703 303^7?)
&EPA
United States
Environmental Protection
Agency
October 2003
2003 Hazardous
Waste Report
Instructions and Forms
EPA Form 8700-13 A/B
(OMB #2050-0024; Expires October 31, 2005)
XXXX
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Office of Solid Waste
(5301W)
Washington, DC 20460
2003 Hazardous Waste Report
Instructions and Forms
This is an ongoing information collection from hazardous waste generators and hazardous waste treatment, storage
or disposal facilities. This collection is done on a two-year cycle as required by Sections 3002 and 3004 of the
Resource Conservation and Recovery Act (RCRA). The information is collected via a mechanism known as the
Hazardous Waste Report for the required reporting year [EPA Form 8700-13 A/B](also known as the Biennial Report)
Both RCRA Sections 3002 and 3004 require EPA to establish standards for recordkeeping and reporting of hazardou;
waste. Section 3002 applies to hazardous waste generators and Section 3004 applies to hazardous waste treatment
storage, and disposal facilities. The implementing regulations are found at 40 CFR Parts 262,40(b) and (d),
262.41(a)(l)-(5), (a)(8), and (b); 264.75(a)-(e) and (j); 265.75(a)-(e) and (j); and 270.30(1)(9). This is mandatory
reporting by the respondents.
The respondents' submissions (reports) describe each generated hazardous waste, the activity by which they
generated the waste, and the waste quantity; the reports also list the management method by which each waste is
treated, recycled, or disposed and the quantity managed. There are a number of uses of Biennial Report data. EPA
uses Biennial Report data for planning and developing regulations, compliance monitoring, and enforcement. Also,
Biennial Report data allows the Agency to determine whether its regulations are having the desired effect on the
generation and management of hazardous waste. For example, Biennial Report data provides information on whether
waste management has shifted from one method of disposal to another. Some State uses of Report data include support
of planning, fee assessment, compliance monitoring, and enforcement.
Some businesses consider some of their hazardous waste information to be Confidential Business Information
(CB1). A business may, if it desires, protect its Biennial Report information from public disclosure by asserting a claim
of confidentiality covering all or part of its information. When a claim is made EPA will treat the information in
accordance with the confidentiality regulations in 40 CFR Part 2, Subpart B. EPA also ensures that the information
collection procedures comply with the Privacy Act of 1974 and OMB Circular 108.
Estimated Burden: The total annual public reporting and recordkeeping burden for this collection of information
is estimated to average 19.35 hours per response. The annual reporting burden is estimated to average 16.87 hours
per response including time for reviewing instructions, gathering data, completing and reviewing the forms, and
submitting the report. The annual recordkeeping requirement is estimated to. average 2.48 hours per respondent
including the time for filing and storing the Biennial Report submission for three years.
To comment on the Agency's need for this information, the accuracy of the provided burden estimates, and any
suggested methods for minimizing respondent burden, including the use of automated collection techniques, EPA has
established a public docket for this ICR under Docket ID Number RCRA-2002-0024, which is available for public
viewing at the RCRA Docket in the EPA Docket Center (EPA/DC), EPA West, Room B102, 1301 Constitution Avc.,
NW, Washington, DC. The EPA Docket Center Public Reading Room is open from 8:30 a.m. to 4:30 p.m., Monday
through Friday, excluding legal holidays. The telephone number for the Reading Room is (202) 566-1744, and the
telephone number for the RCRA Docket is (202) 566-0270. An electronic version of the public docket is available
through EPA Dockets (EDOCKET) at - http://www.epa.gov/edocket
Use EDOCKET to submit or view public comments, access the index listing of the contents of the public docket,
and to access those documents in the public docket that are available electronically. Once in the system, select
"search," then key in the docket ID number identified above. Also, you can send comments to the Office oi
Information and Regulatory Affairs, Office of Management and Budget, 725 17th Street, N W, Washington, DC 20503,
Attention: Desk Office for EPA. Please include the EPA Docket ID Number RCRA-2002-0024 and OMB Control
Number 2050-0024 in any correspondence.
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PURPOSE OF THE 2003 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 calendar year 2003. 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 publication of the
2003 National Biennial RCRA Hazardous Waste Report.
The data you provide will be entered into a computer database by the State or the EPA Regional Office to
which you return your Hazardous Waste Report. After review to ensure the quality of the data, EPA will
create a national database for this information. Your efforts in carefully filling out all the report forms are
appreciated.
IMPORTANT
Before completing the 2003 Hazardous Waste Report forms, please carefully read the instructions
in this booklet. EPA has made changes to the previous version of this booklet.
IF YOU NEED ASSISTANCE
To obtain assistance in filling out the 2003 Hazardous Waste Report forms, please call the EPA
RCRA, Superfund & EPCRA Call Center at 1-800-424-9346 (703-412-9810 in the Washington,
D.C., metropolitan area). The Call Center operates Monday through Friday from 9:00 a.m. to 5:00
p.m. (Eastern Standard Time); the Call Center is closed on Federal holidays.
In addition to calling the Call Center, you may need to contact your State Office. Some States'
reporting requirements differ from the Federal requirements. The list of State and Regional Office
addresses, contact names, telephone numbers, and email addresses is on the Internet at -
http://www.epa.gov/epaoswer/hazwaste/data/br03/forms.htm
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SITES THAT SHOULD NOT FILE THE HAZARDOUS WASTE REPORT
Do not file the 2003 Hazardous Waste Report if, during 2003, your site was not a RCRA Large Quantity
Generator (your site did not meet any of the LQG criteria in the box above) AND did not treat, store, or
dispose of RCRA hazardous wastes on site.
If you are not required to report, you should notify us if your hazardous waste generator status has
changed; please fill out the RCRA Subtitle C Site Identification Form and submit it to your State Office.
See page 7 for instructions on filling out the Site Identification Form. Mark the box for Subsequent
Notification of Regulated Waste Activity in Item 1 - Reason for Submittal.
Do not file the 2003 Hazardous Waste Report if, during 2003, all of your hazardous waste was exported
directly out of the United States to a foreign country. An Annual Report must be filed in this case as
required under 40 CFR 262.56.
STATE-SPECIFIC REQUIREMENTS
States may impose reporting requirements above and beyond the Federal requirements. If your State does
so, it will attach information to (or delete information from) this booklet. Alternatively, some States use a
modified version of this report or their own instructions and forms for fulfilling the reporting
requirements. Please contact your State Office about state-specific requirements. See the Contacts list on
the Internet at - http://www.epa.gov/epaoswer/hazwaste/data^r03/forms.htm
IV
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2003 HAZARDOUS WASTE REPORT
TABLE OF CONTENTS
PURPOSE OF THE 2003 HAZARDOUS WASTE REPORT i
WHO MUST FILE THE 2003 HAZARDOUS WASTE REPORT iii
SITES REQUIRED TO FILE THE HAZARDOUS WASTE REPORT iii
SITES THAT SHOULD NOT FILE THE HAZARDOUS WASTE REPORT iv
STATE-SPECIFIC REQUIREMENTS iv
INSTRUCTIONS FOR FILING THE 2003 HAZARDOUS WASTE REPORT 1
INTRODUCTION 1
Authority 1
Overview of the 2003 Hazardous Waste Report 1
CHANGES TO THE 2003 HAZARDOUS WASTE REPORT 2
WHICH FORMS TO SUBMIT AND WHAT TO REPORT 2
FILLING OUT THE FORMS 3
RCRA, Superfund & EPCRA Call Center 3
Copies of Hazardous Waste Report Instructions and Forms 4
Documents Helpful in Filling Out the Forms 4
Site Identification Labels 4
Code Lists 4
Skip Instructions 4
Notes 4
Right Justification of Quantities 5
Comments Section of Forms 5
Page Numbering of Forms 5
Photocopies of Forms 5
Electronic Reporting 5
Confidential Business Information (CBI) 6
WHEN AND WHERE TO FILE 6
INSTRUCTIONS FOR FILLING OUT THE RCRA SUBTITLE C SITE IDENTIFICATION
(SITE ID) FORM 7
WHO MUST SUBMIT THIS FORM 7
PURPOSE OF THIS FORM 7
HOW TO FILL OUT THIS FORM 7
ITEM-BY-ITEM INSTRUCTIONS 9
INSTRUCTIONS FOR FILLING OUT FORM GM - WASTE GENERATION AND
MANAGEMENT 17
WHO MUST SUBMIT THIS FORM 17
PURPOSE OF THIS FORM 17
HOW TO FILL OUT THIS FORM 17
WASTES TO BE REPORTED 17
WASTES NOT TO BE REPORTED 18
HOW TO REPORT SIMILAR WASTES ON ONE FORM GM 19
ITEM-BY-ITEM INSTRUCTIONS 20
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INSTRUCTIONS
(Continued)
CHANGES IN THE 2003 HAZARDOUS WASTE REPORT
EPA made significant modifications to the Hazardous Waste Report for the 2001 submission based on a
lengthy study of the information needs of EPA and State hazardous waste programs. Those changes were
made to improve the consistency, accuracy, and reliability of the data. EPA has made a few more
changes in this 2003 report based on the previous study. These modifications include:
• Site ID Form Items - You must complete the entire RCRA Subtitle C Site Identification
Form. This will update your record for all of your site's current regulated activities and
related site information. You will report your current Hazardous Waste Generator status
as of the date of submitting your 2003 Hazardous Waste Report; see Item 10.A.1 -
Generator of Hazardous Waste.
• Deletion of the "RCRA radioactive mixed" (mixed waste) box on Form GM (Sec. 1 .F)
and on Form WR (H). You will, however, mark "Yes" on the Site Identification Form
for Item 10.A. 1 .e - Mixed Waste Generator if your site generates this waste.
• Addition of Source codes for foreign countries of origin for hazardous waste that is
imported into the United States. This is reported on Form GM. In Section 1, Box D.
WHICH FORMS TO SUBMIT AND WHAT TO REPORT
The 2003 Hazardous Waste Report contains the following four forms:
Site ID Form A site required to file the 2003 Hazardous Waste Report must submit the RCRA Subtitle
C Site ID Form (Site ID Form) as a component of the Report.
You will report your current Hazardous Waste Generator status as of the date of
submitting your 2003 Hazardous Waste Report on the Site Identification Form in Item
1 O.A.I - Generator of Hazardous Waste. Your status may have changed since 2003
Instructions for the Site ID Form begin on page 7.
Form GM A site required to file the 2003 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 2003; or
• Generated and accumulated on site in 2003 but not managed on site or shipped off
site until after 2003; or
• Generated and accumulated on site prior to 2003 but either managed on site or
shipped off site in 2003; or
• Imported from a foreign country in 2003.
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INSTRUCTIONS
(Continued)
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 for treating, recycling, or disposing on site or shipped
off site.
• Derived from the management of non-hazardous waste; or
• Derived from the on-site treatment (including reclamation), disposal, or recycling of
previously existing hazardous waste (as a residual).
DO NOT submit a Form GM for any hazardous waste shipped directly to a foreign
country. An Annual Report must be filed in this case as required under 40 CFR 262.56.
Instructions for Form GM begin on page 17.
Form WR A site required to file the 2003 Hazardous Waste Report must submit Form WR if, during
2003, it received RCRA hazardous waste from off site and managed the waste on site
(including subsequent transfer off-site).
Instructions for Form WR begin on page 26.
Form OI A site must complete Form OI only if the site's State requires it. Instructions for Form
OI are on the back of the form.
FILLING OUT THE FORMS
RCRA, SUPERFUND & EPCRA CALL CENTER
To obtain assistance in filling out the 2003 Hazardous Waste Report forms, please call the EPA's RCRA,
Superfund & EPCRA Call Center at 1-800-424-9346 (703-412-9810 in the Washington, D.C.,
metropolitan area). The Call Center operates Monday through Friday from 9:00 a.m. to 5:00 p.m.
(Eastern Standard Time), and is closed on Federal holidays.
In addition to calling the Call Center, you may want to contact your State or EPA Regional Office. Some
States' reporting requirements differ from the Federal requirements. The list of contact addresses, contact
names, telephone numbers, and email addresses is on the Internet at -
http://www.epa.gov/epaoswer/hazwaste/data/br03/forms.htm
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INSTRUCTIONS
(Continued)
COPIES OF HAZARDOUS WASTE REPORT INSTRUCTIONS AND FORMS
Additional copies of 2003 Hazardous Waste Report instructions and forms can be obtained from the
contact provided for your State. If your State uses the EPA's version of the instructions and forms, you
can download the booklet from the Internet at -
http://www.epa.gov/epaoswer/hazwaste/data/br03/forms.htm
DOCUMENTS HELPFUL IN FILLING OUT THE FORMS
To prepare the 2003 Hazardous Waste Report, you should consult your records on quantities and types of
hazardous waste that your site generated, managed, shipped, or received in 2003. 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 2003 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, that you 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 49. 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.
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.
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INSTRUCTIONS
(Continued)
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:
I I I I I H|2|0|0|0| _ LOJ
Enter a quantity of 29,599.5 tons as:
_LJ_2_L9J_51919J L.5J
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,
BoxB: "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 comer of
the form, but before you begin filling out the form.
After you have finished filling out the forms, photocopy the entire Hazardous Waste Report and keep a
copy for a period of at least three years from the due date of the report as required by 40 CFR 262.40(b).
ELECTRONIC REPORTING
The EPA encourages electronic reporting of Hazardous Waste Reports. To obtain instructions on how to
file electronically, contact your State or EPA Regional Office.
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INSTRUCTIONS
(Continued)
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 SEND YOUR COMPLETED REPORT
The 2003 Hazardous Waste Report is due to your State or Regional Office by March 1, 2004. Return
your completed Hazardous Waste Report to the address listed for your State or Regional contact. See the
additional information sent to you with this booklet. An updated listing of State and EPA Regional
mailing addresses, contact names, telephone numbers, and email addresses is maintained at -
www.epa.gov/epaoswer/hazwaste/data/br03/forms.htm
If you need more time to fill out the 2003 Hazardous Waste Report, contact your State or Regional Office
as soon as possible for specific instructions.
IF YOU NEED ASSISTANCE
To obtain assistance in filling out the 2003 Hazardous Waste Report forms, please call the EPA's
RCRA, Superrund & EPCRA Call Center at 1-800-424-9346 (703-418-9810 in the Washington,
D.C., metropolitan area). The Call Center operates Monday through Friday from 9:00 a.m. to 6:00
p.m. (Eastern Standard Time), and is closed on Federal holidays.
This booklet and other related information is on the Internet at -
http://www.epa.gov/epaoswer/hazwaste/data/br03/forms.htm
In addition to calling the Call Center, you may want to contact your State or Regional Office.
Some States' reporting requirements differ from the Federal requirements. The list of State and
Regional Office addresses, contact names, telephone numbers, and email addresses is on the
Internet at -
http://www.epa.gov/epaoswer/hazwaste/data/br03/forms.htm
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Instructions for Filling Out the RCRA Subtitle C
Site Identification (Site ID) Form
WHO MUST SUBMIT THIS FORM
All sites required to submit any of the following must submit the RCRA Subtitle C Site Identification
(Site ID) Form:
Initial Notification of Regulated Waste Activity
Subsequent Notification of Regulated Waste Activity
First RCRA Hazardous Waste Part A Permit Application
Revised RCRA Hazardous Waste Part A Permit Application
Hazardous Waste Report
You must complete all the items on the Site ID Form.
PURPOSE OF THIS FORM
For purposes of the Notification of Regulated Waste Activity, the Site ID Form provides site-specific
information about a facility for obtaining an EPA Identification Number and submitting Initial
Notification of Regulated Waste Activity. For purposes of a Subsequent Notification of Regulated Waste
Activity, the Site ID Form provides updated site-specific information for those items that have changed at
your site and verifies the information for those items that remain unchanged. For the purposes of the
RCRA Hazardous Waste Part A Permit Application and the Hazardous Waste Report, you must also
complete the Site ID Form to update your site information.
HOW TO FILL OUT THIS FORM
Please complete all of the Site ID Form items.
• Item 1 - your reason for submitting the form (In this case, As a component of the
Hazardous Waste Report. If your status or other Site ID Form information has changed,
also mark Subsequent Notification of Regulated Waste Activity.)
• Item 2 - your site's EPA Identification Number;
• Item 3 - the name of your site;
• Item 4 - the physical location of your site;
• Item 5 - the land type 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;
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Site ID Form
(Continued)
• Item 9 - names of the operator and the legal owner(s) of your site;
• Item 10 - your site's regulated waste activities (enter all that apply);
• Item 11 - the description of hazardous waste if you handle any;
• Item 12 - additional comments on Items 1 through 11; and
• Item 13 - certification that the information you provided throughout the form is truthful,
accurate and complete.
Type or print in black ink all items except the Signature box in Item 13. Enter your site's EPA ID
Number in the top left-hand corner on the second and third pages of the form; for Initial Notification for
this site, leave the EPA Identification Number blank. Use Item 12 - Comments to clarify or provide
additional information for any entry. When entering information in the comments section, enter the item
number and box letter to which the comment refers. If you must use additional sheets for comments,
enter your site's EPA ID number in the top left-hand corner of each sheet.
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Site ID Form
(Continued)
ITEM-BY-ITEM INSTRUCTIONS
Item 1 -- Reason for Submlttal:
Reason for Submittal: Place an "X" in the appropriate box to indicate whether this form is your
Initial Notification of Regulated Waste Activity (to obtain an EPA Identification Number); a
Subsequent Notification of Regulated Waste Activity (to update your site identification
information); a component of a First or a Revised Hazardous Waste Part A Permit Application; or
a component of the Hazardous Waste Report.
• For Initial Notification of Regulated Waste Activity to provide site identification
information and obtain an EPA Identification Number for hazardous waste,
universal waste, or used oil activities. If your waste activity is regulated under Subtitle
C of the Resource Conservation and Recovery Act (RCRA) and the rules promulgated
pursuant to the Act (specifically 40 CFR Parts 260-299), you must submit this form to
notify the appropriate State or EPA Regional Office of your regulated waste activities
and obtain an EPA Identification Number.
• For Subsequent Notification of Regulated Waste Activity to update site
identification information. You must use this form to submit a subsequent notification
if your site already has an EPA Identification Number and you wish to change
information (e.g., generator status, new site contact person, new owner, new mailing
address, new regulated waste activity, etc.).
» As a component of a First RCRA Hazardous Waste Part A Permit Application. If
your site is planning to treat, store, or dispose of hazardous waste on site in a unit that is
not exempt from obtaining a hazardous waste permit, you must submit this form as part
of the Part A Permit Application. Also, if the activity at this site (treatment, storage, or
disposal) became newly regulated under RCRA Subtitle C and the rules promulgated
pursuant to the Act (specifically 40 CFR Parts 260-299), you must submit this form as
part of the Part A Permit Application.
• As a component of a Revised RCRA Hazardous Waste Part A Permit Application.
If you must submit a revised Part A Permit Application to reflect changes that have
occurred at your site, you must submit this form as part of your revised Part A Permit
Application. Examples of site changes requiring a revised Part A Permit Application
include managing new wastes not identified in the first submission of the form or changes
to existing waste treatment processes. When submitting a revised Part A Permit
Application, please include the Amendment number in the appropriate space.
• As a component of the Hazardous Waste Report. If you are required to submit a
Hazardous Waste Report indicating the amount of hazardous waste you generate, treat,
recycle, dispose, ship off site, or receive from off site, you must fill out this form.
You will report your current Hazardous Waste Generator status as of the date of
submitting the Site Identification Form in Item 10.A.1 - Generator of Hazardous
Waste. Your status may have changed since your last submission (except for Initial
Notification of Regulated Waste Activity).
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Site ID Form
(Continued)
Item 2 -- Site EPA ID Number:
Provide your 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).
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:
Provide the legal name of your site and a complete location address. Please note that the address you give
for Item 4, Site Location, must be a physical address, not a post office box or route number.
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. Select only one type: Private,
County, District, Federal, Indian, Municipal, State, or Other. If your site's Land Type could be described
as Municipal and as County, as District, or as Indian, do not mark Municipal. Instead choose the other
appropriate code; you may explain this in Item 12 - Comments.
Item 6 •• North American Industry Classification System (NAICS) Code(s):
Box A must be completed. Completing Boxes B-D is recommended, if applicable.
Box A Provide the North American Industry Classification System (NAICS) code that
best describes your site's primary business production process for your products
or services. Use the six (6) digit code (most specific description) if available for
your business; if not, use the five (5) digit code; do not enter any four (4) or less
digit code.
Boxes B - D List other NAICS codes that describe the primary business production processes
for your site. Use the 6 or 5 digit codes that apply to your site.
Check with your accounting or business staff to determine your NAICS code(s); the NAICS code is used
in tax reporting and other business reports. A list of the codes can be found on the Internet at -
http://www.epa.gov/epaoswer/hazwaste/data/br03/forms.htm
You can obtain additional information about NAICS codes from the Internet at -
http://www.census.gov/epcd/naics02/
10
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Site ID Form
(Continued)
Item 7 - Site Mailing Address:
Please enter the Site Mailing Address. If the mailing address and the Location of Site (Item 4) are the
same, you can enter "Same as Item 4" in the box for Item 7.
Item 8 - Site Contact Person:
Enter the name, business telephone number, and extension of the individual who should be contacted
regarding the information submitted in the Site ID Form. You may also enter an email address; if you
want to be contacted by fax, enter that number in Item 12 - Comments. A Subsequent Notification is
recommended when the Site Contact Person changes. Do not enter other contact persons here; if there
are other persons who may be contacted about this submission, list them and their other contact
information in Item 12. An example would be a contact specifically for the Hazardous Waste Report.
Note that the Facility Permit Contact information for the RCRA Hazardous Waste Part A Permit
Application is entered in Items 1 and 2 of the Hazardous Waste Permit Information Form.
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 Item 12 - Comments.
Item 9 -- Operator and Legal Owner of the Site:
This section should be used to indicate all the operators and owners of this site. Please review these
definitions:
Operator - The person responsible for the overall operation of a RCRA site. Note: This is the
legal entity which controls the RCRA site operation rather than the plant or site manager. This is
usually a company or business name, not an individual. See Person.
Owner - The person who owns a RCRA site or part of a RCRA site. Note: This includes the
property owner. This may be an individual, company, or business name. See Person.
Person - An individual, trust, firm, joint stock company, Federal Agency, corporation (including
a government corporation), partnership, association, State, municipality, commission, political
subdivision of a State, or any interstate body.
A. Name of Site's Operator: Provide the name of your site's operator.
Date Became an Operator: Indicate the date on which the above entity became the operator of
your site. Enter dates as in this example: For April 22,1995, enter 04/22/1995.
Operator Type: Place an "X" in the box that best describes the operator type of your site.
Select only one type: Private, County, District, Federal, Indian, Municipal, State, or Other. If
your site's Operator Type could be described as Municipal and as County, as District, or as
Indian, do not mark Municipal. Instead choose the other appropriate code; you may explain this
in Item 12 - Comments.
Use the Comments section in Item 12 to list any additional operators, their names, the dates they
11
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Site ID Form
(Continued)
In addition to the above, mark "Yes" or "No" for the other hazardous waste activities listed
below that may occur at this site. Complete l.d and e, and 2 through 6.
d. United States Importer of Hazardous Waste
Mark "Yes" 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 "Yes" if you are a generator of mixed waste (waste that is both hazardous and
radioactive). RCRA defines "mixed waste" as waste that contains both hazardous waste
and source, special nuclear, or by-product material subject to the Atomic Energy Act
(AEA), RCRA section 1004(41), 42 U.S.C. 6903 (63 FR 17414; April 9,1998). See the
definitions on pages 39,42, and 43.
2. Transporter of Hazardous Waste: Mark "Yes" if you transport hazardous waste within
the United States. The Federal regulations for hazardous waste transporters are found in
40 CFR Part 263.
3. Treater, Storer, or Disposer of Hazardous Waste: If you treat, store, or dispose of
hazardous waste, mark "Yes". A RCRA Hazardous Waste Permit is required for this
activity. Contact the appropriate office for your State for more information. The Federal
regulations for operators and owners of permitted treatment, storage, and disposal
facilities (TSDFs) are found in 40 CFR Parts 264, 265, 266, and 270.
If your site is a destination facility for universal wastes in addition to being a treatment,
storage, or disposal facility for other RCRA hazardous wastes, mark both this box and
Box B.2 below.
Recycler of Hazardous Waste: If you recycle regulated hazardous wastes (recyclable
materials), mark "Yes". The Federal regulations for operators and owners of sites that
recycle hazardous waste are found in 40 CFR 261.6. You also may be subject to other
Federal and State regulations; in some cases a permit is required.
If your site, in addition to being a recycling site for hazardous waste, is a treater, storer,
or disposer of hazardous waste, mark 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, mark both this box and Box B.2 below.
Exempt Boiler and/or Industrial Furnace:
If you mark "Yes", mark each that applies.
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, mark "Yes" to indicate
that you qualify for the Small Quantity On-Site Burner Exemption.
b. If you process hazardous wastes in a smelting, melting, or refining furnace solely for
14
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Site ID Form
(Continued)
metals recovery, as described in 40 CFR 266.100(d), or to recover economically
significant amounts of precious metals, as described in 40 CFR 266.100(g), or if you
process hazardous wastes in a lead recovery furnace to recover lead, as described in 40
CFR 266.100(h), place an "X" in the box to indicate that you qualify for the Smelting,
Melting, and Refining Furnace Exemption.
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, mark "Yes". The
Federal regulations for operators or owners of underground injection wells are found in
40 CFR Part 148.
In addition to the above, mark "Yes" or "No" for the other regulated waste activities listed
below that may occur at this site. Complete Items B and C.
B. Universal Waste Activities: Refer to your State-specific requirements and definitions for
universal waste. Also, refer to 40 CFR 261.9 and 40 CFR Part 273 for the Federal regulations
covering universal waste. Complete 1 and 2.
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. If "Yes", place 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 place an "X" in the corresponding box(es).
2. Destination Facility: Mark "Yes" 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.
If your site, in addition to being a destination facility for universal wastes, is also a
treatment, storage, or disposal facility for RCRA hazardous wastes, mark both this box
and Box A.3 above. In addition, if your site recycles RCRA hazardous wastes, mark
both this box and Box A.4 above.
Used Oil Activities: Mark the appropriate box(es) to indicate which used oil management
activities are taking place at this site. The Federal regulations for used oil management are found
in 40 CFR Part 279. Complete 1 through 4.
1, Used Oil Transporter: If you transport used oil and/or own or operate a used oil
transfer facility, mark "Yes" and 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, mark "Yes"
and 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, mark
"Yes" to indicate this used oil management activity.
4. Used Oil Fuel Marketer: Mark "Yes" if you market used oil fuel. If you market off-
15
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FORM GM
(Continued)
• Generated and accumulated on site in 2003 but not managed on site or shipped off site
until after 2003; or
• Generated and accumulated on site prior to 2003 but either managed on site or shipped
off site in 2003; or
• Imported from a foreign country in 2003.
Examples of RCRA hazardous wastes to be reported include those that were:
• Generated on site from a production process, service activity, or routine cleanup.
• Generated from equipment decommissioning, spill cleanup, or remedial cleanup activity.
• Removed from on-site storage.
• Derived from the management of non-hazardous waste.
• Derived from the on-site treatment (including reclamation), disposal, or recycling of
previously existing hazardous waste (as a residual).
• Shipped off site, including hazardous waste that was received from off site (reported on
the Waste Received from Off Site Form (Form WR)) and subsequently shipped off site
without being treated or recycled on site.
Radioactive wastes mixed with RCRA hazardous wastes should also be reported; be sure to mark
"Yes" on the Site Identification Form in Item lO.A.l.e. See the definitions on pages 39,42, and
43 and see the special instructions on page 46.
Hazardous wastes regulated only by your State should be reported 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 quality 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). (40CFR261.4(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
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FORM GM
(Continued)
through D043 only) and are subject to the corrective action regulations under 40 CFR
Part 280. (40CFR261.4(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)(l))
• 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)(l))
• Sample(s) undergoing treatability studies, as specified in 261.4(e). (40 CFR 261.5(c)(l))
• Sample(s) undergoing treatability studies at the laboratory or testing facility, as specified
in261.4(i). (40CFR261.5(c)(l))
• 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)(l))
• 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)(l). (40 CFR 261.5(c)(l))
• 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)(l))
• 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 REPORT SIMILAR WASTES ON FORM GM
Generally, a Form GM should be completed for each generated RCRA hazardous waste. Contact your
State about combining and reporting similar hazardous wastes on Form GM.
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FORM GM
(Continued)
ITEM-BY-ITEM INSTRUCTIONS
Section 1: Waste Characteristics
Section 1 requests information on each RCRA hazardous waste that, in 2003, was generated and
accumulated on site; managed on site; and/or shipped off site.
Boxes B, D, F, and G must be completed. Boxes A and E 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 49. 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 49.
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 2003 Hazardous Waste Report; or
• Your State uses a hazardous waste code system other than the EPA hazardous waste
codes 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.
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FORM GM
(Continued)
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 51.
If the Source code is G25 - Hazardous waste management, 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 H, linking this waste with the on-site process that created it.
Provide the Management Method code if you selected Source code G25. See
page 55.
Reporting hazardous waste imported from a foreign country - Review the Special
Instructions for Wastes received from foreign countries on page 47.
Provide the appropriate Source code for hazardous waste imported from a foreign
country if your site is the U.S. Importer. Also, mark "Yes" on the Site ID Form,
Item lO.A.l.d. - United States Importer of Hazardous Waste.
Box E: Form code
Review the Form codes beginning on page 53 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 53.
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FORM GM
(Continued)
BoxF: Quantity generated in 2003
Enter the total quantity of the hazardous waste described in Box A that was generated during
2003. Right justify the quantity entry. Report the UOM and density for this quantity in Box G.
Box G: UOM and Density
Enter the unit of measure (UOM) code for the quantity you reported in Box F. Report the
quantity in one of the units of measure listed below. If you select a volumetric measure (gallons,
liters, or cubic yards), you must also report the density of the waste.
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
Weight and Volume Conversions
1 kilogram (kg)
1 short ton
1 metric tonne
1 metric tonne
= 2.2046 pounds (Ib)
= 2,000 Ib
= 1,000 kg
= 1.1023 short tons
1 cubic meter (m) = 1.3079 cubic yards
1 cubic yard (yd) = 27 cubic feet (ft)
1 liter (1) = 0.2642 gallons (gal)
Skip to Section 2 if you selected code 1,2, 3, or 4.
Continue to Density if you selected code 5, 6, or 7.
Report the density only if you entered code 5, 6, or 7 for the unit of measure. Provide the density
in either pounds per gallon (Ibs/gal) or specific gravity (sg) and mark the appropriate box to
indicate which measure was used.
Section 2: On-site Generation and Management of Hazardous Waste During 2003
All boxes in this section are mandatory. For each on-site RCRA-regulated management system, you must
report the Management Method and quantity treated, disposed, or recycled on site during 2003.
Was any of this waste managed on site?
Mark "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 marked "Yes," complete the blocks for
On-site Process Systems below.
Skip to Section 3 if you marked "No."
Continue to On-site Process System 1 if you marked "Yes."
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FORM GM
(Continued)
On-site Process Systems 1 and 2:
On-site Management Method
Classify the process system (see definition on page 40) 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 55.
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 2003. Use the
second on-site 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 5 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 40). Report only
process systems, not process units.
Quantity treated, disposed, or recycled on site in 2003
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 2003. Enter the quantity in
the same unit of measure reported in Section 1, BoxH.
Example: A firm generated 100 tons of F002 solvent waste in 2003. 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.
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FORM GM
(Continued)
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. Boxes A and C request non-mandatory information. Do report
shipments of previously generated hazardous wastes stored until 2003. 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 2003, 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 5 for instructions on page numbering of supplemental
pages.)
Box A: Was any of this waste shipped off site in 2003 for treatment, disposal, or recycling?
Mark "Yes" or "No" to indicate if any of the waste described in Section 1 was shipped off site for
treatment, disposal, or recycling during 2003. While responding to Box A is not mandatory,
providing information for waste shipped off site is required.
This Form GM is complete if you marked "No" in Box A.
Continue to Box B if you marked "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 55. 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.
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FORM GM
(Continued)
Management Method codes, page 55.
Box D: Total quantity shipped in 2003
Enter the total quantity of the waste shipped to the off-site facility during 2003. Report the
quantity in the same unit of measure entered in Section 1, Box G. Shipment quantities should
equal the total quantity recorded on Uniform Hazardous Waste Manifests for this site during
2003, unless there were rejections or other complications. The quantity shipped may not
necessarily equal the quantity generated (e.g., because some waste is on site).
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INSTRUCTIONS FOR FILLING OUT FORM WR -
WASTE RECEIVED FROM OFF SITE
WHO MUST SUBMIT THIS FORM
A site required to file the 2003 Hazardous Waste Report must submit this form if, during 2003, it received
RCRA hazardous waste from off site.
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 off-site source during 2003 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 2003,
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.
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FORM WR
(Continued)
ITEM-BY-ITEM INSTRUCTIONS
For each waste reported, Boxes B, D, E, F, and H must be filled out.
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.
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 49.
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 2003 Hazardous Waste Report; or
• Your State uses a hazardous waste code system other than the EPA hazardous waste
codes 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 l)andBoxC.
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FORM WR
(Continued)
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, mark 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, mark the
box to indicate that the EPA ID number is the same as the one reported under Waste 2.
Refer to the Special Instructions for reporting wastes received from CESQGs on page
46 and for reporting wastes received from foreign countries on page 47.
Box E: Quantity received in 2003
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 2003. 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.
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
Weight and Volume Conversions
1 kilogram (kg)
1 short ton
1 metric tonne
1 metric tonne
= 2.2046 pounds (Ib)
= 2,000 Ib
= 1,000 kg
= 1.1023 short tons
1 cubic meter (m) = 1.3079 cubic yards
1 cubic yard (yd) = 27 cubic feet (ft)
1 liter (1) = 0.2642 gallons (gal)
Skip to Box'G if you entered code 1,2, 3, or 4.
Continue to Density if you entered code 5, 6, or 7.
Complete density only if you entered code 5,6, or 7 as a unit of measure. Provide the density in
either pounds per gallon (Ibs/gal) or specific gravity (sg) and mark the appropriate box to indicate
which measure was used.
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FORM WR
(Continued)
Box G: Form code
Review the Form codes beginning on page 53 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 53.
Box H: Management Method code
Enter the code that describes the type of process system (see definition on page 40) in which the
waste was managed.
Management Method codes, page 55.
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EXCLUDED WASTES
This section presents a partial list of excluded materials and wastes. This list includes materials excluded
from the definition of solid waste in 40 CFR 261.4(a) and solid wastes excluded from the definition of
hazardous waste in 40 CFR 261.4(b). In addition, it also includes specific solid waste samples that are
excluded from the definition of hazardous waste in 40 CFR 261.4(d)-(f). Finally, this list includes
specific hazardous wastes, as described in 40 CFR 261.4(c), that are exempted from certain RCRA
Subtitle C regulations.
Agricultural Waste Fertilizer
§26i.4(b)(2)
Analytical Samples
§261. 4(d)
Arsenic Treated Wood and
Wood Products
§261.4(b)(9)
Cement Kiln Dust
§261.4(b)(8)
Coking By-products
§261.4(a)(10)
Comparable/Syn gas Fuels
§261.4(a)(16)
Domestic Sewage
§261.4(a)(l)
Dredged Material
§261.4(g)
Drilling Fluid
§261.4(b)(5)
Excluded Scrap Metal Being
Recycled
§261.4(a)(13)
Exported Wastes
§262.56
Fossil Fuel Emission Control
Waste
§261.4(b)(4)
Household Waste
HTMR Condenser Residue
§261.4(aXH)
In situ Mining Materials
§261.4(a)(5)
Irrigation Return Flows
§261.4(a)(3)
Kraft Mill Steam Stripper
Conden sates
§261.4(a)(15)
Leachate
§261.4(b)(15)
Mining and Mineral Process
Wastes
§261.4(b)(7)
Mining Overburden
§261.4(b)(3)
Nuclear Material
§261.4(a)(4)
Oil Filters
§261.4(b)(13)
Petrochemical Recovered Oil
§261.4(a)(18)
Petroleum-contaminated
Media and Debris
§261.4(b)(10)
Petroleum Refining
§261.4(a)(12)
Pulping Liquor
§261.4(a)(6)
Refrigerants
§261.4(b)(12)
Secondary Materials
Returned to Original Process
§261.4(a)(8)
Secondary Materials from
Mineral Processing
§261.4(a)(17)
Shredded Circuit Boards
Being Recycled
§261.4(a)(14)
Spent Caustics from
Petroleum Refining
§261.4(a)(19)
Spent Wood Preserving
Solutions and Wastewaters
§261.4(a)(9)
Sulfuric Acid
§261.4(a)(7)
Treatability Study Samples
§261.4(e)
Treatability Studies at
Laboratories and Testing
Facilities
§261,4(f)
Trivalent Chromium Waste
§261.4(b)(6)
Used Oil Distillation Bottoms
§261.4(b)(14)
Wastes Generated in Storage
Tanks, Transport Vehicles,
Pipelines, or Manufacturing
Process Units
§261.4(c)
Wastewater Point Source
Discharge
§261.4(a)(2)
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34
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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
Act or RCRA
Acute Hazardous Waste
Authorized Representative
Authorized State
Boiler
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 Ibs) of hazardous waste per
month may accumulate their waste for up to 90 days before shipping it
off site. Generators of 100 kg (220 Ibs) to 1,000 kg (2,200 Ibs) 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.
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.
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)).
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.
A State that has obtained authorization from the EPA to direct its own
RCRA program.
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;
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DEFINITIONS
(Continued)
By-product Material
Code of Federal
Regulations (CFR)
Conditionally Exempt
Small Quantity Generator
(CESQG) of Hazardous
Waste
Confidential Business
Information (CBI)
Dellsted Wastes
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
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).
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."
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 Ibs.) 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 Ibs.) of acute hazardous waste, and no more
than 100 kg (220 Ibs.) 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 Ibs.) of
hazardous waste.
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,
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.
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DEFINITIONS
(Continued)
Disposal
Environmental Protection
Agency (EPA)
EPA Identification (ID)
Number
Excluded Wastes
Hazardous Waste
Hazardous Waste
Generator
Hazardous Waste Number
or Code, EPA
Hazardous Waste Storage
Hazardous Waste
Transporter
Hazardous Waste
Treatment
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.
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."
The number assigned by the EPA to each hazardous waste generator,
hazardous waste transporter, and treatment, storage, or disposal facility;
United States importer of hazardous waste; mixed waste (hazardous and
radioactive) generator; recycler of hazardous waste; exempt boiler and/or
industrial furnace burning or processing hazardous waste; large quantity
handler of or destination facility for universal wastes; disposer of
hazardous waste with an underground injection permit; used oil
transporter, used oil processor/re-refiner, off-specification used oil fuel
burner, used oil fuel marketer; or site undergoing corrective action.
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.
A hazardous waste as defined in 40 CFR 261.3.
Any person, by site, whose act or process produces hazardous waste
identified or listed in 40 CFR Part 261.
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 49.
The holding of hazardous waste for a temporary period, at the end of
which the hazardous waste is treated, disposed of, or stored elsewhere.
A person engaged in the off-site transportation of hazardous waste by air,
rail, highway, or water.
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.
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DEFINITIONS
(Continued)
Incineration
Industrial Furnace
Interim (Permit)
Status
Large Quantity Generator
(LQG) of Hazardous Waste
Large Quantity Handler of
Universal Waste
Management, or Hazardous
Waste Management
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).
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.
Period during which the operator/owner 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 operator/owner 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. Operator/owner 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.
A generator that meets any of the following criteria:
1. Generates, in a calendar month, 1,000 kg (2,200 Ibs.) 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 Ibs.) of RCRA acute hazardous waste; or
3. Generates, in a calendar month, or accumulates at any time, more
than 100 kg (220 Ibs.) of spill cleanup material contaminated
with RCRA acute hazardous 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.
Systematic control of the collection, source separation, storage,
transportation, processing, treatment, recovery, or disposal of hazardous
waste (40 CFR 260.10).
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DEFINITIONS
(Continued)
Manifest, Uniform
Hazardous Waste
Mixed Waste
Municipality
Off-site Facility
Off-Specification Used Oil
Burner
Off-Specification Used Oil
Fuel
On-site Facility
On-Specification Used Oil
Fuel
Operator
Owner
Person
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.
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).
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.
A hazardous waste treatment, storage, disposal, or recycling area located
at a place away from the generating site.
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).
Used oil fuel that does not meet the specification provided under 40 CFR
279.11.
A hazardous waste treatment, storage, disposal, or recycling area located
on the generating site.
Used oil fuel that meets the specification provided under 40 CFR 279.11.
The person responsible for the overall operation of a RCRA site.
Note: This is the legal entity which controls the RCRA site operation
rather than the plant or site manager. This is usually a company or
business name, not an individual. See Person.
The person who owns a RCRA site or part of a RCRA site. Note: This
includes the property owner. This may be an individual, company, or
business name. See Person.
An individual, trust, firm, joint stock company, Federal Agency,
corporation (including a government corporation), partnership,
association, State, municipality, commission, political subdivision of a
State, or any interstate body.
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DEFINITIONS
(Continued)
Process System
Process Unit
Resource Conservation and
Recovery Act (RCRA)
RCRA Interim (Permit)
Status
RCRA Permit
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 55.
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.
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.
Refer to "Interim (Permit) Status" definition on page 38.
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.
40
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DEFINITIONS
(Continued)
RCRA Subtitle C Site
(RCRA Site or Site)
Recycling
Residual
Sludge
The physical plant or location at which one or more of the following
regulated waste activities occurs: the generation, transportation,
treatment, storage, or disposal of hazardous wastes; recycling of
hazardous wastes; United States importer of hazardous waste; mixed
waste (hazardous and radioactive) generator; exempt boiler and/or
industrial furnace burning or processing hazardous waste; large quantity
handler of or destination facility for universal wastes; disposing
hazardous waste with an underground injection permit; the transportation
(and temporary storage during transportation), processing/re-refining,
burning, or marketing of used oil; or undergoing corrective action.
A site may consist of several treatment, storage, or disposal operational
units. For entities that only transport regulated wastes, the term site refers
to the headquarters of that entity's operations.
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).
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).
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).
41
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DEFINITIONS
(Continued)
Small Quantity Generator
(SQG) of Hazardous Waste
Small Quantity On-Site
Burner Exemption
Smelting, Melting, and
Refining Furnace
Exemption
Solid Waste
Source Material
A generator that meets all the following criteria:
1. Generates, in a calendar month, more than 100 kg (220 Ibs.) but
less than 1,000 kg (2,200 Ibs.) 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 Ibs.) of acute hazardous waste and no more
than 100 kg (220 Ibs.) of material from the cleanup of a spill of
acute hazardous waste.
OR, your site is a Small Quantity Generator if the site:
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 Ibs.) of
hazardous waste.
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.
Under 40 CFR 266.100(c), operators or owners 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(0 provides
that operators or owners 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(0.
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.
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.
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DEFINITIONS
(Continued)
Special Nuclear Material
Superfund
Surface Impoundment
Transfer Facility
Underground Injection
Control
Unit
United States Importer
Universal Waste
Used Oil
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.
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.
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).
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).
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).
Refer to "Process Unit" definition on page 40.
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.
Any of the following hazardous wastes that are managed under the
universal waste requirements of 40 CFR Part 273: batteries, pesticides,
thermostats, and lamps.
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.
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DEFINITIONS
(Continued)
Used Oil Fuel Marketer
Used Oil Management
Activities
Used Oil Processing
Used Oil Processor
Used Oil Re-Refiner
Used Oil Transfer Facility
Used Oil Transporter
Any person who conducts either of the following activities:
1. Directs a shipment of off-specification used oil from their site to
an off-specification used oil burner; or
2. First claims that used oil that is to be burned for energy recovery
meets the used oil fuel specifications set forth in 40 CFR 279.11.
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.
Chemical or physical operations designed to produce from used oil, or to
make used oil more amenable for production of, fuel oils, lubricants, or
other used oil-derived products. Processing includes, but is not limited
to: blending used oil with virgin petroleum products, blending used oils
to meet the fuel specification, filtration, simple distillation, chemical or
physical separation, and re-refining.
A site that processes on- or off-specification used oil.
A site that produces lubricating oils and greases, industrial fuel, asphalt
extender, gasoline, and other products from on- or off-specification used
oil.
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.
Any person who transports used oil, any person who collects used oil
from more than one generator and transports the collected oil, and
operators and owners 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.
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SPECIAL INSTRUCTIONS
These instructions explain how to complete the 2003 Hazardous Waste Report for wastes and sites with
unique regulatory or reporting requirements.
Asbestos, PCBs, waste oils
Groundwater contaminated
by leachate
Lab packs
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."
(40CFR261.6(a)(4))
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 2003
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).
The following rules apply to the reporting of lab pack wastes in the 2003
Hazardous Waste Report:
(1) You may aggregate lab pack wastes if they have the same Form
code. However, you must report them as separate wastes under
the following conditions:
• If they contain RCRA acute hazardous wastes (i.e., EPA
hazardous waste codes F020, F021, F022, F023, F026, F027,
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SPECIAL INSTRUCTIONS
(Continued)
and all "P" waste codes). Report separately from lab packs
containing other RCRA hazardous wastes (all other EPA
hazardous waste codes).
• If they are managed differently from each other. For
example, report lab packs shipped to landfills separately from
those incinerated.
(2) Enter a Form code (see page 53) indicating lab packs (i.e., W001
or W004) on Form GM, in Section 1, Box E or on Form WR in
Box G. These Form codes are to be used with any lab pack,
whether the wastes are gaseous, liquid, solid, or sludge.
(3) It is not necessary to report every EPA hazardous waste code
included in a batch of lab packs. Record one, or a few
predominant, EPA hazardous waste codes in Section 1, 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.
(4) When reporting quantities for lab packs:
• Include the weight of the containers if they are disposed
(e.g., landfilled) or treated (e.g., incinerated) with the waste.
• Exclude the weight of the containers if the waste is removed
from the containers before treatment or disposal.
By themselves, source material, special nuclear material, or by-product
materials (See Definitions section beginning on page 35), 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 2003
Hazardous Waste Report.
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 Form
WR for these wastes, you may aggregate the wastes across generating
sites, in accordance with these guidelines:
RCRA-radioactive mixed
wastes
Wastes received from
Conditionally Exempt
Small Quantity Generators
(CESQGs)
(1) All the wastes must have the same EPA hazardous waste code
(Box B), State hazardous waste code (Box C), Form code (Box
G), and Management Method code (Box H).
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SPECIAL INSTRUCTIONS
(Continued)
Wastes received from
foreign countries
(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, 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.
Reporting on Form GM - If your site was the generator of record and
was the U.S. Importer for hazardous waste received from a foreign
country (other than a foreign Department of Defense site, Maquiladora,
U.S. territory or protectorate), complete a Form GM. Enter the
appropriate code in Section 1, Box D - Source code from the list of codes
G63 through G75 - Hazardous waste received from [name of foreign
country]. Include the Import Notification and other foreign generator
information in Comments. Also, mark "Yes" on the Site ID Form, Item
10. A.I, Box d - United States Importer of Hazardous Waste. Report on
Form OI the name and address of all foreign generators if this form is
required by your State.
Reporting on Form WR - If your site received hazardous waste directly
from a generator in a foreign country (other than a foreign Department of
Defense site, Maquiladora, U.S. territory or protectorate), complete a
Form WR for the waste treated, recovered, or disposed at your site. This
waste was not shipped to your site by a U.S. Importer. Report the code
"FC" followed by the name of the foreign country in Box D - Off Site
Handler EPA ID number. Include the Import Notification and other
foreign generator information in Comments. Report on Form 01 the
name and address of all foreign generators if this form is required by
your State.
47
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48
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EPA HAZARDOUS WASTE CODES
A list of all the hazardous waste codes is shown below. See the regulations for details.
CHARACTERISTICS OF HAZARDOUS WASTE
(SEE 40 CFR 261.24) - DXXX
HAZARDOUS WASTE FROM NONSPECIFIC
SOURCES (SEE 40 CFR 261.31) - FXXX
HAZARDOUS WASTE FROM SPECIFIC
SOURCES (SEE 40 CFR 261.32) - KXXX
DISCARDED COMMERCIAL CHEMICAL
PRODUCTS, OFF-SPECIFICATION SPECIES,
CONTAINER RESIDUALS, AND SPILL
RESIDUES THEREOF-ACUTE HAZARDOUS
WASTE (SEE 40 CFR 261.33 FOR AN
ALPHABETIZED LISTING) - PXXX
DISCARDED COMMERCIAL CHEMICAL
PRODUCTS, OFF-SPECIFICATION SPECIES,
CONTAINER RESIDUES, AND SPILL RESIDUES
THEREOF - TOXIC WASTES (SEE 40 CFR 261.33
FOR AN ALPHABETIZED LISTING) - UXXX
D001
D002
D003
D004
D005
D006
D007
D008
D009
D010
D011
D012
D013
D014
D015
D016
D017
D018
D019
D020
D021
D022
D023
D024
D025
D026
D027
D028
D029
D030
D031
D032
D033
D034
D035
D036
D037
D038
D039
D040
D041
D042
D043
F001
F002
F003
F004
F005
F006
F007
F008
F009
F010
F011
F012
F019
F020
F021
F022
F023
F024
F025
F026
F027
F028
F032
F034
F035
F037
F038
F039
K001
K002
K003
K004
K005
K006
K007
K008
K009
K010
K011
K013
K014
K015
K016
K017
K018
K019
K020
K021
K022
K023
K024
K025
K026
K027
K028
K029
K030
K031
K032
K033
K034
K035
K036
K037
K038
K039
K040
K041
K042
K043
K044
K045
K046
K047
K048
K049
K050
K051
K052
K060
K061
K062
K064
K065
K066
K069
K071
K073
K083
K084
K085
K086
K087
K088
K090
K091
K093
K094
K095
K096
K097
K098
K099
K100
K100
K101
K102
K103
K104
K105
K106
K107
K108
K109
K110
K111
K112
K113
K114
K115
K116
K117
K118
K123
K124
K125
K126
K131
K132
K136
K140
K141
K142
K143
K144
K145
K147
K148
K149
K150
K151
K156
K157
K158
K159
K161
K169
K170
K171
K172
K174
K175
K176
K177
K178
P001
P002
POOS
P004
POOS
P006
P007
POOS
P009
P010
P011
P012
P013
P014
P015
P016
P017
P018
P020
P021
P022
P023
P024
P026
P027
P028
P029
P030
P031
P033
P034
P036
P037
P038
P039
P040
P041
P042
P043
P044
P045
P046
P047
P048
P049
P050
P051
P054
P056
P057
P058
P059
P060
P062
P063
P064
P065
P066
P067
P068
P069
P070
P071
P072
P073
P074
P075
P076
P077
P078
P081
P082
P084
P085
P087
P088
P089
P092
P093
P094
P095
P096
P097
P098
P099
P101
P102
P103
P104
P105
P106
P107
P108
P109
P110
P111
P112
P113
P114
P115
P116
P118
P119
P120
P121
P122
P123
P127
P128
P185
P188
P189
P190
P191
P192
P194
P196
P197
P198
P199
P201
P202
P203
P204
P205
U001
U002
U003
U004
U005
U006
U007
U008
U009
U010
U011
U012
U014
U015
U016
U017
U018
U019
U020
U021
U022
U023
U024
U025
U026
U027
U028
U029
U030
U031
U032
U033
U034
U035
U036
U037
U038
U039
U041
U042
U043
U044
U045
U046
U047
U048
U049
U050
U051
U052
U053
U055
U056
U057
U058
U059
U060
U061
U062
U063
U064
U066
U067
U068
U069
U070
U071
U072
U073
U074
U075
U076
U077
U078
U079
U080
U081
U082
U083
U084
U085
U086
U087
U088
U089
U090
U091
U092
U093
U094
U095
U096
U097
U098
U099
U101
U102
U103
U105
U106
U107
U108
U109
U110
U111
U112
U113
U114
U115
U116
U117
U118
U119
U120
U121
U122
U123
U124
U125
U126
U127
U128
U129
U130
U131
U132
U133
U134
U135
U136
U137
U138
U140
U141
U142
U143
U144
U145
U146
U147
U148
U149
U150
U151
U152
U153
U154
U155
U156
U157
U158
U159
U160
U161
U162
U163
U164
U165
U166
U167
U168
U169
U170
U171
U172
U173
U174
U176
U177
U178
U179
U180
U181
U182
U183
U184
U185
U186
U187
U188
U189
U190
U191
U192
U193
U194
U196
U197
U200
U201
U202
U203
U204
U205
U206
U207
U208
U209
U210
U211
U213
U214
U215
U216
U217
U218
U219
U220
U221
U222
U223
U225
U226
U227
U228
U234
U235
U236
U237
U238
U239
U240
U243
U244
U246
U247
U248
U249
U271
U278
U279
U280
U328
U353
U359
U364
U367
U372
U373
U387
U389
U394
U395
U404
U408
U409
U410
U411
49
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50
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SOURCE CODES
Source codes describe the type of process or activity (i.e., source) from which a hazardous waste was
generated. Review the groups and pick the appropriate code.
Code
Source Code Group
Wastes from Ongoing Production and Service Processes (waste from general day to day
manufacturing, production, or maintenance activities) ___^______
G01
Dip, flush or spray rinsing (using solvents to clean or prepare parts or assemblies for further
processing - i.e. painting or assembly)
G02
Stripping and acid or caustic cleaning (using caustics to remove coatings or layers from parts
or assemblies)
G03
Plating and phosphating (electro- or non-electroplating or phosphating)
G04
Etching (using caustics or other methods to remove layers or partial layers)
G05
Metal forming and treatment (pickling, heat treating, punching, bending, annealing, grinding,
hardening, etc.)
G06
Painting and coating (manufacturing, building, or maintenance)
G07
Product and by-product processing (direct flow of wastes from chemical manufacturing or
processing, etc.)
G08
Removal of spent process liquids or catalysts (bulk removal of wastes from chemical
manufacturing or processing, etc.) .
G09
Other production or service-related processes from which the waste is a direct outflow or
result (specify in comments)
Other Intermittent Events or Processes
Gil
Discarding off-specification or out-of-date chemicals or products (unused chemicals or
products - corresponds to P and U hazardous waste codes)
G12
Lagoon or sediment dragout and leachate collection (large scale operations in open pits,
ponds, or lagoons)
G13
Cleaning out process equipment (periodic sludge or residual removal from enclosed processes
including internal scrubbing or cleaning)
G14
Removal of tank sludge, sediments, or slag (periodic sludge or residual removal from storage
tanks including internal scrubbing or cleaning)
G15
Process equipment change-out or discontinuation of equipment use (final materials and
residuals removal including cleaning)
G16
Oil changes and filter or battery replacement (automotive, machinery, etc)
G19
Other one-time or intermittent processes (specify in comments)
Pollution Control and Waste Management Process Residuals
G21
Air pollution control devices (baghouse dust or ash from stack scrubbers or precipitators;
vapor collection, etc.)
G22
Laboratory analytical wastes (used chemicals from laboratory operations)
G23
Wastewater treatment (sludge, filter cake, etc., including wastes from treatment before
discharge by NPDES or POTW or by UIC disposal)
G24
Solvent or product distillation or recovery (sludge, waste solvent, bottoms, from
recovery/recycling of used product)
G25
Hazardous waste management - indicate management method (for residuals from regulated
hazardous waste treatment processes - enter the related H code)
nazaiuuus waste iicauiiciiijJiuoca&ca - cmci me iciaicu n muc;
Leachate collection (from landfill operations or other land units)
Hazardous residual from treatment or recovery of universal waste
G26
G27
51
-------
SOURCE CODES
(Continued)
G31
G32
G33
G39
Accidental contamination of products, materials, or containers (other than Gl 1)
Cleanup of spill residues (infrequent, not routine)
Leak collection and floor sweeping (ongoing, routine)
Other cleanup of current contamination (specify in comments)
Spills and Accidental Releases
Remediation of Past Contamination
G41
G42
G43
G44
G45
G49
Closure of hazardous waste management unit under RCRA
Corrective action at a solid waste management unit under RCRA
Remedial action
or emergency response under Superfund
State program or voluntary cleanup
Underground storage tank cleanup
Other remediation (specify in comments)
Waste Not Physically Generated On Site
G61
Hazardous waste received from off site for storage/bulking and transfer off site for treatment
or disposal
For
codes
G63-
G75
Hazardous waste received from a foreign country (other than a foreign Department of Defense
site, Maquiladora, U.S. territory or protectorate). This site was the generator of record and is
the U.S. Importer.
Enter the appropriate code from the list_b_ejow -
G63
Hazardous waste received from Antarctica
G64
Hazardous waste received from Aruba
G65
Hazardous waste received from Bahamas
G66
Hazardous waste received from Belgium
G67
Hazardous waste received from Brazil
G68
Hazardous waste received from Canada
G69
Hazardous waste received from Holland
G70
Hazardous waste received from Malaysia
G71
Hazardous waste received from Mexico
G72
Hazardous waste received from New Zealand
G73
Hazardous waste received from Taiwan
G74
Hazardous waste received from Venezuela
G75
Hazardous waste received from other foreign country - see Comments for country name
52
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FORM CODES
Form codes describe the general physical and chemical characteristics of a hazardous waste. Review the
groups and pick the appropriate code.
Code
Form Code Group
Mixed Media/Debris/Devices - Waste that is a mixture of organic and inorganic wastes,
liquid and solid wastes, or devices that are not easily categorized
W001
W002
W004
W301
W309
W310
W320
W512
W801
Lab packs from any source not containing acute hazardous waste
Contaminated debris: paper, clothing, rags, wood, empty fiber or plastic containers, glass,
piping, other solids (usually from construction, demolition, cleaning, or remediation)
Lab packs from any source containing acute hazardous waste
Contaminated soil (usually from spill clean up, demolition, or remediation); see also W512
Batteries, battery parts, cores, casings (lead-acid or other types)
Filters, solid adsorbents, ion exchange resins and spent carbon (usually from production,
intermittent processes, or remediation)
Electrical devices (lamps, fluorescent lamps, or thermostats usually containing mercury;
CRTs containing lead; etc)
Sediment or lagoon dragout, drilling or other muds (wet or muddy soils); see also W301
Compressed gases of any type
Inorganic Liquids - Waste that is primarily inorganic and highly fluid (e.g., aqueous), with
low suspended inorganic solids and low organic content
W101
W103
W105
W107
WHO
W113
W117
W119
Very dilute aqueous waste containing more than 99% water (land disposal restriction
defined wastewater that is not exempt under NPDES or POTW discharge)
Spent concentrated acid (5% or more)
Acidic aqueous wastes less than 5% acid (diluted but pH <2)
Aqueous waste containing cyanides (generally caustic)
Caustic aqueous waste without cyanides (pH >12.5)
Other aqueous waste or wastewaters (fluid but not sludge)
Waste liquid mercury (metallic)
Other inorganic liquid (specify in comments)
Organic Liquids - Waste that is primarily organic and is highly fluid, with low inorganic
solids content and low-to-moderate water content
W200
W202
W203
W204
W205
W206
W209
W210
W211
W219
Still bottoms in liquid form (fluid but not sludge)
Concentrated halogenated (e.g., chlorinated) solvent
Concentrated non-halogenated (e.g., non-chlorinated) solvent
Concentrated halogenated/ non-halogenated solvent mixture
Oil-water emulsion or mixture (fluid but not sludge)
Waste oil
Paint, ink, lacquer, or varnish (fluid - not dried out or sludge)
Reactive or polymerizable organic liquids and adhesives (fluid but not sludge)
Paint thinner or petroleum distillates
Other organic liquid (specify in comments)
53
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FORM CODES
(Continued)
Code
Form Code Group
Inorganic Solids - Waste that is primarily inorganic and solid, with low organic content
and low-to-moderate water content; notpumpable
W303
W304
W307
W312
W316
W319
Ash (from any type of burning of hazardous waste)
Slags, drosses, and other solid thermal residues
Metal scale, filings and scrap (including metal drums)
Cyanide or metal cyanide bearing solids, salts or chemicals
Metal salts or chemicals not containing cyanides
Other inorganic solids (specify in comments)
Organic Solids - Waste that is primarily organic and solid, with low-to-moderate inorganic
content and water content; not pumpable
W401
W403
W405
W409
Pesticide solids (used or discarded - not contaminated soils - W301)
Solid resins, plastics or polymerized organics
Explosives or reactive organic solids
Other organic solids (specify in comments)
Inorganic Sludges - Waste that is primarily inorganic, with moderate-to-high water content
and low organic content; mostly pumpable
W501
W503
W504
W505
W506
W519
Lime and/or metal hydroxide sludges and solids with no cyanides (not contaminated muds -
W512)
Gypsum sludges from wastewater treatment or air pollution control
Other sludges from wastewater treatment or air pollution control
Metal bearing sludges (including plating sludge) not containing cyanides
Cyanide-bearing sludges (not contaminated soils - W512)
Other inorganic sludges (not contaminated muds - W512; specify in comments)
Organic Sludges - Waste that is primarily organic with low-to-moderate inorganic solids
content and water content; pumpable
W603
W604
W606
W609
Oily sludge (not contaminated muds - W512)
Paint or ink sludges, still bottoms in sludge form (not contaminated muds - W5 12)
Resins, tars, polymer or tarry sludge (not contaminated muds - W5 1 2)
Other organic sludge (specify in comments)
54
-------
MANAGEMENT METHOD CODES
Management Method codes describe the type of hazardous waste management system used to treat,
recover, or dispose a hazardous waste. Select the final substantive method used. Review the groups and
pick the appropriate code.
Code
Management Method Code Group
Reclamation and Recovery
H010
Metals recovery including retorting, smelting, chemical, etc.
H020
Solvents recovery (distillation, extraction, etc)
H039
Other recovery or reclamation for reuse including acid regeneration, organics recovery, etc.
(specify in comments)
H050
Energy recovery at this site - used as fuel (includes on-site fuel blending before energy
recovery; report only this code)
H061
Fuel blending prior to energy recovery at another site (waste generated either on site or
received from off site)
Destruction or Treatment Prior to Disposal at Another Site
H040
Incineration - thermal destruction other than use as a fuel (includes any preparation prior to
burning)
H071
Chemical reduction with or without precipitation (includes any preparation or final processes
for consolidation of residuals)
H073
Cyanide destruction with or without precipitation (includes any preparation or final processes
for consolidation of residuals)
H075
Chemical oxidation (includes any preparation or final processes for consolidation of
residuals)
H076
Wet air oxidation (includes any preparation or final processes for consolidation of residuals)
H077
Other chemical precipitation with or without pre-treatment (includes processes for
consolidation of residuals)
H081
Biological treatment with or without precipitation (includes any preparation or final
processes for consolidation of residuals)
H082
Adsorption (as the major component of treatment)
H083
Air or steam stripping (as the major component of treatment)
H101
Sludge treatment and/or dewatering (as the major component of treatment; not H071-H075,
H077>orH082)
H103
Absorption (as the major component of treatment)
Stabilization or chemical fixation prior to disposal at another site (as the major component of
treatment; not H071-H075, H077, or H082)
Hill
H112
Macro-encapsulation prior to disposal at another site (as the major component of treatment;
not reportable as H071-H075, H077, or H082)
H121
Neutralization only (no other treatment)
i>ieuiraiizauon oniy ino otner treatment,;
Evaporation (as the major component of treatment; not reportable as H071-H083)
Settling or clarification (as the major component of treatment; not reportable as H
Phase separation (as the major component of treatment; not reportable as H071-H
H122
H123
asH071-H083)
iy Ui maimvauuii ^as iuc uiajui ^miipuuciu ui ucaimciii, iim icpmiauic an xi\j i1-
juaa^ separation (as the major component of treatment; not reportable as H071-H083)
Other treatment (specify in comments; not reportable as H071-H124)
H124
H129
55
-------
MANAGEMENT METHOD CODES
(Continued)
Code
Management Method Code Group
Disposal
H131
Land treatment or application (to include any prior treatment and/or stabilization)
H132
Landfill or surface impoundment that will be closed as landfill (to include prior treatment
and/or stabilization)
H134
Deepwell or underground injection (with or without treatment; this waste was counted as
hazardous waste)
H135
Discharge to sewer/POTW or NPDES (with prior storage - with or without treatment)
Transfer Off Site
H141
The site receiving this waste stored/bulked and transferred the waste with no treatment or
recovery (H010-H129), fuel blending (H061), or disposal (H131-H135) at that receiving site.
Do not use this code on Form GM in Section 1- Box D or in Section 2.
56
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2003 HAZARDOUS WASTE REPORT FORMS
READ ALL INSTRUCTIONS BEFORE COMPLETING THE FORMS
57
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OMB#: 2050-0024 Expires 10/31/2005
SEND COMPLETED
FORM TO:
The Appropriate State or
EPA Regional Office.
1 . Reason for
Submittal
(See instructions
on page 9)
MARK ALL BOX(ES)
THAT APPLY
2. Site EPA ID
Number ( page 10)
3. Site Name
(page 10)
4. Site Location
Information
(page 10)
5. Site Land Type
(page 10)
6. North American
Industry
Classification
System (NAICS)
Code(s) for the Site
(page 10)
7. Site Mailing
Address
(page 11)
8. Site Contact
Person
(page 11)
9. Operator and
Legal Owner
of the Site
(pages 11 and 12)
United States Environmental Protection Age
RCRA SUBTITLE C SITE IDENTIFICATION
jncy
FORM
Reason for Submittal:
G To provide Initial Notification of Regulated Waste Activity (to obtain an EPA ID Number for hazardous
waste, universal waste, or used oil activities)
G To provide Subsequent Notification of Regulated Waste Activity (to update site identification information)
Q As a component of a First RCRA Hazardous Waste Part A Permit Application
G As a component of a Revised RCRA Hazardous Waste Part A Permit Application (Amendment # )
Q As a component of the Hazardous Waste Report
EPA ID Number
i i i i i i i i i i i i i
Name:
Street Address:
City, Town, or Village: State
County Name: Zip C
»:
lode:
Site Land Type: G Private G County G District G Federal G Indian G Municipal G State G Other
A. B.
C. D. k
Street or P. O. Box:
City, Town, or Village:
State:
Country: Zip C
First Name: Ml: Last
Phone Number: Extension: Ema
A. Name of Site's Operator: Date
:ode:
Name:
I address:
Became Operator (mm/dd/yyyy):
Operator Type: G Private G County G District G Federal G Indian G Municipal G State G Other
B. Name of Site's Legal Owner: Date
Became Owner (mm/dd/yyyy):
Owner Type: Q Private Q County G District G Federal Q Indian Q Municipal Q State Q Other
EPA Form 8700-13 A/B (Revised 10/2003)
Page 1 of 3
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EPA ID NO: I I I I L_L
J I
OMB#: 2050-0024 Expires 10/31/2005
9. Legal Owner
(Continued)
Address
Street or P. O. Box;
City, Town, or Village:
State:
Country:
Zip Code:
10. Type of Regulated Waste Activity
Mark "Yes" or "No" for all activities; complete any additional boxes as instructed. (See instructions on pages 12 to 16.)
A. Hazardous Waste Activities
Complete all parts for 1 through 6.
YQNQ 1. Generator of Hazardous Waste
If "Yes", choose only one of the following - a, b, or c.
Q a. LOG: Greater than 1,000 kg/mo (2,200 Ibs./mo.)
of non-acute hazardous waste; or
a b. SQG: 100 to 1,000 kg/mo (220-2,200 lbs./mo.)
of non-acute hazardous waste; or
Q c. CESQG: Less than 100 kg/mo (220 IbsVmo.)
of non-acute hazardous waste
In addition, indicate other generator activities.
Y Q N Q d. United States Importer of Hazardous Waste
Y Q N Q e. Mixed Waste (hazardous and radioactive) Generator
YQNQ 2. Transporter of Hazardous Waste
YQNQ 3. Treater, Storer, or Disposer of
Hazardous Waste (at your site) Note:
A hazardous waste permit is required for
this activity.
YQNQ 4. Recycler of Hazardous Waste (at your
site)
YQNQ 5. Exempt Boiler and/or Industrial
Furnace
If "Yes", mark each that applies.
Q a. Small Quantity On-site Burner
Exemption
Q b. Smelting, Melting, and Refining
Furnace Exemption
YQNQ 6. Underground Injection Control
B. Universal Waste Activities
Y Q N Q1. Large Quantity Handler of Universal Waste (accumulate
5,000 kg or more) [refer to your State regulations to
determine what is regulated]. Indicate types of universal
waste generated and/or accumulated at your site. If "Yes",
mark all boxes that apply:
Generate Accumulate
a. Batteries
b. Pesticides
c. Thermostats
d. Lamps
e. Other (specify)
f. Other (specify)
g. Other (specify)
Q
Q
Q
Q
Q
Q
Q
Q
Q
Q
Q
Q
Q
Q
Y Q N Q 2. Destination Facility for Universal Waste
Note: A hazardous waste permit may be required for this activity.
C. Used Oil Activities
Mark all boxes that apply.
Y Q N Q1. Used Oil Transporter
If "Yes", mark each that applies.
Q a. Transporter
Q b. Transfer Facility
Y Q N Q 2. Used Oil Processor and/or Re-refiner
If "Yes", mark each that applies.
Q a. Processor
Q b. Re-refiner
Y Q N Q 3. Off-Specification Used Oil Burner
Y Q N Q 4. Used Oil Fuel Marketer
If "Yes", mark each that applies.
Q a. Marketer Who Directs Shipment of
Off-Specification Used Oil to
Off-Specification Used Oil Burner
Q b. Marketer Who First Claims the
Used Oil Meets the Specifications
EPA Form 8700-13 A/B (Revised 10/2003)
Page 2 of 3
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EPA ID NO: L
OMB#: 2050-0024 Expires 10/31/2005
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 their, in the order they are presented in the regulations (e.g., D001, D003, F007, U112). Use an
additional page if more spaces are needed.
B. Waste Codes for State-Regulated (i.e., non-Federal) Hazardous Wastes. Please list the waste codes of the State-regulated
hazardous wastes handled at your site. List them in the order they are presented in the regulations. Use an additional page if
more spaces are needed for waste codes.
12. Comments (See instructions on page 16.)
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 16.)
Signature of operator, owner, or an
authorized representative
Name and Official Title (type or print)
Date Signed
(mm/dd/yyyy)
EPA Form 8700-13 A/B (Revised 10/2003)
Page 3 of 3
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BEFORE COPYING FORM, ATTACH SITE IDENTIFICATION LABEL
OR ENTER:
SITE NAME:
EPA ID NO:
FORM
GM
OMB#: 2050-0024 Expires 10/31/2005
U.S. ENVIRONMENTAL
PROTECTION AGENCY
2003 Hazardous Waste Report
WASTE GENERATION
AND MANAGEMENT
Instructions: Please see the detailed instructions on pages 17 to 25 of this booklet before completing this form.
Sec. 1 A. Waste description
B. EPA hazardous waste code
C. State hazardous waste code
D. Source code
Management Method code for Source code G25
LH.
E. Form code
F. Quantity generated in 2003
LJ
G. UOM
LJ
Density
D Ibs/gal a sg
Sec. 2
Was any of this waste managed on site? (pages
a 1 Yes (CONTINUE TOON-SITE PROCESS SYSTEM 1)
a 2 No (SKIP TO SEC. 3)
ON-SITE PROCESS SYSTEM 1
On-site Management
Method code
IHI | | |
Quantity treated, disposed, or
recycled on site in 2003
ON-SITE PROCESS SYSTEM 2
On-site Management
Method code
Quantity treated, disposed, or
recycled on site in 2003
Sec. 3
A. Was any of this waste shipped off site in 2003 for treatment, disposal, or recycling? (pages 25 and 26)
a 1 Yes (CONTINUE TO BOX B) a 2 No (FORM IS COMPLETE)
Sitel
B. EPA ID No. of facility to which waste
was shipped
C. Off-site Management Method
code Shipped to
D. Total quantity shipped in 2003
I I I I I I I I I l LJ
Site 2
B. EPA ID No. of facility to which waste
was shipped
C. Off-site Management Method
code Shipped to
D. Total quantity shipped in 2003
I I I I I I I I I I LJ
SiteS
B. EPA ID No. of facility to which waste
was shipped
C. Off-site Management Method
code Shipped to
D. Total quantity shipped in 2003
Comments:
EPA Form 8700-13 A/B (Revised 10/2003)
Page _ of _
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BEFORE COPYING FORM, ATTACH SITE IDENTIFICATION LABEL
OR ENTER:
SITE NAME:
EPA ID NO:
FORM
WR
OMB#: 2050-0024 Expires 10/31/2005
U.S. ENVIRONMENTAL
PROTECTION AGENCY
2003 Hazardous Waste Report
WASTE RECEIVED
FROM OFF SITE
Instructions: Please see the detailed instructions on pages 26 to 29 of this booklet before completing this form.
Waste
1
A. Description of hazardous waste
B. EPA hazardous waste code
C. State hazardous waste code
D. Off-site handler EPA ID number
E. Quantity received in 2003
F. UOM Density
a 1 ibs/gal a 2 sg
G. Form code
H. Management Method code
IHI I I i
Waste
2
A. Description of hazardous waste
B. EPA hazardous waste code
C. State hazardous waste code
D. Off-site handler EPA ID number
D Mark if same as in Waste 1
E. Quantity received in 2003
LJ
F. UOM Density
LJ I I I.
D 1 Ibs/gal D 2 sg
G. Form code
iwi I
H. Management Method code
IHI I I I
Waste
3
A. Description of hazardous waste
B. EPA hazardous waste code
C, State hazardous waste code
D. Off-site handler EPA ID number
n Mark if same as in Waste 2
E. Quantity received in 2003
F. UOM Density
n 11bs/gal D 2 sg
G. Form code
H. Management Method code
Comments:
EPA Form 8700-13 A/B (Revised 10/2003)
Page _ of _
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BEFORE COPYING FORM, ATTACH SITE IDENTIFICATION LABEL
OR ENTER:
SITE NAME:
EPA ID NO:
I I I
FORM
Ol
OMB#: 2050-0024 Expires 10/31/2005
U.S. ENVIRONMENTAL
PROTECTION AGENCY
2003 Hazardous Waste Report
OFF-SITE
IDENTIFICATION
Instructions: Please read the detailed instructions on the reverse side before completing this form.
Sitel
A. EPA ID No. of off-site installation or transporter
B. Name of off-site installation or transporter
C. Handler type (MARK ALL THAT APPLY)
a Generator
D Transporter
n TSDR facility __
D. Address of off-site installation
Street
City
State
Zip
Site 2
A. EPA ID No. of off-site installation or transporter
B. Name of off-site installation or transporter
C. Handler type (MARK ALL THAT APPLY)
a Generator
n Transporter
a TSDR facility
D. Address of off-site installation
Street
City
State iii Zip i i i | i
Site3
A. EPA ID No. of off-site installation or transporter
B. Name of off-site installation or transporter
C. Handler type (MARK ALL THAT APPLY)
D Generator
n Transporter
n TSDR facility
D. Address of off-site installation
Street
City
State
Zip
Site 4
A. EPA ID No. of off-site installation or transporter
B. Name of off-site installation or transporter
C. Handler type (MARK ALL THAT APPLY)
a Generator
a Transporter
D TSDR facility
D. Address of off-site installation
Street
City
State
Zip i
Comments:
EPA Form 8700-13 A/B (Revised 10/2003)
Page _ of _
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INSTRUCTIONS FOR FILLING OUT
FORM 01 - OFF-SITE IDENTIFICATION
WHO MUST SUBMIT THIS FORM
Sites required to file the 2003 Hazardous Waste Report must submit Form Ol if:
• Form Ol is required by your State; AND
• The site received hazardous waste from off site or sent hazardous waste off site during 2003.
PURPOSE OF THIS FORM
Form 01 documents the names and addresses of off-site installations and transporters.
HOW TO FILL OUT THIS FORM
Form Ol 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 2003. If these off-site installations and transporters total
more than four, you must photocopy and complete additional copies of the form. Prior to photocopying, place
the pre-printed site identification label in the top left-hand corner of the form or, if you did not receive pre-
printed labels, enter the site name and EPA Identification Number In this space.
Use the Comments section at the end of the form to clarify any entry (e.g., "Other" responses) or to continue
any entry. When entering Information in the Comments section, cross-reference the site number and 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 2003. 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-dlgit 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 2003, 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
Mark 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.
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2003 Hazardous Waste Report Instructions and Forms
EPA Form 8700-13 A/B
Dave Levy
EPA Office of Solid Waste
703-308-8479
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