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!F r:, tkC <br />• <br />P O. Box 1025 <br />3900 Commerce Drive <br />\A/act Sanramantn CA 95691-1025 <br />9163721888 PH <br />9163731172 FAX <br />CA Contractor's License # 617238 <br />Cus^om�r <br />Job Location <br />Work Order # <br />166930 <br />Quik. Stop Markets Inc. <br />Quik Stop Market #124 Z1 <br />Scheduled Date: <br />6/15/2023 <br />165 Flanders Rd <br />505 N. Main Street <br />Scheduled Time: <br />9:30:00AM <br />Westborough, MA 01581 <br />Manteca, CA 95336 <br />Contact: <br />Michael Karvelot <br />Customer PO# : <br />248161618 <br />Phone: 2098237628 <br />Facility: <br />W31020-124 <br />Station # : <br />124 <br />Contract # <br />jWpr1< Tc 13e F'e c (1- Call type: P3 Service Call <br />Tank - Remove uid from spill containers and clean debris (est. 90 al) <br />Wo k Performed I <br />6/1:;/23 Pei for 1 1SA and uploaded to Walton work order. <br />6/1 c,/23 sits: r yank- remove liquid from 87/91 fills on site. <br />No ala- 3 )resent on arrival. <br />I removed approximately 75 gallons of liquid from 87 and 91 fill sumps. I placed 2 new hazardous waste <br />drums' e E. on site with accumulation date of 6-15-2023. One drum full and another has 20 gallons of liquid. <br />pe -i P°c"I s: <br />Qty pert # <br />Mfg <br />Mtg Part v New 5enai P <br />2 30f :`10 <br />2 30�- 20' <br />;FS1 <br />ACCU <br />DRUM, 55 GAL., D D N/A <br />MHZWCA N/A <br />Da e Tecr.iiciu: <br />6/1 777 -clan <br />aid V. <br />Arrival <br />Departure <br />10:20 <br />15.00 <br />Drum, 55 Gal. DOT, UN1A2, Open Top New <br />Label, Hazardous Waste Decal for Drums New <br />Store Stamp & Signature <br />6-1 ryl-t 1) / % <br />Customer Signature <br />