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State of California—California Enviror—'e Agency D, r it of Toxics Substances Control 8.) In an attached document, describe in detail your ability to properly remove and manage 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 are 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 made available to staff? • Health and Safety-Describe your facility's health and safety plan and/or the duties of a safety officer.What personal protective equipment is used during the removal of MRSH? Provide information for spill kits available at your facility. • 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. • Storages-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. • 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& managing MRSH? Optional: Site Information: Days and hours of operation of the facility: Open to the public? ❑ Yes `� No Type, expected source, expected number or weight of appliances to be handled per month at your facility: !moi n ii -r�g e,ra k a ��, oc c) lb/rn o fig ro �_bo a,<tc CD It o C is od-hued *_at-ex s 1,000 0--Ukis _ r-Oll erfirs CERTIFICATION CERTIFICATION certify under penalty of penury that tl is document and all attachments were prepared under my direction or supervision to assure that qualified personnel property gathered and evaluated the information submitted.-Ba,sed on my Inquiry ofahe person or-persons directly responsible for gathering the information, the Information_ subm_ Itted is, to tfe best of my knowledge and belief, true, accurat` and complet '. Signature: Date: *, 2110 Printed Name: ?n t'ed Title: �1r�t� DI I I Any MRSH that is a hazardous waste must be managed in accordance with Ch. 12 of 22 CCR DTSC 1428(11/04/2010) page 2 of 2