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DEC-28-2007 FRI 02:39 PM 01800 FAX N0. 01W0 P. 01 Sum a!Calilorda .Calitorvia Evriroaca.W Prr Wlioa Agent fhparmmr d Toric Saba m Courpi Graeae r Page I of 3 ONSITE HAZARDOUS WASTE TREATMENT NOTIFICATION FORM ti. FACILITY SPECIFIC NOTIFICATION For Use by Hazardous Waste Generators Performing Treatment ® Initial I3 U Under Conditional Exemption and Conditional Authorization, Revised o, and by Permit By Rule Facilities t a in Please refer to the attached IncrraGYigrIJ before completing this farm. You may notifyJar more than ant permitting tier by wring this j norification form,DISC 1771. You must attach a separate unit specific notification form for each unit at this location. There are different unit specific notiftcationforms for each of the jour categories and an additional notfcationform for transporrable treatment units (TTU's). You only have to submit farms for the tier(j) that cover your unit(s), Discard or recycle the other unused forms. Number each page of your completed notification package and indicate the total number of page at the top of each page at rhe 'page _ of_'. Put your EPA ID Number on each page. Please provide all of the information requested; all fields must be completed except those that state 'if differem' or 'if available'. Please type rhe information provided on this form and any attachments. The notcatian will not be considered complete without payment of the appropriare fee for each rier under which you arc operating. (Please note that the jet is per TIER am per UNIT. For example, if you operate S units but they are all Conditionally Authorized, you only owe $J,140, NOT S rima$1,140. If you operate any Permit by Rule units and any units under Condirional Awhorization you owe$2.280.) Checks should be made payable to the Department of Toxic Substance Control and be stapled to the top of this farm. pkase write your EPA ID.Number on the check Fill in the check number in the bar above. I. NOTIFICATION CATEGORIES Indicate the number of unirs you operate in each tier. This will alto be the number of unit specie notfcation forms you must attach. Corditioeally Exempt Small Quantity Treartnenr operations may am operate arum wader any oche tier. -'Number of units and attached unit specific notifications Fee per Tier (ncr per un") A_ Conditionally Exempt-Small Quantity Treatment (Form DTSC 1772A) $ too B. — Conditionally Exempt-Specified Wastestream (Form DTSC 17728) $ 100 C. Conditionally Authorized (Form DTSC 1772C) $1,140 D. Permit by Rule (Form DTSC 177213) $1,140 1 Total Number of Unita Total Fee Attached S 1.140 U. GENERATOR IDEN'IiMCATION EPA ID NUMBER CAT 0 8 0 0 1 1 2 4 0 BOB NUMBER (if available) HYHQ3 6 0 0 7 8 6 9 NAME (Company or Facility) SFPP, L'P'- Stockton Zentrinal (DBA--Ooina 9usimm Aa) PHYSICAL LOCATION 2947 Navy Drive For DTSC UK Oaty Cly Stockton CA ZIP 95206 Region COUNTY San Joaquin CONTACT PERSON Jchn Nasus PHONE NUMBER2( .09 ) 465 _ 7369 (Fitw Ham) (Lap Nam)