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EPA ID NUMBER: CAL93060""18 Page_L of J_ <br /> FACILITY NAME: OLiN INTERCONNECT TECHNOLOGIES <br /> INFORMATION STATUS: The information in the Notification Renewal Form is: �tI <br /> ❑ 1. Unchanged and correct. <br /> ❑ P'f a• <br /> 2. Incorrect and has been corrected. ' ' ,=' 54 <br /> X3. Amended to reflect operational changes of the facility which have occurred since the last notification (include <br /> attachments if applicable). Note: If adding new treatment units use the Unit Specific Forms (1772B, C, D or Q. <br /> �4 - -Folletatn� p es) <br /> CERTIFICATION: This form must be signed by an authorized co rate o icer or any other person in the company who has <br /> operational control and performs decision-making functions that govern operation of the facility (per title 22, California Code of <br /> Regulations (CCR) section 66270.11). All three copies must have original signatures. <br /> Waste Minimization I certify that I have a program in place to reduce the volume, quantity, and toxicity of waste generated to the <br /> degree I have determined to be economically practicable and that I have selected the practicable method of treatment, storage, or <br /> disposal currently available to me which minimizes the present and future threat to human health and the environment. <br /> Tiered Permittin¢ Certification I certify that the unit or units described in these documents meet the eligibility and operating <br /> requirements of state statutes and regulations for the indicated permitting tier, including generator and secondary containment <br /> requirements. I understand that if any of the units operilk under Permit by Rule or Conditional Authorization, I will also provide <br /> the required financial assurance for closure of the treatment unit by October 1, 1996. <br /> I certify under penalty of law that this document and all attachments were prepared under my direction or supervision in accordance <br /> with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my <br /> inquiry of the person or persons who manage the system, or those directly responsible for gathering the information, the information <br /> is,to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are substantial penalties for submitting <br /> false information, including the possibility of fines and imprisonment for knowing violations. <br /> T2}{Ypy trod 9*1 r—o-oxeye �A a nn n tr <br /> Name�(Pr)int/r Typ Title <br /> Sign Date Si� <br /> REQUESTING A SHORTENED REVIEW PERIOD: DTSC may shorten the time period between notification and authorization <br /> of new CA and/or CE units when the owner or operator establishes good cause. if you need to be authorized for a new CA or CE <br /> units sooner than the standard 60-day period, please check the box below and state the reason. Your authorization will be <br /> automatically effective on the date your completed notification form is received by DTSC. (Use additional sheets, if necessary.) <br /> YES <br /> ❑ Reason: Unit Name: <br /> OPERATING REQUIREMENTS: Please note that generators treating hazardous waste onsite are required to comply with a <br /> number of operating requirements which differ depending on the tier(s). These operating requirements are set forth in the statutes <br /> and regulations, some of which are referenced in the Tier-Specific Fact Sheets available from DTSC's regions or headquarters. <br /> SUBMISSION PROCEDURES: All three forms must have original signatures, not photocopies. You must submit two copies <br /> of this completed notification by certified mail, return receipt requested, to: <br /> Department of Toxic Substances Control <br /> Program Data Management Unit, HQ-10 <br /> Attn: Form 1772 RENEWAL <br /> 400 P Street, 4th Floor, Room 4453 (walk in only) <br /> P.O. Box 806 <br /> Sacramento, CA 95812-0806 <br /> You must also submit one cony of the notification and new attachments to your local regulatory agency as listed in Appendix 2 of the <br /> instruction materials (also shown as a 'cc' to this letter. You must also retain a copy as part of your operating record. <br />