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EPA ID NUMBER CAL000126635 Page 3 of r VIII. CERTIFICATIONS: This form must be signea by an authonzed counorare ojJieer or any other person in the company was has operatuonai control and.performs dedtion-mating functions that govern operation of the faciliry(per Tule 22. Ca"ornm Code of Reguiations (CCR) Season 66270.11). All three copier must hawe original signanuv. Waste Minimization I certify that I have a program in place to reduce the volume, quantity, and toxicity of waste generated to the degree i have determined to be economically practicable and that 1 have selected the practicable method of treatment. ator"e, or diaposai currently available w me which mun;m= the present and future threat to human health and the environment. Tiered Perntitting Certification I certsfy that the unit or units described in these documents meet the eligibility and operating requirements of sate samtes and regulations for the indicated permitting tier, including generator and secondary containment requirements. I understand that if any of the units operate under Permit by Rule or Conditional Authorization. I will also be required to provide required financial •«ra*+ce for closure of the treatmrnt unit by January 1, 1995. I certify under penalty of law that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to&&sore that qualified personnel properly gather and evaluate the information submitted. Based on my miFry of the person or persons who manage the system or those directly responsible for gathering the information, the informatinn is. so the best of my knowledge and belief, true, accurate, and complete. I am aware that there are substantial penalties for submitting false information. including the possibility of fines and imprisonment for!mowing violations. Mice Wissel Quality Assurance Coordinator Name(Print or Type) Title 08-30-95 Signature Date Signed OPERATING REQUIREMENTS: Please note that generators treating hazardaur waste onsite are required to comply with a number of operating requirements wltidr differ depending on the tier(s). There operating require meets are set forth in the statures and regulations, some of which are referenced in the 75er-Specific Fact Sheets available from the Department's regional and headquarters officer. SUBMISSION PROCEDURES: You mart submit two milia of this completed natificarion by terrified mail, return receipt requested, to: Department of Toxic Substances Control Program Data Management Section 400 P Street, 6th Floor, Room 4453 (walk in only) P.O. Bar 806 Sacramento, CA 95812-0". You must also submit one copv of the rorification and attachments to the local regulatory agency in your jurisdiction ar listed m Appendix 2 of the instruction marenals. You mart also wain a copy as part of your operating record. lI ulnae femur must hawe o it signarwer, nor phorocopiu. DTSC 1772 (1/95) Page