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Work Order <br /> %110 1210 Elko Drive 2010 Mission Rood 265 Riggs Avenue 13722 Cormenim Rood6137 Edith Blvd. NE Sl l Highway 213 work Order # <br /> ACTSunnyvale, CA 94089 Escondido, CA 92029 Merced, CA 95341 Santo Fe Springs, CA 90670 Albuquerque, NM 87107 Chaparral, NM 68081 Proposal # 1 '771 ,2 <br /> 408 548-5050 P 760 489.5600 P 209 722-4228 P 714 545-2191 P SCS 349-5250 P 575 8240164 P Date Sts SEP-18 <br /> 0111 h 408 548 5052 F 760 489-5625 F 209 7228228 F 714 545 2287 F SOS 3447986 F 575 824-0208 F Acc . Sales Manager Bruce mccal <br /> Customer Information Service Request <br /> Name: - _Ie1Ai5 CSi- L , G? _ <br /> Address: 15700 FAdOnley Av�enik Description : <br /> i-elhrop, CA 95330 __ .. . ......_...... ....._.........._. <br /> EPA ID # "-AIA nsM ._.. .... . _ .. <br /> ....... _. ......... . . . <br /> _ <br /> Main Contact: �takm rlhada 2004LSMJ5ti� 10 . 55 DM'' - - - _ ' T 070128303.1 '5302 <br /> Phone : ......Z ..mss.... _4444 <br /> ........ ... . . . 4444... <br /> Secondary Contact: p7f�-'- --- -_- L StAV[N� ::- <br /> 44.44... <br /> Phone: <br /> r T24132. ..._ <br /> . . 44.44. <br /> lopentop <br /> aterials and Equipment 1 EA - - --- + --- - ........IF <br /> New Reconditioned 4 tr'--- <br /> upplies _4444 . - . <br /> Metal Poly Fiber Metal Poly Fiber <br /> llon overpack - "E ..-._y... .. , ,,,.,_F .. <br /> lon closed top - —' --4444 __4444 <br /> 4444 .... ....... . . . . ...... . .. . ........ _4444. <br /> 4_444.. ..........._..... <br /> lon open top <br /> . . . . 444.4..._ -. . _. .lon closed top �����- - <br /> -4444._. . . . ..._._... .. . ......... . . 4444_.._ . _lon open top ���- � " . --- � - � � � + �--- +- - 4444 4444_. . .. 4444... <br /> lon closed toplon open topServices <br /> - --- -- -- Disposal Services: <br /> lon closed top I I I Ay Containereaste Te Shi`" - " ""'- -- YP Aping Document # Treatment Facilitylon open top lon closed top -. ...._._... -_44444444. ..._-4444..on open top ....... .._. I I r . . F I <br /> . .. r <br /> - 4444 4444.. <br /> ........... .. _.__.... ._....._.. . . .. <br /> 5- gallon closed top - - 4444..._ <br /> I- <br /> .4 44.44. <br /> 4444; .. ............ - - <br /> 5- gallon open top <br /> 1 - gallon open top ' --- <br /> ...... 4444. . . .._........._. <br /> PIH Packaging . . ......._ 4444. - <br /> - IF _... 1 I <br /> ....... 4444 _ . 4444.. <br /> 275-gallon tote - -- IF 1 .1 -- IF. 444::4 <br /> 444:4 <br /> Cubic Yard Box '.IFF._....... <br /> ' "' ""--- <br /> . . ..._. . _... 4444.. <br /> ..... <br /> Oft Light Tube Drum 4_444... . ,._...._.. ..._. ..... <br /> """-""- - - r--- <br /> ...... 4444... . . .. ..... <br /> ........ . .......- <br /> 8ft Light Tube Drum _.. OFF- I <br /> ............. ...4444 ........._. <br /> Packing Materials # Transportation Services : <br /> Vermiculite, Bag Number of Containers <br /> Clay Absorbent, Bag -" ��" .-. "" -'- Facility/Destination <br /> Bubble Wrap, Roil ....... ....... <br /> 4444... .. ......... 4444... ..._... ............... .................. <br /> Bubble Wrap Bags, Be. . F.... """ <br /> 4444.. 4444. <br /> ........ 4444... <br /> Drum Liners . . ........... . ... ....... ..... ... <br /> .......... . ........_ .................. ..... . ........:. .........._... <br /> Pallet 4444 . . <br /> 4444..__ ..._._..... <br /> SuperSack 4444 . .. . .......... . . . ............. <br /> ............. <br /> Radioactive Waste Boxes ........ <br /> Notes: <br /> Biological Waste Boxes - -----`---------.........._. <br /> Red Biological Waste Bags ...... .__...._........_-........................... <br /> Labor: Hours/Regular Hours/Overtime Service Provided <br /> Personal Protective Equipment # Project Manger I <br /> Level D }.......... 4444 ......._..... . <br /> ..Chemist .. 4.44.......1... .. 1 . .._. <br /> _44 4444 ._. <br /> 4444..-......... . ..._......... <br /> Level C . .. . ..... Technician 4444 _. . . I.......I ... . . . ............ 4444 . <br /> _4444 4444. <br /> 4444. _...__ <br /> Level B ...._....... ,4444. Driver ........ .... . . . <br /> 4444._..... 4444 . . . 4444. <br /> . 4444. _...... <br /> Other: - � .............. . . .........._ <br /> Other Materials " ------- <br /> # Notes: <br /> ........._.. 44.44... <br /> ---4444 Customer Signature: <br /> Date: _ ' <br /> PRINT NAME : <br />