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EPA ID NUMBER CAL910603608 <br /> Page 9 of 9 <br /> PERMIT BY RULE <br /> UNIT SPECIFIC NOTIFICATION <br /> For Fixed Treatment Units Only <br /> (pursuant to Title 22, California Code of Regulations, Chapter 45) <br /> V. UNIT OWNER MOR.IIATION, ONLY IF DIFFERENT FROM GENERATOR <br /> OWNER NAME NA <br /> STREET <br /> CITY STATE_ ZIP COUNTRY <br /> (oNy comPlme if na LSAi <br /> CONTACT PERSON PHONE NUMBER <br /> (rimNIM) Q�L NIM) <br /> VI. ATTACHMENTS: <br /> ® A. A certification specifying the local agencies that have been notified of the operation. (Mandatory) (Attachment <br /> ® B. Documentation that the facility operator has notified the property owner of the operation of the unit. =2) <br /> (Required only when the property owner Is different from the generator/operator.) (Attachment '3) <br /> ❑ Check this box if the generator is also the property owner. <br /> ® C. A brief description of how the treatment unit operates (ie., continuous, batch, intermittent, ex.).(At tachment <br /> The manufacturer's operation specification sheet can be used to satisfy this requirement. (Mandatory) =4) <br /> ® D. The tank and/or containment system certifications required by title 22, CCR, sections 66264.175(c) for containers <br /> and containment systems and 66265.191(a) and 66265.192(x) for tanks. (Mandatory, although the type of <br /> certification depends on the type of treatment unit, either tank or container.) (Attachment =5) <br /> The Tier-Specific Factsheets contain a stammary of the operating requirements for this category. <br /> Please review those requirements carefully before completing or submitting this notification package. <br /> DTSC 1772D (1/93) Page 21 <br />