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ern w :v�ntnctc Ca . :UI:L ; '-c (u <br /> VIII. -=TIFICATIONS: tnu form must oe sena b'an autnonzea corporate o_mcer or anv orner person in the amus"wen <br /> has overattonat conrroi arta performs aension-martng jrunatons that govern operation ofthe faciiiry(per Tule 22. Caalomtc <br /> Code of Regurations (CCR) Seaton 06270.11). All duce copies +mut have ortgieal sigxapjv - <br /> Waste Minimization i certify that 1 have a program in place to reduce the volume, quantity, and toaary of waste>Sellealm to in <br /> degree i have determined to be economically practicable ana that f have selected the practicable trtetnod of tteatmimt. starm, e <br /> dispose currmtiv avatianie Li rrr. which -.n,-,— the present and future tntcat tc+ human bealth aria the en%ir—"'""• <br /> Tiered Permitting Certification I certify that the unit or units described in these documents meet the eligibility and aaeianas <br /> requirements of state statutes aria reguiauous for the tndicattd permitting net. including generator and secondary coots== <br /> requirements. 1 understand that if any of the units operate under Permit by Rule or Conditional Authonz—on.I will also be winum <br /> to provide requited financial assurance for closure of the trestment unit by January 1, 1995. <br /> I certify under penalty of law that this document and all "achmeaLs were prepared under my direction or supervision in acmeiaan <br /> with a system designed to assure that qualified personnel properly gather and evalt-t•the information submitted. Based on my tnqutr <br /> of the person or persons who manage the system, or those directly responsible for gathering the information. the iaformatuar is. a <br /> the best of my knowledge and belief, true, accurate, and complete. <br /> I am aware that there are substantial penalties for submitting false information, including the possibility of fines and imnassoc ea <br /> for imowing violations. <br /> Mi',ce [Sissel Quality Assurance Coordinator <br /> Name (Print or TMTitle <br /> 08-30-95 <br /> Sign <br /> granite Date Signed <br /> OPERATING REQUIREMENTS: <br /> Please"rote that generators treating hazardous waste onrite are required to comply with a number of operating ruegeirierterentiiv <br /> differ depending on the tier(s). These operating regwremems are set forth in the statutes and regulatiom, satyr of uiidrtt <br /> referenced in the Tier SPecific Fact Sheets available from the Deparmtem's regional and headquarters offices. <br /> SUBMISSION PROCEDURES: <br /> You mart submit two conies of this complexed notification by certified mail, return receipt requested, to: <br /> Department of Toxic Substances Control <br /> Program Data Management Seaton <br /> 400 P Street. 4th Floor, Room 4453 (walk in only) <br /> P.O. Bar 806 <br /> Saaamauo, CA 95812-0806. <br /> You must also submit one mpv of the notification and attadunents to the local reguiatory agency in your jurirdiaion ar lived i; <br /> Appetatx 2 of the invruaton materials. You mart also retain a copy as parr, of your operating record. <br /> Al tivxr fora r truly have orfrina!signattoie, nor phatocapia. <br /> DTSC 1772 (1/95) Pate <br />