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EPA ID NUMBER L <br /> CONDITIONALLY EXEMPT-SMALL QUANTITY T 81996 <br /> UNIT SPECIFIC NOTIFICATION <br /> (pursuant to Health and Safety Code Section 25201.5(x)) OFFICE ON o !H COUNTY` <br /> The Tier-Specific Fad Sheets contain a summary of the operating requirements for this category. <br /> review those requirements carefully before completing or submitting this notification package. <br /> UNIT NAMEUNIT ID NUMBER <br /> NUMBER OF TREATMENT DEVICES: _ Tsnk(s) Container(s)/Container Treatment Area(s) <br /> v <br /> NUMBER OF STORAGE DEVICES: _ Tank(s) <br /> Please Note: Generators operating units under Conditionally Exempt Small Quantity Treatment may not <br /> operate any other units under other permitting tiers or hold any other state or federal hazardous waste <br /> permit or authorization for this facility. <br /> Each unit must be clearly identified and labeled on the plot plan attached to Form 1772. Assign your own unique number to each <br /> unit. The number can be sequential (1, 2, 3) or you may use any system you choose. <br /> This category is only available to generators that treat kis than 55 gallons or 500 pounds of hazardous waste in any aalendkir month <br /> inlel units at this facility and that are not otherwise required to obtain a hazardous waste facilities permit. This volume limit <br /> applies to the TOTAL. hazardous waste treated onsite in any calendar month, and is NOT a limit for each wastestream or unit <br /> separately. The wastestreams treated must be limited to those listed in Title 22, CCR, Section 67450.11, which are also listed below. <br /> Enter the estimated monthly total volume of hazardous waste treated by this unit. 7his should be the maximum or highest amount <br /> treated in any month. Indicate in the narrative (Section 11) if your operations have seasonal variations. <br /> 1. WASTESfREAMS AND TREATMENT PROCESSES: <br /> Estimated Monthly Total Volume Treated: pounds and/or gallons <br /> Estimated Monthly Total Volume Stored: ______pounds and/or gallons <br /> YES NO <br /> ❑ ❑ Is the waste treated in this unit radioactive? <br /> ❑ ❑ Is the waste treated in this unit a bio-hazard/infectious/medical waste? <br /> ❑ ❑ Is remotely generated hazardous waste (HSC 25110.10) treated in this unit? <br /> The following are the eligible wastestreams and treatment processes. Please check all applicable boxes: <br /> 1. Aqueous wastes containing hexavalent chromium may be treated by the following process: <br /> ❑ a. Reduction of hexavalent chromium to trivalent chromium with sodium bisulfite, sodium metabisulfite, sodium <br /> thiosulfate, ferrous sulfate, ferrous sulfide or sulfur dioxide provided both pH and addition of the reducing agent <br /> are automatically controlled. <br /> DTSC 1772A (1/95) Page 4 <br />