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HAPs 6H EXEMPTION CERTIFICATE

HAPs 6H EXEMPTION CERTIFICATE . NATIONAL EMISSIONS STANDARD FOR HAZARDOUS AIR POLLUTANTS. CERTIFICATE OF EXEMPTION . FOR REGISTRATION YEAR(S) 2011-2012. Operation: [owner name, or operator name] Source ID: EPA ID #. Owner: Your Name Here or, Permit #. Address: 14373 MILL STREET or, [local agency identification]. City, State Zip: Alta Vista, CA 95503. Telephone: 555-122-1212. This certifies that the above operation is in compliance with: SMAQMD EPA Region 9. Stationary Source Division Air Division Attn: Attn: 777 12th Street, 3rd Floor 75 Hawthorne St (AIR-5).

haps 6h exemption certificate national emissions standard for hazardous air pollutants certificate of exemption for registration year(s) 2011-2012

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Transcription of HAPs 6H EXEMPTION CERTIFICATE

1 HAPs 6H EXEMPTION CERTIFICATE . NATIONAL EMISSIONS STANDARD FOR HAZARDOUS AIR POLLUTANTS. CERTIFICATE OF EXEMPTION . FOR REGISTRATION YEAR(S) 2011-2012. Operation: [owner name, or operator name] Source ID: EPA ID #. Owner: Your Name Here or, Permit #. Address: 14373 MILL STREET or, [local agency identification]. City, State Zip: Alta Vista, CA 95503. Telephone: 555-122-1212. This certifies that the above operation is in compliance with: SMAQMD EPA Region 9. Stationary Source Division Air Division Attn: Attn: 777 12th Street, 3rd Floor 75 Hawthorne St (AIR-5).

2 Sacramento, CA 95814 San Francisco, CA 94105. This CERTIFICATE is issued under the authority of 40 CFR 63 Subpart HHHHHH, Section (h); Paint Stripping and Miscellaneous Surface Coating Operations at Area Sources. Reg. No: 0002255 Issued: 07/24/2010 Expires: 01/10/2012. Citation(s): NFPA No. 33; OSHA 29 CFR 1910; GDNR Rule 1038851; RCRA Small Quantity Generator LIST OF EMPLOYEES [PURSUANT TO (a)]. (EMPLOYEES SUBJECT TO HAPS 6H TRAINING REQUIREMENTS, , PAINTERS, PREP & BODY WORK, ETC.) Additional list attached: YES NO. Classroom Hands-on Employee/ Contract Employee Employee/ Contract Personnel Name Testing Training Personnel Identification (PLEASE PRINT OR TYPE LEGIBLY) Date Date Number Job Description LICENSED CERTIFICATION STATEMENT.

3 I hereby certify that I have examined the documents, and being familiar with the regulatory provisions, attest that this certification of EXEMPTION has been prepared in accordance with Register Environmental Assessment procedures and accepted standards for professional engineering practices. Furthermore, I have examined the documents necessary to validate that the above referenced operation is not considered a new or existing affected area source engaged in or subject to the activities listed in EPA 40 CFR Part 63 National Emission Standards for Hazardous Air Pollutants: Paint Stripping and Miscellaneous Surface Coating Operations at Area Sources.

4 REQUIRED PRACTICES FOR EPA HAPS 6H RULE EXEMPTION . The following operational practices and recordkeeping shall be maintained for at least five years after the date of each record. Copies of records will be made available upon inspectors request for at least two years after their origination date.


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