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AUTHORITY: Public Resources Code section 43600 et seq. <br /> PURPOSE; The Informeflon provided will be used to verify adequate financial assurance of solld waste <br /> A disposal facilities listed. <br /> REQUIREMENT: Completion of this form Is mandatory. The consequence of not completing this form Is <br /> denial or revocation of a permit to op®rate a solid waste disposal facility. <br /> OTHER INFORMATION: After review of this document, you may be requested to provide additional <br /> Information regarding the acceptability of this mechanism. <br /> ACCESS: Information provided In this form may be provided to the U.S. Environmental Protection <br /> Agency, State Attorney General,Air Resources Board, California Department of Toxic Substances <br /> Control, Energy Resources Conservation and Development Commission, <br /> Board,and California Regional Water Quality Control Boards. For more infforrmation or mss to your <br /> records, contact the California Integrated Waste Management Board, 8800 Cal Center Drive, <br /> Sacramento, CA 95826. (916)255-2200, <br /> CA-SOLID WASTE-CPC(1/00) Page 3 <br /> CIWMB 106 (4/96) <br />