COMPLIANCE INFO_2020 - Laserfiche WebLink

Home Browse Search

Applicable Certifications PART Ili.Authorized Representatkv Crosby&Overton Profile Numbei. Manifest and Line Item Number associated with waste shipment 1125401 CHECKTHE APPR6PPjATE CERTIF COON i 1.Generator's Certificati (268.7(a)(2)(11)}for waste that meets Treatment Standards j I certify under penalty of aw that I personally have examined and am familiar with the waste through analysis and i j testing or through know dge of the waste to support this certification that the waste complies with the treatment ! standards specified in 40 CFR,Part 268 Subpart D and all applicable prohibitions set forth in 40 CFR 268.32 or RCRA s Section 30 4(d).I believE that the information I submitted is true,accurate and complete.I am aware that there are S!gnificant enalties for s ibmitting a Use certification,including the possibility of fine and imprisonment. ®2.Waste Treated to Remc ie Characteristics(268.7(b)(3)(Iv}} I certify under penalty of law that the waste has been treated in accordance with the requirements of 40 CFR 268.40 1 to remove the hazardou characteristic.This decharacterized waste contains underlying hazardous constituents that require further treatmen to meet universal treatment standards.I am aware that there are significant penalties for submitting a false certifi ation including the possibility of fine and imprisonment. ®3.Debris Treated to meel Alternative Standards(268.7(d)(3)(Iii)) I certify under penalty of law that the debris has been treated in accordance with the requirements of 40 CFR 268.45.1 am aware that there are ignificant penalties for making a false certification including the possibility of fine and imprisonment. 4.Lab Packs to be Treat by Incineration(Certification must be completed.)Appendix IV Lab Packs I certify under penalty oi law that I have personally examined and am familiarwith the waste and thatthe lab pack contains only wastes wh ch have not been excluded under Appendix IV to 40 CFR Part 268 or solid wastes not subject j to regulation under 40 R Part 261.1 am aware that there are significant penalties for submitting a false certification, including the possibility f fine or imprisonment. S.Appendix Lab Pack: I certify un1der penalty ol law that I personally have examined and am familiar with the waste through analysis testing or through knowledge the waste and that the lab pack contains only organic waste specified in Appendix V to part 268 or solid wastes not bject to regulation under Part 261.1 am aware that there are significant penalties for submittin a false certlfi ation,including the possibility of fine or imprisonment. Signature Print Name i j Title Date i 3of5