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AGOG . <br /> CleanTech � SERVICE WORK <br /> ORDER <br /> C = <br /> Environmental inc. <br /> C <br /> 2581 S.SUnland Ave. • Fresno, CA 93725 195154 <br /> Phone:800-531-9683 <br /> WASTE RECYCLING RECEIPT r <br /> Name: <br /> [' •' — ——- <br />} <br /> Address: — — Customer Purchase Order# <br /> ' - <br /> _I CI _—� Sales Representative L h! State,Zip: <br /> h ERA 1D#: Phone#: 1 <br /> Federal Manifest#: `7 <br /> - QZJANTITY UNITS U.S.DOT DESCRIPFJON <br /> GAL. USED 01—NON RCRA HAZAAp0L1S WASTE,LIQUID CHARGE <br /> CA WASTE CC DE 22 <br /> yyT GAL. USED ANTI-FREEZEN <br /> A 13HAZARDQ <br /> CA WASTE CODE US WASTE.LIQUID l�' <br /> CODE .4 <br /> GAL. OILY t+VATER FROM USEL]PARTS <br /> NON-RCRA WASH SQLUTJON— 1 <br /> H <br /> A7�4ADfJUS WASTE,LIQUID CA WASTE CODE 134 <br /> Z DRUMIS) DRAINED USED OIL AND GAS FILTERS <br /> Q <br /> TOTAL <br /> lt <br /> MONA. i <br /> Tho abmm used Ni is_ [. <br /> U ACCOUNT STATUS: f ]C-0-'), Lubricating oiJ <br /> ACCpUNT Indus[rial nilowt <br /> €€t � per monRh velli'apply, 1 1 OPEN open accaurrt- <br /> PaYment is due net 30 days or a tlnar ca charge Of T.5. <br /> Q cfllfngroR's A07TF1GInON ala0 CtATtFltarfgr+: <br /> •f U lawfurly operaonQ in accordanu wr:h a narardo 'r'm`uggd nit Ina,the lran5pon�recrives frw>:the <br /> atsurrnty drscnhed aGerr I waslr taelirtirs acre classA pr,r5uan[,o the hwerar qct merl nerepy rarRrWged in a centre arced o l'"ding faciirty that is <br /> • r1] slandards.All rerev afORer D67 shapprnp name and a That ere CorM[nt5 of ihs Cn <br /> arrt mtormah0n repard:np known or f aspected hazards ass hW j,r marketl,and 1abe+rd <br /> tris rnturred in lf"Cpl�pn of this ohirpal,ort.YerFlre lot ur otiated wi[h this waste a rd arc in ab upeLw rn Wooer Wrttl . nsopnmem are fulr and <br /> rfalfd i am a lar P Pees Of Nrt pp;i lien shall be 1h 40s p bier:diviow.the cusN r aQ' o Intra for transport W 0 O,T <br /> •.' and Hark poet p raranle me�payinent e1Cpr}or lA,Iif r am a small quantity pent atorl is t ate. also 4naes County+ M that the wale"1 Pa}reasbnabte cosr and ahomey <br /> S� <br /> r +'' pertormM guarantees Jran7tch inverses in accordance wrlh the standard+erns of Net 3d Q"n suiement iden1!f*d in Q <br /> tr`. nvp e l airy rn"dce5 txe5enfed wi0 be paip pram Arum a roan and noose r4 the 4nrr5 on tn,s fo_ <br /> paYrr,attt[S`Ids COnnrtpret uppd AaYa�ent fY a third P+paymrn[i5 dehned as st Dhkr E tlpl muw-me erR a9[h irprrt <br /> t -: w+IICNARF olscavFn�o i0 tiF XON-LQIaFJ]RMJHt;w1J L 9F 5lr6JEJ T17a+11101T18Mayl C RitAkGEg�ct,arpp at 14 ra, ; �I`BASTE rrw HMAc ALg <br /> mop, n11��r1E <br /> TYPE R PAthIT F1rJ1 <br /> JY that+have read and hart the author! p s SJ rUAE <br /> tfk rtherafdr dad Transporter kte Na fpm foto bind rite abore iis[rd eneraidr[o i7AT'E <br /> d,,kfWhom of Ne waste.crud P on Elle for a minim the terms found On Oolti the <br /> rap that ht waste is S!r of i3}yid 5 I herebyf tom and batt or this form <br /> waste srream rsfnd a 01ed and is not comm Jed ttrtdy ma!afl rnfarmaten air Ifrie arsd a9 attarlrad dant Starr raw rc u <br /> abo"rnn,pkes w,lr.the Waste Prof;k an O K*Ih other waste stmams.A5 4ar w[hat Oath <br /> and co lfuents found allow ora anckanpd Par eH Fs retrad for the dasignatsd Faui Gnmeralor l `�cOnmm Irate and accurate <br /> eft of II4lr tinny Ganetetp Ntaala PralOe "t1 This dacumaril sdrves at Cqr IN t our SO FPA I0 f is acm n 'rp <br /> waste streaada,I dec4re under Penally Of Perjury tort Ne foregoingWorketea!add a+so acts as the ahnIm*n i talion tat Iha wy— setamlFJ dlscrlptton <br /> --•. rs We and currecr rlflr7tleo to the Generator With;Prom# <br /> !u Clean Tech Environmental inc. <br /> M 2581 S.Sunland Ave,f0 Fresno.CA 93725 <br /> n EPA 10#:CAL000368136 <br /> d ER' NAM - r4i4PPI14T CC FULL NAME <br /> ` a <br /> i_ Truck, Unit ID No. <br /> - 130The chedted box is the desi SIGNA U E LI-0Z <br /> � grated recycling facility ATE <br /> Z � ❑Roadrunner Glycol.Inc. <br /> — 0 Southwest Prcoessars <br /> >. [k lrrdusiiial Cerner Gr lierlgge Erforannlental <br /> egos.dN 89115 Al2G Bandini Blvd. <br /> ul I EPA h1VRi7000ggg27 Veman,CA 900,8 SeCOMS LLC ❑Clearltech Enwlro-nmerltaJ <br /> CL Ph i 70Z'379-7179 EPA#GAL9216461137 284 Fast Storey Road 5820 Martin Rd. <br /> Ph!60f ffl,00-3366 CoolJd e. 85128 Irvrittdale.CA 81706 <br /> EPA 0 AZD08t70MG2 EPA#CALMM0453 <br /> Ph#5247723-4767 Ph#8761812-7200 <br />