HomeMy WebLinkAboutHAZ-WASTE REP. 3/24/1999
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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 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.
/41 North Civic Dr.
Walnut Creek, CA 94596
Longs Drug Stores #239
8200 G Stockdale Highway
Bakersfield, CA 93311
CAL930695617
Longs Drug Stores California, Inc.
239
YESÅ
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-2L
. 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.
~I'v
Si . ature
Keith Landes
Name (print or Type)
<..
Environmental Mgr.
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 Rre Department
...." .--¡¡;-..,...-,-,..~-,. ..,...".,.,-..... ....-¡......"'........,......... I n~ ..-...w. 'V" "'-u..........-,
~ I C WIUiON;-Gówrnor
D~r.~RT;M;fNT Of TOXIC SUBST.~ CES CONTROL
REGfbN 1-10151 Croydoa.Way, Suite 3 :" .
,Sacram=&o, CA 95827 .
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CHECKLIST AND JNITIAL VERIFICATION INSPECTION REPORT FOR
Permit by Rule, Conditionally Authorized, and Conditionally Exempt Notüærs
. . . /tol.Ji
FACll..ITYNAME: ~Dh?0 IJrt.J? 5fwf'<J Lþ./;I. J¡"c. EPAIDNUMBER:('I!L 93Dl.:,9S-Gf'l
PHYSICAL ADDRESS: fi'~O() G- 5foc.kcP4.(t"' f/(fhtvc.."f &hr~r:r(./J fr¡, C¡J3({
FACll.ITY CONTACf-NAME: It/c.. ~(c..¡ .5c. hl ,J;r r PHONE: S"16) ;;¡fO ~ &,,;1..5 (gD.» 8 3 ~ - 0'7" L/
SIC CODE(S): .5"1/;( INSPECTION DATE: Oc. t. J3, f 11'1
,
NOTIFIED UNIT COUNT:
CORRECT UNIT COUNT:
PBR'
PBR
CA
CA
CESW ~
CESW --L-
CESQT _
CESQT
Tar AL --L-
Tar AL ...L-
This ch-l.Jid and iDspedioo report'identify "iolaûoas or state law rqardin¡ oosite treaters ol hazardous waste,
OpenÛOl w1der an oosite ~ttio¡ ûer. This inspection "åüies the iåtormaûon provided 011 (ann 1772. It also covers'
iena~tor requiraDeuts, aJtboUKb a .separate checkJist may be used tor those requirements. Å ch«kmark indicates ,.¡obûon
ot the ww, which are expWoed in more detail on the attached DOte sheets. The governing laws are the Heallh and Safety
Code (HSC) and Title 11 of the ûililomia Code or R~u1aûoas (11 CCR).
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Generator Standards:
Each jlU~aion agency may lUe their own geTlD"alor jlU~aion cUdcJist or protocols, which are SW1II1IiJriud ~low. Afidl
~jon of each Ìkm or doaunenl is /JOt conducted during the VerifiCQljon IIU~aion, IUIkss SeriolU defici~nciu are SIU~CSed.
till
V 1.
2. a-.=
3.0((
4. /VI(
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, cIosed, labelled, compatibiIity,
inspected weekly, in good condition, with ignitableslreacùves 50 feet from property line).
Meet tank management standards (either secondary containment or integrity assessments, plus
storage ùme limits, labelled, compatibility, inspected daily, in good condition, with
ignitableslreactives 50 feet from property line).
All wastes are properly identified.
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S.Ot.:....
Treatment Items-Facility Wide: (Fadüry must submil a nvised Fonn 1m 10 correct errors or omissions.)
6. Oc 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 informaùon 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.ßtIfThe generator has complied with source reduction planning requirements (SB 14 and SB
1726). A checklist or plan is required m if annual hazardous waste volume is over 5,000
kilograms (approximately 11,000 pounds or 1,350 gallons).
For CA or PBR notifiers:
11./Jllt The generator has an annual waste minimization certification. (pBR submit with renewals.)
Onsite Checklist (A)
Page 1 of L
February 10, 1994
.i'
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ST AT~OF C~FORNIA-EHVIRCNMENT AL PROTE
- .. ~ ~
P£TE WIlSoN. Gowmor
DEPARTMENT OF TOXIC SUBSTA CES CONTROL
REGION 1-10151 Croydoa Way, Suic.: 3
~t'l.ml:UCO, CA 95827
CHECKLIST AND INITIAL VERIF1CA TION INSPEcrION REPORT FOR
Pennit by RuJe, Conditionally Authorized, and Conditionally Exempt Notifiers
UNIT SHEET .
A
WJ
ÛJmplete OM unit sheet for each unit eùher lisled in the norificarion or jJ¿1Zlified during t~ inspection.
Unit Number: ;(3 '1
Notified Tier: c. E SLcJ
Unit Name: ft>Þr.9J .tf}I'LJi 5101'(5
Correct Tier: ( -£ .5 w .
Notif"led Device Count:
Con-ect Device Count:
Tanks
Tanks
ContaÏllers (
ContaÏllen ~
For aU Units:
till
12.0(
13.
14.
15.
16.
17.
18.
19.
20.
21.
22
23.
An hazardous wastes treated are generated onsite.
The unit notification infonnation 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 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 infonnation on the fonn is correct and documented for the unit.
The indicated basis for not needing a federal permit on the notification fonn 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 of the ins~tions 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.#11 The generator has secondary containment for treatment in containers.
For each PBR unit:
25. '/I- There is a waste analysis plan and waste analysis records.
26.,tI, There is a closure plan for the unit.
Unit Comments/Observations: (lflhis is a Wlillhas was nol included on lhe nolifiClJlionfonn. lhe vioùuion is opeTaling
wilholU a pennil-HSC 25201 (a).)
PageL-of L
February 10, 1994
Onsite Checklist (B)
~'fn~F.-;-CAUFORNIA-ENV1ROHMEHT AL PROTECTION AGENCY
DE~ARTMENT OF TOXIC SUBST..CES CONTROL
REGION 1-10151 Croydoa Way, Su.iec 3 '
Sacramco&o, CA 95827
PETE WILSON. Gov.rnor
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CHECKLIST AND INITIAL VERIFICATION INSPECTION REPORT FOR
Permit by Rule, Conditionally Authorized, and Conditionally Exempt Notifiers
SIGNA TURE SHEET
Onsite Recyclin&: only answer if úW facility recycla more than 100 1ålo~ram.slmofllh of hazJudolU wasle onsúe.
00
27 JI ¡:¡ The appropriate local a&ency has been notified.
28. All activiåcs claimed under the onsite recyclin& exemption are appropriate.
Releases:
YES
29 'lX, 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 Pennitting inspection, a release to the environment is unauthorized or
accidental and does not include spills contained within containment systems.
(if thttre has bun a reÚ4se. (Jladz inform.aJ;on on lhe Slatus of lhe correaiVt! aa;on for lhe reÚ4se(s).)
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 (HSQ 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 submit a
signed Certification of Return to Compüance 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 of Toxic Substances Control and to the local enforcement agency.
Inspector(s) :
Lead Insvector: .
Signature: /)¡oLOt''ß / ~
Print Name:.Da<l/cP J.. 1!:),'uI<A..«- {-,
Tille: ,fhj¿ad)oJ..Js 5.iJb:¡ "'-'(,('<"5' ~(~~«. f("s +
Agency: 7)r;¡/ r;K1~ '£'Jbsf"'wJ( S {1;'r. f,.. (
Phone Number: ';;01')02 '1'7- 3¡Sc>
Other Inspector:
Signature:
Print Name:
Tille:
Agency:
Phone Number:
Facility Representative:
Your signature acknowledges receipt of this report and does not imply agreement with the rwdings.
Signature: ~.~.Ad Print Name: 6..-/Ò-r7 Pl/r-Þd--
Tille: ~ ~~hM Date: /éJ/; 3 h~
/ I I
Onsite Checklist (C)
Page -L of ..L
February 10, 1994
sr,..~ oÏõ CAUfOftNIA·EHVIROHMENTALPROT£CT1OH AGENCY
::-: '. -. Ii"
, oe·PARTMENT OF TOXIC SUBST .ES CONTROL
REGION 1-10151 ClOydoa Way, Suicc 3
. s..c~co. CA 95827
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PETE WILSON. Go....mot
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e
CHECKUST AND INITIAL VERIFICATION INSPECTION REPORT FOR _
Permit by Rul.a, Conditionally Authorized, and Conditionally Exempt Notifiers
NOTE SHEET
11W sMa indwiu úupeaor QÓ.rerwuiolLl and expands 011 the vioÚlliolLl iJe.nJijied 011 the àu:dclist (by 1UIIIIber). In sonu: cøsu,
is indicøus how the faciUry .J~uJd correa the vioÚIIÍDILI. Also lncú.tde the tIQfIIQ of IJ/IY othen panicipalillg ill tJW IllSpeaion.
rÆf' Fo 110 wi;' r ! $ {iF PIc; If:< flOIf, . ol'>C?/'L/ c-j) Dc.. 0<. f. /.5 J /9 9tf
/. /. Df1 hol ~ú v(' t<. /.-¡ CD£'-¡ { .
t ;l (.Ç'. fÒ 10 t,r;,;( {p f, SS'
7:' flf .; .:¿
eve... /; ¡. . t'oJJc- ø ¡ ¡: frS
i D '" 7,5 tJ r u'1 5 fò,. (> tr.) J c¡
¡C:s
the 1/(; '< I(o~ N
{i. f+<:<(. LJ) C er f; f, ~c..I(o IA.
fl t {' (:" r J-; If C. Co f { ó:v..
~ if> /f)ú I~
¿CiS
f6r
Co ~ .h !rec Þc; e
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$/yf,¡ (~o) ,¡Jays
¡;'ÓJv.
.¡ ¿ e I"eu" { b f t!; f-
.
wi
/0
CO/'/'i.'cf
f(,(A
[/(~
.,. £" (/¡>
Cut.. (' IA
{Jf't.J
5107'("
4-
.23
/s
rc' furh I
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rf ~ffLJf'h
10
~t-k b lé..h r ~
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ti,/ÆfJ
10 .
Vt:<,UIJ) . )., - ó')UÞú.Á.. ff~
DISc
I~/f J;//¡ouse cfcß
C /0(/(;. C 17. 7' 2G / (
I
porI ~9'7 37£0
Onslte Checkl1st (D)
Page -'-- of -'--
February 10, 1994
"" . STATE O~ CALIFORNIA':"'CALlFORNIA ENVIRONM
t <
.' DEPARTMENT OF TOXIC S BSTANCES CONTROL
"
,
PROTECTION AGENCY
PETE WILSON, Governor
\1..'
400 P STREET. 4TH FLOOR
P.O. BOX 806
SACRAMENTO, CA 95812-0806
@'
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(916) 323-5871
OS/25/94
EPA ID: CAL930695617
LONGS DRUG STORES CA INC #239
NANCY SCHNIDER
POBOX 5010
ANTIOCH. CA 94531-5010
For facility Ioctztal at:
82000 STOCKDALE HWY
BAKERSFIELD. CA 93311
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) bas 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 unites) 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 unites). 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
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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Primed on Recycled PtJper
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Page 2
EPA ID: CAL930695617
If you have any questions regarding this letter, or have questions on operating requirements for your facility,
please contact the nearest DTSC regional office, or this office at the letterhead address or phone number.
Sincerely,
5.(~
lcbael S. Homer, Chief
Onsite Hazardous Waste Treatment Unit
Permit Streamlining Branch
Hazardous Waste Management Program
Enclosure
cc: SUSAN LANEY
DTSC REGION 1
SURVEILLANCE & ENFORCEMENT BR.
10151 CROYDON WAY, SUITE 3
SACRAMENTO, CA 95827
STEVE MCCALLEY
KERN COUNTY
ENVIRON. HEALTH SERVICES DEPT
2700 M STREET, SUITE 300
BAKERSFIELD, CA 93301
:..' r.
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Page 3
ENCLOSURE 1
U1IÏØ tIIIIhoriu.t1w operøIe øllhØ loœtion:
UNDER CONDITIONAL AUI'HORlZATION:
UNDER CONDITIONAL EXEMPfION: '
#239
EPA ID: CAL93069S617
. ~ ~,Sti,Ìte ò"f.C~oruia - CalilonlÏa Earn-oameatal ~ Aaeacy ;:
'-Check Number .
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. ~eDto'ToD:SubItur:. C~¿
Pag6fl ofta.)
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ONSITE HAZARDOUS WASTE TREATMENT NOTIFICATION FORM
J~ FACILITY SPECIFIC NOTIFICATION
(D~- Q 6713llÝFor Use by Hazardous Waste Generators Performing Treatment B Úlitia1
C<,.()~ if Under Conditional EJtemption and Conditional Authorization. 0 Revised
and by Permit By Rule Facilities
~
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Please refer to the altached Instructions before completing this form. You may notify for more than OM permitting tier I1y wing this
notificationform, DTSC 1772. You must altach a separate unit specific notificalionformfor each unit al this localion. There are
different unit specific notificationformsfor each ofthefour calegories and an additional notificalionformfor transportable trealment
units (Tl'U's). 'you only have to submit forms for the tier(s) that cover your unit(s). Discard or recycle the other unwed forms.
Number each page of your completed notification package and indicale the total number of pages at the top of eaêh page al the
'Page _ of _ '. Put your EP It lD Number on each page. Please provide all of the information requested; all fields mwt 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 approprialefeefor each tier under which you are operating.
(Please note thalthefee is per 17ER not per UNIT. For example, if you operate 5 units but they are all Conditionally Authorized,
you only owe $1, J 4(), NOT 5 t:intø $1.140. If you operate any Permit by Rule units and any units under Conditional AuthoriZalion
you owe $2,280.) Checlcs should be mode payable to the Department of TO:lic Substancu Control and be stapled to the top of this
. form. Please write your EPA lD Number on lhe check. Fill in the checlc number in th'e bo:l above.
I. NOTIFICATION CATEGORIES
Indicate the number of unils you operate in each tier. This will also be the number of unit specific notificationforms you musl allach.
C4ndiJioNllly Ezmrpt SnuIJl Quantity TtWJtnIÐII OperøliolU may fIOI opÐY1le IUÚIIIIN/ø aJJY odrø tier.
Nwnber of units and attached unit specific: notificatiol\1
A.
Conditionally EJtempt-Small Quantity Treatment
(Form DTSC 1772A)
Fee per Tier
(not pt!r unit)
$ 100
B.
Lø
Conditionally Exempt-Specified ~~~~~~~~ (Form DTSC 1772B)
Conditionally Authorized ¿\. ~:>~' ,. L.'''''~..', ~\FOrm DTSC 1772C)
~ ~'" "- '.~
Permit by Rule Ji ~;(Form DTSC 1772D)
o
::r
$ 100
C.
$1.140
-L
Total Number of Units
$1.140
D.
====
APR
=========
4 1994
Total Fee Attacbed $ I O() -~
U. GENERATOR IDENTIDCATIO
EPA ID NUMBER CA....1-2.J.. .Q.. Q...L5~..l J.._
BOE NUMBER (if available) H_H~ _ _ _ _ _ _ _
NAME (Company or Faci1ity)
(DBA-Doin¡ Buaine.. AI)
PHYSICAL LOCATION
LONGS DRUG STORES CALIFORNIA. TNr.
LONGS DRUG STORES #239
8200 G:;.;STOCKD1U.E~,{lIGBWAY
For DTSC Use Only
CITY
Bakersfie1d
CA' ZIP 93311
Region
COUNTY
Kern
CONTACT PERSON
NANCY
(Firwa NIlIW)
~C1Dllœ:a
(Lila Name)
PHONE NUMBERl21Q)-2.J.!}- 66;>5
DTSC 1772 (1193)
Page 1
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Pa~elf2 öf ~
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EPA ID NUMBER ~
l\1All..ING ADDRESS, IF DIFFERENt::
COMPANY NAME (DBA)
LONGS DRUG STORES CALIFORNIA~ INC.
STREET
P.O. BOX 5010
CITY
ANTIOCH
STATE CA ZIP 94531. 5010
COUNTRY
------
(only complcle if IIC)( USA)
CONTACT PERSON
NANCY
(First Name)
SCHNIDER
(La. Name)
PHONE NUMBER<-219 210· 6625
ill. TYPE OF COMPANY: STANDARD INDUSTRIAL CLASSIFICATION (SIC) CODE:
Use either OM or two SIC codes (a/our digit number) that best describe your company's products, services, or industrial activity.
Example:
11M. Photolillishillfllab
First: 5912 RETAIL CHAIN DRUG
::i'l'Ullli
3672 Primed circuit boards
Second:
IV. PRIOR PEIUßT STATUS: Checlc yes or no 10 each qlUSlion:
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 notifying for at this location?
o Has this location ever been inspected by the state or any local agency as a hazardous waste generator?
NO
(j) I.
[i] 2.
GJ 3.
m 4.
G) s.
v. PRIOR ENFORCEMENT HISl'ORY: Not ~redfrom g~ 0Ifly IIOtifyùt, a ctHttliJùHt,øll a.empI.
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, 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.)
o
If you answered Yes, cbeck this box and attach a listing of convictions, judgments, settlements, or orden and a copy
of the cover sbeet from eacb document. (See the Instructions for more information)
DTSC 1772 (1/93)
Page 2
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pag'l3 of 1D5
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EPA ID NUMBER ~
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VI. A 'IT ACHMENTS:
@
IXJ
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.
VII. CERTIF1CA TIONS: This form must be signed lry an authorized corporate officer or any other person in rhe company who
has operational control and performs decision-making functions that govern operation of the facility (per ritle 22. California
Code of Regulations (CCR) section 66270.11). All thræ œpiD must ~ origiNÚ sigNJlrlTa.
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 Pennitthur Certification 1 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, 1 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. C . ANDERSON
Name (p:;t}rype) .
V~
Signature
V.P. PERSUNNEL & OFFICER OF
tONCS DIWG ~TORE~ f'ALI1i' ¡WC
itle .
fv\Ck-'~ \5) \qq4
Date Signed
OPERATING REQUIREMENTS:
Please note that generators treating hazardous waste onsite are required to comply with a numbu of operating requirements which
differ depending on the tier(s) under which one opørates. These operating requirements are snfonh in thø statutes and regulations,
some of which are referenced in the Ttu-Spøcijic Factsheets.
SUBMISSION PROCEDURES:
You must submilrwø co.piD of this completed notification by cerrified mail. return receipt requested, to:
Deparrmeril of Teuic Substances Control
Fdrm 1m
OnsÜe Ha:.ardous Waste Treatment Unit
400 P Street, 4th Floor f'c'alk In only)
P. O. Bo~ 806
Sacramento, CA 95812~.
You mu.rt also nbmiI OM COD.Y of lhe notification and attachments to the local regulatory agency in your jurisdiction as listed in thø
instruction miJltTÍaú. You must also rnain a copy as parr of your operating record.
All three forms musl haw original signatures. 1101 photocopies.
DTSC 1772 (1/93)
Page 3
.. tv;
~. ..
. . EP A ID NUMBER CAL9.S611
7
.
Page lJJI of ~
CONDITIONALLY EXEMPT - SPECIFIED WASTESTREAMS
UNIT SPECIFIC NOTIFICATION
(pursuant to Health and Safety Code Section 25201.5(c»
UNIT NAME LONG!=> DRUG STORES
UNIT ID NUMBER # 239
NUMBER OF TREATMENT DEVICES:
_ Tank(s)
-1- Contaìner(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 trealed by this unit. This should be the maximum or highest amount
trealed in any month. lndicale in the narralive (Section II) if your operalions haW! seasonal variations.
I. W ASTESTREAMS AND TREATMENT PROCESSES:
o
o
o
o
o
o
o
o
60
gallons
Estimated Monthly Total Volume Treated:
pounds andlor
The following are the eligible wastestreams and trealmenl processes. Please check all applicable boxes:
1.
Treats resins mixed in accordance with the manufacturer's instructions.
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 aUcaline (base) wastes from the regeneration of ion exchange media used to demineralize water.
(This waste cannot contain more than 10 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.
8.
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 gallons per barre!).
9.
Neutralizing acidic or alkaline (base) material by a state ce~fied laboratory or a laboratory operated by an
educational institution. (To be eligible for conditional exemption, this waste cumot contain more than 10 percent
acid or base by weight.)
DTSC 1772B (1/93)
Page 9
1'}!t;'
EPA ID NUMBER CALgeS617
.
Pa~e45 of1D5
CONDITIONALL Y EXEMPT - SPECIFIED W ASTESTREAMS
UNIT SPECIFIC NOTIFICATION
(pursuant to Health and Safety Code Section 25201.S(c))
D. NARRATIVE DESCRIPTIONS: Provide a brief description of the specific waste trealed and the trealmefll proms used.
1. SPECIFIC WASTE TYPES TREATED: SPENT PHOTOGRAPHIC FIXER SOLUTIONS
(íe: bleach, bleach fix, stabilizer)
2.
TREATMENT PROCESS(ES) USED:
SILVER RECOVERY unit
(Hallmark cannisters)
ill. RESIDUAL MANAGEMENT: Check Yes or No to each queslion as il applies to all residU4lsfrom this treatment unil.
YES NO
6J 0
o ria
Ii 0
o F]I
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.
e
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 demonslrale eligibility for one of the onsite treatment tiers .facilities are required to provide the basis for delermining that
a hazardous waste permil 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 onsite trealment unilS:
o
g
..,
..:..
1.
Tbe hazardous wasttbeiDJ treated i& not a hazardous waste under fedenllaw although it is regulated as a hazardous
waste under California state law.
Tbe 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.
DTSC 17728 (1/93)
Page 10
·' 1'...... - ";\..-¡
~ ..
EPA [D NUMBER CAL9.5617
.
Page~of .LD5
CONDITIONALL Y EXE!\tPT - SPECIFIED W ASTESTREAMS
UNIT SPECIFIC NOTIFICATION
(pursuant to Health and Safety Code Section 25201.5(c»
IV. BASIS FOR NOT NEEDING A FEDERAL PERMIT: (continued)
o
3.
o
4.
o
s.
o 6.
(9
o
8.
o
9.
v.
YES
o
DTSC 1772B (1/93)
The waste is treated in elementary neutraliution 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 270.1(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
SPORT ABLE TREATMENT UNIT: Check Yes or No. Please refer to the Instructions for more infonnation.
s this unit a TransPortable Treatment Unit?
It you answered yes, you must also complete and attach Fonn 1772E to this page.
The Tier-Specific Factsheets contain a swnmary of the operating requirements for this category.
P!ease review those requirements carefully before completing or submitting this notification package.
Page 11
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S~TE OFtCALIFORNIA·ENVIRONMENTAL PRO ION AGENCY
~1::A"":;';"~ . ~
PETE WILSON, Governor
DEPARTMENT OF TOXIC SUBSTANCES CONTROL
TIERED PERMITTING
CERTIFICATION OF RETURN TO COMPLIANCE
Q
For Permit by Rule, Conditionally Authorized, and Conditionally Exempt Notifiers
In the matter of the Violation cited on :
>::,
-
As Identified in the Inspection Report dated ~
Conducted by : Lo.r(j $tW-ffili -rQ . J2::rsc· (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 infonnation 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 sigIÙficant penalties for submitting false information,
including the possibility of fine and imprisonment for knowing violations.
Jl~~~r ~~(\í \Qú
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Signature (j
~~'))W~ .s'\()fe ;s-
Camp n Name ~ :IN .
DTSC-RETCOMP.CRT (8/94)
« -í\ Ù \ (ond\O ~tJ 01){1& \rud:O(
Title
\~-~
Date Signed
CJ\L~~l9q"Sto\l_
EP A ID. Number
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