Laserfiche WebLink
Please check one response, <br />DTSC within ten days upon i <br />/ 72� <br />Department of Toxic Substances Control <br />Office of Pollution Prevention and Technology Development <br />Source Reduction Unit <br />P.O. Box 806 <br />Sacramento, California 95812-0806 <br />ATTENTION ALL RECIPIENTS <br />e any relevant information, sign and date the certification, fold, tape, and return this form to <br />of this letter. <br />❑ My facility is subject to SB 14 requirements, and I agree to return to compliance, including submitting an SPR <br />within 30 days. <br />❑ My facility didnot gene to more than 12,000 kg. of hazardous wastes in 2006, and is not subject to SB 14 <br />requirements. <br />❑ My facility generated m�re than 12 000 kg. of hazardous wast s in �Q06, but is not subject to S 14 <br />requirements (please plain). cs ori /� C'7aof 566 eco Gt/� ���ric%� <br />o�v�n w cG ery vva—Ttg t v� <br />❑ My facility has already s bmitted the 2006 SPR to DTSC, prior to the current date. <br />I certify that I am authorized to epresent this facility in this matter, and that the information provided above is true and correct <br />Type/Print name g ature/Date <br />ii I& 1gi-S1t;''{ '-,,J C-k898za3aZo-7 <br />Telephone U.S. EPA ID # <br />Department of Toxic Substan s Control _ _ <br />Office of Pollution Prevention a d Technology Development <br />Source Reduction Unit, FLR 12 1 <br />P.O. Box 806 <br />Sacramento, California 95812-0806 <br />