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Customer EPA# <br /> ^river EPA#CAL 000375092 °90La'Manifest Document# <br /> CHP#CA192005 <br /> CRYSTAL BLUt A2 8 2016 <br /> ENVIRONMENTAL . ~ " INVOICE NO. 237 <br /> 7337 Herlong Way, North Highlands, CA 95660 <br /> PAY FROM THIS INVOICE <br /> (310) 880-5820 <br /> Transporters Registration No:6104 Next P/U Date: <br /> CO. NAME - t i� PHONE <br /> ADDRESS <br /> CITY STATE ZIP <br /> OTY DESCRIPTION PRICE TOTAL <br /> Non-RCRA Hazardous Waste Liquid. Used oil/mixed oil. /per <br /> `No Placard required (221) gal <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 /> ` t <br /> TOTAL <br /> DESTINATION OF OIL World Oil -San Joaquin <br /> R.E.S. 14287 East Manning Ave. <br /> 1515 South River Rd. Parlier,CA 93648 <br /> Sacramento,CA CAD044003556 <br /> IMPORTANT NOTICE REGARDING THE DISPOSITION OF YOUR USED OIL.PLEASE SIGN AFTER READING. <br /> 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 <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 facilities 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 certifications of tank <br /> 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 <br /> management standards and not these more stringent requirements. This 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 /> 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 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 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 good faith effort to minimize my waste <br /> 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 <br /> 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 <br /> 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 <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.All relevant information <br /> Generator's Signature: regarding known or suspected hazards associated with <br /> the waste has been disclosed. I also certify that I have not <br /> Contact Person: mixed this waste with any other waste.Venue for purposes <br /> of enforcement shall be in Sacramento County. I declare <br /> Transporter's Signature: -- - 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 />