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Customer EPA P . v \v ' \it=' Date: Driver EPA#CAL 000427808 State Macifest Document k CHP#CAI 92005 — - - -- CRYSTAL BLUE INVOICE No. 3133 1 ENVIRONMENTAL l C. 7337 Herlong Way North Highlands, CA 95660 PAY FROM THIS INVOICE (415) 996-3350 Transporters Registration No:6104 Next P/U Date:_ _ CO.NAME PHONE ( ) ADDRESS CITY STATE ZIP pry DESCRIPTION PRICE TOTAL Non-RCRA Hazardous Waste Liquid. Used oil/mixed oil. /per -No Placard required (221) Non-RCRA Hazardous Waste Liquid. Used anti-freeze. /per -No placard required (343) Non-RCRA Hazardous Waste Liquid.Oily water. /per -No placard required (223) 55 Gallon Drum filled with Used&drained oil&gas filters. /per drum TOTAL aaalIl'- ❑ DESTINATION OF OIL J ALTERNATIVES ❑ DESTINATION OF FILTERS RES PES 1616 S.River Road 14287 E.Manning Ave. 401 W.Channel Road West Sacramento,CA 95691 Parlier,CA 93648 Benicia,CA 94510 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 with 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 Mose more stringent requirements,and some out-of-state fam ities that process used oil also meet those requirements.These include more stringent leak detection and prevention requirements,engineering certifications of tank integrity,and financial assurances for closure and accidental releases.It is lawful to send used oil to outof-state facilities that comply only with federal used oil management standards and not these more stringent requirements. his nofi#cation is for information purposes only. GENERATORS CERTIFICATION:I hereby declare that Me contents of this consignment are fully and accurately described above by proper shipping name, T are classified,packed,masked,labeled,and are in all respects in proper condition for irenspoit by highway according to applicable state and federal regulations. If I am a large quantity generator,I certify Mat 1 have a program in place to reduce the volume and toxicity of waste generated to the degree I have determined to be economically practicable and that I have selected the practicable method of treatment,storage,or disposal currently available to me which minimizes the present and future threat to human health and the environment:OR.if I am a small quantity generator,I have made a good faith stead to minimize my waste generated and select the best waste management method that is available tome and Mal I can afford. I have not mixed any of the waste described above with any other hazardous waste,the total halide content is LESS than 1,00 ppm,and Me waste does not contain any PCBs. I have complied with the requirements of the applicable California used oil management regulations to determine this is true.I agree to accept the additional charges for Me disposal of this waste if the information I have provided about this waste Is incorrect I hereby certity that all the information submitted in this and all attached documents contains true and accurate relevant information description of the waste.Atl Generator's Signature: regarding known or suspected hazards associa[etl with the waste has been disclosed,I also ceRiy that I have not Contact Person: mixed this waste with any other waste.Venue for purposes of enforcement shall be In Sacramento County.I declare Transporter's Signature: under perjury that Me foregoing is true and comect. Tern net 10 days.Finance charge of 2%per month(24%per year)on accounts not paid within 30 days. A$25.00 Fee will be charged for retumed checks.