /> Packing Materials i Transportation Services: <br /> Vermiculite,Bag Number of Contalnem Facility/Deatinatian <br /> Clay Absorbent.Bag --� <br /> Bubble Wrap, Roll 1 <br /> Bubble Wrap Bags, Box <br /> Drum Liners -`----- <br /> Pallet -- T. _._..._........�.... <br /> 11 <br /> -- ' <br /> SuperSack Noll: <br /> Radioactive Waste Boxes <br /> Biological Waste Boxes — <br /> Red Biological Waste Bags Labor: ltsr HourWOvertime Service Provided <br /> elseprood-- <br /> Personal Protective Equipment i '. ! <br /> LO hie" <br /> __r <br /> A <br /> Level <br /> e B - ------- Drlal <br /> A <br /> Other Materials # News, <br /> 1 r r <br /> Customer Signature; LJ�e ! CYIC <br /> PRINT NAME. <br />