Laserfiche WebLink
SERIVICE-AIL <br /> CleanTech <br /> SERY E WORK <br /> RdER <br /> Environmental Inc. 9 5 065 <br /> 2581 S.Sunland Ave. • Fresno, CA 93725 <br /> Phone:800-531.9683 <br /> WASTE RECYCLING RECEIPT <br /> Name; Customer Purchase Order 0 <br /> Address: Sales Representatn+e <br /> City, Stater Zip: L-w•f'•' G , Phone <br /> EPA 11)N. Federal Manifest#:a of S r <br /> OL)ANTITY UNITS U.S.DOT DESCRIPTfON CHARGE <br /> or ` GAL USED OIL-NON RCRA HAZARDOUS WASTE,LIQUID <br /> CA WASTE CODE 221 <br /> GAL. USED AN-0-FREEZE-NON RCRA HAZARDOUS WASTE, LIQUID <br /> CA WASTE CODE 134 <br /> OILY WATER FROM USED PARTS WASH SOLUTION- <br /> GAL' NON-RCRA HAZARDOUS WASTE,LIQUID. CA WASTE CODE 134 <br /> 1 LLU DMMfS] DRAINED USED OIL AND GAS FILTERS <br /> Z <br /> LaiY <br /> TOTAL -- <br /> C <br /> - The above used oil is .,Lubricating oil %rndustriai 01 <br /> t- <br /> 41 ACCOUNT STATUS: f ]G.O.Q. f 1 OPEN ACCOUNT If open Account-peryment Is due net 30 drys or ae rm arce charge of 1-5`6 <br /> ■ �'' & per month wfll apply. . <br /> 0 eENERATOR$NOt1FICATION AND CERTIFICATION,Any used oil that We uanspOrter recam from du gertrattir wig be earlsported to a eerlrfied ueed od rKyebrig tivICy thal a <br /> 0 Fa.YrA operating In w-tvdar"with a mardous'Haste laaritles Permit wued pursuant to the Federaf Act I huery denl7re tful ore win"nts 01 thus consgnaieht art hilly ano <br /> LIJ XeurjWy d#Crhbed NKNg by VIA proper DOT snrpping horns and are classrtied.packaged,marked,and tabled and are in as a3pect5 in ofoper w dmmi our truzwn by D.o T. <br /> ft] snrdards AR n t vwl mfprmapdn reprdatg Mown dr suspected hazards associated with this waste has bell disddaed.lire CUStX1W agent to nay rrasanabre pest and aaWfrey <br /> fees narured tw WA%'bdrl of IhrS ObfiQ w Vem for PUTOsee of this 00gallon shaG be M Lde Angeles County I Ce&o INI ttx waste nenimrahpn SJa rmnrt,iBtntrhed in 40 <br /> Gip M227(alm I am a ergs yr{&WY gerkraCor)or fill)fit 1 am a small quarrtrty generator}JS true.I aiN aCkrlpllledge SW I lave read a+d am to the term W Inds form Odor trait <br /> and back svfw guar mw the aaymeat ar ClemTecb hwortes rn atCmatrltr wish the stafldard terms of Mat 30 mys N a pumriase Drder is hot issued.the wrioeiyee auroff mg the <br /> work pototnned gW rahTtts Mal any mom presented hnlf be prd promptly.Prdrrrpl Wmwm a defined as payment in acitordante win Calmleo standard terms of net 3G dan <br /> frvarLe Piirnem 15 adh:ortl;rrg.•n!upon payment by a mod parry into rtst on past due arcoorns+nU be charged al ore rate oft 5%pef rn"utrlh pad m td-NAM MATERIALS <br /> WHICH ARE DIECMRED TO K NW-CONFORMINO WILL K SUII.IECT TO ADOITIORU CHANGES. <br /> T t <br /> TYPE OR PRINT FULL NAMEE SIGNATURE DATE <br /> . ' i flier w cv*tha I him rod and Uira the au kit to brad Iha abdre Yahoo generator in the[VMS found On Irdtll hire trpnt aM bad of Ina loan.Stale Law rMwa vul troth <br /> �. the Gerrerarar add TrarnpdrW kelp the form on rre 1041 rmnlmum of f3)years I hereby certdy INN all miprmalron in this and all jnarhM]orurxnT5 rorrain true and accurate <br /> -f d1nurlprlorrS or cite MrnS r kKiodrng IPM the w75r4 r5 i"Fopaled and JS not wmlPgled with of her waSte sheams As me Gede ralor I aLkne*xcge fto:; 5•7e EDA C:if IS aCJYP The . <br /> waste stream hVed abo"Complres with The wide Roflie on record for me desrgnaud Faculty T1ie dusereat earns se wrote*rerW4"Ela prat pre was"S"anlsl daunpdon f <br /> �+ r and m0 eata 10OW elan an saceaepad per Ilia Fscif4 Gi neralor Waste Plaint Wwhboel and atso acts as the lnnaal witten wariltatfan for hoe Generator waste Prot% <br /> Waaftelreal el Imasir wide eWahRs.I OKI;ra under Warty of perjury that tiro foregoing o live and correct. <br />+ CfeanTech Environmental Inc. <br /> 2531 S.SUnland Ave. <br /> Q Fresno, CA 93i25 <br /> D RIVER'S NAME- E OR PRINT LL NAME <br />` 0 EPA 1D N:CALOOD368136 <br /> f� Lr f L d <br /> TrUCk, Unit ID No. SIGNATURE DATE <br /> I <br /> y The cflecked box is the design ted recycling facility <br /> R C C9 <br /> u� ©Roadrunner G�col,lnc- ❑Scuthwest Processors ❑Heritage Environmental Q Cleanlech Environmental <br /> 406 indostrial Center Dr. 4120 Bandlni Blvd. Services LLC 5$P0 Wrtin Rd- <br /> Lets Vegas,NV 89115 Vernon.CA 90058 284 East Storey Rciad Irwindale.CA 91706 <br /> 4 EPA I NVRU0 BU27 EPA#C4921646037 Coolidge,AZ 85128 EPA I CAL0DMO453 <br /> Ph 17021379.7179 Ph 1800MO-3366 EPA ff AZ008170M402 Ph 1621'bJ812.7200 <br /> Wj <br /> Ph 152,1723.4167 <br /> L <br />