Document 9JDZ7Vn7vObzgvbjmVVqxJ5pL
Region 6 - Enforcement & Compliance Assurance Division
INSPECTION REPORT
Inspection Date(s):
Media Program:
la
(s
Company Name:
Facility Name:
Facility Physica l Location:
(city, state, zip code)
Mailing
ss :
(city, state, zip code)
County/Parish:
Facility Phone Number
Facility Contact:
F I rJ
I
Resource Conservation and Recovery Act (RCRA)
San s or
e e 0 s i(
Vertex Energy
H&H Oil - Dallas-Fort Worth Region Facility
4857 Knob Hill Road, Suite 102
Azle, Texas 76020
7 0 Hi l
I it 0
Azle, Texas 76020
Parker County 281 - 799 -8576
I
Director of Regulatory Affa irs
FRS Number: Identification/Permit Number: Media Identifier Number: NAICS : SIC :
TXR000081525
Personnel participating in inspection:
John Penland
EPA Region 6 - ECAD
Elizabeth Pham
EPA Region 6 - ECAD
Senior RCRA Inspector RCRA Inspector
EPA Lead Inspector Signature/Date
Supervisor Signature/Date
JOHN PENLAND
John Pen land
DEBRA PANDAK
a an
Digitally signed b "JOHN PENLAND
Date: 2026.04.03 3:01 :25 -05'00' Date
Digitally signed by DEBR APANDAK Date: 2026.04.03 13:41 :5 >-05'00'
at
6ENFORM-019-R9 {02/27/2025)
1
Vertex Energy/ H&H Oil - DFW Region Facility February 25, 2026
Section I - INTRODUCTION
PURPOSE OF THE INSPECTION
On February 25, 2026, at 11:47 a.m., we, EPA Region 6 inspectors John Penland and Elizabeth Pham, arrived at the H&H Oil - Dallas-Fort Worth Region {H&H DFW) facility for an announced inspection. We began this inspection with an opening conference where we presented our credentials to the Director of Regulatory Affairs, Scott Ehrlich, and explained that this inspection was conducted pursuant to Section 3007 of the Resource Conservation and Recovery Act {RCRA), 42 U.S.C. 6927. The scope ofthe inspection was to evaluate the facility's past and current operations for compliance with RCRA, with a specific focus on the used oil management standards at 40 CFR part 279. The inspection included a physical examination of the facility and interviews with facility staff.
This report serves as documentation of all on-site activities and observations during the inspection of the H&H DFW facility. Unless otherwise specified, the statements cited in this report reflect those claims made by facility personnel or documents reviewed during the inspection. A summary of all areas of concern (AOCs) identified during the inspection is provided in Section Ill.
FACILITY DESCRIPTION
Prior to November 2023, H&H Oil leased and operated a site located at 206 County Road 4384 in Decatur, Texas as a used oil transfer facility. Although they were operating as a transfer facility at this Decatur location, H&H Oil had only registered as a used oil transporter under 40 CFR part 279, subpart E {Used Oil Transporter and Transfer Facility Standards) [AOC 1]. Under this notification for their Decatur location, the facility received EPA ID TXR000081525 in August of 2013. At this site, H&H Oil operated three bulk storage tanks, consisting of two 20,000-gallon used oil tanks and one 8,800-gallon tank for used antifreeze, as well as a warehouse unit for managing used oil containers. H&H Oil ceased operations at the Decatur site in November 2023 and closed its storage tanks. H&H Oil subsequently relocated its used oil transportation operations to the current location as H&H DFW at 4857 Knob Hill Road, Suite 102 in Azle, Texas.
H&H DFW currently occupies an approximately 1-acre parcel of property leased from the company Roll Out Logistics Inc. This facility consists of a single warehouse and parking area secured within a chain-link fence. The warehouse is used for the storage of equipment and clean, empty drums intended for distribution to H&H Oil customers. The facility parking area is used to park their vacuum trucks overnight and a box trailer used to store drums containing used oil filters that have been drained. In contrast to its operations in Decatur, Texas, H&H DFW does not maintain any storage tanks for the management of the used oil it collects. The facility serves as the operations and dispatching hub for the collection of used oil in the DFW metroplex, but they do not hold used oil at this location for more than 24 hours.
2
Section II - OBSERVATIONS
Vertex Energy/ H&H Oil - DFW Region Facility February 25, 2026
On February 25, 2026, we inspected the site to document current activities and the status of units previously used for used oil management under 40 CFR part 279. Photographs documenting facility conditions and inspection observations are included as Appendix 1. Our observations are summarized below.
Used Oil Collection Process
H&H DFW collects used oil, used oil filters, and antifreeze from motor vehicle maintenance shops in the DFW area. Each pick up is documented using a "Used Product Shipping Paper" (Appendix 2), which includes a signed certification from the Used Oil Generator indicating their RCRA generator status as a Very Small Quantity Generator and that the used oil has not been mixed with any non-complying materials. According to Mr. Ehrlich, each driver also screens the vapor above the used oil with the Elitech CPU-lG for halogens but does not analyze the halogen content of the used oil through any other test method at the collection location as required under 40 CFR 279.44/279.lO{b){l) [AOC 2]. The collected used oil is then transported to their leased rail siding located at the end of Greenleaf Street near downtown Fort Worth, Texas. It is then loaded onto one of Vertex Energy's rail cars and transported to the Vertex Energy Used Oil Processing facility located in Merrero, Louisiana. The Merrero facility conducts halogen analysis on each railcar of used oil received.
Used Oil Filters
H&H DFW collects the drained used oil filters in 55-gallon drums and transports them to the Azle facility. These filters are accumulated in a trailer at the Azle facility before being transported to JCN Recycling in Pittsburg, Texas. At the time of this inspection, the box trailer was located onsite and held approximately 40 drums of used oil filters. Refer to photo 2 in Appendix 1.
Section Ill - AREAS OF CONCERN
The inspection concluded on February 25, 2026, with a closing conference attended by the Director of Regulatory Affairs, Scott Ehrlich. During the closing conference, we presented preliminary areas of concern, fielded questions from facility personnel, and provided information about next steps in the inspection process.
AOC 1: Site Identification and Notification - 40 CFR 279.42
During this inspection we observed that H&H Oil lists EPA ID: TXR000081525, as their EPA ID on shipping papers and other documents for activities conducted from the Azle facility at 4857 Knob Hill Road (and associated rail-siding operations). Under 40 CFR 279.42, a used oil transporter must notify and obtain an EPA identification number for its used oil activities, and EPA IDs are site-specific in RCRAlnfo. While H&H Oil ceased operations at the Decatur site in November 2023, those operations included the use of the facility as a transfer facility which should have resulted in the reactivation of EPA ID: TXD988081857
3
Vertex Energy/ H&H Oil - DFW Region Facility February 25, 2026
that was already assigned to the Decatur site. However, H&H Oil did not include the operation of the transfer facility in its initial notification to the State of Texas. If the Azle location or the Greenleaf Street rail siding operate as a used oil transfer facility (i.e., used oil is held during transportation for more than 24 hours), H&H would need to notify and receive an EPA ID for the transfer facility. However, none of the notifications that H&H have provided to the State of Texas have included any reference to the operation of a transfer facility.
AOC 2: Rebuttable presumption and total halogen determination for transporters and transfer facilities of Used Oil - 40 CFR 279.44
During this inspection, we found that H&H DFW relies on a generator certification on its "Used Product Shipping Paper" and uses an Elitech CPU-lG to screen headspace vapor for halogens during pick-up. Drivers do not conduct any quantitative total-halogen test of the used oil prior to consolidation or shipment that meets the rebuttable presumption of used oil standard for used oil transporters and transfer facilities under 40 CFR 279.44. Instead, H&H DFW defers halogen analysis to the downstream processor in Marrero, Louisiana. Under 40 CFR 279.lO(b)(l), used oil containing 1,000 ppm or more total halogens is presumed to be a hazardous waste unless the handler adequately rebuts that presumption. H&H DFW's reliance on headspace vapor screening with a refrigerant/halogen leak detector does not provide a quantitative total halogen result and may be insufficient to meet the determination requirements at the time H&H DFW accepts and transports the used oil. H&H DFW's determination process at the time of collection is therefore wholly dependent on a knowledge-based assertion that its used oil is only collected from very small quantity generators of hazardous waste, and thus, qualifies for regulation as used oil under the exemption codified under 40 CFR 279.10(b)(3).
Section IV - LIST OF APPENDICES Appendix 1- Inspection Photograph Log Appendix 2 - Example pick up receipts for Used Oil collected by H&H DFW Appendix 3 - Record of tank closure for the Used Oil storage tanks located at the Decatur, Texas facility
4
H & H Oil - Azle, Texas Inspection Date: February 25, 2026
Appendix 1
Inspection Photo Log
UNITED STATES ENVIRONMENTAL PROTECTION AGENCY
Photograph Log
Appendix 1
Facility/Location: City: Azle
Photo No. 1 H&H Oil DFW Metroplex facility
IState: TX
Photo#:
Date and Time: Camera Make/Model: Photographer: Description :
IMG_0219.jpeg 02/25/2026 12:49:28 iPhone 13
John Penland Elitech CPU lG used to analyze vapors in used oil containers at the time of collection.
UNITED STATES ENVIRONMENTAL PROTECTION AGENCY
Photograph Log
Facility/Location: City: Azle
Photo No. 2 H&H Oil DFW Metroplex facility
IState: TX
Appendix 1
Photo#:
Date and Time: Camera Make/Model: Photographer: Description:
IMG_0220.jpeg 02/25/2026 12:48:53 iPhone 13
John Penland Exterior view of H&H Oil warehouse in Azle, Texas
UNITED STATES ENVIRONMENTAL PROTECTION AGENCY
Photograph Log
Facility/Location: City: Azle
Photo No. 3 H&H Oil DFW Metroplex facility
IState: TX
Appendix 1
Photo#:
Date and Time: Camera Make/Model: Photographer: Description:
IMG_0221.jpeg 02/25/2026 11:59:04 iPhone 13
John Penland Interior of box trailer holding containers of drained oil filters located at the Azle warehouse.
H & H Oil - Azle, Texas Inspection Date: February 25, 2026
Appendix 2
Example pick up receipts for Used Oil collected by H & H Oil
206 CR 4384 DECATUR, TX 76234
+18007771498
SelVices available: Used oil, used oil filter, used antifreeze, vacuum services & new antifreeze ,xoducts
Feb 21 , 2026
Route: DFW- UO 06
H& ~ Aoot#
50486
Route #
Used Product Shipping Paper - Document #
SveWk
8
Svo Interval
1x per week
Tonk Size
1
Truck #
DFW- 279
2,101,929
Trailer #
PO I
EPA IO# _ _ _ _ _ _ _ _ _ _ _ _ __ state 10, _ _ _ _ _ _ _ _ _ _ _ _ __
H &h Oil - Dallas 4857 Knob Hill Road STE 102 Decatur, TX 76234
EPAIDI _ _ _T_X_R_o_oo_o8_1_5_2_5_ _ _ __
state 10, _ _ _J....X....E...Q...,#IL,,<;A..8.6...1..a..a...___ _ _ __
0 Public CoUeclion l!iif Pass O Fail - Do not collect
D Pass D Fail - Do ndt colloct
H & H Oil - Fort Worth
Fort Worth, TX
EPAID I _ _ _ _ _ _ _ _ _ _ _ _ _ __ Slate ID' - - - - - - - - - - - - - -
H&H Drjver Field Screening Signature
~ Conditionally Exempt
Certificate of Generator Statu s:
D Industrial Generator EPA ID # _ _ _ _ _ _ _ __
Shipping Name Used Antifreeze Used Oil Purchase
Quantity 0 594
Unit gallon gallon
Charges
Spec,ai Handing_,,.,_ and Mdi.,..lll lnlorrulloft
IN CASE OF EMERGENCY, CALL CHEMTREC (800) 424-9300 Emergency Response Guidebook #128
1sec setf-Dectarauon
By signing this self-de cla ratl o n, t h e s ignatory c o n fi rm th e l o llo wlng :
1. UMO rerars 10 used mo10r oil collected. 2. The UMO covered under thie eelf-daclaration c:on&1ata entirely of UMO and is not mixed with any other materials that don't comply with the Vertex H&H specifieationa of
UMO 3. UMO COYered under this self-declaration meets the definition of a waste Lnder ISCC. 1his means the UMO 1s a material that Iha facility d iscards or intends to or is
required to discard and that the UMO was not ntenllonally modified or contaminated to meet this de 1nition. 4. Documentaoon of UMO coll9cted by V9rtex Is prolllded for each pck-up. 5. Aud110rs from cernfication bodies or from ISCC (may ba accompanied by a representatrva of Venex H&H) can obs e on-sI1e or by contacting the signatory (e.g. v,a
tolophono) whothor lho ctatomont:c m:ido in thic colf-doc13f3tion :iro corrocL 6. 1he nformation on lhis self-dedaration can be forwarded to and reviewed by the certification body for Vertex ard by ISCC. Note: 1he certification body ard ISCC keep
all data prolllded on this &ett-<leclaration confid9ntial.
Generators Certification
1hereby Cledare mt every eflort w.i be ma<Je to collect used al, use<! anll-lreeze, used oil ners, used oil absort>entS, and petroteum coroaa wafers in separate COllectJon vesse!S n oroer to maintain the status of each or the usoo prO<JUCt streams and the contents of !his consignmenl are fully and accualety described ard are in all aspects i'l proper cordilioo for transport by
hi!flway or railroad accoolirg to applicable Federal, State, aro Local goverrrnert r ~.
n the evert eiat lhs matenal is fo.nl to Ile hazardous waste, 1accept lhe responsil>dIty lor ,ts IJ"oper disposal and reportn;j, ,r require<I U1der Federal, State, or Local r~bons. hckJdrg
any conlamiralioo by commirghrg. U/1leSS I am exerrr by a statule or reg.Aatlon, I certify lhal I am in comptlan:e wi 5ecti0n 3002(b) of ACAA.
- = ,,....--r----i-::-r::-,'!'7""'""'!'1'!"'1rl"""_ _ _ _ _ _ __,
Feb 21 , 2026
PnudlTi T.... I maw,aj w u - a, dNiguliodl-.Y
206 CR 4384 DECATUR, TX 76234
+18007771498
SelVices available: Used oil, used oil filter, used antifreeze, vacuum services & new antifreeze ,xoducts
Feb 20, 2026
Route: DFW- UO 04
H& ~ Aoot#
35271
Route #
Used Product Shipping Paper - Document #
SveWk
8
Svo Interval
1x per week
Tonk Size
1
Truck #
DFW-527
2,104,325
Trailer #
PO I
EPA IO# _ _ _ _ _ _ _ _ _ _ _ _ __ state 10, _ _ _ _ _ _ _ _ _ _ _ _ __
H &h Oil - Dallas 4857 Knob Hill Road STE 102
Decatur, TX 76234
EPAIDI _ _ _T_X_R_o_oo_o8_1_5_2_5_ _ _ __
state 10, _ _ _J....X....E...Q...,#IL,,<;A..8.6...1..a..a...___ _ _ __
H & H Oil - Fort Worth
Fort Worth, TX
EPAID I _ _ _ _ _ _ _ _ _ _ _ _ _ __ Slate ID' - - - - - - - - - - - - - -
0 Public CoUeclion l!iif Pass O Fail - Do not collect
D Pass D Fail - Do ndt colloct X
~ Conditionally Exempt
Certificate of Generator Statu s:
D Industrial Generator EPA ID # _ _ _ _ _ _ _ __
Shipping Name Oily Water Collect Used Oil Purchase
Quantity 0 243
Unit gallon gallon
Charges
Spec,ai Handing_,,.,_ and Mdi.,..lll lnlorrulloft
IN CASE OF EMERGENCY, CALL CHEMTREC (800) 424-9300 Emergency Response Guidebook #128
1sec setf-Dectarauon
By signing this self-de cla ratl o n, t h e s ignatory c o n fi rm th e l o llo wlng :
1. UMO rerers 10 used molOr oil collected. 2. The UMO covered under thie &elf-declaration c:on&1sts entirely of UMO and is not mixed with any other materials that don't comply with the Vertex H&H specifications of
UMO 3. UMO COYered under this self-declaration meets the definition of a waste Lnder ISCC. 1his means the UMO 16 a material that the facility d iscards or intends to or is
required to discard and that the UMO was not ntenllonally modified or contaminated to meet this de 1nition. 4. Documentaoon of UMO coll9cted by V9rlex 16 prolllded for each pck-up. 5. Aud11Drs from cernfication bodies or from ISCC (may ba accompanied by a representative of Venex H&H) can obs e on-sI1e or by contacting the signatory (e.g. v,a
tolophono) whothor lho ctatomont:c m:ido in thic colf-doc13f3tion :iro corrocL 6. 1he nformation on lhis self-dedaration can be forwarded to and reviewed by the certification body for Vertex ard by ISCC. Note: 1he certification body ard ISCC keep
all data prolllded on this &ett-<leclaration confid9ntial.
Generators Certification
1hereby Cledare mt every eflort w.i be ma<Je to collect used al, use<! anll-lreeze, used oil ners, used oil absort>entS, and petroteum coroaa wafers in separate COlleclXln vesse!S n oroer to maintain the status of each or the usoo prO<JUCt streams and the contents of !his consignmenl are fully and accualely described ard are in all aspects i'l proper cordilioo for transport by
hi!flway or railroad accoolirg to applicable Federal, State, am Local goverrrnert r ~.
n the evert eiat lhs matenal is fo.nl to Ile hazardous waste, 1accept lhe responsil>dIty lor ,ts IJ"oper disposal and reportn;j, ,r required U1der Federal, State, or Local r~bons. hckJdrg
any conlaminalioo by commirghrg. untess I am exerrr by a statule or reg.Jatlon, I also certify lhal I am in comptlan:e wi 5ecti0n 3002(b) of ACAA.
------,----.-:t:"""'!'l''l""""l"l'l'f"""_ _ _ _ _ _ __ ,
ol-olM.1PnudlTi -
T.... I maw,aj w u - a, dNiguliodl-.Y
Feb 20, 2026
206 CR 4384 DECATUR, TX 76234
+18007771498
SelVices available: Used oil, used oil filter, used antifreeze, vacuum services & new antifreeze ,xoducts
Feb 20, 2026
Route: DFW- UO 18
H& ~ Aoot#
54919
Route #
Used Product Shipping Paper - Document #
SveWk
8
Svo Interval
2x per week
Tonk Size
1
Truck #
DFW-259
2,099,940
Trailer #
PO I
EPA IO# _ _ _ _ _ _ _ _ _ _ _ _ __ state 10, _ _ _ _ _ _ _ _ _ _ _ _ __
H &h Oil - Dallas 4857 Knob Hill Road STE 102 Decatur, TX 76234
EPAIDI _ _ _T_X_R_o_oo_o8_1_5_2_5_ _ _ __
state 10, _ _ _J....X....E...Q...,#IL,,<;A..8.6...1..a..a...___ _ _ __
H & H Oil - Fort Worth
Fort Worth, TX
EPAID I _ _ _ _ _ _ _ _ _ _ _ _ _ __ Slate ID' - - - - - - - - - - - - - -
0 Public CoUeclion l!iif Pass O Fail - Do not collect
~ Conditionally Exempt Shipping Name
Used Antifreeze
Used Oil Purchase
D Pass D Fail - Do ndt colloct
ii a
D Industrial Generator EPA ID # _ _ _ _ _ _ _ __
Quantity 0 175
Unit gallon gallon
Charges
Spec,ai Handing_,,.,_ and Mdi.,..lll lnlorrulloft
IN CASE OF EMERGENCY, CALL CHEMTREC (800) 424-9300 Emergency Response Guidebook #128
1s e c setf-Dectarauon By signing this self-declaratl on, t h e signatory confirm the l ollowlng :
1. UMO rerars 10 used mo10r oil collected. 2. The UMO covered under thie eelf-daclaration c:on&1ata entirely of UMO and is not mixed with any other materials that don't comply with the Vertex H&H specifications of
UMO 3. UMO covered under this self-declaration meets the definition of a waste Lnder ISCC. 1his means the UMO 16 a material that the facility d iscards or intends to or is
required to discard and that the UMO was not ntenllonally modified or contaminated to meet this de 1nition. 4. DocumentabOn of UMO collected by Vertex 16 prolllded for each pck-up. 5. Aud110rs from cernfication bodies or from ISCC (may be accompanied by a representatrva of Venex H&H) can obs e on-site or by contacting the signatory (e.g. v,a
tolophono) whothor lho ctatomonts m:ido in thic colf-doc13f3tion 3J'O corrocL 6. 1he nformation on lhis sell-dedaration can be forwarded to and reviewed by the certification body for Vertex ard by ISCC. Note: 1he certification body ard ISCC keep
all data prolllded on this &ett-<leclaration confid9ntial.
Generators Certification
1hereby Cledare mt every eflort w.i be ma<Je to collect used al, use<! anll-lreeze, used oil ners, used oil absort>entS, and petroteum coroaa waiers in separate COlleclXln vesse!S n oroer to maintain the status of each or the usoo prO<JUCt streams and the contents of !his consignmenl are fully and accualely described ard are in all aspects i'l proper cordilioo for transport by
hi!flway or railroad acoolllirg to applicable Federal, State, am Local goverrrnert r ~.
n the evert eiat lhs matenal is fo.nl to Ile hazardous waste, 1accept lhe responsil>d1ty lor ,ts IJ"oper disposal and reportn;j, ,r required U1der Federal, State, or Local r~bons. hckJc!rg any conlaminalioo by commirghrg. untess I am exerrr by a statule or reg.Jatlon, I also certify lhal I am In comptlan:e wi 5ecti0n 3002(b) of ACAA.
---,r-----,,"":"l:->'!'1'!'""""11"""'_ _ _ _ _ _ _ _...,
ol-olM.1PnudlTi -
T.... I maw,aj w u - a, dNiguliodl-.Y
Feb 20, 2026
206 CR 4384 DECATUR, TX 76234
+18007771498
SelVices available: Used oil, used oil filter, used antifreeze, vacuum services & new antifreeze ,xoducts
Feb 20, 2026
Route: DFW- FILTERS/ AF DEL 0!:\Jsed Product Shipping Paper - Document #
H& ~ Aoot#
70799001
Route #
SveWk
8
Svo Interval
Every 4 Week
Tonk Size
1
Truck #
DFW-225
2,178,084
Trailer #
PO I
EPA IO# _ _ _ _ _ _ _ _ _ _ _ _ __ state 10, _ _ _ _ _ _ _ _ _ _ _ _ __
H &h Oil - Dallas 4857 Knob Hill Road STE 102
Decatur, TX 76234
EPAIDI _ _ _T_X_R_o_oo_o8_1_5_2_5_ _ _ __
state 10, _ _ _J....X....E...Q...,#IL,,<;A..8.6...1..a..a...___ _ _ __
H & H Oil - Fort Worth
Fort Worth, TX
EPAID I _ _ _ _ _ _ _ _ _ _ _ _ _ __ Slate ID' - - - - - - - - - - - - - -
0 Public CoUeclion D Pass D Fail - Do not collect
D Pass D Fail - Do ndt colloct
X
~ Conditionally Exempt
Certificate of Generator Statu s:
D Industrial Generator EPA ID # _ _ _ _ _ _ _ __
Shipping Name Drum Delivery Filter Drums
Quantity 3 0
Unit Drum Barrel
Charges
Spec,ai Handing_,,.,_ and Mdi.,..lll lnlorrulloft
IN CASE OF EMERGENCY, CALL CHEMTREC (800) 424-9300 Emergency Response Guidebook #128
1sec setf-Dectarauon
By signing this self-de cla ratl o n, t h e s ignatory c o n fi rm th e l o llo wlng :
1. UMO rerars 10 used mo10r oil collected. 2. The UMO covered under thie eelf-daclaration c:on&1sts entirely of UMO and is not mixed with any other materials that don't comply with the Vertex H&H specifications of
UMO 3. UMO COYered under this self-declaration meets the definition of a waste Lnder ISCC. 1his means the UMO 16 a material that the facility d iscards or intends to or is
required to discard and that the UMO was not ntenllonally modified or contaminated to meet this de 1nition. 4. Documentaoon of UMO coll9cted by V9rlex 16 prolllded for each pck-up. 5. Aud110rs from cernfication bodies or from ISCC (may ba accompanied by a representatrva of Venex H&H) can obs e on-sI1e or by contacting the signatory (e.g. v,a
tolophono) whothor lho ctatomont:c m:ido in thic colf-doc13f3tion :iro corrocL 6. 1he nformation on lhis self-dedaration can be forwarded to and reviewed by the certification body for Vertex ard by ISCC. Note: 1he certification body ard ISCC keep
all data prolllded on this &ett-<leclaration confid9ntial.
Generators Certification
1hereby Cledare mt every eflort w.i be ma<Je to collect used al, use<! anll-lreeze, used oil ners, used oil absort>entS, and petroteum coroaa wafers in separate COlleclXln vesse!S n oroer to maintain the status of each or the usoo prO<JUCt streams and the contents of !his consignmenl are fully and accualely described ard are in all aspects i'l proper cordilioo for transport by
hi!flway or railroad accoolirg to applicable Federal, State, aro Local goverrrnert r ~.
n the evert eiat lhs matenal is fo.nl to Ile hazardous waste, 1accept lhe responsil>dIty lor ,ts IJ"oper disposal and reportn;j, ,r required U1der Federal, State, or Local r~bons. hckJc!rg
any conlaminalioo by commirghrg. untess I am exerrr by a statule or reg.Jatlon, I also certify lhal I am In comptlan:e wi 5ecti0n 3002(b) of ACAA.
I.
.I I
I.
f'nudlTi T.... I maw,aj w u - a, dNiguliodl-.Y
206 CR 4384 DECATUR, TX 76234
+18007771498
SelVices available: Used oil, used oil filter, used antifreeze, vacuum services & new antifreeze ,xoducts
Feb 20, 2026
Route: DFW- FILTERS WABO 07 Used Product Shipping Paper - Document #
H& ~ Aoot#
34718
Route #
SveWk
8
Svo Interval
Every 4 Week
Tonk Size
1
Truck #
DFW-242
2,093,040
Trailer #
PO I
EPA IO# _ _ _ _ _ _ _ _ _ _ _ _ __ state 10, _ _ _ _ _ _ _ _ _ _ _ _ __
H &h Oil - Dallas 4857 Knob Hill Road STE 102
Decatur, TX 76234
EPAIDI _ _ _T_X_R_o_oo_o8_1_5_2_5_ _ _ __
state 10, _ _ _J....X....E...Q...,#IL,,<;A..8.6...1..a..a...___ _ _ __
H & H Oil - Fort Worth
Fort Worth, TX
EPAID I _ _ _ _ _ _ _ _ _ _ _ _ _ __ Slate ID' - - - - - - - - - - - - - -
0 Public CoUeclion D Pass D Fail - Do not collect
~ Conditionally Exempt
Shipping Name Filter Drums Filter Dumpster
D Pass D Fail - Do ndt colloct X
ii a
Industrial Generator EPA ID #
Quantity 0 2
Unit Barrel Service
Charges
Spec,ai Handing_,,.,_ and Mdi.,..lll lnlorrulloft
IN CASE OF EMERGENCY, CALL CHEMTREC (800) 424-9300 Emergency Response Guidebook #128
1sec setf-Dectarauon
By signing this self-de cla ratl o n, t h e s ignatory c o n fi rm th e l o llo wlng :
1. UMO rerars 10 used mo10r oil collected. 2. The UMO covered under thie eelf-daclaration c:on&1ata entirely of UMO and is not mixed with any other materials that don't comply with the Vertex H&H specifications of
UMO 3. UMO COYered under this self-declaration meets the definition of a waste Lnder ISCC. 1his means the UMO 16 a material that the facility d iscards or intends to or is
required to discard and that the UMO was not ntenllonally modified or contaminated to meet this de 1nition. 4. DocumentabOn of UMO collected by Vertex 16 prolllded for each pck-up. 5. Aud110rs from cernfication bodies or from ISCC (may be accompanied by a representatrva of Venex H&H) can obs e on-site or by contacting the signatory (e.g. v,a
tolophono) whothor lho ctatomonts m:ido in thic colf-doc13f3tion :iro corrocL 6. 1he nformation on lhis sell-dedaration can be forwarded to and reviewed by the certification body for Vertex ard by ISCC. Note: 1he certification body ard ISCC keep
all data prolllded on this &ett-<leclaration confid9ntial.
Gemrators Certification
1hereby Cledare mt every eflort w.i be ma<Je to collect used al, use<! anll-lreeze, used oil ners, used oil absort>entS, and petroteum coroaa wafers in separate COlleclXln vesse!S n oroer to maintain the status of each or the usoo prO<JUCt streams and the contents of !his consignmenl are fully and accualely described ard are in all aspects i'l proper cordilioo for transport by
hi!flway or railroad accoolirg to applicable Federal, State, am Local goverrrnert r ~. n the evert eiat lhs matenal is fo.nl to Ile hazardous waste, 1accept lhe r
disposal and reportnJ, 1f required U1der Federal, State, or Local r~bons. hckJdrg
any conlaminalioo by commirghrg. untess I am exerrr by a tule or reg.Aa I also certify Iha I
ol-olM.1PnudlTi -
T.... I maw,aj w u - a, dNiguliodl-.Y
Feb 20, 2026
206 CR 4384 DECATUR, TX 76234
+18007771498
SelVices available: Used oil, used oil filter, used antifreeze, vacuum services & new antifreeze ,xoducts
Feb 20, 2026
Route: DFW- FILTERS 08
H& ~ Aoot#
68629001
Route #
Used Product Shipping Paper - Document #
SveWk
8
Svo Interval
1x per week
Tonk Size
1
Truck #
DFW-508
2,103,864
Trailer #
PO I
EPA IO# _ _ _ _ _ _ _ _ _ _ _ _ __ state 10, _ _ _ _ _ _ _ _ _ _ _ _ __
H &h Oil - Dallas 4857 Knob Hill Road STE 102
Decatur, TX 76234
EPAIDI _ _ _T_X_R_o_oo_o8_1_5_2_5_ _ _ __
state 10, ___J...X.....E...Q...,#IL,,<;A..8.6...1..a..a...___ _ _ __
H & H Oil - Dallas 4857 Knob HIii Road
Azle, TX 76020
EPAID , _ _ _ _T_X_R_oo_o_o_81__52__ 5 _ __
Slate ID' - - - - - - - - - - - - - -
0 Public CoUeclion l!iif Pass O Fail - Do not collect
D Pass D Fail - Do ndt colloct
~ Conditionally Exempt
Certificate of Generator Statu s:
D Industrial Generator EPA ID # _ _ _ _ _ _ _ __
Shipping Name Used Antifreeze Used Oil Purchase
Quantity 0 296
Unit gallon gallon
Charges
Spec,ai Handing_,,.,_ and Mdi.,..lll lnlorrulloft
IN CASE OF EMERGENCY, CALL CHEMTREC (800) 424-9300 Emergency Response Guidebook #128
1sec setf-Dectarauon
By signing this self-de cla ratl o n, t h e s ignatory c o n fi rm th e l o llo wlng :
1. UMO rerars 10 used molOr oil collected. 2. The UMO covered under thie eelf-daclaration c:on&1ata entirely of UMO and is not mixed with any other materials that don't comply with the Vertex H&H specifieationa of
UMO 3. UMO COYered under this self-declaration meets the definition of a waste Lnder ISCC. 1his means the UMO 1s a material that Iha facility d iscards or intends to or is
required to discard and that the UMO was not ntenllonally modified or contaminated to meet this de 1nition. 4. Documentaoon of UMO coll9cted by V9rtex Is prolllded for each pck-up. 5. Aud11Drs from cernfication bodies or from ISCC (may ba accompanied by a representatrva of Venex H&H) can obs e on-sI1e or by contacting the signatory (e.g. v,a
tolophono) whothor lho ctatomont:c m:ido in thic colf-doc13f3tion :iro corrocL 6. 1he information on lhis self-dedaration can be forwarded to and reviewed by the certification body for Vertex ard by ISCC. Note: 1he certification body ard ISCC keep
all data prolllded on this &ett-<leclaration confid9ntial.
Generators Certification
1hereby Cledare mt every eflort w.i be ma<Je to collect used al, use<! anll-lreeze, used oil ners, used oil absort>entS, and petroteum coroaa wafers in separate COlleclXln vesse!S n oroer
to maintain the status of each or the usoo prO<JUCt streams and the contents of !his consignmenl are fully and accualely described ard are in all aspects i'l proper cordilioo for transport by
hi!flway or railroad accoolirg to applicable Federal, State, aro Local goverrrnert r ~.
n the evert eiat lhs matenal is fo.nl to Ile hazardous waste, 1accept lhe responsil>dIty lor ,ts IJ"oper disposal and reportn;j, ,r required U1der Federal, State, or Local r~bons. hckJc!rg
any conlamiralioo by commirghrg. untess I am exerrr by a stab.Jte or ~
I
rtify Iha
lan:e wi 5ecti0n 3002(b) of ACAA.
---,.r::,::->'1:7'1""""'1'1~-----------,
olMaloriala ol-olM.1-
Feb 20, 2026
PnudlTi -
T.... I maw,aj w u - a, dNiguliodl-.Y
206 CR 4384 DECATUR, TX 76234
+18007771498
SelVices available: Used oil, used oil filter, used antifreeze, vacuum services & new antifreeze ,xoducts
Feb 23, 2026
Route: DFW- UO 16
H& ~ Aoot#
50204
Route #
Used Product Shipping Paper - Document #
SveWk
9
Svo Interval
1x per week
Tonk Size
1
Truck #
DFW-525
2,103,605
Trailer #
PO I
EPA IO# _ _ _ _ _ _ _ _ _ _ _ _ __ state 10, _ _ _ _ _ _ _ _ _ _ _ _ __
H &h Oil - Dallas 4857 Knob Hill Road STE 102
Decatur, TX 76234
EPAIDI _ _ _T_X_R_o_oo_o8_1_5_2_5_ _ _ __
state 10, _ _ _J....X....E...Q...,#IL,,<;A..8.6...1..a..a...___ _ _ __
H & H Oil - Fort Worth
Fort Worth, TX
EPAID I _ _ _ _ _ _ _ _ _ _ _ _ _ __ Slate ID' - - - - - - - - - - - - - -
0 Public CoUeclion l!iif Pass O Fail - Do not collect
Pass
~ Conditionally Exempt
Shipping Name Used Antifreeze Used Oil Purchase
ii a
Industrial Generator EPA ID #
Quantity 0 689
Unit gallon gallon
Charges
Spec,ai Handing_,,.,_ and Mdi.,..lll lnlorrulloft
IN CASE OF EMERGENCY, CALL CHEMTREC (800) 424-9300 Emergency Response Guidebook #128
1sec setf-Dectarauon
By signing this self-de cla ratl o n, t h e s ignatory c o n fi rm th e l o llo wlng :
1. UMO rerers 10 used mo10r oil collected. 2. The UMO covered under thie &elf-declaration c:on&1ata entirely of UMO and is not mixed with any other materials that don't comply with the Vertex H&H specifications of
UMO 3. UMO COYered under this self-declaration meets the definition of a waste Lnder ISCC. 1his means the UMO 16 a material that the facility d iscards or intends to or is
required to discard and that the UMO was not ntenllonally modified or contaminated to meet this de 1nition. 4. DocumentabOn of UMO collected by Vertex 16 prolllded for each pck-up. 5. Aud110rs from cernfication bodies or from ISCC (may be accompanied by a representative of Venex H&H) can obs e on-site or by contacting the signatory (e.g. v,a
tolophono) whothor lho ctatomonts m:ido in thic colf-doc13f3tion :iro corrocL 6. 1he nformation on lhis self-dedaration can be forwarded to and reviewed by the certification body for Vertex ard by ISCC. Note: 1he certification body ard ISCC keep
all data prolllded on this &ett-<leclaration confid9ntial.
Gemrators Certification
1hereby Cledare mt every eflort w.i be ma<Je to collect used al, use<! anll-lreeze, used oil ners, used oil absort>entS, and petroteum coroaa wafers in separate COlleclXln vesse!S n oroer to maintain the status of each or the usoo prO<JUCt streams and the contents of !his consignmenl are fully and accualely described ard are in all aspects i'l proper cordilioo for transport by
hi!flway or railroad accoolirg to applicable Federal, State, aro Local goverrrnert r ~.
n the evert eiat lhs matenal is fo.nl to Ile hazardous waste, 1accept lhe responsil>d1ty lor ,ts IJ"oper disposal and reportn;j, ,r required U1der Federal, State, or Local r~bons. hckJc!rg
any conlamiralioo by commirghrg. untess I am exerrr by a statule or reg.Jatlon,
certify lhal I in comptlan:e wi 5ecti0n 3002(b) of ACAA.
_.. ..
--,---...-::::'!:"'""l"l'l--,,l'l'!'J''l"I""---------,
Feb 23, 2026
PnudlTi -
T.... I maw,aj w u - a, dNiguliodl-.Y
206 CR 4384 DECATUR, TX 76234
+18007771498
SelVices available: Used oil, used oil filter, used antifreeze, vacuum services & new antifreeze ,xoducts
Feb 23, 2026
Route: DFW- UO 02
H& ~ Aoot#
56544
Route #
Used Product Shipping Paper - Document #
SveWk
9
Svo Interval
1x per week
Tonk Size
1
Truck #
OKC-265
2,102,669
Trailer #
PO I
EPA IO# _ _ _ _ _ _ _ _ _ _ _ _ __ state 10, _ _ _ _ _ _ _ _ _ _ _ _ __
H &h Oil - Dallas 4857 Knob Hill Road STE 102
Decatur, TX 76234
EPAIDI _ _ _T_X_R_o_oo_o8_1_5_2_5_ _ _ __
state 10, ___J...X.....E...Q...,#IL,,<;A..8.6...1..a..a...___ _ _ __
H & H Oil - Dallas 4857 Knob HIii Road Azle, TX 76020
EPAID , _ _ _ _T_X_R_oo_o_o_81__52__ 5 _ __
Slate ID' - - - - - - - - - - - - - -
0 Public CoUeclion l!iif Pass O Fail - Do not collect
~ Conditionally Exempt Shipping Name Used Oil Purchase
D Pass D Fail - Do ndt colloct X
ii a
D Industrial Generator EPA ID # _ _ _ _ _ _ _ __
Quantity 361
Unit gallon
Charges
Spec,ai Handing_,,.,_ and Mdi.,..lll lnlorrulloft
IN CASE OF EMERGENCY, CALL CHEMTREC (800) 424-9300 Emergency Response Guidebook #128
1sec setf-Dectarauon
By signing this self-de cla ratl o n, t h e s ignatory c o n fi rm th e l o llo wlng :
1. UMO rerers 10 used mo10r oil collected. 2. The UMO covered under thie &elf-declaration c:on&1ata entirely of UMO and is not mixed with any other materials that don't comply with the Vertex H&H specifications of
UMO 3. UMO COYered under this self-declaration meets the definition of a waste Lnder ISCC. 1his means the UMO 16 a material that the facility d iscards or intends to or is
required to discard and that the UMO was not ntenllonally modified or contaminated to meet this de 1nition. 4. DocumentabOn of UMO collected by Vertex 16 prolllded for each pck-up. 5. Aud110rs from cernfication bodies or from ISCC (may ba accompanied by a representative of Venex H&H) can obs e on-s,te or by contacting the signatory (e.g. v,a
tolophono) whothor lho ctatomonts m:ido in thic colf-doc13f3tion :iro corrocL 6. 1he nformation on lhis self-dedaration can be forwarded to and reviewed by the certification body for Vertex ard by ISCC. Note: 1he certification body ard ISCC keep
all data prolllded on this &ett-<leclaration confid9ntial.
Generators Certification
1hereby Cledare mt every eflort w.i be ma<Je to collect used al, use<! anll-lreeze, used oil ners, used oil absort>entS, and petroteum coroaa wafers in separate COlleclXln vesse!S n oroer
to maintain the status of each or the usoo prO<JUCt streams and the contents of !his consignmenl are fully and accualely described ard are in all aspects i'l proper cordilioo for transport by
hi!flway or railroad accoolirg to applicable Federal, State, am Local goverrrnert r ~.
n the evert eiat lhs matenal is fo.nl to Ile hazardous waste, 1accept lhe responsil>d1ty lor ,ts IJ"oper disposal and r~ . ,r required U1der Federal, State, or Local r~bons. hckJdrg
contamtnatioo by commirgl.-g. untess I am exe,x by a statule or reg.Aa
_!,I am In compl~ T'tn secuon 3002(b) of RCRA.
----,---....-:e:t:""""'l"l'll"""""l'l'!'J''l"I""_ _ _ _ _ ___,
Feb 23, 2026
T.... I maw,aj w u - a, dNiguliodl-.Y
206 CR 4384 DECATUR, TX 76234
+18007771498
SelVices available: Used oil, used oil filter, used antifreeze, vacuum services & new antifreeze ,xoducts
Feb 23, 2026
Route: DFW- FILTERS/ AF DEL 0!:\Jsed Product Shipping Paper - Document #
H& ~ Aoot#
65696001
Route #
SveWk
9
Svo Interval
Every 4 Week
Tonk Size
1
Truck #
DFW-225
2,091,807
Trailer #
PO I
EPA IO# _ _ _ _ _ _ _ _ _ _ _ _ __ state 10, _ _ _ _ _ _ _ _ _ _ _ _ __
H &h Oil - Dallas 4857 Knob Hill Road STE 102
Decatur, TX 76234
EPAIDI _ _ _T_X_R_o_oo_o8_1_5_2_5_ _ _ __
state 10, _ _ _J....X....E...Q...,#IL,,<;A..8.6...1..a..a...___ _ _ __
H & H Oil - Fort Worth
Fort Worth, TX
EPAID I _ _ _ _ _ _ _ _ _ _ _ _ _ __ Slate ID' - - - - - - - - - - - - - -
0 Public CoUeclion D Pass D Fail - Do not collect
D Pass D Fail - Do ndt colloct
~ Conditionally Exempt
Certificate of Generator Statu s:
D Industrial Generator EPA ID # _ _ _ _ _ _ _ __
Shipping Name Filter Drums
Quantity 4
Unit Barrel
Charges
Spec,ai Handing_,,.,_ and Mdi.,..lll lnlorrulloft
IN CASE OF EMERGENCY, CALL CHEMTREC (800) 424-9300 Emergency Response Guidebook #128
1sec setf-Dectarauon
By signing this self-de cla ratl o n, t h e s ignatory c o n fi rm th e l o llo wlng :
1. UMO rerers 10 used mo10r oil collected. 2. The UMO covered under thie &elf-declaration c:on&1sts entirely of UMO and is not mixed with any other materials that don't comply with the Vertex H&H specifications of
UMO 3. UMO COYered under this self-declaration meets the definition of a waste Lnder ISCC. 1his means the UMO 16 a material that the facility d iscards or intends to or is
required to discard and that the UMO was not ntenllonally modified or contaminated to meet this de 1nition. 4. DocumentabOn of UMO collected by Vertex 16 prolllded for each pck-up. 5. Aud110rs from cernfication bodies or from ISCC (may ba accompanied by a representative of Venex H&H) can obs e on-s,te or by contacting the signatory (e.g. v,a
tolophono) whothor lho ctatomont:c m:ido in thic colf-doc13f3tion :iro corrocL 6. 1he nformation on lhis self-dedaration can be forwarded to and reviewed by the certification body for Vertex ard by ISCC. Note: 1he certification body ard ISCC keep
all data prolllded on this &ett-<leclaration confid9ntial.
Generators Certification
1hereby Cledare mt every eflort w.i be ma<Je to collect used al, use<! anll-lreeze, used oil ners, used oil absort>entS, and petroteum coroaa wafers in separate COlleclXln vesse!S n oroer to maintain the status of each or the usoo prO<JUCt streams and the contents of !his consignmenl are fully and accualely described ard are in all aspects i'l proper cordilioo for transport by
hi!flway or railroad accoolirg to applicable Federal, State, aro Local goverrrnert r ~.
n the evert eiat lhs matenal is fo.nl to Ile hazardous waste, 1accept lhe responsil>d1ty lor ,ts IJ"oper disposal and reportn;j, ,r required U1der Federal, State, or Local r~bons. hckJc!rg
any conlamiratioo by commirghrg. untess I am exerrr by a statule or reg.Jatlon, I also certify lhal I am in comptlan:e wi
SectiOn 3002(b) of ACAA.
.
I
I
.
f'nudlTi T.... I maw,aj w u - a, dNiguliodl-.Y
206 CR 4384 DECATUR, TX 76234
+18007771498
SelVices available: Used oil, used oil filter, used antifreeze, vacuum services & new antifreeze ,xoducts
Feb 23, 2026
Route: DFW- FILTERS/ AF DEL 0!:\Jsed Product Shipping Paper - Document #
H& ~ Aoot#
70813001
Route #
SveWk
9
Svo Interval
Every 8 Week
Tonk Size
1
Truck #
DFW-225
2,182,360
Trailer #
PO I
EPA IO# _ _ _ _ _ _ _ _ _ _ _ _ __ state 10, _ _ _ _ _ _ _ _ _ _ _ _ __
H &h Oil - Dallas 4857 Knob Hill Road STE 102 Decatur, TX 76234
EPAIDI _ _ _T_X_R_o_oo_o8_1_5_2_5_ _ _ __
state 10, _ _ _J....X....E...Q...,#IL,,<;A..8.6...1..a..a...___ _ _ __
H & H Oil - Fort Worth
Fort Worth, TX
EPAID I _ _ _ _ _ _ _ _ _ _ _ _ _ __ Slate ID' - - - - - - - - - - - - - -
0 Public CoUeclion D Pass D Fail - Do not collect
~ Conditionally Exempt Shipping Name Drum Delivery Filter Drums
D Pass D Fail - Do ndt colloct
ii a
D Industrial Generator EPA ID # _ _ _ _ _ _ _ __
Quantity 3 1
Unit Drum Barrel
Charges
Spec,ai Handing_,,.,_ and Mdi.,..lll lnlorrulloft
IN CASE OF EMERGENCY, CALL CHEMTREC (800) 424-9300 Emergency Response Guidebook #128
1sec setf-Dectarauon
By signing this self-de cla ratl o n, t h e s ignatory c o n fi rm th e l o llo wlng :
1. UMO rerers 10 used mo10r oil collected. 2. The UMO covered under thie &elf-declaration c:on&1ata entirely of UMO and is not mixed with any other materials that don't comply with the Vertex H&H specifications of
UMO 3. UMO COYered under this self-declaration meets the definition of a waste Lnder ISCC. 1his means the UMO 16 a material that the facility d iscards or intends to or is
required to discard and that the UMO was not ntenllonally modified or contaminated to meet this de 1nition. 4. DocumentabOn of UMO collected by Vertex 16 prolllded for each pck-up. 5. Aud110rs from cernfication bodies or from ISCC (may be accompanied by a representative of Venex H&H) can obs e on-site or by contacting the signatory (e.g. v,a
tolophono) whothor lho ctatomonts m:ido in thic colf-doc13f3tion :iro corrocL 6. 1he nformation on lhis sell-dedaration can be forwarded to and reviewed by the certification body for Vertex ard by ISCC. Note: 1he certification body ard ISCC keep
all data prolllded on this &ett-<leclaration confid9ntial.
Gemrators Certification
1hereby Cledare mt every eflort w.i be ma<Je to collect used al, use<! anll-lreeze, used oil ners, used oil absort>entS, and petroteum coroaa wafers in separate COlleclXln vesse!S n oroer to maintain the status of each or the usoo prO<JUCt streams and the contents of !his consignmenl are fully and accualely described ard are in all aspects i'l proper cordilioo for transport by
hi!flway or railroad accoolirg to applicable Federal, State, am Local goverrrnert r ~.
n the evert eiat lhs matenal is fo.nl to Ile hazardous waste, 1accept lhe responsil>d1ty lor ,ts IJ"oper disposal and reportn;j, ,r required U1der Federal, State, or Local r~bons. hckJdrg any conlaminalioo by commirghrg. untess I am exerrr by a statule or reg.Jallol\ I also certify lhal I am In complian:e wittl Sectlon 3002(b) of ACAA.
,----,-e::r"""l"'l""'"''l'l'!'l"l"I"'"_ _ _ _ _ _ _...,
.. .. ...
.. - ...
L .. o,,,_
Feb 23, 2026
PnudlTi -
T.... I maw,aj w u - a, dNiguliodl-.Y
206 CR 4384 DECATUR, TX 76234
+18007771498
SelVices available: Used oil, used oil filter, used antifreeze, vacuum services & new antifreeze ,xoducts
Feb 23, 2026
Route: DFW- FILTERS WABO 07 Used Product Shipping Paper - Document #
H& ~ Aoot#
69759001
Route #
SveWk
9
Svo Interval
Every 4 Week
Tonk Size
1
Truck #
DFW-242
2,180,811
Trailer #
PO I
EPA IO# _ _ _ _ _ _ _ _ _ _ _ _ __ state 10, _ _ _ _ _ _ _ _ _ _ _ _ __
H &h Oil - Dallas 4857 Knob Hill Road STE 102
Decatur, TX 76234
EPAIDI _ _ _T_X_R_o_oo_o8_1_5_2_5_ _ _ __
state 10, _ _ _J....X....E...Q...,#IL,,<;A..8.6...1..a..a...___ _ _ __
H & H Oil - Fort Worth
Fort Worth, TX
EPAID I _ _ _ _ _ _ _ _ _ _ _ _ _ __ Slate ID' - - - - - - - - - - - - - -
0 Public CoUeclion D Pass D Fail - Do not collect
D Pass D Fail - Do ndt colloct
X
~ Conditionally Exempt
Certificate of Generator Statu s:
D Industrial Generator EPA ID # _ _ _ _ _ _ _ __
Shipping Name Filter Dumpster
Quantity 1
Unit Service
Charges
Spec,ai Handing_,,.,_ and Mdi.,..lll lnlorrulloft
IN CASE OF EMERGENCY, CALL CHEMTREC (800) 424-9300 Emergency Response Guidebook #128
1sec setf-Dectarauon
By signing this self-de cla ratl o n, t h e s ignatory c o n fi rm th e l o llo wlng :
1. UMO rerers 10 used molOr oil collected. 2. The UMO covered under thie &elf-declaration c:on&1sts entirely of UMO and is not mixed with any other materials that don't comply with the Vertex H&H specifications of
UMO 3. UMO COYered under this self-declaration meets the definition of a waste Lnder ISCC. 1his means the UMO 16 a material that the facility d iscards or intends to or is
required to discard and that the UMO was not ntenllonally modified or contaminated to meet this de 1nition. 4. DocumentabOn of UMO collected by Vertex 16 prolllded for each pck-up. 5. Aud11Drs from cernfication bodies or from ISCC (may ba accompanied by a representative of Venex H&H) can obs e on-sI1e or by contacting the signatory (e.g. v,a
tolophono) whothor lho ctatomont:c m:ido in thic colf-doc13f3tion :iro corrocL 6. 1he nformation on lhis self-dedaration can be forwarded to and reviewed by the certification body for Vertex ard by ISCC. Note: 1he certification body ard ISCC keep
all data prolllded on this &ett-<leclaration confid9ntial.
Generators Certification
1hereby Cledare mt every eflort w.i be ma<Je to collect used al, use<! anll-lreeze, used oil ners, used oil absort>entS, and petroteum coroaa wafers in separate COlleclXln vesse!S n oroer to maintain the status of each or the usoo prO<JUCt streams and the contents of !his consignmenl are fully and accualely described ard are in all aspects i'l proper cordilioo for transport by
hi!flway or railroad accoolirg to applicable Federal, State, aro Local goverrrnert r ~.
n the evert eiat lhs matenal is fo.nl to Ile hazardous waste, 1accept lhe responsil>d1ty lor ,ts IJ"oper disposal and reportn;j, ,r required U1der Federal, State, or Local r~bons. hckJc!rg
any conlaminalioo by comrnirghrg. untess I am exerrr by a statule or ~
wi 5ecti0n 3002(b) of ACAA.
-----,---,.r::,::->'1;,,r""""'l'I~-----------,
L .... , _., ....,.....,, ,. ..:....
Feb 23, 2026
PnudlTi T.... I maw,aj w u - a, dNiguliodl-.Y
206 CR 4384 DECATUR, TX 76234
+18007771498
SelVices available: Used oil, used oil filter, used antifreeze, vacuum services & new antifreeze ,xoducts
Feb 23, 2026
Route: DFW- FILTERS WABO 07 Used Product Shipping Paper - Document #
H& ~ Aoot#
50355
Route #
SveWk
9
Svo Interval
Every 4 Week
Tonk Size
1
Truck #
DFW-242
2,180,831
Trailer #
PO I
EPA IO# _ _ _ _ _ _ _ _ _ _ _ _ __ state 10, _ _ _ _ _ _ _ _ _ _ _ _ __
H &h Oil - Dallas 4857 Knob Hill Road STE 102
Decatur, TX 76234
EPAIDI _ _ _T_X_R_o_oo_o8_1_5_2_5_ _ _ __
state 10, _ _ _J....X....E...Q...,#IL,,<;A..8.6...1..a..a...___ _ _ __
H & H Oil - Fort Worth
Fort Worth, TX
EPAID I _ _ _ _ _ _ _ _ _ _ _ _ _ __ Slate ID' - - - - - - - - - - - - - -
0 Public CoUeclion D Pass D Fail - Do not collect
D Pass D Fail - Do ndt colloct X
~ Conditionally Exempt
Certificate of Generator Statu s:
D Industrial Generator EPA ID # _ _ _ _ _ _ _ __
Shipping Name Filter Dumpster
Quantity 1
Unit Service
Charges
Spec,ai Handing_,,.,_ and Mdi.,..lll lnlorrulloft
IN CASE OF EMERGENCY, CALL CHEMTREC (800) 424-9300 Emergency Response Guidebook #128
1sec setf-Dectarauon
By signing this self-de cla ratl o n, t h e s ignatory c o n fi rm th e l o llo wlng :
1. UMO rerers 10 used mo10r oil collected. 2. The UMO covered under thie &elf-declaration c:on&1sts entirely of UMO and is not mixed with any other materials that don't comply with the Vertex H&H specifications of
UMO 3. UMO COYered under this self-declaration meets the definition of a waste Lnder ISCC. 1his means the UMO 16 a material that the facility d iscards or intends to or is
required to discard and that the UMO was not ntenllonally modified or contaminated to meet this de 1nition. 4. DocumentabOn of UMO collected by Vertex 16 prolllded for each pck-up. 5. Aud110rs from cernfication bodies or from ISCC (may ba accompanied by a representative of Venex H&H) can obs e on-s,te or by contacting the signatory (e.g. v,a
tolophono) whothor lho ctatomont:c m:ido in thic colf-doc13f3tion :iro corrocL 6. 1he nformation on lhis self-dedaration can be forwarded to and reviewed by the certification body for Vertex ard by ISCC. Note: 1he certification body ard ISCC keep
all data prolllded on this &ett-<leclaration confid9ntial.
Generators Certification
1hereby Cledare mt every eflort w.i be ma<Je to collect used al, use<! anll-lreeze, used oil ners, used oil absort>entS, and petroteum coroaa wafers in separate COlleclXln vesse!S n oroer to maintain the status of each or the usoo prO<JUCt streams and the contents of !his consignmenl are fully and accualely described ard are in all aspects i'l proper cordilioo for transport by
hi!flway or railroad accoolirg to applicable Federal, State, aro Local goverrrnert r ~.
n the evert eiat lhs matenal is fo.nl to Ile hazardous waste, 1~ lhe responsil>d1ty lor ,ts IJ"oper disposal and reportn;j, ,r required U1der Federal, State, or Local r~bons. hckJc!rg
any conlaminalioo by commirghrg. untess I am exerrr by a sta!Ule
I
' 5ecti0n 3002(b) of ACAA.
--,---...-::::'!:"'""l"l'l--,,l'l'!'J''l"I""---------,
ol-olM.1PnudlTi -
T.... I maw,aj w u - a, dNiguliodl-.Y
Feb 23, 2026
206 CR 4384 DECATUR, TX 76234
+18007771498
SelVices available: Used oil, used oil filter, used antifreeze, vacuum services & new antifreeze ,xoducts
Feb 23, 2026
Route: DFW- FILTERS 08
H& ~ Aoot#
34697
Route #
Used Product Shipping Paper - Document #
SveWk
9
Svo Interval
1x per week
Tonk Size
1
Truck #
DFW-508
2,104,498
Trailer #
PO I
EPA IO# _ _ _ _ _ _ _ _ _ _ _ _ __ state 10, _ _ _ _ _ _ _ _ _ _ _ _ __
H &h Oil - Dallas 4857 Knob Hill Road STE 102 Decatur, TX 76234
EPAIDI _ _ _T_X_R_o_oo_o8_1_5_2_5_ _ _ __ state 10, _ _ _J...X.....E...Q...,#IL,,<;A..8.6...1..a..a...___ _ _ __
H & H Oil - Dallas 4857 Knob HIii Road Azle, TX 76020
EPAID , _ _ _ _T_X_R_oo_o_o_81__52__ 5 _ __
Slate ID' - - - - - - - - - - - - - -
0 Public CoUeclion l!iif Pass O Fail - Do not collect
D Pass D Fail - Do ndt colloct
~ Conditionally Exempt
Certificate of Generator Statu s:
D Industrial Generator EPA ID # _ _ _ _ _ _ _ __
Shipping Name Used Oil Purchase
Quantity 180
Unit gallon
Charges
Spec,ai Handing_,,.,_ and Mdi.,..lll lnlorrulloft
IN CASE OF EMERGENCY, CALL CHEMTREC (800) 424-9300 Emergency Response Guidebook #128
1sec setf-Dectarauon
By signing this self-de cla ratl o n, t h e s ignatory c o n fi rm th e l o llo wlng :
1. UMO rerers 10 used molOr oil collected. 2. The UMO covered under thie &elf-declaration c:on&1ata entirely of UMO and is not mixed with any other materials that don't comply with the Vertex H&H specifieationa of
UMO 3. UMO COYered under this self-declaration meets the definition of a waste Lnder ISCC. 1his means the UMO 1s a material that Iha facility d iscards or intends to or is
required to discard and that the UMO was not ntenllonally modified or contaminated to meet this de 1nition. 4. Documentaoon of UMO coll9cted by V9rtex Is prolllded for each pck-up. 5. Aud11Drs from cernfication bodies or from ISCC (may ba accompanied by a representative of Venex H&H) can obs e on-sI1e or by contacting the signatory (e.g. v,a
tolophono) whothor lho ctatomont:c m:ido in thic colf-doc13f3tion :iro corrocL 6. 1he nformation on lhis self-dedaration can be forwarded to and reviewed by the certification body for Vertex ard by ISCC. Note: 1he certification body ard ISCC keep
all data prolllded on this &ett-<leclaration confid9ntial.
Generators Certification
1hereby Cledare mt every eflort w.i be ma<Je to collect used al, use<! anll-lreeze, used oil ners, used oil absort>entS, and petroteum coroaa wafers in separate COlleclXln vesse!S n oroer to maintain the status of each or the usoo prO<JUCt streams and the contents of !his consignmenl are fully and accualely described ard are in all aspects i'l proper cordilioo for transport by
hi!flway or railroad accoolirg to applicable Federal, State, aro Local goverrrnert r ~.
n the evert eiat lhs matenal is fo.nl to Ile hazardous waste, 1~ lhe responsil>d1ty lor ,ts IJ"oper disposal and reportn;j, ,r required U1der Federal, State, or Local r~bons. hckJc!rg
any conlaminalion by commirghrg. untess I am exerrr by
ian:e wi 5ecti0n 3002(b) of ACAA.
-----,---1""'"::r-'l'l"l'l~l'l'!>'l"I""_ _ _ _ _ _ _....,
.. - . .. . .
L ...
ol-olM.1-
Feb 23, 2026
PnudlTi -
T.... I maw,aj w u - a, dNiguliodl-.Y
H & H Oil - Azle, Texas Inspection Date: February 25, 2026
Appendix 3
Record of tank closure for the Used Oil storage tanks located at the Decatur, Texas facility
ENVIRONMENTAL
HAZ/ MAT
The Cleaning Guys, LLC. 5255 Teague Road Fort Worth, TX 76140
PHONE# 817-483-8181
-,,6
INVOICE DATE
INVOICE
INVOICE #
25486388
_ _ _ _ _ _ _ _ _ _ _F_AX_ # _8_1_7-_48_3_-5_8_8 7>~~ 1&~ ,i'1-,J-.-..l,\,.-.~ ,....~ -- ~ - - - . . . LD.U.E-D-A-T-E:- - - -5-/2-9-/2-0-24- - - l
r-
INVOICE TO
).'I-
5
1 - - - - - - - - - - - - - ' W r : - - - = - - l o.,.._..<"J..,.___ _ _ _ _ _ _ _ _ _ __
H&H OIi
,\' y- H&H Oil
1331 Gemini St#250
206 County Road 4384
Houst on, TX 77058
Decatur, TX 76234
POC: Natalie Schroeder
972-837-8444
ACCOUNTING/ PAYMENT TERMS: ISSUED PURCHASE ORDER: VENDOR ID:
Net30
RESPONSE COMPLETION DATE:
4/2 6/2 024
-----i
SALESPERSON:
Jeff
INTERNAL CG JOB#
2-240850
ITEM
Admin istration
CG Roll-Off Truck
Level D PPE
Project Manager Supervisor Supervisor - OT Technician - Field Service Technician - OT Technician - Field Service Technician - OT Technician - Field Service Technician - OT
DESCRIPTION
QTY UNIT PRICE UNETOTAL
CG to provide labor and equipment to clean out two 25' used oil tanks and one 15' used antifreeze tank from sludge, about 2' per tank.
***APRIL 11, 2024*** LABOR RATES Hourly Rate
1
58.00
58.ooT
TRUCK AND EQUIPMENT RATES Hourly Rate - Includes Operator: Marty/ M18
6.5
128.00
832.ooT
MATERIALS AND SUPPLIES RATES Price Per Tech/ Per Day
1
41.50
41 .50T
***APRIL 12, 2024*** LABOR RATES Hourly Rate: Jeff Hourly Rate: Blade Hourly Overtime Rate Hourly Rate: Jashod Hourly Overtime Rate Hourly Rate: Isaac Hourly Overtime Rate Hourly Rate: Jesse Hourly Overtime Rate
5
115.00
8
95.00
4
142.50
8
72.00
4
108.00
8
72.00
1.5
108.00
8
72.00
4
108.00
575.ooT 760.ooT 570.ooT 576.ooT 432.ooT 576 .o o T 162.ooT 576.ooT 432.ooT
CG ENVIRO MENTAL / CLEANING GUYS TAX ID: 26-4448858
We accept American Express, Visa & Master Card. If you decide to pay by Credit Card, please note, you will be charged a 3X non-refundable convenience fee. This fee will be added to the total amount due at the time the Credit Card payment is made. ** Please Be Advised That a Monthly Late Fee of 3%of the Total Amount Due Will Be Charged on Overdue Payments**
Page 1
ENVIRONMENTAL
HAZ/ MAT
The Cleaning Guys, LLC. 5255 Teague Road Fort Worth, TX 76140
PHONE# 817-483-8181
,-6
INVOICE DATE
INVOICE
INVOICE #
25486388
. - - - - - - - - - - - - -FA_X 1_1 8_1_7-_4a_3_-s_8_8_7 , ~ N \ ',-_t-=".-~ ..,,.~ .~.+----...L....o_u_E_oA_rE_:___s_/_.29_/_.2_02_4_----1
INVOICE TO
).'I-
1 - - - - - - - - - - - - - ' . . . , _ . . < : . . . j o.,....."'
H&H OIi
,\' y-
1331 Gemini St#250
Houst on, TX 77058
5
0CATI0N
H&H Oil
206 County Road 4384
Decatur, TX 76234 POC: Natalie Schroeder 972-837-8444
ACCOUNTING/ PAYMENT TERMS: ISSUED PURCHASE ORDER: VENDOR ID:
Net30
RESPONSE COMPLETION DATE:
4/26/2024
------;
SALESPERSON:
Jeff
INTERNAL CG JOB#
2-2408 50
ITEM
DESCRIPTION
3/4 Ton Pick-Up/ Dually Truck 3/4 Ton Pick-Up / Dually Truck 1.5 - Ton Flat Bed Truck 3000 psi Pressure Washer Services 6' x 1001 ADS Hose
TRUCK AND EQUIPMENT RATES Daily Rate: 74 Daily Rate: 75 Daily Rate: 63 Daily Rate: PW3 Vacuum Truck #27 IC&D Price Per 100ft
Level D PPE Inner Protective Gloves - La ... Black Rubber Boots Tychem Polycoated Tyvek Face Shield - Hard Hat Mou... 4-Gas Air Monitoring lnstru... Poly Roll Duct Tape Small Hand Tools Cleaner / Degreaser Floor Dry/ Stay Dry
MATERIALS AND SUPPLIES RATES Price Per Tech/ Per Day Price per Box Price Per Pair Price Per Protective Suit - Tychem 2000 Price per Shield Daily Rate Each Price per Roll Daily Rate: Shovels, Brooms, Pitch Forks, Etc. Price Per Gallon Price per 4olb Bag Clay Absorbent
Supervisor Supervisor - OT Technician - Field service
***APRIL 13, 2024*** LABOR RATES Hourly Rate: Pascual Hourly Overtime Rate Hourly Rate: Edgar
CG ENVIRO MENTAL / CLEANING GUYS TAX ID: 26-4448858
We accept American Express, Visa & Master Card. If you decide to pay by Credit Card, please note, you will be charged a 3X non-refundable convenience fee. This fee will be added to the total amount due at the time the Credit Card payment is made. ** Please Be Advised That a Monthly Late Fee of 3%of the Total Amount Due Will Be Charged on Overdue Payments**
Page 2
QTY UNIT PRICE UNETOTAL
1
275.00
275.ooT
1
275 .00
275.ooT
1
275.00
275.ooT
, 1
290.00
290.ooT
3,594.72
3,594.72T
5
5 8 4 .0 0
2,920.ooT
4
41.50
0.25
85.00
4
28.00
8
36 .00
2
15.00
, 1
150.00
160.00
6
19.50
1
20.00
1
22.00
4
22.00
166.ooT 21 .25T 112.ooT 288.ooT 30.ooT 150.ooT 160.ooT 11 7. o o T 20.ooT 22.ooT 88.ooT
8
72.00
2.5
142.50
8
72.00
576.ooT 356.25T 576 .ooT
ENVIRONMENTAL
HAZ/ MAT
The Cleaning Guys, LLC. 5255 Teague Road Fort Worth, TX 76140
PHONE# 817-483-8181
,-6
INVOICE DATE
INVOICE
INVOICE #
25486388
. - - - - - - - - - - - - -FA_X 1_1 8_1_7-_4a_3_-s_s_s_7 , ~ N \ ',-_t-=".-~ ..,,.~ .~.+----...L....o_u_E_oA_rE_:___s_/_.29_/_.2_02_4_----1
INVOICE TO
).'I-
1 - - - - - - - - - - - - - ' . . . , _ . . < : . . . j o.,....."'
H&H OIi
,\' y-
1331 Gemini St#250 Houst on, TX 77058
5
0CATI0N
H&H Oil
206 County Road 4384
Decatur, TX 76234 POC: Natalie Schroeder 972-837-8444
ACCOUNTING/ PAYMENT TERMS: ISSUED PURCHASE ORDER: VENDOR ID:
Net30
RESPONSE COMPLETION DATE:
4/26/2024
-----i
SALESPERSON:
Jeff
INTERNAL CG JOB#
2-2408 50
ITEM
Technician OT Technician - Field Service Technician - OT Technician - Field Service Technician - OT
DESCRIPTION
Hourly Overtime Rate Hourly Rate: Jacob Hourly Overtime Rate Hourly Rate: Chri~tian Hourly Overtime Rate
3/4 Ton Pick-Up/ Dually Truck Services
TRUCKS AND EQU IPMENT RATES Daily Rate:S82 Vacuum Truck#27- IC&D
Level D PPE Tychem Polycoated Tyvek Inner Protective Gloves - La... DuctTape Cleaner/ Degreaser 4-Gas Air Monitoring lnstru...
MATERIALS AND SUPPLI ES RATES Price Per Tech/ Per Day Price Per Protective Suit Tychem 2000 Price per Box Price per Roll Price Per Gallon Daily Rate
CG Roll-Off Truck
***APRIL 15, 2024*** LABOR AND TRUCKS RATES Hourly Rate Includes Operator: Marty/ RT2
Level D PPE
MATERIALS AND SUPPLI ES RATES Price Per Tech/ Per Day
***APRIL 161 2024***
CG ENVIRO MENTAL / CLEANING GUYS TAX ID: 26-4448858
We accept American Express, Visa & Master Card. If you decide to pay by Credit Card, please note, you will be charged a 3Xnon-refundable convenience fee. This fee will be added to the total amount due at the time the Credit Card payment is made.
** Please Be Advised That a Monthly Late Fee of 3%of the Total Amount Due Will Be
Charged on Overdue Payments**
Page 3
QTY UNIT PRICE UNETOTAL
3.5
108.00
8
72.00
3.5
108.00
8
72.00
2.5
108.00
378.ooT 576.ooT 378.ooT 576.ooT 270 .ooT
1
275.00
275.ooT
1
3,594.72
3,594.72T
4
41.50
6
36 .00
0.5
85 .00
2
19.50
5
21.50
1
150.00
166.ooT 216.ooT 42.50T 39.ooT 107.50T 150.ooT
4
128.00
512.ooT
1
41.50
41.50T
ENVIRONMENTAL
HAZ/ MAT
The Cleaning Guys, LLC. 5255 Teague Road Fort Worth, TX 76140
PHONE# 817-483-8181
,-6
INVOICE DATE
INVOICE
INVOICE#
25486388
. - - - - - - - - - - - - -FA_X 1_1 8_1_7-_4a_3_-5_8_8_7 , ~ N \ ',-_t-=".-~ ..,,.~ .~.+----...L....o_u_E_oA_rE_:_ _ _s_/_.29_/_.2_02_4_----1
INVOICE TO
).'I-
5
OCATI0N
1 - - - - - - - - - - - - - ' . . . , _ . . < : . . . j o.,....."'
H&H OIi
,\' y- H&H Oil
1331 Gemini St#250 Houston, TX 77058
206 County Road 4384
Decatur, TX 76234
POC: Natalie Schroeder 972-837-8444
ACCOUNTING/ PAYMENT TERMS: ISSUED PURCHASE ORDER: VENDOR ID:
Net30
RESPONSE COMPLETION DATE:
4/26/2024
----
SALESPERSON:
Jeff
INTERNAL CG JOB#
2-240850
ITEM CG Roll-Off Truck
CG Roll-Off Truck CG Roll-Off Truck - OT
CG Roll-Off Truck Roll-Off Box Roll-Off Box
ES&! Fee
DESCRIPTION
LABOR AND TRUCK RATES Hourly Rate - Includes Operator: Marty/ RT2
QTY UNIT PRICE UNETOTAL
2
128.00
256.ooT
***APRIL 22, 2024*** LABOR AND TRUCKS RATES Hourly Rate - Includes Operator: Rodney/ T26 Hourly Overtime Rate Includes Operator
8
128.00
1,024.ooT
4.5
159.00
715.50T
***APRIL212024*** LABOR AND TRUCK RATES Hourly Rate Includes Operator: Marty/ RT26
2.5
128.00
320.ooT
EQUIPMENT RENTAL RATES
Daily Rate: V295: Includes 25YD Vac Box Rental, Fuel
13
Surcharge, Environmental Recovery Fee, TX Motor
Vehicle Tax and all taxes. 4/11/24 to 4/23/24
Daily Rate: V576: Includes 25YD Vac Box Rental,
6
Pickup Third Party, Fuel Surcharge, Equipment
Relocation on 4/15, Environmental Recovery Fee, TX
Motor Vehicle Tax and all taxes. 4/11/24 to 4/16/24
46.35462 234.29
602.61T 1,405.74T
ES&I Fee
1
3,303.18
3,303.18
24 Hr. Emergency Response Phone# 817-483-8181
CG ENVIRONMENTAL/ CLEANING GUYS TAX ID: 26-4448858
We accept American Express, Visa & Master Card. If you decide to pay by Credit Card, please note, you will be charged a 3X non-refundable convenience fee. This fee will be added to the total amount due at the time the Credit Card payment is made. ** Please Be Advised That a Monthly Late Fee of 3%of the Total Amount Due Will Be Charged on Overdue Payments**
Page4
SUBTOTAL SALES TAX(B.25%)
TOTAL PAYMENTS/ CREDITS BALANCE DUE
$30,851.97 $2,272 .78
$33,124.75 $0 .00
$33,124.75
ENVIRONMENTAL
HAZ/MAT
Th Cleaning uys, LL .
5255 I ea0 ue Road Fort Worth. T 761 o
PHO [# rAX#
lNVOI E 10
H&HOil 1 ~1 Gemini St #250 Hous~on, TX 770 8
ACCOUN ING/ PAYMENT TER S:
ISSUED PURCHASE ORDER:
Net 30
'
- 13
INVOICE DATE
I VOICE
INVOICF #
25 4 6388
DUE DATE:
5/29/20 24
106 County oad 4384 Decatur, TX 76234 POC: atalie Schroeder 9728 7-8444
ATE: Jeff
ITEM
DESCRI PT ION
CG t provid all lab r, qupm t and disp0sa' to cl an out cw 2i:;' u ed oil tanks and one 15 used antifr eze tank fr<1m sludge, a out)' per tc1n .
Aomini tration Heavy Equipment Operator
***APRIL 1, 2024*** BOR RATE Hourly Rate Hourly Rate: Mart.
Roll-Off True Roll-Off Box Roll-Off Box
TRUC, AND EQUl/>ME. Hou ly Rate : 118 Daily Ra e: V295 Daily Rate: V576
T RATE.S
L~v ID PPE
PLIES RAJ E
y
P ojcct Manag r Supervise Superv sor OT I echnician Field Technician 0 I T~chnic1an - Field Technician OT
r-vice ~rv1ce
** A RIL ;:, ~o LABOR RATES H urly a:e: Jett llourly ate: Blade
11 urly vert11nc Rat
H urly Rat : Jashcd H urly v~rt,me Rat H urly H urly v~rtime RJle
4***
QTY UNIT PRICE LINE TOTAL
5 .ooT
5,0.ooT
i. 1,300.ooT 3 .38T 234.29
JI
/ 5
fB
54
Js
/ 4
~5
115. 0 95.00 142.~o 72. 0 1 .00
72.00
1 8.oo
575.0 I 760.0 1
57 .ooT
576.0 T 432.001 S7 .001
16-.00 r
We accept American Express, Visa & Master Card. If yoo decide lo pay by redit ard, pl ase note, you will be charged a 3'- non-refundable convenience fee. Th s fee "'-ill be ,Ht.I, Ill the t I.ii .mwu11l du Jl the t1111 th rcd1t ~rd p,l)ITil'lll ,~ 111.1c .
** Pl a~e Re Acivi~ed That a Monthly Lat r e of~ C'lf the, Tot.ii Am<'unt Oue Will R
Charged on Overdue Payments0
Page 1
ENVIRONMENTAL
HAZ/MAT
The /eanin; Guy , LLC. -25 Teague R ad
F rt Worth, TX 7614
t 30
INVOICE DATE
4/29/2024
INVOIC E
ICE II
2 486 BB
DU DATE:
200 Cou ty Roac 4384 e atur, TX 76234
POC: atalie Schroeder 97~-8 7 444
4/26/2024 Jeff
ITEM
DE CRIPTION
QTY
al~ True, ~ ..1 T.. n ric -L p Lal~ rue-. .s, - r FIJ Bee T JC
r~ \\'a. I!
'
TR T[
aily Rate: -4 aily Rate: -5
~1 1
aily Rate: 63
'
ai y Ra:e: v\ '
1/,
j; ai- Ra:e:V_
/1
ail ate: \ ' 7 ,..tf,..t tt. - r ~---r lrJ.r JJ. I~,~...
au m Tn k -1:r - &.
11'>
1\\ATERl,\LS D S PP IE R TES
Per Jay
tect'\e Glove La.. Price pe B
1
Is ber oots
e Per P
/4
le SI c e S it 2 pc
e per Protect ve Suit
le - hard I-at lcu...
e per Sh'elc
2
0 4 -as Ar l\'on cin0 lrst'\J...
y Rae
1
_ al r H1..c~;,n Spa}e
h
oly ~o
1
Price pe oil
6
cols
aily Rate: :hovels, Brooms, Pitc For , Etc.
Price Per Ga llon
Price per 4olb Bag - Clay Absorbent
rie ::>er Bag
UNIT PRICE
72.0 I 8.0l
LIN E TOTAL
576. oT 4.. ,(lOT
75.00 275.00
41.50 50.00 28.00 32.00 15.00 150.00 40.00 160.00 12.50 20.00 22 .00 22.00
1.75
275.ooT 275.ooT 275.ooT 290.00 1
33.381 234.29T 3,594.72T
166.ooT 50 .00
l12,00T t ,
256.ooT
30.ooT
150.ooT
40.ooT 160.ooT
75.ooT
20.ooT 22.ooT 88.ooT
5.25T
.V accept /'1""le:rican G<p,es~. isa e. aster Card. If ycu decide to pay by Credit Card,
pl~ase note, :,,o..i v. II be charge::! a ;:t non-re ndable conven ience fee. This fee will be
acced c h~ c I amour cue~ the ime the Credit Card payment is made.
* Please Be c ised - 2
c,nth:v Late l='ee c- 3'i(. of :he TC"tal mount ue Will Be
t,~ s~d :,n v-rdJe Pay""1C ts"*
Page 2
~
ENVIRONMENTAL
HAZ/MAT
The I nin - U)' , LLC.
5 Sl eague Road
Fort \North, TX 76140
II t\E.v 674 361 I rA\li -!'3588i
H&H0il 1 3;1 Gemini St #250
rcuswn, TX 7 o>8
INVOICE DATE
INVOICE
INVOICE ft
25486 BB
DUE DATE:
06 Counly Road 4_, 4 D atur, TX 76234 PO : atdlic 5 hroe ler 9T' 837- 444
Jeff
4/26/2024
-----1
2-240850
Perrr
ITEM
Each
DESCRIPTION
S pervisor S pervis r C
h ic an Peld Se i e
Tech ic an OT
"**APRIL 13, 2024***
LABO RATES Houri Rate: Pascua l
ou I~ Overtime Rate Hourly Rate : Edgar Ho rly 0vertlr e Rate I-lo rl Rate: Jacob Hourly Overtime ate Hourly Rate: Chris:i21 Ho rly 0ve'"time 9ate
3/4 To Pic-<-L p / Rell-Off Box qc 1-0 Sox Se-vi;:es
l.all. TruCI(
TRUC SA D EQUIPME T
Daily Rate:S82
::>a'ly a e: V295
Dafy Rate: V576 'arnL. .,. ck -,,2, - I &D
ATES
el
e~
sable J1.,mp Suit
k
r ~oots
LCt ~.3pe Cleaner e raaser
IATE IAL A SUPP IE
?rice Per Tech I Per Day
Price per uit Price Per Pair
rice per ox Price per Roll Price Per Gallon
RATES
QTY UNIT PRICE LINE TOTAL
25.00
25.ooT
,J 8
tJ 2.5
-. 8
3.5
. 8
J 3.5
8 2.5
/1
j~
1
J 4
6
1
J 0.5
I 2
..J
72.00 42.50 72.00 108.00 72.00 108.00 72.00 108.00
576.ooT 356.25T 576.ooT 378.ooT 576.ooT 378.ooT 576.ooT 270.ooT
275.00
33.38 23q.29 3,594.72
275.o?T
33.38T
234.29T 3,594,72T
41.,0
:18.00
~2.50
21. 0
.!)
\~1
166.ooT 120.ooT 84.ooT 25.ooT 25.ooT 107.50T
1c acept A'Tle can E.xpr ss, Visa Master Card. I you dec,de to pay by Credit Card,
p ie;; e ncte, r u vnl ~ chargec a 3. ron-refundable c m ernence fee. T is fee will be
added o :he o:al amoun t due a the t ime the C.re it Card payment is maoe.
** 'ease c :i.d ,iscd That a I {onth,v L.;te ee o f 3% of th~ Total Am unt Du Will Be
C a ged cm Overd e Payments*"
Page 3
The Cleaning Guys, LLC. 5255 Teague Road
Fort Worth, TX 76140
ENVIRONMENTAL
HAZ MAT
PHONE.# 817-483-8181
- FA: # 817-,i83-5887
, - - - - - - - - - - - - - - - - - - . . . 1 1 1 1 r t~
,(1
~,~ 5~ OCATION
INVOICE DATE
INVOICE
INVOICE#DUE DATE:
H&HOil 1331 Gemini St#250 Houston, TX 77058
0-<\:'9
H&H Oil
206 County oad 4384 Decatur, TX 76234
POC: Natalie Schroeder
972-837-8444
ACCOUN-ING / PAYME TTERMS:
----
SSUED PURCHASE ORDER: VE r>OR ID:
Net30
D/\TE: Jeff
ITE M
TrJ h BJg
Price Per Ba
4-Gas Air onitoring In tru ... Daily Rate
DESCRIPTION
,.,..*APql 14, 20-4"'*,. EQUl?ME - TES
a'ly a:e: \ 576 Da 'ly Rate: 1295
prrer Cpe-ator
**APRIL 15, 2024*" 50 RAT S
,ourl; Rate: fl arty
"'"RJC ' SA EQUIP ,E. >-!cu I, Ra e: R 2
q,UES
..eve :;, E
qcll-Off O\ qc'l-0. 3o
IA E.RIALS A :) Su PP IES RATES
Pri e Per T ch I Pe' ay
***
EQUIPME aly at :
)a ly
P~:L 6, 2024**" RATES
QTY
} ~
UNIT PRICE
1.75 150.00
LI NE TOTAL
7.ooT
150.00-
J, ~
/1
33.38
)4 e
/4 ~
J,
} 1
9.
~
J,
41.50
I
I e
234.29T 33.38T
320.ooT
800.ooT 33.38T 234.29T
41.50T
. .,.p';)I
33.38 l
..
r
a!-,lt- c
wil be
a _
al am;,urt d_e at
t edi Card pa rncnt is made.
isto T at a \ .,thiy Late r
3\ of th T tat Am urn ue V,ll Be
d1.. l'Jyments
Page4
~
ENVIRONMENTAL
HAZ1MAT
The Cleaning Guys, LLC. 52 Tea ue Road Fort Worth, TX 76140
PltOI\C # 81 7 46 -6181 FA t; 81 7 4 -S 87
OICETO
H&HOil
1331 emln l St#2 o
Houston, T 7 058
tK:
V[NDOR ID:
Net ""O
INVOICE DATE
4/ 29/2024
INVOICE
,,
INVOICE#
2548638B
'-
DUE DATE:
5/2 9/2 0 24
~...
.,06 Count} Ro d 4384 Deca r, TX 76234
roe: Natalie Sehr eder
g7::-8 7-8444
R SALE.SPtRSON: INTER AL CG JOBF
DATE: Jeff
2-2408 0
ITEM Heavy Equipment Operator
LABOR RATES Hourly Rate: Marty
Roll-Off Truck Roll-Off Box
Level DPPE
TRUCKS AND EQL,IPMENT RATES Hourly Rate: RT2
~ v Daily Rate: V295
7:
MATERIALS AND SUPPLIES RATES
Price Per Tech / Per Day
Roll-Off Box
***APRIL 18-21, 2024*** EQUIPMENT RATES Daily Rate: V295
Heavy Equipment Operator Hea y Equipment Operator...
***APRIL 221 2024*** LABOR RATES Hourly Rate: Ro ney Hourly Overtime Rate
Roll-Off Truck Roll-Off Box
TRUCKS AND EQUIPMENT RATES Hourly Rate: 26 /T21 Daily Rate: V295
Non Haz Prof le Fee
DISPOSAL RATES Non-Hazardous Profile Fee
CG EIWIRO ME TAL / CLEAN I G GUYS TAX ID: 26-4448858
We accept American Express, Visa & Master Card. II ycu decide to pay by Credit Card, please note, you will be charged a 3%non-refundable convenience fee. This fee will be added lo lhe total amount due al lhe lime the Credit Card payment i:, mdde. Please Be Advised That a Monthly Lale Fee of 3%0( lhelotdl Amount Due Will Be Charged on Overdue Payments**
Page5
QTY
2
UNIT PRICE LIN E TOTAL 160.ooT
~ 2
400.ooT
1
33.38T
J 1
4 .5c
,1 .50T
/4
33 38
133.52T
J', 8
/ 4.5
~5 1
~3
'f: , 175.00
640.ooT 540.ooT
1,687.50T 33.38T
175.00
ENVIRONMENTAL
HAZ/MAT
he Cea 1i g Guy , LC.
5255 Teague Road
Fort Wort , T 76140
Et -=A\ :c
7-.:. 38 1 --4 : 5 ' i
Ce in St ::2,
c s: r, T\ r s
S:
INVOICE DATE
4/29/20 4
INVOICE
INVOICE#
254 863 B8
DUE DATE:
.. H&H Oil
206 County Roac 43 4 Decatur, TX 76234 POC: atalie Sch oeder
9728 7-8444
DATE:
4/26/202
Jeff
Hea, )' Equ :,ner Op ator
~Tr ~ ffB
ES I cee
DESCRIPTION
<',-Ha;:arcoLc; \ 'a,..e Transporta~ion fC'
-o k 4. TC1nst \r\ CA Fort end
\1111ies: II ~4 f,~ -o JK Tic:ct # 41 6-1
** IL::t;, 2024**
..ABO RA-ES
f- url)" Rat : arty
I\D ::q lfME - RATES 1-f uri> Rate: ;!6 / 5
a1y qae: \'2,5
ES I =ee
QTY UNIT PRICE LINE TOTAL
:'00.00
:-oo .ooT
0-5
j.s1
I 3,463.92
oo .ooT
500.ooT
33.38T 3,463 .92
SUBTOTAL
ALES TAX (8.25%)
red turd, Ice w ,11 be
dit ad :,ay'Tlent b ma e. . \. ,f t',e otal Amount D1.;c 'v\111 3e
TOTAL
......-------------------1
PAYMENTS/ CREDITS
so.oo
BALANCE DUE
Page 6
INDU TRIAL CLEAN! G
J.r..RJ. A lNr.. 1 P 37:0 HI HWA, 67 . HDWTHI , fEXA 760 5
Jnvoicc
1 J Date
4/ 2/2024
Invoice# 53300
B1IIT
LEA ING GUYS dba CG ENVIRONMENTAL 5255 TEAGUE RD FOR WORTH, TX 76140
Ship To
P.O. umber 2-24085C
Terns ON RECEIPT
l Rep DK
Shp 4/12/2024
L Vta
US Mail
FOB. ~
Pro1ect I
Qua tit/
Item Code
Description
Price Each
Amount
I
10.5 1,932
8 2.5
TR27
FUEL SURCHA ..
P.P.E.
BEN Y BALBOA
OVERTlt E OP ...
FURNISH EQU IPME T AND BOR TO VACUUVI SLUDGE FROM OIL TA K TO VAC BOX AT 206 CO RD 4384 DECATUR TX 76234.
4/12/24 (630A -5PM) VACUUM TRUCK #27 FUE SURCHARGE {calcula ed on eq 1pme to ly) P.P.E. S45.00fman/day BENNY BALBOA -Opera or OPERATOR OVERTIME
84 .00
0.15 45.00
52.00 1
78.00
,932.00 289.80 45.00 4 6.00 195.00
8.5
1.564
1
8
0.5
TR27
FUEL SURCHA.. .
P.P.E.
BENNY BALBOA
OVERTIME OP...
41 3/24 (6 30AM-3PM) VACUUM TR CK #27
FUEL SURCHARGE (calcu lated on eq
P.P E. $45.00fman/day
BENNY BALBOA -Opera or
OPERATOR OVERTIME
ipment only)
184.00
0 . 15
45 00
52.00 78.00
,564.00 234 .60 45 00 4 6.00
39.00
BLADE ROSE
Phone#
,972) ;23. 1122
E-mail Total
~ .!~2~~h-~Ps
Formerly Mobile Mini Tank & Pump Solutions,
Adler Tank Rentals and DenBeste Water Solutions
IRONC D ENVIRONMENTAL 849 E MAIN STR ET
GRAND rRAIRIE. TX 75050 PH: 469-865-2006 FX
',10t -FR 7 TO 5FW CLOSED SAuR::>A~ CLOSEDSU O Y
Customer #: 1242722 THE CLEANING GUYS
5255 TEAGUE ROAD FORT WORTH, TX 76140
PARTIAL RETURN INVOICE
Invoice# Invoice Date Date Out Date In"
1120751-0001 04 / 26/24 04 / 11/24 04/ 16/24
Job oc 206 COUNlR HO 4 84 D ATUR
Remit checks to: IRONCLAD ENVIRONMENTAL PO BOX 671562 DALLAS, TX 75267-1 562
Job Site:
H&HOil 206 COU TRY RD 4384 DECATUR, TX 76234
J#: 682-249-9414
-'L
(Yll9r um011,
2 240S50II t&lf OIL
.. ,. Pf)
Taxed
CI.SIOm ..oil N
- rn nrid
04/26/24 10:20 AM
Day
f!f1
et 30 Days
L:x:allCY\
1856
Amount ]
0
V5i6
y
30.00
BO~\JM-25YD
1')cike DOMATEX Model: AT2042-A Serial No: DMX-25-V-712
ed 6 days f o 4/11 t24 thru 04/16/24
Sub-Total Rental :
6 00 180.00
LSALES ITEMS
Qty
Item Number
1.00 PU3
PIC U THI D PAR I ' UP AS76 ON 04/16/24
Taxed
y
_ _ _ _ _ _u_n_,t_ _ _ _P_ric_e_ _ _ _ _ _A_ mount I
EACH
550 .000
550.00
1 C
FSC
N
EACH
.000
00
FUEL SURCHARGE
RELO
E UIP E R~LOCA ION-SE F ER~OR ED 4 OV V576 & 295 O1\SITE RELO
0
ERF
ENVIRONMENTAL RECOVERY FEE
EACH
00 .000
EACH
5.400
200. 0
5.40
1.00
TMVT
N
TEXAS MOTOR VEHICLE TAX
EACH
.000
Sub-Total Services:
0 755.40
Printed 04126 4 10 20 AM
WWWIRONCLADENVIR ONMENTAL.COM
Page 1/2
PAR!flAl RETURN INVOICE
Invoice#
Btlhng period: 04/11/24 THRU 04/16/24 FOR 5 DAYS
1120751-0001
Sub-Total:
935.40
Tax:
76.73
Total : ~
-t 2Slo
----
---
N,,1t~ ,Jut l>un)i...1110 ,nfointJt,r..,u h,1~ dMnoud' Pfru:-ro um\c."' t,du, to upJ,)I~ yout tecords IC"' av<ud n-,y aorvtco ntttm,rtions o ("al N11r,n0, arti, thc-1
ACH/Wlro: Cooi~ric:t Oar,k
Account Narnu: Guif Tank Holding& Inc. dbl! Ironclad E11vuonmental Solulkms. Inc.
ABA/RouUng: 072000096 Account: 1853563759
If you have any questions about this invoice, please contact cc111dc@1ronclade11v11 onmental corn
Printed 04/26124 10:20 AM
W W W.IRONCLAD ENVIRONMENTAL.COM
Page. 212
IRO CLAD
RETURN INVOICE
,.
ENVl~ONMENTAL SOLUTIONS
Invoice#
1120751-0002
Formerly Mobile Mini lank & Pump Solutions,
Invoice Date
04/26/24
Adler Tank Rentals and OenBeste Water Solutions
Date Out:
04/11/24
Date I
04/23/24
IRONCLAD ENVIRONMENTAL 2849 E MAIN STREET GRAND PRAIRIE, TX 75050 PH: 469-865-2006 FX
o~-FR 7A TC 5Pr, ClOSEO URDA' C. OSEO S~\D,W
Job Loe 206 COUNTRY RD 4384 , DECATUR
Remit checks to: IRONCLAD ENVIRONMENTAL PO BOX 671562 DALLAS, TX 75267-1562
Customer#: 1242722
THE CLEANING GUYS 5255 TEAGUE ROAD FORT WORTH. TX 76140
Job Site:
H&HOil 206 COUNTRY RD 4384 DECATUR. TX 76234
J#: 682-249-9414
NO" Qlo,w' flt.mt r 2 240850/HSH OIL
Qty
Equipment#
Taxed
V295
y
BOX- ACWM-25YD Ma ~ DOMA EX Model: AT2042-A Serial No: TBD Billed 13 days om 0 /11/24 thru 04/23/24
___,/
SALES ITEMS lterr N moer
Taxed
00 FSC
N
r:UEL SURCHARGE
. 0
ERF
N
E IRO ENTALRECOVERYFEE
00
T"1VT
N
TEXAS MOTOR VEHIC E TAX
INA BILL 4/11/24 THRU 4/23/24 11 00 PM.
-
"11-...ct
04126124 1022 AM
_ ay_ _ _ _ _ _ _ _ _ _ _A_mou~
30 .00
390.00
Sub-Total Rental :
390 ,00
Unit i:.ACH
EA H
Price 000
1 .700
A aunt 00
11 70
EACH
000
Sub-Total Services:
Sub-Total : Tax.
Total;
.00
11 .70 401 70
r
Prir'.ed 04126124 10 22 AM
WWW IRONCLAOENVIRONMENTALCOM
ltJ oz .lo (
- _:_ l~
Page 1/2
-----
33.~~
0 StreetSmart 1
Job Summary
ame:
Job ID:
2-240850-0l
Type
NEW 2STEP
Pattern:
One Timi: Job
Prionty:
s 111s
tedium
Created On :
04/04/2024 05:20 PM
Status:
Completed
Job Location
Contact ,lame: Contact Phone Emal Address : Address :
912-83 J-8444
206 Country Rd 4384 Deca r, T)( 76234
Wor er Details
Worker:
Group:
D
Scheduled ime
Scheduled Start: Scheduled End Estimated Duration:
04/12/2024 08 .00 AM
04/ 2/2024 11 OO AM 3h:Om
Actual Time
Actual Start: Actual End.
Time On Job:
Suspended ,me: Totlll Job Time :
04/12/2024 05 :31 AM 0'4/15/2024 06 05 AM 3d:0h35m
3d:0h:35m
Additional Jnformation
CUSTOMER PO. JOB TYPE: CG SALES REP : INITAL DISPATCH OTES ,
FS
Jeff
o~le-Tran:5port to recycling foclllty tn Houston Phase l. Need A,rmover w/operator, SupervtSor two techs, F250 w/TMU Pressure washer, Roll off driver w/operator. CG will come out to dean o.t two 25' used oil t nks dnd one 15' used anl,freeze ldnk from sludge, about 2 per tank Customer will be responsible for opening up the port door on the bottom s,dc of the tonk. CG will use CSE crew and A1rrnover, enter into tan lo ex ract dll sludg ,n id tanks Once he cleanup oft all sludge has be n completed, CG will pressure wash down all the r malnlng contents on the interior of the tanks. Level D PPE, Tyvek, leather gloves, Full face re~p,rator with HEPA cartndges, lanyards, one roll or poly and 4 gas meter. Vac box fl 1 will be brought bock to the yard . Phase 2-Roll off truck w/opcrator to bnng back vac box #2 to yard. Phase 2-Roll off truck w/operator. Vac box #1 will be transported to 4508 ~ Baker Rd, Baytown TX. Onver will relurn me day. Ph se 3- Roll off truck w/operalor. Voe bo>e 1112 w,11 be tri,nsporlcd lo 450 V Baker Rd, Baytown TX . Driver will r~turn came day. 200' of ADS hose with duct tape.
Job Actions
Start Job
I04/12/2024 OS 31 AM 5225, eague, Rendon, Texas 76140
BEGI NI G MILEAGE FORM
Submitted At O<l/12/20:.14 05:31 A"'1 S22~. league Rendon, T ~as lbl40
E) lRUCKltl.
Locall1on. en, 1e Type:
Tr ck ID:
~ Trai ler :
Location: Trailer Type: Truck ID:
BEG! ING MILEAGE:
82296
Generated On 04/19, 1024 04: 04 P'I
Durabon 2h:7m
DFW 3/'1 Ton
575 DFW Equipment Trailer
8
0 StreetSmart
Onsite 41:2/20i4 07:38 A'
ZOE C::un. f:.oac 43 4, Deca .r,
exas ~6234
......
JOB SITE ARRIVAL
SLbm ttec At 04 12 2024 07:38 A"'I
20b, C u ty oJd 4384 Oecat r T
as 76 34
07:38 "1
Photos
1:sr::.024 o:o:> A'" 53C : , -e.,!l.ie o.,d, ,encon, T~ . as 76 40
JOB SITE
SL0m ctec At 04 !) 2C24 6: 0 A 5'.:01 , Tc~gue Read Rendon, "'exa:, 76140
@ Please take photos of Equipment, Personnel, PPE, Work During and After Photos:
Duration: 2d:2.2h : 2lm Duration: Sm
At04/12/ 24 : AM 5 01, Teague Road Rendon, Texas 76140
r; ,,,,,at,.d On 04/)Q/)014 0404 PM
5301 , T,1ag.1l:! J:.oaj R~ndon, Te~as
2 / 8
0 StreetSmart
At 04/12/2024 08:53 AM 5301, Teague Road Rendon, Texas 76140
At J4/:2/'20~.:. OS:53 A'-1 5301 , Teague R:>ad Rendon, Texas 76:~o
~t o-v:21202.:. 08:54 A'1 5301 TeagJe Road Rendon, Texas -6:.:lQ
Ger-era;edOn 04/29/7074 04 04 i'M
At 04/12/2024 08:54 AM
0 StreetSmart
At 04/12/2024 06:54 AM
' .,,
. ..... ..........
At 04/12/2024 09 10 AM
0 StreetSmart
.. Al 04/12/2024 09 10 AM 5301, Teague Roac Rendon, Texas
76140
At 04/12/202'1 09: 10 AM S301, Tc.iyu.: R<JJC Rt!ndon, Tc>.as 76140
~..,..
,.
At 04/12/2024 09: 13 A"! 5301, Teague Road Rendon, Texas
76140
Generatttt On 04/19/2014 04:04 PM
.. At 04/12/2024 09; 14 AM 5301 , Teague Road Rendon, Tel(as
761'10
5 ,rs
0 StreetSmart
Al 04/12/2024 09:14 AM 5301, Teague Road Rendon, Texas 76140
.:\t tl41 :21: 024 09:35 AM 5301, 1tagi..e Road Rendon, 1e>.as 76140
Al 04/1212024 09:35 AM 5301, Teague Road ~endon, Texas 76140
Generoted On <H/29/2024 01 04 PM
~
...
At 04/12/2024 12:48 PM 5301, TedgUt! Road Rendon, Texas
76140
0 StreetSmart
At 04/12/2024 12 48 PM 5301 , Teague Roao Rendon, Texas 76140
.L ..
.....
At 04/12/2024 12:48 PM 5301, Teague Road Rendon, Texas 76140
QUlCK JOB RECAP 04/1S/2024 06:05 AM 5301, Teague Roac, Rendon, Texas 76140
Durat,on: Om
Abbs Job Recap Submitted At 04/15/2024 06:05 AM
5301, Teague Road, Rendon, Texas 76140
E) Job s~mmary:
Used 4 absorbent bags and one roll of Polly to bu,Id retaining pool for overflow catch out Side 2 tanks 504 and 503, use small
hand tools to open man way. - oil sludge was 2.5 feet deep Not 4 to 6 inches like Informed, use 4 gas to monitor air before during an after entry - Use initial 2 rolls of 6 inch 100 foot ADS hose, hand tools and pressure washer to clean out oll ca nk 504 - all waste was collected into vacbox provided by Iron clad ( V - 295). air mover provided by !CO - Jeff C brought out addit'onal 3 rolls of 6 inch 100 foot ADS hose - Job was completed 4 - 13 - 24 by pascual
crew One completed tank 504 crew 2 completed 503 and 3rd tank.
Offsite
04/15/2024 06 05 AM 5301. Teague Road, Rendon, Texas 76:40
Site Departure Submitted At 04/15/2024 06:05 AM 5301, Teague Road, Rendon, Texas 76140
@ Site Departure:
04 :00 PM
DJrat1on: Om
End Job
04/ 15/2024 06:05 AM 5301, Teague Road, Rendon, Texas 76140
O.irataon:
GeMrd/o>,i Cr. ()J/1.S. zo:,, OJ. ()J PM
0 StreetSmart
ENDING MILEAGE FORM
Submitted At 04 ' 15/2024 06:0!> AM
5301, Teague R(lad, Rendon, Tex.is 76140
@ t:NDING MJLEAGt::
0
@ Was Toll Tag used:
Yes
e Truck Restocked:
Yes
e Tr,.,ck and Equipment
Yes
Fueled :
@ Pt-oto of Truck Interior:
:.c ~4/ ::./ 2024 Oo. 05 AM !>301 Teagt..e Roac Rendon, Texas -6:40
G.:lleIJll!d 011 04/29,1024 04.04 PM
DAT
CUT MER.
JOBNO
'Tcc..~ 1c;
'~ fecJ.-
'1ecJ,,... 15
s '3\)
t'.O-e:>
53~
1"2.'o<::>
7 '.'-\ 0
l ''-10
q t30 7'40
\' YO
5 C,!oo t,.\00 l 1...
s y~oo
1.=,00
I 1...
.5 '1 '00 lo I 00
,is
.5' y.00 lo: D()
I '2..
\.I ! 0t>
5'.o'C
5
CGTIIU.."Q .in
I T0U. >101.l'IS
- ,. Y1)
IIOU.-off 110
OlY 10
Y1> IIOU.-01, SOX AOLL -10, L.P.UI VACUUM BOX
FIIAC TAIi
60!. t MAN i, 11
WA5f 0E9" l'I
JOI NOTES JO PERFORMANCE O(TAILS : E on 1h11 C~"-' lh~t w,i. com 'tied nd not 111 an df'b . ,uu~1. ~nd/o, c.om I l ions
u~c.d_J..J,...::;::~::::...~;:;..;...1-~=-~--=---'-...:...;i,,:..:.._.i.~~....,,_,:_;:;_..a;;;.;=i,,..:.a;_~-1-=-x;.u=-;+-~0~0~,----~
fu~ 0V
to
'L
~~ ScY-~~3- ...Ml..:.1,,,.-..-.~~L-.a:~:J..Wi ho
.5 fc.J- ..1
_,::;.;;..;:~-"+1-=~.____,-=-=~--4_,_--=-1 -1.. Li
cu..-\-
Pv-
t\ l eel
10
NOTES/ COMMHm
COMPANY
ITtM()) PURCHA)l;O
tl(fENSfS
lltAX>N FOIi fUKCHAit
AMOU!'il
010 THC SCOPE O~WORK CHAIIGEl
,ictu~E Cllf(I( LIST
YES
NO
IErO E
t DURING
- AD0mONAl OA)S/INOIIK NHOED_! ., AFTD
- -- - YES __J_ NO
RESTOCXlD
nuu
~--
~
I EMPLOYEE SIGNATURE:
IIIEfUClEO EQ.
VB/ NO
Diesel Gallon
lGa,Gallon
0EF: YES/ 0
1011 Stt!IT IIICEMO DA TE JO SHUT Vlltlfl(O I. Al'PIIOvtl> V
G u~ l l r - c , J l ( \ - , --
D
APPENDIX 0
{"':
ENVIRONMENTAL
HAZIMAT
CONFINED SPACE ENTRY PERMIT
OCATION
-l)c:.t.J.,\-y--
SPACE LOCATION: _____....__s___,=--=-o~ ~ ln+,
DATE:
START TIME: ENO TIME:
AurHORl2EO l'ERSO t Cl: fNTRY SUPER\IISOR(S)
RESCUE METHOD:
/f, I I < ae!,., &,, Qo\ ~
RCSCUE PERSONNfL .
. t
PRU TRY BRIEFING CONOUClEO BY: _ _ _ _ _ _ _ _ _ __ HAZARD POTENTIAL IDENTIFICATIO
PERMJT FILLED OUT 9\:- - - - - - - - - - - - - - -
N/A
Elltrap'Tlent
Chemic1I Contact
n Occ,parq
El ctrial uposure
Mtch lcal Exposure
0 ,iti Errich d >23 5%
Temperature (ri0t/Cold)
C :;st le Gases/Vaocrs(lEL>l0%
Fall Potenli~I
Ccmbustiblt;> Oum(\ s'b<lity,121
Adt"QU3te dsh tlns
lo c arbe>I' I/lo oxidrs >35 PP/
Hvdraul:c Energy
To~,c Hydrogen SJlfide > 0 PPM
ompresstd Air
E11gul'me'lt
I-lot ~\ oo. Pc, m,c .JNJ
Gra,1tv Products i P,pin
ACCEPTABLE ENTRY co omoNS :
YES
NO
N/A
Wecteo Department 01,r,e~ Svster-- Lockec & uied Out f, Pr_,tcct1on Pr v1dcd
H11 t')I p, l'\ldtd flr:ti,. IGFCI PrM,ctl"d
J, -
v v
,.._..,.. ....
.........
Res0.1e Personnel Ava, able P,p,n,: D1.in ed 'C.,p 11 or 610 <'II Space Vent llld first Aid Kt; Available rl.:.tr1ul E~plosl nPr,:, I
Fre El n~u,s er vai1ablr Ox e e.elS tv.eenl95&.23Silro
v "~
~'-
-
v.,..
,,,.
Arc;, Sr u,...d 8. 8.,,.1 ~dcd Prooer Prn N1 "" rrnth"'II Pro id"rl Pe rsonr,el Trained In ASS1&ned Out es f'tr onnel lnforme of Hazards "" Equ1pmtnt ht~pcd d & R dv
jfRUU. NUMBE", ENTI!Y SUPERVISOR:
TIME
C730 O V
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ATMOSPERIC TESTING RESULT$,.
Record ResultsAr Leort EVERY 30 Mfnutes
OXYGEN% 19.ST023.5
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Job Summary
ame .
2-24
50-0.2 Ht!IH 0 11Phase l FS
Job ID :
2-2408 -02
Type :
CG Roll Off
Pattern:
One Time Job
P'ior,ty:
Medium
S ills.
Ccated On
04/04/2024 05:24 P
S atus:
Completed
Job Loca io
Contact ~ame Contact ?hone: Er-,111I Address: A:idress
972-837-8444
206 County Rd 4384 DecatJr, TX 76234
Worker Detai ls
Worker:
Group
OFW
Scheduled Time
Scheduled Start: Scheduled End : Estimated Duration:
04/11/202/4 08 :00 AM 04/11/2024 12 :00 PM 4h :Om
Actual Time
Actual Start: Actual End: Tme On Job: Suspended nme: Total Job Time:
04/11/2024 01 :20 PM 04/11/202'1 06: 58 PM Sh:38m
Sh :38m
Additional Information
CuSTOMER PO
BID ;os.
CG SALES REP:
DISP TCH NOTES TO TECH :
-FS Weste Tron~port to rcc'lcling foc,lity ,n Houston
Phase . eed A1rmc11er w/operator, Superv sor. o techs. F250 w/TMU
Pressu e asher, Roi oft dnver w/operator. CG will come oul to clean oc1t
two 25 used oil lank~ ,nd one 15' used antifr eze tank from sludge, about 2' per tank. Customer v,111 be r spons,ble for opening up the port door on the bottom side of the tank. CG w~I use CSE crew and Airmover, enter into
tank to extract al sludge inside tanks Once he er anup off all sludge ha
been completed, CG will pr ~r was'I down all the remaining contents on tne interior ot the tanks Level D PPE, Ty\ek, Icatner gloves, Full face respirator wI HEPA cartnoges, lanyards, one roll of poly and 4 gas meter. Vac box 4'1 will be b0ought back to the yard . Phase 2-Roll off true( w/ operator to bring back vac box #2 to yard . Phase 2-Roll off true w/operator. Vac box -#1 will be transported lo 4508 v ~aker Rd, Baytown TX . Driver Ill return same day. Phise 3-Roll off true( w/ operator. Vac box 112 w II be transported to 4508
3aker Rd, Baytown TX . Driver, 111 return same day.
e11 scope 4 1-2074 Roll oft dn er II p,ck up voe boxes from lroncled and will
drop o{f on location today.
4
H&H Oil-w1II have a rep onste tomorrow to provide manifests.
'Jaste Is not allowed to stay onslte. c will need to bring the boxes back to
thE yard . (non haz waste oto)
Job Actions
Start Job
04 /ll 2024 01 20 PM 5301 Te.19u.., RoJd Rcncon, Tc as 7Gl 40
BEGI l G MlLAGE FOR
Sullmlllcd Al 04/ 11 /2 024 01 :20 P'l
5301 Teague Road, R ndon , 1'exas 76140
S BEGIN NI G MILEAGE:
975871
@ TRL.,Ck 1
Ml8
Gtremed o ~ ()4/2<;/2024 04 :03 Pl'
Duration : Sh :3!>m 1 J/ 6
0 StreetSmart
E) TRUCK#2, @ TRJCK #3: @ TRUCK #4: @ CREW MEMBERS:
Marty Hendricks
PH OTO OF ROLL OFF BOXES
04 :1 2024 06:55 PM 5301, Tea gue Road, Rendon, Texas 76140
Picture Submlllcd Al 04 / 11/ 2024 0 6 :55 PM 5301, Teague Road, Rendon, Texas 76140
Before pictures:
J urauon : Om
,
At 04/11/2024 02:22 PM
Al 04/11/2024 01..ll. PM
Ge<>~raled On /).J/29/102.4 0 4.,0J PM
At 04/11/2024 02:22 PM
7 ,J 6
0 StreetSmart
Al 04/11/2024 02:22 PM
At 04/11/2024 0223 PM
At04/ll/ 2024 02:23 PM
Generated On 04/29/2024 04:03 PM
\ .-
At 04/11/2024 02:23 ?M
3 l 6
0 StreetSmart
Al 04/11/2021 02:23 PM
At 04/11/2024 04:32 PM
At 04/11/2024 04:32 PM
SOLID WASTE
N/:1/::0H 0(;,55 PM ~32; Tea{1<Je Rendon. -exas 76140
SOLID WASTE DISPOSAL Scbm,ttC?d At 01111 12024 06:55 PM
5321, Teaoue, Rendon. Texas 76140
s SOLCD WASTE?:
NO
9 o:sPOSED AT CG:
e OTHER DlSPOSAL
FACILlll:
El SOUD WASTE
OFrLOADED INTO? @ QTY OF CONTAINER:
NO no waste NONE
9 SOLID SAMPLE 0 ULLED: 9 SOU D WAS-E RECAP:
NO No viaste
G,:11~1d(<!tl 011 /)4/19/2024 04. 03 Pf1
)..,r<!lron: Om
0 StreetSmart
UQUIO WASTE
04 11 20:!4 06:56 PM 53: I, Tea\}u~ R~n<lon, Tc~Js ~bl -10
LIQUID WASTE DISPOSAL S~bm,tted Al 04/11/2024 Ob:!,b PM
5321 Teague, Rendon, Texas 76140
9 LIQUID WA5TE
NO
ACCUMULATED?:
El r-lSP<lSE'D OF ,_T CG':
NO
El 01 H::R Dl5POSAL
FACILITY:
El l !QI,: ID DISPOSAL
OFFLOADED INT07: @ LIQUID DISPOSAL
GALLONS:
9 SM1DLES PULLED':
0 l lQLID DISPQc;AL
RECAP:
NO waste NONC 0 NO No wMte
PHOTOS OF MANIFEST 011 ~ l, :0:-1 06:SG PM 5321, Teai;ue Rendon, Texas 761'10
P,cture s.,brr,tted At 0-1111.12024 06:56 PM 5321 Teague. Rendon, Texas 76140
E) Before pictures:
DuraLJon: Om ::>uratlcn: Om
At 04/11/2024 06:54 PM 5321, Teague Rendon, Texas 76140
DISPOSAL INFO
U-l/Hll0l4 Ut,;~b f'M 530 I 1 r,t\)t.t' RuJd, R,:1td1>11, Ic,J:. 't, IIll
o,~po::;al Sile fo1 Rollott
Stibll11llCd Al 01/ I l/~021 0(,. S6 PM c;101, Tew1ur Road, Renrion Texas 76MC1
El o,~posJI Sile fm Rolloff,-,
Ollwr
)ur<!LIOll, 2111
QUICK JOB RECAP
01'1 l/10:>4 06:SR PM 5301 Teaque Road, Ri'ndon, Texas 76140
l')lJldl11>n: 0111
Comments Submitted At 04/11/2024 06:58 PM 5301, Teague Road, Rendon, Texas 76140
Comments:
Hauled Box N47964 back lo Ironclad Arnved Ironclad 200 Depart Ironclad 300 Picked up boxes V29S and VS76 and hauled to H&H Oil jo site
and dropped next to tanks
Cl!Uf Jl/i:d On 04/29/Z024 o-:.-o:; PM
0 StreetSmart
End Job
04111/2024 06:58 P'1 !>301, 1eague Road, Rendon, 1exas /6140
ENDING MILAGE FORM Submitted At 04/ ll/l024 06:58 PM
5301, Teague Road, Rendon, Texas 76140
@ ENDING MILAGE:
976004
TRUCK# :
MA18
Duration:
uereratl!d vn J.J/:9/JJJ4 LN :JJ ~r
CG DRIVER TRIP TICKET
ClJST'40
~
:
DtSCIU9110H; ~ ,. u p z
C' .... .s : ~ 't..
STARTTIME :
1 ,)
DISPOWIN .
O~ SIT( DUAYS: O SITE DElAY5
"' J . , .... c ,.. ,l 'l,~(Pf.... C\ pr 1 J<"O~ ,
1 1
i...,-~ .> l ,J ;_ < r, I/$;(,.
OISPOSAi f AOL/TY. MANIFEST MUM8R:
a>t-.SUMABlES
,urd Hat
t..teJcGlov s
Add I Hoses- + - - - - !
DIA:'t Tapp Pu V Sllethn
_ _ _ _ _ _ _ _ __ I_Sl'O-'S-'A--l'.-T' lCUT NUM&U
ROU-OFFBOX
0 OPP0AT I t i ,, or:;or-r OA1 . ,~ II(')
TANKER
~ , +w-_ c_,_G_tf_ l _ _ _ _ _ _-1
-i.. !WEIGHT -------
WASHOlTT.
_ _ _ _ _ _ __.,.w.,cMc: liOVT
WASTE REJECTION
WAS 8ROU~I-IT 10
0 StreetSmart
Job Summary
Name
I I
UB See 04 H&H OIi-Phase 1
Job ID: lype: Pattam: Priori Skills : Cr .ited On . Statu .
2-240850-C 3 VA fl~UCK One nme Job
edium
04/04/2024 05 :27 P'1 Unas Ign d
Job Location
Contact Name: Contact Phone:
EfT'ail Adoress . Ad ress:
972-837-8444
06 Co nlry Rd 4384 Decatur, TX 7t>Z34
Worker Details
Worker: Group:
Scheduled Time
Scheduled Stort: Sche<luled End : Estimated Duration :
Actual Time
Actual Start: Actual End: Time On Job: suspenoeo Time Total Job Time :
0~/09/202 08 :00 AM 04/09/2024 12:00 PM
4~:0m
Om
Om
Additional Information
CUSTOMER PO: ~IL' JOD:
G SALtS R(P : DISPATCH NOTES TO TECH :
f'RfVIOUS GA IONS :
Job Actions
Waslc-Transporl lo rccycllno fac,hl ,n f touslon Phase 1. eed A1rmo1: r w/op rator, upcrv or, two t ch , F250 w/TMU
Pr eJ u11 w sh~,. Roll off drrvc1 w/ ~r ato1. CG Ill LO 1c out to uet)n out
tw, ?'i' 11c;Pc1 nil t;inkc; ;inr1 onP 1o:; 11c;pc1 ;intifrPP7P t nk from ~ludQe, abou t 2' per la11 . Customer will be responsible for opening up th port. door on the bollorn ,.,th! ot lhc lJnk. (.;(, w il l u~c <.SL .._,e,., ""J ,\irmovt'r, ""'" 111lo tank toe traC1 all c:ludqc ,nc:,c1<- tank<: One-(' th<" clNnup off all sh,d!ll' h.i" been completed, C will pressure wash dowo all the remaining conten~ on lhe ,nt nor ol th tdnks. L vel D PP , Tyvek, leather glov ::., t-ull Ide rc, porntnr with HCf'A corl ridge~, lnnyor d s, one- roll nr pc, ly nnd 'I g -; m t cr .
ac box # I will be brought bac to the yard . Ph~s 2-Roll oft trud< w/operator to bnng back vac box # to y.,rd. Phl~e 2 Roll off t ruM< w/oprrotor Vac bo ftl will be t,an~portcd to 4~08
w Baker Rd. Bdvtown TX. Olver will return same day.
Phase 3-Roll oll \rude w/opcr.;lor. V.;c bo 112 will be transported to 4508 W 8 kc, Rd, B,wt ow11TX . 011veI will ~lUlrl 5dmt.' Udy.
tM
I J1
0 StreetSmart
Job Summary
Name:
2-2408;i0-04 ~H Oil SUB
Job ID: Typ,.,
2-240850-04
CG SlJB C,ONTRACTOR
Pattern:
One Time Job
Pnorit y:
Medium
Skills:
Created On.
Status:
04/ll/7024 l0.19AM Completed
Job Location
Contact Name. Contact Phone: Email Address: Address:
Worker Details
Worker:
Group:
_DFWSUB SUBCONTRACTOR
Scheduled nme
Scheduled Start: Scheduled End:
Est,matcCl Durauon.
04/12/2024 08:00 AM 04/12/2024 09:00 AM lh:Om
Actual Time
Actual Start: Actual End: nme On Job: Suspended T'me: Total Job nme.
04/22/2024 03:41 PM 04/22/2024 03:41 PM Om
Om
Job Description
SALES Jeff
....
.....
Additional Information
SUBCONTRACTOR JOB:
rco sub for 20K with op
lronvlad Enviro for rental of 2 vac boxes
Sub to p11::k up boxes and bring yard TBD j
Job Actions
ISUB CONTRACTOR NAME 0'1/22/2024 03:41 PM
Comments
~--~~-
Submitted At 04/22/2024 03:41 PM
..
~ural1cn: Om
9 Comments:
Done
DETAILS
04/22/2024 03:41 PM
Duration:
Comments
Sutim,ltc-d Al 04/22/2024 03:41 PM
Cor,ments:
Done
0 S reetSmart
Job Summary
.im.
2 2 0850 OS H& 011 FS
Job I :
-240950-05
Type:
NFW 2STFP
P.illcrn:
One Tome Jub
Pr1onty:
1ed1 m
5 Ills:
Crea~ed On :
04/ 12/ 2024 04:46 PM
Stalu.
C mpleted
Job Location
Conlact Narne Contact ?hone: Ema rl Address : AddrPSS
972-837-8444 206 Coun ry Rd 4384 Oeatur T 76234
Worker Details
Wor er
Gro~p:
OFW
Schedu led Time
Sdn:uult!d ,.nu Estimated Duration:
04/13/2024 08.00 M1 0-1/13/ 02'1 l .00 AM Jh:Orn
Actual Time
ftctual Star:: Actual End Time On Job: Suspenoed Time. Total Job Time:
04/13/2024 06.15 AM 04/13/10'4 0734 PM 13h : 9m
13h: 9m
Job Description
Add Iron Clad E v1ronme'ltcJI-S b v.111 uur yJ1rJ <.111,J unc 1,.i~I,. lu lhcm ICO t, provlrJL , 1u1:h.'1
ove boxes today to a different location onsitc and will pick up tomorrow On will n In
Additional Information
Cl c:TOl'>'E'R PO JOll TYPC . C ; S,\LE: RE:P: IN1IAL 01SPA1CH 11101 S:
-rs W.islc-Transport lo recycling foc1I ty 1n Houston Pha,' 1. cut Armovl! W/UP rJl\)I, ~upe 1 01 l\\O k<.h,, r z5 w /TMU Prl'Sc;un wac;her Rell elf dnv w operator CG will c-ome out to dc-;in out
t 2~ u ed 011 tan~s and on l~ used ant11reezc tan rrom sludge, about l.' per ld11 Cu,tomer v.ill be respons ble ror opening up lhc port door on hr bottom sid fl c l nk CG w,11 u CSE crew an Ahmov , nl r Into
an to extract all sludge 1ns1de tanks. Once the cleanup off all s udge ha been completed, CG win pressure wash down all the remaining contents on lhe Interior o' the tanks. Level D l't>t, I yve , leather gloves, Ful race reporator wrth HEPA cartridg c, I nyardc, on roll of poly and 4 935 meter
Vac box /11 1111 be broi.ghl back lo the yard . Phase 2-Roll off true v,/ opc1ator to bnng back vac box #2 to yard.
hasc 2 Roll off truck v,/ opera or. Vac bo 41 \\Ill be lra sported lo 4508 W Baker Rd, BaytoY.n TX . Driver will return same day. Phase 3-Roll off truck v,/opcralor. Vac box #2 \\111 be transported to 4508 W Bdkl:!r Rd, BaytO\ n TX. Dnv r I Ill return same dJy 200' of ADS hosp With duct tapf' Pressure wash 011 re,ldue
Take oly roll
Job Actions
Start Job
04/13/2024 06 . 5 AM 3&20 Ave J, Fort worth, Texas 76l05
BEGINNI GM LEAGE FOR Su m1 ed Al 04/13/2024 06: SAM 3620, Ave J, Fort Worth, Texas 76 05
El TRUCK#l :
Locatl1on Vehk:le Tyce: Truck ID:
Dural1on : lh. lSrr
DFW
Pickup Truck
Ccncrotrd On 04/29/2024 04 : O,, PM
0 StreetSmart
lrc11ler:
@ BEGINNING MJLEAGE: @ CRfW MCMBrRS;
Location: Trailer lypc: I ruck 10:
on-v
39582
Pa~cu/11. fdg;:11 )alOb. Clu iSli<Jll
O nsite
04/11/'0',t 07~0 AM 206. County Road '1384, DeCc1tur, 1 exas 76234
JOB STTE ARRIVAL Submitted At 0'1/13/2024 07:30 A"1 206, County Road 4384, Decatur, lexas /6234
E!) ARRIVE JOB SIT E:
07:lOAM
Photos
04/ 13/2024 04:21 PM 3620, Ave J, Fort Worth, Texas 76105
JOB SITE Submitted Al 04/13/2024 04:2 1 PM
3620, Ave J, Fort Worth , TeXd!> 76105
@ Please take photos of Eq u i pment, Personnel, PPE, Work During and Aher Phot os:
9 During Photos:
Duration: 8h:Stm DUldllon: lm
At 04/13/2024 03:54 PM
ur!nr!ld!cd On 04/.l9/l0L4 04:CX 1'11
Al 04/13/2024 04:15 PM
0 StreetSmart
At 04/13/2024 04 :15 PM Al ()q{l)/2024 04:15 PM
i:;c,1e1~c1:d On /J4/J9/lU24 04:04 P/1
At 04/13/2024 04:17 PM 36201, Ave J Fort Worth, Texas 76105
0 StreetSmart
. . \.
At 04/13/2024 04:17 P,"1 3620, Ave J Fort Worth, Texas 76105
20, Ave J Fort Worth, Texas 76105
Al 04/13/2024 04:18 PM 3620, Ave J Fort Worth, Texas 76105
Photos 04/J 3/2024 04:22 l'M
J(,.!O A,c J, fort Worth, te>.a~ /C:,10!,
<;enera1ed On 04/29/2024 04:04 Pf,!
At 04/13/2024 04 18 PM 3620, Ave J fort Worth, Texas 76hl5 )urdtlon: Sm
4 J ti
0 StreetSmart
JOB SITE
Subml:ted At 04/! 3/2021 04 :22 PM 3620, <\ve J, Fort Werth, Te,cas 761 OS
@ Please take photos of Equ ipment, Personnel, PPE, Work During and After Photos:
:::>i.nng Photos:
At 04/13/2024 04 18 PM 3620, Ave J Fort Worth, Texas 7610!>
Al 04/13/ 2024 04: 18 PM 3620, Ave J Fort Worth, Texas 76105
- Ge,.,e,dtt:f.l 1..in '-14/~'}/101.4 04, 04 ;'M
0 StreetSmart
At 04/13/2024 04 19 ~M 3620, Avt! J Forl Worth, rexas /610~ , Te).as 76105
-
.;ene14-/e<f 011 0./19/Z014 04,04 PM
0 StreetSmart
At 04/13/2024 04:20 PM 3620, Ave JI-Ort Worth, Texas 76105
QUICK JOB RECAP
04/! 3/ 2024 0-1: 2/ PM 3620, l\ve l, Fo1t Worth, Texds 7<>10~
Abbs Job Recap Sul,1111lled Al 0-l/l3/2024 0-1:27 PM
31i20, l\u l , Fc,rt Worth, TP,o~ 76105
0 lob Summary
we a,, 111ed on51de then w ith start 1emovmg U'-<'d uil with :.oil:, we ,,.,,11 :iirmovrr nnd 1111r h<>xr ~o dispo'IOI so,I w~ motor 011
Offsite
04/13/2024 04:27 PM 3620, Ave J, Fort Worth, Texas 76105
Site Departure Submitted At 04/13/2024 04:27 PM 3620, A11e J, Fort Worth, Tel\ilS 76105
Site Departure:
02:30 PM
Duration: 3h:7m
Gen~fdled On 04/J9/l074 04. 04 PM
7 I d
0 ,StreetSmart
End Job
tl41 lJ/.'0;'-1 0 ' :J-1 p,1 :if,~(l, ~"" .1, <.itl Wl'tth Tt',,ts 76105
EI\DING MILEAGE FORM ~ul.11111llt',1 Al 04/ 11/ .l0/1 0/ J4 PM 31\'.'0, /Ive l, rort Worth, TC"x;i~ 76105
@ tNLl'. :IIG MILtAl,I.
JYti:,:,
Was Toi, Tag Used:
Yes
9 Truck Restcckcd:
Yes
Truck und EquIpmtml
Ye!.
r uclcd:
e Photo of Truck Interior:
:>uration:
At 04/13/202,, 07:3'1 PM 3620, Ave J Fort Worth, Texas 76105
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J08 NOTS & JOB PERFOR MANCE DETAILS: fxp:iln the task$ thit w~ co,npftted ano nO(te ,my deli l'l>, ls1ues, c1nd/01 tompl!c.tlons
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SERVICES PERFORMFO
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ANt WOES 011 COMPUCATIOIIS1
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COMPANY NAME
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RENTALITtM &DESCRIPTION
ID#
NOltS/COMMEffTS
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0 StreetSmart
r
Job Summary
amt!:
Jo:i ID T e:
2-24085006
CG Roi orr
Pat ern:
One Tine Job
Pnonty:
'led1um
Skill :
r atcd On.
04/l!,/2024 0J.)7 PM
Status:
Completed
Job Location
Contact l\amc: Contact Phone Emd1I Addre!.5 : Address:
206 Country Rd 4384 Decatur, TK 76 34
Worker Details
Worker:
Group
OFW
Scheduled Time
Scheduled Start. Sdleduled End: Estimated Duration .
0/15/2024 03.4!> PM 04/15/2024 07'45 PM 4h :Om
Actual Time
Actual Start: Actual End: Time On Job
uspenoeo Time: Totol Job Time .
04/1 5( 2024 5:14 ?M 04/15/2024 07 :23 PM 2h :9m
2h 9m
Add1t1ona1 Informat ion
CUSTOMER PO: BID JOB: CG SALES REP: DISPATCH NOTES TO TECH:
Job Actions
-was e pick up box and bnng back to yard, Otto awcre.
Start Job
04/15/2024 05:14 PM 206, County Road 4384, Ot.'Cdlur, TexdS 76234
BEGINNING "11LAGE FORM Sub ltted At 04/15/2024 05.14 PM 206, County Road 4384, Decatur, Texas 76234
BEGINNING MILEAGE .
1333\6
9 TRUC'\,.i!
RT2
TRUC #2 .
e ~UCK 3:
TRUCK #4
9 CRE ME BERS.
PHOTO OF ROLL OFF BOXES Q~/:S, 04 07:07
53C 1, .,.ea e R ad, Rendon, TeK!IS "6110
1cture
:::,ubmltted At 04/1!>/.:U.N 0/:0i l'M 5301, eague oad, endon Te as 76140
Duration : lh :53m DLraton 4m
0 StreetSmart
$ eefore pictures.
At 04/15/2024 05:06 PM
At 04/15/20 24 05:10 PM
SOLID WASTE
.,.i t5, ~L,.:-1 ~- ll f'I ~3:1 .:.J~<! ,,..i.i, F;... 1dv1
T1;,.i:, 7~1-l.'
DCJrJl1011. !rn
S.JL:D WASTE C!S::"OSAL S. b 1" tlt.: ;..: (1-1 15 ::?:::?-1 ':/7 : 1 ~M
SJi.'ll Te-'9< ,_. R;,a~ Rrnn,n Texas -6140
@ 5~L:~ W..\STr-
n:s
@ C':Sf'vSW .\T .:G
\0
CTH:~ :>:S:>OS.\L
F.\CL;1,.
e S.:-LJ 1\.\$-E
C''"': 0~:--E" Ir-ro (TY C'" (:O'ff/..lNE<.
e SvL:) S..\r-'=-LE PL .LE::.
SOL:) l'.'ASTE ~ECAP
0 arkec on CC: , ard
NO 'ac boxec still loaded on RT2 and parkeo on CG Yard
LIQUID WASTE
;4, ~ s, .:o:.: c- : 2 f'-1
53C ~. -ea;.e <sc.ac, "erdori Texas 761"0
L:QUID WAS-:: ::)!SDQSAL S.bm,tt& At O.! '15 '2:24 C7 12 :,"1 53:il Te~gLe f'.oac, Renc:on, Texas 761'10
UQL IO .'/ASTE
fES
J.CCJ'~ U. . A - : O ' :
@ OISl>OS:::> CF AT CG'
NO
Ei) CTHE'- J!S!>QSAL
f .:.C!..IT'
Parkec 01\ CG Yard
Duration: 3m
vc:n.:r<>t,:11 Vn U4/,l'.J/lUl-l U4. U~ l'M
l ,:.j 4
0 StreetSmart
@ LIQL,I0 01!>1'0::.t\L
C'FFLOAOEO INTO?
G) I IQLIID OISPOSAL
GALLONS:
e) SAMPLES PULLED?:
@ UQLIIO OI SF'OSAL RECAP:
NONI: 1000 NO Vac box still loaded onto RT2 and parked on CG Yard
PHOTOS OF MANIFEST
041 :S, ~O~-l 07:H P'I 5301, Te->9uc Ro.:id, Rcndo,, Tcxus 76140
P1ctLre Submitted At 04/15/2024 07:14 PM 5301 Teague Roac. RPndon, Texas 76140
Duration: Om
@ Before pIct~res:
~t C4/:5/2024 o~:1-1 PM 5301. Teag1.e Roac: Rendon, Texas 76:-10
DJSPOSAL JNFO
04, 15 2024 07:14 PM 5301, Tcdguc Road, Rt:ndon, Tcxt1~ 76HO
Disposal Site for Rolloff
Submillcd At 01/1 S/2024 07: 14 PM 5301 Teagcte Road, Rendon, Te><as 761'10
9 Disposal Site ro, Rolloffs.
Othe1
Duration: Jm
QUICK JOB RECAP
'1.'15/2024 07:17 PM 5301, Teaiwe Road, Rendon, Texas 76140
Durntlon. Om
Comments
Submitted At 04/15/2024 07: 17 PM
5301, Teague .i.oad, Rendorn, Texas 76140
@ Comments:
Arrived on site SOOpm
Departed site 530pm Drove to Decatur to pick up box V295. Loaded box V295 on to RT2 and secured using st1aps. Manifest was not sent over for
contact to print out like sales rep said it would be. Wrote up a manifest to bring box to yard on. Left box loaded on RT2 and parked a,ross from shop.
PHOTO OF ROLL OFF BOXES
041 15/2024 07:1B PM 5301, Teague Road, Rendon, Texas 76140
Duration: Sm
Gen.?td!eJ on 04/19/1011 0t:0!; PM
J "' 4
0 StreetSmart
Picture
Submlll~d .\l 04/15/::02-l O,. 16 PM 530~. ~eague i<oad, R.enoon. Texas 76140
El Seiore pictures:
At 04/15/2024 07:18 PM 5301, l eague Road Rendon, Texas 76140
End Job
0<1/15/2024 07:23 PM 5301, Teague Road, Rendon, TcxdS 761 40
ENDING MJLAGE FORM Submitted At 04/l':J/202.4 01:23 PM
5301, Teague Road, Rendon, Texas 76140
@ ENDI NG MILAGE:
133431
El TRUCK#:
RT2
Duration :
M M l ! N A M C:
CHHICJAN NAME:
CUSTOMUI '.
CG DRIVER TRIP TICKET
'l TtOi OIJT1S.
'fG.rrl.
OtSl'OSAl.lN:
STOP TIM(.
ow
Olw Sffl Ol\AYS.
OH5m01A't'S:
Dt.Sl'OSAl OtlAYS:
,.O'Tt.S L ,,..,. ~l J.
IC
1 :;.., ,..,r,_(
e-.... 'Y,, "'
_ _ _ _ _ _ _ _ _ _ _ _ _ _DISPOSIU..,~110"
DISPOSAL fACIUTY MA.N tf[S'T HUM fR : ~fll fEST HUMll,R:
~UMABUS
l>ISPOSAl n CUT.;.N;..U=.M= N= - - - - - - - - - - - - - - - - - 1 ~ TICKIT NUMIIER
ROU.-OfF SOX
Hard Hat Safetf V 11
~...;.;;_ _ _ _ _ _ _ _ _ _ _..,o_R_o_r_ri:o .IIT.
TANl'ER
WEfGKT - - - - - - 1
A.Oen HOSt!
Du l""---+-- - - - t
~ol Ofl luw:
GALLONS 0ISPOSEO: RUSO
W"5HO\/r:
WASTE REJECTION
',-,ST BROUC.HT 10
DATE;
VACUUM TRUCK USED OIL
Dispa c . 5~ 483 8181
0 : 81 483 818 I F: 817 4835887
c;2ss Te gue Rd ., Fort Worth, TX 76140
Con rmation sarrplPs
LC
l two Party 'r /
CGE45180
~ TRUCK STA T TIME JOB ID: ---==------------==-
ENVIRONMENTAL
TRUCK END TIME _:,c_~AM I@'
CLEANING GUYS
TRUCK#
, ~
Samp es Pu led Y I N
RECEIVING FACILITY
CTTY ~A /2 P FO T WOiffH TX 76111 (855) 483-8181
1CEQSLUDGE PERMIT
DEL Pl. f-A2
25218
PliON EFAIC POii
~VC RO
EPA 10
TANK'I Of CONT. TOTAL Q CONT TYP[
UNITOS: lOC lll'EASURE
X o, /w,.__1-.
Off-.)f'lCIA JION FUU PRODVC15l. 3. PGIII
n1mtd m,itn IS/3ub!Uncu arr prop,ly tln>tfieo, o,,a1 td, conta n.r...id, m1keo. ana b4, tel ,n addition to b.,ne on prcper cosd,t.on
~t fNII.. .,,,,.I'\,\ ,d,-, vltul'\1
int tt.Dl:p.nm 1otr,.m Uh.Jn.AA d1~crep,HKI snotcomfflun,a1 dm.1yrHJ'llr'I
IC!Mn
1..ion<
RECEIVER PRINT NAME
.,.
,~rte Cl! - Rflt ,-e: .,
Y lov. Cop;- ~en l'ito 2nc
Gold Cc:,y - Generator 1,t
0 S reetSmart
ob Sunmary
CG Roi' ff
k ,S' CrcdlCd On: Status:
'ed,urr
04/15/.l024 04.58 PM Completed
Jo:> Location
Contact cme
Con act P on.:
Worker Deta Is
Wo er. Gr p:
Scheduled Time
Ser- d.1led Start Sc edJled End
Es:1matec 01,;rat on
04. 16, 2024 09:30 M 04. 16, 20.4 01: 0 PM .th Orr
Actua l Time Actual Start:
AC:-.1al En~ T,,.,.e On ob Suspe ded T me: Total J!lb ure:
04, 16, 2024 07:40 AM 04/ 6/2024 09:: AM
h 3lm
h 31M
Aoditiona Information
cusrc~e PO:
Bl JC'B SA_t f:.>:
:J(S:>AT H "ICTES T TECH
w~stc Taking waste to d,sposal
Job Actions
Start Job 4 _6,20.4 C :40 A"'1 53: :, ea;ue q,<?noon, Te as "6140
BEG MNG IILAGE FORM SJbM tted A 04/lti/202.: 07::t0 AM 5321 TcagJe , Rendon , Te as 76140
e 6EGI ! 'IJG MILEAGE,
133431
e TRUCK# :
RT2
UCK#2.
&) TRUCK 3:
8 TRUCK 1'4:
CREW MEMBERS:
PHOTO O F ROLL O FF BOXES 41 1b ::0~4 .9.18 .).'I
. J: , Teai; e Renccn 1e,a~ TC-14(1
1ctJre
Subr-1tted ~t ~.:.J:6t20tA 3:0 A~I ~.il: Ieag~c ;;.cndo , Tc as~b.40
Duration : lh: 28m Duration. m
0 StreetSmart
$ 13elore pictures .
~t 04/:6/2024 05:59 A~I 5301, Teague Road Rendon, Texas ~6:40
,;t C4/:6/2024 0S:59 AM 5301 Teague Road Rendon, Texas 76140
!.t ~-V:6/:C0~4 N 00 A" 5301 Teag~e ~Ocld Rendon, Texas -5:.10
uencr.Jt,IJ On TMN'J/LUl4 U4:Q:, PM
.:.t )4/l6/2:l24 C9:07 Al-I 530: , Teag.:e ~oad Rendon, Texas -5:40
0 StreetSmart
SOLID WASTE
04 16 ::0::4 L'9:t'9 A~l SJ:) l, Tca\)Ul' R,-~d, R<.'<ldM, - .i,J> 761-10
Dural.Jon; lm
SOLID WASTE DISPOSAL
s~brn,tlL>d At 04 116/20~-t 09 09 M' 5301 Teague Roaa Rendon, Texas 76:40
@ SOL!O WAS- E':
YE$
E> DlS~SEO AT .:G
e 0TliER DISPOSAL
F.\C:Lll):
@ SOU:> WASTE O"FLOADE::> INTO'
e QTY OF CO'IITAINER
@ SOLiO S.\f"PLE PUaEO:
NC Dropped on yaro Disposal not ready for 1t OTHER
@ SOL10 WASTE RECA?:
V295 cropped on yard d1sposa not ready for it
LIQUID WASTE
041 :61 ~0: 4 C9;(19 A'I 53C:, Teagul' 'l.cad, 'tendon, Texas 76140
LIQUID WASTE DI SPOSAL SJbr"'itted At 04/16/2024 09 09 AM
5301 TeagL-e Roao, Rencon, Te)<as ?6140
@ UQLID WASTE
1110
ACCvMLI.ATED':
@ DISPOSED OF AT CG?:
NO
e) OTHER DISPOSAL FAC[LllY:
@ CQL!D DISPOSAL OFFLOADED ltrO?.
E) LIQL ID :>!SP0S4L GA~LOI\S:
$ SAMPLES Pl.,LLED~:
d1~posal not ready NONE 0 NO
@ L:Ql ID :)JSPOS>\L RECAP:
D1spsa1nol ready
PHOTOS OF MANIFEST
,1-4/-0/.cOc-l V~ l,' A'I
;;:ir:, -e;i;iue ~o:id, 'l.endon, Tc,as 76140
Picture
S1.brT'1ttC"<' At 0,1 ' l e; :>{';'.',1 09 :o t.M
5301 Te-aq1.e Road. Rendon, ~exa~ 76'.40
@ Before pictures:
)ur3L1c1: Om
Duration: Om
Gene,alt.>11 On 04/l'.J!l0./4 U4:05 P/1
~t :4/!6/:?02-l 09:0~ AM 5301, Teag~e >toad Rendon, Texas
-5:.~o
J "' 4
0 StreetSmart
DISPOSAL INFO
04 :6, ::0:-1 c:>9. lCl A'I !iJC: -<'<',;:ut> RO.\d , R<''10011, T<!'\d~ 761-!0
D sposal Site for Rollotl
S~bn-illt."d Alo.: 16 ' 2C124 09 10 .\" 57 01 Tt>ag,e Read Rencon, Te~a" 76140
Durat ion. lm
QUICK JOB RECAP 1.'4i 16120:4 (l:;lt: A'I SJCl, Tea,:i.,e "oad, ~endon, -exas 76ld0
DJration: Om
Comme-,ti: s~bmttec At 04, 10. 2024 09: 11 AM ~301 Teague Roao, Rendon, Texas 76:40
El Com-nents
Supposed to nau' box to disposal. Customer had not sent over namfest 1,fo anc disposal not ready for off loading. Labled a'1d C!rl'pped tox on I ard
End Job 04/:6/2024 C9: l: AV
530:, Tea;Je Roao, Q.enc:'on, Texas 76140
ENDl'lG MILAGE FORM
S~bn-,tted At o.i, 16, 2D24 09:: l AM
5301 Teag~e i-oac, Rendon, Te,as 76:40
El E'lDI\JG '11~.\G::
133432
T'-UCK~:
RT2
Duration:
.Jent>1a1ea On /J4/ l.WlUJ4 U~:U5 PM
CG DRIVER TRIP TICKET
- - - - - - - - - - -~ O.,.ATI. ~< Cl<
lltUOI HUMBER. STAltT M11.tAGf:
STAll'T lWt.:
ON SITT OlAY5 :
OH StTt DELAYS,
~WDUAI'); NO'Tt5 '\ .,. ( ,,
TIWUII HIJMIEII .
TOTAlMIUA6!:
lo1SPOSALFA:t;_1;1;J;.T..V..:.'..- - - - - - - - - - - - - - - - - - - r - -
MAN1FEST HUMHlt
jotSPOSAI. TlCKT Nc,.U,="',.1.1...__ _ _ _ _ _ _ _ _ _ _ _ _ _-f
MAM~ tsTNUMO.:l..1..1.-:- - . - - - . - - - - - - - - - - - - (X)HSUM/.IW
ROll-OFFBOX
Hird H;.;.a;.t:..;..._ _ _ _-f S.lrty V >t utex G!oves
BOX# - - - - - - - - - - -~1-D';.;.R0:.:;.P;..:P...EcO:::;.;A.;.T:.:...;- - - - - - - - - i - : -W.;.;;..tG~ H.T ; . ; : ' - - - - - - - ~
BOx
[o:PPEO AT;
TAN~ER
EIGHT:
Adel I Hoses -t-----4
Rcl,-off L,nor
WASTE RUECTION
\\AS E8 UGHl lO
0 StreetSmart
Job Summary
Name
2-2 0850-08
01 Waste
Job IC:
2-240 0-08
Type
"IEW W
Pauem:
One Trme Job
Priori :
Sk11ls:
C.rc.ilw on.
01/21/2024 0/ 34 PM
Status
Completed
Job Location
Contdct Name: Contact Phone:
Adcress.
Worker Details Worker:
Group:
DFW
Scheduled Time
SctleCluleCI Start: Scheduled End : Estrmaled Durabon;
04/22/2024 7:00 AM 04/22/2024 08:DO AM 1h:Om
Actua l Time
Actual Start Actudl End : Time On Job: Suspended Time: Total Job Trmc:
04/'n/202'1 06: 14 AM 04/22/2024 08 : 28 PM 14h:14m
14h 4m
Additional I formation
Customer PO:
CG Sales Rep: Dispatch Notes
Job Actions
-Na Talrng vaste to disposal Gel with Otto as waste goes to Hxt
IEN ROUTE 04122/2024 O&: 14 AM 53:!1, l c..iguc, Rendon, lei.as 7&140
Durdlron . /h.4m
BEGINNING MILEAGE FORM
Submolled At 01/2 /2024 06; :4 Al"
S n Tpague, Rerdon, Texai. 7 140
@ TRUCKr l:
Locallron Vehicle Type.
DfW Tractor
Truck ID:
26
~ Trailer :
Location: Trailer Type: Truck ID:
DFW Dbl Rolloff T21
E) BEGINNING MILEAGE.
178410
@ CREW MEMB RS:
lob Site Arrival
04/ 22/2024 01: 19 PM 14203, Davis: Estate Road, Needvrlle, Texas 77461
JOB SITE ARRIVAL S..rbm,tted At 04/22/2024 01 ; 19 PM 14203, Davis Estate Road, Nccdvrlle, Texas 77461
E) ARRIVE JOB SITE
11.35 AM
Job Site Departure
04/22/2024 01: 19 P 4203, Davis Estate Road,
eedv1lle, Texas 77461
Ou-ation: Om
1.,<1,t!r dl<!d II 1)4/ 9 JO I 04. 05 PM
1 ''
0 StreetSmart
JOB SITE DEPARTURE S.ibr11tte,l Alo.: 2Z. 2024 01 19 PM
14203, DaV1s !:$tale Rt'ac Needv.Ue Te'<as 7746:
DEP'~R1ED JOB SITE.
01 33 PM
Landfill Arrival
04 '22 20~4 Cl:::Q PM 14203 Davis Estate Road, 'lleedvi le, Texas 77461
JOB s r-E ARRI VAL s_br,tted A: 04/ 22/2:)24 01 19 DM 14203, Dav s Estate Road , Need, 1lle, Texas 7i461
ARR!VE ; oa SITE:
11 35 AM
Landfill Departure
04,22,2024 C::19 P'I :4:!03 Dav,s Estate Road, "ieedvtlle, 7e>.as 77461
JOB SIT:: DEPARTURE Swbm1tted At 0412.:/ 2024 01 19 PM 1-l20:.;, C'av1s Estate Redd. Needville Te,a~ 7746:
6) CEPA~TED JOB SITE:
01:34 PM
Delays
0-1,::21:0::-1 C:'.20 P'I
I 14:?03 Davis Estate Road, 'lcedvi le, -ex.is .,7461
Comr-ients Subrr 1tted At 0-1 12:!'2Cl:?4 01 20 M 1.:203. Davi;; Fsrate Road Needville. Texas 77461
E) Comments:
Hacl to wash out vac bor
Waste Info
O-lt::?21 :?024 OS:25 P'l 343-. Galaw~y Bay ::>n. e, ~,ansfi~ld Texas 76063
V/as:e [nfo S-bri1tted -st 04/:'.2/:024 0.S:25 P'I
3437 Gala"'a) Bay Drive, Mansfield, - E'l<as 76063
e .Vds Waste Generatt!O:
Yes
e :s V, as:e hazadccs'
No
@ L.q1. d, Sl;dge Waste
Yes
e Qua'ltity o' Li~cid /
Slucge Waste
e Solid v. aste:
200C;als Yes
@ Qua-tit)' of Solid wa~tc
800 gals
El 1.a!te _ocatlc n:
Land'tll
El 60L / Man;fes: Ni.m~er
024867930
9 Photo of BOL:
Du1alion. Om Duration: Om Duration: /h:Sm )uraticn: lm
.:ietl<!fdh!J C11 04/19/202-104.05 PM
2 ,j 4
0 StreetSmart
~hct0s ol Labelt?d Waste
Corta,ners
At 04/22/2024 08:25 PM 3437, Galaway Bay Drive Mansfield, Texas 76063
El Samples Requ,red:
No
El If Samples Required, Pull
ano place m sample fridge:
Copy of Manifest
J4/:2}::0~4 06:26 P~I 34:;-, Galawa~ Bay Dr,ve, Man,Oeld, Texa,- 76063
Picture SLbrritted At 04/ 22/ 2024 08:26 PM 307, Galaway Bay Drive, MansOeld, Texas 76063
Duration: Om
9 Before pictures:
At 04/22/ 2024 08:26 PM
I
Al 04/22/ 2024 08:26 PM
Photos of Boxes
04/22/2024 08:26 PM 3437, Galaway Bay Drive, MansOeld, Texas 76063
Generate.I <Jro <J,Jfl')fJOJ4 04;US PM
O;rat1on: lm
0 StreetSmart
Piclure
5-bl'lllted Al 0-1/22/.20.24 08. .:!6 l'M 3437 , Galdway Bav Dnve Mansfield. Te'<a~ 7606'.l
9 Before pIct~res:
JOB RECAP
01, 22120Z4 OS.27 P'I 34:;-, Galawa~ Bay on,e, 'lansr1eld, Tei.as , 6C63
Duration: Om
Comments S...bn11tled At 04/ 2.2/ 2024 08. 27 PM
3-13/ ~alav.ay oa\ Dr \11 Mansfielo. Te,Js 76063
El Comments.
Took H &H waste vac bo>. to landfill and disposed. Plus washed out \'de bo,
Job Complete 04/2212024 08:28 p,1
1509, Parksace Onve, f-'ansfield, Texas 76063
ENDING MILEAGE FORM Submitted At 04/ 22/2024 08:28 PM 1509, Pi!rlcside Orise, Mansfield, Texas 76063
E~DING '1h.EAGE
178982
\'Ji,<; Toll T;g Lsec
No
@ ~1ruc, Restockl!d:
No
@ Truck and Equ pment
No
fueled:
Duration:
9 Pnoto o Tn.ck Interior.
.\t 04/22/2024 08:28 P'11509, Parkside Dnve ,"lansfield,
-e,as 76C63
DIWDHAME
CG DRIVER TRIP TICKET
ONsnl OUAYS
TIWUR TYN: < 0
TO'TA1MII.U6E
-~--
OISPO)AI JACIUlY.
MA I LSlNUMBUl;
OOWSUMAIW
H,,u Hd l
~a:c tv \'t'~t
L.l lr Glov1:1
-NJtr,le Glovts
Ado I H ~cs Duct Tape
,r_, Iv ~he M8
'loll-OH uner
- - - , . - - - - - - - - - - - - 'DISPOW TICJtET NUM_!U:_ _ _ _ _ _ _ _ _ _ _ _-1 X WrlGKT :;..q 2 00 ft -)
SOX. _ _ _ _ _ _ _ _ __.,.o._.Ro_P_,t:_o_A_T_:
_ _ _ _ _....w_E;;;..I.G..H. T, _ _ _ _ __
TANKER
GAllO DISPOSED:
WASTE REJECTION
1\'iA~TE 8ROUGlll lO
SI E: c.ELL
OPf:RAlOR
TIC , II
... co.;r1.1 ER
l4l967;
Q1.ds D O.:lO
heebvc~rtfy tt t ,~ s 101d does ~o: contzm any Jflaul~Orlll!d zardoJS Wiste.
SIGNATURE: _
..,
CUSTOMER COPY
JJK
U fP.\IDN111TtA1
Pl~as<> ~Ml er typ<I
UNIFORM HAZARDOUS ,,. GGnc>:i11lrIO Nira< l:ma2
WASTE MANIFEST
' c.. 0uMjlllltint11181~"9 (DIM fflfrtW-te 011)
.......... - _,4'10 Wttt ~r, k~
a----..-.- TV ....a.a
Gel\tr,101 I Pl>Ol>o. ~ lr1Np<rlot1 ~111H.,..
FOffll Appn,ved OV.B No. 2050-0038
r-a~2sorf 2 ,2.Pog,1~1 :,~ ~
0
6o JJK
~ ~ , . _ lftti-rldaO OB)
,.,, 4010W 8 r, 8Ullir B
g,...+,__
... ---- ~----,
'I
US.EPAIO........,
1. Trarwpc.w 2 Conwl!) 11.,,.
lU.S. EP.\10!lunar
8 Clft; '.fd f ~ Name ard SIU AodlUI
CA ~Corp
I U.S. EPA 10 llumoor
1,116 Dlnrll ~ RCl:ld foe,. N.o0vUk) ~ 7711
(m) m,._,
I
~8 $:>. US 0J~tot:n,\-d>!11g ~ S."l\>l-i19 N...,.. Ha:An! Ou, IDI<~. 'lM u'<l~~('JWl)~
I
a::
0
NOft ~ WOft 001' ~w'4CI Waie 8 ~
~11,11
z
2.
w
(.!)
,,, 10 C:C,,taNII
No
1)-pl
II Iola Ouanet,
nu~
l'fu'WJ.
13 w..,Codo.,
1 RT 2
y
I
3.
.
1 Sp.,aa1~ar,c,,ng :n11!1.d!ons andM!i~ ln/o:milDCl"
A ..-n_..--.._.,_1 ( \ .A.:. T
~t"I VWlilll I
. .IW'., I I
0~
VIW~W ~ M11" Iii 35v53
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,~ CE~EAATOR'S.0FFEROR SCERTlflCATION: I he~I dtoarelhal c,,1 cxm:er.::s QC L'l-s roos1;11,neit n lu1y and acanlflly das..1lled above by th!' j)l0pll sh:pi)illS n.:ime, Ml~ d~ld. ~ .
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DESIGNATED FACILITY TO EPA1s eMANIFEST SYSTEM
H&HAcct#
A Dlvbon of Vertex Energy, Inc.
. - Dallas, TX. Fort Worth, TX New Orleant, LA Lafayette, lA TOLL FREE 888814-5033
Baytown. (281) 838-3037 Corpus Christi & Rio Grando Valley (361) 289S221l, Pflu911rvUl11 & San Aritonlo (S1 2) 990-1498
SMlices available: Used on. used all filfor, u:sed sntifJeeze, \lllcvum sen,,c;es & new antifreeze prot/Ucts. Used Product Shipping Paper Document#
Roule#
Svc Wk
Svc Interval
Tank Size
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PO#
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Cert,flcate ofGenerator Status
~ defined by 40 CFR 26l 5 Is aConditionally Exempt Small Quantity Generator as
I- Industrial Generator EPA IDt
Driver Qallon calculatlon section
I I Out 'inches)
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Total
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Spac:W Hotdort IA>t'\.,kJU '<I11,t;i_<Jos.JIIIIO...-, IN CASE OF EMERGENCY, CALL CHEMTREC (800) 424-9300
Emergency Rosi;onse Guidebook 1128
Generator's/Offuor's Certilira1lon'.I herebydedou. that thr con1en1~ of this consignment are fully and atcura:elydescribed i!bove by th proper shlpp;ng rome. a11d are clus,lied, pact.aged. mar<td and ldbe!ed / plaorded. and 111 11rupt> In propercond1Uon for 11,nsport accorotng l o applicable governmeot ,egulatfon.
I a,io hereby de<l,re all used oil, used ~11 lilteu. used antifreeze, used oily absorbents and o,ly water offered for recycling meets all required c0ndt1ioru of
I - 40 CFR 279, 0 CFR 26l.4{b)(131,Title30TAC Subchapter324,ond Is notregu!atfd ur.der40 CFR 761 Polychlorlnated 81phenyts
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0 StreetSmart
Job Summary
Name:
2-240,11,S0-09 HS. 011 Waste
Job ID
2-2408 009
Tyoe:
CG Roi Olf
Pattern :
One T11 e Job
Pnonl :
Medium
Skills:
C.r al d On .
04/ L3/ 202'1 OJA 1 PM
Status:
Completed
Job Location
Contact Name. Contact Phone: Email Address: Address:
Worker Details
Worker :
Group :
DFW
Scheduled Time
Scheduled Start Scheduled End Estimated Duration :
0'1/26/2024 07 :00 AM 04/ 26/2024 11 ;00 AM
4h:0m
Actual Time
Actua Start: Actual End: Time On Job :
Su pended r me .
Total Job Time:
U4JlJ/ l024 05:00 PM 04/23/2024 07:26 PM 2h :26m
2h :26~
Additional Information
CUSTOMER PO: BID JOB: CG SALES REP: DISPATCH NOTES TO TECH .
Job Actions
-Waste Ta e box back to Adler from yard
Start Job
04/ 23/2024 05:00 PM 1 5301, Teague Road, Rendon, Texas 76140
BEGINNII\G MI L.AGE FOR Submitted At 04/23/2024 05 :00 PM 5301, Teague Road, Rendon, Texas 76140
@ BEG!NN! G MILEAGE:
178982
@ RUCK1l.
26
@ TRUCK,112 :
e TRUCK #3 :
@ TRUCK 114:
CRE ., MEMBERS :
PHOTO OF ROLL OFF BOXES
I 04/23/2024 07 : tS PM 5121, Te<19ue , RPnclon, Tel".as 761'10
P clure
C, c1bm1tted Al 04/73/2024 07 25 PM 5321, T ague, Rcncon, 1exas 76140
Duration : 2 :25m
~ration. Om
4
0 StreetSmart
Belore p1cl urei;.
At 04/ZJ/.ZOL-l 06:02 PM )321, lc.iyuc Rendon, l l!Xd~ 76140
At 04/23/2024 06: 11 PM 5321, Teague Rendon, Texas 76140
7
At 04/23/2024 07:25 PM 5321, Teague Rendon, Texas 76140
SOLID WASTE
.,'1..J : i .:.1.i.!.: ll.. ~!-- ~I' 5::::. ._c..~~ c 't.""'.,:tl;"'
Tt:,..b
76i.h'
SCUD \t\ ~,s~E DISPOSAL
!-,1:,n11:t1T \t ll1/:'J/:'021 o-;]', PM q:1, lp;i.,,u RPnd('n TP'Cil~ 7!- 14(\
e SC'Llt' IV-\$TI:~.
NO
@ 01:-PC'::-l .' Al CG
e OTHE~ DtSPOSA~ A-:ILITY
e SO.JC W-\STE OfFLQ->.O:D !"IT0 7 :
e QT," (IF CONT1\INER
NO none NONE 0
@ SO:..JC SA~1P~E PULlED
NO
e SOUC WASTE R:CAP:
none
Duration: Om
vC:ll<:Wlcd On fJ4/,l'JflfJl4 QJ. 0!, PM
0 StreetSmart
LIQUID WASTE
04 23 20~4 07:25 PM 53Z 1, Teague. Rendon, Te~as 76140
LIQUID WASTE DISPOSAL SJbnttted At 04/23/20.!4 07;25 PM
5321 Te11gue, Rendon, Texas 761'10
E) LIQUID WASTE
NO
ACCUMULATED?:
DISPOSED OF AT CG7 :
NO
@ OTH::R DISPOSAL rl\CILITY:
UQLID DISPOSAL
OFFLOA:>ED INTO':
UQLID DISPOSAL
GALON$:
E) SAMPLES PJLLE07 :
none NON[ 0 NO
E) LIQUID DISPOSAL R:CAP:
none
PHOTOS OF MANIFEST C'4123120:C4 07. 26 PM 532:, ~ea;ue Rendon, Texas 76140
Picture
S.bl'l"1tted Al 04/ 23/2024 07:26 PM 5321, Teag1.e, Rendon, Texas 76140
0 Before pictures:
J.irat1cn: Om Duration. Om
Ff; ~:=- ---- 3
E
f.
r-
At 04/23/2024 07:26 PM 5321, Teague Rendon, Texas 76140
DISPOSAL INFO
04/23, 202.4 07: 26 PM !'3.!l, 1cdgue, Rendon, Tl.?~d;. 761 40
Disposal Sile for Rolloff
SubMtllt!d /\l 01()3/ )0'.ll'i O / : )6 PM
5321, Tc.:iguc, Rendon, Tc-x.is 761'10
E) D,,,pm,dl Site for Rollnffs;
Othe1
Duration; Om
, QUICK,.JOB RECAP
0'1/ !3/ 2l}:1'4 07:~6 PM
11ti321, Teague, Rendon, Texas 76140 II Comments
Submitted Al 04/23/2024 07:26 PM
5321, Teague, Rendon, Texas 76140
'.:ur!t1on: Om
~ Comments:
hauled box v295 back to Ironclad and dropped inside gate area
End Job
04/23/ 2.024 07:26 PM 532ll, Teague, Rendon, Texas 76140
Duration:
"'"'""dl<W 0/1 U4/.l'.J{l0l1 01:0~ P/1
J '' 4
0 StreetSmart
ENDII\G MILAGE FORM
Sut-mittcd l\t 04/:?3/:!024 0"':26 PM 53Zl, Teague '{endon, Texas ~6140
E) ENDING MIL.AGE:
179041
TRUCK,;:
26 AND -50
CG DRIVER TRIP TICKET
---------------,
_ _.t....,.._o____,rn DPMTUU ,~ t f
~
NOllliCA
D,5"0~1 f_"_'1_,_u_n_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
.. :.-
Duct l a p
..
'I C
, W EIGHT - - - - - - - 1
l-s_c_1,_. ._ _ _ _ _ _ _ _ _ _ __._D_R_o_PPEOAl,_ _ _ _ _ _ _ _ _ _1w.;.;.E;;.I;G:.;~..:..:..:---------1
TANKER
l>AUON) 0 POSlO
~UT---------------~
V.ASIIOV"
Wt.STE REJCTK)N
.,