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Special el f tuft! - Recertification REPUBLOC <br /> SERVICES <br /> IV,Certification <br /> I hereby certify that to the best of my knowledge and belief,the information contained herein is a true,complete and accurate <br /> description of the waste material being offered far disposal and all known or suspected hazards have been disclosed.All Analytical <br /> Results/Material Safety Data Sheets submitted are truthful and complete and are representative of the waste. <br /> t further certify that by utilizing this profile,neither myself nor any other employee of the company will deliver for disposal or <br /> attempt to deliver for disposal any waste which is classified as toxic waste,hazardous waste or infectious waste,or any other <br /> waste material this facility is prohibited from accepting by law t shall immediatelygive written notice of any change or condition <br /> pertaining to the waste not provided herein.Our company hereby agrees to fully indemnify this disposal facility against any <br /> damages resulting from this certification being inaccurate or untrue. <br /> I understand that attaching an electronic signature,i am signing this document consent to complete this transaction and receive <br /> ail related communication electronically,and agree this document will be binding as though 1 had physically signed it.A printout of <br /> this document may be accepted with the some authority as the original." <br /> If electronic signature is preferred,please submit completed(unsigned)form to your Special Waste Coordinator or Special Waste <br /> Sales Executive to initiate signature process. <br /> t further certify that the company has not altered the form or content of this profile sheet as provided by Republic Services. <br /> ALEXIS WILLIAMS CES UNIVERSAL SERVICE RECYCLING,INC. <br /> Authorized Representative Name Title Company Name <br /> (Printed) (Printed) <br /> 11/14/20z <br /> res_entativ ignature sate <br /> G <br /> i <br /> a�, Universal Service Recycling,Inc. SHREDDER RESIDUE CSC(NON�RCRA WATE) <br />