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1-1-,, S rte— ,,•— <br /> SERVICE W1 <br /> y_ � ie n Te c 1 ORDER <br /> Enwronmenta{ Inc- 195138 <br /> 2581 S.Sunland Ave. a Fresno, GA 93725 <br /> Phoney 800-531-9683 <br /> �L" WASTE RECYCLING RECEIPT <br /> Customer Purchase Order# ——--- <br /> Name� — - <br /> r Sales Representative <br /> Address: <br /> Phone#: <br /> City. state.Zip. <br /> Federal Manifest it <br /> EPA ID#: '' CHARGE <br /> QUANTITY UNITS U.S.DOT DESCRIPTION <br /> GAL, USED OIL ON TE CO 221 TE. <br /> HgpRDQU5 WA57E,LIQUID <br /> CA WA <br /> USED AN71-FREEZE–NON RCRAHAZAR4aUS WAS <br /> 1-10013 <br /> GAL. CA WASTE CODE 134 <br /> — GAL OILY WATER FROM USED PAR134 <br /> TS WASH SOLUTION– <br /> NON-RCRA HAZARDOUS WASTE,LIQUID- GA WASTE CODI= <br /> O <br /> [L _ ._. <br /> 1– – <br /> DRUM{S} DRAINED USED OIL AND GAS FILTERS <br /> LU <br /> r C7 <br /> 4 TOTAL <br /> M %Industrial oil <br /> p %Lubncaling oil—--- payment is due net 34 days or ioflnanee Charge of 1.5' <br /> Lu The above used ail Is C.O.D. OPEN ACCOUNT H open Account- <br /> W ACCaUNT STATUS: I � <br /> I — 1n a remlled used oil recycling racimy that is <br /> P"month will apply P ne{hor YVtA ba trsrtspuried <br /> dlltwi Drt d i Cpartri4 ut m ConS+gr'lnent arts fully and <br /> r 6E11E1tllTl]R'S Ie4iigCllTION abet CERTIFICATION'MY usetl on Ihdt the trans orter rent 10 eft Int 9e e t oondnrm for irirlsport by P.0 T <br /> _ - D GENE y s�enhnq,n accardar+ce With a hazardous wawa iacAdres Permit Iss+�td pursuant to Ire federal Act Y tx�l ��1 and attnrrRY <br /> aauratdY AIS shed abUkd by IRE Pt r Prope <br /> 130T shipping name and art ClasSlfreGa Bd�hdnts w�has bee�sL�5ed�'The Cull aortas to Palron strt~l,dentmed in 40 <br /> non Venue tot purposes of this obligation shall be,n Eos Angeles Cou ty l ctlt�that the y par!m <br /> ice <br /> S%Ajaid''J{!l rr hadnl to}e by It&regarding known or Suspected hdfar(I5 3ssnG that niVt read and Ih!carni on this corm both ilohnte <br /> fees Incurred xI the onpecwo of til nhllga eneratnri r5 lrtr! 1 sl54 ickeo-Y,iedge 11 a Pl,6—0�r a not Issued the @MPH etl at>L l 3 9 <br /> O CFR 262271a1rd r am a large Quani generator}air[bh[+I i am a smalh quantity g 30" wem cies el standard terra net 30 Days <br /> F hack Sgner gwrante%s the Wy+mern of CleanTecn wVO,ces in accordance Prompt payrnsill i�n 6�als px merit rn atT° <br /> imrolc,presented will be paid PramplPy past due accounts wih be ct>irged at t4 ,It°t t 5ti rannih unit Porn in lull Ml115TE MATERIALS <br /> work peflorme4 guaraniets lnffi any Interest on Qts <br /> - ifrm"Pa`TWI`s 401 C"'Wenl upon Pa'lmert by a 1hi L party <br /> - WHICH AM UISCOVEHO T4 at Wow-COMFORMIMG WILL dE SUli1ECT TO A6a4TlOMAE CITARGES• <br /> 17 <br /> T. L- r' IGNATURE DATE <br /> J <br /> hat bo" <br /> type OR PAINT FULL NAME <br /> 'hat ow slit EPA.la r a 3CI170 The <br /> ms loan do ills for a minimum Qi f31 years.!nerehy certify that all informslydn In 1h�5 brio aIt aR1C1>ed dnCu,]'lerd5 Canlam true and accurate <br /> rf y W tial I h],re read and have Rhe authority to hind the Donut listed generator to ITte terms lwkr>a on bosh II>t lrwn and 6arh of tors corm $�fe Law ri�uiris t <br /> 'f N^�_ VA 50n 1pr and TranWntttr keep 1 ated and,s not comingled with rimer wisie Slrea[ s As int General5r,!atkna llon - <br /> *� de5ynpt�nns ai the ara5te including that the waste rs segreq <br /> r9ste 5!rrim I61ed abme nnrnplres vim lnr 551ast,Prohle al record lar the dRsignatetl Facdny.This doCimial ssne3 as wrltien yer hellion chat the rrssle slrea ntsl descripl en <br /> add COns111eia13 hand show ire enchant id 4 ithir ene�lh poneriltOF wad of Iflihi t and t4necl acts as Ina anluil wfirten rlfnc�iLicn ler lDe Generator Waste prefile <br /> a is <br /> Wisephil 01 IRese wide streams.I de[1a e <br /> �} <br /> CC Glean7ech Environmental Inc. <br /> WU � <br /> 1I 2581 S-Suniand Ave.Ave, <br /> • � Fresno,GA 93725 t}RYVER'S NAME-TYPE ORP INT FULL NAME <br /> ' 0 <br /> V) <br /> EPA ID #'CALOOD368136 10 <br /> Z StGI+IA RE DATE <br /> 1 a Truck, Unit ID No- <br /> 41 � _ The checked box lS the cieslgrlated recycling facility 5820 Martin Rd. <br /> IN Southwest Prt7C2ssor5 �Heritage Environmental �Cleantech E[mronrrTe[it#I <br /> Uj r Roadrunner 6lyeol,Inc. 4120 Bandini Blvd. 284 Eos LLC Irwindale,CA 91706 <br /> • - 2$4 East Storey Road <br /> r : 4636 tndusirtal Center Dr, Vernon,CA 94455 Coolidge.AZ 85525 FPA#E 4LWn34453 <br /> U ' Las Vegas,1~W 89115 EPA#CAL92t 64b43T FTI#626812.7200 <br /> L> Id EPA#NUROflO(168427 ph#8001940-3366 EPR#q;Q4B17f75442 <br /> Q U. FT1#702179.1179 Ptl#520323.4167 <br />