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COMPLIANCE INFO_PRE 2019
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2231-2238 – Tiered Permitting Program
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PR0540910
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COMPLIANCE INFO_PRE 2019
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Entry Properties
Last modified
11/14/2019 9:51:26 AM
Creation date
11/14/2019 9:47:49 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2231-2238 – Tiered Permitting Program
File Section
COMPLIANCE INFO
FileName_PostFix
PRE 2019
RECORD_ID
PR0540910
PE
2233
FACILITY_ID
FA0000121
FACILITY_NAME
CVS Pharmacy #9261
STREET_NUMBER
100
Direction
W
STREET_NAME
LODI
STREET_TYPE
Ave
City
Lodi
Zip
95240
APN
04521002
CURRENT_STATUS
02
SITE_LOCATION
100 W Lodi Ave
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Scanner
KBlackwell
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EHD - Public
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EPA ID NUMBER rar.nnm d4PFp <br /> Page 5 of 6 <br /> CONDITIONALLY EXEMPT - SPECIFIED WASTESTREAM.S <br /> UNIT SPECIFIC NOTIFICATION <br /> (pursuant to Health and Safety Code Section 25201.5(c)) <br /> S• Gravity separation of the following, including the use of flocculants and demulsiiiers if: <br /> ❑ a. The settling of solids from the waste where the resulting aqueous/liquid stream is not t,»>..t,.,.., <br /> b. The separation of oil/water mixtures and separation sludges, if the average oil recovered per month is less <br /> than 25 barrels (42 gallons per barrel). (NOTE: AB 483 (Ch 625. 1995) allows certain used oil water <br /> _ separation under new the CII, category. See Form 1777L and CFL Fac Sheer.) <br /> l 9. Neutralizing acidic or alkaline (basic) material by a state certified laboratory, a laboratory operated by an <br /> educational institution,or a laboratory which treats less than one gallon of onsite generated hazardous waste <br /> in any single batch. (To be eligible for conditional exemption,this waste cannot contain more than 10 ent <br /> acid or base by weight.) perc <br /> ❑ 10. Hazardous waste treatment is carried out in quality comrol or quality assurance laboratory at a facility,that <br /> is not an offsite hazardous waste facility. <br /> ❑ 11. A wastesstream and treatment technology combination certified by the Department pursuant to Semon <br /> 25200.1.5 of the Health and Safety Code as appropriate for authorization under CESW. <br /> Please enter certification number. (Sec Appendix 5) <br /> ❑ 12. The treatment of formaldehyde or glutaraldehyde by a health care facility using a technology <br /> combination certified by the Department pursuant to section 25200.1.5 of the Health and <br /> Safety Code. <br /> Please enter certification number. <br /> II. NARRATTVE DESCRIPTIONS: Provide a brief description of the spec ftc waste treated and the treatmnu process used. <br /> I. SPECIFIC WASTE TYPES 'TREATED: SPENT PHOTOGRAPHIC FIXER SOLUTIONS <br /> eFA cl1NAT VIII NM1'FS TN(`R FA SF nNR Tt�(' HO TDAY PERIODS <br /> TREATMENT PROCESS(ES) USED: srrvFR RF OVFRV ❑ 7TS Ry 6'FTAT T TC <br /> REPLACEMENT. <br /> ID. RESIDUAL MANAGEMENT: Check Yes or No to each question as it applies to all residuals from this treatment unit. <br /> YES NO <br /> ��;;,,,,I L za <br /> Do you discharge non-hazardous aqueous waste to a publicly owned treatment works (POTW)/sewer? <br /> '` U '_. Do you discharge non-hazardous aqueous waste under an NPDES permit? <br /> IX 3. Do you have your residual hazardous waste hauled offsite by a registered hazardous waste hauler? <br /> If you do, where is the waste sent? Check all that apply. <br /> ® a. Offsite recycling E.C.S. REFINING, SANTA CLARA, CALIFORNIA <br /> El b. Thermal treatment CAD003963592 <br /> ❑ C. Disposal to land <br /> ❑ d. Further treatment <br /> �I 4. Do you dispose of non-hazardous solid waste residues at an offsite location? <br /> •— 5. Other method of disposal. Specify: <br /> DTSC :?''_B (1/96) <br /> Page 11 <br />
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