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DEC-28-2007 FRI 0240 PM 0.00 FAX N0. 0410 P. 02 <br /> EPA ID NUMBER CAT0110011240 Page 3 of 3 <br /> VI. ATTACIMENTS: <br /> A plot plan/nup detailing the loution(s) of the covered unit(s) in relation to the facility boundaries. <br /> 2. A unit specific notification form for each unit to be covered at this location. <br /> VII. CERTIFICATIONS: Thin form must be signed by an authorized corporate officer or any other person in the company who <br /> has operational control arad performs decision-making fundionr that govern operation of the facility(per tick 22, California <br /> Code of Regulations (CCR) section 66270.11). AU throe ropier mast have original signanars. <br /> Waste MiniMijajignI certify that I have a program in place to reduce the volume, quantity, and toxicity of waste generated to the <br /> degree I have determined to be economically practicable and that I have selected the practicable method of treatment, stonge, or <br /> disposal currently available to me which minimi= the present and future threat to human health and the enviroomeat. <br /> Tiered�ittinng Certification 1 certify that the trait or units described in these documents meet the eligibility and operating <br /> requirements of state statutes and regulations for the indicated permitting tier, including generator and secondary containment <br /> requirements. I understand that if any of the units.operate under Permit by Rule or Conditional Authorization, I will also be required <br /> to provide required financial assurances by January 1, 1994, and conduct a Phase 1 environmental assessment by January 1, 1995. <br /> 1 certify under penalty of law that this document and all attachments were prepared under my direction or supervision in accordance <br /> with a system designed to assure that qualified personnel properly gather and evaluate the information submitted.Based on my inquiry <br /> of the person or persons who manage the system, or those directly responsible for gathering the information, the information is, to <br /> the best of my knowledge and belief, true, accurate, and complete. <br /> I am aware that there are substantial penalties for submitting false information, including the possibility of fines and imprisonment <br /> `or knowing violatioas. <br /> ..._ M <br /> S. M. Ferrara artagP-rr, Envisorattet'ttial RF,7't1EClLat�.(7r1 <br /> Name riot or T�pa) Title ` <br /> ,� <br /> Si' a Date Signed <br /> OPERATING REQumEM NTS: <br /> please note that generators treating hazardous waste onsite are required to comply with a ntanber of operating requirements which <br /> differ depending on the iier(i) under which one Operates. 7Jtese operating requirements are settorah in the statutes and regulations, <br /> some of which are referenced in the Tier-Specific Facraheers. <br /> SUMUSSION PROCEDURESO <br /> You must ; rt A of this completed notification by terrified matt, return receipt requested- ta: <br /> Department of Toric Substances Control <br /> Form 1771 <br /> Onsite Hazardous Warr& Treatment Unit <br /> 000 P Street, 41h Floor fwafk in only) <br /> P.O. Bas 806 <br /> Sacramento, CA 95811 . <br /> Jou must also submit one of he noriftcalion and attachments to the local regulatory agency in yourfutisdicrion as listed in [he <br /> inrrMaion materia& You mars also retain a ropy at POM of your Operating record. <br /> All three jornu mads have original signatures, no photocopies. <br />