Laserfiche WebLink
Corporate Office SERVICE,WORK <br /> Cleaffech <br /> EPA lfl#: CALQQQ330453 [}NI)I':R <br /> 5820 M�{rtin Road a Irwindale, CA 91706 --i <br /> Phone, 1-800-531-9683 735818 <br /> www.cleantechenv.com oe- <br /> SERVICE WORK ORDER <br />+ SALES OFFICE: ❑ Fresno ❑ Irwindale ❑Newark Asacramento ❑ San Diego �- <br /> Name Customer Purchase Order# <br /> Address <br /> ` � ti. �� Sales Representative <br /> �: ,� ��,1•, ��r <br /> City State Zip �; ( s- , l Phone#�{� <br /> EPA ID <br /> Ck#lCDD <br /> # -.�`',.l '� �i 1 <br />_ * NON-RCRAIRCRA WASTE <br /> PART# DESCRIPTION <br /> MANIFEST# OTY. UNIT PRICE SUB-TOTAL C <br /> r tY 23523155 ABSORBENT MATERIALS (55 GAL.) <br /> 329000Ac AEROSOL CANS (55 GAL.) <br /> _ Q 9290408E BRAKE FLUID [55 GAL.] . <br /> 0 929404BS BRAKE SHAVINGS (3G-GAL.) <br /> S _ BNREGT EMPTY GASTANKS {55 GAL.) <br /> C19400155 MIXED FUELS(GAS I DIESEL) [55 GAL.) . <br /> 01 J gORS405 OILY RAGS (55 GAL.) <br /> (t} 9GSL055 OILY SLUDGE (55 GAL.) <br /> Ga 131:00355 FAINTED RELATED MATERIAL•LIQUID (55 GAL.) <br /> 22211055 USED O1LFILTERS-METAL[NOT DRAINED) [55 GAL.) ��1 <br /> 1 — <br /> ' 23523455 USED OIL FILTERS PAPER {55 GAL•) <br /> / ❑ 22211155 USED D1L FILTERS-CRUSHED {55 GAL-) I <br /> ►J ' MRCRA MANIFEST FEE-RCRA WASTE q ' 0 <br /> LIJMANIFEST FEE <br /> W N MIyRCRA �ANON-RC RA WASTE <br /> W <br /> •Any Hon Canlorming Waste SufJyOct to Additional Charges, <br /> EMPTY FtEPLACEMENT DRUMS No Cha a n.ov <br /> ` � 2 LL REPLACEMENT DRUM FOR USED OIL FILTERS <br /> Z 55D7FF DPENTDP(55 GAL.)DRUM J , <br /> Q OPEN TOP[55 GAL.)DRUM-REPLACEMENT DRUM FOR WA <br /> 57ES <br /> 550TWB - <br /> • F WASTE <br /> ❑ 55cTW6 GLOSEDTDP(55 GAL.)DRUM•REPLPA�+CREjS WASHER SERVICE <br /> _ �• <br /> •� PORTABLE AIR OPERATED <br /> IL>Z 126WRS BRAKE WASHER)AL UNIT 11R C'A4'}DRl1M MOUNT <br /> ERSTAR PARTS HER SERVICE•CUSTOMER pyyHED MACHINE <br /> Q Ia7.1 30PW RS PARTS WASHER RENTAL UNIT{30 GAL.) <br /> _j SGS- SCS POW tilt <br /> �w PSC- POWERS7AR SOLUTION <br /> ;r it z PARrSWASHER OILWATERNIANIFE57# PRODUCTS <br /> Mgt y 0 MANPw <br /> OJ . <br /> GREEN 50 1 50 HEAVY DUTY 55 GAL. ' <br /> CCGRN55 CLEAN CDOL EX <br /> 111 CGLDS5 CLEAN COOL GOLD RECYCLED 501 PAPS PER sUNDLENNERSAL 55 G <br /> C T PADS <br /> 0f} UAPtOD UNIVERSAL ABSOROENPER PACK <br /> n as agent on the Generator Waste Profile Worksheet for this <br /> and is needed CleanTeCT1 to sl9 hest of these Waste <br /> 1O UNIVERSAL 50CK is active ste stream[s1 drSCnPtlons and tonstituerris touef are unchan46d Per <br /> I EAS030 f neralar waste Siren D <br /> m s <br /> This document serves asta W aqd also as tths annau lhwri on verification fOr the q <br /> As the Generator,i ac+nowledpe thal0ur Sita EPA 10 <br /> • wastesirea l)• that the tOregOtnq true and c0r<ec+• <br /> ' the faGiViry Generator Waste Profile yq it <br /> •. streams.I deelare under the penalty 0t Penury, t r . <br /> Date <br /> Customer Print Name• , <br /> Custom&•91gad B <br /> : 1 Drlverl5e^rlr' <br /> C' <br />