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5ER O�WORKerr: _ == CleanTech— Environmentalf Inc. 2581 S.Suntand Ave- • Resna, CA 93725 1 1 Phone;800-531-9683 WASTE RECYCLING RECEIPT 0 ' E Customer Purchase Order# AI 12 t, J . Sales Representative C-ty.am,T-IIy'- L. r r i L u F Ph" R li t_`M ID f: I L f CYO 21,4 1 j 14 Federal Manifest e: � ✓ y 61✓ r! Q UANTITY LlII U.S.DOT DESCRIIP'TiON CHARGE �- , USED OIL-NON RCRA HAZARDOUS WASTE.UQUID 0 WASTE CODE 221 GAL USED ANTI-FREEZE-N0N RCRA HAZARDOUS WASTE,LIQUID CA WASTE CODE 134ir {. OILY WATER FROM USED PANTS WAsm SOLUTIOM- GAL NON-RCRA HAZARMUS WASTE,LIQUID- CA WASTE CODE 134 F)FR AkAI3] DI USED OIL AND GAS FI I 0.1",V1 r s tj -5 ily TOTAL %Irdusirlal al t xrT$XA'TUS; If )C.O.I], I }OPEN ACC.DUMT N open Aeecwni-PVPT&M to dulls net 30 days a a flnems AL PolarWiD4M we 2001@EW Calarga aT 1.3iJ< al'9R-3 MM AN MWIslCll'row Ary Mod:dl ihai die frarypr?rw rerrM I'm The w*rKw wig he Irmegofw io a WRNled used Oil ncyturrq TacXrry ow ra �5 4i AWr&tNttir'YwS AUM*jft3 Dwrm raww pur; fit 1}W wnl to t F§W*AEI.I PwtW*Kw. iTk Carsiflfi 4r 1Mi Cpnwf"rq tie TuII�!an0 afa fly INS M. shppp4 by VW and ir7 f' 9erlled-wkbgW rnarted Ind labeled and Are in aN aipec'ts in Proper cnndd'w IOr kanaport O.O.T. �p sisndarTs aio ral6uar-r,�67ririNlyi,regixdRaie kridwn or sugpatied httxde aeeaUM- MM IMf wae4 tva been dKcI4,W.The cuaw,*borne to My reasonable coat VW IMor Y 4M-ru jrrs?M ft xw'sidr M me ow"Ma.Vgw For pr✓—of Om otldr w stag W M Lw Any'le"CwI 1 w*Irg1!h!wau Mkwrkww it7lhnanl 09019111114140 UP 2LM?jIXr!,am x srp"Mriy per.Arylo/I dr(b)It;Ant t Sing puinrIto?*nm7T&r1 it I".i ilea ackMw*gm rToaS I beta rind and apse to the Ierms on IMi form ban from 3 AM 0*k 5rrjnlr p kwwVters the RYn'OI t.�T401 #WAS iP,XfAf4WA wo tM fhndara rerun ni"M 30 eW S N a P hens re ruder N rqi taaurd,the em wir4 We wmro41worees�any Vww's'reaeneed web rx Pw tint Preempt paylrxrg M det mid ai AaY Ia+T n P rrrjm@4Cr wah Gi W UU p"aWhorhin0 the f� IrNX,tl yayrryr,,e not�fi;n'�^I,�ih G7I�-0f 16�a r`.+rl tarty Intl"sl an Ater drx wcmwm wig De charged x the Fall,dl i 5%W rhp111h unlit Aaki n, full.WASTF MATERIALS 120E whlfEal M1E BoAC4#IM A 0E Nfila lAf�OalafNl6 MU M KIIdkCT TO ADWr* AI CNAAM ^G�; '�-'"ram ►� TYPE GF PR1N r FLU NAI,IE 61CiNA? FIE C7ec Q air • i"e46Y a'WV Irwt I IgeA read and 119ry fie a'400111 b bind MM abrrAl grhd genaraldr 10 lr,e urine rdrrrrd Orl Ila7r Mil,1rdtR and back D3!r me Generaror bed 7rarripdree•yelp VIA WM do he fur a l INNIm ri r•r,Iris l negby Eartdy ihrn ra rn} II f0FM BW low requlrn Burl balk d!Ttr p,bSrr ai the Maebr lnU„!,nq lHrr lM 1igeTe+e sA6re4af+d and it PIN MITIItion m lMe and 23 AnKMd dm rwdl conlaln ITUe and anal,Mla *xp+srreew,aa111 iCaM rJm.pkn WO the Waft Prii,ie 0 FW&d Sze Ilre �M arrlr r WtSTt elrearne As f*CeanerSof-1 gV sitili 1 7Nh does~abase a w}M M Mrllka�bol ft'�IM�IWI E*89RHII description a�a Nrr�aiarf ane wraaa,rpaf per INe FacNlap paNeraMe waw Noll Warkahoal air auw oft,,Ihr aNri,al afiyllaR aarlMplliaa far eu OallMlor Walla Prdllla fT 1lierlrwrM if/Iarr VIM Was=-i dmiars under pr wiry df psrorlr that IM Tn+egrNrq y Ifue.rod cgerkr CWnTeM&*roTrcTrlarTtal Ir7C. p 2581 S,SuMaM hue. F/eaf14, CA 93725 EPA 10 A:CALODD368136 DRIVER'S NAME-TYPE Oft PRINT FULL NAME � . Truck, Llrwt ID No. t31CiNATURE i Ths Ct}ealced box K 11*d@sigrlarfbd rwycll }scfi DATE 11 w nG BY EI ReardrUFXW GF�W.Inc. 45M lrlrluslrtal comfit dr. r�Procelrepre Cl Heritage Environmental r Ve y P,91 t5 4120 Bandinl Blvd. SerotAll LLC '1 u'eantech Envirflnment1l � 1 ' Vernon,CA 9€1Q5d 5B20 Martin Rd, EPA N NVROG0r168i27 284 East$lorey Road J 111 + EPA 0 CAL92IPA"7 Conlld Irwindale,CA 91708 r PA rf121379 717ff Ph 1917f11 M3366 EPA P AZD081705402 EPA#CAL000330453 Ph 0 5201123.4167 Ph 8201a12 7204 * ........................... !� r, �..,_