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414 W Charter Way, Stockton Record ID PR0514402 <br /> 11/30/2018 Hazardous Waste <br /> Photo 9: Incomplete consolidated manifest missing the generator signature. <br /> CRYSTAL BLUE INVOICE NO. 490 <br /> ENVIRONMENTAL <br /> 7337 Herlcf)g Way Sacramento,CA 95660 PAY FROM THIS INVOICE <br /> (415) 996-3350 <br /> N-1 Plll Data- <br /> Transporters Registration No,fit 04 <br /> CO.NAME .__ �t _—_ _ _-_' _ — — PHONE L <br /> r ADDRESS <br /> CITY _--- STATE ZIP <br /> OTY DESCRIPTION PRICE TOTAL <br /> Nan-RCRA Hazardous Waste Liquid,Used oillmixed oil. /per <br /> r -No Placard required {221) gal <br /> s r <br /> Non-RCRA Hazardous Waste Liquid.Used anti-freeze, /per gal <br /> 'Nc placard required (343) <br /> Non-RCRA Hazardous Waste Liquid.Oily wal /per gal <br /> 'No placard required (223) <br /> fi <br /> F <br /> TOTAL <br /> DESTINATION OF OIL ALTERNATIVES <br /> r Ramos Environmental riAsbury Environmental '1 <br /> 1615 S.River Read 14287 E.Manning Ave. <br /> West Sacramento,CA 95691 partier,CA 93649 <br /> IMPORTANT NOTICE REGARDING THE p19POSIll OF YOUR USED OIL.PLEASE SIGN AFTER READIRG, <br /> Crystal Slue En cable to mlanagementvof usedeo 1e but that sanot equ orad to win w th he moren rater tht your shpment of used oil may be astringent equhements applicatta to aisardous wash:mannsported to a facility III is required to 001"PlY won l- <br /> regulations appy <br /> f <br /> agement facilities.California facilities that handle or process used oil are required to meal those more stringent requirements,and Some mt-of-stale facilities <br /> rersk <br /> tection and prevention <br /> that ity and sed oil <br /> laal assurances is far dosulre andtaccdentaThose lreleases.do clurit S lawfull[o send euced oil toOut-Of-state fact@ es thaerttt--puireoly only with federering lal used oil <br /> k <br /> shippingnamer <br /> management standards and not these more stringer[requirements. of t notification is nt are <br /> a n accuratePulfr�asly <br /> only l cable stale and federal regulations. <br /> GENERATORS CERTIFICATION:I hereby declare that the wnterda of this consignment are fully and accurately y highway ding to p above by proper feer <br /> are dassii packed.marked,labeled,and are in all respects rl In Place to roper l dtuca the voion for lume aport nd toxcity of was o generated to the degree I have determined <br /> If I am a large quantity generator,I certify that I have a program <br /> to be economically p good faith effort to minimize my waste <br /> practicable and that I have selected the practicable method of treatment.storage,of disposal currently available to me which minimizes e <br /> present and future threat to human health and me environment,OR,t I am a small quantity generator,I have made a g <br /> e to in.and <br /> _. any generaetland 51 the hazardous astII the total halide content is LtSStthan 1 000 pat is 1pm,and the whaste does not contain aat I can afford.l have ny PCRs Inha etoomphed with <br /> the degbovs <br /> of the applicable hazardous <br /> Calw st used oil management regulations to determine this is tore_1 agree to accept the additional charges for the disposal of this <br /> accurate description of the waste.All relevant in <br /> information I have provided about this waste is incorretl. hereby certify that all the information submitted in this and all attached documents cents <br /> m <br /> !'f regarding known or suspected hazards associated r <br /> Generator's Signature: ' the waste has been disclosed.I also cer*that I have no <br /> _ mixed this waste with any other waste.Venue tar purposes <br /> Contact Person: of enforcement sli be in Sacramento Ccurty.I declare <br /> 6 _ under perjury Ihat the foregoing is true and correct. <br /> Transporter's Sig nature: - p y nts not paidwithir 34days. <br /> Term net 10 days.Finance A$25.00 Fee Fee well be charged for returned ChecksU P F <br /> Print Name <br /> John Alaniz, REHS Page 9 of 10 <br />