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Home My WebLink AboutHAZ-WASTE REP. 3/24/1999 - _1 NOTIFICATION OF "SILVER-ONLY" HAZARDOUS WASTE TREATMENT Company Name: Mailing Address: City, State, Zip: Name: Address: City, State; Zip: EP A Number: Unit Name: Unit ill 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 #267 5510 Stockdale Highway Bakersfield, CA 93309 CAL000115221 Longs Drug Stores California, Inc. 267 YES -1L 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. Are you authorized for any other treatment activity? If yes, under which tier are you authorized? YES_ NO X 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 permit tier. Please contact your local CUP A to determine or confirm your regulatory tier status.) I certify under penalty of law that this document was prepared under my direction or supervision and the information is, to the best of my knowledge and belief, true, accurate, and complete. ~(~ S~g.¡{ature Keith Landes Name (Print or Type) '-- Environmental Mgr. Title 3/24/99 Date Please submit the completed notification form to your local CUP A 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 J ~ ~ w^L¡~---nn'''' ~.. ...n............'..17Qi;-rnW I..,. '-''-iIn- AU~'- , /- '~.- - . ?ARTMË'~T OF TOXIC SUBSTW~ ES CONTROL /(:; Gt6N ¡:'-¡O¡·51 Croydoa Way, SuÎee 3 .. ,tamœlO, CA 95827 nn:: WILSON. Gowrnor . ." Q - CHECKLIST AND IN1TIAL VERIFICATION INSPECTION REPORT FOR Permit by Rule, Conditionally Authorhed, and Conditionally Exempt Noüners ! #~~7 I FACILITY NAME: LðltiS {)/'iJ7 Sf~,.(>.5 ((¿hI Inc EPAIDNUMBER:'('I]l,( 000//.J;{.;1. ( I PHYSICALADDRESS:5'S/o .5fockcfo.{p IÙ9lif.c.J,,<t Bc,kfr~'I'(dcP ~¡¡. 1'.130'7 / FACILITY CONTACf-NAME:;V~ hC~ Sc4 VII JJ('f' PHONE: !)/ð) .{ IC - 0~ ~.S' ( 9(>5')3;<.2, ~ S"ò;( if SIC CODE(S): S9/,}., INSPEC110N DATE: Ot,f. (7. /19l/ , I CESW -L CESQT_ CESW..l- CESQT_ NOTIFIED UNIT COUNT: CORRECT UNIT COUNT: PBR PBR CA CA Tar AL I Tar AL -1- This (.......Idid and iœpectioa report identily ..iolatioœ of state law regardin¡ oDSÏte treat.en of hazardous waste, operaÛOl UDder au oosite pam.iüio¡ tier. This inspection ..ériraes the i.útonoation provided oa Cono 1772. It also coven gesw:ntor requiremeuts, although a separate cbecklist may be used Cor those requirements. A checlanark indicates ..¡olation at the ww, which are apWned in more detail on the attached DOte sheets. The gOyerning laws are the Health and Safety Code (HSC) and Title 22 of the CalitonUa Code of Regulatioœ (22 CCR). ~nerator Standards: Each ins~ction agency may lUe lheir own generalor ins~ction chedcJi.s1 or prolocols, which are summarized ~low. A jull evalwJJion of each ikm or doCJollTJ4n1 is 1101 conducted during the Verificalion lns~ction, IUIkss SeriOIU (Úficiencie.s are SlUpected. till ~1. 2.0~ 3'01) Contingency plan has been prepared (adequately minimize releases, hasalann/communication system, lists emergency equipment and phone llumbers 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. 4.JVf:1 - 5·[Jt Treatment Items-Facility Wide: (Facility musl slÚJmÏl a rrnsed Fonn 1m 10 con-ect errors or omissions.) 6. C( All units under PBR, CA, and CE are properly indicated on Form DTSC 1772. (Add any new units wilh unit sheets or correct tier on the unit sheet.) 7. All generator ident~cation information on Form DTSC 1772 is correct. 8. The submitted plot plan/map adequately shows the location of all regulated units. 9. There are records documenting compliance with sewer agency pretreatment standards and industrial waste discharge requirements, where applicable. 10. The generator 'has complied with source reduction planning requirements (Sa 14 and sa 1726). A checklist or plan is required ~ if annual hazardous waste volume is over 5,000 kilograms (approximately 11,000 pounds or 1,350 gallons). For CA or PBR Dotifiers: 11./r11 The generator has an annual waste DÜnimization certification. (PBR submit with renewals.) " Onsite Checklist (A) Page 1 of L February 10, 1994 ·' .' 5T... T~:PF CA~FORNIA-EHVIRONMfHT Al PRO -~- J'-:!. PETE WIlSoN, Gowmor N AGENCY DE? AHTMENT Of TOXIC SUBSTANCES CONTROL REGION 1-10151 Croydoa Way, Suit.: 3 &.ct'lJDl:ÐCO, CA ~S827 CHECKLIST AND INITIAL VERIFICATION INSPECI10N REPORT FOR . Pennit by Rule, Conditionally Authorized, and Conditionally Exempt Notifiers UNIT SHEET ' A WJ Complete one unit sheet for each UlÙt eùher listed in the norificarìon or idenrijied during the inspecrion. Unit Number: ole. 7 Notified Tier: CES~ Unit Name: /.6/.1'1'6 IJru,,! Sfó/'{'.5 , Correct Tier: CE-ÝLù NotüJed Device Count: Correct Device Count: Tanks Tanks Containers / Containers .3 For aU Units: HQ 12. &(-z,_ All hazardous wastes treated are generated onsite. 13. 14. 15. 16. 17. 18. 19. 20. 2l. 22 23. 'f The unit notification information is accurate as to the number of tank(s) or container(s). The estimated notification monthly treatment volume is appropriate for the indicated tier. The waste identificatioolevaluation is appropriate for the tier indicated. The wastestream(s) given on the notification fonn 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 Cor 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 iuspection schedule (containers-weekly and tanks-daily). There is a written inspection log of the inspections conducted. If the unit has been closed, the generator bas notified DTSC and the local agency or the : closure. For each CA or PBR unit: 24.lIfI The generator has secondary containment Cor treatment in containers. For each PBR unit: 25'4111 There is a waste analysis plan and waste analysis records. 26. There is a closure plan for the unit. Unit Comments/Observations: (lflhis is a lUIillhal was nol included on lhe IWlifiC4Jionfonn, the violaJion is operalÍng witholll a pennil-HSC 25201 (a).) Onsite Checklist (B) PageLof ~ February 10, 1994 S~A TE OF.~CAUfORNIA~EHVlROHMfHTACPtrc:rTECTlOH AGENCY' .~ - . .~~...'....'~'" '" PETE WILSON. Gov.rnor CE~Ä~T~èNT OF TOXIC SUBSTtþ:ES CONTROL REGION I-lots 1 Croydoa Way, Sui&.: 3 Sacramcøw, CA 95827 . ~ CHECKLIST AND INITIAL VERIFICATION INSPECTION REPORT FOR Permit by Rule, Conditioually Authorized, and Conditionally Exempt Notifiers SIGNA TURE SHEET Onsite Recyclin&: only an.rwer if ÚIÙ fadlúy recydu more than 100 1ålo~ranu/monlh of hauu-dolU wasle onsÏle. ~ 27 The appropriate local a&ency has been notified. 28. /III} All activiåes claimed under the onsite recyclin& exemption are appropriate. Releases: YES 29 C~ Within the last. three years, have there been any unauthorized or accidental releases to the environment of hazardous waste or hazardous waste constituents at the facility? . For purposes of a Tiered Permitting inspection, a release to the environment is unauthorized or accidental and does not include spills contained within containment systems. at Úù!r~ has bun a r~kas~. allada infortlllJlion on the SlalUS of the corr~cti¥f! action for the r~kas~(s).) This report may identify conditions observed this date that are alleged to be violations oC one or more sections at the California Health and Safety Code (HSC) or the California Code oC Regulations, Title 22 (22 CCR) relating to the management oC 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 submit a signed Certification oC Return to Compliance within the stated time limits stated. (A model is provided.) If any corrections are needed to the initial notification, the facility will submit a revised notification within 30 days to the Department oC Toxic Substances Control and to the local enforcement agency. Inspector(s): Lead InsPj'~ Signature: rJ) / --::;L-- -Æ- Print Name:.DúvrrP h· ..5kLl/..v..., fe Title:A:'-:}4rcPDus 5tJb.5h",./p 0(;1.( fr'<; t- AgencY'/)r:rI. k'i:l ~ 5ub.5 f«v.,cr-- x(¿",-(í,? f Phone Number: ;;6'i / ..l? 7-3 '15 c Other Inspector: Signature: Print Name: Title: Agency: Phone Number: Facility Representative: Your signature acknowledges receipt or this report and does not imply agreement with the rlDdings. Signature: LJ,~ Print Name: :stNA\' ~E-- t4m f; 5 Date: I ð -I?J -V)q Title: j) Onsite Checklist (C) Page -.L of --1. February 10, 1994 s:.r A:~ 0.;: CAUFORNJA·ENVIROHMfNT AL PROTECT1ON AGENCY DEP~1iT~ÈNT OF TOXIC SUBS-aCES CONTROL REGION 1-10151 Croydoa Way. Sui&.: 3 s.cramalco. CA 95827 P£TE WILSON. GOy.mot e' 9 CHECKlJST AND INITIAL VERIFICA nON INSPECTION REPO~T FOR _ Permit by Rul-=, Conditionally Authorized, and Conditionally Exempt Notifiers NOTE SHEET 1hi.r 3/ua inclMd.u úupeaor ob.IerwuWIIS and expands 011 the violatiollS iJenlijùJ 011 ~ cJu:ddist (by 1UIIftb.er). In 30me CtUU, it indiauu how the føcili.ty should C:OI7"U:I the violatiollS. Also ÚlCÚUÚ lhe fIQIh.U of any 0ÚIen ¡HU"ridpalillg in tIW illSpeaion. TJu> FO//Ok;fJ;t /.5 fhe V/D (0. fro-", c>h.5t'/'L/ïJ Oh 0<"-.1. 13, 1'I'It¡ /. L.OfJ S {)I'µ Sf-oN '&-::;(,7 cf(¡J ho I /;6(/(- a.4 a COt¡ I,i, /; ~ 6f, So +0 t c,.) h.5. .55' ìT fr;;;¿ ß..f¡' Co'cPe {} f' ¡{<is, , /ú IcY IJIIJ.Ji S-forf' Ý"lfÞ 7 1./( ò Ie¿ f {C; IA , 1'r6 "'^ , Se-£¡<JJu Ir- has '¡:o r é'o h... );J It Q.. C/o' r r . ðl" c.lbcr-S' flù EL ~t,. '7 to we 10 CO/'f'f>C'¡ I, (' ~ bpur? ¡ () VI</ ., / .f / 'r! '! ! b 6 ) iCé ¡-PCI" ( .~ f . /;" J bn I-,o¿' I'PÞM I- V v fur.. f c.. {( (J I"Í~ {c. {-(O'L\ ~ ~c. fete!) Is CorNe fed> ~M/1í (' [)I"ur 5/0/'(' {Pr' ¡{,ëc. lo'v-. of ~(.iftJrh 0 /; /0 Có kA Jp it<- f(' , ú-,/ G-{,JCC> tÃ VI j) f4e Cer ff' ({¡C<- Iro~ 10.' J)/cvr'J) J. ShuhAc¿fp OT5C IS-If r; II hovse ~ f) e IDurS. crt, 9-?Æ II / ( c?óf) .217- 375"'6 Onslte ChecklIst (D) PageL of L February 10, 1994 , SlATE OF CÞ-!-IFORNIA-CALlFORNIA ENVIRONME PROTECTION AGENCY PETE WILSON, Governor '1! DEPARTMENT OF TOXIC S 400 P STREET, 4TH FLOOR P.O. 80X 806 SACRAMENTO, CA 95812-0806 STANCES CONTROL @...... ....,,; .. ~- . " (916) 323-5871 05/'15/94 EPA ID: CALOOOllS221 LONGS DRUG STORES CA INC #267 NANCY SCHNIDER POBOX 5010 ANTIOCH, CA 94531-5010 For fadlity Iocøtt!ifl Ill: 5510 STOCKDALE HWY BAKERSFIELD, CA 93309 Authorization Date: OS/25/94 Dear Conditionally Authorized and/or Conditionally Exempt Facility: ACKNOWLEDGEMENT OF UNITS OPERATING UNDER.CONDmONAL AUTHORIZATION AND/OR CONDmONAL 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 ïnspected and will be subject to penalty if violations of laws or regulati()ns 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 '15200.3 and '15201.5. 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 exp1aining 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 sha11 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. ... ~J Printed on Recycled Psper . . Page 2 EPA ID: CALOOO1l5221 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. Michael S. Homer, Chief Onsite Hazardous Waste Treatment Unit Permit Stream1ining 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 . . D Page 3 ENCLOSURE 1 UIlÏl8I1111hori:u!1d to opertlÆ tit tIIÜ 1ocøtioø: UNDER CONDITIONAL AUTHORIZATION: UNDER CONDITIONAL EXEMPrION: #267 EPA ID: CALOOO115221 . ¡¡ ·S!..~~0;Ì Ca1iIoruia . Caliloraia Eariroameatal Procectioa Aceacy <Chcd~ NU.mbcr - 310 k/I 7 7:J . . Depu1mem of Toxic .s.u.u.:. COIW"IM Pagett' ofta> 5'ð I I I ~ ... - ~ .. ... ONSITE HAZARDOUS WASTE TREATMENT NOTIFICATION FORM FACILITY SPECIFIC NOTIFICATION For Use by Hazardous Waste Generators Performing Treatment , (j) ~ Under Conditional Exemption and Conditional Authorization. I ~W rh . /. d and by Permit By Rule Facilities êÞ'--t ~/,g/7ief Pkase refer to the altached Instructions before completing this form. You may notify for more than OM permitting tier by using this notificalionform, DTSC 1772. You must altach a separate unit specific notificalionform fo,. each unit al this localion. There are different unit specific notification forms for each of the four calegories and an additional notificalion form for transportab14 trea/meN units (TlV's). ,You only have to submil forms for the tier(s) thal cover your unit(s}. Disca,.d or recyc14 the other unused forms. Number each page of your completed notificalion package and indicale the total number of pages al the top of each page al the 'Page _ of _', Put your EPA lD Number on each page. Please provide all of the informaJion requested; all fields must be completed e.:ccept those that stale 'if different' or 'if available', Please rype the informaJion provided on this form and any attachments. B o Initial .:c ~ :t ,... ..,) ~ - ~ ~ :;; I I I Revised The notification will not be considered complete wilhout payment of the appropriale fee fO,. each tier under which you are operating. (Please note that thefee is per 11ER not per UNIT. For e.:cample. if you operate 5 units but they are all Condilionally Authorized, you only owe $1.140, NOT 5 timG $l.U(J. If you ope,.ate any Permit by Ru14 units and any units under Conditional AuthoriZa/ion you owe $2,280.) Checks should be made payable to the Department of To~ic Substances Control and be stapled to the top of this 'form. Please write your EPA. lD Nr.unber on tM check. Fill in the checlc numbu in the box abow. I. NOTIFICA TION CATEGORIES Indica/e the number of units you operate in each tier. This will also be the number of unit specific notificalionforms you must attach. Condiliolllllly EumpI Sm4U QuønliIy T1'f!lJtmÐII Opt!TØliolU may IlOl opÐ'tIU IIIÚII under lUIY other tier. Nwnber or units and attached unit specific noûficaûons A. Conditionally Exempt-Small Quantity Treatment (Form DTSC 1772A) Fee per Tier (not p~r unit) $ 100 B. lJa ---- ---- Conditionally Exempt-Specified Wastes~~<{orm DTSC 1772B) ~"ei\'alJc,.. ;::.."- Conditionally Authorized <:>\} Q ,,-,(Form DTSC 1772C) Permit by Rule 4..<)~ ~~ç~ \ TSC 1772D) ~ ~,g ~ ~;; ::957 ~ s $ 100 C. $1,140 Total Number of Units $1. 140 D. II. GENERATOR IDENTIFICATION eJ> "7 CI ",.,.. , ,t/" (: 1', , ìO =========== -L Total Fee Attached $ {OO. r¿g EPA ID NUMBER CA!;:. £.. <?- 0_1.1-.2 2. L L_ BOE NUMBER (if available) H_H~ _ _ _ _ _ _ _ NAME (Company or Facility) (DBA-Doinr auainc.. Aa) PHYSICAL LOCATION LONGS DRUG STORES CALIFORNIA, TNr. LONGS DRUG STORES # 267 5510 STOCKDALE HIGHWAY For DTSC Use Only Region / CITY BAKERSFIELD CA' ZIP Q'1'1nQ COUNTY KERN CONT ACT PERSON NANCY (Fint Nama) ~CllNlDÄ:a (La. NI.,.) PHONE NUMBER<....51JV--2J.Q· 66;>5 DTSC 1772 (1/93) Page 1 EPA ID NUMBER CALOl15221 MAILING ADDRESS, IF DIFFERENt: . i - r.- rage it ~?f 1&5 '5Q COMPANY NAME (DBA) LONGS DRUG STORES CALIFORNIA, INC. STREET P.O. BOX 5010 CITY AN'l'IOCH STATE CA ZIP 94531. 5010 COUNTRY ------ (only çomplete if not USA) CONT ACf PERSON NANCY (Firs& Name) SCHNIDER (La. Name) PHONE NUMBERL2!9 210 - 6625 ill. TYPE OF COMPANY: STANDARD INDUSTRIAL CLASSIFICATION (SIC) CODE: Use either one or two SIC codes (a four digit number) thai best describe your company's produClS, services, or industrial activity. Example: First: 11M. 5912 Photofi1tÜIrbIIl /Qb RETAIL CHAIN DRUG ~'l·U.tili 3612 Primed drcu;t boards Second: IV. PRIOR PERMIT STATUS: Ch~cJc yes or no 10 each qll6lion: YES o Did you file a PBR Notice of Intent to Operate·(DTSC Form 8462) in 1992 for this location? o 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? o Do you now have or have you ever held a state or federal full permit or interim status for any other hazardous waste activities at this location? o Have you ever held a variance issued by the Department of Toxic Substances Control for the treatment you are now notifyinl for at this location? o Has this location ever been inspected by the state or any local agency as a hazatdous waste generator? NO [iJ 1- [i1 2. GI 3. [i) 4. GI s. V. PRIOR ENFORCEMENT msrORY: Not requiredfrom genÐ'ØlOn DIlly IIOtihûtg (J4 00ItIIilùHIaUy~. YES NO o 0 N/A Within the last three years, bas this facility been the subject of any convictions, judgments, settlements. or fu1al orders resulting from an action by any local, state, or federal environmental, baza.rdous 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 wu not conec:ted and bec:ame . final order.) o If you answered Yes, cbeck this box and attach a listing of convictions, judgments, settlements, or orders and a copy of the cover sbeet from eacb document. (See the Instructions for more information) DTSC 1772 (1/93) Page 2 ., ,.. .. EPA ID NUMBER CALOOO1l5221 . . Page.% of lID ~D ~ Î' . ,.. " VI. ATTACHMENTS: . Ii] Ii] 1. 2. 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. Vll. CERTIFICA TIONS: This form must be signed by an authorized corporale officer or any other penon in the company who has operational control and performs decision-makingfunC1ions that govern operation ofthefacility (per title 22, California Code of Regulations (CCR) seC1ion 66270.11). All thræ copiD mart 1uJw original siglliJlllTa. 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 pncticable and that [ bave 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 PennittilUl 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 1, 1995. I certify under penalty of law that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those directly responsible for gathering the information, the information is, to the best of my knowledge and belief, true, accurate, and complete. , I am aware that there are substantial penalties for submitting false infonnation, including the possibility of fines and imprisonment for knowing violations. L~ Name (P , Type) r.tA/V'~ Signature V.P. PERSONNEL & OFFICER OF tONGg DRUG ~TOW¡~ ("'AT·IF I iMC. itle MCL'&. \5/ lqq4 Date Signed OPERA TING REQUIREMENTS: Please note that generators treating ho.z.ardou.s 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 setfonh in tM statutes and regulations. some of which are referenced in tM TIu-$pecific FaC1sheets. SUBl\ßSSION PROCEDURES: You must submit two copia of this completed notification by certified mail, return receipt requested. to: Depan1MlII of Tozic Substancu Control Fc1rm 1m Onsite Ho.z.ardous Waste Treatment Unit 4()() P Street. 4th Floor (walk In only) P. O. Boz 806 Sacramento. CA 95812~. You mUSI also submit OM œJ1Y of 1M nolificaI;on and allachmenls 10 the local regulDlory agency in your jurisdiction as listed intM instruction maleriau. You mu.st auo retain a copy as pan of your operating record. All three fomu mu.sl haw original sigNJIuru. not photocopiu. DTSC 1772 (1/93) Page 3 ~ è' ., (:.' EPA ID NUMBER Pagew. of tuS '1<io,),)1 ; . CONDITIONALL Y EXEMPT - SPECIFIED W ASTESTREAMS UNIT SPECIFIC NOTIFICATION (pursuant to Health and Safety Code Section 2520I.S(c» UNIT ID NUMBER # 267 UNIT NAME LONGS DRUG STORES ~ Container(s) NUMBER OF TREA Tl\-ŒNT DEVICES: _ Tank(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 (l, 2, J) or using any system you choose. Enter the estimated monthly total volume of hazardous waste trealed by this unit. This should be the maximum or highest amount trealed in any month. ¡ndicale in the narrative (Sectiolt II) if your operations have seasonal variations. I. W ASTESTREAMS AND TREATMENT PROCESSES: o o o o o o 6. o o o Estimated Monthly Total Volume Treated: pounds and/or 55 gallons The following are the eligible wastestreams and trealment processes. Please check all applicable boxes: 1. Treats resins mixed in accordance with the manufacturer's instructioDS. 2. Treat containers of 110 gallons or less capacity that contained hazardous waste by rinsing or physical processes, such as crushing, 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 heat-aided evaporation to remove water. 4. Magnetic separation or screening to remove components from special waste, as classified by the department pursuant to title 22, CCR, section 66261.124. 5. Neutralize acidic or alJca1ine (base) wastes from the regeneration of ion exchange media used to demineraljze water. (This waste cannot contain more than 10 percent acid or base by weight to be eligible for conditional exemption.) Neutralize acidic or allcaJine (base) wastes from the food processing industry. Recovery of silver from pbotofinishing. The volume limit for conditional exemption is 500 gallons per generator (at the same location) in any calendar month. Gravity separation 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 barrels (42 gaÌlons per barrel). 9. Neutralizing ,acidic or aIkaJine (base) material by a state ce~fied laboratory or a laboratory operated by an educational institution. (To be eligible for conditional exemption, this waste cannot contain more than 10 percent acid or base by weight.) -- "''-----., DTSC 1772B (1/93) Page 9 ,: ~ .;. ~ EPA ID NUMBER CALOOe221 . p~~e~åt'~ CONDITIONALLY EXEMPT - SPECIFIED W ASTESTREAMS UNIT SPECIFIC NOTIFICATION (pursuant to Health and Safety Code Section 2S201.5(c» U. NARRATIVE DESCRIPTIONS: Provide a brief description of the specific waste tremed and the tremment process used. I. SPECIFIC WASTE TYPES TREATED: SPEN'l' PHOTOGRAPHIC FIXER SOLUTIONS (ie: bleach, bleach fix, stabilizer) 2. TREATMENT PROCESS(ES) USED: SILVER RECOVERY unit (Hallmark cannisters) ill. RESIDUAL MANAGEMENT: Check Yes or No to each question as it applies to all residuals from this treatment unit. YES NO @ D o iii Ii 0 o ~ o o 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? 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. £XI o o o a. Offsite recycling b. Thermal treatment c. Disposal to land d. Further treatment 4. Do you dispose of non-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 demonstrate eligibility for one of the onsite treatment tiers ,facilities are required to provide the basis for determining t1uJt a hazardolLS waste permit is not required under the federal Resource Conservation and Recovery Act (RCRA) and the federal regulations adopted under RCRA (1itle 40, Code of Federal Regulations (CFR)). Choose the reason(s) thai describe the operation of your ofLSite treatment units: o 1. DTSC 1772B (1/93) The hazardous waste being treated is not a hazardous waste underfedenllaw although it is regulated as a hazardous waste under California state law. The waste is treated in wastewater treatment units (tanks), as defined in 40 CFR Part 260.10, and discharged to a publicly owned treatment works (POTW)/sewering agency or under an NPDES permit. 40 CFR 264.1(g)(6) and 40 CFR 270.2. Page 10 CAT.O.52~1 . CONDITIONALLY EXEMPI' - SPECIFIED W ASTESTREAMS UNIT SPECIFIC NOTIFICATION (pursuant to Health and Safety Code Section 25201.5(c» PageW of 1c2 ~ ~.. ,~:¡ '. EPA 10 NUMBER .. ..,..... .0;' IV. BASIS FOR NOT NEEDING A FEDERAL PERMIT: (continued) o 3. o o 4. 5. o 6. o 8. o 9. v. YES o DTSC 17728 (1/93) The waste is treated in elementary neutralization units, as defined in 40 CFR Part 260.10, and discharged to a POTW /sewering agency or under an NPDES permit. 40 CFR 264.1(g)(6) and 40 CFR 270.2. The waste is treated in a totally enclosed treatment facility as defined in 40 CFR Part 260.10; 40 CFR 264.1(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 260.10 and 40 CFR 261.5. The waste is treated in an accumulation tank or container within 90 days for over 1000 kg/month generators and 180 or 270 days for generators of 100 to 1000 kg/month. 40 CFR 262.34, 40 CFR 270.I(c)(2)(i), and the Preamble to the March 24, 1986 Federal Register. Recyclable materials are reclaimed to recover economically ~ignificant amounts of silver or other precious metals. 40 CFR 261.6(a)(2)(iv), 40 CFR 264.1(g)(2). and 40 CFR 266.70. Empty container rinsing and/or treatment. 40 CFR 261. 7. Other: Specify: N/A RTABLE TREATMENT UNIT: Check Yes or No. Please refer to the Instructionsfor more information. Is this unit a Transportable Treatment Unit? If you answered yes, you must also complete and attach Fonn 1772E to this page. The Tier-8pecific Factsheets contain a swnmary oC the operating requirements Cor this category. Please review those requirements carefully before completing or submitting this notification package. Page 11 --...... ~ -), ~ ::. -",Sife Map/BuiJdin.iagram F.orm . Co L( D>f \~ LONGS DRUG STORE # 2-107 .:5TDC.~DALE VIL_LAGG ..BA k'E~S FIE LD COUNTY: SCALE: o Site Map kE:RN. C-DUN-ry ø Building Diagram ® N W* E i), 11- ~~ ~8 ::!c \1' s It. '" :t :t I I/~ r--- r--- I' ~r- r-r-- r-r-- W4 (¿E ·¡.4.ou.!7 ~ 'I ~ I -t', '....HI'ÎIl ""rtQ., ~ .'¡- r- - I-r-t:'-r- f-r- -- ~. . ... . ~ J '-¥ I / , r--- _ r- t-..... r--- ) - ~ I, ~ "i v (j ~ J, V r' ~ t~~· I-~~ ~~ ~ -~~-- ~~ 0'ffirffi'c;J-Gj'0 G [¿ T!JJ~ G Q, ( ( ( It f I--~ e-~ f = ~~ 1 ~- ;::;:: ij)', '¡::;:: '""-:: ;:- r=;:: ~ T <:! ... _, '" r" J- - ~~ J ~ ' r ~ I~ Of ',' D C 1 ~ a' , D I" ~ I ~ I ~ __ "_r- Lr- e-r- r I~ :: :: .J ' ~" ' '--Zt::::,¿= ~ T_._ . ",_.~~ ~~~_ ' ~ - m ffI ~ ~ ~ .... '( < '<.---.( ~ <: '<'. fl" '" 'C,<= F J ~I ill ill\1 \/ EJ G G. G [a , < < ¡ "" -;;: -;;: '~-kf-=.WE~,:~ EX1L",_____ E~~r EXT~,(hil. I I t£'l 6Mfe.€:ÆNc..Y é'l- IT .-r; t::)(Tí5, . Ç¡æE E XTIN6U1St1E,(S AS A\ÅIDM~T'C6, .(Iflé 5f'IlIIVI(LH!, iff t=lH,:TIlIC IT£.- 5¡..lAT vF~ b GAS S¡..uT DF;::' . ~ AT(rt S I"w:r 0 t:F II ".-. '/ 1/ --@ +- - - ~ ..... \8 'F'~ ~ .J"A)¡lfoF- ROOM S TA C. (N6 .4 r2[ I't ou í ,4 W Pt 'I ç (20 M -rltG 6uI L-D t IV~ ~ . "1'Cl1ItOlcIs-h /~ f f T f N C. .------.,--,-- -...---..\.!:- I ~ I· ie I ! , ',' !¡ I' ( I 1 :1 ! I. ;f A~ F"RöÑT PA~t-<lNG L.oí S7DCKìJ 4LE HWY . >1\ . F IIZ. f" -I4Ÿ D Q AÎ,ri' { . :T AT-¡E:.;9;F F~~LIFORNIA-ENVIRONMENT AL PRO ON AGENCY PETE WILSON. Governor DEPARTMENT OF TOXIC SUBSTANCES CONTROL --:~ -........-=-----~ - - -- ---. Q 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 : ........ As Iden~fied in the Inspection Report dated ~ Conducted by: lru.{3 S~t.«.\~., - J)"JSL. (agency(s» I certify under penalty of law that: 1. Respondent 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 fil~ this certifica~ion on behalf of the Respondent. 5. I am aware that there are significant penalties for submitting false information, including the possibility of fine and imprisonment for knowing violations. _t0o. filL! S~l)ì ¡W Name (Prin{J>r Type) \)o.H~~ Sc~.~ ~ . Signature ~') \)(\1& ~~ ~~~\r- ('.~\ (')(X)\\5d~\ Com y Name EPA ID. Number ~ ~~( Title \d-~ Date Signed DTSC-RETCOMP.CRT (8/94) ~1