Managing Your Hazardous Waste Guide for Small Businesses



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RCRA SUBTITLE C OffiRBlJItffiHKtil
OMB# 2050-0024, Expires 05/31/2020
United States Environmental Protection Agency
RCRA SUBTITLE C SITE IDENTIFICATION FORM
PRO"**1
1. Reason for Submittal (Select only one.)
sr
Obtaining or updating an EPA ID number for an on-going regulated activity that will continue for a
period of time. (Includes HSM activity)
~
Submittina as a component of the Hazardous Waste Report for (Reoortina Year)

D Site was aTSD facility and/or generator of > 1,000 kg of hazardous waste, > 1 kg of acute
hazardous waste, or > 100 kg of acute hazardous waste spill cleanup in one or more months of
the reporting year (or State equivalent LQG regulations)
~
Notifying that regulated activity is no longer occurring at this Site
~
Obtaining or updating an EPA ID number for conducting Electronic Manifest Broker activities
~
Submitting a new or revised Part A Form
2. Site EPA ID Number
V
A
P
3-
2
3
4
S
(Z>
7
2

3. Site Name
General Metal Processing
4. Site Location Address
Street Address SOX Main Street
City, Town, or Village SWiall lOWn
county: Arlington
State VA
country United States
Zip Code 3.2.34-5
5. Site Mailing Address


Q^>ame as Location Address
Street Address
City, Town, orVillage

State
Country
Zip Code
6. Site Land Type
^Private EH County D District EH Federal EH Tribal D Municipal EH State D Other
7. North American Industry Classification System (NAICS) Code(s) for the Site (at least 5-digit codes)
A. (Primary) 33i4
-------
RCRA SUBTITLE	(*I±M)
OMB# 2050-0024, Expires 05/31/2020
EPA ID Number
V
A
P

7.
3
4
5

7
8

10. Type of Regulated Waste Activity (at your site)
Mark"Yes"or"No"for all current activities (as of the date submitting the form); complete any additional boxes
as instructed.
A. Hazardous Waste Activities
^ Y ~ N
1. Generator of Hazardous Waste—If "Yes", mark only one of the following—a, b, c
~
a. LQG
-	Generates, in any calendar month (includes quantities imported by
importer site) 1,000 kg/mo (2,200 lb/mo) or more of non-acute hazardous
waste; or
-	Generates, in any calendar month, or accumulates at any time, more than
1 kg/mo (2.2 lb/mo) of acute hazardous waste; or
-	Generates, in any calendar month or accumulates at any time, more than
100 kg/mo (220 lb/mo) of acute hazardous spill cleanup material.

b. SQG
100 to 1,000 kg/mo (220-2,200 lb/mo) of non-acute hazardous waste and
no more than 1 kg (2.2 lb) of acute hazardous waste and no more than 100
kg (220 lb) of any acute hazardous spill cleanup material.
~
c. VSQG
Less than or equal to 100 kg/mo (220 lb/mo) of non-acute hazardous waste.
lf"Yes"above, indicate other generator activities in 2 and 3, as applicable.
~ Y ~ N
2. Short-Term Generator (generates from a short-term or one-time event and not from on-
going processes). IF'Yes", provide an explanation in the Comments section.
~ Y ~ N
3. Mixed Waste (hazardous and radioactive) Generator
~ Y ~ N
4.Treater, Storer or Disposer of Hazardous Waste—Note: A hazardous waste Part B permit
is required for these activities.
~ Y ~ N
5. Receives Hazardous Waste from Off-site
~ Y ~ N
6. Recycler of Hazardous Waste
~
a. Recycler who stores prior to recycling
~
b. Recycler who does not store prior to recycling
~ Y ~ N
7. Exempt Boilerand/or Industrial Furnace—If "Yes", markall thatapply.
~
a. Small Quantity On-site Burner Exemption
~
b. Smelting, Melting, and Refining Furnace Exemption
B. Waste Codes for Federally Regulated Hazardous Wastes. Please list the waste codes of the Federal
hazardous wastes handled at your site. List them in the order they are presented in the regulations (e.g.
D001, D003, F007, U112). Use an additional page if more spaces are needed.







P ooz
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IF FOUND CONTACT THE NEAREST POLICE
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THIS CONTAINER HOLDS HAZARDOUS OR TOXIC WASTE
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26
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4%	United States
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A $300
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EPA 530-K-19-001
www.epa.aov/hwaenerators/manaaina-vour-hazardous-waste-auide-small--businesses
TOXIC
MURINE POLLUTAWL
-------