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W' <br /> # � <br /> SERVI � <br /> I rkifi Cie a n Te ch <br /> Environmental inc. <br /> r 2581 S. Sunland Ave. a Fresno. CA 93725 <br /> I Phone; 600-531-9683 <br /> WASTE RECYCLING RECEIPT <br /> s <br /> [7t <br /> ame: -- - r Customer Purchase Order i1 <br /> dress: <br /> ,. . Sales Representative <br />' 4 00% ' City,Stele.Zip: Pharie rt: _ i <br /> Federal Manifest 1r. - f 1 <br /> EPA ID 0: CHARGE 1 <br /> d QUANTITY UNITS U.S.DOT DFSCR1PTION <br /> GAt, USED OIL-NON RCRA HAZAROCUS WASTE.LIQUID <br /> CA WASTE CODE 221 <br /> GAL, USED ANTIFREEZE-NON RCRA HAZARDOUS WASTE,LIIUID <br /> CA WASTE CODE 134 <br /> GAL. 01 Ly WATER FROM USED PARTS MASH SOLUTION- <br /> NOWRCAA HAZARDOUS WASTE.LIQUID. CA WASTE CODE 134 l <br /> f <br /> IC DRUM(S) DRAINED USED OIL AND CTAS FILTERS <br /> * TOTAL <br /> m <br /> %Lubricating WI-��°�Ir1dI14ti181 off <br /> The abm uaad vN 14 — arE T.S% <br /> C ACCOUNT STATUBr l 1 C.❑-0 { }OPEN ACCOUNT 11 open Aoveuilt-paywtirnE h drib Iaet)0 dryr or a Ilnana * <br /> 06 PK month will OPP.Y. wd ar tnnspoeW M a CVftd u*d aY rWKWV twrrr mn a <br /> OTNENAYOR$NOTIFICATION A*11 CE11Tt OT OW Any used al th11 tin trarr3p4rrir ncelves Irurn!hr q�rserasrad ho I h esdn for nwri art <br /> by p wW <br /> C- - 4nivrh dpNahn¢a 3(''L 0,04"wllh f M2irODLVI waste 1&nll9es varrnll,mord puMard mM Fvdf and lob <br /> rd Amer am larvKA-n pm"cad ��srt hdy and <br /> - - ucuuleFr drscrwrd a4u+e IN'the paper 001 lmpWn9 IMrr*and art dlS5ihe4,pEk", Tne rusFmrer agrns to pear%Mn&bk(,vo and Roomy <br /> • Wcudi+dl AN%lited i�IPr+nAtMn re0,1�dined ksrown+H SW Kiwi hgord5 mMor rtrd w O thh assn eras tlwn dU10M M1t idantrtgd in 10 <br /> jtbNI aer14'!IRM ft w& r pw*Tt2wen Ssaiuna <br /> �. rseF rKLrrrad In Iris rrlkciron 41 rvpb�drjW.)h Ir>y1 lOrinl.Rl L inuollt Gw IrI'1 Ira 4amaI Los�M q�M I hm+'led rd a0m to iha term On in ion hath tKa <br /> . GfR tb271{a11d I u+a urge qw h Pe <br /> and UK k S+9nrr pua+anlefl tM payrrynr Oi LNaM1Sech inyolCp In ect4ldarrGa YA[A!M grin¢aN Lerma at Net 30 di1';nl In act4tdu+Ce wrllr CiHLrTldi Isirmrd tylrlxs up net)0 dF'IS <br /> ■rttt grrranmo 9wrvi."$11w W"inwtas QIMMW*0 bl Paid Pramplhr praM1pt paynnent a 4 to c r o at t <br /> r /� In Pete i++•meal r4 n t cwhrVeNt 41wc N,+„ent by I third party Irl""11 an Gilt 411 l[COUn7s rnM bs t hups0 at qw rate ul 1 Sk Aar rra)M+uitl paid IA Isla.wlISTE tIyIITERIIL$ <br /> 0- ' IIr111CH ANE INSWdKEe 10 IL NON-CCKFd11Mt110 WILL 1E f11 AU TO AN'T10NAL CWGES, <br /> r { r ( S14hu►TVR GATE <br /> r TYPE 171 PRINT FI1LL NAiMlt <br /> I hrnbM{v+tll'I t KY!*rid in4 INM tIM uitr+wih to tpnd Ins abaa+lwvd Qaner oar II.The Wr1K fom5d on I+OIh 11x4 hold anb h7GI 91 UrLL Fprrrl S'dlI Larr nQ+uref thil Doth <br /> •} I <br /> *rp ariQ 11ah7P+7�ar aNp rY.h term pry%1 fig i m,d SrUr tf Ir1 t03t}4 ��+9Vrd vAlhYntM b sremlly"w grrWm A3"rjr"row, ida+"wj?rtM ou 55�EPA 1�K act d <br /> ' drly[rrAlMrns ns Ind wasl+rKludiny Lti'1+s wdafe q tab wH swm nertwonv41 Idd 1411 gty�71la tMaw{sl 4qulrlit+ll <br /> 4 rule 1�,.im Rstld wavy wiplon w,+h the*15re P,nnq an record 1%tea na+Wrutsd larr5rty 1#il 4Fop1MM <br /> • 1%IMirn ut Mei a4ave arI*ewadll M11M Fai111tT 4Mdnler MhMt he11H WwinllHt all/Ilan"It"u Ia4 dtldrWrr11[Mwr*CIU4d For pta WalnMr14ttM f't41Nt <br />■■■■, # tIIdlY4ant IIdN weiie S"ANA I drdlre WwWr prrLdw 01 pe+lun tlhat IM kMxPw4 Is Irva and c0r� <br /> CleanTech Environmental Inc. ` I <br /> 2561 5.5uniend Ave. Jf- P <br /> Fresno,CA 93725 pRIVE4i'S NATJIE TYPE 01i PRINT FULL NAME <br /> i <br /> ' G E:PAID0:CAL000368i36 c1 <br /> * 4 SIGNATURE DATE <br /> { r Tkudl, Unit 117 No. <br /> The checked bm is We dasVbtad n,yiirlp facility <br /> M Inc. SputTlwest Prnce miry Q fiesllage ErT,nTonmental C]ClaantMa i nti+irtanrnentar <br /> ❑Foadrun+>•r G1ycN. 5$20 Martin fid. <br /> 4636Iddus"ICFnler or. 41?1713aITdlnY Blvd, 2284 Ess NITY Road Irvetnda%.CA 91706 <br /> LAS VeVS Nle$9115 Vernon.CJI 9045$ EPA#CAL04433W <br /> _ EPAI NvALX 4>tl8$d27 t PA#CAL921646407 Cnolld�t.AZ$S12$ <br /> xx LL Ph f 1f 3'r 9 7 i T9 Ph 1504+9 G-3366 EPA*AM 1 7054M <br /> pq f 520!723-416T Ph#626812 7244 <br /> �FF�� <br />