Laserfiche WebLink
t <br /> SERVICE AGREEMENT <br /> i� L 0■ w i 21 Great Oaks Boulevard <br /> aAl N rm: r. r s + w San Jose , CA 95119 <br /> Hazardous Waste Removal , Inc. Phone : (408) 363-3678 <br /> Fax : (408) 624-9335 <br /> Contractor's License No . 992495 <br /> Site Information <br /> Customer: t Service Date : I �� <br /> Site Address : <br /> � r C7ep <br /> City , State , and Zip 4 t i ° ? + Project Number: _ fy� <br /> Contact: <br /> Phone Number. ;, ( _y .- ; . {` tJ _, y <br /> Scope of Work <br /> i <br /> Labor Project Notes <br /> Name Start Arrive Depart End <br /> Ire I t4o P" <br /> ploeCustomer requests All Clean to submit <br /> copy of manifest (s) to DTSC . <br /> Supplies/ Equipment <br /> Qty Supplies Qty Poly OT Drums Qty Metal OT Drums Qty Fiber Drum/ Boxes Qty Equipment <br /> F PPE - Level D H UN1H2 - 55 Gal U1N1A2 - 55 Gal F UN1 G - 55 Gal F HEPA Vacuum <br /> PPE - Level C UN1H2 - 30 Gal UN1A2 - 30 Gal F 55 gal Labpacker F'] Pump <br /> Nitrile Gloves , pair UN1H2 - 20 Gal UN1A2 - 20 Gal F ] 30 gal Labpacker WetlDry Vacuum <br /> F Box , Rags UN1H2 - 15 Gal UN1A2 - 5 Gal E] 20 gal Labpacker F ] Pressure Washer <br /> Drum liner UN1H2 - 5 Gal UN1A2 - Overpack F'1 10 gal Labpacker [] Sawzall _Blades <br /> Simple Green , gal F�l UN1H2 - 2 . 5 Gal F'] 5 gal Labpacker F ] Floor Buffer <br /> F Bleach , gal F�] UN1H2 - Overpack Qty Metal CT Drums F1 8' Bulb drum F Small Tools <br /> Fj IPA, gal Qty Poly CT Drums UN1A1 - 55 Gal F 4' Bulb drum F Air Compressor <br /> F Vermiculite , bag F UN11-11 - 55 Gal UN1A1 - 30 Gal F* 8' Bulb box Generator <br /> F Preprinted Labels UN1H1 - 30 Gal E] UN1A1 - 20 Gal F 4' Bulb box 171 <br /> Resp . Cart . , Single F�j UN1H1 . 20 Gal F ] UN1A1 - 10 Gal [� 4G PIH/Mercury F <br /> F Resp . Cart „ Combo F�] UN1H1 - 15 Gal Qty Tote Cubic yard box <br /> UN1H1 . 5 Gal Tote - 275 Gal Super Sack E <br /> R„ cinninn holnui ac nn niitnnri7art ronracantntive vrni arknowledae the obliaations Dresented in this agreement. <br />