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Recyclable Materials Biennial Report - Page 2 Instructions Complete a separate Page 2 of this Report for each recyclable material. Please number all pages of your submittal. (Note: Numbering of these instructions follows the UPCF data element numbers on the form.) 519. TOTAL NUMBER OF RECYCLABLE MATERIALS - Enter the total number of recyclable materials which will be described in this report. Complete a separate report page 2 for each recyclable material and verify that the number of pages is the same as the total number listed here. 520. RECYCLABLE MATERIAL NUMBER - Assign a unique identification number to each recyclable material included in this report. In this section of the form, enter the number assigned to the recyclable material addressed by this page of the report. 521. COMMON NAME (RECYCLABLE MATERIAL) - Enter the common name of the material recycled (e.g. Antifreeze). This is the same as item 207, the Common Name on your Hazardous Materials Business Plan inventory page. 522. QUANTITY DURING TWO YEAR REPORTING PERIOD - Enter the total quantity of this recyclable material recycled during the two-year reporting period. Round to the nearest decimal. 523. UNITS - Enter the unit of measure for the quantity reported in item 522. 524. RECYCLABLE MATERIAL DESCRIPTION - Describe the recyclable material that was used in the recycling process, if not described in item 521, COMMON NAME. 525. RECYCLABLE MATERIAL PROCESS DESCRIPTION - Describe the recycling process and, if the recyclable material was used to provide a product, or was used as a substitute for a product, describe the beneficial use of the recyclable material. 526. AUTHORIZING PROVISION OF H&SC SECTION 25143.2 - Enter the subdivision(s), and subparagraph(s), if applicable, of H&SC §25143.2 that serve as your basis for the claim to exemption or exclusion [e.g. H&SC §25143.2(d)(2)(C)I. 527. BASIS FOR CLAIM TO EXCLUSION OR EXEMPTION - Explain the basis for your the claim to an exclusion or exemption. 528. HAZARDOUS CONSTITUENT 1-4 - Describe up to four hazardous constituents of the recyclable material (use the common name, if appropriate). If more than four constituents of the recyclable material are recycled, attach additional sheets using the same format as on this form. (Report for constituents 2 through 4 in the spaces numbered 534, 540, and 546.) 529. CONCENTRATION RECYCLABLE MATERIAL 1-4 - Enter the concentrations of up to four hazardous constituents of the recyclable material. (Report for constituents 2 through 4 in the spaces numbered 535, 541, and 547.) 530. UNITS RECYCLABLE MATERIAL 1-4 - Enter the unit of measure of the concentration that is most appropriate, for up to four hazardous constituents of the recyclable material. (Report for constituents 2 through 4 in the spaces numbered 536, 542, and 54$.) 531. CONCENTRATION FINAL PRODUCT 1-4 - Enter the concentrations in the final product of up to four hazardous constituents of the recyclable material. (Report for constituents 2 through 4 in 537, 543, and 549.) 532. UNITS FINAL PRODUCT 1-4 - Enter the unit of measure of the concentration in the final product, for up to four hazardous constituents of the recyclable material. (Report for constituents 2 through 4 in the spaces numbered 538, 544, and 550.) 533. FINAL PRODUCTIUSES FOR CONSTITUENT 1-4 - Describe the final product(s) that resulted from the recycling process and how each product was beneficially used. (Report for constituents 2 through 4 in the spaces numbered 539, 545, and 551.) 552. DOCUMENTATION - For off-site recyclers, check the box to indicate that documentation of known market is provided. Documentation is required pursuant to H&SC §25143.10(a)(3)(A) to show that there was a known market for disposition of the recyclable material and any products manufactured from it. UPCF (1/99) Hwfrecyc 414 http:/lwww.unidocs.org Rev. 02/16100