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SERVICE WORK <br /> C,, U ye— ORDER <br /> Environmental Mc. <br /> � �ISE FIE`�'� EPA ID#. CAL000368136 0731 <br /> - — 2581 S. Sunland Avenue a Fresno, CA 93725 <br /> Phone: 1-800-531-9683 <br /> 1 www.cleantechenv.com <br /> Name dq Customer Purchase Order# <br /> Address G- r Sales Representative <br /> City State Zip �' s t� Phone# <br /> EPA IQ# Ck#1 COO <br /> ate NON-RCPAIRCRA WASTE <br /> PART# DESCRIPTION ---MAN]FEST it CATV. UNIT PRICE SUB-TOTAL <br /> CC 1C 23523155 ABSORBENT MATERIALS (55 GAL.) <br /> J 929000AC AEROSOL CANS {55 GAL.) <br /> 929000BF SRAKG FLUID 155 GALA <br /> 0 929000BS BRAKESHAVINGS (30-GAL.) <br /> BNREGT EMPTY GASTANKS (55 GAL,) <br /> 9DO0155 MIXED FUELS(GAS I DIESEL) (55 GAL.) <br /> 0 9ORS005 OILY RAGS (55 GAL.) <br /> (9 90SLa55 OILY SLUDGE (55 GAL.) <br /> 9F00355 PAINTED RELATED MATERIAL-LIQUID (55 GAL.) <br /> W22211055 USED OIL FILTERS-METAL(NOT DRAINED) (55 GAL.) <br /> 23523055 USED OIL FILTERS-PAPER {55 GAL.) S� <br /> Z 0 22211155 USED OIL FILTERS-CRUSHED (55 GAL,) <br /> W MRCRA MANIFEST FEE-RC RA WASTE <br /> LL1 W MNRCRA MANIFEST FEE-NON-RCRA WASTE <br /> LLI <br /> LL <br /> I- 'Any Nan-Conforming Waste Subject to Additional Charges. <br /> EMPTY REPLACEMENT DRUMS <br /> (n _J 55OTFF OPEN TOP(55 GAL.)DRUM-REPLACEMENT DRUM FOR USED OIL FILTERS No Charge 4.04 <br /> 0 550TWB OPEN TOP(55 GAL.)DRUM-REPLACEMENT DRUM FOR WASTES <br /> C.) 55CTWB CLOSED TOP(55 GAL.)DRUM-REPLACEMENT OF WASTE <br /> PA19TS WISHER SERVICE <br /> LU 128WRS BRAKE WASHER RENTAL UNIT(12-GAL.)PORTABLE AIR OPERATED <br /> 0 30PWRS PARTS WASHER RENTAL UNIT(3ESEFIVICE <br /> DRUM MOUNT <br /> MSCS- SCS POWERSTAR PARTS WASHE -CUSTOMER OWNED MACHINE <br /> PSC- P4—F—AR SOLUTION <br /> MANPW PARTS WASHER OIL WATER MAN <br /> U <br /> LU <br /> 0. PRODUCTS <br /> cn CCGRN55 CLEAN COOL-GREEN 50150 HEAVY DUTY (55 GAL.) <br /> CCGLD55 CLEAN COOL GOLD RECYCLED 50150 EXTEN13ED LIFE,UNIVERSAL 55 GAL, <br /> UAP100 UNIVERSAL ABSORBENT PADS-(100 PADS PER BUNDLE: <br /> UAS03U UNIVERSAL SOCK- 34 PER PACIS <br /> Customer Print Name: <br /> Customer Signature: _ r _ Date' <br /> Driver/Serviced Fly: Date: v zC -Z_d <br />