ATT 5 - Certificate_of_Recycling.pdf

PDF 62 KB Posted

Attached to
Hazardous Waste Removal and Disposal for Puerto Rico
Solicitation number
SP450020R0005
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Text version

CERTIFICATE OF

RECYCLING

Contract Number: __________________________________________

Company Name: ____________________________________________

EPA I.D. Number: ___________________________________________

Task Order Number: ____________________

Date: ________________________

This document is to certify that has completed the recycling of your hazardous waste/cylinder(s).

Under civil and criminal penalties of law for the making or submission of false or fraudulent statement or representations (18 U.S.C. 1001 and 15 U.S. C. 2615), I certify that the information contained in or accompanying this document is true, accurate, and complete.

I certify as the company official having supervisory responsibility for the persons who acting under my direct instruction made the verification that this information is true, accurate, and complete.

Generator: __________________________________________________

CLIN: _____________________________

Manifest Number: ___________________

Weight/Serial Number: _____________________

Approved by: _____________________________

File details come from the government source that posted it. Updated .