I certify under penalty of law that the requirements of 6 NYCRR 376.1(d)(1)(iii) have been met for all surface impoundments being used to treat restricted wastes. I believe that the submitted information is true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fine and imprisonment.
I certify under penalty of law that I have personally examined and am familiar with the information submitted in this document and all attachments and that, based on my inquiry of those individuals immediately responsible for obtaining the information, I believe that the information is true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fine and imprisonment.
I certify under penalty of law that I have personally examined and am familiar with the information submitted in this petition and all attached documents, and that, based on my inquiry of those individuals immediately responsible for obtaining the information, I believe that submitted information is true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fine and imprisonment.
"I certify under penalty of law that I personally have examined and am familiar with the waste through analysis and testing or through knowledge of the waste to support this certification that the waste complies with the treatment standards specified in 6 NYCRR section 376.4. I believe that the information I submitted is true, accurate, and complete. I am aware that there are significant penalties for submitting a false certification, including the possibility of a fine and imprisonment."
Generator Paperwork Requirements Table
Required Information | Section 376.1(g)(1)(ii) | Section 376.1(g)(1)(iii) | Section 376.1(g)(1)(iv) | Section 376.1(g)(1)(ix) |
1. EPA hazardous waste numbers and manifest number of first shipment | [TICK] | [TICK] | [TICK] | [TICK] |
2. Statement: this waste is not prohibited from land disposal | [TICK] | |||
3. The waste is subject to the LDRs. The constituents of concern for F001-F005, and F039, and underlying hazardous constituents in characteristic wastes unless the waste will be treated and monitored for all constituents. If all constituents will be treated and monitored, there is no need to put them all on the LDR notice. | [TICK] | [TICK] | ||
4. The notice must include the applicable wastewater/nonwastewater category (see subparagraphs [b][1][iv] and [vi] of this section) and subdivisions made within a waste code based on waste-specific criteria (such as D003 reactive cyanide) | [TICK] | [TICK] | ||
5. Waste analysis data (when available) | [TICK] | [TICK] | [TICK] | |
6. Date the waste is subject to the prohibition | [TICK] | |||
7. For hazardous debris, when treating with the alternative treatment technologies provided by section 376.4(g) of this Part: the contaminants subject to treatment, as described in section 376.4(g)(2) of this Part; and an indication that these contaminants are being treated to comply with section 376.4(g) of this Part | [TICK] | [TICK] | ||
8. For contaminated soil subject to LDRs as provided in section 376.4(k)(1) of this Part, the constituents subject to treatment as described in section 376.4(k)(4) of this Part, and the following statement: This contaminated soil (does/does not) contain listed hazardous waste and (does/does not) exhibit a characteristic of hazardous waste and (is subject to/complies with) the soil treatment standards as provided by section 376.4(k)(3) of this Part or the universal treatment standards | [TICK] | [TICK] | ||
9. A certification is needed (see applicable subdivision for exact wording) | [TICK] | [TICK] |
"I certify under penalty of law that I personally have examined and I am familiar with the waste and that the lab pack contains only wastes that have not been excluded under 6 NYCRR Appendix 38 and that this lab pack will be sent to a combustion facility in compliance with the alternative treatment standards for lab packs in 6 NYCRR section 376.4(c)(3). I am aware that there are significant penalties for submitting a false certification, including the possibility of fine or imprisonment."
Treatment Facility Paperwork Requirements Table
Required Information | Section 376.1(g)(2) |
1. EPA Hazardous Waste Numbers and Manifest Number of first shipment _____________ | [TICK] |
2. The waste is subject to the LDRs. The constituents of concern for F001-F005, and F039, and underlying hazardous constituents in characteristic wastes, unless the waste will be treated and monitored for all constituents. If all constituents will be treated and monitored, there is no need to put them all on the LDR notice _____________ | |
3. The notice must include the applicable wastewater/nonwastewater category (see subparagraphs [b][1][iv] and [vi] of this section) and subdivisions made within a waste code based on waste-specific criteria (such as D003 reactive cyanide) _____________ | [TICK] |
4. Waste analysis data (when available) ____________________ | [TICK] |
5. For contaminated soil subject to LDRs as provided in 376.4(k)(1) of this Part, the constituents subject to treatment as described in section 376.4(k)(4) of this Part, and the following statement: "This contaminated soil (does/does not) contain listed hazardous waste and (does/does not) exhibit a characteristic of hazardous waste and (is subject to/complies with) the soil treatment standards as provided by section 376.4(k)(3) of this Part." _____________ | |
6. A certification statement is needed (see applicable subdivision for exact wording) ___ | [TICK] |
"I certify under penalty of law that I have personally examined and am familiar with the treatment technology and operation of the treatment process used to support this certification. Based on my inquiry of those individuals immediately responsible for obtaining this information, I believe that the treatment process has been operated and maintained properly so as to comply with the treatment standards specified in 6 NYCRR section 376.4(a) without impermissible dilution of the prohibited waste. I am aware there are significant penalties for submitting a false certification, including the possibility of fine and imprisonment."
A certification is also necessary for contaminated soil and it must state: "I certify under penalty of law that I have personally examined and am familiar with the treatment technology and operation of the treatment process used to support this certification and believe that it has been maintained and operated properly so as to comply with treatment standards specified in 6 NYCRR 376.4(k) without impermissible dilution of the prohibited wastes. I am aware there are significant penalties for submitting a false certification, including the possibility of fine and imprison
"I certify under penalty of law that I have personally examined and am familiar with the treatment technology and operation of the treatment process used to support this certification. Based on my inquiry of those individuals immediately responsible for obtaining this information, I believe that the nonwastewater organic constituents have been treated by combustion units as specified in section 376.4(c), Table 1. I have been unable to detect the nonwastewater organic constituents, despite having used best good-faith efforts to analyze for such constituents. I am aware there are significant penalties for submitting a false certification, including the possibility of fine and imprisonment."
"I certify under penalty of law that the waste has been treated in accordance with the requirements of 6 NYCRR 376.4(a) or 376.4(k) of this Part to remove the hazardous characteristic. This decharacterized waste contains underlying hazardous constituents that require further treatment to meet treatment standards. I am aware that there are significant penalties for submitting a false certification, including the possibility of fine and imprisonment."
"I certify under penalty of law that the waste has been treated in accordance with the requirements of 6 NYCRR 376.4(a) of this Part to remove the hazardous characteristic and that underlying hazardous constituents, as defined in 6 NYCRR 376.1(b) have been treated on-site to meet the 6 NYCRR 376.4(j) of this Part Universal Treatment Standards. I am aware that there are significant penalties for submitting a false certification, including the possibility of fine and imprisonment."
"I certify under penalty of law that the debris has been treated in accordance with the requirements of 6 NYCRR 376.4(g). I am aware that there are significant penalties for making a false certification, including the possibility of fine and imprisonment."
N.Y. Comp. Codes R. & Regs. Tit. 6 § 376.1