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EPA ID NUMBER: CAD9823706:` <br /> FACILITY NAME: SIGMA CIRCUITS INCISTOCKTON DIV <br /> "FORMATION STATUS: The information in the Notification Renewal Form is: <br /> ❑ 1. Unchanged and correct. <br /> © 2. Incorrect and has been corrected. <br /> ❑ 3. Amended to reflect operational changes of the facility which have occurred since the last notification (include <br /> attachments if applicable). Note: If adding new treatment units use the Unit Specific Forms (1772B, C. D or L) and <br /> attach with your PBR renewal form. <br /> CERTIFICATION.• This form must be signed by an authorized corporate officer or any other person in the company who has <br /> operational control and performs decision-making functions that govern operation of the facility (per Title 22, California Code of <br /> Regulations (CCR) Section 66270.11). <br /> Waste Minimization I 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, storage, or disposal <br /> currently available to me which minimizes the present and future threat to human health and the environment. <br /> Tiered Permitting Certification I certify that the unit 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. <br /> rtify under penalty of law that this document and all attachments were prepared under my direction or supervision in accordance <br /> _..i 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 the <br /> best of my knowledge and belief, true, accurate, and complete. I am aware that there are substantial penalties for submitting false <br /> information, including the possibility of fines and imprisonment for knowing violations. <br /> Lloyd Finley Manager Environmental Affairs <br /> Name (Print or T1 Title (Print) <br /> „i 2-26-99 <br /> Signature Date Signed <br /> REQUESTING A SHORTENED REVIEW PERIOD: <br /> YES ❑ Reason: <br /> Unit Name <br /> SUBMISSION PROCEDURES: One cony with original sivtattire to DTSC and one copy to your local CUPA or county agency. <br /> L TO: <br /> Department of Toxic Substances Control Your Local CUPA or County <br /> ATTN'PBR RENEWAL - Tiered Permitting Agency <br /> P.O. Bos 806 (Listing attached.) <br /> Sacramento, CA 95812-0806 <br /> You must also retain a copy as part of your operating record. <br />