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UNIFIED PROGRAM CONSOLIDATED FORM <br /> FACILITY INFORMATION <br /> BUSINESS ACTIVITIES <br /> Page 1 of 10 <br /> I. FACILITY IDENTIFICATION <br /> FACILITY ID# 1. EPA ID#(Hazardous Waste Only) 2. <br /> (Agency Use Only) - <br /> BUSINESS NAME(Same as Facility Name) 3. <br /> Sprint Nextel Cell Site SF03UB073 <br /> II. ACTIVITIES DECLARATION <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 for <br /> liquids, 500 pounds for solids, or 200 cubic feet for compressed gases HAZARDOUS MATERIALS INVENTORY <br /> (include liquids in ASTs and USTS); or the applicable Federal threshold [DYES ❑ NO 4. -CHEMICAL DESCRIPTION(DES 273 1) <br /> quantity for an extremely hazardous substance specified in 40 CFR Part 355, <br /> Appendix A or B;or handle radiological materials in quantities for which an <br /> emergency Ian is required pursuant to 10 CFR Parts 30,40 or 70? <br /> B. UNDERGROUND STORAGE TANKS(USTS) UST FACILITY(Fonnedy SWRCB Form A) <br /> I. Own or operate underground storage tanks? ❑YES ONO 5. UST TANK(one page per unk)(Farmedy Form B) <br /> 2. Intend to upgrade existing or install new USTS? ❑YES ONO 6. UST FACILITY <br /> UST TANK(one perk) <br /> UST INSTALLATION-CERTIFICATE OF <br /> COMPLIANCE(one page per tank)(Formerly Form Q <br /> 3. Need to report closing a UST? ❑YES ONO 7 UST TANK(dorm porion-one page per tank) <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 S NO s. 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 S NO 9. EPA ID NUMBER-provide at the top of this <br /> page <br /> 2. Recycle more than 100 kg/month of excluded or exempted recyclable RECYCLABLE MATERIALS REPORT(one <br /> materials(per HSC§25143.2)? ❑YES ONO to. ,errec,der) <br /> 3. Treat hazardous waste on site? ONSITE HAZARDOUS WASTE <br /> El YES S NO u. TREATMENT-FACILITY(Formedy DTSC <br /> F.1772) <br /> ONSITE HAZARDOUS WASTE <br /> TREATMENT-UNIT (one pge per unit)(Foonedy <br /> DTSC Forma 1772 A,B,C,D.and L) <br /> 4. Treatment subject to financial assurance requirements(for Permit by ❑YES S NO Iz. CERTIFICATION OF FINANCIAL <br /> Rule and Conditional Authorization)? ASSURANCE(Formedy DTsc Form 1232) <br /> 5. Consolidate hazardous waste generated at a remote site? REMOTE WASTE/CONSOLIDATION <br /> ❑YES S NO 11 SITE ANNUAL NOTIFICATION(Formedy <br /> DTSC Farm 11%) <br /> 6. Need to report the closure/removal of a tank that was classified as ❑YES S NO 14. HAZARDOUS WASTE TANK CLOSURE <br /> hazardous waste and cleaned onsite? CERTIFICATION(Formerly mrsc Form 1249) <br /> E. LOCAL REQUIREMENTS 15. <br /> (You may also be required to provide additional information by your CUPA or local agency.) <br /> UN-020UPCF-1/11 www.unidoes.org Rev.0724/06 <br />