California Recycle Contaminated Used Oil Reimbursement Application

Form Template

The California Recycle Contaminated Used Oil Reimbursement Application mobile app helps you easily keep track and

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record a application with your smartphone, tablet or desktop PC. This recycling app documents some of the following items: payee, certification number, incident / contamination date, cost of EPA approved field / laboratory tests and declaration signature. Built specifically for waste management professionals, this useful app will save you time and money. The app creates a PDF, once the app is submitted. A copy is stored in you GoCanvas Account making sure important documents aren’t lost or misplaced. To be eligible for reimbursement, include a copy of completed Uniform Hazardous Waste Manifests AND modified manifest receipts pursuant to Health & Safety Code Section 25250.8; Invoices for labor, supplies and hauling. Also supply results of an EPA approved field test that quantifies the level of contamination on the manifest; or a laboratory analysis conducted by the recycling facility characterizing the level of contaminants, and the total volume or weight of shipment. Use the app’s signature capture feature to certify, under penalty of perjury, that the information contained in this application is true and correct to the best of my knowledge and that no other application has been submitted for the contaminated used oil.

  • Signature Capture
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  • Submission Editing
  • Reference Data
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