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State of California-California Envirvomo^.al Protection Agency Department of Toxic c 1.`n Control <br /> Check Number Pae I of 10 <br /> a 4a6 a <br /> ONSITE HAZARDOUS WASTE TREATMENT NOTIFICATION FORM <br /> FACILITY SPECIFIC NOTIFICATION <br /> For Use by Hazardous Waste Generators Performing Treatment ® Initial <br /> (� Under Conditional Exemption and Conditional Authorization, ❑ Revised <br /> and by Permit By Rule Facilities <br /> a <br /> hPlease refer to the attached Instructions before completing this form. You may notify for more than one permitting tier by using this <br /> notification form, DISC 1772. You must attach a separate unit specific not(cation forst for each unit at this location. There are <br /> different unit specific notification forms for each of the four categories and an additional not f cation form for transportable treatment <br /> units (TTU's). You only have to submit forms for the tiers) that cover your unit(s). Discard or recycle the other unused farms. <br /> Number each page of your completed—not(cation package and indicate the total number of pages at the top of each page at the <br /> Page of=`. t your EPA ID Number on each page. Please provide all of the information requested; all fields must be <br /> completed except those that state '!f different' or 'if available'. Please type the information provided on this form and any <br /> attachments. <br /> _ -- The notification will not be considered complete without payment of the appropriate fee for each tier under which you are operating. <br /> (Please note that the fee is per TIER not per UNIT. For example, if you operate 5 units but they are all Conditionally Authorized, <br /> you only owe$1,140, NOT 5 timer$1,140. If you operate any Permit by Rule units and any units under Conditional Authorization <br /> you owe$2,280.) Checks should be made payable to the Department of Toric Substances Control and be stapled to the top of this <br /> form. Please write your EPA ID Number on the check Fill in the check number in the box above. <br /> I. NOTIFICATION CATEGORIES <br /> Indicate the number of units you operate in each tier. This will also be the number of unit specific notfcation forms you must attach. <br /> Conditionally Exwnpt Small Quantity Treatment operations may not operate units under any other tier. <br /> Number of[nits and attached unit specific notifications Fee per Tier <br /> (not per unit) <br /> A. 0 Conditionally Exempt-Small Quantity Treatment (Form DTSC 1772A) $ 100 <br /> B. 2 Conditionally Exempt-Specified Wastestream (Form DTSC 1772B) $ 100 <br /> C. 0 Conditionally Authorized (Form DTSC 1772C) $1,140 <br /> D. 0 Permit by Rule (Form DTSC 1772D) $1,140 <br /> 2 Total Number of Units Total Fee Attached 5 200.00 <br /> II. GENERATOR IDENTIFICAT'ION <br /> EPA ID NUMBER CA D 9 8 1 3 7 1 7 2 7 BOE NUMBER (if available) H AHQ 3 6 0 1 9 4 0 9 <br /> NAME (Company or Facility) Del Monte Corporation <br /> (DBA—Doing Business As) <br /> PHYSICAL LOCATION Del Monte Foods Plant #33 <br /> 2716 East Miner Avenue <br /> CITYStockton CA ZIP 95205 - For DTSC Use Only <br /> COUNTYRegion <br /> San Joaquin <br /> CONTACT PERSON David K011 PHONE NUMBER 2( O9 ) 466 -9011 ext 325 <br /> (First Name) (Let Name) <br /> DTSC 1772 (1/93) Page I <br />