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414 W Charter Way, Stockton Record ID PR0514402 <br /> 2/1/2022 HW Inspection <br /> Photo 6: The 8/24/2021 Crystal Blue Environmental (Invoice 3362) consolidated manifest for the pickup of used oil was missing the the <br /> contact erson, tele hone number of the enerator, sinature of the generator, and quantity of oil taken. <br /> g <br /> Data: <br /> Customer EPA# <br /> State Manifest DdGumen[tl <br /> ' Driver EPA#CAL 00042780ar� __---- <br /> CRYSTAL BLUE INVOICE No. 3362 <br /> C11-11— <br /> ENVIRONMENTAL <br /> 7337 Herlong Way North Highlands,CA 95650 DAY FROM THIS INVOICE <br /> {415} 996-3350 <br /> Next PlIJ Date.---------- <br /> Transporters Registration No:6104 <br /> CO.NAML ��+ PHONE( -------- <br /> _--- <br /> APnRESS— ZIP__- <br /> CITY STATE <br /> QTY DESCRIPTION PRICE TOTAL <br /> Non-RCRA Hazardous Waste Liquid.Used oil/mixed oil. lgal <br /> er <br /> *No Placard required (221) <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 ail&gas filters. /per <br /> drum <br /> TOTAL —0- <br /> ] <br /> ] DESTINATION OF OIL ❑ ALTERNATIVES ❑ DESTINATION OF FILTERS <br /> RES AES <br /> 1615 5.River Road 14287 E.Manning Ave. 401 W.Channel Road <br /> West Sacramento,CA 95691 Parker,CA 93648 Benicia,CA 94510 <br /> IMPORTANT NOTICE REGARDING THE DISPOSMON OF YOUR USED OIL PLEASE SIGN AFTER READING. <br /> Crystal Blue Environmental hereby advises the generator that your shipment of used all 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 faciiities.Cafifomia facilities that handle or process used ail are required to meet those more stringent requirements,and some outs-state facilities <br /> that process used ail else meet those requirements.These include more stringent leak detection and prevention requirements,engineering canihoations of tank <br /> integrity,and financial assurances for closure and accidental releases-It is lawful to send used ail to oul-ef-state facilities that comply only with federal used oil <br /> management standards and not these more stringent requirements.7riis 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 /> Ifare classified,packed,marked,iabeled,and are in all respects In proper Condition for transport by highway according to applicable state and federal regulations, <br /> 'll am a large quantity generator,I oerufy 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 goad faith effort to minimize my waste <br /> ggnipled 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 /> anyother hazardous waste,the total halide content is LESS than 1,000 ppm,and the waste does not contain any PCBs 1 have complied with the requirements <br /> of the appiicable 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 /> nformabon J have provided about this waste is Incurred.I hereby certify that all the information submitted in this and all attached documents contains true and <br /> accurate descdption 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 l have not <br /> Contact Person: mixed this waste with any other waste,Venue lot purposes <br /> Transporter's Signature: <br /> of enforcement shall be in Sacramento County.I declare <br /> 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 /> John Alaniz, REHS Page 6 of 17 <br />