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RCRA Subtitle C Reporting
Instructions and Forms
EPA Forms 8700‐12, 8700‐13 A/B, 8700‐23
(OMB #2050‐0024; Expires 05/31/2020)
Table of Contents
Introduction ....................................................................................................................................................... 1
General Information .................................................................................................................................................. 2
Where To Get Help .................................................................................................................................................... 2
Federal Regulations ............................................................................................................................................... 2
RCRA Laws and Regulations ................................................................................................................................... 2
RCRA Online ........................................................................................................................................................... 3
State Contacts ........................................................................................................................................................ 3
Compliance Assistance Centers ............................................................................................................................. 3
EPA Small Business Ombudsman Office ................................................................................................................ 3
Your Trade Association .......................................................................................................................................... 3
Confidential Business Information (CBI) .................................................................................................................... 3
Filling Out the Forms ................................................................................................................................................. 4
Symbols .................................................................................................................................................................. 4
Alphanumeric Fields .............................................................................................................................................. 4
Comments Section of Forms .................................................................................................................................. 4
Page Numbering of Forms ..................................................................................................................................... 5
Paper Form Reporting ........................................................................................................................................... 5
Electronic Reporting .............................................................................................................................................. 5
Notification of RCRA Subtitle C Activities (Site Identification Form) .................................................................... 6
Authorization ............................................................................................................................................................. 7
Introduction ............................................................................................................................................................... 8
Determining If You Must Notify ................................................................................................................................. 8
How To Determine If You Must Notify EPA of Your Subtitle C Activities ............................................................... 8
How To Determine If you Must Notify EPA of Your Universal Waste Activities .................................................. 10
How To Determine If you Must Notify EPA of Your Used Oil Management Activities ........................................ 11
Exemptions .......................................................................................................................................................... 11
Filing a Notification of RCRA Subtitle C Activities Form........................................................................................... 12
Obtain or Update an EPA Id Number ................................................................................................................... 12
How Many Forms Should I File? .......................................................................................................................... 13
Where Should I Send my Completed Form? ........................................................................................................ 14
Instructions for Filling out the RCRA Subtitle C Site Identification Form................................................................. 14
Item 1 – Reason for Submittal ............................................................................................................................. 14
Item 2 – Site EPA ID Number ............................................................................................................................... 17
Item 3 and 4 – Site Name and Site Location Address .......................................................................................... 17
Item 5 – Site Mailing Address .............................................................................................................................. 17
Item 6 – Site Land Type ....................................................................................................................................... 17
Item 7 – North American Industry Classification System (NAICS) Code(s) .......................................................... 17
Item 8 – Site Contact Information ....................................................................................................................... 18
Item 9 – Legal Owner and Operator of the Site ................................................................................................... 18
Item 10 – Type of Regulated Waste Activity (At Your Site) ................................................................................. 20
Item 11– Additional Regulated Waste Activities ................................................................................................. 25
Item 12 – Eligible Academic Entities With Laboratories ...................................................................................... 28
Item 13 – Episodic Generation ............................................................................................................................ 29
Item 14 – LQG Consolidation of VSQG Hazardous Waste ................................................................................... 30
Item 15 – Notification Of LQG Site Closure for a Central Accumulation Area (CAA) or Entire Facility ................ 30
Item 16 – Notification of Hazardous Secondary Material (HSM) Activity ........................................................... 31
Item 17 – Electronic Manifest Broker .................................................................................................................. 32
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Item 18 – Comments ........................................................................................................................................... 32
Item 19 – Certification ......................................................................................................................................... 32
Addendum to the Site Identification Form: Notification of Hazardous Secondary Material (HSM) Activity ......... 33
You Must Fill Out this Addendum If: .................................................................................................................... 33
Item 1 – Reason for Notification .......................................................................................................................... 34
Item 2 – Description of Excluded Hazardous Secondary Material (HSM) Activity ............................................... 35
Addendum to the Site Identification Form: LQG Consolidation of VSQGs Hazardous Wastes ............................. 39
You Must Fill Out this Addendum If: .................................................................................................................... 39
Item 1 – EPA ID Number ...................................................................................................................................... 39
Item 2 – Site Name .............................................................................................................................................. 39
Items 3‐6 – Site Location ..................................................................................................................................... 39
Item 7‐9 –Contact Information ............................................................................................................................ 39
Addendum to the Site Identification Form: Episodic Generator ......................................................................... 40
You Must Fill Out this Addendum If: .................................................................................................................... 40
Item 1‐2 – Planned/Unplanned Event ................................................................................................................. 40
Item 3‐4 – Emergency Contact Information ........................................................................................................ 40
Item 5‐6 – Beginning and End Dates .................................................................................................................... 40
Waste 1 – 3 .......................................................................................................................................................... 40
Hazardous Waste Report ................................................................................................................................... 42
Authorization ........................................................................................................................................................... 43
Introduction ............................................................................................................................................................. 44
Determining Who Must File .................................................................................................................................... 44
Who Must File ...................................................................................................................................................... 44
Who Should Not File ............................................................................................................................................ 45
Filing A Hazardous Waste Report ............................................................................................................................ 46
Documents Helpful In Filling Out the Forms ........................................................................................................ 46
Which Forms To Submit and What To Report ..................................................................................................... 46
When and Where To Send Your Completed Report ............................................................................................ 48
Instructions For Filling Out the Waste Generation and Management (GM) Form .................................................. 48
Who Must Submit this Form? .............................................................................................................................. 48
Purpose of this Form ........................................................................................................................................... 49
How To Fill Out this Form .................................................................................................................................... 49
Wastes To Be Reported ....................................................................................................................................... 49
Wastes Not To Be Reported ................................................................................................................................ 50
How To Report Similar Hazardous Waste on the GM Form ................................................................................ 52
Item 1 – Waste Characteristics ............................................................................................................................ 52
Item 2 – On‐site Generation and Management of Hazardous Waste ................................................................. 55
Item 3 – Off‐site Shipment of Hazardous Waste ................................................................................................. 57
Item 4 – Comments ............................................................................................................................................. 58
Instructions For Filling Out the Waste Received From Off‐site (WR) Form ............................................................. 58
Who Must Submit this Form? .............................................................................................................................. 58
Purpose of this Form ........................................................................................................................................... 59
How to Fill Out this Form ..................................................................................................................................... 59
Item A – Waste Description ................................................................................................................................. 59
Item B – EPA Hazardous Waste Code(s) .............................................................................................................. 59
Item D – Off‐site Handler EPA Identification Number ......................................................................................... 60
Item E – Quantity Received / UOM and Density .................................................................................................. 60
Item F – Form Code ............................................................................................................................................. 61
Item G – Management Method Code .................................................................................................................. 61
Item 4 – Comments ............................................................................................................................................. 61
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Instructions For Filling Out the Off‐site identification (OI) Form ............................................................................ 62
Who Must Submit this Form? .............................................................................................................................. 62
Purpose Of this Form ........................................................................................................................................... 62
How To Fill Out this Form .................................................................................................................................... 62
Item A – EPA ID No. of Off‐Site Installation or Transporter ................................................................................. 62
Item B – Name of Off‐Site Installation or Transporter ........................................................................................ 62
Item C‐ Handler Type ........................................................................................................................................... 63
Item D – Address of Off‐Site Installation ............................................................................................................. 63
Item 4 – Comments ............................................................................................................................................. 63
RCRA Hazardous Waste Part A Permit Application ............................................................................................. 64
Authorization ........................................................................................................................................................... 65
Introduction ............................................................................................................................................................. 66
Determining If You Must File ................................................................................................................................... 67
Who Must File a RCRA Hazardous Waste Permit Application? ........................................................................... 67
How Do I Know If I Handler Regulated Hazardous Waste? ................................................................................. 67
Filing a RCRA Hazardous Waste Part A Permit Application ..................................................................................... 68
Existing Facilities .................................................................................................................................................. 69
New Facilities ....................................................................................................................................................... 69
First Part A Submission ........................................................................................................................................ 70
Revised Part A Submission ................................................................................................................................... 70
How Many Part A Applications Should I File? ...................................................................................................... 70
When and Where Should I File My Permit Application? ..................................................................................... 71
When Should My Permit Application Be Revised? .............................................................................................. 71
Instructions For Filling Out the Hazardous Waste Permit Part A Form ................................................................... 72
Item 1 – Facility Permit Contact .......................................................................................................................... 72
Item 2 – Facility Permit Contact Mailing Address ................................................................................................ 73
Item 3 – Facility Existence Date ........................................................................................................................... 73
Item 4 – Other Environmental Permits ................................................................................................................ 73
Item 5 ‐ Nature Of Business ................................................................................................................................. 73
Item 6 – Process Codes And Design Capacities .................................................................................................... 73
Item 7 – Description Of Hazardous Wastes ......................................................................................................... 74
Item 8 – Map ....................................................................................................................................................... 76
Item 9 – Facility Drawing ..................................................................................................................................... 77
Item 10 – Photographs ........................................................................................................................................ 78
Item 11 – Comments ........................................................................................................................................... 78
Other References and Code Lists ....................................................................................................................... 79
Excluded Wastes ...................................................................................................................................................... 80
Definitions ............................................................................................................................................................... 82
Special Instructions .................................................................................................................................................. 92
EPA Hazardous Waste Codes ................................................................................................................................... 96
Hazardous Secondary Material (HSM) Facility Codes .............................................................................................. 97
Hazardous Secondary Material (HSM) Land‐Based Unit Codes............................................................................... 99
Source Codes ......................................................................................................................................................... 100
Form Codes ............................................................................................................................................................ 102
Management Method Codes ................................................................................................................................. 104
Waste Minimization Codes .................................................................................................................................... 105
Process Codes ........................................................................................................................................................ 107
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Unit of Measure Codes .......................................................................................................................................... 109
Permit Type Codes ................................................................................................................................................. 110
Foreign Site Identification Number List ................................................................................................................. 111
RCRA Subtitle C Reporting Forms…………………………………………………………………………………………………………………….112
Notification of RCRA Subtitle C Activities (Site Identification) Form………………………………………………………………….113
Hazardous Waste Report Form…………………………………………………………………………………………………………………………122
RCRA Hazardous Waste Part A Permit Application……………………………………………………………………………………………125
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INTRODUCTION
Introduction
GENERAL INFORMATION
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 facilities regulated under the Resource Conservation and Recovery Act of 1976 (RCRA), as
amended by the Hazardous and Solid Waste Amendments of 1984 (HSWA). As part of this task, the EPA
and the States:
Collect and maintain information about sites that are conducting RCRA Subtitle C activities via
the RCRA Subtitle C Site Identification Form (8700‐12);
Collect and maintain information about the generation, management, and final disposition of
the nation’s hazardous waste via the Hazardous Waste Report Form (8700‐13 A/B); and
Collect permit information from owners and operators o f RCRA facilities where hazardous
waste is treated, stored, or disposed via the Hazardous Waste Permit Part A Form (8700‐23).
NOTE
Although this document contains information and instructions for completing the
forms listed above, it should not be considered a substitute for the regulations in Title
40 of the Code of Federal Regulations (40 CFR). Rather it should be considered a
supplement to the regulations and provide additional information not contained in 40
CFR. As a handler of regulated waste, you are responsible for learning and complying
with all requirements that apply to you and your regulated waste activities.
In addition, this document and the regulations in 40 CFR address only the Federal
hazardous waste program. Many States may have notification requirements that differ
from the Federal requirements; therefore, those States may use the Federal forms or
may choose to use a State form that requires information not requested in the Federal
EPA form. Again, it is your responsibility to make sure that you have completed and
submitted all forms required under the Federal or your respective State program.
This document is separated into three main sections Notification of RCRA Subtitle C Activities (Site
Identification Form), Hazardous Waste Report, and RCRA Hazardous Waste Part A Permit Application. It
supersedes all previous documents titled Notification of RCRA Subtitle C Activity, 2015 Hazardous Waste
Report, and RCRA Hazardous Waste Part A Permit Application. Please read each section carefully and
follow the instructions provided for each applicable set of forms.
WHERE TO GET HELP
FEDERAL REGULATIONS
The Federal regulations can be found at: http://www.gpo.gov/fdsys/.
RCRA LAWS AND REGULATIONS
The RCRA overview, tools, resources, etc. can be found at: https://www.epa.gov/rcra.
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Introduction
RCRA ONLINE
The RCRA Online tool is designed to enable users to locate documents, including publications and
other outreach materials that cover a wide range of RCRA issues and topics. The tool can be found at:
https://yosemite.epa.gov/osw/rcra.nsf/how+to+use?OpenForm
STATE CONTACTS
We have listed the addresses and phone numbers of the contacts in each State who can answer your
questions and help you understand the Federal and State requirements that apply to you. This contact
list is located at: https://rcrainfo.epa.gov/rcrainfoweb/documents/contacts.pdf.
Authorized States may have state‐specific forms and instructions for reporting and program
requirements that are more stringent and broader‐in‐scope than the federal requirements. Please
check with your State contact listed in the above link.
COMPLIANCE ASSISTANCE CENTERS
The EPA’s Compliance Assistance Centers help businesses, colleges and universities, local
governments, tribes and federal facilities understand and comply with environmental requirements
and save money through pollution prevention techniques. Visit the Compliance Assistance Centers
at: https://www.epa.gov/compliance/compliance‐assistance‐centers for a comprehensive source of
compliance assistance information and resources.
EPA SMALL BUSINESS OMBUDSMAN OFFICE
1‐800‐368‐5888.
YOUR TRADE ASSOCIATION
If you are a member of an industry‐specific trade association, they may have information regarding
hazardous wastes that are generated by other members.
CONFIDENTIAL BUSINESS INFORMATION (CBI)
All information you submit via the forms provided in this document can be released to the public, per the
Freedom of Information Act, unless it is determined to be confidential by the EPA pursuant to 40 CFR
Part 2.
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.
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Introduction
The EPA will treat information covered by such a claim in accordance with the procedures set forth in
40 CFR Part 2, 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 your State is authorized to conduct the RCRA Subtitle C program, check with the State if you wish to
assert a claim of business confidentiality on your submission. The State may have specific procedures
for asserting a claim.
FILLING OUT THE FORMS
SYMBOLS
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.
NOTE
The NOTE symbol denotes explanatory text of information relevant to filling out the forms.
ALPHANUMERIC FIELDS
Valid characters for alphanumeric fields are limited to:
`~!@#$%^&*()_‐+={}[]|\:;’”,.?/1234567890ABCDEFGHIJKLMNOPQRSTUVWXYZ
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.”
COMMENTS SECTION OF FORMS
Use the Comments section where applicable to clarify or continue any entry. For the general comment
sections, reference the section number and item letter of the entry that is being continued. For example,
if your site has more federally regulated hazardous waste codes than can fit in Item 10.B, enter the
4
Introduction
remaining waste codes in the Comments section and cross‐reference Item 10.B. For example, you would
write: “Item 10.B, continued: D007.”
PAGE NUMBERING OF FORMS
When you have filled out all the appropriate forms on your RCRA Subtitle C 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.
PAPER FORM REPORTING
Each form is included in this document. If submitting paper copy, photocopy as many forms as you need
to complete your submission. 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 finish filling out the forms, 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 RCRA Subtitle C information. Facilities can now enter data
via electronic submissions by using the RCRAInfo Industry Application (RIA). The RIA allows for Site
Identification Form submissions (myRCRAid) and Hazardous Waste Report submissions (Biennial Report).
To see if your State has opted in to the use of the RIA, and obtain instructions on how to file
electronically, contact your State or EPA Regional Office.
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NOTIFICATION OF RCRA SUBTITLE C
ACTIVITIES (SITE IDENTIFICATION FORM)
Notification of RCRA Subtitle C Activities (Site Identification Form)
AUTHORIZATION
Section 3010 of Subtitle C of the Resource Conservation and Recovery Act (RCRA) requires any person
who generates, transports, or recycles regulated wastes or who owns or operates a facility for the
treatment, storage, or disposal of regulated wastes to notify the U.S. Environmental Protection Agency
(EPA) of their activities, including the location and general description of the activities and the regulated
wastes handled. Respondents must submit the information required in the Notification of Subtitle C
Activity Instructions and Form by completing the RCRA Subtitle C Site Identification Form (EPA Form 8700‐
12). As required by statute, the EPA promulgated regulations to implement these notification
requirements at 40 CFR Parts 260, 261, 262, 263, 264, 265, 266, 270, 273, and 279. The EPA needs this
information to determine the universe of persons who generate, handle, and manage these regulated
wastes; assign EPA Identification Numbers; and ensure that these regulated wastes are managed in a way
that protects human health and the environment as required by RCRA. This is mandatory reporting by the
respondents.
The EPA enters notification information submitted by respondents into RCRAInfo, the EPA national
database, and assigns EPA Identification Numbers. The EPA uses this information to identify the universe
of regulated waste generators, handlers, and managers and their specific regulated waste activities. The
EPA also uses the information for tracking and for a variety of enforcement and inspection purposes.
Finally, the EPA uses this information to ensure that regulated waste is managed properly, that statutory
provisions are upheld, and that regulations are adhered to by facility owners or operators.
Section 3007(b) of RCRA and 40 CFR Part 2, Subpart B, which defines the EPA’s general policy on public
disclosure of information, both contain provisions for confidentiality. However, the Agency does not
anticipate that businesses will assert a claim of confidentiality covering all or part of the Notification of
Subtitle C Activity. If such a claim were asserted, the EPA must and will treat the information in accordance
with the regulations cited above. The EPA also will assure that the information collection complies with
the Privacy Act of 1974 and Office of Management and Budget (OMB) Circular 108.
Estimated Burden: Facilities ‐ The reporting and recordkeeping burden for the Notification of Regulated
Waste Activity (initial and subsequent) is estimated to average 1 hour for a facility to complete and submit
the form, and keep copies of notification and affiliation agreements on site, as applicable. State Agencies
‐ The recordkeeping burden for the Notification of Regulated Waste Activity (initial and subsequent) is
estimated to average 2 hours for State agencies to review and enter notification information into the
RCRAInfo database. There is no reporting associated with this requirement, and as such, there is no
reporting burden for State agencies.
To comment on the EPA’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, the EPA has established a public docket for the Information Collection Request (ICR) under
Docket ID Number EPA‐HQ‐OLEM–2016– 0182, which is available for online viewing at
www.regulations.gov, or in person viewing at the RCRA Docket in the EPA Docket Center (EPA/DC), EPA
West, Room B102, 1301 Constitution Avenue, 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 at www.regulations.gov.
7
Notification of RCRA Subtitle C Activities (Site Identification Form)
This site can be used 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. When
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, 725
17th Street, NW, Washington, D.C. 20503, Attention: Desk Officer for EPA. Please include the EPA Docket
ID Number EPA‐HQ‐OLEM–2016– 0182 and OMB Control Number 2050‐0024 in any correspondence.
INTRODUCTION
These instructions are designed to help you determine if you are subject to requirements under the
Resource Conservation and Recovery Act of 1976 (RCRA), as amended by the Hazardous and Solid Waste
Amendments of 1984 (HSWA) for notifying the U.S. Environmental Protection Agency (EPA) of your
regulated waste activities. Regulated wastes are hazardous wastes as defined by 40 CFR Part 261,
universal wastes as defined by 40 CFR Part 273, and used oil as defined by 40 CFR Part 279. If you are
managing hazardous secondary material under 40 CFR 260.30, 40 CFR 261.4(a)(23), (24), or (27), you also
must notify under 40 CFR 260.42 using the RCRA Subtitle C Site Identification Form and Addendums to
the Site Identification Form. In addition, you must notify if:
you are a facility that either recycles hazardous waste with a RCRA permit (i.e., store the
hazardous waste prior to recycling), or recycles hazardous waste without first storing the material
you must notify under 40 CFR 261.6 (c)(2)(iv) which references 40 CFR 265.75;
you are a very small quantity generator (VSQGs), previously called conditionally exempt small
quantity generators (CESQGs) and you are taking advantage of the episodic generation provision
at 40 CFR 262.232 (a);
you are large quantity generator (LQG) consolidating waste from VSQGs under the control of the
same person under 40 CFR 262.17 (f));
you are closing either a waste accumulation unit or your facility, both prior to closing and after
conducting closure performance operations under 40 CFR 262.17 (a)(8)).
The instructions contained in this document will assist you in obtaining or updating an EPA Identification
number by completing and submitting the RCRA Subtitle C Site Identification Form (Site ID Form). RCRA
is a Federal law. If you are regulated but do not comply with the RCRA notification requirements, you may
be subject to civil penalties.
DETERMINING IF YOU MUST NOTIFY
HOW TO DETERMINE IF YOU MUST NOTIFY EPA OF YOUR SUBTITLE C ACTIVITIES
All persons who generate, transport, recycle, treat, store, or dispose of hazardous waste are required to
notify the EPA (or their State agency if the State is authorized to operate its own hazardous waste
program) of their hazardous waste activities. Furthermore, if you are managing hazardous secondary
material under 40 CFR 260.30, 40 CFR 261.4(a)(23), (24), or (27), you also must notify using the RCRA
Subtitle C Site Identification Form and the Addendum to the Site Identification Form: Notification of
Hazardous Secondary Material Activity. Lastly, if you are a recognized trader arranging for import or
export of hazardous wastes, including hazardous waste managed under the alternate management
8
Notification of RCRA Subtitle C Activities (Site Identification Form)
standards of 40 CFR Part 266, you must notify. These persons must obtain an EPA Identification Number
unless their solid waste has been excluded from regulation or their hazardous waste has been exempted
as outlined below. These respective notification requirements are found in 40 CFR Parts 260, 261, 262,
263, 264, 265, and 266.
In addition to the discussion below, you will need to refer to 40 CFR Part 261 to help you determine if the
waste you handle is both a solid waste and a hazardous waste that is regulated under RCRA. If you need
help making this determination after reading these instructions, contact the agency listed for your State.
If your facility was granted a solid waste variance under 40 CFR 260.30 prior to July 13, 2015, the
management of your hazardous secondary materials under 40 CFR 260.30 is grandfathered under the
previous regulations and you are not required to notify.
NOTE
Under the Hazardous Waste Import Regulations, 40 CFR Part 262.84, foreign generators
should not apply for an EPA Identification Number. These regulations state that when filling
out a U.S. manifest, you must include the name and address of the foreign generator, and
the name, address, and EPA Identification Number of the importer. Please contact the U.S.
firms involved with your shipments and determine which firm will serve as the U.S. Importer.
To determine if you handle a solid waste that is also a hazardous waste and regulated under RCRA, ask
yourself the following questions:
DO I HANDLE A SOLID WASTE?
40 CFR 261.2 defines “solid waste” as any discarded material that is not excluded under 40 CFR 261.4(a)
or that is not excluded by variance granted under 40 CFR 260.30 and 260.31. A discarded material is any
material which is:
Abandoned, as explained in 40 CFR 261.2(b); or
Recycled, as explained in 40 CFR 261.2(c); or
Considered inherently waste‐like as explained in 40 CFR 261.2(d); or
A military munition identified as a solid waste in 40 CFR 266.202.
The list of general exclusions can be found in 40 CFR 261.4. If the solid waste that you handle has been
excluded, either by rule or special variance, then you do not need to notify the EPA for that solid waste
unless otherwise stated in the regulations. If your solid waste was not excluded from regulation, you need
to determine if it is a hazardous waste that the EPA regulates. The EPA regulates a solid waste as
hazardous waste in two ways:
By specifically listing the solid waste as a hazardous waste and assigning it a unique EPA Hazardous
Waste Code Number; or
By regulating it because it possesses any of four hazardous waste characteristics and assigning it a
generic EPA Hazardous Waste Code Number.
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Notification of RCRA Subtitle C Activities (Site Identification Form)
IS MY SOLID WASTE SPECIFICALLY LISTED AS A HAZARDOUS WASTE?
40 CFR 261.30 through 261.33 identify certain solid wastes that the EPA has specifically listed as
hazardous. Persons who handle listed hazardous waste are subject to regulation and must notify the EPA
of their hazardous waste activities unless they are exempted as discussed below. Refer to these
regulations to see if your solid waste is included as a “listed hazardous waste.” If you are handling a newly
regulated hazardous waste and have already notified the EPA prior to that hazardous waste being
regulated and already have an EPA Identification Number, you do not need to submit a Subsequent
Notification for that newly regulated hazardous waste.
DOES MY SOLID WASTE POSSESS A HAZARDOUS CHARACTERISTIC?
Even if your solid waste is not specifically listed as a hazardous waste, it may still be hazardous because it
exhibits certain hazardous characteristics. These characteristics are:
Ignitability;
Corrosivity;
Reactivity; and
Toxicity.
40 CFR 261.20 through 261.24 explain each of the characteristics and outlines the testing procedures you
should use to determine if your solid waste meets these characteristics. Persons who handle
characteristic hazardous waste that is regulated must notify the EPA of their activities unless they are
exempted, as discussed below. If you are handling a newly regulated hazardous waste and have already
notified the EPA prior to that hazardous waste being regulated and already have an EPA Identification
Number, you do not need to submit a Subsequent Notification for that newly regulated hazardous waste.
HOW TO DETERMINE IF YOU MUST NOTIFY EPA OF YOUR UNIVERSAL WASTE ACTIVITIES
Under 40 CFR Part 273, Subpart C, Large Quantity Handlers of Universal Waste (LQHUW) who accumulate
a total of 5,000 kilograms (kg) or more of universal wastes at any time are required to notify the EPA (or
their State agency if the State is authorized to operate its own universal waste program) of their universal
waste activities and obtain an EPA Identification Number, unless they have previously notified the EPA of
their hazardous waste activities. LQHUWs must notify the EPA of their universal waste activities and
obtain an EPA Identification Number before meeting or exceeding the 5,000 kg storage limit. Small
Quantity Handlers of Universal Waste are exempt from these notification requirements.
NOTE
Please refer to the regulations in 40 CFR Part 273 to ensure that you are aware of all the
requirements that apply to your universal waste handling activities.
10
Notification of RCRA Subtitle C Activities (Site Identification Form)
HOW TO DETERMINE IF YOU MUST NOTIFY EPA OF YOUR USED OIL MANAGEMENT
ACTIVITIES
Under 40 CFR Part 279, Subparts E, F, G, and H, respectively, persons who transport used oil; process or
re‐refine used oil; burn off‐specification used oil for energy recovery; or market used oil fuel, are required
to notify the EPA (or their State agency if the State is authorized to operate its own used oil program) and
obtain an EPA Identification Number, unless they are exempt as outlined below. Off‐specification used
oil may be burned for energy recovery in an industrial furnace, boiler, or hazardous waste incinerator
subject to regulation under Subpart O of 40 CFR Part 264 or 265.
Used oil transporters; used oil processors/re‐refiners; off‐specification used oil burners; and used oil fuel
marketers who have not previously notified the EPA of their hazardous waste activities or notified under
40 CFR Part 266, Subpart E (replaced by 40 CFR Part 279) must notify the EPA to identify their used oil
management activities.
NOTE
Please refer to the regulations in 40 CFR Part 279 to ensure that you are aware of all the
requirements that apply to your used oil management activities.
EXEMPTIONS
40 CFR 262.13 and 261.6(a)(3) list certain hazardous wastes that are not subject to RCRA regulation. If
the hazardous waste that you handle has been exempted, then you do not need to notify the EPA for
that hazardous waste.
USED OIL FOR ENERGY RECOVERY
Used oil that is to be burned for energy recovery and that meets the specification provided under 40 CFR
279.11 is exempt from the regulations. However, the person who first claims that the used oil meets
the specification is subject to notification as a used oil fuel marketer and certain other requirements
(see 40 CFR Part 279, Subpart H). The burner of fuel that meets the specification in 40 CFR 279.11 is not
required to notify.
USED OIL GENERATORS
Used oil generators are not required to notify the EPA.
USED OIL GENERATORS OPERATING USED OIL‐FIRED SPACE HEATERS
Persons who burn only used oil that they generate (or used oil received from household do‐it‐yourself
used oil changers) in used oil‐fired space heaters are exempt from the notification requirement provided
that the device is vented to the outdoors and the device is not designed to have a capacity greater than
0.5 million BTU/hour.
11
Notification of RCRA Subtitle C Activities (Site Identification Form)
FILING A NOTIFICATION OF RCRA SUBTITLE C ACTIVITIES FORM
OBTAIN OR UPDATE AN EPA ID NUMBER
If you do not currently have an EPA Identification Number and you handle regulated waste or hazardous
secondary material directly or as an E‐manifest broker, or if you have an EPA Identification Number
and need to revise information regarding your site and/or activity, you must submit a Site
Identification Form with a reason for submittal of Obtaining or Updating an EPA ID Number for an on‐
going regulated activity that will continue for a period of time. Circumstances under which you should
submit this notification include:
If you generate, transport, treat, store, or dispose of hazardous waste. or
If you recycle hazardous wastes. (Recyclable materials are defined as hazardous wastes that are
recycled). The recycling process itself is exempt from regulation, but you must notify the EPA and
obtain an EPA Identification Number prior to recycling recyclable materials; or
If you are a large quantity handler of universal waste. (Notification is required for people who have
not previously notified the EPA of their hazardous waste activities or who have not already sent
a notification to the EPA as required by 40 CFR 273.32); or
If you transport, process, or re‐refine used oil; burn off‐specification used oil for energy recovery; or
market used oil. (Notification is required for people who have not previously notified the EPA of
their hazardous waste activities or have not notified under 40 CFR Part 279 or under 40 CFR Part
266, Subpart E, which was replaced by 40 CFR Part 279.)
If you are an eligible academic entity opting into 40 CFR Part 262, Subpart K for managing
laboratory hazardous wastes AND you have never submitted site identification information,
you must submit this form to notify the appropriate State or EPA Regional Office of your activities.
You must check with your State to determine if you are eligible to manage laboratory
NOTE 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 260.30, 40 CFR
261.4(a)(23), (24), or (27) you must submit this form, pursuant to 40 CFR 260.42, to notify the
appropriate State or EPA Regional Office of your activities.
You must check with your State to determine if you are eligible to manage hazardous
NOTE secondary material under these exclusions in order for you to notify.
If you are an Electronic Manifest Broker that has a contractual relationship and elects to use the
system to obtain, complete and transmit an electronic manifest format supplied by the EPA
electronic manifest system for handlers of hazardous wastes.
If you are either a VSQG or a SQG who, as a result of a planned or unplanned episodic event,
generates a quantity of hazardous waste in a calendar month sufficient to cause the facility to move
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Notification of RCRA Subtitle C Activities (Site Identification Form)
into a more stringent generator category (i.e., VSQG to either an SQG or an LQG; or an SQG to an
LQG).
If your business moves to another location and you are still conducting activities regulated under
RCRA Subtitle C.
If the contact for your site changes.
If the ownership of your site changes.
If an additional owner has been added or replaced since you submitted your last notification.
If the type of RCRA Subtitle C activity you conduct changes.
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 are managing or will stop managing hazardous secondary material under 40 260.30, 40 CFR
261.4(a)(23), (24), or (27), you are required to re‐notify by March 1 of each even‐numbered year
pursuant to 40 CFR 260.42.
NOTE
If your facility was granted a solid waste variance under 40 CFR 260.30 prior to July
13, 2015, the management of your hazardous secondary materials under 40 CFR 260.30
is grandfathered under the previous regulations and you are not required to notify.
HOW MANY FORMS SHOULD I FILE?
If you fall under any of the regulations above to notify EPA, you must submit one Site Identification Form
along with the applicable Addendums. For example, if you manage hazardous secondary material under 40
CFR 260.30, 40 CFR 261.4(a)(23), (24), or (27), along with the Site Identification Form you should submit
the Notification of Hazardous Secondary Material Activity addendum. If you are an SQG or VSQG generating
hazardous waste from a planned or unplanned episodic event pursuant to 40 CFR262 Subpart L, along with
Site Identification Form you should submit the Episodic Generator addendum. And if you are receiving
hazardous waste from VSQGs under the control of the same person, along with the Site Identification Form
you should submit the LQG Consolidation of VSQG Hazardous Waste addendum.
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Notification of RCRA Subtitle C Activities (Site Identification Form)
WHERE SHOULD I SEND MY COMPLETED FORM?
Click here to find access to a contact list containing the address for your State or EPA Regional Office where
you should send your completed Site ID Form. The list contains contact names, addresses, phone numbers,
and e‐mail addresses that you can use to obtain additional information.
Many States use the forms included in this document; some also require additional information. Other
States require that you complete and submit a State‐specific form. Information about which form to use is
included with the contact list located at the web page noted above. Even if you use the included form, you
should check with your State to determine if you need to submit additional information. Also, contact your
State if you have any questions about your submission.
After your completed Site ID Form for Obtaining an EPA Identification number or for Obtaining an Electronic
Manifest Broker is received and processed, you will be sent a written acknowledgement that will include
your EPA Identification Number. You must use this number on all communications with the EPA regarding
your regulated waste activities for this site.
INSTRUCTIONS FOR FILLING OUT THE RCRA SUBTITLE C SITE IDENTIFICATION FORM
Type or print, in black ink, an “X” in all items that apply (if “Yes”, type or print an “X” in the “Y” box, if
“No”, type or print an “X” in the “N” box) and then type or print an “X” in all other boxes that apply. In
Item 19, 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 18 – 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 1 – REASON FOR SUBMITTAL
Place an “X” in the appropriate box to indicate whether you are submitting this form to obtain or update
an EPA ID Number for an on‐going regulated activity; as a component of the Hazardous Waste Report; to
notify that regulated activity is no longer occurring at your site; to obtain or update an EPA ID Number for
conducting electronic manifest broker activities; or as a component of a First or a Revised Hazardous
Waste Part A Permit Application.
OBTAINING OR UPDATING AN EPA ID NUMBER FOR AN ON‐GOING REGULATED ACTIVITY
THAT WILL CONTINUE FOR A PERIOD OF TIME. (INCLUDES HSM ACTIVITY)
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.
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Notification of RCRA Subtitle C Activities (Site Identification Form)
If you are an eligible academic entity opting into 40 CFR Part 262, Subpart K for managing
laboratory hazardous wastes AND you have never submitted site identification information, you
must submit this form to notify the appropriate State or EPA Regional Office of your activities.
NOTE
If you are a recognized trader arranging for export or import of hazardous waste, including those
managed under the alternate standards of 40 CFR Parts 266 and 273; or an exporter or importer
of spent lead acid batteries (SLABs), you must submit this form to notify the appropriate State or
EPA Regional Office of your activities.
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 notifying (or re‐notifying)
that you will begin managing, are managing, or have stopped managing hazardous secondary
material under 40 CFR 260.30, 40 CFR 261.4(a)(23), (24), or (27), 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
laboratory hazardous waste pursuant to 40 CFR Part 262, Subpart K in order for
you to notify.
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.
If you are a very small quantity generator (VSQG), previously called conditionally exempt small
quantity generator (CESQG), taking advantage of the episodic generation provision at 40 CFR
262.232 (a), you must submit this form to report your episodic event.
You must use this form to if you are a small quantity generator (SQG) re‐notifying, beginning in
2021 and every four (4) years thereafter, unless a state program has more frequent
reporting/notification requirements (See 40 CFR 262.18).
You must use this form if you are a large quantity generator (LQG):
o Consolidating wastes from VSQGs under the control of the same person. (See 40 CFR 262.17
(f)). Such LQGs must complete the Addendum to the Site Identification Form: LQG
Consolidation of VSQG Hazardous Waste, and identify the RCRA Identification Number of the
VSQG (if applicable), name, address, emergency contact phone number and contact name of
every VSQG that they are receiving hazardous wastes from.
o Closing either a waste accumulation unit (optional) or their facility, both prior to closing and
after conducting closure performance operations (See 40 CFR 262.17 (a)(8)).
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Notification of RCRA Subtitle C Activities (Site Identification Form)
SUBMITTING AS A COMPONENT OF THE HAZARDOUS WASTE REPORT
If you are required to submit a Hazardous Waste Report indicating the amount of hazardous waste you
generate, treat, recycle, dispose, on‐site or ship off‐site for subsequent treatment, recycling and disposal,
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 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)
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 treatment, storage, and disposal facility (TSDF) 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 the Who
Must File a Hazardous Waste Report section.
NOTIFIYING THAT REGULATED ACTIVITY IS NO LONGER OCCURING AT YOUR SITE
If you are no longer conducting ANY RCRA Subtitle C federal or state regulated hazardous waste activities,
listed on the Site Identification Form, then you can use this Reason for Submittal to deactivate your EPA
ID number.
OBTAINING OR UPDATING AN EPA ID NUMBER FOR CONDUCTING ELECTRONIC MANIFEST
BROKER ACTIVITIES
If you are requesting an EPA ID in order to create and broker manifest transactions for handlers of
hazardous waste, then select this Reason for Submittal. An Electronic Manifest Broker is considered a
user of the electronic manifest system that has a contractual relationship and elects to use the system to
obtain, complete and transmit an electronic manifest form supplied by the EPA electronic manifest system
for handlers of hazardous wastes. This designation is for users of the electronic manifest system, defined
in 40 CFR 260.10 as a person that elects to use the system to obtain, complete and transmit an electronic
manifest format supplied by the EPA electronic manifest system.
SUBMITTING A NEW OR REVISED PART A (PERMIT) FORM
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 a component 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. Also, 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.
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Notification of RCRA Subtitle C Activities (Site Identification Form)
ITEM 2 – SITE EPA ID NUMBER
Provide your EPA Identification Number in Item 2 for this site. The first two characters of the EPA
Identification 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).
If this is your initial notification for this site, leave the EPA Identification Number blank and
NOTE proceed to Item 3.
ITEM 3 AND 4 – SITE NAME AND SITE LOCATION ADDRESS
Provide the legal name of your site and a complete location address. Please note that the address you
give for Item 4, Site Location Address, 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
ITEM 5 – SITE MAILING ADDRESS
Provide the Site Mailing Address. If the Mailing Address and the Site Location Address (Item 4) are the
same, you can check the “Same as Location Address” checkbox.
ITEM 6 – 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 18
– Comments.
Tribal–The land which your site is on belongs to 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 7 – NORTH AMERICAN INDUSTRY CLASSIFICATION SYSTEM (NAICS) CODE(S)
Box A (Primary) 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 version of
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Notification of RCRA Subtitle C Activities (Site Identification Form)
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.
BOXES B – D
List other NAICS codes that describe the other business production processes for your site. Referencing
the latest version of 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.
The Census Bureau has published NAICS Code effective January 1, 2017. Please verify that
NOTE your NAICS codes are still applicable. You can obtain additional information about the 2017
NAICS codes at: http://www.census.gov/eos/www/naics
ITEM 8 – SITE CONTACT INFORMATION
Enter the name, title, business address, e‐mail address, telephone number, extension, and fax number
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 contact information in Item 18 – Comments. If the person completing this form 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 form in Item 18 – Comments.
This is NOT the Facility Permit Contact’s information. The Facility Permit Contact information
NOTE 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. If your Reason for Submittal
is for an Electronic Manifest Broker whose site of business is an office only, and you do not otherwise
physically generate, treat, store, recycle or dispose of hazardous waste on site, you do not have to fill out
this item.
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.
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Notification of RCRA Subtitle C Activities (Site Identification Form)
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, 2015, enter 04/22/2015. This is optional information.
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 18 – 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 check the “Same as Location Address” checkbox.
ADDITIONAL OWNER INFORMATION
Enter the e‐mail, telephone number, extension, and fax number of the legal owner.
Use the Comments section 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 LEGAL 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.
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Notification of RCRA Subtitle C Activities (Site Identification Form)
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, 2015, enter 04/22/2015. This is optional information.
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 18 – 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 OPERATOR ADDRESS
Enter the address of the legal operator. If the address and the Location of Site (Item 4) are the same, you
can check the “Same as Location Address” checkbox.
ADDITIONAL OPERATOR INFORMATION
Enter the e‐mail, telephone number, extension, and fax number of the operator.
Use the Comments section 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.
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
NOTE 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 (AT YOUR SITE)
Place an “X” in box “Y” or box “N” as appropriate for all current activities at this site (as of the date
submitting the form); 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 “N” (not a generator) box for Generator of Hazardous Waste.
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Notification of RCRA Subtitle C Activities (Site Identification Form)
10.A HAZARDOUS WASTE ACTIVITIES
Listed below are the Federal generator status definitions. If, however, the State where your
NOTE site is located has definitions different from the Federal definitions, you must use the State
definitions.
10.A.1. GENERATOR OF HAZARDOUS WASTE
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
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—specifically 40 CFR 262.14 for
very small quantity generators (VSQGs), 40 CFR 262.16 for small quantity generators (SQGs), and 40 CFR
262.17 for large quantity generators (LQGs). 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. Otherwise, place an “X” in the “N” box.
a. LQG: Large Quantity Generator
For purposes of providing information in this report, the site is a Large Quantity Generator (LQG) if
the site generates any of the following amounts in a calendar month:
(i)
Generates, in any calendar month, (including quantities imported by importer site) 1,000
kilograms (2,200 pounds) or more of non‐acute RCRA hazardous waste; or
(ii)
Generates, in a calendar month, more than 1 kilogram (2.2 pounds) of any RCRA acute
hazardous waste listed in sections 261.31 or 261.33(e); or
(iii)
Generates, in any calendar month, more than 100 kilograms (220 pounds) of residue or
contaminated soil, waste, or other debris resulting from the cleanup of a spill, into or on any
land or water, of any RCRA acute hazardous waste listed in sections 261.31 or 261.33(e).
If, in addition to being a LQG, you recycle hazardous wastes at your site, mark both this box
and Item 10.A.6.
NOTE Hazardous secondary material managed under 40 CFR 260.30, 40 CFR 261.4(a)(23), (24), or
(27) 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 SQG if the site meets all of the following criteria:
(i)
Generates, in any calendar month, greater than 100 kilograms (220 pounds) but less than
1,000 kilograms (2,200 pounds) of non‐acute hazardous waste; and
(ii)
Generates, in any calendar month, less than or equal to 1 kilogram (2.2 pounds) of acute
hazardous waste listed in sections 261.31 or 261.33(e); and
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Notification of RCRA Subtitle C Activities (Site Identification Form)
(iii)
Generates, in any calendar month, less than or equal to 100 kilograms (220 pounds) of any
residue or contaminated soil, water, or other debris resulting from the cleanup of a spill, into
or on any land or water, of any acute hazardous waste listed in sections 261.31 or 261.33(e).
c. VSQG: Very Small Quantity Generator:
This site is a VSQG if the site meets all of the following criteria:
(i)
Generates in any calendar month, less than or equal to 100 kilograms (220 pounds) of
hazardous waste; and
(ii)
Generates in any calendar month, less than or equal to 1 kilogram (2.2 pounds) of acute
hazardous wastes listed in sections 261.31, or 261.33(e); and
(iii)
Generates in any calendar month, less than or equal to 100 kilograms (220 pounds) of any
residue or contaminated soil, waste, or other debris resulting from the cleanup of a spill,
into or on any land or water, of any acute hazardous wastes listed in sections 261.31, or
261.33(e).
10.A.2. SHORT‐TERM GENERATORS
Place an “X” in the “Y” box if the site is normally not a generator of hazardous waste, but is currently
generating hazardous waste only as 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
are not considered episodic generators because episodic generators (i.e., VSQGs and SQGs) regularly
generate hazardous waste as part of their operations, but elevate to a higher generator category as a result
of a planned or unplanned event. Examples of short‐term generators include: (1) one‐time highway bridge
waste generation; (2) underground storage tank removals; (3) generation of off‐specification 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 EPA Identification Number; and (5) site or production process decommissions
by a new operator. If you mark “Y”, you must provide an explanation of your short‐term generation event
in Item 18 –Comments. Otherwise, place an “X” in the “N” box.
10.A.3. MIXED WASTE GENERATOR
Place an “X” in the “Y” box if you are a generator of mixed waste (waste that is both hazardous and
radioactive). Otherwise, place an “X” in the “N” box. 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).
10.A.4. TREATER, STORER, OR DISPOSER OF HAZARDOUS WASTE
If you treat, store, or dispose of hazardous waste, place an “X” in the “Y” box. 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.
Place an “X” in the “N” box if any of the following conditions are true for your facility:
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Notification of RCRA Subtitle C Activities (Site Identification Form)
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 the
Hazardous and Solid Waste Amendments of 1984 (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 TSDF for other
RCRA hazardous wastes, place an “X” in the “Y” box for both this box and Item 11.B.2.
10.A.5. RECEIVES HAZARDOUS WASTE FROM OFF‐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, place an “X” in the “Y” box.
Otherwise, place an “X” in the “N” box. Item 10.A.5 "Receives Hazardous Waste from Off‐site" is not
for transfer facilities. If you are a transfer facility receiving hazardous waste from off‐site, you
should mark item 11.A.1.b (Transfer Facility).
10.A.6. RECYCLER OF HAZARDOUS WASTE
Place an “X” in the “Y” box if you recycle regulated hazardous wastes (recyclable materials) at your
site. Otherwise, place an “X” in the “N” box. If you mark “Y”, then mark the subsequent box that
identifies whether you recycle regulated hazardous wastes, with or without storage prior to
recycling. 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.
The 2016 Hazardous Waste Generator Improvements Final Rule requires that both facilities
that do store prior to recycling and facilities that do not store prior to recycling submit a
Hazardous Waste Report.
NOTE
If your site, in addition to being a recycling site for hazardous waste, treats, stores, or
disposes of hazardous waste, place an “X” in the “Y” box for both this box and Item 10.A.4.
If your site is a destination facility for universal wastes in addition to being a recycling site for
other RCRA hazardous wastes, place an “X” in the “Y” box for both this box and Item 11.B.2.
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Notification of RCRA Subtitle C Activities (Site Identification Form)
10.A.7. EXEMPT BOILER AND/OR INDUSTRIAL FURNACE
If “Yes”, place an “X” in all that apply. Otherwise, place an “X” in the “N” box.
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.
10.B. 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).
If you handle more hazardous wastes than will fit under Item 10.B, please continue under
Item 18 – Comments or on an extra sheet. Remember to include your EPA Identification
NOTE Number on the top of each page. If you handle a large number of codes, you may copy the
list in this document 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.
LIST
Click here for a list of the nationally‐defined Hazardous Waste Codes.
10.C. WASTE CODES FOR STATE‐REGULATED (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.
If you handle more hazardous wastes than will fit under Item 10.C, please continue under
NOTE Item 18 – Comments or on an extra sheet. Remember to include your EPA Identification
Number on the top of each page.
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Notification of RCRA Subtitle C Activities (Site Identification Form)
ITEM 11– ADDITIONAL REGULATED WASTE ACTIVITIES
11.A OTHER WASTE ACTIVITIES
Place an “X” in the “Y” or “N” box as appropriate for all additional current regulated waste activities at
this site (as of the date submitting the form); 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 11 will be considered
current as of the date you certify the form
11.A.1. TRANSPORTER OF HAZARDOUS WASTE
If “Y”, place an “X” in all that apply. Otherwise, place an “X” in the “N” box.
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
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 263.12.
11.A.2. UNDERGROUND INJECTION CONTROL
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, place an “X” in the “Y” box. Otherwise,
place an “X” in the “N” box. The Federal regulations for owners and operators of underground injection
wells are found in 40 CFR Part 148.
11.A.3. UNITED STATES IMPORTER OF HAZARDOUS WASTE
Place an “X” in the “Y” box if you import hazardous waste from a site located in a foreign country into the
U.S. Refer to 40 CFR 262.10(e) and 40 CFR 262.84 for additional information. Otherwise, place an “X” in
the “N” box.
11.A.4. RECOGNIZED TRADER
Place an “X” in the “Y” box if you are a recognized trader, defined in 40 CFR 260.10 as a person domiciled
in the United States, who acts to arrange and facilitate transboundary movements of wastes destined for
recovery or disposal operations, either by purchasing from and subsequently selling to United States and
foreign facilities, or by acting under arrangements with a United States waste facility to arrange for the
export or import of the waste. Otherwise, place an “X” in the “N” box. Mark all that apply.
a.
Importer
b.
Exporter
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Notification of RCRA Subtitle C Activities (Site Identification Form)
11.A.5. IMPORTER/EXPORTER OF SPENT LEAD‐ACID BATTERIES (SLABS) UNDER 40 CFR
PART 266 SUBPART G
Place an “X” in the “Y” box if you are an importer or exporter of spent lead‐acid batteries (SLABs) being
managed domestically under 40 CFR 266 Subpart G to obtain an EPA Identification number (see 40 CFR
266.80(a)(6), (8) ‐ (10)). Otherwise, place an “X” in the “N” box. Mark all that apply.
a. Importer
b. Exporter
11.B UNIVERSAL WASTE ACTIVITIES
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.
11.B.1 LARGE QUANTITY HANDLER OF UNIVERSAL WASTE (LQHUW)
You are a Large Quantity Handler of Universal Waste (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. Place an “X” in the “Y” box, then place an “X” in the appropriate box(es)
to indicate the type(s) of universal wastes managed at your site. Otherwise, place an “X” in the “N” box.
If your State has other additional universal wastes, indicate what they are by placing an “X” in the
corresponding box(es) (11.B.1.e ‐ g).
11.B.2 DESTINATION FACILITY FOR UNIVERSAL WASTE
Place an “X” in the “Y” box if you treat, dispose, or recycle universal wastes on‐site. Otherwise, place an
“X” in the “N” box. A hazardous waste permit is required if you treat or dispose of universal wastes; a
permit may be required if you recycle universal wastes.
If your site, in addition to being a destination facility for universal wastes, is also a TSDF for
RCRA hazardous wastes, place an “X” in the “Y” box for both this and Item 10.A.4. In
NOTE
addition, if your site recycles RCRA hazardous wastes, Place an “X” in the “Y” box for both
this and Item 10.A.6.
11.C. USED OIL ACTIVITIES
Place an “X” in the appropriate box(es) to indicate which used oil management activities are taking place
at this site. Otherwise, place an “X” in the “N” box. The Federal regulations for used oil management are
found in 40 CFR Part 279. Also, the facility should check with its State to find out if there are additional
State‐specific reporting requirements for used oil activities. Complete all parts 1 through 4.
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Notification of RCRA Subtitle C Activities (Site Identification Form)
11.C.1. USED OIL TRANSPORTER
Place an “X” in the “Y” box, then place an “X” in all that apply. Otherwise, place an “X” in the “N” box.
a. Transporter
You transport used oil within the U.S. The Federal regulations for used oil transporters are found in
40 CFR 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 279.40‐47.
11.C.2. USED OIL PROCESSOR AND/OR RE‐REFINER
Place an “X” in the “Y” box, then place an “X” in all that apply. Otherwise, place an “X” in the “N” box.
a. Processor
You process used oil. The Federal regulations for processors of used oil are found in 40 CFR 279.50‐59.
b. Re‐refiner
You refine used oil. The Federal regulations for re‐refiners of used oil are found in 40 CFR 279.50‐59.
11.C.3. OFF‐SPECIFICATION USED OIL BURNER
Place an “X” in the “Y” box, to indicate that you are conducting this used oil management activity.
Otherwise, place an “X” in the “N” box.
11.C.4. USED OIL FUEL MARKETER
Place an “X” in the “Y” box, then place an “X” in all that apply. Otherwise, place an “X” in the “N” box.
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 used oil fuel marketers are found in 40 CFR 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 specifications established in 40 CFR 279.11.
If either of these boxes is marked, you must also notify (or have previously notified) as a used
oil transporter (11.C.1), used oil processor/re‐refiner (11.C.2), or off‐specification used oil
NOTE
fuel burner (11.C.3), unless you are a used oil generator. (Used oil generators are not
required to notify.)
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Notification of RCRA Subtitle C Activities (Site Identification Form)
ITEM 12 – ELIGIBLE ACADEMIC ENTITIES WITH LABORATORIES
40 CFR 262, Subpart K must be in effect in your State in order to report as an eligible academic
entity with laboratories. See EPA’s website for more information about these regulations at
NOTE
http://www2.epa.gov/hwgenerators/regulations‐hazardous‐waste‐generated‐academic‐
laboratories
Subpart K is an optional alternative set of requirements for eligible academic entities with laboratories.
Certain generators (i.e., eligible academic entities as defined in 40 CFR 262.200) are eligible to operate
under Subpart K for management of their hazardous wastes in laboratories in lieu of 40 CFR 262.15 (or 40
CFR 262.14 for VSQGs). 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 40 CFR 262.204.
Eligible academic entities with laboratories must complete a separate Site ID Form for each
site (i.e., EPA Identification Number) that is managing hazardous waste under Subpart K. All
laboratories with the same EPA Identification Number will be regulated under this Subpart.
NOTE
If eligible academic entities with laboratories withdraw from Subpart K, all laboratories with
the same EPA Identification Number associated with the withdrawal from Subpart K will be
regulated under 40 CFR 262.15 (or 40 CFR 262.14 for VSQGs).
12.A OPTING INTO OR CURRENTLY OPERATING UNDER 40 CFR PART 262, SUBPART K FOR
THE MANAGEMENT OF HAZARDOUS WASTES IN LABORATORIES
Place an “X” in the “Y” box, if you are an eligible academic entity and you elect to opt into or are currently
operating under 40 CFR 262, Subpart K for the hazardous wastes generated in your laboratories.
Otherwise, place an “X” in the “N” box. If you mark “Y” 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, degree‐granting,
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.
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Notification of RCRA Subtitle C Activities (Site Identification Form)
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.
12.B WITHDRAWING FROM 40 CFR 262, SUBPART K FOR THE MANAGEMENT OF
HAZARDOUS WASTES IN LABORATORIES
Place an “X” in the “Y” 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
262.15 requirements (or 40 CFR 262.14 for VSQGs). If marking “Y” for this box, please include comments
in Item 18 – Comments that explain your reasons for withdrawing from Subpart K. Otherwise, place an
“X” in the “N” box.
ITEM 13 – EPISODIC GENERATION
Place an “X” in the “Y” box, if you are a VSQG or SQG notifying that you are taking advantage of the
episodic generator event provision in 40 CFR 262.232. This provision allows a VSQG or an SQG to generate
additional quantities of hazardous waste—temporarily exceeding its normal generator category limits—
and still maintain its existing generator category, provided it complies with the specified conditions
identified in 40 CFR 262.232 (a) and (b). Otherwise, place an “X” in the “N” box.
NOTE If you mark “Y,” you must fill out the Addendum to the Site ID Form: Episodic Generator.
The generator may use this provision once per calendar year with the ability to petition for a second event.
However, if the first event is planned, the petition must be for a second event that is unplanned, or vice‐
versa. It is recommended you review the regulation at 40 CFR 262.233 to understand what is required of
a generator should you choose to take advantage of this petition process.
Although not inclusive, examples of planned episodic events include tank cleanouts, short‐term
construction projects, short‐term site remediation, equipment maintenance during plant shutdowns,
removal of excess chemical inventories, and site and production process decommissions by a new
operator. Unplanned episodic events, which EPA expects would be less frequent, include production
process upsets, product recalls, accidental spills, or “acts of nature,” such as a tornado, hurricane, or flood.
If you are taking advantage of this provision, you must complete the Addendum to the Site Identification
Form for Episodic Generation. Information to be completed includes:
the type of episodic event (i.e., planned or unplanned),
the name and telephone number of an emergency contact at the site,
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Notification of RCRA Subtitle C Activities (Site Identification Form)
the beginning or start date of the episodic event, and expected completion date (no later than
60 days from beginning date),
the reason for the episodic event (event description),
identification of the applicable federal waste codes (and state waste codes, if applicable), and
the estimated total quantity of hazardous wastes that will be generated as a result of the
episodic event.
ITEM 14 – LQG CONSOLIDATION OF VSQG HAZARDOUS WASTE
The 2016 Hazardous Waste Generator Improvements Final Rule allows LQGs to receive and consolidate
hazardous wastes from VSQGs if the VSQGs are under the control of the same “person” as defined in 40
CFR 260.10.
“Control,” for the purposes of this section, means the power to direct the policies of the
generator, whether by the ownership of stock, voting rights, or otherwise. Contractors who
operate generator facilities on behalf of a different person as defined in 40 CFR 260.10 are
NOTE not be deemed to “control” such generators.
If you mark “Y,” you must fill out the Addendum to the Site ID Form: LQG Consolidation of
VSQG Hazardous Waste.
Place an “X” in the “Y” box, if you are an LQG taking advantage of the provision found at 40 CFR 262.17
(f), you must notify (or re‐notify) EPA or your authorized State. Otherwise, place an “X” in the “N” box.
Information to be completed for each VSQG you are receiving hazardous waste from including:
EPA Identification number (if applicable),
the site name,
address,
contact name, and
telephone number.
ITEM 15 – NOTIFICATION OF LQG SITE CLOSURE FOR A CENTRAL ACCUMULATION AREA
(CAA) OR ENTIRE FACILITY
The 2016 Hazardous Waste Generator Improvements Final Rule requires LQGs to notify EPA no later than
30 days prior to closing their facility. They must also notify EPA within 90 days after closing the facility and
having complied with the closure performance standards of 40 CFR 262.17 (a)(8) (iii) or 40 CFR 262.17
(a)(8)(iv), or notify EPA that they cannot meet the closure performance standards. Optionally, an LQG may
notify that they are closing a central accumulation area.
Place an “X” in the “Y” box, then complete the appropriate boxes: 15.A – D. Otherwise, place an “X” in
the “N” box.
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Notification of RCRA Subtitle C Activities (Site Identification Form)
15.1 CENTRAL ACCUMULATION AREA (CAA) OR ENTIRE FACILITY
Indicate if you are closing a central accumulation area or are closing the entire facility.
15.2 EXPECTED CLOSURE DATE
Provide the date (mm/dd/yyyy) that you expect to close the CAA or the entire facility.
15.3
REQUESTING NEW CLOSURE DATE
If you cannot complete the closure of your facility (or central accumulation area) within 90 days of starting
the closure process, indicate the new closure date (mm/dd/yyyy). Explain in Item 18 ‐ Comment why you
are requesting the additional time.
15.4
DATE CLOSED
Provide the date (mm/dd/yyyy) that the facility or CAA closed.
a. In compliance with the closure performance standards 40 CFR 262.17(a)(8):
Indicate if the facility or CAA closed in compliance with the closure performance standards in 40
CFR 262.17(a)(8).
b. Not in compliance with the closure performance standards 40 CFR 262.17(a)(8):
Indicate if the facility or CAA closed but failed to meet closure performance standards in 40 CFR
262.17(a)(8).
ITEM 16 – NOTIFICATION OF HAZARDOUS SECONDARY MATERIAL (HSM) ACTIVITY
NOTE
40 CFR 260.42 must be in effect in your State in order to manage hazardous secondary
material under these regulations.
16.A NOTIFICATION OF MANAGEMENT OF HAZARDOUS SECONDARY MATERIAL
Place an “X” in the “Y” box 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 260.30, 40 CFR 261.4(a)(23),
(24), or (27). Otherwise, place an “X” in the “N” box.
NOTE
If you mark “Y,” you must fill out the Addendum to the Site ID Form: Notification of
Hazardous Secondary Material Activity.
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Notification of RCRA Subtitle C Activities (Site Identification Form)
16.B NOTIFICATION OF RECYCLING OF HAZARDOUS SECONDARY MATERIAL
Place an “X” in the “Y” box if you are submitting a legitimate recycling notification under 40 CFR
260.43(a)(4)(iii). Recycling of hazardous secondary materials for the purpose of the exclusions or
exemptions from hazardous waste regulations must be legitimate. You must notify EPA if the product of
your recycling process has levels of hazardous constituents that are not comparable to a legitimate
product or intermediate, but the recycling is still legitimate. The recycling can be shown to be legitimate
based on lack of exposure from toxics in the product, lack of the bioavailability of the toxics in the product,
or other relevant considerations which show that the recycled product does not contain levels of
hazardous constituents that pose a significant human health or environmental risk. Documentation of
legitimacy must be maintained on‐site for three years. Provide additional information regarding your
recycling in Item 18 ‐ Comments. Otherwise, place an “X” in the “N” box. Notification is not required if
the product of the recycling process is comparable to a legitimate product or intermediate per 40 CFR
260.43(a)(4)(i) or (ii).
ITEM 17 – ELECTRONIC MANIFEST BROKER
Place an “X” in the “Y” box if you are a person as defined in 40 CFR 260.10 that elects to use the electronic
manifest system to obtain, complete and transmit an electronic manifest format supplied by the EPA
electronic manifest system under a contractual relationship with a hazardous waste generator. Otherwise,
place an “X” in the “N” box.
ITEM 18 – COMMENTS
Use this section as needed to provide additional information for Items 1 through 17. 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 19 – CERTIFICATION
This certification must be signed and dated by the generator(s), owner(s), operator(s), or authorized
representative(s) of the site. See 40 CFR 270.11 for more information on signatories in general. An
“authorized representative” is a person responsible for the overall operation of the site or an operational
unit (i.e., a plant manager or superintendent, or a person of equivalent responsibility). To qualify as an
“authorized representative,” generator, owner, operator, or responsible official must submit a written
authorization to the Director in an authorized state or the EPA Regional Director in non‐authorized states.
NOTE All Site ID Form submissions must include this certification to be complete.
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Notification of RCRA Subtitle C Activities (Site Identification Form)
ADDENDUM TO THE SITE IDENTIFICATION FORM:
NOTIFICATION OF HAZARDOUS SECONDARY MATERIAL (HSM) ACTIVITY
YOU MUST FILL OUT THIS ADDENDUM IF:
You are located in a State that allows you to manage excluded hazardous secondary material
under 40 CFR 260.30, 40 CFR 261.4(a)(23), (24), or (27), (or state equivalent) AND
You are or will be managing excluded HSM in compliance with 40 CFR 260.30, 261.4(a)(23), (24),
or (27) (or state equivalent) or 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. Note: If your facility was granted a solid waste variance under 40 CFR 260.30
prior to July 13, 2015, your management of HSM under 40 CFR 260.30 is grandfathered under
the previous regulations and you are not required to notify for the HSM management activity
excluded under 40 CFR 260.30. See EPA’s website for more information about these regulations
at https://www.epa.gov/hw.
Complete all Items 1 and 2.
You must be managing excluded hazardous secondary material in compliance with 40 CFR
260.30, 40 CFR 261.4(a)(23), (24), or (27) (or State equivalent). Do not include any
information regarding your hazardous wastes in this section. See 80 FR 1694 or
https://www.epa.gov/hw for more information on these exclusions.
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
NOTE 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
Hazardous Waste 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.
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Notification of RCRA Subtitle C Activities (Site Identification Form)
ITEM 1 – REASON FOR NOTIFICATION
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 260.30, 40 CFR 261.4(a)(23), (24), or (27).
If the facility had previously notified that it will stop managing hazardous secondary material
NOTE in the past but will now begin anew, list the next planned start date.
FACILITY IS STILL MANAGING EXCLUDED HAZARDOUS SECONDARY MATERIAL/RE‐
NOTIFYING 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).
Facilities must re‐notify by March 1st of each even‐numbered year.
If placing an “X” in this box, you do not have to list a date.
NOTE
You must have previously notified that you began managing hazardous secondary material
in order to check this box.
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 40 CFR 264.143; or (4) you
temporarily suspend management of hazardous secondary material for at least one year.
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Notification of RCRA Subtitle C Activities (Site Identification Form)
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 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 Hazardous Waste Report submissions.
ITEM 2 – DESCRIPTION OF EXCLUDED HAZARDOUS SECONDARY MATERIAL (HSM) ACTIVITY
In the table provided on this Addendum to the Site Identification 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 nationally‐defined Facility Codes 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.
LIST
Click here for a list of the nationally‐defined Facility Codes.
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 260.30, 40 CFR
261.4(a)(23), (24), or (27).
If you list more codes or manage more hazardous secondary material than will fit in the table
under Item 2, please continue the Site Identification Form under Item 18 – Comments, or on
NOTE
an extra sheet. Remember to include your EPA Identification Number on the top of each
page.
LIST
Click here for a list of the nationally‐defined Hazardous Waste Codes.
c. Estimate Short Tons of Excluded HSM to be Managed Annually
In the box provided, enter your estimated quantity (using short tons) of hazardous secondary material
you expect to manage annually. Convert all physical quantities (e.g., gallons, cubic yards, kilograms,
35
Notification of RCRA Subtitle C Activities (Site Identification Form)
metric tons, etc.) to short tons (1 short ton = 2,000 pounds) and round to the nearest ton (no
decimals).
NOTE
Your estimated quantity should be for the entire amount of hazardous secondary material to
be reclaimed NOT just the quantity of constituent or product reclaimed.
d. Actual Short Tons of Excluded HSM Managed During the Most Recent Odd‐Numbered Year
Report the quantity (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, 2018, enter the amount you actually managed during 2017 (i.e., the quantity you
managed from January 1, 2017 to December 31, 2017). 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). If this is your initial notification, enter “0.”
NOTE
Your actual quantity should be for the entire amount of hazardous secondary material that
was sent for reclamation NOT just the quantity of constituent or product reclaimed.
e. Land‐based Unit Code
Using the nationally‐defined Land‐based Unit Codes, 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 18 – Comments. If more than one land‐based unit code applies to a hazardous secondary
material, list it separately using another row.
LIST
Click here for a list of the nationally‐defined Land‐based Unit Codes.
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 261.4(a)(23) and 261.4(a)(24) by sending
some amount to a reclaimer within its own company and the rest off‐site to a recycling 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
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
36
d. Actual short tons
of HSM managed
during the most
recent odd‐
numbered year
0
0
e. Land‐based unit
code
NA
NA
Notification of RCRA Subtitle C Activities (Site Identification Form)
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 recycling 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 261.4(a)(23) 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:
a. Facility code
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 e. Land‐based unit
of HSM managed
code
during the most
recent odd‐
numbered year
52
NA
22,468
NA
EXAMPLE 3
A RCRA‐permitted recycling facility has been receiving and reclaiming spent solvents under 40 CFR
261.4(a)(23) 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
b. Waste Code(s) for
hazardous secondary
material (HSM)
03
03
07
07
D001; F002; F003; F005
D001; D035; F002; F003
D001; F002; F003; F005
D001; D038; F002; F003
c. Estimated
short tons of
HSM to be
managed
annually
6,000
1,500
3,000
1,000
d. Actual short tons
of HSM managed
during the most
recent odd‐
numbered year
7,533
918
3,509
523
e. Land‐based unit
code
NA
NA
NA
NA
EXAMPLE 4
A smelting operation generates furnace bricks that are characteristic for chromium (D007) and sends them
off‐site for recycling. 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:
37
Notification of RCRA Subtitle C Activities (Site Identification Form)
a. Facility code
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 e. Land‐based unit
of HSM managed
code
during the most
recent odd‐
numbered year
235
NA
126
PL
EXAMPLE 5
A RCRA‐permitted 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:
a. Facility code
b. Waste Code(s) for
hazardous
secondary
material (HSM)
c. Estimated short
tons of HSM to
be managed
annually
08
F005
0
38
d. Actual short tons e. Land‐based unit
of HSM managed
code
during the most
recent odd‐
numbered year
5,034
NA
Notification of RCRA Subtitle C Activities (Site Identification Form)
ADDENDUM TO THE SITE IDENTIFICATION FORM:
LQG CONSOLIDATION OF VSQGS HAZARDOUS WASTES
YOU MUST FILL OUT THIS ADDENDUM IF:
You must fill out this Addendum if you are an LQG taking advantage of the new provision at 40 CFR
262.17(f) allowing you to consolidate hazardous wastes from VSQGs under the control of the same person
(as defined in 40 CFR 260.10). For each VSQG that the LQG is receiving hazardous waste from, the LQG
must identify the EPA Identification Number, if applicable, the name of the site, the site address, contact
name, phone number, and email address.
ITEM 1 – EPA ID NUMBER
Provide the EPA Identification Number for the VSQG whose waste you are consolidating, if applicable. A
VSQG may have an EPA ID Number either because it’s State requires it, or because it may have been an
SQG or LQG at one time, or for another reason. If the VSQG does not have an EPA ID Number, leave this
blank.
ITEM 2 – SITE NAME
Provide the legal name of the VSQG.
ITEMS 3‐6 – SITE LOCATION
Provide the complete location address for the VSQG. Please note that the address must be a physical
address, not a post office box or route number.
ITEM 7‐9 –CONTACT INFORMATION
Enter the telephone number, name of the individual who should be contacted for information about the
VSQG, and their email address.
39
ADDENDUM TO THE SITE IDENTIFICATION FORM:
EPISODIC GENERATOR
YOU MUST FILL OUT THIS SECTION IF:
You must fill out this Addendum if you are a VSQG or SQG taking advantage of the provision in 40 CFR 262
Subpart L allowing you to generate additional quantities of hazardous waste—temporarily exceeding your
normal generator category limits — and still maintain your existing generator category, if complying with
the specified conditions identified at 40 CFR 262.232(a) and (b). These conditions include management
standards, completing the event, and removing all hazardous waste from the site within sixty (60) days.
NOTE You cannot use this Addendum when submitting your Hazardous Waste Report.
Examples of planned episodic events include tank cleanouts, short‐term construction projects, short‐term
site remediation, equipment maintenance during plant shutdowns, removal of excess chemical
inventories, and site and production process decommissions by a new operator. Unplanned episodic
events, which EPA expects would be less frequent, include production process upsets, product recalls,
accidental spills, or “acts of nature,” such as a tornado, hurricane, or flood. Generators conducting
episodic events must notify with the type of event (planned or unplanned), an emergency contact and
phone number, the start and end date of the episodic event (must be sixty (60) days or fewer apart), a
description of the event, federal and state waste codes of wastes being generated, and the expected
amount of waste to be generated.
ITEM 1‐2 – PLANNED/UNPLANNED EVENT
Indicate whether the event being conducted is planned or unplanned. Furthermore, indicate the reason
for the planned or unplanned event. If none of the reasons listed apply, mark “Other” and describe the
event in Item 18 ‐ Comments.
ITEM 3‐4 – EMERGENCY CONTACT INFORMATION
Provide an emergency contact phone number and contact name for the individual who should be
contacted regarding the information relating to this episodic event.
ITEM 5‐6 – BEGINNING AND END DATES
Provide the estimated start date and end date of the event. The event must be complete within sixty (60)
days of the start date.
WASTE 1 – 3
For each waste stream produced as a result of the episodic event, provide a description of the waste
generated, the estimated quantity generated, and the applicable federal and/or state hazardous waste
codes. 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.
Notification of RCRA Subtitle C Activities (Site Identification Form)
7. WASTE DESCRIPTION
Provide a short narrative description of the hazardous waste, such as:
General type;
Source;
Type of hazard; and
Generic chemical name or primary hazardous constituents.
8. ESTIMATED QUANTITY
Provide an estimated quantity, in pounds, of hazardous waste to be generated as a result of the episodic
event.
9. FEDERAL AND/OR STATE HAZARDOUS WASTE CODES
Provide the federal hazardous waste codes and/or the state hazardous waste codes for the hazardous
wastes you expect to generate during the episodic event.
LIST
Click here for a list of the nationally‐defined Hazardous Waste Unit Codes.
41
HAZARDOUS WASTE REPORT
Hazardous Waste Report
AUTHORIZATION
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 the U.S. Environmental Protection Agency (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 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.
The 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, the EPA will treat the
information in accordance with the confidentiality regulations in 40 CFR Part 2, Subpart B. The EPA also ensures
that the information collection procedures comply with the Privacy Act of 1974 and OMB Circular 108.
Estimated Burden: Facilities ‐ The reporting burden for the Hazardous Waste Report is estimated to average 14
hours for a facility to gather data, complete and review the forms, and submit the Hazardous Waste Report. The
recordkeeping burden is estimated to average 5 hours for a facility to read the instructions, and file and store the
Hazardous Waste Report submission for three years. State Agencies ‐ The reporting burden is estimated to average
30 hours per facility for a State agency to distribute the Hazardous Waste Report Instructions and Forms, assist
respondents, key entry report submissions, and perform quality assurance. There is no recordkeeping associated
with this requirement, and as such, there is no recordkeeping burden for State agencies.
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, the
EPA has established a public docket for the Information Collection Request (ICR) under Docket ID Number EPA‐
HQ‐OLEM–2016– 0182, 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
43
Hazardous Waste Report
Information and Regulatory Affairs, Office of Management and Budget, 725 17th Street, NW, Washington, D.C.
20503, Attention: Desk Office for EPA. Please include the EPA Docket ID Number EPA‐HQ‐OLEM–2016– 0182and
OMB Control Number 2050‐0024 in any correspondence.
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 of 1976
(RCRA), as amended by the Hazardous and Solid Waste Amendments of 1984 (HSWA).
The EPA prepared this document for hazardous waste generators and for facilities that treat, store, or dispose
hazardous waste to report their hazardous waste activities. 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 via the following public website:
https://rcrainfo.epa.gov/rcrainfoweb
DETERMINING WHO MUST FILE
WHO MUST FILE
You are required by Federal statute (mandatory reporting) to complete and file a Hazardous Waste Report (also
known as the “Biennial Report”) or your State’s equivalent hazardous waste report if you:
Met the definition (see box below) of a RCRA Large Quantity Generator (LQG) during the collection year
(odd year); or
DEFINITION OF A RCRA LARGE QUANTITY GENERATOR
You are a RCRA LQG if you, by site:
(i)
Generate, in any calendar month, (which includes quantities imported by importer site)
1,000 kilograms [kgs]/month [mo] (2,200 pounds [lbs]/mo) or more of non‐acute RCRA
hazardous waste; or
(ii)
Generate, in a calendar month, or accumulates at any time, more than 1 kg/mo (2.2
lbs/mo) of any RCRA acute hazardous waste listed in sections 261.31 or 261.33(e); or
44
Hazardous Waste Report
(iii)
(iv)
Generate, in any calendar month, or accumulates at any time, more than 100 kg/mo (220
lbs/mo) of residue or contaminated soil, waste, or other debris resulting from the
cleanup of a spill, into or on any land or water, of any RCRA acute hazardous waste listed
in sections 261.31 or 261.33(e); or
Generate amounts above the LQG threshold of either acute hazardous waste or residue
or contaminated soil containing acute hazardous wastes would become a LQG for the
calendar month. In this case, you need to complete a Hazardous Waste Report.
Treated, stored, recycled or disposed of RCRA hazardous wastes on‐site or shipped hazardous waste off‐
site to a RCRA permitted treatment, storage, recycling and disposal facility, or received hazardous wastes
from off‐site hazardous waste generators without storing the wastes before recycling during the reporting
year (odd years).
You will report your current Hazardous Waste Generator status as of the date of
submitting your 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.
Hazardous waste imported from a site located in a foreign country must be counted
NOTE
in determining your generator status if your site is the U.S. Importer. This waste
must be reported on the Waste Generation and Management Form (GM Form) or
the Waste Received From Off‐site Form (WR Form) in your Hazardous Waste Report.
Some States, as a matter of State law, require other categories of generators to
report as well. Contact your State for additional information.
WHO SHOULD NOT FILE
DO NOT file a Hazardous Waste Report if, during the collection year, your site was not a RCRA LQG (i.e., your site
did not meet any of the LQG criteria) and your site did not treat, store, recycle or dispose of RCRA hazardous
wastes on‐site and/or received from off‐site in waste management units’ subject to a RCRA operating permit. The
exception is only if your State has more stringent reporting requirements. Contact your State to determine if there
are more stringent reporting requirements.
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 (Site ID Form) and submit it to your State Office. Place
an “X” in the box for Obtaining or updating an EPA ID number for an on‐going regulated activity that will continue
for a period of time in Item 1 – Reason for Submittal.
Unless required by your State, you are not required to submit a Hazardous Waste Report for your hazardous waste
that was exported directly out of the U.S. to a site located in a foreign country. Facilities that export hazardous
waste must file a separate Annual Report under 40 CFR 262.83(g). (This Annual Report will be in addition to the
Hazardous Waste Report, if your State requires you to submit a Hazardous Waste Report with hazardous waste
exported to a site located in a foreign country.)
45
Hazardous Waste Report
FILING A HAZARDOUS WASTE REPORT
The instructions and forms for the Hazardous Waste Report are prepared by the U.S. Environmental Protection
Agency (EPA) for generators and treatment, storage, recycling and disposal facilities to report their hazardous
waste activities.
Additionally, a site may use this Hazardous Waste Report to notify their regulatory authority that they are
managing hazardous secondary material under 40 CFR 260.30, 40 CFR 261.4(a)(23), (24), or (27) (these facilities
would notify using the RCRA Subtitle C Site Identification Form and Addendum to the Site Identification Form:
Notification of Hazardous Secondary Material (HSM) Activity).
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, hazardous secondary
material facility codes, hazardous secondary material land‐based unit codes, source codes, form codes,
management method codes, waste minimization codes, and sample of Foreign Site Identification Number.
DOCUMENTS HELPFUL IN FILLING OUT THE FORMS
To prepare the RCRA Hazardous Waste Report forms, you should consult your records on quantities and types of
hazardous waste that your site generated, managed, shipped, or received. 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.
WHICH FORMS TO SUBMIT AND WHAT TO REPORT
The Hazardous Waste Report contains the following four forms:
SITE ID FORM
A site required to file a Hazardous Waste Report MUST also submit the RCRA Subtitle C Site Identification Form
(Site ID Form) as a component of Hazardous Waste Report.
Mark “Submitting as a component of the Hazardous Waste Report” as the Reason for Submittal and enter the
reporting year in the space provided. Additionally, indicate if your 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 reporting year.
You will fill out the Site ID Form by reporting all information current as of the date of submitting your Hazardous
Waste Report. This includes reporting your current Hazardous Waste Generator status in Item 10.A.1 (Generator
of Hazardous Waste), which may be different from your reporting year.
Sites that will begin managing, are managing, or will stop managing hazardous secondary material under 40 CFR
260.30, 40 CFR 261.4(a)(23), (24), or (27), must submit the Addendum to the Site Identification Form as a
46
Hazardous Waste Report
component of the Hazardous Waste Report pursuant to 40 CFR 260.42. You are required to re‐notify by March 1
of each even‐numbered year 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.
NOTE
If your site was granted a solid waste variance under 40 CFR 260.30 prior to July 13, 2015, the
management of your hazardous secondary materials under 40 CFR 260.30 is grandfathered under the
previous regulations and you are not required to notify unless you became an LQG as a result of
generating new hazardous wastes from which the variance was granted.
GM FORM
A site required to file a Hazardous Waste Report must submit Waste Generation and Management Form(s) (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; or
Generated and accumulated on‐site in the reporting year but not managed on‐site or shipped off‐site until
after the reporting year; or
Generated and accumulated on‐site prior to the reporting but either managed on‐site or shipped off‐site
in the reporting year; or
Hazardous wastes received from VSQGs by LQGs under the control of the same “person” (as defined at 40
CFR 260.10) and managed according to the applicable hazardous waste regulations at 40 CFR 262.17 (f);
or
Imported from a site located in a foreign country.
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 for off‐site shipment;
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).
47
Hazardous Waste Report
Unless required by your State, you are not required to complete GM Form Item 3.B for hazardous waste shipped
directly to a site located in a foreign country (i.e., hazardous waste directly exported). Facilities that export
hazardous waste must file a separate Annual Report under 40 CFR 262.83(g). (This Annual Report will be in
addition to the Hazardous Waste Report, if your State requires you to submit a Hazardous Waste Report with
hazardous waste exported to a site located in a foreign country.)
WR FORM
A site required to file the Hazardous Waste Report must submit Waste Received From Off‐site Form(s) (WR
Form(s)) if, during the reporting year, it received RCRA hazardous waste from off‐site and managed the waste on‐
site (including subsequent transfer off‐site). This includes imports of hazardous waste received from a site located
in a foreign country, hazardous wastes that are received and recycled without first being stored, hazardous wastes
received and stored prior to being recycled (i.e., the site has a RCRA storage permit), and hazardous wastes
received from hazardous wastes generators to be partially reclaimed into commodity‐like materials excluded from
RCRA regulations.
OI FORM
A site must complete Off‐site Identification Form(s) (OI Form(s)) only if the site’s State requires it. The OI Form
collects the name and address information of the sites (generators, transporters, and/or receiving facilities)
identified within the Hazardous Waste Report.
WHEN AND WHERE TO SEND YOUR COMPLETED REPORT
The Hazardous Waste Report is due to your State or EPA Regional Office by March 1 of every even year. See the
Where to Get Help section above to find access to a contact list containing the address for your State or EPA Regional
Office where you should send your completed Hazardous Waste Report. The list contains contact names, addresses,
phone numbers, and e‐mail addresses that you can use to obtain additional information.
Many States use the forms included in this document; some also require additional information. Other States
require that you complete and submit a State‐specific form. Information about which form to use is included with
the contact list located at the web page noted above. Even if you use the included form, you should check with your
State to determine if you need to submit additional information. Also, contact your State if you have any questions
about your submission.
INSTRUCTIONS FOR FILLING OUT THE WASTE GENERATION AND MANAGEMENT (GM) FORM
WHO MUST SUBMIT THIS FORM?
A site required to file a Hazardous Waste Report must submit a GM Form if the site generated RCRA hazardous
waste that, in the reporting year, 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. Refer to the Wastes to be
Reported section below for specific instructions on generated RCRA hazardous wastes that should be reported on
48
Hazardous Waste Report
the GM Form. For exclusions or exemptions from the GM Form reporting requirements under the Hazardous
Waste Report, refer to the Wastes not to be Reported section below.
PURPOSE OF THIS FORM
The GM Form is for reporting on‐site hazardous waste generation and management and off‐site shipment in the
reporting year. 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, enter your EPA Identification Number in the
top left‐hand corner of the form.
Use Item 4 (Comments) 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 item 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
Click here for additional information for reporting lab packs, asbestos, PCBs, waste oils,
groundwater contaminated by hazardous waste, RCRA‐radioactive mixed wastes, and laboratory
clean‐out wastes.
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.
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 the reporting
year; or
Generated and accumulated on‐site in the reporting year but not managed on‐site or shipped off‐site until
after the reporting year; or
Generated and accumulated on‐site prior to the reporting year but either managed on‐site or shipped off‐
site in the reporting year; or
Received by an LQG from one or more VSQGs under the control of the same person for purposes of
consolidation; or
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Hazardous Waste Report
Imported from a site located in a foreign country in the reporting year. Refer to 40 CFR 262.10(e) and 40
CFR 262.84 for additional information.
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 for treating, recycling, or disposing on‐site or for off‐site shipment.
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 ID Form in Item 10.A.3. See the Mixed Waste definition and Special Instructions related to
radioactive wastes for additional information.
Hazardous wastes regulated only by your State should be reported if required by your State.
WASTES NOT TO BE REPORTED
Materials and wastes identified at 40 CFR 261.4(a) and (b), 262.13 (c) and 266.70 should not be reported on the
GM Form. 40 CFR 261.4(a) and (b) identify materials and solid wastes that do not qualify as solid or hazardous
wastes, respectively. 40 CFR 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. 40 CFR 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), 262.13 (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 262.13 (c)(1))
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Hazardous Waste Report
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 262.13 (c)(1))
Sample(s) undergoing treatability studies, as specified in 261.4(e). (40 CFR 262.13 (c) (1))
Sample(s) undergoing treatability studies at the laboratory or testing facility, as specified in 261.4(f). (40
CFR 262.13 (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 262.13 (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 262.13 (c) (1))
PCB wastes regulated under the Toxic Substance Control Act, as specified in 40 CFR 261.8, unless mixed
with a hazardous waste. (40 CFR 262.13 (c) (1))
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
262.13 (c) (2)). Any hazardous waste residues generated from these units, however, must be reported
on the GM Form.
Wastes recycled, without prior storage, only in an on‐site process subject to regulation under 40 CFR
261.6(c)(2) and (40 CFR 262.13 (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 279. (40 CFR 262.13 (c) (4))
Spent lead‐acid batteries managed under the requirements of 40 CFR 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 262.13 (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, 40 CFR 273, and (40 CFR 262.13 (c)(6)). Any hazardous
waste residues generated from these units, however, must be reported on the GM Form.
Hazardous wastes that are unused chemical products that are generated solely as a result of a laboratory
clean‐out conducted at an eligible academic entity pursuant to 40 CFR 262.213 (40 CFR 262.13(c)(7)).
Hazardous waste managed as part of an episodic event in compliance with 40 CFR 262 Subpart L (40 CFR
262.13 (c)(80)).
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Hazardous Waste Report
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 the reporting year, exported directly
out of the U.S. to a site located in foreign country. Facilities that export hazardous waste must file a
separate Annual Report under 40 CFR 262.83(g). (This Annual Report will be in addition to the Hazardous
Waste Report, if your State requires you to submit a Hazardous Waste Report with hazardous waste
exported to a site located in a foreign country.)
HOW TO REPORT SIMILAR HAZARDOUS WASTE ON THE GM FORM
Generally, a GM Form should be completed for each generated RCRA hazardous waste. A separate GM form
should be completed whenever a combination of wastes would require more than one Source Code or Form Code.
Contact your State about combining similar hazardous wastes on the GM form.
ITEM 1 – WASTE CHARACTERISTICS
Item 1 requests information on each RCRA hazardous waste that, in the reporting year, was generated and
accumulated on‐site; managed on‐site; and/or shipped off‐site. All information (A‐G) is mandatory.
1.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.
1.B – EPA HAZARDOUS WASTE CODE(S)
Enter the four‐character EPA hazardous waste code(s) that apply to the waste reported in Item 1.A. If you need
room for additional codes, list the codes in Item 4 ‐ Comments and cross‐reference Item 1.B. If the waste is
regulated only by your State, leave Item 1.B blank and report the State hazardous waste codes in Item 1.C.
LIST
Click here for a list of the nationally‐defined Hazardous Waste Codes.
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Hazardous Waste Report
1.C – STATE HAZARDOUS WASTE CODE(S)
Enter the State hazardous waste code(s) that applies to the waste reported in Item 1.A, if:
Your State regulates hazardous wastes not regulated as RCRA hazardous waste and requires these wastes
to be reported in the 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 1.A.
Otherwise, leave Item 1.C blank. If you need space for additional State hazardous waste codes, list the codes in
Item 4 ‐ Comments and cross‐reference Item 1.C.
NOTE Either Item1. B and/or Item 1.C must be provided for each waste stream.
1.D – SOURCE CODE
Enter the Source Code that best describes how the hazardous waste reported in Item 1.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 (G63 – G75, name of foreign countries, as
described in the Source Codes description section) for hazardous waste imported from a site located in a foreign
country. Also, mark “Yes” on the Site ID Form, Item 11.A.3 – United States Importer of Hazardous Waste. Click
here for special instructions for reporting wastes received from foreign countries.
LIST
Click here for a list of the nationally‐defined Source Codes.
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 an on‐site 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 – Item 1.D, or on the matching WR Form – Item 1.G, linking this waste with the on‐site
NOTE
process that created it. Do not report H141 in Item 1.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 Item 1.F.
Do not use G61 for waste you generate.
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Hazardous Waste Report
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 Item 1.F for this
source code. Click here for special instructions for reporting Subpart K Laboratory Waste.
NOTE
Source Code G51 is for LQGs that are consolidating hazardous wastes that was received from
VSQGs that are under the control of the same person as defined by 40 CFR 260.10. The
generation amount must be zero (0) in Item 1.F for this source code to avoid double counting.
1.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 Item 1.A.
LIST
Click here for a list of the nationally‐defined Form Codes.
1.F – QUANTITY GENERATED / UOM AND DENSITY
Enter the total quantity of the hazardous waste described in Item 1.A that was generated during the reporting
year.
Enter the Unit of Measure (UOM) code for the quantity you reported in Item 1.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 also
must report the density of the waste.
Code
Weight and Volume Conversions
1 kilogram (kg) = 2.2046 pounds (lbs)
1 short ton = 2,000 lbs
1 metric ton = 1,000 kg
1 metric ton = 1.1023 short tons
1 cubic meter (m) = 1.3079 cubic yards
1 cubic yard (yd) = 27 cubic feet (ft)
1 liter (l) = 0.2642 gallons (gal)
Unit of Measure
1
Pounds
2
Short tons (2,000 pounds)
3
Kilograms
4
Metric tons (1,000 kilograms)
5
Gallons
6
Liters
7
Cubic yards
NOTE
Skip to Item 1.G if you selected Unit of Measure 1, 2, 3, 4.
Continue to Density if you selected Unit of Measure code 5, 6, 7.
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Hazardous Waste Report
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.
1.G – WASTE MINIMIZATION CODE
40 CFR 262.41(a)(6), 264.75(h), and 265.75(h) requires that data be collected for waste minimization activities.
Enter the code that best corresponds to waste minimization, recycling, or pollution prevention efforts
implemented to reduce the volume and toxicity of the hazardous waste reported in Item 1.A. This waste
minimization activity must have occurred during this reporting cycle. If minimization was not attempted (to the
point of implementing a change) for this waste, you must enter an “X” (no waste minimization efforts were
implemented for this waste) for this item.
LIST
Click here for a list of the nationally‐defined Waste Minimization Codes.
ITEM 2 – ON‐SITE GENERATION AND MANAGEMENT OF HAZARDOUS WASTE
Answering “Yes” or “No” to this question is mandatory. If “Yes”, provide the management method and quantity
treated, disposed, or recycled on‐site during the reporting year for each on‐site RCRA‐regulated management
system.
WAS ANY OF THIS WASTE THAT WAS GENERATED 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 Item
1.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 Item 3.
EXAMPLE 1
Facility A generates spent solvents that it recycles on‐site in a distillation column. This facility would mark “Yes”
in Item 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
Item 1.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 Item 2 because it did not manage any of the
newly generated fuels on‐site. This facility would report the off‐site shipment in Item 3 and would report the
Management Method Code H050 (Energy Recovery).
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Hazardous Waste Report
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 Item 2.
LIST
Click here for a list of the nationally‐defined Management Method Codes.
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 the reporting year. 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 the reporting year. 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 Identification number and Site Name.
Leave all the other fields blank, except Item 2 for on‐site process systems. Note in Item 4 ‐ Comments of each
page: “Item 2 continued on supplemental page.” Refer to Page Numbering of Forms for information on how to
number 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. Report only process systems, not process units. Click
here for the definition of a process system.
EXAMPLE OF SEQUENTIAL PROCESSES
A firm generated 100 tons of D002 and D007 plating waste in the reporting year. 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
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Hazardous Waste Report
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 Item 1.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
Enter the quantity of hazardous waste described in Item 1 that was treated, disposed, or recycled by the reported
on‐site process management method during the reporting year. Enter the quantity in the same unit of measure
reported in Item 1. F (Quantity Generated in the reporting year).
ITEM 3 – OFF‐SITE SHIPMENT OF HAZARDOUS WASTE
This item 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 item are mandatory. Do report shipments of
previously generated hazardous wastes stored until the reporting year. Do report waste shipped via transfer
facility, however, do not list on a GM Form a less‐than‐10‐day transfer facility where waste storage is incidental to
transportation. 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 Item 1 was shipped to more than three off‐site facilities during the reporting year, you need not complete the
entire form again. Simply attach a second copy of the GM Form, leaving blank all entries except Items 3.B, 3.C,
and 3.D. Note in Item 4 ‐Comments of each page: “Item 3.B continued on supplemental page.” Refer to Page
Numbering of Forms for information on how to number supplemental pages.
3.A – WAS ANY OF THIS WASTE SHIPPED OFF‐SITE IN THE REPORTING YEAR FOR TREATMENT,
DISPOSAL, OR RECYCLING?
Mark “Yes” or “No” to indicate if any of the waste described in Item 1 was shipped off‐site for treatment, disposal,
or recycling during the reporting year.
This GM Form is complete if you marked “No” in Item A.
Continue to Item 3.B if you marked “Yes” in Item A.
3.B – EPA ID NUMBER OF FACILITY TO WHICH WASTE WAS SHIPPED
This is the 12‐digit EPA Identification Number of the facility to which the waste was shipped. If your State requires
you to submit a Hazardous Waste Report for hazardous waste exported to a site located in a foreign country,
facilities that export hazardous waste should list in Item B, a Foreign Site Identification Number that has been
assigned to the facility. If a site located in a foreign country to which hazardous waste is shipped has not been
assigned an ID Number, enter “FC” followed by the name of the country as the EPA Identification Number. Click
here for special instructions for wastes shipped to foreign countries.
LIST
Click here for a sample list of the nationally‐defined Foreign Site Identification Numbers.
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Hazardous Waste Report
Generators are to report in item 3.B the EPA ID Number for the designated TSDF that signed the manifest, which
can be found in Item 8 of the manifest form. Do not list on a GM Form a less‐than‐10‐day transfer facility where
waste storage is incidental to transportation. All transporters used should be listed on the OI Form if your State
requires that form to be submitted.
3.C – OFF‐SITE MANAGEMENT METHOD CODE SHIPPED TO
Enter the Management Method Code that best describes the way in which the waste was managed at the initial
receiving facility reported in Item 3.B. This should be listed on the manifest in Item 19 or in documentation that
the TSDF may have provided.
Receiving facilities with Part B permits whose only management type is storage and transfer may be a designated
TSDF on a manifest and these should be listed in GM Form Item 3 with a management method code of
H141. Permitted storage facilities that report management method code H141 on their WR Form should report
shipment of this transferred waste on a GM Form with a Source Code of G61.
LIST
Click here for a list of the nationally‐defined Management Method Codes.
3.D – TOTAL QUANTITY SHIPPED
Enter the total quantity of the waste shipped to the off‐site facility during the reporting year. Report the quantity
in the same unit of measure entered in Item 1.F. Shipment quantities should equal the total quantity recorded
on Uniform Hazardous Waste Manifests for this site during the reporting year, 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).
ITEM 4 – COMMENTS
Use this Item 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.
INSTRUCTIONS FOR FILLING OUT THE WASTE RECEIVED FROM OFF‐SITE (WR) FORM
WHO MUST SUBMIT THIS FORM?
A site required to file a Hazardous Waste Report must submit this form if, during the reporting year, it received
RCRA hazardous waste from off‐site. The 2016 Hazardous Waste Generator Improvements Final Rule, requires
facilities that receive and recycle regulated hazardous wastes without first storing to complete a WR form for each
type of hazardous waste they receive.
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Hazardous Waste Report
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 the reporting year 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 the reporting year,
photocopy and fill out additional copies of this form. Prior to photocopying, write your EPA Identification Number
in the top left‐hand corner of the form.
Use Item 4 ‐ Comments at the end of the form to clarify any entry (e.g., “Other” responses) or to continue any
entry. When entering information in Item 4, cross‐reference the waste block and item letter to which the
comment refers.
All items in this section are mandatory for each waste reported.
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. If you need
room for additional codes, list the codes in Item 4 ‐ Comments and cross‐reference the applicable waste block
number (e.g., Waste 1, Item B). If the waste is regulated only by your State, leave Item B blank and report the
State hazardous waste codes in Item C.
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Hazardous Waste Report
LIST
Click here for a list of the nationally‐defined Hazardous Waste Codes.
ITEM C – STATE HAZARDOUS WASTE CODES(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 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 Item
4 ‐Comments, and cross‐reference the applicable waste block number (e.g., Waste 1, Item C).
NOTE Either Item B and/or Item C must be provided for each waste stream.
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 very small quantity generator (VSQG) or a site located in
a foreign country.
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 on reporting Wastes Received from VSQGs and Wastes Received
from Foreign Countries.
ITEM E – QUANTITY RECEIVED / UOM AND DENSITY
Report the total quantity of hazardous waste reported in Item A that was received from the off‐site handler
reported in Item D during the reporting year. If more than one shipment of this waste was received from the same
off‐site handler, add the quantities and report only the sum.
Enter the Unit of Measure (UOM) code for the quantity you reported in Item E – Quantity Received in the report
year. 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.
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Hazardous Waste Report
Code
Weight and Volume Conversions
1 kilogram (kg) = 2.2046 pounds
(lbs)
1 short ton = 2,000 lb
1 metric ton = 1,000 kg
1 metric ton = 1.1023 short tons
1 cubic meter (m) = 1.3079 cubic
yards
1 cubic yard (yd) = 27 cubic feet
(ft)
1 liter (l) = 0.2642 gallons (gal)
Unit of Measure
1
Pounds
2
Short tons (2,000 pounds)
3
Kilograms
4
Metric tons (1,000 kilograms)
5
Gallons
6
Liters
7
Cubic yards
Skip to Item F if you selected waste code 1, 2, 3, or 4.
Continue to Density if you selected waste code 5, 6, or 7.
Report the density only if you entered waste 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 F – 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
Click here for a list of the nationally‐defined Form Codes.
ITEM G – MANAGEMENT METHOD CODE
Enter the code that describes the type of process system (see definition) in which the waste was managed.
LIST
Click here for a list of the nationally‐defined Management Method Codes.
ITEM 4 – COMMENTS
Use this item 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.
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INSTRUCTIONS FOR FILLING OUT THE OFF‐SITE IDENTIFICATION (OI) FORM
WHO MUST SUBMIT THIS FORM?
Sites required to file a 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 the reporting year.
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 the reporting year. If these off‐site installations and
transporters total more than four, you must photocopy and complete additional copies of the form. Prior
to photocopying, enter your EPA Identification Number, in the top left‐hand corner of the form.
Use I t e m 4 ‐ C o m m e n t s , at the end of the form to clarify any entry or to continue any entry. When
entering information in Item 4, cross‐reference the site number and item letter to which the comment refers.
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 t h e r e p o r t i n g y e a r . Complete
Items A through C for each transporter you used during the reporting year (address in Item D is not required
for transporters).
ITEM A – EPA ID NO. OF OFF‐SITE INSTALLATION OR TRANSPORTER
Enter the 12‐digit EPA Identification Number of the off‐site installation to which you shipped hazardous waste or
from which you received hazardous waste. Or, enter the EPA Identification Number of the transporter who
shipped hazardous waste to or from your site. Each EPA Identification Number should appear only once. If the
off‐site installation or transporter did not have an EPA Identification Number during the reporting year, leave
blank if this item is not applicable or “don’t know” in Item A and note the reason in Item 4 ‐ Comments.
ITEM B – NAME OF OFF‐SITE INSTALLATION OR TRANSPORTER
Enter the name of the off‐site installation or transporter reported in Item A.
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Hazardous Waste Report
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 Identification Number reported in
Item A refers to a transporter, leave blank if this item is not applicable or “don’t know” in Item D.
ITEM 4 – COMMENTS
Use this item 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.
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RCRA HAZARDOUS WASTE PART A PERMIT
APPLICATION
RCRA Hazardous Waste Part A Permit Application
AUTHORIZATION
The Resource Conservation and Recovery Act (RCRA) Section 3005 requires the U.S. Environmental
Protection Agency (EPA) to establish permitting requirements applicable to hazardous waste treatment,
storage, or disposal facilities (TSDFs). The owner and operator of a TSDF must obtain a permit as required
under 40 CFR Part 270. Respondents must submit the information required in the RCRA Hazardous Waste
Part A Permit Application [EPA Form 8700‐23] (Part A Permit Application) for a first permit application or
for a revised permit application. Owners and operators of four types of TSDFs are subject to the
requirements: new facilities not yet constructed; newly regulated existing facilities subject to RCRA
permitting requirements for the first time; permitted facilities with newly regulated units; and interim
status facilities. The EPA needs information contained in the application to identify the person(s) legally
responsible for hazardous waste activity, to determine which facilities require permits under more than
one program, to assess potential for the facility to pollute nearby ground and surface waters, to identify
the timeframe available for the EPA to process permit applications, and to determine the specific wastes
a facility is legally allowed to handle for different purposes. The EPA must ensure that hazardous wastes
are managed in a way that protects human health and the environment as required by RCRA. This is
mandatory reporting by the respondents.
The EPA enters Part A Permit Application information submitted by respondents into RCRAInfo, the EPA
national database, and issues permits. The EPA uses this information to identify the universe of regulated
waste TSDFs and their specific regulated hazardous waste activities. The EPA also uses the information for
tracking and planning and for a variety of enforcement and inspection purposes. Finally, the EPA uses this
information to ensure that: hazardous wastes are managed properly; TSDFs are operated and maintained
as required; statutory provisions are upheld; and that regulations are adhered to by facility owners and
operators.
Section 3007(b) of RCRA and 40 CFR Part 2, Subpart B, which defines the EPA’s general policy on public
disclosure of information, both contain provisions for confidentiality. However, the Agency does not
anticipate that businesses will assert a claim of confidentiality covering all or part of the Part A Permit
Application. If such a claim were asserted, the EPA must and will treat the information in accordance with
the regulations cited above. The EPA also will assure that the information collection complies with the
Privacy Act of 1974 and OMB Circular 108.
Estimated Burden: Facilities ‐ The reporting burden associated with the Part A Permit Application
requirements is estimated to average 12 hours for a facility to prepare and submit a new or revised Part
A Permit Application and associated documentation. The recordkeeping burden is estimated to average 4
hours for a facility to read the regulations. State Agencies ‐ The reporting burden associated with the Part
A Permit Application requirements is estimated to average 2 minutes for a State agency to notify an
applicant of a deficiency in a new Part A Permit Application. The recordkeeping burden is estimated to
average 5 hours for a State agency to review a new or revised Part A Permit Application and associated
documentation, and enter the permit information into the RCRAInfo database.
To comment on the EPA’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, the EPA has established a public docket for the Information Collection Request (ICR) under
Docket ID Number EPA‐HQ‐OLEM–2016– 0182, which is available for online viewing at
www.regulations.gov, or in person viewing at the RCRA Docket in the EPA Docket Center (EPA/DC), EPA
West, Room B102, 1301 Constitution Avenue, NW, Washington, D.C. The EPA Docket Center Public
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RCRA Hazardous Waste Part A Permit Application
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 at www.regulations.gov.
This site can be used 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. When
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, 725
17th Street, NW, Washington, D.C. 20503, Attention: Desk Officer for the EPA. Please include the EPA
Docket ID Number EPA‐HQ‐OLEM–2016– 0182 and OMB Control Number 2050‐0024 in any
correspondence.
INTRODUCTION
The Resource Conservation and Recovery Act (RCRA), as amended by the Hazardous and Solid Waste
Amendments of 1984 (HSWA) requires anyone who owns or operates a facility where hazardous
waste is treated, stored, or disposed to have a RCRA hazardous waste permit issued by the U.S.
Environmental Protection Agency (EPA). This section is designed to help you determine if you are subject
to RCRA hazardous waste permitting requirements. The instructions contained in this section will
assist you in starting the permit process by completing and submitting a RCRA Hazardous Waste Part
A Permit Application (8700‐23) or in modifying your hazardous waste permit by submitting a revised
application.
There are two parts to a RCRA Hazardous Waste Permit Application: Part A and Part B. Part A of the
RCRA Hazardous Waste Permit Application consists of both the RCRA Subtitle C Site Identification
Form and the RCRA Hazardous Waste Part A Permit Application, along with maps, drawings, and
photographs, as required by 40 CFR 270.13. Part B of the RCRA Hazardous Waste Permit Application
contains detailed, site‐specific information. There is no form for the Part B Permit Application; rather,
the Part B Permit Application must be submitted in narrative form and contain the information
described in applicable sections of 40 CFR 270.14 through 270.27.
Although this section contains information and instructions for completing a Part A Permit
Application, it should not be considered a substitute for the regulations in Title 40 of the
Code of Federal Regulations (40 CFR). Rather, this section serves as a supplement to the
regulations and provides additional information not contained in 40 CFR. As an owner
or operator of a hazardous waste treatment, storage, or disposal facility, you are
responsible for learning and complying with all the requirements that apply to you and the
operations at your facility.
NOTE
In addition, remember that this document and the regulations in 40 CFR address only the
Federal hazardous waste program. Many States may have hazardous waste permitting
requirements that differ from the Federal requirements; those States may use EPA’s
Form for the Part A Permit Application submission or they may use a similar State
form that requires information not requested in the EPA form. Again, it is your
responsibility to make sure that you have completed and submitted all forms required
under the Federal or your State program.
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RCRA Hazardous Waste Part A Permit Application
DETERMINING IF YOU MUST FILE
WHO MUST FILE A RCRA HAZARDOUS WASTE PERMIT APPLICATION?
The Resource Conservation and Recovery Act (RCRA), as amended by the Hazardous and Solid Waste
Amendments of 1984 (HSWA), requires each person owning or operating a facility for the treatment,
storage, or disposal of regulated hazardous waste to have a RCRA hazardous waste permit. This includes
individuals, trusts, firms, joint stock companies, Federal agencies, corporations (including government
corporations), partnerships, associations, States, municipalities, commissions, interstate bodies, other
political subdivisions of a State, or Indian tribes (or an authorized Indian tribe organization). If you treat,
store, or dispose of regulated hazardous waste without obtaining a permit, you may be subject to a civil or
criminal penalty.
Both new and existing facilities that treat, store, or dispose of regulated hazardous waste are required
to submit a RCRA Hazardous Waste Part A Permit Application as described in 40 CFR Part 270. Four types
of facilities are required to submit the Part A Permit Application: new facilities not yet constructed; newly
regulated existing facilities subject to RCRA permitting requirements for the first time; permitted facilities
with newly regulated units; and interim status facilities.
In an instance where the State may have a newly regulated unit, a Part A Permit Application is required.
Adding new units for treating, storing, and disposing of waste creates a change to the facility (be it an
existing facility or interim status facility) which would require a Revised Part A Permit Application, as
does a major permit modification.
Contact your State if you have questions about the applicability of the Part A Permit Application form to your
facility. Refer to the State Contact section to find your appropriate state contact.
HOW DO I KNOW IF I HANDLER REGULATED HAZARDOUS WASTE?
OFF‐SITE FACILITIES
Owners or operators of off‐site facilities that treat, store, or dispose of solid wastes, as defined by 40
CFR 261.2, are encouraged to obtain information on the solid wastes they receive from generators. If the
generators will not supply this information, you are still responsible for determining if the solid wastes you
handle are also hazardous wastes that are regulated by RCRA. To do so, you should follow the
procedures for on‐site facilities that are described below.
ON‐SITE FACILITIES
Generators who treat, store, or dispose, on‐site, their own solid wastes (as defined by 40 CFR 261.2),
should employ the following procedures in determining if their solid wastes are hazardous wastes that are
regulated by RCRA. This determination is made as follows:
First, you need to determine if the solid waste handled is excluded from regulation under RCRA. The list
of exclusions can be found in the regulation entitled “Identification and Listing of Hazardous Waste,”
40 CFR 261.4. If the solid wastes handled are excluded, a RCRA hazardous waste permit is not needed
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RCRA Hazardous Waste Part A Permit Application
to treat, store, or dispose of these solid wastes. If the solid waste handled is not excluded by 40 CFR
261.4, you need to determine if the solid waste handled is a hazardous waste that is regulated under
RCRA. As described below, the EPA regulates a solid waste as a hazardous waste by specifically
listing it as a hazardous waste or by assigning it a generic hazardous waste code because it possesses
any of the four hazardous waste characteristics.
If the solid waste handled is not excluded by 40 CFR 261.4, you need to determine if it is a
hazardous waste that is listed in 40 CFR Part 261, Subpart D, “Lists of Hazardous Wastes.” If you own or
operate a facility where listed hazardous waste is treated, stored, or disposed, you are subject to
regulation and must file a RCRA Hazardous Waste Permit Application, unless the hazardous waste
has been exempted as described below.
If the solid waste handled is not listed in 40 CFR Part 261, Subpart D, the solid waste may still be a
hazardous waste if it possesses certain characteristics or contains certain contaminants. These
characteristics and contaminants are described in 40 CFR Part 261, Subpart C, “Characteristics of
Hazardous Waste.” A determination that a solid waste possesses these characteristics or contaminants
may be made based on either:
•
•
Your knowledge of the hazard characteristic of the solid waste in lieu of the materials or processes
used; or
The results of testing the solid waste according to the methods in 40 CFR Part 261, Subpart C.
If you own or operate a facility where characteristic hazardous waste is treated, stored, or disposed,
you are subject to regulation and must file a RCRA Hazardous Waste Part A Permit Application, unless the
hazardous waste has been exempted as described below.
If the hazardous waste that you handle has been exempted under 40 CFR 261.5 or 40 CFR 261.6(a)(3),
you are not subject to regulation and do not need to file a RCRA Hazardous Waste Part A Permit
Application. In addition, certain other persons who handle hazardous waste are not required to obtain
a RCRA hazardous waste permit. They are:
Generators who accumulate their own hazardous waste on‐site for less than 90 days as
provided in 40 CFR 262.14 ‐ 17;
Farmers who dispose of hazardous waste pesticides from their own use as provided in 40 CFR
62.70; and
Owners and operators of totally enclosed treatment facilities as defined in 40 CFR 260.10.
FILING A RCRA HAZARDOUS WASTE PART A PERMIT APPLICATION
There are two parts to the RCRA Hazardous Waste Permit Application – Part A and Part B. As required
by 40 CFR 270.13, the Part A Permit Application defines the processes to be used for treatment, storage,
and disposal of hazardous wastes; the design capacity of such processes; and the specific hazardous
wastes to be handled at a facility. The RCRA Hazardous Waste Part A Permit Application is submitted by
completing the RCRA Subtitle C Site Identification Form (Site Identification Form), and the Hazardous Waste
Part A Permit Application
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RCRA Hazardous Waste Part A Permit Application
The Part A Permit Application serves as a vehicle through which an owner or operator may submit
facility‐specific information to the regulatory authority and keep this information current. As specified by
40 C F R 270. 14 t h r o u g h 270. 27, the Part B Permit Application requires detailed site specific information
such as geologic, hydrologic, and engineering data. The Part B Permit Application is submitted in narrative
form.
EXISTING FACILITIES
Existing hazardous waste management facilities are those hazardous waste treatment, storage, or disposal
facilities (TSDFs) which were in operation or for which construction had commenced on or before
November 19, 1980, or which were in existence on the effective date of the statutory or regulatory
amendment that render the facility subject to the requirement to obtain a RCRA permit. RCRA
established a procedure for obtaining interim status that allows these existing facilities to continue
operating until a final hazardous waste permit is issued.
You must complete and submit a Site Identification Form and submit a Part A Permit Application. If you do not
file a Site Identification Form and complete the Part A Permit Application Form by the deadlines specified in
the When Should I File My Permit Application section of these instructions, you will be required by law
to halt your operations until a RCRA hazardous waste permit is issued.
Facility owners or operators with interim status are treated as having been issued a permit until the EPA
reviews the Part B Permit Application and issues a RCRA hazardous waste permit. You may submit your Part
B Permit Application voluntarily; however, you are not required to submit it until it is requested by the EPA.
You will then have up to six months to submit the Part B Permit Application.
NEW FACILITIES
New hazardous waste management facilities are those hazardous waste TSDFs which were not in operation
or for which construction had not commenced on or before November 19, 1980. Owners or operators of
new hazardous waste management facilities must submit a RCRA Subtitle C Site Identification Form,
Hazardous Waste Permit Form (Part A), and Part B information at least 180 days before physical construction
of the facility is expected to commence. In addition, these owners or operators are not allowed to
begin physical construction of the new facility or to treat, store, or dispose of hazardous wastes until
receiving a RCRA hazardous waste permit. As such, new facilities do not receive interim status. In addition,
new facilities are those facilities that are newly subject to the requirement to obtain a RCRA hazardous
waste permit (e.g., through the EPA’s promulgation of a new hazardous waste listing). An application for
a permit may be submitted any time after promulgation of those standards in 40 CFR subjecting the
facility to hazardous waste permitting requirements.
Most State governments are authorized by the EPA to administer hazardous waste management programs in
lieu of the Federal RCRA program. You should contact your State hazardous waste management agency to
determine any additional State requirements. You will need to comply with the specific permit
application requirements of that State.
You must complete a Site Identification Form and submit a Part A Permit Application. Refer to the Notification
of RCRA Subtitle C Activities (Site Identification Form) section for instructions on how to fill out a RCRA Subtitle
C Site Identification Form. The following instructions also provide general information for completing a Part
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RCRA Hazardous Waste Part A Permit Application
B Permit Application. If, after reading the instructions, you have any questions regarding the RCRA hazardous
waste permit application process, contact your State Representative who can answer your questions and help
you understand the Federal and State requirements that apply to you. Please refer to the State Contact
section to find your appropriate state contact.
FIRST PART A SUBMISSION
Both new and existing facilities that treat, store, or dispose of regulated hazardous waste are required to
submit a RCRA Subtitle C Site Identification Form and Hazardous Waste Permit Form (Part A) in
accordance with the deadlines set forth in then When Should I File My Permit Application section. Owners
or operators of facilities that have not previously submitted a Part A Permit Application will need to submit
a permit application for the first time. Examples of facilities making their first Part A submission are new
facilities or existing facilities that become newly subject to the requirement to have a RCRA hazardous
waste permit.
REVISED PART A SUBMISSION
There are several conditions under which a facility that has previously submitted a Part A Permit Application
must revise that first submission to reflect changes that have occurred at the facility. Both facilities
operating under interim status and facilities operating under a RCRA hazardous waste permit may find it
necessary to revise their Part A Permit Application.
If the owner or operator of this facility has changed since the facility last submitted the Part A Permit
Application, be sure to submit a Revised Part A Permit Application Form. The conditions requiring
submission of a Revised Part A Permit Application are summarized in the When Should My Permit
Application Be Revised section. Please refer to the item‐by‐item instructions for completing both the
Site ID Form, and the Hazardous Waste Part A Permit Application.
HOW MANY PERMIT PART A APPLICATIONS SHOULD I FILE?
You need t o submit only one RCRA Hazardous Waste Permit Application (Part A and Part B) per facility,
provided that you describe all of the activities at that facility. If you conduct hazardous waste
activities at more than one facility, you must submit a separate RCRA Hazardous Waste Permit Application
(Part A and Part B) for each facility location. You also must have an EPA Identification Number for each of the
facilities.
NOTE
Only one RCRA Hazardous Waste Permit Application is required per facility. At some point,
you may be required to submit revised applications to update your first Part A Permit
Application submission. At any given time, the first submission and any subsequent
revised submissions represent the Part A Permit Application for your facility.
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RCRA Hazardous Waste Part A Permit Application
WHEN AND WHERE SHOULD I FILE MY PERMIT APPLICATION?
As required by 40 CFR 270.10, the deadlines for filing RCRA Hazardous Waste Permit Applications are:
Under 40 CFR 270.10(e), existing facilities must submit a Part A Permit Application no later than six
months following the publication of regulations that subject the facility to the requirement to
have a RCRA hazardous waste permit.
Under 40 CFR 270.10(f), new facilities must submit both Part A and Part B Permit Applications at
least 180 days before commencing physical construction of the facility. A permit must be received
before construction begins.
Many States use the Permit Part A Application Form; some also require additional information. Other
States require that you complete and submit a State‐specific form. The Contact list referenced in the State
Contacts section indicates which form to use. Even if you use the included form, you should check with your
State to determine if you need to submit additional information. Also, contact your State if you have any
questions about your submission.
WHEN SHOULD MY PERMIT APPLICATION BE REVISED?
FACILITIES OPERATING UNDER INTERIM STATUS
In accordance with 40 CFR 270.72(a), the owner or operator of a facility operating under interim status must
submit a Revised Part A Permit Application at the following times:
Prior to treating, storing, or disposing of new hazardous wastes not previously identified in the
facility’s Part A Permit Application. Similarly, when the EPA (or a State with an authorized RCRA
program) promulgates a rule listing or identifying new hazardous wastes, facilities managing these
wastes must revise their Part A Permit Application to reflect this activity.
Prior to increasing the design capacity of the processes used at the facility. The EPA Regional
Administrator (or the State Director, for an authorized State) must approve changes in capacity
before they take effect at the facility.
Prior to changing existing processes or adding new processes for treating, storing, and disposing of
hazardous wastes at the facility. Changes in treatment, storage, and disposal practices must be
approved by the Regional Administrator (or State Director) before they are implemented by a facility.
Prior to undergoing a change in ownership or operational control of a facility.
Whenever facility changes occur in accordance with an interim status corrective action order
issued by the EPA, an authorized State, or by a court in a judicial action brought by the EPA or the
State.
When a facility adds units for the treatment, storage, and disposal of hazardous waste that are
newly regulated by the EPA or a State. A Revised Part A Permit Application must be submitted on
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RCRA Hazardous Waste Part A Permit Application
or before the date on which the unit becomes subject to the new requirements.
Changes in the quantity of hazardous waste currently specified in the first Part A Permit Application can be
made without submitting a Revised Part A Permit Application, provided the quantity does not exceed the
design capacities of the processes specified in the first Part A Permit Application or a subsequent Part A
Permit Application.
Failure to furnish all information required to process a RCRA Hazardous Waste Permit Application is
grounds for termination of interim status.
FACILITIES OPERATING UNDER A RCRA HAZARDOUS WASTE PERMIT
Owners or operators of facilities operating under a RCRA Hazardous Waste Permit may modify their permit
at any time, in accordance with the specific requirements in 40 CFR 270.42. Appendix I to 40 CFR 270.42
divides the various types of permit modifications into Classes 1, 2, and 3, based on the complexity of facility
changes necessitating a permit modification. Class 1 modifications are minor changes that keep the permit
current with changes that occur to the facility or its operation. Class 2 and 3 modifications involve more
significant changes in facility operations.
In all cases when a facility owner or operator requests a permit modification, however, he or she must submit
the information required in the Part A Permit Application (in 40 CFR 270.13) as part of the modification
submittal.
Finally, under 40 CFR 270.10(h), facilities with a RCRA Hazardous Waste Permit must submit a new
application (Part A and Part B) at least 180 days prior to the expiration date of the permit.
INSTRUCTIONS FOR FILLING OUT THE HAZARDOUS WASTE PERMIT PART A FORM
Please type or print in black ink. Some items in the form require narrative explanation. If more space
is necessary to answer a question, use the space provided in Item 11 ‐ Comments and reference the
item number to which the additional information applies or attach a separate sheet entitled
“Additional Information.” Remember to include your EPA Identification Number the upper left‐ hand
corner of each attached page.
Unless otherwise specified in the instructions to the form, each item must be answered. To indicate
that each item has been considered, enter “NA” for “not applicable,” if a particular item does not fit
the circumstances or characteristics of your facility or activity.
For a Revised Part A Permit Application, circle the item numbers with new information or changes.
ITEM 1 – FACILITY PERMIT CONTACT
Give the name, title, email address and work telephone number of a person who is thoroughly familiar
with the activities at the facility that require a RCRA Hazardous Waste Permit and with the facts
reported in the Hazardous Waste Part A Permit Application Form. This person must be available to be
contacted by offices reviewing the permit application, if necessary. If the Facility Permit Contact
person is the same as the Site Contact Person identified in Item 8 of the RCRA Subtitle C Site
Identification Form (Site ID Form), you may print “Same as Site Contact” in this box.
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RCRA Hazardous Waste Part A Permit Application
ITEM 2 – FACILITY PERMIT CONTACT MAILING ADDRESS
Enter the mailing address for the facility permit contact. If the mailing address is the same as the
Site Mailing Address (Item 5) on the Site ID Form, you may print “Same as Site Mailing Address” in this
box.
ITEM 3 – FACILITY EXISTENCE DATE
Enter the appropriate date that applies to your facility from the following:
• The date that hazardous waste operations at the facility commenced;
• The date construction on the facility commenced; or
• The date operation is expected to begin.
ITEM 4 – OTHER ENVIRONMENTAL PERMITS
A. PERMIT TYPE
Enter the code for the appropriate Permit Type Code for all other environmental permits the facility has
received, or for which the facility has filed an application, even if the permit has not yet been received.
LIST
Click here for a list of the nationally‐defined Permit Type Codes.
B. PERMIT NUMBER
Give the number of each presently effective permit issued to the facility for each program, or if you have
previously filed an application, but have not yet received a permit, give the number of the application
and note this in the description. You may list additional permit numbers on a separate sheet of paper
if you have more than one currently effective permit for your facility under a particular permit
program. Remember to include your EPA Identification Number in the upper left‐hand corner of each
attached page.
C. DESCRIPTION
Use the space provided for any additional information identifying or describing the permits.
ITEM 5 ‐ NATURE OF BUSINESS
Briefly describe the nature of your business (e.g., products produced or services provided). If more
space is needed, please attach additional sheets. Remember to include your EPA Identification Number
in the upper left‐hand corner of each attached page.
ITEM 6 – PROCESS CODES AND DESIGN CAPACITIES
The information in Item 6 describes all the processes that will be used to treat, store, or dispose
of hazardous waste at the facility. The process code and design capacity of each process must be
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RCRA Hazardous Waste Part A Permit Application
provided as part of the description. The design capacity of injection wells and landfills at existing
facilities should be measured as the remaining, unused capacity. Tank storage should refer to each
tank, not each tank farm. Please indicate the location of each process listed in Item 6 on either
the map provided for Item 8 or the photographs provided for Item 10. Use the line number from
Item 6 to indicate where the process(es) are located.
A. PROCESS CODE
Enter the Process Code that best describes each process to be used at the facility. If more lines are
needed, attach a separate sheet of paper with the additional information. For “other” processes (i.e., D99,
S99, T04 and X99), describe the process (including its design capacity).
LIST
Click here for a list of the nationally‐defined Process Codes and their appropriate Unit of
Measure.
B. PROCESS DESIGN CAPACITY
For each process code enter the capacity of the process.
1. AMOUNT – Enter the amount. In a case where design capacity is not applicable (such as in a
closure/post‐closure or enforcement action) enter the total amount of waste for that process.
2. UNIT OF MEASURE – For each amount entered, enter the Unit of Measure Code that describes the
unit of measure used. Select only from the units of measure that are associated with the process
code.
C. PROCESS TOTAL NUMBER OF UNITS
Enter the total number of units for each corresponding process code.
D. UNIT NAME
Enter the Name of the Unit.
ITEM 7 – DESCRIPTION OF HAZARDOUS WASTES
This information describes all the hazardous wastes, using their hazardous waste codes, that will
be treated, stored, or disposed at the facility. In addition, the processes that will be used to treat,
store, or dispose of each hazardous waste and the estimated annual quantity of each hazardous
waste must be provided. If additional pages are needed, be sure to label them with Item 7 continued
and the next line number.
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RCRA Hazardous Waste Part A Permit Application
Submission of a Revised Part A Permit Application is required before a facility begins treating,
storing, or disposing of new hazardous wastes not previously identified in the facility’s Part A
NOTE Permit Application. Changes in the quantity of hazardous waste previously specified in the
Part A Permit Application can be made without submitting a revised Part A Permit Application,
provided the quantity does not exceed the process design capacities specified in the initial
Part A submission.
A. EPA HAZARDOUS WASTE NUMBER
Enter the four‐digit number from 40 CFR, Part 261 Subpart D of each listed hazardous waste you will
handle. For hazardous wastes, which are not listed in 40 CFR, Part 261 Subpart D, enter the four‐digit
number of those hazardous wastes.
B. ESTIMATED ANNUAL QTY OF WASTE
For each listed waste entered in Item 7.A, estimate the quantity of that waste that will be handled on
an annual basis. For each characteristic or toxic contaminant entered in Item 7.A, estimate the total
annual quantity of all the non‐listed waste(s) that will be handled which possess that characteristic or
contaminant.
C. UNIT OF MEASURE
For each quantity entered in Item 7.B, enter the unit of measure code. If facility records use any other
unit of measure for quantity, the units of measure must be converted into one of the required units of
measure, taking into account the appropriate density or specific gravity of the waste.
LIST
Click here for a list of the nationally‐defined Unit of Measure Codes.
D. PROCESSES
1. PROCESS CODES ‐ For listed hazardous waste: For each listed hazardous waste
entered in Item 7.A, select the code(s) from the list of process codes contained in
Items 6 to indicate all the processes that will be used to store, treat, and/or dispose
of all listed hazardous wastes.
For non‐listed waste: For each characteristic or toxic contaminant entered in Item 7.A,
select the code(s) from the list of process codes contained in Items 6 to indicate all the
processes that will be used to store, treat, and/or dispose of all the non‐listed hazardous
wastes that possess that characteristic or toxic contaminant.
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RCRA Hazardous Waste Part A Permit Application
Three spaces are provided for entering process codes. If more are needed:
1. Enter the first two as described above.
NOTE
2. Enter “000” in the extreme right box of Item 7.D(1).
3. Use additional sheet, enter line number from previous sheet, and enter
additional code(s).
2. PROCESS DESCRIPTION ‐ If code is not listed for a process that will be used, describe the
process in Item 7.D(2).
Hazardous wastes that can be described by more than one EPA Hazardous Waste
Number shall be described on the form as follows:
1. Select one of the EPA Hazardous Waste Numbers and enter it in Item 7.A.
On the same line, complete Items 7.B, 7.C, and 7.D by estimating the total
annual quantity of the waste and describing all the processes to be used to
NOTE
store, treat, and/or dispose of the waste.
2. In Item 7.A of the next line enter the other EPA Hazardous Waste Number
that can be used to describe the waste. In Item 7.D.2 on that line enter
“included with above” and make no other entries on that line.
3. Repeat step 2 for each EPA Hazardous from previous sheet, and enter additional
code(s).
Example for Completing Item 7– A facility will treat and dispose of an estimated 900 pounds per year of
chrome shavings from leather tanning and finishing operations. In addition, the facility will treat and
dispose of three non‐listed wastes. Two wastes are corrosive only and there will be an estimated 200
pounds per year of each waste. The other waste is corrosive and ignitable and there will be an estimated
100 pounds per year of that waste. Treatment will be in an incinerator and disposal will be in a landfill.
Line
number
A. EPA
Hazardous
Waste No.
X
X
X
X
K
D
D
D
1
2
3
4
0
0
0
0
5
0
0
0
4
2
1
2
B. Estimated
Annual Qty
of Waste
C. Unit of
Measure
900
400
100
P
P
P
D. Processes
(1) Process Codes
T
T
T
0
0
0
3
3
3
D
D
D
8
8
8
0
0
0
(2) Process Description (if
code is not entered in
7.D.(1))
Included With Above
ITEM 8 – MAP
Provide a topographic map or maps of the area extending to a least one mile beyond the
property boundaries of the facility. The map must clearly show the following:
•
The legal boundaries of the facility;
76
RCRA Hazardous Waste Part A Permit Application
•
The location and serial number of each of your existing and proposed intake and discharge
structures;
• All hazardous waste management facilities;
• Location of all processes listed in Items 6 identified by process code;
• Each well where you inject fluids underground; and
• All springs and surface water bodies in the area, plus all drinking water wells within ¼ mile of the
facility which are identified in the public record or otherwise known to you.
If an intake or discharge structure, hazardous waste disposal site, or injection well associated with
the facility is located more than one mile from the plant, include it on the map, if possible. If not,
attach additional sheets describing the location of the structure, disposal site, or well, and identify
the U.S. Geological Survey (or other) maps corresponding to the location. Remember to include
your EPA Identification Number and Site Name in the upper left‐hand corner of each attached page.
On each map, include the map scale, a meridian arrow showing north, and latitude and longitude at
the nearest whole second. On all maps of rivers, show the direction of the current, and in tidal waters,
show the directions of the ebb and flow tides. Use a 7 ½ minute series map published by the U.S.
Geological Survey. If a 7 ½ minute series map has not been published for your facility site, then you
may use a 15‐minute series map from the U.S. Geological Survey. If neither a 7 ½ nor 15‐minute
series map has been published for your facility site, use a plant map or other appropriate map,
and include all the requested information; in this case, briefly describe l a n d uses in the map
area (e.g., residential, commercial).
For information about obtaining maps, contact the U.S. Geological Survey at (888) 275‐8747 or see the
U.S. Geological Survey web site at http://www.usgs.gov/pubprod.
You may trace your map from a geological survey chart, or other map meeting the above
specifications. If you do, your map should bear a note showing the number or title of the map or
chart from which it was traced. Include the names of nearby towns, water bodies, and other prominent
points.
ITEM 9 – FACILITY DRAWING
All existing facilities must include a drawing showing the general layout of the facility. This drawing
should be approximately to scale and fit on an 8 ½” x 11” sheet of paper. The drawing should show
the following:
• The property boundaries of the facility;
• The areas occupied by all storage, treatment, or disposal operations that will be used during
interim status;
• The name of each operation (e.g., multiple hearth incinerator, drum storage area, etc.);
• Areas of past storage, treatment, or disposal operations;
• Areas of future storage, treatment, or disposal operations; and
• The approximate dimensions of the property boundaries and all storage, treatment, and
disposal areas. (Where applicable, use the process codes listed in Items 6 to indicate the location
of all storage, treatment, and disposal areas.)
NOTE New facilities do not have to complete Item 9.
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RCRA Hazardous Waste Part A Permit Application
ITEM 10 – PHOTOGRAPHS
All existing facilities must include photographs that clearly delineate all existing structures; all existing
areas for storing, treating, or disposing of hazardous waste; and all known sites of future storage,
treatment, or disposal operations. Photographs may be color or black and white, ground‐level or aerial.
Indicate the date the photograph was taken on the back of each photograph. Use the process codes
listed in Items 6 to indicate the location of all storage, treatment, and disposal areas.
NOTE New facilities do not have to complete Item 10.
ITEM 11 – COMMENTS
Use this space for any additional comments and attach additional sheets if necessary. Remember
to include your EPA Identification Number in the upper left‐hand corner of each attached page.
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OTHER REFERENCES AND CODE LISTS
Other References 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 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)
Analytical Samples – A Sample Of Solid
Waste Or A Sample Of Water, Solid, Or
Air, Which Is Collected For The Sole
Purpose Of Testing To Determine Its
Characteristics Or Composition
§261.4(d)
Arsenic Treated Wood and Wood
Products
§261.4(b)(9)
Carbon Dioxide Stream Injected For
Geologic Sequestration. Carbon
Dioxide Streams That Are Captured
And Transported For Purposes Of
Injection Into An Underground
Injection Wells, Including The
Requirements in 40 CFR Parts 144 And
146 Of The Underground Injection
Control Program Of The Safe Drinking
Water Act
§261.4(h)
Cement Kiln Dust
§261.4(b)(8)
Coking By‐products
§261.4(a)(10)
Comparable/Syngas Fuels
§261.4(a)(16)
Domestic Sewage
§261.4(a)(1)
Dredged Material That Is Subject To
The Requirements Of A Permit That
Has Been Issued Under 404 Of The
Federal Water Pollution Control Act
(33 U.S.C. 1344) Or Section 103 Of The
Marine Protection, Research, And
Sanctuaries Act of 1972 (33 U.S.C.
1413)
§261.4(g)
Drilling Fluid
§261.4(b)(5)
Excluded Scrap Metal Being Recycled
§261.4(a)(13)
Fossil Fuel Emission Control Waste
§261.4(b)(4)
Hazardous Secondary Material Being
Remanufactured
§261.4(a)(27)
Hazardous Secondary Materials
Generated And Legitimately
Reclaimed Under The Control Of The
Generator
§261.4(a)(23) and (24)
Hazardous Secondary Material
That Is Generated And Then
Transferred To A Verified Reclamation
Facility For The Hazardous Secondary
Material Purpose Of Reclamation
§261.4(a)(24)
Hazardous Secondary Material
Transferred Off‐site to A Verified
Recycler
§261.4(a)(24)
Hazardous Secondary Material Used to
Make Zinc Fertilizers, Provided That
The Following Conditions Specified
Are Satisfied
§261.4(a)(20)
80
Household Waste
§261.4(b)(1)(i)‐(ii)
HTMR Condenser Residue
§261.4(a)(11)
In situ Mining Materials
§261.4(a)(5)
Irrigation Return Flows
§261.4(a)(3)
Kraft Mill Steam Stripper Condensates
§261.4(a)(15)
Leachate Or Gas Condensate Collected
From Landfills Where Certain Solid
Wastes Have Been Disposed
§261.4(b)(15)
Mining and Mineral Process Wastes
§261.4(b)(7)
Mining Overburden
§261.4(b)(3)
Non‐terne plated used oil filters that
are not mixed with wastes listed in
subpart D of this part if these oil filters
have been gravity hot‐drained using
one of the following methods: ‐
§261.4(b)(13)
Nuclear Material
§261.4(a)(4)
Oil Filters
§261.4(b)(13)
Petrochemical Recovered Oil
§261.4(a)(18)
Petroleum‐contaminated Media and
Debris
§261.4(b)(10)
Petroleum Refining
§261.4(a)(12)
Other References and Code Lists
Pulping Liquor
§261.4(a)(6)
Refrigerants
§261.4(b)(12)
Secondary Material Returned to
Original Process
§261.4(a)(8)
Secondary Material from Mineral
Processing
§261.4(a)(17)
Shredded Circuit Boards Being
Recycled
§261.4(a)(14)
Solid Waste That Would Otherwise
Meet The Definition Of Low‐level
Mixed Wastes (LLMW) Pursuant to
§266.210
§261.4(b)(17)
Solvent‐Contaminated Wipes, Except
For Wipes That Are Hazardous Waste
Due To The Presence Of
Trichloroethylene, That Are Sent For
Disposal Are Not Hazardous Waste
From The Point Of Generation
§261.4(b)(18)
Solvent‐Contaminated Wipes Sent for
Cleaning or Disposal
§261.4(a)(26)
Spent Caustics from Petroleum
Refining
§261.4(a)(19)
Spent Wood Preserving Solutions and
Wastewaters
§261.4(a)(9)
Sulfuric Acid
§261.4(a)(7)
Treatability Study Samples
§261.4(e)
Treatability Studies at Laboratories
and Testing Facilities
§261.4(f)
Trivalent Chromium Waste
§261.4(b)(6)
Used Cathode Ray Tubes (CRTs)
§261.4(a)(22)
Used Chlorofluorocarbon Refrigerants
From Totally Enclosed Heat Transfer
Equipment
§261.4(b)(12)
81
Used Oil Distillation Bottoms
§261.4(b)(14)
Used Oil Re‐refining Distillation
Bottoms That Are Used As Feedstock
To Manufacture Asphalt Products
§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)
Zinc Fertilizers Made From Hazardous
Wastes, Or Hazardous Secondary
Material That Are Excluded Under
Paragraph (a)(20) Of This Section
§261.4(a)(21)
Other References and Code Lists
DEFINITIONS
This section contains definitions of terms helpful for completing the form. 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 kilograms (kg; 2,200 pounds [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 262.16 and 17.
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 262.14 (a)(1) and 262.14 (a)(3)).
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 feed water 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.
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).
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Other References and Code Lists
CENTRAL ACCUMULATION AREA (CAA) – Central accumulation area means an on‐site hazardous waste
accumulation area subject to either 40 CFR 262.34(a) (or 262.34 (j) and (k) for Performance Track
members of large quantity generators; or 40 CFR 262.34 (d)–(f) of small quantity generators. A
central accumulation area at an eligible academic entity that chooses to be subject to this subpart
must also comply with 40 CFR 262.211 when accumulating unwanted material and/or hazardous
waste.
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 262.10”.
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.
ELECTRONIC MANIFEST BROKER – A person as defined in title 40 CFR §260.10 that elects to use the electronic
manifest system to obtain, complete and transmit an electronic manifest format supplied by the EPA
electronic manifest system under a contractual relationship with a hazardous waste generator.
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) – The EPA, also called U.S. EPA, means the U.S. Environmental
Protection Agency. Some State environmental authorities may be called the EPA also, as in “Illinois
EPA.”
EPA IDENTIFICATION (ID) NUMBER – The number assigned by the EPA to each hazardous waste generator,
hazardous waste transporter, and treatment, storage, or disposal facility; U.S. importer of hazardous
waste; U.S. recognized trader arranging for import or export of hazardous waste, including those
hazardous wastes managed under the alternate standards of 40 CFR Part 266 or the universal waste
standards of 40 CFR Part 273; U.S. exporter or importer of spent lead‐acid batteries for recycling;
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
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Other References and Code Lists
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 Identification
Form and Addendum to the Site Identification Form that they are managing hazardous secondary
material will also be assigned an EPA Identification Number.
EPISODIC GENERATOR – An episodic generator is either a VSQG or an SQG who, as a result of a planned or
unplanned episodic event, generates a quantity of hazardous waste in a calendar month sufficient to
cause the facility to move into a more stringent generator category (i.e., VSQG to either an SQG or an
LQG; or an SQG to an LQG). As part of the 2016 Hazardous Waste Generator Improvements Final Rule,
this new provision allows a VSQG or an SQG to generate additional quantities of hazardous waste—
temporarily exceeding its normal generator category limits— and still maintain its existing generator
category, provided it complies with the specified conditions identified at 40 CFR 262.232 (a) and (b)
for VSQGs and SQGs, respectively.
Although not inclusive, examples of planned episodic events include tank cleanouts, short‐term site
remediation, equipment maintenance during plant shutdowns, and periodic removal of excess
chemical inventories. Unplanned episodic events, which EPA expects would be less frequent, include
production process upsets, product recalls, accidental spills, or “acts of nature,” such as a tornado,
hurricane, or flood.
EXCLUDED WASTES – Wastes excluded from the definition of solid or hazardous waste under 40 CFR 261.3
and 261.4. Click here for a partial listing of excluded wastes.
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 260.30, 40 CFR 261.4(a)(23), (24), or (27) 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
https://www.epa.gov/hwgenerators/final‐rule‐2015‐definition‐solid‐waste‐dsw.
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. Click here for a list of
EPA hazardous waste codes.
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.
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Other References and Code Lists
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.
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 – is a generator who generates any of the following
amounts in a calendar month:
(i) Generates, in any calendar month, (including quantities imported by importer site) 1,000
kilograms (kg) (2,200 pounds (lbs)) or more of non‐acute RCRA hazardous waste; or
(ii) Generates, in a calendar month, or accumulates at any time, more than 1 kg (2.2 lbs) of
any RCRA acute hazardous waste listed in sections 261.31 or 261.33(e); or
(iii) Generates, in any calendar month, or accumulates at any time, more than 100 kg (220 lbs) of
residue or contaminated soil, waste, or other debris resulting from the cleanup of a spill, into or
on any land or water, of any RCRA acute hazardous waste listed in sections 261.31 or 261.33(e).
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Other References and Code Lists
LARGE QUANTITY HANDLER OF UNIVERSAL WASTE (LQHUW) – A universal waste handler (as defined in 40 CFR
273.9) who accumulates 5,000 kilograms (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.
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).
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 5004(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.
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Other References and Code Lists
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, as defined in 40 CFR 260.10.
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.
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 H070 (Chemical Treatment). 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. Click here for a list of nationally‐
defined Management Method Codes.
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; U.S. 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
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Other References and Code Lists
secondary material being reclaimed that must comply with certain requirements and conditions; or
undergoing corrective action.
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 facility that was not a hazardous waste generator until a one‐time, non‐
recurring, temporary event o c c u r r e d 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 and revert back to a non‐hazardous waste generator category. Short‐
term generators are not considered episodic generators because episodic generators generate
hazardous waste on a regular basis. Examples of short‐term 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 does not otherwise generate hazardous waste, remediate or spill
clean‐up sites with no previous RCRA EPA Identification Number, 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 – is a generator if the site meets all of the
following criteria:
(i) Generates, in any calendar month, greater than 100 kilograms (220 lbs) but less than 1,000
kilograms (2200 lbs) of non‐acute hazardous waste; and
(ii) Generates, in any calendar month, less than or equal to 1 kilogram (2.2 lbs) of acute hazardous
waste listed in 261.31 or 261.33(e) of this chapter; and
(iii) Generates, in any calendar month, less than or equal to 100 kilograms (220 lbs) of any residue
or contaminated soil, water, or other debris resulting from the cleanup of a spill, into or on any
land or water, of any acute hazardous waste listed in 261.31 or 261.33(e) of this chapter.
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.
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Other References and Code Lists
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. Click here for a
partial list of excluded wastes. 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 262.14, 15, 16, and 17. 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 long‐
term remedial activities of the EPA.
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).
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Other References and Code Lists
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 261.4(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 261.4(a)(23) 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 site located in a foreign country
into the U.S. This does not include hazardous waste shipped from U.S. 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:
(i) Directs a shipment of off‐specification used oil from their site to an off‐specification used oil
burner; or
(ii) 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.
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.
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Other References and Code Lists
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.
VERY SMALL QUANTITY GENERATOR (VSQG) OF HAZARDOUS WWASTE ‐ A generator who generates less than or
equal to the following amounts in a calendar month:
(i) 100 kilograms (kg) 220 pounds [lbs]) of hazardous waste; and
(ii) 1 kg (2.2 lbs) of acute hazardous wastes listed in sections 261.31, or 261.33(e); and
(iii) 100 kg (220 lbs) of any residue or contaminated soil, waste, or other debris resulting from the
cleanup of a spill, into or on any land or water, of any acute hazardous wastes listed in sections
261.31, or 261.33(e).
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 REPORTONLY)– 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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Other References and Code Lists
SPECIAL INSTRUCTIONS
These instructions explain how to complete the 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 was a RCRA
hazardous waste if it is removed for treatment, storage, or disposal.1When reporting groundwater
contaminated by hazardous waste in the Hazardous Waste Report, observe the following
conventions:
(1) Enter “0” in the GM Form – Item 1.F (Quantity Generated). Explain in Item 4 ‐ Comments that it
is groundwater, not a hazardous waste that was generated on‐site.
(2) Report quantities managed on‐site (GM Form, Item 2, On‐site Process Systems 1 and 2);
quantities shipped off‐site for management (GM Form, Item 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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Other References and Code Lists
LAB PACKS – The following rules apply to the reporting of lab pack wastes in the 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 5 – Item
E or on the WR Form, in Section 6‐ 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 5 – 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 5 – Item B of the
GM Form, or Item B of the WR Form in Section 6; 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 by‐product
materials, 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 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.
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) (Item 1. F). The
amount shipped off‐site or managed on‐site will be reported in Items 2 or 3 of the GM Form as
appropriate.
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Other References and Code Lists
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 VERY SMALL QUANTITY GENERATORS (VSQGS) – Waste management facilities
sometimes receive hazardous waste from large numbers of VSQGs 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 “VSQG”.
For example, wastes received from several VSQGs 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 “AKVSQG.” Note: This method of completing Item D can also
be used for VSQG 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 site located in a foreign country
(other than U.S. territory or protectorate), complete a GM Form. Enter the appropriate code in Item
1.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. If you are a TSDF as well as an importer of record, refer to the following instructions
about an alternative to reporting on GM Forms.
Report on the WR Form – If your site received hazardous waste directly from a generator at a site located
in a foreign country (other than a U.S. territory or protectorate), complete a WR Form for the waste
treated, recovered, or disposed at your site. Only the first TSD site receiving foreign hazardous waste
should report the waste in WR. If this waste is then shipped to another domestic site it is not counted
as imported waste on the WR by the second site. If the foreign site has an EPA assigned Identification
(ID) Number listed in the Code Description section or in the lookup table in RCRAInfo, fill out the WR
Form as you would for a domestic site, using this number on the list or the list in the lookup table in
the RCRAInfo. If the site does not have an EPA assigned ID number on the list or in the lookup table,
report the code “FC” for foreign country followed by the name of the country in the space for the EPA
ID Number or add the new handler or update the old one (e.g., when there is a name change) in the
lookup table in RCRAInfo. If your State requires the OI Form, the name and address of the foreign
handler does not need to be in the comments section of the WR Form.
Federal requirement for imported hazardous wastes is under 40 CFR §§ 264.75 and 265.75 for TSDFs
and/or the 40 CFR § 262.41 for importers complying with generator requirements (or equivalent
authorized state requirements
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Other References and Code Lists
As the owner or operator of the TSDF receiving hazardous waste import shipments, you must report
such hazardous waste import shipments using the WR Form, as appropriate. If your facility was acting
as the importer of record, you assumed generator requirements for those import shipments and must
also report the import shipments as generated hazardous wastes from a foreign source using the GM
Form.
An EPA‐acceptable alternative for you to meet your generator biennial reporting requirement for
those import shipments would be for you to add a statement to the comment field of your WR form
for those import shipments noting that your TSDF was the importer of record for the listed import
shipment(s). Please check with your authorized State Agency on how best to meet your generator
biennial reporting requirements.
If your facility was not acting as the importer, EPA strongly encourages the importer to comply with
the biennial reporting requirements in 40 CFR § 262.41 (or equivalent authorized state requirements).
All parties possibly acting as the importer could be held jointly and severally liable for compliance with
the generator requirements of Part 2622.
WASTES SHIPPED TO FOREIGN COUNTRIES– Reporting on the GM Form, Item 3.B –Facilities that export
hazardous waste must file a separate Annual Report under 40 CFR 262.83(g). This Annual Report will
be in addition to the Hazardous Waste Report, if your State requires you to submit a Hazardous Waste
Report with hazardous waste exported directly to a site located in a foreign country. If your State
requires you to report exported hazardous waste, facilities that export hazardous waste should list in
GM Item 3.B a Foreign Site Identification Number listed in the Code Description section or in the
lookup table in RCRAInfo. If a site located in a foreign country to which hazardous waste is shipped is
not on the list, enter “FC” followed by the name of the country as the EPA Identification Number or
add the new handler or update the old one (e.g., when there is a name change) in the lookup table in
RCRAInfo.
2
Memo from John Skinner, Director of EPA’s Office of Solid Waste to Harry Seraydarian, Director, Toxics and
Waste Management Division, EPA Region IX, June 25, 1985, available online at
http://yosemite.epa.gov/osw/rcra.nsf/0c994248c239947e85256d090071175f/E27643CD81ABBDCA8525670F006B
D187/$file/11085.pdf.
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Other References and Code Lists
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
HAZARDOUS WASTE FROM NON‐SPECIFIC SOURCES (SEE 40
CFR 261.31) – FXXX
HAZARDOUS WASTE FROM SPECIFIC SOURCES (SEE 40 CFR
261.32) – KXXX
DISCARDED COMMERCIAL CHEMICAL PRODUCTS, OFF‐
SPECIFICATION SPECIES, CONTAINER RESIDUES, AND SPILL
RESIDUES THEREOF – ACUTE HAZARDOUS WASTE (SEE 40
CFR 261.33) – PXXX
DISCARDED COMMERCIAL CHEMICAL PRODUCTS, OFF‐
SPECIFICATION SPECIES, CONTAINER RESIDUES, AND SPILL
RESIDUES THEREOF – TOXIC WASTES (SEE 40 CFR 261.33)–
UXXX
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
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
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
96
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
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
Other References and Code Lists
HAZARDOUS SECONDARY MATERIAL (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 Identification Form.
Under Generator Exclusion ((40 CFR 261.4(a)(23))
Code Facility Code Description
01 HSM Generator reclaiming HSM “on‐site”: This code applies if you generate and reclaim hazardous
secondary material at your generating facility.
02 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.
03 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.
04 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.
05 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.
Verified Recycler Exclusion (40 CFR 261.4(a)(24))
Code Facility Code Description
06 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.
07 Permitted Reclaimer receiving HSM from off‐site: This code applies if you have a RCRA Part B permit, or
operate under interim status standards, and reclaim hazardous secondary material received from an off‐site
hazardous secondary material generator or other facility. (If you do not have a RCRA Part B permit and are
not operating under interim status standards and instead, have obtained a variance to receive hazardous
secondary material under this exclusion, use code 17 below.)
08 Permitted Intermediate facility: This code applies if you have a RCRA Part B permit, or operate under interim
status standards, and receive hazardous secondary material from an off‐site 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. (If you do not have a RCRA Part B permit and are
not operating under interim status standards and instead, have obtained a variance to receive hazardous
secondary material under this exclusion, use code 18 below.)
Imports (40 CFR 261.4(a)(24)
Code Facility Code Description
09 [Reserved]
10 HSM Generator importing HSM from a foreign country to send to recycling: This code applies if you import
hazardous secondary material from a foreign country and send the material for reclamation to a permitted or
verified recycling facility.
11 HSM Generator AND Permitted Reclaimer of imported HSM: This code applies if you import hazardous
secondary material from a foreign country and reclaim the material at your facility under a RCRA Part B permit
or under interim status standards. (If you do not have a RCRA permit and are not operating under interim
status standards and, instead, have obtained a variance to receive hazardous secondary material under this
exclusion, use code 18 below.)
97
Other References and Code Lists
Non‐waste Determinations and Solid Waste Variances (40 CFR 260.30)
Code Facility Code Description
14 Variance for Materials that are Accumulated Speculatively: This code applies if you operate under an
approved variance from EPA or your State for materials that are accumulated speculatively without sufficient
amounts being recycled (see 40 CFR 260.31(a)).
15 Variance for Materials that are Reclaimed and then Reused within the Original Production Process: This code
applies if you operate under an approved variance from EPA or your State for materials that are reclaimed
and then reused as feedstock within the original production process in which the materials were generated
(see 40 CFR 260.31(b)).
16 Variance for Materials that are Partially‐Reclaimed: This code applies if you operate under an approved
variance from EPA or your State for materials that have been partially‐reclaimed but must be reclaimed
further before recovery is completed if the partial reclamation has produced a commodity‐like material (see
40 CFR 260.31(c)).
17 Variance for HSM transferred for reclamation and managed at a verified reclamation facility: This code
applies if you operate under an approved variance from EPA or your State for hazardous secondary materials
that are transferred to you for reclamation under 40 CFR 261.4(a)(24) (see 40 CFR 260.31(d)). (If you have
not obtained a variance to receive hazardous secondary material under this exclusion and, instead, have a
RCRA Part B permit or operate under interim status standards, use code 07 above.)
18 Variance for HSM transferred and managed at a verified intermediate facility: This code applies if you
operate under an approved variance from EPA or your State for hazardous secondary materials that are
transferred to you for storage greater than 10 days under 40 CFR 261.4(a)(24) (see 40 CFR 260.31(d)). (If you
have not obtained a variance to receive hazardous secondary material under this exclusion and, instead,
have a RCRA Part B permit or operate under interim status standards as an intermediate facility, use code
08 above.)
19 Variance for HSM imported AND managed at a verified reclamation facility: This code applies if you operate
under an approved variance from EPA or your State for hazardous secondary materials that are imported to
you for reclamation at your site under 40 CFR 261.4(a)(24) (see 40 CFR 260.31(d)). (If you have not obtained
a variance to receive hazardous secondary material under this exclusion and, instead, have a RCRA Part B
permit or operate under interim status standards, use code 07 above.)
20 Non‐waste determination for HSM reclaimed in a continuous industrial process: This code applies if you
operate under an approved non‐waste determination from EPA or your State for hazardous secondary
material which is reclaimed in a continuous industrial process (see 40 CFR 260.34(b)).
21 Non‐waste determination for HSM that are indistinguishable from a product or intermediate: This code
applies if you operate under an approved non‐waste determination from EPA or your State for hazardous
secondary materials which is indistinguishable in all relevant aspects from a product or intermediate (see 40
CFR 260.34(c)).
98
Other References and Code Lists
HAZARDOUS SECONDARY MATERIAL (HSM) LAND‐BASED UNIT CODES
Determine the 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, non‐flowing 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.
99
Other References and Code Lists
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 Source Code Description
G01 Dip, flush or spray rinsing (using solvents to clean or prepare parts or assemblies for further processing –
i.e. painting or assembly)
G02 Stripping and acid or caustic cleaning (using caustics to remove coatings or layers from parts or assemblies)
G03 Plating and phosphating (electro‐ or non‐electroplating or phosphating)
G04 Etching (using caustics or other methods to remove layers or partial layers)
G05 Metal forming and treatment (pickling, heat treating, punching, bending, annealing, grinding, hardening,
etc.)
G06 Painting and coating (manufacturing, building, or maintenance)
G07 Product and by‐product processing (direct flow of wastes from chemical manufacturing or processing, etc.)
G08 Removal of spent process liquids or catalysts (bulk removal of wastes from chemical manufacturing or
processing, etc.)
G09 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 Source Code Description
G11 Discarding off‐specification, out‐of‐date, and/or unused chemicals or products
G12 Lagoon or sediment dragout and leachate collection (large scale operations in open pits, ponds, or lagoons)
G13 Cleaning out process equipment (periodic sludge or residual removal from enclosed processes including
internal scrubbing or cleaning)
G14 Removal of tank sludge, sediments, or slag (periodic sludge or residual removal from storage tanks including
internal scrubbing or cleaning)
G15 Process equipment change‐out or discontinuation of equipment use (final materials and residuals removal
including cleaning)
G16 Oil changes and filter or battery replacement (automotive, machinery, etc.)
G17 Subpart K laboratory waste clean‐out (facility must have opted into the Subpart K rule to use this source
code)
G19 Other one‐time or intermittent processes (specify in comments)
Residuals From Pollution Control and Waste Management Processes
Code Source Code Description
G21 Air pollution control devices (e.g., baghouse dust ash, etc. from stack scrubbers or precipitators; vapor
collection, etc.)
G22 Laboratory analytical wastes (e.g., used chemicals from laboratory operations)
G23 Wastewater treatment (e.g., sludge, filter cake, etc., including wastes from treatment before discharge by
NPDES or POTW or by UIC disposal)
G24 Solvent or product distillation as part of a production process (including totally enclosed treatment
systems). Does not include batch treatment in a separate process.
G25 Treatment, disposal, or recycling of hazardous wastes – report a management method code, e.g., indicated
in Item H of WR Form for the management method (enter the related management method code, a H code,
but not H141) that produced the residuals.
G26 Leachate collection (from landfill operations or other land units)
G27 Treatment or recovery of universal waste
100
Other References and Code Lists
Wastes From Spills and Accidental Releases
Code Source Code Description
G31 Accidental contamination of products, materials, or containers (other than G11)
G32 Cleanup of spill residues (infrequent, not routine)
G33 Leak collection and floor sweeping (on‐going, routine)
G39 Other cleanup of current contamination (specify in comments)
Wastes From Remediation of Past Contamination
Code Source Code Description
G41 Closure of hazardous waste management unit under RCRA
G42 Corrective action at a solid waste management unit under RCRA
G43 Remedial action or emergency response under Superfund
G44 Cleanup under State or voluntary program
G45 Cleanup of underground storage tank
G49 Other remediation (specify in comments)
Wastes Received by an LQG from VQGSs Under the Control of the Same Person
Code Source Code Description
G51 Hazardous wastes received by an LQG from VSQGs under the control of the same person
Wastes Not Physically Generated On‐site
Code Source Code Description
G61 Received from off‐site for storage/bulking and transfer off‐site for treatment or disposal (to match H141
received waste quantities from Form WR’s). GENERATION QUANTITY SHOULD BE ZERO to avoid double
counting.
Hazardous waste received from a site located in a foreign country (other than a U.S. territory or
For
protectorate). This site was the generator of record and is the U.S. Importer. Enter the appropriate code
codes
from the list below.
G63‐
G75
G63 Hazardous waste received from Antarctica
G64 Hazardous waste received from Aruba
G65 Hazardous waste received from Bahamas
G66 Hazardous waste received from Belgium
G67 Hazardous waste received from Brazil
G68 Hazardous waste received from Canada
G69 Hazardous waste received from Holland
G70 Hazardous waste received from Malaysia
G71 Hazardous waste received from Mexico
G72 Hazardous waste received from New Zealand
G73 Hazardous waste received from Taiwan
G74 Hazardous waste received from Venezuela
G75 Hazardous waste received from other foreign country – see Comments for country name
101
Other References and Code Lists
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 Form Code Description
W001 Lab packs from any source not containing acute hazardous waste
W002 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
W004 Lab packs from any source containing acute hazardous waste
W005 Waste pharmaceuticals managed as hazardous waste
W301 Contaminated soil (usually from spill cleanup, demolition, or remediation); see also W512
W309 Batteries, battery parts, cores, casings (lead‐acid or other types)
W310 Filters, solid adsorbents, ion exchange resins and spent carbon (usually from production, intermittent
processes, or remediation)
W320 Electrical devices (lamps, fluorescent lamps, or thermostats usually containing mercury; CRTs containing
lead; etc.)
W512 Sediment or lagoon dragout, drilling or other muds (wet or muddy soils); see also W301
W801 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 Form Code Description
W101 Very dilute aqueous waste containing more than 99% water (land disposal restriction defined wastewater
that is not exempt under NPDES or POTW discharge)
W103 Spent concentrated acid (5% or more)
W105 Acidic aqueous wastes less than 5% acid (diluted but pH <2)
W107 Aqueous waste containing cyanides (generally caustic)
W110 Caustic aqueous waste without cyanides (pH >12.5)
W113 Other aqueous waste or wastewaters (fluid but not sludge)
W117 Waste liquid mercury (metallic)
W119 Other inorganic liquid (specify in comments)
Organic Liquids – Waste that is primarily organic and is highly fluid, with low inorganic solids contents and low‐to‐
moderate water content
Code Form Code Description
W200 Still bottoms in liquid form (fluid but not sludge)
W202 Concentrated halogenated (e.g., chlorinated) solvent
W203 Concentrated non‐halogenated (e.g., non‐chlorinated) solvent
W204 Concentrated halogenated/non‐halogenated solvent mixture
W205 Oil‐water emulsion or mixture (fluid but not sludge)
W206 Waste oil managed as hazardous waste
W209 Paint, ink, lacquer, or varnish (fluid – not dried out or sludge)
W210 Reactive or polymerizable organic liquids and adhesives (fluid but not sludge)
W211 Paint thinner or petroleum distillates
W219 Other organic liquid (specify in comments)
102
Other References and Code Lists
Inorganic Solids – Waste that is primarily inorganic and solid, with low organic content and low‐to‐moderate water
content; not pumpable
Code Form Code Description
W303 Ash (from any type of burning of hazardous waste)
W304 Slags, drosses, and other solid thermal residues
W307 Metal scale, filings and scrap (including metal drums)
W312 Cyanide or metal cyanide bearing solids, salts or chemicals
W316 Metal salts or chemicals not containing cyanides
W319 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 Form Code Description
W401 Pesticide solids (used or discarded – not contaminated soils – W301)
W403 Solid resins, plastics or polymerized organics
W405 Explosives or reactive organic solids
W406 Dried paint (paint chips, filters, air filters, other)
W409 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 Form Code Description
W501 Lime and/or metal hydroxide sludges and solids with no cyanides (not contaminated muds – W512)
W503 Gypsum sludges from wastewater treatment or air pollution control
W504 Other sludges from wastewater treatment or air pollution control
W505 Metal bearing sludges (including plating sludge) not containing cyanides
W506 Cyanide‐bearing sludges (not contaminated soils – W512)
W519 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 Form Code Description
W603 Oily sludge (not contaminated muds – W512)
W604 Paint or ink sludges, still bottoms in sludge form (not contaminated muds – W512)
W606 Resins, tars, polymer or tarry sludge (not contaminated muds – W512)
W609 Other organic sludge (specify in comments)
103
Other References and Code Lists
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 Management Method Code Description
H010 Metals recovery including retorting, smelting, chemical, etc.
H020 Solvents recovery (distillation, extraction, etc.)
H039 Other recovery or reclamation for reuse including acid regeneration, organics recovery, etc. (specify in
comments)
H050 Energy recovery at this site – used as fuel (includes on‐site fuel blending before energy recovery; report
only this code)
H061 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)
H070 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)
H081 Biological treatment; do not include immediate treatment in an exempted wastewater treatment unit with
discharge to a NPDES‐POTW (unless required by State)
H100 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)
H110 Stabilization prior to land disposal at another site (encapsulation/stabilization/fixation)
H120 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)
H121 Neutralization only (no other treatment)
H122 Evaporation (as the major component of treatment; not reportable as H070, H081, H100 or H120)
H129 Other treatment that does not include onsite disposal (specify in comments)
Disposal
Code Management Method Code Description
H130 Surface Impoundment that will be closed as a landfill (with prior treatment and/or stabilization meeting
LDR treatment standard)
H131 Land treatment or application (with any prior treatment and/or stabilization)
H132 Landfill (with prior treatment and/or stabilization)
H134 Deepwell or underground injection (with or without treatment; this waste was counted as hazardous
waste)
H135 Discharge to sewer/POTW or NPDES with prior management (e.g., storage or transported prior to discharge
to POTW or by NPDES)
Transfer Off‐site
Code Management Method Code Description
H141 The site receiving this waste stored/bulked and transferred the waste with no reclamation, recovery,
destruction, treatment or disposal at that site. [Do not use this code in Item 1.D (source code G25) or Item
2 (On‐site Management) of Form GM]. For Form WR, linked to source code G61 on Form GM.
104
Other References and Code Lists
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 use the Comments section to provide any additional information (including toxicity and quantity
reductions to the extent that data is available) that will help the 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 the reporting year and continued these efforts during
the reporting year for this hazardous waste
Code
A
B
Waste Minimization Code Description
Examples
Continued initiatives to reduce quantity and/or Improved production/synthesis processes, e.g.,
toxicity of this waste
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.
Continued initiatives to recycle the waste either The waste was used, reused, or reclaimed as a result
on‐site or off‐site
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 reporting year for this hazardous waste
C
D
Implemented new initiatives to reduce quantity See examples above for Code A.
and/or toxicity of this waste
Implemented new initiatives to recycle the See examples above for Code B.
waste either on‐site or off‐site
105
Other References and Code Lists
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
Code Waste Minimization Code Description
Examples
N
Waste minimization efforts found to be
Economic constraints or not economically feasible;
economically or technically impracticable
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.
X
No waste minimization efforts were
The waste was received from off‐site and was not
implemented for this waste
generated at this location; the waste is infrequently
generated.
106
Other References and Code Lists
PROCESS CODES
Process
Disposal
D79 Underground Injection Well Disposal
D80 Landfill
D81 Land Treatment
D82 Ocean Disposal
D83 Surface Impoundment Disposal
D99 Other Disposal
Storage
S01 Container
S02 Tank Storage
S03 Waste Pile
S04 Surface Impoundment
S05 Drip Pad
S06 Containment Building Storage
S99 Other Storage
Treatment
T01 Tank Treatment
T02 Surface Impoundment
T03 Incinerator
T04 Other Treatment
T80 Boiler
T81 Cement Kiln
T82 Lime Kiln
T83 Aggregate Kiln
T84 Phosphate Kiln
T85 Coke Oven
T86 Blast Furnace
Smelting, Melting, or Refining
T87 Furnace
T88 Titanium Dioxide Chloride Oxidation
Reactor
T89 Methane Reforming Furnace
T90 Pulping Liquor Recovery Furnace
Gallons
Gallons Per Hour
Gallons Per Day
Liters
Liters Per Hour
Liters Per Day
Short Tons Per Hour
Short Tons Per Day
Metric Tons Per Hour
Metric Tons Per Day
Pounds Per Hour
Kilograms Per Hour
Million BTUs Per Hour
Cubic Yards
Cubic Meters
Acres
Acre‐feet
Hectares
Hectare‐meter
BTUs Per Hour
Process Code
Determine the process code that best describes each process to be used at the facility. Provide the unit
of measure associated with the amount of waste reported for that process. Use only units of measures
appropriate for that process code. Click here to see a list of the Unit of Measure Codes.
X
X X
X
X
X
X
X
X X X X X X X X X X X X X
X
X
X
X
X
X
X
X
X
X X X
X
X X X X
X
X
X
X
X
X
X
X
X X X X X X X X X X X X X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X X X X
X
X
X X
X X
X X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X X X X X X X X X X X
X
X X X X X X X X X X X
X X X X X X X X X X X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
107
X X X X X X
X X X
X X X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
Other References and Code Lists
Process
T91 Combustion Device Used in the
Recovery of Sulfur Values from
Spent Sulfuric Acid
T92 Halogen Acid Furnaces
T93 Other Industrial Furnaces Listed in
40 CFR 260.10
T94 Containment Building Treatment
Miscellaneous (Subpart X)
X01 Open Burning/Open Detonation
X02 Mechanical Processing
X03 Thermal Unit
X04 Geologic Repository
X99 Other Subpart X
Gallons
Gallons Per Hour
Gallons Per Day
Liters
Liters Per Hour
Liters Per Day
Short Tons Per Hour
Short Tons Per Day
Metric Tons Per Hour
Metric Tons Per Day
Pounds Per Hour
Kilograms Per Hour
Million BTUs Per Hour
Cubic Yards
Cubic Meters
Acres
Acre‐feet
Hectares
Hectare‐meter
BTUs Per Hour
Process Code
X X X X X X X X X X X
X
X X X X X X X X X X X
X X X X X X X X X X X
X
X
X X X X X X X X X X X
X
X X
X X X X X X X
X X
X
X
X
X X
X
X
X X X X X X X
108
X X X X X X
X X X X X
X X X X X X
X X X X X X
X
X
X
X
X
X
X
X
X X X X
X
X
X
X X X X
Other References and Code Lists
UNIT OF MEASURE CODES
The following codes provide a description of the unit of measure reported with the process code and
waste code information in the Part A Permit Application. These units of measure are NOT used for the
Hazardous Waste Report.
Code
Unit of Measure Description
A
Acre‐feet
B
C
D
E
F
G
H
I
J
L
N
Q
R
S
U
V
W
X
Y
Acres
Cubic Meters
Short Tons Per Hour
Gallons Per Hour
Hectare‐meter
Gallons
Liters Per Hour
BTUs Per Hour
Pounds Per Hour
Liters
Short Tons Per Day
Hectares
Kilograms Per Hour
Metric Tons Per Day
Gallons Per Day
Liters Per Day
Metric Tons Per Hour
Million BTUs Per Hour
Cubic Yards
109
Other References and Code Lists
PERMIT TYPE CODES
The following codes provide a description of other environmental permits that a facility may have or be
obtaining.
Type
Permit Type Code Description
N
NPDES (National Pollutant Discharge Elimination System) Clean Water Act
P
R
U
F
E
PSD (Prevention of Significant Deterioration) Clean Air Act
RCRA (Resource Conservation and Recovery Act)
UIC (Underground Injection Control) Safe Drinking Water Act
EPA 404 (Dredge or Fill Permits under Section 404 of the Clean Water Act)
Other relevant environmental permits. List any other relevant Federal (e.g., permits
under the Ocean Dumping Act), State (e.g., State permits for new air emission sources in
nonattainment areas u n d e r P a r t D o f t h e C l e a n A i r A c t o r S t a t e p e r m i t s u n d e r
Section 404 of the Clean Water Act), or local environmental permits or applications.
110
Other References and Code Lists
FOREIGN SITE IDENTIFICATION NUMBER LIST
If the foreign site has an EPA assigned Identification (ID) Number listed below, fill out the GM Form Item
3.B and/or WR Form as you would for a domestic site, using this number on the list. If the site does not
have an EPA assigned ID number on the list, report the code “FC” for foreign country followed by the
name of the country in the space for the EPA ID Number. Enter the remaining information for that site
as you would for a domestic facility. The following list is only a sample of foreign site ID number.
Site Name
Bennett Environmental
Centre de Recyclage Intermediare
ChemRec
Chemtech
Clean Harbors, Corunna
Clean Harbors, London
Clean Harbors Mercier
Clean Harbors, Mississauga
Clean Harbors, Thorold
Clean Harbors Thurso
Custom Environmental Svcs
Cyanide Destruct, Barrie
Cyanide Destruction Systems, Markham
Fielding Chemical
Horizon Environmental Inc
Imperial Oil, Sarnia
Newalta Industrial Svcs, Fort Erie
Nova PB
Outokumpu Harjavalta Metals OY
Pinnacle Waste Services
Samji Metals Ind Co Ltd
Stablex Canada Inc.
Thermonics
Country
Saint Ambroise
Ontario, Canada
Quebec, Canada
Quebec, Canada
Ontario, Canada
Ontario, Canada
Quebec, Canada
Ontario, Canada
Ontario, Canada
Quebec, Canada
Edmonton
Ontario, Canada
Ontario, Canada
Ontario, Canada
Quebec, Canada
Ontario, Canada
Ontario, Canada
Ste Catherine
Harjavalta, Finland
Ontario, Canada
Ansaan City, Korea
Quebec, Canada
Douchervl, Quebec
EPA ID Number
FCCA00000115
FCCA00000069
FCCA00000068
FCCA00000081
FCCA00000004
FCCA00000100
FCCA00000120
FCCA00000070
FCCA00000050
FCCA00000121
FCCA00000104
FCCA00000099
FCCA00000073
FCCA00000119
FCCA00000090
FCCA00000058
FCCA00000067
FCCA00000105
FCFI00000005
FCCA00000082
FCKR00000125
FCCA00000045
FCCA00000078
Wha Chang Co Ltd
Xstrata
Zinc Nacional SA
Haman‐gun, Korea
New Brunswick, Canada
Monterrey, Mexico
FCKR00000124
FCCA00000123
FCMX00000126
111
RCRA SUBTITLE C ACTIVITIES FORMS
OMB# 2050-0024; Expires 05/31/2020
United States Environmental Protection Agency
RCRA SUBTITLE C SITE IDENTIFICATION FORM
1. Reason for Submittal (Select only one.)
Obtaining or updating an EPA ID number for an on‐going regulated activity that will continue for a period of
time. (Includes HSM activity)
Submitting as a component of the Hazardous Waste Report for __________ (Reporting Year)
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 reporting year
(or State equivalent LQG regulations)
Notifying that regulated activity is no longer occurring at this Site
Obtaining or updating an EPA ID number for conducting Electronic Manifest Broker activities
Submitting a new or revised Part A Form
2. Site EPA ID Number
3. Site Name
4. Site Location Address
Street Address
City, Town, or Village
State
County
Country
Zip Code
5. Site Mailing Address
Same as Location Address
Street Address
City, Town, or Village
State
Country
Zip Code
6. Site Land Type
Private County District Federal Tribal Municipal State Other
7. North American Industry Classification System (NAICS) Code(s) for the Site (at least 5‐digit codes)
A. (Primary)
C.
B.
D.
EPA Form 8700‐12, 8700‐13 A/B, 8700‐23
Page __ of __
EPA ID Number
OMB# 2050-0024; Expires 05/31/2020
Same as Location Address
8. Site Contact Information
First Name
MI
Last Name
Country
Zip Code
Ext
Fax
Title
Street Address
City, Town, or Village
State
Email
Phone
9. Legal Owner and Operator of the Site
Same as Location Address
A. Name of Site’s Legal Owner
Full Name
Date Became Owner (mm/dd/yyyy)
Owner Type
Private County District Federal Tribal Municipal State Other
Street Address
City, Town, or Village
State
Country
Zip Code
Ext
Fax
Email
Phone
Comments
B. Name of Site’s Legal Operator
Same as Location Address
Full Name
Date Became Operator (mm/dd/yyyy)
Operator Type
Private County District Federal Tribal Municipal State Other
Street Address
City, Town, or Village
State
Country
Zip Code
Ext
Fax
Email
Phone
Comments
EPA Form 8700‐12, 8700‐13 A/B, 8700‐23
Page __ of __
EPA ID Number
OMB# 2050-0024; Expires 05/31/2020
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
Y N
1. Generator of Hazardous Waste—If “Yes”, mark only one of the following—a, b, c
a. LQG
‐Generates, in any calendar month (includes quantities imported by importer site)
1,000 kg/mo (2,200 lb/mo) or more of non‐acute hazardous waste; or
‐ Generates, in any calendar month, or accumulates at any time, more than 1 kg/mo
(2.2 lb/mo) of acute hazardous waste; or
‐ Generates, in any calendar month or accumulates at any time, more than 100 kg/mo
(220 lb/mo) of acute hazardous spill cleanup material.
b. SQG
100 to 1,000 kg/mo (220‐2,200 lb/mo) of non‐acute hazardous waste and no more than
1 kg (2.2 lb) of acute hazardous waste and no more than 100 kg (220 lb) of any acute
hazardous spill cleanup material.
c. VSQG Less than or equal to 100 kg/mo (220 lb/mo) of non‐acute hazardous waste.
If “Yes” above, indicate other generator activities in 2 and 3, as applicable.
Y N
Y N
2. Short‐Term Generator (generates from a short‐term or one‐time event and not from on‐going
processes). If “Yes”, provide an explanation in the Comments section.
3. Mixed Waste (hazardous and radioactive) Generator
Y N
4. Treater, Storer or Disposer of Hazardous Waste—Note: A hazardous waste Part B permit is required for
these activities.
5. Receives Hazardous Waste from Off‐site
Y N
6. Recycler of Hazardous Waste
Y N
Y N
a. Recycler who stores prior to recycling
b. Recycler who does not store prior to recycling
7. Exempt Boiler and/or Industrial Furnace—If “Yes”, mark all that apply.
a. Small Quantity On‐site Burner Exemption
b. Smelting, Melting, and Refining Furnace Exemption
B. 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.
C. Waste Codes for State Regulated (non‐Federal) Hazardous Wastes. Please list the waste codes of the State 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 __ of __
EPA ID Number
OMB# 2050-0024; Expires 05/31/2020
11. Additional Regulated Waste Activities (NOTE: Refer to your State regulations to determine if a separate permit is required.)
A. Other Waste Activities
Y N
1. Transporter of Hazardous Waste—If “Yes”, mark all that apply.
a. Transporter
b. Transfer Facility (at your site)
Y N
2. Underground Injection Control
Y N
3. United States Importer of Hazardous Waste
Y N
4. Recognized Trader—If “Yes”, mark all that apply.
a. Importer
b. Exporter
Y N
5. Importer/Exporter of Spent Lead‐Acid Batteries (SLABs) under 40 CFR 266 Subpart G—If “Yes”, mark all
that apply.
a. Importer
b. Exporter
B. Universal Waste Activities
Y N 1. Large Quantity Handler of Universal Waste (you accumulate 5,000 kg or more) ‐ If “Yes” mark all that
apply. Note: Refer to your State regulations to determine what is regulated.
a. Batteries
b. Pesticides
c. Mercury containing equipment
d. Lamps
e. Other (specify) ______________________________________________
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.
C. Used Oil Activities
Y N 1. Used Oil Transporter—If “Yes”, mark all that apply.
a. Transporter
b. Transfer Facility (at your site)
Y N 2. Used Oil Processor and/or Re‐refiner—If “Yes”, mark all that apply.
a. Processor
b. Re‐refiner
Y N 3. Off‐Specification Used Oil Burner
Y N 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
EPA Form 8700‐12, 8700‐13 A/B, 8700‐23
Page __ of __
EPA ID Number
OMB# 2050-0024; Expires 05/31/2020
12. Eligible Academic Entities with Laboratories—Notification for opting into or withdrawing from managing laboratory hazardous
wastes pursuant to 40 CFR 262 Subpart K.
Y N A. Opting into or currently operating under 40 CFR 262 Subpart K for the management of hazardous
wastes in laboratories—If “Yes”, mark all that apply. Note: See the item‐by‐item instructions for defini‐
tions of types of eligible academic entities.
1. College or University
2. Teaching Hospital that is owned by or has a formal written affiliation with a college or university
Y N
3. Non‐profit Institute that is owned by or has a formal written affiliation with a college or univer‐
sity
B. Withdrawing from 40 CFR 262 Subpart K for the management of hazardous wastes in laboratories.
13. Episodic Generation
Y N Are you an SQG or VSQG generating hazardous waste from a planned or unplanned episodic event, lasting
no more than 60 days, that moves you to a higher generator category. If “Yes”, you must fill out the Ad‐
dendum for Episodic Generator.
14. LQG Consolidation of VSQG Hazardous Waste
Y N Are you an LQG notifying of consolidating VSQG Hazardous Waste Under the Control of the Same Person
pursuant to 40 CFR 262.17(f)? If “Yes”, you must fill out the Addendum for LQG Consolidation of VSQGs
hazardous waste.
15. Notification of LQG Site Closure for a Central Accumulation Area (CAA) (optional) OR Entire Facility (required)
Y N LQG Site Closure of a Central Accumulation Area (CAA) or Entire Facility.
A. Central Accumulation Area (CAA) or Entire Facility
B. Expected closure date: ____________ mm/dd/yyyy
C. Requesting new closure date: ____________ mm/dd/yyyy
D. Date closed : ____________ mm/dd/yyyy
1. In compliance with the closure performance standards 40 CFR 262.17(a)(8)
2. Not in compliance with the closure performance standards 40 CFR 262.17(a)(8)
16. Notification of Hazardous Secondary Material (HSM) Activity
Y N A. Are you notifying under 40 CFR 260.42 that you will begin managing, are managing, or will stop manag‐
ing hazardous secondary material under 40 CFR 260.30, 40 CFR 261.4(a)(23), (24), or (27)? If “Yes”, you
must fill out the Addendum to the Site Identification Form for Managing Hazardous Secondary Material.
Y N B. Are you notifying under 40 CFR 260.43(a)(4)(iii) that the product of your recycling process has levels of
hazardous constituents that are not comparable to or unable to be compared to a legitimate product or
intermediate but that the recycling is still legitimate? If “Yes”, you may provide explanation in Comments
section. You must also document that your recycling is still legitimate and maintain that documentation on
site.
17. Electronic Manifest Broker
Y N Are you notifying as a person, as defined in 40 CFR 260.10, electing to use the EPA electronic manifest sys‐
tem to obtain, complete, and transmit an electronic manifest under a contractual relationship with a haz‐
ardous waste generator?
EPA Form 8700‐12, 8700‐13 A/B, 8700‐23
Page __ of __
EPA ID Number
OMB# 2050-0024; Expires 05/31/2020
18. Comments (include item number for each comment)
19. Certification I certify under penalty of law that this document and all attachments were prepared under my direction or su‐
pervision 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 gath‐
ering 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. Note: For the RCRA Hazardous Waste Part A permit Application, all owners and operators must sign (see 40
CFR 270.10(b) and 270.11).
Signature of legal owner, operator or authorized representative
Date (mm/dd/yyyy)
Printed Name (First, Middle Initial Last)
Title
Email
Signature of legal owner, operator or authorized representative
Date (mm/dd/yyyy)
Printed Name (First, Middle Initial Last)
Title
Email
EPA Form 8700‐12, 8700‐13 A/B, 8700‐23
Page __ of __
EPA ID Number
OMB# 2050-0024; Expires 05/31/2020
ADDENDUM TO THE SITE IDENTIFICATION FORM:
NOTIFICATION OF HAZARDOUS SECONDARY MATERIAL ACTIVITY
ONLY fill out this form if:
You are located in a State that allows you to manage excluded hazardous secondary material (HSM) under 40 CFR
261.2(30), 261.4(a)(23), (24), or (27) (or state equivalent; See https://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 260.30, 261.4(a)(23), (24), or (27) (or state
equivalent) or 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. Note: If your facility was granted a solid waste variance
under 40 CFR 260.30 prior to July 13, 2015, your management of HSM under 40 CFR 260.30 is grandfathered under
the previous regulations and you are not required to notify for the HSM management activity excluded under 40
CFR 260.30.
1. 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 (see Code List section of the instructions) 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
B. Waste Code(s) for HSM
C. Estimate Short Tons D. Actual Short Tons of
E. Land‐
of excluded HSM to
excluded HSM that was
based Unit
be managed annually managed during the most Code
recent odd‐numbered year
EPA Form 8700‐12, 8700‐13 A/B, 8700‐23
Page __ of __
EPA ID Number
OMB# 2050-0024; Expires 05/31/2020
ADDENDUM TO THE SITE IDENTIFICATION FORM:
EPISODIC GENERATOR
ONLY fill out this form if:
You are an SQG or VSQG generating hazardous waste from a planned or unplanned episodic event, lasting no
more then 60 days, that moves the generator to a higher generator category pursuant to 40 CFR 262 Subpart L.
Note: Only one planned and one unplanned episodic event are allowed within one year; otherwise, you must
follow the requirements of the higher generator category. Use additional pages if more space is needed.
Episodic Event
1. Planned
2. Unplanned
Excess chemical inventory removal
Tank cleanouts
Short‐term construction or demolition
Equipment maintenance during plant shutdowns
Other ________________________________________
3. Emergency Contact Phone
Accidental spills
Production process upsets
Product recalls
“Acts of nature” (Tornado, hurricane, flood, etc.)
Other ________________________________________
4. Emergency Contact Name
5. Beginning Date _______________ (mm/dd/yyyy)
6. End Date _______________ (mm/dd/yyyy)
Waste 1
7. Waste Description
8. Estimated Quantity (in pounds)
9. Federal and/or State Hazardous Waste Codes
Waste 2
7. Waste Description
8. Estimated Quantity (in pounds)
9. Federal and/or State Hazardous Waste Codes
Waste 3
7. Waste Description
8. Estimated Quantity (in pounds)
9. Federal and/or State Hazardous Waste Codes
EPA Form 8700‐12, 8700‐13 A/B, 8700‐23
Page __ of __
EPA ID Number
OMB# 2050-0024; Expires 05/31/2020
ADDENDUM TO THE SITE IDENTIFICATION FORM:
LQG CONSOLIDATION OF VSQG HAZARDOUS WASTE
ONLY fill out this form if:
You are an LQG receiving hazardous waste from VSQGs under the control of the same person. Use additional
pages if more space is needed.
VSQG 1
1. EPA ID Number (if assigned)
2. Name
3. Street Address
4. City, Town, or Village
5. State
6. Zip Code
7. Contact Phone Number
8. Contact Name
9. Email
VSQG 2
1. EPA ID Number (if assigned)
2. Name
3. Street Address
4. City, Town, or Village
5. State
6. Zip Code
7. Contact Phone Number
8. Contact Name
9. Email
VSQG 3
1. EPA ID Number (if assigned)
2. Name
3. Street Address
4. City, Town, or Village
5. State
6. Zip Code
7. Contact Phone Number
8. Contact Name
9. Email
EPA Form 8700‐12, 8700‐13 A/B, 8700‐23
Page __ of __
EPA ID Number
OMB# 2050-0024; Expires 05/31/2020
United States Environmental Protection Agency
HAZARDOUS WASTE REPORT ______ (reporting cycle)
WASTE GENERATION AND MANAGEMENT (GM) FORM
1. Waste Characteristics
A. Waste Description
B. EPA Hazardous Waste Code(s)
C. State Hazardous Waste Code(s)
D. Source Code
Management Method Code (Source Code G25 only)
E. Form Code
F. Waste Minimization Code
G. Quantity
UOM
lbs/gal sg
Density
2. On‐site Generation and Management of Hazardous Waste
Y N Was any of this waste that was generated at this facility treated, disposed, and/or recycled on‐site? If yes,
continue to On‐site Process System 1.
Process System 1
Management Method Code
Quantity
Process System 2
Management Method Code
Quantity
3. Off‐site Shipment of Hazardous Waste
Y N A. Was any of this waste that was generated at this facility shipped off‐site for treatment, disposal, or recy‐
cling? If yes, continue to Site 1.
Site 1
B. EPA ID of facility to which waste was shipped C. Management Method Code D. Total Quantity Shipped
Site 2
B. EPA ID of facility to which waste was shipped C. Management Method Code D. Total Quantity Shipped
Site 3
B. EPA ID of facility to which waste was shipped C. Management Method Code D. Total Quantity Shipped
4. Comments
EPA Form 8700‐12, 8700‐13 A/B, 8700‐23
Page __ of __
EPA ID Number
OMB# 2050-0024; Expires 05/31/2020
United States Environmental Protection Agency
HAZARDOUS WASTE REPORT ______ (reporting year)
WASTE RECEIVED FROM OFF‐SITE (WR) FORM
1. Waste 1
A. Waste Description
B. EPA Hazardous Waste Code(s)
C. State Hazardous Waste Code(s)
D. EPA ID Number
G. Quantity
E. Form Code
UOM
F. Management Code
lbs/gal sg
Density
2. Waste 2
A. Waste Description:
B. EPA Hazardous Waste Code(s)
C. State Hazardous Waste Code(s)
D. EPA ID Number
G. Quantity
E. Form Code
UOM
F. Management Code
lbs/gal sg
Density
3. Waste 3
A. Waste Description:
B. EPA Hazardous Waste Code(s)
C. State Hazardous Waste Code(s)
D. EPA ID Number
G. Quantity
E. Form Code
UOM
F. Management Code
lbs/gal sg
Density
4. Comments
EPA Form 8700‐12, 8700‐13 A/B, 8700‐23
Page __ of __
EPA ID Number
OMB# 2050-0024; Expires 05/31/2020
United States Environmental Protection Agency
HAZARDOUS WASTE REPORT
OFF‐SITE IDENTIFICATION (OI) FORM
1. 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 Transporter Receiving Facility
D. Address of Off‐site Installation
Street Address
City, Town, or Village
State
Zip Code
Country
2. Site 2
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 Address
City, Town, or Village
State
Zip Code
Country
3. Site 3
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 Address
City, Town, or Village
State
Zip Code
Country
4. Comments
EPA Form 8700‐12, 8700‐13 A/B, 8700‐23
Page __ of __
EPA ID Number
OMB# 2050-0024; Expires 05/31/2020
United States Environmental Protection Agency
HAZARDOUS WASTE PERMIT PART A FORM
1. Facility Permit Contact
First Name
MI
Last Name
Ext
Fax
Title
Email
Phone
2. Facility Permit Contact Mailing Address
Street Address
City, Town, or Village
State
Country
Zip Code
3. Facility Existence Date (mm/dd/yyyy)
4. Other Environmental Permits
A. Permit Type
B. Permit Number
C. Description
5. Nature of Business
EPA Form 8700‐12, 8700‐13 A/B, 8700‐23
Page __ of __
EPA ID Number
OMB# 2050-0024; Expires 05/31/2020
6. Process Codes and Design Capacities
Line
Number
A. Process Code
B. Process Design Capacity
C. Process Total
Number of Units
D. Unit Name
(1) Amount
(2) Unit of
Measure
7. Description of Hazardous Wastes (Enter codes for Items 7.A, 7.C and 7.D(1) )
Line No.
A. EPA Hazardous
Waste No.
B. Estimated
Annual
Qty of
Waste
D. Processes
C. Unit of
Measure
(2) Process Description
(1) Process Codes
(if code is not entered in 7.D1))
8. Map
Attach to this application a topographical map, or other equivalent map, of the area extending to at least one mile beyond
property boundaries. The map must show the outline of the facility, the location of each of its existing intake and discharge
structures, each of its hazardous waste treatment, storage, or disposal facilities, and each well where it injects fluids under‐
ground. Include all spring, rivers, and other surface water bodies in this map area. See instructions for precise require‐
ments.
9. Facility Drawing
All existing facilities must include a scale drawing of the facility. See instructions for more detail.
10. Photographs
All existing facilities must include photographs (aerial or ground‐level) that clearly delineate all existing structures; existing
storage, treatment, and disposal areas; and sites of future storage, treatment, or disposal areas. See instructions for more
detail.
11. Comments
EPA Form 8700‐12, 8700‐13 A/B, 8700‐23
Page __ of __
| File Type | application/pdf |
| File Title | Microsoft Word - RCRA Subtitle C Reporting Forms and Instructions.docx |
| Author | brendan |
| File Modified | 2017-06-29 |
| File Created | 2017-06-29 |