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10/5/2020 Onsite Hazardous Waste Treatment Notification:Financial Assurance:CERS Business <br /> California Environmental Reporting System:Business Tony grizelj's Account Sign Out Tools Reports Help <br /> HVma Submittals Fadlihies compliance My E;Uzille99 <br /> Tiered Permitting Unit: Financial Assurance Certification: Metal Finishing Sol... <br /> Home D Submittal History N Submittal:10/2/2020(10743571) )> Tiered Permitting Unit:Financial Assurance Certification(Submitted) <br /> ;V Ins$ u <br /> Facilities with Permit by Rule(PBR)and Conditionally Authorized(CA)operations are required to provide financial assurance for closure costs(22 CCR§67450.13(b)and HSC <br /> §25245.4).However,you are eligible for an exemption from financial assurance requirements if closure cost estimates are not more than$10,000 for your facility(22 CCR <br /> §67450.13(d)).PBR operations that operated less than thirty(30)days in any calendar year are also eligible for an exemption(22 CCR§67450.13(e)).Complete the page even if <br /> you qualify for an exemption. <br /> An adjustment to the closure cost estimate for inflation is required to be completed by March 1 of each year.See 22 CCR§67450.13(a)(2)for instructions on calculating the <br /> adjustment.This updated closure cost estimate must be maintained at the facility.If your cost estimate now exceeds$10,000 for the first time,you must submit this Certification <br /> and a closure cost estimate within 30 days to your CUPA or authorized agency.If the cost estimate adjustment results in an increase and requires a change in your financial <br /> mechanism,submit this certification and revised mechanism within 60 days(§66265.143).Any change in information affecting the closure cost estimate or mechanism must be <br /> submitted within 30 days to your CUPA or authorized agency.Refer to 22 CCR§67450.13 for financial assurance requirements. <br /> IS <br /> Submiftal Element Histoubmitted for CERS ID 10743571 on 10/2/2020 3:47PM by Jeff Tarter of Metal Finishing Solutions(Santa Clara,CA) <br /> View Entire Su n MW Start New Subrnit,*57 <br /> Q <br /> Type of Operation/Unit Type Exemption from Financial Assurance Requirements <br /> Type of Operation/Unit Type 0 1. 1 am not required to provide a mechanism because: <br /> PBR-FTU a, No I certify that my closure cost estimate is less than or equal to$10,000,or'!W <br /> Estimated Closure Costs b. No Exemption From Financial Assurance-Other,@" <br /> Estimated Closure Costs w <br /> 16628.00 2. No Exemption From Financial Assurance-<30 Days Per Year++ <br /> Estimate must be accompanied by a written <br /> Estimate of Closure Costs download. <br /> Closure Financial Assurance Mechanism <br /> Closure Assurance Mechanism Type w-w Effective Date Financial Institution,Insurance or Surety Company/Other Organization <br /> Closure Trust Fund 9/25/2018 12:00 AM Mechanics Bank <br /> Financial Institution Or Surety Address <br /> 2001 Gateway Place,Suite135E <br /> Mechanism ID Number(s) Financial Institution Or Surety City State Zip Code <br /> 3401907070 San Jose CA 95110 <br /> Country <br /> United States <br /> Owner or Operator Certification <br /> 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 assure that qualified personnel <br /> 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 <br /> information is,to the best of my knowledge and belief,true,accurate and complete.I am aware that there are significant penalties for submitting false information,including the possibility of <br /> fines and imprisonment for knowing violations.(22 CCR§66270.11) <br /> Owner/Operator Name Owner/Operator Title Date Certified Signer Of Certification <br /> Tony Grizelj Sr.Vice President 10/2/2020 12:00 AM Operator <br /> Created By:Jeff Tarter on 10/2/2020 3:47 PM <br /> Last Updated By:Jeff Tarter on 10/2/2020 3:47 PM <br /> Version 3.05.0004 1 Enhancements I CERS Central Diagnostics I Conditions of Use I Privacy Policy I Contact I Help <br /> California Environmental Reporting System:Business I©2020 California Environmental Protection Agency <br /> CERS Technical Support:Request Technical Assistance <br /> Unified Program/General Assistance:Contact your local regulator(§) <br /> 4)CERS Help11 9 Settings <br /> https:Hcersbusiness3.calepa.ca.gov/123354/Facility/10743571/Submittal/0HWTN/4421978/CertFinancialAssurance/Detail/20044023 1/2 <br />