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Jan 04 22 01 : 25p Payless Auto Repair 209-334-3115 p . 1 <br /> RECEIVED ' SERVICE WORD <br /> DEC 2. 9 2021. - <br /> Cle a n Te ch ORDER <br /> Environmental Inc . <br /> EPA 1D#: CAL4t)d36813ti 'A � • ' f <br /> ENVIRONMENTAL HEALTH 2581 S . Sunland Avenue • Fresno , CA 93725 <br /> DEPARTMENT Phone : 1 - 800-531 -9683 <br /> Wwwadeantechemcom <br /> Name t- ` . . Customer Purchase Order # <br /> Address AF. FA Sales Representative <br /> City State ZipI III IF k, N. ; .: Phone # <br /> EPA ID # 't - - Ck # / COD <br /> VA .. <br /> .-• * NON=RCR R :RA WASTE <br /> PART # DESCRIPTION MANIFEST # QTY, UNIT PRICE SUB40TAL <br /> Q23523155 ABSORBENT MATERIALS (55 GAL.) <br /> 929000AC AEROSOL CANS (55 GAL ,) <br /> 92900013F BRAKE FLUID (55 GAL.) <br /> 929000BS BRAKE SHAVINGS (30-GAL .) ' ' " ";' a . - <br /> LO FFF <br /> ONREGT EMPTY GASTANKS (55 GAL„ ) <br /> 9DO0155 MIXED FUELS (GAS 1 DIESEL) (55 GAL.) <br /> 0 9ORSD05 OILY RAGS (55 GAL.) <br /> 0 SOSLO55 OILY SLUDGE (55 GAL.) <br /> °o 9F00355 PAINTED RELATED MATERIAL - LIQUID (55 GAL,) <br /> !• W 22211055 USED OIL FILTERS - METAL (NOT DRAINED) (55 GAL.) <br /> W 23523055 USED OIL FILTERS - PAPER (55 GAL,) <br /> Zcc <br /> a 22211155 USED OIL FILTERS - CRUSHED (55 GAL.) <br /> MRCRA MANIFEST FEE - RCRA WASTE '1 <br /> ui <br /> ZW MNRCRA MANIFEST FEE - NON-RCRA WASTE <br /> V.. IF LVFFIF <br /> 0 x . <br /> W Imm 'Any Non-Conforming Waste Subject to Additional Charges. <br /> > Z IF I EMPIV REPLACEMENT Q Uft <br /> Na <br /> J 55OTFF OPEN TOP (55 GAL, } DRUM REPLACEMENT DRUM FOR USED OIL FILTERS No Charge 0 , 00 <br /> 0 550TWB OPEN TOP (55 GAL, ) DRUM - REPLACEMENT DRUM FOR WASTES” IF <br /> U 55CTWB CLOSED TOP (55 GAL.) DRUM - REPLACEMENT OF WASTE <br /> Z PARTS WASHER ttk t10E - <br /> a <br /> J 12SWRS BRAKE WASHER RENTAL UNIT ( 12-GAL) PORTABLE AIR OPERATED <br /> t3 30PWRS PARTS WASHER RENTAL UNIT (30-GAL,) DRUM MOUNT j <br /> Z SCS• SCS POWERSTAR PARTS WASHER SERVICE - CUSTOMER OWNED MACHINE <br /> PSC- POWERSTAR SOLUTION <br /> Mittel <br /> Q MANPW PARTS WASHER OIL WATER MANIFEST# <br /> LU _ iR©iUCTS <br /> Q <br /> CCORN55 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 /> UAS030 UNIVERSAL SOCK - 30 PER PAC <br /> Customer Print Name: <br /> Customer Signature: Date: _, 1 . 1i <br /> Driver /Serviced By: _ ' -' Dater74 V. ::'{ - <br />