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HomeMy WebLinkAboutHAZ-WASTE REP. 3/24/1999 ,- -: 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 . . Q . - 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). ---- 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. - 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' . . .. 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 . . -Q 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. (J ladz 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 - PETE WILSON. Go....mot . 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 " $/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 " rf ~ffLJf'h 10 ~t-k b lé..h r ~ v 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 @' .,.; , . "'- " , ' ,I' (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. ." ~J Primed on Recycled PtJper ~ r. . . " 'l' . 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. . . ~ 1 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 . - '3!o?/i1~ ",.., . Â~ . ~eDto'ToD:SubItur:. C~¿ Pag6fl ofta.) I I I ~ ... ~ - - 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 ~ .". !:t " ..) ~ Š- .... ~ I I I 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 . ¿ ,. . - Pa~elf2 öf ~ ....t 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 (, F.-, ~ j . pag'l3 of 1D5 ~ EPA ID NUMBER ~ " 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 ',. ''', Site Map/Build_ Diag~am'Form . Lf) ~: LONGS DRUG STORE # 23q COUNTY: -k''Ë r2. N (}oÇ~€€ I<Þ SCALE: ~þ ~2()D /q . J·1'"(X_k. ~A I. t-/..uy o Site Map \O~ ŒJ Building Diagram N I w~ E S '---~_i~-"'--- , _ ....---. ~... ,- .- ; 1 ...- 1 J T I i .; " / ! I i E"'-~ COS.-"'/::'ì-,« . '. '"--.--''''' ...~- ~~~ €,~ ~ v c' ~ .... r"~ . '..,...,.,,- ,.,.-- .ç:.. .Œ~_:''':..! ____ ( ~ ::t:> ~ ~ ~ "\ '^ ~ þ ~ '<. ~ (Ç, .:s ~ J Q r. ~. L T ~ I 'T t' I I \.N ; .:.J- Y·,_~,i__ -"-'-'---'-' -. ~-,-..... '..,..- r~r~' -~, 'r~~ IT --- ~ ..l. ! "1\: ,----- ~ ! ~ ~ ~ , 0 þ\j 1'> E z. 1\' r ~ ~ Í ,. ~ j '~ Ë I ~ --t I ~ r1'I £ ~ __,~~~ _~ll~~\ "____ .,J ~rJ-'l.0JJ.LI L.."..:h DF"~£!':',Por·i."~-.:__ ~'"";ot.~ Q ~ ~ . .' .;. . ..... .. "'fi' ~;" S·ite Map/Buildi_Diagråm Form . Lie¿ o~Jcb' LONGS DRUG STORE # c2 31 (]DCCr::€ í2.D » 2 0 0 . t..-, S r pc.. k:;Ð ¡.) t. t.r )-/. w y kf:{2JJ COUNTY: SCALE: ;¿ ŒI Site Map o Building Diagram :1 ~ I."~ '6.v ~ "~""-- t""<;~ _ ......,.,-,._-'" ~ ~ ì .......----p ~ ï I!" --'" .. I :t::> "' ..¿ t 1:. ¡ - --+ -'i£. Ì'- C> ~ \J\ ~ :t f ._~ ~, I ~! "\>(.. , '-~\-i ~\ .1 ~. ~ I ~ '1 I - fr\ , T ¡ I I I" - . I 1----- , r~ \ , \, ',. ',- ""'" .".. .--.--.-- .--.-...-....--.. ..-.---.....---...--.--..:.-..--.--: I ~.) I LJ<'.. \ ...'-"--' -. .....~._~...._'.. . _......~..+--.,...~._.~_. --.,.. -~ -.-.- __ ,_.,......._...J N w~e s b ~ ~ ~ ~ \" ""E- . "\ ~ ~ ~ ~ .s- 't v. ~ 'l't ,'S" ~ ç i I I I J "'!.. ~ ~ e. I)! L ('10, ,.. \J' ( c ~ ~ f - -- - ~- ·"_._'~ ¡ >0 I - , I' \, 1:3 ~ ~" ~,?- 1- 0- )) I i ~\ ¡ ~. !", '" 7 ( ~t- f. S z.. ~ j' '^ " ~ t ~ 'þ:þ ]I:IE' '" -. ~l- .J' -i' ; €J I ! --- ---.---- ~ .----- I~ ~ , 10 ~ ----r --.--" ...-,~ \ ~ \ \ ----------\ ---~/ 0 I I' >---- - 0"3' , , _---~//--- LIft \' ~/ \ 11 ~ ... --_.._,.~.-_.. . ., L ~ L.,... ~ ,¡,,,.. I ," (J, .. \! ---=' ...... . - . .....-....."-. ." '" ~d ·......._r 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 ~IHJ.M 3 \uùQ~ 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 ~d~~