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M genium- <br />C�a�ra%r 81�e_Addreaa: <br />Kelly Moore Paint Company (1016251) <br />2630 N Tracy Blvd <br />Tracy, GA 95376 <br />Order Contact: StaTe Manaper <br />Order Contact No. 209-833-7494 <br />Account Coordinator : Susan Marohl <br />Driver Instructions: <br />Order #: 659697 <br />Project: 13002 - labpack-13002 <br />Phase: final labgack ship <br />Ingenium Driver Shut <br />peAsturtt r_I311tlrtg irtt rmado <br />Kelly Moore (Sac) (D0043) (23246) <br />301 W Hurst Blvd <br />Hurst, i X 76053 <br />Purchase Order#: <br />Job Date: Dec. 11, 2024 <br />Hours of Operation: <br />Manifest / OgL <br />—I <br />Generator Authorization Form completed. Irtganivan staff authorized to sign all shipping documents on beho f of the <br />generator through 12/31/2024 /f// LEAVE ONSITE: any Miraplex, any appliances, an)dhi►ig labeled for Clean Harbors 11/1 <br />Lockbox Is located on side of building attached to ;ttility meter. Code: 1725 <br />Site contact: Brian (925) 936-9070 <br />Location will have onsite labpacic please call Mark N (406) 4 0-0083 with any questions <br />Service Summary <br />pickup: Approximately 30 galkm storage bin outside the front door approximately half full with paint supply containers. <br />(aerosol cans, metal and plastic containers) <br />One 5 gallon bucket and three 1-ciallon cans of paint supplies inside the front door under the paint swatch display. <br />Six approximately 2-11ter battles of cleaning chemicals Inside a metal cabinet In the back storage morn. <br />One aerosol can on the shelf in the back srarage room. <br />Six large black trash bags vlith unknown contents. <br />One box wrth unknown contents in top storage area above storage room. <br />Supplier: 2XCYB, <br />die lminmtiorts• <br />Pr+oifle Softie! Handlina: <br />EquIpMrit RequlreM2nt: <br />Item <br />EsL Actual <br />Quantity Quantity <br />Type/Size Approval # Description <br />Disposal Facility <br />A;*err2!h}r <br />