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Materials Unit Quantity Materials Unit Quantity <br /> Tarp(100 sq.ft.) EA � 1175- Vermiculite EA <br /> Visqueen Plastic(per 100 sq.ft.) EA Drum Liners EA <br /> Drums High Pressure Cylinder Valve Plugs EA <br /> 1110-5 Gal Poly Spin Top EA Sample Jars(Per Dozen) EA <br /> 1105-5 Gal Poly Bang On EA 1185- Absorbent(50 Pounds) EA <br /> 1120-30 Gal Poly Open Top EA Drum Thief(Glass/Plastic 42") EA <br /> 1115-30 Gal Poly Closed Top EA Pail Samplers(Glass/Plastic 18") EA <br /> 1124-55 Gal Poly Open Top EA Disposable Pump <br /> 1122-55 Gal Poly Closed Top EA 5 Gallon EA <br /> 85 Gal Poly Over Pack EA 1174- 55 Gallon EA <br /> X-Rated-5 Gal Metal Open Top EA <br /> 30 Gal Metal Open Top EA Industrial Detergent GL <br /> 30 Gal Metal Closed Top EA 1159- Cubic Yard Boxes EA <br /> 55 Gal Metal Open Top EA <br /> 55 Gal Metal Closed Top EA <br /> Transportation For Disposal <br /> ****From Site To Facility**** Quantity <br /> Less Than or Equal to 5 Gallon <br /> Greater Than 5 to 15 Gallon <br /> Greater Than 15 to 30 Gallon <br /> Greater Than 30 to 55 Gallon <br /> Greater Than 55 Gallon <br /> Cubic Yard Boxes <br /> Waste Streams Quantity Container Waste Streams Quantity Container <br /> Size Size/Lbs. <br /> UN1011,Waste Butane,2.1 <br /> Foreman Signature: Date: / !� <br /> Customer Signature: Date: <br /> DOSH#661 Hauler Registration#132075 EPA ID#CAR000159665 <br /> CAL Lic.#732375(A, B, C2,C21, C33, C39,ASB, HAZ, HIC) • NV Lic.#0047599(A22,A23) <br /> 24 Hour Emergency Hazardous Material Clean-up&Disposal Asbestos, Lead and Mold Abatement <br /> LO <br /> T_ <br /> O <br /> CV <br /> N_0 <br /> I.^L1 <br /> W <br /> U — N <br /> C� <br /> 4-- <br /> 0 <br /> a) <br /> 07 cu <br /> c <br /> CO a_ <br /> O <br /> O <br /> Cy') <br /> O <br /> O <br /> O <br /> U <br />