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NOTI I TI OF EXEMPTION O RE� UNIT FORM <br /> Company Naim (DBA)- �(l(1 JC2�4I)I Yl U M A�11 <br /> Company EPA ID Number CAL Q <br /> Company Address (Mail'n ) L_-C. c)n 1 r'-fete <br /> City —�J CA Zip Code �L <br /> Unit Name Unit IDNumber <br /> K4ei*CL 7,3uTcn -Tan K <br /> Is your company eligible for the exemptions noted on page 1? YES X NO_ <br /> If no, then disregard this notice. <br /> If yes, then please check the applicable wastestteam box: <br /> \ 1. Wastestream X 5 under CESW (DTSC 1772B). <br /> The neutralization of acidic or alkaline (base) wastes from the regeneration of ion exchange media used <br /> to demineralize water. (this waste cannot contain more than 10 percent acid or base by weight to be <br /> eligible for this exemption.) <br /> ❑ 2. Wastestrmm N 7 under CESW (DTSC 1772B). <br /> The recovery of silver from photofinishing is exempt from needing authorization if the total quantity treated <br /> at the facility is 10 gallons or less in every calendar month. <br /> Are you authorized for any other treatment activity? YES_ NO X <br /> If yes, under which tier are you authorized? <br /> CESW_ CESQT_ CA_ PBR_ STD. PERMIT_ FULL PERMIT_ <br /> I certify under penalty of law that this document was prepared under my direction ot/sppervisioii and'thq <br /> information is, to the best of my knowledge and belief, true, accurate, and complete. <br /> Name (Print or Type) Title <br /> l4 <br /> 4 2(� QS <br /> t tore Date Signed � RA N E <br /> Yod must submit two copier of this completed page by certified mail, return receipt requested, to: <br /> Department of Toxic Substances Control <br /> Program Data Management Section -Exemption Notification <br /> 4W P Street, 41h Floor, Room 4453 (walk in only) <br /> P.O. Bos 806 <br /> Sacramento, CA 95812-0806. <br /> You must also submit one one co_ o of this page to the local regulatory agency. <br />