Attachment 12 - Certificate of Recycling.pdf

PDF 132 KB Posted

Attached to
Sasebo HW Disposal Federal contract opportunity
Solicitation number
SP450020R0008
Issued by
Defense Logistics Agency

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SP4500-19-R-0000

Sasebo HW

Attachment 12 Example of a Certificate of Recycling

CERTIFICATE OF RECYCLING

Contract Number:

Company Name:

EPA I.D. Number:

Delivery Order Number:

Date:

This document is to certify that (Company Name) has completed the recycling of your hazardous waste.

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.

Company Officer’s Signature Date

Title

Generator:

CLIN:

Manifest Number(s):

Weight:

Approved by:

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