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MAINTENANCE HAZARDOUS WASTE MANUAL <br />Chapter 3 <br />Page 39 <br />State of Californle -Califorroa EnvironmentiO Protection Agency Department of Toido Substances Control <br />Transportation Sectlon <br />8800 Cal Center Drive <br />Sacramento, California 95826-3200 <br />Telephone: (918) 256-3024 Fou: (916)255-6446 <br />TRANSPORTATION REGULATORY EXEMPTION APPLICATIONNARIANCE <br />The California Code of Rooilations. title 'R. trivisim 4.5, chanter 13. mrfide 4 farticle 4) as-t#.--blishes four whinories of frarra%*rfatjon <br />applied for- Prior to operating pursuant to this variance, a transporter shall send a copy of this variance to each, hazardous waste <br />generator serviced under Its provisions. Complete Part A through 0 as indicated. <br />------- -- - - <br />PART A. TRANSPORTER (APPLICANT) IDENTIFICATION <br />LBusiness Name DEPARTMENT OF TRANSPORTATION - DIVISION OF MAINTENANCE <br />Identification Number (12 charaders) CAD981458789 Transporter Registra—fion <br />-71 Number <br />Business Address <br />Number/Street 1120 N STREET, MS#31 <br />P.O. Box <br />CityState, Zip SACRAMENTO, CA 95814 <br />Contact Person Charleen Fain-Keslar phone Number (916) 654-4269 <br />um r (916) 654-6713 Chadeen Fain-Kestar <br />PART B. SPECIFIC VARIANCE EXEMPTM(s) REQUESTED: Check the box next to the Transportation Regulatory <br />Examption(s) you are fw4utistiny. For each variance exemption category requested, list and describe reach hazardous waste, <br />provide the Department of Transportation shiplaft description or the generic or commonly used industrial name, and the <br />estimated frequency and quantity transported per month. Use a separate page if necessary. A summary of each variance <br />exemption category Is provided below as guidance ordy. The arWal regulations should be consufted prior to making any <br />decision that may Impact regulatory compliance. <br />Emergency Response incident Operations, California Code of Regulations, title 22, section <br />66263-43. Aitows a state, tocai or county govemmerrW emergency response incident unit to transport up to five 85 -gallon drums <br />of hazardous waste from an Incident site to a central collection facility using a shipping paper Instead of a hazardous waste <br />manJfest. The waste may be accumulated for up to 90 days, and must then be manifested to an authorized facility. <br />incidents, most commonly petroleum waste is created from these spills, <br />DTSC 1294 (06102) 1 Df` 2 <br />July 2018 <br />