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EPA ID NUMBER CArnn- aaa Page 3 of 6 fo VIII. CERTIFICATIONS: Thism rmust be signed by an authorized corporate officer or anv other person in the company who has operational control and performs decision-making functions that govern operation of the faciliry(per Title 22, California Code of Regulations (CCR) Section 66270.11). All three copies must have original signatures. waste Minimization I cenity that 1 have a program in place to reduce the volume, quannn', and toxicity of waste generated to the degree 1 have determined to be economically practicable and that I have selected the practicable method of treatment, storage, or disposal currendv available to me which minimizes the present and future threat to human health and the environment. Tiered Permitting Certification I certifv that the unit or units descnbed in these documents meet the eiigibilitv and operating requirements of state statutes and regulations for the indicated permitting tier, including generator and secondary contarirment requirements. I understand that if anPermit of the units operate under Pent by Rule or Conditional Authorizatio the required financial assurance for closure of the treatment unit by October 1. 1996. n, 1 will also provide I certify under penalty of law that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those directly responsible for gathenng the information, the informn ario is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are substantial penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations. TERRY BURNSIDE VICE PRESIDENT—MERCHANDISING Name [Pont or Type _ Title t *4 JUNE 4, 1997 Signature Date Signed IX. RE66SI'ING A SHORTENED REVIEW PERIOD: Generators operating under CA and/or C£are legally authorized to operate 60 days after submitting a complete notification. DTSC may shorten the time period between notificanon and ,uthonzaiton when the owner or operator establishes good cause. If you need to be authorized sooner than the standard 60dav period, please check the box below and state the reason. Your authonzanon will be aummarically effective on the date your completed notification form is received by DTSC. (Use additional sheets, if necessary.) YES Reason: OPERATING REQUIREMENTS: Please note that generators treating hazardous waste onsite are required to compiv with a number of operating requirements which differ deoendmq on the uerts). These operating requirements are set forth in the statutes and regulations, some of which are rgerenced to the Tier-Specific Fact Sheets available from DTSC's regional and headquarters offices. SUBMISSION PROCEDURES: All three forms must have anginal signatures, not photocopies. You must submit two copies of this completed notification by certified mail, return receipt requested, to: Department of Toxic Substances Control Program Data .Management Section, HQ-10 Ann: TP Notifications - Form 1772 100 P Street. 4th Floor. Room 4453 (walk in only) P.O. Box 806 Sacramento. CA 95812-0806 You must also suhmit one copy of the notification and attachments to the local regulatory agency in your jurisdiction as listed in Appendix 2 of the instruction materials. You must also retain a copy as pan of your operating record. PLEASE, DO NOT SEND YOUR FEE PAYMENT WITH THIS FORM. DTSC 177'_ (1!961 Page 3