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�+a � SERVICE WORK <br /> ORDER <br /> Environmental Inc. 139 <br /> EPA ID#: CAL000368136 <br /> 2581 S. Sunland Avenue • Fresno, CA 93725 <br /> Phone: 1-800-531-9683 <br /> www.cleantechenv.com <br /> Name Customer Purchase Order# <br /> Address Sales Representative <br /> City State Zip Phone # <br /> EPA ID # Ck #/COD <br /> * NON-RCRA/RCRA WASTE <br /> f235231155 <br /> T# DESCRIPTION MANIFEST# QTY. UNIT PRICE SUB-TOTAL <br /> I� ABSORBENT MATERIALS (55 GAL.) <br /> 11 <br /> 00AC AEROSOL CANS (55 GAL.) <br /> 00BF BRAKE FLUID (55 GAL.) <br /> 0 929000BS BRAKE SHAVINGS (30-GAL.) <br /> L0 <br /> I <br /> L0 8NREGT EMPTY GAS TANKS (55 GAL.) <br /> Q 9DO0155 MIXED FUELS(GAS/DIESEL) (55 GAL.) <br /> J <br /> 0 9ORS005 OILY RAGS (55 GAL.) <br /> 0 90SLO55 OILY SLUDGE (55 GAL.) <br /> 06 9F00355 PAINTED RELATED MATERIAL-LIQUID (55 GAL.) <br /> W22211055 USED OIL FILTERS-METAL(NOT DRAINED) (55 GAL.) 1 <br /> I cc 23523055 USED OIL FILTERS-PAPER (55 GAL.) S <br /> Z (3' 22211155 USED OIL FILTERS-CRUSHED (55 GAL.) <br /> >. LIJ MRCRA MANIFEST FEE-RCRA WASTE <br /> ZW MNRCRA MANIFEST FEE-NON-RCRA WASTE <br /> W 1 <br /> c <br /> LL <br /> W j= 'Any Non-Conforming Waste Subject to Additional Charges. <br /> ZEMPTY REPLACEMENT DRUMS <br /> (a J 55OTFF OPEN TOP(55 GAL.)DRUM-REPLACEMENT DRUM FOR USED OIL FILTERS No Charge 0.00 <br /> O 550TWB OPEN TOP(55 GAL.)DRUM-REPLACEMENT DRUM FOR WASTES I <br /> M <br /> U 55CTWB CLOSED TOP(55 GAL.)DRUM-REPLACEMENT OF WASTE r <br /> Q PARTS WASHER SERVICE <br /> W 12BWRS BRAKE WASHER RENTAL UNIT(12-GAL.)PORTABLE AIR OPERATED <br /> J <br /> Q 30PWRS PARTS WASHER RENTAL UNIT(30-GAL.)DRUM MOUNT <br /> Z SCS- SCS POWERSTAR PARTS WASHER SERVICE-CUSTOMER OWNED MACHINE 1 <br /> O PSC- POWERSTAR SOLUTION <br /> J <br /> Q MANPW PARTS WASHER OIL WATER MANIFEST# <br /> I <br /> U <br /> W PRODUCTS <br /> a <br /> CCGRN55 CLEAN COOL-GREEN 50/50 HEAVY DUTY 55 GAL. <br />+ CCGLD55 CLEAN COOL GOLD RECYCLED 50/50 EXTENDED LIFE,UNIVERSAL 55 GAL. '. <br /> UAP100 UNIVERSAL ABSORBENT PADS 100 PADS PER BUNDLE �i <br /> UAS030 UNIVERSAL SOCK-(30 PER PACK <br /> Customer Print Name: <br /> Customer Signature: - Date: <br /> Driver/Serviced By: Date: <br />