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At) <br /> EPA ID NUMBER `/ <br /> %r <br /> CONDITIONALLY EXEMPT - SPECIFIED WASTEST S <br /> UNIT SPECIFIC NOTIFICATION $ 696 <br /> (pursuant to Health and Safety Code Section 25201.5(c)) • ' <br /> SAP!l0A UIN Co � -�' <br /> 1be TSer-Specific Fad Sheets contain a summary of the operating requirements for E y <br /> review those requirements carefully before completing or submitting this notification package. <br /> UNIT NAME UNIT ID NUMBER <br /> NUMBER OF TREATMENT DEVICES: _ Tank(s) Container(s)/Container Treatment Area(s) <br /> NUMBER OF STORAGE DEVICES: _ Tank(s) <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 using any system you Choose. <br /> Enter the estimated monthly total volume of hazardous waste treated by this unit. This should be the maximum or highest amount <br /> treated in any month. Indicate in the narrative (Section ll) if your operations hair seasonal variations. <br /> L WAS-rESTREAMS 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. Treats resins mixed or cured in accordance with the manufacturer's instructions (including one-part and <br /> pre-impregnated materials). <br /> ❑ 2. Treat containers of 110 gallons or less capacity that contained hazardous waste by rinsing or physical <br /> processes, such as crushing, shredding, grinding, or puncturing. <br /> ❑ 3. Drying special wastes, as classified by the department pursuant to Title 22, CCR, Section 66261.124, by <br /> pressing or by passive or heat-aided evaporation to remove water. <br /> ❑ 4. Magnetic separation or screening to remove components from special waste, as classified by the department <br /> pursuant to Title 22, CCR, Section 66261.124. <br /> *NOTE= 5. NO AUTHORIZATION IS NEEDED to neutralize acidic or alkali re (base) wastes fon: the <br /> iegeearaliou of ion exchange media used to dein meraim water. (This waste cannot contain [Wore <br /> than 10 percent acid or base by weight to be eligible for this exemption.) <br /> ❑ 6. Neutralize acidic or alkaline (base) wastes from the food processing industry. <br /> ❑ 7. Recovery of silver from photofinishing. The volume limit for conditional exemption is 500 gallons per <br /> generator (at the same location) in any calendar month. <br /> =NOTE= The recovery of silver from photofinishing is completely exempt from needing <br /> authorization if the quantity treated is 10 gallons or less in any calendar month. This form <br /> need not be completed if you qualify for this exemption. <br /> DTSC 1772B (1/95) Page 10 <br />