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JAN 28 2019 s <br /> State of California — California Environmental Protection Agency Department of Toxic Substances Control <br /> � I <br /> SB 14 SUMMARY PROGRESS REPORT V <br /> TABLE 1 : GENERAL INFORMATION Date �,Q , QT /J' <br /> A hazardous waste generator subject to SB 14 , is required to complete and submit Tables 1 and 2 to the Department of CM <br /> Toxic Substances Control by September 1 , 2011 . The generator is to submit only one Table 1 . However, the generator 't <br /> may need to submit more than one Table 2 , (one for each reportable waste stream ) . <br /> See Summary Progress Report publication or SB 14 Guidance Manual Chapter 7 , for assistance . <br /> (1 ) NAME OF GENERATOR, FACILITY, or ❑ (1 a) MULTI-SITE? (If this is a multi-site business , please check this box (� <br /> BUSINESS L'a /3111pjt3 and list the primary EPA ID number under box #2 and add the remaining <br /> /. EPA ID numbers under "COMMENTS " below. Combine data for similar <br /> '�L �Z y wastes from the multiple sites for the remainder of the Summary Progress t <br /> Report) , rh <br /> (2) EPA ID NO . (3) SIC CODE (4) NAICS CODE <br /> ca <br /> (5) STREET ADDRESS (6) CITY (7) COUNTY <br /> (8) MAILING ADDRESS (9) CITY (1 o) zip CODE <br /> Aff� <br /> ( 11 ) CONTACT NAME ( 12) CONTACT PHONE <br /> 41 <br /> (13) TYPE OF BUSINESS , OPERATION , or ACTIVITY <br /> 3d2 -f✓ ° ��iG� <br /> ( 14 ) SB 14 reportable total quantities of Hazardous Waste Generated at Site , for 2006 and 2010 Reporting Years , <br /> Reportable Total Quantities include all hazardous wastes subject to SB 14 . <br /> Do not include nonroutinely generated , exempted , or secondary wastes . Exempted and nonroutinely generated wastes <br /> are listed in Section 67100 . 2 (c) , Title 22 , California Code of Regulations . Secondary waste is a hazardous waste sludge <br /> or precipitate that is generated as a result of onsite treatment of liquid hazardous waste that is sent to a POTW or <br /> receiving water under NPDES permit. <br /> Obtain information requested below from your 2006 and 2010 <br /> Plans or Compliance Checklists , 2006 2010 <br /> ( 15 ) SB 14 hazardous waste processed onsite in a wastewater <br /> treatment unit for discharge to POTW or NPDES permit / <br /> ( Category A') Total : ,U lbs lbs <br /> 16 All other SB 14 hazardous waste (Category B Total : lbs lbs <br /> I <br /> ( 17 ) All extremely hazardous waste Total : lbs lbs <br /> " Category A was previously referred to as aqueous waste . Category B was previously referred to as nonaqueous waste . <br /> ( 18 ) COMMENTS regarding hazardous waste source reduction and recycling activities ( add page if needed ) . <br /> N Y24 21 dl hv�O 140141, <br /> 2� D�B� ✓IewL %%�,7'D � Ic�✓, /� S %D�«' /f ND �i�/�.Pl�r r�7iyl /� ld !/l��' //�t''/�/ <br /> DTSC 1262 ( 11 /14/06) Page 1 of 2 <br /> 61 <br />