United States
                  Environmental Protection
                  Agency	
Office of Solid Waste
(5301)
Washington, DC 20460
December 1999
                  Solid Waste
                  Notification of Regulated Waste Activity
     EPA
     530/
     1999.5
L :
                  EPA Form 8700-12 (Rev. 12/99)

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                        United States Environmental
                                      Protection Agency
                              Washington, D.C. 20460

         Notification of Regulated Waste Activity
                               Forms and Instructions
This booklet is designed to help you determine if you;are subject to  •
requirements under the Resource Conservation and Recovery Act (RCRA)
for notifying the U.S. Environmental Protection Agency .(EPA) of your
regulated waste activities. Regulated wastes are hazardous wastes as
defined by 40 CFR Part 261, universal wastes as defined by 40 GFR Part
273, and used oil as defined by 40 CFR Part 279. The instructions  . :
contained in this booklet will assist you in obtaining an EPA?  .    •
Identification Number by completing and submitting EPA" Form 8700-12
for initial notifications, or in revising your EPA Form 8700-12 if you, are
required to submit a subsequent notification. RCRA is-a Federal law. If
you are regulated but do not comply with the RCRA notification
requirements, you may be subject to civil penalties. •<••  .    .  .

Large Quantity Handlers of Universal Waste and Used.Oil Handlers have
the option of submitting either EPA Form 8700-12 or a letter to notify
EPA of their regulated waste activities, including both initial and  •
subsequent notifications.  As noted above, the instructions in1;this.
booklet refer only to completing and submitting EPA Form 8700-12 (also
referred to as the notification form). However, the circumstances under
which these handlers must notify EPA of their regulated waste activities;
the data they must provide, and the procedures they must follow, as
described in this booklet, apply to submitting both EPA Form 8700rl2  .
and a letter.                                         ;

Note:  Although this booklet contains information and instructions for
completing a Notification of Regulated Waste Activity, it should not be  '
considered a substitute for the regulations in Title 40 of the Code of
Federal Regulations (40 CFR). Rather, this booklet serves as a supplement
to the regulations and provides additional information not contained in 40
                                                         Pagel

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Notificatiorvof Regujated Waste Activity
CFR.  As a handler of regulated wastes, you are responsible:for learning
and complying with all the requirements that apply to you and your
regulated waste activities. *• •
In addition/rememb'er-that this booklet and the regulations in 40 CFR
address only the Federal hazardous waste program.  Many States may
have notification requirements that differ from the Federal requirements;
those States may use EPA Form 8700-12 or they may use a similar State
form that requires information not requested in the EPA form. Again, it is
your responsibility to make, sure that you have completed and submitted
all forms required under the.Federal or your State program.

We know that the regulations can be confusing. We are not providing
reprints of the 40,CFR regulations with this booklet.  However, copies of
the federal regulations are readily available from several sources (see
below).  In addition, in Section IV of these instructions, we have listed
the addresses and phone  numbers of the contacts in each State who can
answer your questions, and help you understand the Federal and State
requirements that apply to you (see Table 1).  In addition, Table 2 in
Section  IV contains the addresses and phone numbers of contacts in
each of the EPA, Regional  offices.
In addition to those contacts, the following sources are available to help
    i •     .'  '  i' 4 .  '.'. ' .'  : i •            **                         r
with your questions and provide information on EPA regulations:

A.   RCRA, Supe'rfund, and EPCRA Hotline - 1-800-424-9346
     (In the Washington, D.C. area, call (703) 412-9810)
                   • T  r t . \ .
B.   EPA Small Business'Ombudsman Hotline — 1-800-368-5888
             .....  ..,;,•., ;:. jrjr ; ,

C.   The EPA Web Site-at:d f-
     www.epa. gov/ doc's'/ epacfr40 / chapt-I. info /subch-I /

D.   Your Trade Association
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                                   Notification of Regulated Waste Activity
Initial Notifications                              .'"-.,.,,-  :   ..-« •
            i                           - :                     i
If you do not currently have an EPA Identification Number and you u,
handle regulated waste, you must submit an initial notification. Please
refer to information contained in Sections I through Ill-of this booklet to
help you determine whether you handle a regulated waste, whether any
exemptions or exclusions apply to you, and hpw,you should file EPA
Form 8700-12. Circumstances under which you should submit an  ,  i
                                        J . . . .  ...   ; i < .jf. .-..',.
initial notification include:
1.
4.
If you generate, transport, treat, store, or dispose;of hazardous
wastes. Refer to Section I for further information and a description
of exclusions or exemptions; or

If you store recyclable materials.  (Recyclable materials are defined
as hazardous wastes that are recycled.)1 The recycling prbcess itself
is exempt from regulation, but facilities that store recyclable
materials prior to recycling them must notify EPA'and obtain an :
EPA Identification Number.  Refer to Section "i for further
information and a description of exemptions; or      : :,

If you are a large quantity handler of universal waste. -Refer to
Section II for further information and a description of exemptions.
(Notification is required for people who have hot previously notified
EPA of their hazardous waste activities or who have not already
sent a notification to EPA as required by 40 CFR Part. 165); or

If you transport, process, re-refine, burn, or'market off-
specification used oil for energy recovery.. Refer to Section III for
further information and for a description of exemptions.
(Notification is required for people who have not previously notified
EPA of their hazardous waste activities or have .not: notified under
40 CFR Part 266, SubpartE, which was replaced by 40 CFR Part
279.)                               :,--.'..•
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Notification of Regulated Waste Activity


Subsequent Notifications '

Even if you have submitted an initial notification and have received an
EPA Identification Number, you may be required to submit a subsequent
notification.' Please refer to Sections I through III and V of this booklet
for information on when and how to complete a subsequent notification.
In general, you should submit a subsequent notification under the
following circumstances:

1.   If your installation moves to another location; or

2.   If your installation contact changes; or

3.   If the ownership of your installation changes; or

4.   If an additional owner has been added or replaced since the
     installation's initial notification; or

5.   If the type of regulated waste activity you conduct changes.

Contents of This Booklet

Following is a list of the sections contained in this booklet and the
information covered in those sections.

Section I.    How to Determine if You Must Notify EPA of Your
             Hazardous Waste Activities

Section II.    How to Determine if You Must Notify EPA of Your
             Universal Waste Handling Activities

Section III.   How to Determine if You Must Notify EPA of Your Used Oil
             Management Activities

Section IV.   How to File EPA Form 8700-12, "Notification of Regulated
             Waste Activity" (Information on How and Where to File
             Your Form; Plus a List of State Contacts Where You Can
             Get Information, Obtain Forms, and Send Your Completed
             Forms)

Section V.    Line-by-Line Instructions for Completing EPA Form
             8700-12 (EPA Form 8700-12 is provided at the end of this
             booklet.)
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                                  Notification of Regulated Waste, Activity
Section VI.   Definitions (to Help You Understand and Complete EPA
             Form 8700-12)

Section VII.   EPA Hazardous Waste Numbers for Waste Streams  .,
             Commonly Generated by Small Quantity Generators)

Appendix 1:   Typical Hazardous Waste Streams Produced by Small
             Quantity Generators                       •,,...-,

Appendix 2:   Typical Hazardous Waste Streams and EPA Hazardous
             Waste Numbers
                                        , .       t ,      ;  • . "1
After your completed notification is received, you will be sent a written
acknowledgment that will include your EPA Identification Number. You
must use this number on all communications with EPA regarding your
regulated waste activities.                     .      :   .    ".
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                                  Notification of Regulated Waste Activity



I.    How to Determine if You Must Notify EPA of Your

     Hazardous Waste Activities

All persons who generate, transport, treat, store, or dispose of hazardous
waste and all persons who store recyclable materials prior to recycling
them are required to notify EPA (or their State agency if the State is
authorized to operate its own hazardous waste program) of their
hazardous waste activities. These persons must obtain an EPA
Identification Number unless their solid waste has been excluded from
regulation or their hazardous waste has been exempted as outlined
below. These respective notification requirements are found in 40 CFR
Parts 262, 263, 264, 265,  and 266.

In addition to the discussion below, you will need to refer to 40 CFR Part
261 to help you determine if the waste you handle is both a solid waste
and a hazardous waste that is regulated under RCRA.  If you need help
making this determination after reading these instructions, contact the
addressee listed for your State in Section rv!C?'"bf these instructions.

To determine if you handle a solid waste that is also a hazardous waste
and regulated under RCRA, ask yourself the following questions.

A.   Do 1 Handle a Solid Waste?

40 CFR 261.2 defines "solid waste" as any discarded material that is not
excluded under Section 261.4(a) or that is not excluded by variance
granted under  Sections 260.30  and  260.31. A discarded material is any
material which is:

1.    Abandoned, as explained in §261.2(b); or

2.    Recycled, as explained in §261.2(c); or

3.    Considered inherently waste-like as explained in §261.2(d); or

4.    A military munition identified as a solid waste in 40 CFR 266.202.

If you do not handle a solid waste, you do not need to notify EPA.
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Notification of Regulated Waste Activity
III.  How to Determine if You Must Notify EPA of Your

     Used OH Management Activities

Under 40 CFR Part 279, Subparts E, F, G, and H, respectively, persons
who transport used oil; process or re-refine used oil; burn off-
specification used oil for energy recovery; of market used oil fuel, are
required to notify EPA'(or their State agency if the State is'authorized to
operate its own used oil program) and obtain an EPA Identification
Number; unless they are exempt as outlined below. Off-specification
used oil may be burned for energy recovery in an industrial furnace,  .
boiler, or hazardous waste incinerator subject to regulation under
Subpart O of 40 CFR Part 264 or 265.

Used oil transporters; used oil processors/re-refiners; off-specification
used oil burners; and used oil fuel marketers who have not.previously
notified EPA of their hazardous waste activities or notified-under 40 CFR
Part 266, Subpart E (replaced by 40 CFR Part 279) must notify EPA to •
identify their used oil management activities.

Note: Please refer to the regulations in 40 CFR Part 279 to ensure that
you are aware of all the requirements that apply to your used oil
management activities.

Who is exempt from used oil notification requirements?

1.   Persons who burn on-specification used oil fuel: Used oil that is
     to be burned for energy recovery and that meets the specification
     provided under 40 CFR 279.11 is exempt from the regulations.
     However, the person who first claims that the used-oil meets
     the specification is subject to notification as a used oil fuel.
     marketer and certain other requirements (see 40 CFR Part 279,
     Subpart H).  The burner of fuel that meets the specification at 40
     CFR 279.11 is not required to notify.         :

2.   Used oil generators-are not required to notify EPA.
                    '',>"'*         . '         ,
3.   Used oil generators operating used oil-fired space heaters:
     Persons who burn only used oil that they generate (or used oil
     received from household do-it-yourself used oil changers) in used
     oil-fired space heaters are exempt from the notification  .
     requirement provided that the device is vented to the outdoors
     and the device is not designed to have a capacity greater than
     0.5 million BTU/hour.
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                                   Notification of Regulated Waste Activity



IV.  How to File EPA Form 8700-12, "Notification of

     Regulated Waste Activity"

Initial Notifications                                           f,

If you do not currently have an EPA Identification .Number and you
handle a regulated waste, you must submit an initial notification for
your regulated waste activities. Please refer to Sections I through III of
this booklet for more information on whether you must notify EPA of
these regulated waste activities. You can satisfy this initial notification
requirement by completing and signing the.enclosed EPA Form 8700-12
and mailing it to the appropriate address listed in Part C of this section.

Per the Hazardous Waste Import Regulations, 40.CFR 262.60, foreign
generators should not apply for an EPA Identification Number. These -
regulations state that when filling out a U.S. manifest, you must include
the name and address of the foreign generator, and the name, address,
and EPA Identification Number of the importer. Please contact the U.S.
firms involved with your shipments and determine which firm will serve
as the importer.          '"                ;

Subsequent Notifications

Even if you have submitted an initial notification and have received an
EPA Identification Number, you may be required to submit a subsequent
notification. Please refer to information contained-in Sections I through
III and Section V of this booklet for instructions on when and how to
complete a subsequent notification. In general, you can comply with
this subsequent notification requirement by completing specific parts of
and signing the enclosed EPA Form 8700-12 and mailing it to the
appropriate address in Part C of this section.   . • •

A.   How Many Forms Should I File?

A person who is subject to the hazardous waste,-universal waste and/or
used oil management regulations under RCRA should submit one
notification per installation.' • If you conduct hazardous waste, universal
waste, and/or used oil management activities at more than one
installation, you must submit a separate notification for each
installation.                        •          *•'      '
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Notification of Regulated Waste Activity
If you only transport regulated wastes and do not generate, treat, store,
or dispose of hazardous wastes; qualify as a large quantity handler of
universal wastes; or process/re-refine used oil, burn off-specification
used oil fuel, or market used oil fuel, you may submit one notification
that covers all transportation activities your company conducts. This
notification should be sent to the appropriate address (listed in Part C)
that serves the State where your company has its headquarters or
principal place of business. However, if you are a transporter who also
engages in one or more of the regulated waste activities listed above, you
must complete and submit a separate notification to cover each
installation.

B.   Can I Request that this Information Be Kept Confidential?

All information you submit in an initial or subsequent notification can
be released to the public, according to the Freedom of Information Act,
unless it is determined to be confidential by EPA pursuant to 40 CFR
Part 2. Since notification information is very general, EPA believes it is
unlikely that any information in your notification could qualify to be
protected from release. However, you may make a claim of confidentiality
by printing the word "CONFIDENTIAL" on both sides of EPA Form 8700-
12 and on any attachments.  EPA will take action on the confidentiality
claims in accordance with 40 CFR Part 2.

C.   Where Should t Send My Completed Form?

Listed alphabetically in Table 1 are the addresses and phone numbers of
the proper contacts in each State where you can get additional
information and more  forms, and where you should mail your completed
forms.  As shown in Table 1, EPA and many States  have arranged for the
States to answer your  questions and receive completed forms. In a few
instances, the workload is shared between EPA and the State, or
handled by EPA alone; this workload sharing is indicated on Table 1.
For your convenience, Table 2 lists the addresses and phone numbers  ,
for EPA Regional contacts; however, you should refer to Table 1 first. To
avoid delay and confusion, follow the directions in Table 1 for your State
very carefully.
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                                 . Notification of Regulated Waste Activity
Estimated Burden: Public reporting .burden' for initial notifications is
estimated to be 4.25 hours.  Public reporting burden for subsequent
notifications is expected to be 2.10 hours.  This reporting burden
includes time' for reviewing instructions,' searching existing data
sources, gathering and maintaining the data needed, and completing
and reviewing the collection of information. Send comments regarding
the burden estimate or any other aspect of this collection of information,
including suggestions for reducing this burden, to Director, Regulatory
Information Division, 2136, U.S. Environmental Protection Agency, 401
M St., S.W., Washington, D.C.  20460; and to the Office of Information
and Regulatory Affairs, Office of Management and Budget, Washington,
D.C. 20503, marked "Attention Desk Officer of EPA."	
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                                         Notification of Regulated Waste Activity
                                   Table 1
                 Alphabetized State Listing of Contacts for
           Obtaining and Submitting the RCRA Notification Form
Alabama
Obtain information or forms from, and mail
completed forms to:
Alabama Department of Environmental
 Management
1400 Coliseum Blvd. (FedEx or UPS)
P. O. Box 301463 (regular mail)
Montgomery, Alabama  36110-2059
(334) 271-7700

Alaska
Obtain information or forms from, and mail
completed forms to:
U.S. EPA Region 10
Office of Waste and Chemicals
 Management, WCM-126
Hazardous Waste Notifications
1200 Sixth Avenue
Seattle, Washington 98101
(206) 553-2859
From within Alaska, toll-free:
(800) 550-7272

American Samoa
Obtain information from:
Environmental Quality Commission
Government of American Samoa
Pago, American Samoa 96799
Overseas Operator Commercial call (684}
 Country Code 663-2304
Obtain forms from:
U.S. EPA Region 9
RCRA Notifications
75 Hawthorne Street, WST-6-Tetratech
San Francisco, California 94105
(415) 495-8895
Matt completed forms to:
U.S. EPA Region 9
American Samoa Project Officer
75 Hawthorne Street, CMD-1
San Francisco, California 94105
Arizona
Obtain information or forms from, and matt
completed forms to:
Office of Waste Programs
Arizona Department of
 Environmental Quality
3033 N.  Central Avenue
Phoenix, Arizona 85012
(602) 207-4147
Matt completed forms to:
U.S. EPA Region 9
RCRA Notifications
75 Hawthorne Street, WST-6-Tetratech
San Francisco, California 94105
(415)495-8895

Arkansas: :.- -
Obtain information or forms from, and mail
completed forms to:
Arkansas Department of Environmental.
 Quality
8001 National Drive
P.O. Box 8913
Little Rock, Arkansas  72219-8913
(501) 682-0863

California
Obtain information or forms from, and matt
completed forms to:
U.S. EPA Region 9
RCRA Notifications
75 Hawthorne Street, WST-6-Tetratech
San Francisco, California 94105
(415) 495-8895

Colorado
Obtain information or forms from, and mail
completed forms to:
Colorado Department of Public Health
and Environment
Hazardous Materials and Waste
Management Division
4300 Cherry  Creek Drive, S.
HMWMD-HWC-B2
Denver, Colorado 80246-1530
(303) 692-3300
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Notification of Regulated Waste Activity
                              Table 1 (continued)
Connecticut
Obtain information or forms from, and mail
completed forms to:
Department of Environmental Protection
Bureau of Waste Management
Waste Engineering and Enforcement
 Division
79 Elm Street
Hartford, Connecticut 06106-5127
(860) 424-3372

Delaware
Obtain information or forms from, and mail
completed forms to:
Delaware Department of Natural
Resources and Environmental Control
Solid and Hazardous Waste Management
 Branch
Attn: Tracy Hamburg
89 Kings Highway
Dover,  Delaware  19901
(302) 739-3689

District of Columbia
Obtain information or forms from, and mail
completed forms to:
Department of Health
Environmental Health Administration
Attn: Mark  Hughes
51 N Street, N.E., Third Floor
Washington, D.C.  20002
(202) 535-2285

Florida
Obtain information or forms from, and mail
completed forms to:
Hazardous Waste Regulation Section
Department of Environmental Regulation
Twin Towers Office Building
2600 Blair Stone Road
Tallahassee, Florida  32399-2400
(904) 488-0300
Georgia
Obtain information or forms from, and mail
completed forms to:
Hazardous Waste Branch
Environmental Protection Division
Georgia Department of Natural Resources
Floyd Towers East, Room 1154
205 Butler Street,  S.E.
Atlanta, Georgia 30334
(404) 656-7802

Guam
Obtain information from and mail
completed forms to:
Guam Environmental Protection Agency
P.O. Box 22439-GMF
(Calibration Lab Building)
Barrigada, Guam 96921
Obtain forms from:
U.S. EPA Region 9
RCRA Notifications
75 Hawthorne Street, WST-6-Tetratech
San Francisco, California 94105
(415)495-8895

Hawaii
Obtain information or forms from, and mail
completed forms to:
U.S. EPA Region 9
RCRA Notifications
75 Hawthorne Street, WST-6-Tetratech
San Francisco, California 94105
(415) 495-8895

Idaho
Obtain information or forms from, and mail
completed forms'to:
Idaho Department of Health and Welfare
Division of Environmental Quality
State Waste Management and       ,
Remediation Program
Hazardous Waste Notifications
14ION. Hilton  Street
Boise, Idaho 83706
(208) 373-0210
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                                         Notification of Regulated Waste Activity
                             Table 1 (continued)
Illinois
Obtain information or forms from:
Illinois Environmental Protection Agency
Division of Land Pollution Control
1021 N. Grand Avenue, E.
Springfield, Illinois 62794
(217) 785-8452
Mail completed forms to:
U.S. EPA Region 5
RCRA Activities
77 West Jackson Boulevard
P.O. Box A3587
Chicago, Illinois 60690
(312) 886-4001

Indiana
Obtain information or forms from, and mail
completed forms to:
Indiana Department of
 Environmental Management
100 N. Senate Avenue
P.O. Box 6015
Indianapolis, Indiana  46206
(317) 232-3242

Iowa
Obtain information or forms from, and mail
completed forms to:
U.S. EPA Region 7
Air, RCRA, and Toxics Division
RCRA Enforcement and State Programs
 Branch (ARTD/RESP)
901 N. 5th Street
Kansas City, Kansas 66101
(913) 551-7126

Kansas
Obtain information or forms from, and mail
completed forms to:
Department of Health and Environment
Bureau of-Waste Management
Waste Policy, Planning, and Outreach
Section '
Attn: David Branscum
Forbes Field, Building 740
Topeka, Kansas 66620
(785) 296-6898
Kentucky
Obtain information or forms from, and mail
completed forms to:
Division of Waste Management.
Department of Environmental Protection
Cabinet for Natural Resources
 and Environmental Protection
Attn: Marlyn Godby
Fort Boone  Plaza, Building #2
14ReillyRoad
Frankfort, Kentucky 40601
(502) 564-6716

Louisiana
Obtain information or forms from, and mail
completed forms to:
Louisiana Department of
 Environmental Quality
Department of Solid and Hazardous
Waste
P.O. Box 82178
Baton Rouge, Louisiana 70884-2178
(225) 765-0261

Maine
Obtain information or forms from, and mail
completed forms to:
Department of Environmental Protection
Bureau of Remediation and Waste
Management
State House Station #17
Augusta, Maine 04333
(207) 287-2651

Maryland
Obtain information or forms from, and mail
completed forms to:
Maryland Department of the Environment
Hazardous Waste Program
Attn: Emily  Troyer
Tracking/Certification Branch
2500 Broening Highway
Baltimore, Maryland 21224
(410) 631-3344
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Notification of Regulated Waste Activity
                              Table 1 (continued)
Massachusetts
Obtain information or forms from, and mail
completed forms to:
Division of Planning and Evaluation
Bureau of Waste Prevention
Massachusetts Department of'" '"•
  Environmental Protection   "^
One Winter Street, 8th Floor
Boston, Massachusetts 02108
(617) 292-5851
                      . ;   \   \   t
Michigan                :  .'    •
Obtain information or forms from, and mail
completed forms to:
Michigan Department of Environmental
  Quality    '   '   '   •'•   *   v
Waste Management Division
Box 30241               'V •
Lansing, Michigan 48909
(517) 373-2730 or
(517)373-1837

Minnesota
Obtain information or forms from:
Solid and Hazardous Waste Division
Minnesota Pollution Control Agency
520 Lafayette Road, North
St. Paul, Minnesota  55155
(651)297-8330
Mail completed forms to:      •  '
U.S. EPA Region 5
RCRA Activities
77 West Jackson Boulevard
P.O. Box A3587             •:•
Chicago, Illinois 60690
(312) 886-4001

Mississippi
Obtain information or forms from, and mail
completed forms to:
Department of Environmental Quality
Attn: Ms. Willie Brandon     •• •
101 W. Capital Street, Suite 100' -
Jackson, Mississippi 39201
or
Department of Environmental Quality
Attn: Ms. Willie Brandon
P.O. Box 10385
Jackson, Mississippi 39289-0385
(601)961-5171
Missouri
Obtain information or forms from, and mail
completed forms to:
Department of Natural Resources
Hazardous Waste Program
Attn: John Beard
1738 E. Elm Street
P.O. Box 176
Jefferson City, Missouri 65101
(573)751-3176

Montana
Obtain information or forms from, and mail
completed forms to:
Montana Department of Environmental
  Quality
Hazardous Waste Program
Metcalf Building
1520 E. Sixth Avenue
Helena, Montana 59620
(406)444-1430
Nebraska
Obtain information or forms from, and mail
completed forms to:
Hazardous Waste Management Section
Department of Environmental Quality
State House Station
P.O. Box 98922
Lincoln, Nebraska 68509-8922
(402) 471-4218

Nevada
Obtain information from:
Nevada Division of Environmental
Protection
Bureau of Waste Management
333 West Nye Lane, Room 138
Carson City, NV 89706-0851
(702) 687-5872
Obtain forms and mail completed forms to:
U.S. EPA Region 9
RCRA Notifications
75 Hawthorne Street, WST-6-Tetratech
San Francisco, California 94105
(415)495-8895
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                                         Notification of Regulated Waste Activity
                             Table 1 (continued)
New Hampshire
Obtain information or forms from, and mail
completed forms to:
Department of Environmental Services
Waste Management Division
6 Hazen Drive
Concord, New Hampshire  03301
(603) 271-2901

New Jersey
Obtain information from:
New Jersey Department of Environmental
 Protection and Energy
Bureau of Manifests and
 Information Systems
Hazardous Waste and Transfer Facilities
P.O. Box 414
CN414
Trenton, New Jersey 08625-0414
(609) 292-8341
Obtain forms from and mail
completed forms to:
U.S. EPA Region 2
Division of Environmental Planning and
 Protection
RCRA Programs Branch
290 Broadway Street, 22nd Floor
New York, New York 10007-1866
(212)637-4106

New Mexico
Obtain information or forms from, and mail
completed forms to:
New Mexico Environmental Department
Hazardous Waste Bureau
P.O. Box 26110
Santa Fe, New Mexico  87502
(505) 827-1557
New York
Obtain information from:
New York State Department of
  Environmental Conservation
Division of Solid and Hazardous Materials
Bureau of Hazardous Waste Management
50 Wolf Road
Albany, New York 12233-7251
(518) 485-8988
Obtain forms from and mail '
completed forms to:
U.S. EPA Region 2
Division of-Environmental Planning and
  Protection
RCRA ProgramsT.Branch
290 Broadway Street, 22nd Floor
New York, New York 10007-1866
(212)637-4106

North Carolina
Obtain information or forms from, and mail
completed forms to:
North Carolina Department of
  Environment and Natural Resources
Division of Waste Management
401 Oberlin Road, Suite 150
Raleigh, North Carolina 27605
or
North Carolina Department of
  Environment and.Natural Resources
Division of Waste Management
P.O. Box 29603
Raleigh, North Carolina 27611-9603
(919) 733-2178

North Dakota
Obtain information or forms from, and mail
completed forms to:
Division of Waste Management
North Dakota Department of Health
1200 Missouri Avenue
P.O. Box 5520
Bismarck,' North Dakota 58506-5520
(701) 328-5166
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Notification of Regulated Waste Activity
                             Table 1 (continued)
Northern Mariana Islands
Obtain information from:
Department of Public Health and
 Environmental Services
Division of Environmental Quality
P.O. Box 1304
Saipan,  Mariana Islands 96950
Overseas Operator Commercial Call (670)
 Country Code 234-6984
Cable Address: Gov.  NMI Saipan
Obtain forms from:          'L
U.S. EPA Region 9      '   '  !
RCRA Notifications
75 Hawthorne Street, WST-6-Tetratech
San Francisco, California  94105
(415)495-8895        f   '"   ''
Mail completed forms to:
U.S. EPA Region 9
Northern Mariana Islands Project Officer
75 Hawthorne Street, CMD-1
San Francisco, California 94105

Ohio
Obtain information or forms from, and mail
completed forms to:
Ohio Environmental  Protection Agency
Lavarus Government Center
Division of Hazardous Waste
1222 S.  Front Street
Columbus, Ohio 43215
(614) 644-2977

Oklahoma
Obtain information or forms from, and mail
completed forms to:
Department of Environmental Quality
Hazardous Waste Quality
 Management Service
P.O. Box 1677
Oklahoma City, Oklahoma 73101-1677
(405) 702-5191
Oregon
Obtain information or forms from, and mail
completed forms to:
Oregon Department of
 Environmental Quality
Waste Management and Clean-up
 Division
Generator-Transporter Registration
Attn: Susan Eidman
811 SW Sixth Avenue
Portland, Oregon 97204
(503)229-6511

Pennsylvania
Obtain information from:
Pennsylvania Department of
 Environmental Protection
Rachel Carson State Office Building
Attn: Joe Hayes
Permitting Section
400 Market Street,  14th Floor
Harrisburg, Pennsylvania 17105-8741
(717) 787-6239
Obtain forms from and mail
completed forms to:
U.S. EPA Region 3
Waste and Chemicals Management
 Division
1650 Arch Street, 3WC11
Philadelphia, Pennsylvania  19103-2029
(215) 814-3413

Puerto Rico
Obtain information or forms from, and mail
completed forms to:
U.S. EPA Region 2
Division of Environmental Planning and
 Protection
RCRA Programs Branch
290 Broadway Street,  22nd Floor
New York, New York 10007-1866
(212) 637-4106
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                                         Notification of Regulated Waste Activity
                             Table 1 (continued)
Rhode Island
Obtain information or forms from, and mail
completed forms to:
Department of Environmental
Management
Office of Compliance and Inspection
235 Promenade Street
Providence, Rhode Island 02908-5767
(401) 222-1360

South Carolina
Obtain information or forms from, and mail
completed forms to:
Bureau of Solid and Hazardous
 Waste Management
Department of Health and
 Environmental Control
2600 Bull Street
Columbia, South Carolina 29201
(803) 896-4000

South Dakota
Obtain information or forms from, and mail
completed forms to:
Department of Environment and
 Natural Resources
Waste Management Program
523 E. Capitol Avenue
Pierre, South Dakota  57501-3181
(605)773-3153

Tennessee
Obtain information or forms from, and mail
completed forms to:
Division of Solid Waste Management
Tennessee Department of Energy and
Conservation
401 Church Street
LNC Tower,  5th Floor
Nashville, Tennessee 37243-1535
(615) 532-0780
Texas
Obtain information or forms from:
Texas Natural Resource Conservation
Commission'
Registration and Evaluation Division
Registration and Reporting Section
P.O.Box 13087, MC-129
Austin, Texas 78711-3087
(512) 239-6832
Mail completed forms to:
U.S. EPA Region 6
Mutlimedia Planning and Permitting
Division (6PD-I)
1445 Ross-Avenue, Suite 1200
Dallas, Texas 75202-2733
(214)665-6750

Utah
Obtain information or forms from, and mail
completed forms to:
Division of Solid and Hazardous Waste
Department of Environmental Quality
P.O. Box 144880
Salt Lake City,  Utah  84114-4880
(801) 538-6170

Vermont
Obtain information or forms from, and mail
completed forms to:
Department of Environmental
Conservation
Agency of Natural Resources
Waste Management Division
West Office  Building
103 S. Main Street
Waterbury,  Vermont  05671-0404
(802)241-3867
                                                                      Page 21

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Notification of Regulated Waste Activity
                              Table 1 (continued)
Virgin Islands
Obtain information from:
Virgin Islands Department of Planning &
 Natural Resources          ,
Division of Environmental Protection
179 Altona and Welgunst
St. Thomas, Virgin  Islands 00801
(809)693-0114
Obtain forms from and mail
completed forms to:
U.S. EPA Region 2     t  ^ ,..,   « .  •
Division of Environmental Planning and
 Protection
RCRA Programs Branch    ',
290 Broadway Street, 22nd Floor-
New York, New York I0d07-f866
(212)637-4106

Virginia
Obtain information or forms'from, and mail
completed forms to:
Commonwealth of Virginia -\ f', '
Department of Environmental Quality
Attn: Claire Ballard
629 E. Main Street
Richmond, Virginia 23219
(804) 698-4177

Washington
Obtain information or forms from, and mail
completed forms to:
Washington Department of Ecology
Dangerous Waste Notifications
Attn: Sheri Ryan
P.O. Box 47658
Olympia, Washington 98504-7658
(360) 407-7555
West Virginia
Obtain information or forms from, and mail
completed forms to:
West Virginia Division of Environmental
 Control
Office of Waste Management
Attn: Cynthia Woodyard
1356 Hansford Street
Charleston, West Virginia  25301
(304) 558-5929

Wisconsin
Obtain information or forms from, and mail
completed forms to:
Bureau of Solid Waste
Department of Natural Resources
P.O. Box 7921
Madison, Wisconsin 53707
(608)266-2111

Wyoming
Obtain information or forms from, and mail
completed forms to:
Wyoming Department of Environmental
 Quality
Solid and Hazardous Waste Division
122 W. 25th Street
Herschler Building, 4th Floor West
Cheyenne, Wyoming 82002
(307) 777-7752
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                                         Notification of Regulated Waste Activity
                                    Table 2
        U.S. EPA Regional Contacts for the RCRA Notification Form
U.S. EPA Region 1
Office of Ecosystem Protection
Hazardous Waste Program Unit
One Congress Street, Suite 1100
Boston, MA 02114-2023
(617) 918-1640
       Connecticut, Maine,
       Massachusetts, New Hampshire,
       Rhode Island, Vermont

U.S. EPA Region 2
Division of Environmental Planning and
 Protection
RCRA Programs Branch
290 Broadway Street, 22nd Floor
New York, NY 10007-1866
(212)637-4106
       New Jersey, New York, Puerto
       Rico, Virgin Islands

U.S. EPA Region 3
Waste and Chemicals Management
Division, 3WC11
1650 Arch Street
Philadelphia, PA 19103-2029
{215)814-3413
       Delaware, District of Columbia,
       Maryland, Pennsylvania, Virginia,
       West Virginia

U.S. EPA Region 4
Hazardous Waste Management Division
RCRA Permitting Section
61 Forsyth Street
Atlanta, GA 30303
(404) 562-8440
       Alabama, Florida, Georgia,
       Kentucky, Mississippi, North
       Carolina,  South Carolina,
       Tennessee

U.S. EPA Region 5
RCRA Activities
77 West Jackson  Boulevard
P.O. Box A3587
Chicago, IL 60690
(312) 886-4001
       Illinois, Indiana, Michigan,
       Minnesota, Ohio,  Wisconsin
U.S. EPA Region 6
Multimedia Planning and Permitting
 Division (6PD-I)
1445 Ross Avenue, Suite 1200
Dallas, TX 75202-2733
(214) 665^6750
       Arkansas, Louisiana, New Mexico,
        Oklahoma, Texas
U.S. EPA Region 7
Air, RCRA, and Toxics Division
RCRA Enforcement and State Programs
 Branch (ARTD/RESP)
901 N. 5\h Street"
Kansas City,' Ks"66101
(913) 551-7126
       Iowa, Kansas, Missouri,
       Nebraska

U.S. EPA Region 8
Office of Partnerships and Regulatory
 Assistance
999 18th Street, Suite 500
Denver, CO 80202-2466
(303) 312-6319
       Colorado, Montana, North Dakota,
       South Dakota, Utah, Wyoming
U.S. EPA Region 9
RCRA Notifications
75 Hawthorne Street, WST-6-Tetratech
San Francisco, CA 94105
(415)495-8895
       Arizona, California, Hawaii,
       Nevada, American Samoa, Guam,
       Northern Mariana Islands
U.S. EPA Region 10
Office of Waste and Chemicals
Management, WCM-126
1200 Sixth Avenue
Seattle, WA 98101
(206) 553-2859
From within Alaska, toll-free:
(800) 550-7272
       Alaska, Idaho, Oregon,
       Washington
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Page 24
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                                   Notification of Regulated Waste Activity
V.   Line-by-Line Instructions for Completing EPA Form

     8700-12

Initial Notification

All persons submitting an initial notification must complete Items I
through X in their entirety.

Subsequent Notification

All persons submitting a subsequent notification must complete Items I,
II, IV, VI, VII, IX, and X in their entirety. Whether you must complete
Items III, V, and VIII depends on the circumstances under which you are
required to submit a subsequent notification.

General Instructions

Type or print in black ink all items except Item X, "Signature,"  leaving a
blank box between words. The boxes are spaced at 1/4" intervals which
accommodate elite type (12 characters per inch). When typing, hit the
space bar twice between characters. If you print, place each character in
a box.  Abbreviate if necessary to stay within the number of boxes
allowed for each Item. If you must use additional sheets, indicate clearly
the number of the Item on EPA Form 8700-12 to which the information
on the  separate sheet applies.

Item I - Installation's EPA ID Number:

Place an "X" in the appropriate  box to indicate whether this is your
initial or a subsequent' notification for this installation in this location.
Leave the EPA Identification Number blank if this is your initial
notification for this installation.  If this is a subsequent notification, enter
the EPA Identification Number assigned to this installation in the boxes
provided.

Items II and III - Name and Location of Installation:

Complete Items II and III. Please note that the address you give for Item
III, Location of Installation, must be a physical address, not a post office
box or route number.
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Notification of Regulated Waste Activity
County Code and Name: Give the county code, if known. If you do not
know the county code, enter the county name, from which EPA can
automatically generate the county code. If the county name is
unknown, contact the local Post Office. To obtain a list of county codes,
contact the National Technical Information Service, U.S. Department of
Commerce, Springfield, Virginia, 22161 or at (703) 487-4650. The list of
codes is contained in the Federal Information Processing Standards
Publication (FIPS PUB) number 6-3.

Note: A subsequent notification is required when the location of the
installation changes.

Item IV - Installation Mailing Address:

Please enter the Installation Mailing Address. If the Mailing Address and
the Location of Installation (Item IV) are the same, you can print "Same"
in the box for Item IV.

Item V -- Installation Contact:

Enter the name, title, and business telephone number of the person who
should be contacted regarding information submitted in this notification.

Note: A subsequent notification is required when the installation contact
changes.

Item VI - Installation Contact Address:

A.   Code: If the contact address is the same as the location of
     installation address listed in Item IV or the installation mailing
     address listed in Item IV, place an "X"  in the appropriate box to
     indicate where the contact may be reached. If the location of
     installation address, the installation mailing address, and the
     installation contact address are all the same, mark the "Location"
     box.  If the contact address is not the same as those addresses in
     either Item III or IV, place an "X" in the "Other" box and complete
     Item VI.B. If an "X" is entered in either the location or mailing box,
     Item VI.B. should be left blank.

B.   Address: Enter the contact address  only if the contact address is
     different from either the location of installation address (Item IV) or
     the installation mailing address (Item IV), and if Item VI.A. was
     marked "Other."
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                                   Notification of Regulated Waste Activity
Item VII - Ownership:

A.   Name: Enter the name of the legal owner(s) of the installation,
     including the property owner. Also enter the address and phone
     number where this individual can be reached. Use the comment
     section in XI or additional sheets if necessary to list more than one
     owner.

B.   Land Type: Using the codes listed below, indicate in VII.B. the
     code which best describes the current legal status of the land on
     which the installation is located:
     F   =   Federal
     S   =   State
     I   =   Indian
     P   =   Private
     C   =   County
     M  =   Municipal*
     D   =   District   '
     O   =   Other
     * If the Land Type is best described as Indian, County or District,
     please use those codes. Otherwise, use Municipal.

C.   Owner Type: Using the codes listed below, indicate in VII.C. the
     code which best describes the legal status of the current owner of
     the installation:
     F   =   Federal
     S   =   State
     I   =   Indian
     P   =   Private
     C   =   County
     M  =   Municipal*
     D   =   District
     O   =   Other
     * If the Owner Type is best described as Indian, County or District,
     please use those codes. Otherwise, use Municipal
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Notification of Regulated Waste Activity
D.   Change of Owner Indicator: (If this is your installations initial
     notification, leave Item VE.D. blank and skip to Item VM. If this is a
     subsequent notification, complete Item VH.D. as directed below.)

     A subsequent notification is required when the owner of an
     installation changes. The new owner must notify EPA of the
     change, even if the previous owner already received an EPA
     Identification Number. Because an EPA Identification Number is
     site-specific, the new owner will keep the existing EPA
     Identification Number for that location. If the installation moves to
     another location, the owner/operator must notify EPA of this
     change. In this instance, a new EPA Identification Number will be
     assigned, since the installation has changed locations.

     If the owner of this installation has changed  since the installation's
     initial notification, place an "X" in the  box marked "Yes" and enter
     the date the owner changed.

     If the owner of this installation has not changed since the
     installation's initial notification, place  an "X" in the box marked
     "No"  and skip to Item VIII.

     If an additional owner(s) has been added or replaced since the
     installation's initial notification, place'an "X" in the box marked
     "Yes." Use the comment section in XI  to list any additional owners,
     the dates they became owners, and which owner(s) (if any) they
     replaced. If necessary, attach a separate sheet of paper.
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                                   Notification of Regulated Waste Activity
Item VIII -- Type of Regulated Waste Activity:

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

     1.  Generator:  If you generate a hazardous waste that is listed in
         40 CFR 261.31 through 261.33 or identified by one or more
         hazardous waste characteristic(s) contained in 40 CFR 261.21
         through 261.24, mark an "X" in the appropriate box for the
         quantity of non-acutely hazardous waste that is generated per
         calendar month. The regulations for hazardous waste
         generators are found in 40 CFR Part 262.

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

     2.  Hazardous Waste Transporter: If you transport hazardous
         waste, indicate if it is your own hazardous waste, if you  .
         transport it for commercial purposes, or mark both boxes if
         both classifications apply. Mark an "X" in each appropriate box
         to indicate the method(s) of transportation you use. Hazardous
         waste transporters do not have to complete Item IX of the
         notification, but must sign the  certification in Item X. The
         Federal regulations for hazardous waste transporters are
         found in 40 CFR Part 263.

     3.  Treater/Storer/Disposer: If you treat, store or dispose of
         regulated hazardous waste, place an "X" in  this box. (Burning
         hazardous wastes in boilers and industrial furnaces and
         storing hazardous wastes before recycling them fall into this
         category as well.)  You are reminded to contact the appropriate
         addressee listed for your State in Section IV.C. of this booklet
         to request Part A of the RCRA Permit Application.  The Federal
         regulations for owners or operators of hazardous waste
         installations are found in 40 CFR Parts 264, 265, and 266.
                                                            Page: 29

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Notification of Regulated Waste Activity
     4.  Exempt Boiler and/or Industrial Furnace: If you burn
         hazardous wastes in a smelting, melting, or refining furnace
         solely for metals recovery, as described in 40 CFR 266.100(c),
         or to recover economically significant amounts of precious
         metals, as described in 40 CFR 266.100(f), mark an "X" in the
         box to indicate that you qualify for the smelting, melting and
         refining furnace exemption: •

         If you burn small quantities of hazardous waste in an on-site
         boiler or industrial furnace in accordance with the conditions
         in 40 CFR 266.108, place an "X" in the box to indicate that
         you qualify for the Small Quantity On-Site Burner Exemption.

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

B.   Universal Waste Handling Activities: Mark an "X" in the
     appropriate box to indicate that universal waste handling activities
     are taking place at this installation and will result in the
     universal waste handler becoming a Large Quantity Handler of
     Universal Waste. The Federal regulations for large quantity
     handlers of universal waste are found in 40 CFR Part 273,
     Subpart C.

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

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

     2.  Used Oil Processor/Re-Refiner:  If you process and/or re-
         refine used oil, place an "X" in the appropriate box(es) to
         indicate this used oil management activity.
Page 30

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                                    Notification of Regulated Waste Activity
      3.   Off-Specification Used Oil Burner: If you burn off-
          specification used oil fuel, place an "X" in the box to indicate
          this used oil management activity.
                               !:             •
      4.   Used Oil Fuel Marketer: If you market off-specification used
          oil directly to a burner, mark an "X" in box la.  If you are the
          first to claim the used oil meets the used oil specification
          established in 40 CFR 279.11, mark an "X" in box Ib. If either
          of these boxes is marked, you must also notify {or have
          previously notified) as a used oil transporter, used oil
          processor/re-refiner, or off-specification used oil fuel burner,
          unless you are a used oil generator. (Used oil generators are
          not required to notify.)

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

Item IX - Description of Hazardous Wastes:

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

You will need to refer to 40 CFR Part 261  in order to complete this Item.
Part 261 identifies those solid wastes that EPA defines as hazardous and
regulates under RCRA. If you need help completing this section, please
contact the appropriate addressee for your State as listed in Section
IV.C. of this booklet.

A.    Listed Hazardous Wastes: If you handle hazardous wastes that
      are listed in 40 CFR Part 261, Subpart D, enter the appropriate
      4-digit code(s) in the boxes provided.

Note: If you handle more than 12 listed hazardous wastes, please
continue listing the hazardous waste codes on the extra sheet provided at
the end of this booklet. If you have more waste codes than will fit on the
notification and the additional sheet, feel free to photocopy the additional
sheet and use that as well. Attach any  additional sheets to the rest of EPA
Form 8700-12 before mailing it to the appropriate EPA Regional or State
office.
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Notification of Regulated Waste Activity
B.   Characteristic Hazardous Wastes: If you handle hazardous
     wastes that are not listed in 40 CFR Part 261, Subpart D, but do
     exhibit a characteristic of hazardous waste as defined in 40 CFR
     Part 261, Subpart C, you should describe these wastes by the EPA
     hazardous waste number for the characteristic. Place an "X" in the
     box next to the characteristic of the wastes that you handle. If you
     mark "4. Toxicity Characteristic," please list the specific EPA
     hazardous waste number(s) for the specific contaminant(s) in the
     box(es) provided. Refer to Section VII to determine the appropriate
     hazardous waste number(s).
                                           /
Note: If you handle more than four Toxicity Characteristic (TC) hazardous
wastes, please continue listing the hazardous waste codes on the extra
sheet provided at the end of this booklet.  If you have more TC waste
codes than will fit on the notification and the additional sheet, feel free to
photocopy the additional sheet and use that as well.  Attach any additional
sheets to the rest of EPA Form 8700-12 before mailing it to the appropriate
EPA Regional or State office.

C.   Other Wastes: If you handle other wastes or State-regulated
     wastes that have a waste code, enter the appropriate code(s) in the
     boxes provided.

Item X •- Certification:

This certification must be signed by the owner, operator, or an
authorized representative of your installation. An "authorized
representative" is a person responsible for the overall operation of the
installation (i.e., a plant manager or superintendent, or a person of equal
responsibility). All notifications must include this certification to be
complete.

Item XI - Comments:

Use this space for any additional comments and attach additional
sheets, if necessary.
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                                   Notification of Regulated Waste Activity
VI.  Definitions

The following definitions are included to help you to understand and
complete EPA Form 8700-12:

Act or RCRA means 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.

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

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

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

     2.  The unit's combustion chamber  and primary energy recovery
         section(s) are of integral design (i.e., they are physically formed
         into one manufactured or assembled unit);

     3.  The unit continuously maintains an energy recovery efficiency
         of at least 60 percent, calculated in terms of the recovered
         energy compared with the thermal value of the fuel;

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

     5.   The unit is one which the Regional Administrator has
         determined, on a case-by-case basis, to be a boiler, after
         considering the standards in 40 CFR 260.32.
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Notification of Regulated Waste Activity
Disposal means 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.
                                    i
EPA Identification (ID) Number means the number assigned by EPA to
     each hazardous waste generator, hazardous waste transporter, and
     treatment, storage, or disposal installation; large quantity handler
     of universal wastes; used oil transporter, used oil processor/re-
     refiner, off-specification used oil fuel burner, and used oil fuel
     marketer.

Hazardous Waste means a hazardous waste as defined in 40 CFR 261.3.

Hazardous Waste Generator means any person, by site, whose act or
     process produces hazardous waste identified or listed in 40 CFR
     Part 261.

Hazardous Waste Storage means the holding of hazardous waste for a
     temporary period, at the end of which the hazardous waste is
     treated, disposed of, or stored elsewhere.

Hazardous Waste Transporter means a person engaged in the off-site
     transportation of hazardous waste by air, rail, highway, or water.

Hazardous Waste Treatment means 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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                                   Notification of Regulated Waste Activity
Industrial Furnace means 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.

Installation means the physical plant or location at which one or more
     of the following regulated waste activities occurs: the generation,
     transportation, treatment, storage,  or disposal of hazardous
     wastes; the storage of hazardous wastes before they  are recycled;
     the accumulation of 5,000 kg or more of universal wastes; and the
     transportation (and temporary storage during transportation),
     processing/re-refining, burning, or marketing of used oil.  An
     installation may consist of several treatment, .storage, or disposal
     operational units. (For entities that only transport regulated
     wastes, the term installation refers to the headquarters of that
     entity's operations.)

Large Quantity Handler of Universal Waste means a universal waste
     handler (as defined in 40 CFR 273.6) who accumulates 5,000
     kilograms or more total of universal waste (batteries, pesticides, or
     thermostats, 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.

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

Off-Specification Used Oil Burner means an installation  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).
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 Notification of Regulated Waste Activity
 Off-Specification Used Oil Fuel means used oil fuel that does not meet
     the specification provided under 40 CFR 279.11.

 On-Specification Used Oil Fuel means used oil fuel that meets the
     specification provided under 40 CFR 279.11.

 Operator means the person responsible for the overall operation of an
     installation.

 Owner means a person who owns an installation or part of an
     installation, including the property owner.

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

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

Underground Injection Control means 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).

Used Oil means 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.
Page 36

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                                   Notification of Regulated Waste Activity
Used Oil Fuel Marketer means any person who conducts either of the
following activities:

     1.  Directs a shipment of off-specification used oil from their
         installation 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
         CFR279.11.

Used Oil Management Activities, for the purposes of EPA Form
     8700-12, include used oil transportation; used oil processing and
     re-refining; burning off-specification used oil fuel; and used oil fuel
     marketing.

Used Oil Processing means chemical or physical operations designed to
     produce from used oil, or to make used oil more amenable for
     production of, fuel oils, lubricants, or other used oil-derived
     products. Processing includes, but is not limited to: blending
     used oil with virgin petroleum products, blending used oils to meet
     the fuel specification, filtration, simple distillation, chemical or
     physical separation, and re-refining.

Used Oil Processor means an installation that processes on- or
     off-specification used oil.

Used Oil Re-Refiner means an installation that produces lubricating
     oils and greases, industrial fuel, asphalt extender, gasoline, and
     other products from on- or off-specification used oil.

Used Oil Transfer Facility means 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.
                                                            Page 37

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Notification of Regulated Waste Activity
Used Oil Transporter means any person who transports used oil, any
      person who collects used oil from more than one generator and
      transports the collected oil, and owners and operators of used oil
      transfer facilities.  Used oil transporters may consolidate or
      aggregate loads of used oil for purposes of transportation but, with
      the following exception, may not process used oil.  Used oil
      transporters may conduct incidental processing operations that  -
      occur in the normal course of used oil transportation (e;g., settling
     •and water separation), but that are not designed to produce (or
      niake more amenable for production of) used oil-derived products
      or used oil fuel.
.Page 38

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                                  Notification of Regulated Waste Activity
VII. EPA Hazardous Waste Numbers for Waste Streams
     Commonly Generated by Small Quantity Generators

EPA recognizes that generators of.small quantities of hazardous waste,
many of which are small businesses, may not be familiar with the
manner in which hazardous waste materials are identified in the Code of
Federal Regulations. In order to aid small quantity generators in
determining the EPA Hazardous Waste Numbers for their hazardous
wastes that are needed to complete EPA Form 8700-12, two appendices
are enclosed.                                           '    ,

Appendix 1 lists 18 general industry categories that contain small
quantity generators. For each of these categories, commonly generated
hazardous wastes are identified. Appendix 2 lists EPA Hazardous Waste
Numbers for each hazardous waste stream identified in Appendix 1.

To use these appendices:

1.   Locate your industry in Appendix 1 to identify the hazardous waste
     streams common to your activities. •  '    •     ;

2.   Find each of your hazardous waste streams in Appendix 2, and
     review the more detailed descriptions of typical hazardous wastes
     to determine which hazardous waste streams actually result from
     your activities.

3.   If you determine that a hazardous waste stream does apply to you,
     report the 4-digit EPA Hazardous Waste Number in Item IX.B. of
     EPA Form 8700-12, "Notification of Regulated Waste Activity."

The industries and hazardous waste streams described here do not
provide a comprehensive list but rather serve as a guide to potential
small quantity generators in determining which of their solid wastes, if
any, are hazardous. Except for the pesticide category, this insert does
not include EPA Hazardous Waste Numbers for commercial  chemical
products that  are hazardous when discarded unused. These chemicals
and their EPA Hazardous Waste Numbers are listed in 40 CFR 261.33.
                                                         Page 39

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Notification of Regulated Waste Activity
If the specific Hazardous Waste Number that should be applied to your
hazardous waste stream is unclear, please refer to 40 CFR Part 261.
Copies of Part 261 and other EPA regulations in 40 CFR are available at
most libraries and on EPA's Web Site at:
www.eoa.gov/docs/epacfr40/charjt-I.info/subch-I/

In those cases where more than one Hazardous Waste Number is
applicable, all should be used. If you have any questions, or if you are
unable to determine the proper EPA Hazardous Waste Numbers for your
hazardous wastes, contact your State hazardous waste management
agency as listed in Section IV of this booklet, or the RCRA, Superfund,
and EPCRA Hotline at 1-800-424-9346 (or in the Washington, D.C, area
at (703) 412-9810).
Page 40

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                                        Notification of Regulated Waste Activity
                                 Appendix 1
 Typical Hazardous Waste Streams Produced by Small Quantity Generators
LABORATORIES
Acids/Bases, Heavy Metals/Inorganics,
Ignitable Wastes, Reactives; Solvents

PRINTING AND ALLIED INDUSTRIES
Acids/Bases, Heavy Metals/Inorganics,
Ink Sludges, Spent Plating Wastes,
Solvents             ' •

PESTICIDE END USERS AND
APPLICATION
Heavy Metals/Inorganics, Services,
Pesticides, Solvents

CONSTRUCTION
Acids/Bases, Ignitable Wastes, Solvents

EQUIPMENT REPAIR
Acids/Bases, Ignitable Wastes,
Lead Acid Batteries, Solvents

FURNITURE/WOOD MANUFACTURING
& REFINISHING
Ignitable Wastes, Solvents

OTHER MANUFACTURING (textiles,
plastics, leather)
Heavy Metals/Inorganics, Solvents

LAUNDRIES AND DRY CLEANERS
Dry Cleaning Filtration Residues,
Solvents

EDUCATIONAL AND VOCATIONAL
SHOPS
Acids/Bases, Ignitable Wastes, Pesticides,
Reactives, Solvents

BUILDING CLEANING AND
MAINTENANCE
Acids/ Bases, Solvents
VEHICLE MAINTENANCE
Acids/Bases, Heavy Metals/Inorganics,
Ignitable Wastes, Lead Acid Batteries,
Solvents

WOOD PRESERVING
Preserving Agents

MOTOR FREIGHT TERMINALS AND
RAILROAD
Acids/Bases, Transportation, Heavy
Metals/Inorganics, Ignitable Wastes,
Lead Acid Batteries, Solvents

FUNERAL SERVICES
Solvents (formaldehyde)

METAL MANUFACTURING
Acids/Bases, Cyanide Wastes, Heavy
Metals/Inorganics, Ignitable Wastes,
Reactives,  Solvents, Spent Plating Wastes

CHEMICAL MANUFACTURERS
Acids/Bases, Cyanide Wastes, Heavy
Metals/Inorganics, Ignitable Wastes,
Reactives,  Solvents

CLEANING AGENTS AND COSMETICS
Acids/Bases, Heavy Metals/Inorganics,
Ignitable Wastes, Pesticides, Solvents

FORMULATORS
Acids/Bases, Cyanide Wastes, Heavy
Metals/Inorganics, Ignitable Wastes,
Pesticides, Reactives, Solvents
                                                                      Page 41

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Notification of Regulated Waste Activity
                   This page intentionally left blank.
  Page 42

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                                         Notification of Regulated Waste Activity
                                  Appendix 2
   Typical Hazardous Waste Streams and EPA Hazardous Waste Numbers

ACIDS/BASES:

Acids, bases or mixtures having a pH less than or equal to 2 or greater than or equal to
12.5, or liquids that corrode steel at a rate greater than 0.25 inches per year, are
considered to be corrosive (for a complete description of corrosive wastes, see 40 CFR
261.22, Characteristic of Corrosivity). All corrosive materials and solutions have the EPA
Hazardous Waste Number D002. The following are some examples of the more commonly
used corrosives:
                      Examples of Corrosive Waste Streams
             Acetic Acid
             Ammonium Hydroxide
             Chromic Acid
             Hydrobromic Acid  ,
             Hydrochloric Acid
             Hydrofluoric Acid
             Nitric Acid
Oleum
Perchloric Acid
Phosphoric Acid
Potassium Hydroxide
Sodium Hydroxide
Sulfuric Acid
DRY CLEANING FILTRATION RESIDUES:

Cooked powder residue (perchloroethylene plants only), still residues and spent cartridge
filters containing perchloroethylene or valclene are hazardous and have an EPA
Hazardous Waste Number of F002. Still residues containing petroleum solvents with a
flash point less than 140F are also considered hazardous, and have an EPA Hazardous
Waste Number of DOO1.

HEAVY METALS/INORGANICS:

Heavy Metals and other inorganic waste materials exhibit the characteristic of TCLP
Toxicity and are considered hazardous if the extract from a representative sample of the
waste has any of the specific constituent concentrations as shown in 40 CFR 261.24,
Table 1. This may include dusts, solutions, wastewater treatment sludges, paint wastes,
waste inks, and other such materials which contain heavy metals/inorganics (note that
wastewater treatment sludges from electroplating operations containing nickel and
cyanide are identified as F006). The following are TCLP Toxic:
Waste Stream
Arsenic
Barium
Cadmium
Chromium
Lead
Mercury
Selenium
Silver
EPA Hazardous Waste
Number
D004
D005
D006
D007
D008
D009
DO 10
D011
                                                                       Page 43:

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Notification of Regulated Waste Activity
                            Appendix 2 (continued)
IGNITABLE WASTES:
Ignitable wastes include any flammable liquids, non-liquids, and contained .gases that
have a flashpoint less than 140F (for a complete description of ignitable wastes,
                      Benzene
                   n-Butyl Alcohol
                   Chlorobenzene
                  Cychlohexanone
                    Ethyl Acetate
                    Ethylbenzene
                     Ethyl Ether
                 Ethylene Dichloride
                      Methanol
               Methyl Isobutyl Ketone
                Petroleum Distillates
               	, Xylene	
EPA Hazardous Waste
      Number
        F003
        D001
        F003
        F002
        F003
        F003
        F003
        F003
        D001
        F003
        F003
        D001
        F003
INK SLUDGES CONTAINING CHROMIUM AND LEAD:

This includes solvent washes and sludges, caustic washes and sludges, or water washes
and sludges from cleaning tubs and equipment used in the •formulation of ink from
pigments, driers, soaps, and stabilizers containing chromium and lead. All ink sludges
have an EPA Hazardous Waste Number of K086.

LEAD ACID BATTERIES:

Used lead acid batteries should be reported on the notification form only if they are not
recycled. Used lead acid batteries that are recycled do not need to be counted in
determining the quantity of waste that you generate per month, nor do they require a
hazardous waste manifest when shipped off your premises. (Note: Special requirements
do apply if you recycle your batteries on your own premises — see 40 CFR 266.80.)
Waste Stream
Lead Dross
Spent Acids
Lead Acid Batteries
EPA Hazardous Waste
Number
D008
D002
D008, D002
Page 44

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                                         Notification of Regulated Waste Activity
                           Appendix 2 (continued)
ORGANIC WASTES:
See 40 CPR 261.24, Table 1 - Maximum Concentration of Contaminants for the Toxicity
Characteristic, for a list of constituents and regulatory levels.          .'      '

PESTICIDES:                                             .       ' .  •   ,

Pesticides, pesticide residues, washing and rinsing solutions and dips which contain '
constituent concentrations at or above Toxicity Characteristic regulatory levels (see 40
CPR 261.24) are hazardous waste. Pesticides that have an oral LD50 toxicity (rat) < 50
mg/kg, inhalation LC50 toxicity (rat) < 2 mg/L or a dermal LD 50 toxicity (rabbit) < 200
mg/kg, are hazardous materials. The following pesticides would be hazardous waste if
they are technical grade, unused and disposed. For a more complete listing, see 40 CFR
261.32-33 for specific listed pesticides, discarded commercial chemical products, and '
other wastes, wastewaters, sludges, and by-products from pesticide production.

(Note that while many of these pesticides are no longer in common use, they are included
here for those cases where they may be found in storage.)
                   Waste Stream
                      Aldicarb
                       Aldrin
                      Amitrole
                 Arsenic Pentoxide
                  Arsenic Trioxide
                   Cacodylic Acid
            Carbamic Acid, Methylnitroso-
                    Ethyl Ester
                     Chlordane
                 Copper Cyanides
            l,2-Dibromo-3-Chloropropane
                1,2-Dichloropropane
                1,3-Dichloropropene
         •  2,4-Dichlorophenoxy Acetic Acid
                       DDT
                      Dieldrin
                    Dimethoate
             Dimethylcarbamoyl Chloride.
                   Dinitrocresol
                      Dinoseb
         Disodium Monmomethane arsonate
                     Disulfoton
                    Endosulfan
                      Endrin
               Ethylmercuric Chloride
                     Famphur
                   Nepthachlor
                Hexachlorobenzene
         .	Kepone  	
EPA Hazardous Waste
       Number
        P070
        P004
        U011
        P011
        P012
        U136

        U178
        U036
        P029
        U066
        U083
        U084
        U240
        U061
        P037
        P044
        U097
        P047
        P020
        D004
        P039
        P050
        P051
        D009
        P097
        POS9
        U127
        U142
                                                                       Page 45

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Notification of Regulated Waste Activity
                           Appendix 2 (continued)
                   Waste Stream
                      Lindane
             2-Methoxy Mercuric Chloride
                    Methoxychlor
                  Methyl Parathion
            Monosodium Methanearsonate
                      Nicotine
                     Parathion
               Pentachloronitrobenzene
                 Pentachlorophenol
                Phenylmercuir Acetate
                      Phorate
                     Strychnine
          2,4,5-Trichlorophenoxy Acetic Acid
       2-(2,4,5-Trichlorophenoxy)-Propionic Acid
                  Thallium Sulfate
                      Thiram
                     Toxaphene
                     Warfarin
       EPA Hazardous Waste
             Number
               U129
               D009
               D014
               P071
               D004
               P075
               P089
               U185
               U242
               D009
               P094
               PI 08
               U232
               U233
               PI 15
               U244
               P123
               U248
SOLVENTS:

Spent solvents, solvent still bottoms or mixtures containing solvents are often hazardous;
This includes solvents used in degreasing and paint-brush cleaning, and distillation
residues from reclamation. The following are some commonly used hazardous solvents
(see also Ignitable Wastes for other hazardous solvents, and 40 CFR 261.31 for most
listed hazardous waste solvents):
                   Waste Stream
                    .  Benzene
                  Carbon Bisulfide
                Carbon Tetrachloride
                   Chlorobenzene
                      Cresols
                    Cresylic Acid
                 O-Dichlorobenzene
                      Ethanol
                 Ethylene Dichloride
                    Isobutanol
                    Isopropanol
                     Kerosene
                 Methyl Ethyl Ketone
                 Methylene Chloride

                      Naphtha
                    Nitrobenzene
EPA Hazardous Waste
      Number
        D001
        F005
        F001
        F002
        F004
        F004
        F002
        D001
        D001
        F005
        D001
        D001
        F005
    F001 (Sludges)
  F002(Still Bottoms)
        D001
        F004
Page 46

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                                          Notification of Regulated Waste Activity
                            Appendix 2 (continued)
                    Waste Stream
              Petroleum Solvents (Flash-
                 point less than 140F)
                      Pyridine
                1, 1,, 1 -Trichloroethane

                 Tetrachloroethylene

                      Toluene
                  Trichloroethylene

               Trichlorofluoromethane
               Trichloro trifluoroe than e
             	White Spirits
EPA Hazardous Waste
       Number
        D001
        FOOSj
    F001 (Sludges)
  F002 (Still Bottoms)
    F001 (Sludges)
  F002(Still.Bottoms)
        F005
    F001 (Sludges)
  F002(Still Bottoms)
        F002
        F002
        D001
REACTIVES:

Reactive wastes include reactive materials or mixtures which are unstable, react violently
with or form explosive mixtures with water, generate toxic gases or vapors when mixed
with water (or when exposed to pH conditions between 2 and 12.5 in the case of cyanide-
or sulfide-bearing wastes), or are capable of detonation or explosive reaction when •
irritated or heated (for a complete description of reactive wastes, see 40 CFR 261.23,
Characteristic of Reactivity). Unless otherwise specified, all reactive 'wastes have' an EPA
Hazardous Waste Number of D003. The following materials are commonly considered to
be reactive:
Waste Stream
Acetyl Chloride
Chromic Acid
Cyanides
Organic Peroxides
Perchlorates
Permanganates
Hypochlorites
Sulfides
EPA Hazardous Waste
Number
D003
D003
D003
D003 -
D003
D003
D003
D003
SPENT PLATING AND CYANIDE WASTES:

Spent plating wastes contain cleaning solutions and plating solutions with caustics,
solvents, heavy metals and cyanides. Cyanide wastes may also be generated from heat
treatment operations, pigment production and manufacturing of anti-caking agents.
Plating wastes  are generally Hazardous Waste Numbers F006-F009. Heat treatment
wastes are generally Hazardous Waste Numbers F010-F012. See 40 CFR 261.31 for a
more complete description of plating wastes. •
                                                                        Page 47

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Notification of Regulated Waste Activity
                           Appendix 2 (continued)
WOOD PRESERVING AGENTS:

Compounds or mixtures used in wood preserving, including the wastewater treatment
sludge from wastewater treatment operations, are considered hazardous wastes. Bottom
sediment sludges from the treatment of wastewater from wood preserving processes that
use creosote or pentachlorophenol are hazardous, and have an EPA Hazardous Waste
Number of KOO1. In addition, wastewaters, process residuals, preservative drippage, and
spent formulations from certain wood preserving processes are also hazardous wastes
and carry EPA Hazardous Waste Numbers F032, F034 or F035, depending on the
contaminants they contain.  Unless otherwise indicated, specific wood preserving
components are as follows:
Waste Stream
Chromated Copper Arsenate
Creosote
Pentachlorophenol
EPA Hazardous Waste
Number(s)
D004, F035
K001.F034
K001,F032
Page 48

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Please print or type with ELITE type (12 characters per inch) in the unshaded areas only
                                                   Form Approved, OMB No. 2050-0028 Expires 12/31/02
                                                                      GSA No. 0246-EPA-OT
 Pleas* refer to Section V. Une-by-
 Ui>» Instructions lor Completing
 EfA\-ffm- .8700-12  before
 completing  (his  form.   The
 Information requested here 'is
 required bylaw (Section 3010 of
 ln»i;lf»«oure» Conservation arid
 ReeonryAct). ',•'.  '   -: -.	'
  Notification  of Regulated
            5/Vaste  Activity
     % United States Environmental Protection Agency   ,
                        Date Received
                     (For Official Use Only)
 I. Installation's EPA ID Number (Mark 'X'in the appropriate box)
      A. Initial Notification
B. Subsequent Notification,
:  * (Complete item C)
         firInstallation (Include company and specific site name):
    -. ,j  ^      .  , .            .   .
 ML Location of Installation (Physical address riot P.O. Box or Route Number)
                                                                          C, Installation's EPA ID Number
 JV. Installation Mailing Address (See instructions)
 Street or P.O. Box
 '•*:'«.!•..;:.. ' "„, , ,-iix.., -. .v. i.. ."
    -.    »  .. . •  ,       —. •- f                                  .      -
 ^.^Ihstallation Contact '(Person-to be contacted regarding waste activities at site)
                                                            (First)
                                                            Phone Number (Area Code and Number)
                                                                                                                > -." *'•«
   j Installation Contact Address (See instructions)
     Contact Address
          v, -Mailing
 yn.Qvmership (See instructions)
  ^ Name of Installation's Legal Owner
 Street, P.O. Box, or Route Number
                                                                       State
                                              Zip Code
 Phone Number (Area Code and Number)
                                                 B. Land Type
                             C: Owner Type
' D. Change of Owner
•..  . • Indicator
                                                                           Yes
                                                                                          No
     Date Changed
Month   Pav    'Year
                                                                ILL
EPA Form 8700-12 (Rev. 12/99)
                      -1 Of 2 -

-------
Please print or type with ELITE type (12 characters per inch) in the unshaded areas only
                                            Form Approved, OMB No 20SO-Q028 Expires 1Z/31/Q2
                                                                GSA No. 0246-EPA-QT
  VIII. Type of Regulated Waste Activity (Mark 'X'in the appropriate boxes. Refer to Instructions)
                                                                                     ID - For Official Use Only
                          A. Hazardous Waste Activities
                                          C. Used Oil Management Activities
   1.  Generator (See Instructions]!
  D  a. Greater than 1000kg/mo (2,200 IDS.)
  D  b. 100 to 1000 kg/mo (220-2,200 Ibs.)
  D  c. Less than 100 kg/mo (220 IbsJ
   2.  Transporter (Indicate. Mode  in boxes
    '  1-5 below)
  Q  a. For own waste only
  Q  b. For commercial purposes
   Mode of Transportation
       1-Air
       2. Rail
       3. Highway
       4. Water
       5. Other • specify
Q 3,  Treater, Storer, Disposer (at
       installation) Note;  A permit is
       required for this activity,  see
       instructions.
.   4.  Exempt Boiler and/or Industrial
       Furnace                 ;    '
   Q a. Smelting, Melting; and Refin-
         ing Furnace Exemption
   O b. Small Quantity On-Site Burner
         Exemption         '
Q 5.  Underground Injection Control
1.  Used Oil Transporter/Transfer
    Facility -Indicate Type(s) of
    Activities)
 D a. Transporter
"Q.b, Transfer Facility
2.  Used Oil Processor/Re-refiner-
    Indicate Type(s) of Activity(ies)
 Q a. Processor
 O b. Re-refiner
3.  Off-Specification Used OH Burner
4.  Used Oil Fuel Marketer
 Q a. Marketer Who Directs Shipment
   .   of Off-Specification Used Oil to
    -  Used Oil Burner
 G b. Marketer Who First Claims the
      Used Oil Meets the
      Specifications        ,   :."-,
                            B. Universal Waste Activity
  D Large Quantity Handler of Universal Waste
  IX. Description of Hazardous Wastes (Use additional sheets if necessary)
  A. Listed Hazardous Wastes.  (See to CFR 261.31 - 33; See instructions if you need to list more than 12 waste codes.)
  B. Characteristics of Nonlisted Hazardous Wastes. (Mark 'X' in the boxes corresponding to the characteristics of
     nonlisted hazardous wastes your installation handles; See 40 CFR Parts 261.20 • 261.24; See instructions if you need
     to list more than 4 toxicity characteristic waste codes.)
                                            (List specific EPA hazardous waste Humberts) fpr the Toxicity Characteristic corrtaminant(s))
 i.lghltafaie  2. Corrosive 3. Reactive   4.Toxicity
   $001)     (DB02)      (0003)   Characteristic
  C. Other Wastes. (State-regulated or other wastes requiring a handler to have an KD. number; See instructions.)
  X. 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.
  Signature
   Name and Official Title (Type or print)
  XI. Comments
              Date Signed
  Note: Mail completed form to the appropriate EPA Regional or State Office.. (See Section IV of the booklet for addresses*)
EPA Form 8700-12 (Rev. 12/99)
               - 2 Of 2 -

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Please print or type with ELITE type (12 characters per inch) in the unshaded areas only  •
    Fonw Approved, OMB No. S050-0028 Expires 12/31/02
                          GSA No. 0246-EPA-OT
                                                                                             ID - For Official Use Only
iix;,pescrrpitl6n of Hazardous Wastes (Continued; Additional Sheet) >

•
••
•
i^H
1
£Y& 'Listed Hazardous Wastes. (See 40 CFR 261,31-33; Use this page only If you need to list more than 12 waste codes.)
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EPA Form 8700-12 (Rev. 12/99)
OU.S. GOVERNMENT PRINTING OFFICE: 2000-556-673

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