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i • State of California-California Environmental Protection Agency Department of Toxic Substances Control SUMMARY PROGRESS REPORT TABLE 1: GENERAL INFORMATION Date A hazardous waste generator subject to SB 14, is required to complete and submit Tables 1 and 2 to the Department of Toxic Substances Control by September 1, 2003. The generator is to submit only one Table 1. The generator may Reed_ to submit more than ong Table 2, one for each reportable waste stream as stated thereon, See Summary Progress Report publication or SB 14 Guidance Manual Chapter 7, for assistance. (1)NAME OF GENERATOR, FACILITY,or BUSINESS (2)EPA ID NO. (3)SIC CODE (provide SIC or NAICS) (4)NAICS CODE (5)STREET ADDRESS (6)CITY (7)COUNTY (8)MAILING ADDRESS (9)CITY (10)ZIP CODE (11)CONTACT NAME (12)CONTACT PHONE (13)TYPE OF BUSINESS, OPERATION, or ACTIVITY (14) SB 14 reportable total quantities of Hazardous Waste Generated at Site, for 1998 and 2002 Reporting Years. Reportable Total Quantities include all hazardous wastes subject to SB 14. Do not include nonroutinely generated, exempted, or secondary wastes. Exempted and nonroutinely generated wastes are listed in Section 67100.2(c), Title 22, California Code of Regulations. Secondary waste is hazardous waste generated as a result of onsite treatment of HAZARDOUS waste_ Obtain information requested below from your 1998 and 2002 Plans or Cam liance Checklists. 1998 2002 (15) SB 14 hazardous waste processed onsite in a wastewater pretreatment unit for discharge to POTW or NPDES permit (CategoryA' Total: lbs lbs 16 All other SB 14 hazardous waste (Category B' Total: lbs lbs (17)All extremely hazardous waste Total: lbs lbs ' Category A was previously referred to as aqueous waste. Category B was previously referred to as nonaqueous waste. (18) COMMENTS regarding hazardous waste source reduction and recycling activities (add page if needed). DTSC 1262(11114102) Page 1 of 2