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_e Work Order <br />1216 Elko Drive <br />Air• l-01 Sunnyvale, CA 94089 <br />408 S48-5050 P <br />408 548.5052 F <br />2010 Mission Road <br />Escondido, (A 92029 <br />760 4895600 P <br />160 489.5625 f <br />265 Riggs Avenue <br />P,lerced, (A 95341 <br />209 722.4228 P <br />1209122-B228 f <br />13122 (annenita Road <br />Santa fe Springs, fA 90610 <br />714 545.2191 P <br />714 5,15.2287 F <br />6131 Edith Blvd. hJE <br />Albuquerque, NM 87107 <br />SOS 349.5250 P <br />SOS 344-7986 F <br />511 Highwoy 213 <br />Chaparral, NM 88081 <br />575 824.0164 P <br />575 824.0208 f <br />Work Order # D? Y o/ <br />Proposal # 77104 <br />Date 24-JUL-1 5 <br />Acct. Sales Manager E3MG6 WBatOt! <br />Customer Information <br />Name: Bmtech Rowum ft ry Engineering I <br />Address: 182(yiRd�e, � <br />r CA 96M <br />EPA ID # NON Hr; <br />Main Contact: Paul i72 <br />Phone: <br />Secondary Contact: <br />Phone: <br />PO <br />Service Request Page 1 <br />Description: <br />P <br />_... <br />$ORETEC!-! RitdGE WATER/10i�8963 ............... .................. <br />EA- Persanal Proteaft Equipment -Lust d <br />E-A—Fuel&-En6%1yR6WV8ryfee._.g.a�....................._...__...,._................................__............._..__._............. <br />__. _.... ..,_...._ .. <br />_. ..... _...... ..... ......... <br />Df <br />Materials and Equipment <br />Supplies <br />New <br />Reconditioned <br />Metal Poly Fiber <br />Metal Poly Fiber <br />85-gallon overpack <br />55-gallon closed top <br />55-gallon open top <br />30-gallon closed top <br />30-gallon open top <br />20-gallon closed top <br />Services <br />20-gallon open top <br />Disposal Services: <br />15-gallon closed top <br />Quantityl Container Size Profile #/Waste Type Shipping Document # Treatment Facility- <br />15-gallon open top <br />allon closed top <br />10-gallon open top <br />- <br />5- gallon closed top <br />5- gallon open top <br />1- gallon open top <br />PIH Packaging <br />275-gallon tote <br />Cubic Yard Box <br />4ft Light Tube Drum <br />8ft Light Tube Drum <br />Packing Materials <br /># <br />Transportation Services: <br />Vermiculite, Bag <br />Number of Containers Facility/Destination <br />Clay Absorbent, Bag <br />Bubble Wrap, Roll <br />Bubble Wrap Bags, Box <br />Drum Liners <br />Pallet <br />SuperSack <br />Notes* <br />Radioactive Waste Boxes <br />Biological Waste Boxes <br />Red dioiogicai 'Waste Bags <br />Labor: Hours/Regular Hours/Overtime Service Provided <br />Personal Protective Equipment <br /># <br />Project Manger <br />Chemist <br />Technician <br />Drivers <br />Other <br />Level D <br />/ <br />Level C <br />el B <br />Other Materials <br /># <br />Notes: <br />Customer Signature: Date: <br />PRINT NAME: <br />