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6212 S 75th Avenue R4 265 Riggs Avenue 13722 Carmenita Road 5750 E.58th Ave,Unit G WORK ORDER <br /> Home Office: Laveen,AZ 85339 Merced,CA 95341 Santa Fe Springs,CA 90670 Commerce City,CO 80022 <br /> � a •� - 967MablUy Road 2010 Mission Road 600 Iowa Street 6137 Edith Blvd NE 511 Highway 213 Work Order# <br /> ACT' SanJose,C 95133 Escondido,CA92029 Redlands,(A Albuquerque,NM87107 Chaparral,NM88081 proposal# 5371431DX-10841 <br /> 408 548-5050 P <br /> 408 548.5052 F 24602 Padhc Hwy S 4Wa ne Court,Building 9 208 Murrayoad SE 13600 SE Ambler Road Date <br /> enviro y y 9 y <br /> Kent WA98032 Sacramento,CA95829 Albuquerque,NIA 87105 Clackamas,OR97015 Acct.Sales Manager Rob BOaI <br /> Customer Information Service Request age <br /> r Name: ,Job#:30782 <br /> /- <br /> 1+ f llniFirst Description:..........................._. ....._._........._..............__......... <br /> Address: _..._... ........................_...__..._.._.__..._._._._..__.........._...._........___.__._...._ . <br /> 819 N. Hunter St. <br /> ................................................_.. <br /> Stockton, CA 95202 Created 8y E1lJah <br /> EPA ID# TY'A'rlCl') �ItiIPt�S�FYit;i� ... <br /> CAL�2►�� <br /> Main Contact: F. .S..w.11.1..j?Idrn.p...an..d._Glean...trpph.s atad._ump...U.S.ing...i <br /> Phone: Luu Trans 702-325-2943 Pressure Washer <br /> f secondary contact: FES tacltntcian-and pressure•washertofoWW-vacuum trudrb oflaodfadNty <br /> Phone: to get large amounts of solids out of the truck. <br /> ......................................................................_....._......._....................... <br /> .......-................_...._......._........_..�...__..._....... <br /> Unifirstto insure dryers have lockout tagoutWhile FEStechnidans an <br /> PO# <br /> _._.operators are cleaning..tr1©ph-behind dry®runrts.:.................................................................................._._....-..-.. <br /> Materials and Equipment Additional equipment needed additional HW pressure sprayer,CSE gear.. .. ..and.... <br /> ................_.........................._.._.................................................................................... <br /> t New Reconditioned alt CStYSAr S�YALlalt�Ittlis <br /> Supplies Metal Poly Fiber Metal Poly Fiber ...-....-_TRENCH_WATER ._PIi.-22�899._F_?G'_12h3124._......._................_.........._............ <br /> 85-gallon overpack -EA-Personal Protectlw Equipment-Level D <br /> . ......................._................................_..................................._...................._............_............._.............._........ <br /> _.... <br /> 55-gallon closed top <br /> E/4-Was#ir Eft Fea <br /> ...._.... ... __ ._._............................_..__........................................ -HR-Sludge Vac with Operabr ....._........................-........._._.. <br /> .... ........... ............................................_....._.._ _ <br /> 55-gallon open top ! .....................''s....................s................... -EA-uerVIOB Vlehlcle <br /> 30-gallon closed top ! 1.................. .........*.E�1...Stekebed..Truek.8 Litigate.{Raapoc►sa•Unlla..---.__.._....._......................_...............-.-...-.._........_, <br /> .. ........................_...,....._.............,. <br /> N 30-gallon open top -EA-Hydrotach High Pressure Wash <br /> N .........................._................................_................. <br /> N 20-gallon closed top Services <br /> ------- .....--...._.................... ..........._......,............................. <br /> rn 20-gallon open top Disposal Services: <br /> —...._._...._..__......................................._.............. <br /> 15 gallon closed top ...................z 15 gallon open top : ! _...................................... <br /> ..........._......_...................._...................,........................................ .................. <br /> 10-gallon closed top ` ! .......................................................... _....._............................_._-....... _...................................._....._. <br /> i_...................:.........................................:.....................:................... .........................:......... <br /> f' a 10-gallon open top ! __....._._.._....__...__._... _._..._.._.. <br /> i ....._............ <br /> .............:...............................:........;................. ........... ................. ....................................... <br /> 5-gallon closJop - .............. ............................................... .........................................................._ _......._...._...._..._..........._._...�.. _....._.._........_....._............ <br /> _ Q _._........_€....._..........._i................................__..._;....................,................... <br /> 5-gallon ope I .................... ................................................... _...._......._...._._......._.__._....-- ._..._..._................_......_........... <br /> ° 1-gallon ope I ' _ __._....._...._._.......__... <br /> ..........-....._.._.._..........................................................................i................... ..................... ....................................... .......................................................... _......_........_ <br /> } PIH Packagin ` ................. ....................................... .................................................... ...._...................................._.._ .._._....................................... <br /> a i......._...........I......................................_.;................. <br /> O 275-gallon tot i <br /> U _.._.._.E...._................_...................................i.....................I................... .................................................................................................................................. ..............................._._.._.._.....__..._. ......_._..................._.._.._........ <br /> Cubic Yard Bo ' i i <br /> ....................................... ..........4ft Light Tube ............._...:...................................................................................................... .................... .. ... .8ft Light Tube <br /> Packing Materials # Transportation Services: <br /> r [ Vermiculite, Bag Number of Containers Facility/Destination <br /> Clay Absorbent, Bag <br /> ............................................................... .........................................................................i....................................._.............................................................._.................__................._-_........_..............-_......... <br /> Bubble Wrap,Roll <br /> ...........................................................-.1. ..............................................................................._....................................................................... ................................_.............._...................I._..........._........... <br /> Bubble Wrap Bags,Box <br /> ..........................................................................................................._..............................................................._.... <br /> Drum Liners <br /> ............................................................... .........................................................................i......................................_................................................................................................................................................ <br /> , <br /> Pallet <br /> SuperSack Notes: <br /> Radioactive Waste Boxes <br /> ............................................................... <br /> Biological Waste Boxes <br /> ................................................................ <br /> Red Biological Waste Bags Labor: Hours/Reguiar Hours/Overtime Service Prot/ <br /> Personal Protective Equipment # Project Manager - .--- <br /> Level D Chemist <br /> ......................................................... <br /> ........................................................................................._............._............_......_...r..................................._......._....._........._, <br /> ....... <br /> Technician i <br /> Level C ........................................................................................................................_................d.._........ <br /> _ ..._.._I_.._._.-...._._.............. <br /> _ <br /> ..................................................... Driver <br /> LevelB ..............................................................................................................................I. I <br /> Other: <br /> Other Materials # Notes: <br /> ............................................................... <br /> _............................................................. Customer Signature: ��� Date: <br /> PRINT NAME: 1 CA, �•�f OC I <br />