HomeMy WebLinkAboutHAZ-WASTE REPORT 3/24/1999
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NOTIFICATION OF "SILVER-ONLY" HAZAROOUS WASTE TREATMENT
'.C()RPOI~A?FÈ';:/ "
';' INFoRMATION.;
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Company Name:
Mailing Address:
City, State, Zip:
Name:
Address:
City, State, Zip:
EPA Number:
Unit Name:
Unit ID Number:
Is your company eligible for the exemptions noted on page I?
If no, then disregard this notice.
If yes, then please check the applicable wastestream box:
Longs Drug Stores California, Inc.
141 North Civic Dr.
Walnut Creek, CA 94596
Longs Drug Stores #204
3500 Stine Rd.
Bakersfield, CA 93309
CAL000130048
Longs Drug Stores California, Inc.
204
YEsl
NO_
The recovery of silver from photofinishing/photoimaging solutions and photoimaging solution
wastewaters (provided that the solutions and wastewaters are "silver-only" hazardous wastes, and are
not hazardous for any other reason or constituent).
D 1.
~ 2.
D 3.
D 4.
Wastestream #2 under CESQT (DTSC 1772B) - if applicable.
Wastestream #7 under CESW (DTSC 1772B).
Wastestream #10 under CA (DTSC 1772B).
Wastestream #2 under PBR (DTSC 1772B) - if applicable.
YES_ Nol
Are you authorized for any other treatment activity?
If yes, under which tier are you authorized?
CESW _ CESQT _ CA _ PBR _ STD. PERMIT _ FULL PERMIT _
Of your estimated monthly total volume of wastes treated, what portion is "silver-only" hazardous photofinishing
wastes treated to recover silver? 100% (If this "silver-only" hazardous photofinishing portion is a significant
portion of your total wastes treated, you may be eligible for regulation under a lower pemit tier. Please contact
your local CUP A to detennine or confinn your regulatory tier status.)
I certify under penalty of law that this document was prepared under my direction or supervision and the infonnation
is, to the best of my knowledge and belief, true, accurate, and complete.
~1~
Sìg¡{ature
Keith Landes
Name (Print or Type)
'-
Environmental M12;r.
Title
3/24/99
Date
Please submit the completed notification form to your local CUPA and also send a copy to:
Department of Toxic Substances Control
Unified Program Section \.
P. O. Box 806
Sacramento, CA 95812-0806
CUPA: City of Bakersfield Fire Department
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STATE OF. CAllfORNiA-ENViIRONM
DEPARTMENT OF TOXIC SUB
REGION 1-1515 Tollhouse Road
Clovis. CA 93612
.'
PROTECTION AGENCY '
CES CONTROl!..
PETE WILSON, Gowmor
t2\
.
CHECKLIST AND INSPECTION REPORT FOR
Permit by Rule, Conditionally Authorized!, and Conditionally Exempt Notifiers
H ./0 r-
FAC1+lTYNAME: J.OJtí.5" tfJrÚj ..5f-C'rfð (ú.(;f EPAIDNUMBER: Cn/.. {)()()/.JO¿Wð"
PHYSICAL ADDRESS: J..)D 0 ..5f/~ t" ,l'Oe>,f) B (' /rr'l\5 ¡J.r~/,j) Lfl q 3 3c/(
COUNTY kf'N\ PHONE: S'¿¡S) <533- /S~.çJ
FACILITY CONTACI'-NAME: ~~j / /Jt'/ j,I..lJ<1 f:'iJ{' SIC CODE(S): J?/~
UNIT COUNT: . PBR CA ~ CESW -L- CESQT _ TOTAL-L-
UNIT COUNT (notified): PBR _ CA...:...-. CESW 1-- CESQT _ TOTAL L-
INSPECTION DATE: J::f?~; / .3 6!:ï1f # of VIOLATIONS: _ Minor _ Class 1
VIOLATION TYPE: _'te treatment...L Generator _ Waste min. _ Recycling
NOTICE to COMPLY ISSUED (y/n): '1 r;"5 Local A2ency # t;',
This chec:ldist aDd iDspec:tioD report identify violations 01 state Jaw regarding oDSite treaters of bazardoœ waste, operating
UDder an onsite permitting tier. This iDspec:tioD verUJeS the inlOrmatXOD provided OD form DTSC 1m. It also covers generator
requirements, although a separate chec:JdS may be used for those requirements. A checkmark indic:ates violatioD of the Jaw, whicl1
are explained in more detail OD the attached DOte sheets and Notice to Comply. The goveming laws are the Health and Safety Code
(USe) and T'dIe n of the California Code ofRegulaôons en CCR).
Generator Standards:
EadJ inspection agency 17'IIJ] use thei, own genertllor inspeClÍOl'B checJc1i.st 0' prOlOCols. which are SU11I1I'ItJ1ized be/Qw. AjúJl
evaluation of each item or document ir 7IOt COIJIlucud during the Inspection. unless serious deftcienci.u are suspected.
NO
1. Ort
. .
Contingency plan has been prepared (adequately minimize releases, has alarm/communication
system, lists emergency equipment and phone numbers for emergency coordinators).
Written training documents and records prepared for employees handling hazardous waste.
Meet container management standards (storage time limits, closed, labelled, compatibility,
inspected weekly, in good condition, with ignitableSlreactives 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
ignitableslreactives 50 feet from property line).
All wastes are properly identified.
. -
2.d-.
3.0A
4.
5.
Treatment Items-Facility Wide: (Facility must submit a revised Form rm to correct errors or omirsions.)
6. Ò/-c. 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.oft All generator identification information on Fonn DTSC 1772 is correct.
8.D~ The submitted plot plan/map adequately shows the location of all regulated units.
, 9. ()I, There are records documenting compliance with sewer agency pretreatment standards and
industrial waste discharge requirements, where applicable.
10./íI/1 Generator has prepared/maintained source reduction documents requirements (SB 14/SB 1726).
For many wastes, a checklist or plan is required ~ 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.;.Ift The generator has an annual waste minimization certification. (pBR submit with renewals.)
On site Checklist (A)
Page 1 of J-
January 1, 1995
r ,
STATE OF CALIFORNIA-ENVIRONMENTAL PROTECTION AGENCY
DEPARTMENT OF TOXIC SUB.CES 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
UNIT SHEET
Complete one unit sheet f01' each unit either listed in the notification or identified during the inspection.
Unit Number: ;(01{
Notified Tier: C ESLv
Unit Name: 1.. Oh'j.:f r/)ruj 5 fol'('"
Correct Tier: C LC.5 w
Notified Device Count:
Correct Devic2 Count:
Tanks -è-
Tanks è-
Containers I
Containers ..3
For each Unit:
NO
12.0~ All hazardous wastes treated are generated onsite.
~ 13. The unit notification is accurate as to the number of tank(s) and/or container(s}.
1401: The estimated notification monthly treatment volume is appropriate for the indicated tier.
15. The waste identification/evaluation is appropriate for the tier indicated.
16. The wastestream(s} given on the notification form are appropriate for the tier.
17. The treatment process(es} given on the notification form are appropriate for the tier.
18. The residuals management information on the form is correct and documented for the unit.
19. The indicated basis for not needing a federal permit on the notification form is correct.
20. There are written operating instructions and a record of the dates, volumes, residual
management, and types of wastes treated in the unit.
21. There is a written inspection schedule (containers-weekly and tanks-daily).
22 There is a written inspection log maintained of the inspections conducted.
23. 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')1//1 The generator has secondary containment for treatment in containers.
For each PBR unit:
25. There is a waste analysis plan
26./111/ 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 CU"ently ineligible for onsite authorization.)
Onsite Checklist (B)
Page -L of L
January 1, 1995
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:'STATE'iJF CALIFORNIA-ENVIRONMENTAL PROTECTION AGENCY
DÈP~RTM~NT Of TOXIC SUBS&CES CONTROL
REGION 1-1515 Tollhouse Road
Clovis. ÇA 93612
.
" PETE WILSON. 'GoWmeii'
-
CHECKLIST AND INITIAL ¥ERIFJ[CATION INSPECTION REPORT, FOR
Permit by Rule, Conditionally Authorized, and Conditionally Exempt Notifiers
SIGNATURE SHEET
Q
Onsite Recycling: Only answer if this faciliry recycles more than ZOO kilof!rams/monrh of hazardous waste onsire.
NO
28'j{)ff 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:
If there has been a release. provide rhe following informalion: number of releases. darers). rype(s) and quiwiry of
m/lIerials/wasre. and the causers). Use unit sheer 07 allach additional pages.
YES
..
30':Jf / cJ.Within ~e last three years, were ther.e any unauthorized or accidental rëleases, to the
IV' environment of hazardous waste or hazardous waste constituents froin onsite treatment units?
31. 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 Pennitting inspection, an unauthorized and/or accidental
release to the environment does not include spills contained within containment systems.
This report may identify conditions observed this date that are alleged to be violations of one or
more sections at the California Health and Safety Code (HSC) or the California Code of Regulations,
Title 22 (22 CCR) relating to the management of hazardous waste. The violations may be described in
more detail on the attached note sheets. If any violations are noted, the facility is required to the submit
a signed Certification of Return to Compliance within 60 days, unless otherwise specified. (A
certification form is provided.) If any corrections are needed to the initial notification, the facility will
submit a revised notification within 30 days to the Department of Toxic Substances Control with a copy
to the local enforcement agency.
Inspector(s) :
Lead Inspector:
Signature: [)¿;lv(£ f 5L+,
Print Name: J2..vr'...P L, 54/...J "'-< c. f r-
Title: H"-J' 5Ub<;fc..,~"'~ $c(:", ·I¡'rf-
Agency: {)?;(, Tõhc 5u.bs{<"~lrrç (6<--t{",< (
Phone Num er: 07691 ;1'17' 39.50
,
Other Insçector:
Signature:
Print Name:
Title:
Agency:
Phone Number:
Facility Representative:
Your signature acknowledges receipt of this report and does not imply agreement with the fmdings.
Signature: ~ V ,~ Print Name: 1\, \ l- \ f' ,:D, 'Ea-\..I ù Ht:l!I1.
Title: ~.Q.€ H Ç1L Date: tf{3/QS;-
Onsite Checklist (C)
Page L ofl _
August 2, 1994
" 5T A T~ OF CALIFORNIA·ENVIRONMENT AL PROTECTION AGENCY
DE~ARTM·ENT OF TOXIC SUSaNCES CONTROL
REGION 1-151.5 Tollhouse Road
Clovis. CA 93612
.
PETE WIlsoN, Governor
CHECKLIST AJ."lD INITIAL VERIFJ[CATION INSPECTION REPORT FOR
Permit by Rule, Conditionally Authorized, and Conditionally Exempt Notifiers
NOTE SHEET
e
This sheet includes inspector observations and expands upon the violations identified on the checklist (by number). In some
cases, it indicates how the fadlity should correa the violations. It also includes the names of any others parridparing in this inspection.
. '
Onsae ChecklIst (D)
Page _ of_
August 2, 1994
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~STATE OF C;ALlFORNIA-CALIFORNIA ENVIRONM
PROTECTION AGENCY
PETE WILSON. Governor
DEPARTMENT OF TOXIC
STANCES CONTROL
400 P STREET. 4TH FLOOR
P,O, BOX B06
SACRAMENTO. CA 95B12-0806
(916) 323-5871
02/15/95
EPA ID: CALOOO130048
LONGS DRUG STORE #204
NANCY SCHNIDER
P.O. BOX 5010
ANTIOCH, CA 94531-5010
For facility Ioœted at:
3500 STINE RD
BAKERSFIELD, CA 93309
Authorization Date: 02/15/95
Dear Conditionally Authorized and/or Conditionally Exempt Facility:
ACKNOWLEDGEMENT OF UNITS OPERATING UNDER CONDITIONAL AUTHORIZATION AND/OR
CONDITIONAL EXEMPTION
The Department of Toxic Substances Control (DTSC) has received your facility specific notification (form
DTSC 1772) and forms for Conditional Authorization and/or Conditional Exemption for Specified Wastestreams (form
DTSC 1772B and/or 1772C). Your notifications are administratively complete, but have not been reviewed for technical
adequacy. A technical review of your notifications will be conducted when an inspection is performed. At any 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. Tbese 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 applicabk
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.
."
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P"nred on Recycled Paper
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Page 2
EPA ID: CALOOO130048
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.
SjJ}eerely,
/7 ~
~~ (t---
Michael S. Homer, Chief
Onsite Hazardous Waste Treatment Unit
Permit Streamlining Branch
Hazardous Waste Management Program
Enclosure
cc: ASTRID JOHNSON
DTSC REGION 1
STATE REGULATORY PROGRAM
1515 TOLLHOUSE
CLOVIS, CA 93611
STEVE MCCALLEY
KERN COUNTY
ENVIRON. HEALTH SERVICES DEPT
2700 M STREET, SUITE 300
BAKERSFIELD, CA 93301
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.
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pàge 3
ENCLOSURE 1
Units ØIIIhorizJ!d to operate at this Ioœtion:
UNDER CONDITIONAL AUTHORIZATION:
UNDER CONDITIONAL EXEMPTION:
#204
EPA lD: CALOOO130048
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Page 1 of 110
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ONSlTE HAZARDOUS WASTE TREAThfENT NOTIF1CATION FORM
FACILITY SPECIFIC NOTtFICA nON
For Use by Hazardous Waste Generators Performing Treatment Xi Initial
Under Conditional Exemption Md Conditional Authorization. 0 RevIsed
and by Penrut By Rule Facilities
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Pl4ase refer 101M aztached IlUtrucrion.r bet0'" completing Ihis form. You may notify for mo,.. tJum OM permitting tier by using this
nOlificazionform, DTSC 1m. You must altach a s~parClle ulfJit specific notificalionformfor each unit al this locØliolt. There an
different unit specific MtifictJlionformsfor each ofthefolU' caUtgones and an additioNJJ. notifiCtJlionformfor transporrable t,..ØIIMItl
units (TlTJ's). You only ha~ to submit fomu for the tier(s) thtJl cover YO"" "";t(s). Discard or recyc/ø tM other 1UUUe4 fomes.
Number each page of YO"" compls«l notificØlion padcage tUíJd intÜCtJle tM lOlal number of pagu Øl the lOp of eødt page Øl lhe
'Page _ of _ '. Put YO"" EPA lD Number Oil each page. Please proviú aU of tM illJormatioll reqruute4: aU fields mun be
completed ac~t rhos, chal sttJle 'if diJfenllt' or 'if avøiÚJb/ø'. Please type tM information provided on chis form and azry
allachmellls.
The nolificØlioll will not be con.rúløa;t complete Wilholll paymøllt o/Ihe approprialef_for «Ich Ii.,. UIIÚr which you an opÐ'Øling.
(Please note llull lhe fH is per 11EB not pø UNIT. For aample, if you opcrale 5 lUlÌu bill IMy are all Condilionally AlIlhon::ed.
you only 0'" $1.140, NOT 5,.... $1.144 If you opmue any Pmnit by R..IUfJÌI.f and tury uniu IIItIÚr CondilioMlAlIIhoritalioll
you owe $2,280.) Checla should be ntIMÚ payable to the DqJtJnmelll of Tœic SIIIbsuuIca Control and be slapl«l to 1M lOp of this
form. P14asø wrilØ YO"" EPA lD NumlJno Oil tM cheœ Fill ill thø chødc 1l1IIrIbø;1I 1M box aboWt.
Eo NOTŒ1CA TION CATEGORIES
Indicate Ihe lIumber ofuniu you opertUe ill each IiD'. This will also bø the IIlUJIbcr ofunil specific "",iftCØliollfomu you musI allach.
ColtdiJiolllllly ÛIIIIpI Smø.Il QuøNiIy ~ 0pøøIÍØIU Mt.J1 MI opørM IIIIiU IIIIdø lIII1 ødtttr tier.
Permit by Rule
Fee pel!' Tier
(1IOf fM' w.)
S 100
Number of units and auacbed unit specific noûflcaûo..
CODditiona.lly Authorized
'(\CCS Con/ro/ p
~'Q. ,,--\\\orcel17 ..
(Form DTSC 1772A '"'.J~"~ 'Q>. . elll :f~
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. FEe o 9199S
$ 100
A.
Conditionally Exempc-Sma11 QuanŒity Trcaunen~
B. ¡..a. Conditionally Exempc-Specified Wastcstream
C.
(Form DTSC 1
$1.140
D.
$1.140
=:a==-
~(1J. Tota! Number of Units
U. GENERA TOR IDENTIFICATION
EPA ID NUMBER CA1:-Q Q.Q. .L3 Q. 0 Sl.t
Total Fee AnacW SdOOm
BOE NUMBER (if available) H_H~ _ _ _ _ _ _ _
NAME (Company or Facility)
(DBA-Doilll ØulÌnc.. Aa)
PHYSICAL LOCA TtON
LONGS DRUG S'ï'ORES
LONGS DRUG STORES
CALIPORNIA.
TN~
#~
3500 $1'\M.. ~~C
~'ùr~~'a.lO
~ç (1\
For DTSC U.. Only
CITY
CA .
ZIP 9 ~~-
R&Jion
COUNTY
CONTACT PERSON
NAN~V
(F"III& H...)
$~mfIDItR
(U\o& H....)
PHONE NUMBEl\l2lQ) 210- 66?5
DTSC 1777. (1/93)
Pap 1
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EPA 1D NüMBER..!::.AL Þöö \~OO~
.
~fAn..ING ADDRESS. IF DIITERF:N"[:
e
,.Page' 2.,'of lÞ
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LONGS DRUG STORES CALIFORNIA, INC.
STREET
COMPANY NAME (DBA)
CITY
COUNTRY
CONT ACf PERSON
P.O. BOX 5010
ANTIOCH
STATE CA ZIP 945:,:1. 5010
----
(only compl... if QO& USA)
NANCY
(FiN N....)
SCHNIDER
(ÜIII N....)
PHONE NUMBERl...2.!9 210· 6625
m. TYPE OF COMPANY: STANDARD INDUSTRIAL CLASSIFICATION (SIC) CODE:
Use eilh.er OM 0,. two .:;..; coda (afoUl' di,illUlltlbøj tMl bu, dumN yoUI' comptIII1', p1'Odlu:ø. sÐVica, o,..¡ndu.r,";ai aaôl-,"'y'
Exampk:
IV.
YES
o
o
o
o
o
v.
~ ~.1Ilb
First: 5912 RETAIL CHAIN DRUG
~'l'Ul{t;
J§Q hi,.,ed cil'CUil boarrb..
Second:
PRICR PEDDT Sf AreS: CMdc YeJ 01' no 10 /tach quatio,,:
NO
UI 1.
ŒI 2.
~ 3.
[]I 4.
GJ s.
Did you file a PBR Notice of Intent to Opera!e·(DTSC Form 8462) in 1992 for this location?
Do you now have or have you ever held a swe or feclen1 hazardous waste facility full permi& or Interim
status for lilY of these treatment units?
Do you now have or have you ever held a swe or federal fuU penait or interim StaNS for any other
bazardou.a waste activitieø at this location'?
Have you ever held. vari&aee issued by the Departmeot of Toxic Sub-tQlCel CoatrOl for the treacmeD~ you
are now notifyÍDI for at this location'?
Has this locatioa ever beea inspected by the stale or IIDY loc:a1 ageacy u . bazardouI wasce geaenuor?
PRIOR ENFORCEMENT HISTORY: Not ~ frotra ,ØWI'ØU1n 0IIIy 1tDIifyUI, IØ ~ aeMpf.
YES NO
o 0
o
DTSC 1772 (1/93)
N/A
Within the lase three years. bu this fKiiity been the subject of IDY COQvictiou. judlmeDtI. setclemear.s. or flDll
orden resultiD. from aD ICtioø by any locai. state. or federal eavil'OlUlleDtaI. bazardouI ware. or public bea1d1
enforcemeat lIeacy1
~ or the purposea of this form. a notice of violntioQ doeI DOC c:oaatitwe ID order &ad DIM DOC be reported unJesa
.vu DOt corrected _ 1)-..... a fuW order.)
If you aøswered Yes. check this box aød attacb a liseing of conviçtioas. judpleD&l. seulemeats. or orden ¡ad a copy
of the cover sheet from each documeat. (Son tho [nstl'UCtÍoas for more iDfol"lDlliOD)
Page 2
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A IT ACHMENTS:
G~\... tx)O \~O.(}I.fe
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Page 3 of J:h
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A plot plan/map detading the location(s) of the covered UDtt(S) in relation to the f~ility boundaries.
A unit specific: notification form for e.ac:h unit to be covered at this location.
VU. CERTIFICATIONS: This form mu.st b~ signed by an authorited corporate oJffœr or all)/ orhø penon in rhe company who
has operational conrrol and performs decision-maJcing jldnCfiolU rhat goYer1l o~rtUion of the facility (pg rirl4 22, CaüJomia
Code of ReguialiolU (CCR) seCfion 66270. J J). AllIItIw copia nu&Ø hIIWl øngÙIGÏ ~igllllllll'a.
Waste Minimization 1 certify that 1 have a program in place to reduce the volume. quantity, and toxicity of waste geuerated to the
degree 1 have determined to be economically pncticable anå th.mt 1 have selected the prac:tìcable method of tratmeDt. storage. or
disposal currently available to me wbic:b minimizes me present IU1d Ñture tbrea& to humaa health and the environment.
Tiered Permittimr Certification I c:ertify that the unit Of wUl!3 described in these documeats meet the eligibility and 0peta1ÌD1
requirements of state statutes aøci regulations for the indicated permitting tier. i.acludingleaerator and secondary contaiøment
requiremeats. I understaad that if my of the units operate under Permit by Rule or Conditioaal Autborizatioa. I wiU also be required
to provide required fiDaøcia1 USUI'IIICe8 by Imuary 1. 1994, and conduct a Phase I eavil'011lDellta1 usealDeDC by January I. 1995.
I certify under peaa1ty of taw that this documeat and aU attachments were prepared uncIM my directioa or supervisioa in acc;ordaDce
with a system desigaed to assure that qualified personnel properly gather and eva1uace the informatioa submitted. Based on my inqwry
of the persoa or penons who mlDale the system. or those directly responsible for gatberi111 the information. the information is. to
the best of my knowledge and belief. true. accurate. and comple¡e.
, I am aware that there are substantial penalties for submitting false infonnation. including the possibility of fines and impnsoø.menc
for knowing violations.
L.~
Name (PM 0 ype)
Signature
v. P. PERSONNEL & OFFICER OF
~NCg I>IiWG ~TOaJõ"~ f' þ T Tli' , ïWC·
tile
~f¡ /tJJ
Date Signeå '
OPERATING REQUIREMENTS:
Please note that genertUon treating hazJJrdofU waste olUitt are r~quired to comply with a number of oputlling requ;reI'Mnu which
differ depending on the tier(s) under whim one operate:. These operating rtquirnnenu an set forth in tM S'alUlU and reguialiolU,
SOIM of which an referenced in tM 1ier-Sp«ijic Facuheets.
SUB!\ßSSION PROCEDURES:
You must SIÚHrÙl two œøia of this completed notiJication by cerriJied mail, return re«ip' requated. to:
Dqxmmøl of Tø.ric Substøncø Control
F drm J 77'2
OlUltlt HIlZJUfiOfU Wastt Treall'MN Unil
400 P Street, 4th Floor (walk III omy)
P. O. Bœ 806
Sacramemo, CA 958í2.()1J06.
You mfUt also nbrrtiI tHtt a:JØW oftM tlDliftCtllÍDII GIld alladurrtlW! to tht Ioctú rqllÚllOry agøcy ill your jurildú:lioll dlli.stlti ¡111M
ilUtT1lCfion IfIIUmall. You mun allo maill a copy M pcm afyordr operating record..
All thrH fomu mllSt h4",. originaJ sig1llllUI'Ø. fIDI photocopiu.
DTSC 1772 (1/93)
Page 3
EPA ID NUMBER 1.:.1-\. t";o()\>"DO~ .
CONDITIONALLY EXEl\1FT - SPECIFIED W ASTESTREAMS
UNIT SPECIFIC NOTIFICATION
(pursuant to Health and Safety Code Section 2S201.S(c»
"
.'
Page!l of t.k
:\TUMBER OF TREATMENT DEVICES:
_ Tank(s)
UNIT m NUMBER It ~04
--L ContaiDet(s)
UNIT NAME r.nNl::S DRUG STORES
Each un;1 mUSI b~ clearly identified and Iab~ÚId 011 1M plot plan azlached 10 Form J 772. Assigll your OWII &m;qrut nUl'llber to each
unit. Th~ number call 1M seqrutntial (I. 2. J) or usillg any rystmJ you choose.
Enter the eslÌmazed monthly tOlal vollUJW of Mzardous wast~ tnaled Dy Ihis UIIU. This should ~ 1M ma:cimrun or highest amount
trealed in any month. ¡lIIiicale ill 1M narraziw (SeCliolt ll) ifYOll1" OpertlliolU have SI!tUOIIIÙ vørlaIiolU.
I. W ASTESTREAMS AND TREATMENT PROCESSES:
pOunds and/or
.5lL gallons
Esûmated Monthly Total Volwne Treated:
o
o
o
o
o
o
iiI
o
o
o
17ae following are 1M eligible wastutreanu and rntJll1MlII procasu. Please cMdc aU applicable bœu:
1.
Treats resins mixed in accordance wilLb the manufacturer's iDsUuctions.
2.
Treat containers of 110 gallons or leu c:.IJ*ity tbat contained hazardous waste by rinsing or physical processes.
such as crushing. shredding, grinding, or punc£w'ing.
3.
Drying special wastes. as classified by the depmtmeat pursuant to title 22, CCR. section 66261.124. by pressing
or by passive or beat-aided evaporation to remove water.
4.
Magnetic separation or screening to remove corD1pOneots from special waste, as classified by tho department punuaat
to title 22. CCR. section 66261.124.
s.
Neutralize acidic or aUcaJine (base) wastes from &be regeneration of ioa eacbaoge media used to demioen1ize water.
(This waste cannot contain more than 10 pe11'CeDt acid or base by weight to be eligible for cooditioaal exemption.)
6.
Neutralize acidic or albJine (base) wastes from the food processmg industry.
7.
Recovery of silver from pbotofiniShing. The volume limit for conditional eumption is 500 gallons per generator
(at the same location) in aøy calendar montb.
8.
Gravity separation of the following. including tbe use of t1oc:c:ulaats aøci demulsifiers if
a. The settling of solids from the waste where tbe resultUtI aqueous/liquid stream is not hazardous.
b. The separation of oil/waler mixtures and separation sludles. if the average oil recovered per month is leu
than 2S barrels (42 gailolUl per barrel).
9.
Neutra1izìø, acidic or alkaline (base) ma&erial by a $We ~fied labora1ory or a laboratory opera&ed by aD
educatioaa1 iDscirwiou. (To be eligible for conditional eaemptioa. this waste c:IDDOt coacaiD more thaD 10 perœat
acid or base by weight.)
DTSC 17728 (1/93)
Page 9
'í?age !.~f ij,
EPA lD Nt:MBER ~ 000 \~OO\fK .
CONDITION ALL Y EXEMPT - SPECIFIED W ASTESTREAMS
UNIT SPECIFIC NOTIFICATION
(pursuant to Health and S.mfety Code Section 2520I.S(c»
II. NARRATIVE DESCRIPTIONS: Provid~ a brief description ofth~ specific wtJSt~ tremM and tM tretllIMIIl proca$ /ISM.
1. SPECIFIC WASTE TYPES TREA TE:;': SPENT PHOTOGRAPHIC FIXER SOLUTIONS
(ie: bleach, bleach f~':~f stabilize:¡r"
2. TREATMENT PROCESS(ES) USED: SILVER RECOVERY unit
(Hallmark canni~:ters)
NO
o
m. RESIDUAL MANAGEMENT: Chedc Yes or No to each que.nioll as ;t appliø to all residuals from l!:ùl. tnØlTMIIl unit.
YES
61
o
ii
o
o
1. Do you disc:harge DOD-hazardous aqueous waste to a publicly owned treatment works (P01W"Ii '
~r1
Iii
o
2. Do you disc:harge Don-hazardous aqueous waste UDder an NPDES permit?
3. Do you have your residual hazardous was4e hauled offsite by . re¡istered hazardous waste bauler?
If you do, where is the waste seat'? Check all thai apply.
61
o
o
o
a.
Offsite recycling
b.
Thermal treatmat
c.
Disposal to land
d.
Further treatment
~
4. Do you dispose of DOD-hazardous solid wnste residues at q offsite locatiOD'?
o
S. Other method of disposal. Specify:
N/A
IV. BASIS FOR NOT NEEDING A FEDERAL PERMIT:
In order to dnnof&StrØl~ eligibility/or OM o/tM of&Sil~ treatment tien./acilitiø are required to provUú tM basis/or determining tJuu
a hazardous wtJSt~ permit is not required und~r th~ federal Resource COf&SUVQlioll and R~cowry Aa (RCM) and 1M federaJ
regu/aliof&S adopted ulllilr RCM (]ilk 40. Code 01 Fed~r(J1 ReguÚJliof&S (CFR».
Choos~ the rea.ron(s) thal descri~ the opertJl;oll ofyolU" ol'LSite treØlI'MllllUliu:
o
~
1.
The hazardous wucc·beiq treated il3- not a hazardous waste UDder fedenllaw although it is regu1aled u a bazardoua
waste UDder Ca1ifomia state law.
..,
-.
The waste is treaced iø wastewa!er' creatlmlmt wùts (taDks). u defiDed ÍD 40 CF1l Pan 260.10. .. ctiscbargeci to ·
publicly owned treatmellt works (POTW)/sewering ageocy or UDder ID NPDES permiL 40 cn 264.1(1)(6) aød
40 CFR 210.2.
DTSC 1712B (1/93)
Page 10
.'
. 1""-
~~~4~ . .
CON'IIPIONALL Y EXEMPT D SPECIFIED W ASTESrREAMS
UNIT SPECIFIC NOT1FICA T10N
(pursuant to Health and Safety Code Section 25201.S(c»
Page ti of JJg
....
-~. ~ ~- .' .........--...
3.
4.
S.
6.
YES NO
o rgJ
IV. BASIS FOR NOT NEEDING 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 lsewering agency or under an NPDES penmt. 40 CFR 264.1(g)(6) and 40 CPR 270.2.
The waste is treated in a totally enclosed treatment facility as defined in 40 CFR Part 260.10; 40 CFR 264.1(8)(5).
The company generates no more than 100 kg (approximaaely 27 gallons) of hazardous waste in a calendar moDth
and is eligible as a fedeíal conditionally exempt small quantity genentor. 40 CFR 260.10 and 40 CFR 261.5.
The waste is treated in an accumulation taDk Of container witbiD 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 270.1(c)(2)(i), and the Preamble
to the March 24. 1986 Federal Register.
7.
Recyclable materials are reclaimed to recover economically ~igDificaot amounts of silver or other precious metals.
40 CFR 261.6(a)(2)(iv), 40 CFR 264.1(g)(2). ZlDd 40 CFR 266.70.
o
o
o
o
Ii
o
o
8.
Empty container rinsing andJor treatment. 40 CFR 261.7.
9.
Other: Specify: N/ A
V. TRANSPORT ABLE TREATMENT UNIT: Chedc Yes or No. Please refer to tM Instructions for more informa¡ion.
[s this unit a Transportable Treatment Unit'?
It you answered yes, you must also complete and attach Fonn 1772£ to this page.
The Tier-5pecific Fadsheets contaJÎn a summary of the openûna requirements for this cateøory.
Please review those requirements carefully before completil1l or submittina this notification package.
DTSC 1772B (1/93)
Page 11
'.
~.!te Map/BUildi"iDiagram oFO:m
LONGS DRUG STORE # ? öt./
~ ~OO ~ f ...!~ 1:2.. b
~~~" q?~,~
ipS" - i~~-'4!:~~
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COUNTY: --.J¿. €1ôJ
SCALE: .r
~7 O~ [to
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SCALE:
o Site Map
[i] BUilding Diagram
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Page 1 of .1k
::>UlUi "I '-.wOrD&a . '--'...-.....;0 t.AVU"DGIIi_ r~ A&i!iU:Y
Chcclt Number
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ONSITE HAZARDOUS WASTE TREATMENT NOTIFICATION FORM
FACILITY SPECIFIC NOTIFICATION
For Use by Hazardous Waste Generators Performing Treatment Xi Initial
Under Conditional Exemption md Conditional Authorization, 0 RevIsed
and by Pernut By Rule Facilities
~
'....
;::
'"'"
...J
\ò
-
So
--
;S'
I
I
I
Please refer to tM tUtached Instructions befon completing this form. You may notify for fMn thœtOM permitting tier Uy lUing this
lIotiflctUionform, DTSC 1772. You must tUtach a separtUe unit spœcific notifictUionform for each unit tU this localion. ThÐ't! an
different unit specific notifictUionfomufor each ofthefour ctUegoriu and an cu:/.ditiotJ4J notifiCalionformfor transponable tnatnIÐII
units (1TU's). You only MW 10 submit fo"", for tM tierfs) Ihal cover yo",. IUlÍI(S), DùCØ1'd or recycle 1M olher lUUUa forms.
N/.U1IiHr each page of YO"" completttd nolificalion padCJlge and il'ldiCale tM 10lal nll/rlbø of paga al 1M lOp of each page allM
'Page _ of _'. Put YO"" EPA ID NII/rIbø on each page. Please provide aU oftM informalion requatttd: allfield.r must N
compleled acept rhose rhal stale 'if diffÐ't!nI' or 'if available'. Please ~ tM informalion providttd on Ihis form and arry
attachments.
The nolificalion will not N considltwl complete wilhout paymœrtl of the appropriale f. for each tier undø which you an operaling.
(Please note rhallMfee ù per 17ER IlOl per UNIT. For emmple, if you opmue 5 units bill they are all CondiliotJ4JlyAUlhori:.ed,
you only 0'W $1,140, NOT 5 tiIrta $1.140. 1/ you opmue œuy Permil Uy Rule UlliI.r tuttl tury units IIIIdø CondUiolUU Authorizalioll
you owe $2,280.) Cheda should be WUIIU payable to Ihe Depanmenl of Tone Sub.rtønCG Control and be sraplttd 10 tM lOp of this
form. Please wrile YO"" EPA /D NII/rIbø 0111114 chedc. Fill in Ihlt check flunrber ill 1M bœ abøw. '
I. NOTŒ1CA TION CATEGORIES
Indicale rhe number ofUlliu you operale in each lier. This will aLso be 1M number ofUllu specific notifiCalionfomu you mlUl altam.
CottdiJiott4Jly ÛIIrIpI Sm4Jl QuMtiI7 n- opøtIIÍtHØ "., IIDI operøM IUÙU ""., l1li1 tJIItør 1ÏItr.
A.
Conditionally Exempt-Small Quantity Treatment
(Form DTSC 1772A)
Fee per Tier
(MI IN' wti.)
$ 100
Nwnber 01 units and auached unit specific noûfic:aûolW
B.
~ Conditioaally Exempt-Specified Wastestream
(Form DTSC 1772B)
$ 100
C.
Conditionally Authorized
(Form DTSC 1 mC)
$1,140
D.
Permit by Rule
(Form DTSC 1772D)
$1,140
==a=a
a____==_=
Q Total Number of Units
Total Fee AttacW $~OO (X'"
II. GENERATOR IDENTInCATION
EPA ID NUMBER CAL Q. 0 .Q.L3. Q.Q. ~ S
BOE NUMBER (if available) H_H~ _ _ _ _ _ _ _
COUNTY
LONGS DRUG STORES CALIFORNIA, TNC'!
LONGS DRUG STORES ,~
3500 S-\"\Nt. ~~C
~'te,r~~,~ CA' ZIP 9~3.di-
~Ç(f\
NAME (Company or Facility)
(DBA-Doina Bu..... AI)
PHYSICAL LOCATION
For DTSC U.. Onl,
CITY
R·tion
CONTACT PERSON
NANCY
(filS N_)
'<':'ÇJßIlDER
(Lata NUM)
PHONE NUMBERl2J..QJ 210- 66:>5
DTSC 1772 (1/93)
:t,;;;¡;.¡ <= f?>
Jj 1J.:,1~j, Iô '.
Pap 1
EPA ID NtiMBER c:.f\V¥"1J \:,OO~",:,{
e
~tAn.ING ADDRESS, IF DTFFEREN"'[:
..
Page 2 of 1- I
'\
\
e
{,-
LONGS DRUG STORES CALIFORNIA~ INC.
STREET
COMPANY NAME (DBA)
CITY
COUNTRY
CONTACT PERSON
P.O. BOX 5010
ANTIOCH
STATE ~ ZIP 94531. 5010
------
(only comp~ if IIJD& USA)
NANCY
(fiN NIIM)
SCHNIDER
(LuI Name)
PHONE NUMBERL219~,.. 6625
w. TYPE OF COMPANY: StANDARD INDUSTRW. CLASSD'lCATION (SIC) CODE:
Use eilher OM or twO -- ~ coda (djo",. di,il1IIIIr'Jbøj IJuu balf damN YO"" COIfI/HIII'1'1 prodlu:u, lÐ'VÏca. Or-;lItÚI.Ilrlal aaiwl)'.
EJ:ample:
IV.
YES
o
o
o
o
o
v.
~ l'tt«øff1li.slÛll. lIÚI
First: 5912 RETAIL CHAiN DRUG
~'l'UJ'm
Jm Pri",. circuil boœ'tb..
Second:
PRIOR PERMIT Sf A. TUS: CMdc ya or M 10 Ͽc:h qual",,,:
NO
UJ l.
ŒI 2.
~ 3.
[iJ 4.
GI s.
Did you file a PBR Notice of Intent to Operato·(DTSC Form 8462) iA 1992 for this location?
Do you now have or have you ever held a state or federal bazardous waste flCility full permic or Interim
status for any of these treatment units?
Do you now have or have you ever held a state or feden1 full permit or iDrerim StaNI for my other
baz.ardous waste ICtivitia at this location"?
Have you ever held. varimce issued by the Deputmeot of Toxic SubstllllCel Coatrol for the (ratmeat YOt
are now notifyiD. for at this loaItion'?
Has this locatioa ever beat inspected by the state or any local apacy as . buardouI waste gcacntor'?
PRIOR ENFORCEMENT HISTORY: N« required frotrt ,...""... tMly 1tIItiJyùt, - ~ a.rtpI.
YES NO
o 0
o
DTSC 1772 (1/93)
N/A
Within the lase three years, baa this facìiity been the subject of lilY CODvictiODl. judlaGtI. settlemeots. or fUlll
orders resu1tiD. from aD actiOD by aDY local. state, or federal eavirODllllDtU, bazardoua WIlle, or pubhc bea1tb
enforcemeat lleacy'?
= or the purposea of this form. a notice of violation doea DOt CODItÌtu18 III order aad need. DOt be reponed ua1esa
'NU DOl corrected aad ber-- a fiøa1 order.)
If you mswered Yes. cbeck this box aDd attaCb n hstin, of convictioas, judllDeDlS, seWemeDII. or orden aDd a tOp)
of the cover sheet from eacb doc1IImeat. (See the IftStructioas for mote ÏDfonllllÍoa)
Page 2
::.r.... UJ :'< L. :'lø£R \-,t1 W )VU \ "'il)'-I 1>
Page 3 of 110
-,
,.., VI.
j, lXJ
[ïJ
YD.
A IT ACHMENTS:
e
e
I. A plot plan/map detading the location(s) of the covered W1It(S) in relatioa to the facility boundaries.
2. A unit specific notification form for ~ch unit to be covered at tlus location.
CERTŒ1CA TIONS: This form must lH signed by an authorized corporale oJlicn- or any other penon in tM company who
has operalional control and performs decision-making functions thai goll6'1t operalion of the facility (per tit14 22, Caüfonria
Code of Reguúuions (CCR) section 66270.11). All zhrœ œpia """" IvIw origwu $;g1f4lrll'Ø.
Waste Minimization I certify that I have a program in place to reduce the volume, quantity. aDd toxicity of WlSte generated to the
degree I have determined to be ecoaomicaUy pncticable and th11t I have selected the practicable method of treatment, storage. or
disposal cunent1y available to me wbicb minimizes the present nnd future threat to hUIDaD bealth and the eaviroameat.
Tiered Pennittinsr Certification I certify that the wút or units described in these doc:umaul IœeC the eligibility and operating
requirements of state statutes and regulations fOf the indicareQ1 permitting tier, inc:luding generator aad secondary coatainmeDt
requirements. I undersWld that if aDY of the units operate under Permit by Rule or Coaditioaal Authorization, I win also be required
to provide required fiD.mcia1 assurances by January I, 1994, and conduct a Phase I eavil'ODJDleDtal assessment by January 1. 1995.
I certify UDder peaa1ty of law that this document aznd all attachments were prepared under my direction or sµpervisioa in accordaDc:e
with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry
of the persoa or persons wbo maaage the system, or those directly responsible for ¡&theria, the informatioa, the information is, to
the best of my knowledge and belief. true, accurate, and complete.
, I am aware that there are substantial penalties for submitting false information, including the possibility of fines and impnsoameat
for knowing violations.
L. C . ANDERSON
N.... (P~)
- -1.--ti"u-LL-f.4.é4'L-/
Signature
V. P. PERSONNEL & OFFICER OF
tQNC~ DRYQ ~Tnll1i"C} "l1T T~ , -¡'lll
iUe
'2-/; /9S--
Date Signed I ,
OPERA TING REQUIREMENTS:
Please note thai geflD"alon trealing havudous waste onsite are required to comply with a nlllPtHr of operøzing requirelMfltS which
differ depending on the tier(s) u.nder which OM opÐ'tlles. 1h~se operating requirDMIIU on serfonh in tM stallllU and reg..l.alions,
SOlM of which an referenced in tM 1ier-Sp«ijic Facrsheets.
SUB!\ßSSION PROCEDURES:
You mlLSt sllbmil two CODia ofthu comp14ted notiflcalion by cerrified nuJil, rerum re«ipt requat., to:
D~1MIII of Tozic Subltanca Control
Fdmr / m
Ons;te Haz¡udous Waste TnalIMN Unit
400 P Street, 4th Floor (walk'" o,"y)
P. O. Bœ 806
Sacramento, CA 958i2~
You must also rubrrtiI OM Cl1II'I of tM MtiftctllÎOII and Qltadurrlnu to 1M loctú nglllilulry ø,øq ill YO. jll1'Údklion tulista1 ill tlw
inst~ctio,. mGlmall. You must allo main a copy as part ofyolU opÐ'ØIing record.
All,hrH fomu m"" M'M origiMlsigNIIIl1'Ø. not pholocopiø.
DTSC 1772 (1/93)
Page 3
r'"
j
EPA ID NUMBER c..\P\~OC)()l~OOí.~ Page ~ of l~
" e
CONDlTIO'ALL Y EXEMPT - SPECIFIED W ASTESTREAMS
UNIT SPECIFIC NOTtFICA TtON
(pursuant to Health and Safety Code Section 25201.5(c»
UNIT m NUMBER i :10'4
UNIT NAME LONGS DRUG STORES
-1- Container(s)
~'UMBER OF TREATMENT DEVICES:
_ Tank(s)
Each unil musl b~ clearly idelllifie.d and ~úd 011 1116 plol plan altacMd 10 Form 1772. Assigll you, own uniqw nlllJlber to each
unit. The number can be seqwmial (J, 2, J) or using any system you choose.
Enter the eSlimared momhly tOlal vollUM of hazardous waste trealed by this unil. This should be tM maJeimum or higlwt anIOUIII
treazed in œry molllh. /ndictJle in the 1I4n"tJliw (S.cUOIt /I) if your oJ'Ð'ØIiolU haw setUonal \IØI'ÌaliolU.
I. W ASTESTREAMS AND TREATMENT PROCESSES:
o
o
o
o
o
o
iiI
o
o
o
Esûmated Monthly Total Volume Treated:
50 gal10DS
þOunds and/or
The following are tM ~ligible waste.stretJIIU and tTetUmelll processes. Please cMdc aU applicable bous:
1.
Treats resins mixed in ac:cordaoce with the D18DUfKturer"S iDstructioas.
2.
Treat conraiDers of 110 gallODS or less capacity that contained hazardous waste by rinsing or pbysical processes.
sucb as cnWùng, shredding, grinding, or puncturing.
3.
Drying special wastes. as classified by the department pursuant to title 22. CCR, section 66261.124. by pressing
or by passive or beat-aided evaporation to remove water.
4.
Magnetic separation or screeøiDg to remove components from special wute, as classified by the department pursuant
to title 22. CCR. section 66261.124.
5.
Neutralize acidic or alkaline (base) wastes from the regeneration of ioa elcbaDge media used to demiDera1ize water.
(This waste cannot concaiD more than 10 percent acid or base by weight to be eligible for conditional exemption.)
6.
Neutralize acidic or alkaline (base) wastes from the food Processinl industry.
7.
Recovery of silver from pbotofinishing. Tbe volume limit for conditional elemption is 500 gallons per generator
(at the same location) in any calendar month.
8.
Gravity separation of the following, including tbe use of t10cculants and demulsifien if
a. Tbe settling of solids from the waste wbere tbe resuhin, aqueous/liquid stream is not hazardous.
b. Tbe separation of oil/waœr miltures and sepantion slud,.. if the aVer&le oil recovered per month is lea
than 25 banels (42 gailoDS per barrel).
9.
NeutraliZÌD, acidic or aIkaliDe (base) awerial by a stale ~fied laboralory or a laboratory operated by ID
educ:atioaal institutiOD. (To be eli,ible foil' conditional elemptiOD, thia WIlle c:aaDOt CODtaÌD more tbua 10 perœat
acid or base by wei.ht.)
DTSC 17728 (1193)
Pale 9
c.~~) \~()O~<=6 e
CONDITIONALL Y EXEMPI' - SPECIFIED W ASTES'I'REAMS
UNIT SPECIFIC NOTIFICATION
(pursuant to Health and Safety Code Section 2S20t.S(c»
EPA ID NUMBER
Page.2. of ~.
I-r
D. N ARRA TIVE DESCRIPTIONS: Provide a brief description of the sfHcific WQSte trealed and tM trealI'MIIl procen lUed.
1. SPECIFIC WASTE TYPES TREATED: SPENT PHOTOGRAPHIC FIXER SOLUTIONS
(ie: bleach, bleach fix v stabilizer)
2. TREATMENT PROCESS(ES) USED: SILVER RECOVERY unit
(Hallmark cannisters)
m. RESmUAL MANAGEMENT: Chedc Yes or No to each question QS it applies to all residll4Lr from 1l1il. trealmelll unit.
YES
61
o
ii
o
o
NO
o
iii
o
~
o
1. Do you discharge DOD-hazardous aqueous waste to a publicly owned treatment works (POTW'Ii '
,r?
2. Do you discharge Don-hazardous aqueolllS waste under an NPDES permit?
3. Do you have your residual hazardous waste hauled offsite by . registered hazardous waste hauler?
If you do, where is the waste sent? Chedc aU thai apply.
6J
o
o
o
a.
Offsite recycling
b.
Thermal treatment
c.
Disposal to land
d.
Further treatment
4. Do you dispose of Don-hazardous solid waste residues at an offsite location?
S. Other method of disposal. Specify:
N/A
IV. BASIS FOR NOT NEEDING A FEDERAL PERMIT:
In order to demonstrale eligibility for OM oftM onsite treatment tien ,facilities are required to provitk the basis for determining thai
a hil;:ardous waste permit is not required under the federal. Resource Conserwuion and R«ovøy Aa (RCRA) and tM federal
regulations adopted ul'/der RCRA (7itk 40. Code of Federal Reg&ðlal;ons (CFR)).
Choose the reason(s) thaJ dacriM the opÐ"al;on o/your Ofl$;te treal1MlIllUliu:
o
~
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1.
The hazardous ~'beÎDI u.ted i& Dot a bazarg¡ous waste UDder feden11aw although it is regulated as a bazardoua
waste under California state law.
The was&e is treated in wastewa!et treatmeuß units (taaks), as dCftøed iD40 cn Put 260.10. _ discbargeci to ·
publicly owned treauuent works (POTW)/sewerin, ageocy or UDder lID NPDES permiL 40 cn 264.1(,)(6) and
40 CFR 270.2.
DTSC 1772B (1/93)
Page 10
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IV.
o
o
o
o
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o
o
6.
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Page JI.? ot .J..~
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CO&.tON~LY EXEMPT D SPECIFIED W~AMS
UNIT SPECIFIC NOT1FICA T10N
(pursuant to Health and Safety Code Section 2S201.5(c»
BASIS FOR NOT NEEDING A FEDERAL PERMIT: <continued)
3.
The waste is treated in elementary neutralization units, as defined in 40 CFR Part 260.10, and discharged to a
P01W /sewering agency or under an NPDES penmt. 40 CFR 264.1(g)(6) and 40 CFR 270.2.
4.
The waste is treated in a totally enclosed treatment facility as defined in 40 CFR Part 260.10; 40 CFR 264.1(1)(5).
5.
The company generates no more than 100 kg (approximately 27 galloDS) of bazardou.s waste in a calendar month
and is eligible as a fedeíal conditionallyexemp£ small quantity generator. 40 CFR 260.10 and 40 CFR 261.5.
The waste is treated in an accumulation tUIk 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.I(c)(2)(i), and the Preamble
to the March 24, 1986 Federal Register.
7.
Recyclable materials are reclaimed to recover economically ~ignitic:ant amounts of silver or other precious metals.
40 CFR 261.6(a)(2)(iv), 40 CFR 264.1(g)(2), md 40 CFR 266.70.
8.
Empty container rinsing and/or treatment. 40 CFR 261.7.
9.
Other: Specify: N/A
V. TRANSPORT ABLE TREATMENT UNIT: Chedc Yes or No. Please r~Ð" 101M J1ISIMlcti01lS for more information.
YES NO
o ~
Is this unit a Transportable Treatment Uoit'?
IC you answered yes, you must also complete and attacb Fonn 1772E to this pqe.
The Tier-Specific Fadsheets contain a swnmary o( the operaûna requirements (or this cateaory.
P!ease review those requirements carefully belfore completina or submittina this notification package.
DTSC 17729 (1/93)
Page 11
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.. ST Ai¡¿ OF CAWFORNIA-ENVIRONMENT AL PROTECilON AGeNCY
.'DE~ART~ENT OF TOXIC SUS&CES CONTROL'
REGION 1-1515 Tollhouse Road
Clovis. CA 93612
pm WILSON, Govem~r
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TIERED PERMITTING
CERTIFICATION OF RETURN TO COMPLIANCE
For Permit by Rule, Conditionally Authorized, and Conditionally Exempt Notifiers
.. In the matter of the"Violation cited on: W3 {q-ç-
As Identified in the Inspection Report dated tit ~ 1'iS'"
Conducted by: _Lorj S\'l,\.m~ O·TS.c.
(agency~»
I certify under penalty of law that:
1. Respondenc has corrected the violations specified in the notice of violation
cited above.
2. I have personally examined any documentation attached to the certification to
establish that the violations have been corrected.
3. 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.
5. I am aware that there are significanc penalties for submitting false information,
including the possibility of fme and imprisonment for knowing violations.
~~~(\i~
Name (Pr t 0 Type)
t(\\)~frn(wmo}d(à C DD\~(
Title
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Signature
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EPA ID. Number
DTSC-RETCOMP.CRT (8/94)
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General Offices: 141 North Civic Drive, P.O. Box 5222, Walnut Creek, California 94596, (510) 937-1170
w
cI!1Huµ 1)JuU¡ $tt!ñe4
April 3, 1995
Nancy Lentsch
D.T.S.C.
P.O. BOX 806
Sacramento CA 958l2-806
RE: PBR
Dear Ms Lentsch,
This letter is written as a clarification to information found on form l772B
(1/93) (page 9); number of treatment devices.
Per our phone conversation (7/93) I have listed the number of "containers" as
1. Our unit consists of one pre-treatment system. This system consists of
one pump station and three cartridges/cannisters. Also, at this time I was
asked to estimate the number of gallons that would be treated during the month.
These numbers were an estimate due to the actual number being unknown since the
labs were not operational.
Region inspectors throughout California have given our stores different
responses during inspections. Some will "write us up" and some will not, this
is regarding the number of containers. Example, change from 1 to 3 or in some
cases 1 to 4 (counting the pump station). Also, some inspectors want the number
of gallons upgraded to reflect current treatment levels. How often should this
be done? (Some months our stores do more volumn than other months).
Please advise what we should be doing. Do you want me to change all of our
locations to reflect (a different) number of treatment devices, number of gallons,
etc? How often should the number of gallons processed be updated? As you know,
this would result in an additional amount of paperwork for both of us. I just
want to do this correctly the first time and that is why I am writing to you to
get your answer on this (since you are the one handling this). Also, can you
please send me an original of the updated form 1772 (updated 1995). Are these
the currect forms to be using for any new additions to PBR?
Thanks so much for your help. I will be waiting for your response.
sincerely,
LON\S DRUG
,\'j
Nancy Sch i
Environmen
cc: Region
STORES CALIFORNIA
~LJk,
INC
er
1 Coordinator
Inspectors
[H~ F ;~; ;..~;<'" . ". ,~:' ~ _~ ~-'. ~ r:-~; ~I~." fr.
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t;MAY 39 ! r2 "'3{h( Ë'9S
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. STATE OF CALIFORNIA-CALIFORNIA ENVIRON
TAL PROTECTION AGENCY
PETE WILSON, Governor
DEPARTMENT OF TOXIC
400 P STREET, 4TH FLOOR
P,O. BOX 806
SACRAMENTO, CA 95812,0806
BSTANCES, ÇONTROL
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(916) 323-5871
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02/1 5/95
EPA ID: CALOOOl30048
LONGS DRUG STORE #204
NANCY SCHNIDER
P.O. BOX 5010
ANTIOCH, CA 94531-5010
For facility located at:
3500 STINE RD
BAKERSFIELD, CA 93309
Authorization Date: 02/15/95
Dear Conditionally Authorized and/or Conditionally Exempt Facility:
ACKNOWLEDGEMENT OF UNITS OPERATING UNDER CONDITIONAL AUTHORIZATION AND/OR
CONDITIONAL EXEMPTION
The Department of Toxic Substances Control (DTSC) has received your facility specific notification (form
DTSC 1772) and forms for Conditional Authorization and/or Conditional Exemption for Specified Wastestreams (form
DTSC 1772B and/or 1772C). Your notifications are administratively complete, but have not been reviewed for technical
adequacy. A technical review of your notifications will be conducted when an inspection is performed. At any 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 applicablt:
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.
.....
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Printed on Recycled Paper
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Page 2
EPA ID: CALOOO130048
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.
ÞS~reIY'
;fí
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Michael S. Horner, Chief
Onsite Hazardous Waste Treatment Unit
Permit Streamlining Branch
Hazardous Waste Management Program
Enclosure
cc: ASTRID JOHNSON
DTSC REGION 1
STATE REGULATORY PROGRAM
1515 TOLLHOUSE
CLOVIS, CA 93611
STEVE MCCALLEY
KERN COUNTY
ENVIRON. HEALTH SERVICES DEPT
2700 M STREET, SUITE 300
BAKERSFIELD, CA 93301
"'- >..,.-"':'
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Page 3
ENCLOSURE 1
Unils ØIIIhori:u-d to operate at this location:
UNDER CONDITIONAL AUTHORIZATION:
UNDER CONDITIONAL EXEMPTION:
#204
EPA ID: CALOOO130048