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.RE <br /> Zola <br /> UNIFIED PROGRAM CONSOLIDATED FORME%VIE ONMS T" " <br /> FACILITY INFORMATION �Lg <br /> BUSINESS ACTIVITIES <br /> Page 1 of 10 <br /> I. FACILITY IDENTIFICATION <br /> FACILITY ID# 1 EPA ID#(Hazardous 2. <br /> (Agency Use Only) <br /> BUSINESS NAME(Same as Facility Name or DBA-Doing Business As) FEB _8 2010 3. <br /> GMRI,Inc.DBA Olive Garden#1779 UOUN <br /> II. ACTIVITIES DECLARATION 0FRCN <br /> NOTE: If you check YES to any part of this list, <br /> please submit the Business Owner/Operator Identification page (OES Form 2730). <br /> Does your facility... If Yes, please com tete these pages of the UPCF... <br /> A. HAZARDOUS MATERIALS <br /> Have on site (for any purpose) hazardous materials at or above 55 gallons <br /> for liquids, 500 pounds for solids, or 200 cubic feet for compressed gases <br /> (include liquids in ASTs and USTs); or the applicable Federal threshold Z YES ❑ NO a. HAZARDOUS MATERIALS INVENTORY <br /> quantity for an extremely hazardous substance specified in 40 CFR Part -CHEMICAL DESCRIPTION(OES 2731) <br /> 355, Appendix A or B; or handle radiological materials in quantities for <br /> which an emergency plan is required pursuant to 10 CFR Parts 30, 40 or <br /> 70? <br /> B. UNDERGROUND STORAGE TANKS (USTs) UST FACILITY(Formerly swacB Form A) <br /> 1. Own or operate underground storage tanks? ❑ YES E NO 5. UST TANK(one page per molt)(Formerly Form B) <br /> 2. Intend to upgrade existing or install new USTs? ❑ YES Z NO 6. UST FACILITY <br /> UST TANK(one per um) <br /> UST INSTALLATION-CERTIFICATE OF <br /> COMPLIANCE(one page per mnk)(Formerly Form <br /> C) <br /> 3. Need to report closing a UST? ❑ YES E NO 7. UST TANK(closure portion-ace page per lank) <br /> C ABOVE GROUND PETROLEUM STORAGE TANKS(ASTs) <br /> Own or operate ASTs above these thresholds: <br /> ---any tank capacity is greater than 660 gallons, or ❑ YES Z NO g. NO FORM REQUIRED TO CUPAs <br /> ---the total capacity for the facility is greater than 1,320 gallons? <br /> D. HAZARDOUS WASTE <br /> 1. Generate hazardous waste? ❑YES this page <br /> EPA ID NUMBER-provide at the top of, <br /> ENO 9. <br /> 2. Recycle more than 100 kg/month of excluded or exempted recyclable RECYCLABLE MATERIALS REPORT(one <br /> materials(per H&SC §25143.2)? ❑YES E NO to. per recycler) <br /> 3. Treat hazardous waste on site? ONSITE HAZARDOUS WASTE <br /> ❑YES E NO H. TREATMENT-FACILITY(Formerly Disc <br /> Forms 1772) <br /> ONSITE HAZARDOUS WASTE <br /> TREATMENT-UNIT (rm page per unit) <br /> (Formerly DTSC Forma 1772 A,B,C,D ark L) <br /> 4. Treatment subject to financial assurance requirements (for Permit byCERTIFICATION OF FINANCIAL <br /> Rule and Conditional Authorization)? <br /> E] FS ENO 12. ASSURANCE(Formerly DTSC Form 1232) <br /> 5. Consolidate hazardous waste generated at a remote site? REMOTE WASTE/CONSOLIDATION <br /> ❑YES Z NO 13. SITE ANNUAL NOTIFICATION(Formerly <br /> DTSC Form 11%) <br /> 6. Need to report the closure/removal of a tank that was classified as HAZARDOUS WASTE TANK CLOSURE <br /> hazardous waste and cleaned onsite? El YES Z NO 14. CERTIFICATION(Fom®dy DTSC Form 1249) <br /> E LOCAL REOUIREMENTS 1s. <br /> (You may,also be required to provide additional information by your CUPA or local agency.) <br /> www.unidocs.org Rev3/2/09 <br />