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V. Certification Statements <br />Technical Certification <br />1 certify this Hazardous Waste Management Performance Report identifies factors that <br />affect the generation and on-site and off-site management of hazardous wastes and <br />summarizes the effect of those factors on the generation and on-site and off-site <br />management of hazardous wastes. <br />_Mohammad Abri~fir L-• <br />Name Signature <br />_Engineer `L/ I /Z_- I I <br />Title Me / Day / Year <br />Financial Certification <br />1 certify that this document and all attachments were prepared under my direction or <br />supervision in accordance with a system designed to assure that qualified personnel <br />properly gather and evaluate the information submitted. Based on my inquiry of the <br />person or persons who manage the system, or the persons directly resporWble for <br />gathering the information, the information submitted is, to the best of my knowledge and <br />belief, true, accurate and complete. 1 am aware that there are significant penalties for <br />making false statements or representations to the Department, including the possibility of <br />fines for criminal violations. <br />_Karin Kingc C�- <br />Name Signature <br />61 <br />J,CA ,J m P�)iN1, EA1 fit d P02./S�/moo t 1 <br />Title Mo / Day / Year <br />September 1, 2011 SB 14 Report I <br />• it -mss', <br />ENVIRONMENT, SAFETY & HEALTII <br />Environmental Functional Area <br />Pollution Prevention & Sustainability <br />Action Item(s) <br />ES&H #Document ID # <br />EFA # <br />W114 201 / •Suu , e RerhtcImn Erulwtliml Revien and Plan, /latardnus IPnctr Alan,), ....rill <br />Peijbim ulee RepmI, and Snunnary Poogresr llepor <br />Document Name <br />9/2U/I1 �lj <br />Processing Due Date <br />1 •ather Ottaway, FFA t uli0a PI'CVCIIIIDII/Susulinabitity Ditto Signed <br />WCY\0___ I?- _1L. <br />Doman, FFA Pollution Prevention/Sustainability Date Signed <br />Manager <br />-**Please do NOT forward to the next tkrson'ns <br />Confect Jolene Kreisel 02.7723 or Usti Stock 0 43776 for pick-up/coordination. <br />Thank you. <br />Sent In Itl riplem(S) <br />Int Rerlew ❑ <br />Peter Yimho, EFA Envi n •Mal Scientist <br />Daw Signed <br />Drah ❑ Final ❑ <br />C. Susi Jackson, EFSenior F iromnental Advisor <br />Ditto Signed <br />Gaal l-IletO on s—er ❑ ��� <br />!?-13-11 <br />Brucc Schultz, EFA ManagerV <br />. Dine Signed <br />DOClllllellI(S) DI hC si);ned III': ItruCV, SChuttz, VIII 'il-0I I I I lel 11111 <br />Iva let io I It Area MLuult;er <br />-**Please do NOT forward to the next tkrson'ns <br />Confect Jolene Kreisel 02.7723 or Usti Stock 0 43776 for pick-up/coordination. <br />Thank you. <br />Sent In Itl riplem(S) <br />Int Rerlew ❑ <br />G ,woes ❑ CuIeg. W <br />FidX ❑ co, Mall ❑ aeg Mail ❑ <br />Drah ❑ Final ❑ <br />Paft copIliilribulion ❑ <br />S—ODF _ <br />Gaal l-IletO on s—er ❑ ��� <br />Email Tmninultui❑ <br />(I'd :fry_ Allernntc _I <br />01-11 / FFA RnvF, dd <br />