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AdOL <br /> UNIFIED PROGRAM CONSOLIDATED FORM <br /> HAZARDOUS WASTE <br /> ONSITE HAZARDOUS WASTE TREATMENT NOTIFICATION — UNIT PAGE <br /> (one page and attachments per unit) <br /> Page of <br /> FACILITY ID# I BUSINESS NAME(Same as FACILITY NAME or DBA—Doing Business As) 3 <br /> -APPL(D3 &kp, <br /> I.TREATMENT UNIT <br /> UNIT ID# 606 UNIT TYPE/TIER 607 NUMBER OF TANKS 608 NUMBER OF CONTAINERS/ 609 <br /> TREATMENT AREAS . <br /> i3,Q ❑ a CESQT <br /> &b CESW <br /> UNIT NAME 610 ❑ _ CA MONTHLY TREATMENT 611 UNIT OF MEASURE 612 <br /> VOLUME <br /> ❑ d PBR aLa Pounds ❑ b Gallons <br /> Ca�l% tN r l�cn�s1�G ❑ e CEL -3 0 <br /> SPECIFIC WASTE TYPE TREATED(narrative) 613 <br /> I�j-o 6/L /7oLY Cant✓ 1M ,,mss 01= <br /> '14%A"m C c S SIL L�55 f (o��Ll� ��7�.I (ni i/�c� <br /> S K <br /> W/t r Df� A -per S MA-T-4Dta ASS, OP— L.I Qe)l .S <br /> TREATMEfiT PROCESS DESCRIPTION(narrative) bia <br /> /L/NsiN4, Arl 664Prl C6x.l_1,j1AJe72- oR— LInJi!!!T,__ UA-1-A- k 4OU (> C -PA4505 01= �tSSowINC; <br /> 6a._ Rte,v w G, `tff-C- #*T A4L0z- S e"V577 Tv'tt-nrTS <br /> 8k P1fYscc.4ts, 54C,&-- AS C"Sk rtiy 02 wuNc71kj?_. ►(�, <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 <br /> ❑a. The treated waste is not a hazardous waste under federal law 1000 kg/month generators and 180 or 270 days for generators of 100 to <br /> (California-only waste). 1000 kg/month. <br /> ❑b. Treated in waste water treatment units(tanks)and discharged <br /> to a publicly owned treatment works(POTW)/sewering ❑ g. Recyclable materials are reclaimed to recover silver or other precious metals. <br /> agency or under an NPDES permit. <br /> ❑c. Treatment in elementary neutralization units. lam'. 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 <br /> (generated 100 kg,approximately 27 gallons,or less of <br /> hazardous waste in a calendar month). <br /> III. RESIDUALS MANAGEMENT DESCRIPTION(Check all that apply) <br /> Residual hazardous waste hauled offsite by a registered hauler. 616 <br /> ❑ a. Discharge non-hazardous aqueous waste to POTW or sewer. <br /> ❑ b. Discharge non-hazardous aqueous waste under a NPDES J�r d. Offsite recycling <br /> permit. ❑ e. Thermal treatment <br /> Vc. Dispose of non-hazardous solid waste residues at an offsite ❑ f. Disposal to land <br /> location. g. Further treatment <br /> ❑ h. Other method of disposal(describe below) <br /> SECONDARY CONTAINMENT INSTALLATION DATE(If required) 617 <br /> UPCF(12/99 revised) 23 <br />