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Customer EPA# ' Date: Driver EPA#CAL 000427808 State Manifest Document# CHP#CA192005 - - - CRYSTAL BLUE ENVIRONMENTAL INVOICE NO. 3052 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 CIN STATE ZIP CITY 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. drum TOTAL alll� ❑ DESTINATION OF OIL _I ALTERNATIVES ❑ DESTINATION OF FILTERS RES AES 1616 S.River Road 14267 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 faultties.California facilities that handle or process used oil are required to meet those more stringent requirements,and some outof-state facilites that process used oil also meet those requirements.These include mare stringent leak detection and prevention requirements,engineering certifications of tank integrity,and financial assurances for closure and accidental releases.It is lawful to"no used oil to outof-slate facilities that cemply only with federal used oil management standards and not these more stringent requirements. This notification is for information purposes only. GENERATORS CERTHFICATION:I hereby declare that the contents of this consignment are fully and accurately described above by proper shipping name, are classified,packed marked labeled,and are in all respects in proper condition for transport by highway according to applicable state and federal regulations. If I am a large quantity,generator.I ceNfy that I 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 l 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 smell quantity generator,I have made a good faith effort to minimize my waste generated and select the best waste management method that is available to me and that I can afiorE.I have not mixed any of the waste described some with any other hazardous waste,the total halide content is LESS than 1,000 ppm,and the waste does not contain any PCBs.I have compiled with the requirements of the applicable California used oil management regulations to dammaine this is true.I agree M accept the additional charges for the disposal of this waste B the information I have provided about this waste is incurred. I hereby certify that all the information submitted in this and all attached documents contains true and accurate description of the waste.All relevant information Generator's Signature: regarding known or suspected hazards associated with the waste has been disclosed.I also certify 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 Ne foregoing is true and coned. Term not 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 returned checks.