HomeMy WebLinkAboutHAZ-WAST INFO 4/1/1993STA't~E OF CALIFORNIA..EN¥11RONME[~.L ~ROTECTION AGENCY PeTE Wll. SoN;
DEPARTMENT OF TOXIC SIJL....ANCES CONTROL
REGION 1-1515 Tollhouse Road /~~
Clo?.'s. CA 93612
C]~C~JTRT ~ ]~C~]~ON ]~°ORT ]OR
Permit by Rale, ConditioaaJly Authorized, a~d Condifionnlly ~empt ~Notifie~s
FAC~ITY CONTACT-NAME: /c:~,~ ~/~_ 4v~e~ SIC CODE(S): ..~//
UNIT COUNT: PBR CA CESW CESQT TOTAL
UNIT COLTNT(no~)i PBR CA C~W CESQT TOTAL
INSPECTION DATE: # of VIOLATIONS: Minor Class l
VIOLATION TYPE: ,, Onsite treatment Generator Waste min. RecT~g
NOTICE to COMPLY ISSUED (y/n): Local Agency # .2:
Th/s checklist and impecfiou report idem/l~ violations of ~*~ hw reg~ding omite tr~ate~ o~ kazardons wasa, opom~g
under au onsite perm;~$ tier. Thb impeaion vetches tbe information provided on form DT~C 1772. It also covers generator
requ/remems, although a separate cl2ck~ my be used for those requirements. A checkmark indk~es ~olafion of the law, which
are exl~ned in more det~l on the att3ched note shee~s and No~co t~ Comply. The governing laws are the He3~h and Safe~y Code
(l~C) and T'~e 22 of the C31iforn~a Code of 1/eaulafions C~ CCR).
Gener3tor Standards:
Each in~ection agency may u~e thtir own generator inxpe~ion checklist or protocol~, which are ~nariz. ed below. A full
evaluation of each item or document i~ not conduced during the [nxpeta~on, unles~ ~eriou.~ de. flcienc~ are ~'pected.
1. Contingency plan has been Prepared (adequately mini~ relea.~s, has alarm/communication
system, lists emergency equipment and phone numbers for emergency coordinators).
2. Written t~inlng documents and records prepared for employees handling hazardous waste.
3. ~eet container management standards (storage time limits, closed, labelled, compatibility,
inspected weekly, in good condition, with ignitable~/reactivea 50 feet from property line).
4. Meet tank management standards (either secondary containment or integrity assessment-% plus
storage time limits, labelled, compatibility, inspected daily, in good condition, with
ignitables/reactivea 50 feet from property line).
5. All wastes are properly identified.
Treatment Items-Facility Wide: (Facility mu~t ~mit a reC, i~e~l Form 1772 to correct erron or omissions.)
6. All units under PBR, CA, and CE are properly indicated on Form DTSC 1772. (Add any new
units with unit sheets or correct tier on the unit sheet.)
7. All generator identification information on Form DTSC 1772 ia correct.
8. -The submitted plot plan/map adequately shows the location of all regulated units.
9. There are records documenting compliance with sewer agency pretreatment standards and
industrial waste discharge requirements, where applicable.
10. Generator has prepared/maintained source reduction documents requirements (SB 14/SB 1726).
For many wastes, a checklist or plan is required n~ly if annual hazardous waste volume is over
5,000 kilograms (approx 11,000 pounds or 1,350 gallons). HSC 25244.15, 25244.19-.21
For CA or I~BR notifiers:
I 1. The generator has an annual waste minimization certification. (PBR submit with renewals.)
Onsite Checklist (A) Page 1 of 3anuary 1, 1995
STATE OF CALIFORNIA-ENVIRONMENTAL PROTECTION AGENCY PETE WILSON, Governor
DE~ARTI~IENT OF TOXIC SUB ArNCES CONTROL
CHECKLIST AND INITIAL VERIFICATION INSPECTION REPORT FOR
Permit by Rule, Conditionally Authorized, and Conditionally Exempt Notifiers
UNIT SHEET
Complete one unit sheet for each unit either listed in the notification or identified during the inspection.
Unit Number: ~1 Unit Name: ~ee~
Notified Tier: c Es ~ Correct Tier:
Notified Device Count: Tanks / Containers
Correct Device Count: Tanks Containers
For each Unit:
.No
12. All hazardous wastes treated are generated onsite.
13. The unit notification is accurate as to the number of tank(s) and/or container(s).
14. The estimated notification monthly treatment volume is appropriate for [he indicated tier.
15. The waste identification/evaluation is appropriate for the tier indicated.
16. The wastestream(s) given on [he notification form are appropriate for the tier.
17. The treatment process(es) given on the notification form are appropriate for the tier.
18. The residuals management information on [he form is correct and documented for the unit.
19. The indicated basis for not needing a federal permit on [he notification form is correct.
20. There are written operating instructions and a record of [he dates, volumes, residual
management, and types of wastes treated in [he unit.
21. There is a written inspection schedule (containers-weekly and tanks-daily).
22 There is a written inspection log maintained of [he inspections conducted.
23. If [he unit has been closed, [he generator has notified DTSC and the local agency of the
'closure.
For each CA or PBR unit:
24. The generator has secondary containment for treatment in containers.
For each PBR unit:
25. There is a waste analysis plan
26. There are waste analysis records.
27. There is a closure plan for [he unit. '
Unit Comments/Observations: (If this is a unit that was not included on ~he notification form, the violation is operating
without a permit-HSC 25201 (a). Also note if the activity is currently ineligible for onsite authorization.)
Onsite Checklist (B) Page _ of August 2, 1994
i .~'fE. OF CALIFORNIA-ENVIRONMENTAL PROTECTION AGENCY PETE WILSON, Governor
DEPARTMENT OF TOXIC ~ CONTFIOL ~
CHECKLIST AND INITIAL VERIFICATION INSPECTION REPORT FOR
Permit by Rule, Conditionally Authorized, and Conditionally Exempt Notifiers
SIGNATURE SHEET
Onsite Recycling: Onty answer.if this facility recycles more than 100 kilograms/month of hazardoas waste onsite.
NO
28. The appropriate local agency has been notified. HSC 25143.10
29. Activities claimed under the onsite recycling exemption are appropriate. HSC 25143.2 et sec.
Releases: If there has been a release, provide the following information: number of releases, date(s), type(s) and quantity of
materials/waste, and the cause(s). Use unit sheet or attach additional pages.
YES-
30. Within the last three years, were there any unauthorized or accidental releases to the
environment of hazardoUs waste or hazardous waste constituents from onsite treatment units?
31. Within the last three years, were there any unauthorized or accidental releases
to the environment of hazardous waste or hazardous waste constituents from any location at
this facility?
For purposes of a Tiered Permitting inspection, an unauthorized and/or accidental
release to the environment does not include spills contained within containment systems.
This report may identify conditions observed this date that are alleged to be violations of one or
more sections at the California Health and Safety Code (HSC) or the California Code of Regulations,
Title 22 (22 CCR) relating to the management of hazardous waste. The violations may be described in
more detail on the attached note sheets. If any violations are noted, the facility is required to the submit
a signed Certification of Return to Compliance within 60 days, unless otherwise specified. (A
certification form is provided.) If any corrections are needed to the initial notification, the facility will
submit a revised notification within 30 days to the Department of Toxic Substances Control with a copy
to the local enforcement agency.
Inspector(s):
Lead Inspector: Other Inspector:
Signature: Signature:
Print Name: Print Name:
Title: Title:
Agency: Agency:
Phone Number: Phone Number:
Facility Representative:
Your signature acknowledges receipt of this report and does not imply agreement with the findings.
Signature: Print Name:
Title: Date:
Onsite Checklist (C) Page of__ August 2, 1994
STATE OF CALIFORNIA.ENViRONMEN~GENCY PETE Governor
CHECKLIST AND INITIAL VERIFICATION INSPECTION REPORT FOR
Permit by Rule, Conditionally Authorized, and Conditionally Exempt Notifiers
NOTE SHEET
This sheet includes inspector observations and expands upon the violations identified on the checklist (by number). In some
cases, it indicates how the facility should correct the violations. It also includes the names of any others participating in this inspection.
Onsite Checklist (D) Page of August 2, 1994
STATE OF CALIFORNIA-ENVIRONMENTAL PF CTION AGENCY PETE WILSON, Governor
DEPARTMENT OF TOXIC SUBSTANCES CONTROL
TH~RED PERMITTING ~
CERTIFICATION OF RETURN TO COMPLIANCE
For Permit by Rule, Conditionally Authorized, and Conditionally Exempt Notifiers
In thc matter of the Violation cited on ·
As Identified in thc Inspection Report dated
Conducted by · (agency(s))
I certify under penalty of law that:
1. Respondent has corrected the violations specified in the notice of violation
cited above.
2. I have personally examined any documentation attached to the certification to
establish that the violations have been dorrected.
3. Based on my examination of the attached documentation and inquiry of the
individuals who prepared or obtained it, I believe that the information is true,
accurate, and complete.
4. I am authorized to file this certification on behalf of the Respondent.
5. I am aware that there are significant penalties for submitting false information,
including the possibility of fine and imprisonment for knowing violations.
Name (Print or Type) Title
Signature Date Signed
Company Name EPA ID. Number
DTSC-RETCOMP.CRT (8/94)
a~3~ss X'vOc--/ A-C.D~z~X,f.. c_:r. , .
zz~, co~,, ~>l,B ......
STATE OF CALIFORNIA--ENVIRONMENTAL PRO AGENCY PETE WILSON, Governor
~l--~r~ ~Plo.DEpARTMENTPBoxStreet'8064th FloorOF TOXICSUBSTANCES CONTROL ~
,!1, Sacramento; CA 95812-0806
(916) 323-5871
02/04/94
EPA ID: CAL000121193
REED PRINT I~C For.f~f~ ~ ~;
FRAN~ REED
BAKERSFIELD, CA 93313 BAKERSFIELD, CA' 93313
Authorization Date: 02/04/94
Dear Conditionally Authorized and/or Conditionally Exempt Facility:
ACKNOWLEDGEMENT OF UNITS OPERATING UNDER CONDITIONAL AUTHORIZATION AND/OR
CONDITIONAL EXEMPTION
The Department of Toxic Substances Control (DTSC) has received your facility specific notification (form
DTSC 1772~ and forms for Conditional Authorization and/or Conditional Exemption for Specified Wastestrean~ (form
DTSC 1772B and/or 1772C). Your notifications are administratively complete, but have not been reviewed for technical
adequacy. A technical review of your notifications Will be conducted when an inspection is performed; At any time,
yon may be inspected and Will be subject to penalty if violations of laws or regulations are found.
The Depar!ment acknoWledges receipt of your completed notification for the treatment unit(s) listed on the last
page of this letter. These units operating under Conditional Authorization or Conditional Exemption are authorized by
California law Without additional Department action, pursuant to Health and Safety Code sections 25200.3 and 25201.5.
Your authorization to operate continues until you notify DTSC that you have'stOpped treating waste and have fully
closed the unit(s). You will be' charged annual fees calculated on a calendar year basis for each year you operate and
have notnotified DTSC that the units have been closed.
You must notify the DTSC 60 days before first treating hazardous wastes in any new unit. You must also
notify the DTSC whenever any of the information you provided in these notifications changes. To revise information,
mail a cover letter to the above address explaining the changes, attach only the pages of your notification package that
have changed, and re-sign and date at the signature space on page 3 of form 1772.
Your status to operate under Conditional Authorization and/or Conditional Exemption is contingent upon the
accuracy of information submitted by you in the notifications mentioned above, and your compliance With all applicable
requirements in the Health and Safety Code. Any misrepresentation or any failure to fully disclose all relevant facts
shall render your authorization to operate null and void.
You are also required to properly close any treatment unit. Additional guidance on closure will be issued and
distributed to all authorized onsite facilities later this year.
Page 2 EPA ID: CAL000121193
If you have any questions regarding this letter, or have questions on operating requirements for your facility,
please contact the nearest DTSC regional office, or this office at the letterhead address or phone number.
Sincerely,
Onsite Hazardous Waste Treatment Unit
Permit Streamlining Branch
Hazardous Waste Management Program
En¢l~e
cc: SUSAN LANEY
DTSC REGION l
SURVEILLANCE & ENFORCEMENT BR,
10151 CROYDON WAY, SUITE 3
SACRAMENTO, CA 95827 '
STEVE MCCALLEY
KERN COUNTY
ENVIRON. HEALTH SERVICES DEPT
2700 M STREET, SUITE 300
BAKERSFIELD, CA 93301
Page 3 EPA ID: CAL000121193
ENCLOSURE 1
UNDER CONDITIONAL AUTHORIZATION:
UNDER CONDITIONAL EXEMIrflON:
1
~F-~aec~: ~umber ~ Page I of
~ ONSITE HAZARDOUS WASTE TREATMENT NOTIFICATION FORM
~ '[ FACILITY SPECIFIC NOTIFICATION
~ Under Conditional Exemption and Conditional Authorization, [] Revised
~' and by Permit By Rule Facilities
Please refer to the attached Instructions before completing this form. You may notify for more than one permitting tier by using this
notification form, DTSC 1772. YOU must attach a separate unit specific notification form for each unit at this location. There are
different unit specific notification forms for each of the four categories and an additional notification form for transportable treatment
units (TTU's). You only have to submit forms for the tier(s) that cover your unit(si. Discard or recycle the other unused fortHs.
Number each page of your completed notification package and indicate the total number of pages at the top of each page at the
__ ' Put your EPA ID Number on each page. Please provide all of the information requested; all fields must be
'Page of __.
completed except those that state 'if different' or 'if available'. Please type the information provided on this form and any
attachments.
The notification will not be considered complete without payment of the appropriate fee for each tier under which you are operating.
(Please note that the fee is per TIER not per UNIT. For example, if you operate 5 units but they are all Conditionally Authorized,
you only owe $1,140, NOT5 timex $1,140. If you operate any Permit by Rule units and any units under Conditional Authorization
you owe $2,280.) Checks shouM be made payable to the Department of Toxic Substances Control and be stapled to the top of this
form. Please fill in the check number in the box above.
I. NOTIFICATION CATEGORIES
Indicate the number of units you operate in each' tier. Thi, will also be the number of unit specific notification forras you must attach.
CondilionalJy Exempt ,grnall Quantily Treatment operations may not operate unilx under any other tier.
Number of units and attached unit specific notifications Fee per Tier
(not per unit)
A. Conditionally Exempt-Small Quantity Treatment (Form DTSC 1772A) $ 100
B. } W// Conditionally Exempt-Specified Wastestream (Form DTSC 1772B) $ 100
C. Conditionally Authorized (Form DTSC 1772C) $1,140
D. Permit by Rule (Form DTSC 1772D) $1,140
Total Number of Units Total Fee. Attached $
H. GENERATOR II)ENTIFICATION
EPA ID NUMBER CAL 0 0 0 1 2 1 1 9 3 BOENUMBER(ifavailable) I~I:_.HQ,.~_2__O__ O~_~__.,~__~
NAME (Company or Facility) ~9 ~I2.D ~gRi~5
(DBA-Doing Business As)
PHYSICAL LOCATION afl"/o r4 ~
[ For DT$C U~e Only
COUNTY
CONTACT PERSON [:5/~,,~ .~£xeL2 PHONE NUMBER(~)0ff') ~ga/-
(First Name) (Last Name)
DTSC 1772 (1/93) Page 1
· ~.~=~ ~-~ID NUMBER CAL00012119~ t'ag~ o~ ~
CONDITIONALLY EXEMPT - SPECIFIED WASTESTREAMS
UNIT SPECIFIC NOTIFICATION
(pursuant to Health and Safety Code Section 25201.5(c))
NUMBER OF TREATMENT DEVICES: I Tank(s) Container(s)
Each unit must be clearly identified and labeled on the pl~t plan attached to Form 1772. Assign your own unique number to each
unit. The number can be sequential (I, 2, 3) or using any ~ystem you choose.
Enter the estimated monthly total volume of hazardous waste trecaed by this unit. This should be the maximum or highest amoum
treated in any month. Indicate in the narrative (Section II) if your operations have seasonal variations.
I. WASTEb~rREAMS AND TREATMENT PROCESSES:
Estimated Monthly Total Volume Treated: pounds and/or //-~'"' gallons
The following are the eligible wastestreams and treatment processes. Please check all applicable boxes:
[~! 1. Treats resins mixed in accordance with the n~ufacturer's hastructions.
["'1 2. Treat containers of 110 gallons or less capacity that contained ha?ardous waste by rinsing or physical processes,
such as crushing, shredding, grinding, 6r puncturing.
[-'l 3. Drying special waste.s, as classified by the department pursuant' to title 22, CCR, section 66261.124, by pressing
or bY passive or heat-aided evaporation to remove water.
~l 4. Magnetic separation or screening to remove components from special waste, as classified by the department pursuant
to title 22, CCR, section 66261.124.
[~ 5. Neutralize acidic or alkaline (base) wastes from the regeneration of ion exchange media used to demineralize water.
(This waste cannot contain more than 10 percent acid or base by weight to be eligible for conditional exemption.)
i'"] 6. Neutralize acidic or alkaline (base) wastes from 'the food processing industry.
[~ 7. Recovery of silver from photof'mishing. The volume limit for conditional exemption is 500 gallons per generator
(at the same location) in any calendar month.
8. Gravity separation of the ·following, including the' use of flocculants and demulsifiers if
[-'] a. The settling of solids from the waste where the resulting aqueous/liquid stream is not ha?&rdons.
['-] b. The separation of oil/water mixtures and separation sludges, if the average oil recovered per month is less
than 25 barrels (42 gallons per barrel).
[] 9. Neutralizing acidic or alkaline (base) material by a state certified laboratory or a laboratory operated by an
educational institution. (To be eligible for conditional exemption, this waste cannot contain more than 10 percent
acid or base by weight.)
EPA iD'NUMBER CAL [~J0(~l-~.L1,99~f'; ,-~ .... _
VI. ATTACHMENTS:
~ 1. A plot pl~/~p de~iling ~e l~tion(s) of ~e cover~ ~it(s) in relation to the facility ~des.
~ 2. 'A ~it ~ific notification fo~ for ~ch ~it to ~ c0ver~ at this l~tion.
VII. CERTIFICATIONS: This form must be signed by an authorized corporate o. fficer or any other person in the company who
has operational control and perfotTns decision-making functions that govern operation of the facility (per title 22, California
Code of Regulations (CCR) section 66270.11). All three copie~ mart have original signatur~.
Waste Minimization I certify that I have a program in place to reduce the volume, qUantity, and toxicity of waste generated to the
degree I have determined to be economically practicable and that I have selected the practicable method of treatment, storage, or
disposal currently available to me which minimizes the present and future threat to human health and the environment.
Tiered Permittine Certification I certify that the unit or units described ia these documents meet the eligibility and operating
requirements of state statutes and regulations for the indicated permitting tier, including generator and secondary eontaimnent
requirements. I understand that if any of the units operate under Permit by Rule or Conditional Authorization, I will also be required
to provide required financial assurances, by January 1, 1994, and conduct a Phase I environmental assessment by January 1, 1995..
I certify under penalty of law that this document and all attachments were prepared under my direction or supervision ia accordance
with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry
of the person or persons who manage the system, or those directly responsible for gathering the information, the information is, to
the best of my knowledge and belief, true, accurate, and complete.
I am aware that there are substantial penalties for submitting false information, including tho possibility of fines and imprisonment
for knowing violations.
Frank W. Reed President
OPERATING REQUIREMENTS: '
please note that generators treating hazardous waste onsite are required to comply with a number of operating requirements which
differ depending on the tier(s) under which one operates. These operating requirements are set forth in the statutes and regulations,
some of which are referenced in the 7~er-$pecific Factsheets.
SXIBMISSION PROCEDURES:
You must submit two coplex of this completed notification by certified mail, return receipt requested, to:
Department of Toxic Substances Control
Form 1772
Onsite Hazardous Waste Treatment Unit
400 P Street, 4th Floor (walk in only)
P.O. Box 806
Sacramento, CA 95812-0806.
You must also ,ubmit one copl~ of the notification and attachments to the local regulatory agency in your jurisdiction as listed in the
instruction materials. You must also retain a copy as part of your operating record.
All three forms must have original signatures, not photocopies.
DTSC 1772 (1/93~) " ""~" a
~' Check ~um~r ~ ~ ~ Page I of
ONSITE W TE NOTIHCATION
FACI~ SPECIFIC NO~ICA~ON
For U~ by H~do~ W~te Gene~to~ Pedo~ing T~t~t
Under Conditional Exemption ~d Conditio~ Au~ofi~tion, ~ Rev~
~d by Pe~t By Rule Faciliti~
Ple~e r~ to the attach~ I~t~io~ b~ore completing this fo~. You m~ ~t~for ~re than o~ p~itting ti~ ~ ~ing th~
~t~c~ion fo~, D~C 17~. You m~t attach a separ~e unit spe~fic ~t~c~ioofo~ for each unit ~ th~ ~c~ion. ~e are
d~em unit spec~c not~cation fo~ for each of the four c~egori~ a~ an ~tio~l ~t~c~ion fo~ for tra~pon~ tre~
units ~'s}. You on~ ~ to submit fo~ for the tic(s) t~t co~ your unit(s}. D~card or re~cM the oth~ un~ fo~.
N~ber ea~ page of your comp~ not~c~ion pa~ge a~ i~ic~e the total n~b~ of pag~
'Page ~ of ~'. P~ your EPA ~ N~ber on each page. Ple~e pro,de all of t~ info~ion req~t~; all fie~ m~t be
complet~ ~cept those t~ stye '~ d~erent' or '~ avai&b~'. P~e ~e the info--ion provM~ on th~ fo~ a~ any
~tac~s.
~e not~c~ion will not be co~ider~ ~mplete without p~ment of the appropriate fee for each ti~ u~ which you are operating.
(Plebe ~te t~t the fee ~ p~ ~ER. not per' UNIT. For ~ple, ~you operate 5 units but th~ are all Co~itio~lly Authodz~,
you only owe $1,1~, NOT5 ~ $1,1~. If you operate any Pe~it by Rule units a~ any units u~er Co~itio~l Autho~ion
you owe $2,2~.) ~ec~ shouM be m~e p~le to the Department of Toxic Substanc~ Control a~ be stap~ to the top of th~
fo~. Ple~e fill in the check number in the box abo~.
I. NOT,CATION CA~GO~S
l~ic~e the number of units you operate in each tier. ~is will a~o be the number of unit spec~c ~t~c~ion fo~ you m~t attach.
N~r of ~i~ ~d at~ch~ unit s~i~c notifio6o~ F~ ~r Tier
(~t per uni0 ·
A. Conditionally Exempt-S~ll Q~tity Tr~tment (Fo~ DTSC 1772A) $
B. ~ Conditionally Exempt-S~i~~t~"~ (Fo~ DTSC 1772B) $ 1~ ·
Condmonally Authon . ,¥ %. 'o ~'~o~ DTSC 1772C) $1,140 '
D. Pe~t by Rule ] ~'~ ~.~ ~, (~ DTSC 1772D) $1,140
Total Numar of Units '~,.~:,,,~ / To~ F~' Atmch~ $
EPA ID NUMBER CAL ~ ~O t -~~ BOE NUMBER (if available)
N~E (Comply or Facility) ~D ~Ri~ ~.
PHYSIC~ LOCATION ~o9 ~ ~
COU~
CONTA~ PERSON ~~ ~[~ PHONE NUMBER(~0~)
DTSC 1772 (1/93) Page I
MAIIING ADDRESS, IF DIFFERENT:
COMPANY NAME (DBA)
STREET
CITY STATE ZIP
COUNTRY
(only complete if no{ USA)
CONTACT PERSON PHONE NUMBER(.~),__
III. TYPE OF COMPANY: STANDARD INDUSTRIAL CLASSIFICATION (SIC) CODE:
Use either one or two SIC codes (a four digit number) that best describe your company's products, services, or industrial activity.
Example: 7384 Photofinishing lab : 3672 Printed circuit boards
IV. PRIOR PERMIT STATUS: Check yes or no to each question:
YES NO
["'] [~/ 1. Did you file a PBR Notice of Intent to Operate (DTSC Form 8462) in 1992 for this location?
I-'l I~ 2. Do you now have or have you ever held a state or federal hazardous waste facility full permit or interim
[~(/ status for any of these treatment units?
["'] 3. Do you now have or have you ever held a state or federal full permit or interim status for any other
[~ hazardous waste activities at this location?
[-'l 4. Have you ever held a variance issued by the Department of Toxic Substances Control for the treatment you
[~ are now notifying for at this location?
I~] 5. Has this location ever been inspected by the state or any lOCal agency as a hazardous waste generator?
V. PRIOR ENFORCEMENT HISTORY: Not required from generators only notifying as conditionally ~,etnpt.
I-'] Within the last three years, has this facility been the subject of any convictions, judgments, settlements, or final
orders resulting from an action by any local, state, or federal environmental, ba?ardous waste, or public health
enforcement agency'?.
(For the purposes of this form, a notice of violation does not constitute an Order and need not be reported unless
it was not corrected and became a final order.)
[-'] If you answered Yes, check this box and attach a listing of convictions, judgments, settlements, or orders and a copy
of the cover sheet from each document. (See the Instructions for more information)
DTSC 1772 (1/93) Page 2
.BI~ ID NUMBER .fl Page 3 of '7
VI. A'I'FACFIMENTS:
[~/ 1. A plot pl~/~p dewing ~e l~tion(s) of ~e Cover~ ~t(s) m relation to ~e f~ility ~~.
~ 2. A ~t ~ific notifi~tion fo~ for ~h ~t to ~ ~ve~ at ~s l~tion.
VII. CERTIleICATIONS: This form must be signed by an authorized corporate officer or any other person in the company who
has operational control and performs decision-making.functions that govern operation of the facility ~ title 22, California
Code of Regulations (CCR) section 66270. I1). Ail three copies must have originaI Mgmmaz~.
Waste Minimization I certify that I have a program in place to reduce ihe volume, quantity, and toxicity of waste generated to the
degree I have determined to be economically practicable and that I have selected the practicable method of treatment, storage, or
disposal currently available to me which minimizes the pre.sent and future threat to human health and the environment.
Tiered Permitting Certification I certify that the unit or units described in these documents meet the eligibility and operating
requirements of state statutes and regulations for the indicated permitting tier, including generator and secondary containment
requirements. I understand that if any of the units operate under Permit by Rule or Conditional Authorization, I will also be required
to provide required financial assurances by January 1, 1994, and conduct a Phase I environmental assessment by January 1, 1995.
I certify under penalty of law that this document and all attachments were prepared under my direction or supervision in accordance
with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry
of the person or persons who manage the system, or those directly responsible for gathering the information, the information is, to
the best of my knowledge and belief, true, accurate, and complete.
I am aware that there are substantial penalties for submitting false information, including the possibility of fines and imprisonment
for knowing violations.
Name (Print or Type}, //~}/~ ~ Title
Si Date ~igned -
OPERATING REQUIREMENTS:
Please note that generators treating hazardous waste onsite are required to comply with a number of operating requirements which
differ depending on the tier(s) under which one operates. These operating requirements are set forth in the statutes and regulations,
some of which are referenced in the 7~er-Speci. fic Factsheets.
SUBMISSION PROCEDURES:
You mu. vt submit two copies of this completed notification by certified mail, return receipt requested, to:
Department of Toxic Substances Control
Form 1772
Onsite Ha:~ardous Waste Treatment Unit
400 P Street, 4th Floor (walk in only)
P.O. Box 806
Sacramento, CA 95812-0806.
You must also Submit one copy of the notification and attachments to the local regulatory agency in your jurisdiction as listed in the
instruction materials. You must also retain a copy as part of your operating record.
All three forms must have original signatures, not photocopies.
DTSC 1772 (1/93) Page 3
., ~ ID NUMBER t'agc J~ ol ~
CONDITIONALLY EXEMPT - SPECIFIED WASTESTREAMS
UNIT SPECIFIC NOTIFICATION
(pursuant to Health and Safety Code Section 25201.5(c))
UNIT NAME ~'~ UNIT ID NUMBER
NUMBER OF TREATMENT DEVICES: I Tank(s) ~ Container(s)
Each unit must be clearly identified and labeled on the plot plan attached to Form 1 772. Assign your own unique number to each
unit. The number can be sequential (I, 2, 3) or using any system you choose.
Enter the estimated monthly total volume of hazardous waste treated by this unit. This should be the maximum or highest amount
treated in any month. Indicate in the narrative (Section I1) if your operations have seasonal variations.
I. WASTESTREAMS AND TREATMENT PROCESSES:
Estimated Monthly Total Volume Treated: pounds and/or~ gallons
(
The following are the eligible wastestreams and treatment processes. Please check all applicable boxe~:
['"'i 1. Treats resins mixed in accordance with the m~anufacturer's instructions.
l'-! 2. Treat ~.ontainers of 110 gallons or less c~.pacity that contained hs:,ardous waste by rinsing or physical process~,
such as crushing, shredding, grinding, 6r puncturing.
[-'! 3. Drying special wastes, as classified by the department pursuant to title 22, CCR, section 66261.124, by pressing
or by passive or heat-aided evaporation to remove water.
['"! 4. Magnetic separation or screening to remove components from special waste, as classified by the department pursuant
to title 22, CCR, section 66261.124.
l--I 5. Neutralize acidic or alkaline (base) wastes from the regeneration of ion exchange media used to demmeralize water.
CI'his waste cannot contain more than 10 percent acid or base by weight to be eligible for conditional exemption.)
Neutralize acidic or alkaline (base) wastes from the food processing industry.
Recovery of silver from photofinishing. The volume limit for conditional exemption is 500 gallons per generator
(at the Same location) in any calendar month.
8. Gravity separation of the following, including the use of flocculants and demulsifiers if
I--I a. The settling of solids from the waste where the resulting aqueous/liquid stream is not hazardous.
["] b. The separation of oil/water mixtures and separation sludges, if the average oil recovered per month is less
than 25 barrels (42 gallons per barrel).
!'"] 9. Neutralizing acidic or alkaline (base) material by a state certified laboratory or a laboratory operated by an
educational institution. {To be eligible for conditional exemption, this waste cannot contain more than 10 percent
acid or base by weight.)
DTSC 1772B (1/93) Page 9
CONDITIONALLY EXEM/rr - SPECIFIED WASTESTREAMS
· UNIT SPECIFIC NOTIFICATION
(pursuant to Health and Safety Code Section 25201.5(c))
~ H. NARRATIVE DESCRIPTIONS: Provide a brief description of the specific waste treated and the treatment process used.
PROCESS(ES) USED:
2.
TREATMENT
RESIDUAL MANAGEMENT: Check Yes or No to each question as it applies to all residuals from this treatment unit.
YES ,, NO
[~ ["] 1. Do you discharge non-hazardous aqueous waste to a publicly owned treatment works (POTW)/sewer?
I'~ [~ 2. Do you discharge non-hazardous aqueous, waste under an NPDES permit?
3. Do you have your residual hazardous waste hauled offsite by a registered bs?ardous waste hauler?
If you do, where is the waste sent?, Check all that apply.
~a. Offsite recycling
["i b. Thermal treatment
[-"l c. Disposal to land
[~ d. Further treatment
~. Do you dispose of non-hazardous solid waste residues at an offsite location?
?' d /
IV. BASIS FOR NOT NEEDING A FEDERAL PERMIT:
In order to demonstrate eligibility for one of the onsite treatment tiers,facilities are required to provide the basis for determining that
a hazardous waste permit is not required ureter the federal Resource Conservation at~l Recovery Act (RCRA) and the federal
regulations adopted under RCRA (77tie 40, Code of Federal Regulatio~ (CFR)).
Choose the reason(s) that describe the operation of your onsite treatment units:
[-'] 1. The hazardous waste being treated is not a hazardous waste under federal law although it is regulated as a ba:'ardous
waste under California state,law.
[-'] 2. The waste is treated in wastewater treatment units (tanks), as defu;ed in 40 CFR Part 260.10, and discharged to a
publicly owned treatment works (POTW)/sewering agency or under an NPDES permit. 40 CFR 264. l(g)(6) and
40 CFR 270.2.
DTSC 1772B (1/93) Page 10
CONDITIONALLY EXEMPT - SPECWIED WASTESTREAMS
UNIT SPECIFIC NOTIFICATION
(pursuant to Health and Safety Code Section 25201.5(c))
IV. BASIS FOR NOT NEEDING A FEDERAL PERMIT: (continued)
I--'] 3. The waste is treated in elementary neutralization units, as defined in 40 CFR Part 260.10, and discharged to a
POTW/sewermg agency or under an NPDES permit. 40 CFR 264. l(g)(6) and 40 CFR 270.2.
~! 4. The waste is treated in a totally enclosed treatment facility as defined in 40 CFR Part 260.10; 40 CFR 264. l(g)(5).
[-'l 5. The company generates no more than I00 kg (approximately 27 gallons) of hazardous waste in a calendar month
and is eligible as a federal conditionally exempt small quantity generator. 40 CFR 260.10 and 40 CFR 261.5.
[-'i 6. The waste is treated in an accumulation tank or container within 90 days for over 1000 kg/month generators and
180 or 270 days for generators of IIX) to 1000 kg/month. 40 CFR 262.34, 40 CFR .270. l(c)(2)(i), and the Preamble
to the March 24, 1986 Federal Register. ,
7. Recyclable materials are reclaimed to recover economically significant amounts of silver or other precious metals.
40 CFR 261.6(a)(2)(iv), 40 CFR 264. l(g)(2), and 40 CFR 266.70.
[--i 8. Empty container rinsing and/or treatm~n't. 40 CFR 261.7.
[~] 9. Other: Specify:
V. ~]q~PORTABLE TREATMENT UNIT: Check Yes or No.. Please refer to the Instructions for more information.
Is this unit a Transportable Treatment Unit?
If you answered yes, you must also complete and attach Form 1772E to this page.
The Tier-Specific Factsheets contain a smnmary of the operating require~nents for this category.
Please review those requirements carefully before completing or submitting this notification package.
DTSc 1772B (1/93) Page 11
FO~ 5
NORTH SCALE: /1~.~0 BUSINESS NAME: ~0 P~-i~/~ ~i'~/c FLOOR: OF
~ DA~E:' .~/~7 FACILITY N~ME: UNIT ~: OF
(CHECK ONE) SITE DIAGRAm[ ~ FACILITY DIAGR.~
Reed Print, Inc.
Form ~ ~T~SC 1772 $ lO0.00
11969