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COMPLIANCE INFO_PRE 2019
EnvironmentalHealth
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2231-2238 – Tiered Permitting Program
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PR0546086
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COMPLIANCE INFO_PRE 2019
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Last modified
8/26/2020 9:12:14 AM
Creation date
7/30/2020 7:46:46 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2231-2238 – Tiered Permitting Program
File Section
COMPLIANCE INFO
FileName_PostFix
PRE 2019
RECORD_ID
PR0546086
PE
2233
FACILITY_ID
FA0026060
FACILITY_NAME
LODI MEMORIAL HOSPITAL HAM LANE CLINIC
STREET_NUMBER
1235
Direction
W
STREET_NAME
VINE
STREET_TYPE
ST
City
LODI
Zip
95241
CURRENT_STATUS
02
SITE_LOCATION
1235 W VINE ST
QC Status
Approved
Scanner
SJGOV\gmartinez
Supplemental fields
FilePath
\MIGRATIONS\Tiered Permitting\V\VINE\1235\PR0546086\COMPLIANCE INFO.PDF
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EHD - Public
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EPA ID NUMBER CALOOOOA3078 <br /> Page 5 of 6 <br /> CONDITIONALLY EXEMPT - SPECIFIED WASTESTREAMS <br /> UNIT SPECIFIC NOTIFICATION <br /> (pursuant to Health and Safety Code Section 25201.5(c)) <br /> II. NARRATIVE DESCRIPTIONS: Provide a brief description of the specific waste treated and the treatment process used. <br /> I. SPECIFIC WASTE TYPES TREATED: PHOTOGRAPHIC WASTES <br /> 2. TREATMENT PROCESS(ES) USED: Wastes are hauled and treated off—site. <br /> III. RESIDUAL MANAGEMENT: Check Yes or No to each question as it applies to all residuals from this treatment. unit. <br /> YES NO <br /> ❑ 91 1. Do you discharge non-hazardous aqueous waste to a publicly owned treatment works (POTW)/sewer' <br /> ❑ ® 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 hazardous waste hauler? <br /> If you do, where is the waste sent? Check all that apply. <br /> MY <br /> a. Offsite recycling <br /> ❑ b. Thermal treatment <br /> ❑ C. Disposal to land <br /> ❑ d. Further treatment <br /> ❑ ® 4. Do you dispose of non-hazardous solid waste residues at an offsite location? <br /> ❑ ❑ S. Other method of disposal. Specify: <br /> IV. BASIS FOR NOT NEEDING A FEDERAL PERMIT: <br /> In order ro demonstrate eligibility for one of the onsite treatment tiers,facilities are required io provide the basis for determining that <br /> a hazardous waste permit is not required under the federal Resource Conservation and Recovery Act (RCRA) and the federpl <br /> regulations adopted under RCR,4 (Tile 40, Cade of Federal Regulations (CFR)). <br /> Choose the reason(s) that describe the operation of your onsite treatment units: <br /> ❑ 1. The hazardous waste being treated is not a hazardous waste under fedenil law although it is regulated as a hazardous <br /> waste under California state law. <br /> ❑ 2. The waste is treated in wastewater treatment units (tanks), as defined in 40 CFR Part 260.10. and discharged to <br /> publicly owned treatment works (POTW)/sewenng agency or under an NPDES permit. 40 CFR 264.l(g)(6) an <br /> 40 CFR 270.2. <br /> DTSC 17726 (1/93) Page 10 <br />
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