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w CRANES ASTE OIL Iii . INVOICE
11 ENVIRONMENTAL SEPY10,15S
15412 HIGHWAY 178 - WELDON, 0ALfFORNIA 93283 -9702 /BILL OF I-A DEN
Hazardous Waste Mauler #075 - EPA CAD 960813950
-800- 272 -6330 • (1661) 746 -0616 * (760) 378-3010 * FAX (760) 378 -3144
wvt►w.craneswasteoil-lcom 1
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NAME
NAME
ADDRESS
DATE
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CA H [ C f=CK HARGE [�
A`Mbalfss r
This is nol a matting address.
CRANES WASTE 01L, INC.
MAILING ADDRESS.
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VTY -� ST E IP 'Co,
CITY
STATE 21P CC• POD '
a ; ' �' ,
EMAIL ADDRESS '
CUST�?NIEFi EPA ID NO.
P OfN Ida.
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WELDON, CA 98233 -0702
InrirrcfFISM ❑ AcIriculturai C1 Government ❑ Marine [] Other
C] CONSOLIDATED MANIFEST PUMP REQUIRED L-,�-YE.j U iWU � rr►n t t —
GENERATOR'S CEttTtKI0ATION: I hereby declar® that the GO ttcntjto applicable X8 consignment in[ are fully d and nvianal gone nmanlbe guba �y proper shipping name end are cfaas+fied, packed, marked, and IabslQd, and are ve
in full respects In proper condition for transport by highway acco d 9
(id am a large quantity gcncrainr, I certify that I have a prP�r rn in place to reduce.ttie volume and toxicity of waste generated b the degree I have determined it be economically Qr if I s p>a small q and W generatorr. I have
the practicable method of treatment, storage, or disposal qurrgnby available to me which minimizct the present and future threat to human health and the environment; tjr, it I am $smell uami
.made a good faith effort k4 mfnir�i =e my waste generation and select the best Waste management rnethOd that IS available V me and that I can afford. knowied9e of the halogen content
m total halogens b testis 1ha used olf for 3lalogens, or by applying
tf I am a 9eneratvr of used oil, I have deterrnincd that the uaad oil does not contain pCD�s or ,more then t t)96 pp 9, y
of the used oil, I certify that I have racalved a copy of Consolidated Transporter Notification prior #o CW01 operating and srn ll'$q uantlt & e � ralorl �GESOQ)2sourcas. To the best oT my ttnoviledge, the only waste oil
If thia waste is from a tank which collects waste oil from household "do It yourself'' (DIY) wr+d /or candltlonally exempt q Y g II
contained In my I)WOESQ0a oollection tank IS Solely from DIY and or CESQQ Sources. I have not mixed this waste oil Wi h any ocher hazardous w�Bte or waste oil from other sources. agree to accept the
additional charges Tor disposal of the waste if the Information I have provided ibautthi� Sues
incorrect.
ot required to
ImPORYANT N(YrICE REGARDINGTHE giSp❑SITION OF YOUR USED OIL:
t;Wp hereby adviso3 generator that your $Itipmxnt of used allrmouybma s�Qmereldf to il�tie4s 10811tom1a fac I i required
ia thatctlarrdle or proce federal
usetluall ere repair dbtp meet those more stringent1requirements, and $9-6 out
t;omply with the more atr)ngent requirements applicable to razed ® in Grin csrtlticatlon of tank integrity, and 116ancial assurances for
of stale faenitles that P=4e" used oil also meet those rsquiremsrri. Therb include more stringent leak detecilon end prevention requirements, ens a Q
closure and apridentai eelesses. It Is lawful to send used oil to out of State facllibes that comply only with federal used oit management standards and not these more Stringent repulrernents, This notifit 1ian is far
information purpotee only per the State of CA-
BY SIGNING SEIVE�ATtD4 ER;TIF)+ t 'ION, I ACKNOWLEDGE THAT I HAVE READ THE ABOVE ST
A�"EItllEhiTS
Date
Generator Print & Sign r ��
'.Transportf:r'Signature'
G�I'd:i.�,$:c�� <t i= •EJi�. E?lJSii�l55 t- at1(}••>as�$ -(;327 '
M'��C�et'Card '
CRANES WASTE 0I1., INC.
has the appropriate permit(s) and will
accept waste the generator is shipping,
Section 66264.12 (b) Title 22, CEO
State of Qailfornia Certified Small Business,
7
.`cal. M, u Jug. ;t•t? ;t$
a
This is nol a matting address.
CRANES WASTE 01L, INC.
MAILING ADDRESS.
''• •
��
�_
16491,'5 Hwy. 178
r;t;RA•hIES'WASTEOIL, INC.
WELDON CA 9328,'3 -9702
1541 HIGHWAY 17$
760 -•378 -3010
WELDON, CA 98233 -0702
CAD 980813950
G�I'd:i.�,$:c�� <t i= •EJi�. E?lJSii�l55 t- at1(}••>as�$ -(;327 '
M'��C�et'Card '
CRANES WASTE 0I1., INC.
has the appropriate permit(s) and will
accept waste the generator is shipping,
Section 66264.12 (b) Title 22, CEO
State of Qailfornia Certified Small Business,
7
.`cal. M, u Jug. ;t•t? ;t$