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0 0 <br /> UNIFIED PROGRAM CONSOLIDATED FORM <br /> HAZARDOUS WASTE <br /> ONSITE HAZARDOUS WASTE TREATMENT NOTIFICATION- UNIT PAGE <br /> (One page and attachments er unit) <br /> Page _ of_ <br /> FACILITY ID# BUSINESS NAME(Samea FACIUTYNAMEmDBA-Doing Business As) 3 <br /> I.TREATMENT UNIT <br /> UNIT ID# 606. UNIT TYPE/TIER 607. NUMBER OF TANKS 608 NUMBER OF CONTAINERS! 609- <br /> TREATMENT AREAS <br /> ❑ a. CESQT <br /> ❑ b.CES W <br /> UNIT NAME 619 ❑ c. CA MONTHLY TREATMENT 611. UNIT OF MEASURE 612. <br /> VOLUME <br /> ❑ d. PBR ❑ a.Pounds ❑ b.Gallons <br /> ❑ e. CEL <br /> SPECIFIC WASTE TYPE TREATED(narrative) 613. <br /> TREATMENT PROCESS DESCRIPTION(narrative) 614. <br /> (NOTE: For each treatment unit,complete and attach the appropriate Waste and Treatment Process Combinations page.) <br /> H. $ASIS FOR NOT NEEDING FEDERAL PERMIT(Check all that apply) <br /> ❑a. The treated waste is not a hazardous waste under federal law ❑f, Treatment in an accumulation tank or container within 90 days for over 615. <br /> (California-only waste). 1,000 kg./month generators and 180 or 270 days for generators of 100 to <br /> 1,000 kg./month. <br /> ❑b. Treated in waste water treatment units (tanks) and discharged to a <br /> publicly owned treatment works(POTW)Isewering agency or under an ❑g. Recyclable materials are reclaimed to recover silver or other precious metals. <br /> NPDES permit. <br /> ❑c. Treatment in elementary neutralization units. ❑h. Empty container rinsing and/or treatment. <br /> ❑d. Treatment in a totally enclosed treatment facility. ❑i. Other(specify below) <br /> ❑e. Federal conditionally exempt small quantity generator(generated 100 <br /> kg.,approximately 27 gallons,or less of hazardous waste in a calendar <br /> month). <br /> III. RESIDUALS MANAGEMENT DESCRIPTION(Check all that apply) <br /> Residual hazardous waste hauled offsite by a registered hauler. 616. <br /> ❑a. Discharge non-hazardous aqueous waste to POTW or sewer. <br /> ❑b. Discharge non-hazardous aqueous waste under a NPDES permit. [:1 d. Offsite recycling <br /> ❑e. Thermal treatment <br /> ❑c. Dispose ofnon-hazardous solid waste residues at an offsite location. E]f. Disposal to land <br /> ❑g. Further treatment <br /> ❑h. Other method of disposal(describe below) <br /> SECONDARY CONTAINMENT INSTALLATION DATE(If required) 617. <br /> UPCF hwf1772u(V99)-112 www.unidoes.org Rev.02/16/00 <br />