COMPLIANCE INFO_2020 - Laserfiche WebLink

Home Browse Search

-.r-^ Date: - g `�agifest qc ent fi Customer EPA /� /1 /;V�t Driver EPA#CAL 000427808 1 CHP NCA792005 CRYSTAL BLUE INVOICE NO. 2579 ENVIRONMENTAL �t 7337 Herlong Way North Highlands, CA 95660 pAy FROM THIS INVOICE -(415) 996-3350 Next P/U Date: Transporters Registration No:6104 ` PHONE ( —� CO.NAME f ADDRESS 4 -�I)toD, Yi ZIP .. >`� - STATE CITY PRICE TOTAL Q,n, DESCRIPTION /per Non-RCRA Hazardous Waste Liquid.Used oil/mixed oil. gal 'No Placard required (221) /per Non-RCRA Hazardous Waste Liquid.Used anti-freeze. gal o 'No placard required (343) /per Non-RCRA Hazardous Waste Liquid.Oily water. gal 'No placard required (223) 55 Gallon Drum filled with Used&drained oil&gas filters. drum TOTAL -0- ❑ ALTERNATIVES L] DESTINATION OF FILTERS © DESTINATION OF OIL R E S p E S E.Manning 401 W.Channel Road 14287 1616 S.River Road ParlE r,CA Manning Ave.A Benicia,CA 94510 West Sacramento,CA 95691 IMPORTANT NOTICE REGARDING THE DISPOSITION OF YOUR USED OIL.PLEASE SIGN AFTER READING. 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 regulations applicable to management of used oil,but that is not required to comply with the more stringent requirements applicable to hazardous waste man- agement facilities.California facilities that handle or process used oil are required to meet those more stringent requirements,and some out-of-state facilities that process used oil also meet those requirements.These include more stringent leak detection and prevention requirements,engineering certifications of tank 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 management standards and not these more stringent requirements.This notification is for information purposes only. GENERATORS CERTIFICATION:I hereby declare that the contents of this consignment are fully and accurately described above by proper shipping name, are classified,packed,marked,labeled,and are in all respects in proper condition for transport by highway according to applicable state and federal regulations. 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 to be economically practicable and that I have selected the practicable method of treatment,storage,or disposal currently available to me which minimizes the 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 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 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 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 documents contains true and information I have provided about this waste is incorrect.I hereby certify that all the information submitted in this ri all rate description on of he wast All relevant information - regarding known or suspected hazards associated with '� the waste has been disclosed.I also certify Generator's Signatur�:%' i that I have not mixed this waste with any other waste.Venue for purposes Contact Person: of enforcement shall be in Sacramento County.I declare under perjury that the foregoing is true and correct. Transporter's Signature: Term net 10 days.Finance charge of 2%per mon o per year)on accounts not paid within 30 days. A$25.00 Fee will be charged for returned checks.