NH: PCB ACTIVITY
UNITED STATES ENVIRONMENTAL PROTECTION AGENCY
; ee, a - WASHINGTON, D.C, 20460
a i OFFICE OF
+ e SOLID WASTE AND EMERGENCY
At pao? RESPONSE
TOM PRITCHETT
2535 BELOIT AVE
JANESVILLE WISCONSIN
53546
November 1, 201¢
Subject; Notification of PCB Activity
Thank you for filing the Notification of PCB Activity form for the facility
NO EXPOSURE CERTIFICATION FOR EXCLUSION FROM NPDES STORM-
BATCD OCDARITTING (DACE 9 RE
WATER PERMITTING (PAGE 2 OF 2)
BaVER O a Oi on fo -
C. Exposure Checkilst
Are any of the following materials or activilies exposed to precipitation, now or in the foreseeable future?
(Please check elther “Yes" or *No™ in the appropriate box.) If you answer “Yes” to any of these questions
(1} through (14), you are not eligible for the no axposure exclusion, Yes
NO EXPOSURE CERTIFICATIO
N FOR EXCLUSION FROM NPDES STORM-
WATER PERMITTING (PAGE 1 OF
F 2)
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i
NPDES UniTeD STATES ENVIRONMENTAL PROTECTION AGENCY Ferm Approved
FORM & WASHINGTON, DC 20460 OMB No. 2040-0211
3510-11 “ey No EXPOSURE CERTIFICATION FOR EXCLUSION FROM NPDES STORMWATER
PERMITTING
iSO 14001:2004 CERTIFICATE (PAGE 3 OF 3)
ATTACHMENT TO
CERTIFICATE OF REGISTRATION
These sites are registered under Certificate No: CERT-0105318 issued on September 14, 2017
These registrations are dependent on Universal Recycling Technologies HQ
Operation (File No. 1619035) maintaining their scape of registration to ISO SAI GLOBAL
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These sites are registered under Certificate No: CERT-0105318 issued on September 14, 2077
File No. Effective Date
1611499 Universal Recycling Technologies September 13, 2017
420 E. Burbank Janesville, Wisconsin 53546 USA
ISO 14001:2004 CERTIFICATE (PAGE 1 OF 3)
This is to certify that
Universa! Recycling Technologies
HQ Operation
2535 Beloit Avenue Janesville, Wisconsin 53546 USA
Refer to Attachment to Certificate of Registration dated September 14, 2017 for additional certified sites
operates an
Environmental Management System
which complies with the requirements of
ISO 14001:2004
for the following scope of certification
These sites are certified under Certificate No: CERT-0100363 issued on May 23, 2017
File No. Effective Date
1611499 Universal Recycling Technologies May 23, 2017
120 E. Burbank Janesville, Wisconsin 53546 USA
E-STEWARDS® CERTIFICATE (PAGE 1 OF 2}
This is to certify that
Universal Recycling Technologies
HQ Operation
2535 Beloit Avenue Janesville , Wisconsin 53546 USA
Refer to Attachment to Certificate of Registration dated May 23, 2017 for additional certified sites
operates an
Environmental, Health and Safety Management System
which complies with the requirements of
e-Stewards Standard for Responsible Recycling and Reuse of Electronic Equipment®:2013
for the following scope of certification
ge
i
ERTIFICATION OF INSURANCE
Client#: 1431801
ACORD.
CERTIFICATE OF LIABILITY INSURANCE
UNIVEREC
DATE (MIDDIYYYY}
FAU2017
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
certificate holder fn lieu of such endorsement(s).
OR Safe.Secure. Certified.
NAID MEMBERSHIP
Through URT's certification in e-Stewards® V2:2013 and its own company policies, URT is compliant with the requirements
of NAID AAA Certification for Computer Hard Drive Sanitization. Additionally, as a member of NAID since 2011, URT has
had the ability to adopt and implement many of the NAID forms.
FINANGIAL STRENGTH
CLOSURE PLAN
