Laserfiche WebLink
0 <br /> EPA ID NO: I C I A 1 0 11 0 1 0 1 0 11 1 1 4 1 2 11 3 1 3 1 1 1 OMB#: 2050-0028 Expires 06/30/2009 <br /> 11. Description of Hazardous Wastes(See instructions on page 21.) <br /> A. Waste Codes for Federally Regulated Hazardous Wastes. Please list the waste codes of the Federal hazardous wastes <br /> handled at your site. List them in the order they are presented in the regulations(e.g.,D001,13003,F007,U112). Use an <br /> additional page if more spaces are needed. <br /> D0008 <br /> B. Waste Codes for State-Regulated(i.e.,non-Federal)Hazardous Wastes. Please list the waste codes of the State-regulated <br /> hazardous wastes handled at your site. List them in the order they are presented in the regulations. Use an additional page if <br /> more spaces are needed for waste codes. <br /> CWC132 CWC181 CWC221 CWC223 CWC352 <br /> 12. Comments(See instructions on page 21.) <br /> Alternate Facility Contact: Damon Lewis Phone 209-456-3852 E-Mail damon.lewis@dana.com <br /> 13. Certification. I certify under penalty of law that this document and all attachments were prepared under my direction or supervision <br /> in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted.Based <br /> on my inquiry of the person or persons who manage the system,or those persons directly responsible for gathering the information,the <br /> information submitted is,to the best of my knowledge and belief,true,accurate,and complete.I am aware that there are significant <br /> penalties for submitting false information,including the possibility of fine and imprisonment for knowing violations. <br /> For the RCRA Hazardous Waste Part A Permit Application,all operator(s)and owner(s)must sign(see 40 CFR 270.10(b)and 270.11). <br /> (See instructions on page 21.) <br /> Signature of operator,owner,or an Name and Official Title(type or print) Date Signed <br /> authorized representative (mm/dd/yyyy) <br /> -D, P, C TGR <br /> z 13&L Ea_V_ -r -S V e <br /> EPA Form 8700-12(Revised 7/2006) Page 3 of 3 <br />