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RPR-01-1993 12:05 FROM CHEMICRL DRTR MGT SYSTEMS TO STOCKTON INC P.04 <br /> EPA ID NUMBER CAD 009 212 929 — PERMIT BY RULE Page 21 of 33 <br /> UNIT SPECIFIC NOTIFICATION <br /> For Fixed TYeatment Unita Only <br /> (pursuant to Title 22,California Code of Regulations,Chapter 45) <br /> V. UNIT OWNER INFORMATION, ONLY IF DIFFERENT FROM GENERATOR <br /> OWNER NAME <br /> STREET <br /> CITY STATE ZIP COUNTRY <br /> (may C-RA—if nor USA) <br /> CONTACT PERSON PHONE NUMBER <br /> (fist mme) <br /> 0—0) <br /> VI. ATTACHMENTS: <br /> ® A. A certification specifying the local agencies that have been notified of the operation.(Maadatcq) <br /> B. Documentation that the hlcility operator has notified the property owner of the operation of the unit <br /> (Required only when the property owner is different from the generator/operator.) <br /> [J Check this box if rho generator is also the property owner. <br /> ® C. A brief description of how the treatment unit operates (le..continuous, batch, intern iuent, etc.). <br /> The manufacturer's operation specification sheet can be used to satisfy this requirement.(Mandatory) <br /> D. The tank and/or containment system certifications required by title 22,CCR,sections 66264.175(c)for containers <br /> and containment systems and 66265.191(a) and 66265.I92(a) for tanks. (Mandatory, although the type of <br /> certification depends on the type of treatment unit,either rant or container.) <br /> The Tier-Specific Factshmts contain a summary of the operating requirements for this category. <br /> Please review those requirements carefully before completing or submitting this notification package. <br /> DTSC 1772D(1/93) Page 21 <br />