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_` C1eanTech
<br /> — SERVICEORDER Oil
<br /> Environmental Inc. 95309
<br /> 2581 S.Suniand Ave. Y Fresno, CA 93725 r
<br /> Phone; 800-531-9683
<br /> WASTE RECYCLING RECEIPT 0
<br /> Name: J&�r+---a• l _4r Cuslvmer Purchase Order
<br /> i
<br /> �! Address: I �- S o Te.,r .kr. I: 51 Sales Representative
<br /> Cityr State,ZIp: Lc cl, L Pr zy Z Phone C r
<br /> EPA ID e: L 01 IZ cv�r�, ;L 1 1 17 Federal Manifest II: ;~'COI Z'5C? UAL Q
<br /> QUANTITY UNITS U.S.DOT DESCRIPTION CHARGE
<br /> GAL, USED OIL-NON RCRA HAZARDOUS WASTE,LIQUID
<br /> CA WASTE CODE 221
<br /> C - GAL USED ANTI-FREEZE-NON RCRA HAZARDOUS WASTE_LIQUID
<br /> CA WASTE CODE 134
<br /> GAL OILY WATER FROM USED PARTS WASH SOLUTI0N-
<br /> NON-RCRA HAZARDOUS WASTE,LIQUID. CA WASTE CODE 134
<br /> Wig t7RUIw1(S} DRAINED USED OIL AND GAS FILTERS Z. «%*.I _ 1 4
<br /> 7 'Kr -liS 1�
<br /> LU
<br /> � 4•ti, v } .�_� 4-CC• _ 1�
<br /> r~
<br /> to TOTAL
<br /> The attoae uaW al is %Luhru:ating o4_. _ %Iradtlstnrl a1 .
<br /> ACCOUNT STATUS I )C.O-b i Y OPEN ACCOUNT It porn Account-psytnalnt Is due nwt 3e days Or at finance charge of 1.5% M
<br /> CL per month will spp*
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<br /> gill W CleanTsch Environmental Inc.
<br /> 258 t S.Suc land Ave. 4 -N r,
<br /> Fresno,GA 93725
<br /> EPA ID 0,CALOW3W 136 ti+etw ER'S NAME- p pqW NAME
<br /> Tapck,Unit Ip No, j ■ C S1�,n1ATURE �
<br /> DATE
<br /> T?w Cf+e**d box is at.t1iEq%&Wd MCKINV%Cft
<br /> 0 Raad►wtnr+Gyltai.ft 0 50athwlst ftacmw ❑Nultaap,I Eftrgttlihe t
<br /> *E*ln.lustrllal];*tihhr Or AI X EI.urLHni SNIL Senim LK
<br /> Les Vrrpfls.1W 8.'q1 15 Vbofton.fat MW 204 Ent RnmN RCrd hkift R4
<br /> EPA r NVf7sA>tl(Ls3127 EPA 41 rX921HM7 � , �xtd.W,CA 91?�
<br /> `� a " Pill+7 02 3�'1�9 Ph r a�190433fi6 EPA 0k�I,D� EPA i G1=L►)W
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