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ATTACHMENT C <br /> 265 Akns` Mmed,,(Avenue95341 6511(olorada Blvdy,(98 12 WORK ORDER <br /> Home Office; 1 Akrred,{A95341 (ammPue{ity,C080022 <br /> `��� G212S 35th Arenas Y4 5)1 Hiyhway 213 <br /> i . 967MabUF Road taxe,AlSS319 HNd N, Chaparral,NM 88081 <br /> A��. 9 6001ovraAt923 6137ueiqu.NM871 Work Order# <br /> San lase,(A95131 AedlarrdL(A92313 Alhuquerque.HM87107 <br /> r -5050P 2010A1mienRoad 176045EArnblerADA Proposal A <br /> enufro 408548-5052F Escondido,(A92029 13722Cainenita11taad 208 Mw ray Road SF {Ia(kaira5OR97015 Date <br /> Santa FeSgdngs.CA9067Q Albuquerque,NM 67105 Acel Sales Manager 2j6-CNV-19 <br /> Customer Information Service Request Rig 1 1 <br /> Name: liwMOCA UnAed 5chaW Di edt(Fast V <br /> Address: 1706 M Union Road escription ..._..— .._..,..� ..---——._....._._.__......_..... .___...- — <br /> nfacs. CA SM? f- - ... <br /> EPA ID Cl�.���M j _ <br /> _...._.. _: .._.._._..._..__..........._._.__...-......_...-- ._._..........._.... ..._.................__.._.._....._.._..._.._.,........._._.._.._.,,. <br /> # <br /> Main Contact: K#nbeMY WHOM�--�aO <br /> Phone: Z-EA-6 Won MyDrunt-quos Top <br /> Secondary Contact: <br /> Phone: 3-MR-Lab4it-1L1N11rt' <br /> Pd# <br /> I -EA-MmftstFee <br /> Materials and Equipment CoVt«s� <br /> .........I-EA-Energy __._._.....__._.._....._...._..-—..._..........._. ..._ _.._..._.. <br /> New Reconditioned _ _ ......... _-._ �- —..._...._.--_ __......- ..._..._.__ <br /> Supplies <br /> d4eta! Poly Fiber Metal Poly Fiber <br /> 85-galton overpack <br /> 55-gallon closed top <br /> 55-gallon open top ............ .._ .............,... —._._..._._....................,_.._..—._.........,........................._...._ .._._-......._..__._...._..- <br /> 30-gallon closed top <br /> 30-gallon open top20-gallon closed top -- <br /> _?--.....___ _. —.._.. <br /> 20-gallon open top I Services <br /> Disposal Services <br /> 15-gallon closed top Quantity container Size Profile#/Waste Type ShIpping Document A treatment Facility <br /> 15-gallon open top ! <br /> _...__ ...,..,......._ .... l _..._ ) <br /> 1D10-gallon closed to T- <br /> -.._.__............. <br /> +� 12.x:_.. � t <br /> 110-gallon open top -_'---•...._. _. ----- <br /> 5-gallon closed top <br /> 5-gallon open top --� <br /> 1-gallon open top ! I I <br /> PIN Packaging -------.,.I•---__---� ------ --- _.._.......- <br /> 275-gallon tote <br /> Cubic Yard Box <br /> Oft Light Tube Drum i �. <br /> 8ft Light Tube Drum <br /> Packing Materials # Transportatlon Services: <br /> Vermiculite,Bag ` Number of Containers Foci lity7Deslination <br /> Clay Absorbent, Bag <br /> Bubhle Wrap, Roll <br /> Bubble Wrap Bags,Box <br /> _ — —-------- <br /> — ._ _._..._. ... -- ---,,.,.._... ______.------ <br /> .....___... <br /> Drum Liners <br /> Pallet ._.__...__.._......_,... ........---------.._.....----__,.., ....... <br /> SuperSack - -�- Holes, <br /> Radloactive Waste Boxes <br /> Biological Waste Boxes <br /> Red Biological Waste Bags Labor: Hours/Regular Hours/Overtime Service Provided <br /> Personal Protective Equipment # Protect Manger_---' ; <br /> Level D Chemist <br /> Level C _.. <br /> Driver hnk _ ... . __..-.__...... <br /> .. ..._.. <br /> Level S De <br /> Other Materials other:._.._._......._._.___ <br /> Notes: <br /> --_-._.-.. <br /> PRINT NAME: `; ,r <br />