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Wo"ik''Order <br />Merced, CA 95341 Sunnyvale, CA 94089 Escondido, (A 92029 Santa Ana, CA 92707 <br />ACT265 Riggs Avenue 1210 Elko Drive 2213 Meyers Avenue 2501 S. Gurney St., Suite B <br />209 722-4228 P 408 548-5050 P 760 489-5600 P 714 545-2191 P <br />11—d 0— "A 209 722-8228 F 408 548-5052 F 760 489-5625 F 714 545-2287 F <br />work Order f�- I r n I tellor. <br />Proposal# <br />Date <br />Account Sales Manager: Rnim TW,�wft <br />Name: Int pmate -mapte AgMAng, Inr <br />Address: 11TAO vallejor-t <br />Fmich CffM, CA 95231 <br />EPA ID 9 C-41 ow ?a IN <br />Main Contact, MMwabwkm <br />Phone:2%-983-M <br />Secondary Contact: <br />Phone: <br />PO# <br />Description: AM#Eyq j P <br />wr vi ginnst, -' <br />d GO <br />Pass Fail Pass Fail Retain lD <br />Container information <br />Chlor D <br />Containers <br />No. Type <br />Total <br />Quantity <br />WelghtWolume <br />US DOT Description (include proper shipping name, Haz class and 10) <br />----------- <br />Manifest Number Transporter ID No <br />Generator EPA ID NO. <br />Designated Faclity and address <br />USA EPA to <br />state to # <br />DlSl;:n6ia"l 34ivicelita'' <br />Transportation 96MC8*;' <br />Manifest Number Stirs 4notille 9, <br />QTY TS60, <br />Number of Contron4res <br />Fact lity[Donstinatiort <br />0a <br />New, Reconditioned <br />Pity 64eeflptPoh <br />Su Iles <br />Metal I Poly I FIbor <br />55 -gallon closed top <br />— ------ <br />55 -gallon open top <br />30-gallon closed top <br />30 -gallon open top <br />15 -gallon closed top <br />15 -gallon open top <br />Hourilkligtilear I Hou wided <br />S. gallon closed top <br />Project Manger <br />5. gallon open top <br />Chemist <br />275 -gallon tote <br />Technicia ttl= <br />Driver <br />F <br />Other:i�—� <br />Net..: <br />Cubic Yard Box <br />Eft Light Tube Drum <br />Customer Signature: <br />Date: <br />Eft Light Tube Drum <br />Vermiculite, Bag <br />Clay Absorbent, Bag <br />PPE <br />