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COMPLIANCE INFO_PRE 2019
EnvironmentalHealth
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2231-2238 – Tiered Permitting Program
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PR0506935
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COMPLIANCE INFO_PRE 2019
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Last modified
8/31/2020 2:53:59 PM
Creation date
7/30/2020 7:44:27 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2231-2238 – Tiered Permitting Program
File Section
COMPLIANCE INFO
FileName_PostFix
PRE 2019
RECORD_ID
PR0506935
PE
2233
FACILITY_ID
FA0006691
FACILITY_NAME
Walmart # 1789
STREET_NUMBER
2350
Direction
W
STREET_NAME
KETTLEMAN
STREET_TYPE
Ln
City
Lodi
Zip
95242
APN
058-140-35
CURRENT_STATUS
02
SITE_LOCATION
2350 W Kettleman Ln
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\gmartinez
Supplemental fields
FilePath
\MIGRATIONS\Tiered Permitting\K\KETTLEMAN\2350\PR0506935\COMPLIANCE INFO PRE 2016.PDF
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EHD - Public
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EPA ID NUMBER CAL923424231 Pages d#`r <br /> CONDITIONALLY EXEMPT - SPECIFIED WASTESTREAMS <br /> UNIT SPECIFIC NOTIFICATION <br /> (pursuant to Health and Safety Code Section 25201.5(c)) <br /> S. Gravity separation of the following, including the use of flocxulants unci demo Wfiersc if <br /> ❑ a. The settling.of solids from the waste whom-the.resulting aquamm/hquid storm is not haardom <br /> ❑ b. The separation of oil/water mixtures and reparation sludges, if the average oil recovered per MOD&is les <br /> than 2S barrels (42 gallons per barrel). <br /> ❑ 9. Neutralizing acidic or alkaline(base) material by a state certified laboratory or a laboratory operntW!by ar <br /> educational institution. (To be eligible for conditional exemption, this waste cannot contain more San 1( <br /> percent acid or base by weight,.) <br /> ❑ 10. Hazardous waste treatment is carried out in quality control or quality asses wwe laboratory at a fat ter. <br /> is not an offsite hazardous waste facility. <br /> ❑ 11. A wastestream and trattment technology combination certified by the Department pursuant to stedor <br /> 2520O.I.S of the Health and Safety Code. Pies se enter certification number. <br /> ❑ 12. The treatment of formaldehyde or glutaraldehyde by a healthcare facility using a technology <br /> combination certified by the Department pursuant to section 25200.1.5 of the Health and <br /> Safety Code. Please enter certification ntanber.- <br /> II. NARRATIVE DESCRIPTIONS: Provide a brief description of the specific waste treated and the trey antes prones usrd <br /> 1. SPECIFIC WASTE TYPES TREATED: Silver bearing fixes and bleach fixes, <br /> 2. TREATMENTPROCESS(ES) USED: Metallic replacement cartrid2esT <br /> 3. SPECIFIC WASTE TYPES STORED: <br /> M. RESIDUAL MANAGEMENT: Check Yu or No to each question as it applies to all miduais from this treats um gait <br /> YES NO <br /> 0 ❑ 1. Do you discharge non-hazardous aqueous waste to a publicly owned treatment works (POTW)/sewer? <br /> ❑ 0 2. Do you discharge non-hazardous aqueous waste under an NPDES permit? <br /> ® ❑ 3. Do you have your residual hazardous waste hauled offsite by a registered haardous waste hauler? <br /> If you do. where is the waste seat? Check all that apply. <br /> 0 a. Offsite recycling <br /> ❑ b. Thermal trrat==t <br /> ❑ C. Disposal to land <br /> ❑ d. Further treatment <br /> �❑3 ® 4. Do you dispose of non-hazardous solid waste residues at an offsite location? <br /> L ❑ S_ tether method of disposal. Specify. <br /> DTSC I772B (1195) Pave l` <br />
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