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Recyclable Materials Biennial Report Page 2 Complete a separate Page 2 of the Report for each recyclable material. (Note: the numbering of the instructions follows the data element numbers that are on the UPCF pages.These data element numbers are used for electronic submission and are the same as the numbering used in 27 CCR,Appendix C,the Business Section of the Unified Program Data Dictionary.) Please number all pages of your submittal. This helps your CUPA or AA identify whether the submittal is complete and if any pages are separated. 1. FACILITY ID NUMBER-Leave this blank. This number is assigned by the CUPA. This is the unique number that identifies your facility. 3. BUSINESS NAME-Enter the full legal name of the business. 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-Enter the unique identification number of the recyclable material that is described on this page. The recyclable materials can be numbered sequentially,or by any other system as long as the numbers are not repeated or duplicated. 521. COMMON NAME(RECYCLABLE MATERIAL)-Enter the common name of the material recycled. This is the same as item 207,the Common Name on the Hazardous Materials Inventory-Chemical Description 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 nearest decimal. In this case,1.4 tons=1 ton reported. 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 HSC SECTION 25143.2-Enter the subdivision(s),and subparagraph(s)(if applicable)of HSC 325143.2 that served as the basis for the claim to exemption or exclusion. For example:HSC 325143.2(d)(2)(C). 527. BASIS FOR CLAIM TO EXCLUSION OR EXEMPTION -Explain the basis for the claim to an exclusion or exemption. 528.HAZARDOUS CONSTITUENT 1-4-Describe up to four hazardous constituents of the recyclable material(use common name,if appropriate). If more than four constituents of the recyclable material are recycled,attach additional sheets using the same format as on the UPCF. (Report for constituents 2 through 4 in 534,540,and 546.) 529.CONCENTRATION RECYCLABLE MATERIAL 1-4-Enter the concentrations of up to four hazardous constituents of the recyclable material as a decimal number. (Report for constituents 2 through 4 in 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 536,542,and 548.) 531.CONCENTRATION FINAL PRODUCT 1-4-Enter the concentrations in the final product of up to four hazardous constituents of the recyclable material as a decimal number. (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 538,544,and 550.) 533.FINAL PRODUCT/USES 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 539,545,and 551.) 552.DOCUMENTATION-For offsite recyclers,check the box to indicate that documentation of known market is provided. Documentation is required pursuant to HSC 32514110(a)(3)(A)to show that there was a known market for disposition of the recyclable material and any products manufactured from it. 3 UPCF(1/99 revised)