|
�� Resource 24055,M Program RESOURCE RECOVERY PERMIT NO HAZARDOUS
<br /> P. s Boz Recovery
<br /> ry Program
<br /> ( )
<br /> Oakland,CA 99623-1055 Page 2 of 2
<br /> EBMUD (510)287.1336
<br /> RRwaste@ebmud.com
<br /> REPORTING REQUIREMENTS
<br /> Permit Holder must provide,and must require its haulers, generators, brokers and contractors to provide,the fit lowing to EBMUD
<br /> upon request:records,pumping lags,manifests,or analytical results pertaining to the disposal of materials at WW P.
<br /> Permit Halder most immediately report,and must require its haulers, generators, brokers and contractors to firm bdiately report,any
<br /> deviation fiom the information reported on this Permit Or any MAA to the EBMUD Resource Recovery Pmgrai I, including but not
<br /> limited to changes to truck size,significant temporary or ongoing changes to the anticipated volume of delivered naterial,changes to
<br /> wastewater generation that may affect the characteristics of the delivered material, and changes concemi It the presence of
<br /> constituents efconcem or known pollutants in the delivered material.
<br /> ENFORCEMENT AND PENALTIES
<br /> Permit Holder is subject in enforcement remedies and penalties in accordance with the EBMUD Wastewater ontrol Ordinance.
<br /> EBMUD reserves the right to suspend or revoke a Permit for cause,including past due payments.
<br /> INDEMNIFICATION
<br /> I agree to defend,indemnify,and hold harmless EBMUD and its Directors,officers,agent and employees from d against any and
<br /> all loss,liability,expense,claims,suits,and damages, including attorneys' fees,arising out of or resulting from 'emit Holder's, its
<br /> generators',haulers',brokers',associates',employees',sub-consultants',or other agents'operation or performing under this Permit.
<br /> WAIVER OF SUBROGATION RIGHTS
<br /> I agree to waive any and all rights of recovery against EBM1IUD regardless of the applicability of any insurance pro ends and to require
<br /> all indemnifying parties to do likewise. All insurance coverage maintained or procured by Permit Holder shall bi endorsed to delete
<br /> the subrogation condition as to EBMUD or must specifically allow all the named insured to waive subrogation pric toeless.
<br /> CERTIFICATION
<br /> 1,Permit Holder,acknowledge that I have received and had an opportunity to review this Resource Recovery Pem it and its Addenda.
<br /> I understand that all Addenda hereto are pan of this Permit and that their terms are incorporated by reference herei .I understand I am
<br /> legally responsible for the disposal of material and for complying with EBMUD's Wastewater Control Ordi since and with all
<br /> provisions of this Permit.1 understand that noncompliance with the Permit or the Wastewater Control Ordinance may subject me to
<br /> enforcement remedies and penalties,including suspension or revocation of this Permit,in accordance with applica a provisions of the
<br /> Wastewater Control Ordinance and this Permit. I hereby certify that 1 will not deliver, or cause to be delivi red, any regulated
<br /> radioactive waste, regulated PCBs, materials regulated by Toxic Substances Control Act, or hazardous waste as ddefined by Section
<br /> 25117 of the California Health and Safety Code or by any other federal,state,or local statute or regulation. I unthu good that EBMUD
<br /> may refuse to accept deliveries at any time if determined by EBMUD to be necessary to avoid interference with P operations or
<br /> EBMUD's compliance with legal requirements. I further understand that I must submit information for EBIUD's review and
<br /> approval on a Material Acceptance Agreement (Addendum A) regarding each wastestream I propose to delh er, or cause to be
<br /> delivered,before any load is delivered to EBMUD.1 also agree to maintain insurance coverage at the levels require by the Certificate
<br /> of Commercial General Liability Insurance(Addendum B),Certificate ofCommercial Auto?rucking Liability(A endum C)and the
<br /> Certificate of Workers'Compensation Insurance(Addendum D)and upon any changes to or expiration of that ins menu,to notify the
<br /> EBMUD Resource Recovery Program. I certify under penalty of law that this document and all attachment he eto were prepared
<br /> under my direction or supervision in accordance with a system designed to assure that qualified personnel p vperly gather and
<br /> evaluate the information submitted.Based on my inquiry of the person or persons who manage the system,or the a persons directly
<br /> responsible for gathering information, the information submitted I% W the best of my knowledge and belief, rue, accurate, and
<br /> complete. I am aware that there we significant penalties for submitting false information, including the poselbility of fine and
<br /> imprisonment for known violations. I understand and accept that the Permit may be suspended or revoked if an V provision of this
<br /> Permit is not complied with. 1 understand and acknowledge that EBMUD may amend this Permit from time It time and that the
<br /> Permit as amended will supersede this Permit and shall be binding and enforceable against the Permit Holder,
<br /> Michael Partial EHS Manager
<br /> NAME nom, f O � TITLE 8/8/17
<br /> Pearn IT HOLDERR•--SIGNATURE DATE
<br /> (10 BEtIGNEOBY CHIN'E%EMIVEO1TKu&OR DULY AIrMOR6m Rgxeei NrArwE.IEEtema TOftC' )
<br /> AUTHORIZATION
<br /> The above-named Permit Holder is hereby authorized to dispose non-hazardous material as provided by this Perim,subject to Permit
<br /> Holder's compliance with EBMUD's Wastewater Control Ordinance and with all provisions of this Permit.
<br /> r,'/�.v . Cry 8 �o tl
<br /> Directoro Wastewemr Date
<br /> ReYe,x 9:1.2013
<br />
|