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WASHINGTON STATE

DEPARTMENT OF ECOLOGY

DangerousWaste

Aniiwtl·.Re .ort

Book 1

1995 Forms and Instructions

.for treatment, storage, disposal

and recycling facilities

September 1994

Printed on recycled paper

94-1078
•

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WASHINGTON STATE

DEPARTMENT OF ECOLOGY

.DanaerousWaste ~tUilRe sort ··'<~~~~~i~~~';\:;~iJ~;,,,1J '-

Book 1

1995 Forms and Instructions

for treatment, storage, disposal

and recycling facilities

Note: Along with this book offorms

you should have received Book 2:

Guidebook and Codes. Many ofthe

technical terms in this section and in

the forms are defined in the Definitions

section, pages 21-26, of Book 2: Guidebookand Codes. If you need further

clarification or if you did not receive

Book2: Guidebook and Codes, contact

Ecology at 206/407-6170.

001

-.'SIIII"DI s r s r t D ( , , I 1 • f I' D f

[ COL 0 GY

The Department of Ecology is an Equal Opportunity and Affirmative Action employer and shall not discriminate on the

basis of race, creed, color, national origin, gender, marital status, sexual orientation, age, religion or disability as defined by

applicable state and/or federal regulations or statutes. If you have special accommodation needs or want more information,

please contact Dave DuBreuil at (206) 407-6721 (voice) or (206) 407-6006 (TDD).
- ---------- ---- --------- ---

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TABLE OF CONTENTS

Introduction ...........................•...................................................... 1

c

What is the Dangerous Waste Annual Report? 1

Why did I receive this packet? 1

Do I need to complete these forms? 1

What if I think I received these forms in error? 1

When to submit the 1995 Annual Report forms 2

Where to go for help , 2

How are these forms different from the Annual Report forms that I completed in the past? 2

Ecology's authority to collect this information 3

Overview ofthe 1995 Dangerous Waste Annual Report Forms packet 3

Page numbering your submittal : ; 4

Typing the forms ..; : ; 4

Certification ; 4

Submitting computer-generated facsimiles ofthe forms 5

Documents useful in completing these forms : 5

What's next? 6 0

Helping Ecology improve these forms : 6

Worksheet #1: Defining YourStatus ..••....................•.•...............•....•.....•...•....••....•.•.................•...... 7

Worksheet #2: Determining Which Forms to Complete 10

General Site Information (GSI) Form ..•..•••.............•.•••.•.....•••....•.....•.......••......•................•..........•. 13

Generation and Management Form (GM) Form .........•.•.............................•....•....•....... 23

Off-Site Identification Information (01) Form..•....•............•..••...•......•.........•...••..................•........... 41

Waste Received (WR) Form..•.•..............................•......... ...............•........................................... 45

Capacity Information (el) Form 53

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BOOK 1: 19.95 FORMS AND INSTRUCTIONS
"

• DANGEROUS WASTE'

ANNUAL REPORT

I NTROD 'U CT ION

•

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What is the Dangerous Waste Annual

Report?

The Washington Department of Ecology (Ecology) Dangerous Waste Annual Report is an annual

report of dangerous waste generation and management activities in Washington. Handlers of

dangerous waste-s-e.g., generators and management facilities-are required to use these forms to

report their activities to Ecology every year.

These 1995Annual Report forms replace and are

very different from the old Annual Report forms

(the Form 4 and Form 5) that generators and'

treatmentlstorage/disposalJrecycling (TSDR)

facilities completed in the past (pre-1995). This

form packet is designed to collect data to meet

Ecology's information needs regarding dangerous

waste generation and management activities in the

State 'ofWashington, including information

requirements imposed by the United States

Environmental Protection Agency (EPA). Ecology

intends this forms packet to meet its information

needs comprehensively and at the same time to

streamline some aspects of the Annual Report

submission for the reporting community.

Why did I receive this packet?

All companies with an active EPNState Identification (10) Number (WA ) receive an

Annual Report mailing each year. You are required to report back to Ecology using these

forms even if you did not generate or manage any

dangerous waste during 1995. You must at least

complete the General Site Information (GSI)

Form to inform Ecology of whether you conducted any dangerous waste handling activities

during 1995. Some facilities will need to complete

one or two other forms in addition to the GSI

Form.

Do I need to complete these forms?

If you have an active EPNState ID Number, you

will need to complete at least one ofthe five

enclosed forms. Those companies required to

report are:'

• Dangerous Waste Generators

• Dangerous Waste Treatment, Storage, or

Disposal Facilities (TSDs)

• Dangerous Waste Recycling Facilities (as

specified in WAC 173-303-120)

• Dangerous Waste Transporters

• Bumers/MarketerslBlenders of dangerous waste

fuels

The worksheets, Worksheet #1: Defining Your :...';

Status and Worksheet #2: Determining Which /':

Forms to Complete, pages 7-9 and pages 10-1 r.?";

respectively,willhelp you determine first what;'; ,

your regulatory status is (i.e., as a dangerous waste

generator or a TSDR) and then which forms you

must complete.

What if I think I received these forms

in error?

If you believe you do not need to complete the

Annual Report forms, please call Ecology at

206/407-6170 so that the agency can correct its

records. Please recycle the unused reporting

packet or return it to Ecology.

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BOOK 1: 1995 FORMS AND INSTRUCTIONS 1
DANGEROUS WASTE ANNUAL REPORT

..

G

When to submit the Annual Report

forms

.The completed forms are due back to Ecology

with a postmark of no later than March I, 1996.

Submit completed forms by mail to:

Washington Department of Ecology

Hazardous Waste Information

PO Box 47658

Olympia, WA 98504-7658

You may express deliver the forms to Ecology, if

you wish. Use the following street address for

deliveries:

Washington Department of Ecology

Hazardous Waste Information

300 Desmond Drive

Lacey,WA 98503

Upon written request and reasonable justification,

Ecology may grant an extension to the reporting

deadline of up to 30 days. Written requests for

extension must be received by February IS, 1996,

at the above address.

Where to go for help

Ecology has developed a number ofways to help

you complete the forms.

1. Workshops.

Ecology will be holding a number of workshops to

guide you through the process of completing the

forms. For more information on attending a

workshop, contact Ecology at 206/407-6170.

2. A Guidebook.

Included with this form book is Book 2: Guidebook and Codes, which should help you through

the forms. Book 2: Guidebook and Codes has:

• Helpful Hints to assist you with the forms;

• Worksheets designed to help you address specific

aspects of the forms;

• Definitions to define the technical terms that you

will run across when completing the forms; and

• Codes that you will need to complete the forms.

3. Worksheets.

Following this section are two worksheets that

should help you figure out:

• how to describe yourself to Ecology (i.e., are

you a generator, a TSDR facility, etc.); and

• which forms to complete.

4. Telephone Assistance.

You may call Ecology at 206/407-6170 if you have

questions about completing the forms.

How are these forms different from

the Annual Report forms that I

completed in the past?

These hew forms are the result of an effort to meet

a number of Ecology's essential information

. needs, including requirements to provide certain

types of information to EPA. Youshould keep in

mind that these forms are different from the old

Form 4 a~d old Form S.in a number of ways:

l.These forms request Medium Quantity Generators and Large Quantity Generators (MQGs

and LQGs) to report not only the quantity and.

type of waste generated but also how the waste

was generated and how the waste was managed on-site and/or off-site.

2.These forms collect information on the waste

treatment, disposal, and recycling capacity of

commercial dangerous waste treatment, storage,

disposal, and recycling facilities (referred to in

the forms as TSDR facilities).

3.These forms collect somewhat more extensive

general site information than you have provided in the Annual Report in the past. This

information will be used to enhance Ecology's

"baseline" understanding of your site and of

which persons at your site Ecology should

contact about different issues.

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2 BOOK 1: 1995 FORMS AND INSTRUCTIONS
INTRODUCTION

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Ecology's authority to collect this

information

The Washington Administrative Code (WAC)

173-303-220 and 173-303-390, authorizes Ecology

to collect information regarding the generation

and management of dangerous wastes. Further,

Ecology is required by EPA to collect information

on the generation and management of hazardous

wastes, as implemented through the federal

Biennial Report {Form 8700-13).

Overview of the 1995 Dangerous

Waste Annual Report Forms packet

The 1995 Dangerous Waste Annual Report Forms

packet is made up oftwo books:

• Book 1: Forms and Instructions

Book 1 contains the forms that you will have to

complete and instructions on how to complete

them. It contains five forms, but few facilities will

have to complete all five forms. Book 1 includes

worksheets that will help you determine which

forms you will need to complete.

General Site Information (GSI) Form

All facilities need to complete this form.

This form asks questions about your facility, such

as the name ofthe facility; the name, address, and

telephone number of a contact person at the

facility; and the regulatory status of your facility.

Please note that the GSI Form will only be used

for the 1995 reporting year. In subsequent years,

when Ecology mails the Annual Report forms to .

you, the agency will provide you a pre-printed

Registration Verification Report (Verification

Report), which will contain the general information that you reported in the previous reporting

year. You will simply need to verify that the

information contained on the Verification Report

is current, indicate any changes as necessary,

certify the information, and send the form back to

Ecology with any other Annual Report form(s)

required of you .

Ecology will use the Verification Report in lieu of

updated Notification reporting. In the future,

you will only have to submit a revised Notification

Form if the ownership of your site changes, and to

withdraw or cancel an EPA/State ID Number.

Otherwise, the Verification Report will serve to

update Ecology's information about your site in

lieu of a revised Notification Form.

Ecology believes this approach Will lower your

overall reporting burden.

Generation and Management (GM) Form

LQGs and MQGs have to complete this form.

You are to complete one GM Form for each waste

stream generated at your facility. Copy the GM .

Form answer sheet (and continuation sheet) for

each waste stream generated at your facility.

Section A of this form asks descriptive questions .

about the waste stream, such as the type ofWaste

stream generated and whether the waste stream is

a residual from management of another dangerous waste stream. ...

Section B ofthis form asks questions about IDe

management ofthe waste stream, such as where

the waste stream was managed (on-site or off-site)

and how it was managed.

Section C ofthis form asks questions about your

efforts to minimize the waste stream being reported.

Off-Site Identification Information (01) Form

All facilities that either sent waste off-site or

received waste from off-site must complete this 01

Form. ..

This form collects the name, address, and EPA/

State ID Number of all dangerous waste handlers

with whom you interacted in sending waste offsite or in receiving waste from off-site. For

example, if you are a generator, it collects information on any transporters you used to move

waste off-site to a management facility and on the

off-site management facilities you used to treat!

recycle/dispose of your waste. If you are a TSDR

facility, you would provide information on any

BOOK 1: 1995 FORMS AND INSTRUCTIONS 3
DANGEROUS WASTE ANNUAL REPORT

'.

off-site generators from whom you received waste,

and any transporters you used to receive the

waste.

Waste Received (WR) Form

Facilities that receive dangerous waste from offsite must complete this form. These include

facilities that receive wastes from off-site and then

ship them off-site without any treatment.

Youare to complete one WR Form for each waste

stream received by your facility. Copy the WR

Form answer sheet (and continuation sheet) for

each waste stream received by your facility.

This form asks questions about the waste stream

received, such as how much waste was received,

the type ofwaste received, from whom the waste

was received, and how the waste was managed at

your facility.

Capacity Information (Cl) Form

All facilities that, in 1995, treated, disposed of, or

recycled dangerous waste on a commercial basis

are required to complete this form. This means

that you were paid by a generator or another

facility, from a different location and under

different ownership than your own site, to treat,

dispose of, and/or recycle dangerous waste.

You are to complete one form for each unique

management system at your facility. Copy the CI

Form answer sheet for each system.

This form asks questions about your management

system, such as what type ofsystem it is, how

much capacity it has, and how much waste was

managed in the system in 1995.

• Book 2: Guidebook and Codes

As described above, this book is designed to assist

you in completing the forms. It includes a series

of Helpful Hints to answer specific questions as

you work through the forms. It also has three

Worksheets to help you complete specific aspects

of the forms. In addition, it contains a Definitions

section and all of the Codes that you need to

complete the forms.

Page numbering your submittal

Once you have completed all forms required of

you, compile your forms in the same order as they

are presented in this book (i.e., GSJ Form first,

followed by the Generation and Management

(GM) Form, the Off-site Identification Information (Ol) Form), the Waste Received (WR)Form,

and the Capacity Information (Cl) Form. Do

NOT include any of the worksheets as part of your

submittal; these are for your use only.

.Once you have compiled your forms in the correct

order, complete the page numbering space at the

lower right corner of each page. The first page of

the GSI Form should be numbered" 1': Number

each subsequent page consecutively (i.e., 2, 3, 4,

etc.). Attach page 59 ofthis book as the last page

of your submittal; you should also manually

number this page. In the space provided above the

Certification on the last page of the GSI Form,

enter the total number of pages that you are

submitting.

Typing the forms

Ecology requests that forms be typed. If you

cannot type the forms, please print legibly in blue

or black ink. Forms completed in pencil will be

rejected.

Certification

Your completed forms must be returned to

Ecology with the signature, in ink, of an appropriate representative of your site.Youshould determine who that representative should be, based on

the person's knowledge of your site's waste activities. [Permitted TSDRs should refer to WAC 173-

303-810(12) for guidance on designating the

appropriate representative.] Any forms that do

not have a signature in the Certification section

will be returned.

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4 BOOK 1: 1995 FORMS AND INSTRUCTIONS
, INTRODUCTION

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Submitting computer-generated

,facsimiles of the forms

You may use computer-generated forms in place

of some of the forms provided in the Annual

Report packet' Specifically,you may submit

computer-generated GM, WR and 01 Forms.

Ecology does not recommend submitting a

computer-generated GSI Form, as that form will

only be used during 1995. With respect to the CI

, Form, Ecology does not believe that many firms

will need to complete that form and so it has not

developed a sample format. (If your facility is

interested in submitting a computer-generated CI

Form, then you should format it identically to the

CI Form provided on page 57.)

Youwill no longer be required to obtain Ecology's

prior approval of your proposed computergenerated facsimile, because Ecology is including

in Book2: Guidebook and Codes samples of the

acceptable computer-generated format. Refer to

pages 51-55 of Book2: Guidebook and Codes for

the sample formats for the GM, WR, and OJ

Forms. Youshould re-create as closely as possible

the sample formats provided.

If you are submitting computer-generated forms,

you should note that the information that you

would normally continue in the Comments '

Section on the regular paper forms may be

continued within the answer space in your

computer-generated form. (For example, on the

paper GM Form, space is provided for 6 EPA

waste codes in question A-3; any additional codes

must be provided in Section D, Comments. In

your computer-generated forms, however, you

may provide as many EPAwaste codes as necessary in the space created for question A-3.) You

may, of course, use the Comments section in the

computer-generated format for any comments

that are not specific to an individual question.

Youshould note the followingguidelines in preparing and submitting your computer-generated forms.

• Use 8.5" by 11" paper.

• Use blue or black ink.

• If you are using continuous-feed paper, separate

the print-out into individual sheets with the

side holes removed.

• Number all pages of your submittal according

to the guidelines on page 4.

• Be sure that each page has the appropriate form

header, as indicated in the sample formats.

• Be sure that your facility's site name and EPN

State ID Number is provided on each page.

Firms with automated information management

systems should note that Ecology will be develop- '

ing a new internal dangerous waste information

management system. With that new system,

expected to be on-line in late 1995 for use with the

1995 reporting cycle (i.e., these Annual Report

forms that you submit in March 1996), Ecology

would encourage you to submit electronic '

reports. This would be done by preparing flat

files of your Annual Report information. These

flat files could beprovided to Ecology on diskette.

Beginning in August 1994, you may request from

Ecology general guidance on how such flat files.

could be prepared for the 1995 Annual Reporte-r

CallEcology at 206/407-6170 to request that

information.

Documents useful in completing th~se

forms

As you prepare your 1995 Dangerous Waste

Annual Report forms, you may find the following

documents useful.

• A copy of your most recent Notification Form

(Form 2).

• Records of dangerous waste quantities generated, accumulated, or managed.

• Dangerous waste manifest forms.

• Results of laboratory analyses of your wastes

(e.g., waste profiles).

• Contracts or agreements with the off-site

facilities that manage your wastes.

• Copies of permits for your on-site waste

management systems.

• Copies of Material Safety Data Sheets (MSDSs).

BOOK 1: 1995 FORMS AND INSTRUCTIONS 5
What's next?

DANGEROUS WASTE ANNUAL REPORT

Helping Ecology improve these fonns

o

1. Look at the two worksheetsfollowing this

section.

• Worksheet #1: Defining Your Status (page 7) will

help you determine whether you need to

complete these forms and, if you do, into which

regulatory status category or categories you fit.

• Worksheet #2: Determining Which Forms to

Complete (page 10) will help you figure out

which forms you must complete.

These worksheets are designed to help you. You

should NOT submit them to Ecology.

2. Read the instructions at the beginning of each

form.

This icon identifies areas in the instructions

that you should read particularly closely.

In many cases, the icon highlights a change

from how you have completed the old

Form 4 and Form 5 in the past.

3. Complete the forms.

• Make sure you only fill out the forms that are

required of you. Use Worksheet #2 (pages lOII) to determine this.

• Use Book 2: Guidebook andCodes as you work

through the forms. The forms' instructions will

refer you to Helpful Hints, Worksheets, Definitions, and Codes that will help you to complete

the forms.

• Call Ecology at 206/407-6170 if you have any

questions.

If you have thoughts on how Ecology Cansimplify

and improve the clarity and "usability" ofthese

forms and their instructions, please call Ecology at

206/407-6170. Ecology welcomes your comments

and suggestions.

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6 BOOK 1: 1995 FORMS AND INSTRUCTIONS
• WORKSHEET #1

DEFINING YOUR STATUS

•

•

This Worksheet isfor your use only.

Do NOT submit this Worksheet to

Ecology.

Before completing this worksheet,

you will want to know the following:

• the definition of a dangerous waste (defined in

the Definitions section of Book2: Guidebook

and Codes and described in Helpful Hint #1 on

page 3 of Book2: Guidebook and Codes), and

• the Quantity Exclusion Limit (QEL) of the

waste(s) you generate (discussed in Helpful

Hint #4 on page 5 ofBook2: Guidebook and

Codes and listed on pages 47-49 of Book2:

Guidebook and Codes).

In determining your generator status,

you should note the following:

• Yourregulatory status, for compliance purposes, as a Large, Medium, or Small Quantity

Generator (LQG, MQG, SQG) may change

from one calendar month to the next, depending on how much dangerous waste, of what

Quantity Exclusion Limit, you generate in a :

given month or accumulate at any time.

• The Quantity Exclusion Limit (QEL) of a waste

is the quantity, by weight, at which the waste

becomes regulated under the requirements for

MQGs and LQGs, per WAC 173-303-081. There

are two different QELs:

• 220 pounds

• 2.2 pounds

The QEL List, on pages 47-49 of Book2: Guidebookand Codes, identifies which dangerous

wastes are subject to the 220-pound QEL and

which to the 2.2-pound QEL.You need to know

which QELs apply to your wastes so that you

will know whether the quantities of waste you

generate and/or accumulate make you a regulated generator.

• Youmust understand how to count your

generation, accumulation, and recycling. .

Ecology,as ofthe printing of these forms, IS

developing new guidance to generators on how

to count generation and recycling of dangerous

wastes. If you have not received this guidance by

the beginning of 1995, please call Ecology at

206/407-6170 to request a copy.

• Youmust take into account the dangerous

wastewaters you generate when you determine.

your generator status. When you count your .;;.,

wastewaters, you may need to convert the -•..:

quantities you count into pounds to determine':

the QEL(s) of the wastewaters (see Helpful Hint

#6, on page 7 ofBook 2: Guidebook and Codes•.

for help on converting from gallons/liters to

pounds).

• Yourreporting status-that is, your generator

status for purposes of completing the Annual.

Report forms-is defined based on the greatest quantity of dangerous waste you generated

in anyone calendar month or accumulated at

any time in 1995.

For example, if you were an LQG for one

calendar month in 1995, you are considered an

LQG for the entire year for purposes of completingthe Annual Report forms. That is, if

you generated more than 2,200 pounds in any

one month in 1995-even if you did not

generate that much waste in any other month in

1995-you must complete the Annual Report

forms as an LQG for the entire year.

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BOOK 1: 1995 FORMS AND INSTRUCTIONS 7·
DANGEROUS WASTE ANNUAL REPORT

Now determine if you are a generator, a treatment/storage/disposal (TSD) facility, or a

recycling facility. It is possible to be more than one-i.e., you may be both a generator and

a TSD.

As you review the following criteria for determining your generator status, remember that

your status, for purposes of completing the Annual Report forms, is defined according to the

greatest quantity of wastes of common QELs that you generated in anyone month in the

year and/or accumulated at any given time during the year.

Am I a Large Quantity Generator (LQG)? If any of the following criteria apply to you, check the box.

In anyone calendar month in 1995, did I generate:

o 2,200 pounds or more of dangerous wasters) with a QEL of220 pounds, or

o 2.2 pounds or more of dangerous waste(s) with a QEL of2.2 pounds?

AND/OR, at any time in 1995, did I accumulate:

o 2,200 pounds or more of dangerous waste(s) with a QEL of 220 pounds, or

o 2.2 pounds.or more of dangerous waste(s) with a QEL of 2.2. pounds?

If I checked any of the above boxes, then I am a Large Quantity Generator.

Am I a Medium Quantity Generator (MQG)? If any ofthe following criteria apply to you, check the box: .

In anyone calendar month in 1995, did I generate:

o 220 pounds or more, but less than 2,200 pounds, of dangerous waste(s) with a QEL of

220 pounds?

AND/OR, at any time during 1995, did I accumulate:

o 220 pounds or more, but less than 2,200 pounds, of dangerous wastets) with a QEL of

220 pounds?

If I checked either of the above boxes, then I am a Medium Quantity Generator.

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8 BOOK 1: 1995 FORMS AND INSTRUCTIONS
•

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WORKSHEET #1

Am I a Small Quantity Generator (SQG)? If any ofthe followirig criteria apply to you, check the box.

In each calendar month in 1995, did I generate:

o less than 220 pounds of dangerous waste(s) with a QEL of 220 pounds, or

o less than 2.2 pounds of dangerous waste(s) with a QEL of 2.2 pounds?

AND/OR, at all times during 1995, did I accumulate:

o less than 220 pounds of dangerous waste(s) with a QEL of 220 pounds, or

o less than 2.2 pounds of dangerous waste(s) with a QEL of 2.2 pounds?

If I checked any of the above boxes, then I am a Small Quantity Generator. .

Am I a Treatment, Storage, or Disposal Facility (TSD)?If the following criterion applies to you, check the box.

o My facility has filed a Part A application or has a Part B permit for the Treatment, Storage, or

Disposal of dangerous waste as required under WAC 173-303-800 to 840. (Do not check this box if

your treatment activity isthrough permit-by-rule activity, per WAC 173-303-802, or "treatment-by;"

generator:' These terms are defined in the Definitions section ofBook2: Guidebook and Codes.)

If I checked this box, then I am a TSD.

Am I a Commercial Recycling Facility? Ifthe following criterion applies to you, check the box. (Note that this

does not include those generators that recycle their own wastes on-site.)

o My facility recycles dangerous waste received from off-site, as described under WAC 173-303-120.

If I checked this box, then I am a recycling facility.

Am I a Transporter? If the following criterion applies to you, check the box.

o I transport dangerous waste as described under WAC 173-303-240.

If I checked this box, then I am a transporter. Sites that are Transporters only (i.e., did not meet any

of the criteria above for generators, TSDs, and recyclers) should complete only the General Site

Information Form.

If you fit into any of these categories, continue on to· Worksheet #2 to determine which forms

you must complete.

If you do NOT fit into any of these categories, but you do have an active EPA/State ID Number, you are required to complete only the General Site Information Form. You may proceed to

that form, beginning on page 13, now.

BOOK 1: 1995 FORMS AND INSTRUCTIONS 9
WORKSHEET #2

DETERMINING WHICH FORMS

TO COMPLETE

This Worksheet isfor your use only. Do NOT submit this Worksheet to Ecology.

Which forms do you need to complete? Use the information from Worksheet #1 to help you determine which forms you need to complete. .

. 0 I am a Large Quantity Generator.

I must complete the following forms:

• the General Site Information Form;

• the Generation and Management Form; and

• the Off-Site Identification Information Form.

o I am a Medium Quantity Generator.

I must complete the following forms:

• the General Site Information Form;

• the Generation and Management Form; and

• the Off-Site Identification Information Form.

o I am a Small Quantity Generator.

I must complete only the General Site Information Form.

C)

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10 BOOK 1: 1995 FORMS AND INSTRUCTIONS
•

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WORKSH EET #2

Q I am a Treatment/Storage/Disposal Facility.

I must Complete the following forms:

• the General Site Information Form; and

• the Generation and Management Form; and

'~ the Off-Site Identification Information Form.

IfI received waste from off-site, then I must also complete the Waste Received Form.

IfI am a commercial TSD, then I must also complete the Capacity Information Form.

(Please see the definition of commercial in the Definitions section of Book2: Guidebook and Codes.)

Q I am a Commercial Recycling Facility.

I must complete the following forms:

• the General Site Information Form;

• the Generation and Management Form;

• the Waste Received Form;

• the Capacity Information Form; and

• the Off-Site Identification Information Form.

Q I am a Transporter only.

I must complete ONLYthe General Site Information Form.

BOOK 1: 1995 FORMS AND INSTRUCTIONS 11
• GENERAL SITE

INFORMATION FORM

INTRODUCTION

•

•

Who needs to complete this form?

All companies/agencies with an active EPNState

ID Number (e.g., WA ) at any time

during 1995 must complete this form. They

include, but are not limited to:

• Dangerous Waste Generators;

• Dangerous Waste Treatment, Storage, and

Disposal Facilities (TSDs);

• Dangerous Waste Recycling Facilities;

• Dangerous Waste Transporters;

• Dangerous Waste Fuel Burners/Blenders/

Marketers; and

• Used Oil Burners/Blenders/Marketers.

Youwill complete this form only for 1995. In

subsequent years (e.g., 1996 and on), Ecology

instead will provide you with a "Verification

Report" (instead of the GSI Form) that will have,

pre-printed on it, the general site information that

you reported the previous year. You will be asked

to edit that pre-printed Verification Report to

reflect any changes in the information, certify the

information, and return the form to Ecology.The

Verification Report will prevent your having to

complete and re-submit the same general site

information each year; you will only be required

to report any changes and to certify your Annual

Report data anew.

What information does this form

collect? '

This form collects information about your site,

such as the name of your business; the name,

address, and phone number of a contact at the

site; and the regulatory status of your site (e.g.,

generator or TSDR).

What information will I need to

complete this form?

You will need general information about dangerous waste activities at your site. Completing

Worksheet #1 on page 7 should help you identify

these activities. You also will need general information regarding your site's regulatory status, the

names and addresses ofsite contacts, and some

general information regarding the site itself.'

Helpful Hints

Complete Worksheet #1, beginning on page 7,

before completing this form. The following

documents should 'help you:

• copies of your most recent Notification Form

(Form 2) on which you notified Ecology and

EPAof your dangerous waste generation and

management activities; and

.' copies of your dangerous waste shipment

manifests (if relevant).

Be sure to complete the "Please Enter" box at the

top of the pages of the answer sheet. Fill in your

EPNState ID Number and site name (as entered

in question A-2 of the GSI Form). Do not enter

any information in the spaces marked "For

Ecology Use Only."

BOOK 1: 1995 FORMS AND INSTRUCTIONS 13
14

DANGEROUS WASTE ANNUAL REPORT

. - -. _. ~--- --- ~- -_. -- - ---

BOOK 1: 1995 FORMS AND INSTRUCTIONS

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• GENERAL SITE

INFORMATION FORM

ANSWERS

PLEASE ENTER:

EPA/State 10 number: _

Site name: _

FOR ECOLOGY USE ONLY:

. .

A.· _.SitelnformatiorJ-, ., ...-.

-----------------~---~-"'i Date received: ,...------------

A-1. What is your EPA/State ID Number?

WA _ --.: -..:... _

A-2. What Is the name of this site (i.e., the company/agency to which the EPA/State ID Number is

assigned)? If your company has more than one site by the same name in Washington, provide a site

identifier here (e.g., ACME-Everett v.ACME-Auburn). _

•

A-3. What is your Washington Department of Revenue Tax Registration Account Number (also

known as the United Business Identifier-UBI)?

(Please enter the nine digits only; do not enter any letters preceding the number. This number is assigned

to your business's Tax Registration Account by the Department of Revenue. Contact your fiscal office or

the Department ofRevenue if you do not know your registration number. Do not use your federal tax

number here. If you are a tax-exempt agency,enter "NA"in the first two spaces and leave the other spaces

blank; the Department of Revenue will construct a number for you for dangerous waste fee purposes only,

and Ecology will maintain records of that number internally.)

For the name and address information requested below, ifyou need to repeat a particular name or address for

more than one question, you may simply specify "Same as question XX"(e.g., ifthe location address in question A-S is the same as the mailing address in question A-4,write "Same as A-4" in the space for question A-S).

Please read questions A-4 through A-II before completing any ofthe information. This will help you avoid

having to correct portions ofthe form. Do not leave any ofthe following questions blank-you must at least

write "Same as..." on the first line of each question.

A-4. What is the mailing address for the company/agency? (i.e., where should Ecology send future

form packets and correspondence?)

•

. Street Address or PO Box -,...- _

City,State, Zip Code _

Page

BOOK 1: 1995 FORMS AND INSTRUCTIONS 15
DANGEROUS WASTE ANNUAL REPORT

A-5. What Is the location address of the company/agency at this site? (i.e., enter the street address or

geographic location. If a street address is not available, please provide nearby cross-streets for.reference;

you may also use Township, Section, and Range information. Do not provide PO Box or rural mail route

address.)

Street Address -,-- _

City, State, Zip Code _

County -,-- _

A-6. Who Is the legal owner of the company/agency? (Please provide information regarding the person,

company, or agency that owns this business.) .

Name _

Street Address or PO Box _'--- _

City, State, Zip Code _

County _

Phone ( __ ) _

A-7. Has the owner of the company/agency changed since you last reported?

C)

o

o No (If no, skip to A-S.) DYes (Ifyes, answer A-7.a.)

A-7.a. Please provide the date on which the ownership changed.

(mm/dd/yy) __ / __ / __

Ifthe ownership of the business has changed since you last reported a

Notification Form (Form 2) or the Annual Report forms, you will be

required to complete a new Notification Form. Please callEcology at

206/407-6737.

A-8. Who is the operator of the company/agency responsible for the dangerous waste handling

activity? (Please provide information regarding the company or agency responsible for the overall

operation of this business.)

Name ----------------

Street Address or PO Box _

City, State, Zip Code _

County _

Phone ( __ ) _

Page _. _

o

16 BOOK 1: 1995 FORMS AND INSTRUCTIONS
."

•

GENERAL SITE INFORMATION FORM

----------------------1 PLEASE ENTER:

. A-9. Who owns the property (real estate) on which the

company/agency is located? (Please provide

information regarding the person, company, or

agency that owns this property.)

EPA/State 10 number: _

Site name: _

•

Name and Title --:.. ---:- _

Street Address or PO Box --:-_

City, State, Zip Code _

County L, _

Phone (__ ) _

A-10. Whom should Ecology contact on-slte regarding site visits and inspections of the company/

agency? .(If the individual whom Ecology should contact is not located on-site, enter the correct address

and phone number for that individual's location.)

Name and Title _

Street Address or PO Box -:--_

City, State, Zip Code _

County _

Phone (__ ) _

A-ll. Whom should Ecology contact if clarification is needed on this form?

Name and Title _

Street Address or PO Box _

City, State, Zip Code .. _

County ----. _

Phone ( __ ) _

A-12. Please enter the four-digit Standard Industrial Classification (SIC) code that best describes

the principal products or services rendered at this site. (If more than one code applies, please

enter the primary SIC code-the code that best describes your business's products or services-in the

. space for the primary number below. This is the SIC code under which your business is registered with

the Washington Department of Revenue. You may list up to three other relevant SIC codes in the additional spaces below. A list of SIC codes can be found on pages 27-38 of Book 2: Guidebook and Codes.

•

1. (primary) 2. _ 3. __.__ 4. _

Page

BOOK 1: 1995 FORMS AND INSTRUCTIONS 17
DANGEROUS WASTE ANNUAL REPORT

B. :-.:~lteDangerous· Waste .Activity Information .

8-1. Did the company/agency generate dangerous waste in 1995?

D No (If no, answer 8-1.b.) D Yes (If yes, answer 8-1.a.)

8-1.a. What is yourgenerator status? (Check one box. If you are

not sure of your generator status, refer to Worksheet #1 beginning on

page 7.)

D Large Quantity Generator (proceed to 8-2)

D Medium Quantity Generator (proceed to 8-2)

D Small Quantity Generator: Maximum accumulation or monthly

generation quantity: pounds

(NOTE: Small Quantity Generators who are not required to report for other

reasons-s-e.g., because they are a TSDR-now mqy skip to the Certification

on page 21 and return only this GSI Form to Ecology. SQGs are not

required to provide any additional information on this or any other Annual

Reportform.) .

8-1.b. lithe company/agency did NOTgenerate dangerous waste In 1995, please indicate

the reason{s) below. (Check all reasons that apply.)

D· We never generated dangerous waste.

D We generate dangerous waste only occasionally and did not generate waste in 1995.

D We are a dangerous waste transporter only.

D We have gone out of business. Date closed: (ml1l/dd/yy) __/__/__

D The waste we generate is exempt from state and federal dangerous waste regulation.

D Other (please specify): _

Page

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18 BOOK 1: 1995 FORMS AND INSTRUCTIONS
•

B-2.

GENERAL SITE INFORMATION FORM

--~-------------------fPLEASE ENTER:

Does the company/agency treat, store, recycle, EPA/State 10 number: .....,.. _

or dispose of dangerous waste? (This does Dot

include treatment-by-generator activity and permit- Site name:------------

by-rule activity [see the Definitions section ofBook2:

Guidebook and Codes). Information on treatment-bygenerator and permit-by-rule activity will be captured .

in the GM Form for those generators conducting on-site treatment activities. Generators conducting

either permit-by-rule or treatment-by-generator activity but no other treatment, storage, recycling, or

disposal activity should answer "No" to this question.)

o Yes (If yes, answer 8-2.a.)

1

oNo

(If no, LQGs should skip to Section C, below. All other

sites should skip to Section D, Comments, on page 20, if

appropriate; otherwise, skip to the Certification on page 21.)

8-2.a. Is the company/agency exempt from reporting its dangerous waste treatment,

storage, recycling, and disposal activities? .

o Yes (If yes, specify one of the following.) . o No (If no, skip to Section C.)

•

c.

o We manage only exempt wastes.

o We closed prior to 1995; no dangerous waste treatment, storage, recycling, or disposal

activities occurred during 1995..

o We did not treat, pre-treat, store, recycle, or dispose of dangerous waste during 1995..:

o Other (please specify). _

Site-Wide Waste Minimization ·Activity InfOrmcltio·n";: -: ," ....

COMPLETE THIS SECTION ONLY FOR ODD (e.g. 1995, 1997) REPORTING YEARS.

LQGs and TSDRs must complete this section, If you are not an LQG or a TSDR, proceed to Section D,

Comments (page 20), if appropriate, or to the Certification (page 21).

Ecologyis required by EPA to collect the following information every other year (biennially, during the odd

reporting years-e.g., 1995, 1997). These questions replace the EPAWaste Minimization Report that you

have received in the past from EPA.Ecology recognizes the limitations of the waste minimization questions

contained in this form and in the GM Form and is collecting this information solely for provision to EPAas

per EPA requirements. As a matter of policy in the State ofWashington, Ecology will rely on the Pollution

Prevention Plan and Progress Reports for information through which to analyze businesses' pollution

prevention and waste minimization efforts. Please refer to the definitions ofsource reduction and recycling

(see the Definitions section of Book2: Guidebook and Codes) to help you complete this section.

Did this company/agency begin or expand a source reduction activity during 1994 or 1995?

These questions refer to site-wide waste minimization activities. The questions on the GM Form are

waste stream-specific.

•

C-1..

DYes o No

BOOK 1: 1995 FORMS AND INSTRUCTIONS 19
DANGEROUS WASTE ANNUAL REPORT

e-2. Oldthis company/agency begin or expand a recycling activity dUring 1994 or 19951

o

DYes ONo

e-3. Oldthis company/agency systematically Investigate opportunities for source reduction

or recycling during1994 or 19951

DYes o No

Use this section to provide any additional comments, information, or explanation, if necessary. In your

comments, always provide the reference to the specific question number (e.g.,A-7).

o

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20 BOOK 1: 1995 FORMS AND INSTRUCTIONS
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GENERAL SITE,INFORMATION FORM

___ ..... PLEASE ENTER:

EPA/State 10 number: _

Site name: _

Upon completion ofaUrequired forms. please provide'

the following information. First mark which formes)

you are submitting in this package. Then indicate the

total number of pages in your submittal.

o General Site Information Form

o Generation and Management Form

o Off-Site Identification Information Form

o Waste Received Form

o Capacity Information Form

__Total number of pages submitted [Refer to the instructions"Page numbering yoursubmittal"

(page 4) for instructions on how to number the pages ofyoursubmission. After you compileand manually

numberall ofthepages ofyoursubmittal includingthe "last page"on page59, enterin the space provided the

totalnumber ofpages beingsubmitted. Then complete and signthe Certification below.J

The following must be signed by an authorized representative ofthe company/agency. This certification language is required under EPNs Biennial Report. Ecology is required to implement reporting

requirements at least as stringent as those in that report.

I certifyunderpenalty oflaw that thisdocument and allattachments wereprepared under mydirection or'

supervision in accordance with a systemdesigned to assure that qualifiedpersonnelproperly gatherand .

evaluatethe information submitted. Basedon my inquiry ofthe person orpersons who managethe system, or

those persons directly responsible for gatheringthe information, the information submitted is, to the bestofmy

knowledge and belief, true,accurate, and complete. I am awarethat therearesignificantpenaltiesfor submittingfalse information, includingthe possibility offine and imprisonment for knowing violations.

Signature (in ink) _

Name (print/type) _

Date _

Title _

BOOK 1: 1995 FORMS AND INSTRUCTIONS 21
• GENERATION AND

MANAGEMENT FORM

I NTROD UCT10 N

•

•

Who needs to complete this form?

All LQGs,MQGs, and TSDRs must complete this

Generation and Management (GM) Form. (Small

Quantity Generators do not have to complete this

form. SQGs should complete only the General

Site Information (GSI) Form, beginning on page

13.) See the Definitions section ofBook2: Guidebook and Codes, for definitions ofLQG and MQG.

. Also refer to Worksheet #1 on page 7 and

Worksheet #2 on page 10, which you already

prepared, to determine whether this GM Form

applies to your generator status.

How is this form different from

the old Form 4?

1. Collecting information on the nature, source,

and management of your dangerous waste

streams

• The old Form 4 collected information on the

quantities and types of dangerous waste you

generated during the reporting year.

• This new GM Form collects more extensive,

coded information on the dangerous waste

generated at your site. For each waste stream, it

collects information on:

• the nature of that waste stream (in terms of

the waste description, the waste designation,

the waste codes, the waste radioactivity, the

waste form, and the waste origin);

• the source of the waste stream (that is, the

process by which the waste was generated);

and

• the management that the waste stream was

given (that is, the type of system-s-e.g.,

solvent recovery system or aqueous treatment

system-through which the waste was

managed, whether on-site or off-site).

2. Collecting management information

• The old Form 4 collected information on the

generation of dangerous waste.

• The old Form 5 collected information on any

on-site management ofthe waste you generated. You reported this on-site management by

. listing monthly totals in the manifest information section ofthe form .

• This new GM Form collects information on

how your dangerous waste streams were managed, whether on-site or off-site. Youwill

provide this information on the GM Form only.

Youwill not need to report generation of the

waste on one form (i.e. the old Form 4) and

management ofthe waste on another (i.e. the

old Form 5), as you did under the old system.

Further, ifyou managed the waste stream onsite, you will provide a single annual aggregate

quantity, rather than monthly totals.

Note that, for purposes ofthese new Annual

Report forms, Ecology is seeking management

information only for treatment, recycling,

extended storage and/or disposal of dangerous

wastes. Youwill not report accumulation

anywhere on the Annual Report forms. (Remember that you must still comply with the

accumulation requirements ofWAC 173-303-

200 and 201.)

3. Collecting the waste description

• The old Form 4 required very elaborate waste

descriptions, including the names and concentrations of waste constituents.

• This new GM Form allows you to describe your

waste stream in the manner in which you

recognize it: your waste description may be as

simple or as elaborate as you see fit. Ecology

will rely on the other coded information

collected in the form to obtain an understanding of the waste stream you are generating.

BOOK 1: 1995 FORMS AND INSTRUCTIONS 23
DANGEROUS WASTE ANNUAL REPORT o

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I

I

t- -

4. Collecting information on waste generated and

"",naged during the reporting year

• The old Form 4 determined your total annual

generation by requiring you to report two types

of information:

• all wastes shipped off-site for management

(or generated and managed on-site, in

monthly totals); and

• all wastes remaining on-site (without management) at the end of the year.

The second piece ofinformation required

generators to do an on-site audit at the end of

the year to quantify the wastes remaining on-site.

.• This new GM Form requests a single piece of

information: "total amount ofthis waste stream

managed in 1995."To determine that number,

generators relying on off-site management will

report the sum of all manifested shipments to

management during 1995. Generators conducting on-site management would continue to sum

the quantities ofwaste entering on-site treatment/disposal/recycling systems or on-site

extended storage to obtain a single annual

aggregate quantity.

The benefit of this new data element is that it

ties the "quantity" information reported in the

An~ual Report directly to the method through

which most generators account for their

wastes-that is, by recording their manifest

data. By linking the Annual Report to your

generation and management, this new GM

Form should bemore straightforward for you

to complete. Furthermore, you no longer will

have to conduct an end-of-year audit ofwaste

remaining on-site for purposes of completing

the Annual Report.

5. Collecting manifest data,

• The old Form 4 collected manifest information

from TSDRs, LQGs and MQGs.

• This new GM Form requires manifest information only from LQGs and TSDRs.

• MQGs now are required only to provide the

annual aggregate quantity of each waste

stream they managed in 1995.

• LQGsand TSDRs will continue to provide

manifest information for shipments of waste

off-site for management. Youshould note that

the organization ofthisinformation isdifferent

from previous years. Manifestinformation is

now organized by the waste stream being

shipped, not by the facilityto which the waste

stream was sent. Thus, for each waste stream,

you will provide specificdescriptiveinformation and then will list allshipments of the waste

stream to other facilities for management.

What information do I need to

complete this form?

To complete thisGM Form, you need detailed information on the dangerous wastegenerated at your

site.For each wastestream that you identify, you need

to know how it wasgenerated, how much was managed in 1995,and where and how it wasmanaged.

Helpful Hints

• Questions and Answers: This form is in two

parts: a question sheet and an answer sheet. The

answer sheet is perforated. You may wish to

separate it from this book and lay it alongside

the questions as you answer them.

Fill out one answer sheet for each waste stream

generated at your site. For both the answer and

the continuation sheets, besure to complete the

"Please Enter" box at the top of the pages of the

answer sheet. Fill in your EPA/State ID Number

and site name (as entered in question A-2 of the

GSI Form). Do not enter any information in the

spaces marked "For Ecology Use Only."Then

make as many copies of the sheets as you will

need for each waste stream.

• How to identify a dangerous waste stream: See

"What isa dangerous waste?", Helpful Hint #1

on page 3 of Book2: Guidebook and Codes, for

help in identifying a dangerous waste. Use the

following guidelines to identify an individual

waste stream:

• A single waste stream may have several waste

codes (questions A-3 and A-4). Waste Codes

are identified in WAC 173-303.

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24 BOOK 1: 1995 FORMS AND INSTRUCTIONS
GENERATION AND MANAGEMENT FORM

•

•

•

• A single waste stream will designate either as

dangerous waste (OW) or extremely hazardous waste (EHW), not both (question A-5).

Thus, ifyou generate a waste stream that is

sometimes EHW and is OW at other times,

these are actually separate waste streams and

should be reported on separate GM Forms.

• A single waste stream will beeither a mixed

radioaetivewaste or not (question A-6).

Mixed radioactive wastes (see the definition

in the Definitions section ofBook2: Guidebookand Codes) should never be combined

with non-radioactive dangerous wastes. Thus,

a mixed radioactive waste stream will always

be reported on its own GM Form.

• In most cases, a waste stream should have

only one source (question A-7). Source codes

.are listed on page 39 ofBook2: Guidebook and

Codes. An example is A07. vapor degreasing.

• A waste stream should. have only one form

(question A-8). Waste form codes are listed

on pages 40-41 of Book2: Guidebook and

Codes. An example is BIOI, aqueous waste

with low solvents.

• Each dangerous waste stream should have one

origin (question A-9). For example, the

waste's origin may be recurrent or from a

non-recurrent activity. Origin codes are

listed in question A-9 and on page 42 of Book

2: Guidebook and Codes.

Please note that Ecology asks you to use your best

judgment in defining the individual waste

streams you generate. Ecology recognizes that the

complexities of dangerous waste generation and

management are sometimes difficult to portray in

the context of a standardized form with a series of

standardized codes. In certain instances, the

coding scheme may not allow you to portray your

waste in a fully accurate manner. Follow the

guidelines listed above to the best of your ability

when identifying a waste stream at your site and

assigning what you believe to be the best codes to

describe that waste stream.

If you generate a dangerous waste stream, manage

it on-site, and then generate a dangerous waste

residual from this management, you have generated two separate waste streams and need to

complete two separate GM Forms.

For example, you generate a dangerous sludge.

Youdewater it at your site. A dangerous waste

filtercake results from the dewatering. This

filtercake is shipped off-site for landfill. You need

to complete two GM Forms:

l.On the first GM Form, describe the sludge.

Indicate that the waste's origin (question A-9)

is from recurrent generation (origin code i);

and that its management (question B-3) is

sludge dewatering (system code MIOI).

2.On the second GM Form, describe the

filtercake. Indicate that the waste's origin is as a

residual from managing a previously existing .

dangerous waste (origin code v); and that its

management is off-site landfill (system code

M132) .

• Which wastes to report:

• DO report all dangerous wastes generated

and then managed on-site during 1995.

• DO report all dangerous waste shipped off-.

site during 1995 for management within the

United States. . .

• DO report all dangerous wastes that were .

managed in RCRA interim status or permitted and RCRA exempt (i.e., permit by rule,

treatrnent-by-generator-see below) systems.

• Which wastes NOT to report:

• DO NOT report excluded wastes as defined

by Chapter 173-303 WAC (e.g., do not report

TSCA [ToxicSubstances Control Act, 40 CFR

Parts 700-799] wastes such as PCBs unless

they also classify as dangerous waste).

• DO NOT report wastes that were generated

during 1995 but were not managed on-site or

shipped off-site during 1995.

• Lab packs: If you generate a lab pack waste

stream, refer to Worksheet #3 on page 11 of

Book2: Guidebookand Codes for instructions

on how to complete the GM Form for that

waste stream.

BOOK 1: 1995 FORMS AND INSTRUCTIONS 25
DANGEROUS WASTE ANNUAL REPORT o • Counting your dangerous wastes: At the time

of printing ofthis Annual Report forms package, Ecology is developing new guidance for

generators on counting dangerous wastes

recycled on-site or managed on-site under

treatment-by-generator and permit-by-rule

activities. You will need to refer to this guidance

as you calculate your waste generation quantities for two purposes: for determining your

generator status on a monthly basis; and for·

determining how to complete the Annual

Report forms. The guidance will be available in

late 1994. If you have not received this guidance

by the beginning of 1995, please contact Ecology at 206/407-6170 to request a copy.

• Reporting treatment-by-generator activities:

Ecology, in Technical Information Memorandum (TIM) 86-3, has set forth guidance on how

generators may conduct certain types of dangerous waste treatment activities on-site

without first obtaining review, written approval,

or a permit from Ecology. Specifically, the

guidance addresses filtration,separation,

evaporation, carbon adsorption, elementary

neutralization, and solidification. You are

allowed to conduct such treatment activities

on-site without a permit if you follow the

instructions in the TIM. If you are unsure

whether you are handling a waste stream

. according to the treatment-by-generator

guidance, please refer to TIM 86-3, dated July

1993, available from Ecology at 206/407-6700.

For specific questions on treatment-by-generator activity, please call your Ecology regional

office.

As you complete the GM Form, you will be

asked whether you manage the waste stream

on-site or off-site. If you answer "on-site," then

you will be asked to indicate whether that onsite management activity is conducted according to the treatment-by-generator guidance.

• Reporting permit-by-rule activities: WAC 173-

303-802 states that particular facilities or

activities managing dangerous wastes are

deemed to have a dangerous waste permit if

they meet certain conditions identified in the

rule. If your facility is conducting the activities

identified in WAC 173-303-802 according to the

requirements identified therein, then you are

conducting a permit-by-rule activity and may

continue to manage your wastes in that manner

without applying to Ecology for a dangerous

waste facility permit.

Activities that may qualify as permit-by-rule

are:

• ocean disposal barges and vessels-a-the

owner/operator of a barge or vessel that

accepts dangerous waste for ocean disposal is

considered to have a permit-by-rule ifhe/she

complies with the requirements identified in

WAC 173-303-802; .

• underground injection wells-an owner/

operator who has an Underground Injection

Control (VIC) permit is considered to have a

permit-by-rule to manage dangerous waste in

the well provided that he/she complies with

the requirements identified in WAC 173-303-

802;

• publicly owned treatment works (POTW)-

the owner/operator of a POTW is considered

to have a permit-by-rule if he/she complies

with the requirements identified in WAC 173-

303-802; and

• totally enclosed treatment facilities or

elementary neutralization orwastewater

treatment units-the owner/operator of a

totally enclosed treatment facility or an

elementary neutralization or wastewater

treatment unit that treats dangerous wastes is

considered to have a permit-by-rule to

manage dangerous wastes if he/she complies

with the requirements identified in WAC 173-

303-802.

As you complete the GM Form, you will be asked

whether you manage the waste stream on-site or

off-site. If you answer "on-site:' then you will be

asked to indicate whether that on-site management activity is conducted under a permit-byrule.

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26 BOOK 1: 1995 FORMS AND INSTRUCTIONS
•

•

•

GENERATION AND MANAGEMENT FORM

• Reporting storage/transfer activities: If you

are conducting storage/transfer of a dangerous

waste stream (see the definition ofstorage/

transfer in the Definitions section ofBook2:

Guidebook and Codes), then you should follow

these special instructions for storage/transfer of

the waste stream on the GMform:

• For question A-7. source code, assign code

A80, indicating that the waste is a storage/

transfer.

• For question A-9, origin code, assign code iv,

indicating that the waste is a storage/transfer.

Complete the other questions of the form as

appropriate, given the nature of the waste

stream and your handling ofit.

• Reporting extended storage: If you hold a

RCM storage permit, please review Worksheet

#6 on page 17 of Book2:'Guidebook and Codes,

before completing this form.

• Waste shipmentsto foreign countries: Refer to

Helpful Hint #8 on page 9 ofBook2: Guidebook

and Codes for guidance on how to report

shipments of dangerous waste to foreign

countries.

BOOK 1: 1995 FORMS AND INSTRUCTIONS 27
GENERATION AND

MANAGEMENT FORM

QUESTIONS

This is a question sheet. Record your answers on the separate answer sheet! (One answer

sheet for each dangerous waste stream managed during 1.995.)

Please read all of the instructions before completing the answer sheet. Before completing

the answer sheet, enter your EPA/State ID Number and site name where indicated on the

answer sheet before making as many copies of the answer sheet as you will need to report

all of your waste streams. Each dangerous waste stream should be reported on a separate

answer sheet.

;.:~·-~.DesCiiptiori;Of-DangerousWasteStream -- -~. . - .. _." .... ".' - .....'";;.. .

Ifyour waste stream is a «lab pack," please reviewWorksheet #3, on page 11 ofBook 2: Guidebook and Codes,

before completing this form.

Ifyou hold a ReRA storage permit, please review Worksheet #6 on page 17 ofBook 2: Guidebook and Codes,

before completing thisform.

A-1. What is your "profile" code? (Optional.)

This data element is provided for your optional use to help you track the waste profiles or waste streams

that you report on the Annual Report. You may enter any desired information that will help you relate the

waste streams you generate and manage in your facility to how you report in the Annual Report. This data

element is provided solely for your use; Ecology will not use this information in any way.

A-2. Briefly describe the dangerous waste stream reported on this form.

Please describe the waste stream as you best recognize it (e.g., "solvent-contaminated rags";"electroplating

wastewater"; "stabilized solid generated from stabilizing wastewater treatment sludge"; etc.) Note that

Ecology no longer is requiring extremely detailed.and specific waste descriptions. Ifyou wish to provide a

detailed waste description, you may, but it is not required. If you do so, you should attempt to limit the

length ofyour description to 70 characters, including spaces; although you may prepare a longer description, Ecology will only record in its information system the first 70 characters.

A·3. Which EPA hazardous waste code(s) is associated with this waste stream?

Do not enter Washington state-only dangerous waste codes in this section. Enter Washington state-only

codes under question A-4.

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28

EPA hazardous waste codes are provided in WAC 173-303-081 through 083 and WAC 173-303-090. Enter

up to six codes. If you need to list more than six codes, continue in Section D, Comments; please reference 0

question A-3 in your comments.

BOOK 1: 1995 FORMS AND INSTRUCTIONS
•

r

GENERATION AND MANAGEMENT FORM

A-4. Which Washington state-only dangerous waste code(s) are associated with this waste?

Do not enter EPAwaste codes in this section. Enter EPAcodes under question A-3.

Washington state-only dangerous waste codes are referenced in Helpful Hint #2 (page 4 ofBook2: Guidebook and Codes) and are provided in WAC 173-303-104(3). If these codes apply to your waste, enter up to

two in the spaces provided. If you need to list more than two codes, continue in Section D, Comments;

please reference question A-4 in your comments.

A-5. What is the designation of this waste stream?

Indicate whether the waste is designated Dangerous Waste (OW) or Extremely Hazardous Waste (EHW).

Helpful Hint #1, on page 3 ofBook2: Guidebook and Codes, will help you designate your wastes per WAC

173-303. .

A-6. Is this a "mixed radioactive" waste?

•

A-7.

Mixed radioactive wastes are wastes that are both:

• dangerous as defined by WAC 173-303-080 through 173-303-104 (see «What is a dangerous waste?",

Helpful Hint #1 on page 3 of Book2: Guidebook and Codes); and

• radioactive as defined by the Atomic Energy Act.

Radioactive waste that is not mixed with a dangerous waste should not be reported on this form .

Which source code best identifies the production, service, management process, or clean-up'

. activity associated with the generation of this waste stream? select one.

Source codes can be found on page 39 of Book2: Guidebook and Codes.

The source code describes the process (e.g., painting, degreasing, clean-up) associated with the generation

of this waste stream. Please select the code that best describes the source of this waste stream. Ecology

recognizes that it may be possible to assign a number ofsource codes to an individual waste stream.

Ecologyasks you to identify just one source code in this report.

•

A-8. Which form code best describes the form of this waste stream? Select one.

Form codes can be found on pages 40-41 ofBook2: Guidebook and Codes. .

The form code describes the form of the waste stream (for example, mixed lab packs, scrubber water, oily

sludge). Please select the one code that best describes the form ofthis waste stream. Ecology recognizes

.that it may be possible to assign a number of form codes to an individual waste stream. Ecology asks you

to identify just one form code in this report.

BOOK 1: 1995 FORMS AND INSTRUCTIONS 29
DANGEROUS WASTE ANNUAL REPORT

A·9. What Is the origin of this waste stream? Select one.

Select the one option that best describes the origin of this waste stream.

i. The waste streamis recurrent: it was generated on-site from aproduction process, a service activity,

or a routine cleanup (including off-specification or spent chemicals).

ii. The waste stream is non-recurrent: it is the result of a spill cleanup, equipment decommissioning, or

other remedial cleanup activity.

iii. The waste stream is a residual derived from the management of a non-dangerous waste.

tv. The waste stream is a storage/transfer: it was received from off-site and was not treated, recycled, or

disposed on-site before being shipped off-site. (See the Definitions section of Book 2: Guidebook and

Codes for the definition ofstorage/transfer.)

v. The waste stream isa residual derived from the management of a previously existing dangerous waste

stream. If you specify this origin code, please goto question A-9.a.

In general, you should define your waste stream with only one origin code. An exception to this is as follows:

Your facility receives a waste stream from off-site that it also generates itself. You combine your facility's

waste with that received from off-site before sending the aggregated waste stream off-site for management. In other words, your facility is transferring waste as well as shipping off-site its own waste, but it is

doing so within a single shipment. In this case, you should assign two origin codes to the waste stream.

To do so, enter "Comments" in the space provided for question A-9. Then, in Section D, Comments,

you should specify two origin codes-the origin code i for your recurrent generation, and the origin

code iv for the storage/transfer waste-and estimate the percentages of each in the annual aggregate

quantity shipped off-site.

A-9.a. Ifyou specified origin code v in question A-9 (l.e., the waste is a residual from management of a previously existing dangerous waste stream), enter the system code for the

management system that generated the waste.

System codes can. be found on pages 43-44 of Book2: Guidebook and Codes.

For example, if the waste stream reported on this form is a filtercake from the drying of a wastewater treatment sludge, enter system code MIDI, the code for sludge dewatering.

.B. ···~WaSteManagementActivities.~·.· .. .. ., •• _. v , • ••-' ':'. ", - _.:.":::;-:, .' -" '-.

This section collects information on the management-treatment, storage, disposal and recycling-of

dangerous waste. Do not report accumulation activity in this section.

If the waste stream received consecutive treatment by more than one type of management, only report the

first activity on this form.. If in treating the waste stream a dangerous waste residual is generated, then

that residual constitutes a new waste stream that must be reported on a separate GM Form answer sheet.

For example, a dangerous waste sludge is incinerated, producing a dangerous waste ash. The ash is then

landfilled. You should report only the dangerous sludge on this answer sheet and report only the incin- .

eration in this section. The generation ofthe ash should be reported as a separate waste stream on a

separate GM Form answer sheet; that answer sheet should report the management ofthe ash as "landfill."

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30 BOOK 1: 1995 FORMS AND INSTRUCTIONS
•

•

GENERATION AND MANAGEMENT FORM

B-1. What was the total amount of this waste stream managed in 1995, and what is the unit of

measure?

This data element is new and different from the information Ecology collected in the past. Previously, to

obtain a picture of annual generation, Ecology requested that generators report two pieces of information:

the amount of waste managed (for on-site management, this meant the monthly or batch quantities

managed; for off-site management, this meant the volumes reported on the shipment manifests); and the

amount of waste remaining on-site on December 31 ofthe reporting year. '

Ecology now is requesting that you provide only one piece ofinformation: the total amount ofthis waste

stream that was managed in 1995. If you managethis waste stream on-site, you should indicate the total

volume of the waste stream that entered your on-site management system in 1995. If you sent this waste

stream off-site for management, you should sum the quantities of this waste stream manifested in 1995.

Check the appropriate code for the unit of measure used: ST=ShortTons; MT=Metric Tons; P=Pounds;

K=Kilograms; G=Gallons; L=Liters; and C=Cubic Yards. Youmust use the same unit ofmeasure when

responding to questions B-3 and B-4.

If you select G, L, or Ci go to question B-l.a. If you select ST, MT, P, or K, skip to question B-2.,

8-1.a. Ifthe waste stream is measured in gallons, liters, or cubic yards, what is Its density?

Answer this question only ifyou specified G, L, or C, in question B-1. '

Density information for the constituent chemicals in the waste is provided on Material SafetyData _.;.<,'

Sheets. Youshould estimate the density of the waste stream based on that or other information

availableto you. If you do not provide a density,the density ofwater (8.34 pounds/gallon) will be

assumed for wastes measured in gallons or liters; the density ofsoil (2,700 pounds/cubic yard) will be

assumed for wastes measured in cubic yards. Besure to choose a density unit ofmeasure (e.g.Ibs/gal).

•

8-2. Was this dangerous waste stream managed (treated, recycled, or disposed of) on-slte or offsite in 1995? '

1.This dangerous waste stream was managed on-site (this includes permit-by-rule and treatment-bygenerator activity) • answer B-3 and then skip to B-6.

2.This dangerous waste stream was managed off-site • skip B-3 and answer B-4.

3. Part of this waste stream was managed on-site and part was managed off-site • answer both B-3

andB-4.

Remember-if the waste stream was first managed on-site and its residual was managed off-site, you

should report only the on-site management here. The residual is a separate waste stream, and its generation and management should be reported on a separate GM Form answer sheet.

As you complete the remaining questions in this section, please note the following:

• If you manage the waste stream entirely on-site, then the quantity (or quantities) that you enter in

question B-3 should equal the quantity that you entered in question B-1.

• If you manage the waste stream entirely off-site, then the quantity (or quantities) that you enter for

question B-4 should equal the quantity that you entered in question B-1.

• If you manage the waste stream both on-site and off-site, then the quantities that you enter in questions

B-3 and B-4 together should equal the quantity that you entered in question B-1.

BOOK 1: 1995 FORMS AND INSTRUCTIONS 31
DANGEROUS WASTE ANNUAL REPORT

B-3. If all or part of this dangerous waste stream was managed on-slte, how much was managed

on-slte and how was It managed?

The old Form 4/Form 5 structure. in which you listed monthly generation/on-site management totals,

no longer applies. Ifyou managed this waste stream on-site, you now will only need to provide an

annual aggregate quantity for each method in which the waste stream was managed on-site. Do not

attempt to list monthly generation/management quantities anywhere else in this GM Form or on the

WRForm. .

Space is provided on the answer sheet to report management ofthis waste stream on-site by one system

type. Ifyou need additional space-i.e., to report a second on-site management method-use Section D,

Comments; reference question B-3 in your comments. Only report on additional management

method(s) in the Comments section for those circumstances when you managed the waste on-site one

way part ofthe time and another way another time. Do not attempt to report sequentiDI management of

the waste stream (i,e., neutralization followed by chemical precipitation). Rather, continue in the Comments only ifthe waste stream was managed on-site by entirely different systems, rather than in two

sequential systems.

Please refer to Worksheet #4, on pages 12-13 of Book2: Guidebook and Codes, for help in identifying a

management system. After you have reviewed that worksheet, select the appropriate system code from the

list on pages 43-44 ofBook2: Guidebook and Codes.

Use the unit of measure from question B-1.

8-3.a. Indicate whether this waste stream was managed according to the treatment-bygenerator guidance. Refer to the discussion oftreatment-by-generator on page 26. If you do

not know whether you are managing the waste stream according to treatment-by-generator, select

"DK" for "Don't Know."

B-3.b. Indicate whether this waste stream was managed under a permit-by-rule. Refer to the

discussion of permit-by-rule on page 26. If you do not know whether you are managing the waste

stream according to permit-by-rule, select "DK" for "Don't Know."

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32 BOOK 1: 1995 FORMS AN D INSTRUCTIONS
•

••

•

GENERATION AND MANAGEMENT FORM

8-4. Indicate the amount of this waste stream that was managed at off-site facilities in 1995.

Do not attempt to report on-site management ofthis waste stream here. Only report on-site management

in question B-3. .

Provide the following information:

t. The EPA/StateID Number ofthe location to which you directly shipped this waste stream. If, for

example, you shipped this waste to a waste broker, be sure to indicate the broker rather than the facility

to which the broker ultimately shipped your waste stream.

ii. The system code for how this waste stream was managed at the facility identified in item i (system

codes are listed on pages 43-44 of Book 2: Guidebook and Codes). Youshould contact the facility if you·

have questions about which system code to assign.

Be careful in completing this information! Be sure to specify the management that the facility identified

in item i provided this waste stream. If, for example, you sent this waste stream to a broker, provide

the system code for the type of management that the broker provided the waste stream. If, for

example, the broker sorted the waste stream and then sent it on to a landfill, do notspecify the system

code for landfill; rather, indicate that the broker conducted a storage/transfer-system code M141.

storage/transfer. In other words. always specify the direct, rather than the ultimate, management

ofthe waste stream-that is, that management provided by the first facility to which you shipped

the waste stream.

iii. The total quantity of the waste stream that was sent in 1995 to the facility specified under itemi for the

management identified in item ii .above (use the same unit of measure from question B-1).

tv. The percent ofthis waste stream that was recycled by the facility identified in item i. This column is

optional. It is provided if you wish to obtain a recycling credit for the portion ofthis waste stream that

was recycled in 1995. Please refer to Worksheet #5, on pages 14-16 ofBook 2: Guidebook and Codes,

for detailed information on whether you qualify for a recycling credit and. if so, how to obtain the

credit.

If the facility identified in i managed the waste stream in different manners during the year, then do the

following:

• "ditto" the EPA/State ID Number of the facility to whom you sent the waste on two or more lines (as

many as are needed to capture the different types of management that different portions of the waste

received);

• enter one system code in each row;

• enter in each row the quantity of waste that went to the system code identified in ii; and

• if applicable enter the percent of the waste that was recycled in the system code identified in iii.

Spaces are provided to identify up to four off-site facilities. If you need additional lines, please continue in

Section D,Comments. Reference question B-4 in your comments.

Ifyou are an LQG or a TSDR, proceed to question B-5. Ifyou are an MQG, skip to Section D, Comments. if appropriate, otherwise. you have now completed this form.

BOOK 1: 1995 FORMS AND INSTRUCTIONS 33
DANGEROUS WASTE ANNUAL REPORT

o

B-5. Please provide the following Individual off-slte shipment information for this waste stream.

(Only LQGs and TSDRs are required to complete this question.)

Provide the following information. If you need to repeat information on multiple lines (for example,

many shipments to a single facility), you may use ditto (") marks to represent the repeated information.

i. The shipment date.

ii . The manifest document number.

iii.The internal tracking code, optional. This is provided for your optional and internal use. Ecology has

created this column in response to comments from members of the regulated community that such a

column would help them to relate their internal waste tracking systems to the information they provide

on their Annual Report forms. This column allows you to enter any internal information or code that

your company may wish to use to track shipments. Ecology does not require you to provide this

information and will not use it in any way. Please use this column if and how you see fit.

iv. The EPA/State ID Number of the facility to which you directly shipped the waste (please review the

caveat under item ii of question B-4).

v. The quantity ofthis waste stream in this shipment to the facility identified in item iv (use unit of

measure from question B-1). Note that the shipment quantities that you list here should, in aggregate,

equal the quantity (or quantities) you identified in question B-4.

Spaces are provided to list up to 18 shipments ofthis waste stream. If you sent this waste stream off-site in,

more than 18 shipments in 1995, please use the continuation sheet (page 39) to provide the additional

information under question B-5. Or see page 5 for instructions on providing a'computer-generated 0

answer sheet. )

8-6. If you are an LQG or TSDR, did new activities undertaken during 1995 result in minimization of

this waste stream?

COMPLETE THIS QUESTION ONLY FOR ODD (e.g. 1995, 1997) REPORTING YEARS.

Only LQGs and TSDRs should complete this question. Please note that this question, and those in

Section C, Waste Minimization Activities, refers to waste minimization ofthe specific waste stream

that you are reporting on the answer sheet. Furthermore, these questions refer to new waste

minimization activities undertaken for that waste stream during 1995 only. Thus, these questions

have a different scope than those on the GSI Form, which asked you to indicate whether your site

overall began or expanded any source reduction or recycling activity during 1994 or 1995.

If you are a TSDR that has assigned the waste stream, under question A-9, an origin code of iv (i.e.,

storage/transfer), then you should automatically answer "No" to this question. (See the Definitions

section of Book2: Guidebook and Codes for the definition ofstorage/transfer.) Ifyou have assigned any

other origin code to the waste stream, then you should answer this question "Yes" or "No" as appropriate,

given your activities associated with that waste stream.

For assistance in completing this question, please refer to the definition ofwaste minimization in the

Definitions section of Book2: Guidebook and Codes.

If you answer "Yes" to this question, then you are required to complete Section C, Waste Minimization

Activities. If you answer "No," skip to Section D, Comments, if appropriate; otherwise, you have completed C-~)

this form.

34 BOOK 1: 1995 FORMS AND INSTRUCTIONS
GENERATION AND MANAGEMENT FORM

•

;c.· -Waste Minimization Activities .-~ .

•

•

COMPLETE THIS SECTION ONLY FOR ODD (e.g. 1995, 1997) REPORTING YEARS.

If you are an LQG or TSDRand you answered "Yes" to question B-6, you must complete this section. As

explainedin the GSI Form on page 19, Ecology is required by EPAto collect biennially (i.e. for the odd

years) waste minimization information that previously had been collected through EPA's Waste Minimization Report. For assistance in completing these questions, please refer to the definitions ofwaste minimization, source reduction, and recycling, in the Definitions section of Book2: Guidebook and Codes.

C-l. What activities were implemented In 1995 to achieve waste minimization results for the

waste stream described in Section A?

Only report those activities that you implemented (began) in 1995. Do NOT report ongoing waste

minimization activities (i.e., those activities that you began in years priorto 1995 and that you are

continuing).

Waste minimization activity codes are provided on pages 45-46 of Book2: Guidebook and Codes. Review

that list and select the codes that represent activities implemented in 1995 for this waste stream. If you

need to provide more than four codes, please continue in Section D, Comments; reference question C-I in

your comments.

C-2. Did the waste minimization activity (or activities) that you undertook for this waste stream

either increase the toxicity of the waste stream; or increase the quantity or toxicity of emissions into air, water, or land?

Ifthe activity(or activities)that you identified in question C-I had either ofthe effects described,answer''Yes.'"

C-3. How much was recycled in 1995 due to new activities?

Ifyou reported a recyclingactivity in question C-I (waste minimization activity codes WOl and W02),

answer this question. If you did not report a recycling activity in question C-I, skip to question C-4.

If you reported a recycling activity, enter the quantity ofthis dangerous waste stream that was recycled

during 1995 because of recycling activities implemented in 1995. Report the quantity in the same unit of

measure used in Section B. Count both on-site and off-site recycling, but do not include quantities

recycled in systems that you used before 1995. Do not include closed-loop recycling, as that is to be

reported as a sour~e reduction activity.

C-4. What was the quantity of source reduction in 1995?

Ifyou reported a source reduction activity in question C-I (codes WII-W99), answer this question. If

you did not report a source reduction activity, you may skip to Section D, Comments, if appropriate;

otherwise, you have completed this form.

If you did report a source reduction activity, enter your best estimate ofthe quantity ofthe waste stream

that you avoided generating in 1995 as a result of the source reduction activities you reported. Reportthe

quantity in the same unit of measure used in Section B. Enter "NA" in this box if you undertook a source

reduction activity, but it did not result in a reduction of the quantity generated of this waste stream.

BOOK 1: 1995 FORMS AND INSTRUCTIONS 35
DANGEROUS WASTE ANNUAL REPORT

Use the comments section on the answer sheet to provide any additional comments, information, or

explanations, as necessary. In your comments, always provide the reference to the specific question

number (e.g., A-7).

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36 BOOK 1: 1995 FORMS AND INSTRUCTIONS
• GENERATION AND

MANAGEMENT FORM

ANSWER SHEET

Please enter your EPNState ID number and site name at

right, before making as many two-sided copies of this answer

sheet as you will need to report all of your waste streams.

Then complete one answer sheet for each waste stream.

PLEASE ENTER:

EPA/State 10 number:

Site name:

FOR ECOLOGY USEONLY:

Date received:

•

•

"

A.DeScription of Dangerous Waste Stream

A-1.

A-2.

A-3. A-4.

A-5. OEHW Dow A-6. ONo DYes A-7. A

A-8.8 A-9. 0 i o ii o ii i 0 iv o v (If v, answer A-9.a.)

A-9.a. M

B.Waste Management Activities - ,'- .. -, "

8-1. OST OMT OP OK OG OL o C (If G, L, or C, answer 8-1.a.)

8-1.a. o Lbs/gal 0 Specific Gravity o Lbs/yd3

8-2. DOn-site DOff-site 0 Both.

8-3. M __ 8-3a. 0 Yes 0 No 0 OK B-3b. 0 Yes 0 No 0 OK

8-4. t. Receiving Facility ,10 ii . System Code iii. Quantity iv. Recycling Percent

M

M

M

M

Page _

BOOK 1: 1995 FORMS AND INSTRUCTIONS 37
DANGEROUS WASTE ANNUAL REPORT

8-5. If additional space is required, use continuation sheet on the following page. l'

i. Date Shipped ii. Manifest Document iii. Intemal Tracking iv. Receiving Facility v. Quantity Shipped

(mm/dd) Number Code (optional) EPA/State 10 f

i

I

,

8-6. DYes D No

C. Waste Minimization Activities

e-1. w w· ·w 'w can Yes':O No" " .,

c-a. c-s,

D. Comments .. ... . ', ~. .. p ••••

. .'

. . ...

:

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38 BOOK 1: 1995 FORMS AND INSTRUCTlO'NS
• GENERATION AND

'MANAGE,MENT FORM

ANSWER SHEET

(CONTINUED)

8-5. (Continued)

PLEASE ENTER:

EPA/State 10 number: _

Site name: _

•

•

i. Date Shipped

(mm/dd)

ii . Manifest Document

Number

iii. Internal Tracking

Code (optional)

iv. Receiving Facility

EPA/State 10

v. Quantity Shipped

Page _

. BOOK 1: 1995 FORMS AND INSTRUCTIONS 39
• OFF-SITE

IDENTIFICATION

INFORMATION FORM

INTRODUCTION

•

•

Who needs to complete this form?

All Large Quantity Generators, Medium Quantity

Generators, Treatment/Storage/Disposal Facilities,

and RecyclingFacilities that sent dangerous waste

off-site or received dangerous waste from off-site

during 1995 must complete this Off-Site Identification Information (01) Form.

What information does this form

collect?

The 01 Form collects the EPA/State ID Number,

name, and address of all off-site installations and

transporters with whom you interacted in 1995 in

the process ofsending dangerous waste off-site or

receiving dangerous waste from off-site.

What information do I need to

complete this form?

To complete this form, you need to know the EPA/

State ID Number, name, and address of all off-site

installations to which you shipped dangerous

waste or from which you received dangerous waste

and all transporters that you used during 1995.

Do not provide information regarding generators

of Household Hazardous Waste or Conditionally

Exempt Generators (called Small Quantity

Generators in Washington) from which you

received waste.

Helpful Hints

Before completing the form, be sure to complete

the "Please Enter" box at the top of the page. Fill

in your EPA/State ID Number and site name (as

entered in question A-2 of the GSI Form). Do not

enter any information in the spaces marked "For

Ecology Use Only." Then make as many copies of

the answersheet as you will need.

For each off-site installation or transporter,

provide the following information:

• EPA/State ID Number (remember, if the offsite entity is from a foreign county and does not

have an EPA/State ID Number, use the "FC"

designation as described in Helpful Hint #8 on

page 9 ofBook2: Guidebook and Codes)

• Name

• Address (city and state associated with the EPA/

State ID Number, and Country ifappropriate)

• Handler type (e.g., generator, transporter, or

TSDR) as defined by their relationship to your

site. Select all that apply to the installation or

transporter: e.g., the given entity might both

transport (mark Transponer)-and manage

(mark TSDR) your waste.

Ifyou are a generator, and the transporter of your

waste has been provided by the TSD, you may not

have full name and address information for' the,

transporter. In that case, you may provide just the

EPA/State ID Number ofthe transporter.

Use the Comments section to continue any entry

andlor to clarify any information provided.

Reference the comment by entering the site name

and indicating the information point being

continued (i.e., EPA/State ID Number, name,

address, or handler type).

BOOK 1: 1,995 FORM S AN 0 INSTRUCTIONS 41
• OFF-SITE

IDENTIFICATION

INFORMATION "FORM

ANSWER SH EEl

Please enter your EPNState ID number and site name at

right, before making as many copies ofthis two-sided answer

sheet as you will need.

PLEASE ENTER:

EPA/State 10 number: _

Site name: _

FOR ECOLOGY USE ONLY:

Date received: _

•

•

Please complete this fonn if your facility received dangerous waste from off-site or shipped

dangerous waste off-site during 1995.

EPA 10 Number:

Name: -

Address:

Handler type: (Check all that apply.) o Generator o Transporter o TSOR

EPA 10 Number:

Name:

Address:

Handler type: (Check all that apply.) o Generator o Transporter o TSOR "

EPA 10 Number:

Name:

Address:

Handler type: (Check all that apply.) o Generator o Transporter o TSOR

Comments:

Page

BOOK 1: 1995 FORMS AND INSTRUCTIONS 43
1

DANGEROUS WASTE ANNUAL REPORT

EPA 10 Number:

Name:

Address:

Handler type: (Check all that apply.) o Generator o Transporter o TSOR

EPA 10 Number:

Name:

Address:

Handler type: (Check all that apply.) o Generator o Transporter o TSOR

EPA 10 Number:

Name:

Address:

Handler type: (Check all that apply.) o Generator [J Transporter o TSOR

EPA 10 Number:

Name:

Address:

Handler type: .(Check all that apply.) o Generator o Transporter o TSOR

EPA 10 Number:

Name:

Address:

Handler type: (Check all that apply.) o Generator o Transporter o TSOR

Page _

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44 BOOK 1: 1995 FORMS AND INSTRUCTIONS
• WASTE RECEIVED FORM

INTRODUCTION

•

•

Who needs to complete this form?

All treatment, storage, disposal, and recycling

facilities (TSDRs) that receive dangerous waste

from off-site must complete this Waste Received

(WR) Form. This includes TSDRs thatreceive

dangerous waste from off-site and then ship it offsite without first providing it any kind oftreatment-s-i.e., TSDRs that conduct storage/transfer

of dangerous wastes.

What information does this form

collect?

This form collects information on dangerous

wastes received by your facility from off-site for

treatment, storage, disposal, and/or recycling. It

collects information on the type ofwaste received,

the amount ofwaste received, and how the waste

was managed (i.e., treated, recycled, or disposed)

at your facility.

If you treated, stored, recycled, and/or disposed of

at your site dangerous waste that your site generated, do NOT report that activity on this WR

Form. Report your generation and on-site

management on the GM Form. Note that this is a

change from the old Form 4/Form 5, which had

you report your waste generation on the Form 4

and the on -site management of your wastes on the

FormS.

If you conduct a storage/transfer (i.e., passthrough) activity (i.e., if you received a waste

from off-site and subsequently shipped it offsite without first providing any form of

treatment, recycling, or disposal to the

waste), you will report the receipt of the

waste on this WR Form and the transfer of

the waste on the GM Form. Refer to the

definition of storage/transfer in the Definitions

section ofBook 2: Guidebook and Codes.

What information do I need to

complete this form?

To complete this form, you will need information

on the dangerous waste received from off-site by

your facility.

For each dangerous waste stream, you will need to

know how much you received from off-site in

1995, the EPNState ID Number ofthe site(s) from

which you received the waste stream, and how the

Waste stream was managed (i.e., treated, stored,

recycled, and/or disposed) at your facility. (You

will need to provide the names and addresses of

these entities on the 01 Form.)

If you transferred the waste, you will need to

know where (i.e., EPNState ID Number) you sent

the waste for management and how it was managed at that receiving facility so that you can

complete the GM Form for the transferred waste

stream. (You will need to provide the names and

addresses ofthese entities on the 01 Form.)

Helpful Hints

• Questions and Answers: This form is in two

parts: a question sheet and an answer sheet.

The answer sheet is perforated. You may wish to

separate it from this book and lay it alongside

the questions as you answer them.

Fill out one answer sheet for each waste stream

received by your facility. On both the answer

and continuation sheets, be sure to complete

the "Please Enter" box at the top of the sheets

with your EPNState ID Number and your site

name (as entered on question A-2 ofthe GSI

Form). Do not enter any information in the

spaces marked "For Ecology Use Only."Then

make as many copies ofthe sheets as you will

need for each waste stream.

BOOK 1: 1995 FORMS AND INSTRUCTIONS 45
DANGEROUS WASTE ANNUAL REPORT o • How to identify a dangerous waste stream:

Use the following guidelines to identify an

individual waste stream:

• A single waste stream may have several waste

codes. Waste codes are identified in WAC

173-303. Refer to Helpful Hint #1 on page 3

of Book2: Guidebookand Codes for help in

using WAC 173-303 to designate .your waste

and assign waste codes to it. Questions 3 and

4 capture EPAand Washington state-only

waste codes, respectively.

• A single waste stream will designate either as

dangerous waste (DW) or extremely hazardous waste (EHW), not both.Thus, if you

receive a waste stream that is sometimes

EHW and is DW at other times, these are

actually separate waste streams and should be

reported on separate WR Forms. Specifythe

designation in question 5. "

• A single waste stream will be either a mixed

radioactive waste or not (question 6). Mixed

radioactive wastes (see the Definitions section

of Book2: Guidebook and Codes) should

never be combined with non-radioactive

wastes. Thus, a mixed radioactive waste

"stream received from off-site will alwaysbe

reported on its own WR Form.

• In most cases, a waste stream reported on a

single answer sheet should have only one

form (question 7). Waste form codes are

listed on pages 40-41 of Book2: Guidebook

and Codes.

Please note that Ecology asks you to use your

best judgment in defining the individual waste

streams that you receive and manage. Ecology

recognizes that the complexities ofdangerous

waste generation and management are sometimes difficult to portray in the context of a

standardized form with a series ofstandardized

codes. In certain instances, the coding scheme

may not allowyou to portray your waste in a

fully accurate manner. Follow the guidelines

listed above to the best ofyour ability when

identifying a waste stream at your site and

assigning what you believe to be the best codes

to describe that waste stream.

• One answer sheet perwaste stream received:

Complete one answer sheet for each waste

stream received. If~ for example, you received

the same waste stream from a number of

different sites, you only need to complete one

answer sheet for the waste stream. For example,

you receive still bottoms of halogenated solvent

from several different dry cleaners. The dangerous waste from all the dry cleaners shares a

common Form Code (B601 - still bottoms of

halogenated solvents or other organic liquids), a

common Waste Code (FOO2 - a listing of

specific spent halogenated solvents), and a

common designation (DW). The receipt of

this same dangerous waste stream from several

different generators should be reported on one

answer sheet.

.• Which wastes to report:

• DO report.all dangerous wastes received from

off-site during 1995.

• Which wastes NOT to report:

• DO NOT report excluded wastes as defined

by Chapter 173-303 WAC (e.g., do not report

"TSCA [ToxicSubstances Control Act, 40 CFR

Parts 700-799] wastes such as PCBs unless

they also classifyas dangerous waste).

• Lab packs: If you receivea lab packs waste

stream from off-site for management, refer to

Worksheet #3 on page 11 of Book2: Guidebook

and Codes, for instructions on how to complete

the WR Form for that waste stream.

• "Household HazardousWaste: Reporting the

receipt and management of household hazardous waste is not required. Do NOT report

receipt ofthese wastes.

• Conditionally Exempt Small Quantity GeneratorWaste: Reporting the receipt and management of dangerous wastes from conditionally

exempt generators (i.e., Small Quantity Generators in the State of Washington) is not required."

Do NOT report receipt of these wastes.

o

o

46 BOOK 1: 1995 FORMS AND INSTRUCTIONS
•

•

WASTE RECEIVED FORM

•

•

• Wastes from foreign countries: Refer to

Helpful Hint #8, on page 9 ofBook2: Guidebookand Codes, for guidance on reporting the

receipt ofwastes from foreign countries.

• Dangerous waste residuals: If your facility

received a waste stream from off-site, managed

it on-site, and, in managing the waste stream,

generated a dangerous waste residual, you

should report this activity as follows:

• report the receipt and primarymanagement

ofthe original waste on this WR Form; and

• report the generation of the residual as a new

waste stream on the GM Form.

For example, you receive a dangerous waste

sludge. Youdewater it. A dangerous waste

residual-a filtercake-results from the dewatering. Youthen landfill the filtercake. Youwill

need to:

• report the receipt and management (dewatering, system code MlOI) ofthe dangerous

waste sludge on this WR Form; and

• report the generation and then management

(landfill) of the filtercake on the GM Form.

Note that the source ofthe filtercake, under

question A-7 ofthe GM Form, will be "A76,

sludge dewatering." The origin of the

filtercake, under question A-9, will be "residual from the management of a previouslyexisting dangerous waste," choice v. For

question A-9a, you will indicate the system of

origin of that residual as system code MIOI,

dewatering.

• Reporting extended storage: If you hold a

ReRA storage permit and you received waste

from off-site for storage, please review

Worksheet #6, on page 17 of Book2: Guidebook

and Codes, before completing this form.

Providing recycling credit information

to generators

If you recycledangerous wastes received at your

facility, it is likely that the generators using your

services will contact you to obtain information

about the percentage oftheir waste that your

facility recycled during 1995. Ecology asks that

you provide them that information. Youmay tell .

them the percentage over the telephone, but you

must also fax or mail to them written material

that documents the recyding percentage that you

are claiming you achieved with their waste. That

written documentation may be in any format

most convenient for you, but it must include the

following information: the waste description, the

waste form code, the percent recycled during

1995, and the name, title, and signature of an

authorized representative Ofyour facility.

Please note that only the following types of

management, denoted by system code, constitute

"recycling" for purposes of the recycling credit. If

your facility did not perform one ofthese types of

management on the waste, then you did not

"recycle"any ofthe waste for purposes ofthe

recycling credit and thus cannot provide recycling

information to the generator. (For guidance orr

applying these system codes to the waste management processes at your facility, refer to Worksheet

#4 on pages 12-13 in Book2: Guidebook and

Codes.)

Metals Recovery

MOll High temperature metals recovery

MOI2 Retorting

MO13 Secondary smelting

MOI4 Other metals recovery for reuse (e.g., ion

exchange, reverse osmosis, acid leaching,

etc.)

MO19 Metals recovery-type unknown

Solvents Recovery

M021 Fractionation/distillation

M023 Solvent extraction

M024 Other solvent recovery

M029 Solvents recovery-type unknown

Other Recovery

M031 Acid regeneration

M032· Other recovery (e.g., waste oil recovery,

non-solvent organics recovery, etc.)

M039 Other recovery-type unknown

BOOK 1: 1995 FORMS AND INSTRUCTIONS 47
--- - -----------

.'

WASTE RECEIVED FORM

QUESTIONS

This is a question sheet. Record your answers on the separate answer sheet! (One sheet for

each dangerous waste stream or dangerous waste residual.) Please complete one answer

sheet for each dangerous waste stream that was received from off-site during 1995, even if

the waste stream was subsequently shipped off-site without first being treated, recycled, or

disposed of.

If your waste stream is a "lab pack," please reviewWorksheet #3, on page 11 ofBook 2: Guidebook and Codes,

before completing this form.

Ifyou hold a ReRA storage permit and you received waste from off-site for storage. please review Worksheet

#6, on page 17 ofBook 2: Guidebook and Codes before completing thisform.

1. What Is your "profile" code? (Optional.)

·0

This data element is provided for your optional use to help you track the waste profiles or waste streams

that you report on the Annual Report. You may enter any desired information that will help you relate the 0

waste streams you receive and manage at your facility to how you report in the Annual Report. This data

element is provided solely for your use; Ecology will not use this information in any way.

2. Briefly. describe the dangerous waste stream reported on this form.

Please describe the waste stream as you best recognize it. Youshould attempt to limit the length ofyour

description to 70 characters, including spaces; although you may prepare a longer description, Ecology

will only record in its information system the first 70 characters.

3. Which EPA hazardous waste code(s) 'Is associated with this waste stream?

Do NOT enter Washington state-only dangerous waste codes in this section. Enter Washington state-only

codes under question 4.

EPAhazardous waste codes are listed in WAC 173-303-081 through 083 and WAC 173-303-090. Enter up

to six codes. Ifyou need to list more than six codes, continue in the Comments section under question 10;

please reference question 3 in your comments.

4. _Which Washington state-only dangerous waste code(s) are associated with this waste

stream?

Do NOT enter EPA waste codes in this section. Enter EPA codes under question 3.

Washington state-only dangerous waste codes are referenced in Helpful Hint #2 on page 4 ofBook 2:

Guidebook and Codes and are provided in WAC 173-303-104(3). Ifthese codes apply to your waste stream, 0-

enter up to two codes in the spaces provided. If you need to list more than two codes, continue in the

_<;<?mments section under question 10; please reference question 4 in your comments.

48 BOOK 1: 1995 FORMS AND INSTRUCTIONS
•

5.

WASTE RECEIVED FORM

What is the designation of this waste stream?

Indicate whether the waste is designated Dangerous Waste (DW) or Extremely Hazardous Waste (EHW).

Helpful Hint #1, on page 3 ofBook2: Guidebook and Codes, will help you designate your wastes per WAC

173-303.

.'

6. Is this a "mixed radioactive" waste stream?

Mixed radioactive wastes are wastes that are both:

• dangerous under WAC 173-303-070 through 173-303-104 (see "What is a dangerous waste?", Helpful

Hint #1 on page 3 ofBook2: Guidebook and Codes), and

• radioactive as defined by the Atomic Energy Act.

Radioactive waste that is not mixed with a dangerous waste should not bereported on this form.

7. Which form code best describes the form of the waste stream received?

Form codes can be found on pages 40-41 ofBook2: Guidebook and Codes.

The form code describes the form of the dangerous waste (e.g., mixed lab packs, scrubber water, oily

sludge). Please select the one code that best describes the form of this waste stream. Ecology recognizes

that it may be possible to assign a number of form codes to an individual waste stream. Ecology asks you

to identify just one in this report.

•

8. What is the total quantity of this waste stream received by your facility In :1.995, and what is

the unit of measure?

Remember, do not report the receipt of household hazardous waste or conditionally exempt generator

waste.

Check the appropriate code for the unit of measure used: ST=Short Tons; MT=Metric Tons; P=Pounds;

K=Kilograms; G=Gallons; L=Liters; and C=Cubic Yards. Youmust use the same unit ofmeasure when

responding to question 9.

If you select G, L, or C, go to question 8.a. If you select ST, MT, P, or K, skip to question 9.

8.a. If the waste stream is measured In either gallons, liters, or cubic yards, what is Its

density? Answer this question only if you specified G, L, or C in question 8.

. Density information for the chemicalconstituents of the waste is provided on Material Safety Data

Sheets. Use that or other information available to you to determine the density.

If you do not provide a density, the density of water (8.34 pounds/gallon) will be assumed for

wastes measured in gallons or liters; the density of soil (2,700 pounds per cubic yard) will be

assumed for wastes measured in cubic yards.

Be sure to choose a density unit of measure (e.g.lbs/gal).

BOOK 1: 1995 FORMS AND INSTRUCTIONS 49
DANGEROUS WASTE ANNUAL REPORT

9. Please provide the following information for each shipment of this waste stream received'from

·off-slte.

Provide the following information. If you need to repeat information on multiple lines (for example,

many shipments received from a single facilityl.you may use ditto (") marks to represent the repeated

information.

i. the date the shipment was received

ii. the manifest document number

iii.the "internal tracking code," optional. This column is provided for your optional and internal use.

Ecology has created this column in response to comments from members ofthe regulated community

that such a column would help them to relate their internal waste tracking systems to the information

they provide on their Annual Report forms. This column allows you to enter any internal information

or code which your company may wish to use to track shipments. Ecology does not require you to

provide this information and willnot use it in any way. Please use this column if and how you see fit.

iv. the EPA/State ID Number of the facility from which the waste was received

v. the quantity received in this shipment (using the same unit of measure as in question 8)

vi. the system code for how your facility managed the waste (refer to Worksheet #4, on pages 12-13 of Book

2: Guidebookand Codes, for guidance on selecting the appropriate system code; the full list of system

codes is provided on pages 43-44 ofBook2: Guidebook and Codes).

o

If you managed part ofthe shipment one way and another portion a different way (i.e., you need to report 0

two or more different system codes for the management of a single shipment received), then do the

following:

• "ditto" the EPA/State ID Number ofthe facility from whom you received the waste on two or more lines

(as many as are needed to capture the different types of management that different portions of the

shipment received); .

"ditto" the shipment date;

• "ditto" the manifest document number information;

• split the overall quantity ofwaste in the shipment among the different lines, as appropriate; and

• identify the single, appropriate system code associated with each quantity, on each line.

If you received this waste stream in more than 8 shipments, please continue onto the back of the answer

sheet in the space provided on page 52. If you need more space, you may need to make additional copies of

the answer sheet, or see page 5 for instructions on providing a computer-generated answer sheet.

10. Use the comments section on the answer sheet to provide any additional comments, information, or explanations, as necessary. In your comments, always provide the reference to the specific

question number (e.g., 3).

o

50 BOOK 1: 1995 FORMS AND INSTRUCTIONS
•

•

•

WASTE RECEIVED PLEASE ENTER:

FORM EPA/State 10 number:

ANSWER SHEET Site name:

Pleaseenter your EPA/State ID number and site name at right, FOR ECOLOGY USE ONLY:

before making as many two-sided copies of this answer sheet Date received:

as you willneed to report all of your waste streams. Then

complete one answer sheet for each waste stream received.

1.

2.

3. 4.

5. OEHW DDW 6. DNo DYes 7. B

8. DST DMT Dp OK DG DL o C (If G, L, or C, answer 8.a.)

8.a. o Lbs/gal o Specific Gravity o Lbs/yd3

9. If additional space is required, use continuation sheet on the back of this page.

i. Date Received ii . Manifest Document iii. Internal Tracking iv. Sending Facility v. Quantity vi. System

(rnrn/dd) Number Code (optional) EPA/State 1O Received Code

M

M

M

M

M

M

M

M

10.

Page _

BOOK 1: 1995 FORMS AND INSTRUCTIONS 51.
DANGEROUS WASTE ANNUAL REPORT

9. (Continued)

o

i. Date ReceiVed ii . Manifest Document

(mm/dd) Number

iii. Internal Tracking

Code (optional)

iv. sending Facility

EPA/State 10

v. Quantity vi. System

Received Code

M

M

M

M

M

M

M

M

M

M

M

M

M

M

M

M

M

M

M

M

M

M

M

M

M

M

M

M

M

M

Page

o

(J

52 BOOK 1: 1995 FORMS AND INSTRUCTIO,NS
• CAPACITY

INFORMATION FORM

INTRODUCTION

•

•

Who needs to complete this form?

All sites that, in 1995, treated,. disposed of, or

recycled dangerous waste on a commercial basis

are required to complete this Capacity Information (CI) Form. This includes both:

• RCRA-permitted treatment and disposal

facilities; and

• facilities that treat.or recycle dangerous waste

but are exempt from requirements to obtain a

RCRATreatment, Storage,.or Disposal permit.

Commercial management is defined as the

offering ofwaste management services to

generators or facilities not under the

same ownership as yoursite who will

pay for the service.

Do not complete this form ifyour site only

treats or disposes of waste generated by your site

or by other sites that are part of your company or

that are under the same ownership as your

company.

What information does this form

collect?

This CI Form collects detailed information about

all dangerous waste management systems at your

facility that were in place, permitted, or under

construction during 1995. It collects information

about the type ofsystem, its capacity, and how

much waste was managed in the system in 1995.

Dangerous waste management systems include

systems that treat. dispose of, or recycle dangerous waste. This form does not collect information

about systems that store dangerous waste. Please

do not report storage activity on this form.

What information do I need to

complete this form?

To complete this form, you will need detailed

information on the dangerous waste management

systems in place at your site, including the capacity ofthe systems and how much waste received

commercially entered the systems in 1995.

Worksheet #4, on pages 12-13 of Book 2: Guidebook and Codes, will help you identify the management system(s) at your site. Then refer to the

list ofsystem codes on pages 43-44 ofBook2:

Guidebook and Codes to choose the appropriate

system code for each system.

Helpful Hints

• Questions and Answers: This form is in two

parts: a question sheet and an answer sheet. The

answer sheet is perforated. You may wish to

separate it from this book and lay it alongside

the questions as you answer them.

Fill out one answer sheet for each separate

management system existing at your facility. Be

sure to complete the "Please Enter" box at the

top ofthe pages ofthe answer sheet. Fill in your

EPNState ID Number and site name (as entered

. in question A-2 of the GSI Form). Do not enter

any information in the spaces marked "For

Ecology Use Only." Then make as many copies

ofthe answer sheets as you will need--one for

each management system.

BOOK 1: 1995 FORMS AND INSTRUCTIONS 53
CAPACITY

INFORMATION FORM

QUESTIONS

This is a question sheet. Record your answers on the separate answer sheet! (One sheet for

each dangerous waste management system.)

o

.::.,

-' ..

A-1. Which system code best describes your system?

Use your judgment to enter the one system code that bestdescribes the system. Referto Worksheet '#4, on

pages 12-13 ofBook2: Guidebook and Codes, for guidance on identifying a dangerous waste management

system. The complete list ofsystem codes is provided on pages 43-44 of Book2: Guidebook and Codes.

A-2. Ust the Individual units that currently operate In your system.

Provide the unit type for each individual unit in the system. Possible unit types are: tank, container,

incinerator, industrial kiln, furnace or boiler, waste pile, underground injection well,landfill cell, and

surface impoundment.

'Space is provided to identify four units. Ifyou need additional space, please use Section C, Comments;

reference question A-2 in your answer.

This section collects information on the maximum commercial capacity and 1995commercial utilization

ofyour management system(s). To complete this section, you-will need to understand how to "count" the

capacity ofthe system.

First, note the terms "maximum commercial capacity" and "1995 commercial utilization." Remember that

you are completing this form ifyou offer commercial waste management (treatment, disposal, recycling)

services. It is possible that you manage in your management systems bothwaste generated at your site and

waste received from off-site for commercial management. You are asked to report on this form two things:

the commercial capacity, and the commercial utilization.

• The commercial capacity is the portion of the system that is available to manage commercial wastes.

Thus, ifyou manage wastes generated at your site in the system, then you would subtract that quantity ofwaste from the overall maximum capacity of the system to determine the commercial capacity-the portion ofthe system that is left to manage wastes commercially.

o

o

54 BOOK 1: 1995 FORMS AND INSTRUCTIONS
•

•

•

CAPACITY INFORMATION FORM

• The 1995 commercial utilization is the total quantity of waste managed commercially in the system in

1995. Thus, if you manage in the system wastes generated at your site as well as wastes received commercially, you would identify as the "commercial utilization" only those wastes received commercially

that were managed in the system in 1995.

The method for calculating the maximum commercial capacity depends on whether the management

system is a landfill system or a flow system.

For a landfill system, maximum commercial capacity is the quantity of dangerous and non-dangerous

waste received commercially that can enter the system over its remaining lifetime. In estimating this

capacity, exclude quantities of non-waste materials used for daily and final cover. Assume the waste is of

the same type as that disposed in the system during 1995. Ifthe system includes multiple units or cells,

sum the maximum quantities across all units in the system. .

For flow systems (i.e., treatment, disposal, and recovery systems through which waste moves without

permanently "using up" the capacity), the maximum commercial capacity is the greatest quantity of waste

received commercially that can enter the system in a year, assuming all ofthe following: -

• no change in equipment;

• an unlimited supply of waste of the same typical mix managed in 1995;

• willingness to add additional shifts;

• necessary routine downtime;

• effects of other management systems sharing the same units and competing for capacity;

• limits in current permit will not be exceeded; and

• regulatory limitations.

To determine the maximum capacity of a system, if the system has more than one unit (e.g., more than

one tank), you should sum the capacity ofthe individual units. Ifthe units are shared among management systems, the maximum operational capacity should reflect any limitations in capacity caused by

shared use of units or processes by other management systems. The maximum capacity ofthe shared .

unites) should be proportioned to each of the systems of which it is a part, based on the amount of influent into the process contributed by each system.

B-1. What is the maximum commercial capa~lty of this management system?

Using the guidelines above, estimate the maximum capacity ofthe management system to accept ALL

wastes, both dangerous wastes and non-dangerous wastes, received commercially in 1995.

Select an appropriate unit ofmeasure to represent this capacity: ST=Short Tons; MT=Metric Tons;

P=Pounds; K=Kilogranis; G=Gallons; L=Liters; and C=Cubic Yards. You must use the same unit of

measure when responding to all subsequent questions.

If you select G, L, or C, go to question B-l.a. If you select ST,MT, P, or K, skip to question B-2.

B-1.a. Ifthe waste is measured in gallons, liters, or cubic yards, what is Its density? Answer

this question only if you specified G, L, or C in question B-1. .

BOOK 1: 1995 FORMS AND INSTRUCTIONS 55
DANGEROUS WASTE ANNUAL REPORT

8-2. What Is the maximum commercial capacity of this management system to manage dangerous

w~H1 •

Please estimate the maximum capacity ofthis management system to manage only dangerous wastes

received commercially. This number may be smaller than that provided in question B-1. Use the same

unit ofmeasure as question B-1.

8-3. What was the total quantity of all w~es-dangerousand non-dangerous-managed commercially In this management system In 19951

Use the same unit ofmeasure as question B-1.

8-4. What was the total quantity of dangerous w~e only managed commercially in this system in

19951

Your answers to questions B-3 and B-4 may differ and will highlight whether your dangerous waste

management system is being utilized by wastes that Ecology does not regulate as "dangerous." Use the

same unit ofmeasure as question B-1. .

o

8-5. What was the total quantity of non-dangerous w~e managed commercially in the dangerousw~e portion of the management system In 19951

Some management systems distinguish between those units that manage dangerous waste and those that 0

manage non-dangerous waste. If this is the case with your system, please estimate the quantity of nondangerous waste managed in the dangerous-waste portion of the system. Use the same unit of measure as

question B-1. If your system does not distinguish among the units used to manage dangerous and nondangerous wastes, write "NA" in the blank.

Use the comments section on the answer sheet to provide anyadditional comments, information, or

explanation, as necessary. In your comments, always provide the reference to the specific question number

(e.g., A-2).

o

I

56 BOOK 1: 1995 FORMS AND INSTRUCTIONS
•

•

•

CAPACI TY PLEASE ENTER:

I NF0 RM ATI 0 N F0 RM EPA/State 10 number:

ANS WER S HEET Site name:

Please enter your EPNState ID number and site name at right

before making as many copies ofthis answer sheet as you will FOR ECOLOGY USE ONLY:

need. Then complete one answer sheet for each commercial Date received:

system.

~~~~tR~~~;lf~i~)JJ[~ijE~§~~~~~~~fl~~lt~;~{f.~::f:~¥K~~~:?f:'.~;'~~;~;h:~:~·f}:~;:5f~t~~~;&~~~'\~~

A-1. System code: M

A-2. Unit type/name

Unit type/name

Unit type/name

Unit type/name

·~~·~~g.~~~~i~,~~~~~4i~f~~~~~~1lf~~i~t~~lf~q~~)~~~~f:~r:lt~~I~~4

8-1. 0 ST 0 MT 0 P 0 K 0 G 0 L 0 C (If G, L, or C, answer 8-1.a.)

8-1.a. 0 Lbs/gal tJ Specific Gravity 0 Lbs/yd.~

8-2. Commercial capacity:

8-3. Quantity of all wastes managed in the system:

8-4. Quantity of dangerous wastes managed in the system:

8-5. Quantity of non-dangerous wastes managed in dangerous waste

portion of the system:

C~:;:~~~;'h~~1~jJ~l~~~r7:f.~~~··~~~i.~:;~~t~~~~~11{i~~I;i~

Page _

BOOK 1: 1995 FORMS AND INSTRUCTIONS 57
•

•

•

END OF REPORT

(Attach this page as the last page of your submission.) .

BOOK 1: 1995 FORM S AND INSTRUCTIONS

Page

59