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California Code of Regulations (Last Updated: August 6, 2014) |
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Title 27. Environmental Protection |
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Division 1. General Functions and Responsibilities |
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Subdivision 4. State Delegation |
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Part II. Operations |
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Article 10. Business Reporting to Cupas |
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Appendix B. Certified Unified Program Agency (Cupa) Applicant Certification |
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I hereby certify the following: 1. I have read and understand Sections 15130 and 15150(e)(9), (14) and (15) of Article 3, Chapter 1, Subdivision 4, Division 1, Title 27 of the California Code of Regulations. 2. The administrative procedures of the proposed Unified Program, as implemented by my agency, will meet the standards described in Section 15180 of Title 27, CCR. 3. The Unified Program, as implemented by my agency, will meet the reporting requirements as described in Article 6 of Title 27, CCR. 4. All responsible agencies involved in the implementation of the Unified Program, as proposed by this application, have adequate resources to carry out the Unified Program. 5. If I am a non-county entity, that I have notified the county of my intent to apply to administer the Unified Program within my jurisdiction. 6. I agree to use state certified laboratories for analysis required under the Generator Program by Health and Safety Code Chapter 6.5 (refer to Health and Safety Code Section 25198) 7. The information provided within this application is true to the best of my knowledge. 8. I understand that this certification is an integral part of the formal application for certification as a Certified Unified Program Agency, and that any false statement may be grounds for denial or revocation of the Unified Program authorization by the Secretary of the California Environmental Protection Agency.
TABLE 1 ENUMERATIONS/DEMOGRAPHIC INFORMATION *If the HMMP is fully covered by the HMRRP, leave this row blank. **Although the generator program has no mandated inspection frequency, if generator inspections are to be incorporated as part of the Unified Program, their inspection frequency should be coordinated with the inspection frequencies of the other Unified Program elements.
(Cal/EPA T01 11/95) Instructions for Table 1 Fill in the Jurisdiction name that is the reporting applicant agency or CUPA. Fill out the blank and unshaded boxes. # OF BUSINESSES - Number of businesses regulated under each of the programs listed. MANDATED INSPECTION FREQUENCY - Lists the statutorily required minimum inspection frequency. APPLICANT INSPECTION FREQUENCY - The inspection frequency established by the applicant agency in the Inspection and Enforcement Plan. AGENCY TO INSPECT - Which internal CUPA department, office, or agency will inspect or which external local government (participating agency) will inspect. Total # of all regulated businesses - Total of all businesses within all regulated programs. Do not double count businesses for this total. Example: A business that stores hazardous waste in two underground tanks for use in an onsite PBR treatment process. This business would count as one (1) regulated business for the “Total # of all regulated businesses” block of the chart. This same business would count as one (1) regulated business in the Underground Storage Tank program (UST program) with a total of two Underground Storage Tanks (UST's), one (1) regulated business in the HMRRP, one (1) regulated business in the generator program, and one (1) regulated business in the PBR Onsite Hazardous Waste Treatment program. UST program - Underground Storage Tank program Total # of USTs - Total number of underground storage tanks that the business has onsite. SPCC - Spill Prevention Control and Countermeasure Plan. HMMP - Hazardous Material Management Plan. HMRRP - Hazardous Materials Release Response Plan and Inventory Program. PBR - Permit-By-Rule Onsite Hazardous Waste Treatment program. CA - Conditionally Authorized Onsite Hazardous Waste Treatment program. CE - Conditionally Exempt Onsite Hazardous Waste Treatment program. RMPP - Risk Management and Prevention Program. Generators - Hazardous Waste Generator program. Instructions for Table 2 Fill in the Jurisdiction name that is the reporting applicant agency or CUPA. Fill in the fiscal year that the Table is used for. Fill out the blank and unshaded boxes. See instructions for Table 1 for definitions of program abbreviations. PROGRAM HISTORY: PROGRAM IN PLACE IN ABOVE FISCAL YR? (Y/N) - Insert yes or no as appropriate. ESTIMATED BUDGET FOR THIS PROGRAM DURING THE FISCAL YR ABOVE (IF PROGRAM WAS IN PLACE) - Give the dollar amount of the estimated budget or the actual budget. INSPECTIONS: # OF ROUTINE PLANNED - Number of routine inspections planned in the fiscal year noted. # OF ROUTINE COMPLETED - Number of routine inspections Completed in the fiscal year noted. # OF COMPLIAINT COMPLETED - Number of complaint inspections completed in the fiscal year noted. # OF MINOR VIOLS - Number of minor violations in the fiscal year noted. # OF MAJOR VIOL - Number of major violations in the fiscal year noted. ENFORCEMENT ACTIONS TAKEN: INFORMAL ACTION/RETURNED TO COMPLIANCE - The number of informal enforcement actions or return to compliance actions taken during the fiscal year noted. ADMIN - The number of administrative enforcement actions taken during the fiscal year noted. CIVIL - The number of civil enforcement actions taken during the fiscal year noted. CRIMINAL - The number of criminal enforcement actions taken during the fiscal year noted. TOTAL PENALTIES ASSESSED - The total dollar amount of penalties assessed in the fiscal year noted. TOTAL PENALTIES COLLECTED - The total dollar amount of penalties collected in the fiscal year noted. Date Submitted: ___________ Fiscal Year:____________ Check Number: ___________ Telephone Number:(_____)_____________ Completed by: ____________ CUPA: ______________________________ |
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