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Sk,R1'[tE WORK <br /> C1e a n Te c ORDER t <br /> Environmental Inc. 288747 � 1 <br /> r-- 5820 Martin Road a Irwindale, CA 91706 <br /> r i! Phone: 626-812.7200 :r <br /> WASTE RECYCLING RECEIPT <br /> C. Name: q_0% <br /> ' Customer Purchase order <br /> -- <br /> Address: r Sales Representative <br /> t� Phone M: <br /> City, State,dip: <br /> Vv <br /> EPA 1D �:�• ��r�'� � _ Federal Mar+ifast a; <br /> -v <br /> CHARGE <br /> d QUANTITY i UNITS U.S,DOT DESCRIPTION � e i <br /> e N GAL USED OIL-NON RCRA HAZARDOUS WAS7E, LIQUID 0 <br /> r r Fr. CA WASTE CODE 221 — <br /> WASTE,LIQU1p <br /> - GAL USED ANTIFREEZE-NON RCRA HAxARDaUS <br /> CA WASTE CODE 134 <br /> OILY WATER FROM USED PARTS WASH SOLUTION- <br /> C 4 GAL• NON RCRA HAZARDOUS WASTE.LIQUID, CA WASTE CODE 134 <br /> �- DRUM{S) DRAINED USED OIL AND GAS FILTERS - ?l <br /> CD f ! i In. r 1 <br /> m TOTAL r r I r <br /> W "„Indutilrlal nil <br /> r ,6 Lubricating oil. <br /> y][ J The above used OH Is -- OPEN ACCOUNT If OP-Account-PAYmanr is duo riot 3o days or r Unrnca charge a! l�� <br /> R 1r 1r a ACCOUNT STATUS [ 1 C,O•o i } --- <br /> 1pi <br /> Per month will EPPIY• <br /> -F rnrcunnl to T i rHYels1 ACI I hs*ehr dMlarr Yha1 the rnullMts 91 this rnns[On 4 <br /> V QENERATOII'S NOTIFIGATIONIABO a€da IGaCwlth a Iiara4dau5 vrafslledlJcdll lesnpermlT issued I e Irwn the q��rREor wIN nM t�n�a�r¢A Led' asst wl rota n <br /> W ly Irlal:S lawlully operalulqi by h <br /> in name and are clasc,lnMr P a.eq f+noA4 d.u0eclad hF1dja�ailkaiin�Jsrsyso l',tir I;w Ih ltns wl lr KIN rheen <br /> !n Inent ora 1u11y a ril hwur��cafbm0lolonpliGAhle nil oolrBqulAlpo txq An roleve tt YIIInr+vANor+np <br /> zhun.h,111 pe rn <br /> (� for llansporl tly 4 in Ilia to" helya,t�re1u11Y And VellralPH kxr.ndad <br /> dls[Inwd The cuslotrler Agroos In Ray roaionxhle Galla els hue n rorraGlf el lim6lllY darl-te II f tlurcon IMusrul Zhu uli5r4�pun l of Ih�rl at[uri4i, td 7ppN <br /> r[Ondrnnn rPr Ilenipa V <br /> Los AnOelos COUR1y I Aerlafe under parluly fhAt the IoreV p nmenl conform It lerrns a1 Ihs <br /> o County shlpp 4 miler.1 cenrN Shat the naso++fs of IhrS consul <br /> shoos by Iltd p p an Hama.and ale teaselled,parkalleJ rndrkoil.and IAneloOrPli[nrA,sad an+r1 All nspec s All nal <br /> 1 Gahla And nahodal Dovefnmenlai reolllatlons If export sh11i,waste <br /> and l Minimization m the Alklry El I <br /> qtj <br /> otu[hed EPA AckimoiedOnanl of conserll I Cerhty thaI Inn>ra91a 11nlhe Wd4leeh S,Dra� I IL Sedin,O j34 achnowkdat IrN11 1Cil R 267 2700(11 1 am i11aVrk#Ad J,%t&ofoq IQ Olt Wins llOn <br /> am a inW A quanldy generator}rs Ir+re I lTarehy rarldv Ilial All inlormellcfi In this And Ali Allaclic l tlr++urnsnls epetsm Irur And xourate dam ipf�x al the Wesie <br /> event ulf0rmahpn teOarA+nq knin+n or susprrcteA h7rJrdi assoGlASed w <br /> Pram t nT rel Is dpnwa As WY neat in d'ror+i+itcn <br /> r In eel upon paymrnl B a third riy Inuusl nn P,rsf nue Ar.[•onrllswill hu rhAigerl ai IIM rile at IT I i <br /> work la he pal formed OUXAnlaas thae any 4r>uunes in p.jy pi WI11 ha Paid proln¢Ity ¢ pyA001F10NAL CHARats. <br /> V his farm.both IrO a AHA oA wn Of OUa'dhleos the priyn ot1L C1enn�eCh n1V0IC45 in acrord11 to wUh Ilse etandArd 11 1p, FHI 30 It J purchase orlon r!nR <br /> Ih11 amployea Aulnorlel1l. meals nt51 r.0 <br /> yrlllt GkeAnlnth iltindArd loans 01 30 dayys InvnlGe phY qq r <br /> a 1r 1$li per month unrlI paid WASTE MATERIALS WHICH ARE DISCOVERED TO AE NUN COJHr RAtINO LL EE siilBlEC � � � 1 [ <br /> eM 11 f.I► / �,fi'I C =•--- DATE <br /> SIGNATUSE <br /> TYPE OR PRINT FULL NAME <br /> lois[! rlorLLl4r la Shu larrPu erl the rewrite side ul!his flim <br /> he <br /> d have <br /> I herat7y oertlly lhar 1 have nese•thea Raaf pt nio of Ladmp o`�.o o lass 1h rn 13)yaArs <br /> Stara I�w r❑gvrr$s that you keep <br /> IL <br /> IM CleanTech EnvironrTiOr>tal Inc. <br /> 5820 Martin Road <br /> DRI S NAt[+lE-TYPE:OR PRINT FULL NAME <br /> Irwindale, CA 91706 ` 0 <br /> R5pA ID #.CAL000330453 �, Ill <br /> x SI(3ldATURE DATE F E <br /> � pd Truck, Unit ID No. <br /> , Pad r iamtech Enulrnnmenutl <br /> N+01 The cha�ked box le the designated recyCtlng IaceHly Herllai)a Envlronmenlal Services LLC INaruf+Rd <br /> rkSGrgshY 3 Uverton 284 East$(Croy Road ! <br /> pi _ If Pure ych0joF Alva. <br /> 1610 W 171h$treat Coolidge,AZ 85129 EPA�rwi <br /> CA.CA 04 <br /> 8910 Roehester Ave. tang Beach.GA 90913 EPA r GA100[333©453 <br /> Ly Rancho CUCamonpa. LPA 1 GAD029409019 EPA 11 A20481705402 Ph 63�B12 72D4 <br /> CA 91730 Ph 1520/723 4187 <br /> Ph 1 5fi2f432-54A5 <br /> 1 Y <br /> F 0 W ++" Ph 9491476.9492 1 <br />