TITLE 35: ENVIRONMENTAL PROTECTION
SUBTITLE G: WASTE DISPOSAL
CHAPTER I: POLLUTION CONTROL BOARD
SUBCHAPTER i: SOLID WASTE AND SPECIAL WASTE HAULING
PART 807 SOLID WASTE
SECTION 807.APPENDIX A FINANCIAL ASSURANCE FORMS



Section 807.APPENDIX A   Financial Assurance Forms

 

Section 807.ILLUSTRATION B   Certificate of Acknowledgement

 

 

Certificate of Acknowledgement

 

State of

 

)

 

) SS

County of

 

)

 

 

On this

 

day of

 

,

 

before me personally came

 

 

(operator) to me known, who, being by me duly sworn, did depose

and say that she/he resides at

 

(address),

that she/he is

 

(title)

of

 

(corporation), the

corporation described in and which executed the above instrument; that she/he knows the seal of

said corporation; that the seal affixed to such instrument is such corporate seal; that it was so

affixed by order of the Board of Directors of said corporation, and that she/he signed her/his

name thereto by like order.

 

 

 

 

 

 

Notary Public

 

 

My Commission Expires

 

 

 

 

 

 

 

(Source:  Amended at 9 Ill. Reg. 18942, effective November 25, 1985)