Laserfiche WebLink
1055 Navy Dr, Stockton Record ID PR0538411 <br /> 3/6/2019 <br /> Photo is Multiple consolidated manifests left by CleanTech Environmental Inc. were observed missing a signature of the generator, a signature of the <br /> hauler, the enerator's EPA ID number, or the information on where the waste was going to. <br /> o � E <br /> SF RV ICE VypRK " <br /> CI ea SERVICE WORK �PAFamZ700.22! <br /> ==CleanTech'— ORDER <br /> Environmental Inc. <br /> 4 2581 S Sunland Ave. a Fresno,CA 93725 167978 <br /> Phone:800.531-9683 <br /> f' <br /> WASTE RECYCLING RECEIPT <br /> Name', ___ <br /> -—� — --- ---. Customer Purchase Order# <br /> ' Address: _ <br /> —-- -- -- _Sales Representative - <br /> City,State,Zip: _ <br /> — Phone#: <br /> EPA I❑ <br /> Federal Manifest#: <br /> 40 <br /> QUANTITY UNITS U.S.OCT DESCRIPTION <br /> CHARGE <br /> GAL. USED OIL-NON RCRA HAZARDOUS WASTE,LIQUID <br /> CA WASTE CODE 221 - f <br /> 0 GAL USED ANTIFREEZE-NON RCRA HAZARDOUS WASTE,LIQUID <br /> CA WASTE CODE 134 yJ <br /> e <br /> GAL. OILY WATEH FROM USED PARTS WASH SOLUTION- <br /> t -C NON•RCRA HAZARDOUS WASTE,LIQUTD.CA WASTE CODE 134 <br /> j W DRUM(S) DRAINED USED OIL AND GAS FILTERS <br /> 2 <br /> W <br /> � I ' <br /> GUST <br /> TOTAL `� IULY s A13,H Y r <br /> fa 11 5 = V4 <br /> FW The al used ail Is a T v 5 e <br /> J ACCOUNT STATUS: (}C.O.D. Luhricarrng oil %industrial cil <br /> 1 1 2 1 <br /> 1 1 9 fig la 11 4t <br /> (}OPEN ACCOUNT If open Account-paymena Is due rte,30 days or a finance charge of T.5% 5 B Eh <br /> r A <br /> Q per month will apply. I` Is is:o- <br /> qee. 12nl4ls <br /> bA O p 70, <br /> OENERATDR'S xOTIHCATIOH AND cFRTlFICA710N:Any used oil that the transporter receives from the generator will he Imnsponed m a eeniried used oil recycling facility that is 19 30 2r g7 21 23 �5 2 <br /> 7 qi9 A.q la <br /> operating in accordance Willi houarddus waste laCllidea Vomit Issued pursuant to the Fel l Act, hemtly tleclare IhdL the oonten[e Ali oo effilBnt 'l(filly dntl 26 21 2E 29 ffi 21 ;I 1 <br /> LU accurately descal above by the proper DOT shipping name and are classified,packaged,marred,and leoeied and are in all aapecls In proper rnndhion far m"t an by fully <br /> en lh <br /> ED standards.All relevant information regarding known or suspected hasarda associated with this Meta has been disclosed.The <br /> el° susWmer agrees to pay reasonable co9t aM atpritey <br /> Nos incurred in the collection of th1S obligation.Vonue lur purposes of this obllgation Shall he In Los Angeles County I deal Thai Iha waste minimlzafion sratemem itlenihfetl N 40 <br /> ide9 �� O CFR 26227fa1(If I am a large quer ily generamrt or(h)(It[am a, quanutp gena uffici is true.I adso acknavlsdge that I have read and agree m the terms on'his farm Wh from no "'S and <br /> back.Signerguarantaes the Payment of CleanTech invokes in aword¢nce warn the standard forma at Net 30 days-Il a Purchase order is nor issue d,the employee aulherizingthe <br /> s Ina Int'f <br /> Invoice k de f mantmod es arab guarantees <br /> that <br /> a tl hipay <br /> menth nt hlWil he paid promptly.Prompt payment is defined as payment in launder"whh CleahTech sAntlaM terms IN net 30 tlays. . <br /> p y g p p y y parry.Interest on past due acrounis will be charged or ma rate of 1,5%per month north <br /> in lull.WASTE Mt jr;da LS <br /> man sr,e WHICH ARE DISCOVERED TO BE NGH-CONFONMING WILL SE SUBJECT TO AOOMONAL CHARGES. <br /> r ra4J%aiL i <br /> $Ng deleaT alre TYPE OR PRINT FULL NAME SIGNg7URE DATE <br /> "0,911ze to I hereby cerlify,that I have read and have the aulhonry to hind the above iisfed generator m the terms found on hodh the front and hack of this farm.State Law re ub,that 6om <br /> m12e mY'ye a <br /> W& coGenerator antl Transporter keep this farm on file for a minimum of(3)yearn.i hareby ci:aify that all InfolmaFon In this and all adachad tlocuments contain true and atturaln <br /> 84ad abu" is descriptions of the waste including That the waste is segregated and is bol cdmichi with other wash streams.As me Generator.I acknowledge that our site EPA In is acture.inn <br /> th 4�r l Inc, <br /> was stream Bated bli a coni with the WdSie Prefile On record for the designated Facility 71 dacum unt serves as WLid"VOcTieeean Chad the et91e Hiroshi aes9riplion <br /> it,r unci re't e g par <br /> este' and CpastPN]fl found above are I declare <br /> e l re the rrity of perjurymm lthesa Arou s Ionia sot and eN9 Gala as the annual written aerlll9adpn rot the Generetor Wagfe Profile <br /> Sao 01 i�RS lr Ua and Werkgheef BI IhasB Wa91e 91Y9tlns,I daCdfa under penally of penury final 1h8 foregoing ES true end nOrr¢Ci. <br /> l5 Lias on Iorrwanen L <br /> de�BnL �dgao a CleanTech Environmental Inc. <br /> rds as"1 t bele" $ W <br /> nAv r,mc d 2581 S.Subtend Ave. <br /> 5�'joi la!tleclare O Fresno,CA 93725 pRlVER5NAME-TypE OR PgINT FULL NAME7 <br /> t <br /> o^ arvdci Z EPA ID#:CALOf)U368136 �? <br /> a <br /> r Truck,Unit ID No. SIGNATURE DATE <br /> a The checked box is the designated recycling facility - - <br /> W Z ©loa6runner Glycol,Inc. Q Southwell Processors Q Heritage Environmental T1 Cleantech Envlronmenlal <br /> �y 46361ndustrial Center Dr. 4i20 Bandini Blvd, Services LLC 5820 Martin Rd. <br /> Las Vegas,NV 69115 Vernon.CA 901758 284 East Storey 9080 4windale,CA 91706 <br /> w L)Hdr w LL EPA#NYROD0088427 EPA#CAL921846037 Coolidge,AZ 85128 EPA#GALOODS30453 <br /> a cc Pn d 702!374-7179 Ph k 8001900-3366 EPA#AZD081705402 Ph/8261812-7200 <br /> Ph Al 520/723-4167 <br /> John Alaniz, REHS Page 7 of 13 <br />