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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 of <br /> FACILITY ID# I BUSINESS NAME(Same as FACILITY NAME or DBA—Doing Business As) 3 <br /> APPi..i ED keR05 A-Gc Sino C7z 14�t--5 '(-ZK1-. <br /> I.TREATMENT UNIT <br /> UNIT ID# 606 UNIT TYPE/TIER 607 NUMBER OF TANKS 608 NUMBER OF CONTAINERS/ 609 <br /> TREATMENT AREAS <br /> :3—( ❑ a CESQT I I <br /> C3,b CESW I/ <br /> UNIT NAME 610 ❑ c CA MONTHLY TREATMENT 611 UNIT OF MEASURE 65 <br /> — <br /> VOLUME <br /> ❑ d PBR R_a Pounds ❑ b Gallons <br /> Cnnl'1A INC–P, {6AISIKK, ❑ e CEL <br /> SPECIFIC WASTE TYPE TREATED(narrative) ti13 <br /> ' ,, oP- ?0Ly C0^Jn4lAteD;_' 5 //0 444_L�OJS a'rL L&-ss P(Z.F-VIOL6 _� &"\"7IfNtIVCc <br /> 1�� mous iic%t r� 02 lfaz,�,�nasus N(A �r.a-c s , oP- (�Nc�►,S ! >-ra��� T �1 <br /> 6/ r'/ <br /> TREATMENT PROCESS DESCRIPTION(narrative) 614 <br /> &A_15I j, +Aj L Ty &Artxluen- op__ L j KtD.L- W tr-1- A-- L—lctU(i) GMS u:E- a <br /> D15s0L_vi0k_i('L ot-c' 'fa�MOvlf%l(L Tq;E t-Eh2H-rtr�a.�s �57 ►-c< i3 O "-1'� �J(� Tkf-T__ <br /> (2ZTNrA-(Nam t3�{ �c(�/scc�.-(�i�c�ss _-Xl }- f-5 C49US4 N4 ori &ftJC UrJ"C. , <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 /> ❑a. The treated waste is not a hazardous waste under federal law f. Treatment in an accumulation tank or container within 90 days for over 615 <br /> (Califomia-only waste). 1000 kg/month generators and 180 or 270 days for generators of 100 to <br /> 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. 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 d. Offsite recycling <br /> permit. ❑ e. Thermal treatment <br /> c. Dispose of non-hazardous solid waste residues at an offsite ❑ f. Disposal to land <br /> location. �Xg. 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 />