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TPAC017 DTSC Tiered Permitting System Page: 2 <br /> Report Date: 02/08/94 - 11 . 06 . 15 CAD000631507 <br /> ONSITE HAZARDOUS WASTE TREATMENT NOTIFICATION RENEWAL FORM <br /> III . TYPE OF COMPANY: STANDARD INDUSTRIAL CLASSIFICATION (SIC) CODE: <br /> First: 5171 Petroleum bulk stations and terminals <br /> ---- ------------------------------------------------ <br /> Second: 0000 <br /> ---- ------------------------------------------------ <br /> IV. PRIOR PERMIT STATUS: <br /> N 1 . Did you file a PBR Notice of Intent to Operate for this <br /> -- location? <br /> N 2 . Do you now have or have you ever held a state or federal <br /> -- hazardous waste facility full permit or interim status for any of <br /> these treatment units? <br /> N 3 . Do you now have or have you ever held a state or federal full <br /> -- permit or interim status for any other hazardous waste activities at <br /> this location? <br /> N 4. Have you ever held a variance issued by the Department of Toxic <br /> -- Substances Control for the treatment you are now notifying for at <br /> this location? <br /> N 5 . Has this location ever been inspected by the state or any local <br /> -- agency as a hazardous waste generator? <br /> V. PRIOR ENFORCEMENT HISTORY: <br /> N Within the last three years, has this facility been the subject of <br /> -- any convictions, judgments, settlements, or final orders resulting from <br /> an action by any local, state, or federal environmental, hazardous <br /> waste, or public health enforcement agency? <br /> VI . ATTACHMENTS SUBMITTED: <br /> X A plot plan/map detailing the location(s) of the covered unit(s) <br /> -- in relation to the facility boundaries . <br /> X A unit specific notification form for each unit to be covered at <br /> -- this location. <br /> VII . CERTIFICATION: <br /> NAME: ROGER A TURNER TITLE: MGR <br /> ----------------------------- ----------------------------- <br />