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Date: <br /> State Manifest Document# <br /> -_i-A#CAL 000427808 <br /> ��UE <br /> #CA192005 CRYSTAL INVOICE NO. 1210 <br /> ENVIRONMENTAL <br /> 7337 Herlong Way North Highlands, CA 95660 PAY FROM THIS INVOICE <br /> (415) 996-3350 <br /> Next P/U Date: <br /> Transporters Registration No: 6104 <br /> PHONE (�) <br /> CO. NAME <br /> ADDRESS STATE ZIP <br /> CITY TOTAL <br /> CITY DESCRIPTION <br /> PRICE <br /> Non-RCRA Hazardous Waste Liquid. Used oil/mixed oil. /per gal <br /> "No Placard required (221) <br /> Non-RCRA Hazardous Waste Liquid. Used anti-freeze. /per gal <br /> *No placard required (343) <br /> Non-RCRA Hazardous Waste Liquid. Oily water. /gal <br /> `No placard required (223) <br /> 55 Gallon Drum filled with Used &drained oil &gas filters. doper <br /> TOTAL -*- <br /> ❑ DESTINATION OF OIL ❑ ALTERNATIVES ❑ DESTINATION OF FILTERS <br /> RES AES <br /> 1616 S. River Road 14287 E. Manning Ave. 401 nChannel Road <br /> Beni <br /> West Sacramento,CA 95691 Parlier,CA 93648 Benicia,CA 94510 <br /> IMPORTANT NOTICE REGARDING THE DISPOSITION OF YOUR USED OIL.PLEASE SIGN AFTER READING. <br /> Crystal Blue Environmental hereby advises the generator that your shipment of used oil may be transported to a facility that is required to comply with federal <br /> regulations applicable to management of used oil,but that is not required to comply with the more stringent requirements applicable to hazardous waste man- <br /> agement facilities.California facilities that handle or process used oil are required to meet those more stringent requirements,and some out-of-state facilities <br /> that process used oil also meet those requirements.These include more stringent leak detection and prevention requirements,engineering certifications of tank <br /> integrity,and financial assurances for closure and accidental releases. It is lawful to send used oil to out-of-state facilities that comply only with federal used oil <br /> management standards and not these more stringent requirements. This notification is for information purposes only. <br /> GENERATORS CERTIFICATION: I hereby declare that the contents of this consignment are fully and accurately described above by proper shipping name, <br /> are classified, packed,marked,labeled,and are in all respects in proper condition for transport by highway according to applicable state and federal regulations. <br /> If I am a large quantity generator, I certify that I have a program in place to reduce the volume and toxicity of waste generated to the degree I have determined <br /> to be economically practicable and that I have selected the practicable method of treatment,storage,or disposal currently available to me which minimizes the <br /> present and future threat to human health and the environment;OR,if I am a small quantity generator, I have made a good faith effort to minimize my waste <br /> generated and select the best waste management method that is available to me and that I can afford. I have not mixed any of the waste described above with <br /> any other hazardous waste,the total halide content is LESS than 1,000 ppm,and the waste does not contain any PCBs. I have complied with the requirements <br /> Of the applicable California used oil management regulations to determine this is true. I agree to accept the additional charges for the disposal of this waste if the <br /> information I have provided about this waste is incorrect. I hereby certify that all the information submitted in this and all attached documents contains true and <br /> accurate description of the waste.All relevant information <br /> Generator's Signature: regarding known or suspected hazards associated with <br /> the waste has been disclosed. I also certify that I have not <br /> Contact Person: mixed this waste with any other waste.Venue for purposes <br /> of enforcement shall be in Sacramento County. I declare <br /> Transporter's Signature: under perjury that the foregoing is true and correct. <br /> Term net 10 days. Finance charge of 2%per month(24%per year)on accounts not paid within 30 days. <br /> A$25.00 Fee will be charged for returned checks. <br />