COMPLIANCE INFO_1994 - 2018 - Laserfiche WebLink

Home Browse Search

E-24 ID INUMBER: CAD9808931 as Page_of_ ,FACILITY DAME: LIKA INFORAIATION STATUS: The information in the Notification Renewal Form is: FEB 281995 ❑ 1. Unchanged and correct. 2. Incorrect and has been corrected. ENVIRONMENTAL HEALTH PERMIT/SERVICES ❑ 3. Amended to reflect operational changes of the facility which have occurred since the last notification (include attachments if applicable). Note: If adding new treatment units use the Unit Specific Form (1772D). Certification This form must be signed by an authorized corporate officer or any other person in the company who has operational control and performs decision-making functions that govern operation of the facility (per title 22, California Code of Regulations (CCR) section 66270.11). All three copies must have original signatures. 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 I have selected the practicable method of treatment, storage, or disposal currently available to me which minimizes the present and future threat to human health and the environment. Tiered Permitting Certification I certify that the unit or units described in these documents meet the eligibility and operating requirements of state statutes 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, 1 will also be required to provide required financial assurances for closure of the treatment unit by . I certify under penalty of law that this document and all attachments were verified, corrected, amended and/or prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those directly responsible for gathering the information, the information is, to 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 knowing violations. James Neal Environmental/Safety Manager Name (Print or Type) Title q� / L64-- 2/28/95 SignA&re Date Signed OPERATING REQUIREMENTS: Please note that generators treating hazardous waste onsite are required to comply with a number of operating requirements which differ depending on the tier(s) under which one operates. These operating requirements are set forth in the statutes and regulations, some of which are referenced in the 7-ter-Specific Factsheets. SUBMISSION PROCEDURES: You must submit two copies of this completed notification by certified mail, return receipt requested, to: Department of Toxic Substances Control Form 1772 RENEWAL Hazardous Waste Management Program Attn: Program Data Management Unit 400 P Street, 41h Floor (walk in only) P.O. Box 806 Sacramento, CA 95812-0806. You must also submit one cony of the notification and attachments to the local regulatory agenn, in your jurisdiction as listed in the instruction materials. You must also retain a copy as part of your operating record. All three forms must have original signatures, not photocopies.