HomeMy WebLinkAboutHAZARDOUS WASTE FILE #1(805) 835-0280
(805) 322-0701
COMPLETE PHOTO FINISHING LAB
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BUY SELL TRADE
All Major Brands- All Formats
4141 Ming Ave.
Bakersfield, CA 93309
FACILITY NAME ~~4
CITY OF BAKERSFIELD FIRE DEPARTMENT
OFFICE OF ENVIRONMENTAL SERVICES
UNIFIED PROGRAM INSPECTION CHECKLIST
1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301
INSPECTION DATE
Section 5:
[21 Routine
Hazardous Waste Tier Permit Treatment Program
l~l Combined [] Joint Agency [21 Multi-Agency
[] Complaint
[] Re-inspection
Onsite Treatment Unit Tier:
[] PBR [] CA [] CESW
Unit number & name:
[~ CESQT [] CEL
[] CECL
OPERATION C V COMMENTS
All hazardous wastes treated are generated onsite e~c') 5't r'~S S /-.~ ~ CCd 51 C-iD
Onsite treatment notification tbrms available and complete
Onsite treatment unit tier and/or count is correct on form
Unit number is correct on notification tbrm ~9~C'*,~ ~ ~t:~ t,,ttxco~r~
Number of tanks or containers is correct on form
Treatment monthly volume is correct on form
Waste identification & treatment is correct on form
Complies with residual management requirements
Properly closed a treatment unit
Complies with tank and containment certification
Developed and maintains a written inspection log
Meets pretreatment standards for waste discharge
Developed and maintains a Closure Plan on site [PBR]
Developed and maintains a Waste Analysis Plan and Waste Analysis
Records IPBRI
Maintains Training Records on site [PBRI
Obtained local permits for treatment operations [PBR[
Identifies and labels Treatment Units [PBRI
C=Compliance V=Violation
Inspector:
Office of Environmental Services (805) 326-3979
Business Site Responsible Party
CA=Conditionally authorized
CECL=Conditionally exempt commercial laundry
CEL=Conditionally exempt limited
White - Env. Svcs.
CESW=Conditionally exempt specified wastestream
CESQT=Conditionally exempt small quantity treatment
PBR=Permit by role
Pink - Business Copy
FACILITY NAME
CITY OF BAKERSFIELD FIRE DEPARTMENT
OFFICE OF ENVIRONMENTAL SERVICES
UNIFIED PROGRAM INSPECTION CHECKLIST
1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301
INSPECTION DATE
Section 5:
[21 Routine
Hazardous Waste Tier Permit Treatment Program
~ Combined [21 Joint Agency [21 Multi-Agency
Complaint
I~l Re-inspection
Onsite Treatment Unit Tier: '~
[~ PBR [~ CA [~ CESW
Unit number & name:
[~l CESQT ~l CEL
[~l CECL
OPERATION C V COMMENTS
All hazardous wastes treated are generated onsite
Onsite treatment notification forms available and complete Ar
Onsite treatment unit tier and/or count is correct on form
Unit number is correct on notification tbrm
Number of tanks or containers is correct on form
Treatment monthly volume is correct on form
Waste identification & treatment is correct on form
Complies with residual management requirements
Properly closed a treatment unit
Complies with tank and containment certification '
Developed and maintains a written inspectign log. · ?
Meets pretreatment standards for waste discharge
Developed and maintains a Closure Plan on site [PBR[
Developed and maintains a Waste Analysis Plan and Waste Analysis
Records IPBRI
Maintains-T/ai~iing Records on site [PBR]
Obtained local permits for treatment operations IPBRI
Identifies and labels Treatment Units IPBRI
C=Compliance V=Violation
Inspector: {-~//Sf~ 5
Office of Environmental Services (805) 326-3979
Business Site Responsible Party
CA=Conditionally authorized
CECL=Conditionally exempt commercial laundry
CEL=Conditionally exempt limited
White - Env. Svcs.
CESW=Conditionally exempt specified wastestream
CESQT=Conditionally exempt small quantity treatment
PBR=Permit by rule
Pink - Business Copy
Cl:n:~J.ST AND INSPECTION R~PORT FOR
Permit by Rule, Conditionally Authorized, and Conditionally Exempt Notifiers
CA,
CA
# of VIOLATIONS:
EPAID NUMBS: C/Z/~t>o//a
PHO~: (f~) ~3y - 6~ ~ o.
SIC CODE(S):
C~W / C~QT T~ /
~W ~QT TOT~-
~or ~ I
VIOLATION TYPE: Onsite treatment Generator Waste min. ~ Recycling
NOTICE' to COMPLY ISSUED (.y/n): /Po Local Al~ency # .
This checklist and impect~n report identify violations of s~ate hw reprding onsite freaar3 or banrdous was~'oper'a~g
under an onqite permitting tier. This hispect~n verifies the information prOvided on form ~ 1772. It also covers generator
requirements, although a separate checidist ntmy be used for those requh~ments. A chec~-rk ind~2tes violation of* the law, which
are explained in more detail on the affacbed note sheets and Notk:e to Comply. The governing laws are the Health and Safety Code
(HSC) and T'dJe 22 of* tim California Code or Regulations (22 ¢CR).
Generator Standards:
.'...:..------ .'----'-r F_ach itupecrion agency may are their own generator itupecrkm checJdirt or protocol, v, which are z~anmarized below. A full
evaluan'on of each item or document i~ not conducted &,ring ~e In, sion, unless se~ar deficien~ are ~zrpectevL
NC) '
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 haTardous waste.
3. Meet container management standards (storage time limits, closed, labelled, compatibility,
inspected weekly, in good condition, witl! 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 Item_q-Facillty Wide: (Facitiry a~t ~bmit a revved Form 1772 ~ correct ,rron or
6. All units under PBR, CA, and CE are properly indicated on Form DTSC 1772. (Add any new
units with unit sheets or correct tier on the unit sheet.)
7. All generator identification information on Form DTSC 1772 is correct.
8. The submitted plot plan/map adequately shows the location of all regulated units.
9. .There arc 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 nnly if annual hazardous waste volume is over
5,000 kilograms (approx i 1,000 pounds or 1,350 gallons). HSC 25244.15, 25244.19-.21
For CA or PBR notifiers:
11. The generator has an annual waste mlnlmiTntion certification. (PBR submit with renewals.)
Onsitc Checklist (A) Page 1 of January 1, 1995
STATE OF CALIFORNIA-ENVIRONMENTAL PROTECTION AGENCY
DEPARTMENT OF TOXIC SUBS'~ ES CONTROL
CHECKLIST AND INITIAL VERIFICATION INSPECTION REPORT FOR
Permit by Rule, Conditionally Authorized, and Conditionally Exempt Notifiers
PETE WILSON, Governor
FACILITY NAME: .ff~,,_,qh.r/,~v ~/,o~Z~ d~,ot EPA ID NUMBER: C~g ~oo I/~//~
PHYSICAL ADD.SS: '~q ~ ~)$~ ~e. ~ [re/~' ~'d~ ~. ~y~ ?
FACILITY CONTACT-N~E: ~ ~o~/e PHONE: ~) 835- o~vo
SIC CODE(S): Y3~q INSPECTION DATE: ~f;I ~ I~ ~cal ~
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, 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. A full
evaluation of each item or document is not conducted during the Verification Inspection, unless serious deficiencies are suspected.
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, 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. All wastes are properly identified.
Treatment Items-Facility Wide:
(Facility must submit a revised Form 1772 to correct errors or omissions.)
6. All units under PBR, CA, and CE are properly indicated on Form DTSC 1772. (Add any new
units with unit sheets or correct tier on the unit sheet.)
7. All generator identification information on Form DTSC 1772 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. (PBR submit with renewals.)
Onsite Checklist (A) Page 1 of / August 2, 1994
STATE OF CALIFOrNIA-ENVIRONMENTAL PROTECTION AGENCY
DEPARTMENT OF TOXIC SU 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: ,5)?/t~rr ~fffco~c~7 L2~; f ~ /
Notified Tier: ~'~:,~t~, Correct Tier:
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 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
STATE OF CALIFO.RNIA-ENVIRONMENTAL PROTECTION AGENCY
DEPARTMENT OF TOXIC SUBST'M"mCES CONTROL
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 kilog.rams/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:
YE__ S -
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 tlie local enforcement agency.
Inspector(s):
Lead Inspector:
Signature:
Print Name:
Title: //~.
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 findings.
Title:
Onsite Checklist (C)
Print Name~.' ~','v~x ~~'4~ ~
Date: _'~}/'-? / / ~'.~"~
Page / of /
August 2, 1994
DEPARTMENT OF TOXIC SUBSTanCES' ~-~'NTROL
CHECKLIST AND INITIAL VERIFICATION INSPECTION REPORT FOR
Permit by Rule, Conditionally Authorized, and Conditionally Exempt Notifiers
NOTE SHEET
PETE WILSON, Governor
This sheet includes inspector observations and expands upon the violations identified on the checklist (by number). In some
cases, it indicates how the facility should correct the violations. It also includes the names of any others participating in this inspection.
Onsite Checklist (D) Page ~ of ....... August 2, 1994
STAT~OF C.A.L. IF~)RNIA-ENVIRONMENTAL )N AGENCY
DEPARTMENT OF TOXIC SUBSTANCES CONTROL
TIERED PERMITTING
CERTIFICATION OF RETURN TO COMPLIANCE
For Permit by Rule, Conditionally Authorized, and Conditionally Exempt Notifiers
PETE WILSON, Governor
In the matter of the Violation cited on ·
As Identified ia the Inspection Report dated
Conducted by ·
.(agency(s))
I certify under penalty of law that:
]o
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 fine and imprisonment for knowing violations.
Name (Print or Type)
Title
Signature
Date Signed
Company Name
EPA ID. Number
DTSC-KETCOMP.CRT (8/94)
STATE OF CALIFORNIA--ENVIRONMENTAL PROTI~ AGENCY
DEPARTMENT OF TOXIC SUBSTANCES CONTROL
400 P Street, 4th Floor
P.O. Box 806
Sacramento, CA 95812-0806
(916) 323-5871
PETE WILSON, Governor
l 1/24/93
EPA ID: CAL000112114
SOUTHSIDE PHOTO LAB
JIM DOYLE
4429 MING AVE.
BAKERSFIELD, CA 93309
For facility located at:
4429 MING AVE.
BAKERSFIELD, CA 93309
Authorization Date: 11/24/93
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: CAL000112114
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.
Enclosure
'Sincerely,
Michael $. Homer, Chief
Onsite Hazardous Waste Treatment Unit
Permit Streamlining Branch
Hazardous Waste Management Program
cc:
SUSAN LANEY
DTSC REGION I
SURVEILLANCE & ENFORCEMENT BR.
10151 CROYDON WAY, SUITE 3
SACRAMENTO, CA 95827
STEVE MCCALLEY
KERN COUNTY
ENVIRON. HEALTH SERVICES DEPT
2700 M STREET, SUITE 300
BAKERSFIELD, CA 93301
Page 3
ENCLOSURE 1
{]nits authorized to operate at this locatiotr'
UNDER CONDITIONAL AUTHORIZATION:
UNDER CONDITIONAL EXEMPTION:
1
EPA ID:
CAL000112114
.c~at~ of Catitomia - Califoraia F_tt~roamental Proration Agency
ONSITE HAZARDOUS WASTE TREATMENT NOTIFICATION FORM
FACILITY SPECIFIC NOTIFICATION
~ For Use by HazardoUs Waste Generators Performing Treatment
} Under Conditional Exemption and Conditional Authorization, I'-I
a, and by Permit By Rule Facilities
1)epartmml of Toxic Substances Control
Page 1. of _~.
Initial
Revised
Please refer to the attached Instructions before completing this forrn. You may notify for more than one permitting_ tier by using this
notification form, D TSC 1772. You must attach a separate, unit'specific notification fbrm fOr-each unit'at this 'locatio'n~' Th-e~;g~a-re
di~erent unit specific notification forms for each of the four~categor_it-~'-a-nd a'ff t~l~liHonal notification form for trar~portable treatment
units (2T7.]'s). You only have to submit forms for the tier(s) that cover your unit(s). Discardor recycle the other unased forrns.
Number each page of your completed no~ificatidnpa~g:e~ i~-nd ificli~e 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 fieM. s 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 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 times $1,140. lf you operate any Permit by Rule units and any units under Conditional Authorization
you owe $2,280.) Checks should be made payable to the Department of Toxic 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. This will al~o be the number of unit specific notification forrns you must attach.
Conditionally Ezonpt Small Quantity Treatment operations may not operate units under any other tier.
Number of units and attached unit specific notifications Fee per Tier
(not per uniO /
A. Conditionally Exempt-Small Quantity Treatment (Form DTSC 1772A) $ 100~
B. ~ Conditionally Exempt-Specified-W~t~i~m~ (Form DTSC 1772B) '
C. Condmonally Autlioriz~l, ?~,~-' ~>\?,~\\ (Form DTSC 1772C) $L140
D. Peraut by Rule , l~ .~ ~ (Form DTSC 1772D) $1,140
/
.__L Total Number of Umts,~ ~';i~i v~'a':~o,, ' Total Fee Attached $,/'~
(DBA-Doin~ B~aineaa A~) '
PHYSICAL LOCATION
COUNTY J~' sa,,..)
CONTACT PERSON ~--~" ~
(Fir~ Nan.)
CA ZIP ~-
IFor DTSC Us~ QnlyI
R~ion [ J
PHONE NUMBER( ,~:~')~-
DTSC 1772 (1/93) Page I
EbA ID NUMBER
MAILI~G ADDRESS, IF DIFI~RENT:
COMPANY NAME (DBA)
STREET
CITY
COUNTRY
CONTACT PERSON
(only comptct~ if no~ USA)
(Fire Name)
(Last Name)
STATE ZIP
PHONE NUMBER( ).__-
HI. TYPE OF COMPANY: STANDARD INDUSTRIAL CLASSllrlCATION (SIC) CODE:
Use either one or two SIC codes (a four digit number) that best describe your company's products, services, or industrial activity.
Example: 7384 Photofinishing lab 3672 Printed circuit boards
PRIOR PERMTr STATUS: Check yes or no to each question:
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 hazardous waste facility full permit or interim
status for any of these treatment units?
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
ar~ now notifying for at this location?
Has this location ever been inspected by the state or any local agency as a h,,7a,-dous waste generator?
PRIOR ENFORCEMENT HISTORY: No~ required fiom generaton only notif~'ng as conditionally
NO
D E!
E!
Withi~ 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 environ_mental, baTardous 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 mom information)
DTSC 1772 (1/93) Page 2
ATTACI-~I~ENTS:
VI.
Page 3
A plot plan/map detailing the location(s) of the covered unit(s) in relation to the facility boundaries.
A unit specific notification form for each unit to be covered at this location.
of
VII+
CERTIFICATIONS: This form must be signed by an authorized corporate officer or any other person in the company who
has operational control and pe~forms decision-making functions that govern operation of the facility (per tit. le 22, California
Code of Regulations (CCR) section 662 70.11)..'Atl~hre~-copies.muxFha~-original-si~
Waste Minimization I certify that I have a program., in_ pla_ce_ to_:_r~__uce the. v01ume,~quantity~, ~d-toxicity of waste generated to the
degree I have determined to be ec~omically 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 Certificatioq I certify that the unit or units described in these documents meet the eligibility and operating
requirements of state statutes and regulations for the indicated permitting tier, including generator and secondary containment
requirements. I understand that if any of the units operate under Permit by Rule or Conditional Authorization, I will also be required
to provide required financial assurances by January 1, 1994, and conduct a Phase I environmental assessment by January 1, 1995.
I certify under penalty of law that this document and all attachments were prepared under my direction or supervision in accordance
with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry
of the person or persons who manage the system, or those directly responsible for gathering the information, the information is, to
the best of my knowledge and belief, true, accurate, and complete.
I am aware that there are substantial penalties for submitting false information, including the possibility of Jmes and imprisonment
for knowing violations.
Nan'(Print or Type)
OPERATING REQUIREMENTS:"
Date~ig~l/~3
Please note that generators treating hazardous waste onsite are required to comply with a number of operming requirement.s 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 ]Ter-Specific Factsheets.
SUBM'ISSION PROCEDURES:
You must submit two copies of this completed notification by certified mail, return receipt requested, to:
Department of Toxic Substances Control
Form 1772
Onsite Hazardous Waste Treatment Unit
400 P Street, 4th Floor (walk in only)
P.O. Box 806
Sacramento, CA 95812-0806.
You must also submit one cot,/of the notification and attachments to the local regulatory agency in your jurisdiction as listed in ~he
instruction materials. You must also retain a copy as part of your operating record.
All three forrns must have original signatures, not photocopies.
DTSC 1772 (i/93) Page 3
EPA ID NUMBER (~./q{~.CX~C) I i~2. l{~- page~_of~_,~
CONDITIONALLY EXEMPT - SPECIFIED WASTESTREAMS
UNIT SPECIFIC NOTIFICATION
(pursuant to Health and Safety Code Section 25201.5(c))
I
NUMBER OF TREATMENT DEVICES: , Tank(s) ~ 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 hazardou~ waste treated by this unit. This should be the maximum or highest amount
treated in any month. Indicate in the aarrativ~'($et~i~'Or your operations have seasonal variations.
I. WASTESTREAMS AND TREATMENT PROCESSES:
Estimated Monthly Total Volume Treated: pounds and/or c~"t/ gallons
The following are the eligible wastestrearns and treatment processes. Please check all applicable boxes:
1. Treats resins mixed in accordance with the manufacturer's instructions.
2.
3.
I==l 4.
Treat containers of 110 gallons or less capacity that contained hazardous waste by rinsing or physical processes,
such as crushing, shredding, grinding, or puncturing.
Drying special wastes, as classified by the department pursuant to title 22, CCR, section 66261.124, by pressing
or by passive or heat-aided evaporation to remove water.
Magnetic separation or screening to remove components from special waste, as classified by the department pursuant
to title 22, CCR, section 66261.124.
6.
Neutralize acidic o~ alkaline ~ase) wastes from the regeneration of ion exchange media used to demlneralize water.
(This waste cannot ~contain more than I0 percent acid or base bY weight to be eligible for conditional exemption.)
Neutralize acidic or alkaline (base) wastes from the food processing industry.
El
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.
Gravity :-cparation 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 ~nTnrdous.
b. The separation of oil/water mixtures and separation sludges, if the average oil recovered per month is less
than 25 barrels (42 gallons per barrel).
[==] 9.
Neutralizing acidic or alkaline (base) material by a state certified laboratory or a laboratory operated by an
educational institution. (To be eligible for conditional exemption, this waste cannot contain more than 10 percent
acid or base by weight.)
DTSC 1772B (1/93) Page 9
II.
EPA ID NUM15ER ~ .~
CONDITIONALLY EXEMPT - SPECIFIED WASTESTREAMS
UNIT SPECIFIC NOTIFICATION
(pursuant to Health and Safety Code Section 25201.5(c))
NARRATIVE DESCRII:q'IONS: Provide a brief description of the specific waste treated and the treatment process used.
2. TREATMENT PROCESS(ES) USED:
RESIDUAL MANAGEMENT: Check Yes or No to each question as it applies to all residuals from thi.~s treatment unit.
NO
E!
El Et
I. Do you discharge non-hazardous aqueous waste to a publicly owned treatment works (POTW)/sewer?
I~ 2. Do you discharge non-hazardous aqueous waste under an NPDES permit?
El 3.
El
0
Do you have your residual hazardous waste hauled offsite by a registered hazardoUS waste hauler?
If you do, where is the waste sent? Check all that apply.
a. Offsite recycling ~
b. Thermal treatment
c. Disposal to land
d. Further treatment
4. Do you dispose of non-hazardous solid waste residues at aa offsite location?
5. Other method of disposal. Specify:
IV. BASIS FOR NOT NEEDING A FEDERAL PERMIT:
In order to demonstrate eligibility for one of the onMte treatment 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 under RCRA ('l]tle 40, Code of Federal Regulation~ (CFR)).
Choose the reason(s) that describe the operation of your onsite treatment units:
El 1.
1--] 2.
The ba,ardous waste being treated is not a hazardous waste under federal law although it is regulated as a hazardous
waste under California state law.
The waste is treated in wastewater 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
4O CFR 270.2.
DTSC 177215 (1/93) Page 10
El
El
El
EPA ID NUMBER
,FrlONALLY EXEMIrr - SPECIFIED WASTESTREAMS
UNIT SPECIFIC NOTIFICATION
(pursuant to Health and Safety Code Section 25201.5(c))
BASIS FOR NOT NEEDING A FEDERAL PEIO, IlT: (continued)
Page'S__ of~_.
The waste is treated in elementary neutralization units, as de'fined 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.
4. The waste is treated in a totally enclosed treatment facility as defined-in' 40CFR:Part-260; 10;-40.CFR 264. l(g)(5).
El 6.
El
The company generates no more than 100 kg (approximately 27 gallons) of hazardous waste in a calendar month
and is eligible as a federal conditionally exempt small quantity generator. 40 CFR 260. I0 and 40 CFR 261.5.
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 1000 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.
El 9. Other:. Specify:
V. TRANSPORTABLE TREATMENT UNIT:
YES NO
Check Yes or No.
Please refer to the Instructions for more information.
Is this unit a Tran,sportable Treatment Unit?
ff you answered yes, you must also complete and attach Form 1772E to this page.
The Tier-Specific Factsheets contain a summary of the operating requirements for this category.
Please review those requirements carefully before completing or submitting this notification package.
DTSC 1772B (1/93) Page 11
FACILITY PLOT PLAN
NAME:
PHYSICAL LOCATION:
CITY:
STATE:
ZIP CODE:
COUNTY:
CONTACT PERSON:
TELEPHONE NUMBER:
SOUTHSIDE PHOTO LAB
4429 MING AVE.
BAKERSFIELD
CALIFORNIA
93309
KERN
JIM DOYLE
805-835-0280
DESCRIPTION OF WATER WASTES:
Effluent waste from the processing of silver halide -
based imaginq products which contain 5 ppm or qreater
silver concentration.
EPA NUMBER: CAL 000112114
E
S
FACILITY PLOT PLAN
SOUTHSIDE PHOTO LAB
4429 MING AVE.
BAKERSFIELD, CA. 93309
S
T
I
N
E
A
V
E
SILVER
RECOVERY
UNIT
SRU
PASSAGE WAY
SOUTHSIDE PHOTO LAB
BUILDING ENTRANCE
MING AVE.