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AiM MAIL UENIER 42 PAGE 06/08 sbft nianwomia.ea is Environmental Protection Agency Departme"of Toxic Substances Control 3. Check the box(es)that best describes your treatmentfrecycling activities, AL Removes discrete oomponents typically removed during the normal operation of the LPdVED (batteries, ink cart-ridge, etc.)and the handler conducts the disassembly in a manner prescribed in the operating manual for the device. [Note: 11 this is the only treatment you perform, do not fill out this form. Please use Form 1382 instead.) B. :1M-1 Dismantling VWFDS into only their respective oomponerft using, LJ rV_1 1^ 1 Manual methods and hand tools OT mechanical separation of parts only. Other please specify Treatment residuals are componentG of the electronic device(e.g., circuit boards, integrated circuits, metals, plastic, wiring, universal waste batteries and lamps, etc-) C. Processing (Without host,chamiCale OrWgftr) Shred or cut, et.,whole or parts of UWED after removing batteries,lamps,and other universal wastes. Components of LJVVEDs are processed ager removal (e.g- circuit boards, chips, other components. Resultant mateftis generated from treatment are scrap metal and universal waste batteries and lamps, D. Processing(With.d hog,Chalnimis CW vvWO Size reduction, crushing,cutting, sawing,compacting, shredding Separation technology Other please specify Treatment residuals exhibit a hazardous waste characteristic and do not meet the definition of scrap metal or do not qualify for managemerd as universal waste. E. All of the following documents must be submKind wM this farm Jf you have checked'"U"above. I have attached documentation estimating the cost of facility closure prepared pursuant to title 22, California Code of Regulations, section W265.142. I have attached documentation demonstrating financial assurance for closure pursuant to title 22, California Code of Regulations, section 66205.143. I have attached documentation demonstrating financial responsibility for liability pursuant to title 22, California Code of Regulations, section 66266.147, 16G. prmperty Owner Notification [22 CCR sections 66273.131.33(d)(3)(F)(1)(a)(0)and 66273,83(c)(2)(A)(2)(e)or 66273.83(4).fflJNJ2)Je% I have attached documentation demonstrating that 1,the CRT material handler and/or LAIVED handler, has notified the property owner(if differeM from the handler)that I am conducting hazardous waste treatment and recycling aparation(s)at the facility pursuant title 22, California Code of Regulations, (fivision 4.5, Chapter 23(Universal Waste Regulation). 1,the CRT material handler andfor UWED handler, am the property owner of the facility;specified In Section"N'. Inspection 1,the CRT material handler and/or UWED handler, am aware that the facility specified in Section"N'is subject to unannounced inspections by state or local agencies to verify compliance with applicable universvd waste regulations, air laws,worker health and safety lam, local zoning requirements;and seismic and precipitation design standard requirements. DTSC 7588(111161R4) Paga 4 of 8