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1055 Navy Dr, Stockton Record ID PR0538411 <br /> 3/6/2019 <br /> : Multiple consolidated manifests left by CleanTech Environmental Inc. were observed missing a signature of the generator, a signature of the <br /> hauler, the generator's EPA ID number, or the information on where the waste was going to. <br /> M THIS INVOICE WORK <br /> SERVICE WORK <br /> CleanTech= <br /> Environmental Inc. 163182 <br /> 2581 S.Sunland Ave. w Fresno,CA 91706 <br /> Phone:B00-531-9663 <br /> WASTE RECYCLING RECEIPT <br /> TOTAL , <br /> Name: Customer Purchase Order <br /> Address: 1065 S Staeklnn Street Sales Representative �1 <br /> j City,State,Zip: Stockton CA 96206 Phone#: <br /> EPA ID#: Federal Manifest <br /> QUANTITY Ul U.S.DOT DTSCRIPTION CHARGE <br /> GAL. USED OIL—NON RCRA HAZARDOUS WASTE,LIOI <br /> CA WASTE CODE 221 ^ <br /> GAL. USED ANTI-FREEZE—NON RCRA HAZARDOUS WASTE,LIQUID <br /> CA WASTE CODE 134 <br /> OILY WATER FROM USED PARTS WASH SOLUTION— - - <br /> 4 GAL' NON-RCRA HAZARDOUS WASTE,LIQUID. CA WASTE CODE 134 <br /> jj DRUM($) DRAINED USED OIL AND GAS FILTERS <br /> z L <br /> is <br /> 7 <br /> _ <br /> 4. <br /> S.K. r7 � <br /> 6880 Smith Ave <br /> Newark,CA 44560 The above used oil is %Lubricahng of _k Industrial bit <br /> CAD 980 887 418 J ACCOUNT STATUS: (}C.O.D. (}OPEN ACCOUNT If open Account-payment Is due net 90 days or a finance charge of 1.5% <br /> d Per month will apply. <br /> GENERATOR'S N- CATION:Any used oil Mal the trans rter receives from the generator will he transported to a certified used oil rec Int facility that is <br /> to comply wdh letleral regula- p Po yc g <br /> Izardous waste management U iawtudy oper$ting in accordance with a havardous waste facilities permit issued pursuant to the Fetleml Act.I hereby declare that the counts of Ihis consignment are fully and <br /> LU accurately tlesglf¢ 1hhy the proper CCT shipping name and are crassilied,packaged.marked,and headed and are In all aspens in prefer condition for transport by 0.0? <br /> .ol-slate tacililles Thal process r1p standards.All mrevant information regarding known or suspected harards i ssodeted with this waste has heel disc...d.The customer agrees to pay reasonable cost and attorney <br /> ificietrons of lank mtegnty,are fees interred in the wlleation of this obligation,venue for purposes of this obligation shall be in Los Angeles County.I certify that the waste minimisation statement identified in 40 <br /> aderal used ail management crR 26227(agir I am a largepuanlny generaMry or(b)(111 am a small Lientuvronorator)is true,I also acknowledge that I have read and agree to the terms on Misform both front <br /> and tack.signer guarantees The payment at CleanTech invoices in accordance with The standard forms of Net 30 days.It a Purchase Order le not Issued,the employee authadang the <br /> M proper Shipping <br /> name, work performed guaritral that any Tnamoes presented wiii he paid Tann ily.Prompt payment is delmod!as payment in accordance with CleanTech standard terms o!net M days. r <br /> I stela and federal Aar lions. invoice payment Is nod commgent upon payment by a third party.Interest on pair due accounts will be Charged al the rate of 1.i%per month until paid Prior.WASTE MATERIALS E <br /> I <br /> degree t nave delermroed WHICH ARE DISCOVERED TO BE HOA-CONl:9RMIxG WELL 6E SUBJECT TO AOOITiONAI CHANGES- v JI-IL <br /> E to ma which mtntmi2e5 the <br /> S M T W T F <br /> front to miner.my waste _ I 1 3 4 5 <br /> s waele described above with �- -. ; 4 r B 2 <br /> TYPE-0R PRIM NCL NAMR-- SIGNATURE' r „�__---DATE fi 11 D " I; t1 a P IV I.t. r7 <br /> the dis vathdisposal <br /> the reyuiremenls - 1; li I!n B 19 <br /> the dlspnsal al thLS waste If :hereby certify thati.have read antl have the authority to bind the above listed ganeratorfa Me terns wound on both the front and hacX m this}arm.State Law requires that boor I @ I9 10 2n 3g <br /> doeumtants contains true and - the Gtneraw,and Tren,00i keep this farm an Ale lot a minimum of(3)years,I hereby cerhty that all mforni In this and at[attached mu—sinks contain true and accurate el 25 Ie 1 11 1 21 32 E1 2q 25 16 <br /> vaa,All celavanl inlorrel descriptions of the waste including that the waste is segregated and is Rol com'mgled Witt otherwaste streams,As the Genemtd;l acknowledge that our silo EPA m it s active.The 2e 29 gp 11 <br /> ed hazards associated with add <br /> stream listed above compiles with the waste Profile on record for ins designated Facility.This Placemen!serves as wrill verification that the waelea reamis)descfli <br /> antl ennsntuanth found above are unchanged per the racllNy oeneramr Waste Pmhla Worledhaet and also acts as the annual wriftenverdicallon for Mn Coneti on Waste Print. <br /> ad.I eiso certify that t have not warksheal otnhese waste streams.I declare older penalty of parlury that me foregoing is trueantl correct. <br /> mervuslsta Venue for purposes <br /> iacrarmentoCouolg.ldeclare CleanTech Environmental Inc. - <br /> oing rs true and correct 1 2581 S.Surri Ave. <br /> Joys. O Fresno,CA 93725 - <br /> ❑RIVER'SNAhaIE-TYPE OR PetiNol FULL NAME <br /> ZEPA ID#:CAL000368136 �•� ` <br /> F Truck,Unit ID No. SIGNATURE DATE - <br /> The checked box is the designated recycling facility <br /> lu J Q Roadrunner Glycol,Inc. 0 Southwest Processors ❑Heritage Enviri onmed 0 Clearaeeh Environmental <br /> V.,I 4636 Industrial Center Dr. 4120 Bartell Blvd. Services LLC 5620 Martin Rd. <br /> ¢V <br /> U Las Vegas,NV69P[15 Vernon,CA 90058 284 East Storey;food Irwindale,CA 91706 <br /> Q EPA#NVROODO85427 EPA#CAL92164$037 Coolidge,AZ 85128 EPA#CAL000330453 <br /> a cc LL Ph#7021379-7179 Pit#BDMOO-3366 EPA#AZOO8170MO2 Ph if 6261012.7200 <br /> Ph A 520.723-4157 <br /> ael 4 <br /> John Alaniz, REHS Page 3 of 13 <br />