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Customer EPA# -_ Date: <br /> Driver EPA#CAL 000427808 State Manifest Document# <br /> CHP#CA192005 <br /> CRYSTAL BLUE INVOICE NO. 1659 <br /> 1'1 � ' AA ENVIRONMENTAL <br /> 7337 HerloY "— ng Way North Highlands, CA 95660 PAY FROM THIS INVOICE <br /> (415) 996-3350 <br /> ransporters Registration No: 6104 Next P/U Date: <br /> e <br /> CO. NAME L o r j� 1 � � JI_ PHONE ( ) <br /> ADDRESS <br /> CITY Y i STATE ZIP <br /> QTY DESCRIPTION PRICE TOTAL <br /> Non-RCRA Hazardous Waste Liquid. Used oil/mixed oil. /per <br /> "No Placard required (221) gal <br /> Non-RCRA Hazardous Waste Liquid. Used anti-freeze. /per <br /> 'No placard required (343) gal <br /> Non-RCRA Hazardous Waste Liquid. Oily water. /per <br /> `No placard required (223) gal <br /> 55 Gallon Drum filled with Used & drained oil & gas filters. / j /per <br /> > drum <br /> ti <br /> tic <br /> TOTAL 0 <br /> DESTINATION OF OIL ❑ ALTERNATIVES ❑ DESTINATION OF FILTERS <br /> RES AES <br /> 1616 S. River Road 14287 E. Manning Ave. 401 W.Channel Road <br /> West Sacramento, CA 95691 Parlier, CA 93648 Benicia, CA 94510 <br />)RTANT NOTICE REGARDING THE DISPOSITION OF YOUR USED OIL. PLEASE SIGN AFTER READING. <br /> al 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 /> ations applicable to management of used oil, but that is not required to comply with the more stringent requirements applicable to hazardous waste man- <br /> ent facilities. California facilities that handle or process used oil are required to meet those more stringent requirements,and some out-of-state facilities <br /> rocess used oil also meet those requirements. These include more stringent leak detection and prevention requirements,engineering certifications of tank <br /> ity, 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 /> gement standards and not these more stringent requirements. This notification is for information purposes only. <br />:RATORS CERTIFICATION: I hereby declare that the contents of this consignment are fully and accurately described above by proper shipping name. <br /> issified, packed, marked, labeled, and are in all respects in proper condition for transport by highway according to applicable state and federal regulations. <br /> 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 /> economically practicable and that I have selected the practicable method of treatment, storage,or disposal currently available to me which minimizes the <br /> t 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 /> ted 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 />)er hazardous waste. the total halide content is LESS than 1,000 ppm,and the waste does not contain anyiPCt3s. I have complied with the requirements <br /> 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 /> ition 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 d f'ipWn of the waste.All relevant information <br /> regardiing jax"lrl ar suspected hazards associated with <br />�nerator's Signature: . -`� disclosed <br /> the wade his heerh . 1 also certify that I have not <br />)ntact Person: A mixed aft 03*.with any other waste.Venue for purposes <br /> /� of enfori errant be in Sacramento County. I declare <br />