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Special Waste ProfileRecertification %,"A- SERVICES IV,Certification l hereby certify that to the best of my knowledge and belief,the information contained herein is a true,complete and accurate description of the waste material being offered for disposal and all known or suspected hazards have been disclosed.Am Analytical Results/Material Safety Data Sheets submitted are truthful and complete and are representative of the waste, i further certify that by utilizing this profile,neither myself nor any other employee of the company will deliver for disposal or attempt to deliver for disposal any waste which is classified as toxic waste,hazardous waste or infectious waste,or any other waste material this facility is prohibited from accepting by law.i shall immediately give written notice of any change or condition pertaining to the waste not provided herein,Our company hereby agrees to fully indemnify this disposal facility against any damages resulting from this certification being inaccurate or untrue. I understand that attaching an electronic signature,I am signing this document,consent to complete this transaction and receive all related communication electronically,and agree this document will be binding as though I had physically signed it.A printout of this document may be accepted with the some authority as the original." If electronic signature is preferred,please submit completed(unsigned)form to your Special Waste Coordinator or Special Waste Sales Executive to initiate signature process. 1 further certify that the company has not altered the form or content of this profile sheet as provided by Republic Services. Alexis Willams HCFC} Universal Service Recycling Inc. Authorized Representative Name Title Company Name (Printed) (Printed) 102/5i20 ''J i - ,.... .__. _.... ._..._ E.,_--,.._ o ' ativ gnature 0,age i i i Universa(Service Recycling,Inc. SHREDDER RESIDUE CSC(NON-RCRA WASTE)