HomeMy WebLinkAboutHAZ-WASTE REPORT 8/30/1995
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ONSITE HAZARDOUS WASTE TREATMENf NOTIF1CATION FORM
FAcn..rrY SPECIFIC NOTIFICATION
For Use by Hazanious Wu.œ Gcacra10rs Pcrlorming Treatm=t 0 IniUal
UDder ConditiODai Exemption &ad Cood.itioc.al Authoriz.a1ion. "".. _., _ 0 Ãcnc:wsf'
aud by Permit By Rule Facilities 0 Amalåmc:IIf .
Ple4se refer 10 lhe anached In.muaions btifore completing lhis tonne YOII nury notify for more lhan OM permitting lier ITy using this
norifica:ionfomr. DTSC 1772. YOII must lllt4ch a separate 11/111 specific nottñCaJionfonnfor each llllit at this IoClltion. '!here œr
different unit rpccìfic notific:øtion forms for each of lhe fOllr cmegories and an øddiliDnDl notijicmion form for t'I'tI1UpØrføble trmtmaIf
IlIIÍU (I1TJ's). YOII only haw, to sllbmil forms for the tier(:) tJuu œwr yollt' Il1IÍt(S). Diseard or recycle the othø IllUlSØ forms.
NIIIIÚIer each page of yoIII' completed notification pat:iaJge anti indiCGU the 10UJlIUIIrIber of pages at the lOp of each page at 1M
'Pllge _ of _'. Pili yoIII' £PA ID NU1IIber on each page. Plase provit:k all of'M informœion r~uuted: aUfieùJs must be
œmpleted e%œpt liwe thDI suzze 'if diJf~N' or 'if øvøiiable '. Plase rype 1M ;nfDmUllion prøvideti on this form anti 1I1IY'
itIIlIchmenu. '
1M lIOlificmion fees an IJSSl!SSed on lhe basis of 1M 1IJIIfIber of'ien ,he no'ifier wiU opertlle under, anti will be œlú:cuå by lhe .suzu
Boørri of EqIl4Ü:Dl;on. DO NOT SEND TOUR FEE wrm TIllS NOTIFICf770N FORM.
L NOTIFICATION CATEGORIES
Indic:øte 1M nlllllber of llnits YOII operø1e in eadl ,ier. This wiU ølso be 1M tumJÍ:JeT of llnil specific notifica:ion forms yoll must at1Dt:iL
CøødifÏollGlly E.UIIIpI Stull Quantity TTmÙnent opertIIÍDns tnIZJ II« Dpt!I'IIU II1Iiu IUIIJø tury ØÙIer IÍÐ".
Number of units and attached unit specific notifications for each tier reponed.
A.
Cœditioaally Exempt-Small Quantity TrcatmcDt
~ Coaditioaa11y Exempt-Specified Was&e$trc&m
Cœdiûoaal1y Authorized
D.
B.
E.
Permit by Rule
0unftV'..rcial Lauødry
c.
F.
Vuimce (Sectioø 25205.7)
U. GENERATOR JDENTmCATJON
EPA ID NUMBER cA-1'E.Q..5~5.2~____ BOE NUMBER (if available) H_H@-9!!.C_3.Q~94346
FACILITY NAME Wal-Mart One Hour Photo #1574
(I)BA-DoiDr BuIiDuI AI)
PHYSICAL LOCATION 2300 Whi te Lane Road
CITY
Bakersfield
CA
ZIP 93308
COUNTY
Kern
CONTACf PERSON
Judy
(Filii Name)
Saffell
(Lu& Name)
PHONENUMBER~ 832 - 2690
MAILING ADDRESS, IF.J2rFFERENT:
COMPANY NAME Same a s above
For DTSC Uac 0lIl1 1
batoa__ f
.
STREET
CITY STATE
ZIP
COUNTRY
CONT Acr PERSON
.(oaIy ~icIa ¡C..IIœ .uSA)
PHONE NUMBER<.-)
(Fana Name)
(Lu& Name)
DTSC 1772 (1/95)
Paie 1 .
m.
~ Page2- or&~~, .
BPA ID NUMBER CAL920555210
RADIOACTIVE MA~R WASI'E
e
",
, ('c
YEs NO
o ŒI Does &he facility use. 5tore or treat ndi~ve maœria1s or radioa.crive wasce?
h. TYPE OFCOMPAl,Y: STANDARD INDUSTRIAL CLASSIFICATION (SIC) CODE:
'1fiustrial aaivity.
,:¡e either one or two SIC coda (a four aigit 1UIIr&ber) thal best ducribe your ..:ompany's prodJlas. service.
£z.ømple:
v.
YES
o
o
o
o
o
1Zl§. I""u'f'trÍnl ÜZJInIien!n
11M. 'PhtItofùrúhbrp lab
Fint: 7'384 Photofinishing Lab Socood:
PRIOR PERMIT STATUS: Ch«Jc yes or lID 10 eada qllDlion:
YES NO
o rn
NO
0 1.
0 2.
D 3.
D 4.
D 5.
D
o
l.
2.
Did you file a PBR Noûce of Inteat to Opcra&e (DTSC Form 8462) in 1992 for this location?
Do you DOW have or have you ever held a state or federal hazardous waste faciiity full permit or imerim
&talUS for my of these treanDeDt uaits?
Do you DOW have or have you ever held a stale or fedcrai full permit or interim stI&IIS for ., oà1=
huardous waste activiûes at this location?
Have you ever hc1d a variance issued by &he Deputmc:Dt of Toxic Substances Control for the tre-~ you
am DOW Dotifying for at this location?
Hu this location ever been inspected by the state or my local agency as a hazardous waste gc:m:a&Qr?
VI. PRIOR ENFORCEMENT msrORY: Nøt rt!:t IIÍrf!IIi from ge:nenøørs Dilly IIOItifyÜIg tØ """¡id"..lfy ~ or as"
__nt:reiøl bIndry.
Within the last thrœ yean. has this facility been &he subject of any convictions. judgmeøts. scU1cmcnts. or fiDa
orders resulting from an action by any local. stale. or feden1 environmcow. hazardous waste. or public: bcaJaì
eaforc:emeDt agency?
(For the purposes of this form. a notice of vio1aûoo does Dot coastitute an order and need not be ~ UIJlc:s
it was Dot c:orrccœd IDå '-"-- a final order.)
o If you answered y 0$. check this box and attach a listing of c:onvictioos. judgments. ~~fS., or onkrs and .
copy of the cover sheet from each documeat. (See the Instructions for more informancÖ .)
VD. ATrACHMENTS: ÁlIIItiIIrIÐIU tzn JIOI ret 'IIÙ'l!1ifor CorrIIna'r:ialLmutdryf( ,.liti_.
DTSC 1772 (1195)
A plot plan/map detailing &he location(s) of the covered unit(s) in re(aûon to the facility 1.';t!.ndarics.
A uait specific noûfication form for each unit to be covered at this location.
PIle
EPA ID-NUMBER CÞ.L920555210
Page,j' of. _ '
,.
e e -I
'V'III. CERTIFICATIONS: 1hi..r form must be si~ned by an /lUlnoriud corporOle officu or œry other pemm liz, tire ~.", ¡
hils opertlllDII/zi conrroi and periomu túcision-mtziang JÎlnClions tÌlO.l go~ operazwn of thef/ldÜly (pÐ' rriÜe22. OiifDnJ:
Code of Regllilllions (CCRJ Seaion 66270.11). Alllhree CopIes IIUISt haw orip.øl6ÏglfllØlnS.
,..., .
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Waste Minimization I certify that I have a program in piaco to reduœ the volume. qumttty. aDd toxicity of__ po-..411O à
degree ¡ have de&ermincd to be ecoøomical1y pn.ctic:ahle aDd that 1 have &c1oct.ed the practicable meú10d of bt _r. ~ (
disposal currently available to me wiùch miftimi7~ the ~t and future threat ro human health and the enYÎlØUllil1L ,.æ'..
. \~~';. '. ~ ,. ", .,.,. " .,..." -,. .... . ''''.^", .
Tieftd Pennitûn2 Certific:sûon I certify that the unit or units described in these d0Cl1JD1"ats meet the e1iøilility ami øpaair \
requirements of stale sum1eS and regulations for the indicated permitting tier. including generator and ~ry ('nNaiftlftf'!
requirements. I UDders&aDd that if any of the units opcraœ UDder Permit by Rule or Conditional Authorizatioa. I wiillibo œ1ll:l pin
to provide required fin·..cial assurance for closure of the tr-tfIVoont unit by January 1. 1995.
I certify under peøa1ty of law that this docn~t and all .ttA1-h_ts were prepared UDder my direction or supenìaiøa in ....,Q¡dIDt
with a system designed to assure that qualified persoane1 properly gather and evaluate the information submitted. Baedœ myÙII}Ù:
of the persoø or persoDS who manage the system, or tbo&o direcdy respousible for gllheriøg the informaioa. .. ü6.~1 Ø¡".;;
the best of my bowledge and belief. true. a.ccurate, aud complete.
I am aware that there are substantial peaalties for submiuing false information. including the possibility of fiœa- t"'I_~_"'''''
for bowing violations.
Mi~ce Wissel
Name (Print or Type~
, wH
Signature
Quality Assurance Coorãin~tor
Title
08-30-95
Date Signed
OPERATING REQUIREMENTS:
Pleøse tIOl~ tluJ ge1lØØlor.r trl!tlling htzvmJ.ous w/lSte ouite /lrt! rt!flUirt!J to comply with /l number of opÐfllÌlJr r~eJl_ wiäc
differ depending on the tier(s). 1ñeze opertlling r~z are. set fonh in the ztQll Q IUId rqUÜlllDIØ.... tJf~lIî.
~ceti in tM 1ier-Sp«ific Faa Shecs /lvailable from the Dqxznment's regio1UJl tmd hetJdqu4ner.r offiœs..
SUBMISSION PROCEDURES:
You musc ßÚJtrÚI two amÌD of chis compl.eced nocification by œnified mllil. rerllm reœipt requested. to:
DeptUf1U1U of To.xic Subnœu:ø C01ll7"Ol
Progrøm DOlø MØ1I/lgeme1ll Sea;on
4«J P Slreet. 4th Floor. Room 4453 (wtùJc in only)
P.O. Bœ 806
&u:rørnento, Ct 95812~.
YOII must lliso submit 01U! OOU'I of the notifiC/llion and OlIØdrmenu to tM loœl reguúuory /lgency in you jll1Ùlliaion C"lisu:tll
Appendi.z 2 o/the illSlJ'UClion m/lIerillis. YOII muse /llso relllin a copy tu pllTf of your operating rt!cord.
All thræ fomu IftIØt Ñ:nIIe orii'inal ngllllØl7a. IIDt ph«ocopiø.
DTSC 1772 (l/95)
. PIrp:
The Tier-SpecüJC Fact Sheets contain a DJmmDry of the operating requiremeDts Cor this category.
reYiew tbœe requiremems c-arefttDy before completing or submitting this Dnri"~tiOD pt.-In¡ge.
#1
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UNIT NAME
EPA ill NUMBER CAL920555210
e e
CONDmONALLY EXEMPr - SPECIF1ED WASTESTREAMS
UNIT SPECIFIC NOTŒICA TION
(pursuant to Health anei Safety Çode Section 2S20l.S(c»
Page 4 of- ,!
P!eII!E
Hallmark Mark VI
UNIT m NUMBER
NUMBER OF TREATMENT DEVICES:
_ Tmk(s)
_ Tauk(s)
_ CnttbiQCJ'(s)/Containcr TreatmcDt Area(~
NUMBER OF srORAGE DEVICES:
Each unit must be cleDrly ÌIÚnlified and labeúd on lhe plot plœa ønøt:M.d to Form i 772. Ass;gn your own unique IUIIIIber to..'
u1lÍl. 1M nlllflber can be sequentÙll (1. 2. J) or Kring any synem you choose.
Enter 1M urinuued monthl? 10llU volume of h.arArrkJKr W4S'te rrerued by Ihis unil. 1hû should be lhe mœcimum or highest ~
trerued in any month. Indictlle in the IUITTQli~ (Section II) if your operøziolU ha~ seasonal. variations.
L WAS'I'ESrREAMS AND TREATMENT PROCF..~.s~
YES NO
o iii
o ŒI
o
o
o
o
*NOTE* 5.
o
rn
6.
7.
Estimated Monthly Total Vohllne Treated:
øounds and/or 1 00- 200 gallons
Estimated Monthly T ota! V olwne Stored:
pOUDds and/or
gallons
Is the wasae treated in this unit radioactive?
Is the waste treated in this unit . bio-hazardJinfectiouslmedica1 wasae1
1M following Me rhe eligibk WQSlutreams and Ireatment proct!SSu. PÜ!tue ~c:Ic aU appliœbk boz.es:
1.
Treats resins mixed or cured in ac:.cordance with the manufacturer's instructions.
2.
Treat containers of 110 gaJlons or less capacity that contained hazardous waste by riming or pbJSiai:.
proœsses, such as c:nashing. shredding. grinding. or Punc:turing.
Drying special wastes, as dassified by the department pursuant to Title 22, CCR, Sec:tiOIl 662&1.124.1J1
pressing or by passive or beat-aided enporaûon to remove water.
Magnetic separation or saeeaing to remOTe components from speàal waue. as dassified by the ~.
pursuant to Title 22, CCR, Section 662&1.124.
3.
4.
NO AUl'RORlZATlON IS NFlmED to DI!IIà"alize .ädic 01' ......Ii.- <J-) ..... &am de
~Atioa 01 ioa ~rM~ media œed to cImIÎDeraIi2e waUr. (TIak waste caIIIIIØt _¡'II -.e'
thaa 10 perœ.at acid or base by weight to be eligible for this amapboa.)
Neutralize acidic or alkaline (base) wastes from the food prr-ing industry.
Recovery of silver from photofinishing. Tbe volwne limit for conditional exemption is 500 galloN fill"
generator (at the same location) in any calendar month.
*NOTE* Recovery of 10 gallons or less per month of silver from photormishing is
completely exempt from permitting; this form need not 'be submitted.
DTSC 1mB (1/95)
Page IJ8
EPA ID NUMBER CAL920555210
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"
8.
o
o
o
9.
o
o
o
10.
11.
u.
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CONDITIONALLY EXEMPT - SPECIFIED WASTESTREAMS
~SPEaflCNOPECATION
(pursuant to Health and Safety Code Section 2S201.S(c»
Gravity separation of the fonowing, including the me of noccuianl~ and Mnu.!.sifiel'! if
-,- - --- ".., ,
a. ' The SCUÜD~ oi_~~ds fro,m }he,~ wh~e ~ting ¡queouslliquid stream is DOt h.I:ZIIniaIIs;.
b. The separation of oillwaw mixtures and separation sludges, if the average oil recovered per mœm is less,
than 2S barrels (42 gallons per barrel).
Neutralizing acidic or alkaline (base) material by a state certified laboratory or a Iaboratary openCedi bI ..
educational institution. (To be eligible for conditional exemption, this wasœ caimot ~in ØIIR: than 10
perœut ac:id or base by weight.)
Hazardous waste treabnent is carried out in quality control or quality 8SSUI'8DCe Iaboratørr at . fa£ilifydd
is not an offsitc hazardous waste facility.
A wastesttam and treatment technology combination certified by the Department pursaut to Seáioa
25200.1.5 or the Health and Safety Code. Please enter certification Dumber:
The treatment of ronaa.ldehyde or glutaraldehyde by a hea1thcare facility using a tecbnolOlJ
combination certified by the Deparaaent pursuant to seaion 15200.1.5 of the Health and
Safety Code. Please enter œr1ification number:
ß. NARRATIVE DESClUPI'IONS: Provùk a brief tÚscriplion of lhe specific waste trealed and the tretIIIIIØU proœss uSed.
1.
2.
SPECIFIC WASTE TYPES TREATED:
Silver bearing fixes and bleach fixes
TREATMENT PROCESS(ES) USED:
Metallic replacement cartridges
3. SPECIFIC WASTE TYPES STORED:
m. RESIDUAL MANAGEMENT: Chedc Ya or No 10 each qUi!Slion as ilapplia 10 'all raitbJals from !åil. ~ IIl1iL
YES NO
ŒI 0
o ŒI
UI 0
o Œ1
o 0
1. Do you discharge DOO-hazardoUS aqueous waste Co a publicly owned treaUIJt:I1t works (POTW)/&eWeI'~
2. Do you discbarge DOO-hazardOUS aqueous WUle under an NPDES permit?
3. Do you have your residual huanious waste hauled offsite by a registeted hazardous waste h.au1cr?
If you do, where is the wastC scut? eJudc alllhal apply.
ŒI
o
o
o
&.
Ofl'sitc recycling
Thcrm::.l t1"Cab:c:t
b.
c.
Disposal to land
d.
Further treatmœt
4. Do you dispose of non-hazardous solid waste residues at an offsite location?
5. Other method of disposal. ~pCcify:
DTSC 1772B (1/95)
~u
EPA ID NUMBER ~~9?0555210
e e
Cr::: ;',- :77::>NALL Y EXE!.~' ~ - SPECIFIED W ASTESTREAMS
UNIT SPECr7'IC NOTIFICATION
(pW'5UU1t to Health ana Safety Coae Section 25201.S(c»
Page·, Ô 9f;j_
;:-' ;..;,7-
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IV. BASIS FOR. NOT NEEDING A FEDERAL PERMIT:
In order-Io demo~'; ~ligibiüiy for one of ~ o1lSÌl~ I'nlIImÐIl tiers. fadIitw are required 10 proWk ;" Dasis·for lÚ:Ien:tlinilll
that a ha:uudoJU wtW~ permil is ;;.0, r~quiret1 1ln.tÙr lhe federø.J. RuOIl1't% ConserwuJon and Reco~ Ita :. .:'It.i) and the fedem
r~guÙJlions adßple4 IlII/ÍU RCRA mlk 40, Cotk of Federal ReguÙJlion.r (CFR)).
Choose 1M reason(s) ÚUIl describe 1M opÐ'ØIion of your onsile ITt!lItmÐIlIUJlU:
o
o
D 3.
D 4.
0 5.
0 6.
51
D
D
1.
The hazardous waste being treaœd is not a hazardous wure UDder fcdera1law although it is regulated as a hazatciog.
waae UI1Cia' Califomia state law.
2.
Tho w.. is treated in ~ tt-t-t units (tanks), as defiDed in 40 CFR Part 260.10, and discbarpd tD;o
publicly owned treatment works (POTW)/seweriDg agency or under an NPDES permit. 40 CFR 264. 1 (g)(6) IØI.t
40 CFR 270.2.
The waste is treated in clcmmwy neutralization UDÍcs, as defined in 40 CFR Part 260.10, &ad discbarpd ID :
POTW/sewering agency or under an NPDES permit. 40 CFR 264. 1 (g)(6) &ad 40 CFR 270.2.
The WUIC is treated in a totally CDdosed trcaUDeDt facility as defined in 40 CFR Part 260.10; 40 CFR 264.1(g)(S)
The con¡p.my generates no more than 100 kg (approximately 27 gallons) of bazardous waste in a calendar umù.
aad is eli:;:ible as a federal coDåitioDally exempt small quaøtity gcaerator. 40 CFR 260.10 aad 40 CFR 261.5.
The waste is treated in an .,....nmnl..tion tank. or container within 90 days for over 1000 kg/month geaenlOrS IlK
180 or 2iO days for generators of 100 to 1000 kg/month. 40 CFR 262.34. 40 CFR 270. 1 (c)(2){i), aDd the Preamiå
to the March 24. 1986 Federal Register.
7.
Recyclable materials arc recl..illV'Jd to recover economically significant amounts of silver or other precious meak
40 CFR 261.6(a)(2)(iv). 40 CFR 264. 1 (g}(2) , and 40 CFR 266.70.
8.
Empty container rinsing andlor treatmcDt. 4t) CFR 261.7.
9.
0Iber: Specify:
V. TRANSPORTABLE TREATMENT UNIT: Ch.ecJc Yes Dr No. PlLase reju 10 1M In.rmu::ionsfor more inf017nlllion.
YES NO
D []
Is this unit . Transportable TreatmeDt Unit?
It you answered yes, you must also complete and attach Fonn 17nE to this page.
DTSC 1772B (1195)
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APPROVE:' C9-
I~SE CEI~:~G CLIPS AND H~DK SCRE~ SPRING FLUSH wITH CEILI~G C~ A_L DEPARTMENTAL ID'S
ILSE 10 '/2'XI2 1/2" S:G,'4HOLDERS (GRAY COLOR) 01\ ~.PPAREL, SHC~S, FABRICS, AND ":EWELRY C'!S?_.~'
I~SE IC :/2'XI2 1/2" SI:;~HOLCERS (WHITE CCLOR) ON 2X2'S, CHECKOU~S AND LOW PROFILë: E/C IN EcE:7=
4;'¡SE 19":<JO" SIGNHOLOERS ON A~L E/C AND STK/TABLE DISPLAYS
i~LL E/: SIGNH:LDERS ARE SET AT CCNSISTENT HEIGHT USING F~USH SNAPRAIL IN TOP SLOT OF E~J ~"
iuSE ONE '9"X3C" H:GHW^L~ SIG~S ON EVERY ð' JF THE S^~E ~E~CbA~DISE
I ~ ! ~~I ~I ~ :; ~ZH
8 '-J 1- -;-~I
.þ..! '-Û n
S:IGN
LEGEND
STATE OF CAUFQRNIA-CAUFORNIA ENVlRONM
H,
AGENCY
DEPARTMENT OF TOXIC SUBSTANCES CONTROL
400 P STREET. 4TH FLOOR
P.O, BOX 806
<~
SACRAMEN~R'58j~871.
October 27, 1995
EPA ID: CAL920555210
WAL-HART ONE HOUR PHOTO 11574
JUDY SAFFELL
2300 WHITE LANE RD
BAKERSFIELD, CA 93308
Initial Authorization: 10/27/95
For facility located at:
2300 WHITE LANE RD
BAKERSFIELD, CA 93308
Dear Onsite Treatment Facility:
The Department of Toxic Substances Control (DTSC) has received your
facility specific Initial notification (form DTSC 1772). Your
notification is administratively complete, but has not been reviewed
for 'technical adequacy. A technical review of your notification 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 Departmentacknawledges receipt of your completed Initial
notification for the treatment unit(s) listed on the last page of this
letter. These units are, authorized by California law without additional
Department action. Your authorization to operate continues until you
notify DTSC that you have stopped treating waste and have fully closed
the unit(s). DTSC has revised its database records to reflect your
status and has notified the Board of Equalization (BOE). You will be
billed annual fees by BOE calculated on a calendar year basis for each
year you operate and/or have not notified DTSC that the units have been
closed.
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 '
telephone number. ~ _ A
.. Sinc.relY,~;, (¿..--
~gat Kals, Ph.D., Chief
¡; , ~~~red Permitting Compliance Section
',State Regulatory Program Division
cc: See next page.
PETE WILSON. GOll8rnor
Q
."
t.J
Printed on Recycled Paper
Á
STATE OF CAUFORNIA-CAUFORNIA ENVIRON ME
OTECTlQ!II AGENCY
-~~:
-~:;.t~:~
DEPARTMENT OF TOXIC SUBSTANCES CONTROL
400 P STREET, 4TH FLOOR
, P.O. BOX 806
'~ SACRAMENTO. CA 95812-0806
WAL-HART ORE BOURPBOTO '1574 .,
Page 2
cc:
ASTRID JOHNSON
DTSC REGION 1
STATE REGULATORY PROGRAM
15-15 TOLLHOUSE
CLOVIS, CA 936ll
STATE BOARD OF EQUALIZATION
STEPHEN R. ROOD, ADMINISTRATOR
ENVIRONMENTAL FEES DIVISION
P.O. BOX 942879
S~CRAMENTO, CA 94279-0001
..
,;
EP~, ID: CAL920555~10
STEVE MCCALLEY
URN COUNTY
ENVIRON. HEALTH SERVICES DE~T
2700 M STREET, SUITE 300
BAKERSFIELD, CA 93301
Units authorized to operate at this location:
UNDER CONDITIONAL EXEMPTION: 11
'.
PETE WILSON, GOllfHnor
@
'.
n
\J
Printed on Recyçled Paper
, . SU&e óíCaJüonU . £a.Ii.I~ EAIY:--A.....-:;... ~~ . .. ~fIII o{ ToÚl: Subúøl:es ÙIa&nI& -
.. . ..~- f .-
,'- : '/,é? ,,- ::::":': ':' C-_"'>~ Page i 0 ~
\ ~Jf)':,<~;'~;JØ~Ò~~¡;~]t~ARDOUS WASfE TREATMENT NOTIFICATION FORM
.. .' ":\~ ~'è~" \ FA<:n..rrY SPECIFIC NOTIFICATION c;¡;;;;jjJ!J.r~~
~. . ..... i·@%. £ 1~i 'i For Use by Hazanious Wu&c Generators PcrfonDU1. ' g T.reatmcøt - , '''!-Lj
'. .. ~í~~~n Po 8 1995 ,; Under Conditioaai Excmptioo ADd Cooditi~,~~,Ç~OD. 0 Rc:t1c:wai
, . . ,\~ ,V / and by Permit By Rule Facilities 0 Ami::DåmcDf'
\, ; I
;.... ..i 'tq~ r~ ,~~dzrra~ /nsrruaion.r before completin~ rhis form. YOII may norify for more rhan one permilring rier by using this
1IDtifièi:ui4n,ïJ~:.DTSC 1772. Y 011 must aruu:h a separate Wlar specific Mqñc:ation form for eada unir Dl this IoCIJSioll. There are . i
tÜJfennt IUIÙ specific notifictllionforms for eada of rhe fOllr ccuegories and an øddùloMl notijiCtltion form for rrœupønable tretlZ1Mllt
llniu r17Tps). YOII only haw to submit forms for the tier(s) thø: œwr YO"" unit(s). Düt:ltl1'ti or recycle the orhø 1IlIIISe4 fomø.
NIIIIIber ea.ch page of your completed Mtifiauion pød:øge and intüazu eM toUllIUIIfIber of pages at eM top of ea.ch page at the
'Page _ oj _', Pili your EP -1 /D NIIJfIber on eat:ñ page. Pleiue provide øl1 of the informtllion reqllUted: aU fields must be
oampleted ez.t:qJt those that suzze 'if œfferent or 'if aWJil4ble '. Pleiue type ,he inftmlllltion provitJe,d on this form and œ;
aIIIIdunenu. .
1M nøtifiCIJSionfeu an GUessed on the basis of the IUIIIIber of tier.r the Mtifiu wiU opøøle 1InIÍÐ", and will be œlkae.4 by the Suø
Bøturi of Etp.uUizmioll. DO NOT SEND YOUR FEE wrm 1111S NOT1F1CA.770N FORM.
L NOTIFICATION CATEGORIES
IndiaJle eM tuInIM- of uniu YOII opÐ'Øle in eada tier. This w;U also be the tIIImber of llnit specific nøtificøziøn forms yoll must øttødJ.
CoødiliøIfIJlly EumpI Sntøll (lIIIIIflily TIUtmaII open;rtiølU mtq II« tJpcrcru IZ1ÚU IUtIier øzry øtMr ria.
~
Number or UIÚ&s and attad1ed u.nit specific notifications for each tier reported.
u.
CoacütiOD&ÜY Exempt-Small Quantity TreatmcDt
-A. Coaditicma1ly Exempt-Specified Wastestream
Cœdiûoually Authorized . J .. ¡Jrt1J ¿
~TORmF.1mFlCAnoN~1) t
'1 BOE NUMBER (i£available) H_H@-9.!!..C_3..£-694346
D.
Permit by Rule
A.
B.
E.
('-..~ Lauadry
c.
F.
VuilDce (Section mos.7)
EPA W NUMBER CA L920555210
----------
FACILITY NAME
(DBA-Doiq ik&Iiœu AJ)
PHYSICAL LOCATION
Wal-Mart One Hour Photo #1574
2300 White Lane Road
CITY
Bakersfield
CA
ZIP93308 .
COUNlY
Kern
CONTACT PERSON
Judy
(FIII& Name)
Saffell
(1M& Name)
PHONENUMBER~ 832 - 2690
MAILING ADDRESS.lF....DIFF'ERENT:
COMPANY NAME Sa1!1.e a s above
CJTY STATE
ZIP
F«D~7 om, I
Rqion -
STREET
COUNTRY
CONTACT PERSON
.{oaIy ~ic&a.iC.llQ& .uSA)
PHONE NUMBERl-)
(Fn Name.
(1M& Name.
DTSC 1m (I/95)
Pagè 1 .
m.
YEs NO
o Œ1
Page 2 ,of £
EPA ID NUMBER CAL920555210
RADIOACTIVE MA~ OR WASTE
.
....
,.
Does che facility use. store or treat ndiOlCtive mar.eria1s or radioactive wasœ?
{\.'. TYPE OF COMPANY: srANDARD INDUSTRIAL CLASSIFICATION (SIC) CODE:
,/se either OM or two SIC codes (a/oUT Digit number) thas best describe your ~'Ompany s products. serviœ:. or Industrial aaivit;
Ezmnplt
v.
YES
o
o
D
D
D
11H. PhtJIot'ùrúJúnp lab
ZZl§. I-'unrùz1 ~
F~ 7384 Photofinishing Lab ~:
YES NO
o rn
PRIOR PERMIT sr ATUS: Ch«Ic yu or lID 10 eadr quarion:
NO
D 1.
D 2.
D 3.
D 4.
D 5.
Did you file a PBR Notice of Inteat to Operate (DTSC Form 8462) in 1992 for this location?
Do you DOW have or have you ever held a sw.e or federal hazardous waste facility tun permit or iDteri
IitatUS for my of these treaaDCDt units?
Do you DOW have or have you ever held a state or federal tun permit or interim st.úUS for my où.
hazardous waste activities at this location?
Have you ever held a varimce issued by the I>epartm=t of Toxic SubstaDces Coouol for the tre-nw-t Y
lie DOW notifying for at this location?
Has this location ever been inspected by the stale or my local agency as a hazardous WUIe gc:aenror~
VI. PRIOR ENFORCEMENT msrORY: NtII ~ from g~ Dilly IfDri/yiIIg œ cør-lip_lly Øll!IIIpI or CI.J
............. t:iøl1aMndry.
Within the last three years. has this facility been the subject of my CODVictiODS. judgments. seU1emmts..ot ñ:
orders resulting from an actiOD by any local. state. or federai envil"ODlDCDtal. hazanious wasr.e. or public bc&
eoforc:aDeAt agency?
(For the purposes of this form. a DOtice of violatioa does Dot coastitut.e an order mci need DOt be I~ uni
it was not c:orr'Cded &Dci became a fiDal order.)
D If you mswered Yes. check this box aDd attach a listing of coovictioas. judgments. 5ddm-'ts. or onkn aD
copy of the cover sheet from each document. (See the InstrucUODS for more inf()1'lD&tica)
vu. ATrACHMENTS:.ÅlIIJdIInÐIU IZTe IlOl requiretJ/or Ccrrrmen::ial LaMndryff'ftUti-.
~
1.
2.
DTSC 1712 (1195)
A plot plao/map detailing the location(s) of the covered unit(s) in relation to the facility ?':Jundaries.
A unit specific Dotification form for each unit to be covered at this location.
Pa
EPA -m--miMBER Cl\L9 2 0 5 5 5 21 0
Page 3 of .
'¡'i'
"
- . .., 1" . ; . '- '
CERTmCATIONS: IS form must ~ signed by an aUliuJriud corporQle officer or any olner pentm in 1M COf1J!'D1fY wr
has Oper'QlIONJl conrroi ami peTforms decision-maidng junctions tÌl.al gOMml operølion oj IhejaciUry (per Tule 22, Cali/om:
Code of Regllialions (CCRJ Section 66270.11). Alllhræ topia IfUØt iIlnÞe origúløl6igllllØlTa.
Waste Minimimtion 1 certify that 1 have a program in pllce 10 reduce the volume, qumuty, aDd IOxicity ofwure geaerued to ú
degree I have dc&ermined to be ecoaomicaIJy practicable aDd that I have seieded the praccic:able mechod of tr-tftV'!ftf. storqe. I
. disposaJ CWTCZltiy available to me wi1ich minimt7l'$ the present and future ÙU'Ca! to bUØW1 health and theenvitoDmc:Dt.
~".~:" '.':>; ,;t;'Ji.::,¡tj'l.'J".,~;;..·._I.~-,.,;,
vm.
7'
"
Tiered PennittiTU! Certification I certify that the unit or units described in these d~l~ts IDee( the eligibility and operuD:
requirements of state swutes and reguiations for the indicated permitting tier, including generator and secoo.dary contaÎlllDc
requirements. I UDderstanØ that if any of the units operate UDder Permit by Rule or Coad.itiooaI Authorizatioo, 1 will also be requia
to provide required f;"·,,aal assurance for closure of the U--t unit by January I, 1995.
I certify under penalty of law that this dnt!ll~t and all ,~"""""ts were prepared UDder my direc:tion or supervisiœ in ac:.c:ordaa
with a system designed to assure that qualified pcn;oaac1 properly gather and evaluate the information submitted. ø..i on my inqui:
of the persoD or pcnoas who manage the system. or tbase direct1y I'e$pODSible for gar.hcring the informatioa. tbe iDformaIjœ is. j
the best of my kDowledge and belief, true, a.ccurate, aDd complete.
I am aware that there are substantial peaalties for submitting false information, including the possibility of fiDa md imprisomœ:
for kDowing violations.
Mi~ce Wissel
Name (Print or TWJ-ype) d
_1,44
Signature ~
Quality Assurance Coorãinator
Title
08-30-95
Date Signed
OPERATING REQUIREMENTS:
Plase note ,haI gmerøton treating haz.ardDus wane on.ri,e an nquireti to comply with a1lU1lÚJeT' of operrllÎ1lr ~__
differ d.ept!nding on the tier(s). ThDe opertlling requirmumls an. set fonh in the SIIllllUU tl1IIi rqlÙlllÚJn.r, SOllIe of wñida &
nfermœd in lhe 1ier-Spet:ific Fact Sheers avøilab1efrom'he DqHUf7ftmt's rqioNJl tl1IIi headquaneT"S oJlit:G.
SUBMISSION PROCEDURES:
YOII must núJmil 1M) CDØÌD of this completed nDlijicQlion by œnijied nu:Ui. return reœipt reqllDte4. 10:
DepønmelU of To.ric Subnanœs Controi
Program DQJa Managt!tnÐU Section
400 P Srr«r, 41h Floor, Room 4453 (walk in only)
P.O. Baz 806
Stu:rørMlUo, CA 95812-D806.
You mUSl also IUbmit Olle couy of the nDlifiCtllion and ana~ftU 10 the local regulalory agency in yaw jurisdiction as lisutl ¡
Appe1lliù 2 of the in.rmu:tion malerials. You must also nlain a copy as pan o/yo"r opertlling record.
All thræ fonrø IfUØt hIn1e oripinal 6ig1lllØlTa, 1IDI pÅDlDcDpia.
DTSC 1772 (1/95)
p.
EPA ill NUMBER CAL920555210
C~NDmJAL~Ý ~ - SPECIF1E' W ASfESTREAMS
UNIT SPECIFIC NOTIF1CA TION
(pursuant to Health anei Safety Code Section 25201.S(c»
;;
.
.
.,
Page4 of.~
The 'Iier-Specinc Fad. Sheets contain a Plntmfllry of the operating requiremeDts for this category". PIe1a
reYÌew thœe requirements c-arefuDy before completing or submitting thb Dotir~tiOD ~~lrage.
UNIT NAME
Hallmark Mark VI
:#=1
UNIT ID NUMBER
-L Tank(s)
_ Tuk(s)
NUMBER OF TREATMENT DEVICES:
NUMBER OF STORAGE DEVICES:
_ Cnntainer(s)/Containcr Treatment Area(s)
E4da wait IJUUI be cleørly itkntifitti and labeled on 1M plol pllUa ønadsed 10 Form i 772. A.uign your own U1IiqIU! IUIIIÚM1' 10 ..
",nil. 1h4 n&U1ÚJer can be .reqllÐUwl (1. 2. J) or wing œry rystem you choose.
Elller tM estil'l'UUed molllhly 'otal \IOlume of hazImiow wane rreœed by ,hir unit. 7hls should be ,he mtaimum Dr h;ghe.rt ~
'reœed ;n any molllh. InÆCQle in 'M namuiw (Section il) if your operøtiolU haw leIJIOnal variaziollS.
L WASTEST'REAMS AND TREATMENT PR()rF.~-~:
Estimated Monthly Total Volume Treated:
pounds and/or 1 00- 2 0 0 gallons
Estimated Monthly Total Volume Stored:
YES NO
o æ
o ŒI
o
o
o
o
*NOTE* s.
o
rn
pounds and/or
gallons
Is the W&SIe treaIed in this unit radioactive?
Is the waste treaced in this unit a bio-hazaniJiDfcctiouslmcdica1 waste?
1M following are ,he eligibk W4Slestreanu and IretJtmÐII proceuu. Plase cMcJc aU appliCtJbk baic.ø:
1.
Treats resins mixed or cured in accordance with the manufacturer's instnldÏons.
Treat containers of 110 gallons or less capacity that contained hazardous waste by riDsing or pbJSiai
proœsses, such as cnJShing, shredding, grinding, or puncturing.
Drying special wastes, as classified by the department pursuant to Title 22, CCR, Section 66261.U4, by
pressing or by passiTe or heat-aided eftporaûon to remOTe water.
Magnetic separaûon or saeeaing to reman components from special was&e, as dassified by the deparamat
pursuant to Title 22, CCR, Section 66261.124.
2.
3.
4.
NO AUJ'BORJZATlON IS 'NF.'ImED to IIISàraliæ 8ååic or _lhlinfO! ~ ,.,.... &am 6e
rqv-atioa of ioo __rm-. media used to daDÎI:IIftIize water. (TIüs waste CUIIIØt ...-t.i...-e
tbaD 10 perœat ac:id or bae by wègbt to be eligible for this eœmpQoa.)
6.
7.
Neutralize acidic or alkaline (base) wasus from the food prr-i"l industry.
Recovery of sUver {rom photofinishing. The volwne limit for condiûonal exemption is SOO gallons pel'
generator (at the same location) in any calendar month.
*NOTE* Recovery of 10 gallons or less per month of silver from photofmishing is.
completely exempt from permitting; this form need not be submitted.
DTSC 1712B (1195)
Pagei6
EPA ID NUMBER CAL920555210
;; . . .
'" -
" ~ y..
CONDIT! ALLY EXEMPT - SPECIFIED WASTESTREAMS
UNIT SPECIFIC NOJ1F1CA TION
(pursuant to Health and Safety cOde Section 25201.S(c»
..
~.
;;0
.
....
8.
o
o
o
9.
o
o
10.
11.
o
u.
Page 5 of:6.
- -
Gravity separation of the (ollowing, including the use of noa:u.tant.~ IInd dmlWsifier! if
." - "'~'<.",.,,,. '
a. The settling ~t~so~ds fro,m_th~.~whç..1he rcs1ÙtiDg aqueouslliquid IUam is DOt hazardous.
b. The separation of oil/water mixtures and separation sludges, if the average oü recovered per month is ~
than 25 barrels (42 gallons per barrel).
Neutraimng acidic or alkaline (base) material by a state certified laboratory or a Iaborator1 operated bYID
educational institution. (To be eligible (or conditional exemption, this wasre caDnot c:oqtain more than 10
paœut acid or base by weight.)
Hazardous waste treatment is carried out in quality contr'Ol or quality assuranœ Iaborator'y at a facility tbIa
is not an offsite hazardous waste faå1ity.
A wateStre8m and treatment technology combination certified by the Department pursuant to Sediøa
15200.1.5 of the Health and Safety Code. Please enter certification number:
The treatment of fonnaJdehyde or glutaraldehyde by . bea1thc:are facility using a technology
combination certified by the Department pursuant to section 25200.1.5 of the Health and
Safety Code. Please enter c:ertification number:
D. NARRATIVE DESCRIPI'lONS: Provide a briq description of the specific wane treIIIed and the I1'ettlmÐIt prot:eU uSed..
1.
2.
Silver bearing fixes and bleach fixes
SPECIFIC WASTE TYPES TREATED:
TREATMENT PROCESS(ES) USED:
Metallic replacement cartridges
3. SPECIFIC WASTE TYPES STORED:
m. RESIDUAL MANAGEMENT: Chedc Yes or No to each quørion as it applies to 'all residuals from !hi!. rre(llmDll uniL
YES NO
ŒI 0
o ŒI
GJ 0
o [XI
o 0
I. Do you discharge DOO-hazardoUS aqueous waste to a publicly owned treasmcat works (P(YrW)/søwer?
2. Do you discharge non-bazardous aqueous waste UDder an NPDES permit?
3. Do you have your residual hazardous waste hauled offsitc by . registered hazardous waste hauler?
If you do. where is the waste sent'? Chedc all tluu apply.
ŒI
o
D
o
&.
Qffsite recycling
b.
Thenn::1 treat:%:e::t
c.
DisposaJ to land
d.
Further treatment
4. Do you dispose of non-hazardous solid waste residues at an offsite location?
5. Dther meshod of di$pOS&l. .specify:
DTSC 1mB (1195)
Pagell
EPA 1D NUMBER ~92q555210
~
Page.6 9(
. ' .
Cr::::>~~'T:ONALLY £XE?~· ~ - SPECIFIED WASI'ESI'REAMS
UNIT SPEC~¡C NOTIFICATION
(pursuant to Health ana Safetÿ Code Section 2520l.S(c»
.,
-.;.. ,,¡"
:.,. ,....;"
IV. BASIS FOR NOT NEEDING A FEDERAL PERMIT:
f'., ".,... ';' " .....;~
In (j'rÎièr-to tÜ:monsmu#! #!iigibility for one of the onsit#! ~ lien, jadülÍes an requiTWŽ te providz ¡.,.: basisjor Úler::lin.
tlull a hazJutious wart#! pmn,t Is ;;.fJt requ,red WIder tM federøl Resourœ Conserwu,on and Recovery Ita :.' CR.'{) and the I~
regulations adopted wader RCRA (1itle 40, Cotk of Federal Regulations (CFR)).
Choos#! tM rmson(s) that describe tM operøzion of your onsite I7'elII7nenl wUu:
o
o
2.
D 3.
D 4.
0 5.
0 6.
GI
D
o
1.
The hazardous waste being treated is not. hazardous waste under fcden.1law although it is regulated as . hazmiL
wuae under' California state law.
Tho waste is treated in wasr.ewatcr' tpoItnvo.qt UDÍ&a (taDb), as defiDed in 40 CPR Part 260.10, and discbarpà t
publicly owned treatmeDt works (P01W)/seweriDg agellcy or UDder an NPDES permit. 40 CPR 264. 1 (g){6) I
40 CPR 270.2.
The waste is treated in elementary neutralization units. as defined in 40 CPR Part 260.10. IDÅ discbarpà t
POTW/sewering agency or under an NPDES pennit. 40 CFR 264. 1 (g)(6) IDÅ 40 CPR 270.2.
I
Tho Wa5t.C is treated in. totally coclosed treaUDeDt facility as defined in 40 CPR Part 260.10; 40 CFR 264.1(g)(
Tho company generates no more than 100 kg (approximately 27 gallons) of hazardous waste in a calendar lID. '
aDd is eligible as a federal conditioaally exempt small quantity generator. 40 CPR 260.10 uu.t 40 CPR 261.5
The waste is treated in an &CCQIft1JI-tion tank or container within 90 days for over 1000 kg/mon&h geaeøsors I
180 or 270 days for generators of 100 to 1000 kg/month. 40 CPR 262.34,40 CPR 270. 1 (c)(2)(i), and the Prcam
to the Much 24, 1986 Federal Register.
7.
Recyclable materials are reclaimed to RCOver economically significant amounts of silver or other precious meu !
40 em 261.6(a)(2)(iv), 40 CPR 264. 1 (g)(2) , and 40 CFR 266.70.
8.
Empty container rinsing and/or treatment. 40 CFR 261.7.
9.
0Cber: Specify:
V. TRANSPORTABLE TREATMENT UNIT: CJu!dc Yu or No. Plau#! rtfer to tM Insmu::sionsformore infoTJtlOZion
YES NO
o [i
Is this unit . Transportable Treatment Unit?
If you answered yes, you must also complete and attach Fonn 1772£ to this page.
DTSC 1772B (1195)
Page
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SIGN
Le:Ge:NO
APPROVED C 9-
I~SE CEIL:!-JG CLIPS AND HJOK seRE'. SPRING FLUSH wITH CEILII\G C," A_L DEPARTMENTAL rD'S
¡
I L.SE 10 '/2'·X i 2 1/2" S:G,'jHOLDERS ; GRA Y COLOR) or, APPAREL, SHC~S, FABRICS, AriD ..;EWELRY C'!Së -'~
iL.SE Ie '/2'XI2 1/2" SI3NHOLD~RS (WH!TE CCLCRJ ON 2X2'S, CHECKOU-S AND LOW PROFILE E/C IN ::'-:::-:
4cJSE 1~"X30" S!GNHOLDERS ON ALl- E/C AND STK/TA6LE DISPLAYS
¡ALL E/: SIGNH:LDERS ARE SET A- CCNSISTENT H~IGhT USING F~USh SNAPRAIL IN TG? SLOT CF ~NJ =,'
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