Laserfiche WebLink
Customer EPA It It 1'- ` �_%_. :; \.;'- Date: <br /> DmZr EPA#CAL 000427808 State Manifest Document# <br /> CHP#CA192005 — - - _ <br /> CRYSTAL BLUE INVOICE NO. 2517 <br /> (, a. ENVIRONMENTAL <br /> 7337 Herlong Way North Highlands, CA 95660 PAY FROM THIS INVOICE <br /> (415) 996-3350 <br /> Transporters Registration No:6104 Next PiU Date <br /> CO. NAME 1 JJ u V PHONE <br /> ADDRESS_ -- <br /> CITY ` (_ Y 4-- \, C,��.1 _ STATE - - - _ - zIP <br /> CITY 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 /> 55 Gallon Drum filled with Used &drained oil & gas filters. /per <br /> drum <br /> TOTAL --)P- <br /> I DESTINATION OF OIL J ALTERNATIVES ] DESTINATION OF FILTERS <br /> RES AES <br /> 1616 S.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 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 facts ies <br /> that process used oil also meet Mose requirements.These include more stringent leak detection and prevention requirements,engineering certifications of tank <br /> imegrity.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 <br /> management standards and not these more stringent requirements.This notification is for information purposes only. <br /> GENERATORS CERTIFICATION:1 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 certffy that I have a program in place to reduce the volume and toxicity of waste generated to the degree 1 have determined <br /> to be exnomically 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 1 ran afford.I have not mixed any of the waste described above with <br /> any other hazardous waste,Ne 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 Calffomia used oil management regulations to determine this is true.I agree to accept t,additions$charges for the disposal of this waste H the <br /> information I have provided about this waste is invest.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 tladare <br /> Transporter's Signature: untler perjury that the foregoing is true antl correct. <br /> Term net 10 days.Finance ch a of per month(24%per year)on accounts not paid within 30 day& <br /> A$25.00 Fee will be charged for returned checks. <br />