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BARCLAYS118245 CALIFORNIA CODE , REGULATIONS TIt11_q <br />The parties below certify and sign under penalty of perjury that the information in dtts document is true and correct to dw beat of his <br />or her ledge, and that this document is being executed in accordance with the requirements of Title 14, Califiorm Code of <br />Regulations, Division 7, Chapter 5, Article 3.3, Section 18237. <br />operatoes Signature <br />Typecl or Printed Name of Person Signing <br />James B. Giottonini <br />Risk ManaWs Signature <br />Typed or Printed Name of Person Signing <br />Candyce L. Retamoza <br />" <br />Public Works Director <br />March 26, 1993 <br />Risk/Loss Control Officer <br />Daft March 26, 1993 <br />This information is requested by the California integrated Waste ManaSenmmt Baud under Title 14, Callflande Code of <br />7, Chapter 5, Article 3:3, Section 18237 in order to verify adequate financial assuntrior of solid wum disposal beilldes. <br />Completion of this form is mandatory. The consequence of not completing the form is d=W at revontion of a permit to openate a solld <br />waste d' facility. Information may be provided to the U.S. Environmental Protection Agency, State Attorney Generr4 Air Rootarces <br />Board, California Department of Toxic Substances Control, t CAmasissim% Water <br />Resources Control Board, and California Regional Water Quality Control Boards. Form to ym records, contact <br />the California In ted Waste Management Board, 88W Cal Center Drive, Sacramento, California 95826, (916) . <br />CRUIS 133 UL090 ftpad2 <br />la <br />3 <br />