The URL can be used to link to this page

Home My WebLink AboutES-HAZ-WASTE REP. 1/5/1998CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301 FACILITY NAME ~/~ {~~ INSPECTION DATE ction 5: Routine Hazardous Waste Tier Permit Treatment Program [] Combined [] Joint Agency [] Multi-Agency [] Complaint [] Re-inspection Onsite Treatment Unit Tier: J~ PBR [~ CA ,~ CESW Unit number & name: [] CESQT [] CEL [~ICECL OPERATION C V COMMENTS All hazardous wastes treated are generated onsite ~.~ ~ Onsite treatment notification forms available and complete ~)CC.'~ Onsite treatment unit tier and/or count is correct on form Unit number is correct on notification form 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 [PBRJ Developed and maintains a Waste Analysis Plan and Waste Analysis Records [PBRI Maintains Training Records on site IPBR] Obtained local permits for treatment operations IPBR] 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 rule Pink - Business Copy STAT~'f-~RNIA--CAUFORNIA ENVIRONME PROTECTION AGENCY DEPARTMENT OF T~*~~ ~ONTROL 400 P STREET, 4TH FLOOR P.O. BOX 806 SACRAMENTO, CA 95812-0806 '(916) 323-5871 PETE WILSON, Governor US PHOTO INC · BECI~ NEILSON .2701. HING AVE. BAEERSFIELD, CA 93306 October 25, 1995 EPA ID~ ~M.,000057537 Initial Authorization': 12129193 Amendment Date: 06120195 facility located 2701*HING AVE BAEERSFZELD, CA 93306 Dear Onsite Treatment Facility: The Department o~ Toxic Substances Control (DTSC) has received your facility specific Amended noti£ication (£ormDTSC 1772). Your noti£ication is administratively complete, but has not been reviewed for technical adequacy. A technical review o£ your noti£ication will be conducted when an inspection is per£ormed. AC any time, you may be inspected and will be subject to penalty if violations of laws or regulations are £ound. The Department acknowledges receipt of your completed Amended noci£icacion for the treatment unit(s) listed on the Iasc page of this letter. These units are authorized by Cali£ornia law without additional Department action. Your authorization to operate continues until you noti£y DTSC that you have stopped Crea~ing waste and have £ully closed the unit(s). DTSC has revised its database records to re£1ec~ your status and has noti£ied the Board o£ Equalization (BOE). You will be billed annual £ees by BOE calculated on a calendar year basis for each year you operate andlor have not noti£ied DTSC that the units have been closed~ 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 telephone number. Since~y, ' . '' '~/-Tiered Permitting Compliance Section .State Regulatory Program Division cc: See next page. STA~~ORNL~--CAUFORN~ E~RONM~NC=Y~ PETE V~LSON, Governor DEPARTMENT OF TOXIC SUBSTANCES CONTROL * 400 P STREET, 4TH FLOOR P.O. BOX 806 *"' SACRAMENTO, CA 95812-0806 US PHOTO INC. Pase 2 EPA lDr CAL000057537 ASTRID JOHNSON DTSC REGION ! STATE REGULATORY PROGRAM 1515 TOLLHOUSE CLOVIS~ CA 93611 STEVE MCCALLEY RElt~ COUNTY ENVIRON. m~.~LTH SERVICES DEPT 2700 H STREET~ SUITE 300 BAKERSFIELD~ CA 93301 STATE BOARD OF EQUALIZATION STEPHEN R. RUDD~ ADMINISTRATOR ENVIRONMENTAL FEES DIVISION P.O. BOX 942879 SACRAMENTO, CA 94279-0001 Units authorized to operate at this location: UNDER CONDITIONAL EXEMPTION: 1 refer to the attached bmructionx b~/ore ¢ompl~tin8 thix form. Fou may noti. O for mor~ than one i~miml~~~hix notification form, DT~C 1772. You mm't attach a ~eparate anit ~pecifi¢ notification form for each unit at thit location. There ur~ different unit XlJeCifi¢ notification form~ for each of the four categoriet and an -ddt, ional notification form for tranaportable tr~ment uni= (TTU'g). Yott only hav~'to submit forint for th~ tier(~) that cover your unit(s}. Ditcard or recycle tl~ ~ m*u.~d formt. Number each page of your completed notifi~ion tua~cage and inth'cate th~ total nUmber'~f tnage~ at the top of etu:h page at the 'Page __ of__: Pat your EPA 1D Number on each page. Please provide all of the information reque~ed; all field~ mart be completed ~cept that that xtate 'if different' or 'if avaiIabl~: Please type the information provided on ~ form and any attachment~. The notification fee~ are a.~e~ed on the bt=it of the number of tierJ the notifier will operate under, a~ ~lll be collected by ti~ State Board of Equallzation. DO NOT SEND FOUR F~ WiTYl 7'fils NOTI37C~ITION FORM. L NOTIFICATION CATEGORIF..S Indicate the number of unit~ you operate in each tier. Thit will al~o be the number of unit xpecific notification form~ you mual attach. Number of unlt~ and attached unit ~ecitic notillcatio~ for ~ach tier reported. A. Conditionally ~xempt-Smail Quantity Treatm~t D. X Permit by Rule B. Conditionally ~xempt-$pecifled Wastestr~am E. Commercial Laundry C. ,,, Conditionally Authoriz~ F. Variance (S~:fion 25143) GEaNERATOR IDENTnrlCATION EPA 1D NUMBER CA CAL000057537 FACILITY NAME (DBA-Doin~ ~ A~) PHYSICAL LOCATION CITY :o COUNTY U.S. PHOTO, INC. BOE NUMBER (if available) H__HQ__-- 2701 MING AVENUE BAKERSFIELD KERN 93304-4440 CA CONTACT PERSON BECK NEI~SON (F'u'~ (La~ Name) MARLING ADDRESS, IF DIFFERENT: COMPANY NAME (only compl,,~ it' n~ .USA) (Fire Name) STAT~ (last Name) PHONE NLrMBER(sas).._a.3~-6O!6 ZIP CITY COUNTRY CONTACT PERSON PHONE NIJ/VFBER( ) DTSC 1772 (1/95) Page I EPA ID NUMB£R Page 3 of' CER/'I~CATION$: Thtr form mart be signed by an authorized corporate officer or any other per~on in tlm company who hns operational control and performr decision-maidngfunaionr that govern operation of the facility (per Itt& 22, Califof~tia Code of Regulations (CCR} Secti6n 66270.11). ,411 thr~ copitr mart have original ~igntmtre~ . ,Waste Minimization I certify that I have a program in place to reduce the volume, quantity, and toxicity of waste generat_n! 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 minimizam the present and future threat to human health and the environmewt. Tiered Permitting Certification I certify that the unit or unit, described ia these documeatz meet thz eligibility and operaaag requir~meats of statz statutes and r~gulations for thz indicated pennitting tier. including generator and __~ec_-oudary containment requirements. I understand that if any of thz uuits operate under Permit by.Rule or Conditional Authorization, I will also be required to provido required fmzmcial ~ce for closure of the trestm~t unit by lanuary 1, 199:~. I certify under penalty of law that this document and all attachments wera prepared under my dir~tion or supervision in accordance with a system designed to assure that qualified personnel properly ~ther and ~valuam 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 be~t of my knowledge and belief, true, as:curate, and complete. . I am aware that there are substantial penalties for submitting false informa6on, including the possibility of fines and imprisonmesl for knowing violations. JERRY HOWARD SEC. OPERATING REQUIREMENTS: Pteare note that generators treating ha:.ardoar waste o,~ite are required to comply with a number of operating requirement~ which dij~rer depending on the tier(x). 7'ne. ye operating requirementr are set forth in the statuter and regulation, v, some of which are referenced in the ~er-~pecific Fact Sheetr available from the Department's regional and headquarters SUBMISSION PROCEDURES: -- You mart ~tl;mit m,o copie~ of thi~ completed notification by certified mail, return receipt requested, to: Dqaanment of Toxic Substance~ Control Program Data Management Section .480-4~-&ze~_dth_flaa~ Room 4453 (walk in only) P.O.' Box S06 Sacramento, CA ~5512-0806. You mart al. vo ~z~bmlt on~ cot~, of the notification and attachmentr to the local regulatar~ agency in your jurisdiction ar listed in Appendix 2 of the instruction material~. You mart al~o retain a copy a.v part of your operating record. fill three form~ ~ itav~ o~zinal $ignature~o not photocopies. DTSC 1772 (1/95) 'Page 3 Pago ~ of CONDITIONALLY EXEMFr - SPECEFIED WASTESTREAMS UNIT SP£CIFIC NOTIFICATION - ' (pursuant to Health and $~ety Code Section 25201.5(c)) - The 'Ilex-Specific Fact Sheets contain a summary of the operating requirements for this cntegory. Please NUMBER OF STORAGE DEVICES: Tank(s) "- Each unit must be clearOl identified and labeled on the plot plan attached to Form 1772. Assign your own unique number to each unit. l'ne number can be sequential (1. 2. $) or using any ~stern you choose. Enter the e~timated monthly total volume of har. ardo~ warte treated by thtt unit. Thit should be the maximum or highe~ amount treated in any month. Indicate in the narrative (Section Il) if yo. ur operation~ have seusonal variationr. = L W~ AND TREATMENT Estimated Monthly Total Volume Treated: pounds and/or 5 0 gallons Estimated Monthly Total Volume Stored: YES NO pounds and/or gallons Is the waste treated in this unit radioac~ve? Is the waste treated in this unit a. bio-ba~,'d/infectious/medical waste? Is remotely generated ha~ntoua waste (HSC 251 I0. I0) treated in this unit?. The following are the eligible wustestreams and treatment processes. Please check all applicable boxes: Treats resins mixed or cured i~-accordance with the manufacturer's instructions (including one-part .and pre-impregnated materials). 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 depath,ent pursuant to Title 22, CCR, Section 66261.12A, by pre~ing or by passive or heat-aided evaporation to remove water. Magnetic separation or screening to remove components from special waste, as classified by the depa, t,,ent pursuant to Title 22, CCR, Section gg2~I.12A. *NOTE* $. NO AUTHORIZATION IS NEEDk'~ to ne~ralb,- acidic or allmllne (base) w-astes fi'mn the regeneration of ion exchange media used to demlne~rr.e- water. ~ waste e~,,,,ot contain more thnn 10 percent acid or base by weight to be ellg~le for this ex~nption.) Neutralize ncidic or alkaline (base) wastes from the food processing industry. Recovery of silver from photofinishing. The volume limit for conditional ~xemption is ~00 gaHom per generator (at the same location) in nn~. calendar month. *NOTE* Recovery of 10 gallons or less per month of silver from photofinishing is completely exempt from permitting; this form need not be submitted. DT$C 1772B (I/95) Page 10 '~ ,~'"Vr~ OF CALIFORNIA-ENVIRONMENTAL PROTECTION AGENCY ',.~EPARTMENT OF TOXIC CONTROL REGION 1-1515 Tollhouse Road Clovis. CA 93612 TIERED PERMITTING CERTIlqCATION OF RETURN TO COMPLIANCE PETE WILSON, Governor For Permit by Rule, Conditionally Authorized, and Conditionally Exempt Notifiers In thc matter of thc Violation cited on · A P R I-~, 2 0, As Identified ia thc Inspection Report dated A P R I r. Conducted by: $?nTE OF' Ch ENVIRONMEN?AC 1995 20, 1995 PROTECTION(agency(s)) I certify under penalty of law that: T 9 e h e b e s t o f m y k n o w 1 e d g e, 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 thc attached documentation and inquiry of thc individuals who prepared or obtained it, I believe that the information is tree, 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. _JERRY HOWARD SEC Name (Print or. Type) ~ Tide U.S. PHOTO, ,INC~,.,¢,.mn~ ~%,,CAL ooo057,~37<>- Comp=y :' ... - t~ ,, EPA +-TPiO1A Tiered Permitting System Onsite Notifier Information 'EPA ID: CAL000057537 Initial Date: 040693 Init/Amend/Renew: I Amended Date : Renewal Date: I. Conditionally Exempt, Small Quantity Treater Units 1 Conditionally Exempt, Specified Wastestream Units Conditionally Authorized Units Permit by Rule Units Commercial Laundry Variance (Section 25205.7) Total Fee Attached: Check No: Screen 1 of 2 (I/A/R) II. BOE: Company Name: US PHOTO INC Address 1:2701 MING AVE 2: City: BAKERSFIELD County: KERN Contact First: JERRY Phone: 818/988-4311 +-F2=Cncl CA Region: 1 Last: HOWARD Ext: ZIP: 93304 -Enter the data and press ENTER to go to screen 2 ........ + -F4=Ina--F5=Unit-F6=Hist ......... F8=Next-F9=DVal--Entr=Acpt+ Aa Bi--SESSION1 R 4 C 67 o-o01 9:39 6/09/95 men n VI. Attachments (missing): ["=lf""l 'Ceflifi.tion(s)'''': ~'~ Plot Plan nassmg--- ............ [-I No original signature on both copies Unlt Specific Forint: ['"1 Unit Name/Unit ID #.- missing ["=l Number of Devices - no # (x is unacceptable) Wastestreams & Treatment PMcesses To~' Volume. Treated - no quantity., ......Wastestrea~s - no~e n~r]nM · "~'.' Certified TechnolOgy - o~ic~fion # mi~ing. Na.~afive Descriptions - B]an]t I 2 3 '. f=l n.' I'!' Ri. Residual Mana~e~t - d~ - letter not checlned when Yes (others can be blank) Basis For Not Needing A Federal Permit- ~ · · -' Addltlonnl Comments/l~oblems: "' -,- - OCT-OS~t~::J~5 i9~ ~,~ FI~IH U.S..~PHOTO ~'~ C'~L~,T~C~:nO~ O~ ~ ~:O_CO~'L~_~_C~_ For Permit by Rule, Conditioardly Authorized, sad Conditionally Exempt Notifiers Inrhemauerofth~ Vioiafioackedon: A~,Z~L 20, ~9~5 Asldenifed~urlmlnspec~onRepondaled ~t, ~-o, ~s Conduc~i by: s~-~.' o~" ..c? a~v~o~Rs~, I,~o~zc~o~ (agency(s)) I ~ under pemlt7 of hw ~: ~o 1. Respoadeaz has con'eczed thc violado~ specified in rio no~c-- of violalion cil~i above, I bare personally e,~mined any doannc~don amtched I~ the ccr~ific~on to es~blish that r~e violations have been corl~ed, Ba.v~ on my e~s~(,~don of dm roached documenmiion and inquiry of ~he individuals who prepared or obeyed ir, I believe tha~ dm infommion is Iruc, accurale, and complete. I am audlorized ~o f'de dgs cenifi~ on behalf of the Respondent I ~ aw~ ~t ~ ~ s~~ ~ for m~ ~ ~~, ~~ ~ ~~ of ~ ~ ~~ for ~ ~o~o~. r~.g. PHOTO, INC. CR, I~ 0000575:37 coi~o=y Name .... ~. ~x ID. ~b~r 818 ~88 1143 10-08-95 T?T%~%oo2 ~o CI~.IST ~ INSPECTION R~)RT FOR Permit by Rule, Conditionally Authorized, and Conditionally Exempt Not~fiers FACILITY CONTACT-NAME: ~C=/C,.r ~P'~,-'/,~,~ SIC CODE(S): ?,~ ~ ¥ UNIT COUNT: PBR CA CESW/ CESQT TOTAL / UN1TCOUNT(notified): PBR CA CESW / CESQT TOTAL / INSPECrlONDATE:/f/~,,// ,z~ ~ /y~- # of VIOLATIONS: g Minor Class 1 VIOLATION TYPE: Onsite treatment ~ ~enemmr Waste min. Recycling NOTIC]~ to COMPLY ISSUED (.y/n}: ~ Local A~ency # . requ~me~, although a ~param ~ may be e~ed f~r thee requiremenm. A chectamsrk ~mclk~e~ ~em el*he law, wMch are e~{-~i ~m m~re ~ ~ the ~mche4 ~e ~ ~d N~ce m C~mp{y. The se~er~n{ t~ ~re the Hemlth ~md SMeiy C~le (HSC) and T'~Je 2~ ef ~e Ca~'o~ C~ie ef l~-,~,m~,,, (Z2 CCR). Generator Standards: Contingency plan has been prepared (adequately minimize releases, has alarm/communication system, lists emergency equipment and phone numbers for emergency coordinators). Written training doo,ments and records prepared for employees handling ba='ardous waste. Meet container management standards (storage time limits, closed, labelled, compatibility, inspected weekly, in good condition, wi~. ignitables/reactives 50 feet from property line). 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). All wastes are properly identified. Treatment Itenis-Facility Wide: (faeitity must submit a revised Form 1772 to correct errors or o,nissiom.) c/ 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. o~ 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.A//~ 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 'January 1, 1995 'STA'I"~E OF CALIFORNIA-ENVIRONMENTAL PRO~i~TiON AGENCY DEPARTMENT OF TOXIC SUBS~NCES CONTROL REGION 1-1515 Tollhouse Road CIovis, CA 9'3612 PETE WILSON, Governor CHECKLIST AND INITIAL VERIFICATION INSPECTION REPORT FOR " Permit by Rule, Conditionally Authorized, and Conditionally Exempt Notifiers FACILITy NAME:/--/. ~. f/;~/o / f,,~ EPA ID NUMBER: .c,,~ PHYSICAL ADDRESS: ,~7ol ,r/7/~,,~ /7~r. ~.h~r~ //~1~ : C~ FACILITY CONTACT-NAME: ~ec ~ ,///~-//o'o,~ PHONE: Foa-'/aw'.; - SIC CODE(S): ZY0'¥ INSPECTION DATE: ~,~:/,,?o//? ~o-- Local # NOTIFIED UNIT COUNT: PBR CA ~ CESW / CESQT TOTAL CORRECT UNIT COUNT: 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 suspecte~. 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. O~ Meet container management standards (storage time limits, closed, labelled, compatibility, inspected weekly, in good condition, with ignitables/reactives 50 feet from property line). 4./~,/7 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. ~9~ All wastes are properly identified. Treatment Items-Facility Wide: (Facility must submit a revised Form 1772 to correct errors or omissions.) t.--" 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. o K All generator identification information on Form DTSC 1772 is correct. 8. (3f--~ 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 STAT~; OF CALIFORNIA-ENVIRONMENTAL PROTECTION AGENCY DEP~,RTMENT OF TOXIC SUBS2NCES CONTROL REGION 1-1515 Tollhous,~ 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: '*/ ' Unit Name: J')/~ d~ecov~r¥ a/~'~/ ~I Notified Tier: c ~s co Correct Tier: Notified Device Count: Tanks Correct Device Count: Tanks Containers Containers For each Unit: NO 12.0~- 13. 14.c~¢ 15. 16. 17. 18. I9. 20. 21. 22 23. All hazardous wastes treated are generated onsite. The unit notification is accm:ate 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: (Xf this is a unit that was not included on the notification form, the violation is operating without a permit-H$C 25201 (a). Also note if the activity is currently ineligible for onsite authorization.) Onsite Checklist (B) Page ./ of // August 2, 1994 °~"STAT[~ OF CALIFORNIA-ENVIRONMENTAL PROTECTION AGENCY DEP~RTMENT OF TOXIC CONTROL REGION 1-1515 Tollhouse Road Clovis, .CA 93612 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 appropriaie 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. 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 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: /~. Prim Name:LD~ ~,'~t~ Title: ~. J~~cr. Agency: ~f, Phone Number: Other Inspector: Signature: Prim Name: Title: Agency: Phone Number: Facility Representative: Your signature acknowledges receipt of this report and does not imply agreement with the findings. Signature: /~ .Y~ ~UA~ Print Name: ~ ~-7/{, ~'bbl/E~ Title: ~ .~co[ /{/la IL Date: /~ -20 - 9~' Onsite Checklist (C) Page / of / August 2, 1994 STA'[~ OF CALIFORNIA-ENVIRONMENTAL PROTECTION AGENCY REGION 1-1515 Toi~o~ 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 eccpands 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 EPA ZD C_ ~OO 'S- S-3 FILE TYPE STATE OF CAI"IFORNIA--ENVIRONMENTAL PR PETE WILSON, Governor DEPARTMENT OF TOXIC SUBSTANCES CONTROL 400 P Street, 4th Floor P.O. Box 806 Sacramento, CA 95812-0806 (916) 323-5871 12/29/93 EPA ID: CAL000057537 U.S. PHOTO, INC. JERRY HOWARD 2701 MING AVE. BAKERSFIELD, CA 93304 For facility located at: 2701 MING AVE. BAKERSFIELD, CA 93304 Authorization Date: 12/29/93 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-' CAL000057537 If you have an), questions regarding this letter, or have questions on operating requirements for your facility, please contact the nearest DTSC regional office, or this office at the letterhead address or phone number. Sincerely, Onsite Hazardous Waste Treatment Unit Permit Streamlining Branch Hazardous Waste Management Program Enclosure CC: SUSAN LANEY DTSC REGION 1 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 Uni~ authorized to operate at this location: UNDER CONDITIONAL AUTHORIZATION: EPA ID: CAL000057537 UNDER CONDITIONAL EXEMPTION: 1 .~,at~ of Callforuia - Califorui~ Eavh'~amemal Pro~fiou A~e~cy svsz 2 0 3 0 Conditinall Exempt - Specified waste streams ONSITE HAZARDOUS WASTE TREATMENT NOTIFICATION FORM FACILITY SPECIFIC NOTIFICA]qON For Use by Hazardous Waste Generators Performing Treatment [] Under Conditional Exemption and Conditional Authorization, [] and by Permit By Rule Facilities Departmmt of Toxic Substances Control Page 1 of .~ Initial Revised Please refer to the attached Instructions before completing this form. You may notify for more than one permitting tier by using this notification form, DTSC 1772. You must attach a separate unit specific notification form for each unit at this location. There are different unit specific notification forms for each of the four categories and an additional notification form for transportable treatment units ('lTl.;'s). You only have to submit forms for the tier(s) that cover your unit(s). Discard or recycle the other unusedforrns. 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 ID Number on each page. Please provide all of the information requested; 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 will not be considered complete without payment of the appropriate fee for each tier under which you are operating. (Please note that the fee is per TIER not per UNIT. For example, if you operate 5 units but they are all Conditionally Authorized, you only owe $1,140, NOT5 titne~ $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. Conditionally F. xg~t Small Quantity Treatment operations may not operate ~ under any other tier. This will also be the number of unit specific notification forms you must attach. Nmnber of units and attached unit specific notifications Conditionally Exempt-Small Quantity Treatment (Form DTSC 1772A) Ao Conditionally Exempt-Specified Conditionally Authorized Permit by Rule (Form DTSC 1772B) Form DTSC 1772C) DTSC 1772D) BOE NUMBER (if available) H__HQ. EPA ID NUMBER N~E (Comply or F~ility) ~. S. ~OTO~ ZNC. PHYSIC~L~A~ON 2701 Ming Ave. Fee per Tier (not per unit) $ 100 $ 100 $1,140 $1,140 Total Fee Attached $ 100.00 CITY Bakers fie id CA COUNTY Kern CONTACT PERSON Becky Ne i 1 son (Fire Natr~) (l. aa Name) For DTSC U.~ Only ZIP 93304. PHONE NUMBER( 805)834 -6016 DTSC 1772 (1/93) Page I EPA ID NUMBER 000057537 3LAILING ADDRESS, IF DIFFERENT: COMPANY NAME (DBA) STREET Page 2 of ~ CITY COUNTRY CONTACT PERSON STATE ZIP (only complete if no~ USA) PHONE NUMBER( ) Name) (Last Name) IH. TYPE OF COMPANY: STANDARD INDUSTRIAL CLASSIFICATION (SIC) CODE: Use either one or two SlC codes (a four digit number) that best describe your company's products, services, or industrial activity. E.~arnple: .7.384 ~ 3672 Printed circuit boardr First: 7384 Photo Finishing Lab Second: PRIOR PERMIT STATUS: Check yes or no to each question: NO ["] [~! 1. ID U! 2. 121121 3. 12 121 4. Vo Did you file a PBR Notice of Intent to Operate (DTSC Form 8462) m 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 ha?ardous 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 hazardous waste generator? PRIOR ENFORCEMENT HISTORY: No~ required from generators only notifying ~ conditionally trrtmpt. NO 12 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 cower sheet from each document. (See the Instructions for more information) DTSC 1772 (1/93) Page 2 EPA ID NUMBER Page 3 of__~ ATTACI-13IENTS: 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. CERTIFICATIONS: This form must be signed by an authorized corporate officer or any other person in the company who has operational control and performs decision-making functions that govern operation of the facility (per title 22, California Code of Regulation~ (CCR) section 66270.11). All three copie~ mart have original signaxur~. Waste Minimization I certify that I have a program in place to reduce the volume, quantity, and toxicity of waste generated to the degree I have determined to be economically practicable and that I have selected the practicable method of treatment, storage, or disposal currently available to me which minimiZeS the present and future threat to human health and the environment. Tiered Permitting Certification I certify that the unit or units described in these documents meet the eligibility and operating requirements of state statutes and regulations for the indicated permitting tier, including generator and secondary containment requirements. I understand that if any of the units operate under Permit by Rule or Conditional Authorization, I will also be required to provide required financial assurances by January 1, 1994, and conduct a Phase I environmental assessment by January I, 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 f'mes and imprisonment for knowing violations. Jerry Howard /~ President Name (Print or TyI~) ~/] Title Si~'q ' ~ / ~ Date Signed 3/30/93 OPERATING REQUIREMENTS: Please note that generators treating hazardous waste onsite are required to comply with a number of operating requirements which differ depending on the tier(s} under which one operates. These operating requirements are set forth in the statutes and regulations, some of which are referenced in the ]Ter-$pecific Factsheets. SUBMISSION PROCEDURES: You must submit t~o copi~ 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 J~rnit one col~t of the notification and attachments to the local regulatory agency in your jurisdiction as listed in the in. rtruction materials. You must also retain a copy as part of your operating record. All three forms must have original signatures, not photocopies. DTSC 1772 (1/93) Page 3 EPA ID NUMBER C~ 000057537 ,~ Page 1/__ of ~' II. CONDITIONALLY EXEMPT - SPECIFIED WASTESTREAMS UNIT SPECIFIC NOTIFICATION (pursuant to Health and Safety Code Section 25201.5(c)) NARRATIVE DESCRIPTIONS: Provide a brief description of the specific waste treated attct the treatment process used. 1. SPECIFIC WASTETYPES TREATED: Recovery of Silver from Photo Finishing. 2. TREATMENT PROCESS(ES) USED: Electrolytic recover followed by one metallic replacement cartridqe. RESIDUAL MANAGEMENT: Check Yes or No to each question as it applies to all residuals from this treatment unit. NO [-] 1. Do you discharge non-hazardous aqueous waste to a publicly owned treatment works (POTW)/sewer? [] 2. Do you discharge non-hazardous aqueous waste under an NPDES permit? ['--I 3. 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 G & L SILVER RECOVERY "i b. Thermal treatment I'--[ c. Disposal to land D d. Further treatment 4. Do you dispose of non-hazardous solid waste residues at an offsite location.5 5. Other method of disposal. Specify: IV. BASIS FOR NOT NEEDING A FEDERAL PERMrr: In order to demonstrate eligibility for one of the onsite treatment tiers, facilities are required to provide the basis for determining that a hazardous waste permit is not required under the federal Resource Conservation and Recovery Act (RCRA) and the federal regulations adopted under RCRA (Title 40, Code of Federal Regulations (CFR)). Choose the reason(s) that describe the operation of your onsite treatment units: The hazardous waste being treated is not a hazardous waste under federal law although it is regulated as a ha?ardotts waste under California state law. D 2. The waste is treated in wast,water treatment units (tanks), as defined in 40 CFR PaR 260.10, and discharged to a publicly owned treatment works (POTW)/sewering agency or under an NPDES permit. 40 CFR 264. l(g)(6) and 40 CFR 270.2. DTSC 1772B (1/93) Page 10 EPA ID NUMBER Cal 000057537 CONDITIONALLY EXEMPT - SPECIFIED WASTESTREAMS UNIT SPECIFIC NOTIFICATION (pursuant to Health and Safety Code Section 25201.5(c)) UNIT NAME Silver Recovery Unit # 1 UNIT ID NUMBER 1 NUMBER OF TREATMENT DEVICES: Tank(s) 1 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 rnarimum or highest amount treated in any month. Indicate in the tsarrtuive (Section Il) Oeyour operations have seasonal variations. I. WASTESTREAMS AND TREATMENT PROCESSES: i--i Estimated Monthly Total Volume Treated: pounds and/or 4 5 0 gallons The following are the eligible wastestreams and treatment processes. Please check all applicable boxes: I. 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, shredding, grinding, or puncturing. El 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. Neutralize acidic or alkaline ~ase) wastes from the regeneration of ion exchange media used to demineralize 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. Recovery of silver from photofinishing. The volume limit for conditional exemption is 500 gallons per generator (at the same location) in any calendar month. El 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 hazardous. b. The separation of oil/water mixtures and separation sludges, if the average oil recovered per month is less than 25 bah'els (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.) DTSC 1772B (I/93) Page 9 EPA ID NUMBER CAL Page ~_. of ~t. 000057537 EXEMPT-SMALL QUANTIT ATMENT UNIT SPECIFIC NOTIFICATION (pursuan:. ~.::. Health and Safety Code Section 25201.5(a)) BASIS FOR NOT NEEDING A FEDERAL PERMIT: (continued) F-i 3. 7. The waste is treated in elementary neutralization units, as defined m 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. The waste is treated in a totally enclosed treatment facility as defined in 40 CFR Part 260.10; 40 CFR 264. l(g)(5). 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 10OO kg/month generators and 180 or 270 days for generators of IIX) to 1000 kg/month. 40 CFR 262.34, 40 CFR 270. l(c)(2)(i), and the Preamble to the March 24, 1986 Federal Register. 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. Empty container rinsing and/or treatment. 40 CFR 261.7. Other:. Specify: V. TRANSPORTABLE TREATMENT UNIT: YES NO Check Yes or No. Please refer to the Instructions for more information. Is this umt a Transportable Treatment Unit? If you answered yes, you must also complete and attach Form 1772E to this page. The Tier-Specific Factsheets contain a summary of the operating requirements for this category. Please review those requirements carefully before completing or submitting this notification package. DTSC 1772A (I/93) Page 8 Name Location City State Zip County Contact Phone U. S. PHOTO 2701 Ming Ave / VALLEY PLAZA MALL Bakersfield Ca. 93304 Kern Becky Neilson 804 634 6016 DESCRIPTION OF WASTES TREATED: Effluent waste from the processing of silver halide - based imaging products which contain 5ppm okr greater silver contration EPA ~D # CAL 000057537 J STATE OF C~UFORNL~ CAUFORNIA ENVIRON~ '~=" tL PROTECllON AGENCY PETE WILSON, GoverF, u,* · ~oDEPARTMENT;,sTREET, 4TH FLOOR OF TOXIC ~JBSTANCES CONTROL ~ P.O. BOX 806 SACRAMENTO, CA 95812-0806 (916) 323-5871 ~ ,! October 25, 1995 E?A ZD: CAL000057537 US PHOTO INC BECKY NEZLSON .2701HLNG AVE. BAKERSFIELD, CA 93304 Zntttal Authorization: 12/29/93 Amendment Date; O&/20/95 flor facility located at: 2701 H/NC AVE BAKERSFIELD, CA 93304 Dear O~stte Treatment Facility: The Department of Toxic Substances Control (DTSC) has received your facility specific Amended notification (form DTSC 1772). Your notification ls administratively completer but has not been revle~ed for technical adequacy. A technical revie~ of your nottficatton 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 Amended notification for the treatment unit(s) listed on the last page of this .letter. These units are authorized by California la~ithout additional Department action. Your authorization to operate continues until you notify DTSC that 7ou have stopped treating waste and have fully closed the unit(s). DTSC has revised its database records to reflect 7our status and has notified the Board of Equalization (BOE). You will be billed annual fees by BOE calculated on a calendar 7ear basis for each 7ear you operate and/or have not notified DTSC that the units have been closed~ If you have any questions regarding this letter, or have questions on operating requirements for your factlity~ please contact the nearest DTSC regional office, or this office at the letterhead address or telephone number. Stnc~~.y., '.State Regulatory Program Division cc: See next page. STATE OF CAUFORNIA---CAUFORNIA ! ON AGENCY DEPARTMENT OF TOXIC SUBSTANCES CONTROL 400 P STREET, 4TH FLOOR P.O. BOX 806 SACRAMENTO, CA 95812*.0806 PETE WILSON, Governor US. PHOTO Page 2 EPA ZD:.CALO00057537 ASTRID JOBNSON DTSC REGION 1 STATE REGULATORY PRO(~I~ 1515 TOLLHOUSE CLOVIS, CA 93611 STEVE HCCALLEY · KERN COUNTY ENVIRON. g~-&LTH SERVICES DEPT 2700 H STREET, SUITE 300 BAKERSFIELD, CA 93301 STATE BOARD OF EQUALIZATION 'STEPHEN R. RUDD, ADNINISTRATOR ENVIRONMENTAL FEES DIVISION P.O. BOX 9~2879 SACRAI~NTO, CA 94279-0001 Units authorized to operate at this location: UNDER CONDITIONAL EXEMPTION; 1 C ?*ago ! of ONSITE HAZARDOUS WASTE TREATMENT NOTIFICA ON FORM FACILITY SPECIFIC NOTIFICATION For U,~ by ~---,xioua Wast$ G~netatota Performing Tn:attaint I-I' Initial Uad~r Co~Utional Exemiatioa ~ Conditional AutO--on, I-! Rm~,al ' Plea. re refer to th~ attached lnxtrucrionx before corn~l~ing thit form. yan may notify for More than on~ permitiing tier by uMng thit notification form, DT~C 177'2. You mu.vt attada a separate ttnit gpecifi¢ notification form for-each-tmi~ at thir location. ~nere ar~ different unit.tt;ecific notification forntt for each of the four categoriex '' and an additional notification form for tramportable treatment untt~ f2'2T.l'x}. ]rote only have'to ~ubmit formx for the tier($) that cover your anit(.O. Dixcard or re~ tt~ other unu~d for~. Number each page of your completed notification package and indicate the total number"of page~ at tit~ top of each page at th~ 'Page ~ of ~: Put'your F. PA iD Number on ead~ page. Pleage provide all of the information reque~'ted., alt field~ mart ~e completed ~, cept thoxe that xtatt 'if different' or 'if available'. Plea. re type tt~ information provided on this form and any attachment, r. ~7ze notification fe~ are tar. te.~xed on the baxir of the number of tiem the notifier wilt operate under, an~ wilt be collected by ttur State Board of ~qualization. DO NOT SEND FOUR FEF.. Wl7'Fl 77175 NO'I'IIqC.4TION FORM L NOTIFICATION CATEGORIES Indicate the number of unit~ you operate in each tier. Thit will al~o be the number of unit gpecifie notification form$ you mutt attach. Number of unit~ and attache~ unit specific notificationa for each tier reported. Co Conditionally Authorized A. ~ Conditionally Exempt-Small Q..u~tity Treatamat D. x Permit by Rule B. Conditionally F. xempc-$pecifl~:l Waat~tr~am E. F. GEaNERATOR IDENTIFICATION EPA ID NUMBER CA CAL000057537 U.S. PHOTO, INC. 2701 MING AVENUE BAKERSFIELD FACILITY NAME (DBA-Do~g Bu~n=M PHYSICAL LOCATION KERN COUNTY Commercial Laundry Variance (Section 25143) BOE NUMBER (if available) H._HQ~ ....... 93304-4440 CA ZIP~axnD~X ~{I~.X~E~.. CONTACt PERSON BECK NEILSON ~-~,t N~,~) (only ¢onmi~ it' .o{ .USA) (Fire Nan.) STATE ZIP PHONE NUMBER(sa~)._2~.~-a0!6 MAILING ADDRESS, IF DIFFERENT: COMPANY NAME STREET CITY COUNTRY CONTACT PERSON fLast Nan.) IFor DT$C U'~ Only J PHONE NUMBER( DTSC 1772 (1/95) Page 1 in ,,~ unit~ at thi~ facility and that are not applies to the TOTAL hezardoar waste separately. The wartestreamr treated mart ~' CONDITION~LY EXEMI~-SM.M.,L QUAb~ TREA~~ ; ~t m H~ ~d Safe~ ~ S~don ~l.5(a)) DE~: T~(s) . Con~~n~ T~t ~s) OF ~ER OF ~O~GE DE~: PI~ Note: ~ene~to~ opex~t~g u~ under Con~tio~Hy ~p~S~ Quantity T~ment may not ope~e ~y omer u~ unde ~ ~er p~g fie~ or hold any ~er ~te or fed~l ~do~ w~e ~a c~ego~ ~ only avai~M to get. on 55 g~ or ~ ~ of ~~ w~ ~ ~ ~ ~ Enter the estimated monthly total volume treated in any month. Indicate in the narrative WASTF..~REAMS AND TREATM~aNT required tq/$btain a hazardoar waste facilities perm& This volume limit in any. calendar month, and is IVOT a limit for each waste, stream or unit those li,~t~d in 27tle 22, CCR, Section 67450.11, which are also li. vted below. / / f ~aste treated by this unit. This should be the maximum or highest amount II} if your operations have seasonal variations. Estimated Monthly Total VolumeTreated: and/or gallons / Estimated Monthly Total Volun/e Stored: pounds and/or gallons No The followlng a~e the eligible wastestreamr and treatment p~ocesses. Please check all applicable boxes: Aqueous wastes containing hexavalent chromium may be treated by the following process: Reduction of hexavalent chromium to: trivalent chromium w/th sodium bistflfite, sodium metabLsulfiw, sodium th/osulfate, ferrous su/fate, ferrous sulfide or sulfur dioxide provided both pH and addition of the reducing agent ar~ automat/cally controlled. DT$C 1772A (1/95) Page 4 ~AID?C~'M3~:R n~r. nnnn~ . ~__of__ CONDITIONALLY EXEMtrr - SPECIFIED WASTESTREAMS UNrF SP£CZFIC NOTIFI~ON ~ (pursuant to Health and Safety Coda Section 2~201.5(c)) - The Tier-Specific Fact Sheets contain a summary of the operating requirean~nts for this category. Please review those requirements carefully before completing or submi_~nff this notification package. UNIT NAME NUMBER OF TREATMENT DEVICES: NUMBER OF STORAGE DEVICES: UNIT ID NT.rM3ER Tank(s) 2 Coutainer(s)/Coutainer Tmmamat Area(s) Tank(,,) .... Each unit mu~t be clearly identified and labeled on the plot plan attached to Form 1772. A~ign your own unique number to eaCh unit. The number can be sequential (1.2. 3) or ~ing any ~$tem you choose. Enter the estimated monthly total volume of hazardou~ warte treated by thlt unit. ~ should be the maximum or highea't amount treated in any month. Indicate in the narrative (Section II) if yo. ur operation~ have xeaFonal variations. : L WA~In~'R~aM5 AND TREA~ PROCESSES: YES Estimated Monthly Total Volume Treated: E~timated Monthly Total Volume Stored: NO pounds and/or 5 0 pounds and/or Is the waste treated in this uait radioactive? Is ~he waste treated in this unit a. bio-hazard/iafecdouz/m~dical waste? Is remotely generated hazardous waste (H$C 25110.10) treated in this unit?. gallons gallons D The following are the eligible wastestreamr and treatment procesxe~. Please check all applicable boxes: I. Treats resins mixed or cured bt. accordance with the manufacturer's instructions (including one-part .and pre-impregnated materials). Treat containers of 110 gallons or less capacity thai: contained hazardous waste by rinsing or physical processes, such as crushing, shredding, {rlndlng, or puncturing. Drying special wastes, as cla.ssl/ied by the department pursuant to Title 22, CCR, Section 66261.12~, by pressing or by passive or heat-aided evaporation to remove water. Magnetic separation or screening to remove components tam special waste, as classified by the depa~ h.ent pursuant to Title 22, CCR, Section 66261.12A. *NOTE' 5. NO AUTHORIZATION IS 1N~n~D__~ to neutralize acidi~ or alkaline (lmse) wastes from ~ . regeneration of ion ~h~e media used to ckmima-aG~ water, lThis waste cannot contain mom than 10 percent acid or base by weight to be e/ilp'ale for this exemption.) Neutralize acidic or alkaline (base) wastes from the food processing industry. Recovery of' silver from pho/of'mlshlng. The volume limit for conditional ~xemption is $00 gallons per generator (ai the same location) in an~. calendar month. =NOTE' Recovery of 10 gallons or less per month of silver from photoflni-nhing is completely exempt from permitting; this form need not be subrni~_~t. DTSC 1772B (I/95) Page I0 ! ,/ % F~UA ID NUMbeR ~o 3 of : ~TIFICATIONS: This.form must be signed by an authorized corporate officer or any other person in the company who hag operational control and perform~ deciMon-makingfunctions that govern operation of the facility (per Title 22, California Code of Regulation~ (CCR) Secti6n 66270.11). All thr~ copie~ nuart have o~iginal Mgnamre~ . Waste Minimization ! certify that I lave a program ia place to reduce tho volume, quantity, and toxicity of was~ degr~ ! have determined to be economically practicable and that ! have selected tho practicable method of treatment, storage, or disposal currently available to me which minimizes the p _re~__-t and future threat to human health and Re eavimnm-,¢. Tiered Permittin~ CertiHcation ! certify that the unit or units de~,cxibed ia these doeumunts meet the eligibility and operating requirements of state statutes and regulations for the iadicated permittiag tier, ia¢luding generator and __~ecoadary ¢oataiameat mqulremeats.. I understand that if any of the units ogeram under Permit by.Rule or Conditional Authorization, I will also be mquimi to provide required financial ~ce for ¢losu~ of the tmmmmt unit by Sanuary I, 1995. ! certify under penalty of law that this documeat and all attachments were prepared under my direction or ~oa ia accordance with a system designed to assur~ that qualified personnel properly gather and evaluate the information submitted. Based on my of the persoa or persons who manage the system, or those directly responsible for gathering the information, the informatioa the best of my ]mowledge and belief, true, a~ura~, and complete. ! am aware that there az~ substantial penalties for submittia~ false iaformation, ia¢Iudlng the possibility of Fmcs and imprisomamt 'for knowing violation*. JERRY HOWARD SEC . Tid~ 5/28/95 Date Siffaed OPERATING REQUIREMENTS: Ptease note that generator~ treating ha:.ardoas waste o,~ite are required to comply with a number of operating requirements which differ depending on the tier(s). Thexe operating requirement~ are set forth in the statute, s and regulations, some of which are referenced in the 2~er~pecific Fact Sheet~ available from the Department's regional and headquarter~ SUBMISSION PROCEDURES: - You must submit two cog;ie~ of this completed notification by certified mail, return receipt requested, to: Department of Toxic Substance~ Control . Program Data Management Section ~_4tkFloor: Room 4453 (wa& in only) P. O. ' Bax 806 Sacramento, CA 95812-0806. You mast al~o submit one copy of the notification and attachment~ to the local regulatory agency in your jurisdiction as listed in Appendix 2 of the butruction mnterialg. You must al~o retain a copy as part of your operating record. ..{Il three forms ttut. vt have original Mgnature~, not photocopie~. DTSC 1772 (1/95) 'Page 3