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Work Order - <br /> ®�� 1210Elko Dre 2213 Meyers Avenue 261 Riggs Avenue 13122 Con im Rood 6137 Edith Blvd.NE 511 Highway 213 Work Order# <br /> Sunnyval4e,[Aiv94089 Escondido,CA 92029 Merced,(A 95341 Santo Fe Springs,CA 9p670 Albuquerque,NM 87107 Chaparral,NM 88081 Proposal#t Bf f d <br /> 08 S48-SOSO P 760 489-Sb00 P 209 7224228 P 714 545-2191 P 505 349-5250 P SIS 8240164 P Date 16-CBCT-12 <br /> Ad.....e Chemical Tr—pod, 408 5483052 F 760 4893625 f 209 722-8228 F 714 545-2287 F 505 344-7986 F 5718240208 F Acct.Sales Manager Brian Trefgult <br /> Customer Information Service Request rage <br /> Name: Earth trains <br /> Description: <br /> Address1651 S. Airport Way .. _....____.__ _-............_._ - .............. . ............. <br /> stockwnr CA 9WU(;, CA 96206 - <br /> _ ------ --- - - -- - — — -- <br /> EPA ID# (& 2^3,{# <br /> Main Contactbw Hetyel 2 E- CIM-PARTS us-l WASTE hor-70CA <br /> Phone: 64772 2 EA-30 GeN411 Aqueuut:Porn Wnohsr <br /> Secondary(�e�e(+i Acord ..!.._.fi.4- all A-EnBr(gyRimovDry-Fee—:3�3�`?b................_.___._._.__--___. _.._........_._.. <br /> Phone: 21 7� Q3 ------—..._................. <br /> PO# <br /> Materials and Equipment <br /> New Reconditioned -.-_. ...-. -._.___ I——------- <br /> Supplies Metal Poly Fiber Metal Poly Fiber <br /> 85-gallon overpack <br /> _ ....._..... ......... ._....-_._.._.__ ._.._._ <br /> 55-gallon closed top <br /> 55-gallon open top ! , .. ................. .. . _.___.. . ......_._...... ......._........._.—__.__.___..._____-__________...._..__..___. <br /> _... ........... ..... __ <br /> 30-gallon closed top <br /> 30-gallon open top ) i <br /> �c <br /> 20-gallon closed top <br /> ___..._ .................._.............._..._.-.............................. Services <br /> 20-gallon open top j Disposal Services: <br /> _i T--— <br /> 15-gallon closed top quantity Container Size Profile#/Waste Type Shipping Document# Treatment Facility <br /> �___._.r._.___..... <br /> 15-gallon open top I I,_, - �- j ._._.. _.. <br /> 10-gallon closed top <br /> 10-gallon open top _ I <br /> . ...... .. . ........_._.. _.___._ _.___.._ ___..._. ._ <br /> 5-gallon closed top <br /> _......._r__._._ . -. _ ...... <br /> 5-gallon open sop .......____.—__.—.___.1_. .__._..... <br /> 1 <br /> 1-gallon open top <br /> µ <br /> PIH Packaging "t I <br /> ......_._.._.__...._._._..__..._._....................!..............._...._......_...._._._._...___J. _ _.—.-._._._.1....._..........__._......................... <br /> 275-gallon tote <br /> .................. <br /> Cubic Yard Box ; <br /> ... .............. _.._..... __. ..---._.. A <br /> 4ft Light Tube Drum r <br /> .._.._.......... __.. ...... _...... ...... ................................. ...._...... ............. <br /> 8ft Light Tube Drum <br /> Packing Materials # Transportation Services: <br /> Vermiculite,Bag Number of Containers Facility/Destination <br /> Clay Absorbent,Bag <br /> Bubble Wrap,Roll -- <br /> Bubble Wrap Bags,Box <br /> Drum Liners <br /> .................._..._.. <br /> Pallet r <br /> SuperSack Not": <br /> Radioactive Waste Boxes <br /> Biological Waste Boxes <br /> Red Biological Waste Bags Labor: Hours/Regular Hours/overtime Service Provided <br /> Personal Protective Equipment # Project Manger <br /> Chemist <br /> Level D <br /> - - _ Technician <br /> Level C <br /> Level _- - Driver <br /> Other: <br /> Other Materials # Notes, <br /> _. _.. Customer Signatures'(. Date: <br /> .. t - , <br /> ..._ PRINT NAME: /,i i V (w•%!�. <br />