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EPA ID NUMBER _CAO 0`_,9184 <br /> Page 8 of 11 <br /> CONDITIONALLY EXEMPT - SPECIFIED V6ASTESTREAMS <br /> UNIT SPECIFIC NOTIFICATION <br /> (Pursuant to Health and Safety Code Section 25201.5(c)) <br /> 8• Gravity separation of the following, including the use of floccrdants and demutsiEiers if <br /> ❑ a. The settling of solids from the waste where the resulting aqueous/liquid stream is not hazardous. <br /> ❑ b. The separation of oil/water mixtures and separation sludges, if the average oil recovered Per month is less <br /> than 25 barrels (42 gallons per barrel). <br /> 0 9. Neutralizing acidic or alkaline(base) material by a state certified laboratory or a laboratory operated by an <br /> educational institution. (To be eligible for conditional exemption, this waste cannot contain more than 10 <br /> percent acid or base by weight.) <br /> ❑ 10. Hazardous waste treatment is carried out in quality control or quality assurance laboratory at a facility that <br /> is not an offsite hazardous waste facility. <br /> 11. A wastestream and treatment technology combination certified by the Department pursuant to Section <br /> 25200.1.5 of the Health and Safety Code. Please enter certification number: 94-01-003 <br /> 12. The treatment of formaldehyde or glutaraldehyde by a healthcare facility using a technology <br /> combination certified by the Department pursuant to section 25200.1.5 of the Health and <br /> Safety Code. Please enter certification number: 94-01-003 <br /> H. NARRATIVE DESCRIPTIONS: Provide a brief description of the specific waste treated and the treatment process used. <br /> 1. SPECIFIC WASTE TYPES TREATED: Waste Formalin Waste C1 rar^tdPhvd <br /> 2. TREATMENT PROCESS(ES) USED: Formalex FRC-3 <br /> 3. SPECIFIC WASTE TYPES STORED: None <br /> M. RESIDUAL MANAGEMENT: Check Yes or No to each g'uestion as it applies to all residua Ls from thi- treatment unit. <br /> YES NO <br /> 0 ❑ 1. Do you discharge non-hazardous aqueous waste to a publicly owned treatment works (POTW)/sewer? <br /> ❑ 0 2. Do you discharge non-hazardous aqueous waste under an NPDES permit? <br /> ❑ 0 3. Do you have your residual hazardous waste hauled offsite by a registered hazardous waste hauler? <br /> If you do, where is the waste sent? Check all that appv. <br /> ❑ a. Offsite recycling <br /> ❑ b. Thermal treatment <br /> ❑ C. Disposal to land <br /> ❑ d. Further treatment <br /> ❑ 0 4. Do you dispose of non-hazardous solid waste residues at an offsite location? <br /> ❑ X❑ 5. Other method of disposal. Specify: <br /> DTSC 1772B (1/95) Page I1 <br />