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Ah dh 14W 1W UNIFIED PROGRAM CONSOLIDATED FORM ' HAZARDOUS WASTE ONSITE HAZARDOUS WASTE TREATMENT NOTIFICATION-UNIT PAGE (one page and attachments per unit) Page 4 of 5 FACILITY ID# BUSINESS NAME(Same as FACILITY NAME or DBA—Doing Business As) 3 LensCrafters—Store Number 135 I.TREATMENT UNIT UNIT ID# 606 UNIT TYPE/TIER 607 NUMBER OF TANKS bog NUMBER OF CONTAINERS/ 609 TREATMENT AREAS 1 ❑ a CESQT 0 1 ® b CESW UNIT NAME 610 ❑ c CA MONTHLY TREATMENT 611 UNIT OF MEASURE 612 VOLUME Polycarbonate coating curing ❑ d PBR <0.5 ❑a Pounds ® b Gallons system ❑ e CEL SPECIFIC WASTE TYPE TREATED(narrative) 613 Polycarbonate lens coating TREATMENT PROCESS DESCRIPTION(narrative) 614 The polycarbonate coating waste is cured daily by placement under a UV-light in accordance with the manufacturer's instructions. (NOTE: for each treatment unit,complete and attach the appropriate Waste And Treatment Process Combinations page) II. BASIS FOR NOT NEEDING FEDERAL PERMIT(Check all that apply) ❑a. The treated waste is not a hazardous waste under federal law ❑ f. Treatment in an accumulation tank or container within 90 days for over 615 (Califomia-only waste). 1000 kg/month generators and 180 or 270 days for generators of 100 to 1000 kg/month. ❑b. Treated in waste water treatment units(tanks)and discharged to a publicly owned treatment works(POTW)/sewering ❑ g. Recyclable materials are reclaimed to recover silver or other precious metals. agency or under an NPDES permit. ❑c. Treatment in elementary neutralization units. ❑ h. Empty container rinsing and/or treatment. ❑d. Treatment in a totally enclosed treatment facility. ❑ i. Other(specify below) ®e. Federal conditionally exempt small quantity generator (generated 100 kg,approximately 27 gallons,or less of hazardous waste in a calendar month). III. RESIDUALS MANAGEMENT DESCRIPTION(Check all that apply) Residual hazardous waste hauled offsite by a registered hauler. 616 ❑ a. Discharge non-hazardous aqueous waste to POTW or sewer. ❑ b. Discharge non-hazardous aqueous waste under a NPDES ❑ d. Offsite recycling permit. ❑ e. Thermal treatment ® c. Dispose of non-hazardous solid waste residues at an offsite ❑ f. Disposal to land location. ❑ g. Further treatment ❑ h. Other method of disposal(describe below) SECONDARY CONTAINMENT INSTALLATION DATE(If required) 617 UPCF(12/99 revised)