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RPR-01-1993 12:06 FROM CHEMICAL DATA MGT SYSTEMS TO STOCKTON INC P.06 <br /> CAD 009 212 929 Page 33 of 33 <br /> EPA ID NUMBER PERMIT BY RULE <br /> UNIT SPECIFIC NOTIFICATION <br /> For Fixed Treatment Units Orgy <br /> (pursuant to Title 22,California Code of Regulations.Chapter 45) <br /> V, UNDP OWNER INFORMATION, ONLY F DIFFERENT FROM GENERATOR <br /> OWNER NAME <br /> STREET <br /> CH.1, STATE ZIP COUNTRY <br /> (rte compiew if na VSA) <br /> CONTACT PERSON PHONE NUMBER <br /> (6nr mama) Oxt mme) <br /> VI. ATTACHMENTS: <br /> ® A. A certification specifying the local agencies that have been notified of the operation_(Mandatary) <br /> ® B. Documentation that the facility operator has notified the property owner of the operation of the uniL <br /> (Required only when the property owner is diflerem from the Senera=loperatprJ <br /> ❑ Check this box if the generator is also the property owner. <br /> ® C. A brief description of how the uearment unit operates (ie„ continuous,batch, intermittent'ete•)• <br /> The manufaclurer's operation specification sheet can be used to satisfy this regtnrranenL(ltilandntory) <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(x) and 66265.192(a) for tanks. (Mandatory, although the type of <br /> certification depends cn the type of treatment unit,either tank or container.) <br /> The Tier-Specific Factsheets contain a summary of the operating requirements for this category. <br /> Please review those requirements carefully before completing or submitting this notification IaclOge <br /> DISC 1772D (193) <br /> Page 21 <br /> TOTAL P.06 <br />