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TECHNICAL CERTIFICATION STA -N'1" <br /> FOR THE PERFORMANCE REPO%T <br /> (Optional Format) <br /> I certify this Hazardous Waste Management PerformanceReport rmets the following <br /> requirement,as applicable: <br /> (l)The Performanec Report identifies factors that affect the generation and on-site and off- <br /> site management of hazardous wastes and summarizes the effect of those factors on the <br /> generation and on-site and off-site management of hazardous wastes. <br /> name signature <br /> l ,1 <br /> title mo/day.!year <br /> The intent of the financial certification for the Performance Report is to ensure that <br /> the "person who is capable of committing the financial resources necessary to <br /> implement the Performance Report" is aware of its contents and the necessary <br /> resource commitment. The financial certification of the Performance Report must be <br /> completed by any one of the following people who is capable of committing financial <br /> resources necessary to implement the source reduction measures: <br /> • the owner; <br /> • the operator; <br /> - the responsible corporate officer; or <br /> • an authorized individual. <br /> The person completing the financial certification in the Report must sign and date <br /> the following language that is required by SB 14: <br /> "I certify that this document and all attachments were prepared under my <br /> direction or supervision in accordance with a system designed to assure that <br /> qualified personnel properly gather and evaluate the information submitted. <br /> Based on my inquiry of the person or persons who manage the system,or the <br /> persons directly responsible for gathering the information, the information <br /> submitted is,to the best of my knowledge and belief,true,accurate and <br /> complete. I am aware that there are significant penalties for making false <br /> statements or representations to the Department,including the possibility of <br /> fines for criminal violations." <br /> 52 <br />