OMB
#:
2050­
0024
Expires:
11/
30/
2002
United
States
Environmental
Protection
Agency
2001
Hazardous
Waste
Report
INSTRUCTIONS
AND
FORMS
Public
reporting
burden
for
this
collection
of
information
is
estimated
to
average
16.73
hours
per
response.
The
reporting
burden
includes
time
for
reviewing
instructions,
gathering
data,
completing
and
reviewing
the
forms,
and
submitting
the
report.
The
record
keeping
requirement
is
estimated
to
average
2.49
hours
per
response.
The
record
keeping
burden
includes
the
time
for
filing
and
storing
the
Hazardous
Waste
Report
submission
for
three
years.

Send
comments
regarding
the
burden
estimate
or
any
other
aspect
of
this
collection
of
information,
including
suggestions
for
reducing
the
burden,
to:

Director,
Collection
Strategies
Division
U.
S.
Environmental
Protection
Agency
(
2137)
1200
Pennsylvania
Avenue,
N.
W.
Washington,
D.
C.
20460
and
Office
of
Information
and
Regulatory
Affairs
Office
of
Management
and
Budget
725
17th
Street,
N.
W.
Washington,
D.
C.
20503
Attention:
Desk
Officer
for
the
EPA
EPA
Form
8700­
13A/
B
(
11­
00)
PURPOSE
OF
THE
2001
HAZARDOUS
WASTE
REPORT
The
U.
S.
Environmental
Protection
Agency's
(
EPA)
mission
to
protect
human
health
and
the
environment
includes
the
responsibility
to
effectively
manage,
with
the
States,
the
nation's
hazardous
waste.
As
part
of
this
task,
the
EPA
and
the
States
collect
and
maintain
information
about
the
generation,
management,
and
final
disposition
of
the
nation's
hazardous
waste
regulated
by
the
Resource
Conservation
and
Recovery
Act
(
RCRA).

The
EPA
prepared
this
booklet
for
hazardous
waste
generators
and
for
facilities
that
treat,
store,
or
dispose
hazardous
waste
to
report
their
hazardous
waste
activities
for
2001.
The
information
collected
will:

#
Provide
the
EPA
and
the
States
with
an
understanding
of
hazardous
waste
generation
and
management
in
the
United
States.

#
Help
the
EPA
measure
the
quality
of
the
environment,
such
as
monitoring
industry
compliance
with
the
regulations
and
evaluating
waste
minimization
efforts
taken
by
industry.

#
Be
summarized
and
communicated
to
the
public,
primarily
through
the
2001
National
Biennial
RCRA
Hazardous
Waste
Report.

The
data
you
provide
will
be
entered
into
a
computer
database
by
the
State
or
the
EPA
Regional
Office
to
which
you
return
your
Hazardous
Waste
Report.
After
review
to
ensure
the
quality
of
the
data,
a
national
database
will
be
assembled.
Your
efforts
in
carefully
filling
out
the
required
forms
are
appreciated.

IMPORTANT
Before
completing
the
2001
Hazardous
Waste
Report
forms,
please
carefully
read
the
instructions
in
this
booklet.

IF
YOU
NEED
ASSISTANCE
To
obtain
assistance
in
filling
out
the
2001
Hazardous
Waste
Report
forms,
please
call
the
EPA
RCRA,
Superfund
&
EPCRA
Hotline
at
1­
800­
424­
9346
(
703­
412­
9810
in
the
Washington,
D.
C.,
metropolitan
area).
The
Hotline
operates
Monday
through
Friday
from
9:
00
a.
m.
to
6:
00
p.
m.
(
Eastern
Standard
Time),
and
is
closed
on
Federal
holidays.

In
addition
to
calling
the
Hotline,
you
may
want
to
contact
your
State
or
Regional
Office.
Some
States'
reporting
requirements
differ
from
the
Federal
requirements.
See
pages
83
through
88
for
State
and
Regional
Office
addresses,
contact
names,
and
telephone
numbers.
i
N
WHO
MUST
FILE
THE
2001
HAZARDOUS
WASTE
REPORT
SITES
REQUIRED
TO
FILE
THE
HAZARDOUS
WASTE
REPORT
You
are
required
by
Federal
statute
to
complete
and
file
the
2001
Hazardous
Waste
Report
if
your
site:

#
Met
the
definition
(
see
box
below)
of
a
RCRA
Large
Quantity
Generator
(
LQG)
during
2001;
AND/
OR
#
Treated,
stored,
or
disposed
of
RCRA
hazardous
wastes
on
site
during
2001.

If
you
are
required
to
report,
see
WHICH
FORMS
TO
SUBMIT
AND
WHAT
TO
REPORT,
on
page
4,
to
determine
which
forms
you
must
submit.

If
you
are
not
required
to
report,
but
wish
to
notify
us
that
your
generator
status
has
changed,
please
fill
out
the
Site
Identification
Form
and
submit
it
to
your
State
or
Regional
Office.
Please
see
page
9
for
instructions
on
filling
out
the
Site
Identification
Form
and
page
83
for
a
list
of
State
and
Regional
contacts.

DEFINITION
OF
A
RCRA
LARGE
QUANTITY
GENERATOR
A
site
is
a
RCRA
Large
Quantity
Generator
(
LQG)
if,
in
2001,
the
site
met
any
of
the
following
criteria:

(
a)
The
site
generated,
in
any
single
calendar
month,
1,000
kg
(
2,200
lbs)
or
more
of
RCRA
hazardous
waste;
or
(
b)
The
site
generated,
in
any
single
calendar
month,
or
accumulated
at
any
time,
more
than
1
kg
(
2.2
lbs)
of
RCRA
acute
hazardous
waste;
or
(
c)
The
site
generated,
in
any
single
calendar
month,
or
accumulated
at
any
time,
more
than
100
kg
(
220
lbs)
of
spill
cleanup
material
contaminated
with
RCRA
acute
hazardous
waste.

Hazardous
waste
imported
from
a
foreign
country
in
2001
must
be
counted
in
determining
your
generator
status
and
included
in
your
2001
Hazardous
Waste
Report.

SITES
THAT
SHOULD
NOT
FILE
THE
HAZARDOUS
WASTE
REPORT
Do
not
file
the
2001
Hazardous
Waste
Report
if,
during
2001,
your
site
was
not
a
RCRA
LQG
(
your
site
does
not
meet
any
of
the
criteria
in
the
box
above)
AND
did
not
treat,
store,
or
dispose
of
RCRA
hazardous
wastes
on
site.

Do
not
file
the
2001
Hazardous
Waste
Report
if,
during
2001,
all
of
your
hazardous
waste
was
exported
directly
out
of
the
country.
An
Annual
Report
must
be
filed
in
this
case,
as
required
under
40
CFR
262.56.

STATE­
SPECIFIC
REQUIREMENTS
The
States
may
impose
reporting
requirements
above
and
beyond
the
Federal
requirements.
If
your
State
does
so,
it
will
attach
information
to
(
or
delete
information
from)
this
booklet.
In
addition,
the
States
may
use
a
modified
version
of
this
report
or
their
own
instructions
and
forms
for
fulfilling
the
reporting
requirements.

A
list
of
State
and
Regional
contacts,
on
pages
83
through
88,
identifies
the
States
that
use
modified
or
State­
specific
reports.
Please
contact
your
State
or
Regional
Office
with
any
questions
on
State­
specific
reporting
requirements.
ii
THIS
PAGE
INTENTIONALLY
LEFT
BLANK
iii
2001
HAZARDOUS
WASTE
REPORT
TABLE
OF
CONTENTS
Page
PURPOSE
OF
THE
2001
HAZARDOUS
WASTE
REPORT
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Inside
front
cover
WHO
MUST
FILE
THE
2001
HAZARDOUS
WASTE
REPORT
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SITES
REQUIRED
TO
FILE
THE
HAZARDOUS
WASTE
REPORT
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SITES
THAT
SHOULD
NOT
FILE
THE
HAZARDOUS
WASTE
REPORT
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STATE­
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REQUIREMENTS
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INSTRUCTIONS
FOR
FILING
THE
2001
HAZARDOUS
WASTE
REPORT
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1
INTRODUCTION
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1
Authority
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1
Overview
of
the
2001
Hazardous
Waste
Report
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1
CHANGES
TO
THE
2001
HAZARDOUS
WASTE
REPORT
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1
WHICH
FORMS
TO
SUBMIT
AND
WHAT
TO
REPORT
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4
FILLING
OUT
THE
FORMS
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5
RCRA,
Superfund
&
EPCRA
Hotline
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5
Copies
of
Hazardous
Waste
Report
Instructions
and
Forms
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5
Documents
Helpful
in
Filling
Out
the
Forms
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5
Site
Identification
Labels
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5
Code
Lists
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5
Skip
Instructions
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6
Notes
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6
Right
Justification
of
Quantities
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6
Comments
Section
of
Forms
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6
Page
Numbering
of
Forms
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6
Photocopies
of
Forms
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6
Example
2001
Hazardous
Waste
Report
Forms
for
Hypothetical
Sites
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6
Electronic
Reporting
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7
Confidential
Business
Information
(
CBI)
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7
WHEN
AND
WHERE
TO
FILE
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7
INSTRUCTIONS
FOR
FILLING
OUT
THE
RCRA
SUBTITLE
C
SITE
IDENTIFICATION
(
SITE
ID)
FORM
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9
WHO
MUST
SUBMIT
THIS
FORM
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9
PURPOSE
OF
THIS
FORM
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9
HOW
TO
FILL
OUT
THIS
FORM
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9
ITEM­
BY­
ITEM
INSTRUCTIONS
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10
INSTRUCTIONS
FOR
FILLING
OUT
FORM
GM
 
WASTE
GENERATION
AND
MANAGEMENT
.
.
19
WHO
MUST
SUBMIT
THIS
FORM
.
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19
PURPOSE
OF
THIS
FORM
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19
HOW
TO
FILL
OUT
THIS
FORM
.
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19
WASTES
TO
BE
REPORTED
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19
WASTES
NOT
TO
BE
REPORTED
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20
HOW
TO
COMBINE
AND
REPORT
SIMILAR
WASTES
ON
ONE
FORM
GM
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21
ITEM­
BY­
ITEM
INSTRUCTIONS
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22
INSTRUCTIONS
FOR
FILLING
OUT
FORM
WR
 
WASTE
RECEIVED
FROM
OFF
SITE
.
.
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.
27
WHO
MUST
SUBMIT
THIS
FORM
.
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27
PURPOSE
OF
THIS
FORM
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27
HOW
TO
FILL
OUT
THIS
FORM
.
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27
2001
HAZARDOUS
WASTE
REPORT
TABLE
OF
CONTENTS
(
Continued)

Page
iv
ITEM­
BY­
ITEM
INSTRUCTIONS
.
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27
CODE
LISTS
AND
OTHER
REFERENCE
INFORMATION
.
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31
EXCLUDED
WASTES
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33
DEFINITIONS
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39
SPECIAL
INSTRUCTIONS
.
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49
EPA
HAZARDOUS
WASTE
CODES
.
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53
SOURCE
CODES
.
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77
FORM
CODES
.
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79
MANAGEMENT
METHOD
CODES
.
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81
STATE/
REGIONAL
OFFICE
CONTACT
INFORMATION
.
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.
83
APPENDIX
A:
EXAMPLES
OF
COMPLETED
2001
HAZARDOUS
WASTE
REPORT
FORMS
.
.
.
.
.
A­
1
2001
HAZARDOUS
WASTE
REPORT
FORMS
.
.
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.
End
of
booklet
1
INSTRUCTIONS
FOR
FILING
THE
2001
HAZARDOUS
WASTE
REPORT
INTRODUCTION
The
instructions
and
forms
for
the
2001
Hazardous
Waste
Report
are
prepared
by
the
U.
S.
Environmental
Protection
Agency
(
EPA)
for
generators
and
treatment,
storage,
and
disposal
facilities
(
TSDFs)
to
report
their
hazardous
waste
activities
for
2001.

AUTHORITY
The
authority
for
the
2001
Hazardous
Waste
Report
is
contained
in
Sections
3002
and
3004
of
the
Resource
Conservation
and
Recovery
Act
of
1976
(
RCRA),
as
amended
by
the
Hazardous
and
Solid
Waste
Amendments
of
1984
(
HSWA).
Section
3002
requires
hazardous
waste
generators
to
report
to
the
EPA
or
the
authorized
States,
at
least
every
two
years,
the
quantities,
nature,
and
disposition
of
generated
hazardous
waste.
Under
the
authority
of
Section
3004,
the
EPA
requires
reporting
by
treatment,
storage,
and
disposal
facilities
for
the
wastes
they
receive.

OVERVIEW
OF
THE
2001
HAZARDOUS
WASTE
REPORT
To
determine
if
you
are
required
to
file
the
Hazardous
Waste
Report,
read
WHO
MUST
FILE
THE
2001
HAZARDOUS
WASTE
REPORT
on
page
i.

CHANGES
TO
THE
2001
HAZARDOUS
WASTE
REPORT,
beginning
on
this
page,
summarizes
the
primary
changes
that
have
been
made
to
the
2001
Hazardous
Waste
Report
forms
and
instructions.

WHICH
FORMS
TO
SUBMIT
AND
WHAT
TO
REPORT,
on
page
4,
describes
circumstances
and
situations
under
which
each
of
the
forms
should
be
completed.

FILLING
OUT
THE
FORMS,
on
pages
5
to
7,
provide
general
guidelines
for
filling
out
the
Hazardous
Waste
Report
forms,
including
the
telephone
number
for
the
RCRA,
Superfund
&
EPCRA
Hotline,
which
you
can
call
with
questions
on
completing
the
Hazardous
Waste
Report.

WHEN
AND
WHERE
TO
FILE,
on
page
7,
provides
the
filing
date
and
details
the
procedures
for
obtaining
an
extension
of
the
filing
date
for
your
site's
Hazardous
Waste
Report.
The
address
for
the
State
or
Region
to
which
you
should
send
the
Hazardous
Waste
Report
is
specified
beginning
on
page
83.

Detailed
instructions
for
filling
out
each
of
the
forms
begin
on
page
9.
Beginning
on
page
31,
relevant
code
lists
and
other
reference
information
are
provided
including
the
following:
a
list
of
excluded
wastes;
definitions
of
key
terms;
a
section
on
special
instructions
that
explains
how
to
report
certain
types
of
wastes
(
e.
g.,
lab
packs,
PCBs);
lists
of
codes
that
are
too
long
to
include
in
the
text
of
instructions
(
e.
g.,
EPA
hazardous
waste
codes);
and
a
list
of
State
and
Regional
Office
addresses
and
contact
information.

CHANGES
TO
THE
2001
HAZARDOUS
WASTE
REPORT
The
EPA
has
made
significant
modifications
to
the
Hazardous
Waste
Report
for
the
2001
collection
based
on
a
lengthy
study
of
the
information
needs
of
the
EPA
and
State
hazardous
waste
programs.
These
changes
are
meant
to
improve
the
consistency,
accuracy,
and
reliability
of
the
data,
while
slightly
reducing
sites'
reporting
burden.
These
modifications
include:
INSTRUCTIONS
(
Continued)

2
#
Replacing
the
Identification
and
Certification
Form
(
Form
IC)
with
a
new
form:
the
Site
Identification
Form;

#
Clarifying
the
types
of
hazardous
wastes
to
be
reported;

#
Streamlining
the
Hazardous
Waste
Report's
Source,
Origin,
Form,
and
System
Type
codes;
and
#
Removing
Point
of
Measurement,
Standard
Industrial
Classification
(
SIC)
code,
and
Off­
site
Availability
data
elements
from
the
Hazardous
Waste
Report.

These
modifications
to
the
2001
Hazardous
Waste
Report
are
described
further
in
the
following
paragraphs
and
summarized
in
the
table
on
page
3.

Replacing
the
Identification
and
Certification
Form
(
Form
IC)
with
the
Site
Identification
Form.
For
the
2001
Hazardous
Waste
Report,
the
EPA
has
replaced
the
1999
Form
IC
with
the
Site
Identification
(
ID)
Form.
In
the
past,
basic
site
information
(
e.
g.,
information
on
hazardous
waste
handling
activities
taking
place
at
RCRA­
regulated
sites)
was
collected
on
three
different
forms,
each
with
its
own
instructions
and
definitions.
This
sometimes
gave
regulators
conflicting
information
about
the
same
site,
and
was
burdensome
for
respondents.
Specifically,
large
quantity
generators
(
LQGs)
and
treatment,
storage
and
disposal
facilities
(
TSDFs)
reported
site
information
for
the
Hazardous
Waste
Report
(
EPA
Form
8700­
13A/
B)
on
the
Form
IC.
Basic
site
information
was
also
collected
from
all
RCRA­
regulated
facilities
on
the
Notification
of
Regulated
Waste
Activity
form
(
EPA
Form
8700­
12).
Finally,
TSDFs
seeking
a
permit
or
permit
renewal
submitted
site
information
on
the
RCRA
Hazardous
Waste
Part
A
Permit
Application
(
EPA
Form
8700­
23).

The
new
Site
ID
Form
standardizes
the
RCRA
site
information
that
was
collected
on
these
three
forms.
This
means
that,
after
you
have
submitted
the
Site
ID
Form
once,
you
can
just
attach
a
copy
of
the
previously
submitted
Site
ID
Form
(
with
any
changes)
when
site
identification
information
is
requested
again.
Each
site
required
to
submit
the
2001
Hazardous
Waste
Report
must
submit
a
completed
Site
ID
Form
as
a
component
of
the
Report.

Clarifying
the
Types
of
Hazardous
Wastes
to
be
Reported.
The
2001
Hazardous
Waste
Report
instructions
clarify
that
generators
should
generally
report
only
the
hazardous
wastes
that
count
toward
the
determination
of
their
generator
status.
This
includes
wastes
that
are
generated,
accumulated,
and
subsequently
managed
on
site
or
shipped
off
site.
TSDFs
should
report
hazardous
waste
received
from
off
site,
the
management
of
the
hazardous
waste
while
on
site,
and
any
shipments
of
hazardous
waste
off
site.

In
addition,
sites
should
not
report
hazardous
waste
exports
as
part
of
their
Hazardous
Waste
Report
submission.
(
Note
that
primary
exporters
of
hazardous
waste
are
currently
required
to
file
an
Annual
Report
on
their
exports
under
40
CFR
262.56.)
Importers
of
hazardous
waste
must
complete
a
Waste
Generation
and
Management
Form
(
Form
GM)
and
use
the
appropriate
code
to
identify
that
the
waste
was
imported
from
a
foreign
country.

Streamlining
the
Hazardous
Waste
Report's
Source,
Origin,
Form,
and
System
Type
Codes.
The
Source
codes
in
the
2001
Hazardous
Waste
Report
have
been
consolidated,
regrouped,
and
merged
with
the
Origin
codes.
The
new
Source
codes
are
now
mandatory.
Origin
codes
have
been
eliminated
altogether.
This
new
coding
scheme
reduces
the
number
of
codes
from
60
to
30
and
the
number
of
code
groups
from
seven
to
six.

In
addition,
the
Form
codes
have
been
revised
and
streamlined.
The
new
coding
scheme
reduces
the
number
of
Form
codes
from
89
to
47
with
seven
high­
level
code
groups.

Finally,
the
EPA
has
replaced
System
Type
codes
with
Management
Method
codes.
This
new
coding
scheme
reduces
the
number
of
codes
from
65
to
28
and
the
high­
level
code
groups
from
14
to
four.
It
also
eliminates
overlap
with
Form
codes.
INSTRUCTIONS
(
Continued)

3
Removing
Point
of
Measurement,
Standard
Industrial
Classification
(
SIC)
Code,
and
Off­
Site
Availability
Data
Elements
from
the
Hazardous
Waste
Report.
The
Point
of
Measurement
data
element
on
the
1999
Form
GM
consisted
of
four
codes
showing
whether
the
waste
being
reported
was
mixed
with
other
wastes
prior
to
being
measured.
We
determined
that
there
is
no
significant
need
for
this
information.
Additionally,
because
the
Point
of
Measurement
was
confusing
to
respondents,
the
data
were
often
of
questionable
quality.
Thus,
the
Point
of
Measurement
was
eliminated
from
Form
GM.

In
addition,
we
removed
the
SIC
code
from
Form
GM,
since
we
added
the
North
American
Industry
Classification
System
(
NAICS)
codes
(
the
replacement
for
the
SIC
codes)
to
the
Site
ID
Form.
Completion
of
the
NAICS
codes
on
the
Site
ID
Form
is
mandatory.

The
Off­
site
Availability
code
on
the
1999
Form
GM
showed
whether
an
off­
site
facility
was
a
commerciallyavailable
TSDF,
or
if
it
was
only
permitted
to
accept
wastes
from
firms
owned
by
the
same
company.
The
EPA
did
not
find
any
need
for
this
information.
Thus,
the
Off­
site
Availability
code
was
eliminated
from
Form
GM.

HIGHLIGHTS
OF
CHANGES
TO
THE
2001
HAZARDOUS
WASTE
REPORT
#
Replaced
the
Form
IC
with
the
Site
ID
Form.
All
sites
required
to
file
a
2001
Hazardous
Waste
Report
must
submit
a
Site
ID
Form
as
a
component
of
the
2001
Report.

#
Clarified
that
sites
generally
need
only
report
on
Form
GM
those
hazardous
wastes
that
were
included
in
determining
their
generator
status.

#
Clarified
that
sites
should
not
report
their
hazardous
waste
exports
in
their
2001
Hazardous
Waste
Report
submissions.
(
Primary
exporters
are
already
required
to
submit
an
Annual
Report
on
their
hazardous
waste
exports
under
40
CFR
262.56.)

#
Clarified
that
importers
of
hazardous
waste
must
submit
a
Form
GM
and
use
the
appropriate
code
to
identify
that
the
waste
was
imported
from
a
foreign
country.

#
Developed
a
revised
set
of
Source
codes,
which
are
now
mandatory
on
Form
GM.
Origin
codes
are
no
longer
reported.

#
Developed
simplified
Form
codes.

#
Replaced
System
Type
codes
with
Management
Method
codes.
The
new
coding
scheme
eliminates
overlap
with
Form
codes
and
provides
a
simpler
coding
structure
than
System
Type
codes.

#
Eliminated
Point
of
Measurement,
SIC
code,
and
Off­
site
Availability
data
elements
from
the
Form
GM.
INSTRUCTIONS
(
Continued)

4
WHICH
FORMS
TO
SUBMIT
AND
WHAT
TO
REPORT
The
2001
Hazardous
Waste
Report
contains
the
following
four
forms:

Site
ID
Form
A
site
required
to
file
the
2001
Hazardous
Waste
Report
must
submit
the
Site
ID
Form
as
a
component
of
the
Report.
Instructions
for
the
Site
ID
Form
begin
on
page
9.

Form
GM
A
site
required
to
file
the
2001
Hazardous
Waste
Report
must
submit
Form
GM
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
2001;
or
#
Generated
and
accumulated
on
site
in
2001
but
not
managed
on
site
or
shipped
off
site
until
after
2001;
or
#
Generated
and
accumulated
on
site
prior
to
2001
but
either
managed
on
site
or
shipped
off
site
in
2001;
or
#
Imported
from
a
foreign
country
in
2001.

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
(
Form
WR))
and
subsequently
shipped
off
site
without
being
treated
or
recycled
on
site;

#
Removed
from
on­
site
storage;

#
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).

Radioactive
wastes
mixed
with
RCRA
hazardous
wastes
should
also
be
reported,
as
well
as
hazardous
wastes
regulated
only
by
your
State
(
if
required
by
your
State).

DO
NOT
submit
a
GM
Form
for
hazardous
waste
shipped
directly
to
a
foreign
country.

Instructions
for
Form
GM
begin
on
page
19.

Form
WR
A
site
required
to
file
the
2001
Hazardous
Waste
Report
must
submit
Form
WR
if,
during
2001,
it
received
RCRA
hazardous
waste
from
off
site
and
managed
the
waste
on
site.

Instructions
for
Form
WR
begin
on
page
27.

Form
OI
A
site
must
complete
Form
OI
only
if
its
State
requires
it.
Instructions
for
Form
OI
are
on
the
back
of
the
form.
INSTRUCTIONS
(
Continued)

5

FILLING
OUT
THE
FORMS
RCRA,
SUPERFUND
&
EPCRA
HOTLINE
To
obtain
assistance
in
filling
out
the
2001
Hazardous
Waste
Report
forms,
please
call
the
EPA's
RCRA,
Superfund
&
EPCRA
Hotline
at
1­
800­
424­
9346
(
703­
412­
9810
in
the
Washington,
D.
C.,
metropolitan
area).
The
Hotline
operates
Monday
through
Friday
from
9:
00
a.
m.
to
6:
00
p.
m.
(
Eastern
Standard
Time),
and
is
closed
on
Federal
holidays.

In
addition
to
calling
the
Hotline,
you
may
want
to
contact
your
State
or
Regional
Office.
Some
States'
reporting
requirements
differ
from
the
Federal
requirements.
See
pages
83
through
88
for
State
and
Regional
Office
addresses,
contact
names,
telephone
numbers,
and
email
addresses.
In
addition,
an
updated
list
of
Regional
and
State
contacts
can
be
found
at
http://
www.
epa.
gov/
epaoswer/
hazwaste/
data/
brs01/
forms.
htm.

COPIES
OF
HAZARDOUS
WASTE
REPORT
INSTRUCTIONS
AND
FORMS
Additional
copies
of
2001
Hazardous
Waste
Report
instructions
and
forms
can
be
obtained
from
the
contact
provided
for
your
State
or
Region
beginning
on
page
83
of
this
booklet.
If
your
State
uses
the
EPA's
version
of
the
instructions
and
forms,
this
information
is
also
available
on
the
Internet
through
the
EPA
home
page
at
the
following
URL
(
or
address):
http://
www.
epa.
gov/
epaoswer/
hazwaste/
data/
brs01/
forms.
htm.

DOCUMENTS
HELPFUL
IN
FILLING
OUT
THE
FORMS
To
prepare
the
2001
Hazardous
Waste
Report,
you
should
consult
your
records
on
quantities
and
types
of
hazardous
waste
that
your
site
generated,
managed,
shipped,
or
received
in
2001.
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
wastes;
#
Contracts
or
agreements
with
off­
site
facilities
managing
your
wastes;
and
#
Copies
of
permits
for
on­
site
waste
management
systems.

SITE
IDENTIFICATION
LABELS
If
you
received
pre­
printed
site
identification
labels
with
your
2001
Hazardous
Waste
Report
instructions
and
forms
booklet,
please
review
the
labels
to
verify
that
the
information
is
accurate
and
mark
any
changes
directly
on
the
labels.
Attach
one
label
to
each
form
in
the
Hazardous
Waste
Report.
If
you
did
not
receive
labels
with
your
booklet,
enter
the
site
name
and
EPA
Identification
Number
on
each
form
in
the
space
provided
for
the
label
(
i.
e.,
the
top
left­
hand
corner
of
the
form).
Before
making
copies
of
the
forms
in
order
to
complete
them,
be
sure
that
you
have
either
attached
a
pre­
printed
label
to
each
form
or,
if
you
did
not
receive
labels,
have
entered
the
site's
name
and
EPA
Identification
Number
in
the
top
left­
hand
corner
of
each
form.

CODE
LISTS
This
symbol
denotes
references
to
the
page
numbers
of
relevant
code
lists.
Please
use
only
the
codes
included
in
the
instructions
or
in
the
lists
of
codes
that
begin
on
page
31.
Please
minimize
the
use
of
"
Other"
and
"
Unknown"
codes.
If
you
do
use
an
"
Other"
or
"
Unknown"
code,
please
provide
an
explanation
in
the
Comments
section
of
the
form.
INSTRUCTIONS
(
Continued)

6
L
N
SKIP
INSTRUCTIONS
This
symbol
denotes
directions
to
skip
to
the
next
appropriate
section
or
box
to
be
completed,
given
certain
responses
to
some
questions.

Notes
This
symbol
denotes
explanatory
text
or
definitions
of
terms
used
in
the
instructions.

RIGHT
JUSTIFICATION
OF
QUANTITIES
Right
justify
all
quantities
reported
on
the
forms.
For
example,
enter
a
quantity
of
12,000
tons
on
the
form
as
follows:
.)
2)
2)
2)
22122202020­..
0­.
Enter
a
quantity
of
29,599.5
tons
as
follows:
.)
2)
2)
2)
22229252929­..
5­.

COMMENTS
SECTION
OF
FORMS
Use
the
Comments
section
at
the
bottom
of
the
forms
to
clarify
or
continue
any
entry.
For
each
comment,
reference
the
section
number
and
box
letter
of
the
entry
that
is
being
continued.
For
example,
if
a
hazardous
waste
generated
on
site
has
six
EPA
hazardous
waste
codes,
enter
the
first
five
in
Section
1,
Box
B
of
Form
GM.
Enter
the
sixth
waste
code
in
the
Comments
section
and
cross­
reference
Section
1,
Box
B:
"
Sec.
1,
Box
B,
continued:
D001."

PAGE
NUMBERING
OF
FORMS
When
you
have
filled
out
all
the
appropriate
forms
in
your
Hazardous
Waste
Report
submission,
number
the
pages
(
each
piece
of
paper
is
a
page)
consecutively
throughout
your
submission.
Do
not
number
each
set
of
forms
separately,
but
rather
number
each
page
sequentially.
The
individual
page
number
and
the
total
number
of
pages
in
your
submission
should
appear
at
the
bottom
of
each
page
(
e.
g.,
Page
1
of
7,
Page
2
of
7).

If
it
is
necessary
to
continue
information
from
one
form
onto
another
page,
make
additional
copies
of
the
form
and
number
the
additional
pages
with
the
same
page
number
as
the
first
page,
followed
by
a
letter
(
e.
g.,
page
27,
page
27a;
page
28,
page
28a,
28b).
When
continuing
information
on
a
supplemental
page,
enter
only
the
information
that
is
being
continued.

PHOTOCOPIES
OF
FORMS
A
single
copy
of
each
form
is
included
in
this
booklet.
Photocopy
as
many
forms
as
you
need
to
complete
your
Hazardous
Waste
Report.
Make
copies
after
you
have
attached
the
pre­
printed
site
identification
label
or
entered
the
site
name
and
EPA
Identification
Number
in
the
top
left­
hand
corner
of
the
form,
but
before
you
begin
filling
out
the
form.

After
you
have
finished
filling
out
the
forms,
photocopy
the
entire
Hazardous
Waste
Report
and
keep
a
copy
for
a
period
of
at
least
three
years
from
the
due
date
of
the
report,
as
required
by
40
CFR
262.40(
b).

EXAMPLE
2001
HAZARDOUS
WASTE
REPORT
FORMS
FOR
HYPOTHETICAL
SITES
Appendix
A
provides
updated
and
improved
examples
of
hypothetical
sites
that
illustrate
the
Hazardous
Waste
Report
forms
that
each
site
should
submit
and
how
these
forms
should
be
completed.
INSTRUCTIONS
(
Continued)

7
ELECTRONIC
REPORTING
The
EPA
encourages
electronic
reporting
of
Hazardous
Waste
Reports.
To
obtain
instructions
on
how
to
file
electronically,
contact
your
State
or
Regional
Office.
See
pages
83
through
88
for
a
list
of
State
and
Regional
Office
contacts.

CONFIDENTIAL
BUSINESS
INFORMATION
(
CBI)

You
may
not
withhold
information
from
the
Administrator
of
the
EPA
because
it
is
confidential.
However,
when
the
Administrator
is
requested
to
consider
information
confidential,
it
must
be
treated
according
to
the
EPA
regulations
contained
in
Title
40
of
the
CFR,
Part
2,
Subpart
B.
These
regulations
provide
that
a
business
may,
if
it
desires,
assert
a
claim
of
business
confidentiality
covering
all
or
part
of
the
information
furnished
to
the
EPA.
40
CFR
2.203(
b)
explains
how
to
assert
a
claim.

The
EPA
will
treat
information
covered
by
such
a
claim
in
accordance
with
the
procedures
set
forth
in
Subpart
B.
If
someone
requests
release
of
information
covered
by
a
claim
of
confidentiality,
or
if
the
EPA
otherwise
decides
to
make
a
determination
as
to
whether
such
information
is
entitled
to
confidential
treatment,
the
EPA
will
notify
the
business.
The
EPA
will
not
disclose
information
as
to
when
a
claim
of
confidentiality
has
been
made
except
to
the
extent
of
and
in
accordance
with
40
CFR
Part
2,
Subpart
B.
However,
if
the
business
does
not
claim
confidentiality
when
it
furnishes
the
information,
the
EPA
may
make
the
information
available
to
the
public
without
notice
to
the
business.

WHEN
AND
WHERE
TO
FILE
The
2001
Hazardous
Waste
Report
is
due
to
your
State
or
Regional
Office
by
March
1,
2002.
Return
your
completed
Hazardous
Waste
Report
to
the
address
listed
for
your
State
or
Regional
contact
beginning
on
page
83.

If
you
need
more
time
to
fill
out
the
2001
Hazardous
Waste
Report,
contact
your
State
or
Regional
Office
before
February
23,
2002,
for
specific
instructions.

IF
YOU
NEED
ASSISTANCE
To
obtain
assistance
in
filling
out
the
2001
Hazardous
Waste
Report
forms,
please
call
the
EPA's
RCRA,
Superfund
&
EPCRA
Hotline
at
1­
800­
424­
9346
(
703­
418­
9810
in
the
Washington,
D.
C.,
metropolitan
area).
The
Hotline
operates
Monday
through
Friday
from
9:
00
a.
m.
to
6:
00
p.
m.
(
Eastern
Standard
Time),
and
is
closed
on
Federal
holidays.

In
addition
to
calling
the
Hotline,
you
may
want
to
contact
your
State
or
Regional
Office.
Some
States'
reporting
requirements
differ
from
the
Federal
requirements.
See
pages
83
through
88
for
State
and
Regional
Office
addresses,
contact
names,
telephone
numbers,
and
email
addresses.
8
THIS
PAGE
INTENTIONALLY
LEFT
BLANK
9
INSTRUCTIONS
FOR
FILLING
OUT
THE
RCRA
SUBTITLE
C
SITE
IDENTIFICATION
(
SITE
ID)
FORM
WHO
MUST
SUBMIT
THIS
FORM
All
sites
required
to
submit
any
of
the
following
must
submit
the
Site
Identification
(
Site
ID)
Form:

#
Initial
notification
#
Subsequent
notification
#
First
RCRA
Hazardous
Waste
Part
A
Permit
Application
#
Revised
RCRA
Hazardous
Waste
Part
A
Permit
Application
#
Hazardous
Waste
Report
Refer
to
Item
1
below
to
determine
whether
you
are
required
to
submit
this
form.

The
instructions
below
explain
how
to
complete
the
Site
ID
Form
for
notifications,
Part
A
permit
applications,
and
the
Hazardous
Waste
Report.
Please
note
that
these
instructions
identify
those
Site
ID
Form
items
that
must
be
completed
for
the
Hazardous
Waste
Report.
See
HOW
TO
FILL
OUT
THIS
FORM,
below,
for
the
specific
Site
ID
Form
items
that
you
must
complete
for
the
Hazardous
Waste
Report.
Examples
of
how
to
complete
the
form
for
purposes
of
submitting
the
Hazardous
Waste
Report
are
provided
in
Appendix
A.

PURPOSE
OF
THIS
FORM
For
purposes
of
the
Hazardous
Waste
Report,
the
Site
ID
Form
identifies
large
quantity
generators
(
LQGs)
and
treatment,
storage,
and
disposal
facilities
(
TSDFs)
engaging
in
hazardous
waste
generation
and
management
activities
for
the
reporting
year.
The
form
is
divided
into
13
items,
nine
of
which
must
be
completed
for
the
Hazardous
Waste
Report
(
see
below).

Refer
to
CHANGES
TO
THE
2001
HAZARDOUS
WASTE
REPORT,
beginning
on
page
1,
for
background
information
on
the
Site
ID
Form.

HOW
TO
FILL
OUT
THIS
FORM
Please
fill
out
all
of
the
following
nine
Site
ID
Form
items
that
are
required
for
the
Hazardous
Waste
Report:

#
Item
1
­
your
reason
for
submitting
the
form
(
in
this
case,
as
a
component
of
the
Hazardous
Waste
Report).
(
If
you
are
submitting
the
form
for
additional
reason(
s),
you
must
complete
all
13
Site
ID
Form
items.);

#
Item
2
­
your
site's
EPA
ID
number;

#
Item
3
­
the
name
of
your
site;

#
Item
4
­
the
physical
location
of
your
site;

#
Item
6
­
the
North
American
Industry
Classification
System
(
NAICS)
code(
s)
for
your
site;

#
Item
7
­
the
mailing
address
for
your
site;

#
Item
8
­
name
and
phone
number
of
a
contact
person
at
your
site;

#
Items
10.
A.
1
and
10.
A.
3
­
your
hazardous
waste
activities
at
the
site
that
require
you
to
submit
a
Hazardous
Waste
Report
(
i.
e.,
generator
status,
TSDF,
or
both);
and
#
Item
13
­
certification
that
the
information
you
provided
throughout
the
form
is
truthful,
accurate,
and
complete.
SITE
ID
FORM
(
Continued)

10
Type
or
print
in
black
ink
all
items
except
the
Signature
box
in
Item
13.
On
the
second
and
third
pages
of
the
form,
enter
your
site's
EPA
ID
number
in
the
top
right­
hand
corner.
Use
the
space
for
Comments
in
Item
12
to
clarify
or
provide
additional
information
for
any
entry.
When
entering
information
in
the
Comments
section,
cross­
reference
the
item
number
and
box
letter
to
which
the
comment
refers.
If
you
must
use
additional
sheets,
indicate
clearly
the
number
of
the
item
on
the
Site
Identification
Form
to
which
the
information
on
the
separate
sheet
applies.

Completed
forms
should
be
sent
to
the
appropriate
EPA
Regional
Office
or
your
State
Office.
A
complete
listing
of
EPA
Regional
and
State
mailing
addresses,
contact
names,
telephone
numbers,
and
email
addresses
can
be
found
at
http://
www.
epa.
gov/
epaoswer/
hazwaste/
data/
brs01/
forms.
htm.

ITEM­
BY­
ITEM
INSTRUCTIONS
Item
1
­­
Reason
for
Submittal:

(
This
item
must
be
completed
for
the
Hazardous
Waste
Report.
If
you
are
submitting
the
form
for
additional
reason(
s),
check
the
applicable
box(
es).)

Place
an
"
X"
in
the
appropriate
box(
es)
to
indicate
whether
this
form
is
your
initial
notification
(
to
obtain
an
EPA
Identification
Number);
a
subsequent
notification
(
to
update
your
site
identification
information);
a
component
of
a
First
or
a
Revised
RCRA
Hazardous
Waste
Part
A
Permit
Application;
or
a
component
of
the
Hazardous
Waste
Report.

#
To
obtain
an
EPA
Identification
Number
for
hazardous
waste,
universal
waste
or
used
oil
activities
(
Initial
notification).
If
your
waste
activity
is
regulated
under
Resource
Conservation
and
Recovery
Act
(
RCRA),
Subtitle
C,
and
the
rules
promulgated
pursuant
to
the
Act
(
specifically
40
CFR
Parts
260
 
299),
you
must
submit
this
form
to
notify
the
appropriate
EPA
Regional
or
State
Office
of
your
regulated
waste
activities
and
obtain
an
EPA
Identification
Number.

#
To
update
site
identification
information
(
Subsequent
notification).
You
must
use
this
form
to
submit
a
subsequent
notification
if
your
site
already
has
an
EPA
Identification
Number
and
wishes
to
change
information
(
e.
g.,
status
change,
new
owner,
new
mailing
address,
etc.).

#
As
a
component
of
a
First
RCRA
Hazardous
Waste
Part
A
Permit
Application.
If
your
site
is
planning
to
treat,
store,
or
dispose
of
hazardous
waste
on
site
in
a
unit
that
is
not
exempt
from
obtaining
a
hazardous
waste
permit,
you
must
submit
this
form
as
part
of
the
Part
A
permit
application.
Also,
if
the
activity
this
site
was
engaged
in
(
treatment,
storage,
or
disposal)
became
newly
regulated
under
RCRA
Subtitle
C,
and
the
rules
promulgated
pursuant
to
the
Act
(
specifically
40
CFR
Parts
260­
299),
you
must
submit
this
form
as
part
of
the
Part
A
permit
application.

#
As
a
component
of
a
Revised
RCRA
Hazardous
Waste
Part
A
Permit
Application.
If
you
must
submit
a
revised
Part
A
permit
application
to
reflect
changes
that
have
occurred
at
your
site,
you
must
submit
this
form
as
part
of
your
revised
Part
A
permit
application.
Examples
of
site
changes
requiring
a
revised
Part
A
submission
include
managing
new
wastes
not
identified
in
the
first
Part
A
submission
or
changes
to
existing
waste
treatment
processes.
When
submitting
a
revised
Part
A
application,
please
include
the
Amendment
number
in
the
appropriate
space.

#
As
a
component
of
the
Hazardous
Waste
Report.
If
you
are
required
to
submit
a
Report
indicating
the
amount
of
waste
you
generate,
treat,
ship
off
site,
or
receive
from
off
site,
you
must
fill
out
this
form.
The
Site
ID
Form
replaces
the
EPA
Identification
and
Certification
Form
(
Form
IC)
for
the
Hazardous
Waste
Report.
SITE
ID
FORM
(
Continued)

11
Item
2
­­
Site
EPA
ID
Number:

(
This
item
must
be
completed
for
the
Hazardous
Waste
Report.)

Provide
your
12­
character
EPA
Identification
Number
in
Item
2
for
this
site.
Also,
be
sure
to
include
your
EPA
Identification
Number
at
the
top
of
pages
2
and
3
of
the
form
(
as
well
as
on
any
attachments
to
the
Site
ID
Form).

N
NOTE:
If
this
is
your
initial
notification
for
this
site,
leave
the
EPA
Identification
Number
blank
and
proceed
to
Item
3.

Items
3
and
4
­­
Site
Name
and
Location:

(
These
items
must
be
completed
for
the
Hazardous
Waste
Report.)

Provide
the
name
of
your
site
and
a
complete
location
address.
Give
the
public
or
commercial
name
of
your
site
(
i.
e.,
the
full
name
that
commonly
appears
on
invoices,
signs,
or
other
business
documents).
Please
note
that
the
address
you
give
for
Item
4,
Site
Location,
must
be
a
physical
address,
not
a
post
office
box
or
route
number.

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

Item
5
­­
Site
Land
Type:

Place
an
"
X"
in
the
box
that
best
describes
the
land
type
of
your
site.

N
NOTE:
If
the
Land
Type
is
best
described
as
Indian,
County,
or
District,
please
use
those
codes.
Otherwise,
use
Municipal.

Item
6
­­
North
American
Industry
Classification
System
(
NAICS)
Code(
s):

(
At
a
minimum,
Box
A
of
this
item
must
be
completed
for
the
Hazardous
Waste
Report.
Completing
Boxes
B­
D
is
not
mandatory
but
is
recommended.)

Box
A
Provide
the
North
American
Industry
Classification
System
(
NAICS)
code
that
best
describes
the
primary
products
or
services
provided
by
your
site.

Boxes
B
­
D
List
other
NAICS
codes
that
describe
the
primary
products
and
services
provided
by
your
site.

You
can
obtain
NAICS
codes
from
the
following
sources:

#
NAICS
web
site
at
http://
www.
naics.
com,
#
Income
Tax
form
1120
series,
or
#
Some
libraries.
SITE
ID
FORM
(
Continued)

12
Item
7
­­
Site
Mailing
Address:

(
This
item
must
be
completed
for
the
Hazardous
Waste
Report.)

Please
enter
the
Site
Mailing
Address.
If
the
mailing
address
and
the
Location
of
Site
(
Item
4)
are
the
same,
you
can
print
"
Same"
in
the
box
for
Item
7.

Item
8
­­
Site
Contact
Person:

(
This
item
must
be
completed
for
the
Hazardous
Waste
Report.)

Enter
the
name,
business
telephone
number,
and
extension
of
the
person
who
should
be
contacted
regarding
the
information
submitted
in
the
Site
ID
Form.

N
NOTE:
It
is
assumed
that
the
Site
Contact
Person
will
receive
mail
at
the
Site
Mailing
Address
provided
in
Item
7.
If
this
is
not
the
case,
please
provide
the
mailing
address
for
the
Site
Contact
Person
in
the
Comments
section
in
Item
12.

A
subsequent
notification
is
recommended
when
the
Site
Contact
Person
changes.

Item
9
­­
Legal
Owner
and
Operator
of
the
Site:

This
section
should
be
used
to
indicate
all
the
owners
and
operators
of
this
site.
The
Comments
section
in
Item
12
and
additional
sheets
can
be
used
if
necessary.

A.
Name
of
Site's
Legal
Owner:
Provide
the
name
of
your
site's
legal
owner.
If
an
additional
owner
has
been
added
or
a
new
owner
has
replaced
the
previous
owner
since
the
site's
initial
notification,
provide
information
on
the
new
owner(
s).

Date
Became
an
Owner:
Indicate
the
date
on
which
the
above
person
or
entity
became
the
owner
of
your
site.

Owner
Type:
Place
an
"
X"
in
the
box
that
best
describes
the
owner
type.

N
NOTE:
If
the
Owner
Type
is
best
described
as
Indian,
County,
or
District,
please
use
those
codes.
Otherwise,
use
Municipal.

Use
the
Comments
section
in
Item
12
to
list
any
additional
owners
and
operators,
their
names,
the
dates
they
became
owners
and/
or
operators,
owner/
operator
type,
and
which
owner(
s),
if
any,
they
replaced.
If
necessary,
attach
a
separate
sheet
of
paper.

B.
Name
of
Site's
Operator:
Provide
the
name
of
your
site's
operator.

Date
Became
an
Operator:
Indicate
the
date
on
which
the
above
person
became
the
operator
of
your
site.

Operator
Type:
Place
an
"
X"
in
the
box
that
best
describes
the
operator
type.
SITE
ID
FORM
(
Continued)

13
N
NOTE:
If
the
Operator
Type
is
best
described
as
Indian,
County,
or
District,
please
use
those
codes.
Otherwise,
use
Municipal.

Use
the
Comments
section
in
Item
12
to
list
any
additional
owners
and
operators,
their
names,
the
dates
they
became
owners
and/
or
operators,
owner/
operator
type,
and
which
owner(
s),
if
any,
they
replaced.
If
necessary,
attach
a
separate
sheet
of
paper.

N
NOTE:
A
subsequent
notification
is
recommended
when
the
owner
or
operator
of
a
site
changes.
Because
an
EPA
Identification
Number
is
site­
specific,
the
new
owner
will
keep
the
existing
EPA
Identification
Number
for
that
location.
If
the
site
moves
to
another
location,
the
owner
or
operator
must
notify
the
EPA
of
this
change.
In
this
instance,
a
new
EPA
Identification
Number
will
be
assigned,
since
the
site
has
changed
locations.

Item
10
­­
Type
of
Regulated
Waste
Activity:

(
Items
10.
A.
1
and
10.
A.
3
must
be
completed
for
the
Hazardous
Waste
Report
to
indicate
your
site's
generator
status
and
whether
your
site
is
a
TSDF
at
the
time
of
filing
this
report.
If
you
are
currently
not
an
LQG
and/
or
a
TSDF
but
are
filing
because
you
were
an
LQG
and/
or
TSDF
during
the
reporting
year,
indicate
this
in
the
Comments
section
in
Item
12.
If
you
checked
any
reasons
in
Item
1
in
addition
to
the
Hazardous
Waste
Report,
you
must
complete
all
of
Item
10.
In
Item
10,
a
checked
box
means
your
site
is
currently
conducting
the
activity.
An
unchecked
box
means
your
site
does
not
conduct
or
no
longer
conducts
the
activity.)

A.
Hazardous
Waste
Activities:
Mark
an
"
X"
in
the
appropriate
box(
es)
to
indicate
which
hazardous
waste
activities
are
being
conducted
at
this
site.

N
NOTE:
Listed
below
are
the
Federal
generator
definitions.
However,
if
the
State
where
your
hazardous
waste
activities
occur
has
definitions
different
from
the
Federal
definitions,
you
must
use
the
State
definitions.

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,
mark
an
"
X"
in
the
appropriate
box
for
the
quantity
of
non­
acutely
hazardous
waste
that
is
generated
per
calendar
month.
The
regulations
for
hazardous
waste
generators
are
found
in
40
CFR
Part
262.

a.
LQG:
Large
Quantity
Generator
This
site
is
a
Large
Quantity
Generator
if,
in
2001,
the
site
meets
any
of
the
following
criteria:
i)
Generated,
in
any
calendar
month,
1,000
kg
(
2,200
lbs.)
or
more
of
RCRA
hazardous
waste;
or
ii)
Generated,
in
any
calendar
month,
or
accumulated
at
any
time,
more
than
1
kg
(
2.2
lbs.)
of
RCRA
acute
hazardous
waste;
or
iii)
Generated,
in
any
calendar
month,
or
accumulated
at
any
time,
more
than
100
kg
(
220
lbs.)
of
spill
cleanup
material
contaminated
with
RCRA
acute
hazardous
waste.

N
NOTE:
If,
in
addition
to
being
an
LQG,
you
recycle
hazardous
wastes
at
your
site
(
without
storing
the
wastes
before
you
recycle
them),
check
both
this
box
and
Box
A.
4.
below.
SITE
ID
FORM
(
Continued)

14
b.
SQG:
Small
Quantity
Generator
This
site
is
a
Small
Quantity
Generator
if,
in
2001,
the
site
meets
all
of
the
following
criteria:
i)
Generated,
in
any
calendar
month,
more
than
100
kg
(
220
lbs.)
but
less
than
1,000
kg
(
2,200
lbs.)
of
RCRA
hazardous
waste;
and
ii)
Generated,
in
any
calendar
month,
or
accumulated
at
any
time,
no
more
than
1
kg
(
2.2
lbs.)
of
acute
hazardous
waste
and
no
more
than
100
kg
(
220
lbs.)
of
material
from
the
cleanup
of
a
spill
of
acute
hazardous
waste.

OR,
the
site
is
a
Small
Quantity
Generator
if
the
site:

i)
Met
all
other
criteria
for
a
Conditionally
Exempt
Small
Quantity
Generator
(
see
below),
but
ii)
Accumulated,
at
any
time,
more
than
1,000
kg
(
2,200
lbs.)
of
RCRA
hazardous
waste.

c.
CESQG:
Conditionally
Exempt
Small
Quantity
Generator
This
site
is
a
CESQG
if,
in
every
month
during
2001,
the
site
did
all
of
the
following:
i)
Generated
no
more
than
100
kg
(
220
lbs.)
of
RCRA
hazardous
waste
in
any
calendar
month;
and
ii)
Accumulated,
at
any
time,
no
more
than
1,000
kg
(
2,200
lbs.)
of
RCRA
hazardous
waste;
and
iii)
Generated,
in
any
calendar
month,
or
accumulated
at
any
time,
no
more
than
1
kg
(
2.2
lbs.)
of
acute
hazardous
waste,
and
no
more
than
100
kg
(
220
lbs.)
of
material
from
the
cleanup
of
a
spill
of
acute
hazardous
waste.

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

In
addition,
mark
an
"
X"
in
the
appropriate
box(
es)
to
indicate
other
generator
activities
occurring
at
this
site.
(
Check
all
boxes
that
apply.)

d.
United
States
Importer
of
Hazardous
Waste
Mark
an
"
X"
in
the
box
if
you
import
hazardous
waste
from
a
foreign
country
into
the
United
States.
Refer
to
40
CFR
262.60
for
additional
information.

e.
Mixed
Waste
Generator
Mark
an
"
X"
in
the
box
if
you
are
a
generator
of
mixed
waste
(
waste
that
is
both
hazardous
and
radioactive).
RCRA
defines
"
mixed
waste"
as
waste
that
contains
both
hazardous
waste
and
source,
special
nuclear,
or
by­
product
material
subject
to
the
Atomic
Energy
Act
(
AEA),
RCRA
section
1004(
41),
42
U.
S.
C.
6903
(
63
FR
17414;
April
9,
1998).

2.
Transporter
of
Hazardous
Waste:
Place
an
"
X"
in
the
box
if
you
transport
hazardous
waste
within
the
United
States.
The
Federal
regulations
for
hazardous
waste
transporters
are
found
in
40
CFR
Part
263.
SITE
ID
FORM
(
Continued)

15
3.
Treater,
Storer,
or
Disposer
of
Hazardous
Waste:
If
you
treat,
store,
or
dispose
of
regulated
hazardous
waste,
place
an
"
X"
in
this
box.
(
Burning
hazardous
wastes
in
boilers
and
industrial
furnaces
and
storing
hazardous
wastes
before
recycling
them
fall
into
this
category
as
well.)
A
hazardous
waste
permit
is
required
for
this
activity.
You
are
reminded
to
contact
the
appropriate
agency
for
your
State
to
request
Part
A
of
the
RCRA
Permit
Application.
The
Federal
regulations
for
owners
or
operators
of
hazardous
waste
sites
are
found
in
40
CFR
Parts
264,
265,
266,
and
270.

N
NOTE:
If
your
site
is
a
destination
facility
for
universal
wastes
in
addition
to
being
a
treatment,
storage,
or
disposal
facility
for
other
RCRA
hazardous
wastes,
check
both
this
box
and
Box
B.
2.
below.

4.
Recycler
of
Hazardous
Waste:
If
you
recycle
regulated
hazardous
wastes
(
recyclable
materials),
place
an
"
X"
in
this
box.
The
Federal
regulations
for
owners
or
operators
of
sites
that
recycle
hazardous
waste
are
found
in
40
CFR
261.6.
A
hazardous
waste
permit
may
be
required
for
this
activity.
You
also
may
be
subject
to
other
Federal
and
State
regulations.

N
NOTE:
If
your
site,
in
addition
to
being
a
recycling
site
for
hazardous
waste,
is
a
treater,
storer,
or
disposer
of
hazardous
waste,
check
both
this
box
and
Box
A.
3.
above.
If
your
site
is
a
destination
facility
for
universal
wastes
in
addition
to
being
a
recycling
site
for
other
RCRA
hazardous
wastes,
check
both
this
box
and
Box
B.
2.
below.

5.
Exempt
Boiler
and/
or
Industrial
Furnace:

a.
If
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.
If
you
burn
hazardous
wastes
in
a
smelting,
melting,
or
refining
furnace
solely
for
metals
recovery,
as
described
in
40
CFR
266.100(
c),
or
to
recover
economically
significant
amounts
of
precious
metals,
as
described
in
40
CFR
266.100(
f),
mark
an
"
X"
in
the
box
to
indicate
that
you
qualify
for
the
Smelting,
Melting
and
Refining
Furnace
Exemption.

6.
Underground
Injection
Control:
If
you
generate,
treat,
store,
or
dispose
of
hazardous
waste
and
there
is
an
underground
injection
well
located
at
your
site,
place
an
"
X"
in
the
box.
The
Federal
regulations
for
owners
or
operators
of
underground
injection
wells
are
found
in
40
CFR
Part
148.

B.
Universal
Waste
Activities:
Refer
to
your
State­
specific
requirements
and
definitions
for
universal
waste.
Refer
to
40
CFR
261.9
and
40
CFR
Part
273
for
the
Federal
regulations
covering
universal
waste.

1.
Large
Quantity
Handler
of
Universal
Waste
(
LQHUW):
You
are
an
LQHUW
if
you
accumulate
a
total
of
5,000
kg
or
more
of
any
universal
wastes
(
calculated
collectively)
at
any
time.
Mark
an
"
X"
in
the
appropriate
box(
es)
to
indicate
the
type(
s)
of
universal
wastes
you
generate
and/
or
accumulate
at
your
site.
If
your
State
has
additional
universal
wastes,
indicate
what
they
are
and
mark
an
"
X"
in
the
corresponding
box(
es).

2.
Destination
Facility:
Mark
an
"
X"
in
the
box
if
you
treat,
dispose
of,
or
recycle
universal
wastes
on
site.
A
hazardous
waste
permit
is
required
if
you
treat
or
dispose
of
universal
wastes;
a
permit
may
be
required
if
you
recycle
universal
wastes.
SITE
ID
FORM
(
Continued)

16
N
NOTE:
If
your
site,
in
addition
to
being
a
destination
facility
for
universal
wastes,
is
also
a
treatment,
storage,
or
disposal
facility
for
other
RCRA
hazardous
wastes,
check
both
this
box
and
Box
A.
3.
above.
In
addition,
if
your
site
recycles
other
RCRA
hazardous
wastes,
check
both
this
box
and
Box.
A.
4.
above.

C.
Used
Oil
Activities:
Mark
an
"
X"
in
the
appropriate
box(
es)
to
indicate
which
used
oil
management
activities
are
taking
place
at
this
site.
The
Federal
regulations
for
used
oil
management
are
found
in
40
CFR
Part
279.

1.
Used
Oil
Transporter:
If
you
transport
used
oil
and/
or
own
or
operate
a
used
oil
transfer
facility,
place
an
"
X"
in
the
appropriate
box(
es)
to
indicate
this
used
oil
management
activity.

2.
Used
Oil
Processor/
Re­
Refiner:
If
you
process
and/
or
re­
refine
used
oil,
place
an
"
X"
in
the
appropriate
box(
es)
to
indicate
this
used
oil
management
activity.

3.
Off­
Specification
Used
Oil
Burner:
If
you
burn
off­
specification
used
oil
fuel,
place
an
"
X"
in
the
box
to
indicate
this
used
oil
management
activity.

4.
Used
Oil
Fuel
Marketer:
If
you
market
off­
specification
used
oil
directly
to
a
burner,
mark
an
"
X"
in
Box
4.
a.
If
you
are
the
first
to
claim
the
used
oil
meets
the
used
oil
specification
established
in
40
CFR
279.11,
mark
an
"
X"
in
Box
4.
b.
If
either
of
these
boxes
is
marked,
you
also
must
notify
(
or
have
previously
notified)
as
a
used
oil
transporter,
used
oil
processor/
rerefiner
or
off­
specification
used
oil
fuel
burner,
unless
you
are
a
used
oil
generator.
(
Used
oil
generators
are
not
required
to
notify.)

N
NOTE:
A
subsequent
notification
is
required
when
the
type
of
regulated
waste
activity
changes.

Item
11
­­
Description
of
Hazardous
Wastes:

(
Only
persons
involved
in
hazardous
waste
activities
need
to
complete
this
item.
Hazardous
waste
transporters
requesting
an
EPA
Identification
Number
do
not
need
to
complete
this
item,
but
must
sign
the
"
Certification"
in
Item
13.)

You
will
need
to
refer
to
40
CFR
Part
261
in
order
to
complete
this
item.
Part
261
identifies
those
solid
wastes
which
the
EPA
defines
as
hazardous
and
regulates
under
RCRA.
If
you
need
help
completing
this
section,
please
contact
the
appropriate
State
personnel.

A.
Federally
Regulated
Hazardous
Wastes:
If
you
handle
hazardous
wastes
that
are
described
in
40
CFR
Part
261,
enter
the
appropriate
4­
digit
code(
s)
in
the
box(
es)
provided.

N
NOTE:
If
you
handle
more
hazardous
wastes
than
will
fit
under
Item
11.
A.,
please
continue
listing
the
hazardous
waste
codes
on
an
extra
sheet.
Attach
any
additional
sheets
to
the
Site
Identification
Form
before
mailing
it
to
the
appropriate
EPA
Regional
or
State
Office.
SITE
ID
FORM
(
Continued)

17
B.
State­
Regulated
Hazardous
Wastes:
If
you
manage
State­
regulated
hazardous
wastes
that
have
a
waste
code,
enter
the
appropriate
code(
s)
in
the
box(
es)
provided.

Item
12
­­
Comments:

Use
this
space
to
provide
any
additional
information
and
attach
additional
sheets,
if
necessary.

N
NOTE:
If
you
are
submitting
the
form
for
any
reason(
s)
in
addition
to
"
As
a
component
of
the
Hazardous
Waste
Report,"
you
must
complete
Items
10,
11,
and
12.
In
Item
10,
a
checked
box
means
your
site
is
currently
conducting
the
activity.
An
unchecked
box
means
your
site
does
not
conduct
or
no
longer
conducts
the
activity.

Item
13
­­
Certification:

(
This
item
must
be
completed
for
the
Hazardous
Waste
Report.)

This
certification
must
be
signed
by
owner(
s),
operator(
s),
or
authorized
representative(
s)
of
the
site.
An
"
authorized
representative"
is
a
person
responsible
for
the
overall
operation
of
the
site
(
i.
e.,
a
plant
manager
or
superintendent,
or
a
person
of
equal
responsibility).

N
NOTE:
All
Site
ID
Form
submissions
must
include
this
certification
to
be
complete.
18
THIS
PAGE
INTENTIONALLY
LEFT
BLANK
19
INSTRUCTIONS
FOR
FILLING
OUT
FORM
GM
 
WASTE
GENERATION
AND
MANAGEMENT
WHO
MUST
SUBMIT
THIS
FORM
A
site
required
to
file
the
2001
Hazardous
Waste
Report
must
submit
Form
GM
if
the
site
generated
RCRA
hazardous
waste
that,
in
2001,
was
accumulated
on
site;
managed
on
site
in
a
treatment,
storage,
or
disposal
unit;
and/
or
shipped
off
site
for
management,
consistent
with
the
criteria
below.
[
See
WASTES
TO
BE
REPORTED,
below,
for
specific
instructions
on
generated
RCRA
hazardous
wastes
that
should
be
reported
on
Form
GM.
See
WASTES
NOT
TO
BE
REPORTED,
below,
for
any
exclusions
or
exemptions
from
Form
GM
reporting
requirements
under
the
2001
Hazardous
Waste
Report.]

PURPOSE
OF
THIS
FORM
Form
GM
is
for
reporting
on­
site
hazardous
waste
generation
and
management
in
2001.
Form
GM
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
Form
GM
for
each
generated
RCRA
hazardous
waste
that
should
be
reported,
consistent
with
the
criteria
discussed
below.
Prior
to
photocopying,
place
the
pre­
printed
site
identification
label
in
the
top
left­
hand
corner
of
the
form
or,
if
you
did
not
receive
pre­
printed
labels,
enter
the
site
name
and
EPA
Identification
Number
in
this
space.

Use
the
Comments
section
at
the
end
of
the
form
to
clarify
any
entry
(
e.
g.,
"
Other"
responses)
or
to
continue
any
entry.
When
entering
information
in
the
Comments
section,
cross­
reference
the
section
number
and
box
letter
to
which
the
comment
refers.

N
NOTE:
Refer
to
the
Special
Instructions
beginning
on
page
49
for
reporting
lab
packs,
asbestos,
PCBs,
waste
oils,
groundwater
contaminated
by
leachate,
and
RCRA­
radioactive
mixed
wastes.

Examples
of
how
to
fill
out
the
form
are
provided
in
Appendix
A.

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
Form
GM.
[
See
WASTES
NOT
TO
BE
REPORTED,
below,
for
any
exclusions
or
exemptions
from
Form
GM
reporting
requirements
under
the
2001
Hazardous
Waste
Report.]

A
Form
GM
must
be
submitted
for
each
generated
RCRA
hazardous
waste
at
either
the
waste­
generating
process
level,
manifest
shipment
level,
or
cumulative
waste
code
level.
[
See
HOW
TO
COMBINE
AND
REPORT
SIMILAR
WASTES
ON
ONE
FORM
GM,
below,
for
a
description
of
these
reporting
levels.]
Hazardous
waste
must
be
reported
if
it
was:

#
Generated
and
accumulated
on
site
and
subsequently
managed
on
site
or
shipped
off
site
in
2001;
or
#
Generated
and
accumulated
on
site
in
2001
but
not
managed
on
site
or
shipped
off
site
until
after
2001;
or
FORM
GM
(
Continued)

20
#
Generated
and
accumulated
on
site
prior
to
2001
but
either
managed
on
site
or
shipped
off
site
in
2001;
or
#
Imported
from
a
foreign
country
in
2001.

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
(
Form
WR))
and
subsequently
shipped
off
site
without
being
treated
or
recycled
on
site;

#
Removed
from
on­
site
storage;

#
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).

Radioactive
wastes
mixed
with
RCRA
hazardous
wastes
should
also
be
reported,
as
well
as
hazardous
wastes
regulated
only
by
your
State
(
if
required
by
your
State).

WASTES
NOT
TO
BE
REPORTED
RCRA
hazardous
wastes
exported
directly
to
a
foreign
country
should
not
be
reported
on
Form
GM.
Rather,
hazardous
waste
exports
should
be
reported
on
the
Annual
Report
required
under
40
CFR
262.56.

In
addition,
materials
and
wastes
identified
at
40
CFR
261.4(
a)
and
(
b)
and
261.5(
c)
should
not
be
reported
on
Form
GM.
Section
261.4(
a)
and
(
b)
identify
materials
and
solid
wastes
that
do
not
qualify
as
solid
or
hazardous
wastes,
respectively.
Section
261.5(
c)
identifies
hazardous
wastes
that
should
not
be
included
in
a
site's
generator
status
determination,
even
if
these
hazardous
wastes
were
generated
at
the
site.

Following
are
the
materials
and
wastes
addressed
under
40
CFR
261.4(
a)
and
(
b)
and
261.5(
c),
which
should
not
be
reported
on
Form
GM:

#
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
the
toxicity
characteristic
(
Waste
Codes
D018
through
D043
only)
and
are
subject
to
the
corrective
action
regulations
under
40
CFR
Part
280.
(
40
CFR
261.4(
b))

#
Waste
exempt
from
regulation
because
the
waste
has
not
exited
the
raw
material
storage
or
production
unit
yet,
as
specified
in
261.4(
c).
(
40
CFR
261.5(
c)(
1))

#
Hazardous
waste
that
has
been
collected
as
a
sample(
s)
for
the
purpose
of
determining
its
characteristic
or
composition,
as
specified
in
261.4(
d).
(
40
CFR
261.5(
c)(
1))

#
Sample(
s)
undergoing
treatability
studies,
as
specified
in
261.4(
e).
(
40
CFR
261.5(
c)(
1))
FORM
GM
(
Continued)

21
#
Sample(
s)
undergoing
treatability
studies
at
the
laboratory
or
testing
facility,
as
specified
in
261.4(
f).
(
40
CFR
261.5(
c)(
1))

#
Hazardous
waste
that
is
a
specified
recyclable
material
such
as
ethyl
alcohol
or
scrap
metal,
as
specified
in
261.6(
a)(
3).
(
40
CFR
261.5(
c)(
1))

#
A
residue
of
hazardous
waste
in
an
empty
container
or
in
an
inner
liner
removed
from
an
empty
container,
as
specified
in
261.7(
a)(
1).
(
40
CFR
261.5(
c)(
1))

#
PCB
wastes
regulated
under
the
Toxic
Substance
Control
Act,
as
specified
in
261.8,
unless
mixed
with
a
hazardous
waste.
(
40
CFR
261.5(
c)(
1))

#
Wastes
managed
immediately
upon
generation
only
in
on­
site
elementary
neutralization
units,
wastewater
treatment
units,
or
totally
enclosed
treatment
facilities
as
defined
in
40
CFR
260.10.
(
40
CFR
261.5(
c)(
2))
Any
hazardous
waste
residues
generated
from
these
units,
however,
must
be
reported
on
Form
GM.

#
Wastes
recycled,
without
prior
storage,
only
in
an
on­
site
process
subject
to
regulation
under
40
CFR
261.6(
c)(
2).
(
40
CFR
261.5(
c)(
3))

#
Used
oil
that
is
recycled
and
is
also
a
hazardous
waste
solely
because
it
exhibits
a
hazardous
waste
characteristic
and
is
managed
under
40
CFR
Part
279.
(
40
CFR
261.5(
c)(
4))

#
Spent
lead­
acid
batteries
managed
under
the
requirements
of
40
CFR
Part
266,
Subpart
G,
which
includes
persons
who
reclaim
spent
lead­
acid
batteries
that
are
recyclable
materials;
persons
who
generate,
transport,
or
collect
spent
batteries;
persons
who
regenerate
spent
batteries;
or
persons
who
store
them
(
other
than
spent
batteries
that
are
to
be
regenerated).
(
40
CFR
261.5(
c)(
5))
Any
hazardous
wastes
generated
during
battery
reclamation,
however,
must
be
reported
on
Form
GM.

#
Universal
wastes
managed
under
40
CFR
261.9
and
40
CFR
Part
273.
(
40
CFR
261.5(
c)(
6))

HOW
TO
COMBINE
AND
REPORT
SIMILAR
WASTES
ON
ONE
FORM
GM
A
Form
GM
should
be
completed
for
each
generated
RCRA
hazardous
waste
at
either
the
waste­
generating
process
level,
manifest
shipment
level,
or
cumulative
waste
code
level.
Each
of
these
levels
defines
how
similar
hazardous
wastes
may
be
combined
and
reported
on
one
Form
GM.
When
completing
a
Form
GM
at
the:

#
Waste­
Generating
Process
Level,
a
site
may
combine
one
or
more
RCRA
hazardous
wastes
at
the
point
where
the
wastes
are
generated
(
i.
e.,
hazardous
wastes
with
the
same
Source
code),
including
process
wastes
and
treatment
residues.

#
Manifest
Shipment
Level,
a
site
may
combine
one
or
more
RCRA
hazardous
wastes
shipped
off
site
under
the
same
hazardous
waste
manifest
(
i.
e.,
hazardous
wastes
with
one
or
more
Source
code(
s)
that
may
be
aggregated
and
shipped
together).

#
Cumulative
Waste
Code
Level,
a
site
may
combine
each
distinct
RCRA
hazardous
waste
(
i.
e.,
hazardous
waste
streams
with
the
same
hazardous
waste
code
or
the
same
group
of
hazardous
waste
codes
with
one
or
more
Source
code(
s))
generated
across
the
entire
site.
FORM
GM
(
Continued)

22
When
combining
and
reporting
similar
hazardous
wastes
on
one
Form
GM,
please
report
the
predominant
Source
code
(
i.
e.,
the
Source
code
representing
the
majority
of
the
waste
(
by
volume
or
weight)
being
combined
and
reported
on
one
Form
GM)
in
Section
1,
Box
D.

N
NOTE:
Individual
States
may
have
preferences
for
reporting
at
the
waste­
generating
process
level,
manifest
shipment
level,
or
cumulative
waste
code
level.
Please
contact
your
State
if
you
are
unsure
how
to
combine
and
report
similar
hazardous
wastes
on
one
Form
GM.

ITEM­
BY­
ITEM
INSTRUCTIONS
Section
1:
Waste
Characteristics
Section
1
requests
information
on
each
RCRA
hazardous
waste
that,
in
2001,
was
generated
and
accumulated
on
site;
managed
on
site;
and/
or
shipped
off
site.

Boxes
B,
D,
F
(
if
applicable),
G,
and
H
must
be
filled
out.
The
remaining
boxes
request
non­
mandatory
information.

Box
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.

Box
B:
EPA
hazardous
waste
code
Enter
the
four­
character
EPA
hazardous
waste
code(
s)
that
applies
to
the
waste
reported
in
Box
A.
EPA
hazardous
waste
codes
are
listed
beginning
on
page
53.
If
you
need
room
for
additional
codes,
list
the
codes
in
the
Comments
section
and
cross­
reference
Section
1,
Box
B.
If
fewer
than
five
EPA
hazardous
waste
codes
are
applicable,
enter
"
NA"
in
the
remaining
spaces.
If
the
waste
is
regulated
only
by
your
State,
enter
"
NA"
in
Box
B
and
report
the
State
hazardous
waste
codes
in
Box
C.


EPA
Hazardous
Waste
Codes,
page
53.

Box
C:
State
hazardous
waste
code
Enter
the
State
hazardous
waste
code(
s)
that
applies
to
the
waste
reported
in
Box
A,
if:

#
Your
State
regulates
hazardous
wastes
not
regulated
as
RCRA
hazardous
wastes,
and
requires
these
wastes
to
be
reported
in
the
2001
Hazardous
Waste
Report;
or
#
Your
State
uses
a
hazardous
waste
code
system
other
than
the
EPA
hazardous
waste
codes
listed
on
pages
53
through
76
of
this
booklet
that
applies
to
the
waste
described
in
Box
A.

Otherwise,
leave
Box
C
blank.
If
you
need
space
for
additional
State
hazardous
waste
codes,
list
the
codes
in
the
Comments
section
and
cross­
reference
Section
1,
Box
C.
FORM
GM
(
Continued)

23
Box
D:
Source
and
Management
Method
code
Enter
the
Source
code
that
best
describes
how
the
hazardous
waste
reported
in
Box
A
originated.
If
the
hazardous
waste
was
mixed
with
other
non­
hazardous
materials,
report
the
Source
code
for
only
the
hazardous
waste
portion.


Source
codes,
page
77.
For
the
2001
Hazardous
Waste
Report,
the
Source
codes
were
consolidated,
regrouped
and
merged
with
the
previous
Origin
codes
to
provide
a
simpler
coding
structure.
Origin
codes
have
been
eliminated
altogether
since
they
are
implied
by
the
Source
code.

For
Source
code
G25,
you
also
need
to
provide
the
Management
Method
code.
Source
code
G25
indicates
that
this
waste
was
generated
from
a
hazardous
waste
management
system
described
on
a
separate
Form
GM
or
Form
WR.
Enter
the
same
Management
Method
code
that
is
listed
on
the
matching
Form
GM
­
Section
2,
or
on
the
matching
Form
WR
­
Box
I,
linking
this
waste
with
the
on­
site
process
that
created
it.

L
Provide
the
Management
Method
code,
if
you
selected
Source
code
G25.

Box
E:
Form
code
Review
the
Form
codes
beginning
on
page
79
and
enter
the
code
that
best
corresponds
to
the
physical
form
or
chemical
composition
of
the
hazardous
waste
reported
in
Box
A.
Note:
The
Form
codes
have
been
revised
to
provide
a
simpler
coding
structure.


Form
codes,
page
79.

Box
F:
RCRA
radioactive
mixed
Check
the
box
if
this
waste
was
radioactive
mixed
waste.

N
NOTE:
If
source,
special
nuclear,
or
by­
product
material
(
see
Definitions
section
beginning
on
page
39)
as
defined
by
the
Atomic
Energy
Act
of
1954,
as
amended,
is
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
2001
Hazardous
Waste
Report.

Box
G:
Quantity
generated
in
2001
Enter
the
total
quantity
of
the
hazardous
waste
described
in
Box
A
that
was
generated
during
2001.
Right
justify
the
quantity
entry.
Report
the
UOM
and
density
for
this
quantity
in
Box
H.

Box
H:
UOM
and
Density
Enter
the
unit
of
measure
(
UOM)
code
for
the
quantity
you
reported
in
Box
G.
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.
FORM
GM
(
Continued)

24
Weight
and
Volume
Conversions
1
kilogram
(
kg)
=
2.2046
pounds
(
lb)
1
short
ton
=
2,000
lb
1
metric
tonne
=
1,000
kg
1
metric
tonne
=
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)
Code
Unit
of
Measure
1
Pounds
2
Short
tons
(
2,000
pounds)
3
Kilograms
4
Metric
tonnes
(
1,000
kilograms)
5
Gallons
6
Liters
7
Cubic
yards
L
Skip
to
Section
2
if
you
selected
code
1,
2,
3,
or
4.
Continue
to
Density
if
you
selected
code
5,
6,
or
7.

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

Section
2:
On­
site
Generation
and
Management
of
Hazardous
Waste
During
2001
This
section
is
mandatory.
For
each
on­
site
RCRA­
regulated
management
system,
you
must
report
the
Management
Method
and
quantity
treated,
disposed,
or
recycled
on
site
during
2001.

Was
any
of
this
waste
managed
on
site?
Check
"
Yes"
or
"
No"
to
indicate
if
the
site
did
any
of
the
following
to
the
waste
reported
in
Box
A:
treat
on
site;
dispose
on
site;
recycle
on
site.
If
you
checked
"
Yes,"
complete
the
blocks
for
On­
site
Process
Systems
below.
Check
"
No"
if
you
entered
G62
in
Section
1,
Box
D
­
Source
code,
to
indicate
hazardous
waste
received
from
a
foreign
country.

L
Skip
to
Section
3
if
you
checked
"
No."
Continue
to
On­
site
Process
System
1
if
you
checked
"
Yes."

On­
site
Process
Systems
1
and
2:

On­
site
Management
Method
Classify
the
process
system
(
see
definition
on
page
43)
with
a
Management
Method
code
that
best
identifies
the
final
substantive
purpose/
operation
it
performs.
Space
is
provided
to
report
up
to
two
different
Management
Methods.
If
you
did
not
use
a
second
on­
site
process
system
to
manage
the
waste,
enter
"
NA"
in
the
space
for
reporting
the
Management
Method
code
under
On­
site
Process
System
2.


Management
Method
codes,
page
81.
FORM
GM
(
Continued)

25
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
2001.
Use
the
second
onsite
process
system
only
when:

#
A
waste
is
managed
in
one
process
system
for
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).

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
Form
GM,
leaving
blank
all
entries
except
Section
2
for
on­
site
process
systems.
Note
in
the
Comments
section
of
each
page:
"
Sec.
2,
on­
site
process
system
type
continued
on
supplemental
page."
(
Refer
to
page
6
for
instructions
on
page
numbering
of
supplemental
pages.)

The
space
provided
for
the
second
on­
site
process
system
should
not
be
used
to
report
the
following:

#
The
on­
site
management
of
the
treatment
residual
generated
from
management
of
the
waste
by
the
first
Management
Method
(
on­
site
management
of
treatment
residuals
should
be
reported
on
a
separate
Form
GM);
or
#
To
report
treatment
in
a
series
of
process
units
(
see
definition
on
page
43).
Report
only
process
systems,
not
process
units.

Quantity
treated,
disposed,
or
recycled
on
site
in
2001
Enter
the
quantity
of
hazardous
waste
described
in
Section
1
that
was
treated,
disposed,
or
recycled
by
the
reported
on­
site
process
management
method
during
2001.
Enter
the
quantity
in
the
same
unit
of
measure
reported
in
Section
1,
Box
H.

Example:
A
firm
generated
100
tons
of
F002
solvent
waste
in
2001.
Eighty
(
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
for
distillation
(
H020)
and
a
quantity
of
80
tons.
Under
On­
site
Process
System
2,
the
site
enters
the
Management
Method
code
for
energy
recovery
of
liquids
(
H050)
and
a
quantity
of
20
tons.
The
5
tons
of
still
bottoms
should
be
reported
on
a
separate
Form
GM.

Section
3:
Off­
site
Shipment
of
Hazardous
Waste
This
section
requests
information
on
the
off­
site
shipment
of
hazardous
waste.
Boxes
B
and
D
are
mandatory
for
such
off­
site
shipment.
The
remaining
boxes
request
non­
mandatory
information.
Do
report
shipments
of
previously
generated
hazardous
wastes
stored
until
2001.
Do
report
waste
shipped
via
transfer
facility.
Do
not
report
shipments
of
decharacterized
wastes.

Space
is
provided
to
report
shipments
of
the
waste
to
three
different
off­
site
facilities.
If
the
waste
you
reported
in
Section
1
was
shipped
to
more
than
three
off­
site
facilities
during
2001,
you
need
not
complete
the
entire
form
again.
Simply
attach
a
second
copy
of
Form
GM,
leaving
blank
all
entries
except
Section
3,
Boxes
B,
C,
and
D.
Note
in
the
Comments
section
of
each
page:
"
Sec.
3,
Box
B
continued
on
supplemental
page."
(
Refer
to
page
6
for
instructions
on
page
numbering
of
supplemental
pages.)
FORM
GM
(
Continued)

26
Box
A:
Was
any
of
this
waste
shipped
off
site
in
2001
for
treatment,
disposal,
or
recycling?
Check
"
Yes"
or
"
No"
to
indicate
if
any
of
the
waste
described
in
Section
1
was
shipped
off
site
for
treatment,
disposal,
or
recycling
during
2001.
While
responding
to
Box
A
is
not
mandatory,
providing
certain
information
for
waste
shipped
off
site
is
required.

L
This
Form
GM
is
complete
if
you
checked
"
No"
in
Box
A.
Continue
to
Box
B
if
you
checked
"
Yes"
in
Box
A.

Box
B:
EPA
ID
No.
of
facility
to
which
waste
was
shipped
Enter
the
12­
digit
EPA
Identification
Number
of
the
facility
to
which
the
waste
was
shipped.
DO
NOT
create
a
GM
Form
for
hazardous
waste
shipped
directly
to
a
foreign
country
from
this
site.
You
must
complete
an
Annual
Report
as
required
under
40
CFR
262.56,
no
later
than
March
1
of
each
year.

Box
C:
Off­
site
Management
Method
code
shipped
to
Review
the
Management
Method
codes
beginning
on
page
81.
Enter
the
Management
Method
code
that
best
describes
the
way
in
which
the
waste
was
managed
at
the
initial
receiving
facility
reported
in
Box
B.


Management
Method
codes,
page
81.

Box
D:
Total
quantity
shipped
in
2001
Enter
the
total
quantity
of
the
waste
shipped
to
the
off­
site
facility
during
2001.
Report
the
quantity
in
the
same
unit
of
measure
entered
in
Section
1,
Box
H.
Shipment
quantities
should
equal
the
total
quantity
recorded
on
Uniform
Hazardous
Waste
Manifests
for
this
site
during
2001,
unless
there
were
rejections
or
other
complications.
The
quantity
shipped
may
not
necessarily
equal
the
quantity
generated
(
e.
g.,
because
some
waste
is
accumulated
on
site).
27
INSTRUCTIONS
FOR
FILLING
OUT
FORM
WR
 
WASTE
RECEIVED
FROM
OFF
SITE
WHO
MUST
SUBMIT
THIS
FORM
A
site
required
to
file
the
2001
Hazardous
Waste
Report
must
submit
this
form
if,
during
2001,
it
received
RCRA
hazardous
waste
from
off
site.

Examples
of
how
to
fill
out
the
form
are
provided
in
Appendix
A.

PURPOSE
OF
THIS
FORM
Form
WR
identifies
hazardous
wastes
that
were
received
from
other
hazardous
waste
sites
and
the
method(
s)
used
to
manage
them.
Form
WR
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
offsite
source
during
2001
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
2001,
photocopy
and
fill
out
additional
copies
of
this
form.
Prior
to
photocopying,
place
the
pre­
printed
site
identification
label
in
the
top
left­
hand
corner
of
the
form
or,
if
you
did
not
receive
pre­
printed
labels,
enter
the
site
name
and
EPA
Identification
Number
in
the
space
provided.

Use
the
Comments
section
at
the
end
of
the
form
to
clarify
any
entry
(
e.
g.,
"
Other"
responses)
or
to
continue
any
entry.
When
entering
information
in
the
Comments
section,
cross­
reference
the
waste
block
and
box
letter
to
which
the
comment
refers.

ITEM­
BY­
ITEM
INSTRUCTIONS
For
each
waste
reported,
Boxes
B,
D,
E,
F,
and
I
must
be
filled
out,
along
with
Box
H,
if
applicable.

Box
A:
Description
of
hazardous
waste
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
used
as
a
degreaser
in
tool
production;
mixture
of
mineral
spirits
and
kerosene."

In
the
example,
note
that
the
general
type
(
spent
solvent),
source
(
degreaser
in
tool
production),
type
of
hazard
(
ignitability),
and
generic
chemical
names
(
mineral
spirits
and
kerosene)
have
all
been
cited.
FORM
WR
(
Continued)

28
Box
B:
EPA
hazardous
waste
code
Enter
the
EPA
hazardous
waste
code(
s)
that
applies
to
the
waste
reported
in
Box
A.
If
you
need
room
for
additional
codes,
list
the
codes
in
the
Comments
section
and
cross­
reference
the
applicable
waste
block
number
(
e.
g.,
Waste
1)
and
Box
B.
If
fewer
than
four
EPA
hazardous
waste
codes
are
applicable,
enter
"
NA"
in
the
remaining
spaces.
If
the
waste
is
regulated
only
by
your
State,
enter
"
NA"
in
Box
B
and
report
the
State
hazardous
waste
codes
in
Box
C.


EPA
Hazardous
Waste
Codes,
page
53.

Box
C:
State
hazardous
waste
code
Enter
the
State
hazardous
waste
code(
s)
that
applies
to
the
waste
reported
in
Box
A,
if:

#
Your
State
regulates
hazardous
wastes
not
regulated
as
RCRA
hazardous
wastes,
and
requires
these
wastes
to
be
reported
in
the
2001
Hazardous
Waste
Report;
or
#
Your
State
uses
a
hazardous
waste
code
system
other
than
the
EPA
hazardous
waste
codes
listed
on
pages
53
through
76
of
this
booklet
that
applies
to
the
waste
described
in
Box
A.

Otherwise,
leave
Box
C
blank.
If
you
need
space
for
additional
State
hazardous
waste
codes,
list
the
codes
in
the
Comments
section
and
cross­
reference
the
applicable
waste
block
number
(
e.
g.,
Waste
1)
and
Box
C.

Box
D:
Off­
site
handler
EPA
ID
number
Enter
the
12­
digit
EPA
Identification
Number
of
the
off­
site
handler
from
which
the
waste
was
received.
If
the
site
does
not
have
an
EPA
Identification
Number,
it
may
be
a
CESQG
or
foreign
country.
Refer
to
the
Special
Instructions
in
this
booklet
for
instructions
on
how
to
complete
Box
D
for
these
off­
site
handlers.

If
the
waste
reported
under
Waste
2
is
received
from
the
same
off­
site
handler
as
the
waste
reported
under
Waste
1,
check
the
box
to
indicate
that
the
EPA
ID
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,
check
the
box
to
indicate
that
the
EPA
ID
number
is
the
same
as
the
one
reported
under
Waste
2.

N
NOTE:
Refer
to
the
Special
Instructions
beginning
on
page
49
for
reporting
wastes
received
from
CESQGs
and
from
foreign
countries.

Box
E:
Quantity
received
in
2001
Report
the
total
quantity
of
the
hazardous
waste
reported
in
Box
A
that
was
received
from
the
off­
site
handler
reported
in
Box
D
during
2001.
If
more
than
one
shipment
of
this
waste
was
received
from
the
same
off­
site
handler,
add
the
quantities
and
report
only
the
sum.
Report
the
unit
of
measure
and
density
in
Box
F.

Box
F:
UOM
and
Density
Enter
the
unit
of
measure
(
UOM)
code
for
the
quantity
you
reported
in
Box
E.
Report
quantities
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.
FORM
WR
(
Continued)

29
Code
Unit
of
Measure
1
Pounds
2
Short
tons
(
2,000
pounds)
3
Kilograms
4
Metric
tonnes
(
1,000
kilograms)
5
Gallons
6
Liters
7
Cubic
yards
L
Skip
to
Box
G
if
you
entered
code
1,
2,
3,
or
4.
Continue
to
Density
if
you
entered
code
5,
6,
or
7.

Density
Complete
density
only
if
you
entered
code
5,
6,
or
7
as
a
unit
of
measure.
Provide
the
density
in
either
pounds
per
gallon
(
lbs/
gal)
or
specific
gravity
(
sg)
and
check
the
appropriate
box
to
indicate
which
measure
was
used.

Box
G:
Form
code
Review
the
Form
codes
beginning
on
page
79
and
enter
the
code
that
best
corresponds
to
the
physical
form
or
chemical
composition
of
the
hazardous
waste
reported
in
Box
A.
Note:
The
Form
codes
have
been
revised
to
provide
a
simpler
coding
structure.


Form
codes,
page
79.

Box
H:
RCRA­
radioactive
mixed
Check
the
box
if
this
waste
was
radioactive
mixed
waste.

N
NOTE:
If
source,
special
nuclear,
or
by­
product
material
(
see
Definitions
section
beginning
on
page
39)
as
defined
by
the
Atomic
Energy
Act
of
1954,
as
amended,
is
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
2001
Hazardous
Waste
Report.

Box
I:
Management
Method
code
Enter
the
code
that
describes
the
type
of
process
system
(
see
definition
on
page
43)
in
which
the
waste
was
managed.


Management
Method
codes,
page
81.
30
THIS
PAGE
INTENTIONALLY
LEFT
BLANK
31
2001
Hazardous
Waste
Report
CODE
LISTS
AND
OTHER
REFERENCE
INFORMATION
32
THIS
PAGE
INTENTIONALLY
LEFT
BLANK
33
EXCLUDED
WASTES
This
section
presents
a
partial
list
of
excluded
materials
and
wastes.
This
list
includes
materials
excluded
from
the
definition
of
solid
waste
in
40
CFR
261.4(
a)
and
solid
wastes
excluded
from
the
definition
of
hazardous
waste
in
40
CFR
261.4(
b).
In
addition,
it
also
includes
specific
solid
waste
samples
that
are
excluded
from
the
definition
of
hazardous
waste
in
40
CFR
261.4(
d)­(
f).
Finally,
this
list
includes
specific
hazardous
wastes,
as
described
in
40
CFR
261.4(
c),
that
are
exempted
from
certain
RCRA
Subtitle
C
regulations.

Waste
Category
Waste
Description
Agricultural
Waste
Fertilizer
§
261.4(
b)(
2)
Solid
waste
generated
from
growing
and
harvesting
of
agriculture
crops
or
raising
of
animals
(
including
production
of
manure),
where
the
waste
is
returned
to
the
soil
as
a
fertilizer.

Analytical
Samples
§
261.4(
d)
Samples
of
solid
waste,
water,
soil
,
or
air
that
are
collected
for
the
sole
purpose
of
testing
to
determine
its
characteristics
or
composition
are
not
subject
to
select
parts
of
RCRA
(
Parts
261,
262
 
268,
270,
124,
and
the
Section
3010
notification
requirements)
provided
the
sample
is
transported
and
stored
in
a
manner
consistent
with
§
261.4(
d)

Arsenic
Treated
Wood
and
Wood
Products
§
261.4(
b)(
9)
Solid
waste
consisting
of
discarded
arsenical­
treated
wood
or
wood
products
that
fail
the
Toxicity
Characteristic
for
EPA
hazardous
waste
codes
D004
through
D017,
are
not
considered
hazardous
for
any
other
reason,
and
are
generated
by
persons
who
utilize
the
arsenical­
treated
wood
and
wood
products
for
the
materials'
intended
end
uses.
Also,
spent
wood
preserving
solutions
that
are
reclaimed
and
reused
for
their
original
intended
purpose;
and
wastewaters
from
the
wood
preserving
processes
that
have
been
reclaimed
and
are
used
to
treat
wood.
(
See
also
§
261.4(
a)(
9).)

Cement
Kiln
Dust
§
261.4(
b)(
8)
Cement
kiln
dust
waste,
except
as
provided
by
40
CFR
266.112
for
facilities
that
burn
or
process
hazardous
waste.
Requirements
for
generators
and
managers
of
cement
kiln
dust
(
other
than
cement
kiln
dust
that
is
hazardous
waste
under
section
266.112),
including
reporting
requirements,
are
currently
being
determined
by
the
EPA.
Contact
the
RCRA,
Superfund
&
EPCRA
Hotline
(
see
page
5
for
number)
for
further
guidance.

Coking
By­
products
§
261.4(
a)(
10)
EPA
hazardous
waste
codes
K060,
K087,
K141,
K142,
K143,
K144,
K145,
K147,
and
K148,
and
any
wastes
from
coke
by­
products
processes
that
are
hazardous
only
because
they
exhibit
the
Toxicity
Characteristic
specified
in
40
CFR
261.24
when,
subsequent
to
generation,
these
materials
are
recycled
to
coke
ovens,
to
the
tar
recovery
process
as
a
feedstock
to
produce
coal
tar,
or
mixed
with
coal
tar
prior
to
the
tar's
sale
or
refining.
This
exclusion
is
conditioned
on
there
being
no
land
disposal
of
the
wastes
from
the
point
they
are
generated
to
the
point
they
are
recycled
to
coke
ovens,
tar
recovery,
or
refining
processes,
or
are
mixed
with
coal
tar.

Comparable/
Syngas
Fuels
§
261.4(
a)(
16)
Wastes
that
meet
the
following
comparable/
syngas
fuel
requirements
of
§
261.38
are
not
solid
wastes:
(
a)
Comparable
fuel
specifications
­
The
heating
value
must
exceed
5,000
Btu/
lbs.
(
11,500
J/
g)
­
The
viscosity
must
not
exceed
50
cs,
as­
fired
­
Constituent
levels
must
not
exceed
those
outlined
in
Table
1
of
Section
261.38
(
b)
Synthesis
gas
fuel
specifications
­
The
Btu
value
must
exceed
100
Btu/
Scf
­
Total
halogen
content
must
not
exceed
1
ppmv
­
Total
nitrogen
(
other
than
diatomic
nitrogen)
content
may
not
exceed
300
ppmv
­
Total
hydrogen
sulfide
content
must
not
exceed
200
ppmv
­
Total
content
of
each
Appendix
VIII
constituent
must
not
exceed
1
ppmv
EXCLUDED
WASTES
(
Continued)

Waste
Category
Waste
Description
34
Domestic
Sewage
§
261.4(
a)(
1)
Any
untreated
sanitary
wastes
that
pass
through
a
sewer
system.
Any
mixture
of
domestic
sewage
and
other
wastes
that
passes
through
a
sewer
system
to
a
publicly
owned
treatment
works
(
POTW)
for
treatment.

Dredged
Material
§
261.4(
g)
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).
Refer
to
40
CFR
261.4(
g)(
1)
and
(
2)
for
definitions
of
terms.

Drilling
Fluid
§
261.4(
b)(
5)
A
drilling
fluid,
produced
water,
and
other
waste
associated
with
the
exploration
for
or
the
development
or
production
of
crude
oil,
natural
gas,
or
geothermal
energy.

Excluded
Scrap
Metal
Being
Recycled
§
261.4(
a)(
13)
"
Excluded
scrap
metal"
is
processed
scrap
metal,
unprocessed
home
scrap
metal,
and
unprocessed
prompt
scrap
metal.

Exported
Wastes
Hazardous
waste
that
is
exported
directly
to
a
foreign
country
is
not
to
be
reported
in
this
Hazardous
Waste
Report.
A
primary
exporter
of
hazardous
waste
must
complete
and
submit
an
Annual
Report
to
the
Administrator
no
later
than
March
1
of
each
year,
as
required
under
40
CFR
262.56.

Fossil
Fuel
Emission
Control
Waste
§
261.4(
b)(
4)
Fly
ash
waste,
bottom
ash
waste,
slag
waste,
or
flue
gas
emission
control
waste
generated
primarily
from
the
combustion
of
coal
or
other
fossil
fuels,
except
as
provided
in
40
CFR
266.112
for
facilities
that
burn
or
process
hazardous
waste.

Household
Waste
§
261.4(
b)(
1)(
i)­(
ii)
Household
waste,
including
household
waste
that
has
been
collected,
transported,
stored,
treated,
disposed,
recovered
(
e.
g.,
refuse­
derived
fuel),
or
reused.
"
Household
waste"
means
any
waste
material
(
including
garbage,
trash,
and
sanitary
wastes
in
septic
tanks)
derived
from
households
(
including
single
and
multiple
residences,
hotels
and
motels,
bunkhouses,
ranger
stations,
crew
quarters,
campgrounds,
picnic
grounds,
and
day
use
recreation
areas).

A
resource
recovery
facility
managing
municipal
solid
waste
shall
not
be
deemed
to
be
treating,
storing,
disposing,
or
otherwise
managing
hazardous
wastes
for
the
purposes
of
regulation
under
RCRA
if
that
facility:
(
1)
receives
and
burns
only
household
wastes
(
defined
above)
and
commercial
or
industrial
solid
waste
that
does
not
contain
hazardous
waste;
and
(
2)
does
not
accept
hazardous
wastes
and
the
owner
or
operator
of
the
facility
has
established
contractual
requirements
or
other
appropriate
notification
or
inspection
procedures
to
assure
that
hazardous
wastes
are
neither
received
nor
burned
in
the
facility.

HTMR
Condenser
Residue
§
261.4(
a)(
11)
Non­
wastewater
splash
condenser
dross
residue
from
the
treatment
of
K061
in
high
temperature
metals
recovery
units,
provided
it
is
shipped
in
drums
(
if
shipped)
and
not
land
disposed
before
recovery.

In
situ
Mining
Materials
§
261.4(
a)(
5)
Material
subjected
to
in
situ
mining
techniques
that
is
not
removed
from
the
ground
as
part
of
the
extraction
process.
EXCLUDED
WASTES
(
Continued)

Waste
Category
Waste
Description
35
Irrigation
Return
Flows
§
261.4(
a)(
3)
Irrigation
return
flow.

Kraft
Mill
Steam
Stripper
Condensates
§
261.4(
a)(
15)
Condensates
derived
from
the
overhead
gases
from
kraft
mill
steam
strippers
that
are
used
to
comply
with
40
CFR
63.446(
e)
are
excluded,
but
this
exclusion
applies
only
to
combustion
at
the
mill
generating
the
condensates.

Leachate
§
261.4(
b)(
15)
Leachate
or
gas
condensate
collected
from
landfills
where
certain
solid
wastes
have
been
disposed
are
excluded,
provided
that
the
requirements
outlined
in
§
261.4(
b)(
15)(
i)­(
v)
are
met.
Specifically,
the
solid
wastes
had
to
have
been
disposed
of
prior
to
the
effective
date
of
the
new
listing
for
K169­
K172
(
February
8,
2001),
and
would
have
otherwise
met
one
or
more
of
the
listing
descriptions
if
these
wastes
had
been
generated
after
the
effective
date
of
the
listing.
In
addition,
in
order
to
remain
exempt
from
regulation,
the
leachate
or
gas
condensate
derived
from
these
previously­
disposed
wastes
must
not
be
hazardous
for
any
other
reason,
must
be
discharged
under
307(
b)
or
402
of
the
Clean
Water
Act,
and
must
not
be
managed
in
surface
impoundments
after
February
13,
2001.

Mining
and
Mineral
Process
Wastes
§
261.4(
b)(
7)
Solid
waste
from
the
extraction,
beneficiation,
and
processing
of
ores
and
minerals
(
including
coal,
phosphate
rock,
and
overburden
from
the
mining
of
uranium
ore),
except
as
provided
in
40
CFR
266.112
for
facilities
that
burn
or
process
hazardous
waste.
Details
on
the
specific
wastes
and
activities
excluded
are
provided
in
§
261.4(
b)(
7).

Mining
Overburden
§
261.4(
b)(
3)
Mining
overburden
returned
to
the
mine
site.

Nuclear
Material
§
261.4(
a)(
4)
Source,
special
nuclear,
or
by­
product
material
are
defined
by
the
Atomic
Energy
Act
of
1954,
as
amended,
42
U.
S.
C.
2011
et
seq.:

"
Source
material"
means:
(
1)
uranium,
thorium,
or
any
other
material,
determined
by
the
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"
means:
(
1)
plutonium,
uranium
enriched
in
the
isotope
233
or
in
the
isotope
235,
and
any
other
material
which
the
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.

"
By­
product
material"
means:
(
1)
any
radioactive
material
(
except
special
nuclear
material)
yielded
in
or
made
radioactive
by
exposure
to
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.

N
NOTE:
If
the
material
described
by
the
above
exclusion
is
mixed
with
a
hazardous
waste,
the
material
is
regulated
under
RCRA
as
well
as
under
the
1954
Atomic
Energy
Act
and
is
to
be
reported
in
the
2001
Hazardous
Waste
Report.
EXCLUDED
WASTES
(
Continued)

Waste
Category
Waste
Description
36
Oil
Filters
§
261.4(
b)(
13)
Non­
terne
plated
used
oil
filters
that
are
not
mixed
with
wastes
listed
in
subpart
D
of
40
CFR
Part
261
if
these
oil
filters
have
been
gravity
hot­
drained
using
one
of
the
following
methods:
(
1)
puncturing
the
filter
anti­
drain
back
valve
or
the
filter
dome
end
and
hot­
draining;
(
2)
hot­
draining
and
crushing;
(
3)
dismantling
and
hot­
draining;
or
(
4)
any
other
equivalent
hot­
draining
method
that
will
remove
used
oil.

Petrochemical
Recovered
Oil
§
261.4(
a)(
18)
"
Petrochemical
recovered
oil"
is
oil
that
has
been
reclaimed
from
an
associated
organic
chemical
manufacturing
facility
where
the
oil
is
to
be
inserted
into
the
petroleum
refining
process
(
SIC
code
2911)
along
with
normal
petroleum
refinery
process
streams;
provided
it
(
1)
is
hazardous
only
because
it
exhibits
the
characteristic
of
ignitability
(
as
defined
in
Section
261.21)
and/
or
toxicity
for
benzene
(
Sec.
261.24,
waste
code
D018);
and
(
2)
is
not
placed
on
the
land,
or
speculatively
accumulated
before
being
recycled
into
the
petroleum
refining
process.
An
"
associated
organic
chemical
manufacturing
facility"
is
defined
in
40
CFR
261.4(
a)(
18)(
ii).

Petroleumcontaminated
Media
and
Debris
§
261.4(
b)(
10)
Petroleum­
contaminated
media
and
debris
that
fail
the
Toxicity
Characteristic
in
40
CFR
261.24
for
EPA
hazardous
waste
codes
D018
through
D043
only
and
are
subject
to
the
corrective
action
regulations
under
40
CFR
Part
280.

Petroleum
Refining
§
261.4(
a)(
12)
Oil­
bearing
sludges,
byproducts,
or
spent
materials
that
are
generated
at
a
petroleum
refinery
(
SIC
code
2911)
and
are
inserted
into
the
petroleum
refining
process
are
excluded
unless
the
material
is
placed
on
the
land,
or
speculatively
accumulated
before
being
recycled
are
excluded.
However,
oil­
bearing
hazardous
secondary
materials
generated
elsewhere
in
the
petroleum
industry
(
i.
e.,
from
sources
other
than
petroleum
refineries)
are
not
excluded
under
this
section.

Additionally,
recovered
oil
which
is
oil
that
has
been
reclaimed
from
secondary
materials,
including
wastewater,
generated
from
normal
petroleum
industry
practices,
including
refining,
exploration
and
production,
bulk
storage,
and
transportation
incident
thereto
(
SIC
codes
1311,
1321,
1381,
1382,
1389,
2911,
4612,
4613,
4922,
4923,
4789,
5171,
and
5172)
that
is
inserted
into
the
petroleum
refining
process
is
excluded
unless
the
material
is
placed
on
the
land,
or
speculatively
accumulated
before
being
recycled.

Pulping
Liquor
§
261.4(
a)(
6)
Pulping
liquor
(
i.
e.,
black
liquor)
that
is
reclaimed
in
a
pulping
liquor
recovery
furnace
and
then
reused
in
the
pulping
process,
unless
it
is
accumulated
speculatively
as
defined
in
40
CFR
261.1(
c).

Refrigerants
§
261.4(
b)(
12)
Used
chlorofluorocarbon
refrigerants
from
totally
enclosed
heat
transfer
equipment,
including
mobile
air
conditioning
systems,
mobile
refrigeration,
and
commercial
and
industrial
air
conditioning
and
refrigeration
systems
that
use
chlorofluorocarbons
as
the
heat
transfer
fluid
in
a
refrigeration
cycle,
provided
the
refrigerant
is
reclaimed
for
further
use.

Secondary
Materials
Returned
to
Original
Process
§
261.4(
a)(
8)
Secondary
materials
that
are
reclaimed
and
returned
to
the
original
process
or
processes
in
which
they
were
generated
where
they
are
reused
in
the
production
process
provided:
(
1)
only
tank
storage
is
involved
and
the
entire
process
through
completion
of
reclamation
is
closed
by
being
entirely
connected
with
pipes
or
other
comparable
enclosed
means
of
conveyance;
(
2)
reclamation
does
not
involve
controlled
flame
combustion
(
such
as
occurs
in
boilers,
industrial
furnaces,
or
incinerators);
(
3)
the
secondary
materials
are
never
accumulated
in
such
tanks
for
over
twelve
months
without
being
reclaimed;
and
(
4)
the
EXCLUDED
WASTES
(
Continued)

Waste
Category
Waste
Description
37
reclaimed
material
is
not
used
to
produce
a
fuel
or
to
produce
products
that
are
used
in
a
manner
constituting
disposal.

Secondary
Materials
from
Mineral
Processing
§
261.4(
a)(
17)
This
exclusion
applies
to
secondary
materials
(
e.
g.,
sludges,
by­
products,
and
spent
materials
as
defined
in
Section
261.1)
generated
within
the
primary
mineral
processing
industry
from
which
minerals,
acids,
cyanide,
water,
or
other
values
are
recovered
by
mineral
processing,
provided
that:
the
secondary
material
is
legitimately
recycled
to
recover
minerals,
acids,
cyanide,
water,
or
other
values;
and
certain
other
conditions
specified
in
Section
261.4(
a)(
17)
are
met.

Shredded
Circuit
Boards
Being
Recycled
§
261.4(
a)(
14)
Shredded
circuit
boards
being
recycled
are
excluded,
provided
they
are
stored
in
containers
sufficient
to
prevent
a
release
to
the
environment
prior
to
recovery
and
are
free
of
mercury
switches,
mercury
relays,
and
nickel­
cadmium
batteries
and
lithium
batteries.

Spent
Caustics
from
Petroleum
Refining
§
261.4(
a)(
19)
Spent
caustic
solutions
from
petroleum
refining
liquid
treating
processes
used
as
a
feedstock
to
produce
cresylic
or
naphthenic
acid
are
excluded,
provided
the
materials
are
not
placed
on
the
land
or
accumulated
speculatively
as
defined
in
Section
261.1(
c).

Spent
Wood
Preserving
Solutions
and
Wastewaters
§
261.4(
a)(
9)
These
wastes
are
excluded,
provided
they
are
reused
on
site
at
water
borne
plants
in
the
production
process
for
their
original
intended
purpose
and
are
managed
to
prevent
release
into
the
environment
per
the
conditions
specified
in
Section
261.4(
a)(
9).

Sulfuric
Acid
§
261.4(
a)(
7)
Spent
sulfuric
acid
used
to
produce
virgin
sulfuric
acid,
unless
it
is
accumulated
speculatively
as
defined
in
40
CFR
261.1(
c).

Treatability
Study
Samples
§
261.4(
e)
Samples
generated
or
collected
to
determine
if
a
particular
treatment
method
will
be
effective
on
a
given
waste
and
what
types
of
waste
will
remain
after
treatment
is
completed
are
not
subject
to
certain
regulations
under
RCRA
(
Parts
261­
263,
Section
3010
notification
requirements)
provided
the
generator
complies
with
the
requirements
outlined
in
§
261.4(
e)(
2).

Treatability
Studies
at
Laboratories
and
Testing
Facilities
§
261.4(
f)
Samples
undergoing
treatability
studies
at
laboratories
or
testing
facilities
are
not
subject
to
certain
regulations
under
RCRA
(
Parts
124,
262­
266,
268,
270
and
Section
3010
notification
requirements)
provided
the
laboratory
or
testing
facility
complies
with
the
regulations
outlined
in
§
261.4(
f)(
1)­(
11).

Trivalent
Chromium
Waste
§
261.4(
b)(
6)
Wastes
which
fail
the
test
for
the
Toxicity
Characteristic
because
chromium
is
present
or
are
listed
in
40
CFR
Part
261,
Subpart
D
due
to
the
presence
of
chromium,
which
do
not
fail
the
test
for
the
Toxicity
Characteristic
for
any
other
constituent
or
are
not
listed
due
to
the
presence
of
any
other
constituent,
and
which
do
not
fail
the
test
for
any
other
characteristic,
if
it
is
shown
by
a
waste
generator
that:
(
1)
the
chromium
in
the
waste
is
exclusively,
or
nearly
exclusively,
trivalent
chromium;
(
2)
the
waste
is
generated
from
an
industrial
process
that
uses
trivalent
chromium
exclusively,
or
nearly
exclusively,
and
the
process
does
not
generate
hexavalent
chromium;
and
(
3)
the
waste
is
typically
and
frequently
managed
in
non­
oxidizing
environments.
Specific
waste
types
that
meet
the
exclusion
are
listed
in
40
CFR
261.4(
b)(
6)(
ii).
EXCLUDED
WASTES
(
Continued)

Waste
Category
Waste
Description
38
Used
Oil
Distillation
Bottoms
§
261.4(
b)(
14)
Used
oil
re­
refining
distillation
bottoms
that
are
used
as
feedstock
to
manufacture
asphalt
products.

Wastes
Generated
in
Storage
Tanks,
Transport
Vehicles,
Pipelines,
or
Manufacturing
Process
Units
§
261.4(
c)
Wastes
generated
in
a
product
or
raw
material
storage
tank,
transport
vehicle,
vessel,
or
pipeline,
or
in
a
manufacturing
process
unit
or
an
associated
non­
waste­
treatmentmanufacturing
unit,
are
not
subject
to
certain
regulations
under
RCRA
until
the
waste
exits
the
unit
in
which
it
was
generated
(
unless
the
unit
is
a
surface
impoundment)
or
it
remains
in
the
unit
more
than
90
days
after
the
unit
is
no
longer
used
for
manufacture,
storage,
or
transportation.

Wastewater
Point
Source
Discharge
§
261.4(
a)(
2)
Industrial
wastewater
discharge
subject
to
regulation
under
section
402
of
the
Clean
Water
Act,
as
amended.
This
exclusion
applies
only
to
the
actual
point
source
discharge.
It
does
not
exclude
industrial
wastewaters
while
they
are
being
collected,
stored,
or
treated
before
discharge,
nor
does
it
exclude
sludges
generated
by
industrial
wastewater
treatment.
39
DEFINITIONS
This
section
contains
definitions
of
terms
helpful
for
completing
the
Hazardous
Waste
Report.
For
terms
defined
in
the
Code
of
Federal
Regulations
(
CFR),
the
appropriate
citation
is
provided.

Accumulation
A
site
that
does
not
hold
RCRA
Interim
Status
or
a
RCRA
permit
may
accumulate
hazardous
waste
for
a
short
period
of
time
before
shipping
it
off
site.
The
waste
must
be
accumulated
in
either
tanks
or
containers;
it
may
not
be
accumulated
in
surface
impoundments.

Generators
of
more
than
1,000
kg
(
2,200
lbs)
of
hazardous
waste
per
month
may
accumulate
their
waste
for
up
to
90
days
before
shipping
it
off
site.
Generators
of
100
kg
(
220
lbs)
to
1,000
kg
(
2,200
lbs)
of
hazardous
waste
per
month
may
accumulate
their
waste
for
up
to
180
days
before
shipping
it
off
site.
If
the
nearest
treatment,
storage,
disposal,
or
recycling
facility
to
which
they
can
send
their
waste
is
more
than
200
miles
away,
they
may
accumulate
their
waste
for
270
days.
See
40
CFR
262.34.

Act
or
RCRA
The
Solid
Waste
Disposal
Act,
as
amended
by
the
Resource
Conservation
and
Recovery
Act
of
1976,
as
amended
by
the
Hazardous
and
Solid
Waste
Amendments
of
1984,
42
U.
S.
C.
Section
6901
et
seq.

Acute
Hazardous
Waste
Any
hazardous
waste
with
an
EPA
hazardous
waste
code
beginning
with
the
letter
"
P"
(
40
CFR
261.33(
e))
or
any
of
the
following
"
F"
codes:
F020,
F021,
F022,
F023,
F026,
and
F027
(
40
CFR
261.31).
These
wastes
are
subject
to
stringent
quantity
standards
for
accumulation
and
generation
(
40
CFR
261.5(
e)).

Authorized
Representative
The
person
responsible
for
the
overall
operation
of
the
site
or
an
operational
unit
(
i.
e.,
part
of
a
site),
e.
g.,
superintendent
or
plant
manager,
or
person
of
equivalent
responsibility.

Authorized
State
A
State
that
has
obtained
authorization
from
the
EPA
to
direct
its
own
RCRA
program.

Boiler
An
enclosed
device
using
controlled
flame
combustion
and
having
the
following
characteristics:

1.
The
unit
has
physical
provisions
for
recovering
and
exporting
energy
in
the
form
of
steam,
heated
fluids,
or
heated
gases;

2.
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);

3.
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;

4.
The
unit
exports
and
utilizes
at
least
75
percent
of
the
recovered
energy,
calculated
on
an
annual
basis
(
excluding
recovered
heat
used
internally
in
the
same
unit,
for
example,
to
preheat
fuel
or
combustion
air
or
drive
fans
or
feedwater
pumps);
or
5.
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.
DEFINITIONS
(
Continued)

40
By­
product
Material
For
purposes
of
the
Hazardous
Waste
Report,
a
by­
product
material
is
(
1)
any
radioactive
material
(
except
special
nuclear
material)
yielded
in
or
made
radioactive
by
exposure
to
the
radiation
incident
to
the
process
of
producing
or
utilizing
special
nuclear
material;
and
(
2)
the
tailings
or
wastes
produced
by
the
extraction
or
concentration
of
uranium
or
thorium
from
any
ore
processed
primarily
for
its
source
material
content
(
defined
in
the
Atomic
Energy
Act
of
1954).

Code
of
Federal
Regulations
(
CFR)
Codification
of
the
general
and
permanent
rules
published
in
the
Federal
Register
by
the
Executive
departments
and
agencies
of
the
Federal
Government.
The
Code
is
divided
into
50
titles
which
represent
broad
areas
subject
to
Federal
regulation.
Each
title
is
divided
into
chapters
that
usually
bear
the
name
of
the
issuing
agency.
Each
chapter
is
further
subdivided
into
parts
covering
specific
regulatory
areas.
The
CFR
title
applicable
for
the
Hazardous
Waste
Report
is
"
40,"
as
in
"
40
CFR
262.34."

Conditionally
Exempt
Small
Quantity
Generator
(
CESQG)
of
Hazardous
Waste
A
generator
that
meets
the
following
criteria:

In
every
month
during
the
year,
the
site
did
all
of
the
following:

1.
Generated
no
more
than
100
kg
(
220
lbs.)
of
RCRA
hazardous
waste
in
a
calendar
month;
and
2.
Generated,
in
a
calendar
month,
or
accumulated
at
any
time,
no
more
than
1
kg
(
2.2
lbs.)
of
acute
hazardous
waste,
and
no
more
than
100
kg
(
220
lbs.)
of
material
from
the
cleanup
of
a
spill
of
acute
hazardous
waste;
and
3.
Accumulated,
at
any
time,
no
more
than
1,000
kg
(
2,200
lbs.)
of
hazardous
waste.

Confidential
Business
Information
(
CBI)
Information
a
facility
does
not
wish
to
make
available
to
the
general
public
for
competitive
business
reasons.
Confidential
Business
Information
(
CBI)
may
be
claimed
for
certain
information
in
your
report.
A
claim
may
be
made
in
accordance
with
40
CFR
Part
2,
Subpart
B.

Delisted
Wastes
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
ground
waters.

Environmental
Protection
Agency
(
EPA)
EPA,
also
called
U.
S.
EPA,
means
the
United
States
Environmental
Protection
Agency.
Some
State
environmental
authorities
may
be
called
the
EPA
also,
as
in
"
Illinois
EPA."
DEFINITIONS
(
Continued)

41
EPA
Identification
(
ID)
Number
The
number
assigned
by
the
EPA
to
each
hazardous
waste
generator,
hazardous
waste
transporter,
and
treatment,
storage,
or
disposal
site;
large
quantity
handler
of
universal
wastes;
used
oil
transporter,
used
oil
processor/
re­
refiner,
offspecification
used
oil
fuel
burner,
and
used
oil
fuel
marketer.

Excluded
Wastes
Wastes
excluded
from
the
definition
of
solid
or
hazardous
waste
under
40
CFR
261.3
and
261.4.
See
page
33
for
a
partial
listing.

Hazardous
Waste
A
hazardous
waste
as
defined
in
40
CFR
261.3.

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.
The
list
of
EPA
hazardous
waste
codes
begins
on
page
53.

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
Transporter
A
person
engaged
in
the
off­
site
transportation
of
hazardous
waste
by
air,
rail,
highway,
or
water.

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.
DEFINITIONS
(
Continued)

42
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.
Owners/
operators
of
new
facilities
cannot
by
definition
qualify
for
interim
status;
rather,
they
need
a
RCRA
permit
prior
to
beginning
construction
of
a
hazardous
waste
management
facility.

Large
Quantity
Generator
(
LQG)
of
Hazardous
Waste
A
generator
that
meets
any
of
the
following
criteria:

1.
Generates,
in
a
calendar
month,
1,000
kg
(
2,200
lbs.)
or
more
of
RCRA
hazardous
waste,
during
one
or
more
months
in
a
year;
or
2.
Generates,
in
a
calendar
month,
or
accumulates
at
any
time,
more
than
1
kg
(
2.2
lbs.)
of
RCRA
acute
hazardous
waste;
or
3.
Generates,
in
a
calendar
month,
or
accumulates
at
any
time,
more
than
100
kg
(
220
lbs.)
of
spill
cleanup
material
contaminated
with
RCRA
acute
hazardous
waste.

Large
Quantity
Handler
of
Universal
Waste
A
universal
waste
handler
(
as
defined
in
40
CFR
273.9)
who
accumulates
a
total
of
5,000
kilograms
or
more
of
universal
wastes
(
batteries,
pesticides,
thermostats,
or
lamps
­
calculated
collectively)
at
any
time.
This
designation
is
retained
through
the
end
of
the
calendar
year
in
which
5,000
kilograms
or
more
of
universal
wastes
are
accumulated.

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
shipped
document
EPA
form
8700­
22
and,
if
necessary,
Form
8700­
22A,
originated
and
signed
by
a
generator
in
accordance
with
the
instructions
included
in
the
appendix
to
40
CFR
Part
262.
The
"
cradle­
to­
grave"
paperwork
must
accompany
a
shipment
of
hazardous
waste
as
it
moves
from
the
generator
to
the
transporter
and
eventually
to
the
hazardous
waste
management
facility.

Mixed
Waste
Waste
that
contains
both
hazardous
and
source,
special
nuclear,
or
by­
product
material
subject
to
the
Atomic
Energy
Act
(
AEA),
RCRA
section
1004(
41),
42
U.
S.
C.
6903
(
63
FR
17414;
April
9,
1998).

Municipality
A
city,
village,
town,
borough,
county,
parish,
district,
association,
Indian
tribe
or
authorized
Indian
tribal
organization,
designated
and
approved
management
agency
under
Section
208
of
the
Clean
Water
Act,
or
any
other
public
body
created
by
or
under
State
law
and
having
jurisdiction
over
disposal
of
sewage,
industrial
wastes,
or
other
wastes.

Off­
site
Facility
A
hazardous
waste
treatment,
storage,
disposal,
or
recycling
area
located
at
a
place
away
from
the
generating
site.
DEFINITIONS
(
Continued)

43
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
site.

Owner
The
person
who
owns
a
site
or
part
of
a
site.

Process
System
For
purposes
of
the
Hazardous
Waste
Report,
a
process
system
refers
to
one
or
more
units
used
together
to
treat,
recover,
or
dispose
of
a
hazardous
waste.
The
process
system
begins
at
the
unit
where
the
hazardous
waste
first
enters
and
consists
of
all
other
treatment,
recovery,
or
disposal
units
downstream
from
the
point
of
entry.
Note
that
storage
is
not
considered
a
process
system,
except
for
storage
at
a
bulking
and
re­
shipping
facility
(
H141).

Classify
each
process
system
with
a
Management
Method
code
that
best
identifies
the
final
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
primary
purpose
of
this
treatment
system
 
to
remove
metals
from
the
wastewater.
If
this
wastewater
treatment
system
is
RCRA­
regulated,
it
would
be
reported
as
H077
(
chemical
precipitation).
If
the
sludge
will
be
disposed
at
the
reporting
site
in
a
landfill,
the
code
will
be
H132
(
landfill)
and
will
need
to
be
reported
on
a
separate
GM
Form
because
it
is
a
residual
from
a
treatment
process.
However,
this
process
is
exempt
if
the
treated
water
flows
to
a
POTW
or
a
NPDES
outfall
with
no
RCRA­
regulated
storage
or
treatment
units
in
the
system,
and
should
not
be
reported.
A
listing
of
Management
Method
codes
begins
on
page
81.

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
on
page
42.
DEFINITIONS
(
Continued)

44
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.

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
materials);
or
(
2)
employed
in
a
particular
function
or
application
as
an
effective
substitute
for
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).

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;
the
storage
of
hazardous
wastes
before
they
are
recycled;
the
accumulation
of
5,000
kg
or
more
of
universal
wastes;
and
the
transportation
(
and
temporary
storage
during
transportation),
processing/
rerefining
burning,
or
marketing
of
used
oil.
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.)

Sludge
Any
solid,
semi­
solid,
or
liquid
waste
generated
from
a
municipal,
commercial,
or
industrial
wastewater
treatment
plant,
water
supply
treatment
plant,
or
air
pollution
control
facility
exclusive
of
the
treated
effluent
from
a
wastewater
treatment
plant
(
40
CFR
260.10).

Small
Quantity
Generator
(
SQG)
of
Hazardous
Waste
A
generator
that
meets
all
the
following
criteria:

1.
Generates,
in
a
calendar
month,
more
than
100
kg
(
220
lbs.)
but
less
than
1,000
kg
(
2,200
lbs.)
of
RCRA
hazardous
waste,
during
one
or
more
months
in
a
year;
and
2.
Generates,
in
a
calendar
month,
or
accumulates
at
any
time,
no
more
than
1
kg
(
2.2
lbs.)
of
acute
hazardous
waste
and
no
more
than
100
kg
(
220
lbs.)
of
material
from
the
cleanup
of
a
spill
of
acute
hazardous
waste.

OR,
your
site
is
a
Small
Quantity
Generator
if
the
site:
DEFINITIONS
(
Continued)

45
1.
Meets
all
other
criteria
for
a
Conditionally
Exempt
Small
Quantity
Generator,
but
2.
Accumulates,
at
any
time,
more
than
1,000
kg
(
2,200
lbs.)
of
hazardous
waste.

Small
Quantity
On­
Site
Burner
Exemption
The
persons
who
burn
small
quantities
of
hazardous
waste
in
an
on­
site
boiler
or
industrial
furnace,
in
accordance
with
40
CFR
266.108,
are
conditionally
exempt
from
regulation
for
that
activity.

Smelting,
Melting,
and
Refining
Furnace
Exemption
Under
40
CFR
266.100(
c),
owners
or
operators
of
smelting,
melting,
and
refining
furnaces
that
process
hazardous
wastes
solely
for
metals
recovery
are
conditionally
exempt
from
regulation,
except
for
40
CFR
266.101
and
266.112,
provided
they
comply
with
limited
requirements
set
forth
in
Section
266.100(
c).
Similarly,
40
CFR
266.100(
f)
provides
that
owners
or
operators
of
smelting,
melting
and
refining
furnaces
that
process
hazardous
wastes
for
the
recovery
of
precious
metals
are
conditionally
exempt
from
regulation,
except
for
40
CFR
266.112,
provided
they
comply
with
limited
requirements
specified
in
Section
266.100(
f).

Solid
Waste
Any
garbage,
refuse,
or
sludge,
or
other
materials
not
excluded
under
40
CFR
261.4(
a).
Exclusions
include,
for
example,
domestic
sewage
and
any
mixture
of
other
wastes
that
pass
through
a
sewer
system
to
a
publicly
owned
treatment
works
(
POTWs);
industrial
wastewater
discharges
that
are
point
source
discharges
subject
to
regulation
under
the
Clean
Water
Act;
irrigation
return
flows;
nuclear
materials
defined
by
the
Atomic
Energy
Act;
and
in
situ
mining
materials
(
see
also
page
33).
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
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
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.

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.
DEFINITIONS
(
Continued)

46
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).

Transfer
Facility
Any
transportation­
related
facility
including
loading
docks,
parking
areas,
storage
areas,
and
other
similar
areas
where
shipments
of
hazardous
waste
are
held
during
the
normal
course
of
transportation
(
40
CFR
260.10).

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
on
page
43.

United
States
Importer
Any
person
who
imports
hazardous
waste
from
a
foreign
country
into
the
United
States.
This
does
not
include
hazardous
waste
shipped
from
a
foreign
Department
of
Defense
site,
Maquiladora,
United
States
territory
or
protectorate.

Universal
Waste
Any
of
the
following
hazardous
wastes
that
are
managed
under
the
universal
waste
requirements
of
40
CFR
Part
273:
batteries,
pesticides,
thermostats,
and
lamps.

Used
Oil
Any
oil
that
has
been
refined
from
crude
oil,
or
any
synthetic
oil,
that
has
been
used,
and
as
a
result
of
such
use,
is
contaminated
by
physical
or
chemical
impurities.

Used
Oil
Fuel
Marketer
Any
person
who
conducts
either
of
the
following
activities:

1.
Directs
a
shipment
of
off­
specification
used
oil
from
their
site
to
an
offspecification
used
oil
burner;
or
2.
First
claims
that
used
oil
that
is
to
be
burned
for
energy
recovery
meets
the
used
oil
fuel
specifications
set
forth
in
40
CFR
279.11.

Used
Oil
Management
Activities
For
the
purposes
of
the
Site
Identification
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
oilderived
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
or
off­
specification
used
oil.

Used
Oil
Re­
Refiner
A
site
that
produces
lubricating
oils
and
greases,
industrial
fuel,
asphalt
extender,
gasoline,
and
other
products
from
on­
or
off­
specification
used
oil.
DEFINITIONS
(
Continued)

47
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.
48
THIS
PAGE
INTENTIONALLY
LEFT
BLANK
49
SPECIAL
INSTRUCTIONS
These
instructions
explain
how
to
complete
the
2001
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))

Lab
packs
The
following
rules
apply
to
the
reporting
of
lab
pack
wastes
in
the
2001
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:

P
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).

P
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
(
see
page
79)
indicating
lab
packs
(
i.
e.,
W001
or
W004)
in
Section
1,
Box
E
of
Form
GM,
or
Box
G
of
Form
WR.
These
Form
codes
are
to
be
used
with
any
lab
pack,
whether
the
wastes
are
gaseous,
liquid,
solid,
or
sludge.

(
3)
It
is
not
necessary
to
report
every
EPA
hazardous
waste
code
included
in
a
batch
of
lab
packs.
Record
one,
or
a
few
predominant,
EPA
hazardous
waste
codes
in
Section
1,
Box
B
of
Form
GM,
or
Box
B
of
Form
WR.
If
there
are
many
EPA
hazardous
waste
codes
associated
with
the
batch
of
lab
packs,
enter
"
LABP"
in
the
first
four­
character
field
in
Section
1,
Box
B
of
Form
GM,
or
Box
B
of
Form
WR;
then
enter
"
NA"
in
the
remaining
spaces
for
the
EPA
hazardous
waste
codes.
SPECIAL
INSTRUCTIONS
(
Continued)

50
(
4)
When
reporting
quantities
for
lab
packs:

P
Include
the
weight
of
the
containers
if
they
are
disposed
(
e.
g.,
landfilled)
or
treated
(
e.
g.,
incinerated)
with
the
waste.

P
Exclude
the
weight
of
the
containers
if
the
waste
is
removed
from
the
containers
before
treatment
or
disposal.

Groundwater
contaminated
by
leachate
Groundwater
contaminated
by
RCRA
hazardous
waste
leachate
is
not
considered
a
solid
waste
and
is,
therefore,
not
classified
as
a
hazardous
waste.
However,
because
hazardous
waste
is
"
contained
in"
the
groundwater,
it
must
be
treated
"
as
if"
it
were
a
RCRA
hazardous
waste.
When
reporting
groundwater
contaminated
by
leachate
in
the
2001
Hazardous
Waste
Report,
observe
the
following
conventions:

(
1)
Do
not
report
generation
quantities
for
contaminated
groundwater.
Enter
"
NA"
in
Form
GM,
Section
1,
Box
G.
Explain
in
the
Comments
section
that
it
is
groundwater,
not
a
hazardous
waste,
that
was
generated
on
site.

(
2)
Do
report
quantities
managed
on
site
(
Form
GM,
Section
2,
On­
site
Process
Systems
1
and
2);
quantities
shipped
off
site
for
management
(
Form
GM,
Section
3);
and
quantities
received
from
off
site
and
managed
on
site
(
Form
WR,
Box
E).

RCRA­
radioactive
mixed
wastes
By
themselves,
source
material,
special
nuclear
material,
or
by­
product
materials
(
See
Definitions
section
beginning
on
page
39),
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
2001
Hazardous
Waste
Report.

Wastes
received
from
Conditionally
Exempt
Small
Quantity
Generators
(
CESQGs)
Waste
management
facilities
sometimes
receive
hazardous
wastes
from
large
numbers
of
Conditionally
Exempt
Small
Quantity
Generators
(
CESQGs)
or
other
sites
that
do
not
have
RCRA
EPA
Identification
Numbers.
To
minimize
the
response
burden
for
filling
out
the
WR
form
for
these
wastes,
you
may
aggregate
the
wastes
across
generating
sites,
in
accordance
with
the
following
guidelines:

(
1)
All
the
wastes
must
have
the
same
EPA
hazardous
waste
code
(
Box
B),
State
hazardous
waste
code
(
Box
C),
Form
code
(
Box
G),
RCRAradioactive
mixed
code
(
Box
H),
and
Management
Method
code
(
Box
I).

(
2)
Wastes
received
from
different
States
must
be
reported
separately.
For
the
off­
site
handler
EPA
ID
number
(
Box
D),
the
entry
should
include
the
two­
letter
postal
code
of
the
originating
State,
followed
by
the
letters
"
CESQG."

For
example,
wastes
received
from
several
CESQGs
in
the
State
of
Alaska
(
AK)
that
share
a
common
EPA
hazardous
waste
code,
State
hazardous
waste
code,
SPECIAL
INSTRUCTIONS
(
Continued)

51
Form
code,
RCRA
radioactive
mixed
code,
and
Management
Method
code
could
be
aggregated
in
a
single
waste
block
of
Form
WR
(
e.
g.,
Waste
1).
In
Box
D,
the
off­
site
handler
EPA
ID
number
is
entered
as
"
AKCESQG."
Note:
This
method
of
completing
Box
D
can
also
be
used
for
CESQG
waste
that
is
not
aggregated.

Wastes
received
from
foreign
countries
Report
on
Form
WR
all
wastes
received
by
your
facility
from
a
foreign
site
that
were
managed
on
site.
Report
the
code
"
FC"
for
foreign
country
followed
by
the
name
of
the
country
in
the
space
for
the
EPA
ID
number.
Report
on
Form
OI
the
name
and
address
of
all
foreign
generators,
if
this
form
is
required
by
your
State.
52
THIS
PAGE
INTENTIONALLY
LEFT
BLANK
53
EPA
HAZARDOUS
WASTE
CODES
Code
Waste
description
Code
Waste
description
CHARACTERISTICS
OF
HAZARDOUS
WASTE
(
SEE
40
CFR
261.24)

D001
Ignitable
waste
D002
Corrosive
waste
D003
Reactive
waste
D004
Arsenic
D005
Barium
D006
Cadmium
D007
Chromium
D008
Lead
D009
Mercury
D010
Selenium
D011
Silver
D012
Endrin
D013
Lindane
D014
Methoxychlor
D015
Toxaphene
D016
2,4­
D
D017
2,4,5­
TP
Silvex
D018
Benzene
D019
Carbon
tetrachloride
D020
Chlordane
D021
Chlorobenzene
D022
Chloroform
D023
o­
Cresol
D024
m­
Cresol
D025
p­
Cresol
D026
Cresol
D027
1,4­
Dichlorobenzene
D028
1,2­
Dichloroethane
D029
1,1­
Dichloroethylene
D030
2,4­
Dinitrotoluene
D031
Heptachlor
(
and
its
epoxide)

D032
Hexachlorobenzene
D033
Hexachlorobutadiene
D034
Hexachloroethane
D035
Methyl
ethyl
ketone
D036
Nitrobenzene
D037
Pentachlorophenol
D038
Pyridine
D039
Tetrachloroethylene
D040
Trichlorethylene
D041
2,4,5­
Trichlorophenol
D042
2,4,6­
Trichlorophenol
D043
Vinyl
chloride
HAZARDOUS
WASTE
FROM
NONSPECIFIC
SOURCES
(
SEE
40
CFR
261.31)

F001
The
following
spent
halogenated
solvents
used
in
degreasing:
tetrachloroethylene,
trichlorethylene,
methylene
chloride,
1,1,1­
trichloroethane,
carbon
tetrachloride
and
chlorinated
fluorocarbons;
all
spent
solvent
mixtures/
blends
used
in
degreasing
containing,
before
use,
a
total
of
ten
percent
or
more
(
by
volume)
of
one
or
more
of
the
EPA
HAZARDOUS
WASTE
CODES
(
Continued)

Code
Waste
description
Code
Waste
description
54
above
halogenated
solvents
or
those
solvents
listed
in
F002,
F004,
and
F005;
and
still
bottoms
from
the
recovery
of
these
spent
solvents
and
spent
solvent
mixtures.

F002
The
following
spent
halogenated
solvents:
tetrachloroethylene,
methylene
chloride,
trichloroethylene,
1,1,1­
trichloroethane,
chlorobenzene,
1,1,2­
trichloro­
1,2,2­
trifluoroethane,
ortho­
dichlorobenzene,
trichlorofluoromethane,
and
1,1,2,
trichloroethane;
all
spent
solvent
mixtures/
blends
containing,
before
use,
a
total
of
ten
percent
or
more
(
by
volume)
of
one
or
more
of
the
above
halogenated
solvents
or
those
solvents
listed
in
F001,
F004,
and
F005;
and
still
bottoms
from
the
recovery
of
these
spent
solvents
and
spent
solvent
mixtures.

F003
The
following
spent
non­
halogenated
solvents:
xylene,
acetone,
ethyl
acetate,
ethyl
benzene,
ethyl
ether,
methyl
isobutyl
ketone,
n­
butyl
alcohol,
cyclohexanone,
and
methanol;
all
spent
solvent
mixtures/
blends
containing,
before
use,
only
the
above
spent
nonhalogenated
solvents;
and
all
spent
solvent
mixtures/
blends
containing,
before
use,
one
or
more
of
the
above
nonhalogenated
solvents,
and
a
total
of
ten
percent
or
more
(
by
volume)
of
one
or
more
of
those
solvents
listed
in
F001,
F002,
F004,
and
F005;
and
still
bottoms
from
the
recovery
of
these
spent
solvents
and
spent
solvent
mixtures.

F004
The
following
spent
nonhalogenated
solvents:
cresols,
cresylic
acid,
and
nitrobenzene;
and
the
still
bottoms
from
the
recovery
of
these
solvents;
all
spent
solvent
mixtures/
blends
containing,
before
use,
a
total
of
ten
percent
or
more
(
by
volume)
of
one
or
more
of
the
above
nonhalogenated
solvents
or
those
solvents
listed
in
F001,
F002,
and
F005;
and
still
bottoms
from
the
recovery
of
these
spent
solvents
and
spent
solvent
mixtures.

F005
The
following
spent
nonhalogenated
solvents:
toluene,
methyl
ethyl
ketone,
carbon
disulfide,
isobutanol,
pyridine,
benzene,
2­
ethoxyethanol,
and
2­
nitropropane;
all
spent
solvent
mixtures/
blends
containing,
before
use,
a
total
of
ten
percent
or
more
(
by
volume)
of
one
or
more
of
the
above
nonhalogenated
solvents
or
those
solvents
listed
in
F001,
F002,
or
F004;
and
still
bottoms
from
the
recovery
of
these
spent
solvents
and
spent
solvent
mixtures.

F006
Wastewater
treatment
sludges
from
electroplating
operations
except
from
the
following
processes:
(
1)
sulfuric
acid
anodizing
of
aluminum;
(
2)
tin
plating
on
carbon
steel;
(
3)
zinc
plating
(
segregated
basis)
on
carbon
steel;
(
4)
aluminum
or
zincaluminum
plating
on
carbon
steel;
(
5)
cleaning/
stripping
associated
with
tin,
zinc,
and
aluminum
plating
on
carbon
steel;
and
(
6)
chemical
etching
and
milling
of
aluminum.

F007
Spent
cyanide
plating
bath
solutions
from
electroplating
operations.

F008
Plating
bath
residues
from
the
bottom
of
plating
baths
from
electroplating
operations
in
which
cyanides
are
used
in
the
process.

F009
Spent
stripping
and
cleaning
bath
solutions
from
electroplating
operations
in
which
cyanides
are
used
in
the
process.

F010
Quenching
bath
residues
from
oil
baths
from
metal
heat
treating
operations
in
which
cyanides
are
used
in
the
process.

F011
Spent
cyanide
solutions
from
slat
bath
pot
cleaning
from
metal
heat
treating
operations.

F012
Quenching
wastewater
treatment
sludges
from
metal
heat
treating
operations
in
which
cyanides
are
used
in
the
process.

F019
Wastewater
treatment
sludges
from
the
chemical
conversion
coating
of
aluminum
except
from
zirconium
phosphating
in
aluminum
can
washing
when
such
phosphating
is
an
exclusive
conversion
coating
process.
EPA
HAZARDOUS
WASTE
CODES
(
Continued)

Code
Waste
description
Code
Waste
description
55
F020
Wastes
(
except
wastewater
and
spent
carbon
from
hydrogen
chloride
purification)
from
the
production
or
manufacturing
use
(
as
a
reactant,
chemical
intermediate,
or
component
in
a
formulating
process)
of
trior
tetrachlorophenol
or
of
intermediates
used
to
produce
their
pesticide
derivatives.
(
This
listing
does
not
include
wastes
from
the
production
of
hexachlorophene
from
highly
purified
2,4,5­
trichlorophenol.)

F021
Wastes
(
except
wastewater
and
spent
carbon
from
hydrogen
chloride
purification)
from
the
production
or
manufacturing
use
(
as
a
reactant,
chemical
intermediate,
or
component
in
a
formulating
process)
of
pentachlorophenol,
or
of
intermediates
used
to
produce
derivatives.

F022
Wastes
(
except
wastewater
and
spent
carbon
from
hydrogen
chloride
purification)
from
the
manufacturing
use
(
as
a
reactant,
chemical
intermediate,
or
component
in
a
formulating
process)
of
tetra­,
penta­,
or
hexachlorobenzenes
under
alkaline
conditions.

F023
Wastes
(
except
wastewater
and
spent
carbon
from
hydrogen
chloride
purification)
from
the
production
of
materials
on
equipment
previously
used
for
the
production
or
manufacturing
use
(
as
a
reactant,
chemical
intermediate,
or
component
in
a
formulating
process)
of
tri­
and
tetrachlorophenols.
(
This
listing
does
not
include
wastes
from
equipment
used
only
for
the
production
or
use
of
hexachlorophene
from
highly
purified
2,4,5­
trichlorophenol.)

F024
Process
wastes
including,
but
not
limited
to,
distillation
residues,
heavy
ends,
tars,
and
reactor
clean­
out
wastes,
from
the
production
of
certain
chlorinated
aliphatic
hydrocarbons
by
free
radical
catalyzed
processes.
These
chlorinated
aliphatic
hydrocarbons
are
those
having
carbon
chain
lengths
ranging
from
one
to
and
including
five,
with
varying
amounts
and
positions
of
chlorine
substitution.
(
This
listing
does
not
include
wastewaters,
wastewater
treatment
sludge,
spent
catalysts,
and
wastes
listed
in
Sections
261.31.
or
261.32.)

F025
Condensed
light
ends,
spent
filters
and
filter
aids,
and
spent
desiccant
wastes
from
the
production
of
certain
chlorinated
aliphatic
hydrocarbons,
by
free
radical
catalyzed
processes.
These
chlorinated
aliphatic
hydrocarbons
are
those
having
carbon
chain
lengths
ranging
from
one,
to
and
including
five,
with
varying
amounts
and
positions
of
chlorine
substitution.

F026
Wastes
(
except
wastewater
and
spent
carbon
from
hydrogen
chloride
purification)
from
the
production
of
materials
on
equipment
previously
used
for
the
manufacturing
use
(
as
a
reactant,
chemical
intermediate,
or
component
in
a
formulating
process)
of
tetra­,
penta­,
or
hexachlorobenzene
under
alkaline
conditions.

F027
Discarded
unused
formulations
containing
tri­,
tetra­,
or
pentachlorophenol
or
discarded
unused
formulations
containing
compounds
derived
from
these
chlorophenols.
(
This
listing
does
not
include
formulations
containing
hexachlorophene
synthesized
from
prepurified
2,4,5­
trichlorophenol
as
the
sole
component.)

F028
Residues
resulting
from
the
incineration
or
thermal
treatment
of
soil
contaminated
with
EPA
hazardous
waste
nos.
F020,
F021,
F022,
F023,
F026,
and
F027.

F032
Wastewaters,
process
residuals,
preservative
drippage,
and
spent
formulations
from
wood
preserving
processes
generated
at
plants
that
currently
use,
or
have
previously
used,
chlorophenolic
formulations
[
except
potentially
cross­
contaminated
wastes
that
have
had
the
F032
waste
code
deleted
in
accordance
with
Section
261.35
(
i.
e.,
the
newly
promulgated
equipment
cleaning
or
replacement
standards),
and
where
the
generator
does
not
resume
or
initiate
use
of
chlorophenolic
formulations].
(
This
listing
does
not
include
K001
bottom
sediment
EPA
HAZARDOUS
WASTE
CODES
(
Continued)

Code
Waste
description
Code
Waste
description
56
sludge
from
the
treatment
of
wastewater
from
wood
preserving
processes
that
use
creosote
and/
or
pentachlorophenol.)

F034
Wastewaters,
process
residuals,
preservative
drippage,
and
spent
formulations
from
wood
preserving
processes
generated
at
plants
that
use
creosote
formulations.
This
listing
does
not
include
K001
bottom
sediment
sludge
from
the
treatment
of
wastewater
from
wood
preserving
processes
that
use
creosote
and/
or
pentachlorophenol.

F035
Wastewaters,
process
residuals,
preservative
drippage,
and
spent
formulations
from
wood
preserving
processes
generated
at
plants
that
use
inorganic
preservatives
containing
arsenic
or
chromium.
This
listing
does
not
include
K001
bottom
sediment
sludge
from
the
treatment
of
wastewater
from
wood
preserving
processes
that
use
creosote
and/
or
pentachlorophenol.

F037
Petroleum
refinery
primary
oil/
water/
solids
separation
sludge
­
Any
sludge
generated
from
the
gravitational
separation
of
oil/
water/
solids
during
the
storage
or
treatment
of
process
wastewaters
and
oily
cooling
wastewaters
from
petroleum
refineries.
Such
sludges
include,
but
are
not
limited
to,
those
generated
in
oil/
water/
solids
separators;
tanks
and
impoundments;
ditches
and
other
conveyances;
sumps;
and
stormwater
units
receiving
dry
weather
flow,
sludge
generated
in
stormwater
units
that
do
not
receive
dry
weather
flow,
sludges
generated
from
non­
contact
once­
through
cooling
waters
segregated
for
treatment
from
other
process
or
oily
cooling
waters,
sludges
generated
in
aggressive
biological
treatment
units
as
defined
in
§
261.31(
b)(
2)
(
including
sludges
generated
in
one
or
more
additional
units
after
wastewaters
have
been
treated
in
aggressive
biological
treatment
units)
and
K051
wastes
are
not
included
in
this
listing.
This
listing
does
include
residuals
generated
from
processing
or
recycling
oil­
bearing
hazardous
secondary
materials
excluded
under
§
261.4(
a)(
12)(
i),
if
those
residuals
are
to
be
disposed
of.
F038
Petroleum
refinery
secondary
(
emulsified)
oil/
water/
solids
separation
sludge
­
Any
sludge
and/
or
float
generated
from
the
physical
and/
or
chemical
separation
of
oil/
water/
solids
in
process
wastewaters
and
oily
cooling
wastewaters
from
petroleum
refineries.
Such
wastes
include,
but
are
not
limited
to,
all
sludges
and
floats
generated
in
induced
air
flotation
(
IAF)
units,
tanks
and
impoundments,
and
all
sludges
generated
in
DAF
units.
Sludges
generated
in
stormwater
units
that
do
not
receive
dry
weather
flow,
sludges
generated
in
aggressive
biological
treatment
units
as
defined
in
Section
261.31(
b)(
2)
(
including
sludges
generated
in
one
or
more
additional
units
after
wastewaters
have
been
treated
in
aggressive
biological
treatment
units),
and
F037,
K048,
and
K051
wastes
are
exempted
from
this
listing.

F039
Leachate
resulting
from
the
treatment,
storage,
or
disposal
of
wastes
classified
by
more
than
one
waste
code
under
Subpart
D,
or
from
a
mixture
of
wastes
classified
under
Subparts
C
and
D
of
this
part.
(
Leachate
resulting
from
the
management
of
one
or
more
of
the
following
EPA
Hazardous
Wastes
and
no
other
hazardous
wastes
retains
its
hazardous
waste
code(
s):
F020,
F021,
F022,
F023,
F026,
F027,
and/
or
F028.)

HAZARDOUS
WASTE
FROM
SPECIFIC
SOURCES
(
SEE
40
CFR
261.32)

K001
Bottom
sediment
sludge
from
the
treatment
of
wastewaters
from
wood
preserving
processes
that
use
creosote
and/
or
pentachlorophenol.

K002
Wastewater
treatment
sludge
from
the
production
of
chrome
yellow
and
orange
pigments.

K003
Wastewater
treatment
sludge
from
the
production
of
molybdate
orange
pigments.

K004
Wastewater
treatment
sludge
from
the
production
of
zinc
yellow
pigments.
EPA
HAZARDOUS
WASTE
CODES
(
Continued)

Code
Waste
description
Code
Waste
description
57
K005
Wastewater
treatment
sludge
from
the
production
of
chrome
green
pigments.

K006
Wastewater
treatment
sludge
from
the
production
of
chrome
oxide
green
pigments
(
anhydrous
and
hydrated).

K007
Wastewater
treatment
sludge
from
the
production
of
iron
blue
pigments.

K008
Oven
residue
from
the
production
of
chrome
oxide
green
pigments.

K009
Distillation
bottoms
from
the
production
of
acetaldehyde
from
ethylene.

K010
Distillation
side
cuts
from
the
production
of
acetaldehyde
from
ethylene.

K011
Bottom
stream
from
the
wastewater
stripper
in
the
production
of
acrylonitrile.

K013
Bottom
stream
from
the
acetonitrile
column
in
the
production
of
acrylonitrile.

K014
Bottoms
from
the
acetonitrile
purification
column
in
the
production
of
acrylonitrile.

K015
Still
bottoms
from
the
distillation
of
benzyl
chloride.

K016
Heavy
ends
or
distillation
residues
from
the
production
of
carbon
tetrachloride.

K017
Heavy
ends
(
still
bottoms)
from
the
purification
column
in
the
production
of
epichlorohydrin.

K018
Heavy
ends
from
the
fractionation
column
in
ethyl
chloride
production.

K019
Heavy
ends
from
the
distillation
of
ethylene
dichloride
in
ethylene
dichloride
production.

K020
Heavy
ends
from
the
distillation
of
vinyl
chloride
in
vinyl
chloride
monomer
production.

K021
Aqueous
spent
antimony
catalyst
waste
from
fluoromethane
production.
K022
Distillation
bottom
tars
from
the
production
of
phenol/
acetone
from
cumene.

K023
Distillation
light
ends
from
the
production
of
phthalic
anhydride
from
naphthalene.

K024
Distillation
bottoms
from
the
production
of
phthalic
anhydride
from
naphthalene.

K025
Distillation
bottoms
from
the
production
of
nitrobenzene
by
the
nitration
of
benzene.

K026
Stripping
still
tails
from
the
production
of
methyl
ethyl
pyridines.

K027
Centrifuge
and
distillation
residues
from
toluene
diisocyanate
production.

K028
Spent
catalyst
from
the
hydrochlorinator
reactor
in
the
production
of
1,1,1­
trichloroethane.

K029
Waste
from
the
product
steam
stripper
in
the
production
of
1,1,1­
trichloroethane.

K030
Column
bottoms
or
heavy
ends
from
the
combined
production
of
trichloroethylene
and
perchloroethylene.

K031
By­
product
salts
generated
in
the
production
of
MSMA
and
cacodylic
acid.

K032
Wastewater
treatment
sludge
from
the
production
of
chlordane.

K033
Wastewater
and
scrub
water
from
the
chlorination
of
cyclopentadiene
in
the
production
of
chlordane.

K034
Filter
solids
from
the
filtration
of
hexachlorocyclopentadiene
in
the
production
of
chlordane.

K035
Wastewater
treatment
sludges
generated
in
the
production
of
creosote.

K036
Still
bottoms
from
toluene
reclamation
distillation
in
the
production
of
disulfoton.

K037
Wastewater
treatment
sludges
from
the
production
of
disulfoton.
EPA
HAZARDOUS
WASTE
CODES
(
Continued)

Code
Waste
description
Code
Waste
description
58
K038
Wastewater
from
the
washing
and
stripping
of
phorate
production.

K039
Filter
cake
from
the
filtration
of
diethylphosphorodithioic
acid
in
the
production
of
phorate.

K040
Wastewater
treatment
sludge
from
the
production
of
phorate.

K041
Wastewater
treatment
sludge
from
the
production
of
toxaphene.

K042
Heavy
ends
or
distillation
residues
from
the
distillation
of
tetrachlorobenzene
in
the
production
of
2,4,5­
T.

K043
2,6­
dichlorophenol
waste
from
the
production
of
2,4­
D.

K044
Wastewater
treatment
sludges
from
the
manufacturing
and
processing
of
explosives.

K045
Spent
carbon
from
the
treatment
of
wastewater
containing
explosives.

K046
Wastewater
treatment
sludges
from
the
manufacturing,
formulation,
and
loading
of
lead­
based
initiating
compounds.

K047
Pink/
red
water
from
TNT
operations.

K048
Dissolved
air
flotation
(
DAF)
float
from
the
petroleum
refining
industry.

K049
Slop
oil
emulsion
solids
from
the
petroleum
refining
industry.

K050
Heat
exchanger
bundle
cleaning
sludge
from
the
petroleum
refining
industry.

K051
API
separator
sludge
from
the
petroleum
refining
industry.

K052
Tank
bottoms
(
leaded)
from
the
petroleum
refining
industry.

K060
Ammonia
still
lime
sludge
from
coking
operations.
K061
Emission
control
dust/
sludge
from
the
primary
production
of
steel
in
electric
furnaces.

K062
Spent
pickle
liquor
from
steel
finishing
operations
of
plants
that
produce
iron
or
steel.

K064
Acid
plant
blowdown
slurry/
sludge
resulting
from
the
thickening
of
blowdown
slurry
from
primary
copper
production.

K065
Surface
impoundment
solids
contained
in
and
dredged
from
surface
impoundments
at
primary
lead
smelting
facilities.

K066
Sludge
from
treatment
of
process
wastewater
and/
or
acid
plant
blowdown
from
primary
zinc
production.

K069
Emission
control
dust/
sludge
from
secondary
lead
smelting.

K071
Brine
purification
muds
from
the
mercury
cell
process
in
chlorine
production,
in
which
separately
prepurified
brine
is
not
used.

K073
Chlorinated
hydrocarbon
waste
from
the
purification
step
of
the
diaphragm
cell
process
using
graphite
anodes
in
chlorine
production.

K083
Distillation
bottoms
from
aniline
production.

K084
Wastewater
treatment
sludges
generated
during
the
production
of
veterinary
pharmaceuticals
from
arsenic
or
organoarsenic
compounds.

K085
Distillation
or
fractionation
column
bottoms
from
the
production
of
chlorobenzenes.

K086
Solvent
washes
and
sludges,
caustic
washes
and
sludges,
or
water
washes
and
sludges
from
cleaning
tubs
and
equipment
used
in
the
formulation
of
ink
from
pigments,
driers,
soaps,
and
stabilizers
containing
chromium
and
lead.
EPA
HAZARDOUS
WASTE
CODES
(
Continued)

Code
Waste
description
Code
Waste
description
59
K087
Decanter
tank
tar
sludge
from
coking
operations.

K088
Spent
potliners
from
primary
aluminum
reduction.

K090
Emission
control
dust
or
sludge
from
ferrochromiumsilicon
production.

K091
Emission
control
dust
or
sludge
from
ferrochromium
production.

K093
Distillation
light
ends
from
the
production
of
phthalic
anhydride
from
ortho­
xylene.

K094
Distillation
bottoms
from
the
production
of
phthalic
anhydride
from
ortho­
xylene.

K095
Distillation
bottoms
from
the
production
of
1,1,1­
trichloroethane.

K096
Heavy
ends
from
the
heavy
ends
column
from
the
production
of
1,1,1­
trichloroethane.

K097
Vacuum
stripper
discharge
from
the
chlordane
chlorinator
in
the
production
of
chlordane.

K098
Untreated
process
wastewater
from
the
production
of
toxaphene.

K099
Untreated
wastewater
from
the
production
of
2,4­
D.

K100
Waste
leaching
solution
from
acid
leaching
of
emission
control
dust/
sludge
from
secondary
lead
smelting.

K101
Distillation
tar
residues
from
the
distillation
of
aniline­
based
compounds
in
the
production
of
veterinary
pharmaceuticals
from
arsenic
or
organo­
arsenic
compounds.

K102
Residue
from
the
use
of
activated
carbon
for
decolorization
in
the
production
of
veterinary
pharmaceuticals
from
arsenic
or
organo­
arsenic
compounds.

K103
Process
residues
from
aniline
extraction
from
the
production
of
aniline.
K104
Combined
wastewaters
generated
from
nitrobenzene/
aniline
production.

K105
Separated
aqueous
stream
from
the
reactor
product
washing
step
in
the
production
of
chlorobenzenes.

K106
Wastewater
treatment
sludge
from
the
mercury
cell
process
in
chlorine
production.

K107
Column
bottoms
from
product
separation
from
the
production
of
1,1­
dimethylhydrazine
(
UDMH)
from
carboxylic
acid
hydrazides.

K108
Condensed
column
overheads
from
product
separation
and
condensed
reactor
vent
gases
from
the
production
of
1,1­
dimethylhydrazine
from
carboxylic
acid
hydrazides.

K109
Spent
filter
cartridges
from
product
purification
from
the
product
of
1,1­
dimethylhydrazine
from
carboxylic
acid
hydrazides.

K110
Condensed
column
overheads
from
intermediate
separation
from
the
production
of
1,1­
dimethylhydrazine
from
carboxylic
acid
hydrazides.

K111
Product
washwaters
from
the
production
of
dinitrotoluene
via
nitration
of
toluene.

K112
Reaction
by­
product
water
from
the
drying
column
in
the
production
of
toluenediamine
via
hydrogenation
of
dinitrotoluene.

K113
Condensed
liquid
light
ends
from
purification
of
toluenediamine
in
production
of
toluenediamine
via
hydrogenation
of
dinitrotoluene.

K114
Vicinals
from
the
purification
of
toluenediamine
in
production
of
toluenediamine
via
hydrogenation
of
dinitrotoluene.
EPA
HAZARDOUS
WASTE
CODES
(
Continued)

Code
Waste
description
Code
Waste
description
60
K115
Heavy
ends
from
purification
of
toluenediamine
in
the
production
of
toluenediamine
via
hydrogenation
of
dinitrotoluene.

K116
Organic
condensate
from
the
solvent
recovery
column
in
the
production
of
toluene
diisocyanate
via
phosgenation
of
toluenediamine.

K117
Wastewater
from
the
reactor
vent
gas
scrubber
in
the
production
of
ethylene
dibromide
via
bromination
of
ethene.

K118
Spent
adsorbent
solids
from
purification
of
ethylene
dibromide
in
the
production
of
ethylene
dibromide
via
bromination
of
ethene.

K123
Process
wastewater
(
including
supernates,
filtrates,
and
washwaters)
from
the
production
of
ethylenebisdithiocarbamic
acid
and
its
salts.

K124
Reactor
vent
scrubber
water
from
the
production
of
ethylenebisdithiocarbamic
acid
and
its
salts.

K125
Filtration,
evaporation,
and
centrifugation
solids
from
the
production
of
ethylenebisdithiocarbamic
acid
and
its
salts.

K126
Baghouse
dust
and
floor
sweepings
in
milling
and
packaging
operations
from
production
or
formulation
of
ethylenebisdithiocarbamic
acid
and
its
salts.

K131
Wastewater
from
the
reactor
and
spent
sulfuric
acid
from
the
acid
dryer
from
the
production
of
methyl
bromide.

K132
Spent
absorbent
and
wastewater
separator
solids
from
the
production
of
methyl
bromide.

K136
Still
bottoms
from
the
purification
of
ethylene
dibromide
in
the
production
of
ethylene
dibromide
via
bromination
of
ethene.
K140
Floor
sweepings,
off­
specification
product,
and
spent
filter
media
from
the
production
of
2,4,6­
tribromophenol.

K141
Process
residues
from
the
recovery
of
coal
tar,
including,
but
not
limited
to,
tar
collecting
sump
residues
from
the
production
of
coke
from
coal
or
the
recovery
of
coke
by­
products
produced
from
coal.
This
listing
does
not
include
K087
(
decanter
tank
sludge
from
coking
operations).

K142
Tank
storage
residues
from
the
production
of
coke
from
coal
or
from
the
recovery
of
coke
by­
products
from
coal.

K143
Process
residues
from
the
recovery
of
light
oil,
including,
but
not
limited
to,
those
generated
in
stills,
decanters,
and
wash
oil
recovery
units
from
the
recovery
of
coke
byproducts
produced
from
coal.

K144
Wastewater
sump
residues
from
light
oil
refining,
including,
but
not
limited
to,
intercepting
or
contamination
sump
sludges
from
the
recovery
of
coke
by­
products
produced
from
coal.

K145
Residues
from
naphthalene
collection
and
recovery
operations
from
the
recovery
of
coke
by­
products
produced
from
coal.

K147
Tar
storage
residues
from
coal
tar
refining.

K148
Residues
from
coal
tar
distillation,
including,
but
not
limited
to,
still
bottoms.

K149
Distillation
bottoms
from
the
production
of
alpha
(
or
methyl­)
chlorinated
toluenes,
ringchlorinated
toluenes,
benzoyl
chlorides,
and
compounds
with
mixtures
of
these
functional
groups.
[
This
waste
does
not
include
still
bottoms
from
the
distillation
of
benzoyl
chloride]

K150
Organic
residuals
excluding
spent
carbon
adsorbent,
from
the
spent
chlorine
gas
and
hydrochloric
acid
recovery
processes
associated
with
the
production
of
alpha
(
or
methyl­)
chlorinated
toluenes,
benzoyl
EPA
HAZARDOUS
WASTE
CODES
(
Continued)

Code
Waste
description
Code
Waste
description
61
chlorides,
and
compounds
with
mixtures
of
these
functional
groups.

K151
Wastewater
treatment
sludges,
excluding
neutralization
and
biological
sludges,
generated
during
the
treatment
of
wastewaters
from
the
production
of
alpha
(
or
methyl­)
chlorinated
toluenes,
benzoyl
chlorides,
and
compounds
with
mixtures
of
these
functional
groups.

K156
Organic
waste
(
including
heavy
ends,
still
bottoms,
light
ends,
spent
solvents,
filtrates,
and
decamtates)
from
the
production
of
carbamates
and
carbamoyl
oximes.
(
This
listing
does
not
apply
to
wastes
generated
from
the
manufacture
of
3­
iodo­
2propynl
nbutylcarbamate

K157
Wastewaters
(
including
scrubber
waters,
condenser
waters,
washwaters,
and
separation
waters)
from
the
production
of
carbamates
and
carbamoyl
oximes.
(
This
listing
does
not
apply
to
wastes
generated
from
the
manufacture
of
3­
iodo­
2propynl
nbutylcarbamate

K158
Bag
house
and
filter/
separation
solids
from
the
production
of
carbamates
and
carbamoyl
oximes.
(
This
listing
does
not
apply
to
wastes
generated
from
the
manufacture
of
3­
iodo­
2propynl
n­
butylcarbamate.).

K159
Organics
from
the
treatment
of
thiocarbamate
wastes.

K161
Purification
soilids
(
including
filtration,
evaporation,
and
centrifugation
soilds),
bag
house
dust
and
floor
sweepings
from
the
production
of
dithiocarbamate
acids
and
their
salts.
(
This
listing
does
not
include
K125
or
K126).

K169
Crude
oil
tank
sediment
from
petroleum
refining
operations.

K170
Clarified
slurry
oil
tank
sediment
and/
or
inline
filter/
separation
solids
from
petroleum
refining
operations.
K171
Spent
hydrotreating
catalyst
from
petroleum
refining
operations,
including
guard
beds
used
to
desulfurize
feeds
to
other
catalytic
reactors
(
This
listing
does
not
include
inert
support
media).

K172
Spent
hydrorefining
catalyst
from
petroleum
refining
operations,
including
guard
beds
used
to
desulfurize
feeds
to
other
catalytic
reactors
(
This
listing
does
not
include
inert
support
media).

K174
Wastewater
treatment
sludges
from
the
production
of
ethylene
dichloride
or
vinyl
chloride
monomer
(
including
sludges
that
result
from
commingled
ethylene
dichloride
or
vinyl
chloride
monomer
wastewater
and
other
wastewater),
unless
the
sludges
meet
the
following
conditions:
(
i)
they
are
disposed
of
in
a
subtitle
C
or
non­
hazardous
landfill
licensed
or
permitted
by
the
state
or
federal
government;
(
ii)
they
are
not
otherwise
placed
on
the
land
prior
to
final
disposal;
and
(
iii)
the
generator
maintains
documentation
demonstrating
that
the
waste
was
either
disposed
of
in
an
on­
site
landfill
or
consigned
to
a
transporter
or
disposal
facility
that
provided
a
written
commitment
to
dispose
of
the
waste
in
an
off­
site
landfill.
Respondents
in
any
action
brought
to
enforce
the
requirements
of
subtitle
C
must,
upon
a
showing
by
the
government
that
the
respondent
managed
wastewater
treatment
sludges
from
the
production
of
vinyl
chloride
monomer
or
ethylene
dichloride,
demonstrate
that
they
meet
the
terms
of
the
exclusion
set
forth
above.
In
doing
so,
they
must
provide
appropriate
documentation
(
e.
g.,
contracts
between
the
generator
and
the
landfill
owner/
operator,
invoices
documenting
delivery
of
waste
to
landfill,
etc.)
that
the
terms
of
the
exclusion
were
met.*

K175
Wastewater
treatment
sludges
from
the
production
of
vinyl
chloride
monomer
using
mercuric
chloride
catalyst
in
an
acetylenebased
process.*
EPA
HAZARDOUS
WASTE
CODES
(
Continued)

Code
Waste
description
Code
Waste
description
62
DISCARDED
COMMERCIAL
CHEMICAL
PRODUCTS,
OFF­
SPECIFICATION
SPECIES,
CONTAINER
RESIDUALS,
AND
SPILL
RESIDUES
THEREOF
 
ACUTE
HAZARDOUS
WASTE
(
SEE
40
CFR
261.33
FOR
AN
ALPHABETIZED
LISTING)

P001
2H­
1­
Benzopyran­
2­
one,
4­
hydroxy­
3­(
3­
oxo­
1­
phenylbutyl)­,
&
salts,
when
present
at
concentrations
greater
than
0.3%

P001
Warfarin,
&
salts,
when
present
at
concentrations
greater
than
0.3%

P002
1­
Acetyl­
2­
thiourea
P002
Acetamide,
N­(
aminothioxomethyl)­

P003
2­
Propenal
P003
Acrolein
P004
1,4,5,8­
Dimethanonaphthalene,
1,2,3,4,10,10­
hexa­
chloro­
1,4,4a,
5,8,8a,­
hexahydro­,
(
1alpha,
4alpha,
4abeta,
5alpha,
8alpha,
8abeta)­

P004
Aldrin
P005
2­
Propen­
1­
ol
P005
Allyl
alcohol
P006
Aluminum
phosphide
(
R,
T)

P007
3(
2H)­
Isoxazolone,
5­(
aminomethyl)­

P007
5­(
Aminomethyl)­
3­
isoxazolol
P008
4­
Aminopyridine
P008
4­
Pyridinamine
P009
Ammonium
picrate
(
R)

P009
Phenol,
2,4,6­
trinitro­,
ammonium
salt
(
R)

P010
Arsenic
acid
H3AsO4
P011
Arsenic
oxide
As2O5
P011
Arsenic
pentoxide
P012
Arsenic
oxide
As2O3
P012
Arsenic
trioxide
P013
Barium
cyanide
P014
Benzenethiol
P014
Thiophenol
P015
Beryllium
powder
P016
Dichloromethyl
ether
P016
Methane,
oxybis[
chloro­

P017
2­
Propanone,
1­
bromo­

P017
Bromoacetone
P018
Brucine
P018
Strychnidin­
10­
one,
2,3­
dimethoxy­

P020
Dinoseb
P020
Phenol,
2­(
1­
methylpropyl)­
4,6­
dinitro­

P021
Calcium
cyanide
P021
Calcium
cyanide
Ca(
CN)
2
P022
Carbon
disulfide
P023
Acetaldehyde,
chloro­

P023
Chloroacetaldehyde
P024
Benzenamine,
4­
chloro­

P024
p­
Chloraniline
P026
1­(
o­
Chlorophenyl)
thiourea
P026
Thiourea,
(
2­
chlorophenyl)­

P027
3­
Chloropropionitrile
P027
Propanenitrile,
3­
chloro­
EPA
HAZARDOUS
WASTE
CODES
(
Continued)

Code
Waste
description
Code
Waste
description
63
P028
Benzene,
(
chloromethyl)­

P028
Benzyl
chloride
P029
Copper
cyanide
P029
Copper
cyanide
Cu(
CN)

P030
Cyanides
(
soluble
cyanide
salts),
not
otherwise
specified
P031
Cyanogen
P031
Ethanedinitrile
P033
Cyanogen
chloride
P033
Cyanogen
chloride
(
CN)
Cl
P034
2­
Cyclohexyl­
4,6­
dinitrophenol
P034
Phenol,
2­
cyclohexyl­
4,6­
dinitro­

P036
Arsonous
dichloride,
phenyl­

P036
Dichlorophenylarsine
P037
2,7:
3,6­
Dimethanonaphth[
2,3­
b]
oxirene,
3,4,5,6,9,9­
hexachloro­
1a,
2,2a,
3,6,6a,
7,7aoctahydro
(
1aalpha,
2beta,
2aalpha,
3beta,
6beta,
6aalpha,
7beta,
7aalpha)­

P037
Dieldrin
P038
Arsine,
diethyl­

P038
Diethylarsine
P039
Disulfoton
P039
Phosphorodithioic
acid,
O,
O­
diethyl
S­[
2­
(
ethylthio)
ethyl]
ester
P040
O,
O­
Diethyl
O­
pyrazinyl
phosphorothioate
P040
Phosphorothioic
acid,
O,
O­
diethyl
Opyrazinyl
ester
P041
Diethyl­
p­
nitrophenyl
phosphate
P041
Phosphoric
acid,
diethyl
4­
nitrophenyl
ester
P042
1,2­
Benzenediol,
4­[
1­
hydroxy­
2­
(
methylamino)
ethyl]­,
(
R)­

P042
Epinephrine
P043
Diisopropylfluorophosphate
(
DFP)

P043
Phosphorofluoridic
acid,
bis(
1­
methylethyl)
ester
P044
Dimethoate
P044
Phosphorodithioic
acid,
O,
O­
dimethyl
S­[
2­
(
methylamino)­
2­
oxoethyl]
ester
P045
2­
Butanone,
3,3­
dimethyl­
1­(
methylthio)­,
O­[
methylamino)
carbonyl]
oxime
P045
Thiofanox
P046
alpha,
alpha­
Dimethylphenethylamine
P046
Benzeneethanamine,
alpha,
alpha­
dimethyl­

P047
4,6­
Dinitro­
o­
cresol,
&
salts
P047
Phenol,
2­
methyl­
4,6­
dinitro­,
&
salts
P048
2,4­
Dinitrophenol
P048
Phenol,
2,4­
dinitro­

P049
Dithiobiuret
P049
Thioimidodicarbonic
diamide
[(
H2N)
C(
S)]
2NH
P050
6,9­
Methano­
2,4,3­
benzodioxathiepin,
6,7,8,9,10,10­
hexachloro­
1,5,5a,
6,9,9a­
hexahydro­,
3­
oxide
P050
Endosulfan
P051
2,7:
3,6­
Dimethanonaphth[
2,3­
b]
oxirene,
3,4,5,6,9,9­
hexachloro­
1a,
2,2a,
3,6,6a,
7,7aoctahydro
(
1aalpha,
2beta,
2abeta,
3alpha,
6alpha,
6abeta,
7beta,
7aalpha)­
&
metabolites
P051
Endrin
EPA
HAZARDOUS
WASTE
CODES
(
Continued)

Code
Waste
description
Code
Waste
description
64
P051
Endrin,
&
metabolites
P054
Aziridine
P054
Ethyleneimine
P056
Fluorine
P057
Acetamide,
2­
fluoro­

P057
Fluoroacetamide
P058
Acetic
acid,
fluoro­,
sodium
salt
P058
Fluoroacetic
acid,
sodium
salt
P059
4,7­
Methano­
1H­
indene,
1,4,5,6,7,8,8­
heptachloro­
3a,
4,7,7a­
tetrahydro­

P059
Heptachlor
P060
1,4,5,8­
Dimethanonaphthalene,
1,2,3,4,10,10­
hexa­
chloro­
1,4,4a,
5,8,8a,­
hexahydro­,
(
1alpha,
4alpha,
4abeta,
5beta,
8beta,
8abeta)­

P060
Isodrin
P062
Hexaethyl
tetraphosphate
P062
Tetraphosphoric
acid,
hexaethyl
ester
P063
Hydrocyanic
acid
P063
Hydrogen
cyanide
P064
Methane,
isocyanato­

P064
Methyl
isocyanate
P065
Fulminic
acid,
mercury(
2+)
salt
(
R,
T)

P065
Mercury
fulminate
(
R,
T)

P066
Ethanimidothioic
acid,
N­
[[(
methylamino)
carbonyl]
oxy]­,
methyl
ester
P066
Methomyl
P067
1,2­
Propylenimine
P067
Aziridine,
2­
methyl­

P068
Hydrazine,
methyl­

P068
Methyl
hydrazine
P069
2­
Methyllactonitrile
P069
Propanenitrile,
2­
hydroxy­
2­
methyl­

P070
Aldicarb
P070
Propanal,
2­
methyl­
2­(
methylthio)­,
O­
[(
methylamino)
carbonyl]
oxime
P071
Methyl
parathion
P071
Phosphorothioic
acid,
O,
O,­
dimethyl
O­(
4­
nitrophenyl)
ester
P072
alpha­
Naphthylthiourea
P072
Thiourea,
1­
naphthalenyl­

P073
Nickel
carbonyl
P073
Nickel
carbonyl
Ni(
CO)
4,
(
T­
4)­

P074
Nickel
cyanide
P074
Nickel
cyanide
Ni(
CN)
2
P075
Nicotine,
&
salts
P075
Pyridine,
3­(
1­
methyl­
2­
pyrrolidinyl)­,(
S)­,
&
salts
P076
Nitric
oxide
P076
Nitrogen
oxide
NO
P077
Benzenamine,
4­
nitro­

P077
p­
Nitroaniline
P078
Nitrogen
dioxide
P078
Nitrogen
oxide
NO2
P081
1,2,3­
Propanetriol,
trinitrate
(
R)
EPA
HAZARDOUS
WASTE
CODES
(
Continued)

Code
Waste
description
Code
Waste
description
65
P081
Nitroglycerine
(
R)

P082
Methanimine,
N­
methyl­
N­
nitroso­

P082
N­
Nitrosodimethylamine
P084
N­
Nitrosomethylvinylamine
P084
Vinylamine,
N­
methyl­
N­
nitroso­

P085
Diphosphoramide,
octamethyl­

P085
Octamethylpyrophosphoramide
P087
Osmium
oxide
OsO4,
(
T­
4)­

P087
Osmium
tetroxide
P088
7­
Oxabicyclo[
2.2.1]
heptane­
2,3­
dicarboxylic
acid
P088
Endothall
P089
Parathion
P089
Phosphorothioic
acid,
O,
O­
diethyl­
O­(
4­
nitrophenyl)
ester
P092
Mercury,
(
acetato­
O)
phenyl­

P092
Phenylmercury
acetate
P093
Phenylthiourea
P093
Thiourea,
phenyl­

P094
Phorate
P094
Phosphorodithioic
acid,
O,
O­
diethyl
S­
[(
ethylthio)
methyl]
ester
P095
Carbonic
dichloride
P095
Phosgene
P096
Hydrogen
phosphide
P096
Phosphine
P097
Famphur
P097
Phosphorothioic
acid
O­[
4­
[(
dimethylamino)
sulfonyl]
phenyl]
O,
Odimethyl
ester
P098
Potassium
cyanide
P098
Potassium
cyanide
K(
CN)

P099
Argentate
(
1­),
bis(
cyano­
C)­,
potassium
P099
Potassium
silver
cyanide
P101
Ethyl
cyanide
P101
Propanenitrile
P102
2­
Propyn­
1­
ol
P102
Propargyl
alcohol
P103
Selenourea
P104
Silver
cyanide
P104
Silver
cyanide
Ag(
CN)

P105
Sodium
azide
P106
Sodium
cyanide
P106
Sodium
cyanide
Na(
CN)

P108
Strychnidin­
10­
one,
&
salts
P108
Strychnine,
&
salts
P109
Tetraethyldithiopyrophosphate
P109
Thiodiphosphoric
acid,
tetraethyl
ester
P110
Plumbane,
tetraethyl­

P110
Tetraethyl
lead
P111
Diphosphoric
acid,
tetraethyl
ester
P111
Tetraethyl
pyrophosphate
P112
Methane,
tetranitro­
(
R)

P112
Tetranitromethane
(
R)
EPA
HAZARDOUS
WASTE
CODES
(
Continued)

Code
Waste
description
Code
Waste
description
66
P113
Thallic
oxide
P113
Thallium
oxide
Tl2O3
P114
Selenious
acid,
dithallium
(
1+)
salt
P114
Thallium(
I)
selenite
P115
Sulfuric
acid,
dithallium
(
1+)
salt
P115
Thallium(
I)
sulfate
P116
Hydrazinecarbothioamide
P116
Thiosemicarbazide
P118
Methanethiol,
trichloro­

P118
Trichloromethanethiol
P119
Ammonium
vanadate
P119
Vanadic
acid,
ammonium
salt
P120
Vanadium
oxide
V2O5
P120
Vanadium
pentoxide
P121
Zinc
cyanide
P121
Zinc
cyanide
Zn(
CN)
2
P122
Zinc
phosphide
Zn3P2,
when
present
at
concentrations
greater
than
10%
(
R,
T)

P123
Toxaphene
P127
7­
Benzofuranol,
2­
3dihydro­
2,2­
dimethyl­,
methylcarbamate
P127
Carbofuran.

P127
7­
Benzufuranol,
2,
3­
dihydro­
2,
2
dimethyl­,
methylcarbamate
P128
Phenol,
4­(
dimethylamino)­
3,5­
dimethyl­,
methylcarbamate
(
ester)

P128
Mexacarbate
P185
1,3­
Dithiolane­
2carboxaldehyde,
2,4­
dimethyl­,
O­[(
methylamino)­
carbonyl]
oxime.

P188
Physostigmine
salicylate
P189
Carbosulfan
P189
Carbamic
acid,
[(
dibutylamino)­
thio]
methyl­
,2,3­
dihydro­
2,2dimethyl­
7benzofuranyl
ester.

P190
Metolcarb.

P191
Dimetilan
P191
Carbamic
acid,
dimethyl­,
1­[(
dimethylamino
carbonyl]­
5­
methyl­
1H­
pyrazol­
3­
yl
ester.

P192
Isolan
P192
Carbamic
acid,
dimethyl­,
3­
methyl­
1­
(
1­
methylethyl)­
1H­
pyrazo­
5­
yl
ester.

P194
Ethanimidothioc
acid,
2­(
dimethylamino)­
N­
[((
methylamino)
carbonyl)
oxy)­
2­
oxo­,
methyl
ester
P194
Oxamyl
P196
Manganese,
bis(
dimethylcarbamodithioato­
S,
S')

P196
Manganese
dimethyldithiocarbamate
P197
Formparanate
P197
Methanimidamide,
N,
N­
dimethyl­
N'­[
2­
methyl­
4[[(
methylamino)
carbonyl)
oxy]
phenyl]

P198
Methanimidamide,
N,
N­
dimethyl­
N'­[
3­
[[(
methylamino)­
carbonyl]
oxy]
phenyl]­,
monohydrochloride
P198
Formetanate
hydrochloride
P199
Methiocarb.
EPA
HAZARDOUS
WASTE
CODES
(
Continued)

Code
Waste
description
Code
Waste
description
67
P199
Phenol,
(
3,5­
dimethyl­
4(
methlthio)­,
methylcarbamate
P201
Promecarb
P201
Phenol,
3­
methyl­
5­(
1­
methylethyl)­,
methyl
carbamate
P202
Phenol,
3­(
1
methylethyl)­,
methyl
carbamate
P202
3­
Isopropylphenyl
N­
methylcarbamate
P202
m­
Cumenyl
methylcarbamate
P203
Aldicarb
sulfone.

P203
Propanal,
2­
methyl­
2­(
methyl­
sulfonyl)­,
O­
[(
methylamino)
carbonyl]
oxime
P204
Physostigmine
P204
Pyrrolo[
2,3­
b]
indol­
5­
ol,
1,2,3,3a,
8,8ahexahydro
1,
3a,
8­
trimethylmethylcarbamate
(
ester),
(
3aS­
cis)­

P205
Ziram
DISCARDED
COMMERCIAL
CHEMICAL
PRODUCTS,
OFF­
SPECIFICATION
SPECIES,
CONTAINER
RESIDUES,
AND
SPILL
RESIDUES
THEREOF
 
TOXIC
WASTES
(
SEE
40
CFR
261.33
FOR
AN
ALPHABETIZED
LISTING)

S
2,3,4,6­
Tetrachlorophenol
.
.
2,4,5­
T
.
.
2,4,5­
Trichlorophenol
.
.
2,4,6­
Trichlorophenol
.
.
Acetic
acid,
(
2,4,5­
trichlorophenoxy)­
.
.
Pentachlorophenol
See
.
}.
Phenol,
2,3,4,6­
tetrachloro­
F027
­
.
Phenol,
2,4,5­
trichloro­
.
.
Phenol,
2,4,6­
trichloro­
.
.
Phenol,
pentachloro­
.
.
Propanoic
acid,
2­(
2,4,5­
.
trichlorophenoxy)­
.
.
Silvex
(
2,4,5­
TP)

U001
Acetaldehyde
(
I)

U001
Ethanal
(
I)

U002
2­
Propanone
(
I)

U002
Acetone
(
I)

U003
Acetonitrile
(
I,
T)

U004
Acetophenone
U004
Ethanone,
1­
phenyl­

U005
2­
Acetylaminofluorene
U005
Acetamide,
N­
9H­
fluoren­
2­
yl
U006
Acetyl
chloride
(
C,
R,
T)

U007
2­
Propenamide
U007
Acrylamide
U008
2­
Propenoic
acid
(
I)

U008
Acrylic
acid
(
I)

U009
2­
Propenenitrile
U009
Acrylonitrile
U010
Azirino
[
2',
3':
3,4]
pyrrolo[
1,2­
a]
indole­
4,7­
dione,
6­
amino­
8­[[(
aminocarbonyl)
oxy]
methyl]­
1,1a,
2,8,8a,
8b­
hexahydro­
8amethoxy
5­
methyl­,
[
1aS­(
1aalpha,
8beta,
8aalpha,
8balpha)]­
EPA
HAZARDOUS
WASTE
CODES
(
Continued)

Code
Waste
description
Code
Waste
description
68
U010
Mitomycin
C
U011
1H­
1,2,4­
Triazol­
3­
amine
U011
Amitrole
U012
Aniline
(
I,
T)

U012
Benzenamine
(
I,
T)

U014
Auramine
U014
Benzenamine,
4,4'­
carbonimidoylbis[
N,
Ndimethyl

U015
Azaserine
U015
L­
Serine,
diazoacetate
(
ester)

U016
Benz[
c]
acridine
U017
Benzal
chloride
U017
Benzene,
(
dichloromethyl)­

U018
Benz[
a]
anthracene
U019
Benzene
(
I,
T)

U020
Benzenesulfonic
acid
chloride
(
C,
R)

U020
Benzenesulfonyl
chloride
(
C,
R)

U021
[
1,1'­
Biphenyl]­
4,4'­
diamine
U021
Benzidine
U022
Benzo[
a]
pyrene
U023
Benzene,
(
trichloromethyl)­

U023
Benzotrichloride
(
C,
R,
T)

U024
Dichloromethoxy
ethane
U024
Ethane,
1,1'­[
methylenebis(
oxy)]
bis[
2­
chloro­

U025
Dichloroethyl
ether
U025
Ethane,
1,1'­
oxybis[
2­
chloro­

U026
Chlornaphazin
U026
Naphthalenamine,
N,
N'­
bis(
2­
chloroethyl)­

U027
Dichloroisopropyl
ether
U027
Propane,
2,2'­
oxybis[
2­
chloro­

U028
1,2­
Benzenedicarboxylic
acid,
bis(
2­
ethylhexyl)
ester
U028
Diethylhexyl
phthalate
U029
Methane,
bromo­

U029
Methyl
bromide
U030
4­
Bromophenyl
phenyl
ether
U030
Benzene,
1­
bromo­
4­
phenoxy­

U031
1­
Butanol
(
I)

U031
n­
Butyl
alcohol
(
I)

U032
Calcium
chromate
U032
Chromic
acid
H2CrO4,
calcium
salt
U033
Carbon
oxyfluoride
(
R,
T)

U033
Carbonic
difluoride
U034
Acetaldehyde,
trichloro­

U034
Chloral
U035
Benzenebutanoic
acid,
4­[
bis(
2­
chloroethyl)
amino]­

U035
Chlorambucil
U036
4,7­
Methano­
1H­
indene,
1,2,4,5,6,7,8,8­
octachloro­
2,3,3a,
4,7,7a­
hexahydro­

U036
Chlordane,
alpha
&
gamma
isomers
U037
Benzene,
chloro­

U037
Chlorobenzene
U038
Benzeneacetic
acid,
4­
chloro­
alpha­(
4­
chlorophenyl)­
alpha­
hydroxy­,
ethyl
ester
U038
Chlorobenzilate
U039
p­
Chloro­
m­
cresol
U039
Phenol,
4­
chloro­
3­
methyl­

U041
Epichlorohydrin
U041
Oxirane,
(
chloromethyl)­
EPA
HAZARDOUS
WASTE
CODES
(
Continued)

Code
Waste
description
Code
Waste
description
69
U042
2­
Chloroethyl
vinyl
ether
U042
Ethene,
(
2­
chloroethoxy)­

U043
Ethene,
chloro­

U043
Vinyl
chloride
U044
Chloroform
U044
Methane,
trichloro­

U045
Methane,
chloro­
(
I,
T)

U045
Methyl
chloride
(
I,
T)

U046
Chloromethyl
methyl
ether
U046
Methane,
chloromethoxy­

U047
beta­
Chloronaphthalene
U047
Naphthalene,
2­
chloro­

U048
o­
Chlorophenol
U048
Phenol,
2­
chloro­

U049
4­
Chloro­
o­
toluidine,
hydrochloride
U049
Benzenamine,
4­
chloro­
2­
methyl­,
hydrochloride
U050
Chrysene
U051
Creosote
U052
Cresol
(
Cresylic
acid)

U052
Phenol,
methyl­

U053
2­
Butenal
U053
Crotonaldehyde
U055
Benzene,
(
1­
methylethyl)­
(
I)

U055
Cumene
(
I)

U056
Benzene,
hexahydro­
(
I)

U056
Cyclohexane
(
I)

U057
Cyclohexanone
(
I)

U058
2H­
1,3,2­
Oxazaphosphorin­
2­
amine,
N,
Nbis
2­
chloroethyl)
tetrahydro­,
2­
oxide
U058
Cyclophosphamide
U059
5,12­
Naphthacenedione,
8­
acetyl­
10­[(
3­
amino­
2,3,6­
trideoxy)­
alpha­
L­
lyxohexopyranosyl
oxy]­
7,8,9,10­
tetrahydro­
6,8,11­
trihydroxy­
1­
methoxy­,
(
8S­
cis)­

U059
Daunomycin
U060
Benzene,
1,1'­(
2,2­
dichloroethylidene)
bis[
4­
chloro­

U060
DDD
U061
Benzene,
1,1'­(
2,2,2­
trichloroethylidene)
bis[
4­
chloro­

U061
DDT
U062
Carbamothioic
acid,
bis(
1­
methylethyl)­,
S­
(
2,3­
dichloro­
2­
propenyl)
ester
U062
Diallate
U063
Dibenz[
a,
h]
anthracene
U064
Benzo[
rst]
pentaphene
U064
Dibenzo[
a,
i]
pyrene
U066
1,2­
Dibromo­
3­
chloropropane
U066
Propane,
1,2­
dibromo­
3­
chloro­

U067
Ethane,
1,2­
dibromo­

U067
Ethylene
dibromide
U068
Methane,
dibromo­

U068
Methylene
bromide
U069
1,2­
Benzenedicarboxylic
acid,
dibutyl
ester
U069
Dibutyl
phthalate
U070
Benzene,
1,2­
dichloro­

U070
o­
Dichlorobenzene
U071
Benzene,
1,3­
dichloro­

U071
m­
Dichlorobenzene
U072
Benzene,
1,4­
dichloro­

U072
p­
Dichlorobenzene
EPA
HAZARDOUS
WASTE
CODES
(
Continued)

Code
Waste
description
Code
Waste
description
70
U073
[
1,1'­
Biphenyl]­
4,4'­
diamine,
3,3'­
dichloro­

U073
3,3'­
Dichlorobenzidine
U074
1,4­
Dichloro­
2­
butene
(
I,
T)

U074
2­
Butene,
1,4­
dichloro­
(
I,
T)

U075
Dichlorodifluoromethane
U075
Methane,
dichlorodifluoro­

U076
Ethane,
1,1­
dichloro­

U076
Ethylidene
dichloride
U077
Ethane,
1,2­
dichloro­

U077
Ethylene
dichloride
U078
1,1­
Dichloroethylene
U078
Ethene,
1,1­
dichloro­

U079
1,2­
Dichloroethylene
U079
Ethene,
1,2­
dichloro­,(
E)­

U080
Methane,
dichloro­

U080
Methylene
chloride
U081
2,4­
Dichlorophenol
U081
Phenol,
2,4­
dichloro­

U082
2,6­
Dichlorophenol
U082
Phenol,
2,6­
dichloro­

U083
Propane,
1,2­
dichloro­

U083
Propylene
dichloride
U084
1,3­
Dichloropropene
U084
1­
Propene,
1,3­
dichloro­

U085
1,2:
3,4­
Diepoxybutane
(
I,
T)

U085
2,2'­
Bioxirane
U086
Hydrazine,
1,2­
diethyl­

U086
N,
N'­
Diethylhydrazine
U087
O,
O­
Diethyl
S­
methyl
dithiophosphate
U087
Phosphorodithioic
acid,
O,
O­
diethyl
Smethyl
ester
U088
1,2­
Benzenedicarboxylic
acid,
diethyl
ester
U088
Diethyl
phthalate
U089
Diethylstilbesterol
U089
Phenol,
4,4'­(
1,2­
diethyl­
1,2­
ethenediyl)
bis,
(
E)­

U090
1,3­
Benzodioxole,
5­
propyl­

U090
Dihydrosafrole
U091
[
1,1'­
Biphenyl]­
4,4'­
diamine,
3,3'­
dimethoxy­

U091
3,3'­
Dimethoxybenzidine
U092
Dimethylamine
(
I)

U092
Methanamine,
N­
methyl­
(
I)

U093
Benzenamine,
N,
N­
dimethyl­
4­(
phenylazo)­

U093
p­
Dimethylaminoazobenzene
U094
7,12­
Dimethylbenz[
a]
anthracene
U094
Benz[
a]
anthracene,
7,12­
dimethyl­

U095
[
1,1'­
Biphenyl]­
4,4'­
diamine,
3,3'­
dimethyl­

U095
3,3'­
Dimethylbenzidine
U096
alpha,
alpha­
Dimethylbenzylhydroperoxide
(
R)

U096
Hydroperoxide,
1­
methyl­
1­
phenylethyl­
(
R)

U097
Carbamic
chloride,
dimethyl­

U097
Dimethylcarbamoyl
chloride
U098
1,1­
Dimethylhydrazine
U098
Hydrazine,
1,1­
dimethyl­

U099
1,2­
Dimethylhydrazine
U099
Hydrazine,
1,2­
diphenyl­

U101
2,4­
Dimethylphenol
U101
Phenol,
2,4­
dimethyl­
EPA
HAZARDOUS
WASTE
CODES
(
Continued)

Code
Waste
description
Code
Waste
description
71
U102
1,2­
Benzenedicarboxylic
acid,
dimethyl
ester
U102
Dimethyl
phthalate
U103
Dimethyl
sulfate
U103
Sulfuric
acid,
dimethyl
ester
U105
2,4­
Dinitrotoluene
U105
Benzene,
1­
methyl­
2,4­
dinitro­

U106
2,6­
Dinitrotoluene
U106
Benzene,
2­
methyl­
1,3­
dinitro­

U107
1,2­
Benzenedicarboxylic
acid,
dioctyl
ester
U107
Di­
n­
octyl
phthalate
U108
1,4­
Diethyleneoxide
U108
1,4­
Dioxane
U109
1,2­
Diphenylhydrazine
U109
Hydrazine,
1,2­
diphenyl­

U110
1­
Propanimine,
N­
propyl­(
I)

U110
Dipropylamine
(
I)

U111
1­
Propanamine,
N­
nitroso­
N­
propyl­

U111
Di­
n­
propylnitrosamine
U112
Acetic
acid,
ethyl
ester
(
I)

U112
Ethyl
acetate
(
I)

U113
2­
Propenoic
acid,
ethyl
ester
(
I)

U113
Ethyl
acrylate
(
I)

U114
Carbamodithioic
acid,
1,2­
ethanediylbis­,
salts
&
esters
U114
Ethylenebisdithiocarbamic
acid,
salts
&
esters
U115
Ethylene
oxide
(
I,
T)

U115
Oxirane
(
I,
T)

U116
2­
Imidazolidinethione
U116
Ethylenethiourea
U117
Ethane,
1,1'­
oxybis­(
I)

U117
Ethyl
ether
(
I)

U118
2­
Propenoic
acid,
2­
methyl­,
ethyl
ester
U118
Ethyl
methacrylate
U119
Ethyl
methanesulfonate
U119
Methanesulfonic
acid,
ethyl
ester
U120
Fluoranthene
U121
Methane,
trichlorofluoro­

U121
Trichloromonofluoromethane
U122
Formaldehyde
U123
Formic
acid
(
C,
T)

U124
Furan
(
I)

U124
Furfuran
(
I)

U125
2­
Furancarboxaldehyde
(
I)

U125
Furfural
(
I)

U126
Glycidylaldehyde
U126
Oxiranecarboxyaldehyde
U127
Benzene,
hexachloro­

U127
Hexachlorobenzene
U128
1,3­
Butadiene,
1,1,2,3,4,4­
hexachloro­

U128
Hexachlorobutadiene
U129
Cyclohexane,
1,2,3,4,5,6­
hexachloro­,
(
1alpha,
2alpha,
3beta,
4alpha,
5alpha,
6beta)­

U129
Lindane
U130
1,3­
Cyclopentadiene,
1,2,3,4,5,5­
hexachloro­

U130
Hexachlorocyclopentadiene
U131
Ethane,
hexachloro­
EPA
HAZARDOUS
WASTE
CODES
(
Continued)

Code
Waste
description
Code
Waste
description
72
U131
Hexachloroethane
U132
Hexachlorophene
U132
Phenol,
2,2'­
methylenebis[
3,4,6­
trichloro­

U133
Hydrazine
(
R,
T)

U134
Hydrofluoric
acid
(
C,
T)

U134
Hydrogen
fluoride
(
C,
T)

U135
Hydrogen
sulfide
U135
Hydrogen
sulfide
H2S
U136
Arsinic
acid,
dimethyl­

U136
Cacodylic
acid
U137
Indeno[
1,2,3­
cd]
pyrene
U138
Methane,
iodo­

U138
Methyl
iodide
U140
1­
Propanol,
2­
methyl­
(
I,
T)

U140
Isobutyl
alcohol
(
I,
T)

U141
1,3­
Benzodioxole,
5­(
1­
propenyl)­

U141
Isosafrole
U142
1,3,4­
Metheno­
2H­
cyclobuta[
cd]
pentalen­
2­
one,
1,1a,
3,3a,
4,5,5,5a,
5b,
6­
decachlorooctahydro­

U142
Kepone
U143
2­
Butenoic
acid,
2­
methyl­,
7­[[
2,3­
dihydroxy­
2­(
1­
methoxyethyl)­
3­
methyl­
1­
oxobutoxy]
methyl]­
2,3,5,7a­
tetrahydro­
1Hpyrrolizin
1­
yl
ester,
[
1S­[
1alpha(
Z),
7(
2S*,
3R*),
7aalpha]]­

U143
Lasiocarpine
U144
Acetic
acid,
lead(
2+)
salt
U144
Lead
acetate
U145
Lead
phosphate
U145
Phosphoric
acid,
lead(
2+)
salt
(
2:
3)

U146
Lead
subacetate
U146
Lead,
bis(
acetato­
O)
tetrahydroxytri­

U147
2,5­
Furandione
U147
Maleic
anhydride
U148
3,6­
Pyridazinedione,
1,2­
dihydro­

U148
Maleic
hydrazide
U149
Malononitrile
U149
Propanedinitrile
U150
L­
Phenylalanine,
4­[
bis(
2­
chloroethyl)
amino]­

U150
Melphalan
U151
Mercury
U152
2­
Propenenitrile,
2­
methyl­
(
I,
T)

U152
Methacrylonitrile
(
I,
T)

U153
Methanethiol
(
I,
T)

U153
Thiomethanol
(
I,
T)

U154
Methanol
(
I)

U154
Methyl
alcohol
(
I)

U155
1,2­
Ethanediamine,
N,
N­
dimethyl­
N'­
2­
pyridinyl­
N'­(
2­
thienylmethyl)­

U155
Methapyrilene
U156
Carbonochloridic
acid,
methyl
ester,
(
I,
T)

U156
Methyl
chlorocarbonate
(
I,
T)

U157
3­
Methylcholanthrene
U157
Benz[
j]
aceanthrylene,
1,2­
dihydro­
3­
methyl­

U158
4,4'­
Methylenebis(
2­
chloroaniline)

U158
Benzenamine,
4,4'­
methylenebis[
2­
chloro­

U159
2­
Butanone
(
I,
T)

U159
Methyl
ethyl
ketone
(
MEK)
(
I,
T)

U160
2­
Butanone,
peroxide
(
R,
T)
EPA
HAZARDOUS
WASTE
CODES
(
Continued)

Code
Waste
description
Code
Waste
description
73
U160
Methyl
ethyl
ketone
peroxide
(
R,
T)

U161
4­
Methyl­
2­
pentanone
(
I)

U161
Methyl
isobutyl
ketone
(
I)

U161
Pentanol,
4­
methyl­

U162
2­
Propenoic
acid,
2­
methyl­,
methyl
ester
(
I,
T)

U162
Methyl
methacrylate
(
I,
T)

U163
Guanidine,
N­
methyl­
N'­
nitro­
N­
nitroso­

U163
MNNG
U164
4(
1H)­
Pyrimidinone,
2,3­
dihydro­
6­
methyl­
2­
thioxo­

U164
Methylthiouracil
U165
Naphthalene
U166
1,4­
Naphthalenedione
U166
1,4­
Naphthoquinone
U167
1­
Napthalenamine
U167
alpha­
Naphthylamine
U168
2­
Napthalenamine
U168
beta­
Naphthylamine
U169
Benzene,
nitro­

U169
Nitrobenzene
(
I,
T)

U170
p­
Nitrophenol
(
I,
T)

U170
Phenol,
4­
nitro­

U171
2­
Nitropropane
(
I,
T)

U171
Propane,
2­
nitro­
(
I,
T)

U172
1­
Butanamine,
N­
butyl­
N­
nitroso­

U172
N­
Nitrosodi­
n­
butylamine
U173
Ethanol,
2,2'­(
nitrosoimino)
bis­

U173
N­
Nitrosodiethanolamine
U174
Ethanamine,
N­
ethyl­
N­
nitroso­
U174
N­
Nitrosodiethylamine
U176
N­
Nitroso­
N­
ethylurea
U176
Urea,
N­
ethyl­
N­
nitroso­

U177
N­
Nitroso­
N­
methylurea
U177
Urea,
N­
methyl­
N­
nitroso­

U178
Carbamic
acid,
methylnitroso­,
ethyl
ester
U178
N­
Nitroso­
N­
methylurethane
U179
N­
Nitrosopiperidine
U179
Piperidine,
1­
nitroso­

U180
N­
Nitrosopyrrolidine
U180
Pyrrolidine,
1­
nitroso­

U181
5­
Nitro­
o­
toluidine
U181
Benzenamine,
2­
methyl­
5­
nitro
U182
1,3,5­
Trioxane,
2,4,6­
trimethyl­

U182
Paraldehyde
U183
Benzene,
pentachloro­

U183
Pentachlorobenzene
U184
Ethane,
pentachloro­

U184
Pentachloroethane
U185
Benzene,
pentachloronitro­

U185
Pentachloronitrobenzene
(
PCNB)

U186
1,3­
Pentadiene
(
I)

U186
1­
Methylbutadiene
(
I)

U187
Acetamide,
N­(
4­
ethoxyphenyl)­

U187
Phenacetin
U188
Phenol
U189
Phosphorus
sulfide
(
R)

U189
Sulfur
phosphide
(
R)

U190
1,3­
Isobenzofurandione
EPA
HAZARDOUS
WASTE
CODES
(
Continued)

Code
Waste
description
Code
Waste
description
74
U190
Phthalic
anhydride
U191
2­
Picoline
U191
Pyridine,
2­
methyl­

U192
Benzamide,
3,5­
dichloro­
N­(
1,1­
dimethyl­
2­
propynyl)­

U192
Pronamide
U193
1,2­
Oxathiolane,
2,2­
dioxide
U193
1,3­
Propane
sultone
U194
1­
Propanamine
(
I,
T)

U194
n­
Propylamine
(
I,
T)

U196
Pyridine
U197
2,5­
Cyclohexadiene­
1,4­
dione
U197
p­
Benzoquinone
U200
Reserpine
U200
Yohimban­
16­
carboxylic
acid,
11,17­
dimethoxy­
18­[(
3,4,5­
trimethoxybenzoyl)
oxy]­,
methyl
ester,
(
3beta,
16beta,
17alpha,
18beta,
20alpha)­

U201
1,3­
Benzenediol
U201
Resorcinol
U202
1,2­
Benzisothiazol­
3(
2H)­
one,
1,1­
dioxide,
&
salts
U202
Saccharin,
&
salts
U203
1,3­
Benzodioxole,
5­(
2­
propenyl)­

U203
Safrole
U204
Selenious
acid
U204
Selenium
dioxide
U205
Selenium
sulfide
U205
Selenium
sulfide
SeS2
(
R,
T)

U206
D­
Glucose,
2­
deoxy­
2­
[[(
methylnitrosoamino)­
carbonyl]
amino]­
U206
Glucopyranose,
2­
deoxy­
2­(
3­
methyl­
3­
nitrosoureido)­,

DU206
Streptozotocin
U207
1,2,4,5­
Tetrachlorobenzene
U207
Benzene,
1,2,4,5­
tetrachloro­

U208
1,1,1,2­
Tetrachloroethane
U208
Ethane,
1,1,1,2­
tetrachloro­

U209
1,1,2,2­
Tetrachloroethane
U209
Ethane,
1,1,2,2­
tetrachloro­

U210
Ethene,
tetrachloro­

U210
Tetrachloroethylene
U211
Carbon
tetrachloride
U211
Methane,
tetrachloro­

U213
Furan,
tetrahydro­(
I)

U213
Tetrahydrofuran
(
I)

U214
Acetic
acid,
thallium(
1+)
salt
U214
Thallium(
I)
acetate
U215
Carbonic
acid,
dithallium(
1+)
salt
U215
Thallium(
I)
carbonate
U216
Thallium
chloride
Tlcl
U216
Thallium(
I)
chloride
U217
Nitric
acid,
thallium(
1+)
salt
U217
Thallium(
I)
nitrate
U218
Ethanethioamide
U218
Thioacetamide
U219
Thiourea
U220
Benzene,
methyl­

U220
Toluene
U221
Benzenediamine,
ar­
methyl­
EPA
HAZARDOUS
WASTE
CODES
(
Continued)

Code
Waste
description
Code
Waste
description
75
U221
Toluenediamine
U222
Benzenamine,
2­
methyl­,
hydrochloride
U222
o­
Toluidine
hydrochloride
U223
Benzene,
1,3­
diisocyanatomethyl­
(
R,
T)

U223
Toluene
diisocyanate
(
R,
T)

U225
Bromoform
U225
Methane,
tribromo­

U226
Ethane,
1,1,1­
trichloro­

U226
Methyl
chloroform
U227
1,1,2­
Trichloroethane
U227
Ethane,
1,1,2­
trichloro­

U228
Ethene,
trichloro­

U228
Trichloroethylene
U234
1,3,5­
Trinitrobenzene
(
R,
T)

U234
Benzene,
1,3,5­
trinitro­

U235
1­
Propanol,
2,3­
dibromo­,
phosphate
(
3:
1)

U235
Tris(
2,3,­
dibromopropyl)
phosphate
U236
2,7­
Naphthalenedisulfonic
acid,
3,3'­[(
3,3'­
dimethyl[
1,1'­
biphenyl]­
4,4'­
diyl)
bis(
azo)
bis[
5­
amino­
4­
hydroxy]­,
tetrasodium
salt
U236
Trypan
blue
U237
2,4­(
1H,
3H)­
Pyrimidinedione,
5­[
bis(
2­
chloroethyl)
amino]­

U237
Uracil
mustard
U238
Carbamic
acid,
ethyl
ester
U238
Ethyl
carbamate
(
urethane)

U239
Benzene,
dimethyl­
(
I,
T)

U239
Xylene
(
I)

U240
2,4­
D,
salts
&
esters
U240
Acetic
acid,
(
2,4­
dichlorophenoxy)­,
salts
&
esters
U240
Dichlorophenoxyacetic
acid
2,4­
D
U243
1­
Propene,
1,1,2,3,3,3­
hexachloro­

U243
Hexachloropropene
U244
Thioperoxydicarbonic
diamide
[(
H2N)
C(
S)]
2S2,
tetramethyl­

U244
Thiram
U246
Cyanogen
bromide
(
CN)
Br
U247
Benzene,
1,1'­(
2,2,2­
trichloroethylidene)
bis[
4­
methoxy­

U247
Methoxychlor
U248
2H­
1­
Benzopyran­
2­
one,
4­
hydroxy­
3­(
3­
oxo­
1­
phenyl­
butyl)­,
&
salts,
when
present
at
concentrations
of
0.3%
or
less
U248
Warfarin,
&
salts,
when
present
at
concentrations
of
0.3%
or
less
U249
Zinc
phosphide
Zn3P2,
when
present
at
concentrations
of
10%
or
less
U271
Benomyl
U278
Bendiocarb
U278
1,3­
Benzodioxol­
4­
ol,
2,2­
dimethyl­,
methyl
carbamate
U279
Carbaryl
U279
1­
Naphthalenol,
methylcarbamate
U280
Barban
U280
Carbamic
acid,
(
3­
chlorophenol)­,
4­
chloro­
2­
butynyl
ester
U328
Benzenamine,
2­
methyl­

U328
o­
Toluidine
U353
Benzenamine,
4­
methyl­

U353
p­
Toluidine
U359
Ethanol,
2­
ethoxy­
EPA
HAZARDOUS
WASTE
CODES
(
Continued)

Code
Waste
description
Code
Waste
description
76
U359
Ethylene
glycol
monoethyl
ether
U364
1,3­
Benzodioxol­
4ol,
2,2­
dimethyl
U364
Bendiocarb
phenol
U367
7­
Benzofuranol,
2,3­
dihydro­
2,2­
dimethyl­

U367
Carbofuran
phenol
U372
Carbamic
acid,
1H­
benzimidazol­
2­
yl,
methyl
ester
U372
Carbendazim
U373
Carbamic
acid,
phenyl­,
1­
methylethyl
ester
U373
Propham
U387
Carbamothiocic
acid,
dipropyl­,
S­
(
phenylmethyl)
ester
U387
Prosulfocarb
U389
Triallate
U389
Carbamothiocic
acid,
bis
(
1­
methylethyl)­,
S­(
2,3,3­
trichloro­
2propenyl)
ester
U394
Ethanimidothioic
acid,
2­(
dimethylamino)­
N­
hydroxy­
2­
oxo,
methyl
ester
U394
A2213
U395
Diethylene
glycol,
dicarbamate
U395
Ethanol,
2,
2;­
oxybis­,
dicarbamate
U404
Ethanamine,
N,
N­
diethyl­

U404
Triethylamine
U408
2,4,6­
Tribromophenol
U409
Thiophanate­
methyl
U409
Carbamic
acid,
(
1,2­
phenylenebis
(
iminocarbonothioyl)]
bis­,
dimethyl
ester
U410
Ethanimidothioci
acid,
N,
N'­
(
thiobis[(
methylimino)
carbonyloxy])
bis­,
dimethyl
ester
U411
Propoxur
U411
Phenol,
2­(­
1­
methylethoxy)­,
methylcarbamate
*
The
EPA
updated
this
list
of
EPA
hazardous
waste
codes
as
of
November
2000.
The
EPA
anticipates
promulgating
two
listings
for
wastes
generated
by
the
chlorinated
aliphatics
industry
(
K174
and
K175)
later
this
fall.
The
effective
date
of
the
listings
will
be
six
months
after
promulgation.
For
purposes
of
the
2001
Hazardous
Waste
Report,
you
should
report
only
K174
and
K175
hazardous
wastes
that
you
generated
after
the
effective
date
of
the
rule.
77
SOURCE
CODES
Source
codes
describe
the
type
of
process
or
activity
(
i.
e.,
source)
from
which
a
hazardous
waste
was
generated.

Code
Source
Code
Group
Corresponding
Codes
from
1999
Hazardous
Waste
Report*
Wastes
from
Ongoing
Production
and
Service
Processes
G01
Dip,
flush
or
spray
rinsing
A04,
A05,
A06,
A31
G02
Stripping
and
acid
or
caustic
cleaning
A01,
A02,
A03
G03
Plating
and
phosphating
A22,
A23,
A24
G04
Etching
A27
G05
Metal
forming
and
treatment
(
pickling,
heat
treating,
etc.)
A25,
A26,
A40
G06
Painting
and
coating
A21,
A29
G07
Product
and
by­
product
processing
A32,
A35,
A41,
A49
G08
Removal
of
spent
process
liquids
or
catalysts
A36,
A37
G09
Other
production
or
service­
related
processes
(
specify
in
comments)
A49,
A29,
A07,
A08,
A19
Other
Intermittent
Events
or
Processes
G11
Discarding
off­
specification
or
out­
of­
date
chemicals
or
products
A57,
A58
G12
Lagoon
or
sediment
dragout
and
leachate
collection
New
G13
Cleaning
out
process
equipment
A09
G14
Removal
of
tank
sludge,
sediments
or
slag
A38,
A39,
A60
G15
Process
equipment
change­
out
or
discontinuation
of
equipment
use
A56
G16
Oil
changes
and
filter
or
battery
replacement
A54,
A55
G19
Other
one­
time
or
intermittent
processes
(
specify
in
comments)
A59,
A60,
A91
Pollution
Control
and
Waste
Management
Process
Residuals
G21
Air
pollution
control
devices
(
baghouse
dust,
etc.)
A78
G22
Laboratory
analytical
wastes
(
used
chemicals)
A94
G23
Wastewater
treatment
(
sludge,
filter
cake,
etc.)
A75
G24
Solvent
or
product
distillation
or
recovery
(
sludge,
waste)
A33,
A34,
A73
G25
Hazardous
waste
management
­
indicate
management
method
A71­
A74,
A76,
A77,
A89
G26
Storage
and
disposal
unit
leachate
collection
A79
Spills
and
Accidental
Releases
G31
Accidental
contamination
of
products,
materials
or
containers
NEW
G32
Cleanup
of
spill
residues
A53
G33
Leak
collection
and
floor
sweeping
A51,
A92
G39
Other
cleanup
of
current
contamination
(
specify
in
comments)
NEW
Remediation
of
Past
Contamination
G41
Closure
of
hazardous
waste
management
unit
under
RCRA
A64
G42
Corrective
action
at
a
solid
waste
management
unit
under
RCRA
A63
G43
Remedial
action
or
emergency
response
under
Superfund
A61,
A62
G44
State
program
or
voluntary
cleanup
A93,
New
G45
Underground
storage
tank
cleanup
A65
G49
Other
remediation
(
specify
in
comments)
A69
Waste
Not
Physically
Generated
On
Site
G61
Hazardous
waste
received
from
off
site
for
storage/
bulking
and
transfer
off
site
for
treatment
or
disposal
A89,
NEW
(
Origin
=
4)

G62
Hazardous
waste
received
from
a
foreign
country
(
other
than
a
foreign
Department
of
Defense
site,
Maquiladora,
US
territory
or
protectorate).
This
site
was
the
generator
of
record.
NEW
*
For
clarification
only.
Use
the
Source
codes
in
the
left
column
of
the
table
only
(
i.
e.,
codes
beginning
G__).
78
THIS
PAGE
INTENTIONALLY
LEFT
BLANK
79
FORM
CODES
Form
codes
describe
the
general
physical
and
chemical
characteristics
of
a
hazardous
waste.

Code
Form
Code
Group
Corresponding
Codes
from
1999
Hazardous
Waste
Report*
Mixed
Media/
Debris/
Devices
­
Waste
that
is
a
mixture
of
organic
and
inorganic
wastes,
liquid
and
solid
wastes,
or
devices
that
are
not
easily
categorizable
W001
Lab
packs
with
no
acute
hazardous
waste
B001,
B003,
B009
W002
Contaminated
debris:
paper,
clothing,
rags,
wood,
empty
fiber
or
plastic
containers,
glass,
piping,
other
solids
B002,
B406,
NEW
W004
Lab
packs
containing
acute
hazardous
waste
B004
W301
Contaminated
soil
B301,
B302,
W309
Batteries,
battery
parts,
cores,
casings
B309
W310
Filters,
solid
adsorbents,
ion
exchange
resins
and
spent
carbon
B310,
B404
W320
Electrical
devices
(
lamps,
thermostats,
CRTs,
etc.)
NEW
W512
Sediment
or
lagoon
dragout,
drilling
or
other
muds
B512,
B513,
B514
W801
Compressed
gases
B701,
B801
Inorganic
Liquids
­
Waste
that
is
primarily
inorganic
and
highly
fluid
(
e.
g.,
aqueous),
with
low
suspended
inorganic
solids
and
low
organic
content
W101
Very
dilute
aqueous
waste
containing
more
than
99%
water
B101,
B102,
B114,
B116
W103
Spent
concentrated
acid
B103,
B104
W105
Acidic
aqueous
wastes
less
than
5%
acid
B105
W107
Aqueous
waste
containing
cyanides
B107,
B108
W110
Caustic
aqueous
waste
without
cyanides
B106,
B109,
B110
W113
Other
aqueous
waste
or
wastewaters
B111,
B112,
B113,
B115
W117
Waste
liquid
mercury
B117
W119
Other
inorganic
liquid
(
specify
in
comments)
B119
Organic
Liquids
­
Waste
that
is
primarily
organic
and
is
highly
fluid,
with
low
inorganic
solids
content
and
low­
to­
moderate
water
content
W200
Still
bottoms
in
liquid
form
B601,
B602,
NEW
W202
Concentrated
halogenated
(
e.
g.,
chlorinated)
solvent
B202
W203
Concentrated
non­
halogenated
(
e.
g.,
non­
chlorinated)
solvent
B203
W204
Concentrated
halogenated/
non­
halogenated
solvent
mixture
B204,
B201
W205
Oil­
water
emulsion
or
mixture
B205
W206
Waste
oil
B206
W209
Paint,
ink,
lacquer,
or
varnish
B209
W210
Reactive
or
polymerizable
organic
liquids
and
adhesives
B210,
B212
W211
Paint
thinner
or
petroleum
distillates
B211
W219
Other
organic
liquid
(
specify
in
comments)
B207,
B208,
B219
FORM
CODES
(
Continued)

Code
Form
Code
Group
Corresponding
Codes
from
1999
Hazardous
Waste
Report*

80
Inorganic
Solids
­
Waste
that
is
primarily
inorganic
and
solid,
with
low
organic
content
and
low­
to­
moderate
water
content;
not
pumpable
W303
Ash
B303
W304
Slags,
drosses,
and
other
solid
thermal
residues
B303,
B304
W307
Metal
scale,
filings
and
scrap
(
including
metal
drums)
B307,
B308
W312
Cyanide
or
metal
cyanide
bearing
solids,
salts
or
chemicals
B312,
B313
W316
Metal
salts
or
chemicals
not
containing
cyanides
B316,
W319
Other
inorganic
solids
(
specify
in
comments)
B311,
B319,
B314,
B315
Organic
Solids
­
Waste
that
is
primarily
organic
and
solid,
with
low­
to­
moderate
inorganic
content
and
water
content;
not
pumpable
W401
Pesticide
solids
B401,
B402
W403
Solid
resins,
plastics
or
polymerized
organics
B403
W405
Explosives
or
reactive
organic
solids
B405
W409
Other
organic
solids
(
specify
in
comments)
B407,
B409
Inorganic
Sludges
­
Waste
that
is
primarily
inorganic,
with
moderate­
to­
high
water
content
and
low
organic
content;
mostly
pumpable
W501
Lime
and/
or
metal
hydroxide
sludges
and
solids
with
no
cyanides
B501,
B502,
B305,
B306
W503
Gypsum
sludges
from
wastewater
treatment
or
air
pollution
control
B503
W504
Other
sludges
from
wastewater
treatment
or
air
pollution
control
B504,
B511
W505
Metal
bearing
sludges
(
including
plating
sludge)
not
containing
cyanides
B505,
B510
W506
Cyanide­
bearing
sludges
B506,
B507
W519
Other
inorganic
sludges
(
specify
in
comments)
B508,
B509,
B515,
B516,
B519,
B607
Organic
Sludges
­
Waste
that
is
primarily
organic
with
low­
to­
moderate
inorganic
solids
content
and
water
content;
pumpable
W603
Oily
sludge
B603
W604
Paint
or
ink
sludges,
still
bottoms
in
sludge
form
B601,
B602,
B604
W606
Resins,
tars,
polymer
or
tarry
sludge
B605,
B606
W609
Other
organic
sludge
(
specify
in
comments)
B608,
B609
*
For
clarification
only.
Use
the
Form
codes
in
the
left
column
of
the
table
only
(
i.
e.,
codes
beginning
W___).
81
MANAGEMENT
METHOD
CODES
Management
Method
codes
describe
the
type
of
hazardous
waste
management
system
used
to
treat
or
dispose
a
hazardous
waste.

Code
Management
Method
Code
Group
Corresponding
Codes
from
1999
Hazardous
Waste
Report*
Reclamation
and
Recovery
H010
Metals
recovery
including
retorting,
smelting,
chemical,
etc.
M011­
M019
H020
Solvents
recovery
M021­
M029,
M104
H039
Other
recovery
or
reclamation
for
reuse
including
acid
regeneration,
organics
recovery,
etc.
(
specify
in
comments)
M031­
M039
H050
Energy
recovery
at
this
site
­
use
as
fuel
(
includes
on­
site
fuel
blending)
M051­
M059
H061
Fuel
blending
prior
to
energy
recovery
at
another
site
M061
Destruction
or
Treatment
Prior
to
Disposal
at
Another
Site
H040
Incineration
­
thermal
destruction
other
than
use
as
a
fuel
M041­
49
H071
Chemical
reduction
with
or
without
precipitation
M071
H073
Cyanide
destruction
with
or
without
precipitation
M073
H075
Chemical
oxidation
M075
H076
Wet
air
oxidation
M076,
M084,
M093
H077
Other
chemical
precipitation
with
or
without
pre­
treatment
M072,
M074,
M077
H081
Biological
treatment
with
or
without
precipitation
M081,
M091
H082
Adsorption
M082,
M092,
M103
H083
Air
or
steam
stripping
M083
H101
Sludge
treatment
and/
or
dewatering
M101,
M102,
M109
H103
Absorption
M103
H111
Stabilization
or
chemical
fixation
prior
to
disposal
at
another
site
M111
H112
Macro­
encapsulation
prior
to
disposal
at
another
site
M112,
NEW
H121
Neutralization
only
M121
H122
Evaporation
M122
H123
Settling
or
clarification
M123
H124
Phase
separation
M124
H129
Other
treatment
(
specify
in
comments)
M078,
M079,
M085,
M089,
M094,
M099,
M119,
M125,
M129
Disposal
H131
Land
treatment
or
application
(
to
include
on­
site
treatment
and/
or
stabilization)
M131
H132
Landfill
or
surface
impoundment
that
will
be
closed
as
landfill
(
to
include
onsite
treatment
and/
or
stabilization)
M132,
M133
H134
Deepwell
or
underground
injection
(
with
or
without
treatment)
M134
H135
Discharge
to
sewer/
POTW
or
NPDES
(
with
prior
storage
­
with
or
without
treatment)
M135,
M136
Storage
and
Transfer
H141
Storage,
bulking,
and/
or
transfer
off
site
­
no
treatment/
recovery
(
H010­
H129),
fuel
blending
(
H061),
or
disposal
(
H131­
H135)
at
this
site
M141
*
For
clarification
only.
Use
the
Management
Method
codes
in
the
left
column
only
(
i.
e.,
codes
beginning
H___).
82
THIS
PAGE
INTENTIONALLY
LEFT
BLANK
83
STATE/
REGIONAL
OFFICE
CONTACT
INFORMATION
Please
return
your
2001
Hazardous
Waste
Report
to
the
appropriate
State
or
Regional
Office
listed
below.
Call
or
email
the
contact
identified
below
for
additional
information
(
e.
g.,
if
you
need
a
street
address
instead
of
a
P.
O.
Box
number).
The
list
of
contacts
is
up­
to­
date
as
of
July
2001.
Please
refer
to
the
following
web
site
for
a
more
updated
list
of
EPA
Regional
and
State
contact
information:
http://
www.
epa.
gov/
epaoswer/
hazwaste/
data/
brs01/
forms.
htm.

Note:
Some
States
use
the
Federal
Form,
while
others
use
a
State
Form.
This
information
is
listed
below.

STATE
ADDRESS
CONTACT
Alabama
(
Federal
Form)
AL
Department
of
Environmental
Management
Alabama
Land
Division
 
Report
Section
P.
O.
Box
301463
Montgomery,
AL
36130­
1463
For
form
mail­
out:
C.
Edwin
Johnston
cej@
adem.
state.
al.
us
For
technical
questions:
Steve
Maurer
scm@
adem.
state.
al.
us
Alaska
(
Federal
Form)
EPA
Region
10
Office
of
Waste
and
Chemical
Management
1200
Sixth
Avenue,
WCM­
122
Seattle,
WA
98101
Suzanne
Salcido
(
800)
550­
7272
(
in­
state)
(
206)
553­
8511
salcido.
susanne@
epa.
gov
Arizona
(
Federal
Form)
Arizona
DEQ
Waste
Programs
Division
Hazardous
Waste
Section
Tech
Programs
Unit
3033
N.
Central
Avenue
Phoenix,
AZ
85012
Kathy
Feliberty
(
602)
207­
4214
KDF@
ev.
state.
az.
us
Arkansas
(
State
Form)
Arkansas
Department
of
Environmental
Quality
Hazardous
Waste
Division
P.
O.
Box
8913
Little
Rock,
AR
72219­
8913
Cindy
Harmon
(
501)
682­
0863
harmon@
adeq.
state.
ar.
us
California
(
Federal
Form)
CA
Department
of
Toxic
Substances
Control
Office
of
Env.
Info.
Management
(
OEIM)
P.
O.
Box
806
Sacramento,
CA
95812­
0806
Frank
Lauricella
(
916)
323­
2964
(
916)
327­
4495
(
fax)
FLaurice@
dtsc.
ca.
gov
Colorado
(
Federal
Form)
Colorado
Dept.
of
Public
Health
and
Environ.
HWMMD
(
Mailcode
HMWMD­
CP­
B2)
4300
Cherry
Creek
Drive,
South
Denver,
CO
80246­
1530
Mira
Neumiller
(
303)
692­
3350
mira.
neumiller@
state.
co.
us
Katherine
Wahlberg
(
303)
692­
3372
Connecticut
(
Federal
Form)
Connecticut
Dept.
of
Environmental
Protection
Bureau
of
Waste
Management
79
Elm
Street
(
4th
Floor)
Hartford,
CT
06106
David
Westcott
(
860)
424­
3666
david.
westcott@
po.
state.
ct.
us
Inga
Rubecka
(
860)
424­
3359
inga.
rubecka@
po.
state.
ct.
us
Delaware
(
Federal
Form)
Delaware
Department
of
Natural
Resources
and
Environmental
Control
Hazardous
Waste
Management
Branch
89
Kings
Highway
Dover,
DE
19901
Jane
Frank
(
302)
739­
3689
jfrank@
DNREC.
state.
de.
us
STATE/
REGIONAL
OFFICE
CONTACT
INFORMATION
(
Continued)

STATE
ADDRESS
CONTACT
84
District
of
Columbia
LQGs
must
use
Federal
form.
If
less
than
1,000
kg,
District
forms
are
used.
DC
Department
of
Health
Environmental
Health
Administration
Bureau
of
Haz.
Mat.
and
Toxic
Substances
Hazardous
Waste
Division
51
N
Street,
NE,
3rd
Floor
Washington,
D.
C.
20002
Mark
Hughes
(
202)
535­
2285
mhughes@
dchealth.
com
Florida
(
Federal
Form)
Florida
DEP
Hazardous
Waste
Management
Section
(
MS­
4555)
2600
Blair
Stone
Road
Tallahassee,
FL
32399­
2400
Jack
Griffith
(
850)
921­
9219
john.
griffith@
DEP.
state.
fl.
us
Georgia
(
Federal
Form)
Georgia
Department
of
Natural
Resources
Hazardous
Waste
Management
Branch
Floyd
Towers
East,
Suite
1154
205
Butler
Street,
S.
E.
Atlanta,
GA
30334
Verona
Barnes
(
404)
656­
7802
verona_
barnes@
mail.
DNR.
state.
ga.
us
Guam
(
Federal
Form)
U.
S.
EPA
Region
9
75
Hawthorne
Street
San
Francisco,
CA
94105
ATTN:
Biennial
Report
Coordinator
Ramon
Mendoza
(
415)
744­
1591
mendoza.
ramon@
epa.
gov
Hawaii
(
Federal
Form)
Hawaii
Department
of
Health
Solid
&
Hazardous
Waste
Branch
919
Ala
Moana
Boulevard,
#
212
Honolulu,
HI
96814
Gracelda
Simmons
(
808)
586­
4225
or
4240
gsimmons@
eha.
health.
state.
hi.
us
Idaho
(
Federal
Form)
Idaho
Dept
of
Environmental
Quality
1410
North
Hilton,
2nd
Floor
Boise,
ID
83706
Rene'
Anderson
(
208)
373­
0210
Illinois
(
State
Form)
Illinois
EPA
1021
North
Grand
Avenue
East
P.
O.
Box
19276
Springfield,
IL
62794­
9276
Hope
Wright
(
217)
785­
2361
hope.
wright@
epa.
state.
il.
us
Indiana
(
State
Form)
Office
of
Land
Quality
Indiana
Dept.
of
Environmental
Management
100
North
Senate
Avenue
P.
O.
Box
7035
Indianapolis,
IN
46207­
7035
Jenny
Ranck
Dooley
(
317)
232­
8925
jrdooley@
DEM.
state.
in.
us
Iowa
(
Federal
Form)
U.
S.
EPA
Region
7
ARTD/
RESP
901
N.
Fifth
Street
Kansas
City,
KS
66101
Beth
Koesterer
(
913)
551­
7673
koesterer.
elizabeth@
epa.
gov
Kansas
(
State
Form)
Kansas
Department
of
Health
and
Environment
Bureau
of
Waste
Management
Forbes
Field,
Building
740
6700
South
Topeka
Boulevard
Topeka,
KS
66620­
0001
David
Branscum
(
785)
296­
6898
dbranscu@
KDHE.
state.
ks.
us
STATE/
REGIONAL
OFFICE
CONTACT
INFORMATION
(
Continued)

STATE
ADDRESS
CONTACT
85
Kentucky
(
State
Form)
Kentucky
Environmental
Protection
Dept.
Division
of
Waste
Management
Hazardous
Waste
Branch
ATTN:
Annual
Report
Coordinator
14
Reilly
Road
Frankfort,
KY
40601
Annual
Report
Coordinator
(
502)
564­
6716
Louisiana
(
State
Form)
Louisiana
Dept.
of
Environmental
Quality
Environmental
Assistance
Division
7290
Bluebonnet,
2nd
Floor­
P.
O.
Box
82135
Baton
Rouge,
LA
70884­
2135
Joyce
Metoyer
(
225)
765­
0144
j_
metoyer@
DEQ.
state.
la.
us
Maine
(
Federal
Form)
Maine
Department
of
Environmental
Protection
BRWM
State
House
Station
17
Ray
Building/
Hospital
Street
Augusta,
ME
04333­
0017
Cherrie
Plummer
(
207)
287­
7882
cherrie.
f.
plummer@
state.
me.
us
Maryland
(
Federal
Form)
Maryland
Department
of
the
Environment
Waste
Mgmt.
Admin./
Haz.
Waste
Program
2500
Broening
Highway
Baltimore,
MD
21224
Emily
Troyer
(
410)
631­
3344
Massachusetts
(
Federal
Form)
Massachusetts
Department
of
Environmental
Protection
Division
of
Hazardous
Waste
One
Winter
Street,
8th
Floor
Boston,
MA
02108
Beth
McDonough
(
617)
574­
6895
beth.
mcdonough@
state.
ma.
us
Michigan
(
Federal
Form)
Michigan
Department
of
Environmental
Quality
Waste
Management
Division
P.
O.
Box
30241
Lansing,
MI
48909
Biennial
Report
Prg.
Coord.
(
517)
373­
2720
Minnesota
(
Federal
Form)
Minnesota
Pollution
Control
Agency
Water
and
Waste
Prevention
Unit
Policy
and
Planning
Division
520
Lafayette
Road,
North
St.
Paul,
MN
55155
Sally
Patrick
(
651)
297­
4786
sally.
patrick@
pca.
state.
mn.
us
Mississippi
(
Federal
Form)
Mississippi
Dept.
of
Environmental
Quality
Hazardous
Waste
Division
2380
Highway
80
West,
P.
O.
Box
10385
Jackson,
MS
39289­
0385
Charles
Rogers
(
601)
961­
5368
chip_
rogers@
deq.
state.
ms.
us
Missouri
(
Federal
Form)
Missouri
Department
of
Natural
Resources
P.
O.
Box
176
Jefferson
City,
MO
65102
John
Beard
(
573)
751­
4566
nrbearj@
mail.
dnr.
state.
mo.
us
Montana
(
Federal
Form)
Montana
Department
of
Environmental
Quality
Permitting
and
Compliance
Division
Air
and
Waste
Management
Bureau
P.
O.
Box
200901
Helena,
MT
59620­
0901
Mark
Hall
(
406)
444­
4096
mahall@
state.
mt.
us
STATE/
REGIONAL
OFFICE
CONTACT
INFORMATION
(
Continued)

STATE
ADDRESS
CONTACT
86
Navajo
Nation
(
Federal
Form)
The
Navajo
Nation
Navajo
EPA
P.
O.
Box
339
Window
Rock,
AZ
86515
Ronnie
Ben
(
520)
871­
7995
rbennepa@
hotmail.
com
Nebraska
(
Federal
Form)
Nebraska
Department
of
Environmental
Quality
1200
N
Street,
Suite
400
P.
O.
Box
98922
Lincoln,
NE
68509­
8922
Teri
Swarts
(
402)
471­
4217
teri.
swarts@
NDEQ.
state.
ne.
us
Nevada
(
Federal
Form)
Nevada
Div.
of
Environmental
Protection
Bureau
of
Waste
Management
333
West
Nye
Lane
Rm.
138
Carson
City,
NV
89706­
0851
Alene
Coulson
(
775)
687­
4670,
ext.
3006
acoulson@
NDEP.
carson­
city.
nv.
us
New
Hampshire
(
Federal
Form)
New
Hampshire
Department
of
Environmental
Services
P.
O.
Box
95
6
Hazen
Drive
Concord,
NH
03301
Ray
Gordon
­
(
603)
271­
6350
rgordon@
des.
state.
nh.
us
Amy
Culberson
­
(
603)
271­
5186
aculbers@
des.
state.
nh.
us
New
Jersey
(
Federal
Form)
New
Jersey
Dept.
of
Environmental
Protection
Hazardous
Waste
Report
Unit
401
E.
State
Street
P.
O.
Box
414
Trenton,
NJ
08625
Richard
Johnson
(
609)
292­
7081
New
Mexico
(
Federal
Form)
New
Mexico
Hazardous
and
Radioactive
Materials
Bureau
Environmental
Department
P.
O.
Box
26110
Santa
Fe,
NM
87502
Linda
Montoya
(
505)
827­
1557
linda_@
nmem.
state.
mn.
us
New
York
(
State
Form)
NY
Dept.
Of
Environmental
Conservation
Reporting
Section
50
Wolf
Road
Room
488
Albany,
NY
12233­
7250
Ernie
Robbins
(
518)
457­
0532
ejrobbin@
gw.
dec.
state.
ny.
us
North
Carolina
(
Federal
Form)
North
Carolina
DENR
Division
of
Waste
Management
P.
O.
Box
29603
Raleigh,
NC
27611­
9603
Jim
Edwards
(
919)
733­
2178
ext.
209
North
Dakota
(
Federal
Form)
North
Dakota
Department
of
Health
P.
O.
Box
5520
Bismarck,
ND
58506­
5520
Christine
Roob
(
701)
328­
5166
croob@
state.
nd.
us
Ohio
(
State
Form)
Ohio
EPA
Division
of
Hazardous
Waste
Management
P.
O.
Box
1049
Columbus,
OH
43216­
1049
Tammy
Heffelfinger
(
614)
644­
2954
t.
heffelfinger@
epa.
state.
oh.
us
STATE/
REGIONAL
OFFICE
CONTACT
INFORMATION
(
Continued)

STATE
ADDRESS
CONTACT
87
Oklahoma
(
Federal
Form)
Oklahoma
Dept.
of
Environmental
Quality
Waste
Management
Division
707
North
Robinson
Avenue
Oklahoma
City,
OK
73102
Gail
Hamill
(
405)
702­
5191
gail.
hamill@
deqmail.
state.
ok.
us
Oregon
(
State
Form)
Oregon
DEQ
811
SW
Sixth
Avenue
Portland,
OR
97204­
1390
Chris
Pickens
(
503)
229­
6352
pickens.
chris@
deq.
state.
or.
us
Pennsylvania
(
Federal
Form)
Pennsylvania
DEP
P.
O.
Box
8550
Harrisburg,
PA
17105­
8550
For
UPS
or
FedEx:
400
Market
Street
Harrisburg,
PA
17101
Robert
Finkel
(
717)
783­
9183
finkel.
robert@
dep.
state.
pa.
us
Puerto
Rico
(
Federal
Form)
Puerto
Rico
Environmental
Quality
Board
P.
O.
Box
11488
San
Turce,
PR
00910
Pedro
Marin
(
787)
767­
8181
Rhode
Island
(
Federal
Form)
Rhode
Island
DEM
Office
of
Waste
Management
235
Promenade
Street
Providence,
RI
02908­
5767
Mark
Dennen
(
401)
222­
2797,
ext.
7112
mdennen@
dem.
state.
ri.
us
South
Carolina
(
State
Form
)
SC
Dept.
Of
Heatlh
and
Environmental
Control
Bureau
of
Land
and
Waste
Management
2600
Bull
Street
Columbia,
SC
29201­
1708
Lisa
Yeager
(
803)
896­
4138
yeageres@
columb34.
ehec.
state.
sc.
us
South
Dakota
(
Federal
Form)
SD
Dept.
of
Env.
and
Natural
Resources
Waste
Management
Program
523
East
Capitol
Avenue
Pierre,
SD
57501
Trish
Kindt
(
605)
773­
3329
trish.
kindt@
state.
sd.
us
Tennessee
(
State
Form
)
Tennessee
Dept.
of
Environ.
and
Conservation
Division
of
Solid
Waste
Management
401
Church
Street
,
5th
Floor
Nashville,
TN
37243­
1535
Receptionist
will
direct
you
to
the
appropriate
person
(
615)
532­
0780
Texas
(
State
Form)
Texas
Natural
Resource
Conservation
Commission
(
TNRCC)
Evaluation
Section
MC
129
P.
O.
Box
13087
Austin,
TX
78711­
3087
Carol
Gensweider
(
512)
239­
6832
cgenswei@
tnrcc.
st.
tx.
us
Trust
Territories
(
Federal
Form)
U.
S.
EPA
Region
9
75
Hawthorne
Street
San
Francisco,
CA
94105
ATTN:
Biennial
Report
Coordinator
Ramon
Mendoza
(
415)
744­
1591
mendoza.
ramon@
epa.
gov
Utah
(
Federal
Form)
Utah
Dept.
Of
Environmental
Quality
288
North
1460
West
P.
O.
Box
144880
Salt
Lake
City,
UT
84114­
4880
Jim
Smith
(
801)
538­
7061
jwsmith@
deq.
state.
ut.
us
Vermont
(
Federal
Form)
VT
Dept.
Of
Env.
Conservation
103
South
Main
Street/
West
Building
Waterbury,
VT
05671­
0404
Maria
Stadlmayer
(
802)
241­
3881
marias@
dec.
anr.
state.
vt.
us
STATE/
REGIONAL
OFFICE
CONTACT
INFORMATION
(
Continued)

STATE
ADDRESS
CONTACT
88
Virgin
Islands
(
Federal
Form)
U.
S.
EPA
Region
2
290
Broadway
New
York,
NY
10007­
1866
Patricia
Rosa
(
212)
637­
4121
Virginia
(
Federal
Form)
Virginia
Department
of
Environmental
Quality
OTA/
Waste
P.
O.
Box
10009
629
East
Main
Street
Richmond,
VA
23219
Christian
Braun
(
804)
698­
4177
Washington
(
State
Form)
Washington
State
Department
of
Ecology
P.
O.
Box
47600
Olympia,
WA
98504­
7600
Jean
Rushing
(
360)
407­
6732
jeru461@
ecy.
wa.
gov
West
Virginia
(
Federal
Form)
West
Virginia
DEP
1356
Hansford
Street
Charleston,
WV
25301­
1401
Carroll
D.
Cather
(
304)
558­
5989
ccather@
mail.
dep.
state.
wv.
us
Wisconsin
(
State
Form)
Wisconsin
Dept.
of
Natural
Resources
101
South
Webster
Street
P.
O.
Box
7921
Madison,
WI
53707­
7921
Receptionist
will
direct
you
to
appropriate
WIDNR
Regional
Office
(
608)
266­
2111
Wyoming
(
Federal
Form)
WY
Dept.
of
Environmental
Quality
Solid
&
Hazardous
Waste
Division
122
West
25th
Street
Cheyenne,
WY
82002
Tim
Link
(
307)
777­
7752
tlink@
state.
wy.
us
APPENDIX
A
EXAMPLES
OF
COMPLETED
2001
HAZARDOUS
WASTE
REPORT
FORMS
THIS
PAGE
INTENTIONALLY
LEFT
BLANK
A­
1
EXAMPLES
OF
COMPLETED
2001
HAZARDOUS
WASTE
REPORT
FORMS
This
appendix
contains
hypothetical
examples
of
completed
2001
Hazardous
Waste
Report
forms
for
two
sites:
Refrigerator,
Inc.
and
TSD
Handler,
Inc.
These
examples
are
for
illustrative
purposes
only
and
are
not
intended
to
cover
all
possible
situations.
In
addition,
information
in
the
examples
is
fictitious
and
does
not
represent
any
known
companies.

#
Example
1
is
for
a
RCRA
large
quantity
generator
(
LQG),
Refrigerator,
Inc.,
that
treated
some
of
its
hazardous
waste
on
site
and
shipped
the
remainder
of
its
hazardous
waste
off
site
for
treatment,
disposal,
or
recycling.

#
Example
2
is
for
a
RCRA
treatment,
storage,
and
disposal
facility,
TSD
Handler,
Inc.

The
following
information
is
provided
for
each
example:

#
A
description
of
the
hazardous
waste
activities
at
the
site;

#
An
explanation
of
each
relevant
Hazardous
Waste
Report
form
for
the
site;
and
#
A
completed
copy
of
each
Hazardous
Waste
Report
form
for
the
site.
A­
2
THIS
PAGE
INTENTIONALLY
LEFT
BLANK
A­
3
EXAMPLE
1
Refrigerator,
Inc.

Refrigerator,
Inc.
is
a
company
that
specializes
in
manufacturing
refrigerators.
In
2001,
as
part
of
its
manufacturing
processes,
Refrigerator,
Inc.
generated
more
than
1,000
kg
(
2,200
pounds)
of
RCRA
hazardous
waste
in
a
calendar
month.
Thus,
the
site
is
considered
an
LQG.
One
of
the
hazardous
wastes
generated
by
Refrigerator,
Inc.
was
managed
on
site.
The
remaining
hazardous
wastes
were
shipped
off
site
for
management.

Hazardous
waste
generated
by
Refrigerator,
Inc.
in
2001
and
managed
on
site
consisted
of
650
gallons
of
spent
toluene
used
to
clean
paint
lines.
After
generation,
the
spent
toluene
was
taken
directly
to
the
company's
on­
site
distillation
unit
in
order
to
recover
the
spent
toluene.
The
distillation
unit
generated
50
gallons
of
residual
waste
solvent
distillation
bottoms,
which
were
shipped
off
site
for
treatment
and
disposal.

Hazardous
wastes
generated
by
Refrigerator,
Inc.
in
2001
and
shipped
off
site
for
treatment,
disposal,
or
recycling
include:

#
50
gallons
of
residual
waste
solvent
distillation
bottoms;

#
450
gallons
of
waste
halogenated
solvent
tetrachloroethylene
generated
from
degreasing
parts;

#
550
tons
of
wastewater
treatment
sludge
generated
from
electroplating
operations;
and
#
1,500
gallons
of
corrosive
waste
generated
from
stripping
operations,
which
were
shipped
off
site
to
a
publicly
owned
treatment
works
(
POTW)
facility
(
not
a
direct
discharge
to
the
POTW).
Forms
Completed
by
Refrigerator,
Inc.

A­
4
Site
ID
Form
All
sites
required
to
submit
the
2001
Hazardous
Waste
Report
must
fill
out
a
Site
ID
Form.
Therefore,
Refrigerator,
Inc.
(
a
fictitious
site)
completed
a
Site
ID
Form.

Form
GM
A
site
required
to
submit
the
2001
Hazardous
Waste
Report
must
fill
out
Form
GM
for
the
RCRA
hazardous
waste
that
is
generated
and
managed
on
site,
or
generated
on
site
and
shipped
off
site
for
management.
Directions
regarding
what
hazardous
waste
must
be
reported
are
discussed
elsewhere
in
this
booklet.
Reporting
on
the
Form
GM
may
be
at
the
individual
process
level,
at
the
manifest
shipment
level,
or
at
the
cumulative
waste
code
level
(
within
the
reporting
cycle).

Therefore,
Refrigerator,
Inc.
completed
five
GM
forms
for
the
following
RCRA
hazardous
wastes:

#
650
gallons
of
waste
toluene
generated
from
the
cleaning
of
paint
lines,
which
was
distilled
on
site,
and
the
resulting
50
gallons
of
waste
solvent
distillation
bottoms
(
residuals)
shipped
off
site
(
two
GM
forms
needed:
one
form
for
the
waste
toluene
distilled
on
site
and
one
form
for
the
toluene
distillation
still
bottoms
(
residuals));

#
450
gallons
of
waste
halogenated
solvent
tetrachloroethylene
generated
from
degreasing
parts
and
shipped
off
site
to
two
treatment,
storage,
and
disposal
facilities
(
TSDFs)
(
one
of
these
facilities
is
TSD
Handler,
Inc.;
see
Example
2);

#
550
tons
of
wastewater
treatment
sludge
generated
from
electroplating
operations
and
shipped
off
site
to
two
TSDFs;
and
#
1,500
gallons
of
corrosive
waste
generated
from
stripping
operations
and
shipped
off
site
to
a
POTW
facility
(
not
a
direct
discharge
to
the
POTW).
Forms
Completed
by
Refrigerator,
Inc.

A­
5
Site
ID
Form
Item
1
Reason
for
submittal.
An
"
X"
is
placed
in
the
appropriate
box
indicating
that
the
Site
ID
Form
is
being
submitted
as
a
component
of
the
Hazardous
Waste
Report.

Item
2
Site
EPA
ID
number.
The
site's
EPA
ID
number,
ABD910848737,
is
entered
in
Item
2.

Item
3
Name
of
site.
The
legal
name
of
the
site,
Refrigerator,
Inc.,
is
entered.

Item
4
Location
of
site.
The
complete
location
address
is
entered:
200
N.
Washington
Street,
RCRA
City,
RCRA
County,
AB,
88899.
[
Note
that
the
address
entered
in
Item
4
must
be
a
physical
address,
not
a
post
office
box
or
route
number.]

Item
5
Site
land
type.
Item
5
is
left
blank
because
the
site
is
not
required
to
complete
it
as
part
of
the
Hazardous
Waste
Report.

Item
6
NAICS
code.
The
NAICS
codes
that
best
describe
the
activities
conducted
at
the
site
are
entered
in
order
of
descending
importance:
335222
(
i.
e.,
household
refrigerator
and
home
freezer
manufacturing),
332813
(
i.
e.,
electroplating,
plating,
polishing,
anodizing,
and
coloring),
and
332999
(
i.
e.,
all
other
miscellaneous
fabricated
metal
product
manufacturing).

Item
7
Site
mailing
address.
Because
the
site
mailing
address
and
the
location
of
site
(
Item
4)
are
the
same,
Same
is
entered
in
Item
7.

Item
8
Site
contact.
The
name,
business
telephone
number,
and
extension
of
the
person
who
should
be
contacted
regarding
the
information
submitted
in
the
Site
ID
Form
is
entered:
John
R.
Smith,
(
999)
684­
8000,
ext.
410.

Item
9
Owner
and/
or
operator
of
the
site.
Item
9
is
left
blank
because
the
site
is
not
required
to
complete
it
as
part
of
the
Hazardous
Waste
Report.
Forms
Completed
by
Refrigerator,
Inc.

A­
6
Site
ID
Form
(
continued)

Item
10
Type
of
regulated
waste
activity.
The
site
completes
Box
A
because
it
generated
and
recycled
RCRA
hazardous
waste
during
2001.
An
"
X"
is
placed
in
Box
A.
1.
a
(
i.
e.,
LQG)
because
the
site
generated
more
than
1,000
kg
(
2,200
lbs)
of
RCRA
hazardous
waste
in
a
calendar
month,
during
one
or
more
months
in
2001.
An
"
X"
also
is
placed
in
Box
A.
4
because
the
site
recycled
hazardous
waste
(
i.
e.,
spent
toluene)
on
site
in
2001.
Boxes
A.
2,
A.
3,
A.
5,
A.
6,
B,
and
C
are
left
blank
because
they
are
not
applicable
to
the
hazardous
waste
activities
conducted
at
the
site
during
2001.
[
Note:
In
2001,
the
site
did
not
store
the
spent
toluene
before
distillation.
Therefore,
the
site
is
not
considered
a
treater,
storer,
or
disposer
of
hazardous
waste
(
i.
e.,
Box
A.
3
was
not
checked).]

Item
11
Description
of
hazardous
wastes.
Item
11
is
left
blank
because
the
site
is
not
required
to
complete
it
as
part
of
the
Hazardous
Waste
Report.

Item
12
Comments.
The
site
had
no
additional
comments.
Therefore,
Item
12
is
left
blank.

Item
13
Certification.
The
certification
is
signed
and
completed
by
the
authorized
representative
of
the
site
(
i.
e.,
the
person
responsible
for
the
overall
operation
of
the
site):
John
R.
Smith,
Plant
Manager,
02/
11/
2002.

[
Note:
The
site
entered
its
EPA
ID
number
(
ABD910848737)
in
the
top
right­
hand
corner
of
pages
2
and
3
of
the
Site
ID
Form.]
Forms
Completed
by
Refrigerator,
Inc.

Same
as
Page
1
of
EPA
Form
8700­
12
EPA
Form
8700­
13A/
B
(
Revised
11/
00)
Page
1
of
8
Same
as
Page
1
of
EPA
Form
8700­
23
A­
7
OMB#:
2050­
0175
Expires
12/
31/
2003
MAIL
THE
COMPLETED
FORM
TO:
The
Appropriate
EPA
Regional
or
State
Office.
United
States
Environmental
Protection
Agency
RCRA
SUBTITLE
C
SITE
IDENTIFICATION
FORM
1.
Reason
for
Submittal
(
see
instructions
on
page
10)

CHECK
CORRECT
BOX(
ES)
Reason
for
Submittal:

 
To
provide
initial
notification
(
to
obtain
an
EPA
ID
Number
for
hazardous
waste,
universal
waste,
or
used
oil
activities).

 
To
provide
subsequent
notification
(
to
update
site
identification
information).

 
As
a
component
of
a
First
RCRA
Hazardous
Waste
Part
A
Permit
Application.

 
As
a
component
of
a
Revised
RCRA
Hazardous
Waste
Part
A
Permit
Application
(
Amendment
#______________).

:
As
a
component
of
the
Hazardous
Waste
Report.

2.
Site
EPA
ID
Number
(
see
instructions
on
page
11)
EPA
ID
Number:
ABD910848737
3.
Site
Name
(
see
instructions
on
page
11)
Legal
Name:
Refrigerator,
Inc.

4.
Site
Location
Information
(
see
instructions
on
page
11)
Street
Address:
200
N.
Washington
Street
City,
Town,
or
Village:
RCRA
City
State:
AB
County
Name:
RCRA
County
Zip
Code:
88899
5.
Site
Land
Type
(
see
instructions
on
page
11)
Site
Land
Type:
 
Private
 
County
 
District
 
Federal
 
Indian
 
Municipal
 
State
 
Other
6.
North
American
Industry
Classification
System
(
NAICS)
Code(
s)
for
the
Site
(
see
instructions
on
page
11)
A.
335222
B.
332813
C.
332999
D.

7.
Site
Mailing
Address
(
see
instructions
on
page
12)
Street
or
P.
O.
Box:
Same
City,
Town,
or
Village:

State:

Country:
Zip
Code:

8.
Site
Contact
Person
(
see
instructions
on
page
12)
First
Name:
John
MI:
R.
Last
Name:
Smith
Phone
Number:
(
999)
684­
8000
Phone
Number
Extension:
410
9.
Legal
Owner
and
Operator
of
the
Site
(
see
instructions
on
pages
12
and
13)
A.
Name
of
Site's
Legal
Owner:
Date
Became
Owner
(
mm/
dd/
yyyy):

Owner
Type:
 
Private
 
County
 
District
 
Federal
 
Indian
 
Municipal
 
State
 
Other
B.
Name
of
Site's
Operator:
Date
Became
Operator
(
mm/
dd/
yyyy):

Operator
Type:
 
Private
 
County
 
District
 
Federal
 
Indian
 
Municipal
 
State
 
Other
Forms
Completed
by
Refrigerator,
Inc.

Same
as
Page
2
of
EPA
Form
8700­
12
EPA
Form
8700­
13A/
B
(
Revised
11/
00)
Page
2
of
8
Same
as
Page
2
of
EPA
Form
8700­
23
A­
8
OMB#:
2050­
0175
Expires
12/
31/
2003
EPA
ID
No.
A
B
D
9
1
0
8
4
8
7
3
7
10.
Type
of
Regulated
Waste
Activity
(
Mark
'
X'
in
the
appropriate
boxes.
See
instructions
on
pages
13,
14,
15,
and
16)

A.
Hazardous
Waste
Activities
1.
Generator
of
Hazardous
Waste
(
choose
only
one
of
the
following
three
categories)

:
a.
LQG:
Greater
than
1,000
kg/
mo
(
2,200
lbs.)
of
non­
acute
hazardous
waste;
or
 
b.
SQG:
100
to
1,000
kg/
mo
(
220
­
2,200
lbs.)
of
non­
acute
hazardous
waste;
or
 
c.
CESQG:
Less
than
100
kg/
mo
of
non­
acute
hazardous
waste
In
addition,
indicate
other
generator
activities
(
check
all
that
apply)

 
d.
United
States
Importer
of
Hazardous
Waste
 
e.
Mixed
Waste
(
hazardous
and
radioactive)
Generator
For
Items
2
through
6,
check
all
that
apply:

 
2.
Transporter
of
Hazardous
Waste
 
3.
Treater,
Storer,
or
Disposer
of
Hazardous
Waste
(
at
your
site)
Note:
A
hazardous
waste
permit
is
required
for
this
activity.

:
4.
Recycler
of
Hazardous
Waste
(
at
your
site)
Note:
A
hazardous
waste
permit
may
be
required
for
this
activity.

5.
Exempt
Boiler
and/
or
Industrial
Furnace
 
a.
Small
Quantity
On­
site
Burner
Exemption
 
b.
Smelting,
Melting,
Refining
Furnace
Exemption
 
6.
Underground
Injection
Control
B.
Universal
Waste
Activities
1.
Large
Quantity
Handler
of
Universal
Waste
[
refer
to
your
State
regulations
to
determine
what
is
regulated].
Indicate
types
of
universal
waste
generated
and/
or
accumulated
at
your
site.
(
check
all
boxes
that
apply):

Generated
Accumulated
a.
Batteries
 
 

b.
Pesticides
 
 

c.
Thermostats
 
 

d.
Lamps
 
 

e.
Other
(
specify)
_______________
 
 

f.
Other
(
specify)
_______________
 
 

g.
Other
(
specify)
_______________
 
 

 
2.
Destination
Facility
for
Universal
Waste
Note:
A
hazardous
waste
permit
may
be
required
for
this
activity.
C.
Used
Oil
Activities
1.
Used
Oil
Transporter
­
Indicate
Type(
s)
of
Activity(
ies)

 
a.
Transporter
 
b.
Transfer
Facility
2.
Used
Oil
Processor
and/
or
Re­
refiner
­
Indicate
Type(
s)
of
Activity(
ies)

 
a.
Processor
 
b.
Re­
refiner
 
3.
Off­
Specification
Used
Oil
Burner
4.
Used
Oil
Fuel
Marketer
­
Indicate
Type(
s)
of
Activity(
ies)

 
a.
Marketer
Who
Directs
Shipment
of
Off­
Specifica
tion
Used
Oil
to
Off­
Specification
Used
Oil
Burner
 
b.
Marketer
Who
First
Claims
the
Used
Oil
Meets
the
Specifications
11.
Description
of
Hazardous
Wastes
(
see
instructions
on
page
16)

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

Same
as
Page
3
of
EPA
Form
8700­
12
EPA
Form
8700­
13A/
B
(
Revised
11/
00)
Page
3
of
8
Same
as
Page
3
of
EPA
Form
8700­
23
A­
9
OMB#:
2050­
0175
Expires
12/
31/
2003
EPA
ID
No.
A
B
D
9
1
0
8
4
8
7
3
7
B.
Waste
Codes
for
State­
Regulated
(
i.
e.,
non­
Federal)
Hazardous
Wastes.
Please
list
the
waste
codes
of
the
State­
regulated
hazardous
wastes
handled
at
your
site.
List
them
in
the
order
they
are
presented
in
the
regulations.
Use
an
additional
page
if
more
spaces
are
needed
for
waste
codes.

12.
Comments
(
see
instructions
on
page
17)

13.
Certification.
I
certify
under
penalty
of
law
that
this
document
and
all
attachments
were
prepared
under
my
direction
or
supervision
in
accordance
with
a
system
designed
to
assure
that
qualified
personnel
properly
gather
and
evaluate
the
information
submitted.
Based
on
my
inquiry
of
the
person
or
persons
who
manage
the
system,
or
those
persons
directly
responsible
for
gathering
the
information,
the
information
submitted
is,
to
the
best
of
my
knowledge
and
belief,
true,
accurate,
and
complete.
I
am
aware
that
there
are
significant
penalties
for
submitting
false
information,
including
the
possibility
of
fine
and
imprisonment
for
knowing
violations.
(
see
instructions
on
page
17)

Signature
of
owner,
operator,
or
an
authorized
representative
Name
and
Official
Title
(
type
or
print)
Date
Signed
(
mm­
dd­
yyyy)

John
R.
Smith
John
R.
Smith
02/
11/
2002
Plant
Manager
Forms
Completed
by
Refrigerator,
Inc.

A­
10
Form
GM,
page
4
of
8:
Waste
solvent
generated
from
cleaning
paint
lines
that
was
distilled
on
site.

[
Note
that
the
still
bottoms
are
not
reported
on
the
same
Form
GM
as
the
spent
solvent;
the
still
bottoms
are
considered
a
separate
waste,
reported
on
Form
GM,
page
5
of
8.]

Before
copying,
or
entering
information
on,
this
form,
the
site
enters
its
name
(
Refrigerator,
Inc.)
and
EPA
ID
number
(
ABD910848737)
in
the
top
left­
hand
corner
of
the
form.

Section
1
Waste
characteristics.
In
Box
A,
a
narrative
description
of
the
waste
is
entered:
Waste
toluene
from
cleaning
paint
lines.
The
appropriate
EPA
hazardous
waste
code
associated
with
the
waste,
F005
for
spent
non­
halogenated
solvents,
is
entered
in
Box
B;
NA
is
entered
in
the
remaining
spaces
for
EPA
hazardous
waste
codes.
Box
C
is
left
blank,
unless
the
State
defines
separate
waste
codes
relevant
to
the
waste.
The
appropriate
Source
code,
G06
for
painting
and
coating,
is
entered
in
Box
D.
Because
the
Source
code
is
not
"
G25,"
the
Management
Method
code
in
Box
D
is
left
blank.
The
appropriate
Form
code,
W203
for
concentrated
nonhalogenated
solvent,
is
entered
in
Box
E.
Box
F
is
not
checked
because
the
waste
is
not
mixed
with
radioactive
materials.
The
quantity
of
the
hazardous
waste
generated
in
2001,
650.0,
is
reported
in
Box
G.
In
Box
H,
code
5
is
entered
indicating
that
the
unit
of
measure
for
the
quantity
reported
in
Box
G
is
"
gallons."
Because
"
gallons"
is
a
volumetric
measure,
the
density
of
the
waste,
7.60,
is
recorded
in
Box
H,
and
"
lbs/
gal"
is
checked
to
indicate
that
the
density
is
reported
in
pounds
per
gallon.

Section
2
On­
site
generation
and
management
of
hazardous
waste.
The
site
checks
"
Yes"
because
the
site
recycled
the
waste
on
site.
In
On­
site
Process
System
1,
H020
is
entered
indicating
that
the
waste
was
recycled
using
solvents
recovery.
The
quantity
recycled
is
entered
using
the
same
unit
of
measure
reported
in
Section
2,
Box
B,
650.0.
On­
site
Process
System
2
is
left
blank.

Section
3
Off­
site
shipment
of
hazardous
waste.
In
Box
A,
"
No"
is
checked
because
the
waste
was
recycled
on
site
during
2001.
For
Sites
1,
2
and
3,
Boxes
B
through
D
are
left
blank
according
to
the
instructions
("
Form
is
complete").
FORM
GM
OMB#:
2050­
0024
Expires
11/
30/
2002
Forms
Completed
by
Refrigerator,
Inc.

Over
ö
EPA
Form
8700­
13A/
B
(
Revised
(
11/
00))
Page
4
of
8
A­
11
BEFORE
COPYING
FORM,
ATTACH
SITE
IDENTIFICATION
LABEL
OR
ENTER:

SITE
NAME:
Refrigerator,
Inc.

EPA
ID
NO:
.
A2B2D­.
92120­.
82428­.
72327­
U.
S.
ENVIRONMENTAL
PROTECTION
AGENCY
2001
Hazardous
Waste
Report
WASTE
GENERATION
AND
MANAGEMENT
FORM
GM
Instructions:
Please
see
the
detailed
instructions
beginning
on
page
19
of
the
instructions
and
forms
booklet
before
completing
this
form.
In
addition,
the
page
number
for
instructions
specific
to
each
box
is
provided
in
parentheses.

Sec.
1
A.
Waste
description
(
page
22)
Waste
toluene
from
cleaning
paint
lines.

B.
EPA
hazardous
waste
code
.
F202025­
.)
2)
2N2A­
(
page
22)
.)
2)
2N2A­
.)
2)
2N2A­
.)
2)
2N2AC
State
hazardous
waste
code
(
page
22)

.)
2)
2)
2)
2)
2)­.)
2)
2)
2)
2)
2)­

D.
Source
code
.
G
2026­
(
page
23)
Management
Method
code
for
Source
code
G25
.
H
2)
2)
2)­
E.
Form
code
(
page
23)

.
W
222023­
F.
RCRA
radioactive
mixed?
(
page
23)

9
Yes
G.
Quantity
generated
in
2001
(
page
23)

.)
2)
2)
2)
2)
2)
262520­..
0­
H.
UOM
.5­
(
page
23)

Density
.)
27­..
620­
:
lbs/
gal
9
sg
Sec.
2
Was
any
of
this
waste
managed
on
site?
(
page
24)

:
1
Yes
(
CONTINUE
TO
ON­
SITE
PROCESS
SYSTEM
1)
9
2
No
(
SKIP
TO
SEC.
3)

ON­
SITE
PROCESS
SYSTEM
1
ON­
SITE
PROCESS
SYSTEM
2
On­
site
Management
Quantity
treated,
disposed,
or
Method
code
(
page
24)
recycled
on
site
in
2001
(
page
25)

.
H
202220­
.)
2)
2)
2)
2)
2)
262520­..
0­
On­
site
Management
Quantity
treated,
disposed,
or
Method
code
(
page
24)
recycled
on
site
in
2001
(
page
25)

.
H
2)
2)
2)­
.)
2)
2)
2)
2)
2)
2)
2)
2)­..)­

Sec.
3
A.
Was
any
of
this
waste
shipped
off
site
in
2001
for
treatment,
disposal,
or
recycling?
(
pages
25
and
26)
9
1
Yes
(
CONTINUE
TO
BOX
B)
:
2
No
(
FORM
IS
COMPLETE)

Site
1
B.
EPA
ID
No.
of
facility
to
which
waste
was
shipped
(
page
26)

.)
2)
2)­.)
2)
2)­.)
2)
2)­.)
2)
2)­
C.
Off­
site
Management
Method
code
Shipped
to
(
page
26)

.
H
2)
2)
2)­
D.
Total
quantity
shipped
in
2001
(
page
26)

.)
2)
2)
2)
2)
2)
2)
2)
2)­..)­

Site
2
B.
EPA
ID
No.
of
facility
to
which
waste
was
shipped
(
page
26)

.)
2)
2)­.)
2)
2)­.)
2)
2)­.)
2)
2)­
C.
Off­
site
Management
Method
code
Shipped
to
(
page
26)

.
H
2)
2)
2)­
D.
Total
quantity
shipped
in
2001
(
page
26)

.)
2)
2)
2)
2)
2)
2)
2)
2)­..)­

Site
3
B.
EPA
ID
No.
of
facility
to
which
waste
was
shipped
(
page
26)

.)
2)
2)­.)
2)
2)­.)
2)
2)­.)
2)
2)­
C.
Off­
site
Management
Method
code
Shipped
to
(
page
26)

.
H
2)
2)
2)­
D.
Total
quantity
shipped
in
2001
(
page
26)

.)
2)
2)
2)
2)
2)
2)
2)
2)­..)­

Comments:
Forms
Completed
by
Refrigerator,
Inc.

A­
12
Form
GM,
page
5
of
8:
Still
bottoms
(
residuals)
shipped
off
site
after
distilling
waste
solvent
toluene
that
was
used
to
clean
paint
lines
on
site.

[
Note
that
the
spent
solvent
is
not
reported
on
the
same
Form
GM
as
the
still
bottoms;
the
spent
solvent
is
considered
a
separate
waste,
reported
on
Form
GM,
page
4
of
8.]

Before
copying,
or
entering
information
on,
this
form,
the
site
enters
its
name
(
Refrigerator,
Inc.)
and
EPA
ID
number
(
ABD910848737)
in
the
top
left­
hand
corner
of
the
form.

Section
1
Waste
characteristics.
In
Box
A,
a
narrative
description
of
the
waste
is
entered:
Waste
toluene
distillation
still
bottoms
(
residuals).
The
appropriate
EPA
hazardous
waste
code
associated
with
the
waste,
F005
for
spent
non­
halogenated
solvents,
is
entered
in
Box
B;
NA
is
entered
in
the
remaining
spaces
for
EPA
hazardous
waste
codes.
Box
C
is
left
blank,
unless
the
State
defines
separate
waste
codes
relevant
to
the
waste.
The
appropriate
source
code,
G25
for
hazardous
waste
management,
is
entered
in
Box
D.
Because
the
Source
code
is
"
G25,"
the
Management
Method
code,
H020
for
solvents
recovery,
is
also
entered
in
Box
D.
The
appropriate
Form
code,
W200
for
still
bottoms
in
liquid
form,
is
entered
in
Box
E.
Box
F
is
not
checked
because
the
waste
is
not
mixed
with
radioactive
materials.
The
quantity
of
the
hazardous
waste
generated
in
2001,
50.0,
is
reported
in
Box
G.
In
Box
H,
code
5
is
entered
indicating
that
the
unit
of
measure
for
the
quantity
reported
in
Box
G
is
"
gallons."
Because
"
gallons"
is
a
volumetric
measure,
the
density
of
the
waste,
9.20,
is
recorded
in
Box
H,
and
"
lbs/
gal"
is
checked
to
indicate
that
the
density
is
reported
in
pounds
per
gallon.

Section
2
On­
site
generation
and
management
of
hazardous
waste.
The
site
checks
"
No"
because
the
site
did
not
treat,
dispose,
or
recycle
the
waste
on
site.
The
site
skips
to
Section
3
as
instructed.
Therefore,
under
On­
site
Process
Systems
1
and
2,
on­
site
management
method
and
quantity
treated,
disposed,
or
recycled
on
site
are
left
blank.

Section
3
Off­
site
shipment
of
hazardous
waste.
In
Box
A,
"
Yes"
is
checked
because
the
waste
was
shipped
off
site
for
management
during
2001.
For
Site
1,
the
EPA
ID
number
of
the
facility
to
which
the
waste
was
shipped,
MNH876849385,
is
recorded
in
Box
B.
The
off­
site
management
method
in
which
the
waste
was
managed,
H050
for
energy
recovery
at
this
site,
is
reported
in
Box
C.
The
total
quantity
shipped
in
2001
is
entered
in
Box
D,
using
the
same
unit
of
measure
as
reported
in
Section
2,
Box
B,
50.0.
For
Sites
2
and
3,
Boxes
B
through
D
are
left
blank.
FORM
GM
OMB#:
2050­
0024
Expires
11/
30/
2002
Forms
Completed
by
Refrigerator,
Inc.

Over
ö
EPA
Form
8700­
13A/
B
(
Revised
(
11/
00))
Page
5
of
8
A­
13
BEFORE
COPYING
FORM,
ATTACH
SITE
IDENTIFICATION
LABEL
OR
ENTER:

SITE
NAME:
Refrigerator,
Inc.

EPA
ID
NO:
.
A2B2D­.
92120­.
82428­.
72327­
U.
S.
ENVIRONMENTAL
PROTECTION
AGENCY
2001
Hazardous
Waste
Report
WASTE
GENERATION
AND
MANAGEMENT
FORM
GM
Instructions:
Please
see
the
detailed
instructions
beginning
on
page
19
of
the
instructions
and
forms
booklet
before
completing
this
form.
In
addition,
the
page
number
for
instructions
specific
to
each
box
is
provided
in
parentheses.

Sec.
1
A.
Waste
description
(
page
22)
Waste
toluene
distillation
still
bottoms
(
residuals).

B.
EPA
hazardous
waste
code
.
F202025­
.)
2)
2N2A­
(
page
22)
.)
2)
2N2A­
.)
2)
2N2A­
.)
2)
2N2AC
State
hazardous
waste
code
(
page
22)

.)
2)
2)
2)
2)
2)­.)
2)
2)
2)
2)
2)­

D.
Source
code
.
G
2225­
(
page
23)
Management
Method
code
for
Source
code
G25
.
H
202220­
E.
Form
code
(
page
23)

.
W
222020­
F.
RCRA
radioactive
mixed?
(
page
23)

9
Yes
G.
Quantity
generated
in
2001
(
page
23)

.)
2)
2)
2)
2)
2)
2
2520­..
0­
H.
UOM
.5­
(
page
23)

Density
.)
29­..
220­
:
lbs/
gal
9
sg
Sec.
2
Was
any
of
this
waste
managed
on
site?
(
page
24)

9
1
Yes
(
CONTINUE
TO
ON­
SITE
PROCESS
SYSTEM
1)
:
2
No
(
SKIP
TO
SEC.
3)

ON­
SITE
PROCESS
SYSTEM
1
ON­
SITE
PROCESS
SYSTEM
2
On­
site
Management
Quantity
treated,
disposed,
or
Method
code
(
page
24)
recycled
on
site
in
2001
(
page
25)

.
H
2
2
2
­
.)
2)
2)
2)
2)
2)
2
2
2
­..
­
On­
site
Management
Quantity
treated,
disposed,
or
Method
code
(
page
24)
recycled
on
site
in
2001
(
page
25)

.
H
2)
2)
2)­
.)
2)
2)
2)
2)
2)
2)
2)
2)­..)­

Sec.
3
A.
Was
any
of
this
waste
shipped
off
site
in
2001
for
treatment,
disposal,
or
recycling?
(
pages
25
and
26)
:
1
Yes
(
CONTINUE
TO
BOX
B)
9
2
No
(
FORM
IS
COMPLETE)

Site
1
B.
EPA
ID
No.
of
facility
to
which
waste
was
shipped
(
page
26)

.
M2N2H­.
82726­.
82429­.
32825­
C.
Off­
site
Management
Method
code
Shipped
to
(
page
26)

.
H
202520­
D.
Total
quantity
shipped
in
2001
(
page
26)

.)
2)
2)
2)
2)
2)
2)
2520­..
0­

Site
2
B.
EPA
ID
No.
of
facility
to
which
waste
was
shipped
(
page
26)

.)
2)
2)­.)
2)
2)­.)
2)
2)­.)
2)
2)­
C.
Off­
site
Management
Method
code
Shipped
to
(
page
26)

.
H
2)
2)
2)­
D.
Total
quantity
shipped
in
2001
(
page
26)

.)
2)
2)
2)
2)
2)
2)
2)
2)­..)­

Site
3
B.
EPA
ID
No.
of
facility
to
which
waste
was
shipped
(
page
26)

.)
2)
2)­.)
2)
2)­.)
2)
2)­.)
2)
2)­
C.
Off­
site
Management
Method
code
Shipped
to
(
page
26)

.
H
2)
2)
2)­
D.
Total
quantity
shipped
in
2001
(
page
26)

.)
2)
2)
2)
2)
2)
2)
2)
2)­..)­

Comments:
Forms
Completed
by
Refrigerator,
Inc.

A­
14
Form
GM,
page
6
of
8:
Waste
halogenated
solvent
tetrachloroethylene
generated
from
degreasing
parts,
and
shipped
off
site
for
management.

Before
copying,
or
entering
information
on,
this
form,
the
site
enters
its
name
(
Refrigerator,
Inc.)
and
EPA
ID
number
(
ABD910848737)
in
the
top
left­
hand
corner
of
the
form.

Section
1
Waste
characteristics.
In
Box
A,
a
narrative
description
of
the
waste
is
entered:
Waste
halogenated
solvent
tetrachloroethylene
generated
from
degreasing
parts.
The
appropriate
EPA
hazardous
waste
code
associated
with
the
waste,
F001
for
spent
halogenated
solvents
used
in
degreasing,
is
entered
in
Box
B;
NA
is
entered
in
the
remaining
spaces
for
EPA
hazardous
waste
codes.
Box
C
is
left
blank,
unless
the
State
defines
separate
waste
codes
relevant
to
the
waste.
The
appropriate
Source
code,
G01
for
dip,
flush
or
spray
rinsing,
is
entered
in
Box
D.
Because
the
Source
code
is
not
"
G25,"
the
Management
Method
code
in
Box
D
is
left
blank.
The
appropriate
Form
code,
W202
for
concentrated
halogenated
(
e.
g.,
chlorinated)
solvent,
is
entered
in
Box
E.
Box
F
is
not
checked
because
the
waste
is
not
mixed
with
radioactive
materials.
The
quantity
of
the
hazardous
waste
generated
in
2001,
450.0,
is
reported
in
Box
G.
In
Box
H,
code
5
is
entered
indicating
that
the
unit
of
measure
for
the
quantity
reported
in
Box
G
is
"
gallons."
Because
"
gallons"
is
a
volumetric
measure,
the
density
of
the
waste,
9.10,
is
recorded
in
Box
H,
and
"
lbs/
gal"
is
checked
to
indicate
that
the
density
is
reported
in
pounds
per
gallon.

Section
2
On­
site
generation
and
management
of
hazardous
waste.
The
site
checks
"
No"
because
the
site
did
not
treat,
dispose,
or
recycle
the
waste
on
site.
The
site
skips
to
Section
3
as
instructed.
Therefore,
under
On­
site
Process
Systems
1
and
2,
on­
site
management
method
and
quantity
treated,
disposed,
or
recycled
on
site
are
left
blank.

Section
3
Off­
site
shipment
of
hazardous
waste.
In
Box
A,
"
Yes"
is
checked
because
the
waste
was
shipped
off
site
for
management
during
2001.
For
Site
1,
the
EPA
ID
number
of
the
facility
to
which
the
waste
was
shipped,
ABC123456789,
is
recorded
in
Box
B.
The
off­
site
management
method
in
which
the
waste
was
managed,
H020
for
solvents
recovery,
is
reported
in
Box
C.
The
total
quantity
shipped
in
2001
is
entered
in
Box
D,
using
the
same
unit
of
measure
as
reported
in
Section
2,
Box
B,
250.0.
For
Site
2,
the
EPA
ID
number
of
the
facility
to
which
the
waste
was
shipped,
XYW987654321,
is
recorded
in
Box
B.
The
off­
site
management
method
in
which
the
waste
was
managed,
H141
for
storage,
bulking
and/
or
transfer
off
site
­
no
treatment,
fuel
blending,
or
disposal
at
this
site,
is
reported
in
Box
C.
The
total
quantity
shipped
in
2001
is
entered
in
Box
D,
using
the
same
unit
of
measure
as
reported
in
Section
2,
Box
B,
200.0.
For
Site
3,
Boxes
B
through
D
are
left
blank.
FORM
GM
OMB#:
2050­
0024
Expires
11/
30/
2002
Forms
Completed
by
Refrigerator,
Inc.

Over
ö
EPA
Form
8700­
13A/
B
(
Revised
(
11/
00))
Page
6
of
8
A­
15
BEFORE
COPYING
FORM,
ATTACH
SITE
IDENTIFICATION
LABEL
OR
ENTER:

SITE
NAME:
Refrigerator,
Inc.

EPA
ID
NO:
.
A2B2D­.
92120­.
82428­.
72327­
U.
S.
ENVIRONMENTAL
PROTECTION
AGENCY
2001
Hazardous
Waste
Report
WASTE
GENERATION
AND
MANAGEMENT
FORM
GM
Instructions:
Please
see
the
detailed
instructions
beginning
on
page
19
of
the
instructions
and
forms
booklet
before
completing
this
form.
In
addition,
the
page
number
for
instructions
specific
to
each
box
is
provided
in
parentheses.

Sec.
1
A.
Waste
description
(
page
22)
Waste
halogenated
solvent
tetrachloroethylene
generated
from
degreasing
parts.

B.
EPA
hazardous
waste
code
.
F202021­
.)
2)
2N2A­
(
page
22)
.)
2)
2N2A­
.)
2)
2N2A­
.)
2)
2N2AC
State
hazardous
waste
code
(
page
22)

.)
2)
2)
2)
2)
2)­.)
2)
2)
2)
2)
2)­

D.
Source
code
.
G
2021­
(
page
23)
Management
Method
code
for
Source
code
G25
.
H
2)
2)
2)­
E.
Form
code
(
page
23)

.
W
222022­
F.
RCRA
radioactive
mixed?
(
page
23)

9
Yes
G.
Quantity
generated
in
2001
(
page
23)

.)
2)
2)
2)
2)
2)
242520­..
0­
H.
UOM
.5­
(
page
23)

Density
.)
29­..
120­
:
lbs/
gal
9
sg
Sec.
2
Was
any
of
this
waste
managed
on
site?
(
page
24)

9
1
Yes
(
CONTINUE
TO
ON­
SITE
PROCESS
SYSTEM
1)
:
2
No
(
SKIP
TO
SEC.
3)

ON­
SITE
PROCESS
SYSTEM
1
ON­
SITE
PROCESS
SYSTEM
2
On­
site
Management
Quantity
treated,
disposed,
or
Method
code
(
page
24)
recycled
on
site
in
2001
(
page
25)

.
H
2
2
2
­
.)
2)
2)
2)
2)
2)
2
2
2
­..
­
On­
site
Management
Quantity
treated,
disposed,
or
Method
code
(
page
24)
recycled
on
site
in
2001
(
page
25)

.
H
2)
2)
2)­
.)
2)
2)
2)
2)
2)
2)
2)
2)­..)­

Sec.
3
A.
Was
any
of
this
waste
shipped
off
site
in
2001
for
treatment,
disposal,
or
recycling?
(
pages
25
and
26)
:
1
Yes
(
CONTINUE
TO
BOX
B)
9
2
No
(
FORM
IS
COMPLETE)

Site
1
B.
EPA
ID
No.
of
facility
to
which
waste
was
shipped
(
page
26)

.
A2B2C­.
12223­.
42526­.
72829­
C.
Off­
site
Management
Method
code
Shipped
to
(
page
26)

.
H
202220­
D.
Total
quantity
shipped
in
2001
(
page
26)

.)
2)
2)
2)
2)
2)
222520­..
0­

Site
2
B.
EPA
ID
No.
of
facility
to
which
waste
was
shipped
(
page
26)

.
X2Y2W­.
92827­.
62524­.
32221­
C.
Off­
site
Management
Method
code
Shipped
to
(
page
26)

.
H
212421­
D.
Total
quantity
shipped
in
2001
(
page
26)

.)
2)
2)
2)
2)
2)
222020­..
0­

Site
3
B.
EPA
ID
No.
of
facility
to
which
waste
was
shipped
(
page
26)

.)
2)
2)­.)
2)
2)­.)
2)
2)­.)
2)
2)­
C.
Off­
site
Management
Method
code
Shipped
to
(
page
26)

.
H
2)
2)
2)­
D.
Total
quantity
shipped
in
2001
(
page
26)

.)
2)
2)
2)
2)
2)
2)
2)
2)­..)­

Comments:
Forms
Completed
by
Refrigerator,
Inc.

A­
16
Form
GM,
page
7
of
8:
Wastewater
treatment
sludge
from
electroplating
operations
shipped
off
site.

Before
copying,
or
entering
information
on,
this
form,
the
site
enters
its
name
(
Refrigerator,
Inc.)
and
EPA
ID
number
(
ABD910848737)
in
the
top
left­
hand
corner
of
the
form.

Section
1
Waste
characteristics.
In
Box
A,
a
narrative
description
of
the
waste
is
entered:
Wastewater
treatment
sludges
from
electroplating
operations.
The
appropriate
EPA
hazardous
waste
code
associated
with
the
waste,
F006
for
wastewater
treatment
sludges
from
electroplating
operations,
is
entered
in
Box
B;
NA
is
entered
in
the
remaining
spaces
for
EPA
hazardous
waste
codes.
Box
C
is
left
blank,
unless
the
State
defines
separate
waste
codes
relevant
to
the
waste.
The
appropriate
Source
code,
G23
for
wastewater
treatment,
is
entered
in
Box
D.
Because
the
Source
code
is
not
"
G25,"
the
Management
Method
code
in
Box
D
is
left
blank.
The
appropriate
Form
code,
W501
for
lime
and/
or
metal
hydroxide
sludges
and
solids
with
no
cyanides,
is
entered
in
Box
E.
Box
F
is
not
checked
because
the
waste
is
not
mixed
with
radioactive
materials.
The
quantity
of
the
hazardous
waste
generated
in
2001,
550.0,
is
reported
in
Box
G.
In
Box
H,
code
2
is
entered
indicating
that
the
unit
of
measure
for
the
quantity
reported
in
Box
G
is
"
short
tons."
Because
"
short
tons"
is
not
a
volumetric
measure,
information
pertaining
to
density
of
the
waste
in
Box
H
does
not
have
to
be
provided.

Section
2
On­
site
generation
and
management
of
hazardous
waste.
The
site
checks
"
No"
because
the
site
did
not
treat,
dispose,
or
recycle
the
waste
on
site.
The
site
skips
to
Section
3
as
instructed.
Therefore,
under
On­
site
Process
Systems
1
and
2,
on­
site
management
method
and
quantity
treated,
disposed,
or
recycled
on
site
are
left
blank.

Section
3
Off­
site
shipment
of
hazardous
waste.
In
Box
A,
"
Yes"
is
checked
because
the
waste
was
shipped
off
site
for
management
during
2001.
For
Site
1,
the
EPA
ID
number
of
the
facility
to
which
the
waste
was
shipped,
PJU098475000,
is
recorded
in
Box
B.
The
off­
site
management
method
in
which
the
waste
was
managed,
H111
for
stabilization
or
chemical
fixation
prior
to
disposal
at
another
site,
is
reported
in
Box
C.
The
total
quantity
shipped
in
2001
is
entered
in
Box
D,
using
the
same
unit
of
measure
as
reported
in
Section
2,
Box
B,
250.0.
For
Site
2,
the
EPA
ID
number
of
the
facility
to
which
the
waste
was
shipped,
LKU940583945,
is
recorded
in
Box
B.
The
off­
site
management
method
in
which
the
waste
was
managed,
H111
for
stabilization
or
chemical
fixation
prior
to
disposal
at
another
site,
is
reported
in
Box
C.
The
total
quantity
shipped
in
2001
is
entered
in
Box
D,
using
the
same
unit
of
measure
as
reported
in
Section
2,
Box
B,
300.0.
For
Site
3,
Boxes
B
through
D
are
left
blank.
FORM
GM
OMB#:
2050­
0024
Expires
11/
30/
2002
Forms
Completed
by
Refrigerator,
Inc.

Over
ö
EPA
Form
8700­
13A/
B
(
Revised
(
11/
00))
Page
7
of
8
A­
17
BEFORE
COPYING
FORM,
ATTACH
SITE
IDENTIFICATION
LABEL
OR
ENTER:

SITE
NAME:
Refrigerator,
Inc.

EPA
ID
NO:
.
A2B2D­.
92120­.
82428­.
72327­
U.
S.
ENVIRONMENTAL
PROTECTION
AGENCY
2001
Hazardous
Waste
Report
WASTE
GENERATION
AND
MANAGEMENT
FORM
GM
Instructions:
Please
see
the
detailed
instructions
beginning
on
page
19
of
the
instructions
and
forms
booklet
before
completing
this
form.
In
addition,
the
page
number
for
instructions
specific
to
each
box
is
provided
in
parentheses.

Sec.
1
A.
Waste
description
(
page
22)
Wastewater
treatment
sludges
from
electroplating
operations.

B.
EPA
hazardous
waste
code
.
F202026­
.)
2)
2N2A­
(
page
22)
.)
2)
2N2A­
.)
2)
2N2A­
.)
2)
2N2AC
State
hazardous
waste
code
(
page
22)

.)
2)
2)
2)
2)
2)­.)
2)
2)
2)
2)
2)­

D.
Source
code
.
G
2223­
(
page
23)
Management
Method
code
for
Source
code
G25
.
H
2)
2)
2)­
E.
Form
code
(
page
23)

.
W
252021­
F.
RCRA
radioactive
mixed?
(
page
23)

9
Yes
G.
Quantity
generated
in
2001
(
page
23)

.)
2)
2)
2)
2)
2)
252520­..
0­
H.
UOM
.2­
(
page
23)

Density
.
2
­..
2
­
9
lbs/
gal
9
sg
Sec.
2
Was
any
of
this
waste
managed
on
site?
(
page
24)

9
1
Yes
(
CONTINUE
TO
ON­
SITE
PROCESS
SYSTEM
1)
:
2
No
(
SKIP
TO
SEC.
3)

ON­
SITE
PROCESS
SYSTEM
1
ON­
SITE
PROCESS
SYSTEM
2
On­
site
Management
Quantity
treated,
disposed,
or
Method
code
(
page
24)
recycled
on
site
in
2001
(
page
25)

.
H
2
2
2
­
.)
2)
2)
2)
2)
2)
2
2
2
­..
­
On­
site
Management
Quantity
treated,
disposed,
or
Method
code
(
page
24)
recycled
on
site
in
2001
(
page
25)

.
H
2)
2)
2)­
.)
2)
2)
2)
2)
2)
2)
2)
2)­..)­

Sec.
3
A.
Was
any
of
this
waste
shipped
off
site
in
2001
for
treatment,
disposal,
or
recycling?
(
pages
25
and
26)
:
1
Yes
(
CONTINUE
TO
BOX
B)
9
2
No
(
FORM
IS
COMPLETE)

Site
1
B.
EPA
ID
No.
of
facility
to
which
waste
was
shipped
(
page
26)

.
P2J2U­.
02928­.
42725­.
02020­
C.
Off­
site
Management
Method
code
Shipped
to
(
page
26)

.
H
212121­
D.
Total
quantity
shipped
in
2001
(
page
26)

.)
2)
2)
2)
2)
2)
222520­..
0­

Site
2
B.
EPA
ID
No.
of
facility
to
which
waste
was
shipped
(
page
26)

.
L2K2U­.
92420­.
52823­.
92425­
C.
Off­
site
Management
Method
code
Shipped
to
(
page
26)

.
H
212121­
D.
Total
quantity
shipped
in
2001
(
page
26)

.)
2)
2)
2)
2)
2)
232020­..
0­

Site
3
B.
EPA
ID
No.
of
facility
to
which
waste
was
shipped
(
page
26)

.)
2)
2)­.)
2)
2)­.)
2)
2)­.)
2)
2)­
C.
Off­
site
Management
Method
code
Shipped
to
(
page
26)

.
H
2)
2)
2)­
D.
Total
quantity
shipped
in
2001
(
page
26)

.)
2)
2)
2)
2)
2)
2)
2)
2)­..)­

Comments:
Forms
Completed
by
Refrigerator,
Inc.

A­
18
Form
GM,
page
8
of
8:
Corrosive
waste
shipped
off
site
to
a
publicly
owned
treatment
works
(
POTW),
instead
of
discharge
to
sewer.

Before
copying,
or
entering
information
on,
this
form,
the
site
enters
its
name
(
Refrigerator,
Inc.)
and
EPA
ID
number
(
ABD910848737)
in
the
top
left­
hand
corner
of
the
form.

Section
1
Waste
characteristics.
In
Box
A,
a
narrative
description
of
the
waste
is
entered:
Corrosive
waste
from
stripping
operations.
The
appropriate
EPA
hazardous
waste
code
associated
with
the
waste,
D002
for
corrosive
waste,
is
entered
in
Box
B;
NA
is
entered
in
the
remaining
spaces
for
EPA
hazardous
waste
codes.
Box
C
is
left
blank,
unless
the
State
defines
separate
waste
codes
relevant
to
the
waste.
The
appropriate
Source
code,
G02
for
stripping
and
acid
or
caustic
cleaning,
is
entered
in
Box
D.
Because
the
Source
code
is
not
"
G25,"
the
Management
Method
code
in
Box
D
is
left
blank.
The
appropriate
Form
code,
W103
for
spent
concentrated
acid,
is
entered
in
Box
E.
Box
F
is
not
checked
because
the
waste
is
not
mixed
with
radioactive
materials.
The
quantity
of
the
hazardous
waste
generated
in
2001,
1,500.0,
is
reported
in
Box
G.
In
Box
H,
code
5
is
entered
indicating
that
the
unit
of
measure
for
the
quantity
reported
in
Box
G
is
"
gallons."
Because
"
gallons"
is
a
volumetric
measure,
the
density
of
the
waste,
8.20,
is
recorded
in
Box
H,
and
"
lbs/
gal"
is
checked
to
indicate
that
the
density
is
reported
in
pounds
per
gallon.

Section
2
On­
site
generation
and
management
of
hazardous
waste.
The
site
checks
"
No"
because
the
site
did
not
treat,
dispose,
or
recycle
the
waste
on
site.
The
site
skips
to
Section
3
as
instructed.
Therefore,
under
On­
site
Process
Systems
1
and
2,
on­
site
management
method
and
quantity
treated,
disposed,
or
recycled
on
site
are
left
blank.

Section
3
Off­
site
shipment
of
hazardous
waste.
In
Box
A,
"
Yes"
is
checked
because
the
waste
was
shipped
off
site
for
management
during
2001.
For
Site
1,
the
EPA
ID
number
of
the
facility
to
which
the
waste
was
shipped,
RSD839204637,
is
recorded
in
Box
B.
The
off­
site
management
method
in
which
the
waste
was
managed,
H135
for
discharge
to
sewer/
POTW
or
NPDES,
is
reported
in
Box
C.
The
total
quantity
shipped
in
2001
is
entered
in
Box
D,
using
the
same
unit
of
measure
as
reported
in
Section
2,
Box
B,
1,500.0.
For
Sites
2
and
3,
Boxes
B
through
D
are
left
blank.
FORM
GM
OMB#:
2050­
0024
Expires
11/
30/
2002
Forms
Completed
by
Refrigerator,
Inc.

Over
ö
EPA
Form
8700­
13A/
B
(
Revised
(
11/
00))
Page
8
of
8
A­
19
BEFORE
COPYING
FORM,
ATTACH
SITE
IDENTIFICATION
LABEL
OR
ENTER:

SITE
NAME:
Refrigerator,
Inc.

EPA
ID
NO:
.
A2B2D­.
92120­.
82428­.
72327­
U.
S.
ENVIRONMENTAL
PROTECTION
AGENCY
2001
Hazardous
Waste
Report
WASTE
GENERATION
AND
MANAGEMENT
FORM
GM
Instructions:
Please
see
the
detailed
instructions
beginning
on
page
19
of
the
instructions
and
forms
booklet
before
completing
this
form.
In
addition,
the
page
number
for
instructions
specific
to
each
box
is
provided
in
parentheses.

Sec.
1
A.
Waste
description
(
page
22)
Corrosive
waste
from
stripping
operations.

B.
EPA
hazardous
waste
code
.
D202022­
.)
2)
2N2A­
(
page
22)
.)
2)
2N2A­
.)
2)
2N2A­
.)
2)
2N2AC
State
hazardous
waste
code
(
page
22)

.)
2)
2)
2)
2)
2)­.)
2)
2)
2)
2)
2)­

D.
Source
code
.
G
2022­
(
page
23)
Management
Method
code
for
Source
code
G25
.
H
2)
2)
2)­
E.
Form
code
(
page
23)

.
W
212023­
F.
RCRA
radioactive
mixed?
(
page
23)

9
Yes
G.
Quantity
generated
in
2001
(
page
23)

.)
2)
2)
2)
2)
21252020­..
0­
H.
UOM
.5­
(
page
23)

Density
.)
28­..
220­
:
lbs/
gal
9
sg
Sec.
2
Was
any
of
this
waste
managed
on
site?
(
page
24)

9
1
Yes
(
CONTINUE
TO
ON­
SITE
PROCESS
SYSTEM
1)
:
2
No
(
SKIP
TO
SEC.
3)

ON­
SITE
PROCESS
SYSTEM
1
ON­
SITE
PROCESS
SYSTEM
2
On­
site
Management
Quantity
treated,
disposed,
or
Method
code
(
page
24)
recycled
on
site
in
2001
(
page
25)

.
H
2
2
2
­
.)
2)
2)
2)
2)
2)
2
2
2
­..
­
On­
site
Management
Quantity
treated,
disposed,
or
Method
code
(
page
24)
recycled
on
site
in
2001
(
page
25)

.
H
2)
2)
2)­
.)
2)
2)
2)
2)
2)
2)
2)
2)­..)­

Sec.
3
A.
Was
any
of
this
waste
shipped
off
site
in
2001
for
treatment,
disposal,
or
recycling?
(
pages
25
and
26)
:
1
Yes
(
CONTINUE
TO
BOX
B)
9
2
No
(
FORM
IS
COMPLETE)

Site
1
B.
EPA
ID
No.
of
facility
to
which
waste
was
shipped
(
page
26)

.
R2S2D­.
82329­.
22024­.
62327­
C.
Off­
site
Management
Method
code
Shipped
to
(
page
26)

.
H
212325­
D.
Total
quantity
shipped
in
2001
(
page
26)

.)
2)
2)
2)
2)
21252020­..
0­

Site
2
B.
EPA
ID
No.
of
facility
to
which
waste
was
shipped
(
page
26)

.)
2)
2)­.)
2)
2)­.)
2)
2)­.)
2)
2)­
C.
Off­
site
Management
Method
code
Shipped
to
(
page
26)

.
H
2)
2)
2)­
D.
Total
quantity
shipped
in
2001
(
page
26)

.)
2)
2)
2)
2)
2)
2)
2)
2)­..)­

Site
3
B.
EPA
ID
No.
of
facility
to
which
waste
was
shipped
(
page
26)

.)
2)
2)­.)
2)
2)­.)
2)
2)­.)
2)
2)­
C.
Off­
site
Management
Method
code
Shipped
to
(
page
26)

.
H
2)
2)
2)­
D.
Total
quantity
shipped
in
2001
(
page
26)

.)
2)
2)
2)
2)
2)
2)
2)
2)­..)­

Comments:
A­
20
THIS
PAGE
INTENTIONALLY
LEFT
BLANK
A­
21
EXAMPLE
2
TSD
Handler,
Inc.

TSD
Handler,
Inc.
is
a
commercial
hazardous
waste
treatment,
storage,
and
disposal
facility.
During
2001,
TSD
Handler,
Inc.
received
hazardous
waste
from
many
generators.
Hazardous
waste
received
from
five
of
these
generators,
as
well
as
the
management
method
used,
include:

#
2,100
gallons
of
ignitable
spent
solvent
imported
from
Canada,
fuel
blended
at
this
site,
and
shipped
off
site
for
energy
recovery;

#
1,700
gallons
of
spent
halogenated
solvent
imported
from
Mexico,
bulked
at
this
site,
and
shipped
off
site
for
incineration;

#
1,200
gallons
of
corrosive
waste
received
from
off
site,
and
neutralized
completely
and
treated
by
chemical
precipitation
at
this
site;

#
1,800
gallons
of
ignitable
spent
solvent
received
from
off
site,
fuel
blended
at
this
site,
and
shipped
off
site
for
energy
recovery;
and
#
200
gallons
of
spent
halogenated
solvent
received
from
off
site
(
from
Refrigerator,
Inc.;
see
Example
1,
page
A­
14),
bulked
at
this
site,
and
shipped
off
site
for
incineration.
Forms
Completed
by
TSD
Handler,
Inc.

A­
22
Site
ID
Form
All
sites
required
to
submit
the
2001
Hazardous
Waste
Report
must
fill
out
a
Site
ID
Form.
Therefore,
TSD
Handler,
Inc.
(
a
fictitious
site)
completed
a
Site
ID
Form.

Form
WR
A
site
required
to
submit
the
2001
Hazardous
Waste
Report
must
fill
out
Form
WR
for
any
RCRA
hazardous
waste
that
is
received
from
off
site
and
managed
on
site
or
shipped
off
site
for
further
management.
Directions
regarding
what
hazardous
waste
must
be
reported
are
contained
elsewhere
in
this
booklet.
The
information
reported
on
the
Form
WR
should
be
a
summary
of
waste
received
from
off
site,
by
off­
site
source,
and
on­
site
management
method
for
the
reporting
year.
It
may
be
optionally
reported
at
the
manifest
shipment
level.

Therefore,
TSD
Handler,
Inc.
completed
WR
forms
for
the
following
RCRA
hazardous
wastes:

#
2,100
gallons
of
ignitable
spent
solvent
imported
from
Canada
and
fuel
blended
at
this
site;

#
1,700
gallons
of
spent
halogenated
solvent
imported
from
Mexico
and
bulked
at
this
site;

#
1,200
gallons
of
corrosive
waste
received
from
off
site,
and
neutralized
completely
and
treated
by
chemical
precipitation
at
this
site;

#
1,800
gallons
of
ignitable
spent
solvent
received
from
off
site
and
fuel
blended
at
this
site;
and
#
200
gallons
of
spent
halogenated
solvent
received
from
off
site
(
from
Refrigerator,
Inc.;
see
Example
1,
page
A­
14)
and
bulked
at
this
site.
Forms
Completed
by
TSD
Handler,
Inc.

A­
23
Form
GM
A
site
receiving
waste
reported
on
Form
WR
must
fill
out
Form
GM
for
any
RCRA
hazardous
waste
residuals
that
are
generated
from
the
on­
site
management
of
those
wastes
and
any
waste
shipped
off
site
for
management
whether
residual
or
bulked
and
re­
shipped
without
on­
site
management.
Directions
regarding
what
hazardous
waste
must
be
reported
are
contained
elsewhere
in
this
booklet.
Reporting
on
the
Form
GM
may
be
at
the
individual
process
level,
at
the
manifest
shipment
level,
or
at
the
cumulative
EPA
hazardous
waste
code
level
(
within
the
reporting
cycle).

Therefore,
TSD
Handler,
Inc.
completed
GM
forms
for
the
following
RCRA
hazardous
wastes:

#
2,100
gallons
of
ignitable
spent
solvent
imported
from
Canada;

#
1,700
gallons
of
spent
halogenated
solvent
imported
from
Mexico;

#
3,900
gallons
of
fuel
blended
at
this
site
and
shipped
off
site
for
energy
recovery;
and
#
1,900
gallons
of
spent
halogenated
solvent
bulked
at
this
site
and
shipped
off
site
for
incineration.

[
Note:
TSD
Handler,
Inc.
filled
out
GM
forms
for
all
wastes
imported
from
a
foreign
country
(
e.
g.,
Canada,
Mexico).
However,
TSD
Handler,
Inc.
did
not
fill
out
a
Form
GM
for
the
1,200
gallons
of
corrosive
waste
received
from
off
site
because
the
waste
was
neutralized
completely
and
treated
by
chemical
precipitation
at
the
site.]
Forms
Completed
by
TSD
Handler,
Inc.

A­
24
Site
ID
Form
Item
1
Reason
for
submittal.
An
"
X"
is
placed
in
the
appropriate
box
indicating
that
the
Site
ID
Form
is
being
submitted
as
a
component
of
the
Hazardous
Waste
Report.

Item
2
Site
EPA
ID
number.
The
site's
EPA
ID
number,
XYW987654321,
is
entered
in
Item
2.

Item
3
Name
of
site.
The
legal
name
of
the
site,
TSD
Handler,
Inc.,
is
entered.

Item
4
Location
of
site.
The
complete
location
address
is
entered:
500
Waste
Treatment
Drive,
Mars,
Mars
County,
XY,
77788.
[
Note
that
the
address
entered
in
Item
4
must
be
a
physical
address,
not
a
post
office
box
or
route
number.]

Item
5
Site
land
type.
Item
5
is
left
blank
because
the
site
is
not
required
to
complete
it
as
part
of
the
Hazardous
Waste
Report.

Item
6
NAICS
code.
The
NAICS
codes
that
best
describe
the
activities
conducted
at
the
site
are
entered
in
order
of
descending
importance:
562211
(
i.
e.,
hazardous
waste
treatment
and
disposal)
and
562112
(
i.
e.,
hazardous
waste
collection).

Item
7
Site
mailing
address.
The
site
mailing
address
is
entered:
P.
O.
Box
2001,
Mars,
XY,
USA,
77789.

Item
8
Site
contact.
The
name,
business
telephone
number,
and
extension
of
the
person
who
should
be
contacted
regarding
the
information
submitted
in
the
Site
ID
Form
is
entered:
Robert
T.
Jones,
(
111)
756­
5000,
ext.
30.

Item
9
Owner
and/
or
operator
of
the
site.
Item
9
is
left
blank
because
the
site
is
not
required
to
complete
it
as
part
of
the
Hazardous
Waste
Report.
Forms
Completed
by
TSD
Handler,
Inc.

A­
25
Site
ID
Form
(
continued)

Item
10
Type
of
regulated
waste
activity.
The
site
completes
Box
A
because
it
generated,
imported,
stored,
and
treated
RCRA
hazardous
waste
during
2001.
An
"
X"
is
placed
in
Box
A.
1.
a
(
i.
e.,
LQG)
because
the
site
generated
more
than
1,000
kg
(
2,200
lbs)
of
RCRA
hazardous
waste
in
a
calendar
month,
during
one
or
more
months
in
2001.
An
"
X"
also
is
placed
in
Box
A.
1.
d
because
the
site
imported
hazardous
waste
in
2001.
Finally,
an
"
X"
is
placed
in
Box
A.
3
(
i.
e.,
Treater,
Storer,
or
Disposer
of
Hazardous
Waste
(
at
your
site))
because
the
site
treated
RCRA
hazardous
waste
at
the
site.
Boxes
A.
2,
A.
4,
A.
5,
A.
6,
B,
and
C
are
left
blank
because
they
are
not
applicable
to
the
hazardous
waste
activities
conducted
at
the
site
during
2001.

Item
11
Description
of
hazardous
wastes.
Item
11
is
left
blank
because
the
site
is
not
required
to
complete
it
as
part
of
the
Hazardous
Waste
Report.

Item
12
Comments.
The
site
had
no
additional
comments.
Therefore,
Item
12
is
left
blank.

Item
13
Certification.
The
certification
is
signed
and
completed
by
the
authorized
representative
of
the
site
(
i.
e.,
the
person
responsible
for
the
overall
operation
of
the
site):
Robert
T.
Jones,
Environmental
Manager,
02/
28/
2002.

[
Note:
The
site
entered
its
EPA
ID
number
(
XYW987654321)
in
the
top
right­
hand
corner
of
pages
2
and
3
of
the
Site
ID
Form.]
Forms
Completed
by
TSD
Handler,
Inc.

Same
as
Page
1
of
EPA
Form
8700­
12
EPA
Form
8700­
13A/
B
(
Revised
11/
00)
Page
1
of
9
Same
as
Page
1
of
EPA
Form
8700­
23
A­
26
OMB#:
2050­
0175
Expires
12/
31/
2003
MAIL
THE
COMPLETED
FORM
TO:
The
Appropriate
EPA
Regional
or
State
Office.
United
States
Environmental
Protection
Agency
RCRA
SUBTITLE
C
SITE
IDENTIFICATION
FORM
1.
Reason
for
Submittal
(
see
instructions
on
page
10)

CHECK
CORRECT
BOX(
ES)
Reason
for
Submittal:

 
To
provide
initial
notification
(
to
obtain
an
EPA
ID
Number
for
hazardous
waste,
universal
waste,
or
used
oil
activities).
(
Check
this
box
and
2.
A.
below.)

 
To
provide
subsequent
notification
(
to
update
site
identification
information).

 
As
a
component
of
a
First
RCRA
Hazardous
Waste
Part
A
Permit
Application.

 
As
a
component
of
a
Revised
RCRA
Hazardous
Waste
Part
A
Permit
Application
(
Amendment
#______________).

:
As
a
component
of
the
Hazardous
Waste
Report.

2.
Site
EPA
ID
Number
(
see
instructions
on
page
11)
EPA
ID
Number:
XYW987654321
3.
Site
Name
(
see
instructions
on
page
11)
Legal
Name:
TSD
Handler,
Inc.

4.
Site
Location
Information
(
see
instructions
on
page
11)
Street
Address:
500
Waste
Treatment
Drive
City,
Town,
or
Village:
Mars
City
State:
XY
County
Name:
Mars
County
Zip
Code:
77788
5.
Site
Land
Type
(
see
instructions
on
page
11)
Site
Land
Type:
 
Private
 
County
 
District
 
Federal
 
Indian
 
Municipal
 
State
 
Other
6.
North
American
Industry
Classification
System
(
NAICS)
Code(
s)
for
the
Site
(
see
instructions
on
page
11)
A.
562211
B.
562112
C.
D.

7.
Site
Mailing
Address
(
see
instructions
on
page
12)
Street
or
P.
O.
Box:
P.
O.
Box
2001
City,
Town,
or
Village:
Mars
State:
XY
Country:
USA
Zip
Code:
77789
8.
Site
Contact
Person
(
see
instructions
on
page
12)
First
Name:
Robert
MI:
T.
Last
Name:
Jones
Phone
Number:
(
111)
756­
5000
Phone
Number
Extension:
30
9.
Legal
Owner
and
Operator
of
the
Site
(
see
instructions
on
pages
12
and
13)
A.
Name
of
Site's
Legal
Owner:
Date
Became
Owner
(
mm/
dd/
yyyy):

Owner
Type:
 
Private
 
County
 
District
 
Federal
 
Indian
 
Municipal
 
State
 
Other
B.
Name
of
Site's
Operator:
Date
Became
Operator
(
mm/
dd/
yyyy):

Operator
Type:
 
Private
 
County
 
District
 
Federal
 
Indian
 
Municipal
 
State
 
Other
Forms
Completed
by
TSD
Handler,
Inc.

Same
as
Page
2
of
EPA
Form
8700­
12
EPA
Form
8700­
13A/
B
(
Revised
11/
00)
Page
2
of
9
Same
as
Page
2
of
EPA
Form
8700­
23
A­
27
OMB#:
2050­
0175
Expires
12/
31/
2003
EPA
ID
No.
X
Y
W
9
8
7
6
5
4
3
2
1
10.
Type
of
Regulated
Waste
Activity
(
Mark
'
X'
in
the
appropriate
boxes.
See
instructions
on
pages
13,
14,
15,
and
16)

A.
Hazardous
Waste
Activities
1.
Generator
of
Hazardous
Waste
(
choose
only
one
of
the
following
three
categories)

:
a.
LQG:
Greater
than
1,000
kg/
mo
(
2,200
lbs.)
of
non­
acute
hazardous
waste;
or
 
b.
SQG:
100
to
1,000
kg/
mo
(
220
­
2,200
lbs.)
of
non­
acute
hazardous
waste;
or
 
c.
CESQG:
Less
than
100
kg/
mo
of
non­
acute
hazardous
waste
In
addition,
indicate
other
generator
activities
(
check
all
that
apply)

:
d.
United
States
Importer
of
Hazardous
Waste
 
e.
Mixed
Waste
(
hazardous
and
radioactive)
Generator
For
Items
2
through
6,
check
all
that
apply:

 
2.
Transporter
of
Hazardous
Waste
:
3.
Treater,
Storer,
or
Disposer
of
Hazardous
Waste
(
at
your
site)
Note:
A
hazardous
waste
permit
is
required
for
this
activity.

9
4.
Recycler
of
Hazardous
Waste
(
at
your
site)
Note:
A
hazardous
waste
permit
may
be
required
for
this
activity.

5.
Exempt
Boiler
and/
or
Industrial
Furnace
 
a.
Small
Quantity
On­
site
Burner
Exemption
 
b.
Smelting,
Melting,
Refining
Furnace
Exemption
 
6.
Underground
Injection
Control
B.
Universal
Waste
Activities
1.
Large
Quantity
Handler
of
Universal
Waste
[
refer
to
your
State
regulations
to
determine
what
is
regulated].
Indicate
types
of
universal
waste
generated
and/
or
accumulated
at
your
site.
(
check
all
boxes
that
apply):

Generated
Accumulated
a.
Batteries
 
 

b.
Pesticides
 
 

c.
Thermostats
 
 

d.
Lamps
 
 

e.
Other
(
specify)
_______________
 
 

f.
Other
(
specify)
_______________
 
 

g.
Other
(
specify)
_______________
 
 

 
2.
Destination
Facility
for
Universal
Waste
Note:
A
hazardous
waste
permit
may
be
required
for
this
activity.
C.
Used
Oil
Activities
1.
Used
Oil
Transporter
­
Indicate
Type(
s)
of
Activity(
ies)

 
a.
Transporter
 
b.
Transfer
Facility
2.
Used
Oil
Processor
and/
or
Re­
refiner
­
Indicate
Type(
s)
of
Activity(
ies)

 
a.
Processor
 
b.
Re­
refiner
 
3.
Off­
Specification
Used
Oil
Burner
4.
Used
Oil
Fuel
Marketer
­
Indicate
Type(
s)
of
Activity(
ies)

 
a.
Marketer
Who
Directs
Shipment
of
Off­
Specifica
tion
Used
Oil
to
Off­
Specification
Used
Oil
Burner
 
b.
Marketer
Who
First
Claims
the
Used
Oil
Meets
the
Specifications
11.
Description
of
Hazardous
Wastes
(
see
instructions
on
page
16)

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

Same
as
Page
3
of
EPA
Form
8700­
12
EPA
Form
8700­
13A/
B
(
Revised
11/
00)
Page
3
of
9
Same
as
Page
3
of
EPA
Form
8700­
23
A­
28
OMB#:
2050­
0175
Expires
12/
31/
2003
EPA
ID
No.
X
Y
Z
9
8
7
6
5
4
3
2
1
B.
Waste
Codes
for
State­
Regulated
(
i.
e.,
non­
Federal)
Hazardous
Wastes.
Please
list
the
waste
codes
of
the
State­
regulated
hazardous
wastes
handled
at
your
site.
List
them
in
the
order
they
are
presented
in
the
regulations.
Use
an
additional
page
if
more
spaces
are
needed
for
waste
codes.

12.
Comments
(
see
instructions
on
page
17)

13.
Certification.
I
certify
under
penalty
of
law
that
this
document
and
all
attachments
were
prepared
under
my
direction
or
supervision
in
accordance
with
a
system
designed
to
assure
that
qualified
personnel
properly
gather
and
evaluate
the
information
submitted.
Based
on
my
inquiry
of
the
person
or
persons
who
manage
the
system,
or
those
persons
directly
responsible
for
gathering
the
information,
the
information
submitted
is,
to
the
best
of
my
knowledge
and
belief,
true,
accurate,
and
complete.
I
am
aware
that
there
are
significant
penalties
for
submitting
false
information,
including
the
possibility
of
fine
and
imprisonment
for
knowing
violations.
(
see
instructions
on
page
17)

Signature
of
owner,
operator,
or
an
authorized
representative
Name
and
Official
Title
(
type
or
print)
Date
Signed
(
mm­
dd­
yyyy)

Robert
T.
Jones
Robert
T.
Jones
02/
28/
2002
Environmental
Manager
Forms
Completed
by
TSD
Handler,
Inc.

A­
29
Form
WR,
page
4
of
9:
Waste
received
from
off
site.

Before
copying,
or
entering
information
on,
this
form,
the
site
enters
its
name
(
TSD
Handler,
Inc.)
and
EPA
ID
number
(
XYW987654321)
in
the
top
left­
hand
corner
of
the
form.

Waste
1
In
Box
A,
a
narrative
description
of
the
waste
received
from
off
site
is
entered:
Ignitable
spent
solvent.
The
appropriate
EPA
hazardous
waste
codes
associated
with
the
waste,
D001
for
ignitable
waste
and
F003
for
spent
non­
halogenated
solvents,
are
entered
in
Box
B;
NA
is
entered
in
the
remaining
spaces
for
EPA
hazardous
waste
codes.
Box
C
is
left
blank,
unless
the
State
defines
separate
waste
codes
relevant
to
the
waste.
The
EPA
ID
number
of
the
site
from
which
the
waste
was
received
is
entered
in
Box
D.
Because
the
hazardous
waste
was
received
from
a
foreign
country
site
that
does
not
have
an
EPA
ID
number,
the
site
recorded
"
FC,"
for
foreign
country,
followed
by
the
name
of
the
foreign
country
in
the
space
for
the
EPA
ID
number:
FCCANADA.
In
Box
E,
the
quantity
of
waste
received
from
off
site,
2,100.0,
is
entered.
In
Box
F,
code
5
is
entered
indicating
that
the
unit
of
measure
for
the
quantity
reported
in
Box
E
is
"
gallons."
Because
"
gallons"
is
a
volumetric
measure,
the
density
of
the
waste,
8.05,
is
recorded
in
Box
F,
and
"
lbs/
gal"
is
checked
to
indicate
that
the
density
is
reported
in
pounds
per
gallon.
The
appropriate
Form
code,
W203
for
concentrated
non­
halogenated
solvent,
is
entered
in
Box
G.
Box
H
is
not
checked
because
the
waste
is
not
mixed
with
radioactive
materials.
In
Box
I,
the
appropriate
Management
Method
code
for
the
system
in
which
the
waste
was
managed,
H061
for
fuel
blending
prior
to
energy
recovery
at
another
site,
is
reported.
In
Comments,
a
brief
comment
on
management
of
the
waste
received
from
off
site:
Waste
1
­
Imported
waste;
fuel
blended
at
this
site;
shipped
off
site
for
energy
recovery.

Waste
2
In
Box
A,
a
narrative
description
of
the
waste
received
from
off
site
is
entered:
Spent
halogenated
solvent.
The
appropriate
EPA
hazardous
waste
code
associated
with
the
waste,
F002
for
spent
halogenated
solvents,
is
entered
in
Box
B;
NA
is
entered
in
the
remaining
spaces
for
EPA
hazardous
waste
codes.
Box
C
is
left
blank,
unless
the
State
defines
separate
waste
codes
relevant
to
the
waste.
The
EPA
ID
number
of
the
site
from
which
the
waste
was
received
is
entered
in
Box
D.
Because
the
hazardous
waste
was
received
from
a
foreign
country
site
that
does
not
have
an
EPA
ID
number,
the
site
recorded
"
FC,"
for
foreign
country,
followed
by
the
name
of
the
foreign
country
in
the
space
for
the
EPA
ID
number:
FCMEXICO.
In
Box
E,
the
quantity
of
waste
received
from
off
site,
1,700.0,
is
entered.
In
Box
F,
code
5
is
entered
indicating
that
the
unit
of
measure
for
the
quantity
reported
in
Box
E
is
"
gallons."
Because
"
gallons"
is
a
volumetric
measure,
the
density
of
the
waste,
7.55,
is
recorded
in
Box
F,
and
"
lbs/
gal"
is
checked
to
indicate
that
the
density
is
reported
in
pounds
per
gallon.
The
appropriate
Form
code,
W202
for
concentrated
halogenated
(
e.
g.,
chlorinated)
solvent,
is
entered
in
Box
G.
Box
H
is
not
checked
because
the
waste
is
not
mixed
with
radioactive
materials.
In
Box
I,
the
appropriate
Management
Method
code
for
the
system
in
which
the
waste
was
managed,
H141
for
storage,
bulking,
and/
or
transfer
off
site
­
no
treatment,
fuel
blending,
or
disposal
at
this
site,
is
reported.
In
Comments,
a
brief
comment
on
management
of
the
waste
received
from
off
site:
Waste
2
­
Imported
waste;
bulked
and
shipped
off
site
for
incineration.
Forms
Completed
by
TSD
Handler,
Inc.

A­
30
Form
WR,
page
4
of
9:
Waste
received
from
off
site.
(
Continued)

Waste
3
In
Box
A,
a
narrative
description
of
the
waste
received
from
off
site
is
entered:
Corrosive
waste.
The
appropriate
EPA
hazardous
waste
code
associated
with
the
waste,
D002
for
corrosive
waste,
is
entered
in
Box
B;
NA
is
entered
in
the
remaining
spaces
for
EPA
hazardous
waste
codes.
Box
C
is
left
blank,
unless
the
State
defines
separate
waste
codes
relevant
to
the
waste.
The
EPA
ID
number
of
the
site
from
which
the
waste
was
received,
EFD123456789,
is
entered
in
Box
D.
In
Box
E,
the
quantity
of
waste
received
from
off
site,
1,200.0,
is
entered.
In
Box
F,
code
5
is
entered
indicating
that
the
unit
of
measure
for
the
quantity
reported
in
Box
E
is
"
gallons."
Because
"
gallons"
is
a
volumetric
measure,
the
density
of
the
waste,
8.20,
is
recorded
in
Box
F,
and
"
lbs/
gal"
is
checked
to
indicate
that
the
density
is
reported
in
pounds
per
gallon.
The
appropriate
Form
code,
W103
for
spent
concentrated
acid,
is
entered
in
Box
G.
Box
H
is
not
checked
because
the
waste
is
not
mixed
with
radioactive
materials.
In
Box
I,
the
appropriate
Management
Method
code
for
the
system
in
which
the
waste
was
managed,
H077
for
other
chemical
precipitation
with
or
without
pre­
treatment,
is
reported.
In
Comments,
a
brief
comment
on
management
of
the
waste
received
from
off
site:
Waste
3
­
Neutralized
completely
and
treated
by
chemical
precipitation
at
this
site.
FORM
WR
OMB#:
2050­
0024
Expires
11/
30/
2002
Forms
Completed
by
TSD
Handler,
Inc.

Over
ö
EPA
Form
8700­
13A/
B
(
Revised
(
11/
00))
Page
4
of
9
A­
31
BEFORE
COPYING
FORM,
ATTACH
SITE
IDENTIFICATION
LABEL
OR
ENTER:

SITE
NAME:
TSD
Handler,
Inc.

EPA
ID
NO:
.
X2Y2W­.
92827­.
62524­.
32221­
U.
S.
ENVIRONMENTAL
PROTECTION
AGENCY
2001
Hazardous
Waste
Report
WASTE
RECEIVED
FROM
OFF
SITE
FORM
WR
Instructions:
Please
see
the
detailed
instructions
beginning
on
page
27
of
the
instructions
and
forms
booklet
before
completing
this
form.
In
addition,
the
page
number
for
instructions
specific
to
each
box
is
provided
in
parentheses.

Waste
1
A.
Description
of
hazardous
waste
(
page
27)

Ignitable
spent
solvent.
B.
EPA
hazardous
waste
code
(
page
28)

.
D202021­
.
F202023­
.)
2)
2N2A­
.)
2)
2N2AC
State
hazardous
waste
code
(
page
28)
.)
2)
2)
2)
2)
2)­
.)
2)
2)
2)
2)
2)­

D.
Off­
site
handler
EPA
ID
number
(
page
28)

.
F2C2C­.
A2N2A­.
D2A2
­.
2
2
­
E.
Quantity
received
in
2001
(
page
28)

.)
2)
2)
2)
2)
2)
22212020­..
0­
F.
UOM
(
page
28)
Density
.5­
.)
28­..
025­
:
1
lbs/
gal
9
2
sg
G.
Form
code
(
page
29)

.
W
222023­
H.
RCRA
radioactive
mixed?
(
page
29)

9
Yes
I.
Management
Method
code
(
page
29)

.
H
202621­

Waste
2
A.
Description
of
hazardous
waste
(
page
27)

Spent
halogenated
solvent.
B.
EPA
hazardous
waste
code
(
page
28)

.
F202022­
.)
2)
2N2A­
.)
2
2N2A­
.)
2)
2N2AC
State
hazardous
waste
code
(
page
28)
.)
2)
2)
2)
2)
2)­
.)
2)
2)
2)
2)
2)­

D.
Off­
site
handler
EPA
ID
number
(
page
28)
9
Check
if
same
as
in
Waste
1
.
F2C2M­.
E2X2I­.
C2O2
­.
2
2
­
E.
Quantity
received
in
2001
(
page
28)

.)
2)
2)
2)
2)
2)
21272020­..
0­
F.
UOM
(
page
28)
Density
.5­
.)
27­..
525­
:
1
lbs/
gal
9
2
sg
G.
Form
code
(
page
29)

.
W
222022­
H.
RCRA
radioactive
mixed
(
page
29)

9
Yes
I.
Management
Method
code
(
page
29)

.
H
212421­

Waste
3
A.
Description
of
hazardous
waste
(
page
27)

Corrosive
waste.
B.
EPA
hazardous
waste
code
(
page
28)

.
D202022­
.)
2)
2N2A­
.)
2)
2N2A­
.)
2)
2N2AC
State
hazardous
waste
code
(
page
28)
.)
2)
2)
2)
2)
2)­
.)
2)
2)
2)
2)
2)­

D.
Off­
site
handler
EPA
ID
number
(
page
28)
9
Check
if
same
as
in
Waste
2
.
E2F2D­.
12223­.
42526­.
72829­
E.
Quantity
received
in
2001
(
page
28)

.)
2)
2)
2)
2)
2)
21222020­..
0­
F.
UOM
(
page
28)
Density
.5­
.)
28­..
220­
:
1
lbs/
gal
9
2
sg
G.
Form
code
(
page
29)

.
W
212023­
H.
RCRA
radioactive
mixed
(
page
29)

9
Yes
I.
Management
Method
code
(
page
29)

.
H
202727­

Comments:

Waste
1
­
Imported
waste;
fuel
blended
at
this
site;
shipped
off
site
for
energy
recovery.
Waste
2
­
Imported
waste;
bulked
and
shipped
off
site
for
incineration.
Waste
3
­
Neutralized
completely
and
treated
by
chemical
precipitation
at
this
site.
Forms
Completed
by
TSD
Handler,
Inc.

A­
32
Form
WR,
page
5
of
9:
Waste
received
from
off
site.

Before
copying,
or
entering
information
on,
this
form,
the
site
enters
its
name
(
TSD
Handler,
Inc.)
and
EPA
ID
number
(
XYW987654321)
in
the
top
left­
hand
corner
of
the
form.

Waste
1
In
Box
A,
a
narrative
description
of
the
waste
received
from
off
site
is
entered:
Ignitable
spent
solvent.
The
appropriate
EPA
hazardous
waste
code
associated
with
the
waste,
F003
for
spent
non­
halogenated
solvents,
is
entered
in
Box
B;
NA
is
entered
in
the
remaining
spaces
for
EPA
hazardous
waste
codes.
Box
C
is
left
blank,
unless
the
State
defines
separate
waste
codes
relevant
to
the
waste.
The
EPA
ID
number
of
the
site
from
which
the
waste
was
received,
XYZ890123567,
is
entered
in
Box
D.
In
Box
E,
the
quantity
of
waste
received
from
off
site,
1,800.0,
is
entered.
In
Box
F,
code
5
is
entered
indicating
that
the
unit
of
measure
for
the
quantity
reported
in
Box
E
is
"
gallons."
Because
"
gallons"
is
a
volumetric
measure,
the
density
of
the
waste,
7.50,
is
recorded
in
Box
F,
and
"
lbs/
gal"
is
checked
to
indicate
that
the
density
is
reported
in
pounds
per
gallon.
The
appropriate
Form
code,
W203
for
concentrated
non­
halogenated
solvent,
is
entered
in
Box
G.
Box
H
is
not
checked
because
the
waste
is
not
mixed
with
radioactive
materials.
In
Box
I,
the
appropriate
Management
Method
code
for
the
system
in
which
the
waste
was
managed,
H061
for
fuel
blending
prior
to
energy
recovery
at
another
site,
is
reported.
In
Comments,
a
brief
comment
on
management
of
the
waste
received
from
off
site:
Waste
2
­
Fuel
blended
at
this
site;
shipped
off
site
for
energy
recovery.

Waste
2
In
Box
A,
a
narrative
description
of
the
waste
received
from
off
site
is
entered:
Halogenated
solvent.
The
appropriate
EPA
hazardous
waste
code
associated
with
the
waste,
F001
for
spent
halogenated
solvents
used
in
degreasing,
is
entered
in
Box
B;
NA
is
entered
in
the
remaining
spaces
for
EPA
hazardous
waste
codes.
Box
C
is
left
blank,
unless
the
State
defines
separate
waste
codes
relevant
to
the
waste.
The
EPA
ID
number
of
the
site
from
which
the
waste
was
received,
ABD910848737,
is
entered
in
Box
D.
In
Box
E,
the
quantity
of
waste
received
from
off
site,
200.0,
is
entered.
In
Box
F,
code
5
is
entered
indicating
that
the
unit
of
measure
for
the
quantity
reported
in
Box
E
is
"
gallons."
Because
"
gallons"
is
a
volumetric
measure,
the
density
of
the
waste,
9.10,
is
recorded
in
Box
F,
and
"
lbs/
gal"
is
checked
to
indicate
that
the
density
is
reported
in
pounds
per
gallon.
The
appropriate
Form
code,
W202
for
concentrated
halogenated
(
e.
g.,
chlorinated)
solvent,
is
entered
in
Box
G.
Box
H
is
not
checked
because
the
waste
is
not
mixed
with
radioactive
materials.
In
Box
I,
the
appropriate
Management
Method
code
for
the
system
in
which
the
waste
was
managed,
H141
for
storage,
bulking,
and/
or
transfer
off
site
­
no
treatment,
fuel
blending,
or
disposal
at
this
site,
is
reported.
In
Comments,
a
brief
comment
on
management
of
the
waste
received
from
off
site:
Waste
3
­
Bulked
and
shipped
off
site
for
incineration.

Waste
3
Because
there
are
no
more
hazardous
waste
to
report,
Boxes
A
through
I
are
left
blank.
FORM
WR
OMB#:
2050­
0024
Expires
11/
30/
2002
Forms
Completed
by
TSD
Handler,
Inc.

Over
ö
EPA
Form
8700­
13A/
B
(
Revised
(
11/
00))
Page
5
of
9
A­
33
BEFORE
COPYING
FORM,
ATTACH
SITE
IDENTIFICATION
LABEL
OR
ENTER:

SITE
NAME:
TSD
Handler,
Inc.

EPA
ID
NO:
.
X2Y2W­.
92827­.
62524­.
32221­
U.
S.
ENVIRONMENTAL
PROTECTION
AGENCY
2001
Hazardous
Waste
Report
WASTE
RECEIVED
FROM
OFF
SITE
FORM
WR
Instructions:
Please
see
the
detailed
instructions
beginning
on
page
27
of
the
instructions
and
forms
booklet
before
completing
this
form.
In
addition,
the
page
number
for
instructions
specific
to
each
box
is
provided
in
parentheses.

Waste
1
A.
Description
of
hazardous
waste
(
page
27)

Ignitable
spent
solvent.
B.
EPA
hazardous
waste
code
(
page
28)

.
F202023­
.)
2)
2N2A­
.)
2)
2N2A­
.)
2)
2N2AC
State
hazardous
waste
code
(
page
28)
.)
2)
2)
2)
2)
2)­
.)
2)
2)
2)
2)
2)­

D.
Off­
site
handler
EPA
ID
number
(
page
28)

.
X2Y2Z­.
82920­.
12223­.
52627­
E.
Quantity
received
in
2001
(
page
28)

.)
2)
2)
2)
2)
2)
21282020­..
0­
F.
UOM
(
page
28)
Density
.5­
.)
27­..
520­
:
1
lbs/
gal
9
2
sg
G.
Form
code
(
page
29)

.
W
222023­
H.
RCRA
radioactive
mixed?
(
page
29)

9
Yes
I.
Management
Method
code
(
page
29)

.
H
202621­

Waste
2
A.
Description
of
hazardous
waste
(
page
27)

Halogenated
solvent.
B.
EPA
hazardous
waste
code
(
page
28)

.
F202021­
.)
2)
2N2A­
.)
2
2N2A­
.)
2)
2N2AC
State
hazardous
waste
code
(
page
28)
.)
2)
2)
2)
2)
2)­
.)
2)
2)
2)
2)
2)­

D.
Off­
site
handler
EPA
ID
number
(
page
28)
9
Check
if
same
as
in
Waste
1
.
A2B2D­.
92120­.
82428­.
72327­
E.
Quantity
received
in
2001
(
page
28)

.)
2)
2)
2)
2)
2)
2
222020­..
0­
F.
UOM
(
page
28)
Density
.5­
.)
29­..
120­
:
1
lbs/
gal
9
2
sg
G.
Form
code
(
page
29)

.
W
222022­
H.
RCRA
radioactive
mixed
(
page
29)

9
Yes
I.
Management
Method
code
(
page
29)

.
H
212421­

Waste
3
A.
Description
of
hazardous
waste
(
page
27)
B.
EPA
hazardous
waste
code
(
page
28)

.
2
2
2
­
.)
2)
2
2
­
.)
2
2
2
­
.)
2)
2
2
­
C.
State
hazardous
waste
code
(
page
28)
.)
2)
2)
2)
2)
2)­
.)
2)
2)
2)
2)
2)­

D.
Off­
site
handler
EPA
ID
number
(
page
28)
9
Check
if
same
as
in
Waste
2
.
2
2
­.
2
2
­.
2
2
­.
2
2
­
E.
Quantity
received
in
2001
(
page
28)

.)
2)
2)
2)
2)
2)
2)
2
2
2
­..
­
F.
UOM
(
page
28)
Density
.
­
.)
2
­..
2
­
9
1
lbs/
gal
9
2
sg
G.
Form
code
(
page
29)

.
W
2
2
2
­
H.
RCRA
radioactive
mixed
(
page
29)

9
Yes
I.
Management
Method
code
(
page
29)

.
H
2
2
2
­

Comments:

Waste
1
­
Fuel
blended
at
this
site;
shipped
off
site
for
energy
recovery.
Waste
2
­
Bulked
and
shipped
off
site
for
incineration.
Forms
Completed
by
TSD
Handler,
Inc.

A­
34
Form
GM,
page
6
of
9:
Ignitable
spent
solvent
received
from
off
site,
fuel
blended
at
this
site,
and
shipped
off
site
for
energy
recovery.

Before
copying,
or
entering
information
on,
this
form,
the
site
enters
its
name
(
TSD
Handler,
Inc.)
and
EPA
ID
number
(
XYW987654321)
in
the
top
left­
hand
corner
of
the
form.

Section
1
Waste
characteristics.
In
Box
A,
a
narrative
description
of
the
waste
is
entered:
Ignitable
spent
solvent.
The
appropriate
EPA
hazardous
waste
codes
associated
with
the
waste,
D001
for
ignitable
waste
and
F003
for
spent
non­
halogenated
solvents,
are
entered
in
Box
B;
NA
is
entered
in
the
remaining
spaces
for
EPA
hazardous
waste
codes.
Box
C
is
left
blank,
unless
the
State
defines
separate
waste
codes
relevant
to
the
waste.
The
appropriate
Source
code,
G62
for
hazardous
waste
received
from
a
foreign
country,
is
entered
in
Box
D.
Because
the
Source
code
is
not
"
G25,"
the
Management
Method
code
in
Box
D
is
left
blank.
The
appropriate
Form
code,
W203
for
concentrated
non­
halogenated
solvent,
is
entered
in
Box
E.
Box
F
is
not
checked
because
the
waste
is
not
mixed
with
radioactive
materials.
The
quantity
of
the
hazardous
waste
generated
in
2001,
2,100.0,
is
reported
in
Box
G.
In
Box
H,
code
5
is
entered
indicating
that
the
unit
of
measure
for
the
quantity
reported
in
Box
G
is
"
gallons."
Because
"
gallons"
is
a
volumetric
measure,
the
density
of
the
waste,
8.05,
is
recorded
in
Box
H,
and
"
lbs/
gal"
is
checked
to
indicate
that
the
density
is
reported
in
pounds
per
gallon.

Section
2
On­
site
generation
and
management
of
hazardous
waste.
The
site
checks
"
No"
because
the
site
did
not
treat,
dispose,
or
recycle
the
waste
on
site.
The
site
skips
to
Section
3
as
instructed.
Therefore,
under
On­
site
Process
Systems
1
and
2,
on­
site
management
method
and
quantity
treated,
disposed,
or
recycled
on
site
are
left
blank.

Section
3
Off­
site
shipment
of
hazardous
waste.
In
Box
A,
"
Yes"
is
checked
because
the
waste
was
shipped
off
site
for
management
during
2001.
For
Site
1,
the
EPA
ID
number
of
the
facility
to
which
the
waste
was
shipped,
RSD839204637,
is
recorded
in
Box
B.
The
off­
site
management
method
in
which
the
waste
was
managed,
H050
for
energy
recovery
at
this
site,
is
reported
in
Box
C.
The
total
quantity
shipped
in
2001
is
entered
in
Box
D,
using
the
same
unit
of
measure
as
reported
in
Section
2,
Box
B,
2,100.0.
For
Sites
2
and
3,
Boxes
B
through
D
are
left
blank.
FORM
GM
OMB#:
2050­
0024
Expires
11/
30/
2002
Forms
Completed
by
TSD
Handler,
Inc.

Over
ö
EPA
Form
8700­
13A/
B
(
Revised
(
11/
00))
Page
6
of
9
A­
35
BEFORE
COPYING
FORM,
ATTACH
SITE
IDENTIFICATION
LABEL
OR
ENTER:

SITE
NAME:
TSD
Handler,
Inc.

EPA
ID
NO:
.
X2Y2W­.
92827­.
62524­.
32221­
U.
S.
ENVIRONMENTAL
PROTECTION
AGENCY
2001
Hazardous
Waste
Report
WASTE
GENERATION
AND
MANAGEMENT
FORM
GM
Instructions:
Please
see
the
detailed
instructions
beginning
on
page
19
of
the
instructions
and
forms
booklet
before
completing
this
form.
In
addition,
the
page
number
for
instructions
specific
to
each
box
is
provided
in
parentheses.

Sec.
1
A.
Waste
description
(
page
22)
Ignitable
spent
solvent.

B.
EPA
hazardous
waste
code
.
D202021­
.
F202023­
(
page
22)
.)
2)
2N2A­
.)
2)
2N2A­
.)
2)
2N2AC
State
hazardous
waste
code
(
page
22)

.)
2)
2)
2)
2)
2)­.)
2)
2)
2)
2)
2)­

D.
Source
code
.
G
2622­
(
page
23)
Management
Method
code
for
Source
code
G25
.
H
2)
2)
2)­
E.
Form
code
(
page
23)

.
W
222023­
F.
RCRA
radioactive
mixed?
(
page
23)

9
Yes
G.
Quantity
generated
in
2001
(
page
23)

.)
2)
2)
2)
2)
22212020­..
0­
H.
UOM
.5­
(
page
23)

Density
.)
28­..
025­
:
lbs/
gal
9
sg
Sec.
2
Was
any
of
this
waste
managed
on
site?
(
page
24)

9
1
Yes
(
CONTINUE
TO
ON­
SITE
PROCESS
SYSTEM
1)
:
2
No
(
SKIP
TO
SEC.
3)

ON­
SITE
PROCESS
SYSTEM
1
ON­
SITE
PROCESS
SYSTEM
2
On­
site
Management
Quantity
treated,
disposed,
or
Method
code
(
page
24)
recycled
on
site
in
2001
(
page
25)

.
H
2
2
2
­
.)
2)
2)
2)
2)
2)
2
2
2
­..
­
On­
site
Management
Quantity
treated,
disposed,
or
Method
code
(
page
24)
recycled
on
site
in
2001
(
page
25)

.
H2)
2)
2)­
.)
2)
2)
2)
2)
2)
2)
2)
2)­..)­

Sec.
3
A.
Was
any
of
this
waste
shipped
off
site
in
2001
for
treatment,
disposal,
or
recycling?
(
pages
25
and
26)
:
1
Yes
(
CONTINUE
TO
BOX
B)
9
2
No
(
FORM
IS
COMPLETE)

Site
1
B.
EPA
ID
No.
of
facility
to
which
waste
was
shipped
(
page
26)

.
R2S2D­.
82329­.
22024­.
62327­
C.
Off­
site
Management
Method
code
Shipped
to
(
page
26)

.
H
202520­
D.
Total
quantity
shipped
in
2001
(
page
26)

.)
2)
2)
2)
2)
22212020­..
0­

Site
2
B.
EPA
ID
No.
of
facility
to
which
waste
was
shipped
(
page
26)

.)
2)
2)­.)
2)
2)­.)
2)
2)­.)
2)
2)­
C.
Off­
site
Management
Method
code
Shipped
to
(
page
26)

.
H2)
2)
2)­
D.
Total
quantity
shipped
in
2001
(
page
26)

.)
2)
2)
2)
2)
2)
2)
2)
2)­..)­

Site
3
B.
EPA
ID
No.
of
facility
to
which
waste
was
shipped
(
page
26)

.)
2)
2)­.)
2)
2)­.)
2)
2)­.)
2)
2)­
C.
Off­
site
Management
Method
code
Shipped
to
(
page
26)

.
H2)
2)
2)­
D.
Total
quantity
shipped
in
2001
(
page
26)

.)
2)
2)
2)
2)
2)
2)
2)
2)­..)­

Comments:
Forms
Completed
by
TSD
Handler,
Inc.

A­
36
Form
GM,
page
7
of
9:
Halogenated
solvent
received
from
off
site,
bulked,
and
shipped
off
site
for
incineration.

Before
copying,
or
entering
information
on,
this
form,
the
site
enters
its
name
(
TSD
Handler,
Inc.)
and
EPA
ID
number
(
XYW987654321)
in
the
top
left­
hand
corner
of
the
form.

Section
1
Waste
characteristics.
In
Box
A,
a
narrative
description
of
the
waste
is
entered:
Spent
halogenated
solvent.
The
appropriate
EPA
hazardous
waste
codes
associated
with
the
waste,
F001
for
spent
halogenated
solvents
used
in
degreasing
and
F002
for
spent
halogenated
solvents,
are
entered
in
Box
B;
NA
is
entered
in
the
remaining
spaces
for
EPA
hazardous
waste
codes.
Box
C
is
left
blank,
unless
the
State
defines
separate
waste
codes
relevant
to
the
waste.
The
appropriate
Source
code,
G62
for
hazardous
waste
received
from
a
foreign
country,
is
entered
in
Box
D.
Because
the
Source
code
is
not
"
G25,"
the
Management
Method
code
in
Box
D
is
left
blank.
The
appropriate
Form
code,
W202
for
concentrated
halogenated
(
e.
g.,
chlorinated)
solvent,
is
entered
in
Box
E.
Box
F
is
not
checked
because
the
waste
is
not
mixed
with
radioactive
materials.
The
quantity
of
the
hazardous
waste
generated
in
2001,
1,700.0,
is
reported
in
Box
G.
In
Box
H,
code
5
is
entered
indicating
that
the
unit
of
measure
for
the
quantity
reported
in
Box
G
is
"
gallons."
Because
"
gallons"
is
a
volumetric
measure,
the
density
of
the
waste,
7.55,
is
recorded
in
Box
H,
and
"
lbs/
gal"
is
checked
to
indicate
that
the
density
is
reported
in
pounds
per
gallon.

Section
2
On­
site
generation
and
management
of
hazardous
waste.
The
site
checks
"
No"
because
the
site
did
not
treat,
dispose,
or
recycle
the
waste
on
site.
The
site
skips
to
Section
3
as
instructed.
Therefore,
under
On­
site
Process
Systems
1
and
2,
on­
site
management
method
and
quantity
treated,
disposed,
or
recycled
on
site
are
left
blank.

Section
3
Off­
site
shipment
of
hazardous
waste.
In
Box
A,
"
Yes"
is
checked
because
the
waste
was
shipped
off
site
for
management
during
2001.
For
Site
1,
the
EPA
ID
number
of
the
facility
to
which
the
waste
was
shipped,
RSD839204637,
is
recorded
in
Box
B.
The
off­
site
management
method
in
which
the
waste
was
managed,
H040
for
incineration
­
thermal
destruction
other
than
use
as
a
fuel,
is
reported
in
Box
C.
The
total
quantity
shipped
in
2001
is
entered
in
Box
D,
using
the
same
unit
of
measure
as
reported
in
Section
2,
Box
B,
1,700.0.
For
Sites
2
and
3,
Boxes
B
through
D
are
left
blank.
FORM
GM
OMB#:
2050­
0024
Expires
11/
30/
2002
Forms
Completed
by
TSD
Handler,
Inc.

Over
ö
EPA
Form
8700­
13A/
B
(
Revised
(
11/
00))
Page
7
of
9
A­
37
BEFORE
COPYING
FORM,
ATTACH
SITE
IDENTIFICATION
LABEL
OR
ENTER:

SITE
NAME:
TSD
Handler,
Inc.

EPA
ID
NO:
.
X2Y2W­.
92827­.
62524­.
32221­
U.
S.
ENVIRONMENTAL
PROTECTION
AGENCY
2001
Hazardous
Waste
Report
WASTE
GENERATION
AND
MANAGEMENT
FORM
GM
Instructions:
Please
see
the
detailed
instructions
beginning
on
page
19
of
the
instructions
and
forms
booklet
before
completing
this
form.
In
addition,
the
page
number
for
instructions
specific
to
each
box
is
provided
in
parentheses.

Sec.
1
A.
Waste
description
(
page
22)
Spent
halogenated
solvent.

B.
EPA
hazardous
waste
code
.
F202021­
.
F202022­
(
page
22)
.)
2)
2N2A­
.)
2)
2N2A­
.)
2)
2N2AC
State
hazardous
waste
code
(
page
22)

.)
2)
2)
2)
2)
2)­.)
2)
2)
2)
2)
2)­

D.
Source
code
.
G
2622­
(
page
23)
Management
Method
code
for
Source
code
G25
.
H
2)
2)
2)­
E.
Form
code
(
page
23)

.
W
222022­
F.
RCRA
radioactive
mixed?
(
page
23)

9
Yes
G.
Quantity
generated
in
2001
(
page
23)

.)
2)
2)
2)
2)
21272020­..
0­
H.
UOM
.5­
(
page
23)

Density
.)
27­..
525­
:
lbs/
gal
9
sg
Sec.
2
Was
any
of
this
waste
managed
on
site?
(
page
24)

9
1
Yes
(
CONTINUE
TO
ON­
SITE
PROCESS
SYSTEM
1)
:
2
No
(
SKIP
TO
SEC.
3)

ON­
SITE
PROCESS
SYSTEM
1
ON­
SITE
PROCESS
SYSTEM
2
On­
site
Management
Quantity
treated,
disposed,
or
Method
code
(
page
24)
recycled
on
site
in
2001
(
page
25)

.
H
2
2
2
­
.)
2)
2)
2)
2)
2)
2
2
2
­..
­
On­
site
Management
Quantity
treated,
disposed,
or
Method
code
(
page
24)
recycled
on
site
in
2001
(
page
25)

.
H2)
2)
2)­
.)
2)
2)
2)
2)
2)
2)
2)
2)­..)­

Sec.
3
A.
Was
any
of
this
waste
shipped
off
site
in
2001
for
treatment,
disposal,
or
recycling?
(
pages
25
and
26)
:
1
Yes
(
CONTINUE
TO
BOX
B)
9
2
No
(
FORM
IS
COMPLETE)

Site
1
B.
EPA
ID
No.
of
facility
to
which
waste
was
shipped
(
page
26)

.
R2S2D­.
82329­.
22024­.
62327­
C.
Off­
site
Management
Method
code
Shipped
to
(
page
26)

.
H
202420­
D.
Total
quantity
shipped
in
2001
(
page
26)

.)
2)
2)
2)
2)
21272020­..
0­

Site
2
B.
EPA
ID
No.
of
facility
to
which
waste
was
shipped
(
page
26)

.)
2)
2)­.)
2)
2)­.)
2)
2)­.)
2)
2)­
C.
Off­
site
Management
Method
code
Shipped
to
(
page
26)

.
H
2)
2)
2)­
D.
Total
quantity
shipped
in
2001
(
page
26)

.)
2)
2)
2)
2)
2)
2)
2)
2)­..)­

Site
3
B.
EPA
ID
No.
of
facility
to
which
waste
was
shipped
(
page
26)

.)
2)
2)­.)
2)
2)­.)
2)
2)­.)
2)
2)­
C.
Off­
site
Management
Method
code
Shipped
to
(
page
26)

.
H
2)
2)
2)­
D.
Total
quantity
shipped
in
2001
(
page
26)

.)
2)
2)
2)
2)
2)
2)
2)
2)­..)­

Comments:
Forms
Completed
by
TSD
Handler,
Inc.

A­
38
Form
GM,
page
8
of
9:
Ignitable
spent
solvent
received
from
off
site,
fuel
blended
at
this
site,
and
shipped
off
site
for
energy
recovery.

Before
copying,
or
entering
information
on,
this
form,
the
site
enters
its
name
(
TSD
Handler,
Inc.)
and
EPA
ID
number
(
XYW987654321)
in
the
top
left­
hand
corner
of
the
form.

Section
1
Waste
characteristics.
In
Box
A,
a
narrative
description
of
the
waste
is
entered:
Fuel
blended
ignitable
spent
solvent.
The
appropriate
EPA
hazardous
waste
codes
associated
with
the
waste,
D001
for
ignitable
waste
and
F003
for
spent
nonhalogenated
solvents,
are
entered
in
Box
B;
NA
is
entered
in
the
remaining
spaces
for
EPA
hazardous
waste
codes.
Box
C
is
left
blank,
unless
the
State
defines
separate
waste
codes
relevant
to
the
waste.
The
appropriate
Source
code,
G25
for
hazardous
waste
management,
is
entered
in
Box
D.
Because
the
Source
code
is
"
G25,"
the
Management
Method
code,
H061
for
fuel
blending
prior
to
energy
recovery
at
another
site,
is
also
entered
in
Box
D.
The
appropriate
Form
code,
W203
for
concentrated
non­
halogenated
solvent,
is
entered
in
Box
E.
Box
F
is
not
checked
because
the
waste
is
not
mixed
with
radioactive
materials.
The
quantity
of
the
hazardous
waste
generated
in
2001,
3,900.0,
is
reported
in
Box
G.
In
Box
H,
code
5
is
entered
indicating
that
the
unit
of
measure
for
the
quantity
reported
in
Box
G
is
"
gallons."
Because
"
gallons"
is
a
volumetric
measure,
the
density
of
the
waste,
7.50,
is
recorded
in
Box
H,
and
"
lbs/
gal"
is
checked
to
indicate
that
the
density
is
reported
in
pounds
per
gallon.

Section
2
On­
site
generation
and
management
of
hazardous
waste.
The
site
checks
"
No"
because
the
site
did
not
treat,
dispose,
or
recycle
the
waste
on
site.
The
site
skips
to
Section
3
as
instructed.
Therefore,
under
On­
site
Process
Systems
1
and
2,
on­
site
management
method
and
quantity
treated,
disposed,
or
recycled
on
site
are
left
blank.

Section
3
Off­
site
shipment
of
hazardous
waste.
In
Box
A,
"
Yes"
is
checked
because
the
waste
was
shipped
off
site
for
management
during
2001.
For
Site
1,
the
EPA
ID
number
of
the
facility
to
which
the
waste
was
shipped,
RSD839204637,
is
recorded
in
Box
B.
The
off­
site
management
method
in
which
the
waste
was
managed,
H050
for
energy
recovery
at
this
site,
is
reported
in
Box
C.
The
total
quantity
shipped
in
2001
is
entered
in
Box
D,
using
the
same
unit
of
measure
as
reported
in
Section
2,
Box
B,
3,900.0.
For
Sites
2
and
3,
Boxes
B
through
D
are
left
blank.
FORM
GM
OMB#:
2050­
0024
Expires
11/
30/
2002
Forms
Completed
by
TSD
Handler,
Inc.

Over
ö
EPA
Form
8700­
13A/
B
(
Revised
(
11/
00))
Page
8
of
9
A­
39
BEFORE
COPYING
FORM,
ATTACH
SITE
IDENTIFICATION
LABEL
OR
ENTER:

SITE
NAME:
TSD
Handler,
Inc.

EPA
ID
NO:
.
X2Y2W­.
92827­.
62524­.
32221­
U.
S.
ENVIRONMENTAL
PROTECTION
AGENCY
2001
Hazardous
Waste
Report
WASTE
GENERATION
AND
MANAGEMENT
FORM
GM
Instructions:
Please
see
the
detailed
instructions
beginning
on
page
19
of
the
instructions
and
forms
booklet
before
completing
this
form.
In
addition,
the
page
number
for
instructions
specific
to
each
box
is
provided
in
parentheses.

Sec.
1
A.
Waste
description
(
page
22)
Fuel
blended
ignitable
spent
solvent.

B.
EPA
hazardous
waste
code
.
D202021­
.
F202023­
(
page
22)
.)
2)
2N2A­
.)
2)
2N2A­
.)
2)
2N2AC
State
hazardous
waste
code
(
page
22)

.)
2)
2)
2)
2)
2)­.)
2)
2)
2)
2)
2)­

D.
Source
code
.
G
2225­
(
page
23)
Management
Method
code
for
Source
code
G25
.
H
202621­
E.
Form
code
(
page
23)

.
W
222023­
F.
RCRA
radioactive
mixed?
(
page
23)

9
Yes
G.
Quantity
generated
in
2001
(
page
23)

.)
2)
2)
2)
2)
23292020­..
0­
H.
UOM
.5­
(
page
23)

Density
.)
27­..
520­
:
lbs/
gal
9
sg
Sec.
2
Was
any
of
this
waste
managed
on
site?
(
page
24)

9
1
Yes
(
CONTINUE
TO
ON­
SITE
PROCESS
SYSTEM
1)
:
2
No
(
SKIP
TO
SEC.
3)

ON­
SITE
PROCESS
SYSTEM
1
ON­
SITE
PROCESS
SYSTEM
2
On­
site
Management
Quantity
treated,
disposed,
or
Method
code
(
page
24)
recycled
on
site
in
2001
(
page
25)

.
H
2
2
2
­
.)
2)
2)
2)
2)
2)
2
2
2
­..
­
On­
site
Management
Quantity
treated,
disposed,
or
Method
code
(
page
24)
recycled
on
site
in
2001
(
page
25)

.
H
2)
2)
2)­
.)
2)
2)
2)
2)
2)
2)
2)
2)­..)­

Sec.
3
A.
Was
any
of
this
waste
shipped
off
site
in
2001
for
treatment,
disposal,
or
recycling?
(
pages
25
and
26)
:
1
Yes
(
CONTINUE
TO
BOX
B)
9
2
No
(
FORM
IS
COMPLETE)

Site
1
B.
EPA
ID
No.
of
facility
to
which
waste
was
shipped
(
page
26)

.
R2S2D­.
82329­.
22024­.
62327­
C.
Off­
site
Management
Method
code
Shipped
to
(
page
26)

.
H
202520­
D.
Total
quantity
shipped
in
2001
(
page
26)

.)
2)
2)
2)
2)
23292020­..
0­

Site
2
B.
EPA
ID
No.
of
facility
to
which
waste
was
shipped
(
page
26)

.)
2)
2)­.)
2)
2)­.)
2)
2)­.)
2)
2)­
C.
Off­
site
Management
Method
code
Shipped
to
(
page
26)

.
H
2)
2)
2)­
D.
Total
quantity
shipped
in
2001
(
page
26)

.)
2)
2)
2)
2)
2)
2)
2)
2)­..)­

Site
3
B.
EPA
ID
No.
of
facility
to
which
waste
was
shipped
(
page
26)

.)
2)
2)­.)
2)
2)­.)
2)
2)­.)
2)
2)­
C.
Off­
site
Management
Method
code
Shipped
to
(
page
26)

.
H
2)
2)
2)­
D.
Total
quantity
shipped
in
2001
(
page
26)

.)
2)
2)
2)
2)
2)
2)
2)
2)­..)­

Comments:
Forms
Completed
by
TSD
Handler,
Inc.

A­
40
Form
GM,
page
9
of
9:
Halogenated
solvent
received
from
off
site,
bulked,
and
shipped
off
site
for
incineration.

Before
copying,
or
entering
information
on,
this
form,
the
site
enters
its
name
(
TSD
Handler,
Inc.)
and
EPA
ID
number
(
XYW987654321)
in
the
top
left­
hand
corner
of
the
form.

Section
1
Waste
characteristics.
In
Box
A,
a
narrative
description
of
the
waste
is
entered:
Halogenated
solvent.
The
appropriate
EPA
hazardous
waste
codes
associated
with
the
waste,
F001
for
spent
halogenated
solvents
used
in
degreasing
and
F002
for
spent
halogenated
solvents,
are
entered
in
Box
B;
NA
is
entered
in
the
remaining
spaces
for
EPA
hazardous
waste
codes.
Box
C
is
left
blank,
unless
the
State
defines
separate
waste
codes
relevant
to
the
waste.
The
appropriate
Source
code,
G61
for
hazardous
waste
received
from
off
site
for
storage/
bulking
and
transfer
off
site
for
treatment
and
disposal,
is
entered
in
Box
D.
Because
the
Source
code
is
not
"
G25,"
the
Management
Method
code
in
Box
D
is
left
blank.
The
appropriate
Form
code,
W202
for
concentrated
halogenated
(
e.
g.,
chlorinated)
solvent,
is
entered
in
Box
E.
Box
F
is
not
checked
because
the
waste
is
not
mixed
with
radioactive
materials.
The
quantity
of
the
hazardous
waste
generated
in
2001,
1,900.0,
is
reported
in
Box
G.
In
Box
H,
code
5
is
entered
indicating
that
the
unit
of
measure
for
the
quantity
reported
in
Box
G
is
"
gallons."
Because
"
gallons"
is
a
volumetric
measure,
the
density
of
the
waste,
9.50,
is
recorded
in
Box
H,
and
"
lbs/
gal"
is
checked
to
indicate
that
the
density
is
reported
in
pounds
per
gallon.

Section
2
On­
site
generation
and
management
of
hazardous
waste.
The
site
checks
"
No"
because
the
site
did
not
treat,
dispose,
or
recycle
the
waste
on
site.
The
site
skips
to
Section
3
as
instructed.
Therefore,
under
On­
site
Process
Systems
1
and
2,
on­
site
management
method
and
quantity
treated,
disposed,
or
recycled
on
site
are
left
blank.

Section
3
Off­
site
shipment
of
hazardous
waste.
In
Box
A,
"
Yes"
is
checked
because
the
waste
was
shipped
off
site
for
management
during
2001.
For
Site
1,
the
EPA
ID
number
of
the
facility
to
which
the
waste
was
shipped,
RSD839204637,
is
recorded
in
Box
B.
The
off­
site
management
method
in
which
the
waste
was
managed,
H040
for
incineration
­
thermal
destruction
other
than
use
as
a
fuel,
is
reported
in
Box
C.
The
total
quantity
shipped
in
2001
is
entered
in
Box
D,
using
the
same
unit
of
measure
as
reported
in
Section
2,
Box
B,
1,900.0.
For
Sites
2
and
3,
Boxes
B
through
D
are
left
blank.
FORM
GM
OMB#:
2050­
0024
Expires
11/
30/
2002
Forms
Completed
by
TSD
Handler,
Inc.

Over
ö
EPA
Form
8700­
13A/
B
(
Revised
(
11/
00))
Page
9
of
9
A­
41
BEFORE
COPYING
FORM,
ATTACH
SITE
IDENTIFICATION
LABEL
OR
ENTER:

SITE
NAME:
TSD
Handler,
Inc.

EPA
ID
NO:
.
X2Y2W­.
92827­.
62524­.
32221­
U.
S.
ENVIRONMENTAL
PROTECTION
AGENCY
2001
Hazardous
Waste
Report
WASTE
GENERATION
AND
MANAGEMENT
FORM
GM
Instructions:
Please
see
the
detailed
instructions
beginning
on
page
19
of
the
instructions
and
forms
booklet
before
completing
this
form.
In
addition,
the
page
number
for
instructions
specific
to
each
box
is
provided
in
parentheses.

Sec.
1
A.
Waste
description
(
page
22)
Halogenated
solvent.

B.
EPA
hazardous
waste
code
.
F202021­
.
F202022­
(
page
22)
.)
2)
2N2A­
.)
2)
2N2A­
.)
2)
2N2AC
State
hazardous
waste
code
(
page
22)

.)
2)
2)
2)
2)
2)­.)
2)
2)
2)
2)
2)­

D.
Source
code
.
G
2621­
(
page
23)
Management
Method
code
for
Source
code
G25
.
H
2)
2)
2)­
E.
Form
code
(
page
23)

.
W
222022­
F.
RCRA
radioactive
mixed?
(
page
23)

9
Yes
G.
Quantity
generated
in
2001
(
page
23)

.)
2)
2)
2)
2)
21292020­..
0­
H.
UOM
.5­
(
page
23)

Density
.)
29­..
520­
:
lbs/
gal
9
sg
Sec.
2
Was
any
of
this
waste
managed
on
site?
(
page
24)

9
1
Yes
(
CONTINUE
TO
ON­
SITE
PROCESS
SYSTEM
1)
:
2
No
(
SKIP
TO
SEC.
3)

ON­
SITE
PROCESS
SYSTEM
1
ON­
SITE
PROCESS
SYSTEM
2
On­
site
Management
Quantity
treated,
disposed,
or
Method
code
(
page
24)
recycled
on
site
in
2001
(
page
25)

.
H
2
2
2
­
.)
2)
2)
2)
2)
2)
2
2
2
­..
­
On­
site
Management
Quantity
treated,
disposed,
or
Method
code
(
page
24)
recycled
on
site
in
2001
(
page
25)

.
H
2)
2)
2)­
.)
2)
2)
2)
2)
2)
2)
2)
2)­..)­

Sec.
3
A.
Was
any
of
this
waste
shipped
off
site
in
2001
for
treatment,
disposal,
or
recycling?
(
pages
25
and
26)
:
1
Yes
(
CONTINUE
TO
BOX
B)
9
2
No
(
FORM
IS
COMPLETE)

Site
1
B.
EPA
ID
No.
of
facility
to
which
waste
was
shipped
(
page
26)

.
R2S2D­.
82329­.
22024­.
62327­
C.
Off­
site
Management
Method
code
Shipped
to
(
page
26)

.
H
202420­
D.
Total
quantity
shipped
in
2001
(
page
26)

.)
2)
2)
2)
2)
21292020­..
0­

Site
2
B.
EPA
ID
No.
of
facility
to
which
waste
was
shipped
(
page
26)

.)
2)
2)­.)
2)
2)­.)
2)
2)­.)
2)
2)­
C.
Off­
site
Management
Method
code
Shipped
to
(
page
26)

.
H2)
2)
2)­
D.
Total
quantity
shipped
in
2001
(
page
26)

.)
2)
2)
2)
2)
2)
2)
2)
2)­..)­

Site
3
B.
EPA
ID
No.
of
facility
to
which
waste
was
shipped
(
page
26)

.)
2)
2)­.)
2)
2)­.)
2)
2)­.)
2)
2)­
C.
Off­
site
Management
Method
code
Shipped
to
(
page
26)

.
H
2)
2)
2)­
D.
Total
quantity
shipped
in
2001
(
page
26)

.)
2)
2)
2)
2)
2)
2)
2)
2)­..)­

Comments:
A­
42
THIS
PAGE
INTENTIONALLY
LEFT
BLANK
2001
HAZARDOUS
WASTE
REPORT
FORMS
READ
ALL
INSTRUCTIONS
BEFORE
COMPLETING
THE
FORMS
THIS
PAGE
INTENTIONALLY
LEFT
BLANK
Same
as
Page
1
of
EPA
Form
8700­
12
EPA
Form
8700­
13A/
B
(
Revised
11/
00)
Page
1
of
__
Same
as
Page
1
of
EPA
Form
8700­
23
OMB#:
2050­
0175
Expires
12/
31/
2003
MAIL
THE
COMPLETED
FORM
TO:
The
Appropriate
EPA
Regional
or
State
Office.
United
States
Environmental
Protection
Agency
RCRA
SUBTITLE
C
SITE
IDENTIFICATION
FORM
1.
Reason
for
Submittal
(
see
instructions
on
page
10)

CHECK
CORRECT
BOX(
ES)
Reason
for
Submittal:

 
To
provide
initial
notification
(
to
obtain
an
EPA
ID
Number
for
hazardous
waste,
universal
waste,
or
used
oil
activities).

 
To
provide
subsequent
notification
(
to
update
site
identification
information).

 
As
a
component
of
a
First
RCRA
Hazardous
Waste
Part
A
Permit
Application.

 
As
a
component
of
a
Revised
RCRA
Hazardous
Waste
Part
A
Permit
Application
(
Amendment
#______________).

 
As
a
component
of
the
Hazardous
Waste
Report.

2.
Site
EPA
ID
Number
(
see
instructions
on
page
11)
EPA
ID
Number:
.)
2)
2)­.)
2)
2)­.)
2)
2)­.)
2)
2)­

3.
Site
Name
(
see
instructions
on
page
11)
Name:

4.
Site
Location
Information
(
see
instructions
on
page
11)
Street
Address:

City,
Town,
or
Village:
State:

County
Name:
Zip
Code:

5.
Site
Land
Type
(
see
instructions
on
page
11)
Site
Land
Type:
 
Private
 
County
 
District
 
Federal
 
Indian
 
Municipal
 
State
 
Other
6.
North
American
Industry
Classification
System
(
NAICS)
Code(
s)
for
the
Site
(
see
instructions
on
page
11)
A.
B.

C.
D.

7.
Site
Mailing
Address
(
see
instructions
on
page
12)
Street
or
P.
O.
Box:

City,
Town,
or
Village:

State:

Country:
Zip
Code:

8.
Site
Contact
Person
(
see
instructions
on
page
12)
First
Name:
MI:
Last
Name:

Phone
Number:
Phone
Number
Extension:

9.
Legal
Owner
and
Operator
of
the
Site
(
see
instructions
on
pages
12
and
13)
A.
Name
of
Site's
Legal
Owner:
Date
Became
Owner
(
mm/
dd/
yyyy):

Owner
Type:
 
Private
 
County
 
District
 
Federal
 
Indian
 
Municipal
 
State
 
Other
B.
Name
of
Site's
Operator:
Date
Became
Operator
(
mm/
dd/
yyyy):

Operator
Type:
 
Private
 
County
 
District
 
Federal
 
Indian
 
Municipal
 
State
 
Other
Same
as
Page
2
of
EPA
Form
8700­
12
EPA
Form
8700­
13A/
B
(
Revised
11/
00)
Page
2
of
__
Same
as
Page
2
of
EPA
Form
8700­
23
OMB#:
2050­
0175
Expires
12/
31/
2003
EPA
ID
No.

10.
Type
of
Regulated
Waste
Activity
(
Mark
'
X'
in
the
appropriate
boxes.
See
instructions
on
pages
13,
14,
15,
and
16)

A.
Hazardous
Waste
Activities
1.
Generator
of
Hazardous
Waste
(
choose
only
one
of
the
following
three
categories)

 
a.
LQG:
Greater
than
1,000
kg/
mo
(
2,200
lbs./
mo.)
of
non­
acute
hazardous
waste;
or
 
b.
SQG:
100
to
1,000
kg/
mo
(
220
­
2,200
lbs./
mo.)
of
non­
acute
hazardous
waste;
or
 
c.
CESQG:
Less
than
100
kg/
mo
(
220
lbs./
mo.)
of
non­
acute
hazardous
waste
In
addition,
indicate
other
generator
activities
(
check
all
that
apply)

 
d.
United
States
Importer
of
Hazardous
Waste
 
e.
Mixed
Waste
(
hazardous
and
radioactive)
Generator
For
Items
2
through
6,
check
all
that
apply:

 
2.
Transporter
of
Hazardous
Waste
 
3.
Treater,
Storer,
or
Disposer
of
Hazardous
Waste
(
at
your
site)
Note:
A
hazardous
waste
permit
is
required
for
this
activity.

 
4.
Recycler
of
Hazardous
Waste
(
at
your
site)
Note:
A
hazardous
waste
permit
may
be
required
for
this
activity.

5.
Exempt
Boiler
and/
or
Industrial
Furnace
 
a.
Small
Quantity
On­
site
Burner
Exemption
 
b.
Smelting,
Melting,
Refining
Furnace
Exemption
 
6.
Underground
Injection
Control
B.
Universal
Waste
Activities
1.
Large
Quantity
Handler
of
Universal
Waste
[
refer
to
your
State
regulations
to
determine
what
is
regulated].
Indicate
types
of
universal
waste
generated
and/
or
accumulated
at
your
site.
(
check
all
boxes
that
apply):

Generated
Accumulated
a.
Batteries
 
 

b.
Pesticides
 
 

c.
Thermostats
 
 

d.
Lamps
 
 

e.
Other
(
specify)
_______________
 
 

f.
Other
(
specify)
_______________
 
 

g.
Other
(
specify)
_______________
 
 

 
2.
Destination
Facility
for
Universal
Waste
Note:
A
hazardous
waste
permit
may
be
required
for
this
activity.
C.
Used
Oil
Activities
1.
Used
Oil
Transporter
­
Indicate
Type(
s)
of
Activity(
ies)

 
a.
Transporter
 
b.
Transfer
Facility
2.
Used
Oil
Processor
and/
or
Re­
refiner
­
Indicate
Type(
s)
of
Activity(
ies)

 
a.
Processor
 
b.
Re­
refiner
 
3.
Off­
Specification
Used
Oil
Burner
4.
Used
Oil
Fuel
Marketer
­
Indicate
Type(
s)
of
Activity(
ies)

 
a.
Marketer
Who
Directs
Shipment
of
Off­
Specifica
tion
Used
Oil
to
Off­
Specification
Used
Oil
Burner
 
b.
Marketer
Who
First
Claims
the
Used
Oil
Meets
the
Specifications
11.
Description
of
Hazardous
Wastes
(
see
instructions
on
pages
16
and
17)

A.
Waste
Codes
for
Federally
Regulated
Hazardous
Wastes.
Please
list
the
waste
codes
of
the
Federal
hazardous
wastes
handled
at
your
site.
List
them
in
the
order
they
are
presented
in
the
regulations
(
e.
g.,
D001,
D003,
F007,
U112).
Use
an
additional
page
if
more
spaces
are
needed.
Same
as
Page
3
of
EPA
Form
8700­
12
EPA
Form
8700­
13A/
B
(
Revised
11/
00)
Page
3
of
__
Same
as
Page
3
of
EPA
Form
8700­
23
OMB#:
2050­
0175
Expires
12/
31/
2003
EPA
ID
No.

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

12.
Comments
(
see
instructions
on
page
17)

13.
Certification.
I
certify
under
penalty
of
law
that
this
document
and
all
attachments
were
prepared
under
my
direction
or
supervision
in
accordance
with
a
system
designed
to
assure
that
qualified
personnel
properly
gather
and
evaluate
the
information
submitted.
Based
on
my
inquiry
of
the
person
or
persons
who
manage
the
system,
or
those
persons
directly
responsible
for
gathering
the
information,
the
information
submitted
is,
to
the
best
of
my
knowledge
and
belief,
true,
accurate,
and
complete.
I
am
aware
that
there
are
significant
penalties
for
submitting
false
information,
including
the
possibility
of
fine
and
imprisonment
for
knowing
violations.
(
see
instructions
on
page
17)

Signature
of
owner,
operator,
or
an
authorized
representative
Name
and
Official
Title
(
type
or
print)
Date
Signed
(
mm/
dd/
yyyy)
THIS
PAGE
INTENTIONALLY
LEFT
BLANK
FORM
GM
OMB#:
2050­
0024
Expires
11/
30/
2002
Over
ö
EPA
Form
8700­
13A/
B
(
Revised
(
11/
00))
Page
__
of
___
BEFORE
COPYING
FORM,
ATTACH
SITE
IDENTIFICATION
LABEL
OR
ENTER:

SITE
NAME:

EPA
ID
NO:
.)
2)
2)­.)
2)
2)­.)
2)
2)­.)
2)
2)­
U.
S.
ENVIRONMENTAL
PROTECTION
AGENCY
2001
Hazardous
Waste
Report
WASTE
GENERATION
AND
MANAGEMENT
FORM
GM
Instructions:
Please
see
the
detailed
instructions
beginning
on
page
19
of
the
instructions
and
forms
booklet
before
completing
this
form.
In
addition,
the
page
number
for
instructions
specific
to
each
box
is
provided
in
parentheses.

Sec.
1
A.
Waste
description
(
page
22)

B.
EPA
hazardous
waste
code
.)
2)
2)
2)­
.)
2)
2)
2)­
(
page
22)
.)
2)
2)
2)­
.)
2)
2)
2)­
.)
2)
2)
2)­
C.
State
hazardous
waste
code
(
page
22)

.)
2)
2)
2)
2)
2)­.)
2)
2)
2)
2)
2)­

D.
Source
code
(
page
23)
.
G)
2)
2)­
Management
Method
code
for
Source
code
G25
.
H
2)
2)
2)­
E.
Form
code
(
page
23)

.
W
2)
2)
2)­
F.
RCRA
radioactive
mixed
(
page
23)

9
Yes
G.
Quantity
generated
in
2001
(
page
23)

.)
2)
2)
2)
2)
2)
2)
2)
2)­..)­
H.
UOM
.)­
(
page
23)

Density
(
page
24)

.)
2)­..)
2)­
9
lbs/
gal
9
sg
Sec.
2
Was
any
of
this
waste
managed
on
site?
(
page
24)

9
1
Yes
(
CONTINUE
TO
ON­
SITE
PROCESS
SYSTEM
1)
9
2
No
(
SKIP
TO
SEC.
3)

ON­
SITE
PROCESS
SYSTEM
1
ON­
SITE
PROCESS
SYSTEM
2
On­
site
Management
Quantity
treated,
disposed,
or
Method
code
(
page
24)
recycled
on
site
in
2001
(
page
25)

.
H
2)
2)
2)­
.)
2)
2)
2)
2)
2)
2)
2)
2)­..)­
On­
site
Management
Quantity
treated,
disposed,
or
Method
code
(
page
24)
recycled
on
site
in
2001
(
page
25)

.
H
2)
2)
2)­
.)
2)
2)
2)
2)
2)
2)
2)
2)­..)­

Sec.
3
A.
Was
any
of
this
waste
shipped
off
site
in
2001
for
treatment,
disposal,
or
recycling?
(
pages
25
and
26)
9
1
Yes
(
CONTINUE
TO
BOX
B)
9
2
No
(
FORM
IS
COMPLETE)

Site
1
B.
EPA
ID
No.
of
facility
to
which
waste
was
shipped
(
page
26)

.)
2)
2)­.)
2)
2)­.)
2)
2)­.)
2)
2)­
C.
Off­
site
Management
Method
code
Shipped
to
(
page
26)

.
H
2)
2)
2)­
D.
Total
quantity
shipped
in
2001
(
page
26)

.)
2)
2)
2)
2)
2)
2)
2)
2)­..)­

Site
2
B.
EPA
ID
No.
of
facility
to
which
waste
was
shipped
(
page
26)

.)
2)
2)­.)
2)
2)­.)
2)
2)­.)
2)
2)­
C.
Off­
site
Management
Method
code
Shipped
to
(
page
26)

.
H
2)
2)
2)­
D.
Total
quantity
shipped
in
2001
(
page
26)

.)
2)
2)
2)
2)
2)
2)
2)
2)­..)­

Site
3
B.
EPA
ID
No.
of
facility
to
which
waste
was
shipped
(
page
26)

.)
2)
2)­.)
2)
2)­.)
2)
2)­.)
2)
2)­
C.
Off­
site
Management
Method
code
Shipped
to
(
page
26)

.
H
2)
2)
2)­
D.
Total
quantity
shipped
in
2001
(
page
26)

.)
2)
2)
2)
2)
2)
2)
2)
2)­..)­

Comments:
THIS
PAGE
INTENTIONALLY
LEFT
BLANK
FORM
WR
OMB#:
2050­
0024
Expires
11/
30/
2002
Over
ö
EPA
Form
8700­
13A/
B
(
Revised
(
11/
00))
Page
__
of
___
BEFORE
COPYING
FORM,
ATTACH
SITE
IDENTIFICATION
LABEL
OR
ENTER:

SITE
NAME:

EPA
ID
NO:
.)
2)
2)­.)
2)
2)­.)
2)
2)­.)
2)
2)­
U.
S.
ENVIRONMENTAL
PROTECTION
AGENCY
2001
Hazardous
Waste
Report
WASTE
RECEIVED
FROM
OFF
SITE
FORM
WR
Instructions:
Please
see
the
detailed
instructions
beginning
on
page
27
of
the
instructions
and
forms
booklet
before
completing
this
form.
In
addition,
the
page
number
for
instructions
specific
to
each
box
is
provided
in
parentheses.

Waste
1
A.
Description
of
hazardous
waste
(
page
27)
B.
EPA
hazardous
waste
code
(
page
28)

.)
2)
2)
2)­
.)
2)
2)
2)­
.)
2)
2)
2)­
.)
2)
2)
2)­
C.
State
hazardous
waste
code
(
page
28)
.)
2)
2)
2)
2)
2)­
.)
2)
2)
2)
2)
2)­

D.
Off­
site
handler
EPA
ID
number
(
page
28)

.)
2)
2)­.)
2)
2)­.)
2)
2)­.)
2)
2)­
E.
Quantity
received
in
2001
(
page
28)

.)
2)
2)
2)
2)
2)
2)
2)
2)
2)­..)­
F.
UOM
(
page
28)
Density
(
page
29)

.)­
.)
2)­..)
2)­
9
1
lbs/
gal
9
2
sg
G.
Form
code
(
page
29)

.
W
2)
2)
2)­
H.
RCRA
radioactive
mixed
(
page
29)

9
Yes
I.
Management
Method
code
(
page
29)

.
H
2)
2)
2)­

Waste
2
A.
Description
of
hazardous
waste
(
page
27)
B.
EPA
hazardous
waste
code
(
page
28)

.)
2)
2)
2)­
.)
2)
2)
2)­
.)
2)
2)
2)­
.)
2)
2)
2)­
C.
State
hazardous
waste
code
(
page
28)
.)
2)
2)
2)
2)
2)­
.)
2)
2)
2)
2)
2)­

D.
Off­
site
handler
EPA
ID
number
(
page
28)
9
Check
if
same
as
in
Waste
1
.)
2)
2)­.)
2)
2)­.)
2)
2)­.)
2)
2)­
E.
Quantity
received
in
2001
(
page
28)

.)
2)
2)
2)
2)
2)
2)
2)
2)
2)­..)­
F.
UOM
(
page
28)
Density
(
page
29)

.)­
.)
2)­..)
2)­
9
1
lbs/
gal
9
2
sg
G.
Form
code
(
page
29)

.
W
2)
2)
2)­
H.
RCRA
radioactive
mixed
(
page
29)

9
Yes
I.
Management
Method
code
(
page
29)

.
H
2)
2)
2)­

Waste
3
A.
Description
of
hazardous
waste
(
page
27)
B.
EPA
hazardous
waste
code
(
page
28)

.)
2)
2)
2)­
.)
2)
2)
2)­
.)
2)
2)
2)­
.)
2)
2)
2)­
C.
State
hazardous
waste
code
(
page
28)
.)
2)
2)
2)
2)
2)­
.)
2)
2)
2)
2)
2)­

D.
Off­
site
handler
EPA
ID
number
(
page
28)
9
Check
if
same
as
in
Waste
2
.)
2)
2)­.)
2)
2)­.)
2)
2)­.)
2)
2)­
E.
Quantity
received
in
2001
(
page
28)

.)
2)
2)
2)
2)
2)
2)
2)
2)
2)­..)­
F.
UOM
(
page
28)
Density
(
page
29)

.)­
.)
2)­..)
2)­
9
1
lbs/
gal
9
2
sg
G.
Form
code
(
page
29)

.
W
2)
2)
2)­
H.
RCRA
radioactive
mixed
(
page
29)

9
Yes
I.
Management
Method
code
(
page
29)

.
H
2)
2)
2)­

Comments:
THIS
PAGE
INTENTIONALLY
LEFT
BLANK
FORM
OI
OMB#:
2050­
0024
Expires
11/
30/
2000
Over
ö
EPA
Form
8700­
13A/
B
(
Revised
(
11/
00))
Page
__
of
___
BEFORE
COPYING
FORM,
ATTACH
SITE
IDENTIFICATION
LABEL
OR
ENTER:

SITE
NAME:

EPA
ID
NO:
.)
2)
2)­.)
2)
2)­.)
2)
2)­.)
2)
2)­
U.
S.
ENVIRONMENTAL
PROTECTION
AGENCY
2001
Hazardous
Waste
Report
OFF­
SITE
IDENTIFICATION
FORM
OI
Instructions:
Please
read
the
detailed
instructions
on
the
reverse
side
before
completing
this
form.

Site
1
A.
EPA
ID
No.
of
off­
site
installation
or
transporter
.)
2)
2)­.)
2)
2)­.)
2)
2)­.)
2)
2)­
B.
Name
of
off­
site
installation
or
transporter
C.
Handler
type
(
CHECK
ALL
THAT
APPLY)

9
Generator
9
Transporter
9
TSDR
facility
D.
Address
of
off­
site
installation
Street
_________________________________________________________

City
_________________________________________________________
State
.)
2)­
Zip
.)
2)
2)
2)
2)­­.)
2)
2)
2)­

Site
2
A.
EPA
ID
No.
of
off­
site
installation
or
transporter
.)
2)
2)­.)
2)
2)­.)
2)
2)­.)
2)
2)­
B.
Name
of
off­
site
installation
or
transporter
C.
Handler
type
(
CHECK
ALL
THAT
APPLY)

9
Generator
9
Transporter
9
TSDR
facility
D.
Address
of
off­
site
installation
Street
_________________________________________________________

City
_________________________________________________________
State
.)
2)­
Zip
.)
2)
2)
2)
2)­­.)
2)
2)
2)­

Site
3
A.
EPA
ID
No.
of
off­
site
installation
or
transporter
.)
2)
2)­.)
2)
2)­.)
2)
2)­.)
2)
2)­
B.
Name
of
off­
site
installation
or
transporter
C.
Handler
type
(
CHECK
ALL
THAT
APPLY)

9
Generator
9
Transporter
9
TSDR
facility
D.
Address
of
off­
site
installation
Street
_________________________________________________________

City
_________________________________________________________
State
.)
2)­
Zip
.)
2)
2)
2)
2)­­.)
2)
2)
2)­

Site
4
A.
EPA
ID
No.
of
off­
site
installation
or
transporter
.)
2)
2)­.)
2)
2)­.)
2)
2)­.)
2)
2)­
B.
Name
of
off­
site
installation
or
transporter
C.
Handler
type
(
CHECK
ALL
THAT
APPLY)

9
Generator
9
Transporter
9
TSDR
facility
D.
Address
of
off­
site
installation
Street
_________________________________________________________

City
_________________________________________________________
State
.)
2)­
Zip
.)
2)
2)
2)
2)­­.)
2)
2)
2)­

Site
5
A.
EPA
ID
No.
of
off­
site
installation
or
transporter
.)
2)
2)­.)
2)
2)­.)
2)
2)­.)
2)
2)­
B.
Name
of
off­
site
installation
or
transporter
C.
Handler
type
(
CHECK
ALL
THAT
APPLY)

9
Generator
9
Transporter
9
TSDR
facility
D.
Address
of
off­
site
installation
Street
_________________________________________________________

City
_________________________________________________________
State
.)
2)­
Zip
.)
2)
2)
2)
2)­­.)
2)
2)
2)­

Comments:
INSTRUCTIONS
FOR
FILLING
OUT
FORM
OI
 
OFF­
SITE
IDENTIFICATION
WHO
MUST
SUBMIT
THIS
FORM
Sites
required
to
file
the
2001
Hazardous
Waste
Report
must
submit
Form
OI
if:

 
Form
OI
is
required
by
your
State;
AND
 
The
site
received
hazardous
waste
from
off
site
or
sent
hazardous
waste
off
site
during
2001.

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

HOW
TO
FILL
OUT
THIS
FORM
Form
OI
is
divided
into
five
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
2001.
If
these
off­
site
installations
and
transporters
total
more
than
five,
you
must
photocopy
and
complete
additional
copies
of
the
form.
Prior
to
photocopying,
place
the
pre­
printed
site
identification
label
in
the
top
left­
hand
corner
of
the
form
or,
if
you
did
not
receive
pre­
printed
labels,
enter
the
site
name
and
EPA
Identification
Number
in
this
space.

Use
the
Comments
section
at
the
end
of
the
form
to
clarify
any
entry
(
e.
g.,
"
Other"
responses)
or
to
continue
any
entry.
When
entering
information
in
the
Comments
section,
cross­
reference
the
site
number
and
box
letter
to
which
the
comment
refers.

ITEM­
BY­
ITEM
INSTRUCTIONS
Complete
Boxes
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
2001.
Complete
Boxes
A
through
C
for
each
transporter
you
used
during
the
year
(
address
in
Box
D
is
not
required
for
transporters).

Box
A:
EPA
ID
No.
of
off­
site
installation
or
transporter
Enter
the
12­
digit
EPA
ID
number
of
the
off­
site
installation
to
which
you
shipped
hazardous
waste
or
from
which
you
received
hazardous
waste.
Or,
enter
the
EPA
ID
number
of
the
transporter
who
shipped
hazardous
waste
to
or
from
your
site.
Each
EPA
ID
Number
should
appear
only
once.
If
the
off­
site
installation
or
transporter
did
not
have
an
EPA
ID
number
during
2001,
enter
"
NA"
in
Box
A
and
note
the
reason
in
the
Comments
section.

Box
B:
Name
of
off­
site
installation
or
transporter
Enter
the
name
of
the
off­
site
installation
or
transporter
reported
in
Box
A.

Box
C:
Handler
type
Check
all
boxes
that
apply
to
the
handler
type
(
i.
e.,
generator,
transporter,
or
treatment,
storage,
or
disposal
(
TSD)
facility)
of
the
off­
site
installation
or
transporter
reported
in
Box
A.

Box
D:
Address
of
off­
site
installation
Enter
the
address
of
the
off­
site
installation
reported
in
Box
A.
If
the
EPA
ID
number
reported
in
Box
A
refers
to
a
transporter,
enter
"
NA"
in
Box
D.
