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UPCF Business Activities Page Instructions
<br /> Please submit the Business Activities page,the Business Owner/Operator Identification page,and Hazardous Materials Inventory-Chemical Description pages for all
<br /> submissions. (Note: the numbering of the instructions follows the data element numbers that are on the Unified Program Consolidated Form(UPCF)pages These
<br /> data element numbers are used for electronic submission and are the same as the numbering used in Division 3,Electronic Submittal of Information.) Please number all
<br /> pages of your submittal This helps your CUPA or AA identify whether the submittal is complete and if any pages are separated.
<br /> 1 FACILITY ID NUMBER-Leave this blank This number is assigned by the Certified Unified Program Agency(CUPA)or Administering Agency(AA) This is the unique
<br /> number which identifies your facility
<br /> 2 EPA ID NUMBER-If you generate,recycle,or treat hazardous waste,enter your facility's 12-character U S Environmental Protection Agency(U S EPA)or California
<br /> Identification number. For facilities in California,the number usually starts with the letters"CA" If you do not have a number,contact the Department of Toxic Substances
<br /> Control(DTSC)Telephone Information Center at(916)324-1781,(800)-61-TOXIC or(800)61-86942,to obtain one
<br /> 3 BUSINESS NAME-Enter the full legal name of'the business This is the same as the terms"Facility Name"or"DBA-Doing Business As"that might have been used in
<br /> the past
<br /> 103 BUSINESS SITE ADDRESS-Enter the street address where the facility is located No post office box numbers are allowed This information must provide a means to
<br /> geographically locate the facility
<br /> 104 BUSINESS SITE CITY-Enter the city or unincorporated area in which business site is located
<br /> 105 ZIP CODE-Enter the zip code of business site The extra 4 digit zip may also be added.
<br /> 4 HAZARDOUS MATERIALS—Check the box to indicate whether you have a hazardous material onsite You have a hazardous material onsite if`
<br /> It is handled in quantities equal to or greater than 500 pounds,55 gallons,or 200 cubic feet of compressed gas (calculated at standard temperature and pressure),
<br /> It is handled in quantities equal to or greater than the applicable federal threshold planning quantity for an extremely hazardous substance listed in 40 CFR Part 355,
<br /> Appendix A,
<br /> Radioactive materials are handled in quantities for which an emergency plan is required to be adopted pursuant to Part 30,Part 40,or Part 70 of Chapter 10 of 10 CFR,or
<br /> pursuant to any regulations adopted by the state in accordance with these regulations
<br /> If you have a hazardous material onsite, then you must complete the Business Owner/Operator Identification page and the Hazardous Materials Inventory-Chemical
<br /> Description page,as well as an Emergency Response Plan and Training Plan
<br /> Do not answer"YES"to this question if you exceed only a local threshold,but do not exceed the state threshold
<br /> 4a REGULATED SUBSTANCES—Refer to 19 CCR 2770 5 for regulated substances Check the box to indicate whether your facility has CalARP regulated substances stored
<br /> onsite
<br /> 5 OWN OR OPERATE UNDERGROUND STORAGE TANK(UST)-Check the appropriate box to indicate whether you own or operate USTs containing hazardous
<br /> substances as defined in Health and Safety Code(HSC)25316 If"YES",then you must complete one UST Facility page and UST Tank pages for each tank You must also
<br /> submit a plot plan and a monitoring program plan
<br /> 8. OWN OR OPERAIE ABOVEGROUND PETROLEUM STORAGE TANK OR CONTAINER-Check the appropriate box to indicate whether there are ASTs onsite which
<br /> exceed the regulatory thresholds (There is no UPCF page for AS Is) This program applies to all facilities storing petroleum in aboveground tanks Petroleum means crude
<br /> oil,or any fraction thereof,which is liquid at 60 degrees Fahrenheit temperature and 14 7 pounds per square inch absolute pressure (HSC,25270 2(g)) The facility must
<br /> have a cumulative storage capacity greater than 1,320 gallons for all AS Ts NOT Subject to the Act(exemptions):
<br /> An aboveground petroleum storage tank(AST)facility with one or more of the following(see HSC 25270 2(k))is not subject to this act and is exempt:
<br /> A pressure vessel or boiler which is subject to Division 5 of the Labor Code,
<br /> A storage tank containing hazardous waste if a hazardous waste facility permit has been issued for the storage tank by DTSC,
<br /> An aboveground oil production tank which is regulated by the Division of Oil and Gas,
<br /> Certain oil-filled electrical equipment including but not limited to transformers,circuit breakers,or capacitors
<br /> 9 HAZARDOUS WASTE GENERATOR-Check the appropriate box to indicate whether your facility generates hazardous waste A generator is the person or business
<br /> whose acts or processes produce a hazardous waste or who causes a hazardous substance or waste to become subject to State hazardous waste law. If your facility generates
<br /> hazardous waste,you must obtain and use an EPA Identification number(ID)in or to properly transport and dispose of it Report your EPA ID number in#2 Hazardous
<br /> waste means a waste that meets any of the criteria for the identification of a hazardous waste adopted by DISC pursuant to HSC 25141 "Hazardous waste"includes,but is
<br /> not limited to,federally regulated hazardous waste Federal hazardous waste law is known as the Resource Conservation and Recovery Act(RCRA) Unless explicitly
<br /> stated otherwise,the term"hazardous waste"also includes extremely hazardous waste and acutely hazardous waste
<br /> 10 RECYCLE-Check the appropriate box to indicate whether you recycle more than 100 kilograms per month of recyclable material under a claim that the material is excluded
<br /> or exempt per HSC 25143 2 Check"YES"and complete the Recyclable Materials Report pages, if you either recycled onsite or recycled excluded recyclable materials
<br /> which were generated offsite Check"NO"if you only send recyclable materials to an offsite recycler You do not need to report
<br /> 11 ONSITE HAZARDOUS WASIE TREATMENT-Check the appropriate box to indicate whether your facility engages in onsite treatment of hazardous waste "Treatment"
<br /> means any method,technique,or process which is designed to change the physical,chemical,or biological character or composition of any hazardous waste or any material
<br /> contained therein,or removes or reduces its harmful properties or characteristics for any purpose "Treatment"does not include the removal of residues from manufacturing
<br /> process equipment for the purposes of cleaning that equipment Amendments(effective I/l/99)add exemptions from the definition of"treatment"for certain processes
<br /> under specific,limited conditions Refer to HSC 25123 5(b)for these specific exemptions Treatment of certain laboratory hazardous wastes do not require authorization
<br /> Refer to HSC 25200 3 1 for specific information Please contact your CUPA to determine if any exemptions apply to your facility If your facility engages in onsite
<br /> treatment of hazardous waste then complete the Onsite Hazardous Waste Treatment Notification - Facility page and one set of Onsite Hazardous Waste Treatment
<br /> Notification-Unit pages with waste and treatment process information for each unit
<br /> 12. FINANCIAL ASSURANCE-Check the appropriate box to indicate whether your facility is subject to financial assurance requirements for closure of an onsite treatment
<br /> unit Unless they are exempt, Permit by Rule (PBR) and Conditionally Authorized (CA) operations are required to provide financial assurance for closure costs(per 22
<br /> CCR 67450 13(b) and HSC 25245 4) If your facility is subject to financial assurance requirements or claiming an exemption,then complete the Certification of Financial
<br /> Assurance page
<br /> 13. REMOTE WASTE CONSOLIDAIION SITE-Check the appropriate box to indicate whether your facility consolidates hazardous waste generated at a remote site. Answer
<br /> "YES"if you are a hazardous waste generator that collects hazardous waste initially at remote sites and subsequently transports the hazardous waste to a consolidation site
<br /> you also operate You must be eligible pursuant to the conditions in HSC 25110 10. If your facility consolidates hazardous waste generated at a remote site,then complete
<br /> the Remote Waste Consolidation Site Annual Notification page
<br /> 14 HAZARDOUS WASTE TANK CLOSURE-Check the appropriate box to indicate whether the tank being closed would be classified as hazardous waste after its contents
<br /> are removed Classification could be based on:
<br /> Your knowledge of the tank and its contents The mixture rule
<br /> Testing of the tank The listed wastes in 40 CFR 26131 or 40 CFR 261 32.
<br /> Inability to remove hazardous materials stored in the tank
<br /> If the tank being closed would be classified as hazardous waste after its contents are removed,then you must complete the Hazardous Waste Tank Closure Certification page
<br /> 14a RCRA LQG-Check the appropriate box to indicate whether your facility is a Large Quantity Generator If"YES",you must have or obtain a US EPA ID Number
<br /> 14b HOUSEHOLD HAZARDOUS WASTE COLLECTION-Check the appropriate box to indicate whether your facility is a HHW Collection site
<br /> 15 LOCAL REQUIREMENTS -Some CUPAs or AAs may require additional information Check with your CUPA before submitting the UPCF to determine if any
<br /> supplemental information is required
<br /> UPCF Rev. (12/2007)-2/2 www.unidocs.org
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