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cin v cvUMtitK l) L I � <br /> Page _ or <br /> CONDITIONALLY EXEMPT - SPECIFIED WASTESTREAMS <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 specific waste treated and the rrearmem process used. <br /> I. SPECIFIC WASTE TYPES TREATED: <br /> 2. TREATMENT PROCESS(ES) USED: <br /> L"//"Y <br /> III. RF MUAL MANAGEMENT: Chec* Yes or No to each question as it applies to all residual$from Eh4 rreamienr unit <br /> }}YES NO <br /> E9 ❑ I. Do ,you discharge non-hazardous aqueous waste to a publicly owned treatment works (POTW)/sewer? <br /> ❑ Q 2. Do you discharge non-hazardous aqueous waste under an NPDES permit? <br /> ❑ 3. Do you have your resadual hazardous waste hauled offsite by a registered hazardous waste hauler? <br /> If you do, where is the waste sent? Check all that apply. <br /> ItSI a. Offsite recycling <br /> ❑ b. Thermal treatment <br /> ❑ C. Disposal to land <br /> tq ❑ d. Further treatment <br /> ❑ ICI 4. Do you dispose of non-hazardous solid waste residues at an offaite location? <br /> ❑ 5. Other method of disposal. Specify: <br /> IV. BASIS FOR NOT NEEDING A FEDERAL PERMIT: <br /> In order to demonstrate eligibility for one of rhe onsue trearnenr tiers,facilities are required to provide the basisfor determining that <br /> a hazardous waste permit is not required under the federal Resource Coerervstfon and Recovery Act (RCRA) and the federal <br /> regulations adopted under RCR4 (!Tule 40. Cade of Federal Regulations (CFR)). <br /> Choose the reason(s) that describe the operation of your onsite treatment units; <br /> ❑ l. The hazardous waste being rseated is not a hazardous waste tinder federal law although it is MVLWed as a a. <br /> waste under California stun law. <br /> 2. The waste is treated in wastewater treatment units(tanks), as defined in 40 CFR Part 260.10, and discharged to a <br /> publicly owned treatment works (POTW)/sewering agency or under an NPDES permit. 40 CFR 264.1(gx6) and <br /> 40 CFR 270.2. <br /> DTSC 1772B (1/93) PEP 10 <br />