Laserfiche WebLink
Corporate Office SERVICE WORK <br /> Cleaffech <br /> EPA 1Dl. CAL000330A53 ()NI3ER <br /> 5830 M�{rtin Road a Irwindale, CA 91706 <br /> UZES= Phone: 1-800-531-9683 735818 <br /> www.cleantechemcom <br /> SERVICE WORK ORDER <br /> 1 SALES OFFICE: ❑ Fresno ❑ Irwindale ❑Newark scramentc ❑ San Diego �. <br /> Name L\J Customer Purchase Order# <br /> Address <br /> i ti. �1 Sales Representative <br /> �; ti` ,� ',1•, <br /> City State Zip u C'r. T L Phone# - i <br /> i EPA ID#."n Ck#IGOD <br /> * NON-RCRAIRCRA WASTE <br /> PART# DE5CR4PTIfl1� MANIFEST# QTY. UNIT PRICE SUB-TOTAL ' <br /> 23523155 ABSORBENT MATERIALS (55 GAL.) <br /> 929D00AC AEROSOL CANS (55 GAL.) <br /> �.■ �1 <br /> Q 929000BF BRAKE FLUID [55 GAL.] <br /> 92g000Bs. BRAKE SHAVINGS [30-GAL.] <br /> BNREGT EMPTY GASTANK5 (55 GAL,) <br /> kill <br /> ' 0 <br /> 911 MIXED FUELS(GAS t DIESEL) {55 GAL.} . <br /> J 9OR5na5 OILY RAGS (55 GAL.) <br /> D <br /> ('} 90SL055 OILY SLUDGE (55 GAL) <br /> Ca gr-00355 <br /> RELATED MATERIAL LIQUID (55 GAL.) ` <br /> Z 22211055 USED OIL rILTERS-METAL(NOT DRAINED) {55 GAL-]LU I <br /> ' W 23523055 USED OIL FILTERS PAPER (55 GAL.) <br /> Q 22211155 USED O1L FILTERS COUSHED L55 GAL.} <br /> Z EST FEE RCRA WASTE +� <br /> rARCRA 111ANW <br /> WN mNRCRA MANIFEST IEE NDN-itCRA WASTE <br /> W <br /> C •Afiy Non-Conlprming Waste Sub to Additional Charges, <br /> A EMPTY Rl=PLACEMEI�tT DRU <br /> MS No Cha a 0.90 <br /> j � OPEN TOP(55 GAL.)ARUM'REPLACEMENT DRU <br /> FOR IL F1L7ER5 <br /> Q 550TFF DRUM-REPLACEMENT DRUM FOR WASTES ' i <br /> N550TWg pPENTOP(55 GAL.) T OF WASTE <br /> ❑ 55CTWB CLOSED TOP{55 GAL.)DRUM•REPPAaTS WASHER SEtCE <br /> RS BRAKE WASHED RENTAL UNIT[12-GAL.)PORTABLE AIR OPERATED <br /> Z 126W DRUM MOUNT <br /> Q W 3oPW RS PARTS WASHER RENTAL UNIT{30�AL.) <br /> SCS 5C5 POyygR5TAR PARTS WASHER SERVICE-CUSTOM ER pyyHEO y,IIACFIINE <br /> U POWERSTAR SOLUTION <br /> Z PSC- <br /> ER <br /> iyry• � MAUPy,I PAFt'TSWASHEFtOILWATUAANIFEST* PRODLIC+TS <br /> RiI � a <br /> CCGFIN55 CLEAN COOL•GREEN 50 150 HEAVY DUTY 55 GAL. <br /> REGYCLED 50150 E%TENDED UFE,UNIVERSAL 55 GAL. <br /> �' } 15.1 CCGLD55 CLEAN COOL GOLn j00 pAOS PER gUT10LE <br /> Q 7 PAPS <br /> CL UAP tD0 UNIVERSAL ASSORBPER PACK IS peeled C1panTech to sign as agent fln the Generator 1Na,d above <br /> Worksheet tart s <br /> .� Cf) ►is acture and waste stream[s]desCnPtions and constituents In�illde air�ork neat oT these waste <br /> 1yA5030 UNIVERSAL 50Gx �eratar waste stream P <br /> s This document Serves as a wntten vefticahon Shat the we <br /> qg the Generator,i acknowledge that our sits EPA I0 the annual wnrien verification for the 4 <br /> beet and also as Inq is true and cornet 49, <br /> wastestream[)• that the torw <br /> the Facility Genemior Waste Ptot+le Works <br /> r> . <br /> streams.I deClare under the penalty of penult <br /> Date* <br /> Karns: <br /> I Customer Print Name <br /> Customer Slq 8 <br /> • il + Driver Demi r!• fllr !! <br /> r.. .r�^ Q <br />