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'C W +p�. - is .•. A<. � <br />ADDRESS <br />CRYSTAL BLUE <br />ENVII90NMENTAL <br />. 37 Hrrinnct vVav <br />(415) 996-3350 <br />STAT <br />DESCRIPTION <br />INVOICE NO 434 <br />PAY FRf}Nt FHfS lljvrjtrt_ <br />TOTAL ---0- <br />.—I.—I, _....,.,,, -- ALTERNATIVES <br />Ramos Environmental --)Asbury Environmental <br />1616 S. River Road 14287 E. Manning <br />West Sacramento. CA 95691 Parli-rile. <br />er CA 936:18 <br />TOTAL <br />IPOR?� r' `- ; GIkG THE DISPOSITION OF YOUR USED OIL. PLEASE SIGN AFTER READING. <br />CMrysta; - = by advises the generator that your shipment of used oil may be transported to a fatality that i5 required to comply regulations app ircaOie to management of used oil, but that is not required to comply with the more stringent requirements applicable to to com ly waste man - <br />more <br />with federal <br />agement facilites. California facilrues that handle or process used oil are required to meet those more stringent requirements and some out-of-state fiaciAkes <br />that process used oil also meet those requirements These include more stringent teak detection and prevention requirements. engineering certifications of tank <br />integrity and financial assurance <br />management standards and not these moes for re stringene and t requ rremendental tseThiss it inotify cat <br />oul n � for Jrrformation cr <br />nd used oil to out-of-state facilities that comply only with federal used al <br />GENERATORS CERTIFICATION: I hereby declare that the contents of this consignment are fully and accurately described above try r <br />p rposes only <br />are classified, packed. marked, labeled. and are in all respects in proper condition for transport by highway according to applicable state and federal regulations <br />If 1 am a large proper shipping name, <br />9 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 1 have selected the practicable method of treatment, storage, or disposal currently available to me which minrm� the <br />)resent and future threat to human health and the environment OR, rf ! am a small quantity nsteraer and select the best waste management method that is available to mead thattI can ffo d I have made a <br />adn faith effon <br />the {e minimize my waste <br />ny oar hazardous waste, the total halide content is LESS than 1,000 <br />r the applicable California used oil management regulations to determine this is true i am�� y w� <br />Ppm, and the waste does not contain any PCBs. I have complied with the requrrernenls i <br />forrrration i .. , . ;��� ahn� �i �,,;� ..._u_ . _ <br />G"eratar s Signature ' <br />Contact Person: ---- <br />TiaribPorler's Signature <br />Terra r `^ ^ -- - _— ui taer perlury that the foregoing <br />ririance crrarge of 2'/o per month (2.; l,,er year) on accounts not,;;, <br />A $25 00 Fee will be charged for returned checks. Jay's <br />