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State of California—California Envirom Al Agency D hent of Toxics Substances Control <br /> 8.) In an attached document, describe in detail your ability to properly remove and manage all materials that requi�e <br /> special handling (MRSH) (HSC 25211.4(a)). The list below describes the level of detail that DTSC would like to see: <br /> • Your Proposed Activities-What kinds of major appliances do you expect to recycle? What types of MRSH <br /> do you expect these appliances to contain? <br /> • Training-Who will provide training to personnel responsible for removing MRSH from appliances at your <br /> facility? What are the contents of the training and what MRSH will be covered? How frequently will staff be <br /> trained?When will new staff be trained?What hard copy and electronic training and reference materials will <br /> be made available to staff? <br /> • Health and Safety- Does your facility have a health and safety plan and/or a safety officer?What personal <br /> protective equipment used during the removal of MRSH?Are any spill kits available? <br /> • Proposed removal processes-What tools and equipment will you use to remove each type MRSH? Briefly <br /> describe how each MRSH is identified and the procedure used to remove each type of MRSH from the <br /> appliance. <br /> • Storage'- How long do you plan to accumulate removed MRSH at your facility? Describe the container for, <br /> and secondary containment of, the MRSH. How will you label the containers for each MRSH? Describe how <br /> materials will be packaged to avoid breakage. Describe your record-keeping system. <br /> • Disposition of Waste-What will be the disposition of each MRSH? Name of the company that picks up <br /> waste, or description of where the waste is sent and/or how it gets there. <br /> What else should we know in order determine that you are capable of properly removing & managing MRSH? <br /> Optional: Site Information: <br /> Days and hours of operation of the facility: <br /> I <br /> Open to the public? Yes ❑ No <br /> Type, expected source, expected number or weight of appliances to be handled per month at your facility: <br /> CERTIFICATION <br /> CERTIFICATION <br /> I certify under penalty of perjury that this document and all attachments were prepared under <br /> my direction or supervision to assure that qualified personnel properly gathered and evaluated <br /> the information submitted. Based on my inquiry of the person or persons directly responsible <br /> for gathering the information, the information submitted is, to the best of my knowledge and <br /> belief, true, accurate and complete. n <br /> Signature: 2 Date: <br /> ' Any MRSH that is a hazardous waste must be managed in accordance with Ch. 12 of 22 CCR <br /> DTSC 1428(05/01/2009) page 2 of 2 <br />