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RPR-01-1993 12:05 F-nM CHEMICRL DRTR MGT SYSTEMS TO STOCKTON INC P.04 <br /> EPA ID NUMBER CAD 009 212 929 PERMIT BY RULE Page21 of 33 <br /> UNIT SPECIFIC NOTIFICATION <br /> For Fixed Treatment Units Only <br /> (pursuant to Title 22,California Code of Regulations,Chapter 45) <br /> V. UNIT OWNER INFORMATION, ONLY IF DIFFERENT FROM GENERATOR <br /> O'V�NAME <br /> STREET <br /> CITY STATES ZIP COUN- Y <br /> (may C—Plae if nor USA) <br /> CONTACT PERSON PRONE NUNME R <br /> (sen:�) p,ffi tea) <br /> VI. ATTACHMENTS: <br /> ® A. A certification specifying the local agencies thin have been notified of the operation.(Mandatory) <br /> ® B. Documentation that the t0ity operator has notified the property owner of the operation of the unit. <br /> (Required only when the property owner is different from the genemtoeoperator.) <br /> ❑ Check this box if the generator is also the property owner. <br /> ® C. A brief description of how the treatment unit operates (le.,continuous, hatch, intermittent, etc.). <br /> The minuLcturer's operation speciflcadon 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 66265.192(a) for links. (Mandatory, although the type of <br /> certification depends on the type of treamient unit,either tank or container.) <br /> The Tier-Specific Fact0eets 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 />