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M, <br />CERTIFIED APPLIANCE RECYPLICATION CHECK LIST <br />_ L12k <br />APPROVED <br />Applicant filled out entire application <br />V List name <br />Yes /#Q Address of recycling facility (not required) <br />Yes 40 EPA number (not required on 1428, but required on Form 1430) <br />L� Applicant answered Question #4, regarding whether or not they filed an application <br />/ for a storm -water permit, or if they were not required to. <br />Applicant answered Question #5, regarding whether or not they filed hazardous <br />—/ materials business plan, or they were not required to <br />N Copy of business license attached 12�3k � 01�j _L p P <br />Yes /CNZ) Copies of conditional use permits issued by the appropriate city or county <br />Applicant identified the following MRSH they wish to remove and manage <br />❑ Mercury: M002 (U. Hazardous Waste) or temperature devices. <br />"Flame sensor"- A device, usually found in a gas-fired appliance, that uses the <br />expansion and contraction of liquid mercury contained in a probe to <br />open and shut a valve. <br />"Mercury gas flow regulator"- A mercury -containing device used to regulates the flow of <br />gas through a gas meter. <br />"Mercury Switch"- An electrical switch that employs mercury to make electrical contact, <br />and includes, but is not limited to tilt switches, vibration -sensing <br />switches, off-balance switches, float switches, silent light switches, <br />and relays. <br />❑ Used oil- compressors or transmissions <br />Freon, CFC's, HCFC's, non- CFC refrigerants <br />❑ Metal encased capacitors- PCB or DEHP <br />❑ Other regulated hazardous Waste <br />12/27/2005 <br />