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Hazardous Waste Generator Arrangements with Local Authorities <br />(Compliance with 22 CCR 66262.16 and 66262.256) <br /> <br />Business Name: CERS ID#: <br />Site Address: <br />Site Contact Phone Number: <br />Facilities may use this form to document arrangements made, or attempted to be made, with local authorities. Keep <br />documentation (including any supporting evidence) readily available for review at the time of inspection. It is <br />recommended to upload this document, and any supporting documents, to CERS for future reference. You may upload <br />this document under the “Miscellaneous State-Required Documents” field. <br />Authority <br />Arrangements <br />Necessary <br />(Y/N) <br />Name of <br />Authority <br />Date and Type <br />of Contact <br />Describe Arrangements <br />or <br />Describe why Arrangements are not Necessary <br />Police <br />Hospitals <br />Contractors <br />Suppliers <br />Other <br />Fire N