HomeMy WebLinkAboutHAZARDOUS WASTEHazardous Materials/Hazardous Waste Unified Permit
CONDITIONS OF PERMIT ON REVERSE SIDE
.......... ,~.~,~,~;ai~,? ~,,!!.~.~,,,,,~ ........ This permit is issued for the following:
LOCATION ' 3551 Q
~C"... '~'
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Issued by:
O Bakersfield Fire Department
OFFICE OF ENVIR ONMENTAL SER VICES
1715 Chester Ave., 3rd Floor
Bakersfield; CA 93301
Voice (805) 326-3979
FAX (805) 326-0576
Approved by:
Office of li~wol~entai Servia'es
Expiration Date:
June 30, 2000
STATE OF CALIFORNIA-ENVIRONMENTAL PROTECTION AGENCY
DEPA'R~MENT OF TOXIC CONTROL
PETE WILSON,' G'overnor
CHECKLIST AND INITIAL VERIFICATION INSPECTI/O~PORT FOR
Permit by Rule, Conditionally Authorized, and Conditioff'ally Exempt Notifiers
FACILITY NAME: £//'~ct~x Ce. Jr,,/ ,/'qrd,c'~/ oa,'~,,/o EPA ID NUMBER: (/://.v ?~°o'~ ~/~ ~
PHYSICAL ADD.SS: 3~ / "~" ~i~ee ~ ~ ~,f~- [/~/d , C~. q~ f
FACILITY CONTACT-N~E: ~/~ ~c ~e~ PHONE: gv~) ~yq- ~3 ~'
SIC CODE(S): ~o/~ INSPECTION DATE: ~. ~; /yv~ - ~cal g
NOTIFIED UNIT COUNT:
CORRECT UNIT COUNT:
PBR CA~ CESW ! CESQT TOTAL
PBR~ CA~ CESW / CESQT TOTAL
This checklist and inspection report identify violations'of state law regarding onsite treaters of hazardous waste,
operating under an onsite permitting tier. This inspection verifies the information provided on form DTSC 1772. It also
covers generator requirements, ~lthough a separate checklist may be used for those requirements. A checkmark indicates
violation of the law, which are explained in more detail on the attached note sheets. The governing laws are the Health and
Safety Code (HSC) and Title 22 of the California Code of Regulations (22 CCR).
Generator Standards:
Each inspection agency, may use their own generator inspection checklist or protocols, which are summarized below. A full
evaluation of each item or document is not conducted during the Verification Inspection, unless serious deficiencies are suspected.
NO
1. 0t, Contingency plan has been prepared (adequately minimize releases, has alarm/communication
system, lists emergency equipment and phone numbers for emergency coordinators).
2.0t, Written training documents and records prepared for employees handling hazardous waste.
3. t~f~, Meet container management standards (storage time limits, closed, labelled, compatibility,
inspected weekly, in good condition, with ignitables/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).
5.06 All wastes are properly identified.
Treatment Items-Facility Wide:
6. o~
8.
9. '
10.##
(Facility must submit a revised Form 1772 to correct errors or omissions.)
All units under PBR, CA, and CE are properly indicated on Form DTSC 1772. (Add any new
units with unit sheets or correct tier on the unit sheet.)
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 documents requirements (SB 14/SB
1726). FOr many wastes, a checklist or plan is required o.rfiy 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./Vfl The generator has an annual waste minimization certification. (PBR submit with renewals.)
Onsite Checklist (A) Page 1 of ! August 2, 1994
STATE OF ~CALIFORNIA-ENVIRONMENTAL PROTECTION AGENCY
DEPARTMENT OF TOXIC SUB~ ES CONTROL
CHECKLIST AND INITIAL VERIFICATION INSPECTION REPORT FOR
Permit by Rule, Conditionally Authorized, and Conditionally Exempt Notifiers
UNIT SHEET
PETE WILSON, Governor
Complete one unit sheet for each unit either listed in the notification or identified during the inspection.
Unit Number: ;~/ Unit Name: /7'
Notified Tier: C ,e.y to Correct Tier: ¢'e~_~
Notified Device Count: Tanks
Correct Device Count: Tanks
Containers
Containers
For each Unit:
.NO
12.~
13.
14.
15.
16.
17.
18.
19.
20.
21.
22
23.
All hazardous wastes treated are generated onsite.
The unit notification is accurate as to the number of tank(s) and/or cont:iiner(s).
The estimated notification monthly treatment volume is appropriate for the indicated tier.
The waste identification/evaluation is appropriate for the tier indicated.
I
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 management information on the form is correct and documented for the unit.
The indicated basis for not needing a federal permit on the notification ~:orm is correct.
There are written operating instructions and a record of the dates, volumes, residual
management, and types of wastes treated in the unit. I
There is a written inspection schedule (containers-weekly and tanks-dailyi.
There is a written inspection log maintained of the inspections conductedJ
If the unit has been closed, the generator has notified DTSC and the loca~l agency of the
'closure.
For each CA or PBR unit:
24. #fl The generator has secondary containment for treatment in containers.
For each PBR unit:
25. There is a waste analysis plan
.,, 26.~ There are waste analysis records.
... 27. There is a closure plan for the unit.
Unit Comments/Observations: (If this is a unit that was not included on ~he notification form, the,violation
without a permit-HSC 25201(a). Also note if the activity is currently ineligible for onsite authorization.)
is operating
onsite Checklist (B) Page / of { AugUst 2, 1994
ST .~.TE OF ~,LIFORNIA-ENVIRONMENTAL ~ AGENCY
D~~ ~--~'~ ~-'~~E~ ~O--NTROL
CHECKLIST AND INITIAL VERIFICATION INSPECTION REPORT FOR
Permit by Rule, Conditionally Authorized, and Conditionally Exempt Notifiers
SIGNATURE SHEET
PETE WILSON, Governor
Onsite Recycling: Only answer,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./d//Activities claimed under the onsite recycling exemption are appropriate. HSC 25143.2 et sec.
Releases:
YES'
30.
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). Use unit sheet or attach additional pages.
Within the last three years, were there any unauthorized or accidental releases to the
environment of hazardous waste or hazardous waste constituents from onsite treatment units?
Within the last three years, were there any unauthorized or accidental releases
to the environment of hazardous waste or hazardous waste constituents from any location at .
this facility?
For purposes of a Tiered Permitting inspection, an unauthorized and/or accidental
release to the environment does not include spills contained within containment systems.
This report may identify conditions observed this date that are alleged to be violations of one or
more sections at the California Health and Safety Code (HSC) or the California Code of Regulations,
Title 22 (22 CCR) relating to the management of hazardous waste. The violations may be described in
more detail on the attached note sheets. If any violations are noted, the facility is required to the submit
a signed Certification of Return to Compliance within 60 days, unless otherwise specified. (A
certification form is provided.) If any corrections are needed to the initial notification, the facility will
submit a revised notification within 30 days to the Department of Toxic Substances Control with a copy
to the local enforcement agency.
Inspector(s):
Lead Inspector:
Signature:
Print Name:
Title: flu
Agency: ~c~./.
Phone Numger:~ wf'~
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 findings.
Signature: "~~ ('~
Title:
Onsite Checklist (C)
Print Name:
Date:
Page / of
August 2, 1994
S'[?,TE OF ~;ALIFORNIA-ENVIRONMENTAL PROJlON AGENCY
DEP. ARTMENT OF TOXIC SUBSTANCES CONTROL
PETE WILSON, Governor
CHECKLIST AND INITIAL VERIFICATION INSPECTION REPORT FOR
Permit by Rule, Conditionally Authorized, and Conditionally Exempt Notifiers
NOTE SHEET
This sheet includes inspectot~ observations and expands upon.the violations identified on the checklist (by number). In some
cases, it indicates how the facility should correct the violations. It also includes the names of any others participating in this inspection.
Onsite Checklist (D) Page /' of { August 2, 1994
FILE INPUT
cou~y, ~::~¥
z~P .coDE
FILE TYPE
OTHER
,DEPARTMENT OF TOXIC SUBSTANCES CONTROL
400 p Street, 4th Floor
'P.O. BOX 806
'Sacramento CA 95812-0806
(916), 323-5871
CLINICIANS CENTRAL MEDICAL GROUP, INC. .
PAULA MCGEE
3551 Q STREET ~
BAKERSFIELD, CA 93301 ·
For facility located at:
3551 Q ET
BAKERSFIELD, CA 93301
PETE WILSON, Governor
':" 09110193
EPA ID.'. ~cAD983628165
Authorization Date: 09/10/93
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 time,
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 ha~/~ fully
closed the unit(s). You will be charged annual fees calculated on 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 hazardous wastes.in any new unit. You must also
ngtify the DTSC whenever any of the information you provided in these notifications changes. To revise information,
mail a cover letter to the above address explaining the changes, attach only the pages of your notification package that
, have changed, and re-sign and date at the signature space on page 3 of form 1772.
: '.'~- . '. Your status to operate under Conditional Authorization and/or Conditional Exemption is contingent upon the
accuracy of information submitted by you in the notifications mentioned above, and your Compliance with all applicable
r6qUi/ements in the Health and Safety Code. Any misrepresentation or any failure to fully disclose all'relev~t facts
shall render your authorization to operate null and void.
":' "· "You are also required to properly close any treatment unit. Additional guidance on closure will. be issued and
· .distributed to all authorized onsite facilities later this year. _!~:"'
. Page 2' ...~'~'~ .-;'-,.f~ -', -' ~-- ~;~ ,. "/-- ~:.~;'~';:- ' ~V;' - EPA ID:'~CAD983628165
pl~ ~n~t ~ n~D~C'~gio~ offi~, .o~ ~g 0ffi~ at ~e le~rh~d addr~ or phone num~[i~:;~:~ . :
cc: SUSAN .LANEy;:
DTSC 'REGION.::) ''"
'SURVEILLANCE & ENFORCEMENT
.lOlSt CROYD~I WAY, SUITE 3:
' CA 95827
' :~'~ - '
27~ M.ST~ET, SUITE 3~
BAKERSF1ELD~ CA 93301
Streamlining Branch
~':~H~rdous Waste,Management Program
ID: CAD983628165
~[C~Number I ' r_ ,0 4~.~
ONSI g NOTI CATION
FACILI~ SPECIFIC NO~FICA~ON
- - For U~ by H~rdo~ W~te Gene~to~ Pe~o~ng Tr~t~nt
Under Conditio~ Exemption ~d Conditio~ Au~odmtion,
~d by Pe~t By Rule Faciliti~
~en~ of Toxic Substances Cam.-~l
Page 1 of~...
Initial
Revi.sed
Please refer to the attached Instruction, before completing this form. You may notify for more than one permitting tier by using this
notification form, DTSC 1772. You mast attach a separate unit specific notification form for each unit at this location. There are
di~'erent una specific notification form~ for each of the four categories and an _,~Mitional notification form for transportable treatment
unit~ ('ITU's). 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 paclcage and indicate the total number of pages at the top of each page at the
'Page __ of__'. Put your EPA ID Number on each page. Please provide all of the information requested; all fields must be
completed except those that ~tate 'if di. fferent' or 'if available'. Please type the information provided on this form and any
attachments.
The notification will not be considered complete without payment of the appropriate fee for each tier under which you are operating.
(Please note that the fee is per TIER .not per UNIT. For example, if you operate 5 units but they are all Conditionally Authorized,
you only owe $1,140, NOTS tirn~ $1,140. If you operate any Permit by Rule units and any units under Conditional Authorization
you owe $2~280.) Cheaks should be made payable to the Department of Taxic Substances Control and be stapled to the top of this
form. Please write your EPA ID Number on the check. Fill in the check number in the box above.
I. NOTIFICATION CATEGORIES
Indicate'the number of units you operate in each tier. Thi~ will also be the number of unit specific notification form, you must attach.
Cohditionally F. xtn~t Small Quantity Treanntnt operation, may not operate anits under any other tier.
Numi~r of units and attached unk specific notifications Fee per Tier'
Conditionally Exempt-Small ~~mC~nt (Form DTSC 1772A) $ 103
X · Conditionally Exempt- in, (Form DTSC 1772B)~ $ 103
Conditionally Auth0 orm DTSC 1772C) $1,140
....' ~, Oa!if.o. rni~ Department
" k of H~tth S~rvices / '
1 Total Numar of Units "N~ea~E.~,/r
GENERATOR IDENTIFICATION
Total Fe~ Attached $ 10 0.0 0 \
EPA ID NLrMBER CAD983628165
NAME (Company or Facility)
(DSA--l~in$ Baalt~ A~) .
PHYSICAL LOCATION
BOE NUMBER (if available) H_~iHQ.-
Clinicians Central Hedical Group, ];nc.
3551 "Q" Street
crrY
Bakersfield
-Kern'
CA ZIp93301 -
IFor DTSC U~ Only
I~,cgion
CONTACT PERSON.
Paula HcGee
(F~ Name) (Lan N-~)
PHONE NUMBER( 805).634 . 3839
DTSC 1772 (1/93) Page I
- ~. EPA ID NUMBER
MAILING ADDRESS, IF DIFFERENT:
COMPANY. NAME (DBA) same
STREET
as location
.Page 2 of 7
crrY
COUNTRY
CONTACT PERSON
STATE
(only c. omple~ if not USA)
(Ftr~ N~m~)
(l~sl Name)
ZIP'
PHONE NUMBER(__)__
Ill. TYPE oF COi~PANY: STANDAKI) INDUSTRIAL CLASSIFICATION (SIC) CODE:
Use either one or two $IC coder (a four digit number) that best describe your company's produc~, services, or industrial activity.
Er. ample: 7384 photofinishing lab 3672 Printed circuit boards
'" First: 8011 Offices & Clinics of Second:~iedical Doctors
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) in 1992 for this location?
Do you now have or have you ever held a state or federal baTardous wast~ facility full permit or interim
status for any of thes~ treatment units?
Do you now have or have you ever held a state or federal full permit or interim status for any other
ha~-rdous m activities'at this location?
Have you ever held a variance issued by the Department of Toxic Substances Control for the treatment you
am now notifying for at this lol:ation?
Has this location ~v~r ~ impected by the sram or any local agency as a ha:,ardous waste generator?
PRIOR ENFORCEMENT HI.q'TORY: Not required from generator~ only notif~ng a.~ conditionally e:~npt.
.NO
'Within the last three years, has this facility been the subject of any convictions~ judgments, settlements, or final
orders resultl-g from an ~cfi0-~'by a~y local, state, or federal environmental, b~?~ntons waste, or public health
e. nforcement agency?
(For the purpo~ of this form, a notice of violation does not constitute an order and~ne~l not kl~e reported unless
/
it Was not corrected and l:xx:ame a final order.) /
If you answered Yes, check this box and attach a listing of convictions, judgments, settlements, or orders aad a copy
of the cover sheet from each document. (See the Instructions for mor~ information)
DTSC 1772 (1/93) Page 2
E~PA ID NUMBER CAD9
Page 3
ATTACHi~FFNTS:
A plot plan/map detailing the location(s) of the covered unit(s) in relation to the facility botmdaries.
A unit specific notification form for each unit to be covered at this location.
of 7
CERTIFICATIONS: Thief otto must be signed by an authorized corporate officer or any other person in the company who
has operational control and performs decision-making functions that govern operation of the facility (per title 22, California
Code of Regulations (CCR) section 66270. II). Ail three copie~ must have original ~ignaxttr~. .
Waste Minimization I certify that I have a program in place to reduce the volume, quantity, and toxicity of waste generated to the
degree I have determined to be economically practicable and that I have selected th~ practicable method of treatment, storage, or
disposal currently available to me which minimizes the present and future threat to human health and the environment.
Tier~l Permitting Certification I certify that the unit or units described in the~ documents meet the eligibility and operating
requirements of state statutes and regulations for the indicated permitting tier, including generator and secondary containment
requirements. I understand that if any of the units operam under Permit by Rule or Conditional Authorization, I will also be required
to provide required financial a.~urances by January 1, 1994, and conduct a Pha~ I enviromnental a.s.~ment by January 1, 1995.
I certify under penalty of law that this document and all attachments were prepared under my direction or supervision in accordance
with a system designed to as.mm that qualified personnel properly gather and evaluate the information submitted. Based on'my inquiry
of the per~n or persons who manage the system, or those directly responsible for gathering the information, the information is, to
the best of my knowledge and belief, true, accurate, and complete.
I.. am aware that there are substantial penalties for submitting false information, including the possibility of fines and imprisonment
for knowing violations.
Tom Bell C.O.O.
Nm (Print or Type)
'~.~~~0 '~'n' '~qf~
Signature
Title
Dat~ Signed
OPERATING REQUIREMENTS:
Please note that generators treating hazardous waste onsite are req'uired to comply with a number of operating requirement~ which
differ depending on the tier(s) under which one operates. These operating requirements are set forth in the statutes and regulations,
some of which are referenced in the 7~er-$pecific Factsheets.
SUBMISSION PROCEDURES:
You must xubrnit ~ copie~ of this completed notification by certified mail, return receipt requested, to:
Department of Toxic Subxtances Control :
Form 1772
.On,ire Hazardous Waste Treatment Unit
400 P Street, 4th Floor (walk in only)
- P.O. Box 806
Sacramento, UA 95812-0806.
You must also submit one cop~ of the notification and attachments to the local regulatory agency in your jurisdiction as listed in the
instruction materials. You must also retain a copy as part of your operating record.
All three forms must have original signatures, not photocopies.
EPA. ID NUMBER
CAD982
~165
Page 4__ off
CONDITIONALLY EXEMPT - SPECIFIED WASTESTREAMS
UNIT SPECIFIC NOTIFICATION
(pursuant to Health ;md Safety Code Section 25201.5(c))
A
UNIT ID NUMBER 1
NUMBER OF TREATMF-,NT DEVICES: ~ T,~.(s) 2 Container(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 system you choose.
Enter the estimated monthly total volume of hazardous 'waste treated by this unit. This should be the maximum or highest amount
treated in any month. Indicate in the narrative (Section II) if your operations hove seasonal variations.
I. WASTESTREAMS AND TREATMENT PROCESSES:
Estimated Monthly Total Volume Treated: pounds and/or 6 4 gallons
The following are the eligible wastesireams and treatment processes. Please check all applicable boxes:
Treats resins mixed in accordance with the manufacturer's instructions.
Treat containers of 110 gallons or less capacity that contained hazardous waste by rinsing or physical processes,
such as' crushing, skredding, grinding, or puncturing.
Drying special wastes, as classified by the department pursuant to title 22, CCR, section 66261.124, by pre~ing
or by-passive or heat-tfided evaporation to remove water.
Magnetic sepaxation or screening to remove components from special waste, as classified by the department pursuant
to title 22, CCR, section 66261.124.
Neutralize acidic or alkaline Coa.~) wastes from the regeneration of ion exchange media used to demineralize water.
Ct'his waste cannot contain more than 10 percent acid or base by weight to be eligible for conditional exemption.)
Neutralize acidic or alkaline (base) wastes from the food processing industry.
El
Recovery of silver from photofinishing. The volume limit for conditional exemption is 500 gallons per generator
(at the same location) ia any calendar month.
Gravity separation .:r :;~., %~,wing, including the use of floccul;mts and demulsifiers if
a. The set',....-; .,,.is from the waste where the resulting aqueous/liquid stream is not b,~ntous.
b. The separation of oil/w:atermixmres and separation sludges,, if the average oil recovered per month is less
thau 25 barrels (42 gallons per barrel).
Neutrali:fng a~idic or alkaline (base) mat~.,"ial by a state certified laboratory or a laboratory operated by an
educational institution. O'o be eligible for conditional exemption, this waste cannot contain mot~ than I0 percent
acid or bas~ by weight.) "
DTSC 1772B (I/93) Page 9
II.
EPA ID NUMBER Page 5 of 7
CAD9830165
CONDITIONALLY EXEMFF - SPECIFIED WASTESTREAMS
UNIT SPECIFIC NOTIFICATION
(pursuant to Health and Safety Code Section 25201.5(c))
NARRATIVE DESCRIFI'IONS: Provide a brief description of the specific waste treated and the treatment process used.
1. SPECIFIC WASTE TYPES TREATED: spent photograhpic fixer solution
containing silver
TREATMENT pROCESS(ES) USED:
electrolitic.-and ion exchange
D
RESIDUAL MANAGE1VIENT: Check Yes or No to each question as it applies to all residuaLv from this treatment unit.
..NC)
/'-! 1. Do you discharge non-haTardous aqueous waste to a publicly owned treatment works (POTW)/sewer?
' [] 2, Do you discharge non-hazardous aqueous waste under an NPDES permit?
3. Do you have your residual h-z-~dous waste hauled offsite by a registered hazardous waste hauler?
If you do, where is the waste sent?. Check all that app,.
~! a. Offsite recycling
. I-i "'" b." emal treatme i
c. Disposal to land
I-i
i'-I
d. Further treatment
4. Do you dispose of non-haz-nious aolid waste reaiduea at an offaite location?
Other method of disposal. Specify:.
IV. BAS. FOR NOT NEEDING A FEDERALPERM1T:
In order to'demonstrate eligibility for one of the onsite'tr~rnent tiers, facilities are required to provide the basis for determining that
a hazardous waste permit is not required un~er, the federal Resource Conservation and Recovery Act (IiCI?A) and the federal
regulations adopted under RCRA (7~tle 40, Code of Federal Regulations (CFR)).
Choose the re_.a~..on(s) that describe the operation of your onsite treatment units:
['"] 1. 'The baTardous waste being treated is not a hazardo~ waste under federal law although it is regulated as a
- waste under California state law.
2.
The waste is treated in wastewater treatment 'units (tanks), as deft.ned in 40 CFR Part 260. I0, and discharged to a
publicly owned treatmeat works (POTW)/sewering agency or under an NPDES permit. 40 CFR 264.1 (g)(6) ~d
40 CFR 270.2.
DTSC 1772B (1/93) Page I0
IV.
-~, - EPA ID NUMBER
CAD981 8165
CONDITIONALLY EXEMPT - SPECIFIED WASTESTREAMS
UNIT SPECIFIC NOTIFICATION
(pursuant to Health and Safety Code Section 25201.5(c))
BASIS' FOR NOT NEEDLNG A FEDERAL PERMFF: (continued)
P.ge 5__ of 7
The waste is treated ia 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 264.1(g)(6) and 40 CFR 270.2.
4. The waste is treated in a totally enclosed treatment facility as defined ia 40 CFR Part 260.10; 40 CFR 264. l(g)(5).
6.
El
The company generates no more than 100 kg (approximately 27 gallons) of baTardous 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.
The waste is treated ia 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.
8. Empty container rinsing and/or treatment. 40 CFR 261.7.
9. Other:.
V. TRANS~RTABLE TREATMEN'I' UNIT: Check Yes or No.
YES NO
2[~1 Is this unit a Transportable Treatment Unit?
Please refer to the Instructions for more information.
If you answered yes, you must also complete ahd attach Form 1772E to. this page.
The Tier-Specific Factsheets contain a summary of the operating requirements for this category.
Plekse review those requirements carefully before completing or submitting this notificatign package.
DTSC 1772B (1/93) · Page
CAD98362,8165
'~ ^= ~. ~ Page 7
~_~f~, ~/~m~.
,~,"~'~-.. ..... - O f 7
il;
LIFORNIA-ENVIRONM EN~ ENCY
.,'?~,~'~IT, NIEN'------~ O~' TOXI~ S~~ cO~NTROL
TIERED PERMITTING
CERTII*ICATION OF RETURN TO COMPLLa2qCE
PETE WILSON, Governor
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(s))
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.
o
Based on my examination of the attached documentation and inquiry of the
individuals who prepared or obtained it, I believe that the information is true,
accurate, and complete.
4. I am authorized to file this certification on behalf of the Respondent.
I am aware that there are significant penalties for submitting false information,
including the possibility of fine and imprisonment for knowing violations.
Name (Print or Type)
Title
Signature
Date Signed
Company Name
EPA ID. Number
DTSC-RETCOMP.CRT (8/94)