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C <br />EPA ID NO: i C I A I D 19 18 11 1 16 18 1$J 13 14144 ! <br />QMB#: 2050-0024 Expires 10/31/2007 <br />9. Legal Owner Street or P. O. Box: 77 Beale Street <br />(Continued) City, Town, or Village: <br />y g San Francisco <br />Address <br />State: CA <br />Country: U.S.A. <br />ZIP Code: 94105 <br />10. Type of Regulated Waste Activity <br />Mark "Yes" or "Pio" for all activities; complete any additional boxes as Instructed. (See instructions on pages 12 to 16.) <br />A. Hazardous Waste Activities <br />Complete all parts for 1 through 6. <br />Y M N J 1. Generator of Hazardous Waste <br />Y J N �j 2. Transporter of Hazardous Waste <br />If "Yes", choose only one of the following - a, b, or c <br />Y71 N iJ 3. Treater, Storer, or Disposer of <br />-29 a. LOG: Greater than 1,000 kg/mo (2,200 lbs./mo.) <br />Hazardous Waste (at your site) Note: <br />of non-acute hazardous waste; or <br />A hazardous waste permit is required for <br />this activity. <br />J b. SQG: 100 to 1,000 kg/mo (220 - 2,200 lbs -/mo.) <br />of non-acute hazardous waste; or <br />Y J N J 4. Recycler of Hazardous Waste (at your <br />site) <br />J c, CESQG: Less than 100 kg/mo (220 lbs./mo.) <br />of non-acute hazardous waste <br />Y J N 1l 5. Exempt Boiler and/or Industrial <br />Furnace <br />In addition, Indicate other generator activities. <br />If "Yes", mark each that applies. <br />J a. Small Quantity On-site Burner <br />Y J N �9 d. United States Importer of Hazardous Waste <br />Exemption <br />J b. Smelting, Melting, and Refining <br />Y J NN e. Mixed Waste (hazardous and radioactive) Generator <br />Furnace Exemption <br />Y J N N 6. Underground Injection Control <br />B. Universal Waste Activities <br />C. Used Oil Activities <br />Mark all boxes that apply. <br />YJ N D 1. Large Quantity Handier of Universal Waste (accumulate <br />5,000 kg or more) (refer to your State regulations to <br />Y J N IJ 1. Used tail Transporter <br />determine what is regulated). Indicate types of universal <br />If "Yes", mark each that applies. <br />waste generated andor accumulated at your site. If "Yes", <br />J a. Transporter <br />mark all boxes that apply: <br />IJ b. Transfer Facility <br />Generate Accumulate <br />Y F,N4 2. Used Oil Processor and/or Re -refiner <br />a. Batteries J J <br />If "Yes", mark each that applies. <br />b. Pesticides J ELI <br />Cl a. Processor <br />J b. Re -refiner <br />c. Thermostats <br />d. Lamps J +`J <br />Y J N J 3, Off -Specification Used flip Burner <br />e. Other (specify) J Vi <br />Y J N x 4. Used Oil Fuel Marketer <br />f. Other (specify) J J <br />If "Yes", mark each that applies. <br />g: Other (specify) J Li <br />J a. Marketer Who Directs Shipment of <br />Off -Specification Used Oil to <br />Off -Specification Used Oil Burner <br />Y D N M 2. Destination Facility for Universal Waste <br />J b. Marketer Who First Claims the <br />Note: A hazardous waste permit may be required for this activity, <br />Used Oil Meets the Specifications <br />EPA Form 8700-13 A/B (Revised 1012005) <br />Page 2 of 5 <br />