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== -C1eanTech =— SERVICE WORK ORDER Environmental Inc. 2581 S. Sunland Ave. Y Fresno, CA 93725 151965 Phone: 800-531-9683 WASTE RECYCLING RECEIPT dame; �.�¢,�;, Customer Purchase Carder# Address: Hr`eff nr;th Service Technician H04 City, State, Zip: Ropeg CA J-6.366 66 Phone #: 563-262-5375 EPA ID #: CAI-60009010 Federal Manifest #: S 4UANTITY UNITS U.S.OOT DESCRIPTION CHARGE { GAL USED OIL—NON RCRA HAZARDOUS WASTE,LIQUID CA WASTE CODE 221 f GAL USED ANTI-FREEZE—NON RCRA HAZARDOUS WASTE, LIQUID cc CA WASTE CODE 134 Q OILY WATER FROM USED PARTS WASH SOLUTION-- GAL. NON-RCRA HAZARDOUS WASTE, LIQUID. CA WASTE CODE 134 UJ CC W DRUM(S) DRAINED USED OIL AND GAS F3LTERS L3 m D r TOTAL I1.f r f~ The above used oil is %Lubricating oil °Ie Industrial ail ACCOUNT STATUS: I C.O.D. l 7 OPEN ACCOUNT If open Account-payment is due net 30 days or a finance charge of 1.50k per month will apply. 0 GENERATOR'S NOTIFICATION AND CERTIFICATION: Any used ail that the transporter receives from the generator will be transported to a certified used oil recycling facili- m ty that is lawfully operating in accordance with a hazardous waste facilities permit issued pursuant to the Federal Act I hereby declare that iha contents of this consign- ment are lolly and accurately described above by the proper shipping name and are classified,packaged,marked,and labeled and are in all respects in proper condition G for transport by highway according to applicable national regulations. All relevant information regarding known or suspected hazards associated with this waste has been N disclosed_ The customer agrees to pay reasonable cost and attorney tees incurred in the collection at this obligation. Venue for purposes of this obligation shall be in Los Angelas County. I declare under perjury that the foregoing is true and correct. I hereby declare that the contents of this consignment ara 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 forhanspor!according to appli- cable and national governmental regulations. if export shipment and I am the primary Exporter,I certify that the contents of this consignrnent conform to terms of the attached EPA Acknowledgment of Consent. I certify that the waste minimization statement identified in 46 CFR 262.27(a)lit I am a large quantity generator)or Rb)(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 descriptions of the waste, A I 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 CleanTech invoices in accordance with the slander terms of Net 30. If a purchase order is not issued, The employee authorizing the work to be performed guarantees that any invoices presented will be paid pro Prompt payment is defined as payment In accordance with CleanTech standard terms of 30 days. Invoice payment is not contingent upon payment by a third p . Interest on sl due accounts will be charged at the rate of 1.5%per month until paid.WASTE MATERIALS WHICH ARE DISCOVERED TO BE N0N-CONF0RMIN ILL HE S116J TO A001TI0NAL CMHE . TYPE OR PRINT FULL. NAME DATE I hereby certify that I have read and have the authority to bind the a a listed gen ator to the terms on rev a side of this farm. State Law requires that you keep this Receipl/Bill of Lading an file r no less the (S)years. 1-7 IM CleanTech Environmental Inc. LU 2581 S. Sunland Ave. I 1— 0 Fresno, CA 93725 �-+� EPA ID#:CAL000368136 R PRINT FUL E a Truck, Unit ID No, SIGNAT DATE The checked box is the designated recycling facility LU Z ❑ Roadrunner Glycal,Inc. © Southwest Processors ❑ Heritage Environmental )YCleantech Environmental r 4636 Industrial Center Dr. 4120 Bandini Blvd. Services LLC 5820 Martin Rd. g j Las Vegas,NV 89115 Vernon,CA 90058 284 East Storey Road Irwindale,CA 91706 EPA#NVR000088427 EPA#CAL921646037 Coolidge,AZ 85128 EPA#CALOD0330453 CL cc Ph#7021379-7179 Ph 1800/900-3366 EPA#AZD0817054D2 PH#6261812-7200 Ph#5201723-4167