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UNIFIED PROGRAM CONSOLIDATED FORM <br /> HAZARDOUS WASTE <br /> ONSITE HAZARDOUS WASTE TREATMENT NOTIFICATION— UNIT PAGE <br /> One page and attachments per unit <br /> Page I of <br /> FACILITY ID# I. BUSINESSNAME(SameasFACILITYNAMEorDBA-Doing Business As) 3. <br /> +�'P�-►� A�t.osP�cl✓ �srn-N.c�r�as C.��, <br /> 1.TREATMENT UNIT <br /> UNIT ID# 606. UNIT TYPE/TIER 607. NUMBER OF TANKS F) NUMBER OF CONTAINERS/ 609. <br /> TREATMENT AREAS <br /> D ❑ a. CESQT <br /> ❑ b. CESW <br /> UNIT NAME 610. MONTHLY TREATMENT 611. <br /> a CA UNIT OF MEASURE 612. <br /> VOLUME <br /> CNaortlVNrMerr� Sy$7�,q ❑ d. PBR ❑ a.Pounds )9 b.Gallons <br /> ❑ e. CELl 001D <br /> SPECIFIC WASTE TYPE TREATED(narrative) 613. <br /> TREATMENT PROCESS DESCRIPTION(narrative) 614. <br /> 4Z-ou >J 0G Oelyo"vNL" Qtv Pr(�tbr,r-tae�-1 i.occL��,�r-n. 1� <br /> 6N <br /> (NOTE: For each treatment unit,complete and attach the appropriate Waste and Treatment Process Combinations page.) <br /> II. BASIS FOR NOT NEEDING FEDERAL PERMIT(Check all that apply) <br /> ❑❑ f Treatment in an accumulation tank or container within 90 days for over 615.a. The treated waste is not a hazardous waste under federal law <br /> (California-only waste). 1,000 kg./month generators and 180 or 270 days for generators of 100 to <br /> 1,000 kg./month. <br /> Kb. Treated in waste water treatment units (tanks) and discharged to a <br /> publicly owned treatment works(POTW)/sewering agency or under an ❑g. Recyclable materials are reclaimed to recover silver or other precious metals. <br /> NPDES permit. <br /> ❑c. Treatment in elementary neutralization units. ❑h. Empty container rinsing and/or treatment. <br /> ❑d. Treatment in a totally enclosed treatment facility. ❑i. Other(specify below) <br /> ❑e. Federal conditionally exempt small quantity generator(generated 100 <br /> kg.,approximately 27 gallons,or less of hazardous waste in a calendar <br /> month). <br /> 111. RESIDUALS MANAGEMENT DESCRIP'T'ION(Check all that apply) <br /> Residual hazardous waste hauled offsite by a registered hauler. 616. <br /> Pl:a. Discharge non-hazardous aqueous waste to POTW or sewer. <br /> ❑ <br /> El b. Discharge non-hazardous aqueous waste under a NPDES permit. d. Offsite recycling <br /> ❑e. Thermal treatment <br /> ❑c. Dispose of non-hazardous solid waste residues at an offsite location. f. Disposal to land <br /> ❑g. Further treatment <br /> ❑h. Other method of disposal(describe below) <br /> SECONDARY CONTAINMENT INSTALLATION DATE(Ifrequired) 617. <br /> 153 <br /> UPCF hwf1772u(1/99)-1/2 http://www.unidoes.org Rev.02/16/00 <br />