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Work Order <br /> k #� 1210 Elko 0r ve 2010 Mission Rood 265 Riggs Avenue 13722 Carmenito Rood 6137 Edith Blvd.NE 511 Highway 213 worts order x <br /> .: Sunnyvale,CA 94089 Escondido,CA 92029 Merced,CA 95341 Santo Fe Springs,CA 90670 Albuquerque,NM 87107 Chaparral,NM 88061 Proposal# - 163341 <br /> ACT' 408 548-5050 P 760 489.560E P 209 722.4228 P 714 545-2191 F 505 349-5250 F 575 824.0164 P Date 24-WY-18 <br /> e?Vero 408 548-5052 F 760 489.5625 f 209 722-8228 F 714 545.2287 F 505 344.7986 F 575 824-0208 F Acca sales Manager ,ICC#Win <br /> Customer Information Service Request <br /> Name: Mameca United School DWci(Ema LN <br /> Address: <br /> 47418 N Ihtitxt Road Description:--------..... - _........._......._............._..----------------....._.__— --. <br /> . <br /> flAafdecs, CA S=7 •----------------------------------- -«._,-,_..._....__._............... <br /> --.—__._._._.__._____.__ _.».»-.__-•- <br /> EPA ID# CALJMIZRM �4rrtsztai drttfrslr 1Q bliY�i�hf � t:#4, }-_ .__._.». --._.-.--.------. <br /> Main Contact: Kirrtberty Wright 2094 rJ -___._._______.».»._...................._.._.-._._.._._.---.-_-.-._-. <br /> Phone: 1 -66-DM-1JM41ERSAL AEROSOLS-ADO-AC NG18 <br /> Secondary Contact: 1 -E A-,39 C3s41vn Siohaardous DtUMs <br /> -Tom------------ <br /> Phone: 1._ � <br /> ...._......_ . _�5_(1e11ars Rii�ccra��A�si1111�1 "Cll41iK2--Misr! ------.__.___._. <br /> Po# f•-tt 8 2_-.EA- slanaLP€atsr.Ei-_Lsv�t R-----------_—____.___ <br /> Materials and Equipment 488-EA-Fuss A EnargyRocowryFos-8% <br /> Supplies - <br /> e'"' Reconditioned <br /> ....._-----------._._._._._._.__._._.__._.._.«-.«..-.»._.--_.__.-_._..-.-.-.---•--.---...---._..._._._._.__...__.._.._. _._._._._.-_.. <br /> Metal Poly Fiber Metal Poly Fiber <br /> 85-gallon overpack <br /> 55-gallon closed top -__.-.---.--_--•-•---..._..—_._..._._...._._ ._.____.__.».____.___...-•--••-----.._...----.-.--.._...... <br /> 55 gallon open top i - - -- -- ------------------ __._..._.-..---»---- <br /> 30-gallon closed top <br /> _-_ — -..........._......_._...... ................. - - ---------- - -......._...._ <br /> 30-gallon open top <br /> 4-- �._._.__._._............— ------._._,_ <br /> 20-gallon closed top I <br /> -.... ..._....... ..... ................ --.......... <br /> :.__._..._..... Services <br /> 211-gallon open top <br /> _...... .__.__...._......._._-_._ _.._ ._._.;.._.............. Disposal Services: <br /> 15-gallon Closed top ' Quantityl Container Size Profile it/waste Type Shipping Document# Treatment Facility <br /> ._.........__._.....__.-r-._._._._._.........._-�-_ _ .W <br /> 15-gallon open top �J <br /> %Iron closed top <br /> .....------------- <br /> h„-gallon open top <br /> --=---=...._._._._._...._..._. _. ._- ._._.r...._._....... ...... - -- <br /> 5-gallon closed top <br /> 5-gallon open top <br /> 1-gallon open top <br /> _.........._ ._.._._..... .... .._._....._,. _ _._ _._._.-._..- <br /> PIH Packaging <br /> ............ ._..__..... _.. r. -._.... .......... _ <br /> -......_..._.;........................--- --....._ .-----••----------------------------- <br /> 275-gallon tote ' -- <br /> Cubic Yard Box <br /> -__.___....._._.._._.. <br /> 4ft Light Tube Drum ? - ----......... <br /> ..,..,..........._.—._. --- -a- _ .1......_ . ..,.....__._._._. _ ..........--.... —........_........... <br /> 8ft Light Tube Drum — <br /> Packing Materials # Transportation Services: <br /> Vermiculite,Bag Number of Containers FaclliWOestination <br /> Clay Absorbent,Bag - � _Ltl, .l....7r ...----..._. <br /> BubbleWrap,Roll --.-.--._._._..._._..._.__._._..__._.W---»._................._..... <br /> Bubble Wrap Bags,Box <br /> ....-._.............._. <br /> --------- ._._...._ - --.._....,... <br /> ............ ......_._._._.....------ <br /> Drum Liners __..__ — _..-._---.-•------•-----.----._ ._._.__. <br /> ._._....._._....._._._._._...... ........................._....._............_ _ -». .. _ .«.«__............_...............---—........... <br /> Pallet <br /> SuperSack Notes: <br /> Radioactive Waste Boxes <br /> Biological Waste Boxes <br /> Red Biological Waste Bags Labor: HoursMegular HoumANartime Service Provided <br /> Personal Protective Equipment # Project Manger......_._._._._._..__C _._._._ .-„..-........ .-......__._ _.................. <br /> Level D Chemist <br /> .......... _ µ.... ».__.._.-......_._..— ---- - - - _._ ........._----------- <br /> - <br /> Level C Technic' <br /> Driver <br /> L aver B ............... _.. ....._. ._. ._........................------- <br /> Other: <br /> Other Materials # Notw <br /> ............._......._.............___.. Customer Signature: f Date: <br /> PRINT NAME: <br />