HomeMy WebLinkAboutUST-REPORT 4/6/2004
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BKSFLD FIRE PREVENTION
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CITY OF BAKERSFIELD
OFFICE OF ENVIRONMENTAL SERVICES
1715 Ch,ester Ave.t Bakersfield, CA (661) 326-3979
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APPLICA TION TO PERFOR.l\1
}i'UEL MONITORING CERTD1CA TIQN
FACIUrY~~i (Jp$pi~1 r _....._.._.__
ADDRB&S -z.,1- (s 1Ã-1.A. ~rJ
OPERATORS NAM."B__C (1 (¿.¿,_
OWNERS NA:M:E c.:. (.J~ ~
NAMB9PMONITOR MANUFACTURBR.::, t.R;:'lJ ~/~1 TJf..1-~<f--
DOES PAcn.rrYHAVB DISPENSER PANS? YBS____ NO~..
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NAME OPTBSTINO COMPANY_ ....B:55(Z. -rrv (:,
CONTRAc:roRS UCBNSB # ~ 1 v "'i7~ ._ ~_
NAME & p¡.rONBNUMBER OF CONTACT PERSON '13~~g:- v7 71
QATB ~ 1$Œ 'rBSt IS TO BE CONDUCTED c..(-I a - 0 £ { Pn1
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APPROVED BY
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DATS
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SIGNATURE OF APPLICANT
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CO~ECTION NCIICE
04881
BAKERSFIELC FIRE CEPARTMENT
Location 7 J 2- 1 5 T~)LT\l<'J
Name M 6fè-(, Y -WoSP; rð.v
You are hereby required to make the following
corrections at the above location:
Cor. No.
l,1 btJ..-f TUßG:> ~ &T1 c::."'tl¿~
tAl ¡'l'\.l þ..Cc.u tvlUt..A TI ð1V 4 ~~,') 1SfbSL\(...
z... ?l..Usé fV7ÞNAG(; /E;M.P"TY c.g,..J'ít.1..¡N(4..S
W~lc.H. H:ét..O #-lA'"2.Aa.I~ IVIA~A('S w l11+1~
ONE YGA!1- 0\-'" ß6::0NlI..J~ G'1-1PT'f..
Completion Date for Corrections
Date
JI)... / š! tJZ-
f.A.}INC-S
FD 1950
Inspector
326-3951
FIRE CHIEF
RON FRAZE
ADMINI::rrRATIVE SERVICES
:!101 oW Street
Bak'~rsfield. CA 93301
VOICE (805) 326-3941
FA;( (805) 395-1349
SUPP';:ESSION SERVICES
2:101 'H' Street
Bakllrsfield, CA 93301
VOICE (805) 326-3941
FA" (805) 395-1349
PREVI:NTlON SERVICES
17'15 Chester Ave.
Bakersfield, CA 93301
VOICE (805) 326-3951
FAX (805) 326-0576
ENVlRO~IMENTAl SERVICES
1715 Chester Ave.
Bakersfield, CA 93301
VOICE (805) 326-3979
FAX (805) 326-0576
TRAINING DMSION
5642 Victor Ave.
Bakersfield, CA 93308
VOICE (805) 399-4697
FAX (805) 399-5763
'.
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November 20, 2000
Ms. Kitty Ringer, Safety Manager
Mercy Hospital Bakersfield
2215 Truxtun Avenue
Bakersfield, Ca 93301
RE: Fire Department Inspection of November 17, 2000
Dear Ms. Ringer:
As a follow-up to our telephone conversation today, the Medical Waste
Act (Act) allows for medical waste to be stored together with other
hazardous wastes. Section 118290 of the Act (California Health and
Safety Code) reads: "Any small quantity generator who has properly
containerized the medical waste according to the requirements of this
article may store the waste in a pennitted common storage facility." It is
therefore not necessary to segregate the two types of wastes as was
indicated on the Fire Department inspection form. It is necessary,
however, as additionally noted, to properly label the common storage area
that hazardous wastes (not just medical wastes), specifically flammable
wastes, are stored within.
If you have any questions, please give me a call at 326-3979.
Sincerely,
~4-fU~~
Howard H. Wines, III
Hazardous Materials Specialist
Office of Environmental Services
HHW/dm
~~.?~ de W~.¥eve ~~ g--~ ~ W~'I'I
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11/00/98 MaN 12:27 FAX 805 862 8701
K C ENVIRONMENTAL HLTH
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REPORT DATE
LABORATORYID
: October 28. 1998
: 698-5646.1-4
THE TWINING LABORATORIES, INC.
PAGE 1 of 1
DATE SAMPLED
DATE RECEIVED
: As Listed by Client
: 09-23-98 at 1150 from Client
CLIENT
: California Imaging Solutions
ANAL VZED BY
REVIEWED BY
: George Barrett
: Audra Iknoian
DATE PREPARED
DATE ANALYZED
: 09-28-98
: 10-23-98
SAMPLE TYPE : Waste Water
CONSTITUENT
: Silver (Ag)
LAB CLIENT RESULT UNITS DLR ¡ METH~~ I
ID # SAMPLE ID
1. MERCY HEAL THCARE . CT @ 09-' 4-98/0630 6.6 mg/L 0.1 200.7
2. MERCY HEAL THCARE - SPECIALS 8.9 mg/L 0.1 200.7
@ 09- 14-98/0635
3. MERCY HEAL THCARE - MAIN @ 09-14-98/0640 9.0 mg/L 0.1 200.7
4. MERCY SW· MAIN @ 09-18-98/0600 1.9 mg/L 0.1 200.7
10: Nona Detoct..:! IJLK: Da!8CtI(l'I UftIII JOt ..aþoltlnø þorøoau
m9/l: MUU!!,,,",a oar UIet Igpml SM: Sunðard Motllo'" n 8th l;G1t1onl
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s¡r A TEOF'~Al¡FORN'A-ENVIRONMENT Al PROT TION AGENCY
PETE WILSON. Governor
DEPARTM'ENT"OF TOXIC SUBS' NCES'CONTROl
CHECKLIST AND INITIAL VERIFICATION INSPECTION REPORT FOR
Permit by Rule, Conditionally Authorized, and Conditionally Exempt Notifiers
Q
FACIL~Y NAME: fiJpl'U¡ Ilos ¡f'i fA. /
PHYSIcAL ADDRESS: ;(.) 15 TtLlX 1vh- flue.
FACILITY CONTACT-NAME: 1/;.: ){(~Dt2,N~
SIC CODE(S): KD&~ INSPECTION DATE:
EPA ID NUMBER: C 11 D '18) f"tro;z 3 7
8D... kírs 1I-¡;.,lrIJ é'1l. 9330 ~
PHONE: SD$') (p3.;z - Ss11
.J;h. ~t¡ /193 Local #
PBR
PBR
TOTAL J
TOTAL ..]
NOTIFIED UNIT COUNT:
CORRECT UNIT COUNT:
CA
CA
CESW 2-
CESW -1-
CESQT _
CESQT _
This checklist and inspection report identify violations·of state law regarding onsite treaters of hazardous waste,
operating under an onsite pennitting tier. This inspection verifies the infonnation provided on fonn DTSC 1772. It also
covers generator requirements, although a separate checklist may be used for those requirements. A checkmark indicates
violation of the law, which are explained in more detail on the attached note sheets. The governing laws are the Health and
Safety Code (HSC) and Title 22 of the California Code of Regulations (22 CCR).
Generator Standards:
Each inspection agency may use their own generator inspection checklist or protocols, which are summarized below. A full
evaluation of each item or document is not conducted during the Verification Inspection, unless serious deficiencies are suspected.
NO
Treatment Items~Facility Wide: (Facility must submit a revised Form 1772 to correct errors or omissions.)
6. Of<, 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.)
All generator identification information on Form DTSC 1772 is correct.
The submitted plot plan/map adequately shows the location of all regulated units.
There are records documenting compliance with sewer agency pretreatment standards and
industrial waste discharge requirements, where applicable.
Generator has prepared/maintained source reduction documents requirements (SB 14/SB
1726). For many wastes, a checklist or plan is required OIÙY if annual hazardous waste volume
is over 5,000 kilograms (approx 11,000 pounds or 1,350 gallons). HSC 25244.15, 25244.19-.21
1.0~
2. DR
3,,0(1;.
4.fl/fJ
5.ðfi:
7. DC\
8. vEt..
9. o~
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10.
Contingency plan has been prepared (adequately minimize releases, has alannlcommuIÙcation
system, lists emergency equipment and phone numbers for emergency coordinators).
Written training documents and records prepared for employees handling hazardous waste.
Meet container management standards (storage time limits, closed, labelled, compatibility,
inspected weekly, in good condition, with ignitables/reactives 50 feet from property line).
Meet tank management standards (either secondary containment or integrity assessments, plus
storage time limits, labeÏIed, compatibility, inspected daily, in good condition, with
igIÙtables/reactives 50 feet from property line).
All wastes are properly identified.
For CA or PBR notifiers:
11 ,#;1-- The generator has an annual waste minimization certification. (PBR submit with renewals.)
Page 1 of L
August 2, 1994
Onsite Checklist (A)
ST ATE OF CALIFORNIA-ENVIRONMENTAL PROT
¡ ..,
DEPARTMENT'OF TOXIC SUBS
PETE WILSON. Governor
~
CES CONTROL
e
CHECKLIST AND INITIAL VERIFICATION INSPECTION REPORT FOR
Permit by Rule, Conditionally Authorized, and Conditionally Exempt Notifiers
UNIT SHEET
Complete one unit sheet for each unit either listed in the notification or identified during the inspection.
Unit NUlmber: # I
Notified, Tier: C E5kJ
Unit Name: h c< I k.
Correct Tier: C E.5 w
Notified Device Count:
Correct Device Count:
Tanks e
Tanks --t7--
Containers -2
Containers ~
For each Unit:
NO
J:
12. 0 (\ All hazardous wastes treated are generated onsite.
13. The unit notification is accurate as to the number of tank(s) and/or container(s).
14. The estimated notification monthly treatment volume is appropriate for the indicated tier.
1.5. The waste identification/evaluation is appropriate for the tier indicated.
16. The wastestream(s) given on the notification fonn are appropriate for the tier.
17. The treatment process(es) given on the notification fonn are appropriate for the tier.
18. The residuals management infonnation on the fonn is correct and documented for the unit.
19. The indicated basis for not needing a federal permit on the notification fonn is correct.
20. There are written operating instructions and a record of the dates, volumes, residual
management, and types of wastes treated in the unit.
There is a written inspection schedule (containers-weekly and tanks-daily).
There is a written inspection log maintained of the inspections conducted.
If the unit has been closed, the generator has notified DTSC and the local agency of the
"closure.
21.
2')
..
23.
For each CA or PBR unit:
24. J1/¡1The generator has secondary containment for treatment in containers.
For each PBR unit:
25. fI/ (/ There is a waste analysis plan
2EI. There are waste analysis records.
27. There is a closure plan for the unit.
Unit Comments/Observations: (If this is a unit that was not included on the notification fonn. the violation is operating
without a pennit-HSC 25201 (a). Also note if the activity is currently ineligible for onsite authorization.)
Onsite Checklist (B)
Page -L of :3
August 2, 1994
S TATE Of ':AUfORUlA· eNVIRONMENT Al PROTECTION AGfNCY
_i_-:--______. _ __.__.__ ...___.. ...__.___.._._ .. ._..__......_... .._.
DEPARlrMENT. Of TOXIC sua NCfS CONTROL
REGION 1':..-10151 CroyJou W.y. Sui&G}
S,¡¡¡;rli~t4J. CA 95827
PfTf WILSO." GQv.rr\Qi
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CIIECKUST AND INITIAL VERIFICA 1'ION INSPECTION REPORT FOR
l\;nuit by Rulc:, ComJiiioually Authol'Îzed, aud CoudiiioW411y Exempt Notifiers
UNIT SHEET
C()mp/äe o¡~ unÌl sheet fur eoch UIlÌl eÙJu:r listed in ¡he IIOlifica/Ìon or ide¡í'ified dllring ¡lu: itupeclion.
Uüit Number: h oZ
NoUfi.~d Tiel': (E SLv
Unit NaUle: .5¡JJfc.r~ I lJt¿r k /'G oJvv
C un'tcl Tier: C (¡ 5" LU
Notified Device Count:
Con'ect Device Count:
Tauks -(}
l'~Ulk.s b
C outaiuers J
ContaÎnel'S ~
}i'Ùf alll Uuits:
tl.Q
12. o/( All hazardous wastes trcatèJ an: &euerated ollsite.
13. The: unit notification information is accurdW as to lhe: numbGr of tauk(.s) or coutaim:r(.s).
14. The: e:stima~ noùfication mouthly treatment volume is appropriate for the indicaLtJ lier.
1). The: waste ideutificatiowevaluatiou is appropriaw for tite: tie:r indicated.
1õ. The: wastbh·.:am(s) given on the: noùtïcalÌon form are: appropriate for till: Ùef.
17. The: h'eatuu:üt p.·oet:SS(ts) given on the: notification form are appruprialè for the: lier.
18. The ~idua1s uwua~cmeut information on the form is corœct íülJ docum~lltctJ for the unit.
19. The: indicalèJ basis (01' uot ueeding a redel"al permit on the nolÌÍìC<.1tion form is com~ct.
20. There are wl"ÏH&:u opel'aHug iu~h'uctious and a record of the dates. volumès. residual
management, and typès of wastes In:al.t:d in tile unit.
21. There: is a wriUen iu.spectiou sdu:dule (conlainers-weddy ar¡d tanks-daily).
22 There: is a w1"ÍUeu inspection log of tile: inspections conducted.
23. If Ihe: unit has ot:èn dosèd. the: gene:ralor ha.s uotificJ nTSC aud the local agency of the
clo.sure.
For .~ch CA or PBR unit:
24./f/fI The: generàtor has secouda.oy coutaimuent for tre4ltmeut in containers.
For ¡eJlcb PBR unit:
25. rv1f There ~s a waste aualysis piau an~ wasw analysis ¡·econls.
26. There: Is a closm"e plan for the umt.
HuH Commeu's/Obse¡-vatiùus: (if Ihis is a "lIillhus \Vas IWI ;1II.:ludaJ UII Ihe IJUlifka¡;UI¡furm, Ihe ~;oku;Dn is operUJi/lg
I\'jj}¡ùlJI u pellllÌ¡·.JJSC 1520J (ù).)
Ol1sÍle Clu:cklist (B)
Page L of 2
Fe:bmary 10. 1994
STATE OF I::AUFORWAfNVIRONMfNTAL PROTECTION AGENCY
~f'P A;~~'-f·~~·~i TO~I~-·Š~B.~·~~~·~·ÖNTROl
REGION 1-101S1 CroyJou WlI.y. SuitG 3
~nuu':.Ll£LI, CA 95827
Pfrf WILSOU. GQverßÕ¡
. .-----..--
-.--. ._~_.
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CIIECKUST AND INITIAl. VERIFICATION INSPECTION REPORT FOR
~nillt by Rul~, ComüUoWlÜY Au'hOJ'îzed, aud CouaJhiouaÜy Exempf Notiliers
UNIT SHEET
@.
. '
4- . .,
. .
Cvmp/ät: 01U: unil slu:el fur each UIIÜ eÜIu:r listed in the IlOtijicaiion ur ide,i'ijied during ¡he ilupeclion.
Uuit Nuwber: 1:f.5
Notifi~~d Tiel': C E $ Lu
Unit Naule: c. T
C on"tCt Tier: c: E 5 ~
Notified Device Count:
Coned Device Conut:
T auks --c:r
Tauk.s ö
Containers .,;z
Coutaånel1ì ~
}i'or alll Uuits:
tfQ
12.0& All hazardous wastès tr~tctJ an: ienerated ollsåte.
13. Thè unit notification information j:¡ accurà~ a.s to tiu: numbèr of aauk(s) or conaaiuer£.s).
14. Th~ èstimalèJ noùfiC4ùol1 luouthly treatment volume is appropriate for lhe indiC4leJ lier.
lj. Th¡: wa.ste ideutifi~tioulevaluatiou is appropria~ for Ù1e lier indicated.
ló. Th~ Wastbtl"&:aJU(S) giv~n on the noùtïca(Îon form arè appropriau: for tile ùer.
17. Th¡: &n~atuu~ll& PI·OCt:.S.S(es) given on tilè noùficaùon form are appropfÎalG for lhe tier.
18. Th¡: l"è:iiJuab DlaUa,cuu:ut information on lh¡: form is COfú::ct amJ documented for lhe unit.
19. The indicated ba.sis for Dot neediug a federal penuit on Uu: notification form is corr~t.
20. There are wdtt&:u opt:I'a&hlg insh"uctioß.S and a record of tile dates, volumes, residuaJ
management, and typès of wasU:s tn:alèJ in Ùle unit.
21. Tlu;:re is a wriUen inspection ~hcdule (containers-weekly aIld tanks-daily),
22 There is a wdUeu iuspection log of tiu: inspations conduclcd.
23. If ¡he unit haj U"1I do~, ¡J¡¡: generator ba.s uotified DTSC aud the local ageucy of tbe
clo.sun:.
For (~ch CA or PBR uuit:
2-4'Wfl The generàlor has secoudal'y cOl1taÏ1uueut for &reatmeut iu coutaiutl's.
For .~cb PBR uuit:
25'r(f{ l:here ~s II wast~ analysis piau an~ waste analysis I·econls.
26. 1 heœ is a closun: piau forihe Ufi1t.
Unit Commcllts/Obsel-vatious: (if ¡hh h a "/lit ,hallVas flU' ;m:lwkd UII ,he IU,ificaJÌimfIJrm. IIle v;oúu;on is operaJillg
wi}ù,tJI U pl::11IIir·IlSC 15-¿OI (ù).)
Ol1silG Checklist (8)
Page ...] of ~
Febmary 10, 1994
SJ A TEOF CALIFORNIA-ENVIRONMENTAL PROT
.' . . . .
DEPARTMENT 'OF TOXIC SUBST CES CONTROL
PETE WILSON, Governor
Q
CHECKLIST AND INITIAL VERIFICATION INSPECTION REPORT FOR
Permit by Rule, Conditionally Authorized, and Conditionally Exempt Notifiers
SIGNATURE SHEET
Onsite Recycling: Only answer, if this facility recycles more than 100 kiloRrams/month of hazardous waste onsite.
NO
28. fi/çt The appropriate local agency has been notified. HSC 25143.10
29. Activities claimed under the onsite recycling exemption are appropriate. HSC 25143.2 et sec.
Releases:
If there has been a release, provide the following infonna/ion: number of releases, date (s), type(s) and quantity of
materials/waste, and the causers). Use unit sheet or attach additional pages.
YES-
30.
¡JÞ
31.
Within the last three years, were there any unauthorized or accidental releases to the
environment of hazardous waste or hazardous waste constituents from onsite treatment units?
Within the last three years, were there any unauthorized or accidental releases
to the environment of hazardous waste or hazardous waste constituents from any location at
this facility?
For purposes of a Tiered Permitting inspection, an unauthorized and/or accidental
release to the environment does not include spills contained within containment systems.
This report may identify conditions observed this date that are alleged to be violations of one or
more se,:tions at the California Health and Safety Code (HSC) or the California Code of Regulations,
Title 22 (22 CCR) relating to the management of hazardous waste. The violations may be described in
more detail on the attached note sheets. If any violations are noted, the facility is required to the submit
a signed Certification of Return to Compliance within 60 days, unless otherwise specified. (A
certificaltÏon form is provided.) If any corrections are needed to the initial notification, the facility will
subnút a. revised notification within 30 days to the Department of Toxic Substances Control with a copy
to the 10lcal enforcement agency.
InspectoJr(s):
Lead Inspector:
Signature: flt";p <>"'" 5' ~ -. :'t=
Prmt Name: a t/l·cfJ '<...5,': It-<
Title: Ib} 4rJ?0Q,5 .5 J..}I,
Agency: _
Phone Number:
Other Inspector:
Signature:
Print Name:
Title:
Agency:
Phone Number:
Facility Representative:
Your signatur acknowledges r eipt of this report and does not imply agreement with the findings.
, Print Name: ~ ( Ù~è ~~
Date: \ -~~-q~
Title:
Onsite Checklist (C)
August 2, 1994
~T A.TE O~ CALIFORNIA-ENVIRONMENTAL PRO ION AGENCY
PETE WILSON, Governor
DEPARTMENT' OF TOXIC SUBSTANCES CONTROL
8
CHECKLIST AND INITIAL VERIFICATION INSPECTION REPORT FOR
Permit by Rule, Conditionally Authorized, and Conditionally Exempt Notifiers
NOTE SHEET
This sheet includes inspeclOr observations and expands upon the violations identified olt the checklist (by number). In some
cases, it indicates how the facility should correct the violations. It also includes the names of any others participating in this inspection.
f/tó (,,- f{~f,(S f IVÞ¡f~(" 10 C'oJ<....I'I,
I- /1 NC'r /I/5J ~h ~ 1...( R/,~' /10 f hi!< (d c... :S 6 t-J/" (:to.,
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hc/< ï lf6'5{1; I~ I 40<5
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hr:>u;JJr.,R j. '1 ftc' ¡')rp~rffvJhT'
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If {~ J 0 cPc., '( .¡ / ~~ clf,,. t, J {r;,. 15
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Ihç.. f t...r '<. f c!) Ok. fie (' ( ~ or( 10 r tv-. ~r
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}t(f/'{'¡ /f(}.5;' ;1. / hCJ flr~/'1 cI~r<:; (Jo) {'p 0 W> I[~ f I~(' 1("-; /'PC ('-ICI t'"
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i~(· /1'0 ¡.; F ; c,. /to ~ ¡:-/) /' k--IS .{' /' 0 /U¡ fir 1)0fr¿l"f~,.v. f {o é/)f'ý(,c. f /{e
frt ú.. -{.. '-r-..... -) oP¡c Vf(~ S tf,. [, hr. d CO... It:¡ r/...r-/' 5 fo .3 LC'h !<?!(..¡u:S
{vht'¡.., fhr: ¡; ¡c;vf /;drcf> I/í~ Ie. In",, ( 4rt ~ON'r<- fe-cD /
fo (c~¡lefr fhr- Û.f~c£éCf) ('prf,.-¡r~r-f(Ok 61 Rflvyv.
h-,ç.,( f~ t cerll·.{(¿~ f(~r--. 10.' J)t;v,',..f) ¡; - S£UkAcf-r
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Onsite Checklist (D)
Page L of -I-
August 2, 1994
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I\~ercy Hospital
March 17, 1995
David L. Shumate
State of California
California Enviornmental Protection Agency
Dept. of Toxic Substances Control
1515 Tollhouse Road
COlvis, Ca. 93611
Dear Larry:
RE: EPA ID NUMBER CAD981400237
During your visit of Jan. 24, 1995 you listed two violations and notice to
comply. We have done the following to comply:
1. No source reduction checklist on file pursuant to Section 25244.15, 19-21,
California Health & Safety Code. We have completed the source reduction
checklist you provided and have placed a copy in our contingency plan
binder.
2. Incorrect amount of treatment containers listed on original notification
unit form for Unit #1 (main unit). was in error this treatment unit does
have only 2 containers as appeared on the original notification unit form,
only Unit #2 (special darkroom) has 3 containers.
Enclosed you will find the signed Certification of Return to Compliance as
required. The time extension you granted while we completed the checklist was
greatly appreciated.
Th~nk IOu.,
UCe¿~-
Vickie Berry
Operations Supervisor
(805) 632-5549
FAX (805) 322-4302
2215 Truxtun Avenue
P.O. Box 119
Bakersfield, CA 93302
(805) 632-5000
A Division of Catholic Healthcare West
)f~ t~ .
~'í'A T€"C)F.C:~'lIFORNIA·ENVIRONMENT AL PRO
ON AGENCY
PETE WILSON. Governor
'DEPARTMENT OF TOXIC SUBSTANCES CONTROL
TIERED PERMITTING
CERTIFJCA TION OF RETURN TO COMPLIANCE
For Permit by Rule, Conditionally Authorized, and Conditionally Exempt Notifiers
In the matter of the Violation cited on: 1-24-95
As Identified in the Inspection Report dated 1-24-95
Conducted by :
DEPARTMENT OF TOXIC SUBSTANCES CONTROL
(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 certification 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.
VICKIE BERRY
Name (P . t or Type)
OPERATIONS SUPERVISOR IMAGING
Title
3-"17-9~
Date Signed
CAD981400237
Company Name
EPA ID. Number
DTSC.RETCOMP.CRT (8/94)
ø
.--,-~~'
- ---
--
- .,- -.-
.-' ~- _..----
~. -- ._-- .---- .
..
.
FILE INPUT
FAC:ILITY ME-eL-'-? \+CDRCT AL
WI',!,
CITY
COUNTY
CE-
ß~~LO
~f2.J\.(
ADDJRESS ~;;Z IS; TR-UXTU,,-, AV8\./l )~
S'I'A~~E CJrL.:L=-:t=
ZIP CODE Ct3"30-:7.
EPA ID CAC) QR1'-/OO ~?:J(
FILE TYPE
AKA /YlBiZc..-,-? Hï=-ÂL-THcA1ZE ßA~~LD
OTHER
REMMlKS
.
..
_a.__'_
--'
----_._--~--
.._____ n_
----.--
.
. i. .~._.~:;",:~~:~~-=-=-.;_~:._~-;-'~~---'~-=-~_'-=-----_:-'-::=-=::':".~-----_.
~
---------.
.., -~
STATE OF: CALlFOR~IA-ENVIRONMENTAl PROTE
.
AGENCY
PETE WilSON. Governor
DEPARTMENT OF TOXIC SUBSTANCES CONTROL
400 P Street. 4th Floor
P.O. Box 806
SacramElnto. CA 958 t 2-0806
@'.O"
~ ......
··i . .;
.,,, ."'"
(916) 323-5871
09/23/93
EPA ID: CAD981400237
MERCY HEALTHCARE BAKERSFIELD
VICKIE BERRY
P.O. BOX 119
BAKERSFIELD, CA 93302
For fadlily IoœIed 01:
MERCY HOSPITAL
2215 TRUXTUN A VB
BAKERSFIELD, CA 93302
Authorization Date: 09/23/93
Dear Conditionally Authorized and/or Conditionally Exempt Facility:
ACKNOWLEDGEMENT OF UNITS OPERATING UNDER CONDmONAL AUTHORIZATION AND/OR
CONDITIONAL EXEMPTION
The Department of Toxic Substances Control (DTSC) has received your facility specific notification (form
DTSC 1772) and forms for Conditional Authorization and/or Conditional Exemption for Specified Wastestreams (form
DTSC 1772B and/or 1772C). Your notifications are administratively complete, but have not been reviewed for technical
adequacy. A technical review of your notifications will be conducted when an inspection is performed. At any time,
you may be inspected and will be subject to penalty if violations of laws or regulations are found.
The Department acknowledges receipt of your completed notification for the treatment unit(s) listed on the last
pa,ge of this letter. These units operating under Conditional Authorization or Conditional Exemption are authorized by
Qùifomia law without additional Department action, pursuant to Health and Safety Code sections 25200.3 and 25201.5.
Yo:>ur 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
Iu~ve 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 8Iso
notify the DTSC whenever any of the information you provided in these notifications changes. To revise information,
mail a cover letter to the above address explaining the changes, attach only the pages of your notification package that
hnve 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
a<:curacy of information submitted by, you in the notifications mentioned above, and your compliance with all applicable
re:quirements 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
dilstributed to all authorized onsite facilities later this year.
ft
'-I
{t!C.,I.-le-dpaPf!'
...7
.
~
.
.
Pal~e 2
EPA ID: CAD981400237
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,
Øt:vç:~
Michael S. Homer, Chief
Onsite Hazardous Waste Treatment Unit
Permit Streamlining Branch
Hazardous Waste Management Program
E[l(:losure
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
..7 " ,""'IIÞ
.
.
Page 3
ENCLOSURE 1
Units tllIlhorirftllo operate at this 1ocøtion:
UNDER CONDITIONAL AUTHORIZATION:
UNDER CONDITIONAL EXEMPfION:
·1 2 3
EPA ID: CAD981400237
............,.......... .
,
I
, I
.~
~
.-
,-
~
~
ô
· ¡State O(C~,IIiIOnùa - CaJitonzia EaTiroumeatal ~'Oø Ageucy
I 'Chook "='l . Co ~
026~~ 9 2 0 0 2 5
ONSITE HAZARDOUS WASTE TREATl\1ENT NOTIFICATION FORM
FACILITY SPECIFIC NOTIFICATION
.
.
Depar1JÌIeat ot Toxic ~'~aaces CoatroI.
~:1ge 1 of!l
~
,§-
~
I
I
I
For Use by Hazardous Waste Generators Performing Treatment
Under Conditional Exemption and Conditional Authorization.
and by Permit By Rule Facilities
~
o
Initja1
Revised
PÙ!ase riifer to the attached Instructions before compÙ!ting this form. You may notify for more than one permining tier by using this
notificat ion form , DTSC 1 m. You must attach a separate unit spedfic notificationform for each unit at this location. There are
different unit specific notificarionformsfor each ofthefour caregories and an additional notificaJionformfor transportable treatment
units (TTU's). You only have to submit fol7Tl.r for the tier(s) that cover your unil(s). Discard or recycle the other unused forms.
Number each page of your compÙ!ted notification package and indicale the total number of pages at the top of each page at the
'Page __ of _'. Put your EPA lD Number on each page. PÙ!ase provide all of the information requested; allfields must be
compleMd except those that state 'if different' or 'if available'. Please rype the infonnalion provided on this form and any
attach11L~nts.
The not~fication will not be considered complere without payment of the appropriate fee for each rier under which you are operating.
(Please note that tMfee is per TIER not per UNIT. For example, if you operate 5 units but they are all Conditionally Authorized,
you only owe $1,140, NOT 5 times $1,140. lfyou operare any Permit by Rule units and any units under Conditional Authoriz.a¡ion
you OWE! $2,280.) Checks should be made payable to the Department of Toxic Substances Control and be stàpled to the top of this
form. Please write your EP A. lD Number on the check. Fill in the check number in the box above.
!.\¡-
,,'
I. NOTIFICATION CATEGORIES
'Indicate' the number o/units you operate in each tier. This will also be the number of unit spedfic notificarionforms you must attach.
eondiJimwIly Exempt Small Quantity Trt!lZlment operatiDn.f may not o~ IUIÌU under any other tier.
Nwnber or units and attached unit specific notifications
A.
Conditionally Exempt-Small Quantity Treatment
(Form DTSC 1772A)
Fee per Tier
. (not ~r unit)
$ 100
B.
3
Conditionally Exempt-Spec~fied Wastestream
(Form DTSC 1772B)
$ 100
C.
Conditionally Authorized
,-
., 'lF~rm DTSC 1772C)
$1,140
,- '
" ,
Jl" .;.,,~)' -;>,', ~"
=;-=::~::.Ofumœ (! ~:'I:;{ ':" ;,~~(Fopn DTSC 1772D)
_ t,~~_-,-;y)
r~I'~
II. GE.'ŒRATOR IDENTIFICATION :";'~'~~~:~;; """--
. ð~
. -J.,.,
EPA II> NUMBER CA~~981400237 _ _ _.:.::.. ~>~'.:~:.:¿.; , BOE NUMBER (if available) H.£.HQ..]6-02194~ _ __
D.
$1,140
---------
---------
Total Fee Attached $ 100. 00
NAME (Company or Facility) _
(DBA-Coin¡ au.incll As)
PHYSICAL tOCA TION
MERCY HEALTHCARE BAKERSFIELD
MERCY HOSPITAL
2215 TRUXTUN AVE.
For DTSC Use Only
CITY
BAKERSFIELD
CA
ZIP 93302 -
Region
COUNTY
KERN
CONTAcr PERSON
VICKIE
(Fin& Name)
BERRY
(Lall Name)
PHONE NUMBER~ 632 - 5549
DTSC 1772 (1/93)
II
I.
Page 1
EPA ID NUMBER CAD981400237
.
.
Page 2 of ~
.'
MAll..ING ADDRESS, IF DIFFERENT:
COMPANY NAME (DBA)
MERCY HOSPTIAL
STREET
PO BOX 119
CITY BAKERSFIELD STATE CA ZIP 93302
COUNTRY
(olÙY complete if not USA)
CONTACT PERSON VICKIE BERRY PHONE NUMBER~ 632 _5549
(Fi1"St Name) (Last Name)
m. 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 produas, services, or industrial activity.
ExampZ.~:
7384 . Photoflnishin~ lob
. 3672 Printed circuit boardr
First: 8062 General medical & ...
surgical hospitals
Second: 7384
Photofinishing lab
IV. PRIOR PERMIT srATUS: Check yes or no to each question:
YES
WI Did you file a PBR Notice of Intent to Operate' (DTSC Form. 8462) in 1992 for this location?
D 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?
8 Do you now havtr 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 Substance8 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
0 1.
ŒJ 2.
0 3.
UI 4.
~ 5.
V. PRIOR ENFORCEMENT msrORY: Not ~redfrom gf!lll!l'tZlon only fIOIifyitrg œ conditioNZlly 6e1rIpt.
,.:. YES. NO
o ~
Within the last three years, bas this facility been the subject of any convictions. judgments, settlements, or final
orders resulting from an action by any local, state, or federal environmental. hazardous waste. or public health
enforcement agency?
(For the purposes of this form, a notice of violation does not constitute an order and need not be reported unless
it was not corrected and became a final order.)
o
If you answered . Yes, check this box and attach a listing of convictions, judgments, settlements, or orders and a copy
of the cover sheet from each document. (See the Instructions for more information)
DTSC 1772 (1/93)
II
Page 2
~,.-~,'. ~.~~-~-_...'~.
EPA lD NUMBER
CAD981W37
.
Page 3 of L3
VI. ATIACHMENTS:
B
~
1.
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.
2.
VIT. CERTIFICATIONS: This form must be signed by an authorized corporale officer or any other person in the company who
has operalional control and performs decision-making junctions that govern operalion ofthefaciliry (per title 22. California
CO<k of Regulalions (CCR) section 66270.11). All three copies 11I&ft ~ original signatl.lre3.
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 PennittilU! Certification I certify that the unit or units described in these documents meet the eligibility and opèrating
requirements of state statutes and regulations for the indicated permitting tier, including generator and secondary containment
requirements. I understapd that if any of the units operate under Permit by Rule or Conditional Authorization, I will also be required
to provide required financial assurances by January 1, 1994. and conduct a Phase I environmental assessment by January I, 1995.
I certify under penalty of law that this document and all attachments were prepared under my direction or supervision in accordance
with a s:~stem designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry
of the p~rson or persons who manage the system. or those directly responsible for gathering the information, the information is, to
the best of my knowledge and belief, true, accurate. and complete.
I am aware that there are substantial penalties for submitting false information, including the possibility of fines and imprisonment
for kno'lVÌng violations.
BERNARD J~ HERMAN
Name (Print or Type)
<~,~
Si~e \
PRESIDENT
Title
3-25-93
Date Signed
OPERATING REQUIREMENTS:
Please note that generators treating hazardous waste onsite are required to comply with a number of operaling requirements which
differ depending on the tier(s) under which one operates. These operaling requirements are set forth in the stalutes and regulations,
some of which are referenced in the 1ier-Spedfic Factsheets.
SUBMISSION PROCEDURES:
You must submil two eopU!3 o/this completed notification by certijied mail, return receipt requested, to:
Department of Toxic Substances Control
Form 1m
Onsite Hazardous Waste Trealment Unit
4()() P Street, 4th Floor (walk fn only)
P. O. Box 806
Sacramento. CA 95812..()8()6.
You mus¡~ also submit ON! copY o/the notijicalion and attachments to the local regulatory agency in your jurisdiction as listed in the
instruct;£,n malerials. You must also retaiil a copy as part of your operating record.
All three forms must haW! original signatures, not photocopies.
DTSC 1772 (1/93)
,:
I,
I'
Page 3
UNIT NAME
EPA ID NUMBER CAD 981400237 Page ~ of..!..3
. .
CONDITIONALLY EXEMPT - SPECIFIED WASTESTREAMS
UNIT SPECIFIC NOTIFICATION
(pursuant to Heallh and Safety Code Section 25201.5(c»
MAIN
1
UNIT ID NUMBER
NUMBER OF TREATMENT DEVICES:
_ Tank(s)
~ Container(s)
Each Ultit must be clearly identified and labeled on the plot plan altached to Form 1 m. Assign your own unique number to each
unit. 1he number can be sequential (1, 2, 3) or using any system you choose.
Enter the estimaled monthly total volume of hazardous waste treated by this unit. This should be the maximum or highest amount
treated in any month. [ndicale in the naTTaJive (Section II) if your operations have seaso1ltÚ varialions.
I. WASTESTREAMS AND TREATMENT PROCESSES:
o
o
o
o
o
o
fa
o
o
o
DTSC 1772B (1193)
210
gallons
Estimated Monthly Total Volwne Treated:
pounds andlor
The following are ¡he eligible wastestreams and trealment processes. Please check all applicable boxes:
1.
Treats resins mixed in accordance wilh lhe manufacturer's instructions.
>..
2.
Treat containers of 110 gallons or less capacity that contained hazardous waste by rinsing or physici! processes,
such as c~hing. shredding, grinding. or puncturing.
3.
Drying special wastes. as classified by lhe 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.
s.
Neutralize acidic or a1ka1ine (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.)
6.
Neutralize acidic or alkaline (base) wastes from lhe food processing industry.
7.
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 lhe resulting aqueouslliquid stream is not hazardous.
(
b. The separation of oiI/water mixtures and separation sludges, if the average oil recovered per month is less
than 25 barrels (42 gaUons per barrel).
9.
Neutralizing acidic or alkaline (base) material by a state certified laboratory or a laboratory operated by an
educational institution. (To be eligible for conditional exemption, this waste cannot contain more than 10 percent
acid or base by weight.)
_.
Page 9
EPA ID NUMBER CAD981400237
CONDIT_ALLY EXE~ - SP~CIFIED W~AMS
UNIT SPECIFIC NOTIFICATION
(pursuant to Health and Safety Code Section 2S201.S(c»
Page ...2. of ..D
II. NARRATIVE DESCRIPTIONS: Provide a brief description of the specific waste treated and the treal17lenl process ust!d.
1. SPECIFIC WASTE TYPES TREATED: spent photographic solution containing
silver
2. TREATMENT PROCESS(ES) USED: ,-p/"1.<1imp,- 11!':f>!': pl PC't",-o-lyri c. proc-e!':!'; wi th
abatement cartridge thru ion-exchange
ill. RESIDUAL MANAGEMENT: Check Yes or No to each question as it applies to all residuals from this treatmenl unit.
YES NO
~ 0
o ~
a 0
o rcl
o ..Ja
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 w~te hauled offsite by a registered hazardous waste hauler?
If you do, where is the waste sent? Check all that apply.
I9J
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:
..
IV. . BASIS FOR NOT NEEDING A FEDERAL PERMIT:
In ord~ to demonstrate eligibility for one of the onsÌle treatment tiers ,facilities are required to provide the basis for determining that
a haztmJous waste permit is not required under the federal Resource Conservation and Recovery Act (RCRA) and the federal
regularions adopted under RCRA (Title 40, Code of Federal Regulalions (CFR)).
Choos,e t~ reàson(s) that descn'be the operation afyour onsile treatment units:
o
1.
D.
2.
DTSC 1772B (1/93)
The hazardous waste being treated is not a hazardous waste under federa11aw 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
EPA ID NUMBER CAD981400237
COND.NALL y EXE~ - SP~CIFIED W AsrlREAMS
UNIT SPECIFIC NOTIFICATION
(pursuant to Health and Safety Code Section 25201.5(c»
Page ~ of -.!..3
IV. BASIS FOR NOT NEEDING A FEDERAL PERMIT: (continued)
o
o
o
·0
~
D
D
3.
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.
4.
The waste is treated in a totally enclosed treatment facility as defined in 40 CFR Part 260.10; 40 CFR .264.1(g)(5).
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.
6.
. The waste is treated in an accumulatiòn 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.
7.
Recyclable materials are reclaimed to recover economically significant amounts of silver or other precious metals.
40 CFR 261.6(a)(2)(iv), 40 CFR 264.1(g)(2), and 40 CFR 266.70.
8.
Empty container rinsing and/or treatment. 40 CFR 261.7.
9.
Other: Specify:
V. TRANSPORTABLE TREATMENT UNIT: Check Yes or No. Please refer to the Insrructionsfor more information.
YES NO
o ~
DTSC 1772B (1/93)
Is this unit a Transportable Treatment Unit?
If 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.
Please review those requirements carefully before completing or submitting this notification package.
Page 11
UNIT NAME
EPA ID NUMBER CAD981400237 Page.L of .1.3
. .
CONDITIONALLY EXEMPr - SPECIFIED WASTESTREAMS
UNIT SPECIFIC NOTIFICATION
(pursuant to Health and Safety Code Section 25201.S(c»
SPECIALS DARKROOM
UNIT ID NUMBER 2
NUME.ER OF TREATMENT DEVICES:
_ Tank(s}
-2.... Container(s}
Each unit must be clearly identified and labeled on the plot plan altached to Form 1m. Arsign your own unique number to each
unit. 'The number can be sequential (l, 2, 3) or using arry system you choose.
Enter the estimaled monthly total volume of hazardous waste trealed by this unit. This should be the maximum or highest amoUnl
trealed in any month. Indicate in the narrative (Section II) if your operations have seasonal varialions.
I. W ASfESTREAMS AND TREA T.MENT PROCESSES:
o
o
o
o
o
o
~
o
o
o
DTSC: 1772B (1/93)
160
gallons
Estimated Monthly Total Volwne Treated:
pounds and/or
The following are the eligible wastestreams and trealment 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 physici! processes,
such as cI"\¥'hing, 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 alkaline (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.)
6.
Neutralize acidic or alkaline (base) wastes from the food processing industry.
7.
Recovery of silver from photo finishing. . 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 oi]/water mixtures and separation sludges, if the average oil recovered per month is less
than 2S barTels (42 gallons per barrel).
9.
Neutralizing acidic or alkaline (base) material by a state certified laboratory or a laboratory operated by an
educational institution. (To be eligible for conditional exemption, this waste cannot contain more than 10 percent
acid or base by weight.)
..
Page 9
".' ...,¡.. ~...-....~..:,.....
EPA ID NUMBER CAD981400237
. .
CONDITIONALLY EXEMPT - SPECIFIED WASTESTREAMS
UNIT SPECIFIC NOTIFICATION
(pursuant to Health and Safety Code Section 25201.5(c»
Page!L. of .1.3
ll. NARRATIVE DESCRIPTIONS: Provide a brief description of the spedfic waste treated and tM treatTnenl process used.
1. SPECIFIC WASTE TYPES TREATED: spent photographic solution containing
silver
2. TREATMENT PROCESS(ES) USED: 2 reclaimers ·using electro-lytic process with
abatement cartridge thru ion-exchange
m. . RESIDUAL MANAGEMENT: Check Yes or No to each question as it applies to "all residuals from this treatmenl unit.
YES NO
œ 0
o m
@ 0
o [!I
o Œ1
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. .
.' ;
Œ1
o
o
o
a.
Off site recycling
b.
Thermal treatment
c.
Disposal to land
d.
Further treatment
4. Do you dispose of non:-hazardous solid waste residues at an off site location?
S. Other method of disposal. Specify:
IV. BASIS FOR NOT NEEDING A FEDERAL PERMIT:
In ord,?r to demonstrate eligibility for one of the onsite treatmenl tiers, fadlities are required to provide tM basis for determining that
a hazllrdous waste permit is not required under the federal Resource Conservation and Recovery Aa (RCRA) and the federal
regularions adopted under RCRA (TItle 40, Code of Federal Regulations (CFR)).
Choos,e the reason(s) that describe the operation of your onsite treatment units:
o
1.
D.
2.
DTSC l772B (1193)
The b.azardous waste being treated is not a hazardous waste under federal law 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
EPA ID NUMBER CAD981400237
. .
CONDITIONALLY EXEMPT - SPECIFIED W ASTESTREAMS
UNIT SPECIFIC NOTIFICATION
(pursuant to Health and Safety Code Section 25201.5(c»
Page ~ of ~3
IV. BASIS FOR NOT NEEDING A FEDERAL PERMIT: (conûnued)
o
o
o
o
~
o
o
3.
The waste is treated in elementary neutralization units, as defined in 40 CFR Part 260.10, and discharged to a
POlW/sewering agency or under an NPDES permit. 40 CFR 264. 1 (g)(6) and 40 CFR 270.2.
4.
The waste is treated in a totally enclosed treatment facility as defined in 40 CFR Part 260.10; 40 CFR.264.1(g)(5).
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.
6.
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. .
7.
Recyclable materials are reclaimed to recover economically significant amounts of silver or other precious metals.
40 CFR 261.6(a)(2)(iv), 40 CFR 264. 1 (g)(2) , and 40 CFR 266.70.
;...
.
8.
Empty con,tainer rinsing and/or treatment. 40 CFR 261.7.
9.
. Other: Specify:
V. TRANSPORTABLE TREATMENT UNIT: Check Yes or No. Please refer to the Instructionsfor more information.
YES NO
o 8
DTSC 1772B (1193)
Is this unit a Transportable Treatment Unit?
IC you answered yes, you must also complete and attach Fonn 1772E to this page.
The Tier-5pecific Factsheets contain a swnmary oC the operaûng requirements Cor this category.
Please review those requirements carefully before compleûng or submitûng this noûficaûon package.
.
Page II
UNIT NAME
EPA ID NUMBER CAD981400237
. .
CONDITIONALLY EXE:MPf - SPECIFIED WASTESTREAMS
UNIT SPECIFIC NOTIFICATION
(pursuant to Health and Safety Code Section 25201.5(c»
Page .li)of 1]
CT
3
UNIT ID NUMBER
NUMBER OF TREA Tl\-ŒNT DEVICES:
---2- ContAiner(s)
_ Tank(s)
Each unit must be clearly identified and labeled on the plot plan attac1u!d to Form 1 m. Assign your own unique number to each
unit. The number can be sequential (l, 2, 3) or using any system you choose.
Enter the estimated monthly total volume of hazardous waste treated by this unit. This should be the 11UJXimum or highest amount
treated in any month. Indicate in the narrative (Section II) if your operations have seasonal variations.
I. W ASTESTREAMS AND TREATMENT PROCESSES:
o
o
o
o
o
o
[!}
o
o
o
160
gallons
Estimated Monthly Total Volwne Treated:
pounds and/or
The following are the eligible wastestreams and treatment 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 physicà\ processes,
such as cf1!Shing, 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 alkaline (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.)
6.
Neutralize acidic or alkaline (base) wastes from the food processing industry.
7.
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 barrel).
9.
Neutralizing acidic or alkaline (base) material by a state certified laboratory or a laboratory operated by an
educational institution. (To be eligible for conditional exemption, this waste cannot contain more than 10 percent
acid or base by weight.)
. .
DTSC 1772B (1/93)
Page 9
EPA lD NUMBER CAD98l400237
CONDIT_ALLY EXE~ - SP~CIFIED WA~AMS
UNIT SPECIFIC NOTIFICATION
(pursuant to Health and Safety Code Section25201.5(c»
Pagel..!.. of 2:.?
U. NARRA TIVE DESCRIYfIONS: Provide a brief description of the specific waste treared and the trelJJme1ll process 1ISed.
spent photographic solution containing
1.
SPECIFIC WASTE TYPES TREATED:
silver
2. TREATMENT PROCESS(ES) USED: rpC'l ;:¡;mpr ¡¡RpR 1"1 petro-1ft; e process with
abatement cartridge thru ion-exchange
m. . RESIDUAL MANAGEMENT: Check Yes or No to each question as it applies to all residuals from this trearme1ll unit.
YES NO
~ 0
o ~
fa 0
o g
o 'ra
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. .
1m
o
o
o
-. .
a."
Off site 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:
IV. BASIS FOR NOT NEEDING A FEDERAL PERMIT:
In ordc~r to demonstrare eligibility for one of the onsite treatment tiers, facilities are required to provide the basis for detennining that
a hazardous waste penn it is not required under the federal Resource Conservation and Recovery Act (RCRA) and the federal
regulations adopted under RCRA (Iitle 40, Code of Federal Regulations (CFR)).
, ,
Choos,e rhe reason(s) t1uzl describe the operarion of your onsite treatment units:
o
1.
D.
2.
I
I
DTS~ 1772B (1193)
The hazardous waste being treated is not a hazardous waste under federal law 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
(!
.'
EP A ID NUMBER
CAD 94ïÞOO 237 4IÞ
CONDlTIONALL Y EXEMPr - SPECIFIED W ASTESTREAMS
UNIT SPECIFIC NOTIFICATION
(pursuant to Health and Safety Code Section 25201.5(c»
Page ~ of .l3
IV. BASIS FOR NOT NEEDING A FEDERAL PERMIT: (continued)
o
o
o
o
~
o
o
3.
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.
4.
The waste is treated in a totally enclosed treatment facility as defined in 40 CFR Part 260.10; 40 CFR ,264.1(g)(5).
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 CPR 261.5.
6.
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.
7.
Recyclable materials are reclaimed to recover economically significant amounts of silver or other precious metals.
40 CFR 261.6(a)(2)(iv), 40 CFR 264. 1 (g)(2) , and 40 CFR 266.70.
:~
.
8.
Empty co~tainer rinsing andlòr treatment. 40 CFR 261.7.
9.
,Other: Specify:
V. TRANSPORTABLE TREATMENT UNIT: Check Yes or No. Please refer to the Instructionsfor more information.
YES NO
o 1!3
Is this unit a Transportable Treatment Unit?
If you answered yes, you must also complete and attach Fonn 1772E to this page.
The Tier-Speclfic Factsheets contain a swnmary oC the operating requirements Cor this category.
Please review those requirements carefully before completing or submitting this notification package.
,.
.
DTSC 1772B (1193)
Page 11
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I
STÀTE OF CALIFORNIA-ENVIRONMENTAL P_CTI.
.-,GENCY
-
PETE WILSON. Governor
DEPARTMENT OF TOXIC SUBSTANCES CONTROL
400 P Street. 4th Floor
P.O. BDX 806
Sacramento. CA 95812-0806
@..
,'-"
-,.
.~
4,..'
(916) 323-5871
Date: 03/27/92
I M]~RCY HEALTHCARE
JACK RESENDEZ
P.O. BOX 119
BAKERSFIELD, CA
BAKERSFIELD
EPA ID: CAD981400237
93302
Dear Permit by Rule Facility:
The Department of Toxic Substances Control (DTSC) has received your
Fixed Treatment Unit Permit by Rule Initial Notification of Intent to
Operate (DTSC Form 8462). This letter only acknowledges receipt of
that notification, and does not authorize operation of any treatment
activity at your facility.
-'
Enclosed are DTSC Forms 8462A (Fixed Treatment Unit (FTU) Permit by
Rule Facility-Specific Notification) and 8462B (FTU Permit by Rule
Unit-Specific Notification). If you are currently operating your
fixed treatment unit, you must submit the completed Forms 8462A and
8~i62B for your facility by April 1, 1992, including all required
at:tachments. You must include a completed Form 8462B for each unit
at your facility.
We have also enclosed a copy of the Disclosure Statement, form DTSC
84:30, the Certification of Financial Responsibility for PBR
Operation, DTSC 8113, and a package· of other Financial Responsibility
forms from which you can select the proper forms for one or more of
the acceptable financial mechanisms. An order form for PBR documents
(1002) is attached with a map of our regional offices printed on the
back. If you need additional forms, they may be obtained from the
nearest regional office of the DTSC, or by contacting this office.
California law requires that the enclosed forms be certified (signed)
by an authorized corporate officer or any other person in a company
who performs decision making functions that govern operation of the
facility. (See Title 22, California Code of Regulations, Section
67450.2 subds. (a)(2) and (b)(3) and Section 66270.11.)
Our staff must rely upon job titles to judge if the signer has
decision making authority for your facility. For instance, a vice
president or general manager would clearly be authorized to certify
(sign) while an environmental manager or safety officer would not.
If the forms are improperly signed the notification will be rejected
and returned to you and you will have to resubmit the entire
notification package.
o
e
e·
PagE! 2
EPA ID: CAD981400237
Since this is your initial notification for operation under a Permit
by Rule for your facility, you will be billed by the Board of
Equalization for the fee specified in Section 25205.7(h) of Chapter
6.5, Division 20, of the California Health and Safety Code. The fee
il:;$l,109 this year and will be adjusted annually for inflation on
July 1st. That fee will also cover your first Facility-Specific and
Unit-Specific notifications, mentioned above. Additional fees will
bE! due for the annual notifications you must submit in future years.
Ycm are also required to amend these notifications whenever any
information changes. You will be charged one-half of the annual fee
(~;555 this year) for each amended notification which you submit.
HSLzardous waste laws and regulations are detailed and complex. At
any time, you may be inspected by the DTSC or your local county
hE!alth department. Violations of laws or regulations which are found
may make you liable for criminal, civil or administrative penalties,
as provided by law.
If you have questions on completing the required forms, or have
questions on operating requirements for your operation, please
contact the nearest DTSC regional office, or this office at the
lE~tterhead address or phone number.
Sincerely,
~5: /C-
Michael S. Horner, Chief
Permit By Rule Unit
Surveillance and Enforcement
Branch
Enforcement and Program
Support Division
Enclosures
cc:: SUSAN J. LANEY, CHIEF
FACILITY COMPLIANCE UNIT
DTSC REGION 1 OFFICE
SURVEILLANCE & ENFORCEMENT BR.
10151 CROYDON WAY, SUITE 3
SACRAMENTO, CA 95827
CHRIS BURGER, R.E.H.S.
HAZARDOUS MATERIALS SPECIALIST
ENVIRONMENTAL HEALTH SERVICES
2700 M STREET, SUITE 300
BAKERSFIELD, CA 93301