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hYA �7 NUMBER \) k I i Page 1q of I- <br /> CONDITIONALLY EXEMPT - SPECIFIED WASfESTREAMS <br /> UNIT SPECIFIC NOTIFICATION <br /> (pursuant to Health and Safety Code Section 25201.5(c)) <br /> U. NARRATIVE DESCRIPTIONS: Provide a brief description of the speciftt waste treated and the treatment prm=a sd. <br /> 1. SPECIFIC WASTE TYPES TREATED: X - i a•.1 xr a e the <br /> 2. TREATMENT PROCESS(ES) USED: <br /> M. RESIDUAL MANAGEMENT: Check Yes or No to each question as it applies to all residuair front Lhk treatment unit. <br /> YES NO <br /> C7 ❑ 1. Do you discharge non-hazardous aqueous waste to a publicly owned treatment works (pOTW)/sewer? <br /> ❑ 19 2. Do you discharge non-hazardous aqueous waste tinder an NPDES permit? <br /> ❑ 3. Do you have your residual hazardous waste hauled offsite by a registered hazardous waste hauler? <br /> t-�If you do, where is the waste sent? Check all that apply. <br /> YS! <br /> A. Offsite recycling <br /> ❑ b. Thermal treatment <br /> ❑ C. Disposal to land <br /> �q ❑ d. Further treatment <br /> L1 <br /> ❑ � 4. Do you dispose of non-hazardous solid waste residues at an offdte location? <br /> 11E4 5. Other method of disponi. Specify: <br /> IV. BASIS FOR NOT NEEDING A FEDERAL PERMIT: <br /> In order to demonstrate a igibillty for one of the onrue treatment tiers,facilities are required to provide the basis for determining that <br /> a hazardous waste permit is not required under the federal Resource Consersntion and Recovery Act (RCRA) and the federal <br /> regulations adopted under RCRA (Tule 40, Cade of Federal Regulations (CFR)). <br /> Choose the reason(s) that describe the operation of your.onsite treatment units; <br /> ❑ 1. The haardotn waste being treated is not a hazardous waste under federal law although it is <br /> regulated u a ti.aedoua <br /> waste trader California state Lw. <br /> 2. The waste is treated in wastewater treatment [nits(tants), as defined in 40 CFR Pat 260.10, and discharged to a <br /> publicly owned treatment works (POTT)/wwering agency or under an NPDES permit. 40 CFR 264.1(gx6) and <br /> 40 CFR 270.2. <br /> DTSC 17728 (1/93) PEP-10 <br />