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EPA ID NUMBER C.:L923424 L2 .a V III. RADIOACTIVE MATERIALS OR WASTE YES NO ❑ ❑ Dors the facility use. store or treat radioactive materials or radioactive waste? Iv. 1'YYE OF COMPA:eY: STANDARD INDUSTRIAL CLASSIFICATION (SIC) CODE: Use either one or two SIC coda' (a four aigit number) that best describe your comp: . s products, sen- maurrnal actors: Eximnie. 7M Photeadginrlab 711$ Indunnallaunder-- - First: 7384 Photofinishing Lab Second: V. PRIOR PERMIT STATUS: Check yes or no to each question: YES NO ❑ ❑ 1. Did you file a PER Notice of Intent to Operate (DISC Form 8462) in 1992 for this local; ? ❑ ❑ 2. Do you now have or have you ever held a state or federal hazardous waste facility frill permit°r'ter status for any of these treatment units? ❑ ❑ 3. Do you now have or have you ever held a state or federal frill permit or interim atoms for ave Ou hs"rdous waste activities at this locstion? ❑ ❑ 4. Have you ever held a variance issued by the Department of Toxic Substances Control fon the treatment) am now notifying for at this location? ❑ ❑ 5. Has this location ever been inspected by the state or any local agency as a hazardous wane geacm-" VI. PRIOR ENFORCEMENT 11ISTORY: Not regru and from genm'ors only rrorffying as meditialsaily CMrrR or c carvrrnoal linindry. YES NO ❑ ❑ within the last three years. has this facility been the subiect of any convictions. judgments, settlements. tr-f orders resulting from an action by any local, state. or federal environmental, hazardous waste, or public he enforcement agency? (For the purposes of this form. a notice of violation does not constitute an order and need not be reported u e it was not corrected and became a final order.) ❑ If you answered Yes, check this box and attach a listing of convictions. judgments. setlenNews or aiders a copy of the cover sheet from each document. (See the Instructions for more information) VIL ATTACHMENTS: Attadunotu arc nor rrquined for Cormmodal L uudry fadlit=- 1. A plot plartimap detailing the location(s) of the covered unit(s) in relation to the facility boundaries. 2. A runt specific notification form for each unit to be covered at this location. F DTSC 1772 (1195)