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CleanTe SERVICE WORK <br /> ch ORDER <br /> Environmental inn. <br /> EPA to#: CAL000368136 07854 <br /> 2581 S. Sunland Avenue ■ Fresno, CA 93725 <br /> Phone: 1-800-531-9683 <br /> www.cleantechenv.com <br /> Name coCustomer Purchase Order# <br /> Address Sales Representative <br /> City State Zip^ Phone# <br /> EPA ID # f �ty Fi J Ck#J COD <br /> N ON-RCRAIRCRA WASTE <br /> M PART# DESCRIPTION MANIFEST# QTY. UNIT PRICE SUB-TOTAL <br /> W 23523155 ABSORBENT MATERIALS (55 GAL.) <br /> 929000AC AEROSOL CANS (55 GAL.) <br /> 9290008F BRAKE FLUfD (55 GAL.} <br /> 92900OBS BRAKE SHAVINGS (30-GAL) <br /> a <br /> SNREGT EMPTY GAS TANKS (55 GAL.) <br /> C3 9DO0155 MIXED FUELS(GAS 1 DIESEL) (55 GAL) <br /> 0 9ORS005 OILY RAGS (55 GAL.) <br /> ( 90SL055 OILY SLUDGE (55 GAL.) <br /> 06 9F00355 PAINTED RELATED MATERIAL-LIQUID (55 GAL-) <br /> z <br /> W 22211055 USED OIL FILTERS-METAL(NOT DRAINED) (55 GAL.) <br /> 23523055 USED OIL FILTERS-PAPER (55 GAL.) <br /> Z 22211155 USED OIL FILTERS-CRUSHED (55 GAL.) <br /> °>. W MRCRA MANIFEST FEE-RCRA WASTE <br /> W N MNRCRA MANIFEST FEE-NON-RCRA WASTE <br /> Z W 016 Z Y5. 3 t.t1Gi- <br /> CC <br /> LL <br /> Lu I "Any Non-Conforming Waste Subject to Additional Charges. <br /> EMPTY REPLACEMENT DRUMS <br /> _J 55OTFF ❑PEN TOP(55 GAL.)DRUM-REPLACEMENT DRUM FOR USED OIL FILTERS No Charge 0.00 <br /> 0 55OTWB ❑PEN TOP(55 GAL.)DRUM-REPLACEMENT DRUM FOR WASTES <br /> 55CTWB CLOSED TOP(55 GAL.)DRUM-REPLACEMENT OF WASTE <br /> PARTS WASHER SERVICE <br /> 12BWRS BRAKE WASHER RENTAL UNIT(12-GAL.)PORTABLE AIR OPERATED <br /> 0 30PWRS PARTS WASHER RENTAL UNIT(30-GAL,)DRUM MOUNT <br /> Z SCS- SCS POWERSTAR PARTS WASHER SERVICE-CUSTOMER OWNED MACHINE <br /> 0 PSC- POWERSTAR SOLUTION <br /> MANPW PARTS WASHER OIL WATER MANIFEST# <br /> LU <br /> N PRODUCTS <br /> CCGRN55 CLEAN COOL-GREEN 50150 HEAVY DUTY (55 GAL.) <br /> CCGLD55 CLEAN COOL GOLD RECYCLED 50150 EXTENDED LIFE,UNIVERSAL 55 GAL.) <br /> UAP100 UNIVERSAL ABSORBENT PADS-(100 PADS PER BUNDLE <br /> UAS034 UNIVERSAL SOCK 30 PER PACK} <br /> Customer Print Name: <br /> Customer Signature; s. <br /> Driver/Serviced By: l" x Date: <br />