Laserfiche WebLink
EPA ID NUMBER U !;10 Q V U 2 G '1 2 Page_of <br /> PERMIT BY RULE <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 /> OWNER NAME Sa on 'L <br /> STREET <br /> CITY STATE_ ZIP COUNTRY <br /> 1 J ry (only complete if not USA) <br /> CONTACT PERSON l L I'L cl_r G V V c PHONE NUMBER(2[)r1 )23ci - B b31 <br /> (ant name) (last name) <br /> VI. ATTACHMENTS: <br /> 19/ A. A certification specifying the local agencies that have been notified of the operation. (Mandatory) <br /> B. Documentation that the facility 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 /> r dry/ ❑ Check this box if the generator is also the property owner. <br /> LJ C. A brief description of how the treatment unit operates (ie., continuous, batch, intermittent, 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 66265.192(a) for tanks. (Mandatory, although the type of <br /> certification depends on 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 package. <br /> DTSC 1772D (1/93) Page 21 <br />