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Work Order <br /> ��. 12i0 Elko Drive 2010 Mission Road 265 Riggs Avenue 13122 Cormnita Root 6137 Edith 13k.NE 511 Highway 213 work order# <br /> Sunayvale,Cd 44089 Escondido,CA 92029 Melted,CA 95341 Sonto Fe Springs,CA 94610 Albuquerque,NM 87107 Chaparral,NM 88081 Proposal# t Z7DD 1 <br /> 408 548.5050 P 760 489.5600 P 209 722.4228 P 714 545.2191 P 505 349-5250 P 575 824.0164 P Date <br /> �►CnTo 408 548-SD52 F 760 489.5625 F 209 722-8228 f 714 545-2287 r lager 4Y 17 <br /> 505 344.1986 f '575 824.021)8 F Acct.Sales Manager Pal Fkw" <br /> Customer Information Service Request <br /> Name: Manfoca Wiled 5dwoi District (1-mak Unlor <br /> Address: 1700 N Union �dDescription: .........._.....—. --------......... .......... <br /> Manbec CA NW <br /> EPA ID# CALOM <br /> Main Contact: j4j mlae ft VvH gM 20qmg2&.M 1=15-DF-OIL BASED PAINT IN CANS_ACTT S056 <br /> Phone: 1 -2Q-OF-LATEX PLANT LOOtSEPACK-176308 �— <br /> 2-- 4-� k7aik+p►Pd� rn L�NfI #5—{]pan-T _ _-- <br /> Secondary Contact: 1 EA-Paam�PfulbdVe <br /> Phone: Equipment-Llltvei D <br /> F1QfQy�QbOVQryI'OC•- --- <br /> PO x P17-QZ744 � <br /> Materials and Equipment .��-'--------- ----_-------� <br /> New Reconditioned ........----- ._._—.._....___.�...,...-...__..—....._._._.._.---•.----•-----..._._._..._.__' -- <br /> Supplies <br /> Metal Poly Fiber Metal Poly Finer <br /> 85-gallon overpack i <br /> i <br /> 55-gallon closed top _----.-.-...._-._....-.-.---.-.-.--.-.--..__ -_._. ..._................... <br /> ; <br /> 55-gallon open top <br /> 30-gallon closed top 1 <br /> 30-gallon open top <br /> 20-gallon closed top 1 <br /> --i- Services <br /> 20-gallon open top i <br /> _+ Disposal Services: <br /> 15-gallon closed top ` I Quantity Container Size Profile#/Waste Type Shipping Document# Treatment Facility <br /> 15-gallon open top i <br /> �. <br /> Tallon closed tap I ................. <br /> _ P J <br /> gallon open top •-•---•- <br /> 1 <br /> 5-gallon closed top 1 ; i tj — } � � 5�y ; .O <br /> 5-gallon open top <br /> 1-gallon open top <br /> PIH Packaging --C— - -- f <br /> i <br /> 275-gallon tote i <br /> l <br /> Cubic Yard Box s <br /> , <br /> 4ft Light Tube Drum <br /> _... __... _. ..__._..._; —.4 _._._.__.._..,.._._.-..».........------------.....----_----_._........................ <br /> 8ft Light Tube Drum <br /> Packing Materials # Transportation Services: <br /> Vermiculite.Bag Number of Containers Facility/Destination <br /> Clay Absorbent,Bag <br /> Bubble Wrap. Roll <br /> Bubble Wrap Bags,Box <br /> Drum Liners — <br /> Pallet - � — �— <br /> SuperSack I <br /> Nobs: <br /> Radioactive Waste BoxesBiological Waste BoxesRed Biological Waste Bags Labor: HourwRegular Hours/overtime Service Provided <br /> Personal Protective Equipment ,1tProject MangerLevelD ChamialTechnip. i <br /> Level C _{ - _ _______ <br /> Level B Driver <br /> Other. ' <br /> Other Materials # Notes: <br /> ---------._._.-...._. <br /> _ ]PRINT <br /> Customer Signature:NAME: <br />