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� C ==lean `Tech SERVICE WAR ORDER Environmental Inc. 164636 2581 S. Sunland Ave. ■ Fresno, CA 91706 Phone: 800-531-9683 �- r f WASTE RECYCLING RECEIPT Name:kinDndro Customer Purchase Order# Address:1515 Hoff D "-vu Sales Representative HD t�F City, State,Zip: f ntin CA S Phone#: ' M_2_5_,5 EPA ID #: —A1_qajUtij0jK2 Federal Manifest#: 2` QUANTITY UNITS U.S.DOT DESCRIPTION CHARGE 3GAL. USED OIL—NON RCRA HAZARDOUS WASTE, LIQUID 700 CA WASTE CODE 221 � GAL. USED ANTI-FREEZE—NON RCRA HAZARDOUS WASTE,LIQUID CA WASTE CODE 134 OILY WATER FROM USED PARTS WASH SOLUTION— 4 GAL. NON-RCRA HAZARDOUS WASTE, LIQUID. CA WASTE CODE 134 DRUM(S) DRAINED USED OIL AND GAS FILTERS 2 Lu C� Q 00TOTAL r Fes, The above used oil is %Lubricating oil %Industrial oil LU ACCOUNT STATUS: }C.O.O. { )OPEN ACCOUNT If open Account-payment is due net 30 days or a finance charge of 1.59 Q per month will apply. QGENERATOR'S NOTIFICATION AND CERTIFICATION:Any used oil Ihat the transporter receives from the generator will be transported to a certified used oil recycling taollity that is L3 lawfully operating in accordance with a hazardous waste faviiilles permit issued pursuant to the Federal Act.I hereby declare that the contents of this consignment are fully and W accurately described above by the proper DOT shipping name and are classified,packaged,marked,and labeled and are in all aspects in proper corndrlim for transport by D.O.T. M standards.All relevant Information regarding known or suspected hazards associated with this waste has been disclosed.The customer agrees to pay mzunahla cast and attorney 0 fnas Inc.iirred in the collection of this obligation.Venue for purposes of this ONIgatfon shatI he In Los Angeles County.I certify!hat the Waste minimization slalement Identitled in 40 CFR 26227(a)(R I am a large quantity generator)or(b)(II f am a small quantity generator)is true.I also acknowledge that I have read and agree to the Perm;an this form hath frons and hack.Signer guarantees the payment of CIaanTech invoices in accordance with the standard terms of Net 30 days.If a Purchase Ord ar is nat Issued,the employee auIharizing the work performed guarantees that any invoices presented wlll he paid promptly.Prompt payment is definad as payment in accordance with CleanTech standard terms of net 3e days. Invoice payment is nut contingent upon payment by a third pa fly,Interest on past due accounts will be charged at the rate of 1.5%per month until paid In lull.WASTE MATERIALS WHICH ARE DISCOVERED TO BE NON-CONFORMING WILL BE SUBJECT TO ADDITIONAL CHARGES. AalmW4 5AA&— , /0—� TYPE OR PRI LL NAME N DATE I hereby certify that I have read and have the authority to bind the above listed generator In the terms found on both the front and back of this form.Slate Law requires that bath the Generator and Transporter keep this form on file for a minlmunt of(3)years.I hereby certify that all inIarmed Ion In this and all all ached documents coplaII true and accurate descriptions of the waste including that the waste Is segmgaled and is not cornfngled with other%waste streams.As flit Generator,I acknovrledge that our site EPA to#is active.The waste stream listed above complies vrith the Waste Profile on record far the designated Facility.This document serves as written verification that Ilse waste slreamis}description and consftlueols found above are unchanged par the Facility Generator Waste Profile Worksheet and also acts as Ike annual written verification forthe Generator Waste Profito Worksheet of these waste streams.I declare under penalty of perjury that the foregoing is true and correct. it CleanTech Environmental Inc. Lu 2581 S.Sunland Ave.cc J� ►� n 4 o Fresno, CA 93725 DRIVER' AM OR FULL NAME cin EPA ID #:CAL000368136 101-le- H Truck, Unlit ID No. —7i/lo SIGNATURE DATE C5 The checked box is the designated recycling facility Ul Z 0 Roadrunner Glycol, Inc. ❑Southwest Processors ❑Heritage Environmental 1 Cleantech Environmental v 4636 Industrial Center Dr. 4120 Bandini Blvd. Services LLC 5820 Martin Rd. > v Las Vegas,NV 89115 Vernon,CA 90058 284 East Storey Road Irwlndale,CA 91746 0 EPA#NVROOD088427 EPA#CAL921646037 Coolidge,AZ 85128 EPA#CAL000330453 LU W 1IL cc Ph 4 7021379-7179 Ph#8001900-3366 EPA#AZD081705402 Ph#6261812-7200 Ph#5201723-4167