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State of California-Caldomia Environn_,al Agency Dep:s.,,nent of Toxics Substances Cantrol <br /> 8.) In an attached document, describe in detail your ability to properly remove and manage all materials that require <br /> special handling(MRSH) (HSC 25211,4(a)), found in appliances. The list below describes the level of detail that <br /> DISC would like to see: <br /> • Gonoral Knowlodgo-What types of MRSH are found in specific appliances? <br /> • Trafning-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 covero? 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 Safoty- Describe your facility's health and safety plan and/or the duties of a safety officer What <br /> personal protective equip <br /> nnt is used during the removal of MRSH? Provide information for spill kits <br /> available at your facility. <br /> • Proposod romoval procossos- t.+sl the tools and equipment 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 /> • Storago'- How long do you plan to accumulate removed MRSH at your facility? Describe the containment of <br /> the MRSH. How are the containers labeled for each MRSH?Describe how materials will be packaged to <br /> avoid breakage. Describe your record-keeping system. <br /> • DispositIon of Waste.What will be the disposition of each MRSH? Please provide the name of the company <br /> that picks up waste, or a description of where the waste is sent andlor how U gets there. <br /> What olso should we know In order determ1no that you are capable of properly mmoving&managing MRSH? <br /> Optional:Site Information- <br /> Days and hours of operation of the facility <br /> Open to the public? )Z Yes [] No <br /> Type, expected source, expected number or weight of appliances to be handled per month at your facility: <br /> 7 -1/- <br /> J0 <br /> J.• <br /> fvr3� _300 <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. <br /> Signature: -Iti' Z- Date: <br /> Printed Name: 1�IyL .:�c 4�, F,� f, r <br /> 1' LLQ — Title' <br /> 'Any MRSH that is a hazardous waste must be managedin accordance with Ch. 12 of 22 CCR <br /> DTSG 1428(11104)2410) page 2 of 2 <br />