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lea `Te ch ' SERVICE ORDER Environmental Inc. 148599 2581 S. Sunland Ave. ■ Fresno, CA 93725 Phone:893-531-9683 t D i- WASTE RECYCLING RECEI �L 0 Name: .'yMM--ca Customer Purchase Order# Address: 1f'� 6-0p" � bv� - Service Technician City, State, Zip: G- Phone#; EPA ID #: 1f og''�W-C17 - Federal Manifest* QUANTITY UNITS U.S. DOT DESCRIPTION CHARGE GAL USED OIL—NON RCRA HAZARDOUS WASTE, LIQUID CA WASTE CODE 231 GAL, USED ANTI-FREEZE— NON RCRA HAZARDOUS WASTE, LIQUID CA WASTE CODE 134 OILY WATER FROM USED PARTS WASH SOLUTION — Q GAL. NON_RCRA HAZARDOUS WASTE, LIQUID. CA WASTE CODE 134 Kr LU Z DRUM(S) DRAINED USED OIL AND GAS FILTERS Lu r m TOTAL t" LUThe above used oil is %Lubricating all %Industrial oil tZ ACCOUNT STATUS: ( ) C.O.D. t )OPEN ACCOUNT If open Account-payment is due net 30 days or a finance charge of 1.5% 0 4 per month will apply. _ U GENERATOR'S NOTIFICATION AND CERTIFICATION: Any used all that the transporter receives from the generator will be transported to a cerliried used ail recycling facili- Ul ty that is lawfully operating in accordance with a hazardous waste lacil ties permit issued pursuant to the Federal Act. I hereby declare that the contents of this consign- CD meat are fully and accurately described above by the proper shipping name and are classified,packaged,marked,and labeled and are in all respects in proper condition tD for transporf by hlghwoyarea rding to applicable national regulations. All relevant Information regarding known or suspecled hazards associated with this waste has been i— disclosed. The customer agrees to pay reasonable cost and attorney fees Incurred In the collection of this obligation. Venue for purposes of this obligation shall be in Las Angeles County. I declare under perjury thatthe foregoing Is true and correct. I hereby declare that the contents at this consignment are fully and accurately described above by the proper shipping name,and are classified,packaged,marked,and labeled/placard,and are in all respects in proper condition for Iransporl according to appli- cahte and national governmental regulations, If export shipment and I am the primary Exporter.I certify that the contents of this consignment conlorm to terms of the attached EPA Acknowledgment of Gonsent. f certify that the waste minimization statement Identified in 40 CFR 262.27(a)(if I am a large quantily generator)or(b)(if I am a small quantity generator)is true. I hereby certify that all Information In this and all attached documents contain true and accurate desenplions of the waste. All rel- evant information regarding known or suspected hazards associated with the waste has been disclosed. I also acknowledge that I have read and agree to the terms on this form,both front and back. Signer guarantees the payment GleanTech invoices In accordance with the standard terms of Net 3D. If a purchase order is not issued, the employee authorizing the work to be performed guarantees that any invoices presented will byymid promptly. Prompt payment is defined as payment in accordance with ClearTTech standard terms of 30 days, Invoice payment is net contingent upon payment by thi party, Interest on past due accounts will be charged at the rate of 1.59 anth until paid. ASTE MATERIALS WHICH ARE DISCOVERED TO BE NON-CORE RM 0 Wti L BE 5t1BJECT TO ADDITIONAL CHARGES. TYPE OR PRINT FULL NAMEryeat ATURE DATE I hereby certify that I have read and have the authority to bind the above listed genothe termsan the reverse side of this farm. State Law requires that you keep this RecelptISHI of Lading on file far no less thanrs. LU Clean Tech Environmental Inc. 2581 S. Sunland Ave.cc , p Fresno CA 93725 ME OR PRI LL NAME rn EPA ID 4:CAt_000368136 Z < Imo„ Truck, Unit ID No. Z0V v§_1GNPXRE DATE The checked box is the designated recycling facility W Z ❑ RoadrunnerGlycai,Inc, D Southwest Processors © Heritage Environmental *Ieantech Environmental [J] 4636 Industrial Center Dr. 4120 Sandini Blvd. Services LLC 5820 Martin Rd. Las Vegas,NV 89115 Vernon,CA 90058 284 East Storey Road Irwindale,CA 91705 www EPA#NVR000088427 EPA#CAL921646037 Coolidge,A7 85128 EPA#CALd00330453 a nC Ph#702/379-7179 €'h#8001900-3366 EPA#AZOO81705402 PH#62611312-7200 Ph#5201723-4167