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414 W Charter Way, Stockton Record ID PR0514402 <br /> 2/1/2022 HW Inspection <br /> Photo 4: The 1/28/2022 Crystal Blue Environmental (Invoice 3705) consolidated manifest for the pickup of used oil was missing the contact <br /> person, telephone number of the generator and signature of the generator. <br /> �,"� ,� <br /> Customer EPA I l l-',1 /(j� i Dist,: n" <br /> Umar EPA#CAL 000427803 �-�^�—�''--L�a ^Stets ManA O�eS)���lll <br /> GNP MCA192005 ` '��i� <br /> CRYSTAL BLUE INVOICE NO. 3705 <br /> ENVIRONMENTAL <br /> 7337 Herlong Way North Highlands,CA 95660 PAY FROM THIS INVOICE <br /> (415) 996-3350 <br /> Transporters Registration No:6104 Next i Dale: <br /> CO.NAME PHONE <br /> ADDRESS Cly �' <br /> CrTY CT�� 'F--r ZS�� STATE`J` ZIP.9 L;I � <br /> OTY DESCRIPTION PRICE TOTAL <br /> Non-RCRA Hazardous Waste Liquid.Used oil/mixed oil. /per �t <br /> "1L1 `No Placard required (221) <br /> gal <br /> E <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 tilled with Used&drained oil&gas tillers. Iper - <br /> drum <br /> t <br /> 1nC V M <br /> . <br /> TOTAL i .? <br /> DESTINATION OF OIL ❑ ALTERNATIVES ❑ DESTINATION OF FILTERS <br /> RES AES <br /> 1616 5.River Road 14287 E.Manning Ave. 401 W.Channel Road <br /> West Sacrament,,CA 95691 Parker,CA 93648 Benicia,CA 44510 <br /> IMPORTANT NOTICE REGARDING THE DISPOSITION OF YOUR USED OIL PLEASE SIGN AFTER READING. <br /> Crystal Blue Environmertal hereby advises the generator that your shipment of used oll 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 facil@ies 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 ceriinc rtions of lank <br /> integrity.and financial assurances for closure and accidantal releases.It is lawful to send used oil to out-of-state faciliges that comply only with federal used oil <br /> management standards and not these more stringent requirements.This notrocalicn is forinformafian 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 slate 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 mewhids minimizes the <br /> present and firture 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 setae 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 LE55 than 1,000 ppm,and the waste does not contain any PCBs.I have complied with the regmremenls <br /> of the applicable California used oi!management regulations to determine this is true.l 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.A6 relevant information <br /> Generator's Signature: regarding known or suspected hazards associated with <br /> the waste has been disclosed.l also certify that I have not <br /> Contact Person: mixed this waste with any other waste.Venue lot purposes <br /> Of entnfCOrrai shale be in Sacramento County.I decker, <br /> Trensporter's SignatJ�: under perjury that the foregoing is true and correct. <br /> Term net}D days.Plnanoe c a e o!2 per mon (24%per year)on accounts not paid wA41n 30 days, <br /> A$25.00 Fee will be charged for returned checks. <br /> r <br /> John Alaniz, REHS Page 4 of 17 <br />