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Work Order �� 1211)Elko 6rive 2610 Mission Road 265 Riggs Avenue 13722 Connenilo Road 6137 Edith N4 NE 511 highwoy 213 Work Order# ., . Sunnyvale,(A 94089 Escondido,{A 92029 Merced,CA 95341 Santa Fe Springs,CA 9067D Albuquerque,NM 87107 Chaparral,NM 88081 Proposal# 163$91 ACT ' 408 548.5{150 P 760 489.5600 P 209 722-4228 P 714 545.2191 P 505 349-5250 P 575 824.0164 P Date 23-MB-1 a ell07-0408 548-5052 F 760 4895625 F 209 722-8228 f 714 545.2287 F 505 34 4-7 986 f 575 824-0208 f Acct:sales Manager Henry Detour Customer information Service Request Name: Manteca Unufited &ehooil putrid (>`a3t uni Address: 1700 N Union Road Description: ....—.-----._._._—_ _ _.".__..._._..__._._____.___..._._.__._.__._..._............_.____._.----•_-.-- NhWeca, CA 9M7 -.------------_... — _— - _ _..._.-.- -—---.-- —. _............-- - —- --- - _ _ -_.............._.....----------------- EPA ID# 1 _ .DF-B110 VWSTE-PATH-HEALTHVVlSE-,NGTZ073a Phone: Main Contact: l�itll'lir]eltrl�y wr{� 2��2$-4 ._..._..._._...__......_.___._.___......._»._...__--.-.-•--.--..__.__.-._. ---.. 1=E1C- '"�3e1Toi�Biol`istr3ous-Gruftls ...-_—�."�-�4"Rr»��1F'1 p1:Q.1tIt�Mlit_1~gl�iptt]�f#i.-itsltal)[]..._."._.__._._._.----•-.--....__.__._-....._... Secondary Contact: 120-EA-Fuel&EnergyrRacerirry Fs;-8% Phone: PO# POiillr-81775 Materials and Equipment NewReconditioned -_ .-._._-.__..._...---••---.------.._._..___ __. _.-........._..._...._._.--•---•-•--._._.__..__.__.__. .» ._._...._.. SuppliesNew Poly Fiber Metal Poly Fiber 85-gallon overpack -........... ............._.:...._............_.................,. .--•---•-- 55 gallon closed top - --._........ — _..»._ _._...........__.... --------- --__ ._».»......._...-.-.-•-•--..... 55-gallon open top ; ........--- -- ................. —--- 30-gallon closed top _._..__..-......................- 30-gallon open top 20-gallon closed top ; ............. -------------------- Services 20-gallon open top ' l Disposal Services: 15-gallon closed to g P € Quantity Container Size Profile*/Waste Typo Shipping Document i1 Treatment Facility 15-gallon open top r' gallon closed top 10-gallon open top ' 5-gallon closed top ;».._._._.........--.... ................_ -.____ ........�.------_ - 5 gallon open top -..__ r_»._..._._... - - -.p........._...._.- ._._....._.. -._......----- .- _._._»..»....._............ � 1-gallon open top l I ................... ........— r- - - - ........... PIH Packaging 275-gallon tote -•-•-•-•—r-------_...........»_»..... .........._.._.a-----._.. .._....._.__._._ ..».,.....»..................-:,-..—._._._.._._.____....__............._...r._.»._......_._.. ._.........--•--•-•-- —.-.--.-._--............--------- Cubic Yard Box "' .»»....._...._.t_.-.-.._.-._.'---.......... ...'', ..»........ ...............»....»........p.._._._..__.__.._.___._.._.-_._. _ .__._....»._...._._.--..................'- -----._._._._..._._.»»«.»»........__ Oft Light Tube Drum N._.......... - ----- ` liftLight Tube Drum r...-----.-.--................_.-....-...._..._._......,.,..........-............._._.__._. .".- Packing Materials # Transportation Services: Vermiculite, Bag Number of Containers Facility/Destination Clay Absorbent, Bag _ -- ......----_---------------_ -_ .,...._._.._._.._...---._._......._._._..._._._--. ___..__..-.._.. ..___.............._-.................--._._._._._.__._._-..__._............... _-.-----.---._._. Bubble Wrap, Roll Bubble Wrap Bags,Box ...._.-.-.-. -- -...._._ ..._._.". ...._._.......--.-.-_._...--- Liners ____-._._ .-..._._........_._......__...._............... ------- Drum -_........._....- - ..._. Pallet SuperSack Notes: Radioactive Waste Boxes Biological Waste Boxes Red Biological Waste Bags Labor: Houramagular Hours/Overtime Service Provided Personal Protective Equipment # Project Manger ................................ -----------._._............._._._._._._------..... Level D Chemist - -- Technl Level C _ Driver --- — - _ wel B __. ._ Other: Other Materials # Notes: .._._..._.-.-.-.-._--.-..-.. _._.___.-........_.._....., Customer Signature: rY jj, Date: PRINT NAME: