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PRINT CLEA <br />State of California— California Environmental Agency Department of Toxics Substances Control <br />Certified Appliance Recycler Application <br />Please submit to: <br />Department of Toxic Substances Control <br />Attn: HWMP - CAR application <br />1001 "1" Street, 11 th Floor <br />P.O. Box 806 <br />Sacramento, California 95812-0806 <br />or <br />CAR(c�dtsc.ca.gov <br />Before you may remove "materials that require special handling" (MRSH) from a major appliance, you must be <br />approved as a Certified Appliance Recycler (CAR), pursuant to Health and Safety Code Section 25211 et seq. (AB <br />1447, 2007). You must also provide evidence of your CAR status to the scrap metal facility. <br />Once a certificate is issued, DTSC will notify the certified uniform program agency (CUPA) in your jurisdiction <br />responsible for inspecting the certified appliance recycling facility. <br />Certificates issued will be valid for three years. Once your certification has expired, you are no longer a CAR. In <br />order to continue operating as a CAR, you must renew your certification before the expiration date. <br />Please note: Any changes to the information provided on the Certified Appliance Recycler Application must be <br />submitted to DTSC in order for the certification to be valid. <br />❑ Renewal CAR Number: <br />1. Business Information <br />❑■ New CAR Number• �6 <br />Please note: Entire application must be completed. <br />Business name under which the applicant operates: <br />Pick -N -Pull Auto Dismantlers, Stockton , CA (Premier) <br />Physical Address: 4223 Clark Drive, Stockton, CA 95215 <br />Mailing Address: 10860 Gold Center Drive, Rancho Cordova CA 95670 <br />Business Phone Number: (209) 466-5621 <br />Business Owner Name: Schnitzer Steel Industries, Inc <br />owner Address: 10860 Gold Center Drive, Rancho Cordova CA 95670 <br />Owner Phone Number: (916) 858-3100 <br />Email Address (if available): ssicaenvironmentalops@schn.com <br />2. Hazardous Waste Generator Identification Number: CAL000358426 <br />3. Have filed for a storm water permit? <br />4. Have filed a hazardous materials business plan? <br />El <br />Yes or <br />❑ <br />Not required to obtain <br />El <br />Yes or <br />❑ <br />Not required to file <br />5. Tax identification number, assigned by the Franchise Tax Board: 77-048080 <br />6. Attach a copy of a business license. <br />7. Attach a copy of conditional use permits issued by the appropriate city or county, if applicable. <br />DTSC 1428 (07/10/2019) Page 1 of 2 <br />