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C17_ SERVICE WORK <br /> ORDER <br /> �nMa WaI §n C. <br /> EPA ID#: CAL 000368136 �l U <br /> 2581 S. Sunland Avenue o Fresno. CA 93725 <br /> Phone: 1-500-531-9683 <br /> www.cleantechenv.com <br /> Name Iw r3 Customer Purchase Order# <br /> , � , <br /> Address <br /> S'r'S ?G Sales Representative <br /> City State dip s 6 Phone# <br /> EPA Id# - <br /> f G'di :3 7- Clc#1COD <br /> �r NON-RCRAIRCRA WASTE <br /> 7) PART# DESCRIPTION MANIFEST# OTY. UNIT PRICE SUB-TOTAL <br /> ® 23523155 ABSORBENT MATERIALS (55 GAL.) <br /> 929000AC AEROSOL CANS 55 GAL.) <br /> 929000BF 13RAKE FLUID (55 GALJ <br /> 92900085 BRAKE SHAVINGS (30•GAL.) <br /> LO <br /> 8NREGT EMPTY GASTawc: t GAL.) <br /> 9000155 MIXED FUELS(GAS 1 DIESEL) (55 GAL.) <br /> C) 9ORS005 OILY RAGS (55 GAL.) <br /> 0 90SLUs5 OILY SLUDGE (55 GAL.) <br /> 9FOU355 PAINTED RELATED MATERIAL-LIQUID {55 GAL.) <br /> 2 <br /> 22211055 USED OIL FILTERS-METAL(NOT DRAINED) (55 GAL.) <br /> C) Lr <br /> 23523055 USED OIL FILTERS-PAPER (55 GAL.) [j �G}G� r3 <br /> 0 22211155 USED OIL FILTERS-CRUSHED [55 GAL.) U 6 <br /> ®� L� MFICRA MANIFEST FEE-RCRA WASTE <br /> NmNRCRA <br /> MANIFEST FEE-NDN-RCRA WASTE <br /> 0 u' <br /> p a-J I- 'Any Non-Conforming Waste Subject to Additlonal Charges. <br /> < < EMPTY REPLACEMENT DRUMS <br /> Co 9 55OTFF OPEN TOP(55 GAL.)DRUM-REPLACEMENT DRUM FOR USED OIL FILTERS No Charge p,pp <br /> 0 55OTWS OPEN TOP(55 GAL.)DRUM-REPLACEMENT DRUM FOR WASTES <br /> C? 55CTWB CLOSED TOP(55 GAL.)DRUM-REPLACEMENT OF WASTE <br /> PARTS WASHER SERVICE <br /> M 12BWRS BRAKE WASHER RENTAL UNIT(12-GAL.)PORTABLE AIR OPERATED <br /> �R <br /> 30PWRS PARTS WASHER RENTAL UNIT{30-GAL.}DRUM MOUNT <br /> 0 SCS- SCS POWERSTAR PARTS WASHER SERVICE-CUSTOMER OWNED MACHINE <br /> PSC- POWERSTAR SOLUTION <br /> _ MANPW PARTS WASHER OIL WATER MANIFEST# <br /> U <br /> !J <br /> 0. PRODUCTS <br /> CD CCGRN55 CLEAN COOL-GREEN 50150 HEAVY DUTY 55 GAL.) <br /> CCGLD55 CLEAN COOL GOLD RECYCLED 50150 EXTENDED LIFE,UNIVERSAL 55 GAL. <br /> UAP100 UNIVERSAL ABSORBENT PADS-(100 PADS PER BUNDLE} <br /> UAS030 UNIVERSAL_SOCK-[30 PER PACK <br /> Customer Print Name: i J,- <br /> Customer Signature: A <br /> .IN ❑ate: Cr- <br /> Driver/Serviced By: <br /> •• Date: G,'-! {} <br />