Form 8700-13 2013 Hazardous Waste Report

United States
Environmental Protection
Agency

September 2012

2013 Hazardous
Waste Report
Instructions and Forms
EPA Form 8700-13 A/B
(OMB #2050-0024; Expires 12/31/2014)

Office of Resource Conservation and Recovery (ORCR)
(5303P)
Washington, DC 20460
2013 Hazardous Waste Report
Instructions and Form
This is an ongoing information collection from hazardous waste generators and hazardous waste treatment, storage, or disposal
facilities. This collection is done on a two-year cycle as required by Sections 3002 and 3004 of the Resource Conservation and Recovery
Act (RCRA). The information is collected via a mechanism known as the Hazardous Waste Report for the required reporting year [EPA
Form 8700-13 A/B] (also known as the Biennial Report). Both RCRA Sections 3002 and 3004 require EPA to establish standards for
recordkeeping and reporting of hazardous waste. Section 3002 applies to hazardous waste generators and Section 3004 applies to
hazardous waste treatment, storage, and disposal facilities. The implementing regulations are found at 40 CFR Parts 262.40(b) and (d);
262.41(a)(1)-(5), (a)(8), and (b); 264.75(a)-(e) and (j); 265.75(a)-(e) and (j); and 270.30(1)(9). This is mandatory reporting by the
respondents.
The respondents’ submissions (reports) describe each generated hazardous waste, the activity by which they generated the wastes, and
the waste quantity; the reports also list the management method by which each waste is treated, recycled, or disposed and the quantity
managed. There are a number of uses of Biennial Report data. EPA uses Biennial Report data for planning and developing regulations,
compliance monitoring, and enforcement. Also, Biennial Report data allow the Agency to determine whether its regulations are having
the desired effect on the generation and management of hazardous waste. For example, Biennial Report data provide information on
whether waste management has shifted from one method of disposal to another. Some State uses of Biennial Report data include
support of planning, fee assessment, compliance monitoring, and enforcement.
Some businesses consider some of their hazardous waste information to be Confidential Business Information (CBI). A business may, if
it desires, protect its Biennial Report information from public disclosure by asserting a claim of confidentiality covering all or part of its
information. When a claim is made, EPA will treat the information in accordance with the confidentiality regulations in 40 CFR Part 2,
Subpart B. EPA also ensures that the information collection procedures comply with the Privacy Act of 1974 and OMB Circular 108.
Estimated Burden: The annual reporting burden for the 2013 Hazardous Waste Report is estimated to average 12 hours per hazardous
waste facility, and includes time for gathering data, completing and reviewing the forms, and submitting the report. The recordkeeping
burden is estimated to average 5 hours per hazardous waste facility, and includes the time for reading the instructions and filing and
storing the 2013 Hazardous Waste Report submission for three years. The annual reporting burden is estimated to be 22 hours per
facility for a State agency to distribute the 2013 Hazardous Waste Report Instructions and Forms, assist respondents, key entry report
submissions, and perform quality assurance. There are no recordkeeping requirements associated with this requirement, and as such,
there is no recordkeeping burden.
To comment on the Agency’s need for this information, the accuracy of the provided burden estimates, and any suggested methods for
minimizing respondent burden, including the use of automated collection techniques, EPA has established a public docket for this
information collection request (ICR) under Docket ID Number EPA-HQ-RCRA-2011-0280, which is available for public viewing at the
RCRA Docket in the EPA Docket Center (EPA/DC), EPA West, Room 3334, 1301 Constitution Ave., NW, Washington, D.C. The EPA Docket
Center Public Reading Room is open from 8:30 a.m. to 4:30 p.m., Monday through Friday, excluding legal holidays. The telephone
number for the Reading Room is (202) 566-1744 and the telephone number for the RCRA Docket is (202) 566-0270. An electronic
version of the public docket is available through EPA Dockets (EDOCKET) at http://www.epa.gov/dockets/regulations.htm.
Use EDOCKET to submit or view public comments, access the index listing of the contents of the public docket, and to access those
documents in the public docket that are available electronically. Once in the system, select “search,” then key in the Docket ID number
identified above. Also, you can send comments to the Office of Information and Regulatory Affairs, Office of Management and Budget,
th
725 17 Street, NW, Washington, D.C. 20503, Attention: Desk Office for EPA. Please include the EPA Docket ID Number EPA-HQ-RCRA2011-0280 and OMB Control Number 2050-0024 in any correspondence.

TABLE OF CONTENTS
THE 2013 HAZARDOUS WASTE REPORT ................................................................................................................. 7
Introduction ...............................................................................................................................................................7
What’s New ...............................................................................................................................................................8
WHO MUST FILE THE 2013 HAZARDOUS WASTE REPORT ...................................................................................... 9
Sites Required to File the Hazardous Waste Report ..................................................................................................9
Sites that should not File the Hazardous Waste Report ..........................................................................................10
State-specific Requirements ....................................................................................................................................10
INSTRUCTIONS FOR FILING THE 2013 HAZARDOUS WASTE REPORT .................................................................... 11
Introduction .............................................................................................................................................................11
Authority ..................................................................................................................................................................11
Overview of the 2013 Hazardous Waste Report .....................................................................................................11
When and Where to Send Your Completed Report ................................................................................................11
Which Forms to Submit and What to Report ..........................................................................................................12
Filling Out the Forms ...............................................................................................................................................13
Contacts for Assistance ...................................................................................................................................13
Copies of Hazardous Waste Report Instructions and Forms ...........................................................................14
Documents Helpful in Filling Out the Forms ...................................................................................................14
Code Lists ........................................................................................................................................................14
Alphanumeric Fields ........................................................................................................................................14
Right Justification of Quantities ......................................................................................................................15
Comments Section of Forms ...........................................................................................................................15
Page Numbering of Forms ..............................................................................................................................15
Photocopies of Forms .....................................................................................................................................16
Electronic Reporting ........................................................................................................................................16
Confidential Business Information (CBI) .........................................................................................................16

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TABLE OF CONTENTS (continued)
INSTRUCTIONS FOR FILLING OUT THE RCRA SUBTITLE C SITE IDENTIFICATION (SITE ID) FORM ............................ 17
Who Must Submit this Form....................................................................................................................................17
Purpose of this Form ...............................................................................................................................................17
How to Fill Out this Form .........................................................................................................................................17
Item-By-Item Instructions ........................................................................................................................................18
Item 1 – Reason for Submittal ........................................................................................................................18
Item 2 – Site EPA Id Number ...........................................................................................................................20
Item 3 and 4 – Site Name and Location ..........................................................................................................20
Item 5 – Site Land Type ...................................................................................................................................21
Item 6 – North American Industry Classification System (NAICS) Code(s) ......................................................21
Item 7 – Site Mailing Address..........................................................................................................................22
Item 8 – Site Contact Person ...........................................................................................................................22
Item 9 – Legal Owner and Operator of the Site ..............................................................................................22
Item 10 – Type of Regulated Waste Activity ...................................................................................................24
Item 11 – Description of Hazardous Wastes ...................................................................................................32
Item 12 – Notification of Hazardous Secondary Material (HSM) Activity .......................................................33
Item 13 – Comments .......................................................................................................................................33
Item 14 – Certification ....................................................................................................................................33
ADDENDUM TO THE SITE IDENTIFICATION FORM: NOTIFICATION OF HAZARDOUS SECONDARY MATERIAL
ACTIVITY .............................................................................................................................................................. 34
You Must Fill Out this Section if:..............................................................................................................................34
Item 1 – Indicate Reason for Notification (include dates where requested) ..................................................35
Item 2 – Description of Excluded Hazardous Secondary Material (HSM) Activity ..........................................36
Item 3 – Facility has Financial Assurance Pursuant to 40 CFR 261.4(a)(24)(vi) ...............................................39

TABLE OF CONTENTS (continued)
INSTRUCTIONS FOR FILLING OUT THE GM FORM – WASTE GENERATION AND MANAGEMENT ........................... 40
Who Must Submit this Form....................................................................................................................................40
Purpose of this Form ...............................................................................................................................................40
How to Fill Out this Form .........................................................................................................................................40
Wastes to be Reported ............................................................................................................................................41
Wastes not to be Reported .....................................................................................................................................42
How to Report Similar Wastes on the GM Form .....................................................................................................43
Item-By-Item Instructions ........................................................................................................................................44
Section 1 – Waste Characteristics ...................................................................................................................44
Item A – Waste Description ............................................................................................................................44
Item B – EPA Hazardous Waste Code(s) ..........................................................................................................44
Item C – State Hazardous Waste Code(s) ........................................................................................................45
Item D – Source Code and Management Method Code for Source Code G25 ...............................................45
Item E – Form Code .........................................................................................................................................46
Item F – Quantity Generated in 2013 / UOM and Density ..............................................................................46
Section 2 – On-site Generation and Management of Hazardous Waste During 2013....................................47
Was any of this wAste that was generated at this facility treated, disposed, and/or recycled on-site? ........47
On-Site Management Method Code ...............................................................................................................48
Quantity Treated, Disposed, or Recycled On-site in 2013 ..............................................................................49
Section 3 – Off-site Shipment of Hazardous Waste ........................................................................................49
Item A – Was any of this Waste Shipped Off-site in 2013 for Treatment, Disposal, or Recycling? ................49
Item B – EPA ID Number of Facility to which Waste was Shipped ..................................................................50
Item C – Off-site Management Method Code Shipped To ..............................................................................50
Item D – Total Quantity Shipped in 2013 ........................................................................................................50
Comments .......................................................................................................................................................50

TABLE OF CONTENTS (continued)
INSTRUCTIONS FOR FILLING OUT THE WR FORM – RECEIVED FROM OFF-SITE ..................................................... 51
Who Must Submit this Form....................................................................................................................................51
Purpose of this Form ...............................................................................................................................................51
How to Fill Out this Form .........................................................................................................................................51
Item-By-Item Instructions ........................................................................................................................................52
Item A – Waste Description ............................................................................................................................52
Item B – EPA Hazardous Waste Code(s) ..........................................................................................................52
Item C – State Hazardous Waste Code(s) ........................................................................................................53
Item D – Off-site Handler EPA Identification Number ....................................................................................53
Item E – Quantity Received in 2013 ................................................................................................................53
Item F – UOM and Density ..............................................................................................................................54
Item G – Form Code ........................................................................................................................................54
Item H – Management Method Code .............................................................................................................55
Comments .......................................................................................................................................................55
OTHER REFERENCE INFORMATION AND CODE LISTS ............................................................................................ 57
Excluded Wastes ......................................................................................................................................................58
Definitions ................................................................................................................................................................59
Special Instructions ..................................................................................................................................................69
EPA Hazardous Waste Codes ...................................................................................................................................72
HSM Facility Codes ...................................................................................................................................................73
HSM Land-Based Unit Codes ....................................................................................................................................74
Source Codes ............................................................................................................................................................75
Form Codes ..............................................................................................................................................................77
Management Method Codes ...................................................................................................................................79
Waste Minimization Codes ......................................................................................................................................81

THE 2013 HAZARDOUS WASTE REPORT
INTRODUCTION
The U.S. Environmental Protection Agency’s (EPA’s) mission to protect human health and the
environment includes the responsibility to effectively manage, with the States, the nation’s hazardous
waste. As part of this task, the EPA and the States collect and maintain information about the
generation, management, and final disposition of the nation’s hazardous waste regulated by the
Resource Conservation and Recovery Act (RCRA).
The EPA prepared this booklet for hazardous waste generators and for facilities that treat, store, or
dispose hazardous waste to report their hazardous waste activities for calendar year 2013. The
information collected will:
Provide the EPA and the States with an understanding of hazardous waste generation and
management in the U.S.
Help the EPA measure the quality of the environment, such as monitoring industry compliance
with the regulations and evaluating waste minimization efforts taken by industry.
Be summarized and communicated to the public, primarily through publication of the 2013
National Biennial RCRA Hazardous Waste Report.
The data you provide will be entered into a computer database by the State or the EPA Regional Office
to which you return your Hazardous Waste Report. After review, to ensure the quality of the data, EPA
will create a national database for this information. Your efforts in carefully filling out all the report
forms are appreciated.

IMPORTANT
Before completing the 2013 Hazardous Waste Report forms, please carefully read the instructions in this
booklet.
IF YOU NEED ASSISTANCE
To obtain assistance in filling out the 2013 Hazardous Waste Report forms, please contact your State
Office. Some States’ reporting requirements differ from the Federal requirements. The list of State and
EPA Regional Office addresses, contact names, telephone numbers, and e-mail addresses is located at:
http://www.epa.gov/epawaste/inforesources/data/form8700/contact.pdf.

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The 2013 Hazardous Waste Report
(continued)

WHAT’S NEW
Below is a list of changes to the 2013 Hazardous Waste Report Instructions and Forms.
CONSOLIDATED MANAGEMENT METHOD CODES
Some management method codes have been consolidated in order to ease reporting. For example,
previous codes H071 (chemical reduction), H073 (cyanide destruction), H075 (chemical oxidation),
H076 (wet air oxidation) and H077 (other chemical precipitation) have all been consolidated under the
new management method code H070 (chemical treatment). The management method codes for this
2013 reporting year have been mapped to the management method codes used for previous years in
order to assist filers with the transition.
REVISED WASTE MINIMIZATION CODES
The waste minimization codes have been revised in order to assist filers with reporting their waste
minimization activities. The new waste minimization codes identify when waste minimization activities
occurred (whether initiated prior to the reporting year or during the reporting year) and also provide
examples of types of waste minimization activities.
REVISED LANGUAGE FOR SOME SOURCE CODE DESCRIPTIONS
Editorial changes were made to the description of some source codes in order to improve clarity for
filers. For example, G25 was changed from “hazardous waste management” to “treatment, disposal, or
recycling of hazardous waste” in order to better communicate the meaning of this code.
REVISED NORTH AMERICAN INDUSTRY CLASSIFICATION SYSTEM (NAICS) CODES
In completing the 2013 Hazardous Waste Report, sites should use the new 2012 NAICS codes
established by the U.S. Census Bureau. Significant changes were made to the NAICS codes in 2012. All
sites should confirm their NAICS codes in the new 2012 NAICS code table, which can be found at
http://www.census.gov/eos/www/naics.

8

WHO MUST FILE THE 2013 HAZARDOUS WASTE REPORT
SITES REQUIRED TO FILE THE HAZARDOUS WASTE REPORT
You are required by Federal statute (mandatory reporting) to complete and file the 2013 Hazardous
Waste Report (also known as the “Biennial Report”) or your State’s equivalent hazardous waste report if
your site:
Met the definition (see box below) of a RCRA Large Quantity Generator (LQG) during 2013; or
Treated, stored, or disposed of RCRA hazardous wastes on-site during 2013.
If you are required to report, see WHICH FORMS TO SUBMIT AND WHAT TO REPORT to determine
which forms you must submit.

DEFINITION OF A RCRA LARGE QUANTITY GENERATOR
WHO MUST REPORT FOR CALENDAR YEAR 2013
A site is a RCRA Large Quantity Generator (LQG) for 2013 if the site met any of the following criteria:
a. The site generated, in any single calendar month, 1,000 kg (2,200 lbs.) or more of RCRA non-acute
hazardous waste; or
b. The site generated, in an single calendar month, or accumulated at any time, more than 1 kg (2.2
lbs.) of RCRA acute hazardous waste; or
c. The site generated, in any single calendar month, or accumulated at any time, more than 100 kg (220
lbs.) of spill cleanup material contaminated with RCRA acute hazardous waste.
Note: Generators must total (or count) the quantity of all hazardous wastes generated per month. The
regulations stating which hazardous wastes are counted in a generator's monthly quantity determination are
found in 40 CFR 261.5(c) and (d).
Note: You will report your current Hazardous Waste Generator status as of the date of submitting your 2013
Hazardous Waste Report on the Site ID Form in Item 10.A.1 – Generator of Hazardous Waste. Your current status
may be different from the status during the report year that requires you to file the Hazardous Waste Report.
Note: Hazardous waste imported from a foreign country in 2013 must be counted in determining your generator
status if your site is the U.S. Importer. This waste must be reported on the GM Form or the WR Form in your
2013 Hazardous Waste Report.
Note: Some States, as a matter of State law, require other categories of generators to report as well. See the
discussion under “State-specific Requirements” on page 10.

9

Who Must File the 2013 Hazardous Waste Report
(continued)

SITES THAT SHOULD NOT FILE THE HAZARDOUS WASTE REPORT
Do not file the 2013 Hazardous Waste Report if, during 2013, your site was not a RCRA Large Quantity
Generator (your site did not meet any of the LQG criteria) and your site did not treat, store, or dispose
of RCRA hazardous wastes on-site in waste management units subject to a RCRA operating permit.
Exception: File the report if your State has more stringent reporting requirements. See “State-specific
Requirements” below.
If you are not required to report, you should notify us if your hazardous waste generator status has
changed; please fill out the RCRA Subtitle C Site Identification Form and submit it to your State Office.
See the Item-by-Item Instructions for information on filling out the Site Identification Form. Place an “X”
in the box for Subsequent Notification in Item 1 – Reason for Submittal.
Unless required by your State, do not file the 2013 Hazardous Waste Report if, during 2013, all of your
hazardous waste was exported directly out of the U.S. to a foreign country. Facilities that export
hazardous waste must file a separate Annual Report under 40 CFR 262.56. (This Annual Report will be in
addition to the Hazardous Waste Report, if your State requires you to submit a Hazardous Waste
Report.)

STATE-SPECIFIC REQUIREMENTS
States may impose reporting requirements above and beyond the Federal requirements. If your State
does so, it will attach information to (or delete information from) this booklet. Alternatively, some
States use a modified version of this report or their own instructions and forms to fulfill their reporting
requirements. Please contact your State office about State-specific requirements. See the contacts list
at: http://www.epa.gov/epawaste/inforesources/data/form8700/contact.pdf.

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INSTRUCTIONS FOR FILING THE 2013 HAZARDOUS WASTE REPORT
INTRODUCTION
The instructions and forms for the 2013 Hazardous Waste Report are prepared by the U.S.
Environmental Protection Agency (EPA) for generators and for treatment, storage, and disposal facilities
(TSDFs) to report their hazardous waste activities for 2013. Additionally, facilities may use this
Hazardous Waste Report to notify their regulatory authority that they are managing hazardous
secondary material (HSM) under 40 CFR 261.2(a)(2)(ii), 40 CFR 261.4(a)(23), (24), or (25) (these facilities
would notify using the RCRA Subtitle C Site Identification Form and Addendum to the Site Identification
Form).

AUTHORITY
The authority for the 2013 Hazardous Waste Report is contained in Sections 3002 and 3004 of the
Resource Conservation and Recovery Act of 1976 (RCRA), as amended by the Hazardous and Solid Waste
Amendments of 1984 (HSWA). Section 3002 requires hazardous waste generators to report to the EPA
or the authorized States, at least every two years, the quantities, nature, and disposition of generated
hazardous waste. Under the authority of Section 3004, the EPA requires reporting by treatment,
storage, and disposal facilities for the wastes they receive.

OVERVIEW OF THE 2013 HAZARDOUS WASTE REPORT
To determine if you are required to file the Hazardous Waste Report, read WHO MUST FILE THE 2013
HAZARDOUS WASTE REPORT.
Which Forms to Submit and What to Report describes circumstances and situations under which each
of the forms should be completed.
Filling out the Forms provides general guidelines for filling out the Hazardous Waste Report forms. This
includes where to find the telephone number for the State Contacts, which you can call with questions
about completing the Hazardous Waste Report.

WHEN AND WHERE TO SEND YOUR COMPLETED REPORT
The 2013 Hazardous Waste Report is due to your State or EPA Regional Office by March 1, 2014. Return
your completed Hazardous Waste Report to the address listed for your State or Regional contact. See
the additional information sent to you with this booklet. An updated listing of State and EPA Regional
mailing addresses, contact names, telephone numbers, and e-mail addresses is maintained at:
http://www.epa.gov/epawaste/inforesources/data/form8700/contact.pdf.

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Instructions for Filing the 2013 Hazardous Waste Report
(continued)

Detailed instructions for filling out each of the forms are provided. Other reference information and
code lists are provided, including: a list of excluded wastes; definitions of key terms; special instructions
that explains how to report certain types of wastes (e.g., lab packs, PCBs); a list of hazardous waste
codes, HSM facility codes, HSM land-based unit codes, source codes, form codes, management method
codes, and waste minimization codes.

WHICH FORMS TO SUBMIT AND WHAT TO REPORT
The 2013 Hazardous Waste Report contains the following four forms:
SITE ID FORM
A site required to file the 2013 Hazardous Waste Report MUST submit the RCRA Subtitle C Site
Identification Form (Site ID Form) as a component of the Report.
You will report that you are submitting the Site ID form as part of the 2013 Hazardous Waste Report in
Item 1 – Reason for Submittal. Mark “As a component of the Hazardous Waste Report (If marked, see
sub-bullet below)” and mark the sub-bullet, if the status is applicable to you during the 2013 reporting
year.
You will fill out the Site ID form by reporting all information current as of the date of submitting your
2013 Hazardous Waste Report. This includes reporting your current Hazardous Waste Generator status
in Item 10.A.1 (Generator of Hazardous Waste), which may have changed since 2013.
Facilities that will begin managing, are managing, or will stop managing hazardous secondary material
under 40 CFR 261.2(a)(2)(ii), 40 CFR 261.4(a)(23), (24), or (25) must submit the Site Identification
Addendum as a component of the Report pursuant to 40 CFR 260.42. These regulations exclude certain
hazardous secondary material(s) being reclaimed from the RCRA Subtitle C definition of solid waste
provided certain requirements and conditions are met.
GM FORM
A site required to file the 2013 Hazardous Waste Report must submit Waste Generation and
Management (GM) Form(s) for all hazardous waste that was used to determine the site’s generator
status. Hazardous waste must be reported if it was:
Generated and accumulated on-site and subsequently managed on-site or shipped off-site in
2013; or
Generated and accumulated on-site in 2013 but not managed on-site or shipped off-site until
after 2013; or
Generated and accumulated on-site prior to 2013 but either managed on-site or shipped off-site
in 2013; or

12

Instructions for Filing the 2013 Hazardous Waste Report
(continued)

Imported from a foreign country in 2013.
Examples of RCRA hazardous wastes to be reported include those that were:
Generated on-site from a production process, service activity, or routine cleanup;
Generated from equipment decommissioning, spill cleanup, or remedial cleanup activity;
Shipped off-site, including hazardous waste that was received from off-site (reported on the
Waste Received From Off-site Form [WR Form]) and subsequently shipped off-site without being
treated or recycled on-site;
Removed from on-site storage for treating, recycling, or disposing on-site or shipped off-site;
Derived from the management of non-hazardous waste; or
Derived from the on-site treatment (including reclamation), disposal, or recycling of previously
existing hazardous waste (as a residual).
Unless required by your State, DO NOT submit a GM Form for any hazardous waste shipped directly to a
foreign country. Facilities that export hazardous waste must file a separate Annual Report under 40 CFR
262.56. (This Annual Report will be in addition to the Hazardous Waste Report, if your State requires
you to submit a Hazardous Waste Report.)
WR FORM
A site required to file the 2013 Hazardous Waste Report must submit Waste Received From Off-site
(WR) Form(s) if, during 2013, it received RCRA hazardous waste from off-site and managed the waste
on-site (including subsequent transfer off-site).
OI FORM
A site must complete Off-site Identification (OI) Form(s) only if the site’s State requires it. Instructions
for OI Forms are on the back of the form. For a list of State contacts go to:
http://www.epa.gov/epawaste/inforesources/data/form8700/contact.pdf.

FILLING OUT THE FORMS
CONTACTS FOR ASSISTANCE
To obtain assistance in filling out the 2013 Hazardous Waste Report forms, please contact your State or
EPA Regional Office. States’ reporting requirements or forms may differ from the Federal requirements.
The list of contact addresses, contact names, telephone numbers, and e-mail addresses is located at:
http://www.epa.gov/epawaste/inforesources/data/form8700/contact.pdf.
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Instructions for Filing the 2013 Hazardous Waste Report
(continued)

COPIES OF HAZARDOUS WASTE REPORT INSTRUCTIONS AND FORMS
Additional copies of the 2013 Hazardous Waste Report Instructions and Forms can be obtained from the
contact provided for your State. If your State uses the EPA’s version of the instructions and forms, you
can download the booklet from:
http://www.epa.gov/epawaste/inforesources/data/biennialreport/index.htm.

DOCUMENTS HELPFUL IN FILLING OUT THE FORMS
To prepare the 2013 Hazardous Waste Report, you should consult your records on quantities and types
of hazardous waste that your site generated, managed, shipped, or received in 2013. Some records that
may be helpful are:
Hazardous waste manifest forms;
Hazardous Waste Report forms submitted in previous years;
Records of quantities of hazardous waste generated or accumulated on-site;
Results of laboratory analyses of your waste;
Contracts or agreements with off-site facilities managing your wastes; and
Copies of permits for on-site waste management systems.

CODE LISTS
LIST
The LIST symbol denotes references to relevant code lists. Please use only the codes included in the
instructions or in the lists of codes provided.
SKIP INSTRUCTIONS
The
symbol denotes directions to skip to the next appropriate section or item to be completed,
given certain responses to some questions.
EXPLANATIONS
The NOTE symbol denotes explanatory text of definitions of terms used in the instructions.

ALPHANUMERIC FIELDS
Valid characters for alphanumeric fields are limited to:
`~!@#$%^&*()_-+={}[]|\:;’”,.?/1234567890ABCDEFGHIJKLMNOPQRSTUVWXYZ
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Instructions for Filing the 2013 Hazardous Waste Report
(continued)

Invalid characters for alphanumeric fields include:
<>
If the “<” or “>” symbols are used to indicate less than or greater than, it is recommended that these
symbols be replaced with “LT” or “GT.”

RIGHT JUSTIFICATION OF QUANTITIES
Right justify all quantities reported on the forms. For example, enter a quantity of 12,000 tons on the
form as:
1 2 0 0 0 .

0

Enter a quantity of 29,599.5 tons as:
2 9 5 9 9 .

5

COMMENTS SECTION OF FORMS
Use the Comments section at the bottom of the forms to clarify or continue any entry. For each
comment, reference the section number and item letter of the entry that is being continued. For
example, if a hazardous waste generated on-site has seven EPA hazardous waste codes, enter the first
six in Section 1 - Item B of the GM Form. Enter the seventh waste code in the Comments section and
cross-reference Section 1 - Item B. For example, you would write: “Sec. 1, Item B, continued: D007.”

PAGE NUMBERING OF FORMS
When you have filled out all the appropriate forms in your Hazardous Waste Report submission, number
the pages (each piece of paper is a page) consecutively throughout your submission. Do not number
each set of forms separately, but rather number each page sequentially. The individual page number
and the total number of pages in your submission should appear at the bottom of each page (e.g., Page
1 of 7, Page 2 of 7).
If it is necessary to continue information from one form onto another page, make additional copies of
the form and number the additional pages with the same page number as the first page, followed by a
letter (e.g., page 27, page 27a;, page 28, page 28a, 28b). When continuing information on a
supplemental page, enter only the information that is being continued.

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Instructions for Filing the 2013 Hazardous Waste Report
(continued)

PHOTOCOPIES OF FORMS
A single copy of each form is included in this booklet. Photocopy as many forms as you need to
complete your Hazardous Waste Report. Make copies after you have written your site name and EPA
Identification Number in the top left-hand corner of the form, but before you begin filling out the form.
After you have finished filling out the forms, photocopy the entire Hazardous Waste Report and keep a
copy for a period of at least three years from the due date of the report as required by 40 CFR 262.40(b).

ELECTRONIC REPORTING
The EPA encourages electronic reporting of Hazardous Waste Reports. To obtain instructions on how to
file electronically, contact your State or EPA Regional Office.

CONFIDENTIAL BUSINESS INFORMATION (CBI)
You may not withhold information from the Administrator of the EPA because it is confidential.
However, when the Administrator is requested to consider information confidential, it must be treated
according to the EPA regulations contained in 40 CFR, Part 2, Subpart B. These regulations provide that
a business may, if it desires, assert a claim of business confidentiality covering all or part of the
information furnished to the EPA. 40 CFR 2.203(b) explains how to assert a claim.
The EPA will treat information covered by such a claim in accordance with the procedures set forth in
Subpart B. If someone requests release of information covered by a claim of confidentiality, or if the
EPA otherwise decides to make a determination as to whether such information is entitled to
confidential treatment, the EPA will notify the business. The EPA will not disclose information as to
when a claim of confidentiality has been made except to the extent of and in accordance with 40 CFR
Part 2, Subpart B. However, if the business does not claim confidentiality when it furnishes the
information, the EPA may make the information available to the public without notice to the business.

IF YOU NEED ASSISTANCE
To obtain assistance in filling out the 2013 Hazardous Waste Report forms, please contact your State or
EPA Regional Office. States’ reporting requirements or forms may differ from the Federal requirements.
The list of State and EPA Regional Office addresses, contact names, telephone numbers, and e-mail
addresses is located at:
http://www.epa.gov/epawaste/inforesources/data/form8700/contact.pdf.
This booklet and other related information can be found at:
http://www.epa.gov/epawaste/inforesources/data/biennialreport/index.htm.

16

INSTRUCTIONS FOR FILLING OUT THE RCRA SUBTITLE C
SITE IDENTIFICATION (SITE ID) FORM
WHO MUST SUBMIT THIS FORM
All sites required to submit any of the following must submit the RCRA Subtitle C Site Identification
(Site ID) Form:
Initial Notification of Regulated Waste Activity
Subsequent Notification of Regulated Waste Activity
First RCRA Hazardous Waste Part A Permit Application
Revised RCRA Hazardous Waste Part A Permit Application
Hazardous Waste Report
Notification for eligible academic entities opting into or withdrawing from managing laboratory
hazardous wastes pursuant to 40 CFR Part 262 Subpart K (if in an eligible State)
Notification for facilities managing hazardous secondary material pursuant to 40 CFR 260.42
(if in an eligible State)
Some States have requirements in addition to, or that are different from the Federal requirements. To
obtain the appropriate forms or ask questions, refer to a list of contacts at:
http://www.epa.gov/epawaste/inforesources/data/form8700/contact.pdf.
The list will tell you whether the Federal form or a State form is used, who to contact, and where to mail
the completed form.

PURPOSE OF THIS FORM
The Site ID Form provides site-specific information about your facility and is used to obtain an EPA
Identification Number under the RCRA Program. The Site ID Form also provides updated information for
items that have changed at your site and verifies the information for those items that remain
unchanged.

HOW TO FILL OUT THIS FORM
Complete the following Site ID Form items, as applicable to your facility:
Item 1 Item 2 Item 3 Item 4 Item 5 -

your reason for submitting the form
your site’s EPA Identification Number
the name of your site
the physical location of your site
the land type of your site

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Item 6 Item 7 Item 8 Item 9 -

the North American Industry Classification System (NAICS) code(s) for your site
the mailing address for your site
name, title, address, phone number, fax, and e-mail of a contact person at your site
name, address, and phone number of the legal owner(s) and name of the operator(s)
of your site
Item 10 - your site’s regulated waste activities (enter all that apply)
Item 11 - the description of hazardous waste
Item 12 - your site’s hazardous secondary material activity, if you manage any
Item 13 - additional comments on Items 1 – 12
Item 14 - certification that the information you provided throughout the form is truthful,
accurate, and complete
Addendum to the Site Identification Form – notification of hazardous secondary material activity
Type or print, in black ink, all items except the Signature box in Item 14. In Item 14, provide the required
ink signatures. Signatures must be original. Stamped or photocopied signatures are not acceptable.
Enter your site’s EPA Identification Number in the top left-hand corner on all pages of the form; for an
Initial Notification for this site, leave the EPA identification Number blank. Use Item 13 – Comments to
clarify or provide additional information for any entry. When entering information in the comments
section, enter the item number and box letter to which the comment refers. If you must use additional
sheets for comments, enter your site’s EPA Identification Number in the top left-hand corner of each
sheet.

ITEM-BY-ITEM INSTRUCTIONS
ITEM 1 – REASON FOR SUBMITTAL
Place an “X” in the appropriate box(es) to indicate whether this form is your Initial Notification (i.e., this
is your first time submitting site identification information / to obtain an EPA Identification Number for
this location); a Subsequent Notification (to update your site identification information); a component of
a First or a Revised Hazardous Waste Part A Permit Application; or a component of the Hazardous Waste
Report.
TO PROVIDE AN INITIAL NOTIFICATION (FIRST TIME SUBMITTING SITE IDENTIFICATION
INFORMATION / TO OBTAIN AN EPA IDENTIFICATION NUMBER FOR THIS LOCATION)
If your waste activity is regulated under Subtitle C of the Resource Conservation and Recovery
Act (RCRA) and the rules promulgated pursuant to the Act (specifically 40 CFR Parts 260-299),
you must submit this form to notify the appropriate State or EPA Regional Office of your
regulated waste activities and obtain an EPA Identification Number.
If you are an eligible academic entity opting into 40 CFR 262 Subpart K for managing laboratory
hazardous wastes AND you have never before submitted site identification information, you
must submit this form to notify the appropriate State or EPA Regional Office of your activities.

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(continued)

Note: You must check with your State to determine if you are eligible to manage laboratory
hazardous waste pursuant to 40 CFR Part 262, Subpart K in order for you to notify.
If you will begin managing hazardous secondary material under 40 CFR 261.2(a)(2)(ii), 40 CFR
261.4(a)(23), (24), or (25) AND you have never before submitted site identification information,
you must submit this form, pursuant to 40 CFR 260.42, to notify the appropriate State or EPA
Regional Office of your activities. Note: You must check with your State to determine if you are
eligible to manage hazardous secondary material under these exclusions in order for you to
notify.
TO PROVIDE A SUBSEQUENT NOTIFICATION (TO UPDATE SITE IDENTIFICATION
INFORMATION FOR THIS LOCATION)
You must use this form to submit a subsequent notification if your site already has an EPA
Identification Number and you wish to change information (e.g., generator status, new site
contact person, new owner, new mailing address, new regulated waste activity, etc.).
If you have previously submitted site identification information and are an eligible academic
entity opting into or withdrawing from 40 CFR Part 262, Subpart K for managing laboratory
hazardous wastes, you must use this form. Note: You must check with your State to determine
if you are eligible to manage laboratory hazardous waste pursuant to 40 CFR Part 262, Subpart K
in order for you to notify.
If you have previously submitted site identification information and are notifying (or renotifying) that you will begin managing, are managing, or have stopped managing hazardous
secondary material under 40 CFR 261.2(a)(2)(ii), 40 CFR 261.4(a)(23), (24), or (25), you must
submit this form, pursuant to 40 CFR 260.42, to notify the appropriate State or Regional Office
of your activities. Note: You must check with your State to determine if you are eligible to
manage hazardous secondary material under these exclusions in order for you to notify.
AS A COMPONENT OF A FIRST RCRA HAZARDOUS WASTE PART A PERMIT APPLICATION
If your site is planning to treat, store, or dispose of hazardous waste on-site in a unit that is not exempt
from obtaining a hazardous waste permit, you must submit this form as part of the Part A Permit
Application. Also, if the activity at this site (treatment, storage, or disposal) became newly regulated
under RCRA Subtitle C and the rules promulgated pursuant to the Act (specifically 40 CFR Parts 260-299),
you must submit this form as part of the Part A Permit Application.
AS A COMPONENT OF A REVISED RCRA HAZARDOUS WASTE PART A PERMIT APPLICATION
If you must submit a revised Part A Permit Application to reflect changes that have occurred at your site,
you must submit this form as part of your revised Part A Permit Application. Examples of site changes
requiring a revised Part A Permit Application include managing new wastes not identified in the first
submission of the form or changes to existing waste treatment processes. When submitting a revised
Part A Permit Application, please include the Amendment Number in the appropriate space.

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(continued)

AS A COMPONENT OF THE HAZARDOUS WASTE REPORT (IF MARKED, SEE SUB-BULLET
BELOW)
If you are required to submit a Hazardous Waste Report indicating the amount of hazardous waste you
generate, treat, recycle, dispose, ship off-site, or receive from off-site, you must fill out this form. A Site
ID Form submitted with a Hazardous Waste Report is equivalent to a Subsequent Notification.
SITE WAS A TSD FACIL ITY AND/OR GENERATOR OF ≥ 1,000 KG OF HAZARDOUS
WASTE, > 1 KG OF ACU TE HAZARDOUS WASTE, OR > 100 KG OF ACUTE HAZARDOUS
WASTE SPILL CLEANUP IN ONE OR MORE MONTHS OF THE REPORT YEAR (OR STATE
EQUIVALENT LQG REGULATIONS)
The purpose of this check box is to distinguish between sites that meet the criteria and are
required to file a report versus those who file voluntarily or by State-only requirement but were
not a TSD facility or a Large Quantity Generator (LQG) during the report year. Sites required to
file the report should place an “X” in this box while non-LQG/TSD sites should not. For more
information about who must file a report, refer to Who Must File the Hazardous Waste Report.

ITEM 2 – SITE EPA ID NUMBER
Provide your EPA Identification Number in Item 2 for this site. The first two characters of the EPA ID
Number must be a valid state postal code. Be sure to include your EPA Identification number at the top
of all pages of the form (as well as on any attachments to the Site ID Form).

NOTE

If this is your Initial Notification for this site, leave the EPA Identification Number blank and
proceed to Item 3.

ITEM 3 AND 4 – SITE NAME AND LOCATION
Provide the legal name of your site and a complete location address. Please note that the address you
give for Item 4, Site Location, must be a physical address, not a post office box or route number. Only
foreign hazardous waste transporters, with their headquarters located outside the U.S., may provide a
Site Location Country outside of the U.S.

NOTE

A new EPA Identification Number is required if you change the location of your site.

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(continued)

ITEM 5 – SITE LAND TYPE
Place an “X’ in the box that best describes the land type of your site. Select only one type: Private,
County, District, Federal, Tribal (see below), Municipal, State, or Other. If your site’s Land Type could be
described as Municipal and another Land Type, such as County, District, or Tribal, do not place an “X” in
Municipal. Instead, choose the other appropriate Land Type. (For example, if your site’s Land Type is
both Municipal and County, you would place an “X” in the box for County.) You may explain this in Item
13 – Comments.
Tribal - A member of one of the tribes/entities on the list of federally recognized American Indian tribes
and Alaskan Native entities located at: http://www.epa.gov/tribal/whereyoulive/tribes-a-z.htm.

ITEM 6 – NORTH AMERICAN INDUSTRY CLASSIFICATION SYSTEM (NAICS) CODE(S)
Box A must be completed. Completing Boxes B-D is recommended, if applicable.
BOX A
Provide the North American Industry Classification System (NAICS) code that best describes your site’s
primary business production process for your products or services. Referencing the latest NAICS codes,
use the 6-digit code (most specific description) if available for your business; if not, use the 5-digit code;
do not enter any four (4) or less digit codes.
BOXES B – D
List other NAICS codes that describe the other business production processes for your site. Referencing
the latest NAICS codes, use the 6-digit code (most specific description) if available for your business; if
not, use the 5-digit code; do not enter any four (4) or less digit codes.
Check with your accounting or business staff to determine your NAICS code(s); the NAICS code is used in
tax reporting and other business reports. You can obtain additional information about NAICS codes at
http://www.census.gov/eos/www/naics.

NOTE

Significant changes were made to the NAICS codes in 2012. All sites should confirm their NAICS
codes in the new 2012 NAICS code table prior to completing Item 6 – NAICS Codes. You can
obtain additional information about the 2012 NAICS codes at
http://www.census.gov/eos/www/naics.

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(continued)

ITEM 7 – SITE MAILING ADDRESS
Please enter the Site Mailing Address. If the Mailing Address and the Location of Site (Item 4) are the
same, you can enter “Same as Item 4” in the box for Item 7.

ITEM 8 – SITE CONTACT PERSON
Enter the name, title, business address, telephone number, extension, fax number, and e-mail address
of the individual who should be contacted regarding the information submitted in the Site ID Form. A
Subsequent Notification is recommended when the Site Contact Person changes. Do not enter other
contact persons here; if there are other persons, who may be contacted about this submission, list them
and their other contact information in Item 13. If the person completing the Hazardous Waste Report is
not the primary site RCRA hazardous waste contact, enter the primary site RCRA hazardous waste
contact here and add the contact information for the person completing the Hazardous Waste Report in
Item 13 – Comments.

NOTE

This is NOT the Facility Permit Contact information. The Facility Permit Contact information
should be entered on the RCRA Hazardous Waste Part A Permit Application.

ITEM 9 – LEGAL OWNER AND OPERATOR OF THE SITE
This section should be used to indicate all owners and operators of this site.
A. NAME OF SITE’S LEGAL OWNER
Provide the name of your site’s legal owner(s). This includes owner(s) of the building(s) and land.
Please review these definitions:
Owner – The person who owns a RCRA site or part of a RCRA site. Note: This includes the owner(s) of
the building(s) and/or land. This may be an individual, company, or business name. See Person.
Person – An individual, trust, firm, joint stock company, Federal Agency, corporation (including a
government corporation), partnership, association, State, municipality, commission, political subdivision
of a State, or any interstate body.
DATE BECAME AN OWNER
Indicate the date on which the above entity became the owner of your site. Enter dates as in this
example: For April 22, 2013, enter 04/22/2013. This is a required field and a date must be reported.

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OWNER TYPE
Place an “X’ in the box that best describes the owner type for your site. Select only one type: Private,
County, District, Federal, Tribal (see below), Municipal, State, or Other. If your site’s Owner Type could
be described as Municipal and another Owner Type, such as County, District, or Tribal, do not place an
“X” in Municipal. Instead, choose the other appropriate Owner Type. (For example, if your site’s Owner
Type is both Municipal and County, you would place an “X” in the box for County.) You may explain this
in Item 13 – Comments.
Tribal - A member of one of the tribes/entities on the list of federally recognized American Indian tribes
and Alaskan Native entities located at: http://www.epa.gov/tribal/whereyoulive/tribes-a-z.htm.
LEGAL OWNER ADDRESS
Enter the address of the legal owner. If the address and the Location of Site (Item 4) are the same, you
can enter “Same as Item 4” in the box for Item 9.
Use the Comments section in Item 13 to list any additional owners, their names, the dates they became
owners, owner type, mailing address, and which owner(s), if any, are no longer owners since your last
submission of this form. If necessary, attach a separate sheet of paper. Remember to enter your site’s
EPA Identification Number in the top left-hand corner of each sheet.
B. NAME OF SITE’S OPERATOR
Provide the name of your site’s operator. Please review these definitions:
Operator – The person responsible for the overall operation of a RCRA site. Note: This is the legal entity
which controls the RCRA site operation rather than the plant or site manager. This is usually a company
or business name, but may be an individual. See Person.
Person – An individual, trust, firm, joint stock company, Federal Agency, corporation (including a
government corporation), partnership, association, State, municipality, commission, political subdivision
of a State, or any interstate body.
DATE BECAME AN OPERATOR
Indicate the date on which the above entity became the operator of your site. Enter dates as in this
example: For April 22, 2013, enter 04/22/2013. This is a required field and a date must be reported.
OPERATOR TYPE
Place an “X’ in the box that best describes the operator type for your site. Select only one type: Private,
County, District, Federal, Tribal (see below), Municipal, State, or Other. If your site’s Operator Type
could be described as Municipal and another Operator Type, such as County, District, or Tribal, do not
place an “X” in Municipal. Instead, choose the other appropriate Operator Type. (For example, if your
site’s Operator Type is both Municipal and County, you would place an “X” in the box for County.) You
may explain this in Item 13 – Comments.
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(continued)

Tribal - A member of one of the tribes/entities on the list of federally recognized American Indian tribes
and Alaskan Native entities located at: http://www.epa.gov/tribal/whereyoulive/tribes-a-z.htm.
Use the Comments section in Item 13 to list any additional operators, their names, the dates they
became operators, operator type, mailing address, and which operator(s), if any, are no longer
operators since your last submission of this form. If necessary, attach a separate sheet of paper.
Remember to enter your site’s EPA Identification Number in the top left-hand corner of each sheet.

NOTE

A subsequent notification is recommended when the owner or operator of a site changes.
Because an EPA Identification Number is site-specific, the new owner will keep the existing EPA
Identification Number for that location. If your business moves to another location, the owner
or operator must notify the State or EPA Regional Office of this change. Since your business
has changed locations, a new EPA Identification Number will be assigned.

ITEM 10 – TYPE OF REGULATED WASTE ACTIVITY
Mark box “Yes” or box “No” as appropriate for all current activities (as of the date submitting the
form) at this site; complete any additional boxes as instructed. Current activities mean activities that
are in effect when the form is submitted or those that the site plans to begin after EPA Identification
Number assignment. The information you provide in Item 10 will be considered current as of the date
you certify the form. If the site is no longer a generator as of the date you certify the form, you should
mark the “No” (not a generator) box for Generator of Hazardous Waste.

NOTE

You must report your current regulated waste activities as of the date of submitting the Site ID
Form. For the Hazardous Waste Report, your current status may be different than the status
requiring the report during the calendar year.

A. HAZARDOUS WASTE ACTIVITIES (COMPLETE ALL PARTS 1 THROUGH 10)

NOTE

Listed below are the Federal generator status definitions. If, however, the State where your
site is located has definitions different from the Federal definitions, you must use the State
definitions.

1. GENERATOR OF HAZARDOUS WASTE (AT YOUR SITE):
If you generate a hazardous waste that is listed in 40 CFR 261.31 through 261.33 or identified by one or
more hazardous waste characteristic(s) contained in 40 CFR 261.21 through 261.24, place an “X” in the
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Site ID Form
(continued)

appropriate box for the quantity of hazardous waste that is generated per calendar month. The
regulations for hazardous waste generators are found in 40 CFR Part 262
(http://ecfr.gpoaccess.gov/cgi/t/text/text-idx?c=ecfr&tpl=%2Findex.tpl). Consult these regulations and
your State for details about how the regulations apply to your situation. Below is a brief description of
the three types of hazardous waste generators.
If “Yes”, place an “X” in only one of the following – a, b, or c.
a. LQG: Large Quantity Generator
This site is a Large Quantity Generator if the site meets any of the following criteria:
(i) Generates, in any calendar month, 1,000 kg (2,200 lbs.) or more of non-acute RCRA hazardous
waste; or
(ii) Generates, in any calendar month, or accumulates at any time, more than 1 kg (2.2 lbs.) of RCRA
acute hazardous waste; or
(iii) Generates, in any calendar month, or accumulates at any time, more than 100 kg (220 lbs.) of
spill cleanup material contaminated with RCRA acute hazardous waste.

If, in addition to being an LQG, you recycle hazardous wastes at your site, mark both this box
and Item 10.A.4.
NOTE

Hazardous secondary material managed under 40 CFR 261.2(a)(2)(ii), 40 CFR 261.4(a)(23), (24),
or (25) DOES NOT count towards your generator status. However, you must check with your
State to determine if you are eligible to manage hazardous secondary material under these
exclusions.

b. SQG: Small Quantity Generator
This site is a Small Quantity Generator if the site meets all of the following criteria:
(i) Generates, in any calendar month, 100 kg (220 lbs.) but less than 1,000 kg (2,200 lbs.) of RCRA
hazardous waste; and
(ii) Does not generate, in any calendar month, or accumulate at any time, more than 1 kg (2.2 lbs.)
of acute hazardous waste; and
(iii) Does not generate more than 100 kg (220 lbs.) of material from the cleanup of a spill of acute
hazardous waste.
OR, the site is a Small Quantity Generator if the site:
(i) Meets (i) and (iii) of the Conditionally Exempt Small Quantity Generator criteria (see below), but
(ii) Is storing more than 1,000 kg (2,200 lbs.) of RCRA hazardous waste on-site. If the site
accumulates, at any time, more than 1,000 kg (2,200 lbs.) of RCRA hazardous waste, the site
must apply for an EPA ID Number using this form.

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Site ID Form
(continued)

c. CESQG: Conditionally Exempt Small Quantity Generator
This site is a CESQG if the site does all of the following:
(i) Generates no more than 100 kg (220 lbs.) of RCRA hazardous waste in any calendar month; and
(ii) Does not accumulate, at any time, more than 1,000 kg (2,200 lbs.) of RCRA hazardous waste;
and
(iii) Does not generate, in any calendar month, or accumulate at any time, more than 1 kg (2.2 lbs.)
of acute hazardous waste and no more than 100 kg (220 lbs.) of material from the cleanup of a
spill of acute hazardous waste.

NOTE

If you generate acute hazardous wastes listed in 40 CFR 261.31, 261.32, or 261.33(e), please
refer to 40 CFR 261.5(e) to determine the circumstances under which you must notify the EPA.

If you marked “Yes” above, indicate your other generator activities. Mark “Yes” or “No” for the other
hazardous waste activities listed below that may occur at this site. Complete all parts 2-10.
2. SHORT-TERM GENERATORS
Mark “Yes” if the site is currently generating hazardous waste only as the result of a one-time, nonrecurring, temporary event that is not related to normal production processes. In other words, shortterm generators produce hazardous waste from a particular activity for a limited time and then cease
conducting that activity. Short-term generators would not be considered episodic generators because
episodic generators have the potential to generate on a regular basis (for example, a facility that
fluctuates from SQG to LQG in one month is not a short-term generator). Examples of short-term
generators include: (1) one-time highway bridge waste generation; (2) underground storage tank
removals; (3) generation of off-spec or out-of-date chemicals at a site that normally doesn’t generate
hazardous waste; (4) remediation or spill clean-up at sites with no previous RCRA ID; and (5) site or
production process decommissions by a new operator. If you mark “Yes”, you must provide an
explanation of your short-term generation event in Item 13 – Comments.
3. UNITED STATES IMPORTER OF HAZARDOUS WASTE
Mark “Yes” if you import hazardous waste from a foreign country into the U.S. Refer to 40 CFR 262.60
for additional information.
4. MIXED WASTE GENERATOR
Mark “Yes” if you are a generator of mixed waste (waste that is both hazardous and radioactive). RCRA
defines “mixed waste” as waste that contains both hazardous waste and source, special nuclear, or
by-product material subject to the Atomic Energy Act (AEA), RCRA Section 1004(41), 42 U.S.C. 6903 (63
FR 17414; April 9, 1998). See the Definitions section.

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(continued)

5. TRANSPORTER OF HAZARDOUS WASTE
a. Transporter
You transport hazardous waste within the U.S. The Federal regulations for hazardous waste
transporters are found in 40 CFR Part 263.
b. Transfer Facility (at your site)
You are a hazardous waste transfer facility, at your site, if you hold manifested hazardous waste(s)
at your site for a period of ten (10) days or less while the waste is in transit. The Federal regulations
for hazardous waste transfer facilities are found in 40 CFR Part 263.12.
6. TREATER, STORER, OR DISPOSER OF HAZARDOUS WASTE (AT YOUR SITE)
If you treat, store, or dispose of hazardous waste, mark “Yes.” A RCRA Hazardous Waste Part B Permit is
required for this activity. Contact the appropriate office for your State for more information. The
Federal regulations for owners and operators of permitted treatment, storage, and disposal facilities
(TSDFs) are found in 40 CFR Parts 264, 265, 266, and 270.
Mark “No” if any of the following conditions are true for your facility:
This facility does not receive hazardous waste from other generators and ships all waste off-site
for management within the regulatory timeframe.
This facility is only involved with on-going post-closure activities, corrective actions under
HSWA, or a consent order under a non-traditional permit or without a RCRA permit being
required.
Receives waste from off-site but does not store greater than 10 days before re-shipping (i.e.,
transfer facility).

NOTE

If your site is a destination facility for universal wastes in addition to being a treatment,
storage, or disposal facility for other RCRA hazardous wastes, mark “Yes” for both this box and
Item 10.B.2.

7. RECYCLER OF HAZARDOUS WASTE (AT YOUR SITE)
If you recycle regulated hazardous wastes (recyclable materials) at your site, mark “Yes.” The Federal
regulations for owners and operators of sites that recycle hazardous waste are found in 40 CFR 261.6.
You also may be subject to other Federal and State regulations; in some cases a permit is required.

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(continued)

NOTE

If your site, in addition to being a recycling site for hazardous waste, is a treater, storer, or
disposer of hazardous waste, mark “Yes” for both this box and Item 10.A.6. If your site is a
destination facility for universal wastes in addition to being a recycling site for other RCRA
hazardous wastes, mark “Yes” for both this box and Item 10.B.2.

8. EXEMPT BOILER AND/OR INDUSTRIAL FURNACE (AT YOUR SITE)
If “Yes”, place an “X” in all that apply.
a. Small Quantity On-Site Burner Exemption
You burn small quantities of hazardous waste in an on-site boiler or industrial furnace in accordance
with the conditions in 40 CFR 266.108, place an “X” in the box to indicate that you qualify for the
Small Quantity On-Site Burner Exemption.
b. Smelting, Melting, and Refining Furnace Exemption
You process hazardous wastes in a smelting, melting, or refining furnace solely for metals recovery,
as described in 40 CFR 266.100(d), or to recover economically significant amounts of precious
metals, as described in 40 CFR 266.100(g), or if you process hazardous wastes in a lead recovery
furnace to recover lead, as described in 40 CFR 266.100(h), place an “X’ in the box to indicate that
you qualify for the Smelting, Melting, and Refining Furnace Exemption.
9. UNDERGROUND INJECTION CONTROL (AT YOUR SITE)
If you generate, treat, store, or dispose of hazardous waste and place the waste or its residuals into an
underground injection well (e.g., a Class I well) located at your site, mark “Yes.” The Federal regulations
for owners and operators of underground injection wells are found in 40 CFR Part 148.
10. RECEIVES HAZARDOUS WASTE FROM OFF-SITE (AT YOUR SITE)
If you received hazardous waste from another site, whether this waste was received as a commercial
transaction or waste received from a restricted group of off-site generators, mark “Yes.”
In addition to the above, mark “Yes” or “No” for the other regulated waste activities listed below that
may occur at this site. Complete Items B, C, and D as appropriate.

B. UNIVERSAL WASTE ACTIVITIES (AT YOUR SITE)
Refer to your State-specific requirements and definitions for universal waste. Also, refer to 40 CFR 261.9
and 40 CFR Part 273 for the Federal regulations covering universal waste. Complete parts 1 and 2.

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1. LARGE QUANTITY HANDLER OF UNIVERSAL WASTE (LQHUW)
You are an LQHUW if you accumulate a total of 5,000 kg or more total of universal wastes (batteries,
pesticides, mercury-containing equipment, or lamps – calculated collectively) at any time. This
designation is retained through the end of the calendar year in which the 5,000 kg limit is met or
exceeded. If “Yes,” place an “X” in the appropriate box(es) to indicate the type(s) of universal wastes
managed at your site. If your State has other additional universal wastes, indicate what they are by
placing an “X” in the corresponding box(es) (10.B.1.e, f, or g).
2. DESTINATION FACILITY FOR UNIVERSAL WASTE
Mark “Yes” if you treat, dispose, or recycle universal wastes on-site. A hazardous waste permit is
required if you treat or dispose of universal wastes; a permit may be required if you recycle universal
wastes.

NOTE

If your site, in addition to being a destination facility for universal wastes, is also a treatment,
storage, or disposal facility for RCRA hazardous wastes, mark “Yes” for both this box and Item
10.A.6. In addition, if your site recycles RCRA hazardous wastes, mark “Yes” for both this box
and Item 10.A.7.

C. USED OIL ACTIVITIES
Mark the appropriate box(es) to indicate which used oil management activities are taking place at this
site. The Federal regulations for used oil management are found in 40 CFR Part 279. Complete all parts
1 through 4.
1. USED OIL TRANSPORTER
If “Yes,” place an “X” in all that apply.
a. Transporter
You transport used oil within the U.S. The Federal regulations for used oil transporters are found in
40 CFR Part 279.40-47.
b. Transfer Facility (at your site)
You own or operate a used oil transfer facility. The Federal regulations for used oil transfer facilities
are found in 40 CFR Part 279.40-47.

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2. USED OIL PROCESSOR AND/OR RE-REFINER (AT YOUR SITE)
If “Yes,” place an “X” in all that apply.
a. Processor
You process used oil. The Federal regulations for processors of used oil are found in 40 CFR
Part 279.50-59.
b. Re-refiner
You refine used oil.
Part 279.50-59.

The Federal regulations for re-refiner of used oil are found in 40 CFR

3. OFF-SPECIFICATION USED OIL BURNER (AT YOUR SITE)
You burn off-specification used oil fuel. Mark “Yes” to indicate this used oil management activity.
4. USED OIL FUEL MARKETER (AT YOUR SITE)
If “Yes,” place an “X” in all that apply.
a. Marketer Who Directs Shipment of Off-Specification Used Oil to Off-Specification Used Oil Burners
You are a marketer who directs shipment of off-specification used oil to off-specification used oil
burners. The Federal regulations for off-specification used oil are found in 40 CFR Part 279.70-75.
b. Marketer Who First Claims the Used Oil Meets the Specification
You are the first to claim that used oil meets the used oil specification established in 40 CFR 279.11.

NOTE

If either of these boxes is marked, you must also notify (or have previously notified) as a used
oil transporter (10.C.1), used oil processor/re-refiner (10.C.2), or off-specification used oil fuel
burner (10.C.3), unless you are a used oil generator. (Used oil generators are not required to
notify.)

D. ELIGIBLE ACADEMIC ENTITIES WITH LABORATORIES – NOTIFICATION FOR OPTING INTO
OR WITHDRAWING FROM MANAGING LABORATORY HAZARDOUS WASTES PURSUANT
TO 40 CFR PART 262, SUBPART K
Note: Fill out Box D ONLY if you are at least one of the following: a college or university; a teaching
hospital that is owned by or has a formal written affiliation agreement with a college or university; or a
non-profit research institute that is owned by or has a formal written affiliation agreement with a
college or university; AND you have checked with your State to determine if 40 CFR Part 262, Subpart K
is effective in your State and for any State-specific requirements. See EPA’s website for more
information about these regulations:
http://www.epa.gov/wastes/hazard/generation/labwaste/implementation.htm.
30

Site ID Form
(continued)

Subpart K is an optional alternative set of requirements for eligible academic entities with laboratories.
Certain generators (i.e., eligible academic entities defined under (1) below) are eligible to operate under
Subpart K for management of their hazardous wastes in laboratories in lieu of 40 CFR 262.34(c) (or
40 CFR 261.5 for CESQGs). Eligible academic entities with laboratories that generate hazardous waste
that elect to opt into Subpart K, are currently operating under Subpart K, or subsequently withdraw
from Subpart K must complete this section to meet the notification requirements of this Subpart. Refer
to 40 CFR 262.203 and 262.204.

NOTE

Eligible academic entities with laboratories must complete a separate Site ID Form for each site
(i.e., EPA ID number) that is managing hazardous waste under Subpart K. All laboratories with
the same EPA ID number will be regulated under this Subpart. If eligible academic entities with
laboratories withdraw from Subpart K, all laboratories with the same EPA ID number
associated with the withdrawal from Subpart K will be regulated under 40 CFR 262.34(c)
requirements (or 40 CFR 261.5 for CESQGs).

1. OPTING INTO OR CURRENTLY OPERATING UNDER 40 CFR PART 262, SUBPART K FOR THE
MANAGEMENT OF HAZARDOUS WASTES IN LABORATORIES
Mark “Yes” for this box if you are an eligible academic entity and you elect to opt into or are currently
operating under 40 CFR Part 262, Subpart K for the hazardous wastes generated in your laboratories. If
you mark “Yes” for this box, you must place an “X” in at least one of the following to indicate your type
of eligible academic entity. Place an “X” in all that apply:
a. College or University
You are an eligible college or university if you are a private or public, post-secondary, degreegranting, academic institution, that is accredited by an accrediting agency listed annually by the U.S.
Department of Education.
b. Teaching Hospital that is owned by or has a formal written affiliation agreement with a college or
university
You are an eligible teaching hospital if you are a hospital that trains students to become physicians,
nurses, or other health personnel and is either: (1) owned by a college or university, or (2) has a
master affiliation agreement and program letter of agreement, as defined by the Accreditation
Council for Graduate Medical Education, with an accredited medical program or medical school.
c. Non-profit Institute that is owned by or has a formal written affiliation agreement with a college
or university
You are an eligible non-profit institute if you are an organization that conducts research as its
primary function and files as a non-profit organization under the tax code of 26 U.S.C. 501(c)(3) and
is either: (1) owned by a college or university, or (2) has a formal written affiliation agreement with
a college or university that establishes a relationship between institutions for the purposes of
research and/or education and is signed by authorized representatives from each institution. A
relationship on a project-by-project or grant-by-grant basis is not considered a formal written
affiliation agreement.
31

Site ID Form
(continued)

2. WITHDRAWING FROM 40 CFR PART 262, SUBPART K FOR THE MANAGEMENT OF
HAZARDOUS WASTES IN LABORATORIES
Mark “Yes” for this box if you have previously elected to opt into 40 CFR Part 262, Subpart K and are
now withdrawing from participation in this optional set of alternative requirements for hazardous waste
generation in laboratories. Withdrawing generators will automatically revert to regulation under 40 CFR
262.34(c) requirements (or 40 CFR 261.5 for CESQGs). If marking “Yes” for this box, please include
comments in Item 13 – Comments that explain your reasons for withdrawing from Subpart K.
ITEM 11 – DESCRIPTION OF HAZARDOUS WASTES
Complete this item if you marked “Yes” for any activity 1 (a-c), 6, 7, or 8 in Item 10.A. You will need to
refer to 40 CFR Part 261 to complete this item. Part 261 identifies those solid wastes which the EPA
defines as hazardous and regulates under RCRA. If you need help completing this section, please
contact your State Office.

A. WASTE CODES FOR FEDERALLY REGULATED HAZARDOUS WASTES
Please list the waste codes of the Federal hazardous wastes (described in 40 CFR Part 261) handled at
your site. List them in the order they are presented in the regulations using the appropriate 4-digit
code(s) (e.g., D001, D003, F007, U112).

NOTE

If you handle more hazardous wastes than will fit under 11.A, please continue under Item 13 –
Comments or on an extra sheet. Remember to include your EPA Identification Number on the
top of each page. If you handle a large number of codes, you may copy the list in this booklet
and mark the ones that you handle. Attach any additional sheets to the Site ID Form.
Remember to include your EPA Identification Number on the top of each page.

B. WASTE CODES FOR STATE-REGULATED (I.E., NON-FEDERAL) HAZARDOUS WASTES
If you manage State-regulated hazardous wastes that have a State waste code, enter the appropriate
code(s) in the box(es) provided. Please list the waste codes of the State-regulated hazardous wastes
handled at your site in the order they are presented in the regulations.

NOTE

If you handle more hazardous wastes than will fit under Item 11.B, please continue under Item
13 – Comments or on an extra sheet. Remember to include your EPA Identification Number on
the top of each page.

32

Site ID Form
(continued)

ITEM 12 – NOTIFICATION OF HAZARDOUS SECONDARY MATERIAL (HSM) ACTIVITY
Mark “Yes” if you are notifying under 40 CFR 260.42 that you will begin managing, are still managing, or
will stop managing hazardous secondary material under 40 CFR 261.2(a)(2)(ii), 40 CFR 261.4(a)(23), (24),
or (25). Mark “No” if you are not notifying under 40 CFR 260.42. Note: You must check with your State
to determine if you are eligible to manage hazardous secondary material under these regulations.

NOTE

If you mark “Yes,” you must fill out the Addendum to the Site ID Form: Notification of
Hazardous Secondary Material Activity. See instructions for this Addendum after Item 14.

ITEM 13 – COMMENTS
Use this section as needed to provide additional information for Items 1 through 12. Include the item
number and box letter (if any) for each comment you make. You may attach additional sheets if
needed. Remember to include your EPA Identification Number on the top of each page.

ITEM 14 – CERTIFICATION
This certification must be signed and dated by the owner(s), operator(s), responsible official(s), or
authorized representative(s) of the site. See 40 CFR 270.11 for more information on signatories in
general. See also 40 CFR 270.10(b) for additional Hazardous Waste Part A Permit Application signatory
specifics. An “authorized representative” is a person responsible for the overall operation of the site
(i.e., a plant manager or superintendent, or a person of equal responsibility).

NOTE

All Site ID Form submissions must include this certification to be complete.

33

ADDENDUM TO THE SITE IDENTIFICATION FORM:
NOTIFICATION OF HAZARDOUS SECONDARY MATERIAL ACTIVITY
YOU MUST FILL OUT THIS SECTION IF:
You are located in a State that allows you to manage excluded hazardous secondary material
under 40 CFR 261.2(a)(2)(ii), 261.4(a)(23), (24), or (25). See
http://www.epa.gov/epawaste/hazard/dsw/statespf.htm for a list of eligible states; AND
You will begin managing, are still managing, or will stop managing excluded hazardous
secondary material under 40 CFR 261.2(a)(2)(ii), 40 CFR 261.4(a)(23), (24), or (25) and must
notify the appropriate State or Regional Office of your activities, pursuant to 40 CFR 260.42.
These regulations exclude certain hazardous secondary material being reclaimed from the RCRA
Subtitle C definition of solid waste provided certain requirements and conditions are met. See
EPA’s website for more information about these regulations:
http://www.epa.gov/epawaste/hazard/dsw/rulemaking.htm#2008.
Complete all parts 1 – 3.

You must be managing excluded hazardous secondary material in compliance with 40 CFR
261.2(a)(2)(ii), 261.4(a)(23), (24), and/or (25) (or State equivalent). Do not include any
information regarding your hazardous wastes in this section. See 73 FR 64668 or
http://www.epa.gov/epawaste/hazard/dsw/impresource.htm for more information on these
exclusions.

NOTE

You must submit a completed Site ID Form, including this Addendum, prior to operating under
the exclusion(s) and by March 1 of each even-numbered year thereafter to your regulatory
authority using the Site ID Form as pursuant to 40 CFR 260.42. Persons who must satisfy this
notification requirement can submit this information at the same time as their Biennial Report
(which is also due by March 1 of each even-numbered year).
If you stop managing hazardous secondary material in accordance with the exclusion(s) and do
not expect to manage any amount of hazardous secondary material under the exclusion(s) for
at least one year, you must also submit a completed Site ID Form, including this Addendum,
within thirty (30) days pursuant to 40 CFR 260.42.
Remember to include your EPA Identification Number on the top of each page.

34

Addendum to the Site ID Form
(continued)

ITEM 1 – INDICATE REASON FOR NOTIFICATION (INCLUDE DATES WHERE REQUESTED)
Place an “X” in the box for the reason that applies to you:
FACILITY WILL BEGIN MANAGING EXCLUDED HAZARDOUS SECONDARY MATERIAL AS OF
(MM/DD/YYYY)
Place an “X’ in this box if you are notifying that you will begin managing hazardous secondary material
under the exclusion(s).
Facilities must notify prior to operating under the exclusion(s).
If placing an “X” in this box, list the date (mm/dd/yyyy) when you will begin managing hazardous
secondary material under 40 CFR 261.2(a)(2)(ii), 40 CFR 261.4(a)(23), (24), or (25). Note: If the
facility had previously notified that it will stop managing hazardous secondary material in the
past but will now begin anew, list the next planned start date.
FACILITY IS STILL MANAGING EXCLUDED HAZARDOUS SECONDARY MATERIAL/RENOTIFYING AS REQUIRED BY MARCH 1 OF EACH EVEN-NUMBERED YEAR
Place an “X” in this box if you are re-notifying that you are still managing hazardous secondary material
under the exclusion(s). Note: You must have previously notified that you began managing hazardous
secondary material in order to check this box.
Facilities must notify by March 1st of each even-numbered year.
If placing an “X” in this box, you do not have to list a date.
FACILITY HAS STOPPED MANAGING EXCLUDED HAZARDOUS SECONDARY MATERIAL AS OF
(MM/DD/YYYY) AND IS NOTIFYING AS REQUIRED
Place an “X” in this box, if you are notifying that you have stopped managing hazardous secondary
material under the exclusion(s) and do not expect to manage any amount of hazardous secondary
material for at least one year (pursuant to 40 CFR 260.42(b)). List the date when you stopped managing
hazardous secondary material. Enter the date in “mm/dd/yyyy” format.
Facilities must notify within 30 days of when they stopped managing hazardous secondary
material. You are considered to have stopped managing hazardous secondary material if:
(1) you stop managing hazardous secondary material completely (e.g., you cease operations);
(2) you choose to manage the hazardous secondary material as hazardous waste; (3) you
undergo closure and request release from financial assurance per 40 CFR 261.143(h); or (4) you
temporarily suspend management of hazardous secondary material for at least one year.
Only place an “X” in this box if you have stopped managing all hazardous secondary material
under the exclusion(s). For example, if your facility only stopped managing one hazardous
secondary material, but continued to manage another hazardous secondary material, you would
35

Addendum to the Site ID Form
(continued)

leave this box blank since your facility continues to manage some amount of hazardous
secondary material.
If you submit a notification that you have stopped managing hazardous secondary material, you
do not need to re-notify (unless you choose to manage hazardous secondary material again, in
which case you would have to submit a notification prior to managing). After submitting a stop
notification, you can leave the Addendum blank for subsequent submissions, including any
subsequent biennial report submissions.

ITEM 2 – DESCRIPTION OF EXCLUDED HAZARDOUS SECONDARY MATERIAL (HSM) ACTIVITY
In the table provided on the Addendum to the Site ID Form, list your appropriate facility code, each
waste code for the hazardous secondary material you manage, the estimated and actual quantities in
short tons for each hazardous secondary material, and the appropriate land-based code for how you
manage the hazardous secondary material. Do not include any information regarding your hazardous
wastes in this section. See examples below on how to answer this question.
a. Facility Code
Using the facility codes, found in the Code List section of these instructions, enter the appropriate
2-digit code(s) that correctly describes your facility. If more than one code applies to your facility,
enter each 2-digit code on a separate row. Each hazardous secondary material should be reported
by facility code.
b. Waste Code(s) for HSM
Use the box provided to enter the appropriate 4-digit hazardous waste code(s) that would apply to
your hazardous secondary material if you managed it as hazardous waste (i.e., the waste code(s)
that would apply if you did not manage your material in accordance with 40 CFR 261.2(a)(2)(ii),
40 CFR 261.4(a)(23), (24), or (25)).

NOTE

If you list more codes or manage more hazardous secondary material than will fit in the table
under Item 2, please continue under Item 13 – Comments, or on an extra sheet. Remember to
include your EPA ID number on the top of each page.

c. Estimate Short Tons of Excluded HSM to be Managed Annually
In the box provided, enter your estimated tonnage (using short tons) of hazardous secondary
material you expect to manage annually. Convert all physical quantities (e.g., gallons, cubic yards,
kilograms, metric tons, etc.) to short tons (1 short ton = 2,000 pounds) and round to the nearest ton
(no decimals). Note: Your estimated tonnage should be for the entire amount of hazardous
secondary material to be reclaimed NOT just the quantity of constituent or product reclaimed.

36

Addendum to the Site ID Form
(continued)

d. Actual Short Tons of Excluded HSM Managed During the Most Recent Odd-Numbered Year
Report the tonnage (using short tons) of each hazardous secondary material you actually managed
during the most recent odd-numbered year. For example, if you are submitting this notification on
February 20, 2014, enter the amount you actually managed during 2013 (i.e., the tonnage you
managed from January 1, 2013 to December 31, 2013). Convert all physical quantities (e.g., gallons,
cubic yards, kilograms, metric tons, etc.) to short tons (1 short ton = 2,000 pounds) and round to the
nearest ton (no decimals). Note: Your actual tonnage should be for the entire amount of hazardous
secondary material that was sent for reclamation NOT just the quantity of constituent or product
reclaimed. If this is your initial notification, enter “0.”
e. Land-based Unit Code
Using the land-based unit codes, found in the Code List section of these instructions, enter in the
2-digit code that best describes the land-based unit you use or will use to manage the hazardous
secondary material. If you do not use any land-based units, enter “NA.” If you use the code “OT”
(Other), please describe your land-based unit in Item 13 – Comments. If more than one land-based
unit code applies to a hazardous secondary material, list it separately using another row.

EXAMPLES FOR REPORTING HAZARDOUS SECONDARY MATERIAL ACTIVITY
EXAMPLE 1
A pharmaceutical manufacturer generates spent solvents that are characteristic for ignitability (D001).
The manufacturer plans to manage spent solvents under 40 CFR 261.2(a)(2)(ii) and 261.4(a)(24) by
sending some amount to a reclaimer within its own company and the rest off-site to a reclamation
facility within the U.S. The manufacturer will not manage any spent solvents in a land-based unit.
Following the regulations, the manufacturer submits an initial notification prior to managing its spent
solvents under the exclusions. The facility would report its hazardous secondary material activity as
follows:
a. Facility code (answer
using codes listed in
the Code List section of
the instructions)

b. Waste Code(s) for
hazardous secondary
material (HSM)

c. Estimated short tons
of HSM to be
managed annually

02
06

D001
D001

15
40

d. Actual short tons of
HSM that was
managed during the
most recent oddnumbered year
0
0

e. Land-based unit code
(answer using codes
listed in the Code List
section of the
instructions)
NA
NA

EXAMPLE 2
A steel manufacturer generates electric arc furnace dust and spent pickle liquor from one of its steel
operations. The manufacturer sends electric arc furnace dust (K061) off-site to a reclamation facility
within the U.S. and reclaims spent pickle liquor (K062) on-site. Neither hazardous secondary material is
managed in a land-based unit. The steel manufacturer has managed both hazardous secondary material
under 40 CFR 261.2(a)(2)(ii) and 261.4(a)(24) for a number of years and it is now time to re-notify. The
facility would report its hazardous secondary material activity as follows:

37

Addendum to the Site ID Form
(continued)

a. Facility code (answer
using codes listed in
the Code List section of
the instructions)

b. Waste Code(s) for
hazardous secondary
material (HSM)

c. Estimated short tons
of HSM to be
managed annually

01
06

K062
K061

60
20,000

d. Actual short tons of
HSM that was
managed during the
most recent oddnumbered year
52
22,468

e. Land-based unit code
(answer using codes
listed in the Code List
section of the
instructions)
NA
NA

EXAMPLE 3
A reclamation facility has been receiving and reclaiming spent solvents under 40 CFR 261.2(a)(2)(ii) and
261.4(a)(24) for a number of years. The facility receives and reclaims spent solvents from multiple
hazardous secondary material generators, some of which are within the same company. No spent
solvents are managed in a land-based unit. It is now time to re-notify. The facility would report its
hazardous secondary material activity as follows:
a. Facility code (answer
using codes listed in
the Code List section of
the instructions)

b. Waste Code(s) for
hazardous secondary
material (HSM)

c. Estimated short tons
of HSM to be
managed annually

03
03
07
07

D001; F002; F003; F005
D001; D035; F002; F003
D001; F002; F003; F005
D001; D038; F002; F003

6,000
1,500
3,000
1,000

d. Actual short tons of
HSM that was
managed during the
most recent oddnumbered year
7,533
918
3,509
523

e. Land-based unit code
(answer using codes
listed in the Code List
section of the
instructions)
NA
NA
NA
NA

EXAMPLE 4
A smelting operation generates furnace bricks that are characteristic for chromium (D007) and sends
them off-site for reclamation. Before shipping the bricks off-site, the facility manages some of the bricks
in a containment building and the rest in a pile on the land. The facility has been managing the bricks
under 40 CFR 261.4(a)(24) for a number of years and must now re-notify. The facility would report its
activity as follows:
a. Facility code (answer
using codes listed in
the Code List section of
the instructions)

b. Waste Code(s) for
hazardous secondary
material (HSM)

c. Estimated short tons
of HSM to be
managed annually

06
06

D007
D007

200
115

d. Actual short tons of
HSM that was
managed during the
most recent oddnumbered year
235
126

e. Land-based unit code
(answer using codes
listed in the Code List
section of the
instructions)
NA
PL

EXAMPLE 5
An intermediate facility has been managing wastewater treatment sludges from electroplating
operations (F006) for the past seven years but, due to company consolidation, it will soon shut down. In
accordance with 40 CFR 260.42, the facility notifies that it will stop managing hazardous secondary
material. The facility would report its activity as follows:

38

Addendum to the Site ID Form
(continued)

a. Facility code (answer
using codes listed in
the Code List section
of the instructions)

b. Waste Code(s) for
hazardous secondary
material (HSM)

c. Estimated short tons
of HSM to be
managed annually

08

F005

0

d. Actual short tons of
HSM that was
managed during the
most recent oddnumbered year
5,034

e. Land-based unit code
(answer using codes
listed in the Code List
section of the
instructions)
NA

ITEM 3 – FACILITY HAS FINANCIAL ASSURANCE PURSUANT TO 40 CFR 261.4(A)(24)(VI)
Financial assurance is required for reclaimers (07, 11) and intermediate (08) facilities managing
hazardous secondary material under 40 CFR 261.4(a)(24) and (25). See EPA’s website for more
information about these regulations: http://www.epa.gov/epawaste/hazard/dsw/impresource.htm.
Mark “Yes,” if you have financial assurance pursuant to 40 CFR 261.4(a)(24)(vi) AND you use at
least one facility code that is 07, 08, or 11 in Item 2.a above. For example, the facilities in
Examples 3 and 5 above are required to have financial assurance because the facility codes are
07 and 08, respectively.
Mark “No,” if you do NOT have financial assurance pursuant to 40 CFR 261.4(a)(24)(vi).
Note: Reclaimers (07, 11) and intermediate (08) facilities must have financial assurance in order
to manage hazardous secondary material under 40 CFR 261.4(a)(24) and (25). Answering “No”
to this question may mean you are in violation of these regulations if you report facility codes
07, 08, or 11. For example, the facilities in Examples 1, 2, and 4 above are not required to have
financial assurance because these facilities did not report facility codes of 07, 08, or 11.

39

INSTRUCTIONS FOR FILLING OUT THE GM FORM –
WASTE GENERATION AND MANAGEMENT
WHO MUST SUBMIT THIS FORM
A site required to file the 2013 Hazardous Waste Report must submit a GM Form if the site generated
RCRA hazardous waste that, in 2013, was accumulated on-site; managed on-site in a treatment, storage,
or disposal unit; and/or shipped off-site for management, consistent with the criteria below. (See
WASTES TO BE REPORTED, below, for specific instructions on generated RCRA hazardous wastes that
should be reported on the GM Form. See WASTES NOT TO BE REPORTED, below, for any exclusions or
exemptions from the GM Form reporting requirements under the 2013 Hazardous Waste Report.)

PURPOSE OF THIS FORM
The GM Form is for reporting on-site hazardous waste generation and management in 2013. The GM
Form is divided into three sections that document: (1) the source, characteristics, and quantity of
hazardous waste generated; (2) the quantity of hazardous waste managed on-site along with the
management method used; and (3) the quantity of hazardous waste shipped off-site for treatment,
disposal, or recycling along with the off-site management method used.

HOW TO FILL OUT THIS FORM
Make and submit a photocopy of the GM Form for each generated RCRA hazardous waste that should
be reported, consistent with the criteria discussed below. Prior to photocopying, place the pre-printed
site identification label in the top left-hand corner of the form or, if you did not receive pre-printed
labels, enter the site name and EPA Identification Number in this space.
Use the Comments section at the end of the form to clarify any entry (e.g., “Other” responses) or to
continue any entry. When entering information in the Comments section, cross-reference the section
number and item letter to which the comment refers.

Please review your previous cycle’s GM source, form, and management method codes to see if
they are still applicable. If applicable, use those same codes for consistency.
NOTE

Refer to the Special Instructions for reporting lab packs, asbestos, PCBs, waste oils,
groundwater contaminated by hazardous waste, RCRA-radioactive mixed wastes, and
laboratory clean-out wastes.

40

GM Form
(continued)

WASTES TO BE REPORTED
In general, each generated RCRA hazardous waste that is used to determine the site’s generator status
should be reported on the GM Form. (See WASTES NOT TO BE REPORTED, below, for any exclusions or
exemptions from the GM Form reporting requirements under the 2013 Hazardous Waste Report. See
also Biennial Reporting: Reportable and Non-Reportable Wastes at
http://www.epa.gov/epawaste/inforesources/data/biennialreport/index.htm).
A GM Form must be submitted for each generated RCRA hazardous waste. Hazardous waste must be
reported if it was:
Generated and accumulated on-site and subsequently managed on-site or shipped off-site in
2013; or
Generated and accumulated on-site in 2013 but not managed on-site or shipped off-site until
after 2013; or
Generated and accumulated on-site prior to 2013 but either managed on-site or shipped off-site
in 2013; or
Imported from a foreign country in 2013.
Examples of RCRA hazardous wastes to be reported include those that were:
Generated on-site from a production process, service activity, or routine cleanup.
Generated from equipment decommissioning, spill cleanup, or remedial cleanup activity.
Removed from on-site storage.
Derived from the management of non-hazardous waste.
Derived from the on-site treatment (including reclamation), disposal, or recycling of previously
existing hazardous waste (as a residual).
Shipped off-site, including hazardous waste that was received from off-site (reported on the
Waste Received From Off-site Form [WR Form]) and subsequently shipped off-site without being
treated or recycled on-site.
Radioactive wastes mixed with RCRA hazardous wastes should also be reported; be sure to mark
“Yes” on the Site Identification Form in Item 10.A.4. See the definitions and the special
instructions regarding this waste.
Hazardous wastes regulated only by your State should be reported if required by your State.

41

GM Form
(continued)

WASTES NOT TO BE REPORTED
RCRA hazardous wastes exported directly to a foreign country should not be reported on the GM Form
(unless required by your State). Facilities that export hazardous waste must file a separate Annual
Report under 40 CFR 262.56. (This Annual Report will be in addition to the Hazardous Waste Report, if
your State requires you to submit a Hazardous Waste Report.)
In addition, materials and wastes identified at 40 CFR 261.2(a)(2)(ii), 261.4(a) and (b), 261.5(c), and
266.70 should not be reported on the GM Form. Section 261.4(a) and (b) identify materials and solid
wastes that do not qualify as solid or hazardous wastes, respectively. Section 261.5(c) identifies
hazardous wastes that should not be included in a site’s generator status determination, even if these
hazardous wastes were generated at the site. Section 266.70 identifies recyclable materials utilized for
precious metal recovery.
Following are the materials and wastes addressed under 40 CFR 261.4(a) and (b), 261.5(c), and 266.70,
which should not be reported on the GM Form:
Materials which are excluded from being a solid waste, e.g., any mixture of domestic sewage
and other wastes that passes through a sewer system to a publicly owned treatment works
(unless they are stored or treated in regulated units prior to being discharged). (40 CFR
261.4(a))
Solid wastes that are excluded from being hazardous waste, e.g., petroleum-contaminated
media and debris that fail the test for toxicity characteristic (waste codes D018 through D043
only) and are subject to the corrective action regulations under 40 CFR Part 280. (40 CFR
261.4(b))
Waste exempt from regulation because the waste has not exited the raw material storage or
production unit yet, as specified in 261.4(c). (40 CFR 261.5(c)(1))
Hazardous waste that has been collected as a sample(s) for the purpose of determining its
characteristic or composition, as specified in 261.4(d). (40 CFR 261.5(c)(1))
Sample(s) undergoing treatability studies, as specified in 261.4(e). (40 CFR 261.5(c)(1))
Sample(s) undergoing treatability studies at the laboratory or testing facility, as specified in
261.4(f). (40 CFR 261.5(c)(1))
Hazardous waste that is a specified recyclable material such as ethyl alcohol or scrap metal, as
specified in 261.6(a)(3). (40 CFR 261.5(c)(1))
A residue of hazardous waste in an empty container or in an inner liner removed from an empty
container, as specified in 261.7(a)(1). (40 CFR 261.5(c)(1))
PCB wastes regulated under the Toxic Substance Control Act, as specified in 261.8, unless mixed
with a hazardous waste. (40 CFR 261.5(c)(1))
42

GM Form
(continued)

Wastes managed immediately upon generation only in on-site elementary neutralization units,
wastewater treatment units, or totally enclosed treatment facilities as defined in 40 CFR 260.10.
(40 CFR 261.5(c)(2)) Any hazardous waste residues generated from these units, however,
must be reported on the GM Form. (For additional information, see the reference document
“Biennial Report: Reportable and Non-Reportable Wastes” at
http://www.epa.gov/epawaste/inforesources/data/biennialreport/index.htm.)

Wastes recycled, without prior storage, only in an on-site process subject to regulation under 40
CFR 261.6(c)(2). (40 CFR 261.5(c)(3)) Any hazardous waste residues generated from these
units, however, must be reported on the GM Form.
Used oil that is recycled and is also a hazardous waste solely because it exhibits a hazardous
waste characteristic and is managed under 40 CFR Part 279. (40 CFR 261.5(c)(4))
Spent lead-acid batteries managed under the requirements of 40 CFR Part 266, Subpart G, which
includes persons who reclaim spent lead-acid batteries that are recyclable materials; persons
who generate, transport, or collect spent batteries; persons who regenerate spent batteries; or
persons who store them (other than spent batteries that are to be regenerated). (40 CFR
261.5(c)(5)) Any hazardous wastes generated during battery reclamation, however, must be
reported on the GM Form.
Universal wastes managed under 40 CFR 261.9 and 40 CFR Part 273. (40 CFR 261.5(c)(6)) Any
hazardous waste residues generated from these units, however, must be reported on the GM
Form.
Recyclable materials that are reclaimed to recover economically significant amounts of gold,
silver, platinum, palladium, iridium, osmium, rhodium, ruthenium, or any combination of these.
(40 CFR 266.70)
Unless required by your State, hazardous wastes that were, during 2013, all exported directly
out of the United States to a foreign country. An Annual Report must be filed in this case as
required under 40 CFR 262.56. (This Annual Report will be in addition to the Hazardous Waste
Report, if your State requires you to submit a Hazardous Waste Report.)

HOW TO REPORT SIMILAR WASTES ON THE GM FORM
Generally, a GM Form should be completed for each generated RCRA hazardous waste. Contact your
State about combining and reporting similar hazardous wastes on the GM Form.

43

GM Form
(continued)

ITEM-BY-ITEM INSTRUCTIONS
SECTION 1 – WASTE CHARACTERISTICS
Section 1 requests information on each RCRA hazardous waste that, in 2013, was generated and
accumulated on-site; managed on-site; and/or shipped off-site.
All items in this section are mandatory. Note: Either Item B and/or Item C must be provided for each
waste stream.

ITEM A – WASTE DESCRIPTION
Provide a short narrative description of the waste, such as:
General type;
Source;
Type of hazard; and
Generic chemical name or primary hazardous constituents.
EXAMPLE
“Ignitable spent solvent from degreasing operation in tool production; mixture of mineral spirits and
kerosene.”
In the example, note that the general type (spent solvent), source (degreasing operation in tool
production), type of hazard (ignitability), and generic chemical names (mineral spirits and kerosene)
have all been cited.

ITEM B – EPA HAZARDOUS WASTE CODE(S)
Enter the four-character EPA hazardous waste code(s) that applies to the waste reported in Section 1 Item A. EPA hazardous waste codes are provided in the “Other Reference Information and Code Lists”
section of this booklet. If you need room for additional codes, list the codes in the Comments section
and cross-reference Section 1 - Item B. If fewer than six EPA hazardous waste codes are applicable,
leave the remaining spaces blank. If the waste is regulated only by your State, leave Item B blank and
report the State hazardous waste codes in Item C.

LIST

For a list of EPA Hazardous Waste Codes, see the “Other Reference Information and Code Lists”
section of this booklet.

44

GM Form
(continued)

ITEM C – STATE HAZARDOUS WASTE CODE(S)
Enter the State hazardous waste code(s) that applies to the waste reported in Section 1 - Item A, if:
Your State regulates hazardous wastes not regulated as RCRA hazardous waste and requires
these wastes to be reported in the 2013 Hazardous Waste Report; or
Your State uses a hazardous waste code system other than the EPA hazardous waste codes that
applies to the waste describe in Section 1 - Item A.
Otherwise, leave Section 1 - Item C blank. If you need space for additional State hazardous waste codes,
list the codes in the Comments section and cross-reference Section 1 - Item C.

ITEM D – SOURCE CODE AND MANAGEMENT METHOD CODE FOR SOURCE CODE G25
Enter the Source Code that best describes how the hazardous waste reported in Section 1 - Item A
originated. If the hazardous waste was mixed with other non-hazardous materials, report the Source
Code for only the hazardous waste portion.
If your site is a U.S. Importer, provide the appropriate Source Code for hazardous waste imported from a
foreign country. Also, mark “Yes” on the Site ID Form, Item 10.A.3 – U.S. Importer of Hazardous Waste.
Review the Special Instructions for wastes received from foreign countries.

LIST

NOTE

For a list of Source and Management Method Codes, see the “Other Reference Information
and Code Lists” section of this booklet.

If reporting Source Code G25 (Treatment, disposal, or recycling of hazardous wastes),
you also need to provide the Management Method Code. Source Code G25 indicates
that this waste was generated from a hazardous waste management system described
on a separate GM Form or WR Form. Enter the same Management Method Code that
is listed on the matching GM Form – Section 2, or on the matching WR Form – Item H,
linking this waste with the on-site process that created it. Do not report H141 in
Section 1 – Item D.
If reporting Source Code G61 (Hazardous waste received from off-site for storage/bulking
and transfer off-site for treatment or disposal), the generation amount must be zero (0)
in Section 1 – Item F.

45

GM Form
(continued)

Source Code G17 (Subpart K laboratory waste clean-out) is for facilities that have opted
into the Subpart K Academic Laboratory Waste Rule to report the amount of laboratory
waste shipped or managed during clean-out. The generation amount must be zero (0) in
Section 1 – Item F for this source code. See the Special Instructions in the “Other
Reference Information and Code Lists” for additional information.

NOTE

ITEM E – FORM CODE
Review the Form Codes and enter the code that best corresponds to the physical form or chemical
composition of the hazardous waste reported in Section 1 – Item A.

LIST

For a list of Form Codes, see the “Other Reference Information and Code Lists” section of this
booklet.

ITEM F – QUANTITY GENERATED IN 2013 / UOM AND DENSITY
Enter the total quantity of the hazardous waste described in Section 1 – Item A that was generated
during 2013. Right justify the quantity entry.
Enter the Unit of Measure (UOM) code for the quantity you reported in Section 1 – Item F. Report the
quantity in one of the units of measure listed below. If you select a volumetric measure (gallons, liters,
or cubic yards), you must also report the density of the waste.
Unit of Measure

Weight and Volume Conversions

1

Pounds

2

Short tons (2,000 pounds)

3

Kilograms

1 kilogram (kg) = 2.2046 pounds (lb.)
1 short ton = 2,000 lb.
1 metric ton = 1,000 kg
1 metric ton = 1.1023 short tons

4

Metric tons (1,000 kilograms)

5

Gallons

6

Liters

7

Cubic yards

Code

1 cubic meter (m) = 1.3079 cubic yards
1 cubic yard (yd.) = 27 cubic feet (ft.)
1 liter (l) = 0.2642 gallons (gal)

46

GM Form
(continued)

Skip to Section 1 – Item G if you selected code 1, 2, 3, or 4.
Continue to Density if you selected code 5, 6, or 7.

Report the density only if you entered code 5, 6, or 7 for the unit of measure. Provide the density in
either pounds per gal (lbs/gal) or specific gravity (sg) and place an “X” in the appropriate box to indicate
which measure was used.

SECTION 2 – ON-SITE GENERATION AND MANAGEMENT OF HAZARDOUS WASTE DURING
2013
Answering “Yes” or “No” to this question is mandatory. If you answer “Yes,” for each on-site RCRAregulated management system, you must report the management method and quantity treated,
disposed, or recycled on-site during 2013.

WAS ANY OF THIS WASTE THAT WAS GENERAT ED AT THIS FACILITY TREATED, DISPOSED,
AND/OR RECYCLED ON-SITE?
Mark “Yes” or “No” to this question to indicate if the site did any of the following to the waste reported
in Section 1 – Item A: treat on-site; dispose on-site; recycle on-site. If you marked “Yes,” complete the
blocks for On-site Process Systems below. If you marked “No,” skip to Section 3.
EXAMPLE 1
Facility A generates spent solvents that it recycles on-site in a distillation column. This facility would
mark “Yes” in Section 2 and would fill out the on-site process system box accordingly.
EXAMPLE 2
Facility B receives spent solvents from off-site and blends the solvents into fuel. The facility then sends
the fuels off-site to be burned for energy recovery. Facility B would report on its GM Form the new
waste generated in Section 1 – Item D as Source Code G25 (Treatment, disposal, or recycling of
hazardous wastes) with the management method code of H061 (Fuel Blending). Facility B would mark
“No” in Section 2 because it did not manage any of the newly generated fuels on-site. This facility would
report the off-site shipment in Section 3 and would report the Management Method Code H050 (Energy
Recovery).

47

GM Form
(continued)

ON-SITE MANAGEMENT METHOD CODE
Classify the process system (see definition) with a Management Method Code that best identifies the
last substantive purpose/operation performed at your site. Space is provided to report up to two
different (non-sequential) Management Methods. If you did not use a second on-site process system to
manage the waste, leave the Management Method Code under On-site Process System 2 blank. Do not
report H141 in Section 2.

LIST

For a list of Management Method Codes, see the “Other Reference Information and Code Lists”
section of this booklet.

The space provided for the second on-site process system should be used only in the special case of
management of the same waste on-site by more than one process system during 2013. Use the second
on-site process system only when:
A waste is managed in one process system for a part of a year and in another process system for
the rest of the year; or
A waste is managed by two different process systems at the same time (i.e., management of the
waste is split between parallel process systems).
EXAMPLE OF NON-SEQUENTIAL (PARALLEL) PROCESSES
A firm generated 100 tons of F002 solvent waste in 2013. 80 tons were recycled for reuse in a batch
distillation process system, generating 5 tons of still bottoms. The remaining 20 tons were burned in an
industrial boiler. Under On-site Process System 1, the site enters the Management Method Code H020
(Distillation) and a quantity of 80 tons. Under On-site Process System 2, the site enters the
Management Method Code H050 (Energy Recovery) and a quantity of 20 tons. The 5 tons of still
bottoms should be reported on a separate GM Form.
If more than two on-site process systems meet one of the above conditions, you need not complete the
entire form again. Simply attach a second copy of the GM Form with the EPA ID number and Site Name.
Leave all the other fields blank, except Section 2 for on-site process systems. Note in the Comments
section of each page: “Section 2, On-site Process System Type continued on supplemental page.” (Refer
to instructions on page numbering of supplemental pages.)
The space provided for the second on-site process system should not be used to report the following:
The on-site management of the treatment residual generated from management of the waste
by the first management method (on-site management of treatment residuals should be
reported on a separate GM Form); or
To report treatment in a series of process units (see definition in the “Other Reference
Information and Code Lists” section). Report only process systems, not process units.

48

GM Form
(continued)

EXAMPLE OF SEQUENTIAL PROCESSES
A firm generated 100 tons of D002 and D007 plating waste in 2013. 100 tons were neutralized, stored
on-site, and then chemically batch-treated to remove the D007 (Chromium). 90 tons of wastewater and
10 tons of D007 and F006 sludge were shipped off-site for eventual disposal. Under On-site Process
System 1, the site enters the last substantive on-site Management Method Code H070 (Chemical
Treatment) and a quantity of 100 tons. The site reports the residual 10 tons of sludge on a separate GM
Form with Section 1 – Item D Management Method Code H070 (Chemical Treatment). (If there was no
storage and the wastewater had been allowed to go into the POTW or NPDES, this page would not be
reported, only the D007 and F006 sludge – with a source code of G23.)

QUANTITY TREATED, DISPOSED, OR RECYCLED ON-SITE IN 2013
Enter the quantity of hazardous waste described in Section 1 that was treated, disposed, or recycled by
the reported on-site process management method during 2013. Enter the quantity in the same unit of
measure reported in Section 1 – Item F (Quantity Generated in 2013).

SECTION 3 – OFF-SITE SHIPMENT OF HAZARDOUS WASTE
This section requests information on the off-site shipment of hazardous waste. Answering “Yes” or “No”
to this question is mandatory. If you answer “Yes,” all items in this section are mandatory. Do report
shipments of previously generated hazardous wastes stored until 2013. Do report waste shipped via
transfer facility. Do not report shipments of de-characterized wastes.
Space is provided to report shipments of the waste to three different off-site facilities. If the waste you
reported in Section 1 was shipped to more than three off-site facilities during 2013, you need not
complete the entire form again. Simply attach a second copy of the GM Form, leaving blank all entries
except Section 3 – Items B, C, and D. Note in the Comments section of each page: “Section 3 - Item B
continued on supplemental page.” (Refer to instructions on page numbering of supplemental pages.)

ITEM A – WAS ANY OF THIS WASTE SHIPPED OFF-SITE IN 2013 FOR TREATMENT, DISPOSAL,
OR RECYCLING?
Mark “Yes” or “No” to indicate if any of the waste described in Section 1 was shipped off-site for
treatment, disposal, or recycling during 2013.

49

GM Form
(continued)

This GM Form is complete if you marked “No” in Item A.
Continue to Section 3 – Item B if you marked “Yes” in Item A.

ITEM B – EPA ID NUMBER OF FACILITY TO WHICH WASTE WAS SHIPPED
The 12-digit EPA Identification Number of the facility to which the waste was shipped. Do not create a
GM Form for hazardous waste shipped directly to a foreign country from this site (unless required by
your State). You must complete an Annual Report as required under 40 CFR 262.56, no later than March
1 of each year.

ITEM C – OFF-SITE MANAGEMENT METHOD CODE SHIPPED TO
Review the Management Method Codes in the “Other Reference Information and Code Lists” section of
this booklet. Enter the Management Method Code that best describes the way in which the waste was
managed at the initial receiving facility reported in Section 3 – Item B.

LIST

For a list of Management Method Codes, see the “Other Reference Information and Code Lists”
section of this booklet.

ITEM D – TOTAL QUANTITY SHIPPED IN 2013
Enter the total quantity of the waste shipped to the off-site facility during 2013. Report the quantity in
the same unit of measure entered in Section 1 – Item F. Shipment quantities should equal the total
quantity recorded on Uniform Hazardous Waste Manifests for this site during 2013, unless there were
rejections or other complications. The quantity shipped may not necessarily equal the quantity
generated (e.g., because some waste is still on-site at the end of the year or waste was removed from
storage from a previous year’s generation).

COMMENTS
Use this section as needed to explain anything contained in the form including any waste minimization
efforts. The comments may help make determinations of data validity if questions arise during the
review of the report. If there are special circumstances surrounding the waste described on the form,
please note this here, especially if you are filing the report due to a one-time event.
50

INSTRUCTIONS FOR FILLING OUT THE WR FORM –
RECEIVED FROM OFF-SITE
WHO MUST SUBMIT THIS FORM
A site required to file the 2013 Hazardous Waste Report must submit this form if, during 2013, it
received RCRA hazardous waste from off-site.

PURPOSE OF THIS FORM
The WR Form identifies hazardous wastes that were received from other hazardous waste sites and the
method(s) used to manage them. The WR Form is divided into three identical parts (i.e., waste blocks),
labeled Waste 1, Waste 2, and Waste 3, that collect information on the quantities and characteristics of
each hazardous waste received from an off-site source during 2013 and managed on-site.

HOW TO FILL OUT THIS FORM
You may report waste received from more than one off-site handler on the same page of the form. A
separate waste block must be filled out for each hazardous waste received from each off-site handler.
Hazardous waste from the same off-site handler may be aggregated as long as a single form code
describes the physical form or chemical composition, and all of the waste is managed in a single process
system (i.e., same management method code).
If your site received more than three RCRA hazardous wastes from off-site handlers during 2013,
photocopy and fill out additional copies of this form. Prior to photocopying, place the pre-printed site
identification label in the top left-hand corner of the form or, if you did not receive pre-printed labels,
enter the site name and EPA Identification Number in the space provided.
Use the Comments section at the end of the form to clarify any entry (e.g., “Other” responses) or to
continue any entry. When entering information in the Comments section, cross-reference the waste
block and item letter to which the comment refers.

51

WR Form
(continued)

ITEM-BY-ITEM INSTRUCTIONS
All items in this section are mandatory for each waste reported. Note: Either Item B and/or Item C must
be provided for each reported waste.

ITEM A – WASTE DESCRIPTION
Provide a short narrative description of the waste, such as:
General type;
Source;
Type of hazard; and
Generic chemical name or primary hazardous constituents.
EXAMPLE
“Ignitable spent solvent from degreasing operation in tool production; mixture of mineral spirits and
kerosene.”
In the example, note that the general type (spent solvent), source (degreasing operation in tool
production), type of hazard (ignitability), and generic chemical names (mineral spirits and kerosene)
have all been cited.

ITEM B – EPA HAZARDOUS WASTE CODE(S)
Enter the four-character EPA hazardous waste code(s) that applies to the waste reported in Item A. EPA
hazardous waste codes are provided in the “Other Reference Information and Code Lists” section of this
booklet. If you need room for additional codes, list the codes in the Comments section and crossreference the applicable waste block number (e.g., Waste 1) and Item B. If fewer than four EPA
hazardous waste codes are applicable, leave the remaining spaces blank. If the waste is regulated only
by your State, leave Item B blank and report the State hazardous waste codes in Item C.

LIST

For a list of EPA Hazardous Waste Codes, see the “Other Reference Information and Code Lists”
section of this booklet.

52

WR Form
(continued)

ITEM C – STATE HAZARDOUS WASTE CODE(S)
Enter the State hazardous waste code(s) that applies to the waste reported in Item A, if:
Your State regulates hazardous wastes not regulated as RCRA hazardous waste and requires
these wastes to be reported in the 2013 Hazardous Waste Report; or
Your State uses a hazardous waste code system other than the EPA hazardous waste codes that
applies to the waste describe in Item A.
Otherwise, leave Item C blank. If you need space for additional State hazardous waste codes, list the
codes in the Comments section and cross-reference the applicable waste block number (e.g., Waste 1)
and Item C.

ITEM D – OFF-SITE HANDLER EPA IDENTIFICATION NUMBER
Enter the 12-digit EPA Identification Number of the off-site handler from which the waste was received.
If the site does not have an EPA Identification Number, it may be a CESQG or foreign country. Refer to
the Special Instructions in this booklet for instructions on how to complete Item D for these off-site
handlers.
If the waste reported under Waste 2 is received from the same off-site handler as the waste reported
under Waste 1, put “Same as above” to indicate that the EPA Identification Number is the same as the
one reported in Waste 1; if Waste 3 is received from the same off-site handler as Waste 2, put “Same as
above” to indicate that the EPA Identification Number is the same as the one reported under Waste 2.

NOTE

Refer to the Special Instructions for reporting wastes received from CESQGs and for reporting
wastes received from foreign countries.

ITEM E – QUANTITY RECEIVED IN 2013
Report the total quantity of hazardous waste reported in Item A that was received from the off-site
handler reported in Item D during 2013. If more than one shipment of this waste was received from the
same off-site handler, add the quantities and report only the sum.

53

WR Form
(continued)

ITEM F – UOM AND DENSITY
Enter the Unit of Measure (UOM) code for the quantity you reported in Item E. Report the quantity in
one of the units of measure listed below. If you select a volumetric measure (gallons, liters, or cubic
yards), you must also report the density of the waste.
Unit of Measure

Weight and Volume Conversions

1

Pounds

2

Short tons (2,000 pounds)

3

Kilograms

1 kilogram (kg) = 2.2046 pounds (lb.)
1 short ton = 2,000 lb.
1 metric ton = 1,000 kg
1 metric ton = 1.1023 short tons

4

Metric tons (1,000 kilograms)

5

Gallons

6

Liters

7

Cubic yards

Code

1 cubic meter (m) = 1.3079 cubic yards
1 cubic yard (yd.) = 27 cubic feet (ft.)
1 liter (l) = 0.2642 gallons (gal)

Skip to Item G if you selected code 1, 2, 3, or 4.
Continue to Density if you selected code 5, 6, or 7.

Report the density only if you entered code 5, 6, or 7 for the unit of measure. Provide the density in
either pounds per gal (lbs/gal) or specific gravity (sg) and place an “X” in the appropriate box to indicate
which measure was used.

ITEM G – FORM CODE
Review the Form Codes and enter the code that best corresponds to the physical form or chemical
composition of the hazardous waste reported in Item A.

LIST

For a list of Form Codes, see the “Other Reference Information and Code Lists” section of this
booklet.

54

WR Form
(continued)

ITEM H – MANAGEMENT METHOD CODE
Enter the code that describes the type of process system (see definition) in which the waste was
managed.

LIST

For a list of Management Method Codes, see the “Other Reference Information and Code Lists”
section of this booklet.

COMMENTS
Use this section as needed to explain anything contained in the form. The comments may help make
determinations of data validity if questions arise during the review of the report. If there are special
circumstances surrounding the waste described on the form, please note this here.

55

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56

2013 Hazardous Waste Report
OTHER REFERENCE INFORMATION

AND

CODE LISTS

EXCLUDED WASTES
This section presents a partial list of excluded materials and wastes. This list includes materials excluded from the
definition of solid waste in 40 CFR 261.4(a) and solid wastes excluded from the definition of hazardous waste in
40 CFR 261.4(b). In addition, it also includes specific solid waste samples that are excluded from the definition of
hazardous waste in 40 CFR 261.4(d)-(f). Finally, this list includes specific hazardous wastes, as described in 40 CFR
261.4(c), that are exempted from certain RCRA Subtitle C regulations.
Agricultural Waste Fertilizer
§261.4(b)(2)

Household Waste
§261.4(b)(1)(i)-(ii)

Analytical Samples
§261.4(d)

HTMR Condenser Residue
§261.4(a)(11)

Arsenic Treated Wood and Wood
Products
§261.4(b)(9)

In situ Mining Materials
§261.4(a)(5)

Cement Kiln Dust
§261.4(b)(8)
Coking By-products
§261.4(a)(10)
Comparable/Syn gas Fuels
§261.4(a)(16)
Domestic Sewage
§261.4(a)(1)
Dredged Material
§261.4(g)
Drilling Fluid
§261.4(b)(5)
Excluded Scrap Metal Being Recycled
§261.4(a)(13)
Exported Wastes
§262.56
Fossil Fuel Emission Control Waste
§261.4(b)(4)

Secondary Material Returned to
Original Process
§261.4(a)(8)

Irrigation Return Flows
§261.4(a)(3)
Kraft Mill Steam Stripper Condensates
§261.4(a)(15)

Secondary Material from Mineral
Processing
§261.4(a)(17)
Shredded Circuit Boards Being Recycled
§261.4(a)(14)
Spent Caustics from Petroleum Refining
§261.4(a)(19)

Leachate
§261.4(b)(15)

Spent Wood Preserving Solutions and
Wastewaters
§261.4(a)(9)

Mining and Mineral Process Wastes
§261.4(b)(7)

Sulfuric Acid
§261.4(a)(7)

Mining Overburden
§261.4(b)(3)

Treatability Study Samples
§261.4(e)

Nuclear Material
§261.4(a)(4)

Treatability Studies at Laboratories and
Testing Facilities
§261.4(f)

Oil Filters
§261.4(b)(13)

Trivalent Chromium Waste
§261.4(b)(6)

Petrochemical Recovered Oil
§261.4(a)(18)
Petroleum-contaminated Media and
Debris
§261.4(b)(10)

Hazardous Secondary Material
Generated and Reclaimed Under the
Control of the Generator
40 CFR 261.2(a)(2)(ii)
40 CFR 261.4(a)(23)

Petroleum Refining
§261.4(a)(12)

Hazardous Secondary Material
Transferred Off-site for Reclamation
40 CFR 261.4(a)(24)
40 CFR 261.4(a)(25)

Refrigerants
§261.4(b)(12)

Used Oil Distillation Bottoms
§261.4(b)(14)
Wastes Generated in Storage Tanks,
Transport Vehicles, Pipelines, or
Manufacturing Process Units
§261.4(c)
Wastewater Point Source Discharge
§261.4(a)(2)

Pulping Liquor
§261.4(a)(6)

58

DEFINITIONS
This section contains definitions of terms helpful for completing the forms. For terms defined in the
Code of Federal Regulations (CFR), the appropriate citation is provided.
ACCUMULATION – A site that does not hold RCRA Interim Status or a RCRA permit may accumulate
hazardous waste for a short period of time before shipping it off-site. The waste must be
accumulated in either tanks or containers; it may not be accumulated in surface impoundments.
Generators of more than 1,000 kg (2,200 lbs) of hazardous waste per month may accumulate their
waste for up to 90 days before shipping it off-site. Generators of 100 kg (220 lbs) to 1,000 kg (2,200
lbs) of hazardous waste per month may accumulate their waste for up to 180 days before shipping it
off-site. If the nearest treatment, storage, disposal, or recycling facility to which they can send their
waste is more than 200 miles away, they may accumulate their waste for 270 days. See 40 CFR
262.34.
ACT OR RCRA – The Solid Waste Disposal Act, as amended by the Resource Conservation and Recovery
Act of 1976, as amended by the Hazardous and Solid Waste Amendments of 1984, 42 U.S.C. Section
6901 et seq.
ACUTE HAZARDOUS WASTE – Any hazardous waste with an EPA hazardous waste code beginning with the
letter “P” (40 CFR 261.33(e)) or any of the following “F” codes: F020, F021, F022, F023, F026, and
F027 (40 CFR 261.31). These wastes are subject to stringent quantity standards for accumulation
and generation (40 CFR 261.5(e)).
AUTHORIZED REPRESENTATIVE – The person responsible for the overall operation of the site or an
operational unit (i.e., part of a site), e.g., superintendent or plant manager, or person of equivalent
responsibility.
AUTHORIZED STATE – A State that has obtained authorization from the EPA to direct its own RCRA
program.
BOILER – An enclosed device using controlled flame combustion and having the following characteristics:
The unit has physical provisions for recovering and exporting energy in the form of steam,
heated fluids, or heated gases;
The unit’s combustion chamber and primary energy recovery section(s) are of integral design
(i.e., they are physically formed into one manufactured or assembled unit);
The unit continuously maintains an energy recovery efficiency of at least 60 percent, calculated
in terms of the recovered energy compared with the thermal value of the fuel;
The unit exports and utilizes at least 75 percent of the recovered energy, calculated on an
annual basis (excluding recovered heat used internally in the same unit, for example, to preheat
fuel or combustion air or drive fans or feedwater pumps); or
The unit is one which the Regional Administrator has determined, on a case-by-case basis, to be
a boiler, after considering the standards in 40 CFR 260.32.

59

Definitions
(continued)

BY-PRODUCT MATERIAL – A by-product material is (1) any radioactive material (except special nuclear
material) yielded in or made radioactive by exposure to the radiation incident to the process of
producing or utilizing special nuclear material; and (2) the tailings or wastes produced by the
extraction or concentration of uranium or thorium from any ore processed primarily for its source
material content (defined in the Atomic Energy Act of 1954).
CODE OF FEDERAL REGULATIONS (CFR) – Codification of the general and permanent rules published in the
Federal Register by the Executive departments and agencies of the Federal Government. The Code
is divided into 50 titles which represent broad areas subject to Federal regulation. Each title is
divided into chapters that usually bear the name of the issuing agency. Each chapter is further
subdivided into parts covering specific regulatory areas. The CFR title applicable for the Hazardous
Waste Report is “40,” as in “40 CFR 262.34.”
CONDITIONALLY EXEMPT SMALL QUANTITY GENERATOR (CESQG) OF HAZARDOUS WASTE – A generator that meets
the following criteria:
In every month during the year, the site did all of the following:
1. Generates no more than 100 kg (220 lbs.) of RCRA hazardous waste in any calendar month; and
2. Did not accumulate, at any time, more than 1,000 kg (2,200 lbs.) of RCRA hazardous waste; and
3. Did not generate, in any calendar month, or accumulate at any time, more than 1 kg (2.2 lbs.) of
acute hazardous waste, and no more than 100 kg (220 lbs.) of material from the cleanup of a
spill of acute hazardous waste.
CONFIDENTIAL BUSINESS INFORMATION (CBI) – Information a facility does not wish to make available to the
general public for competitive business reasons. Confidential Business Information (CBI) may be
claimed for certain information in your submittal. A claim may be made in accordance with 40 CFR
Part 2, Subpart B.
DELISTED WASTE – Site-specific wastes excluded from regulation under 40 CFR 260.20 and 260.22. A
waste at a particular generating site may be excluded by petitioning the EPA Administrator for a
regulatory amendment. These wastes are listed in Appendix IX of 40 CFR Part 261.
DISPOSAL – The discharge, deposit, injection, dumping, spilling, leaking, or placing of any solid waste or
hazardous waste into or on any land or water so that such solid waste or hazardous waste or any
constituent thereof may enter the environment or be emitted into the air or discharged into any
waters, including groundwaters.
ELIGIBLE ACADEMIC ENTITY – A college or university, or a non-profit research institute that is owned by or
has a formal written affiliation with a college or university, or a teaching hospital that is owned by or
has a formal written affiliation with a college or university pursuant to 40 CFR Part 262 Subpart K
(See 40 CFR 262.200).
ENVIRONMENTAL PROTECTION AGENCY (EPA) – EPA, also called U.S. EPA, means the United States
Environmental Protection Agency. Some State environmental authorities may be called the EPA
also, as in “Illinois EPA.”

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EPA IDENTIFICATION (ID) NUMBER – The number assigned by the EPA to each hazardous waste generator,
hazardous waste transporter, and treatment, storage, or disposal facility; United States importer of
hazardous waste; mixed waste (hazardous and radioactive) generator; recycler of hazardous waste;
exempt boiler and/or industrial furnace burning or processing hazardous waste; large quantity
handler of or destination facility for universal wastes; disposer of hazardous waste with an
underground injection permit; used oil transporter, used oil processor/re-refiner, off-specification
used oil fuel burner, used oil fuel marketer; eligible academic entity managing laboratory hazardous
waste under Subpart K; or site undergoing corrective action. Additionally, facilities that must notify
using the Site ID Form and Addendum to the Site ID Form that they are managing hazardous
secondary material will also be assigned an EPA ID number.
EXCLUDED WASTES – Wastes excluded from the definition of solid or hazardous waste under 40 CFR 261.3
and 261.4. For a partial listing, see the “Other Reference Information and Code Lists” section of this
booklet.
GM FORM – Waste Generation and Management Form.
HAZARDOUS WASTE – A hazardous waste as defined in 40 CFR 261.3.
HAZARDOUS SECONDARY MATERIAL (HSM) – A secondary material (e.g., spent material, by-product, or
sludge) that, when discarded, would be identified as hazardous waste under 40 CFR Part 261.
Facilities managing hazardous secondary material under 40 CFR 261.2(a)(2)(ii), 40 CFR 261.4(a)(23),
(24), or (25) must complete the Addendum to the Site Identification Form: Notification for
Managing Hazardous Secondary Material. You must check with your State to determine if you are
eligible to manage hazardous secondary material under these exclusions (see also
http://www.epa.gov/epawaste/hazard/dsw/statespf.htm).
HAZARDOUS WASTE GENERATOR – Any person, by site, whose act or process produces hazardous waste
identified or listed in 40 CFR Part 261.
HAZARDOUS WASTE NUMBER OR CODE, EPA – The number (or code) assigned by the EPA to each hazardous
waste listed in 40 CFR Part 261, Subpart D and to each characteristic identified in 40 CFR Part 261,
Subpart C. The codes consist of one letter (D, F, P, U, or K) and three numbers. For a list of EPA
hazardous waste codes see the “Other Reference Information and Code Lists” section of this
booklet.
HAZARDOUS WASTE NUMBER OR CODE, STATE – The number (or code) assigned by the State to each
hazardous waste listed in the State regulations. Obtain a list of the States waste codes from your
State.
HAZARDOUS WASTE STORAGE – The holding of hazardous waste for a temporary period, at the end of which
the hazardous waste is treated, disposed of, or stored elsewhere.
HAZARDOUS WASTE TRANSFER FACILITY – Refer to “Transfer Facility” definition.
HAZARDOUS WASTE TRANSPORTER – Refer to “Transporter” definition.

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HAZARDOUS WASTE TREATMENT – Any method, technique, or process, including neutralization, designed to
change the physical, chemical, or biological character or composition of any hazardous waste so as
to neutralize such hazardous waste, or so as to recover energy or material resources from the
hazardous waste, or so as to render such hazardous waste nonhazardous, or less hazardous; safer to
transport, store, or dispose of; or amenable for recovery, amenable for storage, or reduced in
volume. Such term includes any activity or processing designed to change the physical form or
composition of hazardous waste so as to render it nonhazardous.
INCINERATION – Burning of certain types of solid, liquid, or gaseous materials; or a treatment technology
involving destruction of waste by controlled burning at high temperatures (e.g., burning sludge to
remove the water and reduce the remaining residues to a safe, non-burnable ash that can be
disposed safely on land, in some waters, or in underground locations).
INDUSTRIAL FURNACE – Any of the following enclosed devices that are integral components of
manufacturing processes and that use thermal treatment to accomplish recovery of materials or
energy: cement kilns; lime kilns; aggregate kilns; phosphate kilns; coke ovens; blast furnaces;
smelting, melting, and refining furnaces; titanium dioxide chloride process oxidation reactors;
methane reforming furnaces; pulping liquor recovery furnaces; combustion devices used in the
recovery of sulfur values from spent sulfuric acid; halogen acid furnaces, as defined under industrial
furnace in 40 CFR 260.10; and such other devices as the Administrator may add to this list.
INTERIM (PERMIT) STATUS – Period during which the owner/operator of an existing TSD facility is treated as
having been issued a RCRA permit even though he/she has not yet received a final determination.
An existing facility should have automatically qualified for interim status if the owner/operator filed
both timely “notification” and the first part (Part A) of the RCRA permit application. Interim status
continues until a final determination is made to issue or deny the permit. Owner/operator of new
facilities cannot by definition qualify for interim status; rather, they need a RCRA permit prior to
beginning construction of a hazardous waste management facility.
LARGE QUANTITY GENERATOR (LQG) OF HAZARDOUS WASTE – A generator that meets any of the following
criteria:
1. Generates, in a calendar month, 1,000 kg (2,200 lbs.) or more of non-acute RCRA hazardous
waste; or
2. Generates, in a calendar month, or accumulates at any time, more than 1 kg (2.2 lbs.) of RCRA
acute hazardous waste; or
3. Generates, in a calendar month, or accumulates at any time, more than 100 kg (220 lbs.) of spill
cleanup material contaminated with RCRA acute hazardous waste.
LARGE QUANTITY HANDLER OF UNIVERSAL WASTE (LQHUW) – A universal waste handler (as defined in 40 CFR
273.9) who accumulates 5,000 kg or more total of universal wastes (batteries, pesticides, mercurycontaining equipment, or lamps – calculated collectively) at any time. This designation is retained
through the end of the calendar year in which the 5,000 kg limit is met or exceeded.
MANAGEMENT, OR HAZARDOUS WASTE MANAGEMENT – Systematic control of the collection, source
separation, storage, transportation, processing, treatment, recovery, or disposal of hazardous waste
(40 CFR 260.10).

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MANIFEST, UNIFORM HAZARDOUS WASTE – The shipment document EPA Form 8700-22 and, if necessary,
Form 8700-22A, originated and signed by a generator in accordance with the instructions included in
the appendix to 40 CFR Part 262. The “cradle-to-grave” paperwork must accompany a shipment of
hazardous waste as it moves from the generator to the transporter and eventually to the hazardous
waste management facility.
MIXED WASTE – Waste that contains both hazardous and source, special nuclear, or by-product material
subject to the Atomic Energy Act (AEA), RCRA section 1004(41), 42 U.S.C. 6903 (63 FR 17414; April 9,
1998).
MUNICIPALITY – A city, village, town, borough, county, parish, district, association, Indian tribe or
authorized Indian tribal organization, designated and approved management agency under Section
208 of the Clean Water Act, or any other public body created by or under State law and having
jurisdiction over disposal of sewage, industrial wastes, or other wastes.
OFF-SITE FACILITY – A hazardous waste treatment, storage, disposal, or recycling area located at a place
away from the generating site.
OI FORM – Off-site Identification Form.
OFF-SPECIFICATION USED OIL BURNER – A site where used oil not meeting the specification requirements in
40 CFR 279.11 (off-specification used oil) is burned for energy recovery in devices identified in
Section 279.61(a).
OFF-SPECIFICATION USED OIL FUEL – Used oil fuel that does not meet the specification provided under 40
CFR 279.11.
ON-SITE FACILITY – A hazardous waste treatment, storage, disposal, or recycling area located on the
generating site.
ON-SPECIFICATION USED OIL FUEL – Used oil fuel that meets the specification provided under 40 CFR
279.11.
OPERATOR – The person responsible for the overall operation of a RCRA site. Note: This is the legal
entity which controls the RCRA site operation rather than the plant or site manager. This is usually a
company or business name, not an individual. See Person.
OWNER – The person who owns a RCRA site or part of a RCRA site. Note: This includes the owner(s) of
the building(s) and/or land. This may be an individual, company, or business name. See Person.
PERSON – An individual, trust, firm, joint stock company, Federal Agency, corporation (including a
government corporation), partnership, association, State, municipality, commission, political
subdivision of a State, or any interstate body.

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PROCESS SYSTEM – For purposes of the Hazardous Waste Report, a process system refers to one or more
units used together to treat, recover, or dispose of a hazardous waste. The process system begins at
the unit where the hazardous waste first enters and consists of all other treatment, recovery, or
disposal units downstream from the point of entry. Note that storage is not considered a process
system, except for storage at a bulking and re-shipping facility (H141).
Classify each process system with a Management Method code that best identifies the last
substantive purpose/operation it performs. For example, a process system to remove dissolved
metals from wastewater prior to shipping the sludge off-site typically includes equalization, pH
adjustment, chemical precipitation, flocculation, clarification/settling, and dewatering of the sludge
removed from the bottom of the clarifier. The chemical precipitation process best identifies the last
purpose of this treatment system – to remove metals from the wastewater. If this wastewater
treatment system is RCRA-regulated, it would be reported as H077 (Chemical Precipitation). If the
sludge will be disposed at the reporting site in a landfill, the code will be H132 (Landfill) and will
need to be reported on a separate GM Form because it is a residual from a treatment process.
However, this process is exempt if the treated water flows to a POTW or a NPDES outfall with no
RCRA-regulated storage or treatment units in the system, and should not be reported. A listing of
Management Method codes may be found further down in the “Other Reference Information and
Code Lists” section of this booklet.
PROCESS UNIT – For purposes of the Hazardous Waste Report, a process unit refers to a single type of
treatment (e.g., tank, distillation column, surface impoundment) in which hazardous waste is
treated, disposed, or recycled.
RESOURCE CONSERVATION AND RECOVERY ACT (RCRA) – The Solid Waste Disposal Act as amended by the
Resource Conservation and Recovery Act (RCRA) (40 CFR 270.2). It is the Federal statute that
regulates the generation, treatment, storage, disposal, recycling, and/or transportation of solid and
hazardous waste.
RCRA INTERIM (PERMIT) STATUS – Refer to “Interim (Permit) Status” definition.
RCRA PERMIT – A complete RCRA permit is comprised of an operating permit for hazardous waste
treatment, storage, and disposal, and a corrective action permit addressing releases from solid
waste management unit (SWMUs). To apply for a permit, a site must file a two-part application
(Part A and Part B). A facility is not considered to have a complete RCRA permit until both parts
have been issued.
RCRA SUBTITLE C SITE (RCRA SITE OR SITE) – The physical plant or location at which one or more of the
following regulated waste activities occurs: the generation, transportation, treatment, storage, or
disposal of hazardous wastes; recycling of hazardous wastes; United States importer of hazardous
waste; mixed waste (hazardous and radioactive) generator; exempt boiler and/or industrial furnace
burning or processing hazardous waste; large quantity handler of or destination facility for universal
wastes; disposing hazardous waste with an underground injection permit; the transportation (and
temporary storage during transportation), processing/re-refining, burning, or marketing of used oil;
eligible academic entity managing laboratory hazardous waste under Subpart K; facility managing
hazardous secondary material being reclaimed that must comply with certain requirements and
conditions; or undergoing corrective action.
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Definitions
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A site may consist of several treatment, storage, or disposal operational units. For entities that only
transport regulated wastes, the term site refers to the headquarters of that entity’s operations.
RECYCLING – Use, reuse, or reclamation of a material (40 CFR 261.1(c)(7)). “Reclamation” is the
processing or regeneration of a material to recover a usable product (e.g., recovery of lead values
from spent batteries, regeneration of spent solvents) (40 CFR 261.1(c)(4)). A material is “used or
reused” if it is either: (1) employed as an ingredient (including use as an intermediate) in an
industrial process to make a product (e.g., distillation bottoms from one process used as feedstock
in another process) (40 CFR 261.1(c)(5)). However, a material will not satisfy this condition if distinct
components of the material are recovered as separate end products (as when metals are recovered
from metal-containing secondary material); or (2) a commercial product (e.g., spent pickle liquor
used as phosphorous precipitant and sludge conditioner in wastewater treatment).
RESIDUAL – A hazardous waste derived from the treatment, disposal, or recycling of a previously existing
hazardous waste (e.g., the sludge remaining after initial wastewater treatment).
SHORT-TERM GENERATOR – A generator whose generator status is the result of a one-time, non-recurring,
temporary event that is not related to normal production processes. In other words, short-term
generators produce hazardous waste from a particular activity for a limited time and then cease
conducting that activity. Short-term generators would not be considered episodic generators
because episodic generators have the potential to generate on a regular basis. Examples of shortterm generators include: one-time highway bridge waste generation, underground storage tank
removals, generation of off-spec or out-of-date chemicals at a site that normally doesn’t generate
hazardous waste, remediate or spill clean-up sites with no previous RCRA ID, and site or production
process decommissions by a new operator.
SLUDGE – Any solid, semi-solid, or liquid waste generated from a municipal, commercial, or industrial
wastewater treatment plan, water supply treatment plant, or air pollution control facility exclusive
of the treated effluent from a wastewater treatment plant (40 CFR 260.10).
SMALL QUANTITY GENERATOR (SQG) OF HAZARDOUS WASTE – A generator that meets all the following criteria:
1. Generates, in any calendar month, more than 100 kg (220 lbs.) but less than 1,000 kg (2,200 lbs.)
of RCRA hazardous waste; and
2. Does not generate, in any calendar month, or accumulates at any time, more than 1 kg (2.2 lbs.)
of acute hazardous waste; and
3. Does not generate more than 100 kg (220 lbs.) of material from the cleanup of a spill of acute
hazardous waste.
OR, a site is a Small Quantity Generator if the site:
1. Meets 1) and 3) of the Conditionally Exempt Small Quantity Generator criteria (see definition),
but
2. Is storing more than 1,000 kg (2,200 lbs.) of RCRA hazardous waste on-site. If the site
accumulates, at any time, more than 1,000 kg (2,200 lbs.) of RCRA hazardous waste, the site
must apply for an EPA ID Number using this form.

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SMALL QUANTITY ON-SITE BURNER EXEMPTION – The persons who burn small quantity of hazardous waste in
an on-site boiler or industrial furnace, in accordance with 40 CFR 266.108, are conditionally exempt
from regulation for that activity.
SMELTING, MELTING, AND REFINING FURNACE EXEMPTION – Under 40 CFR 266.100(c), owners or operators of
smelting, melting, and refining furnaces that process hazardous wastes solely for metals recovery
are conditionally exempt from regulation, except for 40 CFR 266.101 and 266.112, provided they
comply with limited requirements set forth in Section 266.100(c). Similarly, 40 CFR 266.100(f)
provides that owners or operators of smelting, melting, and refining furnaces that process
hazardous wastes for the recovery of precious metals are conditionally exempt from regulation,
except for 40 CFR 266.112, provided they comply with limited requirements specified in Section
266.100(f).
SOLID WASTE – Any garbage, refuse, or sludge, or other materials not excluded under 40 CFR 261.4(a).
Exclusions include, for example, domestic sewage and any mixture of other wastes that pass
through a sewer system to a publicly owned treatment works (POTWs); industrial wastewater
discharges that are point source discharges subject to regulation under the Clean Water Act;
irrigation return flows; nuclear materials defined by the Atomic Energy Act; and in situ mining
materials (see the “Other Reference Information and Code Lists” section of this booklet).
Wastewaters being collected, stored, or treated before discharge and sludges generated by
wastewater treatment are not excluded. The EPA defines hazardous waste as a subset of solid
waste.
SOURCE MATERIAL – As defined by the Atomic Energy Act of 1954: (1) Uranium, thorium, or any other
material determined by the Nuclear Regulatory Commission pursuant to the provisions of Section
2091 of this title to be source material; or (2) ores containing one or more of the foregoing materials
in such concentration as the Commission may by regulation determine from time to time.
SPECIAL NUCLEAR MATERIAL – As defined by the Atomic Energy Act of 1954: (1) plutonium, uranium
enriched in the isotope 233 or in the isotope 235, and any other material which the Nuclear
Regulatory Commission, pursuant to the provisions of Section 2071 of this title, determines to be
special nuclear material, but does not include source material; or (2) any material artificially
enriched by any of the foregoing, but does not include source material.
SUBPART K – An alternative set of generator requirements for managing laboratory hazardous waste at
eligible academic entities. Generators that are eligible academic entities with laboratories may elect
to opt into 40 CFR 262 Subpart K and manage their laboratory hazardous waste under Subpart K in
lieu of 40 CFR 262.34(c) (or 40 CFR 261.5 for CESQGs). In order for eligible academic entities (see
definition) to opt into Subpart K or subsequently withdraw from Subpart K, they must use the Site ID
Form to notify the appropriate State or EPA Regional Office. Refer to 40 CFR 262.203 and 262.204.
Note: You must check with your State to determine if you are eligible to manage laboratory
hazardous waste pursuant to 40 CFR Part 262 Subpart K and for any state-specific requirements.
SUPERFUND – The program operated under the legislative authority of the Comprehensive Environmental
Response, Compensation, and Liability Act (CERCLA) and the Superfund Amendments and
Reauthorization Act (SARA) that funds and carries out the solid waste emergency response and longterm remedial activities of the EPA.
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SURFACE IMPOUNDMENT – A natural topographic depression, man-made excavation, or diked area formed
primarily from earthen materials (though it may be lined with man-made materials) that is designed
to accumulate liquid wastes or wastes containing free liquids, and that is not an injection well (40
CFR 260.10).
TOLLING – Tolling arrangements describe a particular type of recycling contract between two companies.
Specifically, the “tolling” company certifies that it has a contract with a manufacturer to produce a
product, and that manufacturing process generates a residual material that can be recycled by the
tolling company. If the tolling company certifies that the contract specifies that the tolling company
owns and has responsibility for the recyclable material once it is generated, and the material is
returned to the tolling company for reclamation, and subsequently recycled, the material is
excluded from regulation (under 40 CFR 261.2(a)(2)(ii) or 261.4(a)(23)), provided certain
requirements are met.
TRANSFER FACILITY – Any transportation-related facility including loading docks, parking areas, storage
areas, and other similar areas where shipments of hazardous waste are held for 10 days or less
during the normal course of transportation (40 CFR 260.10 and 40 CFR 263.12).
TRANSPORTER – A person engaged in the off-site transportation of hazardous waste by air, rail, highway,
or water.
UNDERGROUND INJECTION CONTROL – The subsurface emplacement of fluids through a bored, drilled or
driven well; or through a dug well, where the depth of the dug well is greater than the largest
surface dimension. Underground injection wells are regulated under both the Safe Drinking Water
Act and the Resource Conservation and Recovery Act (see 40 CFR Part 148).
UNIT – Refer to “Process Unit definition.
UNITED STATES IMPORTER – Any person who imports hazardous waste from a foreign country into the
United States. This does not include hazardous waste shipped from a foreign Department of
Defense site, Maquiladora, United States territory or protectorate.
UNIVERSAL WASTE – Any of the following hazardous wastes that are managed under the universal waste
requirements of 40 CFR Part 273: batteries, pesticides, mercury-containing equipment, and lamps.
Some States may have State-specific universal wastes defined as well.
USED OIL – Any oil that has been refined from crude oil, or any synthetic oil, that has been used, and as a
result of such use, is contaminated by physical or chemical impurities.
USED OIL FUEL MARKETER – Any person who conducts either of the following activities:
1. Directs a shipment of off-specification used oil from their site to an off-specification used oil
burner; or
2. First claims that used oil that is to be burned for energy recovery meets the used oil fuel
specifications set forth in 40 CFR 279.11.

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USED OIL MANAGEMENT ACTIVITIES – For the purposes of the Site ID Form, includes used oil transportation;
used oil processing and re-refining; burning off-specification used oil fuel; and used oil fuel
marketing.
USED OIL PROCESSING – Chemical or physical operations designed to produce from used oil, or to make
used oil more amenable for production of, fuel oils, lubricants, or other used oil-derived products.
Processing includes, but is not limited to: blending used oil with virgin petroleum products, blending
used oils to meet the fuel specification, filtration, simple distillation, chemical or physical separation,
and re-refining.
USED OIL PROCESSOR – A site that processes on-specification or off-specification used oil.
USED OIL RE-REFINER – A site that produces lubricating oils and greases, industrial fuel, asphalt extender,
gasoline, and other products from on-specification or off-specification used oil.
USED OIL TRANSFER FACILITY – Any transportation-related facility, including loading docks, parking areas,
storage areas, and other areas where shipments of used oil are held for more than 24 hours during
the normal course of transportation and not longer than 35 days. Transfer facilities that store used
oil for more than 35 days are subject to regulation under 40 CFR Part 279, Subpart F.
USED OIL TRANSPORTER – Any person who transports used oil, any person who collects used oil from more
than one generator and transports the collected oil, and owners and operators of used oil transfer
facilities. Used oil transporters may consolidate or aggregate loads of used oil for purposes of
transportation but, with the following exception, may not process used oil. Used oil transporters
may conduct incidental processing operations that occur in the normal course of used oil
transportation (e.g., settling and water separation), but that are not designed to produce (or make
more amenable for production of) used oil-derived products or used oil fuel.
WASTE MINIMIZATION – The reduction, to the extent feasible, of hazardous waste that is generated or
subsequently treated, stored, or disposed. It includes any source reduction or recycling activity
undertaken by a generator that results in: (1) the reduction of total volume or quantity of
hazardous waste; (2) the reduction of toxicity of hazardous waste; or (3) both, as long as the
reduction is consistent with the goal of minimizing present and future threats to human health and
the environment.
WASTE OIL (BIENNIAL REPORT ONLY) – Any oil that has been refined from crude oil, or any synthetic oil, that
has been used, and as a result of such use, is contaminated by physical or chemical impurities and is
managed as a hazardous waste.
WR FORM – Waste Received From Off-site Form.

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SPECIAL INSTRUCTIONS
These instructions explain how to complete the 2013 Hazardous Waste Report for wastes and sites with
unique regulatory or reporting requirements.
ASBESTOS, PCBS, WASTE OILS – In most cases, do not report asbestos, PCBs, and waste oils. However, you
must report them if any of the following conditions exist:
(1) If your State specifically requires that these wastes be reported;
(2) If a listed RCRA hazardous waste (i.e., EPA hazardous waste code that begins with “F”, “K”, “P”,
or “U”) is mixed with asbestos, PCBs, or waste oil, in which case the entire mixture is a
hazardous waste; or
(3) If the waste possesses one or more of the characteristics that result in assigning EPA hazardous
waste code beginning with “D”. (This does not apply to used oil that is recycled as explained
below.)
Do not report “used oil that is recycled and is also a hazardous waste solely because it exhibits a
hazardous characteristic (criterion 3 above). Used oil that is recycled includes any used oil which is
reused, following its original use, for any purpose (including the purpose for which the oil was
originally used). Such term includes, but is not limited to, oil which is re-refined, reclaimed, burned
for energy recovery, or reprocessed.” (40 CFR 261.6(a)(4))
GROUNDWATER CONTAMINATED BY HAZARDOUS WASTE – Groundwater contaminated by RCRA hazardous
waste is not considered a solid waste and is, therefore, not classified as a hazardous waste.
However, because hazardous waste is “contained in” the groundwater, it must be treated “as if” it
were a RCRA hazardous waste if it is removed for treatment, storage, or disposal.1 When reporting
groundwater contaminated by hazardous waste in the 2013 Hazardous Waste Report, observe the
following conventions:
(1) Enter “0” in the GM Form, Section 1 – Item F (Quantity). Explain in the Comments section that it
is groundwater, not a hazardous waste that was generated on-site.
(2) Report quantities managed on-site (GM Form, Section 2, On-site Process Systems 1 and 2);
quantities shipped off-site for management (GM Form, Section 3); and quantities received from
off-site and managed on-site (WR Form, Item E).

1

To determine if the contaminated media must be reported at all (generated OR treated): If the contamination is due to a characteristic waste,
then it is the generator’s responsibility to determine if the contaminated groundwater is a hazardous waste. Once the characteristics are
eliminated, the media is no longer considered to “contain” hazardous waste. If a facility has first removed groundwater and is claiming that the
groundwater is contaminated with a listed hazardous waste or “contains” listed hazardous waste, EPA Regions or Authorized States should
make a site-specific determination of whether the media is a RCRA Waste. Please see: “Management of Remediation Waste Under RCRA,”
EPA530-F-98-026, October 14, 1998. RCRA Online Document No. 14291. Available online at:
http://yosemite.epa.gov/osw/rcra.nsf/0c994248c239947e85256d09007115f/d9e61a0505db4b6885256817006e32b8!OpenDocument.

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Special Instructions
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LAB PACKS – The following rules apply to the reporting of lab pack wastes in the 2013 Hazardous Waste
Report:
(1) You may aggregate lab pack wastes if they have the same Form Code. However, you must
report them as separate wastes under the following conditions:
If they contain RCRA acute hazardous wastes (i.e., EPA hazardous waste codes F020,
F021, F022, F023, F026, F027, and all “P” waste codes). Report separately from lab
packs containing other RCRA hazardous wastes (all other EPA hazardous waste codes).
If they are managed differently from each other. For example, report lab packs shipped
to landfills separately from those incinerated.
(2) Enter a Form Code indicating lab packs (i.e., W001 or W004) on the GM Form, in Section 1 –
Item E or on the WR Form in Item G. These Form Codes are to be used with any lab pack,
whether the wastes are gaseous, liquid, solid, or sludge.
(3) It is not necessary to report every EPA hazardous waste code included in a batch of lab packs.
Record one, or a few predominant, EPA hazardous waste codes in Section 1 – Item B of the GM
Form, or Item B of the WR Form. If there are many EPA hazardous waste codes associated with
the batch of lab packs, enter “LABP” in the first four-character field in Section 1 – Item B of the
GM Form, or Item B of the WR Form; then enter “NA” in the remaining spaces for the EPA
hazardous waste codes.
(4) When reporting quantities for lab packs:
Include the weight of the containers if they are disposed (e.g., landfilled) or treated
(e.g., incinerated) with the waste.
Exclude the weight of the containers if the waste is removed from the containers before
treatment or disposal.
RCRA-RADIOACTIVE MIXED WASTES – By themselves, source material, special nuclear material, or byproduct materials (see DEFINITIONS section), as defined by the Atomic Energy Act of 1954 and
amended by 42 U.S.C. 2011 et. Seq., are not classified as hazardous wastes under RCRA. However, if
these materials are mixed with a RCRA hazardous waste, the material is controlled under RCRA
regulation, as well as under the Atomic Energy Act (DOE, NRC, and EPA) regulations, and is to be
reported in the 2013 Hazardous Waste Report.
SUBPART K LABORATORY WASTE CLEAN-OUT – A Subpart K laboratory clean-out conducted in accordance
with 40 CFR 262.213(a), is defined as: once per 12 months per laboratory, a laboratory will have 30
days to conduct a clean-out and will not have to count the hazardous waste that consists of unused
commercial chemical products (either listed or characteristic) generated during those 30 days
towards the eligible academic entity’s generator status for the purposes of on-site accumulation.
See 40 CFR 262.213(a)(1-4) for other Subpart K laboratory clean-out requirements.

70

Special Instructions
(continued)

The waste generated from this clean-out should be reported on the GM Form with a source code of
“G17 – Subpart K Laboratory Waste Clean-out” with a generation amount of zero (0) (Section 1 –
Item F). The amount shipped off-site or managed on-site will be reported in Sections 2 or 3 of the
GM Form as appropriate.
Laboratory waste that is generated during routine operations (e.g., spent solvents or spent
acids/bases) should be reported separately from Subpart K laboratory clean-out wastes. Routinely
generated laboratory waste should be reported with source code(s) other than G17.
WASTES RECEIVED FROM CONDITIONALLY EXEMPT SMALL QUANTITY GENERATORS (CESQGS) – Waste management
facilities sometimes receive hazardous waste from large numbers of Conditionally Exempt Small
Quantity Generators (CESQGs) or other sites that do not have RCRA EPA Identification Numbers. To
minimize the response burden for filling out the WR Form for these wastes, you may aggregate the
wastes across generating sites, in accordance with these guidelines:
(1) All the wastes must have the same EPA hazardous waste code (Item B), State hazardous waste
code (Item C), Form code (Item G), and Management Method code (Item H).
(2) Wastes received from different States must be reported separately. For the off-site handler EPA
Identification Number (Item D), the entry should include the two-letter postal code of the
originating State, followed by the letters “CESQG”.
For example, wastes received from several CESQGs in the State of Alaska (AK) that share a common
EPA hazardous waste code, State hazardous waste code, Form code, and Management Method code
could be aggregated in a single waste block of the WR Form (e.g., Waste 1). In Item D, the off-site
handler EPA ID number is entered as “AKCESQG”. Note: This method of completing Item D can also
be used for CESQG waste that is not aggregated.
WASTES RECEIVED FROM FOREIGN COUNTRIES – Reporting on the GM Form – If your site was the generator of
record and was the U.S. Importer for hazardous waste received from a foreign country (other than a
foreign Department of Defense site, Maquiladora, U.S. territory or protectorate), complete a GM
Form. Enter the appropriate code in Section 1 – Item D (Source Code) from the list of codes G63
through G75 (Hazardous waste received from [name of foreign country]). Include the Import
Notification and other foreign generator information in the Comments. Also, mark “Yes” on the Site
ID Form, Item 10.A.3 – United States Importer of Hazardous Waste. Report on the OI Form the
name and address of all foreign generators if this form is required by your State.
Report on the WR Form – If your site received hazardous waste directly from a generator in a
foreign country (other than a foreign Department of Defense site, Maquiladora, U.S. territory or
protectorate), complete a WR Form for the waste treated, recovered, or disposed at your site. This
waste was not shipped to your site by a U.S. Importer. Report the code “FC” followed by the name
of the foreign country in Item D – Off-site Handler EPA ID number. Include the Import Notification
and other foreign generator information in the Comments. Report on the OI Form the name and
address of all foreign generators if this form is required by your State.

71

EPA HAZARDOUS WASTE CODES
A list of all the hazardous waste codes is shown below. See the regulations for details.
CHARACTERISTICS OF HAZARDOUS WASTE (SEE 40 CFR
261.24) – DXXX

DISCARDED COMMERCIAL CHEMICAL PRODUCTS, OFFSPECIFICATION SPECIES, CONTAINER RESIDUALS, AND SPILL
RESIDUES THEREOF – ACUTE HAZARDOUS WASTE (SEE 40
CFR 261.33) – PXXX

HAZARDOUS WASTE FROM NON-SPECIFIC SOURCES (SEE 40
CFR 261.31) – FXXX

DISCARDED COMMERCIAL CHEMICAL PRODUCTS, OFFSPECIFICATION SPECIES, CONTAINER RESIDUES, AND SPILL
RESIDUES THEREOF – TOXIC WASTES (SEE 40 CFR 261.33) –
UXXX

HAZARDOUS WASTE FROM SPECIFIC SOURCES (SEE 40 CFR
261.32) - KXXX

D001
D002
D003
D004
D005
D006
D007
D008
D009
D010
D011
D012
D013
D014
D015
D016
D017
D018
D019
D020
D021
D022
D023
D024
D025
D026
D027
D028
D029
D030
D031
D032
D033
D034
D035
D036
D037
D038
D039
D040
D041
D042
D043

F001
F002
F003
F004
F005
F006
F007
F008
F009
F010
F011
F012
F019
F020
F021
F022
F023
F024
F025
F026
F027
F028
F032
F034
F035
F037
F038
F039

K001
K002
K003
K004
K005
K006
K007
K008
K009
K010
K011
K013
K014
K015
K016
K017
K018
K019
K020
K021
K022
K023
K024
K025
K026
K027
K028
K029
K030
K031
K032
K033
K034
K035
K036
K037
K038
K039
K040
K041
K042
K043
K044
K045
K046

K047
K048
K049
K050
K051
K052
K060
K061
K062
K069
K071
K073
K083
K084
K085
K086
K087
K088
K093
K094
K095
K096
K097
K098
K099
K100
K100
K101
K102
K103
K104
K105
K106
K107
K108
K109
K110
K111
K112
K113
K114
K115
K116
K117
K118

K123
K124
K125
K126
K131
K132
K136
K141
K142
K143
K144
K145
K147
K148
K149
K150
K151
K156
K157
K158
K159
K161
K169
K170
K171
K172
K174
K175
K176
K177
K178
K181

P001
P002
P003
P004
P005
P006
P007
P008
P009
P010
P011
P012
P013
P014
P015
P016
P017
P018
P020
P021
P022
P023
P024
P026
P027
P028
P029
P030
P031
P033
P034
P036
P037
P038
P039
P040
P041
P042
P043
P044
P045
P046
P047
P048
P049

P050
P051
P054
P056
P057
P058
P059
P060
P062
P063
P064
P065
P066
P067
P068
P069
P070
P071
P072
P073
P074
P075
P076
P077
P078
P081
P082
P084
P085
P087
P088
P089
P092
P093
P094
P095
P096
P097
P098
P099
P101
P102
P103
P104
P105

P106
P108
P109
P110
P111
P112
P113
P114
P115
P116
P118
P119
P120
P121
P122
P123
P127
P128
P185
P188
P189
P190
P191
P192
P194
P196
P197
P198
P199
P201
P202
P203
P204
P205

72

U001
U002
U003
U004
U005
U006
U007
U008
U009
U010
U011
U012
U014
U015
U016
U017
U018
U019
U020
U021
U022
U023
U024
U025
U026
U027
U028
U029
U030
U031
U032
U033
U034
U035
U036
U037
U038
U039
U041
U042
U043
U044
U045
U046
U047

U048
U049
U050
U051
U052
U053
U055
U056
U057
U058
U059
U060
U061
U062
U063
U064
U066
U067
U068
U069
U070
U071
U072
U073
U074
U075
U076
U077
U078
U079
U080
U081
U082
U083
U084
U085
U086
U087
U088
U089
U090
U091
U092
U093
U094

U095
U096
U097
U098
U099
U101
U102
U103
U105
U106
U107
U108
U109
U110
U111
U112
U113
U114
U115
U116
U117
U118
U119
U120
U121
U122
U123
U124
U125
U126
U127
U128
U129
U130
U131
U132
U133
U134
U135
U136
U137
U138
U140
U141
U142

U143
U144
U145
U146
U147
U148
U149
U150
U151
U152
U153
U154
U155
U156
U157
U158
U159
U160
U161
U162
U163
U164
U165
U166
U167
U168
U169
U170
U171
U172
U173
U174
U176
U177
U178
U179
U180
U181
U182
U183
U184
U185
U186
U187
U188

U189
U190
U191
U192
U193
U194
U196
U197
U200
U201
U202
U203
U204
U205
U206
U207
U208
U209
U210
U211
U213
U214
U215
U216
U217
U218
U219
U220
U221
U222
U223
U225
U226
U227
U228
U234
U235
U236
U237
U238
U239
U240
U243
U244
U246

U247
U248
U249
U271
U278
U279
U280
U328
U353
U359
U364
U367
U372
U373
U387
U389
U394
U395
U404
U409
U410
U411

HSM FACILITY CODES
Facility codes describe the specific regulation a facility uses to manage its hazardous secondary material
(HSM) and the type of activity the facility performs under the regulation (e.g., generator, reclaimer).
Review the groups and pick the appropriate code. If more than one facility code applies to you, enter
each code on a separate row under Item 2 of the Addendum to the Site ID Form.
Under Control of the Generator Exclusion (40 CFR 261.2(a)(2)(ii) or 261.4(a)(23))
Code
01

02

03

04

05

Facility Code Description
HSM Generator reclaiming HSM “on-site”: This code applies if you generate and reclaim hazardous secondary
material at your generating facility. See also paragraph (1) in the Federal definition of “Hazardous secondary material
generated and reclaimed under the control of the generator” in 40 CFR Part 260.10.
HSM Generator transferring HSM to reclaimer within the “same company”: This code applies if you generate
hazardous secondary material and send the material for reclamation to a different facility that is either controlled by
you or controlled by the same person that controls your generating facility. See also paragraph (2) in the Federal
definition of “Hazardous secondary material generated and reclaimed under the control of the generator” in 40 CFR
Part 260.10.
Reclaimer receiving HSM from HSM generator within the “same company”: This code applies if you receive and
reclaim hazardous secondary material from a different facility that either controls you or is controlled by the same
person that controls you. See also paragraph (2) in the Federal definition of “Hazardous secondary material generated
and reclaimed under the control of the generator” in 40 CFR Part 260.10.
Tolling Contractor reclaiming HSM pursuant to a tolling contract: This code applies if you are a tolling contractor that
reclaims hazardous secondary material pursuant to a written contract with a toll manufacturer. See also paragraph (3)
in the Federal definition of “Hazardous secondary material generated and reclaimed under the control of the
generator” in 40 CFR Part 260.10.
Toll Manufacturer managing HSM pursuant to a tolling contract: This code applies if you generate and send
hazardous secondary material for reclamation to a tolling contractor pursuant to a written contract. See also
paragraph (3) in the Federal definition of “Hazardous secondary material generated and reclaimed under the control of
the generator” in 40 CFR Part 260.10.

Transfer-based Exclusion (40 CFR 261.4(a)(24))
Code
06
07
08

Facility Code Description
HSM Generator transferring HSM off-site to a domestic reclamation facility: This code applies if you generate and
send hazardous secondary material for reclamation to an off-site domestic reclamation facility.
Reclaimer receiving HSM from off-site: This code applies if you reclaim hazardous secondary material received from
an off-site domestic hazardous secondary material generator or other domestic facility.
Intermediate facility: This code applies if you receive hazardous secondary material from an off-site domestic
hazardous secondary material generator or another domestic facility and you store it for more than ten days. This
code does not apply if you generate or reclaim the hazardous secondary material.

Imports/Exports (40 CFR 261.4(a)(24) or (25))
Code
09
10

11

Facility Code Description
HSM Generator exporting HSM off-site to a foreign reclamation facility: This code applies if you generate and export
hazardous secondary material for reclamation to a foreign reclamation facility.
HSM Generator importing HSM from a foreign entity to send to another domestic reclamation facility: This code
applies if you import hazardous secondary material from a foreign entity and send the material for reclamation to a
domestic reclamation facility.
HSM Generator AND Reclaimer of imported HSM: This code applies if you import hazardous secondary material from
a foreign entity and reclaim the material at your facility.

73

HSM LAND-BASED UNIT CODES
A 2-digit code that best describes the land-based unit you use or will use to manage the hazardous
secondary material.
Code
NA
SI

PL
OT

Land-based Unit Code Description
Do not use land-based units to manage hazardous secondary material.
Use surface impoundment(s) to manage hazardous secondary material. A surface impoundment is a natural
topographic depression, man-made excavation or diked area formed primarily of earthen materials (although it may
be lined with man-made materials), which is designed to hold an accumulation of liquid hazardous secondary
materials or materials containing free liquids and which is not an injection well.
Use pile(s) to manage hazardous secondary material. Pile means any non-containerized accumulation of solid, nonflowing hazardous secondary material that is used for storage and is not a containment building.
Use other land-based unit(s) to manage hazardous secondary material.

74

SOURCE CODES
Source codes describe the type of process or activity (i.e., source) from which a hazardous waste was
generated. Review the groups and pick the appropriate code.
Wastes From On-going Production and Service Processes (waste from general day to day manufacturing,
production, or maintenance activities)
Code
G01
G02
G03
G04
G05
G06
G07
G08
G09

Source Code Description
Dip, flush or spray rinsing (using solvents to clean or prepare parts or assemblies for further processing – i.e. painting
or assembly)
Stripping and acid or caustic cleaning (using caustics to remove coatings or layers from parts or assemblies)
Plating and phosphating (electro- or non-electroplating or phosphating)
Etching (using caustics or other methods to remove layers or partial layers)
Metal forming and treatment (pickling, heat treating, punching, bending, annealing, grinding, hardening, etc.)
Painting and coating (manufacturing, building, or maintenance)
Product and by-product processing (direct flow of wastes from chemical manufacturing or processing, etc.)
Removal of spent process liquids or catalysts (bulk removal of wastes from chemical manufacturing or processing,
etc.)
Other production or service-related processes from which the waste is a direct outflow or result (specify in
comments)

Wastes From Other Intermittent Events or Processes
Code
G11
G12
G13
G14
G15
G16
G17
G19

Source Code Description
Discarding off-specification, out-of-date, and/or unused chemicals or products
Lagoon or sediment dragout and leachate collection (large scale operations in open pits, ponds, or lagoons)
Cleaning out process equipment (periodic sludge or residual removal from enclosed processes including internal
scrubbing or cleaning)
Removal of tank sludge, sediments, or slag (periodic sludge or residual removal from storage tanks including internal
scrubbing or cleaning)
Process equipment change-out or discontinuation of equipment use (final materials and residuals removal including
cleaning)
Oil changes and filter or battery replacement (automotive, machinery, etc.)
Subpart K laboratory waste clean-out (facility must have opted into the Subpart K rule to use this source code)
Other one-time or intermittent processes (specify in comments)

Residuals From Pollution Control and Waste Management Processes
Code
G21
G22
G23
G24
G25
G26
G27

Source Code Description
Air pollution control devices (e.g., baghouse dust ash, etc. from stack scrubbers or precipitators; vapor collection,
etc.)
Laboratory analytical wastes (e.g., used chemicals from laboratory operations)
Wastewater treatment (e.g., sludge, filter cake, etc., including wastes from treatment before discharge by NPDES or
POTW or by UIC disposal)
Solvent or product distillation as part of a production process (including totally enclosed treatment systems). Does
not include batch treatment in a separate process.
Treatment, disposal, or recycling of hazardous wastes – indicate in Item H the management method (enter the
related H code) that produced the residuals
Leachate collection (from landfill operations or other land units)
Treatment or recovery of universal waste

75

Source Codes
(continued)

Wastes From Spills and Accidental Releases
Code
G31
G32
G33
G39

Source Code Description
Accidental contamination of products, materials, or containers (other than G11)
Cleanup of spill residues (infrequent, not routine)
Leak collection and floor sweeping (on-going, routine)
Other cleanup of current contamination (specify in comments)

Wastes From Remediation of Past Contamination
Code
G41
G42
G43
G44
G45
G49

Source Code Description
Closure of hazardous waste management unit under RCRA
Corrective action at a solid waste management unit under RCRA
Remedial action or emergency response under Superfund
Cleanup under State or voluntary program
Cleanup of underground storage tank
Other remediation (specify in comments)

Wastes Not Physically Generated On-site
Code
G61
For
codes
G63G75
G63
G64
G65
G66
G67
G68
G69
G70
G71
G72
G73
G74
G75

Source Code Description
Hazardous waste received from off-site for storage/bulking and transfer off-site for treatment or disposal
Hazardous waste received from a foreign country (other than a foreign Department of Defense site, Maquiladora,
U.S. territory or protectorate). This site was the generator of record and is the U.S. Importer.
Enter the appropriate code from the list below Hazardous waste received from Antarctica
Hazardous waste received from Aruba
Hazardous waste received from Bahamas
Hazardous waste received from Belgium
Hazardous waste received from Brazil
Hazardous waste received from Canada
Hazardous waste received from Holland
Hazardous waste received from Malaysia
Hazardous waste received from Mexico
Hazardous waste received from New Zealand
Hazardous waste received from Taiwan
Hazardous waste received from Venezuela
Hazardous waste received from other foreign country – see Comments for country name

76

FORM CODES
Form codes describe the general physical and chemical characteristics of a hazardous waste. Review the
groups and pick the appropriate code.
Mixed Media/Debris/Devices – Waste that is a mixture of organic and inorganic wastes, liquid and solid wastes, or
devices that are not easily categorized
Code
W001
W002
W004
W005
W301
W309
W310
W320
W512
W801

Form Code Description
Lab packs from any source not containing acute hazardous waste
Contaminated debris (see definition at 40 CFR 268.2(g) and requirements at 40 CFR 268.45); for example, certain
paper, clothing, rags, wood, empty fiber or plastic containers, glass, piping, or other solids
Lab packs from any source containing acute hazardous waste
Waste pharmaceuticals managed as hazardous waste
Contaminated soil (usually from spill cleanup, demolition, or remediation); see also W512
Batteries, battery parts, cores, casings (lead-acid or other types)
Filters, solid adsorbents, ion exchange resins and spent carbon (usually from production, intermittent processes, or
remediation)
Electrical devices (lamps, fluorescent lamps, or thermostats usually containing mercury; CRTs containing lead; etc.)
Sediment or lagoon dragout, drilling or other muds (wet or muddy soils); see also W301
Compressed gases of any type

Inorganic Liquids – Waste that is primarily inorganic and highly fluid (e.g., aqueous), with low suspended inorganic
solids and low organic content
Code
W101
W103
W105
W107
W110
W113
W117
W119

Form Code Description
Very dilute aqueous waste containing more than 99% water (land disposal restriction defined wastewater that is not
exempt under NPDES or POTW discharge)
Spent concentrated acid (5% or more)
Acidic aqueous wastes less than 5% acid (diluted but pH <2)
Aqueous waste containing cyanides (generally caustic)
Caustic aqueous waste without cyanides (pH >12.5)
Other aqueous waste or wastewaters (fluid but not sludge)
Waste liquid mercury (metallic)
Other inorganic liquid (specify in comments)

Organic Liquids – Waste that is primarily organic and is highly fluid, with low inorganic solids contents and low-tomoderate water content
Code
W200
W202
W203
W204
W205
W206
W209
W210
W211
W219

Form Code Description
Still bottoms in liquid form (fluid but not sludge)
Concentrated halogenated (e.g., chlorinated) solvent
Concentrated non-halogenated (e.g., non-chlorinated) solvent
Concentrated halogenated/non-halogenated solvent mixture
Oil-water emulsion or mixture (fluid but not sludge)
Waste oil managed as hazardous waste
Paint, ink, lacquer, or varnish (fluid – not dried out or sludge)
Reactive or polymerizable organic liquids and adhesives (fluid but not sludge)
Paint thinner or petroleum distillates
Other organic liquid (specify in comments)

77

Form Codes
(continued)

Inorganic Solids – Waste that is primarily inorganic and solid, with low organic content and low-to-moderate water
content; not pumpable
Code
W303
W304
W307
W312
W316
W319

Form Code Description
Ash (from any type of burning of hazardous waste)
Slags, drosses, and other solid thermal residues
Metal scale, filings and scrap (including metal drums)
Cyanide or metal cyanide bearing solids, salts or chemicals
Metal salts or chemicals not containing cyanides
Other inorganic solids (specify in comments)

Organic Solids – Waste that is primarily organic and solid, with low-to-moderate inorganic content and water
content; not pumpable
Code
W401
W403
W405
W406
W409

Form Code Description
Pesticide solids (used or discarded – not contaminated soils – W301)
Solid resins, plastics or polymerized organics
Explosives or reactive organic solids
Dried paint (paint chips, filters, air filters, other)
Other organic solids (specify in comments)

Inorganic Sludges – Waste that is primarily inorganic, with moderate-to-high water content and low organic
content; mostly pumpable
Code
W501
W503
W504
W505
W506
W519

Form Code Description
Lime and/or metal hydroxide sludges and solids with no cyanides (not contaminated muds – W512)
Gypsum sludges from wastewater treatment or air pollution control
Other sludges from wastewater treatment or air pollution control
Metal bearing sludges (including plating sludge) not containing cyanides
Cyanide-bearing sludges (not contaminated soils – W512)
Other inorganic sludges (not contaminated muds – W512; specify in comments)

Organic Sludges – Waste that is primarily organic with low-to-moderate inorganic solids content and water
content; pumpable
Code
W603
W604
W606
W609

Form Code Description
Oily sludge (not contaminated muds – W512)
Paint or ink sludges, still bottoms in sludge form (not contaminated muds – W512)
Resins, tars, polymer or tarry sludge (not contaminated muds – W512)
Other organic sludge (specify in comments)

78

MANAGEMENT METHOD CODES
Management method codes describe the type of hazardous waste management system used to treat,
recover, or dispose a hazardous waste. Select the final substantive method used. Review the groups
and pick the appropriate code.
Reclamation and Recovery
Code
H010
H020
H039
H050
H061

Management Method Code Description
Metals recovery including retorting, smelting, chemical, etc.
Solvents recovery (distillation, extraction, etc.)
Other recovery or reclamation for reuse including acid regeneration, organics recovery, etc. (specify in comments)
Energy recovery at this site – used as fuel (includes on-site fuel blending before energy recovery; report only this
code)
Fuel blending prior to energy recovery at another site (waste generated on-site or received from off-site)

Destruction or Treatment Prior to Disposal at Another Site
Code

Management Method Code Description

H040

Incineration – thermal destruction other than use as a fuel (includes any
preparation prior to burning)
Chemical treatment (reduction/destruction/oxidation/precipitation); do not
include immediate treatment in an exempt wastewater treatment unit with
discharge to a NPDES-POTW (unless required by state)
Biological treatment; do not include immediate treatment in an exempted
wastewater treatment unit with discharge to a NPDES-POTW (unless required by
state)
Physical treatment only
(adsorption/absorption/separation/stripping/dewatering); do not include
immediate treatment in an exempted wastewater treatment unit with discharge
to a NPDES-POTW (unless required by state)
Stabilization prior to land disposal at another site
(encapsulation/stabilization/fixation)
Combination of chemical, biological, and/or physical treatment; do not include
immediate treatment in an exempted wastewater treatment unit with discharge
to a NPDES-POTW (unless required by state)
Neutralization only (no other treatment)
Evaporation (as the major component of treatment; not reportable as H070,
H081, H100 or H120)
Other treatment that does not include onsite disposal (specify in comments)

H070

H081

H100

H110
H120

H121
H122
H129

Comparison
2011 Codes
[No change]

to

previous

Includes previous H071, H073,
H075, H076, and H077
[No change]

Includes previous H082, H083,
H101, H103, H123, and H124

Includes previous H111 and
H112
New code

[No change]
[No change]
[No change]

Disposal
Code
H131
H132
H134
H135

Management Method Code Description
Land treatment or application (to include any prior treatment and/or stabilization)
Landfill or surface impoundment that will be closed as landfill (to include prior treatment and/or stabilization)
Deepwell or underground injection (with or without treatment; this waste was counted as hazardous waste)
Discharge to sewer/POTW or NPDES(with prior storage – with or without treatment)

79

Management Method Codes
(continued)

Transfer Off-site
Code
H141

Management Method Code Description
The site receiving this waste stored/bulked and transferred the waste with no treatment or recovery (H010-H129),
fuel blending (H061), or disposal (H131-H135) at that receiving site. Do not use this code on GM Form in Section 1 –
Item D or in Section 2.

80

WASTE MINIMIZATION CODES
The following codes provide a description of existing or new waste minimization efforts undertaken to
reduce the volume and/or toxicity of hazardous waste generated at the facility.
You may provide in the Comments section any additional information (including toxicity and quantity
reductions to the extent that data are available) that will help EPA and the states understand your
efforts to prevent pollution, minimize waste, or recycle in regards to this waste stream. Additionally,
you may explain in the Comments section why your efforts were either successful or unsuccessful or
why you did not implement waste minimization efforts for this reporting year.
The facility initiated waste minimization efforts prior to 2013 and continued these efforts during the 2013
reporting year for this hazardous waste
Code
A

B

Description
Continued initiatives to reduce quantity
and/or toxicity of this waste

Continued initiatives to recycle the waste
either on-site or off-site

Examples
Improved production/synthesis processes, e.g., increased
efficiency in product usage/product formulation, used less toxic or
non-hazardous ingredients, modified product composition, or
implemented technology conversion.
Modified equipment, layout, and/or piping, e.g., longer auto bath
analyzers, wastewater treatment system upgraded.
Undertook inventory control/waste management processes or
safety/good operating practices, e.g., materials shelf-life control,
clearinghouse for materials exchange, better labeling procedures,
improved maintenance scheduling/record keeping/procedures,
control production schedule to minimize equipment and feedstock
changeovers, bulk systems that replace drums, improved storage,
spill/leak/accident prevention, cleaning/degreasing, etc.
The waste was used, reused, or reclaimed as a result of a change in
the product formulation, product’s chemical ingredients, or
equipment; materials management process with a goal of
sustainable use of materials, etc.

The facility initiated waste minimization efforts during the 2013 reporting year for this hazardous waste
C
D

Implemented new initiatives to reduce
quantity and/or toxicity of this waste
Implemented new initiatives to recycle
the waste either on-site or off-site

See examples above for Code A.
See examples above for Code B.

The facility examined or attempted waste minimization efforts for this hazardous waste, but determined it was
impracticable to implement these efforts; or the facility did not attempt waste minimization efforts for this
waste
N

Waste minimization efforts found to
be economically or technically impracticable

X

No waste minimization efforts were
implemented for this waste

Economic constraints or not economically feasible; technical
limitations of manufacturing operations, problems preventing or
halting efforts (e.g., concern of declined product quality); not
appearing to be feasible due to regulatory issues (e.g., permitting
requirements or burdens); lack of available technology, etc.
The waste was received from off-site and was not generated at this
location; the waste is infrequently generated.

81

This page intentionally left blank

82

OMB# 2050-0024; Expires 12/31/2014
SEND
COMPLETED
FORM TO:
The Appropriate
State or Regional
Office.
1.

Reason for
Submittal
MARK ALL
BOX(ES) THAT
APPLY

United States Environmental Protection Agency
RCRA SUBTITLE C SITE IDENTIFICATION FORM

Reason for Submittal:






To provide an Initial Notification (first time submitting site identification information / to obtain an EPA ID number
for this location)
To provide a Subsequent Notification (to update site identification information for this location)
As a component of a First RCRA Hazardous Waste Part A Permit Application
As a component of a Revised RCRA Hazardous Waste Part A Permit Application (Amendment #
)
As a component of the Hazardous Waste Report (If marked, see sub-bullet below)

 Site was a TSD facility and/or generator of >1,000 kg of hazardous waste, >1 kg of acute hazardous waste, or
>100 kg of acute hazardous waste spill cleanup in one or more months of the report year (or State equivalent
LQG regulations)
2.

Site EPA ID
Number

EPA ID Number

3.

Site Name

Name:

4.

Site Location
Information

Street Address:
City, Town, or Village:
State:

5.

Site Land Type

6.

NAICS Code(s)
for the Site
(at least 5-digit
codes)

7.

Site Mailing
Address

8. Site Contact
Person

DRAFT

County:

Country:

Private

County

District

Federal

Tribal

A. -

C. -

B. -

D. -

Zip Code:
Municipal

State

Other

Street or P.O. Box:
City, Town, or Village:
State:

Country:

First Name:

MI:

Zip Code:
Last:

Title:
Street or P.O. Box:
City, Town or Village:
State:

Country:

Zip Code:

Email:
Phone:
9.

Legal Owner
and Operator
of the Site

Ext.:

Fax:
Date Became
Owner:

A. Name of Site’s Legal Owner:
Owner
Type:

Private

County

District

Federal

Tribal

Municipal

State

Other

Street or P.O. Box:
City, Town, or Village:

Phone:

State:

Country:

Zip Code:
Date Became
Operator:

B. Name of Site’s Operator:
Operator
Type:

Private

EPA Form 8700-12, 8700-13 A/B, 8700-23

County

District

Federal

Tribal

Municipal

State

Other

Page 1 of

EPA ID Number

OMB#: 2050-0024; Expires 12/31/2014

10. Type of Regulated Waste Activity (at your site)
Mark “Yes” or “No” for all current activities (as of the date submitting the form); complete any additional boxes as instructed.
A. Hazardous Waste Activities; Complete all parts 1-10.
Y

1. Generator of Hazardous Waste
If “Yes”, mark only one of the following – a, b, or c.

N

a. LQG:

b. SQG:
c. CESQG:

Generates, in any calendar month, 1,000 kg/mo
(2,200 lbs./mo.) or more of hazardous waste; or
Generates, in any calendar month, or
accumulates at any time, more than 1 kg/mo (2.2
lbs./mo) of acute hazardous waste; or
Generates, in any calendar month, or
accumulates at any time, more than 100 kg/mo
(220 lbs./mo) of acute hazardous spill cleanup
material.
100 to 1,000 kg/mo (220 – 2,200 lbs./mo) of nonacute hazardous waste.
Less than 100 kg/mo (220 lbs./mo) of non-acute
hazardous waste.

Y

N

5. Transporter of Hazardous Waste
If “Yes”, mark all that apply.
a. Transporter
b. Transfer Facility (at your site)

Y

N

6. Treater, Storer, or Disposer of Hazardous
Waste Note: A hazardous waste Part B
permit is required for these activities.

Y

N

7. Recycler of Hazardous Waste

Y

N

8. Exempt Boiler and/or Industrial Furnace
If “Yes”, mark all that apply.
a. a. Small Quantity On-site Burner
Exemption
b. Smelting, Melting, and Refining
Furnace Exemption

If “Yes” above, indicate other generator activities in 2-4.
Y

N

2. Short-Term Generator (generate from a short-term or one-time
event and not from on-going processes). If “Yes”, provide an
explanation in the Comments section.

Y

N

3. United States Importer of Hazardous Waste

Y

N

9. Underground Injection Control

Y

N

4. Mixed Waste (hazardous and radioactive) Generator

Y

N

10. Receives Hazardous Waste from Off-site

B. Universal Waste Activities; Complete all parts 1-2.
Y

N

C. Used Oil Activities; Complete all parts 1-4.

Y
1. Large Quantity Handler of Universal Waste (you
accumulate 5,000 kg or more) [refer to your State
regulations to determine what is regulated]. Indicate
types of universal waste managed at your site. If “Yes”,
mark all that apply.

N

Y

N

1. Used Oil Transporter
If “Yes”, mark all that apply.
a. Transporter
b. Transfer Facility (at your site)

a. Batteries

2. Used Oil Processor and/or Re-refiner
If “Yes”, mark all that apply.

b. Pesticides

a. Processor

c. Mercury containing equipment

b. Re-refiner

d. Lamps
e. Other (specify)

Y

N

Y

N

f. Other (specify)
g. Other (specify)
Y

N

2. Destination Facility for Universal Waste
Note: A hazardous waste permit may be required for this
activity.

EPA Form 8700-12, 8700-13 A/B, 8700-23

3. Off-Specification Used Oil Burner
4. Used Oil Fuel Marketer
If “Yes”, mark all that apply.
a. Marketer Who Directs Shipment of
Off-Specification Used Oil to
Off-Specification Used Oil Burner
b. Marketer Who First Claims the Used
Oil Meets the Specifications

Page 2 of

EPA ID Number
D.

OMB#: 2050-0024; Expires 12/31/2014

Eligible Academic Entities with Laboratories—Notification for opting into or withdrawing from managing laboratory hazardous
wastes pursuant to 40 CFR Part 262 Subpart K


You can ONLY Opt into Subpart K if:
you are at least one of the following: a college or university; a teaching hospital that is owned by or has a formal affiliation
agreement with a college or university; or a non-profit research institute that is owned by or has a formal affiliation agreement with
a college or university; AND
you have checked with your State to determine if 40 CFR Part 262 Subpart K is effective in your state

YN

N

1. Opting into or currently operating under 40 CFR Part 262 Subpart K for the management of hazardous wastes in laboratoriesN
See the item-by-item instructions for definitions of types of eligible academic entities. Mark all that apply:
a. College or University
b. Teaching Hospital that is owned by or has a formal written affiliation agreement with a college or university
c. Non-profit Institute that is owned by or has a formal written affiliation agreement with a college or university

YN

N

N

2. Withdrawing from 40 CFR Part 262 Subpart K for the management of hazardous wastes in laboratories

11. Description of Hazardous Waste
A.

Waste Codes for Federally Regulated Hazardous Wastes. Please list the waste codes of the Federal hazardous wastes handled at
your site. List them in the order they are presented in the regulations (e.g., D001, D003, F007, U112). Use an additional page if more
spaces are needed.

B.

Waste Codes for State-Regulated (i.e., non-Federal) Hazardous Wastes. Please list the waste codes of the State-Regulated
hazardous wastes handled at your site. List them in the order they are presented in the regulations. Use an additional page if more
spaces are needed.

EPA Form 8700-12, 8700-13 A/B, 8700-23

Page 3 of

EPA ID Number
12.
Y

OMB#: 2050-0024; Expires 12/31/2014

Notification of Hazardous Secondary Material (HSM) Activity
N

Are you notifying under 40 CFR 260.42 that you will begin managing, are managing, or will stop managing hazardous
secondary material under 40 CFR 261.2(a)(2)(ii), 40 CFR 261.4(a)(23), (24), or (25)?
If “Yes”, you must fill out the Addendum to the Site Identification Form: Notification for Managing Hazardous Secondary
Material.

13.

Comments

DRAFT

14. Certification. I certify under penalty of law that this document and all attachments were prepared under my direction or supervision in
accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based
on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the
information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant
penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations. For the RCRA
Hazardous Waste Part A Permit Application, all owner(s) and operator(s) must sign (see 40 CFR 270.10(b) and 270.11).
Signature of legal owner, operator, or an
authorized representative

EPA Form 8700-12, 8700-13 A/B, 8700-23

Name and Official Title (type or print)

Date Signed
(mm/dd/yyyy)

Page 4 of

EPA ID Number

OMB#: 2050-0024; Expires 12/31/2014

ADDENDUM TO THE SITE IDENTIFICATION FORM:
NOTIFICATION OF HAZARDOUS SECONDARY MATERIAL ACTIVITY
ONLY fill out this form if:

1.



You are located in a State that allows you to manage excluded hazardous secondary material (HSM) under 40 CFR 261.2(a)(2)(ii),
261.4(a)(23), (24), or (25) (or state equivalent). See http://www.epa.gov/epawaste/hazard/dsw/statespf.htm for a list of eligible
states; AND



You are or will be managing excluded HSM in compliance with 40 CFR 261.2(a)(2)(ii), 261.4(a)(23), (24), or (25) (or state
equivalent) or you have stopped managing excluded HSM in compliance with the exclusion(s) and do not expect to manage any
amount of excluded HSM under the exclusion(s) for at least one year. Do not include any information regarding your hazardous
waste activities in this section.

Indicate reason for notification. Include dates where requested.
Facility will begin managing excluded HSM as of _____________ (mm/dd/yyyy).
Facility is still managing excluded HSM/re-notifying as required by March 1 of each even-numbered year.
Facility has stopped managing excluded HSM as of ____________ (mm/dd/yyyy) and is notifying as required.

2.

Description of excluded HSM activity. Please list the appropriate codes and quantities in short tons to describe your excluded HSM
activity ONLY (do not include any information regarding your hazardous wastes). Use additional pages if more space is needed.

a. Facility code
(answer using
codes listed in the
Code List section of
the instructions)

3.

Y

b. Waste code(s) for HSM

c. Estimated short
tons of excluded HSM
to be managed
annually

d. Actual short tons
of excluded HSM
that was managed
during the most
recent oddnumbered year

e. Land-based unit
code (answer using
codes listed in the
Code List section of
the instructions)

Facility has financial assurance pursuant to 40 CFR 261.4(a)(24)(vi). (Financial assurance is required for reclaimers and
intermediate facilities managing excluded HSM under 40 CFR 261.4(a)(24) and (25))
N

Does this facility have financial assurance pursuant to 40 CFR 261.4(a)(24)(vi)?

EPA Form 8700-12, 8700-13 A/B, 8700-23

Addendum Page

of

This page intentionally left blank

OMB# 2050-0024; Expires 12/31/2014
BEFORE COPYING FORM, ATTACH SITE IDENTIFICATION LABEL
OR ENTER:

U.S. ENVIRONMENTAL
PROTECTION AGENCY

SITE NAME:

2013 Hazardous Waste Report
GM
FORM

EPA ID Number

Sec. 1

A. Waste description:

B. EPA hazardous waste code(s)

D. Source code

C. State hazardous waste code(s)

E. Form code

F. Quantity generated in 2013

G
Management Method code for Source code G25

UOM

.

Density

G. Waste
minimization code

.
.
.
.
lbs/gal
.

W

H
Sec. 2

WASTE GENERATION
AND MANAGEMENT

lbs/gal

sg
sg

Was any of this waste that was generated at this facility treated, disposed, and/or recycled on site?
 Yes (CONTINUE TO ON-SITE PROCESS SYSTEM 1)
 No (SKIP TO SEC. 3)
ON-SITE PROCESS SYSTEM 1

On-site Management
Method code

ON-SITE PROCESS
SYSTEM
2
On-site Management
Quantity treated,
disposed,
or
Method code
recycled on site in 2013

Quantity treated, disposed, or
recycled on site in 2013

.
.

H
Sec. 3

ON-SITE PROCESS SYSTEM 2

.

H

A. Was any of this waste shipped off site in 2013 for treatment, disposal, or recycling?
 Yes (CONTINUE TO ITEM B)
 No (FORM IS COMPLETE)

Site 1 B. EPA ID No. of facility to which waste was shipped

C. Off-site Management
Method code shipped to

D. Total quantity shipped in 2013

G ID No. of facility to which waste was shipped
Site 2 B. EPA

H
C. Off-site Management
MethodGcode shipped to

D. Total quantity shipped in 2013
G

G ID No. of facility to which waste was shipped
Site 3 B. EPA

H
C. Off-site
H Management
Method code shipped to

D. Total quantity shipped in 2013
G

.

.

G
H
Comments:

.

G
G

Page __ of ___

This page intentionally left blank

OMB# 2050-0024; Expires 12/31/2014
BEFORE COPYING FORM, ATTACH SITE IDENTIFICATION LABEL
OR ENTER:

U.S. ENVIRONMENTAL
PROTECTION AGENCY

SITE NAME:

2013 Hazardous Waste Report
WR
FORM

EPA ID Number

Waste 1

B.

A. Description of hazardous waste

EPA hazardous waste code(s)

E. Quantity received in 2013

Waste 2

WASTE RECEIVED
FROM OFF SITE

C. State hazardous waste code(s)

D. Off-site handler EPA ID number

F. UOM

G. Form code

.
Density
.
.
. waste
A. Description of hazardous
.

.
lbs/gal

W

H. Management Method code
H

sg

B. EPA hazardous waste code(s)

C. State hazardous waste code(s)

D. Off-site handler EPA ID number

E. Quantity received in 2013

F. UOM

G. Form code

Waste 3

.
Density
.
.
. waste
A. Description of hazardous
.

.
lbs/gal

W

H. Management Method code
H

sg

B. EPA hazardous waste code(s)

C. State hazardous waste code(s)

D. Off-site handler EPA ID number

E. Quantity received in 2013

F. UOM

G. Form code

Comments:

.
.
.
.
.

Density

.
lbs/gal

W

H. Management Method code
H

sg

Page __ of ___

This page intentionally left blank

OMB#: 2050-0024; Expires 12/31/2014
BEFORE COPYING FORM, ATTACH SITE IDENTIFICATION LABEL
OR ENTER:

U.S. ENVIRONMENTAL
PROTECTION AGENCY

SITE NAME:

2013 Hazardous Waste Report
OI
FORM

EPA ID Number

Site 1

A. EPA ID number of off-site installation or transporter B. Name of off-site installation or transporter

C. Handler type (MARK ALL THAT APPLY)
 Generator

D. Address of off-site installation

 Transporter

Street
City

 Receiving facility

State

Site 2

 Generator
 Transporter
 Receiving facility

-

D. Address of off-site installation
Street
City
State

Zip

-

A. EPA ID number of off-site installation or transporter B. Name of off-site installation or transporter

C. Handler type (MARK ALL THAT APPLY)
 Generator
 Transporter
 Receiving facility
Site 4

Zip

A. EPA ID number of off-site installation or transporter B. Name of off-site installation or transporter

C. Handler type (MARK ALL THAT APPLY)

Site 3

OFF-SITE
IDENTIFICATION

D. Address of off-site installation
Street
City
State

Zip

-

A. EPA ID number of off-site installation or transporter B. Name of off-site installation or transporter

C. Handler type (MARK ALL THAT APPLY)
 Generator
 Transporter
 Receiving facility

D. Address of off-site installation
Street
City
State

Zip

-

Comments:

Page __ of __

This page intentionally left blank

INSTRUCTIONS FOR FILLING OUT THE OI FORM –
OFF-SITE IDENTIFICATION
WHO MUST SUBMIT THIS FORM
Sites required to file the 2013 Hazardous Waste Report must submit the OI Form if:
The OI Form is required by your State; AND
The site received hazardous waste from off-site or sent hazardous waste off-site during 2013.
For a list of State Contacts go to:
http://www.epa.gov/epawaste/inforesources/data/form8700/contact.pdf.

PURPOSE OF THIS FORM
The OI Form documents the names and addresses of off-site installations and transporters.

HOW TO FILL OUT THIS FORM
The OI Form is divided into four identical parts. You must fill out one part for each off-site installation to
which you shipped hazardous waste, each off-site installation from which you received hazardous waste,
and each transporter you used to ship hazardous waste during 2013. If these off-site installations and
transporters total more than four, you must photocopy and complete additional copies of the form.
Prior to photocopying, place the pre-printed site identification label in the top left-hand corner of the
form or, if you did not receive pre-printed labels, enter the site name and EPA Identification Number in
this space.
Use the Comments section at the end of the form to clarify any entry (e.g., “Other” responses) or to
continue any entry. When entering information in the Comments section, cross-reference the site
number and item letter to which the comment refers.

ITEM-BY-ITEM INSTRUCTIONS
Complete Items A through D for each off-site installation to which you shipped hazardous waste and
each off-site installation from which you received hazardous waste during 2013. Complete Items A
through C for each transporter you used during the year (address in Item D is not required for
transporters).

OI Form
(continued)

ITEM A – EPA ID NO. OF OFF-SITE INSTALLATION OR TRANSPORTER
Enter the 12-digit EPA ID number of the off-site installation to which you shipped hazardous waste or
from which you received hazardous waste. Or, enter the EPA ID number of the transporter who shipped
hazardous waste to or from your site. Each EPA ID number should appear only once. If the off-site
installation or transporter did not have an EPA ID number during 2013, leave blank if this item is not
applicable or “don’t know” in Item A and note the reason in the Comments section.

ITEM B – NAME OF OFF-SITE INSTALLATION OR TRANSPORTER
Enter the name of the off-site installation or transporter reported in Item A.

ITEM C – HANDLER TYPE
Place an “X” in all boxes that apply to the handler type (i.e., generator, transporter, or receiving facility)
of the off-site installation or transporter reported in Item A.

ITEM D – ADDRESS OF OFF-SITE INSTALLATION
Enter the address of the off-site installation reported in Item A. If the EPA ID number reported in Item A
refers to a transporter, leave blank if this item is not applicable or “don’t know” in Item D.