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02/02/48 ONSITCARDOUS WASTE TREATMENT Page: 2 NOTIFICATION RENEWAL FORM CAD980893184 Note: A 'U' on a question line indicates that you did not provide an answer on your application. Please change it to a Yes or No III. RADIOACTIVE MATERIALS OR WASTE - Specify Yes or No N Does this facility use, store or treat radioactive -- materials or radioactive waste? . IV. TYPE OF COMPANY: STANDARD:INDUSTRIAL CLASSIFICATION (SIC) CODE: First: 3672 Printed circuit boards ---- ------------------------------------------------- Second: 0000 V. PRIOR PERMIT STATUS: Specify Yes or No Y 1. Did you file a PBR Notice of Intent to Operate for this -- location? N 2. Do you now have or have you ever held a state or federal -- hazardous waste facility full permit or interim status for any of these treatment units? N 3. Do you now have or have you ever held a state or federal full -- permit or interim status for any other hazardous waste activities at this location? N 4. Have you ever held a variance issued by the Department of Toxic -- Substances Control for the treatment you are now notifying for at this location? Y 5. Has this location ever been inspected by the state or any local -- agency as a hazardous waste generator? VI. PRIOR ENFORCEMENT HISTORY - Specify Yes or No N Within the last three years, has this facility been the subject of -- any convictions, judgments, settlements, or final orders resulting from an action by any local., state, or federal environmental, hazardous waste, or public health enforcement agency? VII. ATTACHMENTS SUBMITTED: X A plot plan/map detailing the location(s) of the covered unit(s) -- in relation to the facility boundaries. X A unit specific notification form for each unit to be covered at -- this location. VIII. CERTIFICATION: NAME: JAMES NEAL TITLE: ENVIRONMENTALISAFETY MANAGER