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— i SERVICE, Wit <br /> + t= Cie ' nTec <br /> ORDER <br /> Environmental Inc <br /> 19513� <br /> 2581 5.Sunland Ave. • Fresno,CA 93725 <br /> Phone:800-531-9683 <br /> WASTE RECYCLING RECEIPT <br /> L 1 Customer Purchase order# <br /> -- <br /> Sales Representative <br /> Address: <br /> Khans <br /> City,state,Zip: ! ' <br /> - -� Federal Manifest#: <br /> EPA ID#: CHARGE <br /> QUANTITY UNITS U.S.DOT DESCRIPTION <br /> GAL. USED OIL—NON RCRA HAZARDOUS WASTE, <br /> LIQUID <br /> CA WASTE CODE 221 <br /> SFD ANTI-FREEZF—NON RCRA HAZARDOUS WASTE,LIQUID <br /> U <br /> GAL. CA WASTE CODE 134 <br /> GAL OILY WATER FROM USED PARTS WASH SOLUTIQN— <br /> NON-FICRA HAZARDOUS WASTE,LIQUID- CA WASTE CODE 134 <br /> 0 — <br /> DFtUM(SI GRAINED USED OIL AND GAS FILTERS <br /> cc <br /> z <br /> Lu <br /> 4'3 <br /> ' TOTAL <br /> m %Industrial oiI <br /> p Lubncaung ails— or a finance Charge of 1.5% <br /> i W The auowe used ail ls�OPEN AccCUNT H open ACCOUnS-�yrnent is due not <br /> C.O.P. i } <br /> w ACCOUNT STATUS: t } use gH reCyellnp laclilvty that is <br /> J per month i llt applY. t°a[xrolled men!are fully and <br /> _ - Q usEC oil <br /> !hat tPk transporter rete�ves Irwn line 1 Y�%ern t TfrE CO�knt*+of rM5 Cun5+4r' <br /> r GENEHA7DR's NOSIFIC' AND CERTIFICATION.Arty aril and isbeled and are m ar sso"n p"Te-to� far INnSpan b3 DA 7 <br /> - 0 rawiulYy oFeratinq'n accartlar+te with a ha2ardous yld3le lacilit�es permh issued pursuant to the Federal All Y hete0y Py���cos!and rtarT�'1 <br /> at[uraiery des:.r+mod aarue by lire Rr�r POT snipping Hama and ark classified.Rat�� m <br /> I ttrtdp t1 a1 the waste mmimvauan statement+dentdted in dU <br /> W starrdards Ae rem% nl rntarrnation regarding klrOwn cr su54ected hararlYs assac+ated wnfi In¢waste has treen d sclased The Cnstonxr r� p terms on INS form bath ifent <br /> - m eneratar)is!rue I also 1000WIlill that I have read and ag he employee autrrorron4 the <br /> { tees rncurrad in Vie caNecua+'of this o-Gfigahon Venue tar purposes of this ablrgaUon stylk he rn Los Angebs Ceunh ll a PrMt�e9e G'�"s���t <br /> ■ CFR 26N7�alyd:am a urge Qual ger<arat l OF(bI l,l I am a shalt quantity q <br /> ment ks tllhnM as pey+nevtl m atxortlarta wi171 Gleeniech standard'or <br /> o-1 net 30 days <br /> a b7Gk �r guaranises the payment of GleauTech nv9+ces in accordance P o-mPt star'dal terms of a a manlh until Pero in lurk WA$7E MATERIALS <br /> egrk perlomted guarar7l#s daI any ilryol presented will he paid prom p!y. <br /> IiTvl)rLf rlo rined t oral illesW t a upon pa'lment by a 1tilIR party nlereet on pas!due aCL4ueLt5 will bE CTurged it ilia rate D!1.5ti per <br /> trtIHIGN ARE BfACOYEiI�To BE NON-011FDRMIIiG WILL 9E SUDIECT TD 146ntttONAL CHARGES. <br /> S+�` ' <br /> PATE <br /> ;+ t- ` r' IGNATURE <br /> i Tlis <br /> YPE 4R PgINT fULL NAME <br /> that I have teed and Rase the authorlly to hind the above Ilsletl gene atrar l0 111e terms 1ptrntl On both Cite 1roM and 4aUr of this term Su1e Law t ue an that rate <br /> I'Wil'eddy rhaT 4ul,sale EPA la i a active the <br /> the yltgr and TrarrSportar keep Ins Farm an the for a a d and rsgn. com pled with l erlwis Eta rleams A51ohe16arlerat0 r as 4 this wdedge u 3Ten 5 Contarn true and accurate <br /> wintris <br /> I descnlltr�'at the*asia inLlddinp that the waste rs se9re9 <br /> - r m 1r51ed abo-ve Corr}plres wnti lnid oar the FeeHYtirGenatilo mVradr 4rallh FWori?astle�land etsa�etse s the ennuarin Ran rilnnwtulhnker the Genera or 9lfe�porite <br /> rASiE 5'.ei _ <br /> a, eorrslYlue+ds leerait sireame.et deClare under penally of perjury that the lare9olag is true an4 Cprtetl. <br /> weexotet er these <br />�} 10_. <br /> CleanTech Environmental Inc. r <br /> • w 2581 S-Sunland Ave. <br /> Fresno,GA 93725 DRIVER'S NAME•TYPE OR p INT FULL NAME <br /> 0 <br /> D6 EPA 10 #:CAL0003681315 <br /> /1 ' C1AT7< <br /> _ SIGNA <br /> a Truck, Unit ID No, <br /> r <br /> x is the desigrlated recycling#aCility <br /> The checked b° ❑Southwest Pracessors ❑Heritage EAVironmental 0 n Rd <br /> W z t~ Roadrunner ByeoE,lnc. Sertilces LLC Irwindale,CA 91706 <br /> 53 <br /> #— 4124 Bandini Blvd. 284 East Storey Road <br /> h 1 ~ 4636 IndusIn3l Centel Dr, Vernon,CA SM58 Coolidge.AZ$5128 EPA 1 C,AL{IO�� <br /> V J Las Vegas.NV 89115 EPA CAL92164b�37 Ali 6812-720D <br /> '• X 0 d EPA i NUROd0088427 ph t g00,1( U 3366 EPA i pZp081705442 <br /> W 1,11161 W Phi 70ZP379.7179 Ph s 5201723-4167 <br />