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Seri*umber: V94HQSEB006 Page 2 <br /> -A. la <br /> m; <br /> Currently registered as a hazardous waste transporter. <br /> Q Concurrently applying for registration as a hazardous waste transporter. <br /> B.—Tarnsiing a-variance pursuant to Section 25143, H&S Code, and Article 4, Regulatory Exemptions for <br /> Transporters and Generators, Title 22, CCR, because the following conditions apply: <br /> �The hazardous waste is solely a non-RCRA hazardous waste, or the hazardous waste management activity <br /> Is subject to Resource Conservation and Recovery Act (RCRA) but has been granted a waiver or variance <br /> c pursuant to the Comprehensive Environme. III Response, Compensation and Liability Act (CERCLA), or is <br /> not otherwise regi:(ateu pursuant to RCRA. <br /> and <br /> The hazardous waste or the hazardous waste management activity,when conducted in accordance with the <br /> provisions of Article 4, is insignificant-or unimportant as a potential hazard to human health and safety and <br /> the environment because of its small quantity, low concentration, and/or physical or chemical <br /> characteristics. <br /> C. FOR ALL APPLICANTS INCLUDING MILKRUN TRANSPORTERS: Indicate-the type or types of waste <br /> as shown in the regulations and the physical characteristics and chenical composition of the hazardous <br /> waste you will be transporting under this variance. Give the DOT shipping description which will be shown <br /> cn the shipping paper or the generic description or commonly used industrial name. <br /> 1. Autonobdc Puu C)wuq Solvent-a. Waw Combmabk Lkuid.N.O.S.(Paool mNaphtha)NA1993PGm(DOOI)CERGN27)6.72WpL It. RQWwwCanbubbk <br /> Liquid,N.O.S.(Pctroln®Naphtha)NA 1997 PGIII(ERGN27)6.7IwupL c WOW CanbmoblN Liquid.N.O.S.(Pmokton Naphdw)NA 1997 PGIII(ERG027)6.7 m✓p1 <br /> DOOR.D018,0039,DOq.d. RQ WON Combsdbk Liquid,N.O.S.(Pmoktm NaPhNa)NA 1993 PGIII(ERG1177)6.7Ibs/pl D001.0019,D039,OW.e. RQ Wua <br /> Combusbbk Lkuid,N.O.S(Alpi Hydtocubmu)NA 1993 PGII1(DOI&D039xERON27y L RQWmC r.Ckumd LigW(MaweNankmbK)e NA1760 <br /> POIO(DO0q(ERGN60) <br /> 1. Dry CkatwgSolvmu-• RQWuw Tmaddwvediyktu SoIudatd.l(1NIMPORI(POMERGY7/).It.WON l,l,l,-TncNaaahuw Soh"6.1 UN2831 PGM <br /> (FW2xERGN74).e. Hsatdom Wute,Liquid N.OS.(DiddarouLdworocidanit)9 NAM PGHI(PWSxERGN3IL d. RQ What COmbumW Liquid,N.O.S.(Pmokwn <br /> Naphtha)NA 1993 PGIII(DOOIxERGNM <br /> 3. Anddaae-L Usedutudame(na USEPAaUSDOrtirtlow .It.NatRCRA Haatdaa Wow Liquid.Elhylvu Qywl Sohuion(<3g6). <br /> e. Phaoba-RQHaatdmr W.O%Ligtdd N.O.S9NA3011PGI0(WIIX'R0831} <br /> FOR ALL APPLICANTS OTHER THAN MILKRUN TRANSPORTERS: (If applying for more than one <br /> exemption, be sure to identify the exemption to which the following information applies.) What are the <br /> estimated quantities of hazardous wastes involved? Now frequently will the wastes be transported? <br /> E. FOR ALL APPLICANTS OTHER THAN MILKRUN OR SMALL LOAD TRANSPORTERS: Address of the <br /> central collection facility or the temporary storage facility where this waste will be taken for consolidation. <br /> CERTIFICATION <br /> I certify that I have read, understood, and will follow the provisions of Article 4, Chapter 13, Division 4.5, Title 22, <br /> California Code of Regulations,and that/shall immediately notify the Department of anynoncompliance with the terms <br /> of this variance. <br /> I am aware that there are significant penalties for violations, including the possibility of fine and imprisonment for <br /> knowingly submitting false information.I certify under penalty of perjury to the accuracy of all statements made herein. <br /> Mercy Parker, Senior Environmental Erxjine er <br /> Hama a Ti a o1 Authori RaPrasamatnn,(pant or TV*) <br /> t Nd RaPru i u.e A�mn Om ���� <br />