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Z FEIRGJSON` <br /> __...,.,. Ft�tfldous more from us than we - - <br /> C c. F�glual Enterplfses- .,_wasee Ptckys ectror4c order <br /> Form Instructions: - .,,�••�•.•, _....-- <br /> Fill in the Gray Colored Boxes. Provide as much detail as possible. Email the completed form to: Fergusonretal@deanharbors.com DoWtforgetto induce the SOS and photos of the waste if availablel <br /> Questions on this form: Contact Drew Hartsock at drew.hartsock@ferguson.com or 757-969-4725 <br /> JFerguson Location Number 321 Ferguson Contact Person Loralie Macasinag <br /> Ferguson LOCATION STATE California Ferguson Contact Telephone (209)943-8387 - <br /> DATE OF REQUEST 10/3/2018 Ferguson Contact Email Loralle.MacasinagoferRraon.cam <br /> Quantity CONTAINER TYPE Accumulation Start Date(Date <br /> Ferguson WASTE DESCRIPTION PROFILE NUMBER (How many pieces of the waste Item) (What kind of drum is the waste In: poly,steel,etc.) Unit of Measurement(Size of container) IderttHled) <br /> UPS Battery Pack(Power Sonic) - - 15 Plastic Case and Cover each <br /> Absorbent w/Hydraulic Oil 3 Plastic Bag 12-16 Gallon 3 MIL(Not Full) 7/9/2018 <br /> Absorbent w/Battery Add 1 Plastic Bag 12-16 Gallon 3 MIL(Not Full) 9/10/2018 <br /> Disinfectant Cleaner 1 Plastic Bag in a box - 2-S Liter 8/17/2018 <br /> Paint Thinner(Empty) i - Can 1 Quart 9/13121018 <br /> Ceiling Texture. 2 Aerosol Can - 14 oz 9/13/2018 <br /> Power Cleaner Degreaser 1 Plastic Bottle 1Quart > 9/14/2018 <br /> Multi-Purpose Ceramic Tile Cement 3 - Plastic Bucket 1 Gallon 9/25/2018 <br /> Odor Eliminator 2 Plastic Bag 2 Liter 9/26/2018 <br /> (Battery)Aad Wash Water 2" Poly Plastic Drum SS Gallon 9/26/2018 <br /> Absorbent w/(Battery)Add Wash _ <br /> Water,PPE used to transf"e,water-. <br /> waste. - 1 Poly Plastic Drum 20 Gallon 9/26/2018 <br /> floor Stripper I Plastic Bag in box 5 Gallon 10/1/2018 <br /> Clean Harbors Container Code Container Type Cost per Item Number of Containers/Items Needed Special Notes <br /> DM555TL 55 Gallon Drum Reconditioned-DOT Rated $ 55.00 Hawaii Locations contact Drew Hartsock for pricing <br /> DM55POLY 55 Gallon Poly Drum-DOT Rated $ 75.00 Hawaii Locations contact Drew Hartsock for pricing <br /> DM20POLY 20 Gallon Poly Drum-DOT Rated $ 45.00 Hawaii Locations contact Drew Hartsock for pricing <br /> DMSPOLY 5 Gallon Poly Pail-DOT Rated $ 16.00 Hawaii Locations contact Drew Hartsock for pricing <br /> VERMSORB Vermiculite Absorbent $ 19.00 Hawaii Locations contact Drew Hartsock for pricing <br /> BOXS 18 Foot Light Bulb Box $ 20.00 Hawaii Locations contact Drew Hartsock for pricing <br /> BOX4 14 Foot Light Bulb Box $ 15.00 Hawaii Locations contact Drew Hartsock for pricing <br />