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Exhibit A <br /> 1 <br /> k <br /> UNIFIED PROGRAM CONSOLIDATED FORM <br /> HAZARDOUS WASTE <br /> RECYCLABLE MATERIALS REPORT - PAGE I <br /> FOR EXCLUDED OR EXEMPTED MATERIALS ONLY <br /> Page_of i <br /> FACILITY ma EPA iD# CAD097068126 2 <br /> BUSINESS NAME(Same as FACHITY NAME or DBA—Doing Business As) 3 <br /> Sumiden Wire Products Corporation SWPC <br /> DATES OF REPORTING PERIOD BEGINNING DATE 500 ENDING DATE 501 <br /> 01/01/2018 12/31/2019 <br /> d <br /> 1.TYPE OF RECYCLING ACTIVITIES <br /> If yes,please follow instructions. <br /> 1. Do you recycle more than 100 kg/month of excluded or exempted 502 4 If YES,you are both the generator and recycler. <br /> recyclable material at the same location at which the material was YES NO Complete one Recyclable Materials Report. Do not <br /> generated(onsite recycling)? complete Parts II and V. <br /> 2. Do you recycle more than 100 kg/month of non-manifested, 503 4 If YES,you are an offsite recycler but not the <br /> excluded recyclable materials received from an offisite location YES NO generator. Complete a Recyclable Materials Report <br /> (offsite recycling)? for each generator that sends you materials. <br /> --Businesses that only send recyclable materials to an offsite recyclers are not required to file this report.-- <br /> II. OFFSITE GENERATOR OF RECYCLABLE MATERIAL <br /> Only complete when the generator is different from the recycler. <br /> OFFSITE GENERATOR OF RECYCLABLE MATERIAL 504 OFFSITE GENERATOR EPA ID# 505 <br /> Does Not Apply <br /> STREET ADDRESS 506 PHONE 507 j <br /> CITY 508 STATE 509 ZIP CODE 510 <br /> 4, <br /> MAILING ADDRESS(IF DIFFERENT) 511 <br /> i <br /> I <br /> CITY slz STATE 513 ZIP CODE sta <br /> i <br /> III. CERTIFICATION SECTION <br /> I certify under penalty of law that this document and all attachmwW were prepared under my direction or supervision in accordance with a system designed to assure <br /> that qualified personnel properly gather and evaluate the i AR ermatiAsubmitted. Based on my inquiry of the person or persons who manage the system,or those <br /> directly responsible for gathering the inform ion,the i ormaf is,to the best of my knowledge and belief,true,accurate,and complete. <br /> SIGNATURE OF CERTIF DAT 7/28/2020 s15 NAME OF.pOCUMENT PREPARER 516 <br /> 5oua Fier <br /> NAME OF SIG (print) Soua Her 517 TITLE OF SIGNER Assistant Plant Manager 518 <br /> UPCF(12/99 revised) 16 <br />