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CYA LU INUMnL,K VIII. --ERTIFICATIONJ-'7his form must oe si enea by an autihonzea corporate officer or anv orner person in rnr cvrtpam has operartonai conrroi and perfo»rss aecirion-maung,junction rnat govern ow oerarn of rhe iacillry(per Tule t'2.tali( Code of Regulations (CCR) Seaton 06270.11). All fiver copfa mum have orig�ngnanow- Waste Minimization i cerufy that I have a program in place to reduce tine voiume, quantity, and toxicity of waste g®eratea t degree i have detetmned to be economicallym practicable athat I have eeiected the practicable method of treaummt. notan disposal currently avatiable to me which minim,— rix present and future theta* to human .health dna the envitorlmemt- Tiered Permittirut Certification I cemfv that the unit or units described in these documents meet the eligibility am oder requirements of state stamtes and reguiations for the indicated permitting tier, including generator and secondary crmnm requirements. I understand that if any of the units operate under Permit by Rule or Conditionri Authorisation, I will also be tea to provide required financial assurance for closure of the treatment unit by January 1, 1995. I certify under penalty of law that this document and all attachments were prepared dada my direction or supervisionin aceac with a svaem designed to assure that qualified personnel properly gather and evaluate the information submitted. Based an tin in of the person or persons who manage the system, or those directly responsible for gathering the information, the inform®®. the best of my imowledge and belief, true, accurate, and complete. I am aware tbat there are subaanual penalties for submitting false information, including the possibility of filter and impasor for!mowing violations. >'i'.ce iNissei Quality Assurance Coorainat Name (Print or T Title 08-30-95 Signature Date Signed OPERATING REQUIRENMNTS: Please note that generarors treating hazardous waste onsite are required to comply with a number of operating requirements- differ depending on the tier(s). These operarmg requirements are set forth in the statates and regulations, saner oftwLic referenced in the Ter-Specific Fact Sheets availablefrom the Depanment's regional and headquarters offices. SUBMISSION PROCEDURES: You must subm u two metes of this completed notification by eerrtlied trail, return receipt requested, to: Department of Toxic Subsrartcer Control Program Data Managemenr Seaton 400 P Street, 4rh Floor, Room 4453 (walk in only) P.O. Bax 8016 Sacramento, CA 95812-0806. You muse also xubrnit one cow of the notification and aria tsmenrs to the local regulatory agenry in your jurisdiction as a Appenaix 1 of the instruction marenaLs. You must also main a copy as pan of your operating record. U thner forms rnu t have oneinal signarrger, nor.vhosompi,. DISC 1772 (1195)