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ENVIRONMENTAL SERVICES, INC. <br /> P.O. Box 3058 <br /> Rancho Cucamonga, CA 91729 <br /> 909 476-2308 <br /> Work Order KNI60162 <br /> Appt Date 3/2/2016 Time 12:00 pm Date Order Received 3/112016 Unit: 123 <br /> Generator Name Oak Harbor Freight Customer Phone 209467-7340 <br /> 3018 Loomis Road <br /> Stockton,CA 95205 Facility Veolia E.S. Environmental <br /> "Pim Baird 209-467-7340 Solutions <br /> 1704 W. First Street <br /> Bill To Asbury Environmental Azusa,CA 91702 <br /> P.O. Box 843021 <br /> Los Angeles, CA 90084 <br /> Qty Description <br /> 1 StakebedJGear Truck <br /> 1 Chemist-ST <br /> I Hazardous Endorsed Driver-Standard Time 65 <br /> 1 ( i)55-gallou drum lab pack of RCRA flammable liquids <br /> 1 ( I)55-gallon drum tab pack of Non-RCRA Hazardous Waste Liquid <br /> 1 5%.plion drum of Non-RCRA Hazardous Waste Solid,(dried primer and absorbent) <br /> 1 ( j)30-gallon drum of Combustible Liquids,mos. <br /> 1 ( I )30-gallon drum of Non-RCRA Hazardous Waste,Solid,(Oily Debris) <br /> 1 (( )Tote of Sodium Bindthe Solation <br /> ,J`;- Supply:Si gallon drums <br /> 2 Supply:30-Ballon drums <br /> t I Absorbent/Vermicuflle <br /> Drum Liner(s) <br /> :- : TlfiAline(MOJTANYTI O3VlY1 - -' CtU6terS <br /> Person Pro-Trip Ship igctature Start Sit*Start Side End Post tri r. <br /> Print Name t Date <br /> Driver Signature <br /> ra�(�,n r, f� of tilnl i, z!�z_116 <br /> Driver Print Name Date <br /> For ALL,RCRA Waste-driver MUST call KAVAC Prevailing Wage No Solea Rep H <br /> Chemist before start of,joh: <br /> JENNIFER IIOBBS- 510.506.1178 PO# Est# R-0051 <br /> JOE y: E:DA - 909.761.1528 SPECIAL SERVICES PAPERWORK <br /> Createded By:By: JPReviewed By: T — I <br /> White Yellow Pink Goldenrod <br /> Office Customer Facility File Copy (I <br />