Laserfiche WebLink
265 Riggs <br /> Avenue 6517 Colorado Rlvd 52 !deor <br /> ORK ORDER <br /> Home Offi[e: 6212 575th Avenue u4 Merced, CA 95341 CommerceCity [080022 igw73W 967 MeallryRoad laveen, AZ 85339 Chaparral, NM 88081 <br /> ACT San lose, CA 95133 600owaStreet6737 Editn Blvd NE Wor # <br /> 2010 Miss ion Road Redlands, CA 92373 Al6uquerque, NM 87107 <br /> 408548-5050P 13600sEAmbiergoad Proposal # 186580 <br /> 408548-5052F Escondido, CA 92029 13722 Clackamas, OR 97ms <br /> ell 141-0 Santa Fe a Road <br /> buqued208 rayAoa81 Date : 4)ECP18 <br /> Santa Fe Springy (A90fi]0 Albuquerque. NM87105 Acct Sales Manager Bruce WacrOEI <br /> Customer Information Service Requestpolie <br /> Name: -`. -_ - <br /> Address: 1s700 McNi ley Avenur Description: . . . . . ..... - . .,.,. <br /> L *Uwc pr CA 95330 .. I ....... . . . ............ <br /> I. <br /> EPA ID # CAL OW20WY9 ... . . .._......... ................ . .. . . <br /> Main Contact: ,alb tineda 200.65MISs 2 HR - Labor Driver <br /> Phone: r- : . ry_.n _ _ <br /> Secondary Contact - ........I...F........I... ............_.... <br /> Phone: <br /> ._.......... ._.__... ........ <br /> PO # .. . ............_. . . . .... <br /> PICK MITGF�ia- <br /> ........._ .. . ................ . . . . .. . ........._ . <br /> aterials and Equipment <br /> .................. <br /> NewReconditioned ..............-...................._......III ..................... ._............_..............-.....I.........................-. <br /> upplies <br /> Metal Poly Fiber Metal Poly Fiber <br /> . . . . ....._F ............ <br /> 85-gallon overpack � � <br /> 55-gallon closed top - ... _...... .. . . I.......... . . - . F, .... . . . .. . <br /> 55-gallon open top <br /> 30-gallon closed top <br /> _......._....-. ._...... 4...... .. . .. ......._.. . . . _........ . . . . _............ . . . <br /> 30-gallon open top _ <br /> 20-gallon closed top 1..-.... ' "" <br /> 20-gallon open top <br /> Services <br /> "" ---- --- Disposal Services: <br /> _.... <br /> 75-gallon closed top Quantity Container Size Profile #/WasteT a Shi <br /> --- -- ..... yp Aping Document # Treatment Facility <br /> 15-gallon open top <br /> ..__...... ............... i........ ..,.......... .. <br /> gallon closed top ...__ ................. . ................. <br /> .......-. ..... _......... <br /> 10-gallon open top . .._......... .. . . 4FIFFIF141111111111FIb . . . ......... . . ... <br /> ......_..... <br /> 5- gallon closed top ....-.._........ ...... .......... ....... . . <br /> .. ...... ... . . ..... . .. <br /> S- gallon open top ......... ,...._......... ... . ....... .........-. uFFF ............. . . <br /> . ......_ ... - ......-....1 - gallon open top ........._..... _ ..._.._. . . .. . . . .......... <br /> PIHPackaging . . FIF ......_._ .. . . . ........_ . . . . . ...... . .. . <br /> 275-gallon tote .... .. . .. ...._.. _ .... ............. . . .. . I IF........ <br /> Cubic Yard Box ......_ .... . ........... . . _ ............. .................. <br /> .......... .. . .-_..... <br /> i.......... .. ............. <br /> '--- <br /> 8ft Light Tube Drum 1111IF b_" ----- --- .-..... <br /> Packing Materials IFFIFF # Transportation Services : <br /> Vermiculite, Bag Number of Containers Facility/Destination <br /> Clay Absorbent, Bag <br /> _ . . . ... <br /> Bubble Wrap, Roll - . . . .--- <br /> Bubble Wrap Bags, Box .. . . . . .. .. . ........... ................ <br /> . .. . . . -.... .... . F- ......... <br /> Drum Liners .. . . . . ........ .... . . . . ........- . . -F'4 . .........._....... <br /> Palle[ - F..._.... .. .. . . <br /> Supersack ....................................................... ._ <br /> ....__._.............._........_..._.... . ....._.. <br /> Nates: FFFFFIF <br /> Radioactive Waste Boxes . ... <br /> Biological Waste Boxes _..........__.._........._..............._.......... <br /> Red Biological Waste Bags Labor: Hours/Regular Hours/overtime Service Provided <br /> Personal Protective Equipment # Project Manger <br /> Level _....... ...._ ................. <br /> D Chemist <br /> ..... ....... <br /> Level C - Technician _- "" " """"""- --- <br /> Level E3 .. ........__... -Driver .......... .....-... _.._.. ... .. <br /> Other: .... .......... <br /> Other Materials # Nates: <br /> ...._ Customer5igneature:'—' Date: <br /> . ........ .. ...__ n <br /> PRINT NAME :�fr�.l., <br />