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'"H Custo 0 W 1:31rner EPA; N �. m Dever D EPA#CAL Ou�,.r.r ni ib O Q D CHP 4CA192005 Data Cn CD 5iai,i,<: M M cn�_ ECRYSTAL BLUE cn C7 o w 7337 Herl NVIRONMENTAL g VVaY Sacramento,CA 95660 INVOICE NO, 434 Orn ov o Transporters Registration No:6104 (415) 996-3350 PAY FROM THIS INVOICE N CD N n CO.NAME O Next Pi Date: - (p oADDRESS -~ PIONE o cD CITY ! �� t-- STAN — QTY zla ¢ DESCRIPTION - 0_ 77 Nan-RCRA Hazardous Waste Liquid Used Oil/mixed oil. PRICE TOTAL o 0 "No Placard required (221) /per gal Non-RCRA Hazardous Waste Liquid.Used anti-freeze, v 'No placard required (343) /par p gal Non-RCRA Hazardous Waste Liquid.Oily water. x 'No placard required (223) /per p gal O O !v o TOTAL viiii DESTINATION OF OIL ALTERNATIVES Ramps Environmental -1Asbury Environmental 7 1616 S.River Road 14287 E.Manning Ave West Sacramento,CA 95691 Parker,CA 93548 'b 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 we 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 cut-of-state fai �y that process used oil also meet(hose requirements,These include more stringent leak detection and prevention requirements,engineenng cerliftanons of tan* rS, integrity,and financial assurances for closure and accidental releases.It is lawful to send used oil to out-of-State facilities that compiy only with federal used oil ' management standards and not these more stringent requirements.Thrs nofificaf+on is for Naformatron purposes only GENERATORS CERTIFICATION:J hereby declare that the contents of this consignment are fully and accurately described above by proper shipping name it are classified,packed.marked,labeled,and are in all respects in proper condition for transport by highway according to applicable stale and federal rtSulatans If i am a large quantity generator certify that i have a program in place to reduce the volume and toxicity of waste generated to the degree I have determines CD Mimi the CD to be economically practicable and that I have selected the practicable method of treatment,storage,or disposal curcentiy a�ii�abletoow� hminimize my waste present and future threat to human health and the environment OR,if I am a small quantity generalor.I have made a good with the regwremehts O generated d ad sailed the best waste management method that is available to me and that I can afford I have nail mixed any of me waste above lTQ any other hazardous waste.the total halide content is LESS than 1,000 ppm,and the waste does not contain any PCBs.I have r the did of the applicable California used oil management regulations to determine this is true I agree to accept the additional charges for the disposal nthis MRa d the nd accurate description el the waste All relevant mtormahon information I have provided about this waste is incorrect,I hereby certify that all the informahan submitted in this end all attached dOtunter+te cantons a regarding known or auspecled hazards assoraated with not Generator's Signature: the waste has been dmocaed I also 1'Mat I have se CD mixed this waste wish any other waste venue for purposes C) of enforcement shat!be in Sacramento,County I declare p LTransporter's ontact Person: that theforeg ng under pequry a is true and toned Signature: y id within 30 days (10 Term net 10 days Finance Charge of Vl per month(24% r earl on accounts not pa � A$25 00 Fee witl be Charged(OF returned checks 00