Excerpt from the Resource Conservation and Recovery Act (RCRA

RCRASubtitleCReporting

InstructionsandForms

EPAForms8700‐12,8700‐13A/B,8700‐23

(OMB#2050‐0024;Expires04/30/2024)

DISCLAIMER: This is an excerpt containing only the

information pertinent to the Site Identification Form

(Form 8700-12). The Instructions and Forms for all

three forms can be found here:

https://rcrapublic.epa.gov/rcrainfoweb/documents/

rcra_subtitleC_forms_and_instructions.pdf



i



TableofContents



INTRODUCTION..................................................................................................................................................1

GeneralInformation..................................................................................................................................................1

WhereToGetHelp....................................................................................................................................................1

FederalRegulations...............................................................................................................................................1

RCRALawsandRegulations...................................................................................................................................1

RCRAOnline...........................................................................................................................................................2

StateContacts........................................................................................................................................................2

ComplianceAssistanceCenters.............................................................................................................................2

EPASmallBusinessOmbudsmanOffice................................................................................................................2

YourTradeAssociation..........................................................................................................................................2

ConfidentialBusinessInformation(CBI)....................................................................................................................2

FillingOuttheForms.................................................................................................................................................3

Symbols..................................................................................................................................................................3

AlphanumericFields..............................................................................................................................................3

CommentsSectionofForms..................................................................................................................................3

PageNumberingofForms.....................................................................................................................................4

PaperFormReporting...........................................................................................................................................4

ElectronicReporting..............................................................................................................................................4



NotificationofRCRASubtitleCActivities(SiteIdentificationForm)....................................................................5



Authorization.............................................................................................................................................................6

Introduction...............................................................................................................................................................7

DeterminingIfYouMustNotify.................................................................................................................................7

HowToDetermineIfYouMustNotifyEPAofYourSubtitleCActivities...............................................................7

HowToDetermineIfyouMustNotifyEPAofYourUniversalWasteActivities....................................................9

HowToDetermineIfyouMustNotifyEPAofYourUsedOilManagementActivities..........................................9

HowToDetermineIfYouMustNotifyEPAofYourHazardousWastePharmaceuticalActivities......................10

Exemptions..........................................................................................................................................................11

FilingaNotificationofRCRASubtitleCActivitiesForm...........................................................................................11

ObtainorUpdateanEPAIdNumber...................................................................................................................11

HowManyFormsShouldIFile?..........................................................................................................................13

WhereShouldISendmyCompletedForm?........................................................................................................13

InstructionsforFillingouttheRCRASubtitleCSiteIdentificationForm.................................................................14

Item1–ReasonforSubmittal.............................................................................................................................14

Item2–SiteEPAIDNumber...............................................................................................................................16

Item3and4–SiteNameandSiteLocationAddress..........................................................................................17

Item5–SiteMailingAddress..............................................................................................................................17

Item6–SiteLandType.......................................................................................................................................17

Item7–NorthAmericanIndustryClassificationSystem(NAICS)Code(s)..........................................................17

Item8–SiteContactInformation.......................................................................................................................18

Item9–LegalOwnerandOperatoroftheSite...................................................................................................18

Item10–TypeofRegulatedWasteActivity(AtYourSite).................................................................................20

Item11–AdditionalRegulatedWasteActivities................................................................................................24

Item12–EligibleAcademicEntitiesWithLaboratories......................................................................................29

Item13–EpisodicGeneration............................................................................................................................30

Item14–LQGConsolidationofVSQGHazardousWaste...................................................................................31

Item15–NotificationOfLQGSiteClosureForACentralAccumulationArea(CAA)OrEntireFacility..............32

Item16–NotificationofHazardousSecondaryMaterial(HSM)Activity...........................................................32



ii



Item17–ElectronicManifestBroker..................................................................................................................33



Item18–Comments...........................................................................................................................................33

Item19–Certification.........................................................................................................................................33

AddendumtotheSiteIdentificationForm:NotificationofHazardousSecondaryMaterial(HSM)Activity.......344

YouMustFillOutthisAddendumIf:....................................................................................................................34

Item1–ReasonforNotification..........................................................................................................................35

Item2–DescriptionofExcludedHazardousSecondaryMaterial(HSM)Activity...............................................36

AddendumtotheSiteIdentificationForm:LQGConsolidationofVSQGsHazardousWastes.............................40

YouMustFillOutthisAddendumIf:....................................................................................................................40

Item1–EPAIDNumber......................................................................................................................................40

Item2–SiteName..............................................................................................................................................40

Items3‐6–SiteLocation.....................................................................................................................................40

Item7‐9–ContactInformation............................................................................................................................40

AddendumtotheSiteIdentificationForm:EpisodicGenerator.........................................................................41

YouMustFillOutthisSectionIf:..........................................................................................................................41

Item1‐2–Planned/UnplannedEvent.................................................................................................................41

Item3‐4–EmergencyContactInformation........................................................................................................41

Item5‐6–BeginningandEndDates....................................................................................................................41

Waste1–3..........................................................................................................................................................41



HazardousWasteReport...................................................................................................................................43



Authorization...........................................................................................................................................................44

Introduction.............................................................................................................................................................45

DeterminingWhoMustFile....................................................................................................................................45

WhoMustFile......................................................................................................................................................45

WhoShouldNotFile............................................................................................................................................46

FilingAHazardousWasteReport............................................................................................................................47

DocumentsHelpfulInFillingOuttheForms........................................................................................................47

WhichFormsToSubmitandWhatToReport.....................................................................................................47

WhenandWhereToSendYourCompletedReport............................................................................................49

InstructionsForFillingOutTheWasteGenerationAndManagement(GM)Form.................................................50

WhoMustSubmitthisForm?..............................................................................................................................50

PurposeofthisForm...........................................................................................................................................50

HowToFillOutthisForm....................................................................................................................................50

WastesToBeReported.......................................................................................................................................50

WastesNotToBeReported................................................................................................................................52

HowtoReportSimilarHazardousWasteontheGMForm.................................................................................53

Item1–WasteCharacteristics............................................................................................................................54

Item2–On‐siteGenerationandManagementofHazardousWaste.................................................................57

Item3–Off‐siteShipmentofHazardousWaste.................................................................................................58

Item4–Comments.............................................................................................................................................60

InstructionsForFillingOutTheWasteReceivedFromOff‐site(WR)Form............................................................60

WhoMustSubmitthisForm?..............................................................................................................................60

PurposeofthisForm...........................................................................................................................................60

HowToFillOutthisForm....................................................................................................................................60

ItemA–WasteDescription.................................................................................................................................61

ItemB–EPAHazardousWasteCode(s)..............................................................................................................61

ItemC–StateHazardousWasteCode(s)............................................................................................................62

ItemD–Off‐siteHandlerEPAIdentificationNumber.........................................................................................62

ItemE–FormCode.............................................................................................................................................62

ItemF–ManagementMethodCode..................................................................................................................62



iii



ItemG–QuantityReceived/UOMandDensity.................................................................................................63



Item4–Comments.............................................................................................................................................63

InstructionsForFillingOutTheOff‐siteIdentification(OI)Form............................................................................64

WhoMustSubmitthisForm?..............................................................................................................................64

PurposeofthisForm...........................................................................................................................................64

HowToFillOutthisForm....................................................................................................................................64

ItemA–EPAIDNo.OfOff‐SiteInstallationorTransporter................................................................................64

ItemB–NameofOff‐SiteInstallationorTransporter........................................................................................64

ItemC–HandlerType.........................................................................................................................................65

ItemD–AddressofOff‐SiteInstallation.............................................................................................................65

Item4–Comments.............................................................................................................................................65



RCRAHazardousWastePartAPermitApplication.............................................................................................66



Authorization...........................................................................................................................................................67

Introduction.............................................................................................................................................................68

DeterminingIfYouMustFile...................................................................................................................................68

WhoMustFileaRCRAHazardousWastePermitApplication?...........................................................................68

HowDoIKnowifIHandleRegulatedHazardousWaste?...................................................................................69

FilingaRCRAHazardousWastePartAPermitApplication.....................................................................................70

ExistingFacilities..................................................................................................................................................70

NewFacilities.......................................................................................................................................................71

FirstPartASubmission........................................................................................................................................71

RevisedPartASubmission...................................................................................................................................72

HowManyPermitPartAApplicationsShouldIFile?..........................................................................................72

WhenandWhereShouldIFileMyPermitApplication?.....................................................................................72

WhenShouldMyPermitApplicationBeRevised?..............................................................................................73

InstructionsForFillingOutTheHazardousWastePermitPartAForm..................................................................74

Item1–FacilityPermitContact..........................................................................................................................74

Item2–FacilityPermitContactMailingAddress................................................................................................74

Item3–FacilityExistenceDate...........................................................................................................................75

Item4–OtherEnvironmentalPermits................................................................................................................75

Item5‐NatureOfBusiness.................................................................................................................................75

Item6–ProcessCodeSAndDesignCapacities...................................................................................................75

Item7–DescriptionOfHazardousWastes.........................................................................................................76

Item8–Map.......................................................................................................................................................78

Item9–FacilityDrawing.....................................................................................................................................79

Item10–Photographs........................................................................................................................................79

Item11–Comments...........................................................................................................................................80



OtherReferencesandCodeLists.......................................................................................................................81



ExcludedWastes......................................................................................................................................................82

Definitions...............................................................................................................................................................84

SpecialInstructions..................................................................................................................................................95

EPAHazardousWasteCodes...................................................................................................................................99

HazardousSecondaryMaterial(HSM)FacilityCodes............................................................................................100

HazardousSecondaryMaterial(HSM)Land‐BasedUnitCodes.............................................................................102

SourceCodes.........................................................................................................................................................103

FormCodes............................................................................................................................................................105

ManagementMethodCodes.................................................................................................................................107



iv



WasteMinimizationCodes....................................................................................................................................109



ProcessCodes........................................................................................................................................................111

UnitofMeasureCodes..........................................................................................................................................113

PermitTypeCodes.................................................................................................................................................114

ForeignSiteIdentificationNumberList.................................................................................................................115



RCRASubtitleCReportForms.........................................................................................................................116



NotificationofRCRASubtitleCActivities(SiteIdentification)Form.....................................................................117

HazardousWasteReportForm.............................................................................................................................126

RCRAHazardousWastePartAPermitApplication...............................................................................................129



 



INTRODUCTION



Introduction



1



GENERALINFORMATION

The U.S. Environmental Protection Agency’s (EPA’s) mission to protect human health  and the

environmentincludestheresponsibilitytoeffectivelymanage,withtheStates,thenation’shazardous

waste facilities regulated under the Resource Conservation and Recovery Act of 1976 (RCRA), as

amendedbytheHazardousandSolidWasteAmendmentsof1984(HSWA).

Aspartofthistask,theEPA

andtheStates:

 CollectandmaintaininformationaboutsitesthatareconductingRCRASubtitleCactivitiesvia

theNotificationofRCRASubtitleCActivities(8700‐12);

 Collectandmaintain informationabout thegeneration,management, and  finaldisposition of

thenation’shazardous

wasteviatheHazardousWasteReportForm(8700‐13A/B);and

 Collect permit information from owners and operators of RCRA facilities where hazardous

wasteistreated,stored,ordisposedviatheHazardousWastePermitPartAForm(8700‐23).



NOTE



Although this document contains info rmation and instructions

for completing the

formslistedabove,itshouldnotbeconsideredasubstitutefortheregulationsinTitle

40 of the Code of Federal Regulations (40 CFR). Rather it should be considered a

supplementtotheregulationsandprovideadditionalinformationnotcontainedin40 

CFR.Asahandlerofregulated

waste,yo uareresponsibleforlearningandcomplying

withallrequirementsthatapply toyouandyourregulatedwasteactivities.



In addition, this document and the regulations in 40 CFR address only the Federal

hazardouswasteprogram.ManyStatesmayhavenotificationrequirementsthatdiffer

fromtheFederalrequirements;therefore,

thoseStatesmayusetheFederalformsor

maychoosetouseaStateformthatrequiresinformationnotrequestedintheFederal

EPAform. Again,it isyour responsibilityto make sure that you havecompletedand

submittedallformsrequiredundertheFederaloryourrespectiveStateprogram.

This document is separated into three main sections Notification of RCRA Subtitle C Activities (Site

IdentificationForm),HazardousWasteReport,andRCRAHazardousWastePartAPermitApplication.It

supersedes all previous versions of this document. Please read each section carefully and follow the

instructionsprovidedforeachapplicablesetof

forms.

WHERETOGET HELP

FEDERALREGULATIONS

TheFederalregulationsonprotectionoftheenvironmentcanbefoundat:

https://gov.ecfr.io/cgi‐bin/text‐

idx?SID=9ad6967debb43a613562eafb4e053c84&mc=true&tpl=/ecfrbrowse/Title40/40tab_02.tpl

RCRALAWS AND REGULATIONS

TheRCRAoverview,tools,resources,etc.canbefoundat:https://www.epa.gov/rcra.

Introduction



2



RCRAONLINE



The RCRA Online tool is designed to enable users to locate documents, including publications and

otheroutreachmaterialsthatcoverawiderangeofRCRA issuesandtopics.Thetoolcanbefoundat:

https://rcrapublic.epa.gov/rcraonline/.



STATECONTACTS

We havelistedtheaddressesandphonenumbersofthecontactsineachStatewhocanansweryour

questionsandhelpyouunderstandtheFederalandStaterequirementsthatapply toyou. Thiscontact

listislocatedat:

https://rcrainfo.epa.gov/rcrainfoprod/action/public/public-site/state-contacts.

Authorized States may have State‐specific forms and instructions for reporting and program

requirements thataremorestringentandbroader‐in‐scopethantheFederalrequirements. Please

checkwithyourStatecontactlistedintheabovelink.

COMPLIANCEASSISTANCECENTERS

The EPA’s Compliance Assistance Centers help businesses, colleges and universities, local

governments,



tribesandFederalfacilitiesunderstandandcomplywithenvironmentalrequirements

andsavemoney through pollution prevention techniques. Visit theCompliance Assistance Centers

at https://www.complianceassistance.net for a comprehensive source of compliance assistance

informationandresources.

EPASMALLBUSINESSOMBUDSMAN OFFICE

1‐800‐368‐5888.

YOURTRADE ASSOCIATION

Ifyouare amemberofanindustry‐specifictradeassociation,theymay haveinformation regarding

hazardouswastesthataregeneratedbyothermembers.

CONFIDENTIALBUSINESSINFORMATION(CBI)

Youmust  report allinformationrequestedin theforms.Youmaynotwithholdinformation fromthe

Administrator ofthe EPA because you believe it is confidential .However, when the Administratoris 

requested to consider inf ormation confidential,  it must be treated according to the EPA regulations

containedin40CFRPart2,

SubpartB.Theseregulationsprovidethatabusinessmay,ifitdesires,assert

aclaimofbusinessconfidentiality coveringallorpartoftheinformationfurnishedtotheEPA.40CFR

2.203(b) explains how to assert a claim.The EPA will treat information covered by such a claim in 

accordance

withtheproceduressetforthin40CFRPart2,SubpartB.

Ifsomeonerequestsreleaseofinformationcoveredbyaclaimofconfidentiality,oriftheEPAotherwise

decidestomakeadeterminationastowhethersuchinformationisentitledtoconfidentialtreatment,

the EPA will notify the business.The

 EPA will not disclose information as to when a claim of

Introduction



3



confidentialityhasbeenmadeexcepttotheextentofand inaccordancewith40CFRPart2,SubpartB.

However,ifthebusinessdoesnotclaimconfidentialitywhenitfurnishestheinformation,theEPAmay

maketheinformationavailabletothepublicwithoutnoticetothebusiness.Allinformationsubmitted

via

theformsprovidedinthisdocumentcanbereleasedtothepublic,pertheFreedomofInformation

Act,unlessitisdeterminedtobeconfidentialbytheEPApursuantto40CFRPart2,SubpartB.

IfyourStateisauthorizedtoconducttheRCRASubtitleCprogram,checkwith

theStateifyouwishto

assertaclaimofbusinessconfidentialityonyoursubmission.TheStatemayhavespecificprocedures

forassertingaclaim.

FILLINGOUTTHEFORMS

SYMBOLS

LIST

TheLISTsymboldenotesreferencesto relevantcodelists.Pleaseuse onlythecodes includedinthe

instructionsorinthelistsofcodesprovided.

SKIPINSTRUCTIONS

Thesymboldenotesdire ctionstoskiptothenextappropriatesection oritemtobecompleted,

givencertainresponsestosomequestions.

NOTE

TheNOTEsymboldenotesexplanatorytextofinformationrelevanttofilling outtheforms.

ALPHANUMERICFIELDS

Validcharactersforalphanumericfieldsarelimitedto:

`~!@#$%^&*()_‐+={}[]|\:;’”,.?/1234567890ABCDEFGHIJKLMNOPQRSTUVWXYZ

Invalidcharactersforalphanumericfieldsinclude:<>

Ifthe“<”or“>”symbolsareusedtoindicatelessthanorgreaterthan,it isrecommendedthatthese

symbolsbereplacedwith“LT”or“GT.”

COMMENTSSECTIONOF FORMS

UsetheCommentssectionwhereapplicabletoclarifyorcontinueanyentry.Forthegeneralcomment

sections,referencethesectionnumberanditemletteroftheentrythatisbeingcontinued.Forexample,

if your site has more Federally regulated hazardous waste codes than can fit in Item 10.B, enter the



remainingwastecodesintheCommentssectionandcross‐referenceItem10.B.Forexample,youwould

write:“Item10.B,continued:D007.”

Introduction



4



PAGENUMBERINGOFFORMS

When you have filled out all the appropriate forms on your RCRA Subtitle C submission, number the

pages(eachpieceofpape risapage)consecutivelythroughoutyoursubmission.Donotnumbereach

setofformsseparately,butrathernumbereachpagesequentially.Theindividualpagenumberandthe

totalnumber

ofpagesinyoursubmissionshouldappearatthebottomofeachpage(e.g.,Page1of7,

Page2of7).

Ifitisnecessarytocontinueinformationfromoneformontoanotherpage,makeadditionalcopiesof

theformandnumbertheadditionalpageswiththesamepage

numberasthefirstpage,followedbya

letter(e.g.,page27,page27a,page28,page28a,28b).Whencontinuinginformationonasupplemental

page,enteronlytheinformationthatisbeingcontinued.

PAPERFORMREPORTING

Eachformisincludedinthisdocument.Ifsubmittingpapercopy,photocopyasmanyformsasyouneed

tocompleteyoursubmission.MakecopiesafteryouhavewrittenyoursitenameandEPAIdentification

Numberinthetopleft‐handcorneroftheform,butbeforeyoubeginfillingoutthe

form.

Afteryouhavefinishfillingouttheforms,keepacopyforaperiodofatleastthreeyearsfromthedue

dateofthereportasrequiredby40CFRParts260,261,262,263,264,265,266,270,273,and279.

ELECTRONICREPORTING

TheEPAencourageselectronicreportingofRCRASubtitleCinformation. Facilitiescan nowenterdata

via electronic submissions by using the RCRAInfo Industry Application (RIA). The RIA allows for Site

IdentificationFormsubmissions(myRCRAid)andHazardousWasteReportsubmissions(BiennialReport).

To see if your State has opted in to the

 use of the RIA, and obtain instructions on how to file

electronically,contactyourStateorEPARegionalOffice.



NOTIFICATIONOFRC RA SUBTITLEC

ACTIVITIES(SITEIDENTIFICATIONFO R M) 





6



AUTHORIZATION



Section3010 of SubtitleC of theResource  Conservationand RecoveryAct(RCRA) requiresany person

who generates, transports ,  or recycles regulated wastes or who owns or operates a facility for the

treatment,storage,ordisposalofregulatedwastestonotifytheU.S.EnvironmentalProtectionAgency

(EPA)oftheiractivities,

includingthelocationandgeneraldescriptionoftheactivitiesandtheregulated

wastes handled. Respondents must submit  the information required in the Notification of Subtitle C

Activities (8700‐12). As required by statute, the EPA promulgated regulations to implement these

notificationrequirementsat40CFRParts260,261,262,263,264,

265,266,270,273,and279.TheEPA

needsthisinformationtodeterminetheuniverseofpersonswhogenerate,handle,andmanage these

regulated wastes; assign EPA Identification Numb ers; and ensure that these regulated wastes  are

managed in a way that protects human health and the environment as required by

RCRA. This is

mandatoryreportingbytherespondents.



The EPA enters notification information submitted by respondents into RCRAInfo, the EPA nationa l

database,andassignsEPAIdentificationNumbers.TheEPAusesthisinformationtoidentifytheuniverse

ofregulated wastege nerators,handlers,andmanagersandtheirspecificregulatedwasteactivities.The

EPA

 also uses the information for tracking and for a variety of enforcement and inspection purposes.

Finally,theEPAusesthisinformationtoensurethatregulatedwasteismanagedproperly,thatstatutory

provisionsareupheld,andthatregulationsareadheredtobyfacilityownersoroperators.



Section3007(b)ofRCRAand

40CFRPart2,SubpartB,whichdefinestheEPA’sgeneralpolicyonpublic

disclosure of information, both contain provisions for confidentiality. Howev er, the Agency does not

anticipatethatbusinesseswillassertaclaimofconfidentialitycoveringallorpartoftheNotificationof

SubtitleCActivity.Ifsuchaclaim

wereasserted,theEPAmustandwilltreattheinformationinaccordance

withtheregulationscitedabove.TheEPAalsowillassurethattheinformatio n collectioncomplieswith 

thePrivacyActof1974andOfficeofManagementandBudget(OMB)Circular108.



ThiscollectionofinformationisapprovedbyOMB

underthePaperworkReductionAct,44U.S.C.3501et

seq.(OMB ControlNo. 2050‐0024).Responses to this collection of information aremandatory (40 CFR

262.41).Anagencymaynotconductorsponsor,andapersonisnotrequiredtorespondto,acollection

of information unless it displays a currently

 valid OMB control number.The public reporting and

recordkeeping burden for this collection of information is estimated to range from 1 to 2 hours per

response.SendcommentsontheAgency’sneedforthisinformation,theaccuracyoftheprovidedburden

estimates, and anysuggested methods for minimizingrespondent burden

including through the use of

automated collection techniques to the Director, Regulatory Support Division, U.S. Environmental

Protection Agency (2821T), 1200 Pennsylvania Ave., NW, Washington, D.C. 20460.Include the OMB

controlnumberinanycorrespondence.Donotsendthecompletedformtothisaddress.

 

NotificationofRCRASubtitleCActivities(SiteIdentificationForm)



7



INTRODUCTION



These instructionsare designed to help you determine if you are subject to requirements under the

ResourceConservationandRecoveryActof1976(RCRA),asamendedbytheHazardous andSolidWaste

Amendments of 1984 (HSWA) for notifying the U.S. Environmental Protection Agency (EPA) of your

regulated waste activities. Regulated

wastes are hazardous wastes as defined by 40 CFR Part 261,



universalwastes as definedby40 CFRPart273, andusedoilasdefinedby40 CFRPart 279.



Ifyouare

managinghazardoussecondarymaterialunder40CFR260.30,40CFR261.4(a)(23),(24),(25),or(27),



you

alsomustnotifyunder40CFR 260.42usingtheRCRA Subtitle CSite IdentificationFormand Addendums

tothe Site IdentificationForm. Inaddition,youmustnotifyif:

 youare a facility that recycles hazardous wastewith aRCRA permit (i.e., stores the hazardous

wastepriortorecycling)(See

40CFR261.6(c));

 youareafacilitythatrecycleshazardouswastewithoutaRCRApermit(i.e.,recycleswithoutfirst

storingthematerial)(See40CFR261.6(c)(2)(iv));

 you are a very small quantity generator (VSQGs), previously called conditionally exempt small

quantitygenerators(CESQGs),andyouaretakingadvantageoftheepisodicgenerationprovision

at40CFR262.232(a);

 youarelargequantitygenerator(LQG)consolidatingwastefromVSQGsunderthecontrolofthe

samepersonunder40CFR262.17(f));

 youareclosingeitherawasteaccumulationunitoryourfacility,bothpriortoclosingandafter

conducting

closureperformanceoperations,under40CFR262.17(a)(8)).

Theinstructionscontainedinthisdocumentwillassistyouin obtainingorupdatinganEPAIdentification

numberbycompleting and submittingthe RCRA Subtitle CSite IdentificationForm(SiteIDForm). RCRA

isaFederallaw. Ifyouareregulated butdo

notcomplywiththeRCRAnotificationrequirements,youmay

besubjecttocivilpenalties.

DETERMININGIFYOUMUSTNOTIFY

HOWTODETERMINEIFYOU MUSTNOTIFYEPAOFYOURSUBTITLECACTIVITIES



Allpersonswhogenerate,transport,recycle,treat,store,ordisposeofhazardouswastearerequiredto

notify the EPA (or their State agency if the State is authorized to operate its own hazardous waste

program) of their hazardous waste activities. Furthermore, if you are managing hazardous secondary

materialunder40 CFR

260.30,40 CFR261.4(a)(23),(24),(25),or(27), you alsomust notify usingthe

RCRA SubtitleCSiteIdentificationFormandtheAddendumtotheSiteIdentificationForm:Notification

ofHazardousSecondaryMaterialActivity. Lastly,ifyouarearecognizedtraderarrangingforimportor 

export of hazardous wastes, including

hazardous waste managed under the alternate m anagement

standards of 40 CFR Part 266 or Part 273, you must notify. These persons must obtain an EPA

Identification Number unless their solid waste has been excludedfrom regulationor their hazardous

wastehasbeenexemptedasoutlinedbelow.Theserespectivenotificationrequirementsare

 foundin

40CFRParts260,261,262,263,264,265,and266.

Inadditiontothediscussionbelow,youwillneedtoreferto40CFRPart261tohelpyoudetermineif the

wasteyouhandleisbothasolidwasteandahazardouswastethatisregulatedunderRCRA. Ifyou need

helpmakingthisdeterminationafterreadingtheseinstructions,contacttheagencylistedforyour State.

NotificationofRCRASubtitleCActivities(SiteIdentificationForm)



8



If your facility was granted a solid waste variance under 40 CFR 260.30 prior to July 13, 2015, the

management of your hazardous secondary materials



under40CFR260.30isgrandfatheredunderthe

previousregulationsandyouarenotrequired



to notify.

NOTE

UndertheHazardousWasteImportRegulations,40CFR262.84,foreigngenerators should

notapplyforanEPAIdentificationNumber. Theseregulationsstatethatwhenfillingout a

U.S.manifest,youmust includethe nameand addressoftheforeign generator, and the

name,address,andEPAIdentificationNumber

oftheimporter.PleasecontacttheU.S.firms

involvedwithyourshipmentsanddeterminewhichfirmwillserveastheU.S.Importer.



TodetermineifyouhandleasolidwastethatisalsoahazardouswasteandregulatedunderRCRA,ask

yourselfthefollowingquestions:



DOIHANDLE A SOLIDWASTE?



40CFR261.2defines“solidwaste”asanydiscardedmaterialthatisnotexcludedunder40CFR261.4(a)

orthatisnotexcludedbyvariancegrantedunder40CFR260.30and260.31.Adiscardedmaterialisany

materialwhichis:



 Abandoned,asexplainedin40CFR261.2(b);or



Recycled,asexplainedin40CFR261.2(c);or

 Consideredinherentlywaste‐like,asexplainedin40CFR261.2(d);or

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

Thelistofgeneralexclusionscanbefoundin40CFR261.4.Ifthesolidwastethat

youhandlehasbeen

excluded,eitherbyruleorspecialvariance,thenyoudonotneedtonotifytheEPAforthatsolidwaste

unlessotherwisestatedintheregulations. Ifyoursolidwastewasnotexcludedfromregulation,youneed

to determine if it is a hazardous waste that the

 EPA regulates. The EPA regulates a solid waste as

hazardouswasteintwoways:



 ByspecificallylistingthesolidwasteasahazardouswasteandassigningitauniqueEPAHazardous

WasteCodeNumber;or



 Byregulatingitbecauseitpossessesanyoffourhazardouswastecharacteristics

andassigningit a

genericEPAHazardousWasteCodeNumber.

ISMY SOLID WASTE SPECIFICALLY LISTED AS A HAZARDOUSWASTE?



40 CFR 261.30 through 261.33 identify certain solid wastes that the EPA has specifically listed as

hazardous. PersonswhohandlelistedhazardouswastearesubjecttoregulationandmustnotifytheEPA

of their hazardous waste activities unless they are exempted as discussed below. Refer to these

regulationstosee

ifyoursolidwasteisincludedasa“listedhazardouswaste.” Ifyouarehandlinganewly

regulated hazardous waste and have already notified the EPA prior to that hazardous waste being

NotificationofRCRASubtitleCActivities(SiteIdentificationForm)



9



regulated and already have an EPA Identification Number, you do not need to submit a Subsequent

Notificationforthatnewlyregulatedhazardouswaste.

DOES MY SOLID WASTE POSSESS AHAZARDOUS CHARACTERISTIC?



Evenifyoursolidwaste isnotspecificallylistedasahazardouswaste,itmaystillbehazardousbecauseit

exhibitscertainhazardouscharacteristics. Thesecharacteristicsare:



 Ignitability;

 Corrosivity;

 Reactivity;and

 Toxicity.

40CFR261.20through261.24explaineachofthecharacteristicsandoutlinesthetesting

proceduresyou

should use to determine if your solid waste meets these characteristics. Persons who handle

characteristic hazardouswastethat isregulatedmust notify the EPAof their activitiesunlesstheyare

exempted,asdiscussedbelow.Ifyouarehandlinganewlyregulatedhazardouswasteandhavealready

notifiedthe

EPApriorto that hazardouswaste beingregulatedandalreadyhaveanEPAIdentification



Number,youdonotneedtosubmitaSubsequentNotificationforthatnewlyregulatedhazardouswaste.



HOWTODETERMINEIFYOU MUSTNOTIFYEPAOFYOURUNIVERSALWASTEACTIVITIES



Under40CFRPart273,S ubpartC,LargeQuantityHandlersofUniversalWaste(LQHUW)whoaccumulate

atotalof5,000kilograms(kg)ormoreofuniversalwastesatanytimearerequiredtonotifytheEPA(or

theirStateagencyiftheStateisauthorizedtooperateitsownuniversal

wasteprogram)oftheiruniversal

wasteactivitiesand obtainanEPAIdentificationNumber,unlesstheyhavepreviouslynotifiedtheEPAof

their hazardous waste activities. LQHUWs must notify the EPA of their universalwaste activitiesand

obtain an EPA Identification Number before meeting or exceeding the 5,000 kg storage limit. Small



QuantityHandlersofUniversalWasteareexemptfromthesenotification requirements.



NOTE

Pleasereferto theregulationsin40CFRPart273toensurethatyouareawareofallthe

requirementsthatapplytoyouruniversalwastehandlingactivities.

AsofFebruary7, 2020,aerosolcanscan bereported

asuniversalwaste ifyour Statehas

adoptedtheaerosolcanuniversalwasterule.Seethefollowinglinkformoreinformation:

https://www.epa.gov/hw/increasing‐recycling‐adding‐aerosol‐cans‐universal‐waste‐

regulations



HOWTODETERMINEIFYOU MUSTNOTIFYEPAOFYOURUSEDOILMANAGEMENT

ACTIVITIES



Under40CFRPart279,SubpartsE,F,G,andH,respectively,personswhotransportusedoil;processor

re‐refineusedoil;burnoff‐specificationusedoil forenergyrecovery;ormarketusedoilfuel,arerequired

NotificationofRCRASubtitleCActivities(SiteIdentificationForm)



10



tonotifytheEPA(ortheirStateagencyiftheStateisauthorizedtooperateitsownusedoilprogram)and

obtainanEPAIdentificationNumber,unlesstheyareexemptasoutlinedbelow. Off‐specificationused

oilmay be burnedforenergyrecovery inanindustrial furnace, boiler,or hazardous waste

incinerator

subjecttoregulationunderSubpartOof40CFRPart264or265.

Usedoiltransporters;usedoilprocessors/re‐refiners;off‐specificationusedoilbu rners;andusedoilfuel

marketerswhohavenotpreviouslynotifiedtheEPAoftheirhazardouswasteactivitiesornotifiedunder

40CFRPart266,

SubpartE (replacedby40CFRPart279)mustnotifytheEPAtoidentifytheirusedoil 

managementactivities.

NOTE

Pleasereferto theregulationsin40CFRPart279toensurethatyouareawareofallthe

requirementsthatapplytoyourusedoilmanagementactivities.



HOWTODETERMINEIFYOU MUSTNOTIFYEPAOFYOURHAZARDOUSWASTE

PHARMACEUTICALACTIVITIES



Under40CFRPart266,SubpartP,healthcarefacilitiesthatgenerateaboveVSQGamountsofhazardous

wasteinacalendarmonthmustnotifytheEPA(ortheirStateagencyiftheStateisauthorizedtooperate

its own hazardous waste program) of their hazardous waste pharmaceutical activities.If a healthcare

facility does not already have an  EPA identification number, it will receive  one after notifying.If a

healthcarefacilityalreadyhasanEPA identificationnumber,itisstillrequiredtonotifythatitisoperating

undertheSubpartPregulations.HealthcarefacilitiesoperatingunderSubpartPthatgenerateaboveVSQG

amounts

 of non‐pharmaceutical hazardous waste must also comply with all of the 40 CFR Part 262

generatorregulationsfortheirnon‐pharmaceuticalhazardouswaste,includingnotificationandreporting.



TodeterminewhetherahealthcarefacilitygeneratesgreaterthanVSQGamountsofhazardouswasteina

calendarmonth,itmustincludeits

hazardouswastepharmaceuticalsalongwithitsotherhazardouswaste

initscalculations.IfahealthcarefacilityisabovetheVSQGthresh oldthenitmustnotifyEPA.Healthcare

facilities that generate below VSQG am ounts of all of their hazardous waste are not required to notify

under40CFRPart266,SubpartP.

HealthcarefacilitiesthatareVSGQGsforalloftheirhazardouswaste 

canchoosetooptintotheSubpartPregulations.HealthcarefacilitiesoptingintoSubpartPmustsubmit

a one‐time n otification to the EPA (or their State agency if the State is authorized to operate its own

hazardouswaste

program)oftheirhazardouswastepharmaceuticalactivities.IfaVSQGhealthcarefacility

doesnotalreadyhaveanEPAidentifica tion number,itwill receiveoneafternotifying.IfaVSQGhealthcare

facilityalreadyhasanEPAidentificationnumberanditchoosestooptin,itisstillrequiredtonotifythatit



isoperatingunderSubpartP.



Under40CFRPart266,SubpartP,allreversedistributorsofhazardouswastepharmaceuticalsmustnotify

thatthey areoperatingundertheSubpartPregulations,evenifthesitealreadyhasanEPAidentification 

number.

 

NotificationofRCRASubtitleCActivities(SiteIdentificationForm)



11



NOTE

Healthcarefacilitiesandreversedistributors,please refertotheregulationsin40CFRPart

266,SubpartPtoensurethatyouareawareofallrequirementsthatapplytoyourhazardous

waste pharmaceutical handling activities.For details about how healthcare facilities

operatingunderSubpartPforthemanagementof

hazardouswastepharmaceuticalsshould

determine their generator category under 40 CFR Part 262 for their non‐pharmaceutical

hazardouswaste,see40CFR266.501.



EXEMPTIONS



40CFR262.13and261.6(a)(3)listcertainhazardouswastesthatarenot subjecttoRCRAregulation. If

the hazardouswastethatyouhandlehasbeenexempted,thenyoudonotneedtonotifytheEPAfor

that hazardouswaste.



USEDOILFORENERGYRECOVERY



Usedoilthatistobeburnedforenergyrecoveryandthatmeetsthespecificationprovidedunder40CFR

279.11 is exempt from the regulations. However, the person who first claims that the used oil  meets



the specification is subject to notification as a used oil fuel marketer and certain other requirements

(see40CFRPart279,SubpartH).Theburneroffuelthatmeetsthespecificationin40CFR279.11isnot

requiredtonotify.



USED OILGENERATORS



UsedoilgeneratorsarenotrequiredtonotifytheEPA.



USED OILGENERATORSOPERATING US ED OIL‐FIRED SPA CE 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Britishthermalunitperhour(BTU/hour).



FILINGA NOTIFICATIONOFRCRASUBTITLECACTIVITIESFORM



OBTAINORUPDATEANEPAIDNUMBER

IfyoudonotcurrentlyhaveanEPAIdentific a tionNumberandyouhandleregulatedwasteorhazardous

secondary material directly or as an Electronic Manifest (E‐Manifest) Broker, or if  you have an EP A 

IdentificationNumberandneedtoreviseinformationregardingyoursiteand/oractivity,youmust

submitaSite

IdentificationFormwithareasonforsubmittalofObtainingorUpdatinganEPAIDNumber

foranon‐goingregulatedactivitythatwillcontinueforaperiodoftime.Circumstances underwhich

youshouldsubmitthisnotificationinclude:

 If you generate, transport, treat, store, or dispose of hazardous waste.

NotificationofRCRASubtitleCActivities(SiteIdentificationForm)



12



NOTE

Small Quantity Generators (SQGs) must re‐notify by reviewing and updating their

informationonthisformeveryfour(4)yearsbySeptember1

(startingin2021).

 If you recycle hazardous wastes. (Recyclable materials are defined as hazardous wastes that are

recycled). Therecyclingprocessitselfisexemptfromregulation,butyoumustnotifytheEPAand

obtainanEPAIdentificationNumberpriortorecyclingrecyclablematerials.

 Ifyouarealargequantityhandlerofuniversal

waste. (Notificationisrequiredforpeoplewhohave

notpreviouslynotifiedtheEPAoftheirhazardous waste activities or who have not already sent

a notification to the EPA as required by 40CFR273.32).

 Ifyoutransport,process,orre‐refineusedoil;burnoff‐specificationusedoil

forenergyrecovery; or

market used oil. (Notification isrequired forpeople whohavenotpreviouslynotifiedtheEPAof

theirhazardouswasteactivitiesorhavenotnotified under40CFRPart279orunder40CFRPart

266,SubpartE,whichwasreplacedby40CFRPart279.)

 If

 you are an eligible academic entity opting into 40 CFR Part 262, Subpart K for managing

laboratory hazardous wastes AND you have never submitted site identification information,

youmustsubmitthisformtonotifytheappropriateStateorEPARegionalOfficeof youractivities.

NOTE

Youmustcheckwith your

Statetodetermineifyouareeligibletomanage laboratory

hazardouswastepursuantto40CFRPart262,SubpartK,inorderforyoutonotify.

 If you will begin managing hazardous secondary material under 40 CFR 260.30, 40 CFR

261.4(a)(23),(24),(25),or(27),youmustsubmitthisform,pursuantto40CFR260.42,to notify

the appropriateStateorEPARegionalOfficeofyouractivities.

NOTE

YoumustcheckwithyourStatetodetermine

ifyouareeligibletomanagehazardous

secondarymaterialundertheseexclusions,inorderforyoutonotify.



 IfyouareanElectronicManifestBrokerthathasacontractualrelationshipandelectstousethe

system to obtain, complete, and transmit an electronic manifest format supplied by the EPA

electronicmanifestsystemforhandlersofhazardouswastes.



 If you are either a VSQG  or a SQG

 who, as a result of a  planned or unplanned episodic event,

generatesaquantityofhazardouswasteina calendarmonthsufficienttocausethefacilitytomove

intoamorestringentge neratorcategory(i.e.,VSQGtoeitheranSQGoranLQG;oranSQGtoan

LQG).





Ifyour businessmovestoanotherlocationandyouare stillconducting activitiesregulatedunder

RCRASubtitleC.

 Ifthecontactforyoursitechanges.

 Iftheownershipofyoursitechanges.

 Ifanadditionalownerhasbeenaddedorreplacedsinceyousubmittedyourlastnotification.

NotificationofRCRASubtitleCActivities(SiteIdentificationForm)



13



 IfthetypeofRCRASubtitleCactivityyouconductchanges.

 IfyouareanLQGclosingacentralaccumulationareabecauseyounolongermanagehazardouswaste

initorclosingyourwholesitebecausehazardouswasteactivityhasceased.

 IfyouareanLQGconsolidatinghazardous

wastefromVSQGsunderthecontrolofthesameperson.

 If you have previously submitted site identification informationand are an eligibleacademic entity

opting into or withdrawing from 40 CFR Part 262, Subpart K for managing laboratory hazardous

wastes,youmustusethisform.

NOTE

You must check

with your State to determine if you are eligible to manage laboratory

hazardouswastepursuantto40CFRPart262,SubpartK,inorderforyoutonotify.

 Ifyouaremanagingorwillstopmanaginghazardoussecondarymaterialunder40260.30,40CFR

261.4(a)(23),(24),(25),or(27),youare requiredto re‐notifybyMarch1 ofeacheven‐numbered

year pursuant to 40 CFR 260.42.

NOTE

If your facility was granted a solid waste variance

 under 40 CFR 260.30 prior to July

13, 2015, the management of your hazardous secondary materials



under40CFR260.30

isgrandfatheredunderthepreviousregulationsandyouarenotrequired



to notify.



HOWMANYFORMSSHOULDI FILE?



Ifyoufall underanyoftheregulations aboveto notify EPA, you mustsubmit oneSite IdentificationForm

alongwiththeapplicableAddendums.Forexample,ifyoumanage hazardoussecondarymaterialunder40

CFR260.30,40CFR 261.4(a)(23), (24), (25), or (27), alongwiththeSiteIdentificationFormyou

should

submit the Notification of Hazardous Secondary Material Activity addendum. If you are an SQG or VSQG

generatinghazardouswastefromaplannedorunplannedepisodiceventpursuantto40CFRPart262,Subpart

L,alongwithSiteIdentificationFormyoushouldsubmitthe EpisodicGeneratoraddendum.Ifyou arean

LQG

receivinghazardouswastefromVSQGsunderthecontrolofthesameperson,alongwiththeSiteIdentification

Form,youshouldsubmittheLQGConsolidationofVSQGHazardousWasteaddendum.

WHERESHOULDISENDMYCOMPLETEDFORM?



ClickheretofindaccesstoacontactlistcontainingtheaddressforyourStateorEPARegionalOfficewhere

you shouldsendyourcompletedSiteIDForm. Thelistcontainscontactnames,addresses,phonenumbers,

ande‐mailaddressesthatyoucanuseto obtainadditionalinformation.

Many States use the forms included in this document; some also require additional information. Other

Statesrequirethatyoucompleteandsubmita

State‐specificform.Informationaboutwhichform touseis

includedwiththecontactlistlocatedatthewebpagenotedabove. Evenifyouusetheincludedform,you

shouldcheckwithyourStatetodetermineifyouneedtosubmitadditionalinformation.Also,



contactyour

Stateifyouhaveanyquestionsaboutyour submission.

NotificationofRCRASubtitleCActivities(SiteIdentificationForm)



14



AfteryourcompletedSiteIDFormforObtaininganEPAIdentificationnumberorforObtaininganElectronic

ManifestBrokerisreceivedandprocessed,youwillbesent awritten acknowledgement that will include

yourEPAIdentificationNumber. Youmustusethis numberonall



communicationswiththeEPAregarding

yourregulatedwasteactivities for this site.



INSTRUCTIONSFORFILLINGOUTTHERCRASUBTITLECSITEIDENTIFICATIONFORM

Typeorprint,inblackink,an“X”inallitemsthatapply(if“Yes”,typeorprintan“X”inthe“Y”box,if

“No”,typeorprintan“X”inthe“N”box)andthentypeorprintan“X”inallotherboxesthatapply.In

Item 19,

 provide the required ink signatures.Signatures must be original.Stamped or photocopied

signaturesarenotacceptable.Enteryoursite’sEPAIdentificationNumberinthetopleft‐handcorneron

allpagesofthe form; for an initial notificationforthissite,leavetheEPAidentificationNumberblank.

Use Item18

–Comments to clarify or provide additional information for any entry.When entering

informationinthecommentssection,entertheitemnumberandboxlettertowhichthecommentrefers.

Ifyoumustuseadditionalsheetsforcomments,enteryoursite’sEPAIdentificationNumberinthetop

left‐handcornerof

eachsheet.

ITEM1–REASONFORSUBMITTAL

Placean“X”intheappropriateboxtoindicatewhetheryouaresubmittingthisformtoobtainorupdate

anEPAIDNumberforanon‐goingregulatedactivity;asacomponentoftheHazardousWasteReport;to

notifythatregulatedactivityisnolongeroccurringatyoursite;toobtain

orupdateanEPAIDNumberfor

conducting electronic manifest broker activities; or as a component of a First  or a Revised  Hazardous

WastePartAPermitApplication.

OBTAININGORUPDATINGANEPAIDNUMBERFORON‐GOINGREGULATEDACTIVITIES

(ITEMS10–17)THATWILLCONTINUEFORAPERIOD OFTIME

 IfyourwasteactivityisregulatedunderSubtitleCoftheResourceConservationandRecoveryAct

(RCRA) and the rules promulgated pursuant to the Act(specifically 40CFR Parts260‐299), you

mustsubmit this form tonotifytheappropriateStateorEPARegionalOfficeofyourregulated

wasteactivitiesandobtainanEPAIdentificationNumber.



 If you are an eligible academic entity opting into 40 CFR Part 262, Subpart K for managing

laboratoryhazardous wastesANDyouhaveneversubmittedsiteidentificationinformation,you

mustsubmitthisformtonotifytheappropriateStateorEPARegional

Officeofyouractivities.

NOTE

You must check with your State to determine if you are eligible to manage

laboratoryhazardouswastepursuantto40CFRPart262,SubpartK,inorderfor

youtonotify.

 Ifyouarearecognizedtraderarrangingforexportorimportofhazardouswaste,includingthose

managedunderthealternatestandardsof40CFR Parts266and273;oranexporterorimporter

NotificationofRCRASubtitleCActivities(SiteIdentificationForm)



15



ofspentleadacidbatteries(SLABs),youmustsubmitthisformtonotifytheappropriateStateor

EPARegionalOfficeofyouractivities.



 You must use this form to submit a subsequent notification if your site already has an EPA

Identification Number and you wish to change inf ormation (e.g., generator status, new site

contactperson,newowner,newmailingaddress,newregulatedwasteactivity,etc.).



 Ifyouhavepreviouslysubmittedsiteidentificationinformationandarenotifying(orre‐notifying)

that you will  begin managing, are managing, or have stopped

managing hazardous secondary

materialunder40CFR260.30,40CFR261.4(a)(23),(24),(25),or(27),youmustsubmitthisform,

pursuantto40CFR260.42,tonotifytheappropriateStateorRegionalOfficeofyouractivities.

NOTE

You must check with your State to determine if you are eligible  to manage

hazardous se condary material under these exclusions, in order for you to

notify.

 Ifyouareaverysmallquantitygenerator(VSQG), previouslycalledconditionally exempt small

quantity generator (CESQG), taking advantage of the episodic generation provision at 40 CFR

262.232(a),youmustsubmitthisformtoreportyourepisodicevent.



 Youmustusethisformifyouarea

smallquantitygenerator(SQG)thatisre‐notifying,beginning

in 2021 and every four (4) years thereafter, unless a State program has more frequent

reporting/notificationrequirements.Thedeadlineforre‐notificationisSeptember1

beginning

in2021.(See40CFR262.18).



 Youmustusethisformifyouarealargequantitygenerator(LQG):

o ConsolidatingwastesfromVSQGsunderthecontrol ofthesameperson.(See40CFR262.1 7

(f)). Such LQGs must complete the Addendum to the Site Identification Form: LQG



ConsolidationofVSQGHazardousWaste,andidentifytheRCRAIdentificationNumberofthe

VSQG(ifapplicable),name,address,emergencycont actphonenumberandcontactnameof

everyVSQGthattheyarereceivinghazardouswastesfrom.

o Closingeithe rawasteaccumulationunit(optional)ortheirfacility,bothpriortoclosing

and

afterconductingclosureperformanceoperations(See40CFR262.17(a)(8)).

SUBMITTINGASACOMPONENTOFTHEHAZARDOUSWASTEREPORT

IfyouarerequiredtosubmitaHazardousWasteReportindicatingtheamountofhazardouswasteyou

generate,treat,recycle,dispose,on‐siteorshipoff‐siteforsubseq uenttreatment,recyclinganddisposal,

orreceivefromoff‐site,youmustfilloutthisform.ASiteIDFormsubmitted witha

Hazar dousWaste

Reportisequivalenttoasubsequentnotification.

 SitewasaTSDfacilityand/orgeneratorof≥1,000kgofnon‐acutehazardouswaste,>1kgof

acutehazardouswaste,or>100kgofacutehazardouswastespillcleanupinoneormore

monthsofthereportyear(orStateEquivalentLQGregulations)

NotificationofRCRASubtitleCActivities(SiteIdentificationForm)



16



The purpose of this check box is to distinguish between sites that meet the criteria and are

requiredtofileareportversusthosewhofilevoluntarilyorbyState‐onlyrequirementbutwere

notatreatment,storage,anddisposalfacility(TSDF)oraLargeQuantityGenerator(LQG)during

the

report year.Sites required to file the report should place an “X” in this box, whil e non‐

LQG/TSDsitesshouldnot.Formoreinformationaboutwhomustfileareport,refertotheWho

MustFileaHazardousWasteReportsection.

NOTIFIYINGTHATREGULATEDACTIVITYISNOLONGEROCCURINGATYOUR SITE

IfyouarenolongerconductingANYRCRASubtitleCFederalorStateregulatedhazardouswasteactiviti es,

listedontheSiteIdentificationForm,thenyoucanusethisReasonforSubm ittaltodeactivateyourEPA

IDnumber.

OBTAININGORUPDATINGANEPAIDNUMBERFORCONDUCTINGELECTRONICMANIFEST

BROKERACTIVITIES

If you are requesting an EPA ID in order to create and broker manifest transactions for handlers of

hazardouswaste,thenselectthisReasonforSubmittal.AnElectronicManifestBrokerisconsidereda

useroftheelectronicmanifestsystemthathasacontractualrelationshipandelectstousethesystemto



obtain,completeandtransmitanelectronicmanifestformsuppliedbytheEPAelectronicmanifestsystem 

forhandlersofhazardouswastes.Thisdesignationisforusersoftheelectronicmanifestsystem,defined

in40CFR260.10asapersonthatelectstousethesystemtoobtain,completeandtransmitan

electronic

manifestformatsuppliedbytheEPAelectronicmanifestsystem.

SUBMITTINGANEWORREVISEDPARTA(PERMIT) FORM

Ifyoursiteisplanningtotreat,store,ordisposeofhazardouswasteon‐siteinaunitthatisnotexempt

fromobtainingahazardouswastepermit,youmustsubmitthisformasacomponentofthePartAPermit

Application.Also, if the activity at this site (treatment, storage,

 or disposal) became newly regulated

underRCRASubtitleCandtherulespromulgatedpursuanttotheAct(specifically40CFRParts260‐299),

youmustsubmitthisformaspartofthePartAPermitApplication.Also,youmustsubmitaRevisedPart

APermitApplicationtoreflectchangesthat

haveoccurredatyoursite,youmustsubmitthisformaspart

ofyourRevisedPartAPermitApplication.

ITEM2–SITEEPAIDNUMBER

Provide your EPA Identification Number in Item 2 for this site.The first two characters of the EPA

Identification Number must be a valid  State postal code.Be sure to include your  EPA Identification

Numberatthetopofallpagesofthefor m(aswellasonanyattachmentstotheSiteIDForm).

NOTE

Ifthisisyourinitialnotificationforthissite,leavetheEPAIdentification Numberblan kand

proceedtoItem3.

 

NotificationofRCRASubtitleCActivities(SiteIdentificationForm)



17



ITEM3AND4– SITENAMEANDSITELOCATIONADDRESS

Providethelegalnameofyoursiteandacompletelocationaddress.Pleasenote thatthe addressyou

giveforItem4,SiteLocationAddress,mustbeaphysicaladdress,notapostofficeboxorroutenumber.

Onlyforeignhazardouswastetransporters,withtheirheadquarterslocatedoutsidetheU.S.,may

provide

a Site Location Country outside of the U.S.Additionally, you may provide the latitude and longitude

coordinatesforapointthatfallswithintheboundariesofthesite.Thisinformationisoptionalunlessthe

sitedoesnothaveaphysicaladdress(seenextparagraphbelow).

Forsites thatdonothaveaphysicaladdress(primarilyoilrigsinstateorfederalwaters),pleaseprovide

latitudeandlongitude

coordinatesfor apointthatfallswithintheboundariesofthesiteandindicatethat

thesecoordinatesaretobeusedastheprimarysitelocationaddress.Youmayprovideothersitelocation

addressinformationincludingcity,state,andzipifappropriate.

NOTE

AnewEPAIdentificationNumberisrequired

ifyouchangethelocationofyoursite

ITEM5–SITEMAILINGADDRESS

ProvidetheSiteMailingAddress.IftheMailingAddressandtheSiteLocationAddress(Item4)arethe

same,youcancheckthe“SameasLocationAddress”checkbox.

ITEM6–SITELANDTYPE

Place an “X’ in the box that best describes the land type of your site.Select only one typ e:Private, 

County,District,Federal,Tribal(seebelo w), Municipal,State,orOther.Ifyoursite’sLandTypecouldbe

describedasMunicipalandanotherLandType,suchasCounty,District,orTribal,do

notplacean“X”in

Municipal.Instead,choose theother appropriateLandType.(Forexample, ifyoursite’s Land Typeis 

bothMunicipalandCounty,youwouldplacean“X”intheboxforCounty.)YoumayexplainthisinItem18

–Comments.

Tribal–Thelandwhichyoursiteis

onbelongstooneofthetribes/entitiesonthelistofFederally

recognizedAmericanIndiantribesandAlaskanNativeentitieslocatedathttps://www.epa.gov/data‐

standards/tribal‐identifier‐data‐standard.

ITEM7–NORTHAMERICAN INDUSTRYCLASSIFICATIONSYSTEM(NAICS)CODE(S)

BoxA(Primary)mustbecompleted.CompletingBoxesB‐Disrecommended,ifapplicable. 

BOXA

Providethe NorthAmericanIndustryClassification System (NAICS) codethatbestdescribes  your site’s 

primary business production process for your products or services.Referencing the late st version of

NAICScodes,usethe6‐digitcode(mostspecificdescription)ifavailableforyourbusiness;ifnot,usethe

5‐digitcode;do

notenteranyfour(4)orlessdigitcodes.

NotificationofRCRASubtitleCActivities(SiteIdentificationForm)



18



CheckwithyouraccountingorbusinessstafftodetermineyourNAICScode(s);theNAICScodeisusedin

taxreportingandotherbusinessreports.YoucanobtainadditionalinformationaboutNAICScodesat

http://www.census.gov/eos/www/naics.

BOXESB–D

ListotherNAICScodesthatdescribetheotherbusinessproductionprocessesforyoursite.Referencing

the latest version of NAICS codes, use the 6‐digit code (most specific description) if available for your

business;ifnot,usethe5‐digitcode;donotenteranyfour(4)orlessdigitcodes.



NOTE

TheCensusBureauhaspublishedNAICSCodeeffectiveJanuary1,2017.Pleaseverifythat

yourNAICScodesarestillapplicable.Youcanobtainadditionalinformationaboutthe2017

NAICScodesat:http://www.census.gov/eos/www/naics

ITEM8–SITECONTACTINFORMATION

Enterthename,title,businessaddress,e‐mailaddress,telephonenumber,extension,andfaxnumber

oftheindividualwhoshouldbecontactedregardingtheinformationsubmittedintheSiteIDForm.A

subsequentnotificationisrecommendedwhentheSiteContactPersonchanges.Donotenterother

contactpersonshere;ifthere

areotherpersons,whomaybecontactedaboutthissubmission,listthem

andtheircontactinformationinItem18–Comments.Ifthepersoncompletingthisformisnotthe

primarysiteRCRAhazardouswastecontact,entertheprimarysiteRCRAhazardouswastecontacthere

andaddthecontactinformation

forthepersoncompletingtheforminItem18–Comments.

NOTE

ThisisNOTtheFacilityPermitContact’sinformation.TheFacilityPermitContactinformation

shouldbeenteredontheRCRAHazardousWastePartAPermitApplication.

ITEM9–LEGALOWNERANDOPERATOROFTHESITE

Thissectionshouldbeusedtoindicateallownersandoperatorsofthissite.IfyourReasonforSubmittal

isfor an ElectronicManifest Broker whosesiteof businessis anoffice only,  andyou do not otherwise

physicallygenerate,treat,store,recycleordisposeofhazardouswasteonsite,youdonothavetofillout

thisitem.

A. NAMEOFSITE’SLEGALOWNER

Providethenameofyoursite’slegalowner(s).Thisincludesowner(s)ofthebuilding(s)andland.Please

reviewthesedefinitions:

Owner–Thepersonwhoowns aRCRAsiteorpartofaRCRAsite.Note:Thisincludestheowner(s)of

thebuilding(s)and/orland.Thismaybeanindividual,company,

orbusinessname.SeePerson.

Person – An individual, trust, firm,  joint stock company, Federal Agency, corporation (including a

governmentcorporation),partnership,association,State,municipality, commission,political subdivision

ofaState,oranyinterstatebody.

NotificationofRCRASubtitleCActivities(SiteIdentificationForm)



19



DATEBECAMEANOWNER

Indicatethedateonwhichtheaboveentitybecametheownerofyoursite.Enterdatesasinthisexample:

ForApril22,2015,enter04/22/2015.Thisisoptionalinformation.

OWNERTYPE

Placean“X’intheboxthatbestdescribestheownertypeforyoursite.Selectonlyonetype:Private,

County,District,Federal,Tribal(see below),Municipal,State,orOther.Ifyoursite’sOwnerTypecould

bedescribedasMunicipalandanotherOwnerType,suchasCounty,District,orTribal,do

notplacean

“X”inMunicipal.Instead,choosetheother appropriateOwnerType.(Forexample,ifyoursite’sOwner

Typeis bothMunicipalandCounty,youwouldplacean“X”intheboxforCounty.)You mayexplainthis 

inItem18–Comments.

Tribal‐Amemberofoneof

thetribes/entitiesonthelistofFederallyrecognizedAmericanIndiantribes

and Alaskan Native entities located athttps://www.epa.gov/data‐standards/tribal‐identifier‐data‐

standard.

LEGALOWNERADDRESS

Entertheaddressofthelegalowner.IftheaddressandtheLocationofSite(Item4)arethesame,you

cancheckthe“SameasLocationAddress”checkbox.

ADDITIONALOWNERINFORMATION

Enterthee‐mail,telephonenumber,extension,andfaxnumberofthelegalowner.

Use the Comments section to list any additional owners, their names, the dates they became owners,

ownertype,mailingaddress,andwhichowner(s),ifany,arenolongerownerssinceyourlastsubmission

of this form.If

 necessary, attach a separate sheet of paper.Remember to enter your site’s EPA

IdentificationNumberinthetopleft‐handcornerofeachsheet.

B. NAMEOFSITE’SLEGALOPERATOR

Providethenameofyoursite’soperator.Pleasereviewthesedefinitions:

Operator–ThepersonresponsiblefortheoveralloperationofaRCRAsite.Note:Thisisthelegalentity

whichcontrolstheRCRAsiteoperationratherthantheplantorsitemanager.Thisisusuallyacompany

orbusinessname,

butmaybeanindividual.SeePerson.

Person – An individual, trust, firm,  joint stock company, Federal Agency, corporation (including a

governmentcorporation),partnership,association,State,municipality, commission,political subdivision

ofaState,oranyinterstatebody.

DATEBECAMEANOPERATOR

Indicate the date on which the above entity became the operator of your site.Enter dates as in this

example:ForApril22,2015,enter04/22/2015.Thisisoptionalinformation.

NotificationofRCRASubtitleCActivities(SiteIdentificationForm)



20



OPERATORTYPE

Placean“X”intheboxthatbestdescribestheoperatortypeforyoursite.Selectonlyonetype:Private,

County,District,Federal,Tribal(seebelow),Municipal,State,orOther.Ifyoursite’sOp eratorTypecould

bedescribedasMunicipalandanotherOperatorType,suchasCounty,District,orTribal,do

notplacean

“X” in Municipal.Instead, choose the other appropriate Operator Type.(For example, if your site’s

OperatorTypeisbothMunicipalandCounty,youwouldplacean“X”intheboxforCounty.)Youmay

explainthisinItem18–Comments.

Tribal‐Amemberofoneof

thetribes/entitiesonthelistofFederallyrecognizedAmericanIndiantribes

and Alaskan Native entities located at https://www.epa.gov/data‐standards/tribal‐identifier‐data‐

standard.

LEGALOPERATORADDRESS

Entertheaddressofthelegaloperator.IftheaddressandtheLocationofSite(Item4)arethesame,you

cancheckthe“SameasLocationAddress”checkbox.

ADDITIONALOPERATORINFORMATION

Enterthee‐mail,telephonenumber,extension,andfaxnumberoftheoperator.

UsetheCommentssectiontolistanyadditionaloperators,theirnames,thedatestheybecameoperators,

operator type, mailing address, and which operator(s), if any, are no longer operators since your last

submissionofthisform.Ifnecessary,

attachaseparatesheetofpaper.Remembertoenteryoursite’s

EPAIdentificationNumberinthetopleft‐handcornerofeachsheet.



NOTE



Asubsequentnotificationisrecommendedwhentheowneroroperatorofasitechanges.

BecauseanEPAIdentificationNumberissite‐specific,thenewowner

willkeeptheexisting

EPAIdentificationNumberforthatlocation.Ifyourbusinessmovestoanotherlocation,the

owneroroperatormustnotifytheStateorEPARegionalOfficeofthischange.Sinceyour

businesshaschangedlocations,anewEPAIdentificationNumberwillbeassigned.

ITEM10–TYPEOFREGULATEDWASTEACTIVITY(ATYOURSITE)

Place an “X” in box “Y” or box“N” as appropriate for all current activities at this site (as of the date

submittingtheform);completeanyadditionalboxesasinstructed.Currentactivitiesmeanactivitiesthat

are in effect when the form is submitted or those that the site plans

to begin after EPA Identification

Numberassignment.TheinformationyouprovideinItem10will beconsidered currentasofthedateyou

certifytheform.Ifthesiteisnolongerageneratorasofthedateyoucertifytheform,youshouldmark

the“N”(notagenerator)box

forGeneratorofHazardousWaste.



NotificationofRCRASubtitleCActivities(SiteIdentificationForm)



21



10.AHAZARDOUSWASTEACTIVITIES



NOTE



ListedbelowaretheFed eralgeneratorstatusdefinitions.If,however,theStatewhereyour

siteislocatedhasdefinitionsdifferentfromthe Federaldefinitions,youmustusetheState

definitions.

10.A.1.GENERATOROFHAZARDOUSWASTE

Ifyougenerateahazardouswastethatislistedin40CFR261.31through261.33oridentifiedbyoneor

morehazardouswastecharacteristic(s) containedin40CFR261.21through261.24,placean“X”inthe

appropriate box for the quantity of hazardous waste that is generated  per calendar month.The



regulationsforhazardouswastegeneratorsarefoundin40CFRPart262—specifically40CFR262.14for

verysmallquantitygenerators(VSQGs),40CFR262.16forsmallquantitygenerators(SQGs),and40CFR

262.17for large quantitygenerators(LQGs).ConsulttheseregulationsandyourStatefordetailsabout

howtheregulations

applytoyoursituation. Belowisabriefdescriptionofthe threetypesofhazardous

wastegenerators.

If“Yes”,placean“X”inonlyoneofthefollowing–a,b,orc.Otherwise,placean“X”inthe“N”box.

a. LQG:LargeQuantityGenerator

Forpurposesofproviding

informationinthisreport,thesiteisaLargeQuantityGenerator(LQG)if

thesitemeetsanyofthefo llowing criteria:

(i) Generates,inanycalendarmonth,1,000kilograms(2,200pounds)ormoreofnon‐acuteRCRA

hazardouswaste(includingquantitiesimportedbyimportersite);or

(ii) Generates,inacalendar

month,morethan1kilogram(2.2pounds)ofanyRCRAacute

hazardouswastelistedinsections261.31or261.33(e);or

(iii) Generates,inanycalendarmonth,morethan100kilograms(220pounds)ofresidueor

contaminatedsoil,waste,orotherdebrisresultingfromthecleanupofaspill,intooron

any

landorwater,ofanyRCRAacutehazardouswastelistedinsections261.31or261.33(e).



NOTE



If,inadditiontobeinganLQG,youreceivehazardouswastesfromoffsiteforrecycling,

markboththisboxandItem10.A.5.



Hazardoussecondarymaterialmanagedunder40CFR260.30,

40CFR261.4(a)(23),(24),

(25),or(27)DOESNOTcounttowardsyourgeneratorstatus.Ho wever,youmustcheckwith

yourStatetodetermineifyouareeligibletomanagehazardoussecondarymaterialunder 

theseexclusions.

b. SQG:SmallQuantityGenerator

ThesiteisanSQGifthesitemeetsallofthefollowingcriteria:



(i) Generates,inanycalendarmonth,greaterthan100kilograms(220pounds)butlessthan

1,000kilograms(2,200pounds)ofnon‐acutehazardouswaste;and

(ii) Generates,inanycalendarmonth,

lessthanorequalto1kilogram(2.2pounds)ofacute

hazardouswastelistedinsections261.31or261.33(e);and

(iii) Generates,inanycalendarmonth,lessthanorequalto100kilograms(220pounds)ofany

NotificationofRCRASubtitleCActivities(SiteIdentificationForm)



22



residueorcontaminatedsoil,water,orotherdebrisresultingfromthecleanupofaspill,into

oronanylandorwater,ofanyacutehazardouswastelistedinsections261.31or261.33(e).



c.VSQG:VerySmallQuantityGenerator:

ThesiteisaVSQGifthesitemeetsallof

thefollowingcriteria:



(i) Generatesinanycalendarmonth,lessthanorequalto100kilograms(220pounds)of

hazardouswaste;and

(ii) Generatesinanycalendarmonth,lessthanorequalto1kilogram(2.2poun ds)ofacute

hazardouswasteslistedinsections261.31,or261.33(e);and

(iii) Generates

inanycalendarmonth,lessthanorequalto100kilograms(220pounds)ofany

residueorcontaminatedsoil,waste,orotherdebrisresultingfromthecleanupofaspill,

intooronany land orwater,ofanyacute ha zardouswasteslisted in sections261.31, or

261.33(e).



10.A.2.SHORT‐

TERMGENERATORS



Place an “X” in the “Y” box if the site is normally not a generat or of hazardous waste but is currently

generatinghazardouswasteonlyastheresultof a one‐time,non‐recurring,temporaryeventthatisnot

relatedtonormalproductionprocesses.Inotherwords,short‐termgenerators

producehazardouswaste

fromaparticularactivityforalimitedtimeandthenceaseconductingthatactivity.Short ‐termgenerators

are notconsideredepisodicgenerators.Episodicgeneratorsmustmanage thehazardouswastefroma

specificepisodiceventunderaseparat e setofc onditionsoutlinedin40CFRPart262,SubpartL

thatmight

notapplytoallshort‐termgenerators.Examplesofshort‐termgeneratorsinclude:(1)one‐timehighway

bridgewastegeneration;(2)undergroundstor agetankremovals;(3)generationofoff ‐specificationorout‐

of‐datechemicalsatasitethatnormallydoesn’tgeneratehazardouswaste;(4)remediationorspill

clean‐

up at sites with no pr evious RCRA EPA Identification Number; and (5) site or production process

decommissionsbya new operator.Ifyou mark“Y”,you mustprovideanexplanationofyour short‐term

generationeventinItem18–Comments.Otherwise,placean“X”inthe“N”box.

10.A.3.TREATER,STORER,ORDISPOSER OFHAZARDOUSWASTE

Ifyoutreat,store,ordisposeofhazardouswaste,placean“X”inthe“Y”box.PartBofaRCRAHazardous

Waste Permit is required for this activity.Contact the appropriate office for your State for more

information.The Federal regulations for owners and operators of permitted treatment,  storage,

and

disposalfacilities(TSDFs)arefoundin40CFRParts264,265,266,and270.

Placean“X”inthe“N”boxifanyofthefollowingconditionsaretrueforyourfacility:

 Thisfacilitydoesnotreceivehazardouswastefromother generatorsandships allwasteoff‐site

for

managementwithintheregulatorytimeframe.



 This facility is only involved with on‐going post‐closure activities, corrective actions under the

Hazardous and Solid Waste Amendments of 1984 (HSWA), or a consent order under a non‐

traditionalpermitorwithoutaRCRApe rmitbeingrequired.



 Receives waste from

off‐site but does not  store greater than 10 days before re‐shipping

(i.e.,transferfacility).

NotificationofRCRASubtitleCActivities(SiteIdentificationForm)



23



NOTE

Ifyour siteisa destinationfacilityforuniversalwastesinadditiontobeingaTSDFforother

RCRAhazardouswastes,placean“X”inthe“Y”boxforboththisboxandItem11.B.2.

10.A.4.RECEIVESHAZARDOUSWASTEFROMOFF‐SITE

Ifyoureceivedhazardouswastefromanothersite,whetherthiswastewasreceivedasacommercial

transactionorwastereceivedfromarestrictedgroupofoff‐sitegenerators,placean“X”inthe“Y”box.

Otherwise,placean“X”inthe“N”box.Item10.A.5"ReceivesHazardousWastefromOff‐

site"isnot

for transfer facilities.If you are a transfer facilityreceiving hazardous waste from off‐site,you 

shouldmarkitem11.A.1.b(TransferFacility).

10.A.5.RECYCLEROFHAZARDOUSWASTE

Placean“X”inthe“Y”boxifyourecycleregulatedhazardouswastes(recyclablematerials)atyour 

site.Otherwise,placean“X”inthe“N”box.Ifyoumark“Y”, thenmark thesubsequentboxthat

identifies whether you recycle regulated hazardous wastes, with or without storage prior to

recycling.

TheFed eralregulationsforownersandoperatorsofsitesthatrecyclehazardouswaste

arefoundin40CFR261.6.Youalso maybesubject tootherFederalandStateregulations;insome

cases,apermitisrequired.



NOTE



The2016HazardousWasteGeneratorImprovementsFinalRule requiresthatboth

facilities

that do store prior to recycling and facilities that do not store prior to recycling submit a

HazardousWasteReport.



If your site, in addition to being a re cycling site for hazardous waste, treats, stores, or

disposesofhazardouswaste,placean“X”inthe“Y”boxforboththis

boxandItem10.A.3. 

Ifyoursiteisadestinationfacilityforuniversalwastesinadditiontobeingarecyclingsitefor

otherRCRAhazardouswastes,placean“X”inthe“Y”boxforboththisboxandItem11.B.2.

10.A.6.EXEMPTBOILERAND/ORINDUSTRIALFURNACE

If“Yes”,placean“X”inallthatapply.Otherwise,placean“X”inthe“N”box.

a. SmallQuantityOn‐SiteBurnerExemption

Youburnsmallquantitiesofhazardouswasteinanon‐siteboiler orindustrialfurnaceinaccordance

withtheconditionsin40CFR266.108,placean

“X”intheboxtoindicatethatyouqualifyfortheSmall

QuantityOn‐SiteBurnerExemption.



b. Smelting,Melting,andRefiningFurnaceExemption

Youprocesshazardouswastesinasmelting,melting,orrefiningfurnacesolelyformetals recovery,

asdescribedin40CFR266.100(d),ortorecovereconomically significant

amountsofpreciousmetals,

asdescribedin40CFR266.100(g),orifyouprocesshazardouswastesinaleadrecoveryfurnaceto

recoverlead,asdescribed in40CFR266.100(h),placean“X’intheboxtoindicatethatyouqualifyfor

theSmelting,Melting,andRefiningFurnaceExemption.



NotificationofRCRASubtitleCActivities(SiteIdentificationForm)



24



10.B.WASTECODESFORFEDERALLYREGULATEDHAZARDOUSWASTES

Pleaselistthe wastecodes oftheFederal hazardouswastes (describedin 40 CFRPart261) handledat

yoursite.Listthemintheordertheyarepresentedintheregulationsusingtheappropriate4‐digitcode(s)

(e.g.,D001,D003,F007,U112).



NOTE



Ifyouhandlemorehazardous wastesthan

willfit underItem 10.B,pleasecontinue under

Item18 – Comments or on an extra sheet.Remember to include your EPA Identification

Numberonthetopofeachpage.Ifyouhandlealargenumberofcodes,youmaycopythe

listinthisdocumentandmarktheones

thatyouhandle.Attachanyadditionalsheetstothe

SiteIDForm.RemembertoincludeyourEPAIdentificationNumberonthetopofeachpage.



Ahealthcare facility operatingunder 40CFR Part266,SubpartP isnotrequired tolistthe

wastecodesforitshazardouswastepharmaceuticalsinItem

10.B.However,ifahealthcare

facilityisoperatingunder40CFRPart266,SubpartPandisalsoeitheranSQGorLQGforits

40 CFR Part 262 (non‐pharmaceutical) hazardous  waste, then at least one waste code is

required.



LIST Clickhereforalistofthenationally‐definedHazardousWasteCodes.

10.C.WASTECODESFORSTATE‐ REGULATED(NON‐FEDERAL)HAZARDOUSWASTES

If you manage State‐regulated hazardous wastes that have a State waste code, enter the appropriate

code(s) in the box(es) provided.Please list the waste codes of the State‐regulated hazardous wastes

handledatyoursiteintheordertheyarepresentedintheregulations.



NOTE



Ifyouhandle  more

hazardous wastes  thanwillfitunderItem 10.C,pleasecontinue under

Item18 – Comments or on an extra sheet.Remember to include your EPA Identification

Numberonthetopofeachpage.



ITEM11–ADDITIONALREGULATEDWASTEACTIVITIES

11.AOTHERWASTEACTIVITIES

Placean“X”inthe“Y”or“N”boxasappropriateforalladditionalcurrentregulatedwasteactivitiesat

this site (as of the date submitting the form); complete any additional boxes as instructed. Current

activitiesmeanactivitiesthatareineffectwhentheformissubmittedorthosethat

thesiteplanstobegin

afterEPAIdentificationNumberassignment.TheinformationyouprovideinItem11willbeconsidered

currentasofthedateyoucertifytheform.



NotificationofRCRASubtitleCActivities(SiteIdentificationForm)



25



11.A.1.TRANSPORTEROF HAZARDOUSWASTE

If“Y”,placean“X”inallthatapply.Otherwise,placean“X”inthe“N”box.



a. Transporter

You transport hazardous  waste within the U.S.The Federal regulations for hazardous  waste

transportersarefoundin40CFRPart263.



b. TransferFacility

Youareahazardous wastetransfer

facility,atyoursite,ifyouholdmanifestedhazardouswaste(s)

atyoursiteforaperiodoften(10)daysorlesswhilethewasteisintransit.TheFederalregulations

forhazardouswastetransferfacilitiesarefoundin40CFR263.12.

11.A.2.UNDERGROUNDINJECTIONCONTROL



Ifyougenerate,treat,store,ordisposeofhazardouswasteandplacethewasteoritsresidualsintoan 

undergroundinjectionwell(e.g.,aClassIwell)locatedatyoursite,placean“X”inthe“Y”box.Otherwise,

placean“X”inthe“N”box.TheFederalregulations

forownersandoperatorsofundergroun dinjection

wellsarefoundin40CFRPart148.



11.A.3.UNITEDSTATESIMPORTEROF HAZARDOUS WASTE



Placean“X”inthe“Y”boxifyouimporthazardouswastefromasitelocatedinaforeigncountryintothe

U.S.Referto40CFR262.10(e)and40CFR262.84foradditionalinformation.Otherwise,placean“X”in

the“N”box.



11.A.4.RECOGNIZEDTRADER



Placean“X”inthe“Y”boxifyouarearecognizedtrader,definedin40CFR260.10asapersondomiciled

intheUnitedStates,whoactstoarrangeandfacilitatetransboundarymovementsofwastesdestinedfor

recoveryordisposaloperations,eitherbypurchasingfromandsubsequentlysellingto

UnitedStatesand

foreignfacilities,orbyactingunderarrangementswithaUnitedStateswastefacilitytoarrangeforthe

exportorimportofthewaste.Otherwise,placean“X”inthe“N”box.Markallthatapply.



a. Importer

b. Exporter

11.A.5.IMPORTER/EXPORTEROFSPENTLEAD‐ACIDBATTERIES(SLABS)

UNDER40CFR

PART266,SUBPART G



Placean“X”inthe“Y”boxifyouareanimporterorexporterofspentlead‐acidbatteries(SLABs)being

manageddomesticallyunder40CFRPart266,SubpartGtoobtainanEPAIdentificationnumber(see40

CFR266.80(a)(6),(8)‐(10)).Otherwise,placean“X”inthe“N”box

.Markallthatapply.



a. Importer

b. Exporter

NotificationofRCRASubtitleCActivities(SiteIdentificationForm)



26



11.BUNIVERSALWASTEACTIVITIES

RefertoyourState‐specificrequirementsanddefinitionsforuniversalwaste.Also,referto40CFR261.9

and40CFRPart273fortheFederalregulationscoveringuniversalwaste.Completeparts1and2.

11.B.1LARGEQUANTITYHANDLEROFUNIVERSALWASTE(LQHUW)

YouareaLargeQuantityHandlerofUniversalWaste(LQHUW)ifyouaccumulateatotalof5,000kgor

moretotal of universal wastes (batteries, pesticides, mercury‐containing equipment, lamps, or aerosol

cans–calculatedcollectively)atanytime.Thisdes ignationisretainedthroughtheendofthecalendar

yearin

whichthe5,000kglimitismetorexceeded.Placean“X”inthe“Y”box,thenplacean“X”inthe

appropriatebox(es)toindicatethetype(s)ofuniversalwastesmanagedatyoursite.Otherwise,placean

“X”inthe“N”box.IfyourStatehasotheradditionaluniversal

wastes,indicatewhattheyarebyplacing 

an“X”inthecorrespondingbox(es)(11.B.1.e‐g).

NOTE

AsofFebruary7, 2020,aerosolcanscan bereportedas universalwasteif yourStatehas

adoptedtheaerosolcanuniversalwasterule.Seethefollowinglinkformoreinformation:

https://www.epa.gov/hw/increasing‐recycling‐adding‐

aerosol‐cans‐universal‐waste‐

regulations

11.B.2DESTINATIONFACILITYFORUNIVERSALWASTE

Placean“X”inthe“Y”boxifyoutreat,dispose,orrecycleuniversalwasteson‐site.Otherwise,placean

“X”inthe“N”box.Ahazardouswastepermitisrequiredifyoutreatordisposeofuniversalwastes;a

permitmayberequiredifyourecycleuniversalwastes.



NOTE



Ifyoursite,inadditiontobeingadestinationfacilityforuniversalwastes,isalso aTSDFfor

RCRA hazardous wastes, place an “X” in the “Y” box for both this and Item 10.A.4.In

addition,ifyoursiterecyclesRCRAhazardouswastes,Placean“X”inthe“Y”box

forboth

thisandItem10.A.6.

11.C.USEDOILACTIVITIES

Placean“X”intheappropriatebox(es)toindicatewhichusedoilmanagementactivitiesaretakingplace

atthissite. Otherwise,placean“X”inthe“N”box.TheFederalregulationsforusedoilmanagementare

foundin40CFRPart279.Also,thefacilityshouldcheckwithitsState

tofindoutifthereareadditional

State‐specificreportingrequirementsforusedoilactivities.Completeallparts1through4.

11.C.1.USEDOILTRANSPORTER

Placean“X”inthe“Y”bo x,thenplacean“X”inallthatapply.Otherwise,placean“X”inthe“N”box.

a. Transporter

YoutransportusedoilwithintheU.S.TheFederalregulationsforusedoiltransportersarefoundin

40CFR279.40‐47.

NotificationofRCRASubtitleCActivities(SiteIdentificationForm)



27



b. TransferFacility(atyoursite)

Youownoroperateausedoiltransferfacility.TheFederalregulationsforusedoiltransferfacilities

arefoundin40CFR279.40‐47.

11.C.2.USEDOILPROCESSORAND/ORRE‐ REFINER

Placean“X”inthe“Y”bo x,thenplacean“X”inallthatapply.Otherwise,placean“X”inthe“N”box.

a. Processor

Youprocessusedoil.TheFederalregulationsforprocessorsofusedoilarefoundin40CFR279.50‐59.



b. Re‐refiner

Yourefine

usedoil.TheFederalregulationsforre‐refinersofusedoilarefoundin40CFR279.50‐59.

11.C.3.OFF‐SPECIFICATIONUSEDOILBURNER

Place an “X” in the “Y” box, to indicate that you are conducting this used oil management activity.

Otherwise,placean“X”inthe“N”box.

11.C.4.USEDOILFUELMARKETER

Placean“X”inthe“Y”bo x,thenplacean“X”inallthatapply.Otherwise,placean“X”inthe“N”box.

a. MarketerWhoDirectsShipmentofOff‐SpecificationUsedOiltoOff‐SpecificationUsedOilBurners

You are a marketer who directs shipment of off‐specification used

 oil to off‐specification used oil

burners.TheFederalregulationsforusedoilfuelmarketersarefoundin40CFR279.70‐75.



b. MarketerWhoFirstClaimstheUsedOilMeetstheSpecification

Youarethefirsttoclaimthatusedoilmeetstheusedoilspecificationsestablishedin40

CFR279.11.



NOTE



Ifeitheroftheseboxesismarked,youmustalsonotify(orhavepreviouslynotified)asaused

oil transporter (11.C.1), used oil processor/re‐refiner (11.C.2),  or off‐specific ation  used oil

fuel burner (11.C.3), unless you are a used oil generator.(Used oil  generators are not

requiredtonotify.)



11.D.1MANAGINGHAZARDOUSWASTEPHARMACEUTICALSUNDER40CFRPART266,

SUBPARTP



NOTE



40CFRPart266,SubpartPmustbeineffectinyourStateinordertoreportasahealthcare

facilityorreversedistributor.SeeEPA’swebsiteformoreinformationaboutthese

regulationsathttps://www.epa.gov/hwgenerators/final‐rule‐management‐standards‐

hazardous‐waste‐pharmaceuticals‐and‐amendment‐p075.

NotificationofRCRASubtitleCActivities(SiteIdentificationForm)



28



40CFRPart266,SubpartPismandatoryforthemanagementofhazardouswastepharmaceuticalsatall

healthcarefacilities(excepthealthcar efacilitiesthatareVSQGsforalloftheirhazardouswaste,including

hazardouswastepharmaceuticals)andreversedistributors.Therulewhichimplementedthisnewsubpart

becameeffectiveattheFederallevel

onAugust21,2019.IftheruleiseffectiveinyourState,healthcare

facilities and reverse distributors must notify EPA, using the Site ID Form, that they are performing

hazardouswastepharmaceutical activities.Ifahealthcar efacilitythatisaVSQG for allofits hazard ous

waste chooses tooperat eunder Subpart P,  italsomustsubmita one‐time notification usingthe SiteID

Form.

Placean“X’inthe“Y”boxifyouareahealthcarefacilityor

reversedistributoroperatingunder40CFRPart

266,SubpartPforthemanagementofhazardouswastespharmaceuticals.Otherwise,placean“X”inthe

“N”box.Ifyouindicate“Y”inthisbox,youmustplacean“X”ineither11.D.1.aorb.toindicatewhether

youareahealthcarefacility

orreversedistributor.

Ahealthcaref acilitythatisco‐locatedwithinalargerfacilitythatisnotahealthcarefacility(e.g.,aclinicat

amilitarybase,school,ormanufacturer),mustnotifythatitisoperatingasahealthcarefacilityunder40

CFRPart266,SubpartP, unlesstheentiresite

isaVSQG.Co‐located healthcarefacilitiessharethesame

EPA identification number as the larger facility within which it is locat ed.Accordingly, hazardouswaste

pharmaceuticalactivityatthehealthcarefacilitywillbeincludedonthenotificationofthelargerfacility .

a. HealthcareFacility

Youareahealthcarefacilityif

youarelawfullyauthorizedto–

(1) Providepreventative,diagnostic,therapeutic,rehabilitative,maintenanceorpalliativecare,and

counseling,service,assessmentorprocedurewithrespecttothephysicalormentalcondition,or

functionalstatus,ofahumanoranimalorthataffectsthestructureorfunctionofthehumanor

animalbody;

or



(2) Distribute,sell,ordispensepharmaceu ticals,includingover‐the‐counterpharmaceuticals,dietary

supplements,homeopathicdrugs, orpr escriptionpharmaceuticals.Thisdefinitionincludes,but

isnotlimitedto,wholesaledistributors,third‐partylogisticsprovidersthatserveasforward

distributors,militarymedicallogistics facilities,hospitals,psychiatrichospitals,ambulatory

surgicalcenters,healthclinics,

physicians’offices,opticalanddentalproviders,chiropractors,

long‐termcarefacilities,ambulan ce services,pharmacies,long‐termcarepharmacies,mail‐order

pharmacies,retailersofpharmaceuticals,veterinaryclinics,andveterinaryhospitals.This

definitiondoesnotincludepharmaceuticalmanufacturers,reversedistributors,orreverse

logisticscenters.



b. ReverseDistributor



Youareareverse

distributorifyoureceiveandaccumulateprescriptionpharmaceuticalsthatare

potentiallycreditablehazardouswastepharmaceuticalsforthepurposeoffacilitatingorverifying

manufacturercredit.Anyperson, includingforwarddistributors,third‐party logisticsprovide rs,and

pharmaceuticalmanufacturers,thatprocessesprescriptionpharmaceuticalsforthefacilitationor

verificationofmanufacturercreditisconsidereda

reversedistributor.

NotificationofRCRASubtitleCActivities(SiteIdentificationForm)



29



11.D.2WITHDRAWINGFROMMANAGINGHAZARDOUSWASTEPHARMACEUTICALSUNDER

40CFRPART266,SUBPARTP

AhealthcarefacilitythatoperatedunderSubpartPbutisnolongersubjecttothesubpartbecauseitisa

verysmallquantitygeneratorforallofitshazardouswaste,includinghazard ouswaste pharmaceuticals,

maywithdrawfrommanagingitshazardouswastepharmaceuticalsunder40CFRPart266,SubpartP.This

may

includeahealthcar efacilitythat 1)hadbeenrequiredto oper ateunder Subpart P but nolonger is

becauseitgeneratesVSQGamountsofhazardouswaste,or2)isaVSQGbutchosetooperateunderSubpart

P. AhealthcarefacilitymustnotifyEPA(ortheirStateagencyifthe

Stateisauthorizedtooperateitsown

hazardouswaste progr am)thatit is withdrawingfromthis subpartbeforeitbegins operatingunderthe

conditionalexemptionof40CFR262.14.ReversedistributorsmayNOTwithdrawfromthisrule.

Placean“X”inthe“Y”box,ifyouareahealthcarefacilitythat

operatedunderSubpartPbutisnolonger

operatingunderSubpartPbecauseyouareaVSQGforallofyourhazardouswaste,includinghazardous

wastepharmaceuticals,andyouwanttowithdrawfromoperatingunder40CFRPart266,S ubpartPfor

themanagementofyourhazardouswastespharmaceuticals.You

mustalsoplacean“X”inthe“N”box

forItem11.D.1,andleave11.D.1.aandb.blank.Ifnotwithdrawing,placean“X’inthe“N”box.

ITEM12–ELIGIBLEACADEMICENTITIESWITHLABORATORIES



NOTE



40CFRPart262,SubpartKmustbeineffectinyourStateinordertoreportasaneligible

academicentitywithlaboratories.SeeEPA’swebsiteformoreinformationaboutthese

regulationsathttps://www.epa.gov/hwgenerators/managing‐hazardous‐waste‐academic‐

laboratories‐rulemaking.

40CFRPart 262, SubpartKis anoptionalalternative set ofrequirementsfor eligibleacademic entities

withlaboratories.Certaingenerators(i.e.,eligibleacademicentitiesasdefinedin40CFR262.200)are

eligibletooperateunderSubpartKformanagementoftheirhazardouswastesinlaboratoriesinlieuof

40CFR

262.15(or40CFR262.14forVSQGs).Eligibleacademicentitieswithlaboratoriesthatgenerate

hazardouswastethatelecttooptintoSubpartK,arecurrentlyoperatingunderSubpartK,orsubsequently

withdraw from Subpart K must complete this section to meet the notification requirements of this

subpart.Referto40

CFR262.203and40CFR262.204.



NOTE



EligibleacademicentitieswithlaboratoriesmustcompleteaseparateSiteIDFormforeach

site(i.e.,EPAIdentificationNumber)thatismanaginghazardouswasteunderSubpartK.All 

laboratorieswiththesameEPAIdentificationNumberwillberegulatedunderthissubpart.

Ifeligible

academicentitieswithlaboratorieswithdr aw fromSubpartK,all laboratorieswith

thesameEPAIdentificationNumberassociatedwiththewithdrawalfromSubpartKwill be

regulatedunder40CFR262.15(or40CFR262.14forVSQGs).

12.AOPTINGINTOORCURRENTLYOPERATINGUNDER40CFRPART262,SUBPARTK FOR

THEMANAGEMENT OFHAZARDOUSWASTESINLABORATORIES

Placean“X”inthe“Y”box,ifyouareaneligibleacademicentityandyouelecttooptintoorarecurrently

operating under 40 CFR Part 262, Subpart K  for the hazardous wastes generated in your laboratories.

NotificationofRCRASubtitleCActivities(SiteIdentificationForm)



30



Otherwise,placean“X”inthe“N”box.Ifyoumark“Y”forthisbox,youmustplacean“X”inatleastone

ofthefollowingtoindicate yourtypeofeligibleacademicentity.Placean“X”inallthatapply:

1. CollegeorUniversity

Youareaneligible

collegeoruniversityifyouareaprivateorpublic,post‐secondary,degree‐granting,

academic institution, that is accredited by an accrediting agency listed annually by the U.S.

DepartmentofEducation.



2. TeachingHospitalthatisownedbyorhasaformalwrittenaffiliationagreementwithaco llegeor

university



Youareaneligibleteachinghospitalifyouareahospitalthattrainsstudentstobecomephysicians,

nurses,orotherhealthpersonnelandiseither:(1)ownedbyacollegeoruniversity,or(2)hasamaster

affiliationagreementand  programletter ofagreement,asdefined by the A ccreditationCouncil

for

GraduateMedicalEducation,withanaccreditedmedicalprogramormedicalschool.



3. Non‐profitInstitutethatisownedbyorhasaformalwrittenaffiliationagreementwithacollegeor

university

Youareaneligiblenon‐profitinstituteifyouareanorganizationthatconductsresearchasitsprimary

functionandfilesasanon‐profitorganizationunderthetaxcodeof26U.S.C.501(c)(3)andiseither:

(1)ownedbyacollegeoruniversity,or(2)hasaformalwrittenaffiliationagreementwithacollege

oruniversitythatestablishesarelationshipbetweeninstitutionsforthepurposesofresearchand/or



education and is signed by authorized representatives from each institution.A relationship on a

project‐by‐projectorgrant‐by‐grantbasisis notconsideredaformalwrittenaffiliationagreement.



12.BWITHDRAWINGFROM40CFRPART262, SUBPARTKFORTHEMANAGEMENTOF

HAZARDOUSWASTESINLABORATORIES



Placean“X”inthe“Y”box,ifyouhavepreviouslyelectedtooptinto40CFRPart262,SubpartKandare

nowwithdrawing fromparticipationinthisoptionalsetofalternativerequirementsforhazardouswaste

generationinlaboratories.Withdrawinggeneratorswillautomaticallyreverttoregulationunder40CFR

262.15requirements(or40CFR262.14forVSQGs).Ifmarking“Y”forthisbox,pleaseincludecomments

inItem18–Commentsthatexplai nyourreasonsforwithdrawingfromSubpartK.Otherwise,placean

“X”inthe“N”box.



ITEM13–EPISODICGENERATION

Place an “X” in the “Y” box,if  you  are  a VSQG or SQG notifying that you are taking advantage of the

episodicgeneratoreventprovisionin40CFR262.232.ThisprovisionallowsaVSQGoranSQGtogenerate

additionalquantitiesofhazardouswaste—temporarilyexceedingitsnormalgeneratorcategory

limits—

and still maintain its existing generator category, provided it complies with the specified conditions

identifiedin40CFR262.232(a)and(b).Otherwise,placean“X”inthe“N”box.

NOTE Ifyoumark“Y,”youmustfillouttheAddendumtotheSiteIDForm:EpisodicGenerator.



Thegeneratormayusethisprovisiononcepercalendaryearwiththeabili tytopetitionforasecondevent.

However,ifthefirsteventisplanned,thepetitionmustbeforasecondeventthatisunplan ned,orvice‐

versa.Itisrecommendedyoureviewtheregulationat40CFR

262.233tounderstandwhatisrequiredof

NotificationofRCRASubtitleCActivities(SiteIdentificationForm)



31



a generator should you choose to take advantage of this petition process.This notification must  be

submittedmorethan30days inadvanceofanyplannedepisodiceventforthateventtobeincompliance

with the conditions of this provision.In the case of an unplanned event, notification  must take

 place

within72hoursoftheeventoccurring.



Bothplannedandunplannedepisodiceventsmustbecompletedwithallwasteshippedoff‐sitetoaRCRA

designatedfacilitywithin60daysofthestartoftheevent.Althoughnotinclusive,examplesofplanned

episodic events include tank cleanouts, short‐term

construction projects,  short‐term site remediation,

equipmentmaintenance duringplantshutdowns, removalofexcesschemical inventories, andsiteand

production process decommissions by a new operator. Unplanned episodic events, which  EPA expects

wouldbelessfrequent,includeproductionprocessupsets,productrecalls,accidentalspills,or“actsof

nature,”suchasa

tornado,hurricane,orflood.Ifyouaretaking advantageofthisprovision,youmust

complete the Addendum to the Site Identification Form for Episodic  Generation. Information to be

completedincludes:

 thetypeofepisodicevent(i.e.,plannedorunplanned),

 thenameandtelephonenumberofanemergencycontact

atthesite,

 thebeginningorstartdateoftheepisodicevent,andexpectedcompletiondate(nolaterthan

60daysfrombeginningdate),

 thereasonfortheepisodicevent(eventdescription),

 identificationoftheapplicableFederalwastecodes(andStatewastecodes,ifapplicable),and

 the

estimatedtotalquantityofhazardouswastesthatwillbegeneratedasaresultofthe

episodicevent.



ITEM14–LQGCONSOLIDATIONOFVSQGHAZARDOUSWASTE



The2016HazardousWasteGeneratorImprovementsFinalRuleallowsLQGstoreceiveandconsolidate

hazardouswastesfromVSQGsiftheVSQGsareunderthecontrolofthesame“person”asdefinedin40

CFR260.10.



NOTE



“Control,” for the purposes of this  section, means the power to direct the

 policies of the

generator,whetherbytheownershipofstock,votingrights,orotherwise.Contractorswho

operategeneratorfacilitiesonbehalfofadifferentpersonasdefinedin40CFR260.10are 

notbedeemedto“control”suchgenerators.



Ifyoumark“Y,” youmustfillouttheAddendumto

theSiteIDForm:LQGConsolidationof 

VSQGHazardousWaste.



Placean“X”inthe“Y”box,ifyouareanLQGtakingadvantageoftheprovisionfoundat40CFR262.17

(f),inordertonotify(orre‐notify)EPAoryourauthorizedState(notificationofthisactivityisrequired).

Otherwise, place an “X” in the “N” box.

Information to be completed in the Addendum: LQG

ConsolidationofVSQGHazardousWasteforeachVSQGyouarereceivinghazardouswastefromincludes:

 EPAIdentificationnumber(ifapplicable),

 thesitename,

 address,

 contactname,and

 telephonenumber. 

NotificationofRCRASubtitleCActivities(SiteIdentificationForm)



32



ITEM15–NOTIFICATIONOFLQGSITECLOSUREFOR ACENTRALACCUMULATIONAREA

(CAA)OR ENTIREFACILITY

The2016HazardousWasteGeneratorImprovementsFinalRulerequiresLQGstonotifyEPAnolaterthan

30dayspriortoclosingtheirfacility.TheymustalsonotifyEPAwithin90daysafterclosingthefacilityand

havingcomplied withthe closureperformancestandardsof40 CFR262.17(a)(8) (iii)  or40

CFR262.17

(a)(8)(iv),ornotifyEPAthattheycan notmeettheclosureperformancestandards.Optionally, anLQGmay

notifythattheyareclosingacentralaccumulationarea.

Place an“X”in the“Y”box,if you arenotifyingof astageof closureofa centralaccumulationareaor

generator

site,thencompletetheappropriateboxes:15.A–D.Otherwise,placean“X”inthe“N”box.

15.ACENTRALACCUMULATIONAREA(CAA)ORENTIREFACILITY

Indicateifyouareclosingacentralaccumulationareaorareclosingtheentire facility.

15.BEXPECTEDCLOSUREDATE

Providethedate(mm/dd/yyyy)thatyouexpecttoclosetheCAAortheentirefacility. 

15.C REQUESTINGNEWCLOSUREDATE

Ifyoucannotcompletetheclosureofyourfacility(orcentralaccumulationarea)within90daysofstarting

theclosureprocess,indicatethenewclosuredate(mm/dd/yyyy).ExplaininItem18‐Commentwhyyou

arerequestingtheadditionaltime.

15.D DATECLOSED

Providethedate(mm/dd/yyyy)thatthefacilityorCAAclosed.

1. Incompliancewiththeclosureperformancestandards40CFR262.17(a)(8):

Indicateifthefacility orCAAclosedincompliancewiththeclosureperformancestandard sin40

CFR262.17(a)(8).



2. Notincompliancewiththeclosureperformancestandards40CFR262.17(a)(8):



IndicateifthefacilityorCAAclosedbutfailedtomeetclosureperformancestandardsin40CFR

262.17(a)(8).

ITEM16–NOTIFICATIONOFHAZARDOUSSECONDARYMATERIAL(HSM)ACTIVITY



NOTE

40 CFR 260.42 must be in effect in your State in order to manage hazardous secondary

materialundertheseregulations.



NotificationofRCRASubtitleCActivities(SiteIdentificationForm)



33



Placean“X”inthe“Y”boxifyouarenotifyingunder40CFR260.42thatyouwillbeginmanaging,arestill

managing,orwillstopmanaginghazardoussecondarymaterialunder40CFR260.30,40CFR261.4(a)(23),

(24),(25),or(27).Otherwise,placean“X”inthe“N”box.

NOTE

If you mark “Y,” you must fill out the Addendum to the Site ID Form:Notification of

HazardousSecondaryMaterialActivity.

ITEM17–ELECTRONICMANIFESTBROKER

Placean“X”inthe“Y”boxifyou areapersonasdefinedin40CFR260.10thatelectstousetheelectronic

manifest system to obtain, complete and transmit an electronic manifest format supplied by the EPA

electronicmanifestsystemunderacontractualrelationshipwithahazardouswastegenerator.

Otherwise,

placean“X”inthe“N”box.

ITEM18–COMMENTS

Usethissectionas neededtoprovide additionalinformationfor Items  1through17.Includetheitem

numberandboxletter(ifany)foreachcommentyoumake .Youmayattachadditionalsheetsifneeded.

RemembertoincludeyourEPAIdentificationNumber onthetopofeachpage.

ITEM19–CERTIFICATION



Thiscertificationmust besignedanddatedbytheowner(s)/operator(s)ofeitherthegeneratororTSDF,

or an authorized representative(s) of the site. Per 40 CFR  260.10, an “authorized representative” is a

personresponsiblefortheoveralloperationof thesiteoranoperationalunit (i.e.,  a  plantmanager

or

superintendent,orapersonofequivalentresponsibility).See40CFR270.11formoreinformationonwho

isconsideredanauthorizedrepresentativeforpermittedfacilities.



NOTE



AllSiteIDFormsubmissionsmustincludethiscertificationtobecomplete.





NotificationofRCRASubtitleCActivities(SiteIdentificationForm)



34



ADDENDUM TOTHESITEIDENTIFICATIONFO RM :

NOTIFICATIONOFHAZARDOUSSECONDARYMATERIAL(HSM)AC TI VI TY 

YOUMUSTFILLOUTTHISADDENDUMIF:

 You are located in a State that allows you to manage excluded hazardous secondary material

under40CFR260.30,40CFR261.4(a)(23),(24),(25),or(27),(orStateequivalent)AND



 YouareorwillbemanagingexcludedHSMincompliancewith40CFR260.30,261.4(a)(23),(24),

(25),or

(27)(orStateequivalent)orhavestoppedma naging excludedHSMincompliancewith

theexclusion(s)anddonotexpecttomanageanyamountofexcludedHSMunderthe

exclusion(s)foratleastoneyear.Donotincludeanyinformationregardingyourhazardous

wasteactivitiesinthissection.Note:Ifyourfacilitywasgrantedasolidwastevarianceunder40

CFR260.30priortoJuly13,2015,yourmanagementofHSMunder40CFR260.30is

grandfatheredunderthepreviousregulations andyouarenotrequiredtonotifyfortheHSM

managementactivityexcludedunder40CFR260.30.SeeEPA’swebsiteformoreinformation

abouttheseregulationsathttps://www.epa.gov/hw.



CompleteallItems1and2.



NOTE



Youmustbemanagingexcludedhazardoussecondarymaterialincompliancewith40CFR

260.30,40CFR261.4(a)(23),(24),(25),or(27)(orStateequivalent).Donotincludeany

informationregardingyourhazardouswastesinthissection.See80FR1694or

https://www.epa.gov/hwformoreinformationontheseexclusions.



You must submit a completed Site ID Form, including this Addendum, prior to operating

under the exclusion(s) and by March  1 of each even‐numbered year thereafter to your

regulatoryauthorityusingtheSiteIDFormaspursuantto40CFR260.42.Personswhomust

satisfythis notificationrequirement can

submit thisinformation atthe same timeas their

HazardousWasteReport(whichisalsoduebyMarch1ofeacheven‐numberedyear).



Ifyoustopmanaginghazardoussecondarymaterialinaccordancewiththeexclusion(s)and

donotexpecttomanageanyamountofhazardoussecondarymaterialunderthe

exclusion(s)

for at least one year, you must also submit a completed Site ID Form, including this 

Addendum,within thirty(30)dayspursuantto40CFR260.42.





NotificationofRCRASubtitleCActivities(SiteIdentificationForm)



35



ITEM1–REASONFORNOTIFICATION

Placean“X”intheboxforthereasonthatappliestoyou:

FACILITYWILLBEGINMANAGINGEXCLUDEDHAZARDOUS SECONDARYMATERIALASOF

(MM/DD/YYYY)

Placean“X”inthisboxifyouarenotifyingthatyouwillbeginmanaginghazardoussecondarymaterial

undertheexclusion(s).

 Facilitiesmustnotifypriortooperatingundertheexclusion(s). 



 Ifplacingan“X”inthisbox,listthedate(mm/dd/yyyy)whenyouwill beginmanaginghazardous

secondary

materialunder40CFR260.30,40CFR261.4(a)(23),(24),(25),or(27).

NOTE

Ifthefacilityhadpreviouslynotifiedthatitwillstopmanaginghazardoussecondarymaterial

inthepastbutwillnowbeginanew,listthenextplannedstartdate.

FACILITYISSTILLMANAGINGEXCLUDEDHAZARDOUSSECONDARYMATERIAL/RE‐

NOTIFYINGASREQUIREDBYMARCH1OF EACHEVEN‐NUMBEREDYEAR

Placean“X”inthisboxifyouarere‐notifyingthatyouarestillmanaginghazardoussecondarymaterial

undertheexclusion(s).

 Facilitiesmustre‐notifybyMarch1

ofeacheven‐numberedyear.



 Ifplacingan“X”inthisbox,youdonothavetolistadate.

NOTE

Youmusthavepreviouslynotifiedthat youbeganmanaginghazardoussecondarymaterial

inordertocheckthisbox.

FACILITYHASSTOPPEDMANAGINGEXCLUDEDHAZARDOUSSECONDARYMATERIALASOF

(MM/DD/YYYY)ANDISNOTIFYINGASREQUIRED

Place an “X” in this box, if you are notifying that you have stopped managing hazardous secondary

materialundertheexclusion(s)anddonotexpecttomanageanyamountofhazardoussecondarymaterial

foratleast oneyear(pursuantto40CFR260.42(b)).Listthedatewhenyoustoppedmanagin g

hazardous

secondarymaterial.Enterthedatein“mm/dd/yyyy ” format. 

 Facilities must notify within 30 days of when they stopped managing hazardous secondary

material.Youareconsideredtohavestoppedmanaginghazardoussecondarymaterialif:(1)you

stop managing hazardous secondary material completely (e.g., you cease operations); (2)you

chooseto

managethehazardoussecondarymaterialashazardouswaste;(3)youundergoclosure

andrequestreleasefromfinancialassuranceper40CFR261.143(h)or40CFR264.143;or(4)you

temporarilysuspendmanagementofhazardoussecondarymaterialforatleastoneyear.



NotificationofRCRASubtitleCActivities(SiteIdentificationForm)



36



 Onlyplacean“X”inthisboxifyouhavestoppedmanagingallhazardoussecondarymaterialunder

theexclusion(s).Forexample,ifyourfacilityonlystoppedmanagingonehazardoussecondary

material,butcontinuedtomanageanotherhazardoussecondarymaterial,you wouldleavethis

boxblanksinceyourfacilitycontin uesto

managesomeamountofhazardoussecondarymaterial.



 Ifyousubmitanotificationthatyouhavestoppedmanaginghazardoussecondarymaterial,you 

donotneedtore‐notify(unlessyouchoosetomanagehazardoussecondarymaterialagain,in

whichcaseyouwouldhavetosubmitanotificationpriortomanaging).

Aftersubmittingastop

notification, you can leave the Addendum blank for subsequent submissions, including any

subsequentHazardousWasteReportsubmissions.

ITEM2–DESCRIPTIONOF EXCLUDEDHAZARDOUSSECONDARYMATERIAL(HSM)ACTIVITY

InthetableprovidedonthisAddendumtotheSiteIdentificationForm,listyourappropriatefacilitycode,

eachwastecodeforthehazardoussecondarymaterialyoumanage,theestimatedandactualquantities,

inshorttons,foreachhazardous secondarymaterial,andtheappropriateland‐basedcodeforhowyou

manage the

 hazardous secondary material.Do not include any information regarding your hazardous

wastesinthissection.Seeexamplesbelowonhowtoanswerthisquestion.

a. FacilityCode

Using the nationally‐defined Facility Codes enter the appropriate 2‐digit code(s) that correctly

describesyour facility.Ifmorethan onecodeappliesto your facility,entereach2‐digit code ona

separaterow.Eachhazardoussecondarymaterialshouldbereportedbyfacilitycode. 

LIST Clickhere

foralistofthenationally‐definedFacilityCodes.

b. WasteCode(s)forHSM

Usetheboxprovidedtoentertheappropriate4‐digithazardouswastecode(s)thatwouldapplyto

yourhazardoussecondarymaterialifyoumanageditashazardouswaste(i.e.,thewastecode(s)that

would apply if you did not manage your material in accordance with 40

 CFR 260.30, 40 CFR

261.4(a)(23),(24),(25),or(27).



NOTE



Ifyoulistmorecodesormanagemorehazardoussecondarymaterialthanwillfitinthetable

underItem2,pleasecontinuetheSiteIdentificationFormunderItem18–Comments,oron

anextrasheet.Remember to include

your EPA Identification Number on the top of each

page.



LIST Clickhereforalistofthenationally‐definedHazardousWasteCodes.



c. EstimateShortTonsofExcludedHSMtobeManagedAnnually

Intheboxprovided,enteryourestimatedquantity(usingshorttons)ofhazardoussecondarymaterial

youexpecttomanageannually.Convertallphysicalquantities(e.g., gallons,cubicyards,kilo grams,

metric tons, etc.) to short tons (1 short ton = 2,000 pounds) and round to the nearest ton (no

decimals).

NotificationofRCRASubtitleCActivities(SiteIdentificationForm)



37



NOTE

Yourestimatedquantityshouldbefortheentireamountofhazardoussecondarymaterialto

bereclaimedNOTjustthequantityofconstituentorproductreclaimed.

d. ActualShortTonsofExcludedHSMManagedDuringtheMostRecentOdd‐NumberedYear

Reportthequantity(usingshorttons)ofeachhazardoussecondarymaterialyouactuallymanaged

duringthemostrecentodd‐numberedyear.Forexample,if youaresubmittingthisnotificationon

February 20, 2018, enter the amount

 you actually managed during 2017 (i.e., the quantity you

managedfromJanuary1,2017toDecember31,2017).Convertallphysicalquantities(e.g.,gallons,

cubicyards,kilograms,metrictons,etc.)toshorttons(1shortton=2,000pounds)androundtothe

nearestton(nodecimals).Ifthisis

yourinitialnotification,enter“0.”

NOTE

Youractualquantityshouldbefortheentireamountofhazardou ssecondarymaterialthat

wassentforreclamationNOTjustthequantityofconstituentorproductreclaimed.

e. Land‐basedUnitCode

Usingthenationally‐definedLand‐basedUnitCodes,enterinthe2‐digitcodethatbestdescribesthe

land‐basedunityouuseorwillusetomanagethehazardoussecondarymaterial.Ifyou donotuse

anyland‐basedunits,enter“NA.”Ifyouuse

thecode“OT”(Other),pleasedescribeyourland‐based

unitinItem18–Comments.Ifmorethanoneland ‐basedunitcodeappliestoahazardoussecondary

material,listitseparatelyusinganotherrow.



LIST Clickhereforalistofthenationally‐definedLand‐basedUnitCodes.

EXAMPLESFOR REPORTINGHAZARDOUSSECONDARYMATERIAL ACTIVITY

EXAMPLE1

A pharmaceutical manufacturer generates spent solvents thatare characteristic for ignitability (D001).

Themanufacturerplanstomanagespentsolventsunder40CFR261.4(a)(23)and261.4(a)(24)bysending

someamounttoareclaimerwithinitsowncompanyandtherestoff‐sitetoarecyclingfacilitywithinthe

U.S.Themanufacturerwill

notmanageanyspentsolventsinaland‐basedunit.Followingtheregulations,

themanufacturersubmitsaninitialnotificationpriortomanagingitsspentsolventsundertheexclusions.

Thefacilitywouldreportitshazardoussecondarymaterialactivityasfollows:

a. Facilitycode b. WasteCode(s)for

hazardous

secondary

material(HSM)

c. Estimatedshort

tonsofHSMto

bemanaged

annually

d. Actualshorttons

ofHSMmanaged

duringthemost

recentodd‐

numberedyear

e. Land‐basedunit

code

02 D001 15 0 NA

06 D001 40 0 NA



 

NotificationofRCRASubtitleCActivities(SiteIdentificationForm)



38



EXAMPLE2

A steel manufacturer generates electric arc furnace dust and spent pickle liquor from one of its steel

operations.Themanufacturersendselectricarcfurnacedust(K061)off‐sitetoarecyclingfacilitywithin

theU.S.andreclaimsspentpickleliquor(K062)on‐site.Neitherhazardoussecondarymateri alismanaged

ina

land‐basedunit.Thesteelmanufacturerhasmanagedbothhazardousse condarymaterialunder40

CFR261.4(a)(23)and261.4(a)(24)foranumberofyearsanditisnowtimetore‐notify.Thefacilitywould

reportitshazardoussecondarymaterialactivityasfollows:

a. Facilitycode b. WasteCode(s)for

hazardous

secondary

material(HSM)

c. Estimatedshort

tonsofHSMto

bemanaged

annually

d. Actualshorttons

ofHSMmanaged

duringthemost

recentodd‐

numberedyear

e. Land‐basedunit

code

01 K062 60 52 NA

06 K061 20,000 22,468 NA

EXAMPLE3

A RCRA‐permitted recycling facility has been receiving and reclaiming spent solvents under 40 CFR

261.4(a)(23)and261.4(a)(24)foranumberofyears.Thefacilityreceivesandreclaimsspentsolventsfrom

multiple hazardous secondary material generators, some of which  are within the same company. No

spentsolventsaremanagedina

land‐basedunit.Itisnowtimetore‐notify.Thefacility wouldreportits

hazardoussecondarymaterialactivityasfollows:

a. Facilitycode b. WasteCode(s)for

hazardoussecondary

material(HSM)

c. Estimated

shorttonsof

HSMtobe

managed

annually

d. Actualshorttons

ofHSMmanaged

duringthemost

recentodd‐

numberedyear

e. Land‐basedunit

code

03 D001;F002;F003;F005 6,000 7,533 NA

03 D001;D035;F002;F003 1,500 918 NA

07 D001;F002;F003;F005 3,000 3,509 NA

07 D001;D038;F002;F003 1,000 523 NA

EXAMPLE4

Asmeltingoperationgeneratesfurnacebricksthatarecharacteristicforchromium(D007) andsendsthem

off‐site for recycling.Before shipping the bricks off‐site, the facility manages some of the bricks in a

containmentbuildingandtherestinapileontheland.Thefacilityhasbeenmanagingthe

bricksunder

40CFR261.4(a)(24)foranumberofyearsandmustnowre‐notify.Thefacilitywouldreportitsactivityas

follows:



NotificationofRCRASubtitleCActivities(SiteIdentificationForm)



39



a. Facilitycode b. WasteCode(s)for

hazardous

secondary

material(HSM)

c. Estimatedshort

tonsofHSMto

bemanaged

annually

d. Actualshorttons

ofHSMmanaged

duringthemost

recentodd‐

numberedyear

e. Land‐basedunit

code

06 D007 200 235 NA

06 D007 115 126 PL

EXAMPLE5

A RCRA‐permitted intermediate facility has been managing wastewater treatment sludges from

electroplatingoperations(F006)forthepastsevenyearsbut,duetocompanyconsolidation,itwillsoon

shutdown.Inaccordance with40CFR260.42,thefacilitynotifiesthatitwillstopmanaginghazardous

secondarymaterial.Thefacilitywouldreport

itsactivityasfollows:

a. Facilitycode b. WasteCode(s)for

hazardous

secondary

material(HSM)

c. Estimatedshort

tonsofHSMto

bemanaged

annually

d. Actualshorttons

ofHSMmanaged

duringthemost

recentodd‐

numberedyear

e. Land‐basedunit

code

08 F005 0 5,034 NA



 

NotificationofRCRASubtitleCActivities(SiteIdentificationForm)



40



ADDENDUMTOTHESITEIDENTIFICATIONFO RM :

LQ G CONS OLIDATI ONOFVS QGSHAZARDOUSWASTES

YOUMUSTFILLOUTTHISADDENDUMIF:



You must fill out this  Addendum if you are an LQG taking advantage of the new provision at 40 CFR

262.17(f)allowingyoutoconsolidatehazardous wastesfromVSQGsunderthecontrolofthesameperson

(asdefinedin40CFR260.10).ForeachVSQGthattheLQGisreceiving

hazardouswastefrom,theLQG

mustidentifytheEPAIdentificationNumber,ifa pplicable,thenameofthesite,thesite address,contact

name,phonenumber,andemailaddress.

ITEM1–EPAIDNUMBER

ProvidetheEPAIdentificationNumberfortheVSQGwhosewasteyouareconsolidating,ifapplicable.A

VSQGmayhaveanEPAIDNumbereitherbecauseit’sStaterequiresit,orbecauseitmayhavebeenan

SQGorLQGatonetime,orforanotherreason.IftheVSQG doesnot

haveanEPAIDNumber,leavethis

blank.

ITEM2–SITENAME

ProvidethelegalnameoftheVSQG.

ITEMS3‐6 –SITELOCATION

Providethe complete location address for theVSQG.Pleasenote that the addressmustbe a physical

address,notapostofficeboxorroutenumber.

ITEM7‐9 –CONTACTINFORMATION

Enterthetelephonenumber,nameoftheindividualwhoshouldbecontactedforinformationaboutthe

VSQG,andtheiremailaddress.



NotificationofRCRASubtitleCActivities(SiteIdentificationForm)



41



ADDENDUMTOTHESITEIDENTIFICATIONFO RM :

EPISODICGENERATOR

YOUMUSTFILLOUTTHISSECTIONIF:

YoumustfilloutthisAddendumifyouareaVSQGorSQGtakingadvantageoftheprovisionin40CFRPart

262,SubpartLallowingyoutogenerateadditionalquantitiesofhazardouswaste—temporarilyexceeding

yournormalgeneratorcategorylimits—andstillmaintainyourexistinggeneratorcategory,ifcomplying

with

 the specified conditions identified at 40 CFR 262.232(a) and (b). These conditions include this

notification,managementstandards,andcompletingtheeventandremovingallhazardouswastefrom

thesitetoaRCRA‐designatedfacilitywithinsixty(60)daysusingahazardouswastemanifest.

NOTE YoucannotusethisAddendumwhen

submittingyourHazardousWasteReport.

Examplesofplannedepisodiceventsincludetankcleanouts,short‐termconstructionprojects, short‐term

site remediation, equipment maintenance during plant shutdowns, removal of excess chemical

inventories, and site and production process decommissions by a new operator. Unplanned episodic

events,which EPA expects would be less frequent, include production process upsets, product

recalls,

accidental spills,  or “acts of nature,” such as a tornado, hurricane, or flood.Generators conducting

episodiceventsmustnotifywith the  type of event(plannedorunplanned), anemergency contact  and

phonenumb er,thestartandenddateoftheepisodicevent(mustbesixty(60)daysorfewer

apart),a

description of the event, Federal and State waste codes of wastes being generated, and the expected

amountofwastetobegenerated.

ITEM1‐2 –PLANNED/UNPLANNEDEVENT



Indicatewhethertheeventbeingconductedisplannedorunplanned.Furthermore,indicatethereason

forthepla nnedorun plannedevent. Ifnoneofthereasonslistedapply,mark“Other”anddescribethe

eventinItem18‐Comments.

ITEM3‐4 –EMERGENCY CONTACTINFORMATION



Provideanemergencycontactphonenumberandcontactnamefortheindividualwhoshouldbe

contactedregardingtheinformationrelatingtothisepisodicevent.

ITEM5‐6 –BEGINNINGANDENDDATES



Providetheestimatedstartdateandenddateoftheevent.Theeventmustbecompletewithinsixty(60)

daysofthestartdate.

WASTE1 –3



For each waste stream produced as a result of the episodic event, provide a description of the waste

generated,theestimatedquantitygenerated,andtheapplicableFederaland/orStatehazardouswaste

NotificationofRCRASubtitleCActivities(SiteIdentificationForm)



42



codes.Ifnecessary,attachaseparatesheetofpaper.Remembertoenteryoursite’sEPAIdentification

Numberinthetopleft‐handcornerofeachsheet.



7.WASTEDESCRIPTION

Provideashortnarrativedescriptionofthehazardouswaste,suchas:

 Generaltype;

 Source;

 Typeofhazard;and

 Genericchemicalnameorprimaryhazardousconstituents.

8.ESTIMATEDQUANTITY



Provideanestimatedquantity,inpounds,ofhazardouswastetobegeneratedasaresultoftheepisodic

event.

9.FEDERALAND/ORSTATEHAZARDOUSWASTECODES

ProvidetheFederalhazar dous wastecodesand/ortheStatehazardouswastecodesforthehazardous

wastesyouexpecttogenerateduringtheepisodicevent.



LIST Clickhereforalistofthenationally‐definedHazardousWasteUnitCodes.



OTHERREFERENCESANDCO DE LISTS





OtherReferencesandCodeLists



82



EXCLUDEDWASTES

Thissectionpresentsapartiallistofexcludedmaterialsandwastes.Thislistincludesmaterialsexcludedfromthe

definition of solid waste in 40 CFR 261.4(a) and solid wastes excluded from the definition of hazardous waste in

40CFR 261.4(b).In addition, it includes specific solid waste samples that are excluded

 from the definition of

hazardouswastein40CFR261.4(d)‐(f).Finally,thislistincludesspecifichazardouswastes,asdescribedin40CFR

261.4(c)and(j),thatareexemptedfromcertainRCRASubtitleCregulations.

AgriculturalWasteFertilizer

§261.4(b)(2)



AirbagWaste

§261.4(j)



AnalyticalSamples–ASampleOfSolid

WasteOrASampleOfWater,Solid,Or

Air,WhichIsCollectedForTheSole

PurposeOfTestingToDetermineIts

CharacteristicsOrComposition

§261.4(d)



ArsenicTreatedWoodandWood

Products

§261.4(b)(9)



CarbonDioxideStreamInjected

For

GeologicSequestration.Carbon

DioxideStreamsThatAreCaptured

AndTransportedForPurposesOf

InjectionIntoAnUnderground

InjectionWells,IncludingThe

Requirementsin40CFRParts144And

146OfTheUndergroundInjection

ControlProgramOfTheSafeDrinking

WaterAct

§261.4(h)



CementKilnDust

§261.4(b)(8)



CokingBy‐products



§261.4(a)(10)



Comparable/SyngasFuels

§261.4(a)(16)



DomesticSewage

§261.4(a)(1)



DredgedMaterialThatIsSubjectTo

TheRequirementsOfAPermitThat

HasBeenIssuedUnder404OfThe

FederalWaterPollutionControlAct

(33U.S.C.1344)OrSection103OfThe

MarineProtection,Research,And

SanctuariesActof1972(33U.S.C.



1413)

§261.4(g)



DrillingFluid

§261.4(b)(5)



ExcludedScrapMetalBeingRecycled

§261.4(a)(13)



FossilFuelEmissionControlWaste

§261.4(b)(4)



HazardousSecondaryMaterialBeing

Remanufactured

§261.4(a)(27)



HazardousSecondaryMaterials

GeneratedAndLegitimately

ReclaimedUnderTheControlOfThe

Generator

§261.4(a)(23)



HazardousSecondaryMaterial

ThatIsGeneratedAndThen

TransferredToAVerified

Reclamation

FacilityForTheHazardousSecondary

MaterialPurposeOfReclamation

§261.4(a)(24)and(25)



HazardousSecondaryMaterialUsedto

MakeZincFertilizers,ProvidedThat

TheFollowingConditionsSpecified

AreSatisfied

§261.4(a)(20)



HouseholdWaste

§261.4(b)(1)(i)‐(ii)



HTMRCondenserResidue

§261.4(a)(11)



InsituMiningMaterials

§261.4(a)(5)



IrrigationReturnFlows

§261.4(a)(3)



KraftMillSteam

StripperCondensates

§261.4(a)(15)

LeachateOrGasCondensateCollected

FromLandfillsWhereCertainSolid

WastesHaveBeenDisposed

§261.4(b)(15)



MiningandMineralProcessWastes

§261.4(b)(7)



MiningOverburden

§261.4(b)(3)



Non‐terneplatedusedoilfiltersthat

arenotmixedwithwasteslistedin

SubpartDofthispartiftheseoil

filtershavebeengravityhot‐drained

usingoneofthefollowingmethods:‐

§261.4(b)(13)



NuclearMaterial

§261.4(a)(4)



OilFilters

§261.4(b)(13)



PetrochemicalRecoveredOil

§261.4(a)(18)



Petroleum‐contaminatedMediaand

Debris

§261.4(b)(10)



PetroleumRefining

§261.4(a)(12)



OtherReferencesandCodeLists



83



PulpingLiquor

§261.4(a)(6)



Refrigerants

§261.4(b)(12)



SecondaryMaterialReturnedto

OriginalProcess

§261.4(a)(8)



SecondaryMaterialfromMineral

Processing

§261.4(a)(17)



ShreddedCircuitBoardsBeing

Recycled

§261.4(a)(14)



SolidWasteThatWouldOtherwise

MeetTheDefinitionOfLow‐level

MixedWastes(LLMW)Pursuantto

§266.210

§261.4(b)(17)



Solvent‐ContaminatedWipes,Except

ForWipesThatAre

HazardousWaste

DueToThePresenceOf

Trichloroethylene,ThatAreSentFor

DisposalAreNotHazardousWaste

FromThePointOfGeneration

§261.4(b)(18)



Solvent‐ContaminatedWipesSentfor

CleaningorDisposal

§261.4(a)(26)



SpentCausticsfromPetroleum

Refining

§261.4(a)(19)



SpentWoodPreservingSolutionsand

Wastewaters

§261.4(a)(9)



SulfuricAcid

§261.4(a)(7)



Treatability

StudySamples

§261.4(e)



TreatabilityStudiesatLaboratories

andTestingFacilities

§261.4(f)



TrivalentChromiumWaste

§261.4(b)(6)



UsedCathodeRayTubes(CRTs)

§261.4(a)(22)



UsedChlorofluorocarbonRefrigerants

FromTotallyEnclosedHeatTransfer

Equipment

§261.4(b)(12)



UsedOilDistillationBottoms

§261.4(b)(14)



UsedOilRe‐refiningDistillation

BottomsThatAreUsedAsFeedstock

ToManufacture

AsphaltProducts

§261.4(b)(14)



WastesGeneratedinStorageTanks,

TransportVehicles,Pipelines,or

ManufacturingProcessUnits

§261.4(c)



WastewaterPointSourceDischarge

§261.4(a)(2)



ZincFertilizersMadeFromHazardous

Wastes,OrHazardousSecondary

MaterialThatAreExcludedUnder

Paragraph(a)(20)OfThisSection

§261.4(a)(21)



OtherReferencesandCodeLists



84



DEFINITIONS

Thissectioncontainsdefinitions oftermshelpfulforcompletingtheform.FortermsdefinedintheCode

ofFederalRegulations(CFR),theappropriatecitationisprovided.

CCUMULATION – A site that does not hold RCRA Interim Status or a RCRA permit may accumulate

hazardouswasteforashortperiodoftimebeforeshippingitoff‐site.Thewastemustbeaccumulated 

ineithertanksorcontainers;itmaynotbeaccumulatedinsurfaceimpoundments.

Generatorsofmore

than1,000kilograms(kg;2,200pounds[lbs])ofhazardouswastepermonthmay

accumulatetheirwasteforupto90daysbeforeshippingitoff‐site.Generatorsof100kg(220lbs)to

1,000kg(2,200lbs)ofhazardouswastepermonth mayaccumulatetheirwasteforupto180days



beforeshippingitoff‐site.Ifthenearesttreatment,storage,disposal,orrecyclingfacilitytowhich

theycansendtheirwasteismorethan200milesaway,theymayaccumulatetheirwastefor270days.

See40CFR262.16and17.

CTORRCRA–TheSolidWasteDisposalAct,asamendedbytheResourceConservationandRecoveryAct

of1976,asamendedbytheHazardousandSolidWasteAmendmentsof1984,42U.S .C.Section6901

etseq.

CUTEHAZARDOUS WASTE–Any hazardouswastewithanEPAhazardouswastecodebeginningwiththe

letter“P”(40CFR261.33(e))oranyof thefollowing“F”codes:F020,F021,F022,F023,F026, and

F027(40CFR261.31).Thesewastesaresubjecttostringentquantitystandardsforaccumulationand

generation(40CFR262.14(a)(1)

and262.14(a)(3)).

IRBAGWASTE–Anyhazardouswasteairbagmodulesorhazardouswasteairbaginflators.

IRBAGWASTECOLLECTIONFACILITY–Anyfacilitythatreceivesairbagwastefromairbaghandlerssubjectto

regulationunder40CFR261.4(j),andaccumulatesthewasteformorethantendays.

IRBAG WASTE HANDLER – Any person, by site, whogenerates airbag waste that is subject to regulation

under40CFR261.4(j).

A

UTHORIZEDREPRESENTATIVE–Thepersonresponsiblefortheoveralloperationofthesiteoranoperational

unit(i.e.,partofasite),e.g.,superintendentorplantmanager,orpersonofequivalentresponsibility.

UTHORIZEDSTATE–AStatethathasobtainedauthorizationfromtheEPAtodirectitsownRCRAprogram.

OILER–Anencloseddeviceusingcontrolledflamecombustionandhavingthefollowingcharacteristics:

 theunithasphysicalprovisionsforrecoveringandexportingenergyintheformofsteam,heated

fluids,orheatedgases;

 theunit’scombustionchamberandprimaryenergyrecoverysection(s)areofintegraldesign(i.e.,

theyarephysicallyformedintoone manufacturedorassembledunit;



 Theunitcontinuouslymaintainsanenergyrecoveryefficiencyofatleast60percent,calculated

intermsoftherecoveredenergycomparedwiththethermalvalueofthefuel;

 Theunitexportsandutilizesatleast75percentoftherecoveredenergy,calculatedonanannual

basis(excludingrecoveredheat

usedinternallyinthesameunit,forexample,topreheatfuelor

combustionairordrivefansorfeedwaterpumps);or

 TheunitisonewhichtheRegionalAdministratorhasdetermined,onacase‐by‐casebasis,tobe

aboiler,afterconsideringthestandardsin40CFR

260.32.

OtherReferencesandCodeLists

85

Y‐PRODUCT MATERIAL – A by‐product material is: (1) any radioactive material (except special nuclear

material) yielded in or made radioactiv e by exposure to the radi ation  incident to the process of

producing or utilizing special nuclear material; and (2) the tailings or wastes produced by the

extractionorconcentrationofurani umorthoriumfr

omanyoreprocessedprimarilyforitssource

materialcontent(definedintheAtomicEnergyActof1954).

ENTRAL ACCUMULATION AREA (CAA) – Central a ccumulation area means an on‐site hazardous waste

accumulationarea subjecttoeither 40 CFR262.34(a)(or262.34(j)and (k) forPerformance Track

members of large quantity generators; or 40 CFR 2 62.34 (d)–(f) of small quantity generators. A

centralaccumulationareaataneligibleacademicentitythatcho

osestobesubjecttothissubpart 

must also comply with 40 CFR 262.211 when accumulating unwanted material and/or hazardous

waste.

ODE OF FEDERAL REGULATIONS (CFR) – Codification of the general and permanent rules published in the

FederalRegisterbytheExecutivedepartmentsandagenciesoftheFederalGovernment.TheCodeis

dividedinto50titleswhichrepresentbroadareassubjecttoFederalregulation.Eachtitleisdivided

intochaptersthatusuallybearthenameoftheiss

uingagency.Each chapterisfurthersubdivided

intopartscoveringspecificregulatoryareas.TheCFRtitleapplicablefortheHazardousWasteReport

is“40,”asin“40CFR262.10”.

ONFIDENTIALBUSINESS INFORMATION(CBI)–Informationa facilitydoesnotwishto makeavailabletothe

general public for competitive business reasons.Confidential Business Information  (CBI)  may be

claimedforcertaininformationinyoursubmittal.Aclaimmaybemadeinaccordancewith40CF R 

Part2,SubpartB.

ELISTEDWASTE–Site‐specificwastesexcludedfromregulationunder40CFR260.20and260.22.Awaste

ataparticulargeneratingsitemaybeexcludedbypetitioningtheEPAAdministratorforaregulatory

amendment.ThesewastesarelistedinAppendixIXof40CFRPart261.

ISPOSAL–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,incl

udinggroundwaters.

LECTRONICMANIFESTBROKER–Apersonasdefinedintitle40CFR260.10thatelectstousetheelectronic

manifest system to obtain, complete and transmit an electronic manifest format supplied by the EPA

electronicmanifestsystemunderacontractualrelationshipwithahazardouswastegenerator.

LIGIBLEACADEMICENTITY–Acollegeoruniversity,oranon‐profitresearchinstitutethatisownedbyorhas

aformalwrittenaffiliationwithacollegeoruniversity,orateachinghospitalthatisownedbyorhas

aformalwrittenaffiliationwithacollegeoruniversitypursuantto40CFRPart262,SubpartK(See40

CFR262.200).

NVIRONMENTALPROTECTIONAGENCY(EPA)–TheEPA,alsocalledU.S.EPA,meanstheU.S.Environmental 

ProtectionAgency.SomeStateenvironmentalauthoritiesmaybecalledtheEPAalso,asin“Illinois

EPA.”

OtherReferencesandCodeLists

86

EPAIDENTIFICATION(ID)  NUMBER–ThenumberassignedbytheEPAtoeachhazardouswastegenerator,

hazardouswastetransporter,andtreatment,storage,ordisposalfacility;U.S.importerofhazardous

waste; U.S. recognized trader arranging for import or export of hazardous waste, including those

hazardouswastesmanagedunderthealternatestandardsof40CFRPart266ortheuniversalwaste

standards of 40 CFR Part 273; U.

S. exporter or importer of spent lead‐acid batteries for recycling;

mixed waste (hazardous and radioactive) generator; recycler of hazardous waste; exempt boiler

and/or industrial furnace burning or processing hazardous waste; large quantity handler of or

destinationfacilityforuniversalwastes;disposerof hazardouswast

ewithanundergroundinjection

permit;usedoiltransporter,usedoilprocessor/re‐refiner,off‐specificationusedoilfuelburner,used

oilfuelmarketer;eligibleacademicentitymanaginglaboratoryhazardouswasteunderSubpartK;or 

siteundergoingcorrectiveaction.Additionally,facilitiesthatmustnotifyusingtheSiteIdentification

Form and Ad

dendum to the Site Identification Form  that they are managing hazardous secondary

materialwillalsobeassignedanEPAIdentificationNumber.

PISODICGENERATOR–AnepisodicgeneratoriseitheraVSQGoranSQGwho,asaresultofaplannedor

unplannedepisodicevent,generatesaquantityofhazardouswasteinacalendarmonthsufficientto

causethefacilitytomoveintoamorestringentgeneratorcategory(i.e.,VSQGtoeitheranSQGoran

LQG;oranSQ

GtoanLQG).Aspartofthe2016HazardousWasteGeneratorImprovementsFinalRule,

thisnewprovisionallowsaVSQGoranSQGtogenerateadditionalquantitiesofhazardouswaste—

temporarilyexceedingitsnormalgeneratorcategorylimits—andstillmaintainitsexistinggenerator

category,provideditcomplies withthespecifi

edconditionsidentifiedat40CFR262.232(a)and(b)

forVSQGsandSQGs,respectively.

Althoughnotinclusive,examplesofplannedepisodiceventsincludetankcleanouts,short‐termsite

remediation, equipment maintenance durin g plant shutdowns, and periodic removal of excess

chemicalinventories.Unplannedepisodicevents,whichEPAex

pectswouldbelessfrequent,include

productionprocessupsets,productrecalls,accidentalspills,or“actsofnature,”suchasatornado,

hurricane,orflood.

VALUATEDHAZARDOUSWASTEPHARMACEUTICAL–Aprescriptionhazardouswastepharmaceuticalthathas

beenevaluatedbyareversedistributorinaccordancewith40CFR266.510(a)(3)andwillnotbesent

toanotherreversedistributorforfurtherevaluationorverificationofmanufacturecredit.

XCLUDEDWASTES–Wastesexcludedfromthedefinitionofsolidorhazardouswasteunder40CFR261.3

and261.4.Clickhereforapartiallistingofexcludedwastes.

FORM–WasteGenerationandManagementForm.

AZARDOUSWASTE–Ahazardouswasteasdefinedin40CFR261.3.

AZARDOUSSECONDARYMATERIAL(HSM)–Asecondarymaterial(e.g.,spentmaterial,by‐product,orsludge)

that, when discarded,  would be identified as hazardous waste under 40 CFR Part 261.Facilities

managinghazardoussecondarymaterialunder40CFR260.30,40CFR261.4(a)(23),(24),(25),or(27)

mustcompletetheAddendumtotheSiteIdentificationForm:No

tificationforManagingHa zardous

Secondary Material.You must check with your State to determine if you are eligible to manage

hazardoussecondarymaterialundertheseexclusions(seealso

https://www.epa.gov/hwgenerators/final‐rule‐2015‐definition‐solid‐waste‐dsw.

OtherReferencesandCodeLists



87



HAZARDOUS WASTE GENERATOR – Any person, by site, whose act or process produces hazardous waste 

identifiedorlistedin40CFRPart261.



AZARDOUSWASTENUMBERORCODE,EPA–Thenumber(orcode)assignedbytheEPAtoeachhazardous

wastelistedin40CFRPart261, Sub partDandtoeachcharacteristicidentifiedin40CFRPart261,

SubpartC.Thecodesconsistofoneletter(D,F,P,U,orK)andthreenumbers.Clickhere

foralistof

EPAhazardouswastecodes.



AZARDOUSWASTENUMBERORCODE,STATE–Thenumber(orcode)assignedbytheStatetoeachhazardous

wastelistedintheStateregulations.ObtainalistoftheStateswastecodesfromyourState.



AZARDOUSWASTESTORAGE–Theholdingofhazardouswasteforatemporaryperiod,attheendofwhich

thehazardouswasteistreated,disposedof,orstoredelsewhere.



AZARDOUSWASTETRANSFERFACILITY–Referto“TransferFacility”definition.



AZARDOUSWASTETRANSPORTER–Referto“Transporter”definition.



AZARDOUSWASTETREATMENT–Anymethod,tech nique, 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tr ansport,

store,or dispose of;or amenablefor recovery,amenablefor storage,or reduced  involume.Such

term include s  any activity or processing designed to change the physical form or composition of

hazardouswastesoastorenderitnonhazardous.



EALTHCARE FACILITY – Any person that is lawfully authorized to (1) provide preventative, diagnostic,

therapeutic, rehabilitative , maintenance or palliative care, and counseling, service, assessment or

procedurewithrespecttothephysicalormentalcondition,orfunctionalstatus,ofahumanoranimal 

orthataffectsthestructureorfunctionofthehuman

oranimalbody;or(2)distribute,sell,ordispense

pharmaceuticals, including over‐the‐counter pharmaceuticals, dietary supplements, homeopathic

drugs, or prescription pharmaceuticals.This definition includes, but is not limited to, wholesale

distributors,third‐partylogisticsprovidersthatserveasforwarddistributors,militarymedicallogistics

facilities, hospitals, psychiatric hospitals, ambulatory surgical centers,

 health clinics, physicians’

offices, optical and dental providers, chiropractors, long ‐term care facilities, ambulance services,

pharmacies, long‐term care pharmacies, mail‐order pharmacies, retailers of pharmaceuticals,

veterinary clinics, and veterinary hospitals.This definition  does not in clude pharmaceutical

manufacturers,reversedistributors,orreverselogisticscenters.



NCINERATION–Burningofcertaintypesofsolid,liquid,orgaseousmaterials;oratreatmenttechnology

involving destruction of waste by controlled burning at high temperatures (e.g., burning sludge to

removethewaterandreducetheremainingresiduestoasafe,non‐burnableashthatcanbedisposed

safelyonland,

insomewaters,orinundergroundlocations).



NDUSTRIALFURNACE–Anyofthefollowingencloseddevicesthatareintegralcomponentsofmanufacturing

processesand thatuse thermaltreatment to accomplish recoveryof materialsor energy: cement

kilns;li me kilns;aggregatekilns;phosphatekilns;cokeovens;blastfurnaces;smelting,melting,and

refiningfurnaces;titaniumdioxidechlorideprocessoxidationreactors;methane

reformingfurnaces;

OtherReferencesandCodeLists

88

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.

NTERIM(PERMIT)STATUS–Periodduringwhichtheowner/operatorofan existingTSDfacilityistreatedas

havingbeenissuedaRCRApermiteventhoughhe/shehasnotyetreceivedafinaldetermination.An

existingfacilityshouldhaveautomaticallyqualifiedforinterimstatusiftheowner/operatorfiledboth

timely “notification” and the first part (Part A) of the RCRA pe

rmit application.Interim status

continuesuntilafinaldeterminationismade toissueordenythepermit.Owner/operatorofnew

facilities cannot, by definition, qualify for interim status; rather, they need a RCRA permit prior to

beginningconstructionofahazardouswastemanagementfacility.

ARGEQUANTITYGENERATOR(LQG)OFHAZARDOUSWASTE–isageneratorwhogeneratesanyofthefollowing

amountsinacalendarmonth:

(i) Generates, in any calendar month, (including quantities imported by importer site) 1,000

kilograms(kg)(2,200pounds(lbs))ormoreofnon‐acuteRCRAhazardouswaste;or

(ii) Generates,inacalendarmonth,oraccumulatesatanytime,moretha

n1kg(2.2lbs)of

anyRCRAacutehazardouswastelistedinsections261.31or261.33(e);or

(iii) Generates, inany calendarmonth,or accumulates atany time,more than 100 kg(220 lbs) of

residueorcontaminatedsoil,waste,orotherdebrisresultingfromth

ecleanupofaspill,intoor

onanylandorwater,ofanyRCRAacutehazardouswastelistedinsections261.31or261.33(e).

ARGEQUANTITYHANDLEROFUNIVERSALWASTE(LQHUW)–Auniversalwastehandler(asdefinedin40CFR

273.9)whoaccumulates5,000kilograms(kg)ormoretotalofuniversalwastes(batteries,pesticides,

mercury‐containing equipment, or lamps – calculated collectively) at any time.This designation is

retainedthroughtheendofthecalendaryearinwhichthe5,000kgli

mitismetorexceeded.

ANAGEMENT,ORHAZARDOUSWASTEMANAGEMENT–Systematiccontrolofthecollection,sourceseparation,

storage, transportation, processing, treatment, recovery, or disposal of hazardous waste (40 CFR

260.10).

ANIFEST, UNIFORM HAZARDOUS WASTE – The shipment document EPA Form 8700‐22 and, if necessary,

Form8700‐22A,originatedandsignedbyageneratorinaccordancewiththeinstructionsincludedin

theAppendixto40CFRPart262.The“cradle‐to‐grave”paperworkmustaccompanyashipmentof

hazardouswasteasitmovesfromthegeneratortothetra

nsporterandeventuallytothehazardous

wastemanagementfacility.

IXEDWASTE–Wastethatcontainsbothhazardousandsource,specialnuclear,orby‐productmaterial

subjecttotheAtomicEnergyAct(AEA),RCRASection5004(41),42U.S.C.6903(63FR17414;April9,

1998).

UNICIPALITY – A city, vi llage, 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wa

stes.

OtherReferencesandCodeLists

89

NON‐CREDITABLEHAZARDOUSWASTEPHARMACEUTICAL–Aprescriptionhazardouswastepharmaceuticalthat

doesnothaveareasonableexpectationtobeeligibleformanufacturercreditoranonprescription

hazardous waste pharmaceutical that does  not have a reasonable expectation to be legitimately

used/reusedorreclaimed.Thisincludesbutisnotlimitedto, investigationaldrugs,freesamplesof

pharmaceuticals received by health

care facilities, residues of pharmaceuticals remaining in empty

containers,contaminatedpersonalprotectiveequipment,floorsweepings,andcleanupmaterialfrom

thespillsofpharmaceuticals.

FF‐SITE FACILITY – A hazardous waste treatment, storage, disposal, or recycling area located at a place

awayfromthegeneratingsite.

FORM–Off‐siteIdentificationForm. 

FF‐SPECIFICATIONU SEDOILBURNER–Asitewhereusedoilnotmeetingthespecificationrequirementsin

40CFR279.11(off‐specificationusedoil)isburnedforenergyrecoveryindevicesidentifiedinSection

279.61(a).

FF‐SPECIFICATIONUSEDOILFUEL–Usedoilfuelthatdoesnotmeetthespecificationprovidedunder40CFR

279.11.

N‐SITE FACILITY – A hazardous waste treatment, storage, disposal, or recycling area located on the

generatingsite.

N‐SPECIFICATIONUSEDOILFUEL–Usedoilfuelthatmeetsthespecificationprovidedunder40CFR279.11 .

PERATOR–ThepersonresponsiblefortheoveralloperationofaRCRAsite.Note:Thisisthelegalentity

which controls the RCRA site operation rather than the plant or site manager.This is usually a

companyorbusinessname,notanindividual.SeePerson.

WNER–ThepersonwhoownsaRCRAsiteorpartofaRCRAsite.Note:Thisincludestheowner(s)of

thebuilding(s)and/orland.Thismaybeanindividual, company,orbusinessname.SeePerson.

ERSON – An individual, trust, firm, joint stock company, Federal Agency, corporation (including a

government corporation), partnership, association, State, municipality, commission, political

subdivisionofaState,oranyinterstatebody,asdefinedin40CFR260.10.

OTENTIALLY CREDITABLE HAZARDOUS WASTE PHARMACEUTICAL – A prescription hazardous waste

pharmaceuticalthathasa reasonableexpectationtoreceivemanufacturercreditandis(1)inoriginal

manufacturerpackaging(exceptpharmaceuticalsthatweresubjecttoarecall);(2)undispensed;and

(3) unexpired or less than one year past expiration date.The term does not include evaluated

hazardouswastepharmaceuti

calsornonprescriptio npharmaceuticalsincluding,butnotlimitedto,

over‐the‐counterdrugs,homeopathicdrugs,anddietarysupplements.

ROCESSSYSTEM–ForpurposesoftheHazardousWasteReport,aprocesssystemreferstooneormore

unitsusedtogethertotreat,recover,ordisposeofahazardouswaste.Theprocesssystembeginsat 

the unit where the hazardous  waste first enters and consists of all other treatment, recovery, or

disposalunits downstream fromthe pointofentry.Note thatst

orageisnot considereda process

system.

OtherReferencesandCodeLists



90



 Classify each process  system with a Management Method code that best identifies the last

substantive purpose/operation it performs.For example, a pr ocess system to remove dissolved

metals from wastewater prior to shipping the sludge off‐site typically includes equalization, pH

adjustment,chemicalprecipitation,flocculation,clarification/settling,anddew ateringofthesludge

removedfromthebottomoftheclarifier.Thechemicalprecipit ationprocessbestidentifiesthelast

purpose of this treatment system – to remove metals from the wastewater.If this wa stewater

treatment system is RCRA‐regulated, it would be reported as H070 (Chemical Treatment).If the

sludgewillbedisposedatthe

reportingsiteinalandfill,thecodewillbeH132(Landfill)andwillneed

tobereportedonaseparateGMFormbecauseitisaresidualfromatreatmentprocess. However,

thisprocessisexemptifthetreatedwaterflowstoaPOTWoraNPDESoutfallwithno

RCRA‐regulated

storageortreatmentunitsinthesystem,andshouldnotbereported.Clickhereforalistofnationally‐

definedManagementMethodCodes.



ROCESS UNIT – For purposes of the Hazardous  Waste Report, a process unit refers to a single type of

treatment(e.g.,tank,distillationcolumn,surfaceimpoundment)inwhichhazardouswasteistreated,

disposed,orrecycled.



ESOURCE CONSERVATION AND RECOVERY ACT (RCRA) – The Solid Waste Disposal Act as amended by the

ResourceConservationandRecoveryAct(RCRA)(40CFR270.2).ItistheFederalstatutethatregulates

thegeneration, treatment,storage,disposal,recycling,and/ortransportationofsolidandhazardous

waste.



EVERSEDISTRIBUTOR –Any personthat receives and accumulates prescription pharmaceuticals  thatare

potentially creditable hazardous waste pharmaceuticals for the purpose of facilitating or verifying

manufacturercredit.Anyperson,includingforwarddistributors,third‐partylogisticsproviders,and

pharmaceutical manufacturers, that processes prescription pharmaceuticals for the facilitation or

verificationofmanufacturercreditis

consideredareversedistributor.



RCRA

INTERIM(PERMIT)STATUS–Referto“Interim(Permit)Status”definition.



RCRA

 PERMIT – A complete RCRA permit is comprised of an operating permit for hazardous waste

treatment,storage,anddisposal,andacorrectiveactionpermitaddressingreleasesfromsolidwaste

managementunit(SWMUs).Toapplyforapermit,asitemustfileatwo‐partapplication(PartAand

PartB).A

facilityisnotconsideredtohaveacompleteRCRApermituntilbothpartshavebeenissued.



RCRA

 SUBTITLE C SITE (RCRA SITE OR SITE) – The physical plant or location at which one or more of the

following regulated waste activities occurs:the generation, transportation, treatment, storage, or

disposalofhazardouswastes;recyclingofhazardouswastes;U.S.importerofhazardouswaste;mixed

waste (hazardous and radioactive) generator; exempt boiler and/or industrial furnace burning or



processing hazardous waste; large quantity handler of or destination facility for universal wastes;

disposinghazardouswastewithanundergroundinjectionpermit;thetransportation(andtemporary

storage during transportation), proce ssing/re‐refining, burning, or marketing of used oil; eligible

academicentitymanaginglaboratoryhazardouswasteunderSubpartK;facility managinghazardous

secondary

materialbeingreclaimedthatmustcomply withcertainrequirementsandconditions;or

undergoingcorrectiveaction.



 Asitemayconsistofseveraltreatment, storage,ordisposaloperationalunits.Forentitiesthatonly

transportregulatedwastes,thetermsitereferstotheheadquartersofthatentity’soperations.

OtherReferencesandCodeLists

91

ECYCLING–Use,reuse,or reclamationofamaterial(40CFR261.1(c)(7)).“Reclamation”istheprocessing

orregenerationofa materialto recovera usableproduct(e.g., recoveryof leadvaluesfromspent

batteries,regenerationofspentsolvents)(40CFR261.1(c)(4)).Amaterialis“usedorreused”ifitis

either:(1)em

ployedas an ingredie nt(includinguse asanintermediate) inanindustrialprocessto

makeaproduct(e.g.,distillationbottomsfromoneprocessusedasfeedstockinanotherprocess)(40

CFR 261.1(c)(5)).However, a material  will not satisfy this condition if distinct components of the

material are recovered as separate en

d products (as when metals are recovered from metal‐

containing secondary material); or (2) a commercial product (e.g., spent pickle liquor used as

phosphorousprecipitantandsludgeconditionerinwastewatertreatment).

ESIDUAL–Ahazardouswastederivedfromthetreatment,disposal,orrecyclingofapreviously existing

hazardouswaste(e.g.,thesludgeremainingafterinitialwastewatertreatment).

HORT‐TERMGENERATOR–Afacilitythatwasnotahazardouswastegeneratoruntilaone‐time,non‐

recurring, temporary event occurred that is not related to normal production processes. In other

words,short ‐termgeneratorsproducehazardouswastefromaparticularactivityforalimitedtimeand

thenceaseconductingthatactivityandrevertba

cktoanon‐hazardouswastegeneratorcategory.Short‐

term generators are not considered episodic generators.Episodic generators must manage the

hazardouswastefromaspecificepisodiceventunderaseparatesetofconditionsoutlinedin40CFR

Part 262, Subpart L that might not apply to all short‐term generators.Examples of sho

rt‐term

generatorsinclude: one‐time highway bridge wastegeneration, underground storagetank removals,

generationofoff‐specorout‐of‐datechemicalsatasitethatnormallydoesnototherwise generate

hazardouswaste,remediateorspillclean‐upsiteswithnopreviousRCRAEPAIdentificationNumber,

andsiteorpr

oductionprocessdecommissionsbyanewoperator.

LUDGE – Any solid, semi‐solid, or liquid waste generated from a municipal, commercial, or industrial

wastewatertreatmentplan,watersupplytreatmentplant,orairpollutioncontrolfacilityexclusiveof

thetreatedeffluentfromawastewater treatmentplant(40CFR260.10).

MALLQUANTITYGENERATOR(SQG)OFHAZARDOUSWASTE–isageneratorifthesitemeetsallofthe

followingcriteria:

(i) Generates, in any calendar month, greater than 100 kilograms (220 lbs) but less than 1,000

kilograms(2200lbs)ofnon‐acutehazardouswaste;and

(ii) Generat es,inanycalendarmonth,lessthanorequalto1kilogram(2.2lbs)ofacutehazardous

wastelistedin261.31or2

61.33(e)ofthischapter;and

(iii) Generates,inanycalendarmonth,lessthanorequalto100kilograms(220lbs)ofanyresidue

orcontaminatedsoil,water,orotherdebrisresultingfromthecleanupofaspill,intooronany

landorwater

,ofanyacutehazardouswastelistedin261.31or261.33(e)ofthischapter.

MALLQUANTITYON‐SITEBURNEREXEMPTION–Thepersonswhoburnsmallquantity ofhazar douswastein

anon‐siteboilerorindustrialfurnace,inaccordancewith40CFR266.108,areconditionallyexempt

fromregulationforthatactivity.

MELTING,MELTING,AND REFININGFURNACEEXEMPTION–Under 40CFR266.100(c),ownersoroperatorsof

smelting,melting,andrefiningfurnacesthatprocesshazardouswastessolelyformetalsrecoveryare

conditionallyexemptfromregulation, exceptfor40CFR266.101and266.112,providedtheycomply

withlimitedrequirementssetforthinSection266.100(c).Similarly,40CFR266.100(f) providesthat

OtherReferencesandCodeLists

92

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).

OLID WASTE – Any garbage, refuse, or sludge,  or  other materials not excluded under 40  CFR  261.4(a).

Exclusionsinclude,forexample,domesticsewageandanymixtureofotherwastesthatpassthrough

asewersystemtoapubliclyownedtreatmentworks(POTWs);industrialwastewaterdischargesthat

arepointsourcedischarges subjecttoregulationun

dertheCleanWaterAct;irrigationreturnflows;

nuclear materials defined by the Atomic Energy Act;and in situ mining materials.Click here for a

partiallistofexcludedwastes.Wastewatersbeingcollected,stored,ortreatedbeforedischargeand

sludgesgeneratedbywastewatertreatmentarenotexcluded.TheEPAdefineshazardouswasteas

asubsetofsolidwaste.

OURCE MATERIAL – As  defined by the Atomic Energy Act of 1954: (1) Uranium,  thorium, or any other

material determined by the Nuclear Regulatory Commission pursuant to the provisions of Section

2091ofthistitletobesourcematerial;or(2)ores containingoneormoreoftheforegoingmaterials

insuchconcentrationasth

eCommissionmaybyregulationdeterminefromtimetotime.

PECIALNUCLEARMATERIAL–AsdefinedbytheAtomicEnergyActof1954:(1)plutonium,uraniumenriched

in the isotope 233 or in the isotope 235, and any other material which the Nuclear Regulatory

Commission,pursuanttotheprovisionsofSection2071ofthistitle,determinestobespecialnuclear

material,butdoesnotin

cludesourcematerial;or(2)anymaterialartificially enrichedbyanyofthe

foregoing,butdoesnotincludesourcematerial.

UBPART K– Analternative setof generator requirements for managing laboratory hazardouswaste at

eligibleacademicentities.Generatorsthatare eligibleacademicentitieswithlaboratoriesmayelect

tooptinto40CFRPart262,SubpartKandmanagetheirlaboratoryhazardouswasteunderSubpartK

inlieuof40CFR262.14,15

,16,and17.Inorderforeligibleacademicentities(seedefinition)toopt

intoSubpartKorsubsequentlywithdrawfromSubpartK,theymustusetheSiteIDFormtonotifythe

appropriateState or EPARegional Office.Refer to40CFR 262.203and 262.204.Note:Youmust

checkwithyourStatetodetermineifyouareeligibletomanagelaboratoryhazardouswastepursuant

to40CFRPart262,SubpartKandforanyState‐specificrequirements.

UBPARTP–Amandatoryruleforthemanagementofhazardouswastepharmaceuticalsatallhealthcare

facilities(excepthealthcarefacilitiesthatareVSQGs)andreversedistributors.Theruleiseffectiveat

theFederal levelon August21, 2019.AuthorizedStateshave untilJuly 1,2021 to adoptthis rule.

Referto40CF

RPart266,SubpartP.

UPERFUND–TheprogramoperatedunderthelegislativeauthorityoftheComprehensiveEnvironmental

Response, Compensation, and Liability Act (CERCLA) and the Superfund Amendments and

ReauthorizationAct(SARA)thatfundsandcarriesoutthesolidwasteemergencyresponseandlong‐

termremedialactivitiesoftheEPA.

URFACEIMPOUNDMENT–Anaturaltopographicdepression,man‐madeexcavation,ordikedareaformed

primarilyfromearthenmaterials(thoughitmaybelinedwithman‐madematerials)thatisdesigned

toaccumulateliquidwastesorwastescontainingfreeliquids,andthatisnotaninjectionwell(40CFR

260.10).

OtherReferencesandCodeLists

93

TOLLING–Toll ing arrangementsdescribeaparticulartypeofrecyclingcontractbetweentwocompanies.

Specifically,the“tolling”  companycertifiesthatithasacontractwithamanufacturer topr oduce a

product,andthat manufacturingproces sgeneratesaresidualmaterial that canberecycledbythe

tollingcompany.Ifthetollingcompanycertifiesthatthecontrac

tspecifiesthatthetollingcompany

owns and has responsibility for the re cyclable material once it is generated, and the material is

returnedtothetollingcompanyforreclamation,andsubsequentlyrecycled,thematerialisexcluded

fromregulation(under40CFR261.4(a)(23)),providedcertainrequirementsaremet.

RANSFER FACILITY – Any transportation‐related facility including loading docks, parking areas, storage

areas,andothersimilarareaswhereshipmentsofhazardouswasteareheldfor10daysorlessduring

thenormalcourseoftransportation(40CFR261.4(a)(23)and40CFR263.12).

RANSPORTER–Apersonengagedintheoff‐sitetransportationofhazardouswastebyair,rail,highway,or

water.

NDERGROUNDINJECTIONCONTROL–Thesubsurfaceemplacementoffluidsthroughabored,drilledordriven

well; or through a dug well, where the depth of the dug well is greater than the largest surface

dimension.UndergroundinjectionwellsareregulatedunderboththeSafeDrinkingWaterActand

theResourceConservationandRecoveryAct(see40CFRPart148)

.

NIT–Referto“ProcessUnit”definition.

NITEDSTATESIMPORTER–Anypersonwhoimportshazardouswastefromasitelocatedinaforeigncountry

intotheU.S.ThisdoesnotincludehazardouswasteshippedfromU.S.territoryorprotectorate.

NIVERSALWASTE–Anyof thefollowinghazardouswastesthataremanagedundertheuniversalwaste

requirementsof40CFRPart273:batteries,pesticides,mercury‐containingequipment,lamps,and

aerosolcans.SomeStatesmayhaveState‐specificuniversalwastesdefinedaswell.

SEDOIL–Anyoilthathasbeenrefinedfromcrudeoil, oranysyntheticoil,thathas beenused,andasa

resultofsuchuse,iscontaminatedbyphysicalorchemicalimpurities.

SEDOILFUELMARKETER–Anypersonwhoconductseitherofthefollowingactivities:

(i) Directs a shipment of off‐specification used oil from their site to an off‐specification used oil

burner;or

(ii) First claims that used  oil that is  to be burned for energy recovery meets the used oil fuel

specificationssetforthin40CFR279.11.

SEDOILM ANAGEMENTACTIVITIES–ForthepurposesoftheSiteIDForm,includesusedoiltransportation; 

usedoilprocessingandre‐refining;burningoff‐specificationusedoilfuel;andusedoilfuelmarketing.

SEDOILPROCESSING–Chemicalorphysicaloperationsdesigned toproducefromusedoil,ortomakeused

oil more amenable for production of, fuel oils,  lubricants, or other used oil‐derived products.

Processingincludes,butisnotlimitedto:blendingusedoilwithvirginpe troleumproducts,blending

usedoilstomeetthefuelspecifi

cation,filtration,simpledistillation,chemicalorphysicalseparation,

andre‐refining.

SEDOILPROCESSOR–Asitethatprocesseson‐specificationoroff‐specificationusedoil.

OtherReferencesandCodeLists

94

SEDOILRE‐REFINER–Asitethatproduceslubricatingoilsandgreases,industria lfuel,asphaltextender,

gasoline,andotherproductsfromon‐specificationoroff‐specificationusedoil.

SED OIL T RANSFER FACILITY – Any transportation‐related facility,  including loading docks, parking areas,

storageareas,andotherareaswhereshipmentsofusedoilareheldformorethan24hoursduring

thenormalcourseoftransportationandnotlongerthan35days.Transferfacilitiesthatstoreused

oilformorethan35daysaresubje

cttoregulationunder40CFRPart279,SubpartF.

SEDOILTRANSPORTER–Anypersonwhotransportsusedoil,anypersonwhocollectsusedoilfrommore

thanonegeneratorandtransportsthecollectedoil, andownersandoperatorsofusedoiltransfer

facilities.Used oil transporters may consolidate or aggregate loads of used oil for purposes of

transportationbut,withthefollowingex

ception,maynotprocessusedoil.Usedoiltransportersmay

conductincidentalprocessingoperationsthat occurinthenormalcourseofusedoiltransportation

(e.g.,settlingandwaterseparation),butthatarenot designedtoproduce(ormakemoreamenable

forproductionof)usedoil‐derivedproductsorusedoilfuel.

ERY SMALL QUANTITY GENERATOR (VSQG) OF HAZARDOUS W ASTE ‐ A generator who generates less than or

equaltothefollowingamountsinacalendarmonth: 

(i) 100kilograms(kg)220pounds[lbs])ofhazardouswaste;and

(ii) 1kg(2.2lbs)ofacutehazardouswasteslistedinsections261.31,or261.33(e);and

(iii) 100kg (220 lbs)ofanyresidueorcontaminated soil

,waste, or other debrisresultingfrom the

cleanupof aspill,intooronanylandorwater,ofanyacutehazardouswasteslistedinsections

261.31,or261.33(e).

ASTE MINIMIZATION – The reduction, to the extent feasible, of hazardous waste that is generated or

subsequently treated, stored, or disposed.It includes any source reduction or recycling activity

undertakenbyageneratorthatresultsin:(1)thereductionoftotalvolumeorquantityofhazardous

waste; (2) the reduction of toxicity of hazardous waste; or (3)  both, as long as the reduction is

consistent wi

th the goal of minimizing present and future threats to human health and the

environment.

ASTEOIL (BIENNIALREPORTONLY)–Any oil  thathas beenrefinedfromcrude oil,orany syntheticoil,

thathasbeenused,andasa resultofsuchuse,iscontaminatedbyphysicalorchemicalimpurities

andismanagedasahazardouswaste.

FORM–WasteReceivedFromOff‐siteForm.

OtherReferencesandCodeLists

95

SPECIALINSTRUCTIONS

TheseinstructionsexplainhowtocompletetheHazardousWasteReportforwastesandsites withunique

regulatoryorreportingrequirements.

SBESTOS,PCBS,WASTEOILS–Inmostcases,donotreportasbestos,PCBs,andwasteoils.However,you

mustreportthemifanyofthefollowingconditions exist:

(1) IfyourStatespecificallyrequiresthatthesewastesbereported;

(2) IfalistedRCRAha zardouswaste(i.e.,EPAhazardouswastecodethatbeginswith“F,”“K,”“P,”

or

“U”)ismixedwithasbestos,PCBs,orwasteoil,inwhichcasetheentiremixtureisahazardous

waste;or

(3) Ifthewastepossessesoneormoreofthecharacteristics thatresultinassigningEPAhazardous

waste code beginning with “D.”(This  does not apply to use

d oil that is recycled as

 explained

below.)

Do not report “used oil that is recycled and is also a hazardous waste solely because it exhibits a

hazardouscharacteristic(criterion3above).Usedoilthatisrecycledincludesanyusedoilwhichis 

reused, following its original use, for any pur

pose (inclu

ding the purpose for which the oil was

originallyused).Suchtermincludes,butis notlimitedto,oilwhichisre‐refined,reclaimed,burned

forenergyrecovery,orreprocessed.”(40CFR261.6(a)(4))

ROUNDWATER CONTAMINATED BY HAZARDOUS WASTE – Groundwater contaminated by RCRA hazardous

wasteisnotconsideredasolidwasteandis,therefore,notclassifiedasahazardouswaste.However,

becausehazardouswasteis“containedin”thegroundwater,itmustbetreated“asif”itwasaRCRA

hazardous waste ifit is removedfor treatment, storage, or disposal.

Whenreporting groundwater

contaminated by hazardous waste in the Hazardous Waste Report, observe the f ollowing

conventions:

(1) Enter“0”intheGMForm –Item1.F(QuantityGenerated).ExplaininItem4‐Commentsthatit

isgroundwater,notahazardouswastethatwasgeneratedon‐site.

(2) Reportquantitiesmanagedon‐site(G

MForm,Item2,On‐

siteProcessSystems1and2);

quantitiesshippedoff‐siteformanagem ent(GMForm,Item3);andquantitiesreceivedfrom

off‐siteandmanagedon‐site(WRForm,ItemE).

Todetermineifthecontaminatedmediamustbereportedatall(generatedORtreated):Ifthecontaminationisduetoacharacteristi cwaste,

thenitisthegenerator’sresponsibilitytodetermineifthecontaminatedgroundwaterisahazardouswaste.Oncethecharacteristicsare

eliminated,themediaisnolongerconsideredto“cont

ain”hazardouswaste.Ifafacilityhasfirstremovedgroundwaterandisclaimingthatthe

groundwateriscontaminatedwithalistedhazardouswasteor“contains”listedhazardouswaste,EPARegionsorAuthorizedStatesshould

makeasite‐specificdeterminationofwhetherthemediaisaRCRAWaste.Pleasesee:“ManagementofRe

mediationWasteUnderRCRA,”

EPA530‐F‐98‐026,October14,1998.RCRAOnlineDocumentNo.14291.Availableonlineat:

https://rcrapublic.epa.gov/files/14291.pdf.

OtherReferencesandCodeLists

96

LABPACKS–ThefollowingrulesapplytothereportingoflabpackwastesintheHazardousWasteReport: 

(1) YoumayaggregatelabpackwastesiftheyhavethesameFormCode.However,youmustreport

themasseparatewastesunderthefollowingconditions:

 If  they contain RCRA acute hazardous was

tes (i.e., EPA hazardous waste codes F020,

F021,F022,F023,F026,F027,andall“P”wastecodes).Reportseparatelyfromlabpacks

containingotherRCRAhazardouswastes(allotherEPAhazardouswastecodes).

 If theyaremanageddifferently fromeachother.Forexample, reportlabpacksshipped

tolandfillsseparatelyfromthosei

ncinerated.

(2) EnteraFormCodeindicatinglabpacks(i.e.,W001orW004)ontheGMForm,inSection5–Item

EorontheWRForm,inSection6‐ItemG.TheseFormCodesaretobeusedwithanylabpack,

whetherthewastesaregaseous,liquid,solid,orsludge.

(3) Itis not necessarytorepo

rteveryEPA hazardouswastecode includedina batchof labpacks.

Recordone,orafewpredominant,EPAhazardouswastecodesinSection5–ItemBoftheGM

Form,orItemB oftheWRForm.Ifth

erearemanyEPAhazardouswastecodes associatedwith

thebatchoflabpacks,enter“LABP”inthefirstfour ‐characterfieldinSection5–ItemBofthe

GMForm,orItemBoftheWRForminSection6;thenenter“NA”inther

emainingspacesforthe

EPAhazardouswastecodes.

(4) Whenreportingquantitiesforlabpacks:

 Includetheweightofthecontainersiftheyaredisposed(e.g.,landfilled)ortreated(e.g.,

incinerated)withthewaste.

 Excludetheweightofthecontainersifthewasteisremovedfromthecon

tainersbefore

treatmentordisposal.

RCRA‐R

ADIOACTIVEMIXEDWASTES–Bythemselves,sourcematerial,specialnuclearmaterial,orby‐product

materials,asdefinedbytheAtomicEnergyActof1954andamendedby42U.S.C.2011et.Seq.,are

notclassified ashazardouswastesunderRCRA.However,ifthesematerialsaremixedwithaRCRA

hazardouswaste,thematerialiscontroll

edunderRCRAregulation, aswellasundertheAtomicEnergy

Act(DOE,NRC,andEPA)regulations,andistobereportedintheHazardousWasteReport.

UBPARTKLABORATORYWASTECLEAN‐OUT–ASubpartKlaboratoryclean‐outconductedinaccordancewith

40CFR262.213(a),isdefinedas:onceper12monthsperlaboratory,alaboratorywillhave30 daysto

conduct a clean‐out and will not ha ve to count the hazardous waste that consists of unused

commercialchemicalproducts(eitherli

stedorcharacteristic)generatedduringthose30daystowards

theeligibleacademicentity’sgeneratorstatusforthepurposes ofon‐siteaccumulation.See40CFR

262.213(a)(1‐4)forotherSubpartKlaboratoryclean‐outrequirements.

Thewastegeneratedfromthisclean‐outshouldbereportedontheGMFormwithasourcecodeof

“G17–S

ubpartKLaboratoryWasteClean‐out”withagenerationamountofzero(0)(Item1.H).The

amount shipped off‐site or managed on‐site will be reported in Items 2 or 3 of the GM Form as

appropriate.

OtherReferencesandCodeLists

97

Laboratory waste that is generated during routine operations  (e.g., spent solvents or spent

acids/bases)shouldbereported separatelyfromSubpart Klaboratoryclean‐outwastes.Routinely

generatedlaboratorywasteshouldbereportedwithsourcecode(s)otherthanG17.

ASTES RECEIVED FROM VERY SMALL QUANTITY GENERATORS (VSQGS) – Waste management facilities

sometimes receive hazardous waste fromlarge numbersof VSQGs  or othersites that do not have

RCRAEPAIdentificationNumbers.TominimizetheresponseburdenforfillingouttheWRFormfor

these wastes, you may aggregate the wastes across generating sites, in accordance with these

guideli

nes:

(1) AllthewastesmusthavethesameEPAhazardouswastecode(ItemB),Statehazardous waste

code(ItemC),Formcode(ItemG),andManagementMethodcode(ItemH).

(2) WastesreceivedfromdifferentStatesmustbereportedseparately.Fortheoff‐sitehandlerEPA

Identification Number (Item D), the entry should include the two‐letter post

al code of the

originatingState,followedbytheletters“VSQG”.

Forexample,wastesreceivedfromseveralVSQGsintheStateofAlaska(AK)thatshareacommon

EPAhazardouswastecode,Statehazardouswastecode,Formcode,andManagementMethodcode

couldbeaggregatedinasinglewasteblockoftheWRForm(e.g.,Waste1).InIt

emD,theoff‐site

handlerEPAIDnumberisenteredas“AKVSQG.”Note:ThismethodofcompletingItemD canalso 

beusedforVSQGwastethatisnotaggregated.

ASTESRECEIVEDFROMFOREIGNCOUNTRIES–ReportingontheGMForm–Ifyoursitewasthegeneratorof

recordandwastheU.S.Importerforhazardouswastereceivedfromasitelocatedinaforeigncountry

(otherthanU.S.territoryorprotectorate),completeaGMForm.EnterG62inItem1.D(SourceCode)

andprovidetheCountryCo

defromwhichthewastewasreceived.Includethe ImportNotification

andotherforeigngeneratorinformationintheComments.Also,mark“Yes”ontheSiteIDForm,Item

10.A.3–UnitedStatesImporterofHazardousWaste.ReportontheOIFormthenameandaddress

ofallforeigngeneratorsifthisformisrequiredbyyo

urState.IfyouareaTSDFaswellasanimporter

ofrecord,refertothefollowinginstructionsaboutanalternativetoreportingonGMForms.

ReportingontheWRForm–Ifyoursitereceivedhazardouswastedirectlyfromageneratoratasite

locatedinaf

oreigncountry(otherthanaU.S.territoryorprotectorate),completeaWRFormforthe

wastetreated,recovered,ordisposedatyoursite.OnlythefirstTSDsitereceivingforeignhazardous

wasteshouldreportthewasteinWR.Ifthiswasteisthenshippedtoanotherdomesticsiteitisnot

counted as imported waste on the WR by the second site. If the foreign site has an EPA assigned

Identification(ID)NumberlistedintheCodeDescriptionsectionorinthelookuptableinRCRAInfo,

fillouttheWRFormasyouwouldforadomesticsite,usingthisnumberonthelistorthelistinthe

lookuptableintheRCRAInfo.IfthesitedoesnothaveanEPAassignedIDnumberonthelistorinthe

lookuptable, reportthe code“FC” for foreigncoun

try followed bythe nameof the country inthe

spacefortheEPAID Numberor addthe new handleror updatetheold one (e.g., whenthere isa

name change) in the lookup table in RCRAInfo. If your State requires the OI Form, the name and 

addressofth

eforeignhandlerdoesnotneedtobeinthecommentssectionoftheWRForm. 

Federal requirement for importedhazardous wastes is under 40 CFR 264.75 and 265.75  for TSDFs

and/or the 40 CFR 262.41 for importers complying with generator requirements (or equivalent

authorizedStaterequirements

OtherReferencesandCodeLists

98

AstheowneroroperatoroftheTSDFreceivinghazardouswasteimportshipments,youmustreport 

suchhazardouswasteimportshipmentsusingtheWRForm,asappropriate.Ifyourfacilitywasacting

astheimporterofrecord,youassumedgeneratorrequirementsforthoseimportshipmentsandmust

alsoreporttheimportshipmentsasge

neratedhazardouswastesfromaforeignsourceusingtheGM

Form.

An EPA‐acceptable alternative for you to meet your generator biennial reporting requirement for

thoseimportshipmentswouldbeforyoutoaddastatementtothecommentfieldofyourWRform

forthose import shipments notingthatyourTSDF was the importerofrecordforthelistedimport

shipment(s).Please check withyour authorized StateAgency on howbest to meetyour generator

biennialrepo

rtingrequirements.

Ifyourfaci litywasnot actingastheimporter,EPAstronglyencouragestheimportertocomplywith

thebiennialreportingrequirementsin40CFR262.41(orequivalentauthorizedStaterequirements).

Allpartiespossiblyactingastheimportercouldbeheldjointlyandseverallyliableforcompliancewith

thegenera

torrequirementsofPart262

.

WASTESSHIPPEDTOFOREIGNCOUNTRIES–ReportingontheGMForm,Item3.B–Facilitiesthatexport

hazardouswastemustfileaseparateAnnualReportunder40CFR262.83(g).ThisAnnualReportwill

beinadditiontotheHazardousWasteReport,ifyourStaterequiresyoutosubmitaHazardousWaste

Reportwithhaz

ardouswasteexportedtoasitelocatedinaforeigncountry.IfyourStaterequiresyou

toreportexportedhazardouswaste,facilitiesthatexporthazardouswasteshouldlistinGMItem3.B

aForeignSi teIdentificationNumberlistedintheCodeDescriptionsectionorinthelookuptablein 

RCRAInfo.Ifasitelocatedinaforeigncountrytowhichhazardouswasteisshippedisnotonthelist,

enter “FC” followed bythe name ofthe country as theEPA Identification Number oradd the new

handlerorupdatetheoldone(e.g.,whenthereisanamechange )inthelookuptabl

einRCRAInfo.

MemofromJohnSkinner,DirectorofEPA’sOfficeofSolidWastetoHarrySeraydarian,Director,Toxicsand

WasteManagementDivision,EPARegionIX,June25,1985,availableonlineat

https://rcrapublic.epa.gov/files/11085.pdf.

OtherReferencesandCodeLists



99



EPAHAZARDOUSWASTECODES



Alistofallthehazardouswastecodesisshownbelow.Seetheregulationsfordetails.

CHARACTERISTICSOFHAZARDOUSWASTE(SEE40CFR

261.24)–DXXX



HAZARDOUSWASTEFROMNON‐SPECIFICSOURCES(SEE40

CFR261.31)–FXXX



HAZARDOUSWASTEFROM SPECIFIC SOURCES (SEE 40 CFR

261.32)–KXXX



DISCARDEDCOMMERCIALCHEMICALPRODUCTS,OFF‐

SPECIFICATIONSPECIES,CONTAINERRESIDUES,ANDSPILL

RESIDUESTHEREOF–ACUTEHAZARDOUSWASTE(SEE40

CFR261.33)–PXXX



DISCARDED COMMERCIAL CHEMICAL PRODUCTS, OFF‐

SPECIFICATION SPECIES, CONTAINER RESIDUES, AND SPILL

RESIDUES THEREOF – TOXIC WASTES (SEE 40 CFR 261.33)–

UXXX



D001

D002

D003

D004

D005

D006

D007

D008

D009

D010

D011

D012

D013

D014

D015

D016

D017

D018

D019

D020

D021

D022

D023

D024

D025

D026

D027

D028

D029

D030

D031

D032

D033

D034

D035

D036

D037

D038

D039

D040

D041

D042

D043



F001

F002

F003

F004

F005

F006

F007

F008

F009

F010

F011

F012

F019

F020

F021

F022

F023

F024

F025

F026

F027

F028

F032

F034

F035

F037

F038

F039

K001

K002

K003

K004

K005

K006

K007

K008

K009

K010

K011

K013

K014

K015

K016

K017

K018

K019

K020

K021

K022

K023

K024

K025

K026

K027

K028

K029

K030

K031



K032

K033

K034

K035

K036

K037

K038

K039

K040

K041

K042

K043

K044

K045

K046

K047

K048

K049

K050

K051

K052

K060

K061

K062

K069

K071

K073

K083

K084

K085

K086

K087

K088

K093

K094

K095

K096

K097

K098

K099

K100

K101

K102

K103

K104

K105

K106

K107

K108

K109

K110

K111

K112

K113

K114

K115

K116

K117

K118

K123

K124

K125

K126

K131

K132

K136

K141

K142

K143

K144

K145

K147

K148

K149

K150

K151

K156

K157

K158

K159

K161

K169

K170

K171

K172

K174

K175

K176

K177

K178

K181

P001

P002

P003

P004

P005

P006

P007

P008

P009



P010

P011

P012

P013

P014

P015

P016

P017

P018

P020

P021

P022

P023

P024

P026

P027

P028

P029

P030

P031

P033

P034

P036

P037

P038

P039

P040

P041

P042

P043

P044

P045

P046

P047

P048

P049

P050

P051

P054

P056

P057

P058

P059

P060

P062

P063

P064

P065

P066

P067

P068

P069

P070

P071

P072

P073

P074

P075

P076

P077

P078

P081

P082

P084

P085

P087

P088

P089

P092

P093

P094

P095

P096

P097

P098

P099

P101

P102

P103

P104

P105

P106

P108

P109

P110

P111

P112

P113

P114

P115

P116

P118

P119

P120

P121

P122

P123

P127

P128

P185

P188



P189

P190

P191

P192

P194

P196

P197

P198

P199

P201

P202

P203

P204

P205

U001

U002

U003

U004

U005

U006

U007

U008

U009

U010

U011

U012

U014

U015

U016

U017

U018

U019

U020

U021

U022

U023

U024

U025

U026

U027

U028

U029

U030

U031

U032

U033

U034

U035

U036

U037

U038

U039

U041

U042

U043

U044

U045

U046

U047

U048

U049

U050

U051

U052

U053

U055

U056

U057

U058

U059

U060

U061

U062

U063

U064

U066

U067

U068

U069

U070

U071

U072

U073

U074

U075

U076

U077

U078

U079

U080

U081

U082

U083

U084

U085

U086

U087

U088

U089

U090

U091



U092

U093

U094

U095

U096

U097

U098

U099

U101

U102

U103

U105

U106

U107

U108

U109

U110

U111

U112

U113

U114

U115

U116

U117

U118

U119

U120

U121

U122

U123

U124

U125

U126

U127

U128

U129

U130

U131

U132

U133

U134

U135

U136

U137

U138

U140

U141

U142

U143

U144

U145

U146

U147

U148

U149

U150

U151

U152

U153

U154

U155

U156

U157

U158

U159

U160

U161

U162

U163

U164

U165

U166

U167

U168

U169

U170

U171

U172

U173

U174

U176

U177

U178

U179

U180

U181

U182

U183

U184

U185

U186

U187

U188

U189

U190

U191

U192

U193

U194

U196

U197



U200

U201

U203

U204

U205

U206

U207

U208

U209

U210

U211

U213

U214

U215

U216

U217

U218

U219

U220

U221

U222

U223

U225

U226

U227

U228

U234

U235

U236

U237

U238

U239

U240

U243

U244

U246

U247

U248

U249

U271

U278

U279

U280

U328

U353

U359

U364

U367

U372

U373

U387

U389

U394

U395

U404

U409

U410

U411

OtherReferencesandCodeLists



100



HAZARDOUSSECONDARYMATERIAL(HSM)FACILITYCODES

Facilitycodesdescribethespecificregulationafacilityuses tomanageitshazardoussecondarymaterial 

(HSM) and the type of activity the facility performs under the regulation (e.g., generator, reclaimer) .

Reviewthegroups and picktheappropriate code.Ifmore than onefacilitycode applies toyou,enter

eachcodeon

aseparaterowunderItem2oftheAddendumtotheSiteIdentificationForm.

UnderGeneratorExclusion((40CFR261.4(a)(23))

Code FacilityCodeDescription

01 HSM Generator reclaiming HSM “on‐site”:This code applies if you generate and reclaim hazardous

secondarymaterialatyourgeneratingfacility.

02 HSMGeneratortransferringHSMtoreclaimerwithinthe“samecompany”:Thiscodeappliesifyougenerate

hazardous secondary material and send the material for reclamation to a different facility that is either

controlledbyyouorcontrolledbythesamepersonthatcontrolsyourgeneratingfacility.

03 ReclaimerreceivingHSMfromHSMgeneratorwithinthe“samecompany”:Thiscodeappliesifyoureceive

andreclaimhazardoussecondarymaterialfromadifferentfacilitythateithercontrolsyouoriscontrolled

bythesamepersonthatcontrolsyou.

04 Tolling Contractor reclaiming HSM pursuant to a tolling contract:This code applies if you are a tolling

contractor that reclaims hazardous secondary material pursuant to a written contract with a toll

manufacturer.

05 TollManufacturermanagingHSMpursuanttoatollingcontract:Thiscodeappliesifyougenerateandsend

hazardoussecondarymaterialforreclamationtoatollingcontractorpursuanttoawrittencontract.

Transfer‐BasedExclusion(40CFR261.4(a)(24))

Code FacilityCodeDescription

06 HSMGeneratortransferringHSMoff‐sitetoadomesticreclamationfacility:Thiscodeappliesifyougenerate

andsendhazardoussecondarymaterialforreclamationtoanoff‐sitedomesticreclamation facility.

07 Reclaimer receiving HSM from off‐site:  This code applies if you reclaim hazardous secondary material

receivedfromanoff‐sitehazardoussecondarymaterialgeneratororotherfacilityandyoucertifythatyou

havefinancialassuranceper40CFR260.42.

08 Intermediate facility receiving HSM from off‐site:  This code applies if you receive hazardous secondary

materialfromanoff‐sitehazardoussecondarymaterialgeneratororanotherfacility,youstoreitformore

thantendays,andyoucertifythatyouhavefinancialassuranceper40CFR260.42.Thiscodedoes

notapply

ifyougenerateorreclaimthehazardoussecondarymaterial.

ImportsandExports(40CFR261.4(a)(24) and(25)

Code FacilityCodeDescription

09 HSMGeneratorexportingHSMtoaforeignentityforreclamation: Thiscode appliesifyougenerateandplan 

tosendhazardoussecondarymaterialforreclamationtoaforeignentityforreclamationandwillmeetthe

noticeandcons entproceduresin40CFR26 1.4(a)(25).

10 HSMGenerator importing HSM from aforeignentityto send toanother U.S.facilityforreclamation: This

codeapplies if youimport hazardous secondary material from aforeign entity and send the materialto a

differentU.S.reclamationfacility.

11 HSM Generatorimporting HSM from a foreign entity for reclamation:  This code applies if you import

hazardoussecondarymaterialfromaforeignentityandreclaimthematerialatyourfacility.

Non‐wasteDeterminationsandSolidWasteVariances(40CFR260.30)

Code FacilityCodeDescription

14 Variance for Materials that are Accumulated Speculatively: This code applies if you operate under an

approvedvariancefromEPAoryourStateformaterialsthatareaccumulatedspeculativelywithoutsufficient

amountsbeingrecycled(see40CFR260.31(a)).

OtherReferencesandCodeLists



101



15 VarianceforMaterialsthatareReclaimedandthenReusedwithintheOriginalProductionProcess:Thiscode

appliesifyouoperateunderanapprovedvariancefromEPAoryourStateformaterialsthatarereclaimed

andthenreusedasfeedstockwithintheoriginalproductionprocessinwhichthematerialsweregenerated



(see40CFR260.31(b)).

16 Variance for Materials that are Partially‐Reclaimed: This code applies if you operate under an approved

variance from EPA or your State for materials that have been partially‐reclaimed but must be reclaimed

furtherbeforerecoveryiscompletedifthepartialreclamationhasproducedacommodity‐likematerial(see

CFR260.31(c)).

17 [Reserved]

18 [Reserved]

19 [Reserved]

20 Non‐waste determination for HSM reclaimed in a continuous industrial process: This code applies if you

operate under an approved non ‐waste determination from EPA or your State for hazardous secondary

materialwhichisreclaimedinacontinuousindustrialprocess(see40CFR260.34(b)).

21 Non‐waste determination for HSM that are indistinguishable from a product or intermediate: This code

appliesifyouoperateunderanapprovednon‐wastedeterminationfromEPAoryourStateforhazardous

secondarymaterialswhichisindistinguishableinallrelevantaspectsfromaproductorintermediate(see40

CFR260.34(c))

.

OtherReferencesandCodeLists



102



HAZARDOUSSECONDARYMATERIAL(HSM)LAND‐BASEDUNITCODES

Determine the 2‐digit code that best describes the land‐based unit you use or will use to manage the 

hazardoussecondarymaterial.

Code Land‐basedUnitCodeDescription

NA Donotuseland‐basedunitstomanagehazardoussecondarymaterial.

SI Use surface impoundment(s) to manage hazardous secondary material.A surface impoundment is a

naturaltopographicdepression,man‐madeexcavationordikedareaformedprimarilyofearthenmaterials

(althoughitmaybelinedwithman‐madematerials),whichisdesignedtoholdanaccumulationofliquid

hazardoussecondarymaterialsormaterials

containingfreeliquidsandwhichisnotaninjectionwell.

PL Usepile(s)tomanagehazardoussecondarymaterial.Pilemeansanynon‐containerizedaccumulationof

solid,non‐flowinghazardoussecondarymaterialthatisusedforstorageandisnotacontainmentbuilding.

OT Useotherland‐basedunit(s)tomanagehazardoussecondarymaterial.

OtherReferencesandCodeLists



103



SOURCECODES

Source codes describe the type of process or activity (i.e., source) from which a hazardous waste was

generated.Reviewthegroupsandpicktheappropriatecode.

Wastes From On‐going Production and Service Processes (waste from general day to day manufacturing,

production,ormaintenanceactivities)

Code SourceCodeDescription

G01 Dip,flushorsprayrinsing(usingsolventstocleanorpreparepartsorassembliesforfurtherprocessing

–

i.e.paintingorassembly)

G02 Strippingandacidorcausticcleaning(usingcausticstoremovecoatingsorlayersfrompartsorassemblies)

G03 Platingandphosphating(electro‐ ornon‐electroplatingorphosphating)

G04 Etching(usingcausticsorothermethodstoremovelayersorpartiallayers)

G05 Metalformingandtreatment(pickling,heattreating,punching,bending,annealing,grinding,hardening,

etc.)

G06 Paintingandcoating(manufacturing,building,ormaintenance)

G07 Productandby‐productprocessing(directflowofwastesfromchemicalmanufacturingorprocessing,etc.)

G08 Removal of spent process liquids or catalysts (bulk removal of wastes from chemical manufacturing or

processing,etc.)

G09 Otherproductionorservice‐relatedprocessesfromwhichthewasteisadirectoutfloworresult(specifyin

comments)

WastesFromOtherIntermittentEventsorProcesses

Code SourceCodeDescription

G11 Discardingoff‐specification,out‐of‐date,and/orunusedchemicalsorproducts

G12 Lagoonorsedimentdragoutandleachatecollection(largescaleoperationsinopenpits,ponds, orlagoons)

G13 Cleaningout processequipment(periodic sludgeor residual removalfromenclosedprocesses including

internalscrubbingorcleaning)

G14 Removaloftanksludge,sediments,orslag(periodicsludgeor residualremovalfromstoragetanksincluding

internalscrubbingorcleaning)

G15 Processequipmentchange‐outordiscontinuationofequipmentuse(finalmaterialsandresidualsremoval

includingcleaning)

G16 Oilchangesandfilterorbatteryreplacement(automotive,machinery,etc.)

G17 SubpartKlaboratorywasteclean‐out(facilitymusthaveoptedintotheSubpartKruletousethissource

code)

G19 Otherone‐timeorintermittentprocesses(specifyincomments)

ResidualsFromPollutionControlandWasteManagementProcesses

Code SourceCodeDescription

G21 Air pollution control devices (e.g., baghouse dust ash, etc. from stack scrubbers or precipitators; vapor

collection,etc.)

G22 Laboratoryanalyticalwastes(e.g.,usedchemicalsfromlaboratoryoperations)

G23 Wastewatertreatment(e.g.,sludge,filtercake,etc.,includingwastesfromtreatmentbeforedischargeby

NPDESorPOTWorbyUICdisposal)

G24 Solvent or product distillation as part of a production process (including totally enclosed treatment

systems).Doesnotincludebatchtreatmentinaseparateprocess.

G25 Treatment,disposal,orrecyclingofhazardouswastes

–

reportamanagementmethodcode,e.g.,indicated

inItemHofWRFormforthemanagementmethod(entertherelatedmanagementmethodcode,aHcode,

butnotH141)thatproducedtheresiduals.

G26 Leachatecollection(fromlandfilloperationsorotherlandunits)

G27 Treatmentorrecoveryofuniversalwaste

OtherReferencesandCodeLists



104



WastesFromSpillsandAccidentalReleases

Code SourceCodeDescription

G31 Accidentalcontaminationofproducts,materials,orcontainers(otherthanG11)

G32 Cleanupofspillresidues(infrequent,notroutine)

G33 Leakcollectionandfloorsweeping(on‐going,routine)

G39 Othercleanupofcurrentcontamination(specifyincomments)

WastesFromRemediationofPastContamination

Code SourceCodeDescription

G41 ClosureofhazardouswastemanagementunitunderRCRA

G42 CorrectiveactionatasolidwastemanagementunitunderRCRA

G43 RemedialactionoremergencyresponseunderSuperfund

G44 CleanupunderStateorvoluntaryprogram

G45 Cleanupofundergroundstoragetank

G49 Otherremediation(specifyincomments)

WastesReceivedbyanLQGfromVSQGSsUndertheControloftheSamePerson

Code SourceCodeDescription

G51 HazardouswastesreceivedbyanLQGfromVSQGsunderthecontrolofthesameperson

WastesNotPhysicallyGeneratedOn‐site

Code SourceCodeDescription

G61

Receivedfromoff‐siteforstorage/bulkingandtransferoff‐sitefortreatmentordisposal(tomatchH41

receivedwastequantitiesfromFormWR’s).GENERATIONQUANTITYSHOULDBEZEROtoavoiddouble

counting.

G62

Hazardouswastereceivedfromasitelocated outsideofU.S.States,territories,orprotectorates‐ reporta

countrycode.ThissitewasthegeneratorofrecordandistheU.S.Importer.

G76

Evaluatedhazardouswastepharmaceuticalsaccumulatedbyareversedistributor

G77

Airbagwastereceivedfromairbagwastehandlersexemptedunder40CFR261.7(j)priortoarrivalatthe

airbagcollectionfacilityordesignatedfacility



OtherReferencesandCodeLists



105



FORMCODES

Formcodesdescribethegeneralphysicalandchemicalcharacteristicsofahazardouswaste.Reviewthe

groupsandpicktheappropriatecode.

MixedMedia/Debris/Devices–Wastethatisamixtureoforganicandinorganicwastes,liquidandsolidwastes,or

devicesthatarenoteasilycategorized

Code FormCodeDescription

W001 Labpacksfromanysourcenotcontainingacutehazardouswaste

W002 Contaminateddebris(seedefinitionat40CFR268.2(g)andrequirementsat40CFR268.45);forexample,

certainpaper,clothing,rags,wood,emptyfiberorplasticcontainers,glass,piping,orothersolids

W004 Labpacksfromanysourcecontainingacutehazardouswaste

W005 Wastepharmaceuticalsmanagedashazardouswaste

W006 Airbagwaste(airbagmodulesorairbaginflatorsmanagedashazardouswaste)

W301 Contaminatedsoil(usuallyfromspillcleanup,demolition,orremediation);seealsoW512

W309 Batteries,batteryparts,cores,casings(lead‐acidorothertypes)

W310 Filters, solid adsorbents, ion exchange resins and spent carbon (usually from production, intermittent

processes,orremediation)

W320 Electricaldevices(lamps, fluorescent lamps, or thermostatsusually containingmercury; CRTs containing

lead;etc.)

W512 Sedimentorlagoondragout,drillingorothermuds(wetormuddysoils);seealsoW301

W801 Compressedgasesofanytype

InorganicLiquids–Wastethatisprimarilyinorganicandhighlyfluid(e.g.,aqueous),withlowsuspendedinorganic

solidsandloworganiccontent

Code FormCodeDescription

W101 Verydiluteaqueouswastecontainingmorethan99%water(landdisposalrestrictiondefinedwastewater

thatisnotexemptunderNPDESorPOTWdischarge)

W103 Spentconcentratedacid(5%ormore)

W105 Acidicaqueouswasteslessthan5%acid(dilutedbutpH<2)

W107 Aqueouswastecontainingcyanides(generallycaustic)

W110 Causticaqueouswastewithoutcyanides(pH>12.5)

W113 Otheraqueouswasteorwastewaters(fluidbutnotsludge)

W117 Wasteliquidmercury(metallic)

W119 Otherinorganicliquid(specifyincomments)

OrganicLiquids–Wastethatisprimarilyorganicandishighlyfluid,withlowinorganicsolidscontentsandlow‐to‐

moderatewatercontent

Code FormCodeDescription

W200 Stillbottomsinliquidform(fluidbutnotsludge)

W202 Concentratedhalogenated(e.g.,chlorinated)solvent

W203 Concentratednon‐halogenated(e.g.,non‐chlorinated)solvent

W204 Concentratedhalogenated/non‐halogenatedsolventmixture

W205 Oil‐wateremulsionormixture(fluidbutnotsludge)

W206 Wasteoilmanagedashazardouswaste

W209 Paint,ink,lacquer,orvarnish(fluid

–

notdriedoutorsludge)

W210 Reactiveorpolymerizableorganicliquidsandadhesives(fluidbutnotsludge)

W211 Paintthinnerorpetroleumdistillates

W219 Otherorganicliquid(specifyincomments)



OtherReferencesandCodeLists



106



InorganicSolids–Wastethatisprimarilyinorganicandsolid,withloworganiccontentandlow‐to‐moderatewater

content;notpumpable

Code FormCodeDescription

W303 Ash(fromanytypeofburningofhazardouswaste)

W304 Slags,drosses,andothersolidthermalresidues

W307 Metalscale,filingsandscrap(includingmetaldrums)

W312 Cyanideormetalcyanidebearingsolids,saltsorchemicals

W316 Metalsaltsorchemicalsnotcontainingcyanides

W319 Otherinorganicsolids(specifyincomments)

Organic Solids – Waste that is primarily organic and solid, with low‐to‐moderate inorganic content and water

content;notpumpable

Code FormCodeDescription

W401 Pesticidesolids(usedordiscarded

–

notcontaminatedsoils

–

W301)

W403 Solidresins,plasticsorpolymerizedorganics

W405 Explosivesorreactiveorganicsolids

W406 Driedpaint(paintchips,filters,airfilters,other)

W409 Otherorganicsolids(specifyincomments)

InorganicSludges–Wastethatisprimarilyinorganic,withmoderate‐to‐highwatercontentandloworganiccontent;

mostlypumpable

Code FormCodeDescription

W501 Limeand/ormetalhydroxidesludgesandsolidswithnocyanides(notcontaminatedmuds

–

W512)

W503 Gypsumsludgesfromwastewatertreatmentorairpollutioncontrol

W504 Othersludgesfromwastewatertreatmentorairpollutioncontrol

W505 Metalbearingsludges(includingplatingsludge)notcontainingcyanides

W506 Cyanide‐bearingsludges(notcontaminatedsoils

–

W512)

W519 Otherinorganicsludges(notcontaminatedmuds

–

W512;specifyincomments)

OrganicSludges–Wastethatisprimarilyorganicwithlow‐to‐moderateinorganicsolidscontentandwatercontent;

pumpable

Code FormCodeDescription

W603 Oilysludge(notcontaminatedmuds

–

W512)

W604 Paintorinksludges,stillbottomsinsludgeform(notcontaminatedmuds

–

W512)

W606 Resins,tars,polymerortarrysludge(notcontaminatedmuds

–

W512)

W609 Otherorganicsludge(specifyincomments)



OtherReferencesandCodeLists



107



MANAGEMENTMETHODCODES

Management method codes describe the type of hazardous waste management system used to treat,

recover,ordisposeahazardouswaste.Selectthefinalsubstantivemethodused.Reviewthegroupsand

picktheappropriatecode.

ReclamationandRecovery

Code ManagementMethodCodeDescription

H010 Metalsrecoveryincludingretorting,smelting,chemical,etc.

H011 Mercuryrecovery(includemercuryretorting,bulb/lampcrushingandmercuryvaporrecovery,thermostat

recovery,mercuryfrommedicalequipmentrecovery,mercurycarswitchrecovery,etc.)

H015 Deployment/deactivationofairbagwastefollowedbymetalsrecovery

H020 Solventsrecovery(distillation,extraction,etc.)

H039 Other recovery or reclamation for reuse including acid regeneration, organics recovery, etc. (specify in

comments)

H050 Energyrecoveryatthissite

–

used asfuel (includeson‐sitefuelblendingbeforeenergy recovery; report

onlythiscode)

H061 Fuelblendingpriortoenergyrecoveryatanothersite(wastegeneratedon‐siteorreceivedfromoff‐site)

DestructionorTreatmentPriortoDisposalatAnotherSite

Code ManagementMethodCodeDescription

H040 Incineration

–

thermaldestructionotherthanuseasafuel(includesanypreparationpriortoburning)

H041 Openburning/opendetonation(shouldbepermittedunderSubpartXwithprocesscodeX01)

H081 Biologicaltreatment;donotincludeimmediatetreatmentinanexemptedwastewatertreatmentunitwith

dischargetoaNPDES‐POTW(unlessrequiredbyState)

H090 Polymerization(LDRstandardastreatmentmethod)

H100 Physicaltreatmentonly(adsorption/absorption/separation/stripping/dewatering);donotinclude

immediatetreatmentinanexemptedwastewatertreatmentunitwithdischargetoaNPDES‐POTW

(unlessrequiredbyState)

H110 Stabilizationpriortolanddisposalatanothersite(encapsulation/stabilization/fixation)

H120 Combinationofchemical,biological,and/orphysicaltreatment;donotincludeimmediatetreatmentinan

exemptedwastewatertreatmentunitwithdischargetoaNPDES‐POTW(unlessrequiredbyState)

H121 Neutralizationonly(noothertreatment)

H122 Evaporation(asthemajorcomponentoftreatment;notreportableasH070,H081,H100orH120)

H129 Othertreatmentthatdoesnotincludeonsitedisposal(specifyincomments)

Disposal

Code ManagementMethodCodeDescription

H130 SurfaceImpoundmentthatwillbe closedasalandfill (withprior treatmentand/or stabilization meeting

LDRtreatmentstandard)

H131 Landtreatmentorapplication(withanypriortreatmentand/orstabilization)

H132 Landfill(withpriortreatmentand/orstabilization)

H134 Deepwell or underground injection (with or without treatment; this waste was counted as hazardous

waste)

H135 Dischargetosewer/POTWorNPDESwithpriormanagement(e.g.,storageortransportedpriortodischarge

toPOTWorbyNPDES)





OtherReferencesandCodeLists



108



TransferOf

‐site

Code ManagementMethodCodeDescription

H141 The site receiving this waste stored/bulked and transferred the waste with no reclamation, recovery,

destruction,treatmentordisposalatthat site.[DonotusethiscodeinItem1.D(sourcecodeG25)orItem

2(On‐siteManagement)ofFormGM].ForFormWR,linkedtosourcecodeG61

onFormGM.



OtherReferencesandCodeLists



109



WASTEMINIMIZATIONCODES

Thefollowing codes provideadescription ofexistingornewwasteminimi zationefforts undertakento

reducethevolumeand/ortoxicityofhazardouswastegeneratedatthefacility.

YoumayusetheComments sectiontoprovideanyadditionalinformation(includingtoxicityandquantity

reductions to the extent that data is a vailable) that

 will help the EPA and the States understand your

effortstopreventpollution,minimizewaste,orrecycleinregardstothiswastestream.Additionally,you

mayexplainintheCommentssectionwhyyoureffortswereeithersuccessfulorunsuccessfulorwhyyou

didnotimplementwasteminimizationeffortsforthis

reportingyear.

Thefacilityinitiatedwasteminimizationeffortspriortothereportingyearandcontinuedtheseeffortsduring

thereportingyearforthishazardouswaste

Code WasteMinimizationCodeDescription Examples

A Continuedinitiativestoreducequantityand/or

toxicityofthiswaste



Improvedproduction/synthesisprocesses,e.g.,

increasedefficiencyinproductusage/product

formulation,usedlesstoxicornon‐hazardous

ingredients,modifiedproductcomposition,or

implementedtechnologyconversion.

 Modifiedequipment,layout,and/orpiping,e.g.,

longerautobathanalyzers,wastewatertreatment

systemupgraded.

 Undertookinventorycontrol/wastemanagement

processesorsafety/goodoperatingpractices,e.g.,

materialsshelf‐lifecontrol,clearinghousefor

materialsexchange,betterlabelingprocedures,

improvedmaintenancescheduling/record

keeping/procedures,controlproductionscheduleto

minimizeequipmentandfeedstockchangeovers,bulk

systemsthatreplacedrums,improvedstorage,

spill/leak/accidentprevention,cleaning/degreasing,

etc.

B Continuedinitiativestorecyclethewasteeither

on‐siteoroff‐site



Thewastewasused,reused,orreclaimedasaresult

ofachangeintheproductformulation,product’s

chemicalingredients,orequipment;materials

managementprocesswithagoalofsustainableuse

ofmaterials,etc.

Thefacilityinitiatedwasteminimizationeffortsduringthereportingyearforthishazardouswaste

C Implementednewinitiativestoreducequantity

and/ortoxicityofthiswaste

SeeexamplesaboveforCodeA.

D Implemented new initiatives to recycle the

wasteeitheron‐siteoroff‐site

SeeexamplesaboveforCodeB.





OtherReferencesandCodeLists



110



Thefacilityexaminedorattemptedwasteminimizationeffortsforthishazardouswaste,butdeterminedit

wasimpracticabletoimplementtheseefforts;orthefacilitydidnotattemptwasteminimizationeffortsfor

thiswaste



Code WasteMinimizationCodeDescription Examples

N Wasteminimizationeffortsfoundtobe

economicallyortechnicallyimpracticable



Economicconstraintsornoteconomicallyfeasible;

technicallimitationsofmanufacturingoperations,

problemspreventingorhaltingefforts(e.g.,concern

ofdeclinedproductquality);notappearingtobe

feasibleduetoregulatoryissues(e.g.,permitting

requirementsorburdens);lackofavailable

technology,etc.

X Nowasteminimizationeffortswere

implementedforthiswaste



Thewastewasreceivedfromoff‐siteandwasnot

generatedatthislocation;thewasteisinfrequently

generated.



OtherReferencesandCodeLists



111



PROCESSCODES

Determinetheprocesscodethatbestdescribeseachprocess tobeusedatthefacili ty. Providetheunit

ofmeasureassociatedwiththeamountofwastereportedforthatprocess.Useonlyunitsofmeasures

appropriateforthatprocesscode.ClickheretoseealistoftheUnitofMeasure

Codes.

ProcessCode



Process

Gallons

GallonsPerHour

GallonsPerDay

Liters

LitersPerHour

LitersPerDay

ShortTonsPerHour

ShortTonsPerDay

MetricTonsPerHour

MetricTonsPerDay

PoundsPerHour

KilogramsPerHour

MillionBTUsPerHour

CubicYards

CubicMeters

Acres

Acre‐feet

Hectares

Hectare‐meter

BTUs

PerHour

Disposal

D79 UndergroundInjectionWellDisposal X X X X 

D80 LandfillX X X X X X

D81 LandTreatmentXX

D82 OceanDisposal X X 

D83 SurfaceImpoundmentDisposal X X  X X 

D99 OtherDisposal X X X X X X X X X X X X X X X X X X X X

Storage

S01 Container X X  X X 

S02 TankStorage X X  X X 

S03 WastePileX X 

S04 SurfaceImpoundment X X  X X 

S05 DripPad X X  X X X

S06 ContainmentBuildingStorageX X 

S99 OtherStorage X X X X X X X X X X X X X X X X  X X X X

Treatment

T01 TankTreatment X X 

T02 SurfaceImpoundment X X 

T03 Incinerator X X X X X X X X X X X

T04 OtherTreatment X X X X X X X X X X X

T80 Boiler X X X X X X

T81 CementKiln X X X X X X X X X X X X

T82 LimeKiln X X X X X X X X X X X X

T83 AggregateKiln X X X X X X X X X X X X

T84 PhosphateKiln X X X X X X X X X X X X

T85 CokeOven X X X X X X X X X X X X

T86 BlastFurnace X X X X X X X X X X X X



T87

Smelting,Melting,orRefining

Furnace

X X X X X X X X X X X X

T88 TitaniumDioxideChlorideOxidation

Reactor

X X X X X X X X X X X X

T89 MethaneReformingFurnace X X X X X X X X X X X X

T90 PulpingLiquorRecoveryFurnace X X X X X X X X X X X X

OtherReferencesandCodeLists



112



ProcessCode



Process

Gallons

GallonsPerHour

GallonsPerDay

Liters

LitersPerHour

LitersPerDay

ShortTonsPerHour

ShortTonsPerDay

MetricTonsPerHour

MetricTonsPerDay

PoundsPerHour

KilogramsPerHour

MillionBTUsPerHour

CubicYards

CubicMeters

Acres

Acre‐feet

Hectares

Hectare‐meter

BTUs

PerHour

T91 CombustionDeviceUsedinthe

RecoveryofSulfurValuesfrom

SpentSulfuricAcid

X X X X X X X X X X X X

T92 HalogenAcidFurnaces X X X X X X X X X X X X

T93 OtherIndustrialFurnacesListedin

40CFR260.10

X X X X X X X X X X X X

T94 ContainmentBuildingTreatment X X X X X X X X X X X X X  X

Miscellaneous(SubpartX)

X01 OpenBurning/OpenDetonation X X X X X X X X X X X X X X X X  X X X X

X02 MechanicalProcessing X X X X X X X X X 

X03 ThermalUnit X X X X X X X X X X

X04 GeologicRepository X X  X XX X

X99 OtherSubpartX X X X X X X X X X X X X X X X X  X X X X



OtherReferencesandCodeLists



113



UNITOFMEASURECODES

The following codes provide a  description of the unit of measure reported  with the proce ss code and

wastecodeinformationinthePartAPermitApplication.TheseunitsofmeasureareNOTusedforthe

HazardousWasteReport.

Code UnitofMeasureDescription

A Acre‐feet

B Acres

C CubicMeters

D ShortTonsPerHour

E GallonsPerHour

F Hectare‐meter

G Gallons

H LitersPerHour

I BTUsPerHour

J PoundsPerHour

L Liters

N ShortTonsPerDay

Q Hectares

R KilogramsPerHour

S MetricTonsPerDay

U GallonsPerDay

V LitersPerDay

W MetricTonsPerHour

X MillionBTUsPerHour

Y CubicYards





OtherReferencesandCodeLists



114



PERMITTYPECODES

Thefollowingcodesprovideadescriptionofotherenvironmentalpermitsthatafacilitymayhaveorbe

obtaining.



Type PermitTypeCodeDescription

N NPDES(NationalPollutantDischargeEliminationSystem)CleanWaterAct

 PSD(PreventionofSignificantDeterioration)CleanAirAct

 RCRA(ResourceConservationandRecoveryAct)

 UIC(UndergroundInjectionControl)SafeDrinkingWaterAct

 EPA404(DredgeorFillPermitsunderSection404oftheCleanWaterAct)

E

Other relevant environmental permits.  List any other relevant Federal (e.g., permits

undertheOceanDumpingAct),State(e.g.,Statepermitsfornewairemissionsourcesin

nonattainmentareasunderPartD oftheCleanAirActorStatepermitsunderSection

404oftheCleanWaterAct),orlocalenvironmentalpermitsorapplications.



OtherReferencesandCodeLists



115



FOREIGNSITEIDENTIFICATIONNUMBERLIST



IftheforeignsitehasanEPAassignedIdentification(ID)Numberlistedbelow,fillouttheGMFormItem

3.Band/orWRFormasyouwouldforadomesticsite,usingthisnumberonthelist.Ifthesitedoesnot

haveanEPAassignedIDnumberonthelist,

reportthecode“FC”forforeigncountryfollowedbythe

nameofthecountryinthespacefortheEPAIDNumber.Entertheremaininginformationforthatsite

asyouwouldforadomesticfacility.ThefollowinglistisonlyasampleofforeignsiteIDnumber.



SiteName Country EPAIDNumber

BennettEnvironmental SaintAmbroise FCCA00000115

CentredeRecyclageIntermediare Ontario,Canada FCCA00000069

ChemRec Quebec,Canada FCCA00000068

Chemtech Quebec,Canada FCCA00000081

CleanHarbors,Corunna Ontario,Canada FCCA00000004

CleanHarbors,London Ontario,Canada FCCA00000100

CleanHarborsMercier Quebec,Canada FCCA00000120

CleanHarbors,Mississauga Ontario,Canada FCCA00000070

CleanHarbors,Thorold Ontario,Canada FCCA00000050

CleanHarborsThurso Quebec,Canada FCCA00000121

CustomEnvironmentalSvcs Edmonton FCCA00000104

CyanideDestruct,Barrie Ontario,Canada FCCA00000099

CyanideDestructionSystems,Markham Ontario,Canada FCCA00000073

FieldingChemical Ontario,Canada FCCA00000119

HorizonEnvironmentalInc Quebec,Canada FCCA00000090

ImperialOil,Sarnia Ontario,Canada FCCA00000058

NewaltaIndustrialSvcs,FortErie Ontario,Canada FCCA00000067

NovaPB SteCatherine FCCA00000105

OutokumpuHarjavaltaMetalsOY Harjavalta,Finland FCFI00000005

PinnacleWasteServices Ontario,Canada FCCA00000082

SamjiMetalsIndCoLtd AnsaanCity,Korea FCKR00000125

StablexCanadaInc. Quebec,Canada FCCA00000045

Thermonics Douchervl,Quebec FCCA00000078

WhaChangCoLtd Haman‐gun,Korea FCKR00000124

Xstrata NewBrunswick,Canada FCCA00000123

ZincNacionalSA Monterrey,Mexico FCMX00000126

 



RCRASUBTITLECACTIVITIESFORMS



EPAForm8700‐12,8700‐13A/B,8700‐23  Page__of__

UnitedStatesEnvironmentalProteconAgency

RCRASUBTITLECSITEIDENTIFICATIONFORM



City,Town,orVillage County

State Country ZipCode

Latude Longitude

2.Site EPA ID Number 



ObtainingorupdanganEPAIDnumberforon‐goingregulatedacvies(Items10‐17below)thatwillconnue

foraperiodofme.



SubmingasacomponentoftheHazardousWasteReportfor__________(ReporngYear)



Nofyingthat

regulatedacvityisnolongeroccurringatthisSite



ObtainingorupdanganEPAIDnumberforconducngElectronicManifestBrokeracvies



SubminganeworrevisedPartA(permit)Form





SitewasaTSDfacility,areversedistributor,and/orgenerator

of≥1,000kgofnon‐acutehazardous

waste,>1kgofacutehazardouswaste,or>100kgofacutehazardouswastespillcleanupinone or

more months of the reporng year (orStateequivalentLQGregulaons)

1.Reason for Submial (Selectonlyone.)

7.North American Industry Classiﬁcaon System (NAICS) Code(s) for the Site (at least 5‐digit codes)

3.Site Name 

4. Site Locaon Address 

6.Site Land Type



  

PrivateCountyDistrictFederalTribalMunicipalStateOther

A.(Primary) C.

B. D.

5.Site Mailing Address 

StreetAddress

State Country ZipCode

City,Town,orVillage

SameasLocaonStreetAddress

StreetAddress

UseLat/LongasPrimaryAddress

OMB# 2050-0024; Expires 04/30/2024



FirstName MI LastName

Title

StreetAddress

State Country ZipCode

Email

Phone Ext Fax

City,Town,orVillage

8. Site Contact Informaon 

OwnerType

PrivateCountyDistrictFederalTribalMunicipalStateOther

StreetAddress

City,Town,orVillage

State Country ZipCode

Email

Phone Ext Fax

Comments

9. Legal Owner and Operator of the Site 

A.Name of Site’s Legal Owner 

B. Name of Site’s Legal Operator 

EPAIDNumber

  

FullName DateBecameOperator(mm/dd/yyyy)

OperatorType

StreetAddress

City,Town,orVillage

State Country ZipCode

Email

Phone Ext Fax

Comments

SameasLocaonAddress

FullName DateBecameOwner(mm/dd/yyyy)

OMB# 2050-0024; Expires 04/30/2024



10. Type of Regulated Waste Acvity (at your site)

Mark“Yes”or“No”forallcurrentacvies(asofthedatesubmingtheform);completeanyaddionalboxesasinstructed.

A. Hazardous Waste Acvies

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,1,000kg/mo(2,200lb/mo)ormoreofnon‐acute

hazardouswaste(includesquanesimportedbyimportersite);or

‐Generates,inanycalendarmonth,oraccumulatesatanyme,morethan1kg/mo

(2.2lb/mo)ofacutehazardouswaste;or

‐Generates,

inanycalendarmonthoraccumulatesatanyme,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.



YN

2.Short‐TermGenerator(generatesfromashort‐termorone‐meeventandnotfromon‐going

processes).If“Yes”,provideanexplanaonintheCommentssecon.Note: If “Yes”, you MUST indicate

that you are a Generator of Hazardous Waste in Item 10.A.1 above.

YN

3.Treater,StorerorDisposerofHazardousWaste—Note:PartBofahazardouswastepermitisrequired

fortheseacvies.

YN

5RecyclerofHazardousWaste





a.Recyclerwhostorespriortorecycling





b.Recyclerwhodoesnotstorepriortorecycling

YN

6.ExemptBoilerand/orIndustrialFurnace—If“Yes”,markallthatapply.





a.SmallQuantyOn‐siteBurnerExempon





b.Smelng,Melng,andReﬁningFurnaceExempon

YN

4.ReceivesHazardousWastefromOﬀ‐site

EPAIDNumber

 

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regulaons(e.g.D001,D003,F007,U112).Usean

addionalpageifmorespacesareneeded.



C. Waste Codes for State Regulated (non‐Federal) Hazardous Wastes. PleaselistthewastecodesoftheStatehazardous

wasteshandledatyoursite.Listthemintheordertheyarepresentedintheregulaons.Useanaddionalpageifmore

spacesareneeded.



OMB# 2050-0024; Expires 04/30/2024



YN

2.UndergroundInjeconControl

YN

4.RecognizedTrader—If“Yes”,markallthatapply.





a.Importer





b.Exporter

YN

5.Importer/ExporterofSpentLead‐AcidBaeries(SLABs)under40CFR266SubpartG—If“Yes”,markall

thatapply.





a.Importer





b.Exporter

EPAIDNumber

  

11. Addional Regulated Waste Acvies (NOTE: Refer to your State regulaons to determine if a separate permit is required.)

B. Universal Waste Acvies

YN

1.LargeQuantyHandlerofUniversalWaste(youaccumulate5,000kgormore)‐If“Yes”markallthat

apply.Note:RefertoyourStateregulaonstodeterminewhatisregulated.





a.Baeries





b.Pescides





c.Mercurycontainingequipment





d.Lamps





f.Other(specify)______________________________________________





e.AerosolCans





g.Other(specify)______________________________________________

YN

2. DesnaonFacilityforUniversalWasteNote:Ahazardouswastepermitmayberequiredforthis

acvity.

C. Used Oil Acvies

YN

1.UsedOilTransporter—If“Yes”,markallthatapply.





a.Transporter





b.TransferFacility(atyoursite)

YN

2.UsedOilProcessorand/orRe‐reﬁner—If“Yes”,markallthatapply.





a.Processor





b.Re‐reﬁner

YN

3.Oﬀ‐SpeciﬁcaonUsedOilBurner

YN

4.UsedOilFuelMarketer—If“Yes”,markallthatapply.





a.MarketerWhoDirectsShipmentofOﬀ‐SpeciﬁcaonUsedOiltoOﬀ‐SpeciﬁcaonUsedOilBurner





b.MarketerWhoFirstClaimstheUsedOilMeetstheSpeciﬁcaons

A. Other Waste Acvies

YN

3.UnitedStatesImporterofHazardousWaste

YN

1.TransporterofHazardousWaste—If“Yes”,markallthatapply.





a.Transporter





b.TransferFacility(atyoursite)

OMB# 2050-0024; Expires 04/30/2024



12. Eligible Academic Enes with Laboratories—Noﬁcaonforopngintoorwithdrawingfrommanaginglaboratoryhazardous

wastespursuantto40CFRPart262,SubpartK.

YN

A.Opngintoorcurrentlyoperangunder40CFRPart262,SubpartKforthemanagementofhazardous

wastesinlaboratories—If“Yes”,markallthatapply.Note:Seetheitem‐by‐iteminstruconsfordeﬁni‐

onsoftypesofeligibleacademicenes.





1.CollegeorUniversity





2.TeachingHospitalthatisownedbyorhasaformalwrienaﬃliaonwithacollegeoruniversity





3.Non‐proﬁtInstutethatisownedbyorhasaformalwrienaﬃliaonwitha

collegeoruniversity

EPAIDNumber

  

YN

AreyouanLQGnofyingofconsolidangVSQGHazardousWasteUndertheControloftheSamePerson

pursuantto40CFR262.17(f)?If“Yes”,youmustﬁllouttheAddendumforLQGConsolidaonofVSQG

hazardouswaste.

YN

LQGSiteClosureofaCentralAccumulaonArea(CAA)orEnreFacility.



A.CentralAccumulaonArea(CAA)orEnreFacility

 B.Expectedclosuredate:____________mm/dd/yyyy

 C.Requesngnewclosuredate:____________mm/dd/yyyy



D.Dateclosed:____________mm/dd/yyyy

1.Incompliancewiththeclosureperformancestandards40CFR262.17(a)(8)

2.Notincompliance

withtheclosureperformancestandards40CFR262.17(a)(8)

14. LQG Consolidaon of VSQG Hazardous Waste

15. Noﬁcaon of LQG Site Closure for a Central Accumulaon Area (CAA) (oponal) OR Enre Facility (required)

YN

AreyouanSQGorVSQGgeneranghazardouswastefromaplannedorunplannedepisodicevent,lasng

nomorethan60days,thatmovesyoutoahighergeneratorcategory.If“Yes”,youmustﬁlloutthe

AddendumforEpisodicGenerator.

13. Episodic Generaon

D. Pharmaceucal Acvies

YN

1.Operangunder40CFRPart266,SubpartPforthemanagementofhazardouswastepharmaceu‐

cals—if“Yes”,markonlyone.Note:Seetheitem‐by‐iteminstruconsfordeﬁnionsofhealthcarefacility

andreversedistributor.





a.HealthcareFacility





b.ReverseDistributor

YN

2.Withdrawingfromoperangunder40CFRPart266,SubpartPforthemanagementofhazardouswaste

pharmaceucals.Note:YoumayonlywithdrawifyouareahealthcarefacilitythatisaVSQGforallof

yourhazardouswaste,includinghazardouswastepharmaceucals.

YN

B.Withdrawingfrom40CFRPart262,SubpartKforthemanagementofhazardouswastesinlaboratories.

OMB# 2050-0024; Expires 04/30/2024



EPAIDNumber

  

18. Comments (includeitemnumberforeachcomment)

19. CerﬁcaonIcerfyunderpenaltyoflawthatthisdocumentandallaachmentswerepreparedundermydireconorsu‐

pervisioninaccordancewithasystemdesignedtoassurethatqualiﬁedpersonnelproperlygatherandevaluatetheinforma

on

submied.Basedonmyinquiryofthepersonorpersonswhomanagethesystem,orthosepersonsdirectlyres ponsibleforgath‐

eringtheinformaon,theinformaonsubmiedis,tothebestofmyknowledgeandbelief,true,accurate,andcomplete.Iam

awarethatthere

aresigniﬁcantpenalesforsubmingfalseinformaon,includingthepossibilityofﬁnesandimprisonmentfor

knowingviolaons.Note: For the RCRA Hazardous Waste Part A permit Applicaon, all owners and operators must sign (see 40

CFR 270.10(b) and 270.11).

Signatureoflegalowner,operatororauthorizedrepresentave Date(mm/dd/yyyy)

PrintedName(First,MiddleInialLast) Title

Email

Signatureoflegalowner,operatororauthorizedrepresentave Date(mm/dd/yyyy)

PrintedName(First,MiddleInialLast) Title

Email

17. Electronic Manifest Broker

YN

Areyounofyingasaperson,asdeﬁnedin40CFR260.10,elecngtousetheEPAelectronicmanifestsys‐

temtoobtain,complete,andtransmitanelectronicmanifestunderacontractualrelaonshipwithahaz‐

ardouswastegenerator?



16. Noﬁcaon of Hazardous Secondary Material (HSM) Acvity

YN

Areyounofyingunder40CFR260.42thatyouwillbeginmanaging,aremanaging,orwillstopmanaging

hazardoussecondarymaterialunder40CFR260.30,40CFR261.4(a)(23),(24),(25),or(27)?If“Yes”,you

mustﬁllouttheAddendumtotheSiteIdenﬁcaonFormforManaging

HazardousSecondaryMaterial.

OMB# 2050-0024; Expires 04/30/2024



ADDENDUMTOTHESITEIDENTIFICATIONFORM:

NOTIFICATIONOFHA ZARDOUSSECONDARYMATERIALACTIVITY



ONLY ﬁll out this form if:

 YouarelocatedinaStatethatallowsyoutomanageexcludedhazardoussecondarymaterial(HSM)under40CFR

260.30,261.4(a)(23),(24),(25),or(27)(orstateequivalent;Seehps://www.epa.gov/epawaste/hazard/dsw/

statespf.htmforalistofeligiblestates;AND

 YouareorwillbemanagingexcludedHSMincompliancewith

40CFR260.30,261.4(a)(23),(24),(25),or(27)(or

stateequivalent)orhavestoppedmanagingexcludedHSMincompliancewiththeexclusion(s)anddonotexpect

tomanageanyamountofexcludedHSMundertheexclusion(s)foratleastoneyear.Donotincludeanyinfor‐

maonregardingyourhazardouswasteacviesinthissecon.Note:Ifyourfacilitywasgrantedasolidwaste

varianceunder40CFR260.30priortoJuly13,2015,yourmanagementofHSMunder40CFR260.30isgrandfa‐

theredunderthepreviousregulaonsandyouarenotrequiredtonofyfortheHSMmanagementacvityexclud‐

edunder40CFR260.30.

1. Reason for Noﬁcaon (Includedateswhererequested)

FacilitywillbeginmanagingexcludedHSMasof_______________(mm/dd/yyyy).

FacilityissllmanagingexcludedHSM/re‐nofyingasrequiredbyMarch1ofeacheven‐numberedyear.

FacilityhasstoppedmanagingexcludedHSMasof_______________(mm/dd/yyyy)andisnofyingasrequired.

2.Descripon of Excluded HSM Acvity.Pleaselisttheappropriatecodes(seeCodeListseconoftheinstrucons)and

quanes,inshorttons,todescribeyourexcludedHSMacvityONLY(donotincludeanyinformaonregardingyour

hazardouswastes).Useaddionalpagesifmorespaceis

needed.

A. Facility

Code

B. Waste Code(s) for HSM C. Esmate Short Tons

of excluded HSM to

be managed annually

D. Actual Short Tons of

excluded HSM that was

managed during the most

recent odd‐numbered year

E. Land‐

based Unit

Code

   

EPAIDNumber

  

OMB# 2050-0024; Expires 04/30/2024



ONLY ﬁll out this form if:

 YouareanSQGorVSQGgeneranghazardouswastefromaplannedorunplannedepisodicevent,lasng no

morethen60days,thatmovesthegeneratortoahighergeneratorcategorypursuantto40CFR262SubpartL.

Note:Onlyoneplannedandoneunplannedepisodiceventare

allowedwithinoneyear;otherwise,youmust

followtherequirementsofthehighergeneratorcategory.Useaddionalpagesifmorespaceisneeded.

Episodic Event

1.Planned

Excesschemicalinventoryremoval

Tankcleanouts

Short‐termconstruconordemolion

Equipmentmaintenanceduringplantshutdowns

Other________________________________________

2.Unplanned

Accidentalspills

Produconprocessupsets

Productrecalls

“Actsofnature”(Tornado,hurricane,ﬂood,etc.)

Other________________________________________

EmergencyContactPhone 4.EmergencyContactName

5.BeginningDate_______________(mm/dd/yyyy) 6.EndDate_______________(mm/dd/yyyy)

EPAIDNumber

  

7.WasteDescripon



8.EsmatedQuanty(inpounds)

9.Federaland/orStateHazardousWasteCodes



Waste 1

7.WasteDescripon



8.EsmatedQuanty(inpounds)

9.Federaland/orStateHazardousWasteCodes



Waste 2

7.WasteDescripon



8.EsmatedQuanty(inpounds)

9.Federaland/orStateHazardousWasteCodes



Waste 3

ADDENDUMTOTHESITEIDENTIFICATIONFORM:

EPISODICGENERATOR



OMB# 2050-0024; Expires 04/30/2024



ADDENDUMTOTHESITEIDENTIFICATIONFORM:

LQGCONSOLIDATIONOFVSQGHAZARDOUSWASTE



ONLY ﬁll out this form if:

 YouareanLQGreceivinghazardouswastefromVSQGsunderthecontrolofthesameperson.Useaddionalpag‐

esifmorespaceisneeded.

VSQG 1

1.EPAIDNumber(ifassigned) 2.Name

3.StreetAddress

4.City,Town,orVillage 5.State 6.ZipCode

7.ContactPhoneNumber 8.ContactName

9.Email

EPAIDNumber

 

VSQG 2

1.EPAIDNumber(ifassigned) 2.Name

3.StreetAddress

4.City,Town,orVillage 5.State 6.ZipCode

7.ContactPhoneNumber 8.ContactName

9.Email

VSQG 3

1.EPAIDNumber(ifassigned) 2.Name

3.StreetAddress

4.City,Town,orVillage 5.State 6.ZipCode

7.ContactPhoneNumber 8.ContactName

9.Email

OMB# 2050-0024; Expires 04/30/2024