HomeMy WebLinkAboutHAZ-WASTE REP. 4/16/1999people
RE:
Expressly Portraits, Inc.
Corporate Name Change
Dear Vendor:
We are ~leased to inform you that, effective January 14, 1999, Expressly
Portraits, Inc. is changing its corporate name to The Picture People, Inc.
,,
This is only a change of corporate name and is not a result of a change in
corporate entity or the sale of assets or shares. The corporation will remain a
California corporation. Please .adjust your records accordingly.
Thank you.
Very truly yours,
Opal Ferraro
Chief Financial Officer
1157 Triton Drive, Suite 8 · Foster City, California 94404 · 650.578.9291 · Fax 650.578.9881
CUST
MISCELLANEOUS RECEIVABLES ADJUSTMENT
CUSTOMER NAME
MAILING ADDRESS
SITE ADDRESS
STATE
NEWACCOUNT ;
ADDRESS CHANGE
CLOSE ACCT
· FINANCE CHARGE J
OTHER ADJ J '~x'/
ZIP CODE ~'~'~-~
PARCEL NUMBER
(IF APPUCABLE)
ADJUSTMENT
I CHG DATE I CHARGE CODE [ ADJUSTMENT.AMOUNT
i
APPROVED BY
t~ STAT{~ OF CALIFORNIA-ENVIRONMENTAL P~..,~ECTION AGENCY
PETE WILSON, Governor
DEPARTMENT OF TOXIC SUBS'rANCES CONTROL
REGION 1-1515 Tollhouse Road
Clovis, CA 93612
CHECKLIST AND INIT~ VERIFICATION INSPECTION REPORT FOR
Permit by Rule, Conditionally Authorized, and Conditionally Exempt Notifiers
FACILITY NAME: Ex, p,~_~_r/,/ /0~. ~/,-~.i ;1.~ _t--~ c
PHYSICAL ADDRESS: 3~ ~ /~// V/c'~ ~6,~ >z/o
FACILITY CONTACT-NAME: ./~ ~ / D~,~ ~ ~ ~
SIC CODE(S): ?,&~/ ~3~ y INSPECTION DATE:
EPA ID NUMBER:
.PHONE: ~/:~ ..c'-z~ - ~w
Local #
NOTIFIED UNIT COUNT: PBR
CORRECT UNIT COUNT: PBR
CA__ CESW / CESOT _,, TOTAL
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, although 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. ,4 full
evaluation of each item or document is not conducted during the Verification Inspection, unless serious deficiencies 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 documents and records prepared for employees handling hazardous waste.
3. Meet container management standards (storage time limits, dosed, 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. All wastes are properly identified.
Treatment Items-Facility Wide: (Facility must submit a revised Form 1772 to correct errors or omissions.) 6. Ail units under PBR, CA, and CE are properly indicated on Form DTSC 1772. (Add any new
units with unit sheets or correct tier on the unit sheet.)
7. Ail generator identification information on Form DTSC 1772 is correct.
8. The submitted plot plan/map adequately shows the location of all regulated units.
9. There are records documenting compliance with sewer agency pretreatment standards and
industrial waste discharge requirements, where applicable.
10. Generator has prepared/maintained source reduction documents requirements (SB 14/SB
1726). For many wastes, a checklist or plan is required only. 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.)
August 2, 1994
'STAT~ OF CALIFORNIA-ENVIRONMENTAL PROTECTION AGENCY
DEPARTMENT OF TOXIC SUB NCES CONTROL
REGION 1-1515 Toilhous~ Road
Clovis, CA 93612
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:
Notified Tier:
Correct Tier:
Notified Device Count:
Correct Device Count:
Tanks Containers /
Tanks 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 container(s).
The estimated notification monthly treatment volume 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 management 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.- 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 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 August 2, 1994
~?'STA?~'OF CALIFORNIA-ENVIRONMENTAL PROTECTION AGENCY
DEPARTMENT OF TOXIC SuBSTANcES 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 answer if this facility recycles more than 100 kilo.grams~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. HSC 25143.2 et sec.
Releases:
YES
30.
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 c~dditional 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 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: Other Inspector:
Signature: Signature:
Print Name: Print Name:
Title: Title:
Agency: Agency:
Phone Number: Phone Number:
Facility Representative:
Your. signature acknowledges receipt of this report and does not imply agreement with the findings.
Signature: Print Name:
Title: Date:
Onsite Checklist (C) Page of August 2, 1994
STATE OF CALIFORNIA-ENVIRONMENTAL PROTECTION AGENCY
DEPARTMENT OF TOXIC SUBb"rANcES CONTROL
REGION 1-1515 Tollhouse Road
Clovis, CA 93612
PETE wILSON, Governor
CHECKLIST AND INITIAL VERIFICATION INSPECTION REPORT FOR
Permit by Rule, Conditionally Authorized, and Conditionally Exempt Notifiers
NOTE SHEET
This sheet includes inspector observations and expands upon the violations identified on the checklist (by number). In some
cases, it indicates how the facility should correct the violations. It also includes the names of any others participating in this inspection.
On. site Checklist (D) Page of August 2, 1994
· ;~' STATr~ OF CALIFORNIA-ENVIRONMENTAL PROTECTION AGENCY
DEPARTMENT OF TOXIC St~CES CONTROL
REGION 1-1515 Tollhouse Road
Clovis, CA 93612
TIERED PERMITTING
CERTIFICATION OF RETURN TO COMPLIANCE
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.
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)
CITY
STATE
ZIP CODE
EPA ID
FILE TYPE
OTHER
~,, ST CALIFORNIA--ENVIRONMENTAL PR ION AGENCY
PETE WILSON, Governor
DEPARTMENT OF TOXIC SUBSTANCES CONTROL
400 P Street, 4th Floor
P.O. Box 806
Sacramento, CA 95812-0806
(916) 323-5871
11/16/93
EPA ID: CAL000063456
EXPRESSLY PORTRAITS INC/EAST HILLS MALL
MEL ORCHARD
1151 TRITON DRIVE
SUITE C
FOSTER CITY, CA 94404
For facility located at:
3000 MALL VIEW RD #1027
BAKERSFIELD, CA 93306
Authorization Date: 11/16/93
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 have fully
closed the unit(s). You will be charged annual fees calculated on a calendar year basis for each year you operate and
have 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
notify the DTSC whenever any of the information you provided in these notifications changes. To revise information,
mail a cover letter to the above address explaining the changes, attach only the pages of your notification package that
have changed, and re-sign and date at the signature space on page 3 of form 1772.
Your status to operate under Conditional Authorization and/or Conditional Exemption is contingent upon the
accuracy of information submitted by you in the notifications mentioned above, and your compliance with all applicable
requirements in the Health and Safety Code. Any misrepresentation or any failure to fully disclose all relevant facts
shall render your authorization to operate null and void.
You are also required to properly close any treatment unit. Additional guidance on closure will be issued and
distributed to all authorized onsite facilities later this year.
Page 2 EPA ID: CAL000063456
If you have any questions regarding this letter, or have questions on operating requirements for your facility,
please contact the nearest DTSC regional office, or this office at the letterhead address or phone number.
Sincerely,
Michael S. Homer, Chief
Onsite Hazardous Waste Treatment Unit
Permit Streamlining Branch
Hazardous Waste Management Program
Enclosure
cc:
SUSAN LANEY
DTSC REGION 1
SURVEILLANCE & ENFORCEMENT BR.
10151 CROYDON WAY, SUITE 3
SACRAMENTO, CA 95827
STEVE MCCALLEY
KEI~N COUNTY
ENVIRON. HEALTH SERVICES DEPT
2700 M STREET, SUITE 300
BAKERSFIELD, CA 93301
Page 3
ENCLOSURE 1
Un/ts ma/mr/zed to operate at th/s tocat/on.-
UNDER CONDITIONAL AUTHORIZATION:
EPA ID:
CAL000063456
UNDER CONDITIONAL EXEMPTION:
1
~at~ o[ Calilorma - California Ln~iroam,,~r. al Prmecdoa
9 2 0 0 0 3 5
ONSITE HAZA_RDOUS WASTE TREATMENT NOTIFICATION FORM
FACILITY SPECIF1C NOTIFICATION
For U~ by H~:,ardoas Waste Geucrators Performing Treatment
Under Conditiorml Exemption and Coaditioaal Authorization,. []
and by Permit By Rule Faciliti~
Deparunem of Toz~: ~.bsx.znces Coatr~
Page 1 of .~
Initial
Revisod
Please refer to the attached Instructions before completing this form. You may notify for more than one permitting tier by using this
notification form, D77~C 1/]72. You mu. st attach a separate unit specific notification form for each unit ar this location. There are
di~ereru unit specific notification forms for each of the four categories are an a~itiorml notification form for rran.rportable trearrr~n.,
units (777J'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 package and indicate the total number of pages a~ the top of each page ax the
'Page ~ of ~ '. Put your EPA ZD Number on each page. Please provi~ all of the information requ~.sted; all fieM.~ must be
completed ~xce~t those thai state 'if different' or 'if available'. Please ty~ the inforrn~ion provi~_d on thiJ form and any.
attachments.
77~e notification will not be considered complete without p .ayment of the appropriate fee for each tier undtr which you are operating.
(Please note that the fee ix per TIER not per UNIT. For e. zample, if you operate 5 units bur they are all Conditionally A~horized,
you only owe $1,140, NOT5 ~ $1,240. If you operate any. Per'mit by Rule units and any unit. v ur. der Conditional Authorization
you owe $2,280.) Chec~ should be made payable to the Department of Toxic Substances Conn'ol and be stapled to the top of thi~
form. Please fill in the chec£ number in the box above.
I. NOTI2qCATION CATEGORIES
Indicate the number of units you operate in each tier.
Conditionally ~ br,~2l 12uan~ T~ operations may mx operaxe ~ und~ any ~ tier.
Number of units and attached unit spedfic notifi~~
A. . Conditionally Exempt-Small ent 1772A)
C. Conaitioaally Authoriz=i kk ~~t~.~l~ ~ 1772C)
D. Permit by Rule %~;12Lm:~i,~ySC 1772D)
Total N~ of Units
This will alxo be the number of unit specific notification forms you must attach.
Fee ~ Ti~
~ per
$
$ 109
$1,140
$1,140
To~l ~ aaac~d S ~0~
H. GENERATOR IDEhrfllrICATION
NAME (Company or Facility)
(DBA-Doing Buai~zas
PHYSICAL LOCATION
CITY
COUNTY
CONTACT PERSON
BOE NUMBER (if available) H__HQ.
32
lFor ~ U-' Outy
PHONE NIJMBER(~t%
DTSC 1772 (1/93) Page 1
Page 2 of &
D, t4rI.~'O ~DDRF_.SS, IF DTF'FE~F_,WT:
COMPANY lqA. ME (DBA)
COUNTRY
CONTACT PERSON
STATE~..~ ZIP qOtt-{Ol~
(only comglct¢ if no~ USA)
(First ~*m~) Cka,~ ~*m~)
PHONE NUMBER~I~' )~-/~ -~.9 ~
III. TYPE OF CO15EPANY: STANDARD INDUSTRIAL CLASSIFICATION (SIC) CODE:
Use eithm- on~ or two SIC cod. es tAa. t be. st describe your company's products, services, or industrial activity.
E. xampl~: 738~ Photofinishing lab 3672 Pn'nted circuit boaz~ 8011 Mt~.ical doctors oi~et~/ch'nia~
PRIOR PERbilT STATUS: Check yes or no to each question:
YES NO
El []
I. Did you file a PBR Notic~ of Intent to Operate (DTSC Form 8462) in 199o_ for th.is location?
2. Do you now have or have you ever held a state b~?~rdous waste facility full permit or interim s~ams for any
of these treatment units?
3. Do you now have or have you ever held a full permit or interim status for any other hama.,xtmas waste activities
a? this location?
4. Have you ever held a variance iszued by the Department of Toxic Substances Control for the treatmemt you ar=
now notifying for at this location?
5. Has this location ever been inspected by the state or any local ageacy as a hazardous was~ geam'am~.
FRIOR ENFORCEMENT FrLqTORY: No~ mTu/r~from ger.~razor~ on/), new/fy/ag as cond/x/ona2~ e:xaa.n~
NO
Within the last ~ years, has ttds facility be~=n the s'ubject of any convicdoas, judgmeuta, settdeuxmts, or final
orders resulting from an action by any local, state, or federal eaviron.tm, ntal or public health en_forc.~rr, mt'a.gency?
(For the purposes of tkis form, a notice of violation does not co~timt~ an order and need not ba r=port~ unle~
it was not corrected and became a final order.)
If you am-wered Y~s, cheek this b~x md attach a listing of convictions, judgnz~'ats, s~ttlememts, or ordm's and a
copy of the cover sheet from each docum~t. (So~ the kmtructions for mom informahon)
DTSC 1772 (1/93) 33 Page 2
Page
A TTA CI-~[E.N'T$:
A plot plan/map detailing the location(s) of the covered unit(s) in relation to the facility boundaries.
A mt ~l:~cific notification form for each unit to be covered at this location.
CERTI3"ICATION$: This form must be signed by an authorized corporate officer or amy othe'r person in :he comparr;v, who
performs deci. sion-maMng func~io~ that govern operation of the fi~cili~. (per title 22, California Code of Regulatio~ (CCR)
section 66270.11). Aid thre~ copier rn~ have origina2 Mg~.
Waste Minimization I certify that I have a program in plar~ to reduce the volume and toxicity of waste generated to the degree l
have determined to be economically practicable and that I have selected the practicable method of treatment, storage, or disposal
currently available to me which m/nimi/.~ file present and future threat to hurr~a health and the environment.
Tiered Permittin~ Certification I certify that the mt or amts de~:ribed in these documents meet the eligibility, and operating
requirements of state statutes and regulations for the indicated permitting tier, including generator and s~:ondary containment
requirements. I understand t~t if an7 of the re:flu operate under Permit by Rule or Conditional Authorization, I will also be required
to provide required financial a..~uranees by January 1, 1994, and conduct a Pha.~ I environ.mental assessment by January 1, 1995.
I certify under penalty of law that this document and all attach, meats were prepared under my ddrection or supervision ia accordance
with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Ba..q~ on my inquiry
of the person or persons who manage the system, or those directly re.sT~nsible for gathering the in.formation, the information ia, lo
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.
Name (Print or Type)
Signature
Title
Date ~il.~ned '
OPERATING REQUIREb~EN-FS:
Please note that generators treating hazardous waste onxite are required to comply with a nurrd~r of operating requirern~nl~ which'
differ depending on the tier(s} under which one operate& 7~se operating requirements are set forth in th~ statutes and regulation.r,
some of which are referenced in the 7ier-$peci. fic Faczsheez$.
SUBMISSION PROCEDURES:
You must $ubmia v, oo aopit:r of this cornpl~ted notification by certified mail, return receipt requt, ned, to:
Department of Taxic Substanee_r Control -
Form 1772
Onsite Hazardous Waste Trearrn~n~ Unit
400 P Street, 4th Floor (walk in only)
P.O. Bo~806
~acro2n~nto , CA 95812-t~06.
You mu. rt also ~Mz~it on~ coVv of the notification and a~tachrr~nts to the ~ocal regulatory agency in your jurisdiction as listed in th~
ir~rrruction material& You must also retain a coFy as part of your operating record.
All three forms must hav~ original signature, not copi~.
34
DTSC 1772 (1/93) Page 3
Dark
CON-DITIONALLY EXEMlYr - SPECIFIED WASTESTREAMS
UNIT SPECIFIC NOTIFICATION
(pursuant to Health and Safety Code Section 25201.5(c))
I
NUbEBER OF 'rR. EAT/',EENT DEVICES: __ Tank(s) [ Container(s)
Each unit mu. st be ctearly id. entified and labeled on the ptot plan attached to Form ] 772. Assign a unique number to each unit.
7h~ number can be sequential (1, 2, 3) or u. ring any system you choose.
Check the t'~e(s) of waxtestreamO) and treatment process(es).
I. WASTESTREAMS A_N'D TREATM2ENT PROCESSES:
Estimated Monthly Total Volume Treated: pounds and/or ~'~ -~'~'tSgallons
The foltowing are the eligibte wastesrrearns and processes. Ptease check all applicable boxes:
1. Treats resins mixed ia a.ccordan~ w/th the manufacturer's instructions.
Treat containers of 110 gallons or leas capacity, that contained b~:,nrdou, s waste by ming or physical pm, such
as crushing, shredding, grinding, or puncturing.
Drying .special waste~, as classified by the department pursuant to title 22, CCR, ~ection 66261.124, by pressing
or by passive or heat-a/deal evaporation to remove water.
Magnetic s~paratior, or screening to remove components from special waste, as clas.dfied by the d .epartrmmt p~t
to title 22, CCR, s~ction 66261.124.
Neuttalize acidic or alkaline Coast) wasms from the regeneration of ion exchange media used m Ch~rnlv. crMi?~ water.
(TI:tis waste cannot contain mom than 10 perc~t acid or base by weight to be eligible for conditional exe~.~tion.)
Neutralize acidic or alltaliae (base) wasms from the food processing industry.
Recovery of silver from photofir, lqhi,~g. The volura~ limit for conditional exerapticm ia 500 gallcms i:~ gcmerator
(at the sa.me location) ia any cal~udar month.
Gravity separaricm of th~ following, including the u.~ of flcx:culants and d~mulgifiers if
a. The sealing of solid~ from the wast, where the resulting aqueous/liquid stream ia not
b. The seq:~q_,-afion of oil/water mixtures and s~a. ration sludges, if the average oil r,:r. overed p~ month ia less
than 25 barrels (44 gallons per barrel).
Neutralizing acidic or alkaline Coa..~) material by a state c~rtified laboratory or · laboralory c, peramd by an
educational inqtitution. (To b~ eligible for conditional exemption, ~ waste cannot contain mor~ than 10 pere~mt
acid or ~ by weight.)
4O
DTSC 1772B (1/93) Page 9
EPA ID NUMBER~.. 0/~ C~'~ q,~
CONDITIONALLY EX~,~ff'T - SPECIFIED WASTESTREAMS
UNIT SPECIFIC NOTIFICATION
(.pursuant to Health and Safety Code Section 2.5201.5(c))
NARRATIVE DESCRI]:rrIONS: Provide a brief description of'the specific waste treated and the treatrnent procmrs ured.
R.ESIDUA. L MANAGEM]ENT: Check 2es or no to each question as it applies to all residuals from this treatment unit.
NO
1. Do you discharge non-haaa.rdous aqueous waste to a publicly ow'ned treatment works (POTW)/sewcr?
2. Do you discharge non-hazardous aqueous waste under an N'PDES permit?
Do you have your residual bazardous waste hauled offsite by a registered ha~'ardous waste hauler?
If you do, where is the waste sent? 'Check all that apply.
1~ a. Of/site r~ycliag
[--] b. Thermal treatment
["-] c. Disposal to land
-'] d. Further treatment
[] [] 5. Other method of disposal. Specify:
4. Do you dispos~ of non-ba:,ardous solid waste residues at an off'site location?
IV. BASIS FOR NOT NF_k'TBING A FEDERAL PERbffI':
In order to demonstrate eligibility for one of tAt on.rite treatment tier::, faciliti~ are required to provid~ the ba~ for determining
that a hazardous waste j>ermit i.r not required under the federal Resource Conservation and Recmaer-y Act ('RCRA) and the federal
regulations adopted undtr RCRA (Tale 40, Code of Federal Regulations (CFR)).
Choose the reason(s) that de. scribe the operation of your onsite treatment units:
The hazardotts waste being treated is not a hazardous waste under federal law although it is regul,,,,a as · Ntzxn:lo~
waste under California sr.a~ law.
The waste is treated ia wastcwater treatment u~m (tanks), as deft.ned ia 40 CFR Part 260.10, md disc3ar~ed to a
publicly owned treatment works (POTW)/sewering agency or under aa NPDES permit. 40 CFR 264.1(.gX6) and
40 CFR 270.2.
41
DTSC 1772B (1/93) Page 10
r-1
I23
EPA ID NUMBER,
.ge 6. or
CONDITIONALLY EXZM2:'T - SPECn:TED WASTESTREAMS
UNIT SPECIFIC NOTIFICATION
(pursuant to Health and Safety Code Section 25201.$(c))
BASIS FOR NOT NEEDL-NG A FEDERAL PERMIT: (continued)
The waste is treated in elementary neutralization units, as defined in 40 CFR Part 260.10, and discharged to a
POTW/sewermg agency or under an NPDES permit. 40 CFR 264.1(g)(6) and 40 CFR 270.2.
4. The waste is treated in a totally enclosed treatment facility as deft. ned in 40 CFR Part 260.10; 40 CFR 264. l(g)(5).
The company generates no more thaz~ I00 kg (approximately 27 gallons) of hazardous waste in a calendar month
and is eligible as a federal conditionally exempt small quantity generator. 4.0 CFR 260.10 and 40 CFR 261.5.
The waste is treated in an accumulation tank or container w/thin 90 days for over 1000 kg/month generators and
180 or 270 days for generators of 100 to lO(X) kg/month. 40 CFR 22.34, 40 CFR 270. I(¢)(2)(i), and the Preamble
to the March 24, 1986 Federal Register.
Recyclable materials are reclaimed to recover economically si~mxificant amounts of silver or other precious met. als.
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:. Specif')':
Vo
TRANSPORTABLE TREAT~ENT UNIT:
NO
Please refer to the Instructions for more inforrturion.
Is t.kis umt a Transportable Treatment Un/t?
If you answered yes, you must also complete and attach Form 1772E to this page.
The Tier-Specific Fact. sheets contain a summary or' the operating requirements for ttzis category.
Please review those requinanents carefully before completing or submitting this notification lXaCkage.
DTSC 1772B (1/93) 42 Page 11