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State of California — California Environmental Agency Department of Toxics Substances Control 8.) In an attached document, descri*n detail your ability to properly remove antanage all materials that require special handling (MRSH) (HSC 25211.4(a)), found in appliances. The list below describes the level of detail that DTSC would like to see: • General Knowledge- What types of MRSH are found in specific appliances? • Training- Who will provide training to personnel responsible for removing MRSH from appliances at your facility? What afe the contents of the training and what MRSH will be covered? How frequently will staff be trained? When will new staff be trained? What hard copy and electronic training and reference materials will be de available to staff? Health and Safety- Describe your facility's health and safety plan and/or the duties of a sa r. What rsonal protective equipme t is used during the removal of MRSH? Provide information for spill kits aval a acl Ity. • Proposed removal processes- List the tools and equipment you use to remove each type MRSH. Briefly describe how each MRSH is identified and the procedure used to remove each type of MRSH from the appliance. • Storage'- How long do you plan to accumulate removed MRSH at your facility? Describe the containment of the MRSH. How are the containers labeled for each MRSH? Describe how materials will be packaged to avoid breakage. Describe your record-keeping system, —T • Disposition of Waste- What will be the disposition of each MRSH? Please provide the name of the company that picks up waste, or a description of where the waste is sent and/or how it gets there. What else should we know in order determine that you are capable of properly removing 6 managing MRSH? Optional: Site Information: Days and hours of operation of the facility: —rodalJ 5- aant — v a a+ ri+ Open to the public? ❑ Yes NA No J Type, expected source, expected number or weight of appliances to be handled per month at CERTIFICATION 'It�$ CERTIFICATION I certify under penalty of perjury that this document and all attachments were prepared under my direction or supervision to assure that qualified personnel properly gathered and evaluated the information submitted. Based on my inquiry of the person or persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate and complete. Printed Name: will 2015 Date: Title: j), re 1 Any MRSH that is a hazardous waste must be managed in accordance with Ch. 12 of 22 CCR