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Stockton/FC Ah Adhk <br /> MW <br /> UNIFIED PROGRAM CONSOLIDATED FORM <br /> FACILITY INFORMATION <br /> BUSINESS ACTIVITIES <br /> Page 1 <br /> L FACILITY IDENTIFICATION <br /> FACILITY ID# 1. EPA ID#(Hazardous Waste Only) 2. <br /> (Agency Use Only) - - � TTT CAL000322107 <br /> BUSINESS NAME(Same as Facility Name) 3' <br /> Pape Trucks (Kenworth) <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 EYES ❑ NO 4. _CHEMICAL DESCRIPTION(OES 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 lan is required pursuant to 10 CFR Parts 30,40 or 70? <br /> B. CaIARP REGULATED SUBSTANCES <br /> Have Regulated Substances stored onsite in quantities greater than the Coordinate with your local agency responsible <br /> threshold quantities established by the California Accidental Release ❑YES N NO aa. for CalARP. <br /> Prevention Program(CalARP)? <br /> C. UNDERGROUND STORAGE TANKS(USTs) UST FACILITY(Formerly SWPCB Fom,A) <br /> Own or operate underground storage tanks? ❑YES ONO 5. <br /> D. ABOVE GROUND PETROLEUM STORAGE TANKS(ASTs) <br /> Own or operate ASTs above these thresholds: <br /> —any tank capacity is greater than 660 gallons,or N YES ❑ NO s. NO FORM REQUIRED TO CUPAs <br /> —the total capacity for the facility is greater than 1,320 gallons? <br /> E. HAZARDOUS WASTE <br /> Generate hazardous waste? N YES ❑ NO 9. EPA ID NUMBER—provide at the top of this <br /> page <br /> Recycle more than 100 kg/mouth of excluded or exempted recyclable ❑YES N NO lo. RECYCLABLE MATERIALS REPORT(one <br /> materials(HSC§25143.2)? perrecycleT) <br /> Treat hazardous waste on site? ❑YES ONO u. ONSITE HAZARDOUS WASTE <br /> TREATMENT—FACILITY(one page per unit) <br /> Treatment subject to financial assurance requirements (for Permit by Rule El YES ONO 12. GESS RI NC ON OF FINANCIAL <br /> and Conditional Authorization)? <br /> REMOTE WASTE/CONSOLIDATION <br /> Consolidate hazardous waste generated at a remote site? ❑YES N NO 13. SITE ANNUAL NOTIFICATION <br /> Need to report the closure/removal of a tank that was classified as hazardous ❑YES N NO 14. HAZARDOUS WASTE TANK CLOSURE <br /> waste and cleaned onsite? CERTIFICATION <br /> Generate in any single calendar month 1,000 kg(2,200 lbs)or more of RCRA ❑yES N NO 14a. Obtain federal"id Number,file Biemual Report(EPA <br /> hazardous waste, or generate in any single calendar month or accumulate at Form 8700-13AB)and satsfy requirements for RCRA LQG. <br /> any time 1 kg (2.2 lbs) of RCRA acute hazardous waste; or generate or <br /> accumulate at any time more than 100 kg(220 lbs)of spill cleanup materials <br /> contaminated with RCRA acute hazardous waste? <br /> Serve as a Household Hazardous Waste(HHW)Collection site? ❑YES N NO 14b. See CUPA for required forms. <br /> F. LOCAL REQUIREMENTS <br /> ls. <br /> Note--CUPA: Office of Emergency Services (hazardous materials) <br /> and San Joaquin County Environmental Health (hazardous waste) <br />