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k ' <br /> MAY 0 2 2016 n <br /> S <br /> rlrr"tr�„f�(ht6�"" LJ <br /> State of California—California Environmental Protection Agency Departmentif-roxi Substances Control ^� <br /> Z <br /> SB 14 SUMMARY PROGRESS REPORT <br /> V <br /> TABLE 1: GENERAL INFORMATION Date <br /> O C <br /> A hazardous waste generator subject to SB 14, is required to complete and submit Tables 1 and 2 to the Department of CfQ <br /> Toxic Substances Control by September 1,2011. The generator is to submit only one Table 1. However,the generator Z <br /> may need to submit more than one Table 2, (one for each reportable waste stream). <br /> See Summary Progress Report publication or SB 14 Guidance Manual Chapter.7,for assistance. Z <br /> (1) NAME OF GENERATOR, FACILITY,or L (1a)MULTI-SITE?(If this is a multi-site business,please check this box fD <br /> BUSINESS and list the primary EPA ID number under box#2 and add the remaining <br /> EPA ID numbers under"COMMENTS”below.Combine data for similar O <br /> /�awastes from the multiple sites for the remainder of the Summary Progress <br /> �. C e(� et� Report). <br /> (2)EPA NO. (3)SIC CODE (4)NAICS CODE <br /> ChD a809 709 3096 26 t so <br /> (5)STREET ADDRESS (6)CITY (7)COUNTY <br /> lop 9 t-6r- 6m Poad Lot fkrU Jdatfuln <br /> n <br /> (8)MAILING ADDRESS (9)CITY (10)ZIP CODE <br /> h9, 130 2.7 1­01:f4ro 5330 <br /> It 1)CONTACT NAME (12)CONTACT PHONE <br /> (13)TYPE OF BUSINESS, OPERATION,or ACTIVITY <br /> t o a Fva Ra-LA.Pa Cf it IF i rt <br /> (14)SB 14 reportable total quantities of Hazardous Waste Generated at Site,for 2006 and 2010 Reporting Years. <br /> Reportable Total Quantities include all hazardous wastes subject to.SB 14. <br /> Do not include nonroutinely generated,exempted,or secondarywastes. Exempted and nonroutinely generated wastes <br /> are listed in Section 67100.2(c),Title 22,California Code of Regulations.Secondary waste is a hazardous waste sludge. <br /> or precipitate that is generated as a result of onsite treatment of liquid hazardous waste that is sent to a.POTW or <br /> receiving water under NPDES permit. <br /> Obtain information requested below from your 2006 and 2010 <br /> Plans or Compliance Checklists. <br /> (15)SB 14 hazardous waste processed onsite in a wastewater ll <br /> treatment unit for discharge to POTW or NPDES permit <br /> (CategoryA' Total: p lbs p 'L lbs <br /> 16 All other SB 14 hazardous waste(Category B' Total: -l' lbs ( � 3 7 lbs <br /> 17 All extremely hazardous waste Total: Ibs I lbs <br /> 'Category A was previously referred to as aqueous waste. Category B was previously referred to as nonaqueous waste. <br /> (16)COMMENTS regarding hazardous waste source reduction and recycling activities(add page if needed). <br /> DTSC 1262(11114106) Page 1 of 2 <br /> 61 <br />