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EPA ID NUMBER CA o 1 Page -'2 of <br /> PERhIIT 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 INFORMATION, ONLY IF DIFFERENT FROM GENERATOR <br /> OWNER NAME <br /> STREET <br /> CITY STATE_ ZIP COUNTRY <br /> (poly complete if tar USA) <br /> CONTACT PERSON PHONE NUMBER <br /> (tura m=) (lua nem) <br /> VI. ATTACHMENTS: <br /> A. A certification specifying the local agencies that have been notified of the operation. (Mandatory) <br /> ❑ B. Documentation that the facility operator has notified the property owner of the operation of the unit. <br /> (Required only when the property owner is different from the generator/operator.) <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, etc.). <br /> The manufacturer's operation specification sheet can be used to satisfy this requirement. (Mandatory) <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(2) for tanks. (Mandatory, although the type of <br /> certification depends on the type of treatment unit, either tank or container.) <br /> Nord ' NorRkfay.aoa v vOEA- at/,, a/vt6cl- <br /> The Tier-Specific Factsheets contain a summary of the operating requirements for this category. <br /> Please review those requirements carefully before completing or submitting this notification package. <br /> Page 21 <br /> nv cr I"IrN (I/oil <br />