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— i SERVICE, Wt <br /> + t= Cie s' nTec <br /> ORDER <br /> Environmental Inc <br /> 19513 <br /> 2581 5.Sunland Ave. • Fresno,CA 93725 <br /> Phone:800-531-9683 <br /> WASTE RECYCLING RECEIPT <br /> L 1 Customer Purchase order# <br /> -- <br /> Sales Representative <br /> Address: phone <br /> City,state,Zip: ! ' <br /> - -� Federal Manifest#: <br /> EPA ID#: CHARGE <br /> QUANTITY UNITS U.S.DOT DESCRIPTION <br /> GAL. USED OIL—NODI RCRA HAZARDOUS WASTE, <br /> LIQUID <br /> CA WASTE CODE 221 <br /> SFD ANTI-FREEZF—NON RCRA HAZARDOUS WASTE,LIQUID <br /> U <br /> GAL. CA WASTE CODE 134 <br /> GAL OILY WATER FROM USED PARTS WASH SOLUTIQN— <br /> NON-FICRA HAZARDOUS WASTE,LIQUID- CA WASTE CODE 134 <br /> 0 — <br /> DFtUM(SI GRAINED USED OIL AND GAS FILTERS <br /> cc <br /> z <br /> Lu <br /> 4'3 <br /> ' TOTAL <br /> Ca %Industrial oiI <br /> p Lubncaung ails— or s finance Charge of 1.5% <br /> i W The auowe used ail ls�OPEN AccCUNT H open ACCOUnS-�yrnent is due not <br /> C.O.P. i } <br /> w ACCOUNT STATUS: t } use gH reCyellnp laclilvty that is <br /> J per month i llt applY. t°a[xroined men!are fully and <br /> _ - Q usEC oil <br /> !hat tPk transporter rete�ves Irwn line 1 Y�% r 6 t TfrE CO�knt*+of Ows Cun5+4r' <br /> r GENEHA7DR's NOSIFICIInON AND CERTIFICATION.Arty aril and isib d and are m ar aso"n p"Te-to� far INnSpan h3 DA 7 <br /> - 0 rawiulYy oFeratinq'n accartlar+te with a ha2ardous yld3le lacilit�es permh issued pursuant to lite Federal All Y hete0y Py���cosi and a:tarTney <br /> at[uraiery des:.r+fid aarue by lire Rr�r POT snipping Cama and ark classified.Rat�� m <br /> I ttrtdp t1 a1 me waste mmimvauan statement+dentdned in dU <br /> W starrdards Ae rem% l rntarrnation regarding klgwn cr su54ected hararlYs assac+ated wnfi In¢waste has treen d sclased The Cnstonxr r� p terms on INS form hath ifont <br /> - m eneratar)is!rue I also 1000 hill that I love rad and ag he employee autrrorron4 the <br /> { tees rncurrad in Vie caNecua+'of this o-Gfiganon Venue tar purposes of this ablrgaUon stylk he rn Los Angebs Caunh ll a PrMt�e9e G'�"s���t <br /> ■ CFR 26N7�alyd:am a urge Qual ger<arat l OF(bI l,l 1 am a shalt quantity q <br /> mens ks tllhnM as pey+nevtl m atxortlarna wi171 Gleeniech standard'or o-1 net 30 days <br /> a h7Gk �r guaranines the payment of GleauTech nv9+ces in accordance Y.P o-mPt star'dal terms of a a mal until pend in lurk WA$7E MATERMS <br /> egrk perlomkd guarar7l#s!tial am�mrol presented will he paid prom on <br /> IiTvl)rLf rlo rT�I t oral illescotit a upon pa'lment by a 1tilIR party Int@neat an pas!due aCL4ueLt5 will bE CTurged it ilia rate ai 1.5ti per <br /> trtIHIGN ARE BfACOYEiI�T4 BE NON-011FDRMIIiG WILL 9E SUDIECT i0146nIrtONAL CHARLES. <br /> S+�` ' <br /> PATE <br /> ;+ t- ` r' IGNATURE <br /> i <br /> Tlis <br /> YPE 4R PgINT fULL NAME <br /> that I have teed and Rase Rhe authorlly to hind the above Ilsletl gene atrar l0 111e terms 1puntl On both Lite 1roM end 4aUr of this term Stale Law true <br /> an that rate <br /> 'Wil'eddy <br /> rhaT 4ul,sale EPA la i a active the <br /> the yltgr and TrarrSportar keep Ins Farm an til@ for a a d and rsgn. com pled with l erlwis Eta rleams A51ohe16arnerat0 r at 4 this wdedge u 3Ten 5 Contarn true bnd accurate <br /> wintris <br /> I descnlltr�'at the*asia intludnnp that the waste rs se9re9 <br /> - r m 1r51ed abo-ve Corr}plres wnti lnid oar the FeeHYtirGenatilo mVradr 4rallh FWori?astle�land etsa�etse s the ennuarirt Ren rilnnwtulonker the Cenere or 9lfe�porite <br /> rASiE 5'.ee _ <br /> a, eorrslYlue+ds leereit sireame.et deClare under penally of perjury that ine lare9olag is tion an4 Cprtetl. <br /> weexotet er lhne <br />�} 10_. <br /> CleanTech Environmental Inc. r <br /> • w 2581 S-Sunland Ave. <br /> Fresno,GA 93725 DRIVER'S NAME•TYPE OR p INT FULL NAME <br /> 0 <br /> to EPA 10 #:CAL0003681315 <br /> /1 ' C1AT7< <br /> _ <br /> SIGNA RB . <br /> a Truck, Unit ID No, <br /> r <br /> xis the desigrlated recycling#aCility <br /> The checked ba ❑Southwest Pracessors D Heritage EAVironmental 0 n Rd <br /> W z t~ �Roadrunner ByeoE,lnc. Sertilces LLC Irwindale,CA 91706 <br /> 53 <br /> #— 4124 Bandini Blvd. 284 East Storey Road <br /> h 1 ~ 4636 IndusIn3l Centel Dr, Vernon,CA SM58 Coolidge.AZ 85128 EPA 1 C,AL{IO�� <br /> V J Las Vegas.NV 89115 EPA CAL92164b937 ph 2-720D <br /> '• X 0 d EPA i NUROd0088427 ph t 800,1( U 3366 EPA i pZp081705442 <br /> W 1,11161 W Phi 702'379.7179 Ph s 5201723-4167 <br />