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r+d...•—;.,,.Iii-�..r - - ,Y- Ri,., ,,,_ � -- �-�V�-. . �-. <br /> C, <br /> t ClSERVICE WORK <br /> • can SERVICE <br /> ORDER <br /> Environmental Inc. 134813 <br /> 2581 S.5unland Ave, a Fresno, CA 93725 <br /> Phone:800-531-9683 <br /> WASTE RECYCLING RECEIPT <br /> Name' ! <br /> I Customer Purchase Order#� <br /> : Address: Zf �J Sales Representative <br /> city. State.ZiP <br /> Phone #; <br /> EPA ID N. <br /> Federal Manifest#: <br /> DUANTITY UNITS U.5,DOT DESCRIPTION CHARGE <br /> USED QiL–NON RCRA HAZARDOUS WASTE.LIQUID <br /> GAL. CA WASTE GORE 221 <br /> GAL. USED ANTIFREEZE–NON RCRA HAZARDOUS WASTE.LIQUID <br /> CA WASTE.CODE 134 <br /> GAL OILY WATER FROM USED PARTS WASH SOLUTION-- <br /> '1 NON-RCRA HAZARDOUS WASTE,LIQUID. CA WASTE CODE 734 <br /> Kill z DRU (S) DRArNED USED OIL AND GAS FILTERS <br /> -6• C7 <br /> > <br /> TOTAL. <br /> W The above Used oil is 96 Lubncaling of %lndusinHl O i <br /> J ACCOUNT STATUS: ( }C.O.D. � )OPEN ACCOUNT If open Accoum-paylnel Is dug net 30 days or s finance charge of 1.5% <br /> fi per menth will apply. - <br /> 0 V 0 GENERATOR'S NOTIFICATION AND CfRTIFICATID11;AAy used oA Uul the Iransponer ncerrtS trDm alloo trd Io-a tertibed Ince oft recycling ficdiry that is <br /> : d me fNnmalor will be rn <br /> U Uvrlul'e p9tra';r,4 141 3avoQwt+nth a rwardous Wnit I4041111S Permli iSSUM OWSYanI ru the kderal Ati t freflby declaTa'hat rtle Mnlehls al thi consignment are fur and <br /> Lu K4w4%fj de$cnbed AbM try IN Ar4ptr DOT~69rU+pe and ale dassrt,ed.W aged.muAM ane L&*e1 and are m as aspett5 rn proper corralifion for 1ranspp4 Dy D.O.T. <br /> M standards lir remnf fnrwmahon regarding known or suspected hararas a594r. w mjh Uus waste has hem ancibsaE Yee CurtvrneF agrees to pay reasorablt cost and armrney <br /> . - 0 iter rnpumW in the cokmENn of th*owown.VWV4 Ipr frurpgsts 4f Ih15 oblpaDUn stint be en LOS ArrpEitS COurry I Certdy that rho vwste mirurhwai+Dn stakment denuimd in 4d <br /> I— CFR 26227talfrl I am a tafpe 9wrrbry Daneiatori or f b rrf I am a small pu 14 generator}Is true I also aeknoviImo INN I fora read and apfae to rhe lerms on rhrs lorm Galen front <br /> M R0- aoff Calfs Stoner gw,wees The pigment a Cleanha wvolces In acrurdanee wfh fire slan&rd term of Net 3Daars rta Purnhaw Order is w 13Aw.the empivyee aurharinnp the <br /> work perfofmW Quarantim[tial arly-iwes presented*1111 ht Parg Promplh Prompi Rimonl rs dtirned AS Wrmthl in acmduux vMh Ckanrfxh standard lerm$pf net 39 days <br /> Inrd[e Wymtrrt rs not conlrnpWI upon pay-monl by a lhird party Interest on past duo accounts vitt be Uwged at lha raja of 1 5%per month until W In full WASTE MATERIALS <br /> WHICHARE DISCOVERED TO BE NDN-CONFORMING WALL BE SUBJECT TO ADDITIONAL CHARGES. <br /> TYPE OR PRINT FULL NAME StG h E DATE <br /> C h!rlbp rmify that F nave read aird Nye the aumvi y to Dina the above IisN.+d ge"rator FD the leans ffarrrrd On bpin the!roto artd W Or this meth Start Law fe"Im thmi both <br /> • I"Genefaror anal Transprrrrtr keep ihr5 form on Ido for a mrnrmum or Ill ytal s r faere by cerlrfy that ell udDfmahon rn On arw all all-KhM ODCumenlS Contain Nue and mcE ufale <br /> • descnptPons Ot the waste including that the waste rs segreoled and rS nor comingka*,vi other want Strtam$AS let GtnerarDF.i acknowledge iNi our sort EPA ID a Is acme The <br /> wasit Stream hste0 above complies with the Wasre Profile on record fof The"naled Foolery TNIF 1pWnlerrl sopm ai written trmifkatfes tial the*Iiia Finamlll IHtnp110s <br /> ief eoalillwels INN ahem are us iliair d per th!Fa6111h GahMiror Wide Pra6t4 Wgrl Avol and stip acts as Itm alluail wt#flirl vtd&_Mtas ler The Ganeralgr Wails pini lh <br /> w9dommel df 1haso walls thsh li.i deplore unaer penahy v penury im the Inrep rip as 1we and correct <br /> } 4 CleanTech Environmental Inc. <br /> i r LU 2581 S-Seinland Ave. <br /> •, ❑ Fresno,CA 93725 DRIVER'S NAME-TYPE OR PRINTF L NAME <br /> to <br /> EPA IC} #:CAL000$68136 <br /> - cc Truck,Unit ID Na. 1 6 SIGN U E ATE <br /> The checked box is the designated recycling igCility <br /> ' rc!r <br /> 7 ❑Roadrunner Glycol.Inc. DSoulhwest Processors ❑Hentme Erlvlronrnenial ©Cleantech Environmental <br /> � — 4636 anduslnai Center Dr. 412 Bandlnl Blvd. Services LLC 582D Martin Rd. <br /> r e^�? Las Vega6.NV 89115 Vernon,CA 90U59 284East Storey Road Irwindale,CA 91766 <br /> w 4 EPA+ NvRoowg8427 EPA+CAL921646037 Coolidge,AZ 85128 EPA$CALOD4336453 <br /> Ph$702179.7179 Ph 4 SOOMO-3366 EPA I AZD0817C5402 Ph 152012-7240 <br /> if',r OL ¢ Ph i 52CV723-4167 <br /> ��: <br /> IF <br />