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Corporate Office <br /> SERVICE WORK <br /> Cf ��f? EPA ID#:CALOp433fJ453 ORDER <br /> // 1 1I] 5820 Martin Road■ Irwindale, CA 91706 <br /> . Phone: 1-800-531-9683 <br /> 748847 <br /> i www.cleantechenv.com <br /> SERVICE WORK ORDER <br /> SALES OFFICE: ❑ Fresno ❑ Irwindale ❑ Newark JZSacramento ❑ San Diego <br /> Name Customer Purchase Order# <br /> Address �� , �}, Sales Representative <br /> City State Zip (}i 7 Phone# <br /> EPA ID# + i i I Ck#f COD <br /> �r NON-RCRAIRCRA WASTE <br /> - <br /> FE <br /> PART# DESCRIPTION MANIFEST# QTY. UNITPRICE SUBTOTAL <br /> 23523155 ABSORBENT MATERIALS (55 GAL.) jo i"U910 1 <br /> J 929DOOAC AERO$4L CAHS (55 GAL.) ' <br /> 92900019F BRAKE FLUID (55 GAL.) <br /> 929DOODS BRAKE SHAVINGS (30-GAL.) <br /> I0 BNREGT EMPTY GASTkNKS (55 GAL.) <br /> d 91)010755 MIXED FUELS(GAS JDIESEL) {55 GAL.) <br /> 9pRSD05 DILYRAGS (55 <br /> 090SL055 OILY SLUDGE {55 GAL.) <br /> r cd 9F00355 PAINTED RELATED MATERIAL•LIQUID (55 GAL.) <br /> 7 _ Z 22217055 USER OIL FILTERS-METAL{NOT DRAINED) (55 GAL) <br /> W 23523055 USED OIL FILTERS-PAPER (55 GAL.) r <br /> 0 IT 22211155 USED OIL FILTERS-CRUSHED (55 GAL.) <br /> MRCFIA MANIFEST FEE-RC RA WASTE <br /> WP4 MNRCRA MANIFEST FEE-NDN-RCRA WASTE - <br /> Z- Uj <br /> �ti#I lu . <br /> L •Any Nan-Coniorrnrng Wae Sub)ectto Additional Charges. <br /> EMPTY REPLACEMENT DRUMS <br /> LLI550TFF OPEN TOP(55 GAL.}aRUM-REPLACEAIENTQRUM FOR USEa DIL FILTERS NoChar a <br /> 10,pp <br /> Q;cc 550TWI3 OPEN TOP(55 GAL.)DRUM-REPLACEMENT DRUMF4R WASTES <br /> �f 0 55CTWB CLOSED TOP(55 GAL.)DRUM-REPLACEMENT OF WASTE <br /> i Ir 4. i <br /> PARTS WASHER SERVICE <br /> V <br /> 4 12BWRS BRAKE WASHER RENTAL UNIT{12-GAL.)PORTABLE AIR OPERATED <br /> ' ! w 30pWR5 PARTS WASHER FIENTAL UNIT(30-GAL.)DRUM MOUNT <br /> t J SCS- SCS poWERSTAR PARTS WASHER SERVICE-CUSTOMER OWNED MACHINE <br /> p(yWERSTAR SOLUTION <br /> PSC- <br /> yay�Y C) MANpyV PARTS WASHER Olt WATER MANIFESTI PRODUCTS <br /> 1 ! - J <br /> 4 <br /> C a <br /> )OL-GREEN 50 f 50 HEAVY DUTY 55 GAL. <br /> CGGRN55 CLEAN C <br /> CCGL035 GLEAN COOL GOLD RECYCLED 50 MO EXTENDED LIFE,UNIVERSAL 55 GAL. <br /> �] UAP100 UNIVERSAL ABSORBENT PADS- tDO PADS PER BUNDLE <br /> UAS030 LINIVEFISAL SOCK- 30 PER PACK <br /> ps the Generator,I acknowledge that our slla EPA IR 0 is active and I needed CleanTech to sign as agent on the Generator Waste Profile WprWmt for this l� <br /> wastesvearrl(sI-This documeol serves as a written verification that the waste stream(s)descriptions and constituents found above are unchanged per r <br /> the Facility Generator Waste Prnalle o prjUnidhe fore Din is true and cornet Catwn for the generator waste stream profile worksheet of these waste <br /> -� streams.f declare under the ry perjury 9 g <br /> Cuslor►re <br /> r print Name: i. <br /> AN ` 1, ,� <br /> • '. puetamer Signature: Date,. ( • -�, <br /> 4r� <br /> OraerlServiced By: <br />