SBWP Generator Certification

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I hereby certify that the business listed below meets the criteria to qualify as a Very Small Quantity Generator (VSQG) as per the following regulations (EPA 40 CFR 262.14):

Accumulates 1 kg (2.2 lbs.) or less of acute hazardous waste in a calendar month.
Accumulates 100 kg (220 lbs.) or less of non-acute hazardous waste in a calendar month
Accumulates 1000 kg (2200 lbs.) or less of non-acute hazardous waste at any given time

I understand that a business may only participate in the Hazardous Products Center's (HPC) Small Business Waste Program (SBWP) if they qualify as a VSQG and are located in Coconino County. I understand that if my generator status changes from a VSQG, or if I surpass any of the limits stated above, I may not participate in the SBWP.

I agree that the contents of the waste consignments agreed upon shall be categorized, segregated, packed, marked, labeled, and are in all respects, in proper condition for transport by highway according to applicable regulation of the Department of Transportation (DOT).

I have reviewed the SBWP guidelines and understand that there will be costs associated with my businesses waste disposal. I understand that any adjustments and final billing will be determined upon completion of waste processing by HPC facility staff.

I acknowledge that a copy of this document and any supporting paperwork will be kept in the generating VSQG's files for regulatory review and hazardous compliance monitoring for a minimum of 3 years.



In the event an emergency occurs before, during, or after your appointment, an emergency contact person and phone number are required for immediate assistance or verification.


By electronically submitting this form, I certify that I have the authority to make these statements on behalf of my business, organization and/or firm and and all information given above is true and accurate to my knowledge.

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