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EPA ID NUMBER CAL0000°3078 Page 4 of 6 CONDITIONALLY EXEMPT - SPECIFIED WASTESTREAMS UNIT SPECIFIC NOTIFICATION (pursuant to Health and Safety Code Section 25201.5(c)) UNIT NAME Ham Lane Clinic UNIT ID NUMBER 17 NUMBER OF TREATN ENT DEVICES: Tank(s) 1 Container(s) Each unit must be clearly identified and labeled on the plot plan attached to Form 1772. Assign your own unique number to each unit. The number can be sequential (1, 2, 3) or using any system you choose. Enter the estimated monthly total volume of hazardous waste treated by this unit. This should be the maximum or highest amount treated in any month. Indicate in the narrative (Section 11) if your operations have seasonal variations. 1. WASTESTREAMS AND TREATMENT PROCESSES: Estimated Monthly Total Volume Treated: Pounds and/or 8 gallons The following are the eligible wastestreams and treatment processes. Please check all applicable boxes: ❑ 1. Treats resins nixed in accordance with the manufacturer's instructions. ❑ 2. Treat containers of 110 gallons or less capacity that contained hazardous waste by rinsing or physical processes, such as crushing, shredding, grinding, or puncturing. ❑ 3. Drying special wastes, as classified by the department pursuant to title 22, CCR, section 66261.124, by pressing or by passive or heat-aided evaporation to remove water. ❑ 4. Magnetic separation or screening to remove components from special waste, as classified by the department pursuant to title 22, CCR, section 66261.124. ❑ 5. Neutralize acidic or alkaline (base) wastes from the regeneration of ion exchange media used to demineralize water. (This waste cannot contain more than 10 percent acid or base by weight to be eligible for conditional exemption.) ❑ 6. Neutralize acidic or alkaline (base) wastes from the food processing industry. ® 7. Recovery of silver from photofinishing. The volume limit for conditional exemption is 500 gallons per generator (at the same location) in any calendar month. 8. Gravity separation of the following, including the use of Bocculants and demulsifiers if , ❑ a. The settling of solids from the waste where the resulting aqueous/liquid stream is not hazardous. ❑ b. The separation of oil/water mixtures and separation sludges, if the avenge oil recovered per month is less than 25 barrels (42 gallons per barrel). ❑ 9. Neutralizing acidic or alkaline (base) material by a state certified laboratory or a laboratory operated by an educational institution. (To be eligible for conditional exemption, this waste cannot contain more than 10 percent acid or base by weight.) DTSC 1772B (1/93) Page 9