COMPLIANCE INFO_2021 - Laserfiche WebLink

Home Browse Search

m O Q w W to W C7 } W W w W 0. a O U W Co OO Name: _ t NJ !tQ'r/I rvap}"p Customer Purchase order # Address: N Ck2f9k Sales Representative City, State, Zip: r< n(� I ��c�71 Phone #: EPA ID LIZZ%j�)7 Federal Manifest it (37C)t,R[�t9Li% 1510 r fnousinai 00 ACCOUNT STATUS: ( ) C.O.D. () OPEN ACCOUNT If open Account- payment is due net 30 days or a finance charge of 4.SH per month will apply. GENERATOR'S NOTIFICATION AND CERTIFICATION: Any, used oil that the Innspon er receives from the general. wi8 he Irenspoded to a certified used o9 recycling hcaV that is hWUat ly descnq in al we by the pr a hazardous waste ieta'Sgre Pell" issead Piesuent to the Fede10 Ad. I hereby dzdare that Ne contents W this contignmmt are IoM, and accurately described aDme M the proper DOT slipping name and are classified, pad3ged, marked, and hbehd and are In 4 aspects To proper ceporn lot transport by, DO.T. standards. AN n4wal information regarding knam of suspected hazards associated with this male has been Gsdaszd. The wztomu ayrees lu pry raazuoruDle cost ani aiiwr�ay I- IrKmmd In Na eoDetgon u this g generator) n Venuc for purposes d this oN.gation stag be m Los Agar -s Wooly. I carry that the ante mkdmiragon statement identified into CFO 2fi227(a)(d I am a targe quantdy genemlor) or (b) Of I am a ama<.I quanlitygenumm) N true I also admoxkdgz Thal I have read and agree to sire Izrms on This form both from and back Synerguarantzes the payneM ol[V a Tech bgices in accordance a n the standard leans., list 30 drys. Iia Purd>3u 0rdzrhr t'ssued, Oa emptoyzs aWMridrgme torte pzPay me tguarantees that any immazs preuMed will t3 paid promPgy. Prompt payment is defined as payment N accordance whh CleenTach SWdent terms of net 3O days. Nwxe payment h rKK contingent upon payment by a uvrd partR Imeresl on past duo xcoums a91 be Nurged at the rate of iSa Pet month unt3 Paid in 109. l4ASTE MATERIALS WHICH ARE DISCOVERED TO eENON-CONFORIdIHGi E3UOJECT TO ADDITIONAL CHARGES - TYPE TYPE ORP LL NAIAE o Js --/ r gTURE DATE I bereby arti hal I ten read and hart the mhomy to b!M the about bstp gmznlor to the le IouM on Coin gce Irani and back of this tam. Sl?le law requim,, gut DoH gH 1=11%711a ertrator and Transporter k!ep thh form on Ak for a mirwro n of (3) years. I hereby cerbry that aA womrauon N Uds ant ed auedieddoamaMs tPood true try zetprale da5cr=11 of the waste incWding that rte sharia Is s!grzgaled and is not comhg4d ealh olhervzaUe streams. As Un. Generamh I acla-ledge that pro see EPA ID to E adlsR. Re uresis sUeam fisted above compNes with the Waste Prolga on record for Iha tleskyetzd FzcdSty. This document serves as wittlen veriNcation that The nage $Ueam(s) dettNption and coesiftuents found aboee are unchanged per The Facility generator Waste Profile Worksheet and also ads as the enmral written cerigoalion for the Generator Waste ProAle Ntorksheel of these wane streams. I dzdere undu penalty of ",y that thz foraging is true and correct w SERVICE WORD a - ORDER Environmental enc. 2581 S. Sunland Ave. Fresno, CA 93725 Phone: 800-531-9683 C) WASTE RECYCLING RECEIPT U Name: _ t NJ !tQ'r/I rvap}"p Customer Purchase order # Address: N Ck2f9k Sales Representative City, State, Zip: r< n(� I ��c�71 Phone #: EPA ID LIZZ%j�)7 Federal Manifest it (37C)t,R[�t9Li% 1510 r fnousinai 00 ACCOUNT STATUS: ( ) C.O.D. () OPEN ACCOUNT If open Account- payment is due net 30 days or a finance charge of 4.SH per month will apply. GENERATOR'S NOTIFICATION AND CERTIFICATION: Any, used oil that the Innspon er receives from the general. wi8 he Irenspoded to a certified used o9 recycling hcaV that is hWUat ly descnq in al we by the pr a hazardous waste ieta'Sgre Pell" issead Piesuent to the Fede10 Ad. I hereby dzdare that Ne contents W this contignmmt are IoM, and accurately described aDme M the proper DOT slipping name and are classified, pad3ged, marked, and hbehd and are In 4 aspects To proper ceporn lot transport by, DO.T. standards. AN n4wal information regarding knam of suspected hazards associated with this male has been Gsdaszd. The wztomu ayrees lu pry raazuoruDle cost ani aiiwr�ay I- IrKmmd In Na eoDetgon u this g generator) n Venuc for purposes d this oN.gation stag be m Los Agar -s Wooly. I carry that the ante mkdmiragon statement identified into CFO 2fi227(a)(d I am a targe quantdy genemlor) or (b) Of I am a ama<.I quanlitygenumm) N true I also admoxkdgz Thal I have read and agree to sire Izrms on This form both from and back Synerguarantzes the payneM ol[V a Tech bgices in accordance a n the standard leans., list 30 drys. Iia Purd>3u 0rdzrhr t'ssued, Oa emptoyzs aWMridrgme torte pzPay me tguarantees that any immazs preuMed will t3 paid promPgy. Prompt payment is defined as payment N accordance whh CleenTach SWdent terms of net 3O days. Nwxe payment h rKK contingent upon payment by a uvrd partR Imeresl on past duo xcoums a91 be Nurged at the rate of iSa Pet month unt3 Paid in 109. l4ASTE MATERIALS WHICH ARE DISCOVERED TO eENON-CONFORIdIHGi E3UOJECT TO ADDITIONAL CHARGES - TYPE TYPE ORP LL NAIAE o Js --/ r gTURE DATE I bereby arti hal I ten read and hart the mhomy to b!M the about bstp gmznlor to the le IouM on Coin gce Irani and back of this tam. Sl?le law requim,, gut DoH gH 1=11%711a ertrator and Transporter k!ep thh form on Ak for a mirwro n of (3) years. I hereby cerbry that aA womrauon N Uds ant ed auedieddoamaMs tPood true try zetprale da5cr=11 of the waste incWding that rte sharia Is s!grzgaled and is not comhg4d ealh olhervzaUe streams. As Un. Generamh I acla-ledge that pro see EPA ID to E adlsR. Re uresis sUeam fisted above compNes with the Waste Prolga on record for Iha tleskyetzd FzcdSty. This document serves as wittlen veriNcation that The nage $Ueam(s) dettNption and coesiftuents found aboee are unchanged per The Facility generator Waste Profile Worksheet and also ads as the enmral written cerigoalion for the Generator Waste ProAle Ntorksheel of these wane streams. I dzdere undu penalty of ",y that thz foraging is true and correct w CleanTech Environmental Inc. O 2581 5. Sunland Ave. Fresno, CA 93725 < onEPA ID #: CAL000368136 _ D IV R'S NMAE • TYPE OR IFUNT(FfUrLL NAME F Truck, UnitIDNo. The checked box Is the designated recycling facility __. ❑Roadrunner Glycol, Inc. ❑Southwest Processors ❑ Heritage Environmental �)�Jearllech Environmental p 4636 Industrial Center Dr. 4120 Bandin) Blvd. Services LLC /�" 5820 Ma din Rd. } U Las Vegas, NV 89115 Vernon, CA 90058 284 East Storey Road In'rindale, CA 91706 ON w uQ. EPA # W8000088427 EPA S CAL921646037 Coolidge, AZ 85128 EPA € CALOW330453 a Ec Ph 9 702/379.7179 Ph # 800/900-3366 EPA @ AZD081705402 Ph 96261812-7200 Ph 1520/723-4167