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UNIFIED PROGRAM CONSOLIDATED FORM <br /> FACILITY INFORMATION <br /> BUSINESS ACTIVITIES <br /> Page I of 1 <br /> I. FACILITY IDENTIFICATION <br /> FACILITY ID k I EPA H)1(Hazardous Waste Only) - <br /> CAD 054 602 875 <br /> BUSINESS NAME(Same as Facility Name or DDA-Doing Business.As) -' <br /> Thule Towing Systems, LLC <br /> 11. 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 emn tete these pages of the LJPCF... <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 <br /> (include liquids in ASTs and USTs); or the applicable Federal threshold ®YES ❑ NO 4. HAZARDOUS MATERIALS INVENTORY <br /> 9 PP —CHEMICAL DESCRIPTION(CES 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 /> emerRenev vlan is required pursuant to 10 CFR Parts 30,40 or 70? <br /> B. UNDERGROUND STORAGE TANKS((JSTs) LIST FACILITY(Fomnedy swacB I.A) <br /> 1. Own or operate underground storage tanks? ❑YES ® NO 5. UST TANK(orc pare per ty,lr)(Foaaoay Form s) <br /> 7. Intend to upgrade existing or install new USTs? ❑YES ® NO o. LIST FACILITY <br /> LIST TANK(one per tad) <br /> I IST INSTALLATION-CERTIFICATE OF <br /> COMPLIANCE(--o wwpe,m )(Fmmedy F« cl <br /> 3. Need to report closing a UST? C]YES ® NO +. LIST TANK(dosaro por5oa-ore pose pe,uot) <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 FXI NO a. 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 ❑ NO a. EPA ID NI IMBER—provide at the top of this <br /> page <br /> 2. Recycle more than 100 kg/month of excluded or exempted recyclable RECYCLABLE MATERIALS REPORT(.re <br /> materials(per H&SC §25143.2)? ❑YES ® NO to per reoyolr<) <br /> 3. Treat hazardous waste on site? ONSITE HAZARDOUS WASTE <br /> ®YES ❑ NO II. TREATMENT—FACILITY(Formerly DTSC <br /> Forms 1772) <br /> ONSITE HAZARDOUS WASTE <br /> TREATMENT—KNIT (o. pN eperuruon`oa y <br /> DTSC Fames 1072 A6 0,D and L) <br /> 4. Treatment subject to financial assurance requirements (for Permit by CERTIFICATION OF FINANCIAL <br /> Rule and Conditional Authorization)? ®YES NO❑ u. ASSLtRANCE(Forznerly DTSC 1.1232) <br /> 5. Consolidate hazardous waste generated at a remote site? REMOTE WASTE/CONSOLIDATION <br /> ❑YES ® NO 13. SITE ANNi.IAL NOTIFICATION(Formerly <br /> DTSC FormllBQ <br /> 6. Need to report the closure/removal of a tank that was classified as ❑YES Z] NO HAZARDOUS WASTE TANK CLOSI.IRE <br /> hazardous waste and cleaned onsite? 1n. CERTIFICATION(I.,],DTs('FePP 1240) <br /> E. LOCAL REOUIREMENTS (You may also)be tmutred tP Provide addlional inRiona[on by vnur('I TPA or local agency.1 1 <br /> CDMS/WKM/1-0 <br /> UPCF Bwfactiv(1/99)-1/2 www.uaidacs.org Rev.02/16/00 <br />