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DEPARTMENT OF TOXIC SUBSTANCES CONTROL (DTSC) <br /> HAZARDOUS SUBSTANCES/MATERIALS SITE REMEDIATION <br /> Work Order Approval Form <br /> Site Names: Bobson Cleaners Inc., <br /> Cannon Cleaners, Favorite Cleaners, <br /> Model Cleaners, Quality Cleaners, Snow <br /> Cleaners, Vidlers Cleaners 22-T5019 <br /> Site Name/Project Name Contract Number <br /> Mailing List /Access Agreements, Work <br /> Plan, Field Work, Laboratory Analysis, and <br /> Investigation Report, Resample vapor <br /> probes and memo, and Abandon wells and 22-T5019-WO2 <br /> memo. <br /> Scope of Work Title Work Order (WO) Number <br /> Project Code Work Order Amendment Number <br /> $783,585.27 (WO-2) + $19,543.13 (WO-1) $803,128.40 <br /> Work Order Amount Total Amount of Work Orders <br /> I have reviewed the attached Work Order or Amendment and agree that the Scope of Work <br /> described is necessary and adequate and that the project costs, terms and conditions are <br /> acceptable and have been issued in accordance with Departmental policies and contract <br /> provisions. <br /> December 19, 2022 <br /> DTSC — Project Manager Date <br /> a)/u& December 19, 2022 <br /> DTSC — Technic view Date <br /> bbr- vK6bY' 19, 202222 <br /> Contractor Date <br /> 4�� December 19, 2022 <br /> DTSC — Contract Manager Date <br />