Laserfiche WebLink
AGOG . <br /> CleanTech � SERVICE WORK <br /> ORDER <br /> C = Environmental inc. <br /> 2581 S.SUnland Ave. • Fresno, CA 93725 196154 <br /> Phone:8f]0-531-9683 <br /> WASTE RECYCLING RECEIPT r <br /> Name: <br /> [' •' — ——- <br />} Address: — — Customer Purchase Order# <br /> ' - <br /> _I CI _—� Sales Representative L h! State,Zip: <br /> h ERA 1D#: Phone#: 1 <br /> Federal Manifest#: `7 <br /> - QZJANTITY UNITS U.S.DOT DESCRIPFJON <br /> GAL. USED 01—NON RCRA HAZAAp0L1S WASTE,LIQUID CHARGE <br /> CA WASTE CC DE 22 <br /> yy USED ANTI-FREEZE—NIaN T GAL. RCRA 13 HAZARDQ <br /> CA WASTE CODE US WASTE.LIQUID l�' <br /> CODE .4 <br /> GAL. OILY t+VATER FROM USEL]PARTS NON-RCRA WASH SQLUTJON— 1 <br /> H <br /> A7�4ADfJUS WASTE,LIQUID CA WASTE CODE 134 <br /> Z DRUMIS) DRAINED USED OIL AND GAS FILTERS <br /> Q TOTAL l t <br /> MONA. i <br /> ire abmm used Ni is_ [. <br /> U ACCOUNT STATUS: f ]C.O.n Lubricating oiJ <br /> ACCOUNT Indus[rial nilowt <br /> €€t � per monRh wtlr apply, 1 1 OPEN open accaurrt- <br /> PaYment Is due net 30 days or a tlnar ca charge Of T.5. <br /> Q cfl+fngroR's A07TF1GInON ala0 CtATtFltarfgr+:•f U [awfurly operaonQ in accordanu wr:h a narardo 'r'm`uggd nit Ina,the lran5pon�recrives frw>:the atsurrnry drscnhed aGerr I was+r taelirtirs acre classA pr,r5uan[,o the hwerar Act merl nerepy ed in a centre arced o l'"ding faciirty that is <br /> • r1] slandards.All rerev afORer D67 shapprnp name and a That etc CorM[nt5 of ihs Cn <br /> arrt mrormah0n repard:np known or f uspected hazards ass hW j,r marketl,and 1abe+rd <br /> rrts Incurred in lf"ppl�pn of this ohi,pal,ort.Ye+ure lot ur ociated wi[h this waste a rd arc in a!1 upacr rn P+oPer r�rttl . nsopnmem are fulr and <br /> rfalfd i am a ur P Pees Of Nrt pp;i lien shall be 1h 40s p bier:diviow.the cusN r aQ' o ftn for transport W 0 O,T <br /> •.' and Hark poet p raranle me�payinent e1Cpr}or lA,Iif r am a small quantity pent atorl is t ue. also 4naes County+ M aril the wale"1 Pa}reasbnabte cosr and ahomey <br /> S� <br /> r +'' AerrorrnM guarantees Jran7tch inverCes in accordanca wrlh the standard+erns of Net 3d Q"n suiement iden1!f*d in Q <br /> tr`. nvp e l airy rn"dce5 txe5enfed wi0 be paip pram Arum a roan and noose r4 the 4nrr5 on tn,s fo_ <br /> paYrr,attt[S`Idt COnnrtpret uppd AaYa�ent fY a third P+paymrn[i5 dehned as St Dhkr E tlpl muw-me MR a9[h irprrt <br /> t -: w+IICNARF olscavFn�o i0 tiF XON-LQIaFJ]RMJHt;w1J L 9F 5lr6JEJ T17a+1110IT18Mayl C RHARGEg�ct,arpp a+she ra, ; �I`BASTE rrw HMAc ALg <br /> mop, n 11��r1E <br /> TYPE R PAthIT F1rJ1 <br /> JY that+have read and hart the author! p s SJ rUAE <br /> tfk rtherafdr dad Transporter kte Na tptm fo to bind rin abore iis[rd rneraidr[o aAT'E <br /> d,,kfWhom of Ne waste.crud P on 15 j for a minim the terms found an tiolh me <br /> mp that ht waste is Se r of i3}yid 5 I herebyf tom and baot or this form <br /> waste srream rsfnd a 0 1ed and is not cumen Jed ctrtdy ma!afl rnfarmaten air Ifris arsd a9 attarlrad char stale raw rc u t o"rnn,pkes w,lr.the WaSle Prof;k an O K*Ih other waste stmams.A5 4ar w[hat Oath <br /> and co lfueets found allow Am anckanpd Par eH Fs record for the dasignatsd Faui Gnmeralor! `�cOnmm frue and accurate <br /> eft of Ir4lr tinny Ganetetp Ntaala Pwlf♦e "t1 This dacumaril sdrves at Cqr IN our SO FPA I0 f is demo 'rp <br /> waste strearoa,I dec4re under Penally Of Perjuryhor Ne foregoingWorkatea!add a+so acts as the ahnIm*n i Wlion that Iha wy— setamlFJ dlscrlptton <br /> --•. rs We and currecr rlflr7tleo ra the Generator With;Prom# <br /> Uj Clean Tech Environmental inc. <br /> M 2581 S.Sunland Ave,f0 Fresno.CA 93725 <br /> n EPA 10#:CAL000368136 <br /> d ER' NAM - r4i4PPI14T CC FULL NAME <br /> ` a <br /> i_ Truck, Unit ID No. <br /> - 0 The chedted box is the desi SIGNA U E zGr <br /> Z <br /> � grated recycling facility ATE <br /> Z � ❑Roadrunner Glycol.Inc. <br /> — 0 Southwest Prcoessars <br /> >. [k lrrdu5tiial Center Dr lierlgge Erforannlental <br /> egos.dN 89115 Al2G Bandini Blvd. <br /> ul �Ii EPA�uVRUf100ggg27 Veman,CA 90058 SeCOMS LLC ❑Clearltech Enwlro-nmerltaJ <br /> a Ph i 70P1379-7179 EPA#GAL9216461137 284 Fast Storey Road 5820 Martin Rd. <br /> Ph!BpprS00.3366 CoolJd e. B5128 Ifwitldale.CA g1706 <br /> EPA 0 AZD08t70MG2 EPA#CALMM0453 <br /> Ph#52V23-4767 Ph#8761812-7200 <br />