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Materials Unit Quantity Materials Unit Quantity <br /> Tarp(1�)0 sq.ft.} EA � 1175- Vermiculite EA <br /> Visqueen Plastic(per 100 sq.if.) 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 2 <br /> 1120-30 Gal Poly C en Top EA Drum Thief{Glass/Plastic 42"} ' <br /> EA � <br /> i <br /> 1115-30 Gal Poly Closed Top EA Pail Samplers(Glass/Plastic 18') EA <br /> i <br /> 1124-55 Gal Poly C pen Top EA 1 Disposable rump <br /> 1122-55 Gal Poly CIC sed Top EA <br /> 5 Gallon EA <br /> 85 Gal Poly O-rer 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 Clcsed Top EA 1159- Cubic Yard Boxes EA <br /> 55 Gal Meta10 Den Top EA s <br /> 55 Gal Metaf Cio3ed Top EA <br /> Transportation For Disposal <br /> '***From Site To Facility"" Quantity <br /> i <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 1 <br /> Greater Than 55 Gallon <br /> Cubic Yard Boxes <br /> I <br /> Waste Streams Quantity Container Waste Streams Container <br /> Size Quantity Size/Lbs. <br /> Unknown Corrosive Solids 1 10T 55 Gal <br /> I <br /> i <br /> 5 <br /> • i <br /> Foreman Signature: \ Date: (� �_75_�` <br /> Customer Signature: Date: 2-3 % <br /> ROSH#E 61 Hauler Registration#132075 EPA ID#CAR000159665 <br /> CAL Lic.#732375(& 6, C2, C21,C33,C39,ASB, HAZ, HIC) -NV Lic.#0047599(A22,A23) <br /> 24 Hour Emergency Ha.!ardous Material Clean-up& Disposal • Asbestos, Lead and Mold Abatement <br />