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HAZ-BUSINESS PLAN 4/7/1995
$EP-11i-04 01:08PM FROkI-RI.H ;tion 661-322-6816 T-688 P.O01/O01i F-471 ". "~ Design, Insl~llatlon, Inspection and Repair ot" Fire Sprinkler Systems, ~/.' FACSIMILE COVER LETTER 9116/04 To: City of Bakersfield Attn: Dave Welrather Fax~: 85~_-2171 From: Jason Norton Fex~ 661-322-6816 Telephone #: 661-322.9344 Number of Pages: 6 __ (including this cover page) Re: Typical Residential Fire Sprinkler Remarks: If you have any questions, please give me a call. Fax'd by:. · lade W . (x: I;~,_. File #: ¢¢: file 310 30th Street ~akemfleld, CA 93301 Voice 661.322.9344 Fax 661.322.6816 Li0ense~ 777717 PLEASE FILL IN ALL BLANKS IN THE ATTACHED CONTINGENCY/BUSINESS PLAN COMPANY N~E ADDRESS TELEPHONE: (805) FAX: (805) CONTINGENCY/BUSINESS PLAN HAZARDOUS WASTE GENERAL: "The containment of any hazardous waste or hazardous constituents to ~air, soil, or surface'water at Kern ~d~nlngy M~. c~p~due to fire, explosions, unplanned releases due to accidents or equipment failures will be the responsibility of the Emergency Response Coordinator (or his/h~r alternate) (i.e.: STORE MANAGER). II. DISCOVERY AND NOTIFICATION PROCEDURES: ae Upon discovery of a spill or accidental discharge of hazardous waste, Facilities personnel must immediately notify the Emergency Response Coordinator. B. The person or persons making the discovery should proceed with preliminary containment or abatement activities only if he/she has knowledge of the · ~. physical or chemical characteristics'of the waste and/or sufficient technical knowledge to take ~.-appropriate action. EMERGENCY RESPONSE COORDINATOR'S RESPONSIBILITY (FACILITY ~ENVIRONMENTALlSPECIALIST): The Emergency Response -Coordinator, upon being notified, of a spill or. release of hazardous waste, will .assure the procedure in CFR No. 40 264.56 (Exhibit A) are implemented to ensure'the safety of personnel and the environment. Contingency Plan Hazardous Waste Page -2- III. SPILLS: In the event of a hazardous waste spill, the person or persons making the discovery should contact the appropriate Emergenc~ Facilities Coordinators. He will have the prope~ Material Safety Data Sheet (MSDS) ready when th~ cleanup team arrives. The Emergency Response Coordinator is responsible for the cleanup. If the spill is acute, the response team should notify the Emergency facility manager. After authorization b any EPA regulations Response Coordinator external authorities: 1. 2. 3. 4. Response Coordinator and y the facility manager and if require it, the Emergency will notify the following Neighbors California Highway Patrol Office of E~ergency Services National Re!ponse Center - (800) 424-8802 Contingency Plan Hazardous Waste Page -3- IV. VI. SPILL CLASSIFICATIONS: Acute if one pound or more of hazardous waste constituent is released to the air, soil or surface water. Minor if less than one pound is released and the spill is indoors. DEFINITION OF A HAZARDOUS WASTE: A hazardous waste is any solid or liquid waste that is either corrosive, or toxic. A material is corrosive if it is either highly acid or highly alkaline. Toxic wastes are poisonous to human beings and animals· -- WORKING WITH HAZARDOUS WASTES: A. Be on the lookout for unusual occurrences. alert to these common warning signals: Unusual buildup of heat. Unusual bubbling,.gurgling, or other noises. Unusual vapor or odors. Use separate containers for refuse. Be CONTINGENCY PLAN HAZARDOUS WASTE PAGE -4- 'Keep leaks and spills isolated from one another. Clean them up promptly. Cleaning equipment and water or chemicals used for cleanup must be treated as hazardous waste. Keep containers sealed to prevent release of fumes and gases. VII. EMPTY CONTAINERS: VIII. A. Containers are considered empty when they contain less than 2.5 centimeters of waste. Only containers holding chemicals identified as acutely hazardous waste (CFR Vol. 45, November 25, 1980, 261.33(3)) need to be triple rinsed before they can be disposed of in a trash barrel. California Regulation 66530 requires all containers of hazardous waste be treated as hazardous waste. CLASSIFICATION OF HAZARDOUS WASTE EMERGENCIES: A minor emergency is an incident which occurs in a relatively small area of the facility which does not seriously affect the overall operation of the facility and does not pose a safety or health hazard, to employees. Minor emergencies will normally be controlled by an Emergency Facilities Coordinator and supervisory personnel. A major emergency is an incident which occurs to major portions, of the facility which seriously disrupts the overall ope'ration of an area of the facility or poses a safety or. health hazard to employees. In addition to the' above responsible personnel, company,management will be involved and ....... outside emergency servi'ces' may be,required. Any hazardous waste spill outdoors of one pound or more -.is classified as a major spill. IX. HOW TO REPORT A MAJOR EMERGENCY: If the Emergency Facilities Coordinator or the Emergency Response Coordinators cannot be contacted, call any ~. person on the Management Contact List. PERSONNEL TRAINING Page 3 DEVELOPING YOUR TRAINING PROGRAM The following is a discussion on how to develop your training program. ~esDonsibility of Facility Personnel - 66265.16 (a) (1). "Facility Personnel," is defined in #66265.10, as: "Ail persons who work at, or oversee the operations of a hazardous waste facility, and whose actions or failure to act may result in noncompliance with the requirements of this division." In other words, all personnel (supervisors and nonsupervisory personnel) who are actively engaged in the. operation of the facility require the 'type of training which is described in this section of the manual. Under the guidelines of the regulation, all personnel associated with the handling of hazardous wastes are required to "successfully" complete a program of classroom instruction or on- the-~ob training that teaches them to perform their duties in a way that ensures the facility's compliance with the requirements of this part. It should be noted that Section 66265.16 does not ~specify the length and type of the training sessions. The training standards are all performance driven and depend on the duties of the personnel. However, other agencies, such as California Occupational. Safety and Health '(Cal OSHA), do have regulations that specify the length and type or'training required for personnel handling hazardous waste. For further information on Cal OSHA requirements please call (916) 703-4050. It is required that the training programs be specific to the various positions performed at your facility. Training should be structured so that it parallels as realistically as possible the actual job in order that the "real world" activities are approximated as much~as possible. Any training program must also take into account the educational level of the class. Training may ~be'acquired in any one of three ways: a formal training program (which .refers to a training program offered outside of the facility such as the Hazardous Material Management course offered~by.t~he University of California at Riverside .~E×tension.;~in~house t~aining programs, or on-the-job training ~'programs. '~A~combination of these three is also. feasible. The decision lies with.-the owners and operators of the facility to · determine.which~option is the most beneficial to operation of their facility. It is not necessary~for ~all facility personnel to be trained by attending a formal program. One approach would be to send only your supervisory personnel to formal, off-site training programs. In this way, they can acquire the appropriate training PERSONNEL TRAINING Page 4 skills and then relay those skills to the remaining facility personnel by conducting more focused on-the-job Graining sessions. Choosing on-the-job or in-house training program options, as opposed to a formal training program, allows for more flexibility in your training programs. They can be designed to closely fit the individual needs of the employees' job requirements. A formal training program will be more general than a set Of training programs designed for each of the positions at your facility, and thus may not cover all of the various job positions in the level of detail which is required by the regulation. Ail facility personnel, regardless of their position, must be familiarized with your facility's contingency plan so they will all be able to respond effectively in an emergency situation (i.e., an evacuation due to the volatilization of spilled toxic wastes). In this case, the majority of employees will be responsible for vacating the premises in a predetermined manner, while other facility personnel (those who have been properly t~ined) will have higher levels of responsibility. Some may be responsible for containing the spill, informing local officials (i.e., police and fireman), or bringing out firefighting equipment. Proqram Instructors - 6"6275.16 (a) (2) The training program must be instructed by persons who are trained in hazardous waste management procedures and can familiarize facility Personnel with those same management procedures. Facility personnel are only responsible for learning those procedures which are relevant to the positions in which they are employed. Program instructors, especially those conducting formal programs,should preferably be experts in the field of hazardous waste management, since answers to questions that could arise during the class may require a background of considerable experience and expertise. For performance type training programs (on-the-job training), the instructor should be a supervisor who is skilled in the current methods of facility operation.. 'Supervisors are recommended since they are the ones who must ultimately make the determination of whether or not the trainees have mastered the skills necessary to perform the tasks called for in their job descriptions. CONTINGENCY PLAN HAZARDOUS WASTE PAGE -5- DUTIES OF EMERGENCY RESPONSE COORDINATORS: Activate internal and emergency response personnel. Notify the facility manager. Identify character, exact source, amount and extent of any released materials. Act immediately to determine if a portion of or the entire store should be evacuated (follow directions in Emergency Response Book). Assess possible hazards to human health or environment that may result (both direct and indirect). Take all reasonable measures necessary to ensure that fires, explosions-and releases do not occur.,~- recur, or spread to other hazardous waste at the facility (i.e., stopping operations, collecting and containing released waste and removing or isolating containers). Monitor for leaks from containers. Provide for treating, storing or disposing of recovered waste, contaminated soil or surface water. CONTINGENCY PLAN HAZARDOUS WASTE PAGE -6- Before operations are resumed in affected area: See that no more waste is treated until cleanup procedures are completed. See that all emergency equipment listed in contingency plan is cleaned and fit for its intended use. Notify facility manager that facility is in compliance with 1 and 2. DUTIES OF EMERGENCY RESPONSE COORDINATORS: It will be the responsibility of the Emergency Response Coordinators to act immediately in .any hazardous chemical emergency situation to protect the people in the area. They will evacuate people by assigned route exits, protect machinery and stand by to assist the Emergency Facilities Coordinators as directed. Safety is the first concern when facing a .spill that may involve hazardous wastes. C. Follow these rules: Keep people away from the scene. Avoid contact with the spilled substance - don't touch it or walk into it. Don't inhale any gases, fumes, or smoke. Be on your guard against gases or vapors. Don't assume that they are harmless just because you cannot smell them. Stop the ~source~. if possible. Transfer materials, if feasible~ Contain the spill. CONTINGENCY PLAN HAZARDOUS WASTE PAGE -7- XlI. NOTIFICATION OF AUTHORITIES: In the event of a transmission of one pound or more of a hazardous waste constituent into the air, land subsurface strata or ground water, the following authorities must be notified by the hazardous waste manager or a designee. A. LOCAL: California Highway Patrol - 327-1069 Local Police Dept. - 911 Local Hospital~- 805 /327-1792 B. STATE: C. FEDERAL: California Department of Health Services Office of Emergency Services 800/852-7500 U.S. Coast Guard National RespOnse Center 800/424-8802 EPA (Environmental Protection Agency) 800/974-8131 Person reporting the transmission must give: 2. 3. 4. Name and telephone number of reporter. Name and address of facility. Time and type of incident. Names and quantity of materials involved, to the extent known. The extent of injuries, if any. The possible hazards to human health, or the environment, outside the facility. NOTE: FEDERAL ._cALLS ARE RECORDED. PERSON PLACING THESE CALLS'. SHOULD HAVE FULL KNOWLEDGE OF INCIDENT. CONTINGENCY PLAN HAZARDOUS WASTE PAGE -8- XIII. HANDLING HAZARDOUS SPILLS: The following information is of a general nature and should only be used as a guideline. Material Safety Data Sheets (MSDS) for specific materials should be consulted. Material Safety Data Sheets for hazardous materials in the facility have been compiled into books available to all personnel. Health hazard information; spill, leak, and disposal procedures; and special protection and precaution information are listed. MSDS sheets are located in Section 8 of this document. Acids: (ie: Fixer Baths) Acids are oxidizing agents and will react with many substance such _as oil_, grease, paper, alcohol, etc.,, enough' to ignite them. Inhalation of mists will irritate the. respiratory tract. Skin contact will cause burns; eyes may be permanently damaged. First Aid - always get medical attention. Ingestion - dilute acid immediately with large amounts of milk or water, then give Milk of Magnesia to neutralize. Do not induce vomiting. Eye Contact - immediately flush eyes with plenty of running water for at least 15 minutes. Skin Contact - immediately flush affected area with water, removing contaminated clothing. CONTINGENCY PLAN HAZARDOUS WASTES PAGE -9- Inhalation - remove to fresh air. Restore breathing. Call a physician immediately. In case of spills, provide adequate ventilation. Neutralize with soda ash. Cleanup crew should wear chemical safety goggles and rubber gloves. Caustic Chemicals (De Developer) Caustic soda ~can react violently with strong acids and many organic chemicals (it will react with trichl or ethylene to form fl amm~bl e~ dichloroacetylene), it generates heat and' splattering when it dissolves in water. Caustic soda is a strong alkali and is destructive to all human tissue it contacts, producing severe burns. Use general first-aid procedures and spill clean up as with acids, except neutralization should be done with diluted acid. CONTINGENCY PLAN HAZARDOUS WASTE PAGE -10- EMERGENCY COORDINATOR Name: Home Address: P R I MARY Lou Stewart 399 Balsam~Avenue Bakersfield, CA 93305 (805) 324-2723 230i Bahamas Drive Bakersfield: CA 93309 Phone: 'Of fice Address: Phone: (805) 322-1981 ext. 26] ALTERNATES Name: Home Address LYNN REID~BRENNAN 2004 GLENCLIFFE LANE Bakersfield, CA 93309 Phone: (805) 398-3225 Office Address: 2301 Bahamas Drive Bakersfield, CA 93309 Phone: (805) 322-1981 CONTINGENCY PLAN HAZARDOUS WASTE PAGE -11- EMERGENCY RESPONSE EQUIPMENT 2. 3. 4. 5. Goggles Rubber Gloves Spill Kit Containment Tank Fire Extinguisher CONTINGENCy PLAN HAZARDOUS WASTE PAGE -12- MANAGEMENT CONTACT LIST NAME PHONE LYNN REID-BRENNAN WORK# (805) 322-1981 HOME # (805) 398-3225 LOIS CAMPBELL WORK#(805)322-1981 HOME # (805) 397-4697 (Jr) Whelt(.,v(.~r I,h¢'.F~. {~ f't~t imt,tht,'..L .r m'l.,ml cme. rgency ~[I.u[d.[~)., I. he (I) A(:l. iv~ite .mi I'l~cilil..Y nlnrnl.'~ m' c.jimlltt~icntiml .~ .qdlc,il~le L. t.)l.i[¥ .11 I'~lt:ilil,y I~e't s(.mel; nmi (2) N,;til~ .l,l,r~;i),'i,~Le ~[nte u,' Iocnl tli~eJ~cJe~ ~viLh de~ig,mLed re~l.,.ne re,luff if Lheh' hell~ in (h) Wh(~never Lhqre is n rele~tne, fire, m' exld-~i.n, Lhe cmerff(m(:.v cm.'di~lnh.' h.med~Lel~ idenLil~y Lhe chnrncLer, cxncL s(]tirco, nmounl., .mi ore. I e~l.e~iL I,.mil~nLe, nn(I, ir neecsnnry, hy chemicnl nmdy~ie. hu...I hetdLh .r Ule et~vh'(mmet~L Ihnl. m.y re~dL IY()m I.he i'ele~se, fire, (Jr 'l'hi~ .~.e~.lenL mt~L c(msi(ler I.)Ui dired, m~d i.cliret[ el[e~L~ ~ Lhe relemm, exld.~i.n (~.8., Lhe elli~d.n (~rm~Z L(~ic, iHil. nLi.g, m' tl~ph~i~Ling g.~e~ LhnL fq(~nl.~ u~ed I.. (:cmtn)l lire .mi he.L-i.(h~c~d (dl II'l. he (m~erl[em:z cm.'(li~Lm' (l(~Lermi.('~ LImL Lhe [ncilil,~ Im~ hnd. r~hmse, fire, ~)r (~l~l.~i~Ji ~.hidl t~mhl I.ht'e~lLe. Itmmm he.lLh, or Lhe e.vlrom.e.l., ()uL~i(le Lhe fitcilil..~, he t..~L r'ep~rL hi~ I~n(lin~ .~ m.~L iJ.medi~Lelz m)l.ir~ .l~l.'(~l)ri.l.e I.c.I ..Lhoril.le~. lie m.~L I)e ~Ynil.hl~ L() helI) (~) Ih~ .m~l. imm~di.L~l~ ~ml. ifz eiLher Lhe 8.ver. me~)L (ff]~ci~l (l~il[iml.('(I .~ Lhe I~enr.~ phm tmtler l)f.'L I E L0 o1' Lhi~ LiLle) ()r I.he N~l.imml I(e~l.mGe ~nLer (~i.~ Limit ~-h.ur I..11 Gee mm)her R()()/~2~-RS0~). The rel.)rL m~L h~elu(l~: (il N(mm nmi I.eh'l)hm~e mtmher of (iii~ Time nnd I.~l)e ()1' im~ide. I. (e.g., ruh~J~c~, (iv~ Hmlle nmi qu.nl.il.z c~r t)mLel'iid(~) i.volved, b) Lhe exLe. L kBmwt); lvl The ~,~l.enL (~l'i~m'ie~, iL im~; (vl)'l'h~ I.~ible hn~l~rtl~ ~. huf... Im~dLh, ~)r Lite (.iYir..tl~enL, ..L~ide Lhe fl~(:ilit. Z. ~lll'l~ 111'('~8111'~ L() ell~lll'~ Lll~L ~1'~, e~l,h~i..~, n.d i'el(]zl~efl (~o ilOL occur, I'eCIIl', (~ ~lm:(l(I I...Iher h.~nrdou~ w.~Le zfl. Ihe Ihcilil..y. 'l'he~e me~ure~ m~J~l, inch.lc, ~Yhere .Iq~lk:.hh~ ~[.I)l)i.B I"'(~C~ nmi .per.l.i..~, c~ll~cLinl.[ m~d co.bll.h~l[ II) I1' Lira E~ciliL~ nl.~)l)~ (q~et'f~l,i~m~ i~] rC~nl.m~e L(~ t~ fire, ~xl~h~i(m, .r rHe~ts(~, Lhe t-.id., r~ in .:ilYe~, pil)e~, (.' (~Lher eq.ilmmnL, where*er Lhi~ i~ npI)ropri~d.e. Lr(,nl. lnl(, ~L.ri.~, ~.' di~l.~Sln~ ()[ r(,c.vered wn~[o, c~.~L, mi.nLu(I ~il m' ~m-El(:e m' .hZ .Iher m.l.erinl Lh.L i'e~ulL~ from n relen~e, Ih'e, m' exph)~ic.~ .L I.he I~dliI.F. (d' Lhi~ c.h.ld~.', I.I.t~ Lhe it, t~Yet'ed .ml.(~ri.I i~ tml. ~ hf~:~r(I..~ ~Y~le, I. he c)wm.r (~r ~(,q.lrl, m('nl~ .[ Imt'L~ 2~2, 2(i~1, mid ~(M .~ Lhi~ (h) 'l'hc~ ~tm~t'l(en(~Z coc)rclinffl.c.' Imt~L (,.~.re Llml., i. Lhe ~ff(~cL('(I nr(ml~) or [he G~cilil),: (1~ N. wn~l.e I.h.L m.~ l)e i.~(mq.fl,ihle wil.h I. he reh~n~e(I m~lt. erinl i~ '" ,(~) All (.m.'i]en~F c~q.il..elfl. Ii. Led h) I. he cu. LinScmcZ I)hm i~ cle~me(I ~m(l fiL r.r iL~ .... i.l.(,nd~il u~e heli'.'e .l)er~d.lm~ m'e resumed. . ~l.l.e .t.l I.(~nl nul. h.rille~, Lh.L Lhe G.:ilil0' i~ i. c(Jmldhm~ wiLh Imrngrlq~h Ih) ()1' .Ihi~ n(~(:l.i~.l.helbre -I~ernLi..~ m'e renu.)ed i. t.he nl]i~(:Led m'~(s) .l'lhe E.'ilil.z. (.il :l'lm ()wirer:re' tqmr. bN' mural n(~l.e in I.h~ .pernLi.g recto'(1 Lhe Lime, dnl.(~, d~l.lhi~r m~), im:id~mL Lhtd: requites iml~let"enli.l( Lhe cm~Lii~ge.(:Z I)lm~. Wil.hin , d:Ly~ .l'l.~'r Ihe in(:i(It~nL; he m.~l. ~.hmil. fl ~Yrill.en rel)m'L on Lhe inci(le.I.I.o I.hn ( I I,N...~, mNh'e~, z..I I.el~'ldmnu m..hur .I' the ~)wner m' (2) Nm.c,, J~(l(Ire~, im(l Lelt'l)l-).e mH.hc'r .l' I,he (:~ I).h., Lime, m.I I.¥pe .[i~t'i(len[ (e.l~., fi~e, (Gl A. fl~m~n~me.L ()r ~cLu~l (~r I.~Lcml.i.I hn~nrd~ Ll~ humnn henlLh .J' Lira enYh'(m- mt,.I., ~Yhere I.hi~ i~ nl)l~lic.hlq EXIIIBIT (A) ES. POTINTIAL HAZARDS flRI OR IXPLOSIOH Some of those materials may burn, but none of them Igniles readily. HEALTH HAZARDS Conlact may cause burns lo skin and eyes. Fire may produce Irrilating or poJsohous gases. Runoll from lire conlrol or dilulJon waler may cause pollulion. EMERGENCY ACTION Keep unnecessary people away; isolale hazard area and deny enlry. Posilive pressure self-conlained brealhing apparalus (SCBA) and slruclural fire[ighlers' proleclive clolhing will provide limited proleclion. CALL CHEMTREC AT 1-800-424-9300 FOR EMERGENCY ASSISTANCE. If waler pollullon occurs, notify lbo approprialo aulhoritie~. FIRE Small Firesl Dry chemical, C02, water.spray or regular foam. · Large Flre~l Waler spray, fog or regular foam. '~Move conlaJner from fire area Jf you can do Jl wJlhout risk. De, ,®1 ,,caller spilled mai®rial with high-pressure waler slreams. Dike fire-conlrol waler for laler disposal. SPILL OR LEAK Slop leak ii-'you can do it wilhoul risk. Small Dry' Spill~l Wilh clean shovel place malarial inlo clean, dry conlainer and cover loosely; move containers from spill area. Small,$plllsl Take up wilh sand or other noncombuslible a~sorbent malarial and place inlo conlainers for laler disposal. Large Spllls~ Dike far ahead of liquid spill for later disposal. Cover powder spill wilh plastic shoal et larp to minimize spreading. FIRST AID " ---." If1 case of conlacl wilh maloriol, immedioleJy fJusJ~ eyes wilJi running waler for al leah 15 minutes. Wash skin wilh soap and waler. Remove and isolale conlaminaled clolldng and shoes at Ihe silo. PERSONNEL TRAINING The intent of the personnel training requirements is reduce the potential.for mistakes which might threaten human- health or the environment by insuring that facility personnel working in jobs where they handle hazardous waste will be thoroughly familiar with their duties and responsibilities. Further, the intent of the training requirements is not only to train personnel in the mechanics of their job function. Rather, and especially in the stress of safety and emergency response, employees should be made cognizant of why they must perform certain tasks in a prescribed manner. Providing employees with a thorough explanation of why certain operations are performed as they are, and not in a seemingly easier fashion, should reduce the use of "short-cut" procedures that may be dangerous to plant personnel or the surrounding population. ~eg~latory Citations The regulatory requirements regarding employee training are contained'in Title 22, Section 66265.16. They are: 66265.16 Pers6nnel Training (a) (1) Facility personnel must successfully complete a program of classroom instruction or on-the-job training that teaches them to perform their duties in a way that ensures the facility's compliance with the requirements of th~.s chapter. The owner or operator must ensure that this program includes all the elem;ents described in the document required under paragraph (d)(3) of this Section. (2) This program must be directed by a person trained in hazardous waste management procedures and must include instruction which teaches facility personnel hazardous waste management procedures (including contingency plan implementation) relevant to the positions in which they are employed. (3) At a minimum, the training program must be designed to ensure that facility personnel are able to respond effectively to emergencies by familiarizing them with emergency procedures', emergency equipment, and emergency systems, including, where applicable: '(A) -Procedures for using, ~inspecting, repairing,' and replacing 'facility emergency and monitoring equipment; (B) Key parameters for automatic waste feed cut=off systems; (C) Communications or alarm systems; (D) Response to fires or explosions; PERSONNEL TRAINING Page 2 (E) Response to ground water contamination incidents; (F) Shutdown of operations. (b) Facility personnel must successfully complete the program required in paragraph (a) of this Section within six months after the date of their employment or assignment to a facility or to a new position at a facility. Employees hired after the effective date.of these regUlations must not work in unsupervised positions until they have completed the training requirements of paragraph (a) of this Section. (c) Facility personnel must take part in an aDnual review of the initial training required in paragraph (a) of this Section. (d) The owner or operator must maintain the following documents and records at the facility: (1) The job title for each position at the facility related to hazardous waste management, and the name of the employee fitting the job; (2) A written job description for each position listed under paragraph (d) (1) of this Section. This description may be consistent in its degree of specificity with~descri-ptions of other similar '~' positions in the same company location or bargaining unit, but must include the requisite skill, education, or other qualifications, and duties of employees assigned to each Position; (3) A written description of the type and amount'of both introductory and continuing training that will be given to each person filling a position listed under paragraph _(d) (1) of this Section; (4) Records that document that the training or job experience required under paragraphs (a), (b), and (c) of this Section has been given to, and completed by, facility personnel. · ....--(e)....Training.records 'on .cur.r. ent personnel must be kept until · :.closure~-.of the facility; (2) Training records on former employees-must be kept for at least three years from the date the employee last'worked at the'facility. Personnel training records may accompany personnel transferred within the same company. PERSONNEL TRAINING Page 5 Response to Emerqencies - 66265.16 (a)(3) At a minimum, your training program must familiarize facility personnel with emergency procedures, emergency equipment, and emergency systems which are applicable to their positions. Emergency response procedures which should be taught to selected facility personnel, as required by the regulations, are: Procedures for using, inspecting, repairing, and replacing facility emergency and monitoring equipment, key perimeters for automatic waste feed cut-off systems, communications or alarm.systems, response to fires or explosions, response to ground water contamination incidents, and shutdown of operations. Additionally, employees who are in charge of managing wastes must have certain knowledge which will help them perform their jobs adequately. For example, their training program might include the following instructions; the chemical characteristics of the wastes which they are assigned to manage (i.e., reactivity and incompatibility with other types.~of wastes), .i- knowledge of what to do in the event of a spill or leak, the types of protective equipment (such as respirators or self contained breathing equipment) or clothing to be worn, proper operation of trucks, forklifts, or any other machinery to be used in waste disposal, knowledge of basic first aid, and who to inform in the event of an emergency (such as the ~foreman). .~.?.' It is ~ou-r~responsibility.to define the scope of the ..'.'~.~. training programs.· The training programs should assure the .... Agency that yours.employees have'or will~ have acquired the .,_~'~necessary training and management skills needed to perform their jobs in a competent manner that will protect human health and the environment. Thus, the more d~tailed the training program · documentation; the more apparent it will be to the Agency that your facility is providing its personnel With proper training. PERSONNEL TRAINING. Page 6 Time Requirements - 66265.16 (b) To comply with the 66265.16 regulations, the training program must be successfully completed by facility personnel at existing facility's within 6 months after the effective date of their employment or assignment to a facility, or to a new position at a facility. Employees who are hired after the effective date of the regulations must not work in unsupervised positions requiring them to handle hazardous wastes until they have completed their training programs. New employees may handle hazardous wastes but only under the supervision of trained employees. It is beneficial to your facility to meet this requirement, as it will help avoid accidents and may help to keep insurance premiums at a minimum. Annual. Review - 66275.16 (c) The emergency procedures taught in the original training pro~r%m must be reviewed on an annual basis to keep personnel up to date with any changes, such as the characteristics of new wastes managed at your facility. With new and more sophisticated technologies being developed for hazardous waste, management facilities may have to periodically change certain procedures to .-remain current with..these ~new technologies. Also, due to changes in facility processes or emergency equipment, or with the types of wastes being accepted at your facility, your facility's contingency plan may need to be modified. Therefore, the contingency plan Should also be included in the annual review process. Recordkeepinq - 66265.16 (d) & (e) Records must be kept at your facility for examination by the Regional Administrator upon request. Maintenance of facility personnel training r. ecords acts as a certification program. The following must be included on your records: (1) A job title for each position at your facility that is ~.~..-~ ~.~ ~ -related to.hazardous waste management ~(i.e., excluding · ~ ~'~ ~clerical-or janitorial ~positions) and the names.of the · ~ employees filling those positions, (2) a jOb description for each of those positions, and (3) a description of the type and amount of introductory and continuing training that will be'given to each employee. PERSONNEL TRAINING Page 7 The job description (for each position) must include: skill, education, or other qualifications needed by employees to fill each position at your facility, duties of employees assigned to each position. It should not be too difficult to comply with the first or second recordkeeping requirements, since many facilities may have this information already inca written format. If not, job titles and job descriptions must be defined for each position. The third recordkeeping requirement relates directly to the training program. For each job description, you must include the type of training to be given and the length of the program. For instance, if you are sending employees to a formal training program you must keep a written document stating the types of .hazardous waste, management practices being taught and the length of ~i~e involved. Similarly, if you have designed your own training programs to be conducted in-house or on-the-job, you must keep a detailed ~written account of the material to be presented for each position. You must also include the techniques to be .used and a schedule to ~be followed by the~instructors. The training records must also contain the type and"~mount~of training that will be given to fulfill the annual review requirement. The records must be documented to prove that the proper training has been given to, and completed by facility personnel. Therefore, you must keep a record of the dates on which employees received their initial training and schedule the annual review. The training records for current personnel must be kept on file at your facility until your facility'closes. The training records of former employees must be kept for at least 3 years from their last date of employment at your facility. If a person is' transferred within the same company, their training records remain the same. The training~records are needed by the~Agency in order to judge.'whether facility personnel have the appropriate skills ~cal~ed ..for by their job descriptions and'their specific duties in handlings'hazardous wastes...Thus, the more detail used in your training records, the more apparent it will be that your personnel are receiving the appropriate training. PERSONNEL TRAINING Page $ ~ist of Major Points 1. Does your company have a written training program? Have both the original and annual training programs been given to your employees? Does your company keep descriptions on how the training- programs is specific to the various job tasks performed at the facility? Does your training program demonstrate that facility personnel have acquired the ability to respond effectively to emergency situati6ns° which are related to their tasks and that they are familiar with the contingency plan? Does your company have documentation that the instructor is a person trained in hazardous waste management? Does your ~company have records demonstrating that all employees have been trained within a 6-month time period from ~e date' of their employment or transfer? Does your company maintain'{'~e training records~ f6r facility personnel at the facility? EMPLOYEE TRAINING RECORD TRAINING EMPLOYEE SUPERVISOR EMPLOYEE DATE SIGNATURE SIGNATURE (See Injury Illness Prevention Plan S,~fety binder) THESE RECORDS MUST BE:MAINTAINED UNTIL CLOSURE. INSERT YOUR EMPLOYEE TRAINING PROGRA}{ HERE INJURY SEE ILLNESS PREVENTION PLAN SAFETY BINDER ~ai, or C~l~ore/a - C.~ffer~a E~tro(sn(m~ n ~ i~p~cmf~ ,r T~c ~ Ceo..u~o! ONSITE H. AZ~OUS WASTE TREATMENT NOTIFICATION FORM FAClLYrY SPECIFIC NOTIFICATION ~ Initial For Us~ by H,~rdous Wast~ Cmam'alo~ P~'~ormlnE Ti'~.~.I~ZR~- /~-- [] ~gldgd Under Conditional F. xC-mTnion a~! Cotuflfion~l Authorization. (~ and by Permit By Rule Facilities Plttue refer to the attached ln~truction~ before completing ti~ form. You may notify for n~re than one perm#ring der by ming th~ notification form. DTSC 1772. You mu~t tnTach a setMrate tmit JI~ecific notification form for each unit at thi~ location. 7'Acre are different unit .vpecific notification fomu for five of the categorie~ and an additional notiffctrtion form for translMnable ~ tmlu ('I77J'$). you only have to submit fornu for the tier(v)/category(i~) that cover your unit(v). Discard or recycle the other umaed form~. Number each page of your completed notificdtion IMdmge Rnd indicate the total nmher of pag~ at the top af each IMge at the 'Page __ of__'. Put your EPA ID Number on each txlge, pl_;n,e provide all of the Offormation requ~ted:.all fielth mutt be completed except those that state 'if different' or 'if available', t)leme type the information provided on thi. v form and any The notification fo~ are a.~e~ed on the ba~ of the highe~ der the nodfier will operate under and will be collected by the State Board of E~,at;zarion. DO NOT $lgND YOOTt ]~E PAT~IR~ W177:1 77:11S NOTI37CA770N FORM. I. NOTIFICATION CATEGORIES Indicate the number of ttnit~ you operate in each tier. ~ will alto be the ntanb~ of unit epecific notification fonn~ you Number of units.and attached unit specific notificaflom for each fief reported. A. Couditionally F, xc~t'~qm~ Quantity ~remn~_.(CF, SQ'~') · D ......... IN,mit bY..R.ul~..~:?.R).~ ..... . B. x ConaitionaUy ~cm0t-S~afie~ Wm~ ¢C~SVO · .E ..... C~_-Co,,-,,,~-'..!,mm~ ¢C~-CL) .... .... OxmiaonaUy Authormd (CA) .... . .- -. ............. V ..... _Condai~y F.u~-LanJm_¢ .C~) ~TOR ID]~ITIFICATION EPA IDNUMB~RCA L 0 0 0 1 4 6 3 2 7 BOE NUMBER ('ff available) H__HQ___ FACILITY NAME (DBA-Dom~ lUmam As) PHYSICAL LOCATION KERN RADIOLOGY MEDICAL GROUP~ INC.- KAISER MING 8800 MING AVE. CITY BAKERSFIELD CA Zl~ 93311 COUNTY KERN CONTACT PERSON D'LN BROWN PHONE NUMBER(8O5 ) 322 - 1981~ (Fir~ Name) ~ N&me) MAILING ADDILE~, ~F DIFFERENT: COMPANY NA/~E KERN RADIOLOGY MEDICAL GROUP~ INC. 2301 BAHAMAS DRIVE CITY BAKERSFIELD STATE CA ZIP 93309 - COUNTRY CONTACT PERSON DT$C 1772 (1/96) (o,dy completa d not USA) D'LN (T:~t Name) BROWN (tms~ Name) PHONE NUMBER( 805 ) ,, 322- 1981 Pase ' me RADIOACTIVE MATERIAL~ OR WASTE [~] Do~ the facility use, store or cruz radioa~ve mazerials or rad/oactivc waste? Page 2 IV. TYPE OF COMPANY: STANDARD INDU~ CLASSI~CATION (SIC) CODE: U~e either one or two ~IC codes (a four digit numberJ that be~t describe your compamj'~ product~, service~, or industrial activ~y. Fizm: 8011 HED~CAL OFFT~E CL~N~[C Second: ?~$4 PHOTOFTNTSHTNG LAB Z/ lEI .... 4. PRIOR PERMIT STATUS: Did you file a PBR Notice of Im~ m Operale (DT~C Form 8462) in 1~ ~r ~ 1~? ~~of~~~? ~you~~or~y~~ammf~~~t~-~~for~o~ ~,-~om ~.~ ~ ~ 1~? '" '' Have you-~-h-~-d ~ ~ ~ ~ ~e ~t 0fTo c ~0~ are now nofif34ng for ar ~ loc~ion? .................. .... ~ ' _~! ..... :_H..~.__~__..I~.._.~_ b~:~__~__~_._by file s~aIe or ~.loc~l ag~'3t.a~ a'~w~-do~.wa$~'g~_':iC VI. PRIOR ENFOR~ m.~FORY: YES NO .Not required from covgtff~_nally exempt generator~ or commercial Within the l~t thr~ yeats, has ~ ~ be~ the stlbject of any convi~ion~, judEments, r,~fl~,'o~, f~--I enforcement a~ency? (For the pmlmses of this form, a notice of violation does not con~tute an order and need n~t be reported unles~ it was not co~ and became a final ord..) If you answenxl Yes, check this box and attach a listing of convictions, judgments, settlements~ or orders and · copy · of the cover sheet from each ~. (See the Imtmctiom for more information) A'I'rACH1VEEN'I~: Arm~hmen~ are not r~quired from commercial laundries. 1. A plot plan/m~? detailing the location(s) of the covered unit(s) in relation to the facility boundaries. 2. A unit specific notification form for ~_oh unit to be covered at this location. DTSC 1772 (1/96) Page 2 EPA [D NUMBER ~ P~e .... of CONDITIONAI,LY EXEMPT-SMALL QUANTITY TREA NT UNIT SPECIFIC NOTIFICATION (pursuant to Health and Safety Code Section 25201.$(a)) The Tier-Specific Fact sheets eont_ai~ m smnmary of the operating requinnnm~ for this eate~o~, l~lea~ UNIT NAME METALLIC REPLACEMENT TRICKLE DOWN UNTF ID NUbl~ER NUhIBER OF TREA~ DEVICES: o Tank(s) 1 Container(s)/Ct~tni-,*r Treatment Area(s) Please Note: Generators operati units under Conditionally Exempt Small Q,,ontity Treatment may not operate any other units under other permitting tiers or hold any other state or federal hazardous waste permit or authorization for +h;s faeni~y. ,, Each unit mu~t be clearly identified and labeled on the plot plan atzata~ w Form 1772..4~ign your own unique number to each unit. 2'he number can be sequential (1, 2, 3) or you may ute any xjr~tem you choose. · This category is only available w generators that treat !e$~ than $$ gallons or $OO pounds of hazardons wa.~te in any calendar month in ALL unit$ at thi$ facility and that are not otherw~e required to obtain a hazardo~ warte facilities perrrdt. ~ volume limit applies to the TOTAL hatardou~ warte treated on~te in arty calendar month, and.is ~vOF a Hmit for ea~ wart~ o.r unit separately. The waztestrean~ treated mart be limited to those lifted in Title 22, CCR, Section 67450.11, which ar~ ~ lifted below. Enter the e..imated monthly total volu~-of hazardo~z wa.~e treated by thiz unit. ~ :hould be the nuzrimum or highest amount treated in any month. Indicate in the narrative (Section I1) ~f your opemMon$ have seasonal ~, .......................... Estimated Monthly Total Volume Treated: gotmdz and/or' 60 gallons YES NO Is the waste, treated in this u~it radioactive? ~'~ ~'~ Is the waste n'e. azed in this ,mit a bio-hazardous/iafectious/medit-a~ waste? [~] [~] Is remotely generated hazardous waste (H$C 25110.10) me/tn this unit?. 2'he following are the eligible woztestreatm and treatment processes. Please check all applicable boxer: 1. Aqueous wastes containing hexavaient chromium may be treated by the following process: Reduction of hexavalem chromium to mvaleat ch~mium with sodium bisulfuc, sodium metabi~fite, sodium thiosulfate, ferrous sulfate, ferrous sulfide or sulfur dioxide provided both pH and addition of the reducing agent are automatically controlled. DTSC 1772A (I/96) Page EPA ID NUMBER Page 3 of Wa.~e Minis~izntion I certify that I have a ptogr~m in plnc~ to ~ ~e vol~, ~, ~ to~ of w~ g~ [0 ~e degr~ I have det~ to ~ ~n~ly p~le ~ that I ~e ~1~ ~e p~i~ble ~ of ~t. storage, or d~s~ c~fly av~le ~o ~ w~ minlmi.~ ~e p~t ~' ~ ~ to h~ h~ ~ ~e ~v~. Tiered Permittine Certification I certify that the unit or units ~bed in these documents meet the eligibility and operating requirements of s*~_,_e sta~_~!¢~ and re&n,t,.~ions for the indicated permi~i-~ tier, including generator and seconda~ contaiame~ r~luirements. I understand that ff nay of the units operate under l~'mit by Rule Or Condhional Authori~,a6on, I will also provide thc rcqui~ed financial assura~e for c. losu~ of the tr~aunent trait bytOctober 1, 1996. I certify under penalty of law that this doauneat and all attar2utmm werc pz'cpared ~ my direction or supervision ia aceordam:e with a system designed to assu~ that qualified personnel properly gather and evaluate the iafo _r~nntlon submiued. Based on my inquiry of the person or persons who manage thesystem, or those dim:fly respoasible for ~th,,,-iag th~ iafonm~. 'on, the information is, to the best of my knowledge and belial, true, accurate, a~d complex. I am aware that ther~ are substantial pcngfies for sub_miring fal.~ infotmati~ including the possibility of fines and ' .m?risonm~ for knowing violations. Name (Print or Type) Title REQUESTING A SIIORTKN~ REVIEW PERIOD:--Gentrator~ o.~mt/ng under ~ ~/~ ~ ~e ~g~ ~~ '~- ~ to op~e ~ ~s ~ ~~ a w~l~e ~on. D~C ~ :~n~ ~e d~ ~ ~e~ ~~ ~ .... ~~on w~ ~ ~ or o~or ~~ g~ ~e. ~ ~ ~ to ~ ~~ ~n~ ~ ~ ~ ....... ~ p~, p~e ~ ~ ~ ~ ~ ~e ~ ~' Y~r ~~n ~ ~ ~~ ~e~ on t~ - ~e your co. laM ~fi~n fom ~ r~ ~ D~C. ~$e ~o~ ~, if ~c~.) Reason: OPERATING REQ~: Pletue note that gtnerators treating haza~at waste onsfle are req~red to comply with a number of operating requiremmu which differ depending on the tier(x). 27tire atx, rating requiremt~ are set forth in the statutes and regulations, some of which are referenced in the 23er-Specific Fact She~ amilable from DT~C's relional and hzadqua~er~ office~. SUBMISSION PROCEDURES: All three forint mutt hm, e original dgmsmre$, ~ot photocopi~. You must submit .t~.o copies of this completed notification by certified ,~il, return receipt requested, to: Department of Toxic Substances Control Program Data Management Section, HQ-10 A.,m: TP Notificafiom- Form 1772 400 P Street, 4th Floor, Room a453 (walk ia only) P.O. Box 806 Sacramento, CA 95812-0806 You must also sub.mit one cgpv of the notification and anac. hmcots to thc local regulatory agency m your jurisdiction as listed in oendix 2 of the instruction materials. You must also retain a copy as p~ of your operating record. PI.EASE, DO NOT SEND YOUR FEE PAYMENT WITH THIS FORM. DTSC 1772 (1/96) Page 3 EPA ID NUMBER CAL0001~6327 Page 3 of CERTIFICATIONS: Thit form rnu~t b~ xigned by an authorited corporate officer or any other person in the company who haz operational control and performs decision-malting functions that govern operation of the facility (per Title 22, California Code of Regulationz (CCR) Section 66270.11). All three copies must lur,,e original eignaturer. Tiered Permfttinz Certification I cat, if7 that the unit or units _~__'bed in these documt~ta ]neet thc eligibility and operating requirements of state statu~ and r~,t,,!_'ons for thc indicated permi-l-g tier, including generator and secondary containment requirements. I understand th,, if any of the units operate under l~rtnlt by Rule or Conditional Authorization, i will also provid~ the required financial assurance for closu~ of the tr~mmu unii by, October 1, 1996. I certify under penalty of law that this document and all anaa&mmm we~ prepared unt~r my ~on or supervision in ao'ordanae with a syst~n designed to assm'e that qualified personnel properly ~ather and e~aluate the information submitted. Based om lily inquiry of the person or pexsons who mn,,-..-e thc ~, or those dim:fly reslxnm'ble for ~athering the informa~i. 'on, the information is, w the best of my knowledge and be. lid, true, accm'ate, and complete. I am aware that ther~ are substantial penalfi~ for submitting false infmmafion, including the posra'vility of fin~s and imInimnmem for knowing violations. DAVID P. SCHALE, M.D. Nanz ( .Prat or Type) Signature PRESIDENT Title · .. Date Signed._ .......... : --.-.v. ...... :. .=. -~ -'-- REQUESTING A SHORTENED REVIEW PERIOD:... C. ent~ors o.t~mring under G! and/or CE are legally atahm~i~ '+-"- to operate 60 days after ~ubrniaing a con!plete notificm, io~. DTSC may shorten the time period between notification and authorization when the owner or operator establishes good cause. If you need to be authored sooner than the ~tondard ....... 60-day period, please check the box below and ~tate the tmson : Your authoritmion will be automarictdly effective' on the - date your completed notification form is received by DTSC. Illse -~t~irional sheets, if necessary.) OPERATING REQUIRF_,MIEN'I'~: Please note that generators treating hazardo~ waste ondte are req~ed to comply with a number of operating requiren~nts, which differ depending on the tier(s). The~e operating requirements are set forth in the ~tute. s and regulations, tome of which are referenced in the Tier-Specific Fact Sheets available from DT~C'$ regional and htodquarters offices. SUBMISSION PROCEDURES: All three forntr muxt have orii, inal dgnamreA aot photoropies. c~rtified -~iI, return receipt requested, to: You must submit two copies of this completed notification by Department of Toxic Substances Control Program Data M~ag~ment Seciion, HQ-lO Atto: TP Notifications. Form 1772 400 P Street, 4th Floor, Room 4453 (walk in only) P.O. Box 806 Sacrzmemo. CA You must also ,submit 9ne egpv of the notification and anacitments to the local regulato~ agency m your jurisdiction as listed in oendix 2 of the instruction materials. You must also retain a copy as part of your operating record. PIaEASE, DO NOT SEND YOUR FEE PAYMENT WrFH THIS FORM. DTSC 1772 (1/96) Page 3 EPA ID NUMBER Page~of CONDITION~r.Ly ~. SPE~ WASTESTREAM~ UNIT SPECIFIC NOTIFICATION · (pursuant to Health and Safe~ Code Section 252013(¢)) o Gravity separation of the following, including the use of flocculants and demuislfiers if: a. Thc settling of solids from the waste wher~ the t~'ulting aqueous/liquid stteaxn is not h~,~,'dom. b. The separation ofoillwa~r mixtures and separation sludges, if the average oil recovered per mont~ is le~ than 25 barrels (42 gallom per barrel). (N07~: AB 483 (Ch 62~, ~99.~) allows certain ttttd oil/water separation under new the C~L category. See Form 1772L and C~L Fact Sheet.) Neutralizing acidic ar alkaline (basic) matet~ ItY · state certified laboratory, · laboratory Ol~n-ated by an educational institution, or a laboratory which ttea~ less than one gallon of onsite generated Imaardous waste in any zingle b~t~h. (To be eli~lbleror conditional eXmlaion, this waste cannot contain mo~ than 10 percent acid or base by weight.) Hazardom wa.ne t~atment is enn'ied out in quality control or quality assmlnee laboratory at a faeilil~ that is not an off, re hazardous waste gncillty. A wastem-mm and trmnnent teehnololy combination eerlified by the Degamnmt lnmaaant to 25200.1.$ of the Health and Safety Code as apla'ogriate for anthorlza~on nnder Please enter certif'~fion number:. (see Appendix 1~ 12. The'treatment of formaldehyde or glmaraldchyde by a health care facility using a technology ,.,... .............. eom..binati6n .~..~ed by. ~ :D~... mt. I~n~uant. to se~inn_2S200.L.q_of tl~e. l~Mth-and ........ Safety Code. Please enter certification number:. ........ -'- ...NARRATIVE DESCRIFrlONS: -?'ro~/~ a./~r/ef &~scr/vdo, of tae~t,ed, flc wo~ trion/~'dW ~ proc~s ~.--:-- :- 1. SPECIFIC WASTE TYPES TKF. A~: PHOTO FIXER CONTAINING SILVER FROM SPENT RADIOGRAPHIC SOLOUTION 2. TREATMENT PROCESS(ES)USED: SILVER RECLAIMER CONTAING IONIC EXCHANGE ,, 0 R~UAL MANAGe: Ote~ Ye~ or No to e. ac~ question ~ it iWplie~ ~o all re. vidu~ fram 'thit ~ unit. NO 1. 1~ you discharge non-hazardous aqueous waste to a publicly owned t~am~nt works 0~O'l'W)lsew~q. 2. Do you discha~e non-hazardo~ aqueoua wast~ und~ an NPDES pemtit? 3. Do you have your residual h,,'=,dou, s waste hauled offsite by a regism.,zd h,?-,'dous waste haule~. If you do, where is the waste sent? Oreck a/l that ap/fly. [-~ a. Offsit~ r~-'yc2iug ['-] b. Thermal treauaeat [-'] c. Disposal to la~d [~ d. Further n~.atm~t 4. Do you dispose of non-hazardous solid wast~ r~idu~ at an offsitc location? 5. Other m~thod of disposal. Specify: DTSC IW2B (1/96) Pa~e Il EPA ID NUMBER Paae ~ o'f CONDITION~L~-Y ~ - SPE~ WASTESTREAIV$S UNIT SPECIFIC NOTIFICATION (pursuant to Health and Safety Cod~ S~ction 2~201..S(c)) BASIS FOR NOT NEEDING A FEDERAL In order to dtmonttrate eligibility for one of the on$ite treatment tiers, facilitie~ are required to provide the bari~ for determining that a hatardou$ w°Zte permit tr not required under the federal Resource Conservation and Recovery Act (RCRA) and the federal regulations adopted under RCRA tTItle 40, Code of Federal P. egulation~ (CFR)). Choose tbs reaSon(s) that d~cribe the optration of your onxite treatme~ unitr: · The h~-aniou~ wa.~ beiag ~.amd i~ aot a ~ wa~ ~ fedea~l law although it is t~gulated az a waste under California sram law. The waste is treated ia wastewater ~ units (taak~), as d~fined ia40 CFR Part 260.10, and discharged to a publicly owned ~ works (POTW)/sew~ing ag~'y or ~ aa NPDE$ l~nait. 40 CFR 264.1(gX6) and 40 CFR 270.2. O 6. The waste is traamt ia cl~mm~lary aetm-alimfion m~i,% as defin~ ia 40 CFR Pan 260.10. and dischaxg~ to a POTW/s~weriag agmcy, or under aa NPDES permit. 40 CFR 264.1(g)(6) and 40 CFR 270.2. ~ ~ u ~ iaa~y maomi ~ U~aity as ~ ia4o c:~ ~ ~c,o.m; ~o C~ 264~1~(s). · The company g~a'~__~ no mor~ ~ I00 kg (approri,~y 27 gallonz) of bn..~ouz wa~ in a ~al~ar mo~ a~ct is eligible as a nxiem-~~~t nam qumitx The wast~ is mmmd ia an a~umulafion tank or ~oa~,~. within 90 days for over 1000 kg/month g~n-ato~.amt 180 or 270 days for gm~aun~ of 100 to 1000 kg/momh. 40 CFR 262.34, 40 CFR 270.1(c)(2)(i), and tim Pmambt-, to the March 24, 1986 Fedta-al Rtcydable m,,_~_',ic ar~ _r~-l,i,,,~ to r~cover economically aigaificaat amount~ of silver or other pm:ious m~als. 40 CFR 261.6(a)(2Xiv). 40 CFR 264,1(g)(2), sad 40 CFR 266.70. '8. pmpty container rinsing and/or uemnem. 40 CFR 261.7. V. TRANSPORTABLE TREA~ UNIT: YES NO ~'~ Is this unit a Transportable Tr~.am~t Unit? Check Y~ or 3to. Pleare refer to the Ingtrucfion~ for more information. If you ancwered yes, you must also complete and attach Form 1T72E to thic pll~e. DTSC 1772B (1/96) Page 12 ~AISO SX~O NI O0~H IIII 6" STUO WALL 3"'-'~" MIN. STUO RAD I OLOGY · ; i [15'~'~ F I LM "~DARK --~,~ I A'12 J PROCESS INGII ROOM ',~ . I1(~ STA~:E OF C;~LIFORNIA-ENVIRONMENT~ AGENCY PETE WILSON, Governor DEPARTMENT OF T~ SUBS CES CONTROL ~ Clo~s. CA 93612 ' PHYSICAL COUNTY ~e,,~ ' FACIL1TY CONTACT-NAM]E: O-~7c~ /77~,'v UNIT COUNT: PBR , CA . UN1T COUNT(notified): PBR . CA . INSPECTION DATE: fl.,,~; / 7, f I ~--~ ~ VIOLATION TYPE: ,'. Oaxit~ tnmmmt NOTICE to COMPLY ISSUgr~ (y/n): PHONE: 5~vs) 3 SIC CODE(S): CESW / C~ TOT~ / ~W C~ TOT~ of ~O~ONS: . ~or__ ~ 1 Genstar , W~ ~. R~c~g ~ Agen~ ~ This checklist and inspection report identify violations of state law regarding onsite treaters of kazardous wnste, opex. tmg under an onsite perm~-2 t/er. This impection verifies the/nformafion provided on form DTSC 177Z. It also covers ienexator requirements, although a separnte cheddht may be used for those requirements. A ~,-k/ndkntes ~4olation of the law, which nrc explained in more detail on the attached note sheets and Notice to Comply. The governing laws are the Health and Safety Code (HSC) and T'~le 2,1 of the California Code of Reg~,~ons (22 CCR). Generator Standards: ~ inspection agency may u~e their awn generator inspection checJdi~t orprotocol~, which are summarized below. A full evaluation of each item or &nmment i~ not conducted during the btrpecrion, un~s seriou~ deficien6~ are suspected. NO ' 1. Contingency plan has been Prepared (adequately minimize releases, has alarm/communication system, lists emergency equipment and phone numbers for emergency coordinators). 2. Written training doo,ments and records prepared for employees handling hazardous waste. 3. Meet container management standards (storage time limits, closed, labelled, compatibility, inspected weekly, in good condition, with ignitable~reactives 50 feet from property line). 4. Meet tank management standards (either secondary containment or integrity assessments, plus storage time limits, labelled, compatibility, inspected daily, in good condition, with ignitables/reactives 50 feet from property line). 5. All wastes are properly identified. Treatment Items-Facility Wide: (Fa~tity mvat ~mit a revised Form 1772 to correct error~ or omissions.) 6. All units under PBR, CA, and CE are properly indicated on Form DTSC 1772. units with unit sheets or correct tier on the unit sheet.) 7. 8. 9. 10. (Add any new All generator identification information on Form DTSC 1772 is correct. The submitted plot plan/map adequately shows the location of all regulated units. There are records documenting compliance with sewer agency pretreatment standards and industrial waste discharge requirements, where applicable. Generator has prepared/maintained source reduction doo,ments requirements (SB 14/SB 1726). For many wastes, a checklist or plan is required nnly 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 PBR notifiers: 11. The generator has an annual waste minimization certification. Onsite Checklist (A) Page 1 of (PBR submit with renewals.) January 1, 1995 sTAT~ OF~CA LIFORNIA'ENvIR~O~ ~"~PARTMENT OF TOXIC SUB~I~NCES REGION '3-1515 Tollhouse Road Clovis, CA 93612 PROTECTION AGENCY CONTROL PETE WILSON, Governor CHECKLIST AND INITIAL VERIFICATION INSPECTION RF~PORT 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 N-tuber: / : Unlt Name: Notified Tier: c~ 5 ~ Correct Tier:. Notified Device Count: Correct Device Count: Tanks ~ Containers / Tanks Containers For each Unit: NC) 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22 23. All h~7~rdous wastes treated are generated onsite. The unit notification is accurate as to the number of tank(s) and/or container(s). The estimated notification monthly treatment voinme is appropriate for the indicated tier. The waste identification/evaluation is appropriate for the tier indicated. The wastestream(s) given on the notification form are appropriate for the tier. The treatment process(es) given on the notification form are appropriate for the tier The residuals nmnagement information on the form is correct and documented for the unit. The indicated basis for not needing a federal permit on the notification form is correct. There are written operating instructions and a record of the dates, volumes, residual management, and types of wastes treated in the unit. There is a written inspection schedule (containers-weekly and tanks-daily). There is a written inspection log maintained of the inspections conducted. If the unit has been closed, the generator has notified DTSC and the local agency of the closure. For each CA or PBR unit: 24. Thc generator has secondary containment for treatment in containers. For each PBR unit: 25. There is a waste analysis plan 26. There axe waste analysis records. 27. There is a closure plan for the unit. Unit Comments/Observations: (If this is a unit that was not included on the 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 January 1, 1995 :'STATE'OF CALIFORNIA-ENVIRONMENTAL PROTECTION AGENCY ~' uBstcEs DEPARTMENT OF TOXIC S CONTROL REGION 1-1515 Tollhouse Road Clovis..CA 93612 . CHECKI.IST AND INITIAL VERIFICATION INSPECTION REPORT. FOR Permit by Rule, Conditionally Authorized, and Conditionally Exempt Notifiers SIGNATURE SHEET PETE WILSON, Governor Onsite Recycling: Only amwer if this facility recycles more than 100 kilograms/month of hazardous waste onsite. NO 28. The appropriate local agency has been notified. HSC 25143.10 29. Activities claimed under the onsite recycling exemption are appropriate. H$C 25143.2 et sec. Releases: YES 31. 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), rise unit sheet or attach additional pages. ?_ Within the last three years, were there any unauthorized or acddental releases .to the environment of hazardous waste or hazardous waste constituents from onsite treatment units? Within the last three years, were there any unauthorized or acddentai 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 dhys, 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: Signature: Print Name: Tide: Agency: /) [jc Phone Number: Other Inspector: Signature: Print Name: Title: Agency: Phone Number: Facility RePresentative: Your signature acknowledges receipt of this report and does not imply agreement with the f'mdings. Signature: Print Name: Title: Date: Onsite Checklist (C) Page of August 2, 1994 STATE OF CAUFORNIA-ENVIRONI~ENTAL PROTECTION AGENCY ~ LI~ DEPARTMENT OF TOXIC S CONTROL · EGION t-tSt5 Tolthouse Road ¢IovL~, CA 93612 PETE WII~SON, Governor CI-II~CKLLST AND INITIAL VERIFICATION INSPECTION REPORT FOR Permit by Rule, Conditionally Author/zed, 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 include~ the names of any other~ participating in this inspection. : Onsite Checldist (D) Page of August 2, 1994 Ins PLAZA MEDICAL IMAGING Center "... where the Patient is Most Important." David L. Shumate Hazardous Substances Scientist California Environmental Protection Agency Department of Toxic Substances Control Region 1-Clovis _ 1515~'~ollhouse Road Clovis, CA 93611 To Whom it May Concern; This letter serves as notification that all hazardous waste generated at 8800 Ming Ave., Bakersfield, Ca 93311 (EPA# CAL000081737) is being hauled off site by our processor service company, S.M.I. We had considered treating at this site when the paperwork was submitted to D.T.S.C., however this did not prove financially feasible. A written acknowledgment of this letter would be greatly appreciated. Thank you for your prompt attention to this matter. Sincerely, JoYC Chi~ Phy~ 4000 ~hysician Bakersfield, Ca 93301" icians Plaza Medical Imaging Center CC: Kern County Environmental Health Services DePartment of Toxic Substances Control 4000 'Physicians Boulevard, Building E, Suite 101, Bakersfield, CA 93301 Tel. (805) 395-0155 Fax (805) 395-0102 STATt )ARD OF EQUALIZATION SP TAXES DIVISION P.O. BOX 942754, SACRAMENTO, CALIFORNIA 94291-2754 (916) 739-2582 PHYSICIANS PLAZA MED IMAGING CTR 4000 PHYSICIANS BLVD BAKERSFIELD CA 93311 BOARD USE ONLY RE I PM EFFECTIVE DATE OF PAYMENT IR PEr COPY 1 1 1 DATE: ACCOUNT NUMBER MARCH 24 1995 HWCA ADCEO1 16594 NOTICE OF DETI HF HQ 38-008099 RMINATION YOU ARE HEREBY NOTIFIED OF AN AMOUNT DUE AS SHOWN BELOW. HAZARDOUS SUBSTANCE TAX CONDITIONALLY EXEMPT FACILITY AMOUNT AS DETERMINED FOR THE PERIOD 01/01/94 - 12/31/94 TOTAL FEE I INTEREST I PENALTY I TOTAL 100.00 100.00 ************* PAY THIS AMOUNT 100.00 100.00 100.00 ADDITIONAL INTEREST OF S 0.92 ACCRUES ON THE AMOUNT OF FEE AT THE RATE OF 0.9167~ PER MONTH AFTER 05/01/95. ADDITIONAL PENALTY OF $ 10.00 IS DUE IF NOT PAID BY 04/23/95. EPA: CAL000081737. THE ANNUAL FEE HAS BEEN ASSESSED PURSUANT TO SECTION 25205.14 OF THE HEALTH AND SAFETY CODE AND IS BASED ON YOUR BEING IDENTIFIED BY THE DEPARTMENT OF TOXIC SUBSTANCES CONTROL AS PERFORMING TREATMENT WHICH IS CONDITIONALLY EXEMPT FROM OTHER FACILITY PERMITTING REQUIREMENTS. INFORMATION CONCERNING DETERMINATIONS A PERSON AGAINST WHOM A DETERMINATION IS MADE OR ANY PERSON DIRECTLY INTERESTED MAY PETITION FOR REDETERMINATION WITH THE BOARD OF EQUALIZATION WITHIN 30 DAYS FROM THE DATE SHOWN AT THE TOP OF THIS NOTICE. A PETITION MUST BE IN WRITING AND STATE THE SPECIFIC GROUNDS UPON WHICH IT IS FOUNDED. ANYONE FILING A PETITION SHOULD BE PREPARED TO SUBMIT DOCUMENTARY EVIDENCE TO SUPPORT THE SPECIFIC GROUNDS UPON REQUEST. IF A HEARING IS DESIRED, IT SHOULD BE REQUESTED IN THE PETITION. THE REQUEST SHOULD SPECIFY WHETHER AN APPEALS CONFERENCE WITH A STAFF COUNSEL OR SUPERVISING TAX AUDITOR AT THE NEAREST DISTRICT OFFICE OR A HEARING BEFORE THE BOARD IN SACRAMENTO IS DESIRED. A 10 DAY NOTICE OF THE TIME AND PLACE OF HEARING WILL BE GIVEN. THE FILING OF A PETITION WILL NOT PREVENT THE ACCRUAL OF INTEREST. THE ***** CONTINUED ON BACK ***** MAKE CHECK OR MONEY ORDER PAYABLE TO THE STATE BOARD OF EQUALIZATION Always write your account number on your check or money order. Make a copy of this document for your records. ~'STAT~ OF CALIFORNIA-ENVIRONMENTAL PROTECTION AGENCY D=PAR.MENT OF TOXIC CONTROL REGION t-tSt5 Tollhouse Road Clovis. CA 93612 TIERED PERMITTING CERTIFICATION OF RETURN TO COMPLIANCE ' PETE WILSON,. Govew~ For Permit by Rule, Conditionally Authorized, and Conditionally Exempt Notifiers 'In the matter of the Violation cited on · As Identified in the Inspection Report dated Conducted by: · (agency,)) I certify under penalty of law that: Respondent ,has corrected the violations specified in the notice of violation cited above. I have personally examined any documentation attached to the certification to establish that the violations have been corrected. 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. I am authorized to file this certification on behalf of the Respondent. I am aware that there are significant penalties for submitting false information, including the possibility of frae and imprisonment for knowing violations. Name (Print or Type) Title Signature Date Signed Company Name EPA ID. Number DTSC-RETCOMP.CRT (8/94) STATE OF C~J. FORNIA--CAUFORNIA ENVIRONM~CY 400P STREET. 4TH FLOOR P.O. BOX 806 SACRAMENTO, CA 95812-0~36 (916) 323-557! PETE WILSON, Governor 01/17/95 EPA ID: CAL000081737 PHYSICIANS PLAZA MED IMAGING CTR JOYCE AYERS 4000 PHYSICIANS BL #101 BAKERSFIELD, CA 93311 8800 MING AVE BAKERSFIELD, CA 93311 Authorization Date: 01117195 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 Wastestreams (form DTSC 1772B nnd/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, you may be inspected and will be ~ubject to penalty if violations of laws or regulations are found. The Department ncknowledges 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 ~ections 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 ~ calendar year basis for each year you operate and have not notified DTSC that the units have been closed. You must notify the DTSC 60 days before first treating bn-nrdous wastes in any new unit. You must also notify the DTSC whenever any of the information you provided in these notifications clmnges. 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 dnJ_e at the signature space on page 3 of form 1772. Your ~atus to operate under Conditional Authorization and/or Conditional Exemption is contingent upon the accuracy of information ~ubmitted by you in the notifications mentioned above, and your compliance with all applicable r~luirements in the Health and Safety Code. Any misrepresentation or any failure to fully disclose all relevant facts shall rendex 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 aH authorized onsite facilities later this year. - ...... . ~ Page 2 EPA ID.' CALO0(X)$1737 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 nt the letterhead n~a_a__ress or phone number. Enclosure ASTRID JOHNSON DTSC REGION 1 STATE REGULATORY PROGRAM 1515 TOLLHOUSE CLOVIS, CA 93611 Michael S. Homer, Chief Onsite HnTnrdous Waste Treatmmt Unit Permit Streamlining Branch Hazardous Waste Management Program STEVE MCCALI~Y KERN COUNTY ENVIRON. HEALTH SERVICES DEPT 2700 M STREET, SUITE 300 BAKERSFIELD, CA 93301 Page 3 ENCLOSURE 1 U~ts ~ to operate at this locatio~: UNDER CONDITIONAL AUTHORIZATION: EPA ID: CAL000081737 UNDER CONDITIONAL EXEMI'rlON: ~.-~.~- . M~N S'ff4'~'E OF C~I.~IFORNIA--CALIFORNIA ENVIRON~ CY 400 P STREET, 4TH FLOOR P.O. BOX 806 SACRAMENTO, CA 95812-0806 (916) 323-5871 PETE WILSON, Governor April 21, 1995 CAL000081737 PHYSICIANS PLAZA MED IMAGING CTR JOYCE AY"ERS 4000 PHYSICIANS BL #101 BAKERSFIELD, CA 93311 8800 MING AVE BAKERSFIELD, CA 93311 DATE CLOSED: 04/18/95 Dear Onsite Treatment Facility: The Department of Toxic Substances Control (Department) has received your letter notifying the Department of the closure of your facility or treatment unit(s). The Department considers your facility or unit to be closed and no longer subject to the standards of your treatment authorization tier. The Department will change your facility or unit status in our tiered permitting database to "closed". Your facility will not be billed annual operating fees for treatment under these tiers for the closed facility or units for future reporting periods. Note, however, that a business is assessed the appropriate fee for being authorized under one of the onsite hazardous waste treatment tiers if it was authorized during any portion of a reporting period; a reporting period is a calendar year. Please note that your facility may be inspected by the Department or a local environmental agency to ensure that the closure of your facility or unit was carried out in a manner consistent with the standards for closure under your treatment tier. Any violations of these standards, omissions, or misrepresentation may subject your business to enforcement action including, but not limited to, imposition of substantial fines and penalties. s y, Michael S. Homer, Chief Onsite Hazardous Waste Treatment Unit ASTRID JOHNSON DTSC REGION 1 STATE REGULATORY PROGRAM 1515 TOLLHOUSE CLOVIS, CA 93611 STATE BOARD OF EQUALIZATION STEPHEN R. RUDD, ADMINISTRATOR ENVIRONMENTAL FEES DIVISION P.O. BOX 942879 SACRAMENTO, CA 94279-0001 STEVE MCCALLEY KERN COUNTY ENVIRON. HEALTH SERVICES DEPT 2700 M STREET, SUITE 300 BAKERSFIELD, CA 93301 where the Patient is Most Important." Department of Toxic Substances Control Onsite Hazardous Waste Treatment Unit 400 P street 4th Floor P.O.'Box 806 Sacramento, CA 95812-0806 PLAZA MEDICAL IMAGING Center To Whom it May Concern; This letter serves as notification that all hazardous waste generated at 8800 Ming Ave, Bakersfield, Ca 93311 (EPA# CAL000081737) is being hauled off site by our processor service company, S.M.I. We had considered treating at this site when the paperwork was submitted to D.T.S.C., however this did not prove financially feasible. A written acknowledgment of this letter would be greatly appreciated. Thank you for your.prompt attention to this matter. Joyce ~. ~yers (I chie~ ~echnologist~ Physicians Plaza Medical Imaging Center 4000 Physicians Blvd. #101 CC: David Shumate, Hazardous Substances Scientist Kern County Environmental Health Services 4000 Physicians Boulevard, Building E, Suite 101, Bakersfield, CA 93301 Tel. (805) 395-0155 Fax (805) 395-0102 STATE'RD OF EQUALIZATION SPE-'C'IAL TAXES DIVISION P.O. BOX 942754, SACRAMENTO, CALIFORNIA 94291-2754 (916) 739-2582 PHYSICIANS PLAZA MED IMAGING CTR 1 1 1 BOARD USE ONLY RE IPM EFFECTIVE DATE OF PAYMENT MO. IDAY IYEAR TR PET COPY 4000 PHYSICIANS BLVD BAKERSFIELD CA 93311 DATE' ACCOUNT NUMBER 'MARCH 24 1995 I I I I HWCA I ADCE01 16594 / HF HQ 38-008099 NOTICE OF DETERMINATIDN YOU ARE HEREBY NOTIFIED OF AN AMOUNT DUE AS SHOWN BELOW. HAZARDOUS SUBSTANCE TAX CONDITIONALLY EXEMPT FACILITY FEE AMOUNT AS DETERMINED FOR THE PERIOD 01/01/94 - 12/31/94 TOTAL 100.00 100.00 J INTEREST J PENALTY J TOTAL PAY THIS AMOUNT 100.00 100.00 100.00 ADDITIONAL INTEREST OF $ 0.92 ACCRUES ON THE AMOUNT OF FEE AT THE RATE OF 0.9167~ PER MONTH AFTER 05/01/95. ADDITIONAL PENALTY OF $ 10.0© IS DUE IF NOT PAID BY 04/23/95. EPA: CAL000081737. THE ANNUAL FEE HAS BEEN ASSESSED PURSUANT TO SECTION 25205.14 OF THE HEALTH AND SAFETY CODE AND IS BASED ON YOUR BEING IDENTIFIED BY THE DEPARTME'NT OF TOXIC SUBSTANCES CONTROL AS PERFORMING TREATMENT WHICH IS CONDITIONALLY EXEMPT FROM OTHER FACILITY PERMITTING REQUIREMENTS. INFORMATION CONCERNING DETERMINATIONS A PERSON AGAINST WHOM A DETERMiNATiON IS MADE OR ANY PERSON DIRECTLY INTERESTED MAY PETITION FOR REDETERMINATION WITH THE BOARD OF EQUALIZATION WITHIN 30 DAY5 FROM THE DATE SHOWN AT THE TOP OF THIS NOTICE, A PETITION MUST BE IN WRITING AND STATE THE SPECIFIC GROUNDS UPON WHICH IT IS FOUNDED. ANYONE FILING A PETITION SHOULD BE PREPARED TO SUBMIT DOCUMENTARY EVIDENCE TO SUPPORT THE SPECIFIC GROUNDS UPON REQUEST. IF A HEARING IS DESIRED, IT SHOLILD BE REQUESTED IN THE PETITION. THE REQUEST SHOULD SPECIFY WHETHER AN APPEALS CONFERENCE WITH A STAFF COUNSEL OR SUPERVISING TAX AUDITOR AT THE NEAREST DISTRICT OFFICE OR A HEARING BEFORE THE BOARD IN SACRAMENTO IS DESIRED. A 10 DAY NOTICE OF THE TIME AND PLACE OF HEARING WILL BE GIVEN. THE FILING OF A PETITION WILL NOT PREVENT THE ACCRUAL OF INTEREST. THE **~* CONTINUED ON BACK ***~ MAKE CHECK OR MONEY ORDER PAYABLE TO THE STATE BOARD OF EQUALIZATION Always write your account number on your check or money order, Make a copy of this document for your records. ~e~cy Departmem of Toxic Sul~am:es Control PaEe I of._.7 ONSITE HAZARDOUS WASTI~ TREATMENT NOTIFICATION FORM FACILITY SPECIFIC NOTIFICATION For Us~ by Hazardous Waste Generators Performing Treatment [] Initial Under Conditional Exemption .nd Conditional Authorization, I-] Renewal and by Permit By Rule Facilities [] Revision Please rqfer to the attached Instructions before completing this form. You may notify for more than one permitting tier by using this notification form, DJ'SC 1772. You must attach a separate unit specific notification form for each unit at this location. There are different unit specific notification form~ for each of the four categories and an _ndditional noti. fication form for transportable treatment units ('ITU's). You only have to submit form~ for the tier(s) that cover your unit(s). Discard or recycle the other unused form& Number each page of your completed notification paakage and indicate the total number of pages at the top of each page at the 'Page m of__'. Put your EPA 1D Number on each page. Plea.re provide all of the information reque, rted; all fields must be completed except those that state 'if different' or 'if available'. Please type the information provided on this form and any attachments. The notification fees are assessed on the basis of the number of tiers the notifier will operate under, and will be collected by the State Board of Equalization. DO NOT SEND YOUR FEE WITH THIS NOTIFICATION FORM: ~' ~ ' ~ I. NOTIFICATION CATEG ORIF._,S Indiqate'i'he number of units you operate in each tier. This will also be the number of unit specific notification forms you must attach. Conditionally F. nm~ Small Quantity Treaontnt operations may not operate ~ under any other tier. Number of units and attached unit specific notificati~rted. l~,' B. 1 C°nditi°aally Exempt'Specified ~ream t~ ,t~t~,%-: \E'Io~rl~r~o ~":,1 Commemial Latmdry il mJMBERa..0 0 0 S 7 3 7. Hq.. ..... FACILITY NAME Physicians Plaza Medical Ima9in9 Conter-Min~ Kaiser (DBA--Doing Buair~ A~) PHYSICAL LOCATION ~t~NN ~l n~ ax_r,= CITY, ~. Bakersfield CA ZIP 93311 COUNTY CONTACr PERSON Kern Joyce Ayers (Fu~t Name) (la~ Name) PHONE NUMBER(805 ). 395 .-~)155 MAILING ADDRESS, IFDIFFERENT: COMPANY NAME Physicians Plaza Medical STR~T 4000 Physicians Blvd ~101 Imaging Center CITY Bakersfield STATE CA ZIP 93311 - COUNTRY · CONTACt PERSON Kern (only complete if not USA) PHONE NUMBER( 805 ). 395-0155 ' Page DTSC 1772 (7/94)i EPA ID NUMBER RADIOACTIVE MATER/ALS OR WASTE Does the facility use, store or treat radioactive materials or radioactive waste7 Page ~2 of IV. TYPE OF COMPANY: STANDARD INDUSTR/AL CLASSIFICATION (SIC) CODE: Use either one or two SIC coder (a four digit number) that best describe your company's products, cervices, or industrial activity.'..` Example: 7384.. photofinishing lab 7218 Industrial launderers First: 8011 Offices & Clinics of Second: 7384 Medical Doctors V. PRIOR PEREYIT STATUS: YES NO 2. Photofinishing Lab Check yes or no to each question: Did you file a PBR Notice of latent to Operate (DTSC Form 8462) ia 1992 for this location? Do you now have or have you ever held a state or federal baTardous waste facility full permit or interina status for any of these treatment units7 .-. 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? 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? Has this location ever been inspected by the state or any local agency as a haTardous waste generator? Vie PRIOR ENFORCEIgfENT HISTORY: Not required from generator~ only notifying as conditionally exempt 'or as a YES NO l-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, hazardous 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) ATTACHMENTS: Axtaahngn~ are not requirgdfor Comnu~cial Laund,yfacilitier. 1. A plot plan/map detailing thc location(s) of the covered unit(s) in relation to the facility boundaries. 2. A unit specific notification form for each unit to be covered at this location. DTSC 1772 (7/94) -Page 2 · EPA ID NUMBER Page 3 of 7 VIII. C]ERTHrICATIONS: This form must be signed by an authorized corporate o.l~cer or any other person in the company who has operational control and pec/'orms decision-maMngfunaions that govern operation of the facility (per ~tle 22, California Code of Regulations (CCR} Section 66270.1I). Al1 three copit~ mart have original signatures. Wa.,st~ Minlm|zatign I certify that I have a program ia 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. Tii~rgql Permittim! Certification I certify that the unit or units de.scribed ia these documents meet the eligibility and operating requirements of state statutes and regulations for the indicated permitting tier, including generator and secondary containment r~xtuiremeats. I understand that ifa. ny of the units operate under Permit by Rule or Conditional Authorization, I will also be required to provide required financial assurances by January 1, 1995, and conduct a Phase I environmental assessment by January 1, 1995. I c~rtify under penalty of law that this document and ali 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 thc possibility of frees and imprisonment for knowing violations. Jerry Sturz Name (Print or Type) Signature Administrative Director Title Date Signed OPERATING REQUIREMENTS: Please note that generators treating hazardous waste oasite are required to comply with a number of operating requirements which differ depetMing on the tier(s). These operating requirements are set forth in the statutes and regulations, some of which are referenced in the Tier-Specific Fact Sheets available from the Department's regional and headquarters offices. SUBMISSION PROCEDURES: You must submit two copie~ of this completed notification by certified mail, return receipt requested, to: Department of ToMc Substances Control Onsite Hazardous Waste Treatment Unit 400 P Street, 4th Floor (walk in only) P.O. Box 806 Sacramento, CA 9581243806. You must also s~bmit one oom~ of the notification and attactunetus to the local regulatory agency in your jurisdiction as listed in Appendix2 of the instruction materials. You must also retain a copy as part of your operating record. All three form~ mart have oriirinal signature, not photooopies. DTSC 1772 (7/94) Page 3 EPfA ID NUMBER CAB CONDITIONALLY EXEMFr - SPECIFIED WASTESTREAMS UNIT SPECIFIC NOTIFICATION (pursuant to Health and Safety Code Section 25201.5(c)) Page 4_. of 7__ The Tier-Specific Fact Sheets contain a ~uminary of the opera~ requirements for this category. Please review those requirements carefully before completing or submitting this notification package. UN1TNAME Silver Reclaimer UNIT ID NUMBER NUMBER OF TREATMENT DEVICES: 0 Tank(s) 1 Contaiaer(s)/Container Treatment Area(s) Each unit must be clearly identified and labeled on the plot plan attached to Form 1772. 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 shouM be the maximum or highest amount treated in any month. Indicate in the narrative (Section II) if your operations have seasonal variations. Estimated Monthly Total Volume Treated: YES NO pounds and/or 27 gallons Is the wast~ treated ia this unit radioactive? Is the waste treated ia this unit a bio-hazard/iafectious/medical waste? The following are the eligible wastestream.r and treatment processes. Please check all applicable boxes: 1. Treats resins mixed in 'accordance with the manufacturer's instructions. F"] 3. i~! 4. [-] 5. Treat containers of 110 gallons or less capacity that contained haynrdous waste by rinsing or physical processes, such as crushing, shredding, grinding, or puncturing. : Drying special wastes, as classified by the depaxhnent pursuant to Title 22, CCR, Section 66261.124, by pressing or by passive or heat-aided evaporation to remove water. Magnetic separation or screening to remove components from special waste, as classified by the depaxtment pursuant to Title 22, CCR, Section 66261.124. 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.) F-] 6. DT$c 1772B (7/94) 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. Page 10 EPA IDNUMBER 'CAt, O0 CONDITIONALLY EXEMPT - SPECIFIED WASTESTREAMS UNIT SPECIFIC NOTIFICATION (pursuant to Health and Safety Code Sectioa 25201.5(c)) El El El 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 hazardous. b. The separation of oil/wate~ 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.) 10. I-IaTardons waste treatment is carried out in quality control or quality assurance laboratory at a facility that is not an offsite ha;mrdons waste facility. 11. A wastestream and treatment technology combination certified by the Deparhnent pursuant to Section 25200.15 of the Health and Safety Code. NARRATIVE DESCRIlrrIONS: Provide a brief dexcription of the specific waste treated and the treatment process used. 1. SPECIFIC WASTE TYPES TREATED: Photo fixer conta~nina silv~_r TREATMENT PROCESS(ES) USED: Electrolytic and Metallic Replacement RESIDUAL MANAGEM3ENT: Check Yes or No to each question as it applies to all residuals from this treatment unit. NO El 1. Do you discharge non-hazardous aqueous waste to a publicly owned treatment works (POTW)/~wer? 2. Do you discharge non-ba:,ardous aqueous waste under an NPDES permit? 3. Do you have your residual hazardous waste hauled offsite by a registered ba:,ardous waste hauler? If you do, where is the waste sent? Check all that apply. i~ a. Offsite recycling El b.. Thermal treatment [--! c. Disposal to land El d. Further treatment El l'Xi 4. Do you dispos~ of non-hazardous solid Waste residues at aa offsite location? 5. Other method of disposal. Specify: DTSC i772B (7/94) Page EPA ID NUMBER CONDITIONALLY EXEMlrr - SPECIFIED WASTESTREAMS UNIT SPECIFIC NOTIFICATION (pursuant to Health and Safety Code Section 25201.5(c)) Page __6 or __7 IV. BASIS FOR NOT NEEDING A FEDERAL PERMTF: 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 i~ not required under the federal Resource Conservation and Recovery Act ('RCRA) and the federal regulation~ adopted under RCRA 07tie 40, Code of Federal Regulations (CFR)). Choose the reason(s) that describe the operation of your onsite treatment units: D' 3. F'I 6. .Fl s. Fl 9. The ba?ardous waste being treated is not a ba2ardous waste under federal law although it is regulated as a baTardous waste under California state law. The waste is treated in wastewater treatment units (tanks), as defined ia 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. The waste is treated ia elementary neutralization mt.s, as defined in 40 CFR Part 260. I0, and discharged to a POTW/seweriag agency or under an NPDES permit. 40 CFR 264.1(g)(6) and 40 CFR 270.2. The waste is treated in a totally enclosed treatment facility as de£med ia 40 CFR Part 260.10; 40 CFR 264.1(g)(5). The company generates no more than 100 kg (approximately 27 gallons) of ba:rardous waste ia a calendar month and is eligible as a federal conditionally exempt small quantity generator. 40 CFR 260.10 and 40 CFR 261.5. The waste is treated in an accumulation tank or container within 90 days for over 1000 kg/month genera(ors and 180 or 270 days for generators of 100 to 1000 kg/month. 40 CFR 262.34, 40 CFR 270. l(e)(2)(i), and the Preamble to the March 24, 1986 Federal Register. Recyelable 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. Empty container rinsing and/or treatment. 40 CFR 261.7. Other:. Specify:. Vo TRANSPORTABLE TREATMENT UNIT: Check Yes or No. NO Please refer to the Instructions for nwre information. Is this unit a Transportable Treatment Unit'?. II yoU answered yes, you must also complete and attach Form 1772E to this page. DTSC 1772B (7/94) Page 12 EPA ID~ i~CAL000081737 Page 7 of 7 Hagen Oaks Blvd. Ming Ave. Physicians Plaza Medical Imaging Center c/o Kaiser Permanente Ming Ave. 8800 Ming Ave. Bakersfield, CA 93311 (805) 664~3740 (facility) (805) 395-0155(contact person) LOBBY SLate of California - Call%mia Eaviroamental Agency Department of Toxic Substam:~ Control Page I of__T ONSITE HAZARDOUS WAST TREATMENT NOTIFICATION FORM FACILITY SPECIFIC NOTIFICATION For Use by Hazardous Waste Generators Performing Treatment [] Under Conditional Exemption and Conditional Authorization, [] aad by Permit By Rule Facilities [] Initial Renewal Rovision 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 di~erent unit specific notification forrns for each of the four categories and an additional noti. fication form for transportable treatment units 0'ITI'$}. You only have to submit forms for the tier(s} that cover your unit(s}. Discard or recycle the other unused forms. Number each page of your completed notification package and indicate the total number of pages at the top of each page at the 'Page__ of__: Put your EPA ~9 Number on each page. Please provide all of the information requested; all fields must be completed except those that state 'if di2Terent' or 'if available'. Please type the information provided on this form and any attachments. The noti. flcation fees are assessed on the basis of the number of tiers the natifier will operate under, and will be collected by the State Board ,of Equalization. DO NOT SEND YOUR FEE Wl'IT=! TtU$ NOTlFIC~770N FORM. I. NOTIFICATION CATEGORIES Indicate the number of units you operate in each tier. This will also be the number of unit specific noti. fication forms you must attach. Conditionally ~ Small Quantity Treatment operations may not operate ~ under any other tier. Number of units and attached unit specific notifications for each tier reported. A. Conditionally Exempt-Small Quantity Treatment D. Permit by Rule B. I Conditionally Exempt-Specified Waste.stream E. Commercial Laundry C. Conditionally Authorized II. GENERATOR mENTIFICATION EPA ID NUMBER~AL 0,O0__0 8 1 7 3 7 F. Vadmce (Section 25205.7) BOE NUMBER (if available) H~HQ,,~._., .... ~--- FACILITY NAME (DBA--Doing Business As) PHYSICAL LOCATION CITY Physicians Plaza RR~ M(n~ Axr~ Bakersfield Medical Imaging Center-Ming Kaiser CA Z~ 93311 COUNTY Kern CONTACT PERSON Joyce Ayers CFu~ N~u~) (ta~ Nmu~) PHONE NUMBER(805 ). 395-~)155 MAILING ADDRESS, IF DIFFERENT: COMPANY NAME Physicians Plaza Medical Ima_oin_o Center 4000 Physicians Blvd ~lO] Bakersfield STATE CA ZIP 93311 COUNTRY CONTACT PERSON Kern (only complete if m:~ USA) ,Tf~vc'~ PHONE NUMBER( 805 ),395-0155 DTSC 1772 (7/94) ' Page EPA ID NUMBER ~ RADIOACTIVE MATERIALS OR WASTE NO l~l Does the facility use, store or treat radioactive materials or radioactive waste? Page IV. TYPE OF CON[PANY: 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. 72I____8 Industrial launderers FLat: 801]~ Offices ~ Clinics of Second: 7384 P. hotofinishin_~ Lab Medical Doctors V. PRIOR PERMIT STATUS: Check yes or no to each question: YES NO Did you file a PBR Notice of Intent to Operate (DTSC Form 8462) ia 1992 for this location? Do you now have or have you ever held a state or federal hazardous waste facility full permit or interim status for any of the.~ treatment uaita? 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? 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? Has this location ever been inspected by the state or any local agency as a ba:rardous waste generator? PRIOR ENFORCEMENT HISTORY: Not required from generator~ only notifying as conditiotu~y t:r~npt 'or as a YES NO l--l 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, hazardous waste, or public h~alth enforcement agency? (For the purposes of this form, a notice of violation does not constitute aa order and need not be reported unless it was not corrected and became a final order.) If you answered Yea, check this box and attach a listing of convictious,judgments, settlements, or orders and a copy of the cover sheet from each document. (See the Instructions for more information) ATTACItMENTS: Mmzchmtn~ are not r~q~ir~l ]'°r C. omm~ial Laundo, fa~iliti~. 1. A plot plan/map detailing the location(s) of the covered mt(s) in relation to the facility boundaries. 2. A unit specific notification form for each unit to be covered at tiffs location. DT$C 1772 (7/94) Page 2 EPA ID NUMBER Page 3 of 7 CERTIFICATIONS: This form must be signed by an authorized corporate officer or arty other person in the company who has operational control and performs decision-maMngfunctions that govern operation of the facility (per 77tie 22, California Code of Regulations (CCR) Section 66270.11). All three copies mart have original Mgnatures. WaSte Minimizafign I c~rtify that I have a program ia place to rextuce thc volume, quantity, and toxicity of waste gcncrated to the degree I have determined to bo 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 Permitting Certification I certify that the unit or un/ts described in thes~ documents meet thc 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 bo required to provide required financial assuraace~ by January 1, 1995, and conduct a Phase I environ.mental asse.~ment by January 1, 1995. I certify under penalty of law that tl:ds 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 the possibility of fmcs and imprisonment for knowing violations. Jerry Sturz Name (Print or Type) signature Administ~rative Director Title t a-I--.-o/ ~( Date Signed OPERATING REQUIREMENTS: Please note thru generators treating hazardous waste onsite are required to comply with a number of operating requirements which differ depending on the tier(s). 73ese operating requirements are set forth itl the statutes and regulations, some of which are referenced in the 7ier-$peci. fic Fact Sheets available from the Department '$ regional and headquarters offices. SUBMISSION PROCEDURES: You must ~ubrnit two copies of this completed notification by certified 'mail, return receipt requested, to: Department of Toxic Substances Control Onsite Hazardous Waste Treatment Unit 400 P Street, 4th Floor (walk in only) P.O. Box 806 Sacramento, CA 95812-0806. You must also submit one cotrg of the notification and attachments to the local regulatory agency in your jurisdiction as listed in Appendix. 2 of the instruction materials. You must also retain a copy as part of your operating record. Ali ~three forntt mart have original signature, not photocopies. DTSC 1772 (7~94) Page 3 EPA ID NUMBER CAL 0000737 CONDITIONALLY EXEMPT - SPECIFIED UNIT SPECiFIC NOTIFICATION (pursuant to Health and Safety Code Section 25201.5(c)) WASTESTREAMS P~ge 4__ of 7 The Tier-Specific Fact Sheets contain a summary of the operating requirements for this category. Please review those reqnirements carefully before completing or submitting this notification package. UNIT NAME Silver Reclaimer UNIT ID NUMBER NUMISER OF TREATMENT DEVICES: 0 Tank(s) 1 Container(s)/Container Treatmeat Area(s) Each unit must be clearly identified and labeled on the plot plan attached to Form 1772. Assign your own unique number to each unit. The number can be sequential (1, 2, 3) or using any xystem 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 II) if your operations have seasonal variations. L YES WASTESTREAMS AND TREATMENT PROCESSF~: Estimated Monthly Total Volume Treated: NO [] Is the wast~ treated in this unit radioactive? pounds and/or 27 gallons El [] Is the waste treated ia this unit a bio-hazard/infectious/medical waste? El The fo!lowing are the eligible wastestreams and treatmenl processes. Please check all applicable boxes: Treats reams mixed in .accordance with the manufacturer's instructions. Treat containers of 110 gallons or less capacity that contained ha~,nrdous waste by rinsing or physical processes, such as crushing, shredding, grinding, or puncturing. Drying special wastes, as classified by the deparhnent pursuant to Title 22, CCR, Section 66261.124, by pressing or by passive or heat-aided evaporation to remove water. Magnetic separation or screening to remove components from special waste, as classified by the depm huent pursuant to Title 22, CCR, Section 66261.1Z4. Neutralize acidic or alkaline (base) wastes from the regeneration of ion exchange media used t~ demineralize water. (This waste cannot contain more than 10 percent acid or base by weight to be eligible for conditional exemption.) 6. Neutralize acidic or alkaline (base) wastes from the food processing industry. o Recovery of silver from photofinishing. The volume limit for conditional exemption is 500 gallons per generator (at the same location) in any calendar month. DTSC 1772B (7/94) Pago 10 EPA ID NUMBER CAL 00008170 CONDITIONALLY EXEMPT - SPECI];'IED WASTESTREAMS UNIT SPECIFIC NOTIFICATION (pursuant to Health and Safety Code Section 25201.5(c)) rage .5__ of 2_ 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 hazardous. b. Tho ~paratioa of oil/water mixtures and separation sludges, if the average oil recovered per month is less than 25 barrels (42 gallons per barrel). 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.) 10. Hazardous waste treatment is carried out in quality control or quality assurance laboratory at a facility that is not an offsite ha_~rdous waste facility. 11. A wastestream and treatment technology combination certified by the Depas:Ui~ent pursuant to Section 25200.15 of the Health and Safety Code. NARRATIVE DESCREPTIONS: Provide a brief description of the specific waste treated and the treatment process u~ed. 1. SPECIFIC WASTE TYPES TREATED: Photo fixer containinq silver 2. TREATMENT PROCESS(ES) USED: Electrolytic and Metallic Replacement RESIDUAL MANAGEMENT: Check Yes or No to each question as it applies to all.residuals from th~s. treatment unit. NO l-'! I. Do you discharge non-hazardous aqueOus waste to a publicly owned treatment works (POTW)/~wer? 2. Do you discharge non-ba~,ardous aqueous waste under an NPDES permit? l-'l 3. Do you have your residual hnTardous waste hauled offsite by a registered ha:'ardous wast~ hauler? If you do, where is the waste sent? Check all that apply. I--~ a. Offsite recycling I--! b. Thermal treatment l"l c. Disposal to land I--! d. Further treatment 4. Do you dispose of non-hsz, rdous solid waste re.~idues at aa offsite location? 5. Other method of disposal. Specify: DT$C 1772B (7/94) page EPA ID'NUMBER ~ CONDITIONALLY EXEM]'rT - SPECIFIED WASTESTREAMS UNIT SPECIFIC NOTIFICATION (pumuant to Health and Safety Code Section Z5201.5(c)) Page__6of7 IV. BASIS FOR NOT NEEDING A FEDERAL PER~flT: In order to detnonstrate eligibility for one of the onsite treatrnenl tiers,facilities are required to provide the basis for determining that a hazardous waste permit is not required under the federal Resource Conservation and Recovery Act (RCRA} and the federal regulations adopted ureter RCRA 07tie 40, Code of Federal Regulations (CFR)). Choose the reason(s) that describe the operation of your onsite treatment units: The baTardous waste being treated is not a ha:'ardous waste under federal law although it is regulated as a ba~':~rdous waste under California state law. lil 2. The waste is treated in wa.stewater treatment units (tanks), as defined 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. D' 3. The waste is treated in elementary neutralization units, as defined in 40 CFR Part 260.10, and discharged to a POTW/sewering agency or under an NPDES permit. 40 CFR 264. l(g)(6) and 40 CFR 270.2. · l"'i 4. The waste is treated in a totally enclosed treatment facility as de£med in 40 CFR Part 260.10; 40 CFR 264. l(g)(5). The company generates no more than 100 kg (approximately 27 gallon.s) 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. l"] 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 100 to I000 kg/month. 40 CFR 262.34, 40 CFR 270. l(c)(2)(i), and the Preamble to the March 24, 1986 Federal Register. 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. l-"l 8. Empty container rinsing and/or treatment. 40 CFR 261.7. l--l 9. Other:. Specify: V. TRANSPORTABLE TREATMENT UNIT: YES NO ' ['"! [] Is this unit a Transportable Treatment Unit'?. Check Yes or No. Please refer to the Instructions for more information. If you answered yes, you must also complete and attach Form 1772E to this page. DTSC 1772B (7/94) Page 12 EPA IDNT~BER %CAL000081737 Page 7 of 7 Hagen Oaks Blvd. Ming Ave. Physicians Plaza Medical Imaging Center c/o Kaiser Permanente Ming Ave. 8800 Ming Ave. Bakersfield, CA 93311 (805) 664-3740 (facility) (805) 395-0155(contact person) LOBBY ~TATE OF CALIFORNIA*--CAUFORNLa, ENVIRONME~AL PROTECTION AGENCY DEPARTMENT OF TOXIC o.~BSTANCES CONTROL 400 P STREET. 4TH FLOOR P.O. BOX 806 *SACRAMENTO, CA 95812-0806 (9:16) 323-5871 PETE WILSON, Governor 01117/95 EPA ID: CAIAXX}081737 PHYSICIANS PLAZA IVIED IMAGING CTR JOYCE AYERS 4000 PHYSICIANS BL #101 BAKERSFIELD, CA 93311 8800 MING AVE BAKERSFIELD, CA 93311 Authorization Date: 01/17/95 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 Wastestreams (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 thne, you may be inspected and will be subject to penalty if violations of laws or regulations are found. The Department 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 ou a calendar year basis for each year you operate and have not notified DTSC that the units have been closed. You must notify the DTSC 60 days before first treating b~,'dous 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 ~d_~s 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 Authorizatiou ~i/or Conditional Exemption is contingent upon the accuracy of information submitted by you in the notificatious mentioned above, and your compliance with all applicable requirements in the Health and Safety Code. Any misrepresentation or any. failure to fully disclose aH relevant facts shah 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 aH authorized onsite facilities later thls.year. ' ' * .' Page 2 EPA ID: CAL000081737 If you have any questions regarding this letter, or have questions on operating requirements for your facility, please contact the nearest DTSC tegionnl office, or this office at the letterhead address or phone number. Michael S. Homer, Chief Onsite Hazardom Waste Treatment Unit Permit Streamlining Branch HnTnrdous Waste Management Program Enclosure ASTRID JOHNSON DTSC REGION 1 STATE REGULATORY PROGRAM 1515 TOLLHOUSE CLOVIS, CA 93611 STEVE MCCALLI~-Y KERN COUNTY ENVIRON. HEALTH SERVICES DEPT 2700 M STREET, SUITE 300 BAKERSFIELD, CA 93301 Page 3 ENCLOSURE 1 Uait~ ~ to operate at thir iomtioa: UNDER CONDITIONAL AUTHORIZATION: EPA ID: CAL000081737 UNDER CONDITIONAL EXEMPFION: