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0 <br />State of California — California Environmental Agency <br />0 <br />Department of Toxics Substances Control <br />8.) In an attached document, describe in detail your ability to properly remove and manage all materials that require <br />special handling (MRSH) (HSC 25211.4(a)), found in appliances. The list below describes the level of detail that <br />DTSC would like to see: <br />• General Knowledge- What types of MRSH are found in specific appliances? <br />• Training- Who will provide training to personnel responsible for removing MRSH from appliances at your <br />facility? What are the contents of the training and what MRSH will be covered? How frequently will staff be <br />trained? When will new staff be trained? What hard copy and electronic training and reference materials will <br />be made available to staff? <br />• Health and Safety- Describe your facility's health and safety plan and/or the duties of a safety officer. What <br />personal protective equipment is used during the removal of MRSH? Provide information for spill kits <br />available at your facility. <br />• Proposed removal processes- List the tools and equipment you use to remove each type MRSH. Briefly <br />describe how each MRSH is identified and the procedure used to remove each type of MRSH from the <br />appliance. <br />• Storage'- How long do you plan to accumulate removed MRSH at your facility? Describe the containment of <br />the MRSH. How are the containers labeled for each MRSH? Describe how materials will be packaged to <br />avoid breakage. Describe your record-keeping system. <br />• Disposition of Waste- What will be the disposition of each MRSH? Please provide the name of the company <br />that picks up waste, or a description of where the waste is sent and/or how it gets there. <br />What else should we know in order determine that you are capable of properly removing & managing MRSH? <br />Optional: Site Information: <br />i1�, Troop, and hours of operation of the facility: y!( � r UU <br />Open to the public? ❑ Yes U No <br />Type, expected source, expected number or weight of appliances to be handled per month at your facility: <br />CERTIFICATION <br />Printed Name: <br />Date: <br />Title:�5� <br />' Any MRSH that is a hazardous waste must be managed in accordance with Ch. 12 of 22 CCR <br />DTSC 1428 (11/04/2010) <br />Dace 2 of 2 <br />