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ECS Refining LLC�' �, <br />705 Reed St. PICKUP REQUEST <br />Santa Clara, CA 95050 DEC 01 2014 PU121018 <br />Phone: 408-200-7000 <br />Fax: 408-200-7010 ENVIRONMENTAL HEALTH Page <br />DEPARTMENT <br />Customer No.: 19012 <br />Company: Alameda County Computer <br />Address: 620 Page Street <br />City: <br />Phone: <br />Requested By: <br />Person to See: <br />Ship Via: <br />Berkeley CA 94710 <br />510-692-2615 <br />Ron 510-692-2615 <br />Driver's Initials: <br />EPA Number: <br />Pick-up Date: <br />Time: <br />Taken By: <br />Date: <br />Salesperson: <br />P.O.#: <br />Manifest # <br />1/19/14 <br />Bopha Rat (ECS Reece_ <br />11/19/14 <br />Sylvia Jasso <br />Pickup: Quantity Unit of Measure Material <br />15,585 LB UW CRT DEVICE CA <br />1,424 LB UW FS DEVICE CA <br />286 LB UW CRT DEVICE RP CA <br />Drivers Signature: <br />Collection Logs Received by Driver: YES I NO Customer Signature: <br />DELIVER: Quantity Item <br />1 Pickup Service Fee <br />Special Instructions: <br />Arrival Date & Time: Departure Date & Time: <br />2nd & Page Street South West Corner <br />Always get a copy of the BOI from customer <br />DRIVER INSPECT PALLETS YOUR TAKING!!! MUST BE GOOD ONES!!! <br />Print Name: <br />Cross Street: Map Coord: <br />Open Hours: <br />