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rage c tai EPA :- NUMBER rAT.f..1:-'-=7 L— M. ' =7s— III. RADIOACTIVE MATERIALS OP 'VASTE YES NO ❑ ❑ Does dee facility use. score or treat radioactive materials or radioactive waste? Iv. "I'YM OF COMPAixY: STANDARD INDUSTRIAL CLASSIFICATION (SIC) CODE: Use either one or rwo SIC codes (a four aigit number) that best describe your company's products, sen- . or industrial actwr Euzmpie.- 2Z& Photoddshine lab ZU§ Indurmal launa .a First: 7384 Photofinishin7 Lab Second: V. PRIOR PERMIT STATUS: Check yes or no to each question: YES NO ❑ ❑ I. Did you file a PBR Notice of Intent to Operate (DTSC Form 8462) in 1992 for this location? ❑ ❑ 2. Do you now have or have you ever held a state or federal hazardous waste facility full Permit or itstr status for any of these treatment units? ❑ ❑ 3. Do you now have or have you ever held a suite or federal full permit or interim status for ani cc haurdous waste activir st this location? ❑ ❑ 4. Have you ever held a varranee issued by the Department of Toxic Substances Control for the tiet+tmmr are now notifying for at this location? ❑ ❑ 5. Has this location ever been inspected by the state or any local agency as a haardaus waste gea==r; V1. PRIOR ENFORCEMENT HISTORY: Not required from geaerosors only nonfy'" as nadir"Rally exeen't or s cummerdal lmtndry. ITS NO ❑ ❑ Within the last three years, has this facility been the subject of any convictions. judgments. settlements or ti orders resulting from an action by any local, state. or federal environmental, hazardous waste. or public enforcement agency? (For the purposes of this form. a notice of violation does not constitute an order and need not be tWorcci un: it was not corrected and became a final order.) ❑ If you answered Yes, check this box and attach a listing of convictions, judgments, settlements. or ord=%ar copy of the cover sheet from each document. (See the Instructions for more information) VII. i ACIlMEPTTS: Auadsmohu ars not regained for C"mnov la+usdry faaLuer. ❑ 1. A plot planimap detailing the locations) of the covered unit(s) in relation to the facility boundaries. G2 A unit specific notification form for each unit to be covered at this location. Ps DTSC 1772 (1195)