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'Y <br /> L _IFORNIA DEPARTMENT OF HEALTH SL..VICES Page 3 of 3 <br /> Hazardous Waste Management BranchCWASTE <br /> at,a9 <br /> APPLICATION FOR CALIFORNIA EXTREMELY HAZARDPER <br /> Company t"-! P fk%(ATE.(Q ClR GRIT City a. 0 8� <br /> IDDITIONA1. WAS'TF,•,SVw <br /> °a <br /> QU IITY' <br /> Description of Waste: 'i^;TtY!a peparttilellt <br /> t}h Senlh�.Chu nlle Basle <br /> (AtcGttling(:cnrifxositic»t uadt N'�stc l.ompoucnt(s) Upper Low �F13' m <br /> Numb Units: <br /> iplx r rail lantx•r Cvncrrttratiurt <br /> of Ilrrardrno'(r»rykntettn / v) KEL _ <br /> Pr�'iSS wan\ Gyr�1v,,� Z o l� F7 <br /> WASTE S � , Z' 0 1-71 a On Year'%Perini:: <br /> Description of Packaging,Containerization and Transport: !trt:ms ❑Cartons ❑ Bottles ❑Tank Truck <br /> ❑ Other <br /> PROPOSED METHOD <br /> OF DISPOSAL �]�p7'p Burial ❑ Ponding ❑ Storage EJ Incineration E-1Other "Specify): <br /> u Treatnient ',Specify): <br /> ❑ Rccscling;Sprcify method of reuse): <br /> QUANTITY <br /> Description of wast.': <br /> Un One Time Basi.: <br /> (Irte6uliux C<nrgxositirnt with <br /> Waste t omponent(s) tipper Lowcr ib ppm Number: Units: <br /> Ltjx'r rail Loumr Ccntcentrttirnt <br /> of If(carticncc Ccmtrrnotts) �- <br /> WASTE a On rear's Permit: <br /> Per Ihspn,.rl <br /> er Yr.rr e,t'd' <br /> Description of Packaging.Containerization and Transport: ❑ I trutns ❑Cartons ❑ Bottles ❑ Tank Truck <br /> ❑ Other <br /> PROPOSED METHOD <br /> OP DISPOSAL ❑ Burial ❑ Ponding ❑ Storage" ❑ Incineration ❑ Other (Specify.): <br /> ❑ Treatment (Specify): <br /> ❑ Recycling(Spreify method of reuse): <br /> QUANTITY <br /> Description of Wast. <br /> On One Time Basis: <br /> OnchrdinContpvsition uadt Waste Cone anent s t' Lrr„rr °b m <br /> Upper(aidl.)urerCvncentratir»t P ( ) II,cr PP Number: lnit,: <br /> otfl,rard(nc;Components) �— <br /> WASTE On Year's Permit: <br /> 4 I'.r I h.;...... <br /> ,r a <br /> Description of P.ckaging,Containeriz,:tinn and Transport: ❑ !bums ❑ Cations ❑ Bottles ❑Tank Tnick <br /> ❑Other <br /> PROPOSED METHOD <br /> OF DISP(NAL ❑ Bmial ❑ Ponding ❑ Storage' ❑ Incineration ❑ 0thCr :Sipccifs t: <br /> ❑ Treannent (Specify): <br /> ❑ ReC%.c1ing :Speeif, :nerhod of reuse?: <br /> �tnlq nor.. <br />