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SPECIAL INSTRUCTIONS FOR COMPLETING DTSC FORM 1232 <br /> Note: To qualify for self certification, you must complete sections I. and IV. accordingly to the standard <br /> instructions and sections II. and III. according to this guide. <br /> 1.) Section I. (complete this according to the standard instructions.) <br /> 2.) Section II.FINANCIAL ASSURANCE FOR CLOSURE <br /> This section requires you to prepare a written estimate of the cost of closing each treatment unit. The <br /> estimated closure cost can equal the actual cost or the costs estimated by you when using your own staff <br /> and/or personal equipment. The closure cost estimate may take into account any salvage value that may be <br /> realized from the sale of wastes,facility structure or equipment,land or other facility assets. Please comply <br /> with the following instructions: <br /> Estimate the cost for closing your treatment unit(s). <br /> Note: IF YOUR ESTIMATED CLOSURE COST IS GREATE THAN <br /> $10,000.00—STOP,YOU ARE NOT ELIGIBLE FOR <br /> SELF-CERTIFICATION(see section II of the standard instructions) <br /> (a) If your estimated closure cost is$10,000.00 or less,you are eligible for self-certifica- <br /> tion. <br /> Enter the dollar amount of closure costs as required by Title 22,CDR,Section 67450.13(a)(1)on DTSC <br /> Form 1232 in section IIA. <br /> (a) Indicate N/A(non-applicable)where appropriate in this section. <br /> (b) Attached a detailed closure cost estimate that documents the cost shown in item A and <br /> indicate such in items F. <br /> 3.) Section M. SELF CERTIFICATION(EXEMPTION FROM FINANCIAL <br /> ASSURANCE REQUIREMENTS) <br /> This section is for an owner or operator of TTU,owner or operator of FTU,or a generator operating <br /> pursuant to a grant of Conditional Authorization who is eligible for self-certification,pursuant to Title 22, <br /> California Code of Regulations(CCR),Chapter 45,section 67450.13(d). If eligible for self-certification, <br /> you must mark and specify such in box 3. You must also attached a letter(see model letter)certifying that <br /> accordance with Title 22,CCR,Section 66270.11. <br /> 4.)Section IV. (complete this section according to the standard instructions) <br /> Financial Assurance&Financial Responsibility Appendix A-37 <br />