United States 

Environmental Protection 

Agency

FINAL Draft - March 29, 2016

RCRA Hazardous

Waste Part A 

Permit 

Application

Instructions and Form

EPA Form 8700-23

(OMB #2050-0024; Expires ??/??/???)
Office of Resource Conservation and Recovery (ORCR) 

(5303P)

Washington, DC 20460

RCRA Hazardous Waste Part A Permit Application

Instructions and Form

The Resource Conservation and Recovery Act (RCRA) Section 3005 requires the U.S. Environmental Protection Agency (EPA) to establish

permitting requirements applicable to hazardous waste treatment, storage, or disposal facilities (TSDFs). The owner and operator of a TSDF

must obtain a permit as required under 40 CFR Part 270. Respondents must submit the information required in the RCRA Hazardous Waste

Part A Permit Application [EPA Form 8700-23] (Part A Permit Application) for a first permit application or for a revised permit application.

Owners and operators of four types of TSDFs are subject to the requirements: new facilities not yet constructed; newly regulated existing

facilities subject to RCRA permitting requirementsfor the first time; permitted facilities with newly regulated units; and interim status facilities. 

The EPA needs information contained in the application to identify the person(s) legally responsible for hazardous waste activity, to

determine which facilities require permits under more than one program, to assess potential for the facility to pollute nearby ground

and surface waters, to identify the timeframe available for the EPA to process permit applications, and to determine the specific wastes a

facility is legally allowed to handle for different purposes. The EPA must ensure that hazardous wastes are managed in a way that protects

human health and the environment as required by RCRA. This is mandatory reporting by the respondents.

The EPA enters Part A Permit Application information submitted by respondents into RCRAInfo, the EPA national database, and issues

permits. The EPA uses this information to identify the universe of regulated waste TSDFs and their specific regulated hazardous waste

activities. The EPA also uses the information for tracking and planning and for a variety of enforcement and inspection purposes. 

Finally, the EPA uses this information to ensure that: hazardous wastes are managed properly; TSDFs are operated and maintained as

required; statutory provisions are upheld; and that regulations are adhered to by facility owners and operators.

Section 3007(b) of RCRA and 40 CFR Part 2, Subpart B, which defines the EPA’s general policy on public disclosure of information, both

contain provisions for confidentiality. However, the Agency does not anticipate that businesses will assert a claim of confidentiality covering

all or part of the Part A Permit Application. If such a claim were asserted, the EPA must and will treat the information in accordance with

the regulations cited above. The EPA also will assure that the information collection complies with the Privacy Act of 1974 and OMB Circular

108.

Estimated Burden: The reporting burden associated with the Part A Permit Application requirements is estimated to average 12 hours

for a facility to prepare and submit a new or revised Part A Permit Application and associated documentation. The recordkeeping burden is

estimated to average 4 hours for a facility to read the regulations. 

To comment on the Agency’s need for this information, the accuracy of the provided burden estimates, and any suggested methods for 

minimizing respondent burden, including the use of automated collection techniques, the EPA has established a public docket for the Information 

Collection Request (ICR) under Docket ID Number EPA-HQ-OLEM–2016–0182, which is available for public viewing at the RCRA Docket in the EPA 

Docket Center (EPA/DC), EPA West, Room 3334, 1301 Constitution Ave., NW, Washington, D.C. The EPA Docket Center Public Reading Room is 

open from 8:30 a.m. to 4:30 p.m., Monday through Friday, excluding legal holidays. The telephone number for the Reading Room is (202) 566-

1744 and the telephone number for the RCRA Docket is (202) 566-0270. An electronic version of the public docket is available through EPA 

Dockets (EDOCKET) at http://www.epa.gov/dockets/regulations.htm. Use EDOCKET to submit or view public comments, access the index listing 

of the contents of the public docket, and to access those documents in the public docket that are available electronically. Once in the system, 

select “search,” then key in the docket ID number identified above. Also, you can send comments to the Office of Information and Regulatory 

Affairs, Office of Management and Budget, 725 17th Street, NW, Washington, D.C. 20503, Attention: Desk Office for EPA. Please include the EPA 

Docket ID Number EPA-HQ-OLEM–2016–0182and OMB Control Number 2050-0024 in any correspondence.
iii

3

TABLE OF CONTENTS

The RCRA Hazardous Waste Part A Permit Application ............................................................................... 1

Introduction...............................................................................................................................................1

What’s New ...............................................................................................................................................2

Where to Get Help.....................................................................................................................................2

Existing Facilities........................................................................................................................................3

New Facilities.............................................................................................................................................4

First Part A Submission ..............................................................................................................................4

Revised Part A Submission.........................................................................................................................5

Determining if You Must File ........................................................................................................................ 6

Who Must File a RCRA Hazardous Waste Permit Application? .................................................................6

How Do I Know if I Handle a Regulated Hazardous Waste? ......................................................................6

Off-site Facilities.....................................................................................................................................6

On-site

Facilities...................................................................................................................................................6

How To File A RCRA Hazardous Waste Permit Application........................................................................... 8

How Many Permit Applications Should I File?...........................................................................................8

Can I Request that this Information be Kept Confidential? .......................................................................8

Where Should I Send My Completed Permit Application? ........................................................................9

When Should I File My Permit Application? ..............................................................................................9

When Should My Permit Application be Revised? ..................................................................................10

Facilities Operating Under Interim Status ............................................................................................10

Facilities Operating Under a RCRA Hazardous Waste Permit...............................................................11

Instructionsfor Filling Out the RCRA Subtitle C Site Identification (Site ID) Form ..................................... 12

Who Must Submit this Form.....................................................................................................................12

Purpose of this Form ................................................................................................................................12

How to Fill Out this Form..........................................................................................................................12
iii

4

Item-By-Item Instructions.........................................................................................................................13

Item 1 – Reason for Submittal .............................................................................................................13

Item 2 – Site EPA ID Number...............................................................................................................15

Item 3 and 4 – Site Name and Location...............................................................................................15

Item 5 – Site Land Type .......................................................................................................................16

Item 6 – North American Industry Classification System (NAICS) Code(s) ...........................................16

Item 7 – Site Mailing Address...............................................................................................................17

Item 8 – Site Contact Person ................................................................................................................17

Item 9 – Legal Owner and Operator of the .Site...................................................................................17

Item 10 – Type of Regulated Waste Activity.........................................................................................19

.

Item 11 – Description of Hazardous Wastes ........................................................................................27

Item 12 – Notification of Hazardous Secondary Material (HSM) Activity ............................................28

Item 13 – Comments...........................................................................................................................28

Item 14 – Certification .........................................................................................................................28

Addendum to the Site Identification Form: Notification of Hazardous Secondary Material Activity .......... 29

You Must Fill Out this Section ...................................................................................................................29

Item 1 – Indicate Reason for Notification (include dates where requested)........................................30

Item 2 – Description of Excluded Hazardous Secondary Material (HSM) Activity................................31

Item 3 – Facility has Financial Assurance Pursuant to 40 CFR 261.4(a)(24)(vi) ....................................34

Instructionsfor Filling Out the Hazardous Waste Permit information Form................................................ 36

General Instructions..................................................................................................................................36

Item-By-Item

Instructions................................................................................................................................................36

Item 1 – Facility Permit Contact ...........................................................................................................36

Item 2 – Facility Permit Contact Mailing Address.................................................................................36

Item 3 – Operator Mailing Address and Telephone Number...............................................................36
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5

Item 4 – Facility Existence Date ...........................................................................................................37

Item 5 – Other Environmental Permits................................................................................................37

Item 6 – Nature of Business.................................................................................................................38

Item 7 – Process Codes and Design Capacities....................................................................................38

Item 8 – Other Processes.....................................................................................................................38

Item 9 – Description of Hazardous Wastes..........................................................................................38

Item 10 - Map ......................................................................................................................................39

Item 11 – Facility Drawing ...................................................................................................................40

Item 12 – Photographs........................................................................................................................40

Item 13 - Comments.............................................................................................................................40

Other Reference Information and Code Lists .............................................................................................. 42

Excluded Wastes........................................................................................................................................43

Definitions..................................................................................................................................................45

EPA Hazardous Waste Codes.....................................................................................................................55

Hazardous Secondary Material (HSM) Facility Codes................................................................................55

Hazardous Secondary Material (HSM) Land-Based Unit Codes.................................................................53

Management Method Codes.....................................................................................................................58
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1

THE RCRA HAZARDOUS WASTE PART A PERMIT APPLICATION

INTRODUCTION

The Resource Conservation and Recovery Act (RCRA) requires anyone who owns or operates a facility 

where hazardous waste is treated, stored, or disposed to have a RCRA hazardous waste permit issued by 

the U.S. Environmental Protection Agency (EPA). This booklet is designed to help you determine if you are 

subject to RCRA hazardous waste permitting requirements. The instructions contained in this booklet 

will assist you in starting the permitting process by completing and submitting a RCRA Hazardous

Waste Part A Permit Application [EPA Form 8700-23] (Part A Permit Application) or in modifying your 

hazardous waste permit by submitting a revised application.

There are two parts to a RCRA Hazardous Waste Permit Application – Part A and Part B. Part A of the 

RCRA Hazardous Waste Permit Application consists of EPA Form 8700-23 (includes both the RCRA 

Subtitle C Site Identification Form and the Hazardous Waste Permit Information Form), along with maps, 

drawings, and photographs, as required by 40 CFR 270.13. Part B of the RCRA hazardous waste permit 

application contains detailed, site-specific information. There is no form for the Part B Permit Application;

rather, the Part B Permit Application must be submitted in narrative form and contain the information 

described in applicable sections of 40 CFR 270.14 through 270.27.

NOTE

Although this booklet contains information and instructions for completing a Part A Permit 

Application, it should not be considered a substitute for the regulations in Title 40 of the Code 

of Federal Regulations (40 CFR). Rather, this booklet serves as a supplement to the regulations 

and provides additional information not contained in 40 CFR. As an owner or operator of a 

hazardous waste treatment, storage, or disposal facility, you are responsible for learning and 

complying with all the requirements that apply to you and the operations at your facility.

In addition, remember that this booklet and the regulations in 40 CFR address only the Federal 

hazardous waste program. Many States may have hazardous waste permitting requirements 

that differ from the Federal requirements; those States may use EPA Form 8700-23 for the 

Part A Permit Application submission or they may use a similar State form that requires 

information not requested in the EPA form. Again, it is your responsibility to make sure that 

you have completed and submitted all forms required under the Federal or your State 

program.
2

The RCRA Hazardous Waste Part A Permit Application

(continued)

WHAT’S NEW

Below are a list of changes to the RCRA Hazardous Waste Part A Permit Application Instructions and

Forms.

CLARIFIED THE DEFINITION OF LARGE QUANTITY GENERATOR (LQG)

Although current RCRA regulations do not specifically define the term “large quantity generator” (LQG), 

they do define the terms “conditionally exempt small quantity generator” (CESQG) and “small quantity 

generator “(SQG). Thus, a LQG is a generator that is not a CESQG or SQG. For purposes of clarity, the 

definition of LQG has been revised to describe all those situations where a generator would be a LQG.

CLARIFIED THE DEFINITION OF SMALL QUANTITY GENERATOR (SQG)

A SQG is defined at 40 CFR 260.10 as a site that generates less than 1,000 kilograms (kg; 2,200 pounds 

[lbs]) of hazardous waste in a calendar month. However, there are other situations where a generator 

could generate small amounts of acute hazardous waste listed in sections 261.31 or 261.33(e); and any 

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

land or water, of any acute hazardous wastes listed in sections 261.31 or 261.33(e) and still maintain its 

regulatory status as a SQG. Therefore, for purposes of clarity, the definition of SQG has been revised to 

describe all those situations where a generator would continue to be a SQG. The EPA plans to make the 

appropriate conforming change to the outdated definition of SQG at 40 CFR 260.10 in the future.

CLARIFIED THE DEFINITION OF CONDITIONALLY EXEMPT SMALL QUANTITY GENERATOR

(CESQG)

A CESQG is defined at 40 CFR 261.5(a) as a site that generates less than or equal to 100 kg (220 lbs) of 

hazardous waste in a calendar month. However, as found in 40 CFR 261.5(e), a generator also may 

generate small amounts of acute hazardous waste listed in sections 261.31 or 261.33(e); and any 

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

land or water, of any acute hazardous wastes listed in sections 261.31, or 261.33(e) and still maintain its 

regulatory status as a CESQG. Therefore, for purposes of clarity, the definition of CESQG has been 

revised to describe all those situations where a generator would continue to be a CESQG.

UPDATED TO REFLECT 2015 DEFINITION OF SOLID WASTE FINAL RULE

On January 13, 2015, EPA published the Definition of Solid Waste (DSW) final rule (80 FR 1694), which revised 

the regulations related to certain exclusions from solid and hazardous waste regulation. Changes have been 

made to the Site ID form, particularly to the Addendum to the Site ID Form, to reflect this final rule. 

OTHER CHANGES 

1) Changes were made to the list of Excluded Wastes, and Hazardous Secondary Material (HSM) Facility 

Codes;

2) New fields added to Site ID:

Owner: Added telephone number, extension, and notes field and

Operator: Added address, telephone number, extension, and notes field;
3

The RCRA Hazardous Waste Part A Permit Application

(continued)

3) HSM Addendum: removed Financial Assurance question.

WHERE TO GET HELP

We realize that the regulations are complex. Although we are not providing reprints of the 40 CFR 

regulations in this booklet, copies of the Federal regulations are available from the EPA (see below). A 

list of State and EPA Regional Office addresses, contact names, telephone numbers, and e-mail 

addresses are located at: https://www.epa.gov/sites/production/files/2016-

03/documents/contact02172016.pdf.

In addition to those contacts, there are several other sources available to help with your questions and 

provide information on EPA regulations:

RCRA FREQUENTLY ASKED QUESTIONS

This allows users to find answers to commonly asked questions that cover a wide range of RCRA issues 

and topics. Find at: http://waste.supportportal.com/ics/support/default.asp?deptID=23023.

RCRA ONLINE

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

other outreach materials that cover a wide range of RCRA issues and topics. Find at: 

http://www.epa.gov/rcraonline.

RCRA REGULATIONS

The Federal regulations can be found at: http://www.gpo.gov/fdsys/.

COMPLIANCE ASSISTANCE CENTERS

The EPA hassponsored partnerships with industry, academic institutions, environmental groups, and other 

a g e n c i e s t o l a u n c h s e c t o r-specific C o m p l i a n c e A s s i s t a n c e C e n t e r s ( Centers). Each 

C e n t e r addresses real world issues in understandable language for you to understand Federal

environmental requirements and how to save money through pollution prevention techniques. Visit

the Compliance Assistance Centers at: http://www.assistancecenters.net.

EPA NATIONAL COMPLIANCE ASSISTANCE CLEARINGHOUSE

The Compliance Assistance Clearinghouse is a comprehensive source of compliance assistance information 

and resources. Use links to Federal, State, local, and other compliance assistance providers to find the

tools you need. Visit the Compliance Assistance Clearinghouse at: 

http://www.epa.gov/compliance/assistance/index.html.

EPA SMALL BUSINESS OMBUDSMAN OFFICE

1-800-368-5888.
4

The RCRA Hazardous Waste Part A Permit Application

(continued)

YOUR TRADE ASSOCIATION

EXISTING FACILITIES

Existing hazardous waste management facilities are those hazardous waste treatment, storage, or disposal

facilities (TSDFs) which were in operation or for which construction had commenced on or before

November 19, 1980, or which were in existence on the effective date of the statutory or regulatory

amendments that render the facility subject to the requirement to obtain a RCRA permit. RCRA 

established a procedure for obtaining interim status that allows these existing facilities to continue 

operating until a final hazardous waste permit is issued.

You must submit a Part A Permit Application completing all forms included in this booklet. If you do not 

file a Notification of RCRA Subtitle C Activity and complete the Part A Permit Application by the 

deadlinesspecified in the “WHEN SHOULD I FILE MY PERMIT APPLICATION?” section of these instructions,

you will be required by law to halt your operations until a RCRA hazardous waste permit is issued.

Facility owners or operators with interim status are treated as having been issued a permit until the EPA 

reviews the Part B Permit Application and issues a RCRA hazardous waste permit. You may submit your 

Part B Permit Application voluntarily; however, you are not required to submit it until it is requested by 

the EPA. You will then have up to six months to submit the Part B Permit Application.

NEW FACILITIES

New hazardous waste management facilities are those hazardous waste TSDFs which were not in 

operation or for which construction had not commenced on or before November 19, 1980. Owners or 

operators of new hazardous waste management facilities must submit both Parts A and B of the RCRA 

Hazardous Waste Permit Application at least 180 days before physical construction of the facility is 

expected to commence. In addition, these owners or operators are not allowed to begin physical 

construction of the new facility or to treat, store, or dispose of hazardous wastes until receiving a RCRA 

hazardous waste permit. As such, new facilities do not receive interim status. In addition, new facilities 

are those facilities that are newly subject to the requirement to obtain a RCRA hazardous waste permit 

(e.g., through the EPA’s promulgation of a new hazardous waste listing). An application for a permit 

may be submitted any time after promulgation of those standards in 40 CFR subjecting the facility to 

hazardous waste permitting requirements.

Most State governments are authorized by the EPA to administer hazardous waste management programs

in lieu of the Federal RCRA program. You should contact your State hazardous waste management agency

to determine any additional State requirements. You will need to comply with the specific permit

application requirements of that State.

The following instructions provide specific information for completing and submitting a Part A Permit 

Application using the forms included in this booklet. The instructions also provide general information 

for completing a Part B Permit Application. If, after reading the instructions, you have any questions 

regarding the RCRA hazardous waste permit application process, contact your State Representative who 

can answer your questions and help you understand the Federal and State requirements that apply to 

you. A list of State contacts is available at: https://www.epa.gov/sites/production/files/2016-
5

The RCRA Hazardous Waste Part A Permit Application

(continued)

03/documents/contact02172016.pdf.

FIRST PART ASUBMISSION

Both new and existing facilities that treat, store, or dispose of regulated hazardous waste are required 

to submit a Part A Permit Application in accordance with the deadlines set forth in the “WHEN SHOULD I

FILE MY PERMIT APPLICATION?” section of these instructions. Owners or operators of facilities that 

have not previously submitted a Part A Permit Application will need to submit a permit application for 

the first time. Examples of facilities making their first Part A submission are new facilities or existing

facilities that become newly subject to the requirement to have a RCRA hazardous waste permit. You 

should mark the box in Item 1 of the RCRA Subtitle C Site Identification Form (Site ID Form) to indicate 

as a component of a first RCRA Hazardous Waste Part A Permit Application. This booklet contains 

information and item-by-item instructions for completing both the Site ID Form and the Hazardous 

Waste Permit Information Form.

REVISED PART A SUBMISSION

There are several conditions under which a facility that has previously submitted a Part A Permit 

Application must revise that first submission to reflect changes that have occurred at the facility. Both 

facilities operating under interim status and facilities operating under a RCRA hazardous waste permit may

find it necessary to revise their Part A Permit Application. You should mark the box in Item 1 of the Site

ID Form to indicate as a component of a revised RCRA Hazardous Waste Part A Permit Application.

If the owner or operator of this facility has changed since the facility last submitted the Part A Permit 

Application, be sure to submit a Revised Part A Permit Application. The conditions requiring submission 

of a Revised Part A Permit Application are summarized in the “HOW TO FILE A RCRA HAZARDOUS

WASTE PERMIT APPLICATION” section of this booklet. There is also item-by-item instructions for 

completing both the Site ID Form and the Hazardous Waste Permit Information Form contained in this 

booklet.
Determining if You Must File

(continued)

6

DETERMINING IF YOU MUST FILE

WHO MUST FILE A RCRA HAZARDOUS WASTE PERMIT APPLICATION?

The Resource Conservation and Recovery Act of 1976 (RCRA), as amended, requires each person owning 

or operating a facility for the treatment, storage, or disposal of regulated hazardous waste to have a 

RCRA hazardous waste permit. This includes individuals, trusts, firms, joint stock companies, Federal 

agencies, corporations (including government corporations), partnerships, associations, States, 

municipalities, commissions, interstate bodies, other political subdivisions of a State, or Indian tribes (or 

an authorized Indian tribe organization). If you treat, store, or dispose of regulated hazardous waste 

without obtaining a permit, you may be subject to a civil or criminal penalty.

Both new and existing facilities that treat, store, or dispose of regulated hazardous waste are required 

to submit a RCRA Hazardous Waste Part A Permit Application [EPA Form 8700-23] (Part A Permit 

Application) as described in 40 CFR Part 270. Four types of facilities are required to submit the Part A 

Permit Application: new facilities not yet constructed; newly regulated existing facilities subject to RCRA 

permitting requirements for the first time; permitted facilities with newly regulated units; and interim 

status facilities.

In an instance where the State may have a newly regulated unit, a Part A Permit Application is required. 

Adding new units for treating, storing, and disposing of waste creates a change to the facility (be it an 

existing facility or interim status facility) which would require a Revised Part A Permit Application, as 

does a major permit modification.

Contact your State if you have questions about the applicability of the Part A Permit Application form to 

your facility. A list of Part A Permit Application contacts can be found at: 

https://www.epa.gov/sites/production/files/2016-03/documents/contact02172016.pdf.

HOW DO I KNOW IF I HANDLE A REGULATED HAZARDOUS WASTE?

OFF-SITE FACILITIES

Owners or operators of off-site facilities that treat, store, or dispose of solid wastes, as defined by

40 CFR 261.2, are encouraged to obtain information on the solid wastes they receive from generators. If

the generators will not supply this information, you are still responsible for determining if the solid wastes

you handle are also hazardous wastes that are regulated by RCRA. To do so, you should follow the

procedures for on-site facilities that are described below.

ON-SITE FACILITIES

Generators who treat, store, or dispose, on-site, their own solid wastes (as defined by 40 CFR 261.2), 

should employ the following procedures in determining if their solid wastes are hazardous wastes that are

regulated by RCRA. This determination is made as follows:
• First, you need to determine if the solid waste handled is excluded from regulation under RCRA.

The list of exclusions can be found in the regulation entitled “Identification and Listing of 

Hazardous Waste,” 40 CFR 261.4. If the solid wastes handled are excluded, a RCRA hazardous 

waste permit is not needed to treat, store, or dispose of these solid wastes. If the solid waste 

handled is not excluded by 40 CFR 261.4, you need to determine if the solid waste handled is a 

hazardous waste that is regulated under RCRA. As described below, the EPA regulates a solid 

waste as a hazardous waste by specifically listing it as a hazardous waste or by assigning it a 

generic hazardous waste code because it possesses any of the four hazardous waste 

characteristics.

• If the solid waste handled is not excluded by 40 CFR 261.4, you need to determine if it is a 

hazardous waste that is listed in 40 CFR Part 261, Subpart D, “Lists of Hazardous Wastes.” If you 

own or operate a facility where listed hazardous waste is treated, stored, or disposed, you are 

subject to regulation and must file a RCRA Hazardous Waste Permit Application, unless the 

hazardous waste has been exempted as described below.

• If the solid waste handled is not listed in 40 CFR Part 261, Subpart D, the solid waste may still be 

a hazardous waste if it possesses certain characteristics or contains certain contaminants. These 

characteristics and contaminants are described in 40 CFR Part 261, Subpart C, “Characteristics of 

Hazardous Waste.” A determination that a solid waste possesses these characteristics or 

contaminants may be made based on either:

1. Your knowledge of the hazard characteristic of the solid waste in light of the 

materials or processes used; or

2. The results of testing the solid waste according to the methods in 40 CFR Part 261, 

Subpart C.

If you own or operate a facility where characteristic hazardous waste is treated, stored, or 

disposed, you are subject to regulation and must file a RCRA Hazardous Waste Permit Application,

unless the hazardous waste has been exempted as described below.

• If the hazardous waste that you handle has been exempted under 40 CFR 261.5 or 40 CFR

261.6(a)(3), you are not subject to regulation and do not need to file a RCRA Hazardous Waste

Permit Application.

In addition, certain other persons who handle hazardous waste are not required to obtain a RCRA

hazardous waste permit. They are:

• Generators who accumulate their own hazardous waste on-site for less than 90 days as 

provided in 40 CFR 262.34;

• Farmers who dispose of hazardous waste pesticides from their own use as provided in 40 CFR

262.70; and

• Owners and operators of totally enclosed treatment facilities as defined in 40 CFR 260.10.

7
How to File a RCRA Hazardous Waste Permit Application

(continued)

8

HOW TO FILE A RCRA HAZARDOUS WASTE PERMIT APPLICATION

As noted above, there are two parts to the RCRA Hazardous Waste Permit Application – Part A and 

Part B. As required by 40 CFR 270.13, the Part A Permit Application defines the processes to be used for 

treatment, storage, and disposal of hazardous wastes; the design capacity of such processes; and the 

specific hazardous wastes to be handled at a facility. The RCRA Hazardous Waste Part A Permit Application

[EPA Form 8700-23] (Part A Permit Application) is submitted by completing the two forms included in this

booklet: the RCRA Subtitle C Site Identification Form (Site ID Form) and the Hazardous Waste Permit

Information Form.

The Part A Permit Application serves as a vehicle through which an owner or operator may submit 

facility-specific information to the regulatory authority and keep this information current. As specified 

by 40 CFR 270.14 through 270.27, the Part B Permit Application requires detailed site-specific 

information such as geologic, hydrologic, and engineering data. The Part B Permit Application is submitted 

in narrative form.

HOW MANY PERMIT APPLICATIONS SHOULD I FILE?

You need submit only one RCRA Hazardous Waste Permit Application (Part A and Part B) per facility, 

provided that you describe all of the activities at that facility. If you conduct hazardous waste

activity(ies) at more than one facility, you must submit a separate RCRA Hazardous Waste Permit 

Application (Part A and Part B) for each facility location. You also must have an EPA Identification Number 

for each of the facilities.

NOTE

Only one RCRA Hazardous Waste Permit Application is required per facility. At some point, you 

may be required to submit revised applications to update your first Part A Permit Application 

submission. At any given time, the first submission and any subsequent revised submissions 

represent the Part A Permit Application for your facility.

CAN I REQUEST THAT THIS INFORMATION BE KEPT CONFIDENTIAL?

All information submitted in this form will be subject to public disclosure, to the extent provided by the

Freedom of Information Act, 5 U.S.C. Section 552, and the EPA’s Business Confidentiality Regulations,

40 CFR Part 2 and 40 CFR 270.12. Claims of confidentiality for the name and address of any permit 

applicant or permittee will be denied. Persons filing this form may make claims of confidentiality for 

certain information. Such claims must be clearly indicated by submitting an attachment listing the specific

information for which confidential treatment is requested at the time of filing. This attachment must

include a written substantiation of the claim for confidentiality that answers the following questions:
9

• Which sections of the Part A Permit Application form contain the information you claim is 

entitled to confidential treatment?

• For how long is confidential treatment desired for the information?

• What measures have you taken to guard against undesired disclosure of the information to 

others?

• To what extent has the information been disclosed to others, and what precautions have been 

taken in connection with that disclosure?

• Has the EPA or any other Federal agency made a pertinent confidentiality determination? If so, 

include a copy of such determination or reference to it, if available.

• Will disclosure of the information be likely to result in substantial harmful effects on your 

competitive position? If so, what would those harmful effects be and why should they be 

viewed as substantial? Explain the causal relationship between disclosure and the harmful effects.

Information covered by confidentiality claim and the above substantiation will be disclosed by the EPA

only to the extent and by means of the procedures set forth in 40 CFR Part 2 and 40 CFR 270.12.

If no claim of confidentiality or no substantiation accompanies the information when it is submitted, the

EPA may make the information available to the public without further notice to the submitter.

WHERE SHOULD I SEND MY COMPLETED PERMIT APPLICATION?

You should submit the RCRA Hazardous Waste Permit Application to your State or EPA Regional contact. 

A list of State Contacts can be found at: https://www.epa.gov/sites/production/files/2016-

03/documents/contact02172016.pdf.

Many States use the form included at the end of this booklet; some also require additional information. 

Other States require that you complete and submit a State-specific form. The Contact list indicates 

which form to use. Even if you use the included form, you should check with your State to determine if 

you need to submit additional information. Also, contact your State if you have any questions about 

your submission.

WHEN SHOULD I FILE MY PERMIT APPLICATION?

As required by 40 CFR 270.10, the deadlines for filing RCRA Hazardous Waste Permit Applications are:

EXISTING FACILITIES

Under 40 CFR 270.10(e), existing facilities mustsubmit a Part A Permit Application no later than six months

following the publication of regulations that subject the facility to the requirement to have a RCRA 

hazardous waste permit.
10

NEW FACILITIES

Under 40 CFR 270.10(f), new facilities must submit both Part A and Part B Permit Applications at least

180 days before commencing physical construction of the facility. A permit must be received before

construction begins.

WHEN SHOULD MY PERMIT APPLICATION BE REVISED?

FACILITIES OPERATING UNDER INTERIM STATUS

In accordance with 40 CFR 270.72(a), the owner or operator of a facility operating under interim status 

must submit a Revised Part A Permit Application at the following times:

• Prior to treating, storing, or disposing of new hazardous wastes not previously identified in the 

facility’s Part A Permit Application. Similarly, when the EPA (or a State with an authorized RCRA 

program) promulgates a rule listing or identifying new hazardous wastes, facilities managing these

wastes must revise their Part A Permit Application to reflect this activity.

• Prior to increasing the design capacity of the processes used at the facility. The EPA Regional 

Administrator (or the State Director, for an authorized State) must approve changes in capacity 

before they take effect at the facility.

• Prior to changing existing processes or adding new processes for treating, storing, and disposing 

of hazardous wastes at the facility. Changes in treatment, storage, and disposal practices must 

be approved by the Regional Administrator (or State Director) before they are implemented by a 

facility.

• Prior to undergoing a change in ownership or operational control of a facility.

• Whenever facility changes occur in accordance with an interim status corrective action order 

issued by the EPA, an authorized State, or by a court in a judicial action brought by the EPA or 

the State.

• When a facility adds units for the treatment, storage, and disposal of hazardous waste that are 

newly regulated by the EPA or a State. A Revised Part A Permit Application must be submitted 

on or before the date on which the unit becomes subject to the new requirements.

Changes in the quantity of hazardous waste currently specified in the first Part A Permit Application can 

be made without submitting a Revised Part A Permit Application, provided the quantity does not exceed 

the design capacities of the processes specified in the first Part A Permit Application or a subsequent 

Part A Permit Application.

Failure to furnish all information required to process a RCRA Hazardous Waste Permit Application is 

grounds for termination of interim status.
11

Determining if You Must Notify

(continued)

FACILITIES OPERATING UNDER A RCRA HAZARDOUS WASTE PERMIT

Owners or operators of facilities operating under a RCRA Hazardous Waste Permit may modify their 

permit at any time, in accordance with the specific requirements in 40 CFR 270.42. Appendix I to 40

CFR

270.42 divides the various types of permit modifications into Classes 1, 2, and 3, based on the 

complexity of facility changes necessitating a permit modification. Class 1 modifications are minor 

changes that keep the permit current with changes that occur to the facility or its operation. Class 2

and

3 modifications involve more significant changes in facility

operations.

In all cases when a facility owner or operator requests a permit modification, however, he or she must 

submit the information required in the Part A Permit Application (in 40 CFR 270.13) as part of the 

modification submittal.

Finally, under 40 CFR 270.10(h), facilities with a RCRA Hazardous Waste Permit must submit a new 

application (Part A and Part B) at least 180 days prior to the expiration date of the permit.
12

Site ID Form

(continued)

INSTRUCTIONS FOR FILLING OUT THE

RCRA SUBTITLE C SITE IDENTIFICATION FORM (SITE ID FORM)

WHO MUST SUBMIT THIS FORM

All sites required to submit any of the following must submit the RCRA Subtitle C Site Identification Form 

(Site ID Form):

 Initial Notification of Regulated Waste Activity;

 Subsequent Notification of Regulated Waste Activity;

 First RCRA Hazardous Waste Part A Permit Application;

 Revised RCRA Hazardous Waste Part A Permit Application;

 Hazardous Waste Report;

 Notification for eligible academic entities opting into or withdrawing from managing laboratory 

hazardous wastes pursuant to 40 CFR Part 262 Subpart K (if in an eligible State); and

 Notification for facilities managing hazardous secondary material pursuant to 40 CFR 260.42 

(if in an eligible State).

Some States have requirements in addition to, or that are different from the Federal requirements. To 

obtain the appropriate forms or ask questions, refer to a list of contacts at: 

https://www.epa.gov/sites/production/files/2016-03/documents/contact02172016.pdf.

The list will tell you whether the Federal form or a State form is used, who to contact, and where to mail 

the completed form.

PURPOSE OF THIS FORM

The Site ID Form provides site-specific information about your facility and is used to obtain an EPA 

Identification Number under the RCRA Program. The Site ID Form also provides updated information for 

items that have changed at your site and verifies the information for those items that remain unchanged.

HOW TO FILL OUT THIS FORM

Complete the following Site ID Form items, as applicable to your facility:

 Item 1 - your reason for submitting the form

 Item 2 - your site’s EPA Identification Number

 Item 3 - the name of your site

 Item 4 - the physical location of your site

 Item 5 - the land type of your site 

 Item 6 - the North American Industry Classification System (NAICS) code(s) for your site

 Item 7 - the mailing address for your site

 Item 8 - name, title, address, e-mail, telephone number, extension, and fax of a contact person 

at your site
13

Site ID Form

(continued)

 Item 9 - name, address of the legal owner(s), address, e-mail, telephone number, 

extension, and fax number of the operator(s) of your site 

 Item 10 - your site’s regulated waste activities (enter all that apply)

 Item 11 - the description of hazardous waste

 Item 12 - your site’s hazardous secondary material activity, if you manage any

 Item 13 - additional comments on Items 1 – 12

 Item 14 - certification that the information you provided throughout the form is truthful, 

accurate, and complete

 Addendum to the Site Identification Form – notification of hazardous secondary material activity

Type or print, in black ink, all items except the Signature box in Item 14. In Item 14, provide the 

required ink signatures. Signatures must be original. Stamped or photocopied signatures are not 

acceptable. Enter your site’s EPA Identification Number in the top left-hand corner on all pages of the 

form; for an Initial Notification for this site, leave the EPA identification Number blank. Use 

Item 13 – Comments to clarify or provide additional information for any entry. When entering 

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

refers. If you must use additional sheets for comments, enter your site’s EPA Identification Number 

in the top left-hand corner of each sheet. 

ITEM-BY-ITEM INSTRUCTIONS

ITEM 1– REASON FOR SUBMITTAL

Place an “X” in the appropriate box(es) to indicate whether this form is your Initial Notification (i.e., this 

is your first time submitting site identification information / to obtain an EPA Identification Number for 

this location); a Subsequent Notification (to update your site identification information); a component of 

a First or a Revised Hazardous Waste Part A Permit Application; or a component of the Hazardous Waste 

Report.

TO PROVIDE AN INITIAL NOTIFICATION (FIRST TIME SUBMITTING SITE IDENTIFICATION 

INFORMATION / TO OBTAIN AN EPA IDENTIFICATION NUMBER FOR THIS LOCATION)

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

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

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

waste activities and obtain an EPA Identification Number.

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

laboratory hazardous wastes AND you have never before submitted site identification 

information, you must submit this form to notify the appropriate State or EPA Regional Office of 

your activities. Note: You must check with your State to determine if you are eligible to manage 

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

 If you will begin managing hazardous secondary material under 40 CFR 261.2(a)(2)(ii) 260.30, 

40 CFR 261.4(a)(23), (24), or (25) (27) AND you have never before submitted site identification 

information, you must submit this form, pursuant to 40 CFR 260.42, to notify the appropriate 
14

Site ID Form

(continued)

State or EPA Regional Office of your activities. Note: You must check with your State to determine 

if you are eligible to manage hazardous secondary material under these exclusions in order for 

you to notify.

TO PROVIDE A SUBSEQUENT NOTIFICATION (TO UPDATE SITE IDENTIFICATION 

INFORMATION FOR THIS LOCATION)

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

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

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

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

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

wastes, you must use this form. Note: You must check with your State to determine if you are 

eligible to manage laboratory hazardous waste pursuant to 40 CFR Part 262, Subpart K in order 

for you to notify.

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

that you will begin managing, are managing, or have stopped managing hazardous secondary 

material under 40 CFR 261.2(a)(2)(ii) 260.30, 40 CFR 261.4(a)(23), (24), or (25) (27), you must 

submit this form, pursuant to 40 CFR 260.42, to notify the appropriate State or Regional Office of 

your activities. Note: You must check with your State to determine if you are eligible to manage 

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

AS A COMPONENT OF A FIRST RCRA HAZARDOUS WASTE PART A PERMIT APPLICATION

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

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

Application. Also, if the activity at this site (treatment, storage, or disposal) became newly regulated 

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

you must submit this form as part of the Part A Permit Application.

AS A COMPONENT OF A REVISED RCRA HAZARDOUS WASTE PART A PERMIT APPLICATION

If you must submit a Revised Part A Permit Application to reflect changes that have occurred at your site, 

you must submit this form as part of your Revised Part A Permit Application. Examples of site changes 

requiring a Revised Part A Permit Application include managing new wastes not identified in the first 

submission of the form or changes to existing waste treatment processes. When submitting a Revised 

Part A Permit Application, please include the Amendment Number in the appropriate space.
15

Site ID Form

(continued)

AS A COMPONENT OF THE HAZARDOUS WASTE REPORT (IF MARKED, SEE SUB-BULLET 

BELOW)

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

generate, treat, recycle, dispose, ship off-site, or receive from off-site, you must fill out this form. A Site 

ID Form submitted with a Hazardous Waste Report is equivalent to a Subsequent Notification.

SITE WAS A TSD FACILITY AND/OR GENERATOR OF ≥ 1,000 KG OF HAZARDOUS WASTE, > 1 

KG OF ACUTE HAZARDOUS WASTE, OR > 100 KG OF ACUTE HAZARDOUS WASTE SPILL 

CLEANUP IN ONE OR MORE MONTHS OF THE REPORT YEAR (OR STATE EQUIVALENT LQG 

REGULATIONS)

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

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

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

the report year. Sites required to file the report should place an “X” in this box, while nonLQG/TSD sites should not. For more information about who must file a report, refer to “WHO 

MUST FILE THE 20157 HAZARDOUS WASTE REPORT” section of the 20157 Hazardous Waste 

Report Instructions and Form booklet.

ITEM 2 – SITE EPA ID NUMBER

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

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

number at the top of all pages of the form (as well as on any attachments to the Site ID Form).

NOTE If this is your Initial Notification for this site, leave the EPA Identification Number blank and 

proceed to Item 3.

ITEM 3 AND 4 – SITE NAME AND LOCATION

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

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

foreign hazardous waste transporters, with their headquarters located outside the U.S., may provide a 

Site Location Country outside of the U.S.

NOTE A new EPA Identification Number is required if you change the location of your site.
16

Site ID Form

(continued)

ITEM 5 – SITE LAND TYPE

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

Private, County, District, Federal, Tribal (see below), Municipal, State, or Other. If your 

site’s Land Type could be described as Municipal and another Land Type, such as County, 

District, or Tribal, do not place an “X” in Municipal. Instead, choose the other appropriate 

Land Type. (For example, if your site’s Land Type is both Municipal and County, you would 

place an “X” in the box for County.) You may explain this in Item 13 – Comments.

Tribal - A member of The lLand which your site is on land belongs to one of the tribes/entities on the list 

of Federally recognized American Indian tribes and Alaskan Native entities located at: 

http://www.epa.gov/tribal/whereyoulive/tribes-a-z.htm.

ITEM 6 – NORTH AMERICAN INDUSTRY CLASSIFICATION SYSTEM (NAICS) CODE(S)

Box A must be completed. Completing Boxes B-D is recommended, if applicable.

Box A

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

primary business production process for your products or services. Referencing the latest version of 

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

5-digit code; do not enter any four (4) or less digit codes.

Boxes B - D

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

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

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

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

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

http://www.census.gov/eos/www/naics.

NOTE

Changes will be made to the NAICS codes in 2017. All sites should confirm their NAICS codes 

in the new 2017 NAICS code table prior to completing Item 6 – NAICS Codes. You can obtain 

additional information about the 2017 NAICS codes at

http://www.census.gov/eos/www/naics.
17

Site ID Form

(continued)

ITEM 7 – SITE MAILING ADDRESS

Please enter the Site Mailing Address. If the Mailing Address and the Location of Site (Item 4) are the 

same, you can enter “Same as Item 4” in the box for Item 7.

ITEM 8 –SITE CONTACT PERSON

Enter the name, title, business address, telephone number, extension, fax number, and e-mail address of 

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

Subsequent Notification is recommended when the Site Contact Person changes. Do not enter other 

contact persons here; if there are other persons, who may be contacted about this submission, list them 

and their other contact information in Item 13 – Comments. If the person completing the Hazardous 

Waste Report this form is not the primary site RCRA hazardous waste contact, enter the primary site RCRA 

hazardous waste contact here and add the contact information for the person completing the Hazardous 

Waste Report form in Item 13 – Comments.

NOTE This is NOT the Facility Permit Contact information. The Facility Permit Contact information 

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

ITEM 9 – LEGAL OWNER AND OPERATOR OF THE SITE

This section should be used to indicate all owners and operators of this site.

A. NAME OF SITE’S LEGAL OWNER

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

review these definitions:

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

building(s) and/or land. This may be an individual, company, or business name. See Person.

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

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

of a State, or any interstate body.

DATE BECAME AN OWNER

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

For April 22, 2015, enter 04/22/2015. This is a required field and a date must be reported.

OWNER TYPE

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

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

be described as Municipal and another Owner Type, such as County, District, or Tribal, do not place an 

“X” in Municipal. Instead, choose the other appropriate Owner Type. (For example, if your site’s Owner 
18

Site ID Form

(continued)

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

in Item 13 – Comments.

Tribal - A member of one of the tribes/entities on the list of Federally recognized American Indian tribes 

and Alaskan Native entities located at: http://www.epa.gov/tribal/whereyoulive/tribes-a-z.htm.

LEGAL OWNER ADDRESS

Enter the address, e-mail,telephone number, extension, and fax number of the legal owner. If the address 

and the Location of Site (Item 4) are the same, you can enter “Same as Item 4” in the box for Item 9A.

Use the Comments section in Item 13 to list any additional owners, their names, the dates they became 

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

submission of this form. If necessary, attach a separate sheet of paper. Remember to enter your site’s 

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

B. NAME OF SITE’S OPERATOR

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

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

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

or business name, but may be an individual. See Person.

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

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

of a State, or any interstate body.

DATE BECAME AN OPERATOR

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

example: For April 22, 2015, enter 04/22/2015. This is a required field and a date must be reported.

OPERATOR TYPE

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

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

be described as Municipal and another Operator Type, such as County, District, or Tribal, do not place an 

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

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

explain this in Item 13 – Comments.

Tribal - A member of one of the tribes/entities on the list of Federally recognized American Indian tribes 

and Alaskan Native entities located at: http://www.epa.gov/tribal/whereyoulive/tribes-a-z.htm.

Use the Comments section in Item 13 to list any additional operators, their names, the dates they became 

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

your last submission of this form. If necessary, attach a separate sheet of paper. Remember to enter your 

site’s EPA Identification Number in the top left-hand corner of each sheet.
19

Site ID Form

(continued)

OPERATOR ADDRESS

Enter the address, e-mail, telephone number, extension, and fax number of the operator. If the address 

and the Location of Site (Item 4) are the same, you can enter “Same as Item 4 9A” in the box for Item 9B.

Use the Comments section in Item 13 to list any additional operators, their names, the dates they became 

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

your last submission of this form. If necessary, attach a separate sheet of paper. Remember to enter your 

site’s EPA Identification Number in the top left-hand corner of each sheet.

NOTE

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

Because an EPA Identification Number is site-specific, the new owner will keep the existing 

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

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

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

ITEM 10 – TYPE OF REGULATED WASTE ACTIVITY

Mark box “Yes” or box “No” as appropriate for all current activities (as of the date submitting the 

form) at this site; complete any additional boxes as instructed. Current activities mean activities that 

are in effect when the form is submitted or those that the site plans to begin after EPA Identification 

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

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

mark the “No” (not a generator) box for Generator of Hazardous Waste.

NOTE You must report your current regulated waste activities as of the date of submitting the 

Site ID Form.

A. HAZARDOUS WASTE ACTIVITIES (COMPLETE ALL PARTS 1 THROUGH 10)

NOTE

Listed below are the Federal generator status definitions. If, however, the State where your 

site is locat ed has definitions different from the Federal definitions, you must use the State 

definitions.
20

Site ID Form

(continued)

1. GENERATOR OF HAZARDOUS WASTE (AT YOUR SITE):

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

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

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

regulations for hazardous waste generators are found in 40 CFR 261.5 for conditionally exempt small 

quantity generators (CESQGs) and in 40 CFR Part 262 for both small quantity generators (SQGs) and 

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

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

generators.

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

a. LQG: Large Quantity Generator

For purposes of providing information in this form, the site is an LQG if the site generates any of the 

following amounts in a calendar month: 

(i) Greater than or equal to 1,000 kilograms (kg; 2,200 pounds [lbs]) of non-acute RCRA hazardous 

waste; or

(ii) Greater than 1 kg (2.2 lbs) of any RCRA acute hazardous waste listed in sections 261.31 or 

261.33(e); or

(iii) Greater than 100 kg (220 lbs) of any residue or contaminated soil, waste, or other debris 

resulting from the cleanup of a spill, into or on any land or water, of any acute hazardous wastes 

listed in sections 261.31 or 261.33(e).

NOTE

As discussed earlier, a RCRA LQG is a site that is neither a CESQG nor a SQG. For purposes of 

clarity, we describe above the situations when a site would be an LQG. 

If, in addition to being an LQG, you recycle hazardous wastes at your site, mark both this box 

and Item 10.A.410.A.7.

Hazardous secondary material managed under 40 CFR 261.2(a)(2)(ii) 260.30, 40 CFR 

261.4(a)(23), (24), or (25) (27) DOES NOT count towards your generator status. However, 

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

secondary material under these exclusions.

b. SQG: Small Quantity Generator

This site is a SQG if the site meets all of the following criteria:

(i) Generates, in any calendar month, more than 100 kg (220 lbs) but less than 1,000 kg (2,200 lbs) 

of RCRA hazardous waste; and

(ii) Does not generate, in any calendar month, more than 1 kg (2.2 lbs.) of acute hazardous waste 

listed in sections 261.31 or 261.33(e); and

(iii) Does not generate more than 100 kg (220 lbs) of material from the cleanup of any residue or 

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

or water, of any acute hazardous wastes listed in sections 261.31 or 261.33(e).
21

Site ID Form

(continued)

NOTE

The definition of an SQG found at 40 CFR 260.10 is outdated. The EPA plans to make the 

appropriate conforming change in the future. Moreover, here in this document, for 

purposes of clarity, we include those situations where an SQG also may have generated 

amounts of acute hazardous wastes and still maintain its regulatory status as an SQG.

c. CESQG: Conditionally Exempt Small Quantity Generator

This site is a CESQG if the site generates less than or equal to the following amounts in a calendar 

month: 

(i) 100 kg (220 lbs) of hazardous waste; and

(ii) 1 kg (2.2 lbs) of acute hazardous wastes listed in sections 261.31, or 261.33(e); and

(iii) 100 kg (220 lbs) of any residue or contaminated soil, waste, or other debris resulting from the 

cleanup of a spill, into or on any land or water, of any acute hazardous wastes listed in sections 

261.31, or 261.33(e).

NOTE

A CESQG is defined at 40 CFR 261.5(a) as a site that generates less than or equal to 100 kg 

(220 lbs) of hazardous waste. However, the regulations at 40 CFR 261.5(e) discuss situations 

where a CESQG could be subject to full regulation. For purposes of clarity, we describe all 

those situations where a site continues to be a CESQG. 

If you generate acute hazardous wastes listed in 40 CFR 261.31, 261.32, or 261.33(e), please 

refer to 40 CFR 261.5(e) to determine the circumstances under which you must notify the 

EPA.

If you marked“Yes” above ”Y” for item 10.A.1 Generator of Hazardous Waste, indicate your other 

generator activities size in 10.A.1a, 10.A.1b, or through item 10.A.1c. Mark “Yes” or “No””Y” or “N” for 

the other hazardous waste activities listed below in item 10.A.2 through item 10.A.10 that may occur at 

this site. Complete all parts 2-10.
22

Site ID Form

(continued)

2. SHORT-TERM GENERATORS

Mark “Yes” if the site is currently generating hazardous waste only as the result of a one-time, nonrecurring, temporary event that is not related to normal production processes. In other words, shortterm generators produce hazardous waste from a particular activity for a limited time and then cease 

conducting that activity. Short-term generators would not be considered episodic generators because 

episodic generators have the potential to generate on a regular basis (for example, a facility that fluctuates 

from SQG to LQG in one month is not a short-term generator). Examples of short-term generators include: 

(1) one-time highway bridge waste generation; (2) underground storage tank removals; (3) generation of 

off-spec or out-of-date chemicals at a site that normally doesn’t generate hazardous waste; (4) 

remediation or spill clean-up at sites with no previous RCRA EPA Identification Number; and (5) site or 

production process decommissions by a new operator. If you mark “Yes”, you must provide an 

explanation of your short-term generation event in Item 13 – Comments.

3. U.S. IMPORTER OF HAZARDOUS WASTE

Mark “Yes” if you import hazardous waste from a foreign countrya site located in a foreign country into 

the U.S. Refer to 40 CFR 262.10(e) and 40 CFR 262.60(a) for additional information.

4. MIXED WASTE GENERATOR

Mark “Yes” if you are a generator of mixed waste (waste that is both hazardous and radioactive). RCRA 

defines “mixed waste” as waste that contains both hazardous waste and source, special nuclear, or byproduct material subject to the Atomic Energy Act (AEA), RCRA Section 1004(41), 42 U.S.C. 6903 (63 FR

17414; April 9, 1998). See the “DEFINITIONS” section.

5. TRANSPORTER OF HAZARDOUS WASTE

a. Transporter

You transport hazardous waste within the U.S. The Federal regulations for hazardous waste 

transporters are found in 40 CFR Part 263.

b. Transfer Facility (at your site)

You are a hazardous waste transfer facility, at your site, if you hold manifested hazardous waste(s) at 

your site for a period of ten (10) days or less while the waste is in transit. The Federal regulations for 

hazardous waste transfer facilities are found in 40 CFR 263.12.

6. TREATER, STORER, OR DISPOSER OF HAZARDOUS WASTE (AT YOUR SITE)

If you treat, store, or dispose of hazardous waste, mark “Yes.” A RCRA Hazardous Waste Part B Permit is 

required for this activity. Contact the appropriate office for your State for more information. The Federal 

regulations for owners and operators of permitted treatment, storage, and disposal facilities (TSDFs) are 

found in 40 CFR Parts 264, 265, 266, and 270.

Mark “No” if any of the following conditions are true for your facility:
23

Site ID Form

(continued)

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

for management within the regulatory timeframe.

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

Hazardous and Solid Waste Amendments of 1984 (HSWA), or a consent order under a nontraditional permit or without a RCRA permit being required.

 Receives waste from off-site but does not store greater than 10 days before re-shipping 

(i.e., transfer facility).

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

RCRA hazardous wastes, mark “Yes” for both this box and Item 10.B.2.

7. RECYCLER OF HAZARDOUS WASTE (AT YOUR SITE)

If you recycle regulated hazardous wastes (recyclable materials) at your site, mark “Yes”. The Federal 

regulations for owners and operators of sites that recycle hazardous waste are found in 40 CFR 261.6. 

You also may be subject to other Federal and State regulations; in some cases a permit is required.

NOTE

If your site, in addition to being a recycling site for hazardous waste, is a treater, storer, or 

disposer treats, stores, or disposes of hazardous waste, mark “Yes” for both this box and

Item 10.A.6. If your site is a destination facility for universal wastes in addition to being a 

recycling site for other RCRA hazardous wastes, mark “Yes” for both this box and Item 10.B.2.

8. EXEMPT BOILER AND/OR INDUSTRIAL FURNACE (AT YOUR SITE)

If “Yes”, place an “X” in all that apply.

a. Small Quantity On-Site Burner Exemption

You burn small quantities of hazardous waste in an on-site boiler or industrial furnace in accordance 

with the conditions in 40 CFR 266.108, place an “X” in the box to indicate that you qualify for the Small 

Quantity On-Site Burner Exemption.

b. Smelting, Melting, and Refining Furnace Exemption

You process hazardous wastes in a smelting, melting, or refining furnace solely for metals recovery, 

as described in 40 CFR 266.100(d), or to recover economically significant amounts of precious metals, 

as described in 40 CFR 266.100(g), or if you process hazardous wastes in a lead recovery furnace to 

recover lead, as described in 40 CFR 266.100(h), place an “X’ in the box to indicate that you qualify for 

the Smelting, Melting, and Refining Furnace Exemption.

9. UNDERGROUND INJECTION CONTROL (AT YOUR SITE)

If you generate, treat, store, or dispose of hazardous waste and place the waste or its residuals into an 

underground injection well (e.g., a Class I well) located at your site, mark “Yes.” The Federal regulations 
24

Site ID Form

(continued)

for owners and operators of underground injection wells are found in 40 CFR Part 148.

10. RECEIVES HAZARDOUS WASTE FROM OFF-SITE (AT YOUR SITE)

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

transaction or waste received from a restricted group of off-site generators, mark “Yes.”

In addition to the above, mark “Yes” or “No” for the other regulated waste activities listed below that 

may occur at this site. Complete Items B, C, and D as appropriate.

B. UNIVERSAL WASTE ACTIVITIES (AT YOUR SITE)

Refer to your State-specific requirements and definitions for universal waste. Also, refer to 40 CFR 261.9

and 40 CFR Part 273 for the Federal regulations covering universal waste. Complete parts 1 and 2.

1. LARGE QUANTITY HANDLER OF UNIVERSAL WASTE (LQHUW)

You are an LQHUW if you accumulate a total of 5,000 kg or more total of universal wastes (batteries, 

pesticides, mercury-containing equipment, or lamps – calculated collectively) at any time. This 

designation is retained through the end of the calendar year in which the 5,000 kg limit is met or exceeded. 

If “Yes,” place an “X” in the appropriate box(es) to indicate the type(s) of universal wastes managed at 

your site. If your State has other additional universal wastes, indicate what they are by placing an “X” in 

the corresponding box(es) (10.B.1.e, f, or g).

2. DESTINATION FACILITY FOR UNIVERSAL WASTE

Mark “Yes” if you treat, dispose, or recycle universal wastes on-site. A hazardous waste permit is required 

if you treat or dispose of universal wastes; a permit may be required if you recycle universal wastes.

NOTE

If your site, in addition to being a destination facility for universal wastes, is also a TSDF for 

RCRA hazardous wastes, mark “Yes” for both this box and Item 10.A.6. In addition, if your 

site recycles RCRA hazardous wastes, mark “Yes” for both this box and Item 10.A.7.

C. USED OIL ACTIVITIES

Mark the appropriate box(es) to indicate which used oil management activities are taking place at this 

site. The Federal regulations for used oil management are found in 40 CFR Part 279. Complete all parts 

1 through 4.

1. USED OIL TRANSPORTER

If “Yes,” place an “X” in all that apply.

a. Transporter

You transport used oil within the U.S. The Federal regulations for used oil transporters are found in 

40 CFR 279.40-47.
25

Site ID Form

(continued)

b. Transfer Facility (at your site)

You own or operate a used oil transfer facility. The Federal regulations for used oil transfer facilities 

are found in 40 CFR 279.40-47.

2. USED OIL PROCESSOR AND/OR RE-REFINER (AT YOUR SITE)

If “Yes,” place an “X” in all that apply.

a. Processor

You process used oil. The Federal regulations for processors of used oil are found in 40 CFR 279.50-59.

b. Re-refiner

You refine used oil. The Federal regulations for re-refiners of used oil are found in 40 CFR 279.50-59.

3. OFF-SPECIFICATION USED OIL BURNER (AT YOUR SITE)

You burn off-specification used oil fuel. Mark “Yes” to indicate this used oil management activity.

3. USED OIL FUEL MARKETER (AT YOUR SITE)

If “Yes,” place an “X” in all that apply.

a. Marketer Who Directs Shipment of Off-Specification Used Oil to Off-Specification Used Oil Burners

You are a marketer who directs shipment of off-specification used oil to off-specification used oil 

burners. The Federal regulations for off-specification used oil used oil fuel marketers are found in 40 

CFR 279.70-75.

b. Marketer Who First Claims the Used Oil Meets the Specification

You are the first to claim that used oil meets the used oil specifications established in 40 CFR 279.11.

NOTE

If either of these boxes is marked, you must also notify (or have previously notified) as a used 

oil transporter (10.C.1), used oil processor/re-refiner (10.C.2), or off-specification used oil 

fuel burner (10.C.3), unless you are a used oil generator. (Used oil generators are not 

required to notify.)

D. Eligible Academic Entities with Laboratories – Notification for opting into or withdrawing from 

managing laboratory hazardous wastes pursuant to 40 CFR Part 262, Subpart K

Note: Fill out Box D ONLY if you are at least one of the following: a college or university; a teaching 

hospital that is owned by or has a formal written affiliation agreement with a college or university; or a 

non-profit research institute that is owned by or has a formal written affiliation agreement with a 

college or university; AND you have checked with your State to determine if 40 CFR Part 262, Subpart K 
26

Site ID Form

(continued)

is effective in your State and for any State-specific requirements. See EPA’s website for more 

information about these regulations: 

http://www.epa.gov/wastes/hazard/generation/labwaste/implementation.htm

http://www2.epa.gov/hwgenerators/regulations-hazardous-waste-generated-academic-laboratories

Subpart K is an optional alternative set of requirements for eligible academic entities with laboratories. 

Certain generators (i.e., eligible academic entities defined under (1) below) are eligible to operate under 

Subpart K for management of their hazardous wastes in laboratories in lieu of 40 CFR 262.34(c) (or 40 CFR 

261.5 for CESQGs). Eligible academic entities with laboratories that generate hazardous waste that elect 

to opt into Subpart K, are currently operating under Subpart K, or subsequently withdraw from Subpart K 

must complete this section to meet the notification requirements of this Subpart. Refer to 40 CFR 262.203

and 40 CFR 262.204.

NOTE

Eligible academic entities with laboratories must complete a separate Site ID Form for each 

site (i.e., EPA Identification Number) that is managing hazardous waste under Subpart K. All 

laboratories with the same EPA Identification Number will be regulated under this Subpart. 

If eligible academic entities with laboratories withdraw from Subpart K, all laboratories with 

the same EPA Identification Number associated with the withdrawal from Subpart K will be 

regulated under 40 CFR 262.34(c) requirements (or 40 CFR 261.5 for CESQGs).

1. OPTING INTO OR CURRENTLY OPERATING UNDER 40 CFR PART 262, SUBPART K FOR THE 

MANAGEMENT OF HAZARDOUS WASTES IN LABORATORIES

Mark “Yes” for this box if you are an eligible academic entity and you elect to opt into or are currently 

operating under 40 CFR Part 262, Subpart K for the hazardous wastes generated in your laboratories. If 

you mark “Yes” for this box, you must place an “X” in at least one of the following to indicate your type of 

eligible academic entity. Place an “X” in all that apply:

a. College or University

You are an eligible college or university if you are a private or public, post-secondary, degree-granting, 

academic institution, that is accredited by an accrediting agency listed annually by the U.S. 

Department of Education.

b. Teaching Hospital that is owned by or has a formal written affiliation agreement with a college or 

university

You are an eligible teaching hospital if you are a hospital that trains students to become physicians, 

nurses, or other health personnel and is either: (1) owned by a college or university, or (2) has a 

master affiliation agreement and program letter of agreement, as defined by the Accreditation 

Council for Graduate Medical Education, with an accredited medical program or medical school.

c. Non-profit Institute that is owned by or has a formal written affiliation agreement with a college or 

university
27

Site ID Form

(continued)

You are an eligible non-profit institute if you are an organization that conducts research as its primary 

function and files as a non-profit organization under the tax code of 26 U.S.C. 501(c)(3) and is either: 

(1) owned by a college or university, or (2) has a formal written affiliation agreement with a college 

or university that establishes a relationship between institutions for the purposes of research and/or 

education and is signed by authorized representatives from each institution. A relationship on a 

project-by-project or grant-by-grant basis is not considered a formal written affiliation agreement.

2. WITHDRAWING FROM 40 CFR PART 262, SUBPART K FOR THE MANAGEMENT OF HAZARDOUS

WASTES IN LABORATORIES

Mark “Yes” for this box if you have previously elected to opt into 40 CFR Part 262, Subpart K and are now 

withdrawing from participation in this optional set of alternative requirements for hazardous waste 

generation in laboratories. Withdrawing generators will automatically revert to regulation under 40 CFR 

262.34(c) requirements (or 40 CFR 261.5 for CESQGs). If marking “Yes” for this box, please include 

comments in Item 13 – Comments that explain your reasons for withdrawing from Subpart K.

ITEM 11 – DESCRIPTION OF HAZARDOUS WASTES

Complete this item if you marked “Yes” for any activity 1 (a-c), 6, 7, or 8 in Item 10.A. You will need to 

refer to 40 CFR Part 261 to complete this item. Part 261 identifies those solid wastes which the EPA 

defines as hazardous and regulates under RCRA. If you need help completing this section, please contact 

your State Office.

A. WASTE CODES FOR FEDERALLY REGULATED HAZARDOUS WASTES

Please list the waste codes of the Federal hazardous wastes (described in 40 CFR Part 261) handled at 

your site. List them in the order they are presented in the regulations using the appropriate 4-digit code(s) 

(e.g., D001, D003, F007, U112).

NOTE

If you handle more hazardous wastes than will fit under Item 11.A, please continue under 

Item 13 – Comments or on an extra sheet. Remember to include your EPA Identification 

Number on the top of each page. If you handle a large number of codes, you may copy the 

list in this booklet and mark the ones that you handle. Attach any additional sheets to the 

Site ID Form. Remember to include your EPA Identification Number on the top of each page.

B. WASTE CODES FOR STATE-REGULATED (I.E., NON-FEDERAL) HAZARDOUS WASTES

If you manage State-regulated hazardous wastes that have a State waste code, enter the appropriate 

code(s) in the box(es) provided. Please list the waste codes of the State-regulated hazardous wastes 

handled at your site in the order they are presented in the regulations.
28

Site ID Form

(continued)

NOTE

If you handle more hazardous wastes than will fit under Item 11.B, please continue under 

Item 13 – Comments or on an extra sheet. Remember to include your EPA Identification 

Number on the top of each page.

ITEM 12– NOTIFICATION OF HAZARDOUS SECONDARY MATERIAL (HSM) ACTIVIITY

A. Mark “Yes” if you are notifying under 40 CFR 260.42 that you will begin managing, are still managing, 

or will stop managing hazardous secondary material under 40 CFR 261.2(a)(2)(ii) 260.30, 40 CFR 

261.4(a)(23), (24), or (25) (27). Mark “No” if you are not notifying under 40 CFR 260.42. Note: You 

must check with your State to determine if you are eligible to manage hazardous secondary material 

under these regulations.

NOTE If you mark “Yes,” you must fill out the Addendum to the Site ID Form: Notification of 

Hazardous Secondary Material Activity. See instructions for this Addendum after Item 14.

B. Mark “Yes” if you are submitting a legitimate recycling notification under 40 CFR 260.43(a)(4)(iii). 

Recycling of hazardous secondary materials for the purpose of the exclusions or exemptions from 

hazardous waste regulations must be legitimate. You must notify EPA if the product of your 

recycling process has levels of hazardous constituents that are not comparable to a legitimate 

product or intermediate, but the recycling is still legitimate. The recycling can be shown to be 

legitimate based on lack of exposure from toxics in the product, lack of the bioavailability of the 

toxics in the product, or other relevant considerations which show that the recycled product does 

not contain levels of hazardous constituents that pose a significant human health or environmental 

risk. Documentation of legitimacy must be maintained onsite for three years. If you’d like to submit 

additional information regarding your recycling, use the Comments Box in Item 13. 

Mark “No” if you are not notifying under this provision. Notification is not required if the product of 

the recycling process is comparable to a legitimate product or intermediate per 40 CFR 

260.43(a)(4)(i) or (ii).

ITEM 13– COMMENTS

Use this section as needed to provide additional information for Items 1 through 12. Include the item 

number and box letter (if any) for each comment you make. You may attach additional sheets if needed. 

Remember to include your EPA Identification Number on the top of each page.

ITEM 14 – CERTIFICATION

This certification must be signed and dated by the owner(s), operator(s), responsible official(s), or 
29

Site ID Form

(continued)

authorized representative(s) of the site. See 40 CFR 270.11 for more information on signatories in 

general. See also 40 CFR 270.10(b) for additional Hazardous Waste Part A Permit Application signatory 

specifics. An “authorized representative” is a person responsible for the overall operation of the site 

(i.e., a plant manager or superintendent, or a person of equal responsibility).

NOTE All Site ID Form submissions must include this certification to be complete.
30

Addendum to the Site Identification Form:

Notification of Hazardous Secondary Material Activity

YOU MUST FILL OUT THIS SECTION IF:

 You are located in a State that allows you to manage excluded hazardous secondary material under 40 

CFR 261.2(a)(2)(ii) 260.30, 261.4(a)(23), (24), or (25) (27). See 

http://www.epa.gov/epawaste/hazard/dsw/statespf.htm for a list of eligible States; AND

 You will begin managing, are still managing, or will stop managing excluded hazardous 

secondary material under 40 CFR 261.2(a)(2)(ii) 260.30, 40 CFR 261.4(a)(23), (24), or (25) (27)

and must notify the appropriate State or Regional Office of your activities, pursuant to 40 CFR 

260.42. These regulations exclude certain hazardous secondary material being reclaimed from 

the RCRA Subtitle C definition of solid waste provided certain requirements and conditions are 

met. See EPA’s website for more information about these regulations: 

http://www.epa.gov/osw/hazard/dsw/rulemaking.htm.

Complete all parts 1 – 3 1 and 2.

NOTE

You must be managing excluded hazardous secondary material in compliance with 

40 CFR 261.2(a)(2)(ii) 260.30, 261.4(a)(23), (24), and/or (25) (27) (or State equivalent). Do 

not include any information regarding your hazardous wastes in this section. See 73 FR 

64668 or http://www.epa.gov/epawaste/hazard/dsw/impresource.htm for more 

information on these exclusions.

You must submit a completed Site ID Form, including this Addendum, prior to operating 

under the exclusion(s) and by March 1 of each even-numbered year thereafter to your 

regulatory authority using the Site ID Form as pursuant to 40 CFR 260.42. Persons who must 

satisfy this notification requirement can submit this information at the same time as their 

Hazardous Waste Report (which is also due by March 1 of each even-numbered year).

If you stop managing hazardous secondary material in accordance with the exclusion(s) and 

do not expect to manage any amount of hazardous secondary material under the exclusion(s) 

for at least one year, you must also submit a completed Site ID Form, including this 

Addendum, within thirty (30) days pursuant to 40 CFR 260.42.

Remember to include your EPA Identification Number on the top of each page.
31

ITEM 1 – INDICATE REASON FOR NOTIFICATION (INCLUDE DATES WHERE REQUESTED)

Place an “X” in the box for the reason that applies to you:

FACILITY WILL BEGIN MANAGING EXCLUDED HAZARDOUS SECONDARY MATERIAL AS OF 

(MM/DD/YYYY)

Place an “X” in this box if you are notifying that you will begin managing hazardous secondary material under 

the exclusion(s).

 Facilities must notify prior to operating under the exclusion(s).

 If placing an “X” in this box, list the date (mm/dd/yyyy) when you will begin managing hazardous 

secondary material under 40 CFR 261.2(a)(2)(ii) 260.30, 40 CFR 261.4(a)(23), (24), or (25) (27). Note: 

If the facility had previously notified that it will stop managing hazardous secondary material in the 

past but will now begin anew, list the next planned start date. 

FACILITY IS STILL MANAGING EXCLUDED HAZARDOUS SECONDARY MATERIAL/RE-NOTIFYING 

AS REQUIRED BY MARCH 1 OF EACH EVEN-NUMBERED YEAR

Place an “X” in this box if you are re-notifying that you are still managing hazardous secondary material under 

the exclusion(s). Note: You must have previously notified that you began managing hazardous secondary 

material in order to check this box.

 Facilities must re-notify by March 1st of each even-numbered year.

 If placing an “X” in this box, you do not have to list a date.

FACILITY HAS STOPPED MANAGING EXCLUDED HAZARDOUS SECONDARY MATERIAL AS OF 

(MM/DD/YYYY) AND IS NOTIFYING AS REQUIRED

Place an “X” in this box, if you are notifying that you have stopped managing hazardous secondary material 

under the exclusion(s) and do not expect to manage any amount of hazardous secondary material for at least 

one year (pursuant to 40 CFR 260.42(b)). List the date when you stopped managing hazardous secondary 

material. Enter the date in “mm/dd/yyyy” format.

 Facilities must notify within 30 days of when they stopped managing hazardous secondary material. 

You are considered to have stopped managing hazardous secondary material if: (1) you stop 

managing hazardous secondary material completely (e.g., you cease operations); (2) you choose to 

manage the hazardous secondary material as hazardous waste; (3) you undergo closure and request 

release from financial assurance per 40 CFR 261.143(h) or 40 CFR 264.143; or (4) you temporarily 

suspend management of hazardous secondary material for at least one year.

 Only place an “X” in this box if you have stopped managing all hazardous secondary material under 

the exclusion(s). For example, if your facility only stopped managing one hazardous secondary 
32

material, but continued to manage another hazardous secondary material, you would leave this box 

blank since your facility continues to manage some amount of hazardous secondary material.

 If you submit a notification that you have stopped managing hazardous secondary material, you do 

not need to re-notify (unless you choose to manage hazardous secondary material again, in which 

case you would have to submit a notification prior to managing). After submitting a stop notification, 

you can leave the Addendum blank for subsequent submissions, including any subsequent Hazardous 

Waste Report submissions.

ITEM 2 – DESCRIPTION OF EXCLUDED HAZARDOUS SECONDARY MATERIAL (HSM) ACTIVITY

In the table provided on the Addendum to the Site Identification Form, list your appropriate facility code, 

each waste code for the hazardous secondary material you manage, the estimated and actual quantities in 

short tons for each hazardous secondary material, and the appropriate land-based code for how you manage 

the hazardous secondary material. Do not include any information regarding your hazardous wastes in this 

section. See examples below on how to answer this question.

a. Facility Code

Using the facility codes, found in the “HAZARDOUS SECONDARY MATERIAL (HSM) FACILITY CODES”

section of this booklet, enter the appropriate 2-digit code(s) that correctly describes your facility. If more 

than one code applies to your facility, enter each 2-digit code on a separate row. Each hazardous 

secondary material should be reported by facility code.

b. Waste Code(s) for HSM

Use the box provided to enter the appropriate 4-digit hazardous waste code(s) that would apply to your 

hazardous secondary material if you managed it as hazardous waste (i.e., the waste code(s) that would 

apply if you did not manage your material in accordance with 40 CFR 261.2(a)(2)(ii) 260.30, 40 CFR 

261.4(a)(23), (24), or (25) (27)).

NOTE

If you list more codes or manage more hazardous secondary material than will fit in the table 

under Item 2, please continue under Item 13 – Comments, or on an extra sheet. Remember to 

include your EPA Identification Number on the top of each page.

c. Estimate Short Tons of Excluded HSM to be Managed Annually

In the box provided, enter your estimated tonnage (using short tons) of hazardous secondary material 

you expect to manage annually. Convert all physical quantities (e.g., gallons, cubic yards, kilograms, 

metric tons, etc.) to short tons (1 short ton = 2,000 pounds) and round to the nearest ton (no decimals). 

Note: Your estimated tonnage should be for the entire amount of hazardous secondary material to be 

reclaimed NOT just the quantity of constituent or product reclaimed.

d. Actual Short Tons of Excluded HSM Managed During the Most Recent Odd-Numbered Year

Report the tonnage (using short tons) of each hazardous secondary material you actually managed during 

the most recent odd-numbered year. For example, if you are submitting this notification on February 20, 

2016, enter the amount you actually managed during 2015 (i.e., the tonnage you managed from January 

1, 2015 to December 31, 2015). Convert all physical quantities (e.g., gallons, cubic yards, kilograms, 
33

metric tons, etc.) to short tons (1 short ton = 2,000 pounds) and round to the nearest ton (no decimals). 

Note: Your actual tonnage should be for the entire amount of hazardous secondary material that was 

sent for reclamation NOT just the quantity of constituent or product reclaimed. If this is your initial 

notification, enter “0.”

e. Land-based Unit Code

Using the land-based unit codes, found in the “HAZARDOUS SECONDARY MATERIAL (HSM) LAND BASED 

UNIT CODES” section of this booklet, enter in the 2-digit code that best describes the land-based unit 

you use or will use to manage the hazardous secondary material. If you do not use any land-based units, 

enter “NA.” If you use the code “OT” (Other), please describe your land-based unit in Item 13 –

Comments. If more than one land-based unit code applies to a hazardous secondary material, list it 

separately using another row.

EXAMPLES FOR REPORTING HAZARDOUS SECONDARY MATERIAL ACTIVITY

Example 1

A pharmaceutical manufacturer generates spent solvents that are characteristic for ignitability (D001). The 

manufacturer plans to manage spent solvents under 40 CFR 261.2(a)(2)(ii) 40 CFR 261.4(a)(23) and 

261.4(a)(24) by sending some amount to a reclaimer within its own company and the rest off-site to a 

reclamationrecycling facility within the U.S. The manufacturer will not manage any spent solvents in a landbased unit. Following the regulations, the manufacturer submits an initial notification prior to managing its 

spent solvents under the exclusions. The facility would report its hazardous secondary material activity as 

follows:

a. Facility code (answer 

using codes listed in 

the Code List section of 

the instructions)

b. Waste Code(s) for 

hazardous secondary 

material (HSM)

c. Estimated short tons 

of HSM to be 

managed annually

d. Actual short tons of 

HSM that was 

managed during the 

most recent oddnumbered year

e. Land-based unit code

(answer using codes 

listed in the Code List 

section of the 

instructions)

02 D001 15 0 NA

06 D001 40 0 NA

Example 2

A steel manufacturer generates electric arc furnace dust and spent pickle liquor from one of its steel 

operations. The manufacturer sends electric arc furnace dust (K061) off-site to a reclamationrecycling facility 

within the U.S. and reclaims spent pickle liquor (K062) on-site. Neither hazardous secondary material is 

managed in a land-based unit. The steel manufacturer has managed both hazardous secondary material 

under 40 CFR 261.2(a)(2)(ii) 40 CFR 261.4(a)(23) and 261.4(a)(24) for a number of years and it is now time to 

re-notify. The facility would report its hazardous secondary material activity as follows:

a. Facility code (answer 

using codes listed in 

the Code List section of 

the instructions)

b. Waste Code(s) for 

hazardous secondary 

material (HSM)

c. Estimated short tons 

of HSM to be 

managed annually

d. Actual short tons of 

HSM that was 

managed during the 

most recent oddnumbered year

e. Land-based unit code

(answer using codes 

listed in the Code List 

section of the 

instructions)

01 K062 60 52 NA

06 K061 20,000 22,468 NA

Example 3

A reclamationA RCRA-permitted recycling facility has been receiving and reclaiming spent solvents under 40 

CFR 261.2(a)(2)(ii) 40 CFR 261.4(a)(23) and 261.4(a)(24) for a number of years. The facility receives and 
34

reclaims spent solvents from multiple hazardous secondary material generators, some of which are within 

the same company. No spent solvents are managed in a land-based unit. It is now time to re-notify. The 

facility would report its hazardous secondary material activity as follows:

a. Facility code (answer 

using codes listed in 

the Code List section of 

the instructions)

b. Waste Code(s) for 

hazardous secondary 

material (HSM)

c. Estimated short tons 

of HSM to be 

managed annually

d. Actual short tons of 

HSM that was 

managed during the 

most recent oddnumbered year

e. Land-based unit code

(answer using codes 

listed in the Code List 

section of the 

instructions)

03 D001; F002; F003; F005 6,000 7,533 NA

03 D001; D035; F002; F003 1,500 918 NA

07 D001; F002; F003; F005 3,000 3,509 NA

07 D001; D038; F002; F003 1,000 523 NA

Example 4

A smelting operation generates furnace bricks that are characteristic for chromium (D007) and sends them 

off-site for reclamationrecycling. Before shipping the bricks off-site, the facility manages some of the bricks 

in a containment building and the rest in a pile on the land. The facility has been managing the bricks under 

40 CFR 261.4(a)(24) for a number of years and must now re-notify. The facility would report its activity as 

follows:

a. Facility code (answer 

using codes listed in 

the Code List section of 

the instructions)

b. Waste Code(s) for 

hazardous secondary 

material (HSM)

c. Estimated short tons 

of HSM to be 

managed annually

d. Actual short tons of 

HSM that was 

managed during the 

most recent oddnumbered year

e. Land-based unit code

(answer using codes 

listed in the Code List 

section of the 

instructions)

06 D007 200 235 NA

06 D007 115 126 PL

Example 51

AnA RCRA-permitted intermediate facility has been managing wastewater treatment sludges from 

electroplating operations (F006) for the past seven years but, due to company consolidation, it will soon shut 

down. In accordance with 40 CFR 260.42, the facility notifies that it will stop managing hazardous secondary 

material. The facility would report its activity as follows:

a. Facility code (answer 

using codes listed in 

the Code List section of

the instructions)

b. Waste Code(s) for 

hazardous secondary 

material (HSM)

c. Estimated short tons 

of HSM to be 

managed annually

d. Actual short tons of 

HSM that was 

managed during the 

most recent oddnumbered year

e. Land-based unit code

(answer using codes 

listed in the Code List 

section of the 

instructions)

08 F005 0 5,034 NA

Item 3 – Facility has Financial Assurance Pursuant to 40 CFR 261.4(a)(24)(vi)

Financial assurance is required for reclaimers (07, 11) and intermediate (08) facilities managing hazardous 

secondary material under 40 CFR 261.4(a)(24) and (25). See EPA’s website for more information about these 

regulations: http://www.epa.gov/epawaste/hazard/dsw/impresource.htm.

 Mark “Yes,” if you have financial assurance pursuant to 40 CFR 261.4(a)(24)(vi) AND you use at least 

one facility code that is 07, 08, or 11 in Item 2.a above. For example, the facilities in Examples 3 and 

5 above are required to have financial assurance because the facility codes are 07 and 08, 

respectively.
35

 Mark “No,” if you do NOT have financial assurance pursuant to 40 CFR 261.4(a)(24)(vi). Note: 

Reclaimers (07, 11) and intermediate (08) facilities must have financial assurance in order to manage 

hazardous secondary material under 40 CFR 261.4(a)(24) and (25). Answering “No” to this question 

may mean you are in violation of these regulations if you report facility codes 07, 08, or 11. For 

example, the facilities in Examples 1, 2, and 4 above are not required to have financial assurance 

because these facilities did not report facility codes of 07, 08, or 11.
36

INSTRUCTIONS FOR FILLING OUT THE

HAZARDOUS WASTE PERMIT INFORMATION FORM

GENERAL INSTRUCTIONS

Please type or print, leaving only one blank box between words. Abbreviate, if necessary, to stay within 

the number of boxes allowed for each item. Some items in the form require narrative explanation. If 

more space is necessary to answer a question, use the space provided in Item 13 and reference the item 

number to which the additional information applies or attach a separate sheet entitled “Additional 

Information.” Remember to include your EPA Identification Number and Site Name in the upper lefthand corner of each attached page.

Unless otherwise specified in the instructions to the form, each item must be answered. To indicate 

that each item has been considered, enter “NA” for “not applicable,” if a particular item does not fit the 

circumstances or characteristics of your facility or activity.

For a Revised Part A Permit Application, circle the item numbers with new information or changes.

ITEM-BY-ITEM INSTRUCTIONS

ITEM 1 – FACILITY PERMIT CONTACT

Give the name, title, work telephone number, and e-mail of a person who is thoroughly familiar with the 

activities at the facility that require a RCRA Hazardous Waste Permit and with the facts reported in the 

Hazardous Waste Permit Information Form. This person must be available to be contacted by offices 

reviewing the permit application, if necessary. If the Facility Permit Contact person is the same as the 

Site Contact Person identified in Item 8 of the RCRA Subtitle C Site Identification Form (Site ID Form), 

you may print “Same as Site Contact” in this box.

ITEM 2 – FACILITY PERMIT CONTACT MAILING ADDRESS

Enter the mailing address for the facility permit contact. If the mailing address is the same as the Site

Mailing Address (Item 7) on the Site ID Form, you may print “Same as Site Mailing Address” in this box.

ITEM 3 – OPERATOR MAILING ADDRESS AND TELEPHONE NUMBER

Enter the mailing address and telephone number of the facility operator identified in Item 9.B of the Site

ID Form.
37

Hazardous Waste Permit Information Form

(continued)

ITEM 4 – FACILITY EXISTENCE DATE

Enter the appropriate date that applies to your facility from the following:

• The date that hazardous waste operations at the facility commenced;

• The date construction on the facility commenced; or

• The date operation is expected to begin.

ITEM 5 – OTHER ENVIRONMENTAL PERMITS

A. PERMIT TYPE

Using the codes listed below, enter a letter on the form for all other environmental permits the facility has

received, or for which the facility has filed an application, even if the permit has not yet been received.

N = NPDES (National Pollutant Discharge Elimination System) Clean Water Act

P = PSD (Prevention of Significant Deterioration) Clean Air Act

R = RCRA (Resource Conservation and Recovery Act)

U = UIC (Underground Injection Control) Safe Drinking Water Act

F = EPA 404 (Dredge or Fill Permits under Section 404 of the Clean Water Act)

E = Other relevant environmental permits. List any other relevant Federal (e.g., permits

under the Ocean Dumping Act), State (e.g., State permits for new air emission sources in

nonattainment areas under Part D of the Clean Air Act or State permits under

Section 404 of the Clean Water Act), or local environmental permits or applications.

B. PERMIT NUMBER

Give the number of each presently effective permit issued to the facility for each program, or if you have 

previously filed an application, but have not yet received a permit, give the number of the application 

and note this in the description. You may list additional permit numbers on a separate sheet of paper if 

you have more than one currently effective permit for your facility under a particular permit program. 

Remember to include your EPA Identification Number and Site Name in the upper left-hand corner of each 

attached page.

C. DESCRIPTION

Use the space provided for any additional information identifying or describing the permits.
38

Hazardous Waste Permit Information Form

(continued)

ITEM 6 – NATURE OF BUSINESS

Briefly describe the nature of your business (e.g., products produced or services provided). If more 

space is needed, please attach additional sheets. Remember to include your EPA Identification Number 

and Site Name in the upper left-hand corner of each attached page.

ITEM 7 – PROCESS CODES AND DESIGN CAPACITIES

The information in Item 7 describes all the processes that will be used to treat, store, or dispose of 

hazardous waste at the facility. The process code and design capacity of each process must be provided 

as part of the description. The design capacity of injection wells and landfills at existing facilities should 

be measured as the remaining, unused capacity. Tank storage should refer to each tank, not each tank 

farm. Please indicate the location of each process listed in Item 7 on either the map provided for 

Item 10 or the photographs provided for Item 12. Use the line number from Item 7 to indicate where 

the process(es) are located. See the form for detailed instructions on Item 7.

NOTE

Submission of a Revised Part A Permit Application is required before processes for treating, 

storing, or disposing of hazardous wastes are changed; before new processes are added; 

and/or before the design capacities of these processes are increased.

ITEM 8 – OTHER PROCESSES

Use this space to describe other processes that did not have a specific process code listed in Item 7.A of 

the form. Follow the instructions for Item 7.A on the form for other process codes (i.e., D99, S99, T04, and 

X99 process codes). Describe the other processes in Item 13 – Comments.

ITEM 9 – DESCRIPTION OF HAZARDOUS WASTES

This information describes all the hazardous wastes, using their hazardous waste codes, that will be 

treated, stored, or disposed at the facility. In addition, the processes that will be used to treat, store, or 

dispose of each hazardous waste and the estimated annual quantity of each hazardous waste must be 

provided. The form contains three pages to capture the information for Item 9: Page 4 of 6, which has 

detailed instructions; Page 5 of 6, which is to be filled out; and Page 5_ of _, which is used if additional 

pages are needed. If additional pages are needed, the pages should be numbered as follows: Page 5a of

6, Page 5b of 6, Page 5c of 6, etc. See the form for detailed instructions on Item 9.
39

Hazardous Waste Permit Information Form

(continued)

NOTE

Submission of a Revised Part A Permit Application is required before a facility begins treating, 

storing, or disposing of new hazardous wastes not previously identified in the facility’s Part A 

Permit Application. Changes in the quantity of hazardous waste previously specified in the 

Part A Permit Application can be made without submitting a Revised Part A Permit Application, 

provided the quantity does not exceed the process design capacities specified in the first Part A 

submission.

ITEM 10 - MAP

Provide a topographic map or maps of the area extending to a least one mile beyond the property 

boundaries of the facility. The map must clearly show the following:

• The legal boundaries of the facility;

• The location and serial number of each of your existing and proposed intake and discharge 

structures;

• All hazardous waste management facilities;

• Location of all processes listed in Items 7 and 8 identified by process code;

• Each well where you inject fluids underground; and

• All springs and surface water bodies in the area, plus all drinking water wells within 1⁄4 mile of the 

facility which are identified in the public record or otherwise known to you.

If an intake or discharge structure, hazardous waste disposal site, or injection well associated with the 

facility is located more than one mile from the plant, include it on the map, if possible. If not, attach 

additional sheets describing the location of the structure, disposal site, or well, and identify the U.S. 

Geological Survey (or other) maps corresponding to the location. Remember to include your EPA 

Identification Number and Site Name in the upper left-hand corner of each attached page.

On each map, include the map scale, a meridian arrow showing north, and latitude and longitude at the 

nearest whole second. On all maps of rivers, show the direction of the current, and in tidal waters, show 

the directions of the ebb and flow tides. Use a 7-1/2 minute series map published by the U.S. Geological 

Survey. If a 7-1/2 minute series map has not been published for your facility site, then you may use a

15-minute series map from the U.S. Geological Survey. If neither a 7-1/2 nor 15-minute series map has 

been published for your facility site, use a plant map or other appropriate map, and include all the 

requested information; in this case, briefly describe land uses in the map area (e.g., residential, 

commercial).

For information about obtaining maps, contact the U.S. Geological Survey at (888) 275-8747 or see the

U.S. Geological Survey web site at http://www.usgs.gov/pubprod.

You may trace your map from a geological survey chart, or other map meeting the above specifications. 

If you do, your map should bear a note showing the number or title of the map or chart from which it 

was traced. Include the names of nearby towns, water bodies, and other prominent points.
40

Hazardous Waste Permit Information Form

(continued)

ITEM 11 – FACILITY DRAWING

All existing facilities must include a drawing showing the general layout of the facility. This drawing 

should be approximately to scale and fit on an 8 1⁄2” x 11” sheet of paper. The drawing should show the 

following:

• The property boundaries of the facility;

• The areas occupied by all storage, treatment, or disposal operations that will be used during 

interim status;

• The name of each operation (e.g., multiple hearth incinerator, drum storage area, etc.);

• Areas of past storage, treatment, or disposal operations;

• Areas of future storage, treatment, or disposal operations; and

• The approximate dimensions of the property boundaries and all storage, treatment, and 

disposal areas. (Where applicable, use the process codes listed in Items 7 and 8 to indicate the 

location of all storage, treatment, and disposal areas.)

NOTE New facilities do not have to complete Item

11.

ITEM 12 – PHOTOGRAPHS

All existing facilities must include photographs that clearly delineate all existing structures; all existing 

areas for storing, treating, or disposing of hazardous waste; and all known sites of future storage, 

treatment, or disposal operations. Photographs may be color or black and white, ground-level or aerial. 

Indicate the date the photograph was taken on the back of each photograph. Use the process codes 

listed in Items 7 and 8 to indicate the location of all storage, treatment, and disposal areas.

NOTE New facilities do not have to complete Item

11.

ITEM 13 - COMMENTS

Use this space for any additional comments and attach additional sheets if necessary. Remember to 

include your EPA Identification Number and Site Name in the upper left-hand corner of each attached 

page.
41

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RCRA Hazardous Waste

Part A Permit Application

OTHER REFERENCE INFORMATION 

AND

CODE LISTS
Definitions

(continued)

43

 EXCLUDED WASTES

This section presents a partial list of excluded materials and wastes. This list includes materials excluded from the 

definition of solid waste in 40 CFR 261.4(a) and solid wastes excluded from the definition of hazardous waste in 

40 CFR 261.4(b). In addition, it also includes specific solid waste samples that are excluded from the definition of 

hazardous waste in 40 CFR 261.4(d)-(f). Finally, this list includes specific hazardous wastes, as described in 40 CFR 

261.4(c), that are exempted from certain RCRA Subtitle C regulations.

Agricultural Waste Fertilizer

§261.4(b)(2)

Analytical Samples – A Sample Of Solid 

Waste Or A Sample Of Water, Solid, Or 

Air, Which Is Collected For The Sole 

Purpose Of Testing To Determine Its 

Characteristics Or Composition

§261.4(d)

Arsenic Treated Wood and Wood 

Products

§261.4(b)(9)

Carbon Dioxide Stream Injected For 

Geologic Sequestration. Carbon 

Dioxide Streams That Are Captured 

And Transported For Purposes Of 

Injection Into An Underground 

Injection Wells, Including The 

Requirements in 40 CFR Parts 144 And 

146 Of The Underground Injection 

Control Program Of The Safe Drinking 

Water Act

§261.4(h)

Cement Kiln Dust

§261.4(b)(8)

Coking By-products

§261.4(a)(10)

Comparable/Syn gas Fuels 

§261.4(a)(16)

Domestic Sewage

§261.4(a)(1)

Dredged Material That Is Subject To 

The Requirements Of A Permit That 

Has Been Issued Under 404 Of The 

Federal Water Pollution Control Act 

(33 U.S.C. 1344) Or Section 103 Of The 

Marine Protection, Research, And 

Sanctuaries Act of 1972 (33 U.S.C. 

1413) 

§261.4(g)

Drilling Fluid

§261.4(b)(5)

Excluded Scrap Metal Being Recycled

§261.4(a)(13)

Exported Wastes

§262.56

Fossil Fuel Emission Control Waste

§261.4(b)(4)

Hazardous Secondary Material Being 

Remanufactured

§261.4(a)(27)

Hazardous Secondary Materials 

Generated And Legitimately 

Reclaimed Under The Control Of The 

Generator

§261.4(a)(23)

Hazardous Secondary Material 

Generated and Reclaimed Under the 

Control of the Generator

40 CFR §261.2(a)(2)(ii)

40 CFR §261.4(a)(23)

Hazardous Secondary Material

That Is Generated And Then 

Transferred To A Verified Reclamation 

Facility For The Hazardous Secondary 

Material Purpose Of Reclamation

§261.4(a)(24)

Hazardous Secondary Material 

Transferred Off-site for Reclamation

to A Verified Recycler

40 CFR §261.4(a)(25)

40 CFR §261.4(a)(24)

Hazardous Secondary Material Used to 

Make Zinc Fertilizers, Provided That 

The Following Conditions Specified Are 

Satisfied

§261.4(a)(20)

Household Waste

§261.4(b)(1)(i)-(ii)

HTMR Condenser Residue

§261.4(a)(11)

In situ Mining Materials

§261.4(a)(5)

Irrigation Return Flows

§261.4(a)(3)

Kraft Mill Steam Stripper Condensates 

§261.4(a)(15)

Leachate Or Gas Condensate Collected 

From Landfills Where Certain Solid 

Wastes Have Been Disposed

§261.4(b)(15)

Mining and Mineral Process Wastes

§261.4(b)(7)

Mining Overburden

§261.4(b)(3)

Non-terne plated used oil filters that 

are not mixed with wastes listed in 

subpart D of this part if these oil filters 

have been gravity hot-drained using 

one of the following methods: -

§261.4(b)(13)

Nuclear Material

§261.4(a)(4)

Oil Filters 

§261.4(b)(13)

Petrochemical Recovered Oil

§261.4(a)(18)

Petroleum-contaminated Media and 

Debris

§261.4(b)(10)

Petroleum Refining

§261.4(a)(12)
Definitions

(continued)

44

Pulping Liquor

§261.4(a)(6)

Refrigerants

§261.4(b)(12)

Secondary Material Returned to 

Original Process

§261.4(a)(8)

Secondary Material from Mineral 

Processing

§261.4(a)(17)

Shredded Circuit Boards Being 

Recycled

§261.4(a)(14)

Solid Waste That Would Otherwise 

Meet The Definition Of Low-level 

Mixed Wastes (LLMW) Pursuant to 

§266.210

§261.4(b)(17)

Solvent-Contaminated Wipes, Except 

For Wipes That Are Hazardous Waste 

Due To The Presence Of 

Trichloroethylene, That Are Sent For 

Disposal Are Not Hazardous Waste 

From The Point Of Generation

§261.4(b)(18)

Solvent-Contaminated Wipes Sent for 

Cleaning or Disposal

§261.4(a)(26)

Spent Caustics from Petroleum 

Refining

§261.4(a)(19)

Spent Wood Preserving Solutions and 

Wastewaters

§261.4(a)(9)

Sulfuric Acid 

§261.4(a)(7)

Treatability Study Samples

§261.4(e)

Treatability Studies at Laboratories 

and Testing Facilities

§261.4(f)

Trivalent Chromium Waste

§261.4(b)(6)

Used Cathode Ray Tubes (CRTs)

§261.4(a)(22)

Used Chlorofluorocarbon Refrigerants 

From Totally Enclosed Heat Transfer 

Equipment

§261.4(b)(12)

Used Oil Distillation Bottoms

§261.4(b)(14)

Used Oil Re-refining Distillation 

Bottoms That Are Used As Feedstock 

To Manufacture Asphalt Products

§261.4(b)(14)

Wastes Generated in Storage Tanks, 

Transport Vehicles, Pipelines, or 

Manufacturing Process Units

§261.4(c)

Wastewater Point Source Discharge

§261.4(a)(2)

Zinc Fertilizers Made From Hazardous 

Wastes, Or Hazardous Secondary

Material That Are Excluded Under 

Paragraph (a)(20) Of This Section

§261.4(a)(21)
Definitions

(continued)

45

DEFINITIONS

This section contains definitions of terms helpful for completing the form. For terms defined in the Code 

of Federal Regulations (CFR), the appropriate citation is provided.

ACCUMULATION – A site that does not hold RCRA Interim Status or a RCRA permit may accumulate 

hazardous waste for a short period of time before shipping it off-site. The waste must be accumulated 

in either tanks or containers; it may not be accumulated in surface impoundments.

Generators of more than 1,000 kg (2,200 lbs) of hazardous waste per month may accumulate their 

waste for up to 90 days before shipping it off-site. Generators of 100 kilograms (kg; 220 pounds [lbs]) 

to 1,000 kg (2,200 lbs) of hazardous waste per month may accumulate their waste for up to 180 days 

before shipping it off-site. If the nearest treatment, storage, disposal, or recycling facility to which 

they can send their waste is more than 200 miles away, they may accumulate their waste for 270 days. 

See 40 CFR 262.34.

ACT OR RCRA – The Solid Waste Disposal Act, as amended by the Resource Conservation and Recovery Act 

of 1976, as amended by the Hazardous and Solid Waste Amendments of 1984, 42 U.S.C. Section 6901 

et seq. 

ACUTE HAZARDOUS WASTE – Any hazardous waste with an EPA hazardous waste code beginning with the 

letter “P” (40 CFR 261.33(e)) or any of the following “F” codes: F020, F021, F022, F023, F026, and 

F027 (40 CFR 261.31). These wastes are subject to stringent quantity standards for accumulation and 

generation (40 CFR 261.5(e)).

AUTHORIZED REPRESENTATIVE – The person responsible for the overall operation of the site or an operational 

unit (i.e., part of a site), e.g., superintendent or plant manager, or person of equivalent responsibility.

AUTHORIZED STATE – A State that has obtained authorization from the EPA to direct its own RCRA program.

BOILER – An enclosed device using controlled flame combustion and having the following characteristics:

 The unit has physical provisions for recovering and exporting energy in the form of steam, heated 

fluids, or heated gases;

 The unit’s combustion chamber and primary energy recovery section(s) are of integral design (i.e., 

they are physically formed into one manufactured or assembled unit);

 The unit continuously maintains an energy recovery efficiency of at least 60 percent, calculated 

in terms of the recovered energy compared with the thermal value of the fuel;

 The unit exports and utilizes at least 75 percent of the recovered energy, calculated on an annual 

basis (excluding recovered heat used internally in the same unit, for example, to preheat fuel or 

combustion air or drive fans or feedwater pumps); or

 The unit is one which the Regional Administrator has determined, on a case-by-case basis, to be 

a boiler, after considering the standards in 40 CFR 260.32.

BY-PRODUCT MATERIAL – A by-product material is (1) any radioactive material (except special nuclear 

material) yielded in or made radioactive by exposure to the radiation incident to the process of 

producing or utilizing special nuclear material; and (2) the tailings or wastes produced by the 

extraction or concentration of uranium or thorium from any ore processed primarily for its source 

material content (defined in the Atomic Energy Act of 1954).
Definitions

(continued)

46

CODE OF FEDERAL REGULATIONS (CFR) – Codification of the general and permanent rules published in the 

Federal Register by the Executive departments and agencies of the Federal Government. The Code is 

divided into 50 titles which represent broad areas subject to Federal regulation. Each title is divided 

into chapters that usually bear the name of the issuing agency. Each chapter is further subdivided 

into parts covering specific regulatory areas. The CFR title applicable for the Hazardous Waste Report 

is “40,” as in “40 CFR 262.34.”

CONDITIONALLY EXEMPT SMALL QUANTITY GENERATOR (CESQG) OF HAZARDOUS WASTE is a generator who 

generates less than or equal to the following amounts in a calendar month:

(i) 100 kilograms (kg; 220 pounds [lbs]) of hazardous waste; and

(ii) 1 kg (2.2 lbs) of acute hazardous wastes listed in sections 261.31, or 261.33(e); and

(iii) 100 kg (220 lbs) of any residue or contaminated soil, waste, or other debris resulting from the 

cleanup of a spill, into or on any land or water, of any acute hazardous wastes listed in sections 

261.31, or 261.33(e).

CONFIDENTIAL BUSINESS INFORMATION (CBI) – Information a facility does not wish to make available to the 

general public for competitive business reasons. Confidential Business Information (CBI) may be 

claimed for certain information in your submittal. A claim may be made in accordance with 40 CFR 

Part 2, Subpart B.

DELISTED WASTE – Site-specific wastes excluded from regulation under 40 CFR 260.20 and 260.22. A waste 

at a particular generating site may be excluded by petitioning the EPA Administrator for a regulatory 

amendment. These wastes are listed in Appendix IX of 40 CFR Part 261.

DISPOSAL – The discharge, deposit, injection, dumping, spilling, leaking, or placing of any solid waste or 

hazardous waste into or on any land or water so that such solid waste or hazardous waste or any 

constituent thereof may enter the environment or be emitted into the air or discharged into any 

waters, including groundwaters.

ELIGIBLE ACADEMIC ENTITY – A college or university, or a non-profit research institute that is owned by or has 

a formal written affiliation with a college or university, or a teaching hospital that is owned by or has 

a formal written affiliation with a college or university pursuant to 40 CFR Part 262, Subpart K (See 40 

CFR 262.200).

ENVIRONMENTAL PROTECTION AGENCY (EPA) – The EPA, also called U.S. EPA, means the U.S. Environmental 

Protection Agency. Some State environmental authorities may be called the EPA also, as in “Illinois 

EPA.”

EPA IDENTIFICATION (ID) NUMBER – The number assigned by the EPA to each hazardous waste generator, 

hazardous waste transporter, and treatment, storage, or disposal facility; U.S. importer of hazardous 

waste; mixed waste (hazardous and radioactive) generator; recycler of hazardous waste; exempt 

boiler and/or industrial furnace burning or processing hazardous waste; large quantity handler of or 

destination facility for universal wastes; disposer of hazardous waste with an underground injection 

permit; used oil transporter, used oil processor/re-refiner, off-specification used oil fuel burner, used 

oil fuel marketer; eligible academic entity managing laboratory hazardous waste under Subpart K; or 

site undergoing corrective action. Additionally, facilities that must notify using the Site ID Form and 

Addendum to the Site Identification Form that they are managing hazardous secondary material will 
Definitions

(continued)

47

also be assigned an EPA Identification Number.

EXCLUDED WASTES – Wastes excluded from the definition of solid or hazardous waste under 40 CFR 261.3 

and 261.4. For a partial listing, see the “EXCLUDED WASTES” section of this booklet.

HAZARDOUS WASTE – A hazardous waste as defined in 40 CFR 261.3.

HAZARDOUS SECONDARY MATERIAL (HSM) – A secondary material (e.g., spent material, by-product, or sludge) 

that, when discarded, would be identified as hazardous waste under 40 CFR Part 261. Facilities 

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

complete the Addendum to the Site Identification Form: Notification for Managing Hazardous 

Secondary Material. You must check with your State to determine if you are eligible to manage 

hazardous secondary material under these exclusions (see also 

http://www.epa.gov/epawaste/hazard/dsw/statespf.htm).

HAZARDOUS WASTE GENERATOR – Any person, by site, whose act or process produces hazardous waste 

identified or listed in 40 CFR Part 261.

HAZARDOUS WASTE NUMBER OR CODE, EPA – The number (or code) assigned by the EPA to each hazardous 

waste listed in 40 CFR Part 261, Subpart D and to each characteristic identified in 40 CFR Part 261, 

Subpart C. The codes consist of one letter (D, F, P, U, or K) and three numbers. For a list of EPA 

hazardous waste codes see the “EPA HAZARDOUS WASTE CODES” section of this booklet.

HAZARDOUS WASTE NUMBER OR CODE, STATE – The number (or code) assigned by the State to each hazardous 

waste listed in the State regulations. Obtain a list of the States waste codes from your State.

HAZARDOUS WASTE STORAGE – The holding of hazardous waste for a temporary period, at the end of which 

the hazardous waste is treated, disposed of, or stored elsewhere.

HAZARDOUS WASTE TRANSFER FACILITY – Refer to “Transfer Facility” definition.

HAZARDOUS WASTE TRANSPORTER – Refer to “Transporter” definition.

HAZARDOUS WASTE TREATMENT – Any method, technique, or process, including neutralization, designed to 

change the physical, chemical, or biological character or composition of any hazardous waste so as to 

neutralize such hazardous waste, or so as to recover energy or material resources from the hazardous 

waste, or so as to render such hazardous waste nonhazardous, or less hazardous; safer to transport,

store, or dispose of; or amenable for recovery, amenable for storage, or reduced in volume. Such 

term includes any activity or processing designed to change the physical form or composition of 

hazardous waste so as to render it nonhazardous.

INCINERATION – Burning of certain types of solid, liquid, or gaseous materials; or a treatment technology 

involving destruction of waste by controlled burning at high temperatures (e.g., burning sludge to 

remove the water and reduce the remaining residues to a safe, non-burnable ash that can be disposed 

safely on land, in some waters, or in underground locations).

INDUSTRIAL FURNACE – Any of the following enclosed devices that are integral components of manufacturing 
Definitions

(continued)

48

processes and that use thermal treatment to accomplish recovery of materials or energy: cement 

kilns; lime kilns; aggregate kilns; phosphate kilns; coke ovens; blast furnaces; smelting, melting, and 

refining furnaces; titanium dioxide chloride process oxidation reactors; methane reforming furnaces; 

pulping liquor recovery furnaces; combustion devices used in the recovery of sulfur values from spent 

sulfuric acid; halogen acid furnaces, as defined under industrial furnace in 40 CFR 260.10; and such 

other devices as the Administrator may add to this list.

INTERIM (PERMIT) STATUS – Period during which the owner/operator of an existing TSD facility is treated as 

having been issued a RCRA permit even though he/she has not yet received a final determination. An 

existing facility should have automatically qualified for interim status if the owner/operator filed both 

timely “notification” and the first part (Part A) of the RCRA permit application. Interim status 

continues until a final determination is made to issue or deny the permit. Owner/operator of new 

facilities cannot by definition qualify for interim status; rather, they need a RCRA permit prior to 

beginning construction of a hazardous waste management facility.

LARGE QUANTITY GENERATOR (LQG) OF HAZARDOUS WASTE –is a generator who generates any of the 

following amounts in a calendar month: 

(i) Greater than or equal to 1,000 kilograms (kg; 2,200 pounds [lbs]) or more of hazardous waste; 

or

(ii) Greater than 1 kg (2.2 lbs) of any acute hazardous wastes listed in §§ 261.31 or 261.33 (e); or

(iii) Greater than 100 kg (220 lbs) of any residue or contaminated soil, waste, or other debris 

resulting from the cleanup of a spill, into or on any land or water, of any acute hazardous wastes 

listed in sections 261.31 or 261.33(e).

LARGE QUANTITY HANDLER OF UNIVERSAL WASTE (LQHUW) – A universal waste handler (as defined in 40 CFR 

273.9) who accumulates 5,000 kilograms (kg) or more total of universal wastes (batteries, pesticides, 

mercury-containing equipment, or lamps – calculated collectively) at any time. This designation is 

retained through the end of the calendar year in which the 5,000 kg limit is met or exceeded.

MANAGEMENT, OR HAZARDOUS WASTE MANAGEMENT – Systematic control of the collection, source separation, 

storage, transportation, processing, treatment, recovery, or disposal of hazardous waste (40 CFR 

260.10).

MANIFEST, UNIFORM HAZARDOUS WASTE – The shipment document EPA Form 8700-22 and, if necessary, 

Form 8700-22A, originated and signed by a generator in accordance with the instructions included in 

the Appendix to 40 CFR Part 262. The “cradle-to-grave” paperwork must accompany a shipment of 

hazardous waste as it moves from the generator to the transporter and eventually to the hazardous 

waste management facility.

MIXED WASTE – Waste that contains both hazardous and source, special nuclear, or by-product material 

subject to the Atomic Energy Act (AEA), RCRA section 1004(41), 42 U.S.C. 6903 (63 FR 17414; April 9, 

1998).

MUNICIPALITY – A city, village, town, borough, county, parish, district, association, Indian tribe or 

authorized Indian tribal organization, designated and approved management agency under Section 

208 of the Clean Water Act, or any other public body created by or under State law and having 

jurisdiction over disposal of sewage, industrial wastes, or other wastes.
Definitions

(continued)

49

OFF-SITE FACILITY – A hazardous waste treatment, storage, disposal, or recycling area located at a place 

away from the generating site.

OFF-SPECIFICATION USED OIL BURNER – A site where used oil not meeting the specification requirements in 

40 CFR 279.11 (off-specification used oil) is burned for energy recovery in devices identified in Section 

279.61(a).

OFF-SPECIFICATION USED OIL FUEL – Used oil fuel that does not meet the specification provided under 40 CFR 

279.11.

ON-SITE FACILITY – A hazardous waste treatment, storage, disposal, or recycling area located on the 

generating site.

ON-SPECIFICATION USED OIL FUEL – Used oil fuel that meets the specification provided under 40 CFR 279.11.

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

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

company or business name, not an individual. See Person.

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

building(s) and/or land. This may be an individual, company, or business name. See Person.

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

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

subdivision of a State, or any interstate body.

PROCESS SYSTEM – A process system refers to one or more units used together to treat, recover, or dispose 

of a hazardous waste. The process system begins at the unit where the hazardous waste first enters 

and consists of all other treatment, recovery, or disposal units downstream from the point of entry. 

Note that storage is not considered a process system, except for storage at a bulking and re-shipping 

facility (H141).

Classify each process system with a Management Method code that best identifies the last 

substantive purpose/operation it performs. For example, a process system to remove dissolved 

metals from wastewater prior to shipping the sludge off-site typically includes equalization, pH 

adjustment, chemical precipitation, flocculation, clarification/settling, and dewatering of the sludge 

removed from the bottom of the clarifier. The chemical precipitation process best identifies the last 

purpose of this treatment system – to remove metals from the wastewater. If this wastewater 

treatment system is RCRA-regulated, it would be reported as H070 (Chemical Treatment). If the 

sludge will be disposed at the reporting site in a landfill, the code will be H132 (Landfill) and will need 

to be reported on a separate GM Form because it is a residual from a treatment process. However, 

this process is exempt if the treated water flows to a POTW or a NPDES outfall with no RCRA-regulated 

storage or treatment units in the system, and should not be reported. A listing of Management 

Method codes may be found in the “MANAGEMENT METHOD CODES” section of this booklet.

PROCESS UNIT – A process unit refers to a single type of treatment (e.g., tank, distillation column, surface 
Definitions

(continued)

50

impoundment) in which hazardous waste is treated, disposed, or recycled.

RESOURCE CONSERVATION AND RECOVERY ACT (RCRA) – The Solid Waste Disposal Act as amended by the 

Resource Conservation and Recovery Act (RCRA) (40 CFR 270.2). It is the Federal statute that regulates 

the generation, treatment, storage, disposal, recycling, and/or transportation of solid and hazardous 

waste.

RCRA INTERIM (PERMIT) STATUS – Refer to “Interim (Permit) Status” definition.

RCRA PERMIT – A complete RCRA permit is comprised of an operating permit for hazardous waste 

treatment, storage, and disposal, and a corrective action permit addressing releases from solid waste 

management unit (SWMUs). To apply for a permit, a site must file a two-part application (Part A and 

Part B). A facility is not considered to have a complete RCRA permit until both parts have been issued.

RCRA SUBTITLE C SITE (RCRA SITE OR SITE) – The physical plant or location at which one or more of the 

following regulated waste activities occurs: the generation, transportation, treatment, storage, or 

disposal of hazardous wastes; recycling of hazardous wastes; U.S. importer of hazardous waste; mixed 

waste (hazardous and radioactive) generator; exempt boiler and/or industrial furnace burning or 

processing hazardous waste; large quantity handler of or destination facility for universal wastes; 

disposing hazardous waste with an underground injection permit; the transportation (and temporary 

storage during transportation), processing/re-refining, burning, or marketing of used oil; eligible 

academic entity managing laboratory hazardous waste under Subpart K; facility managing hazardous 

secondary material being reclaimed that must comply with certain requirements and conditions; or 

undergoing corrective action.

A site may consist of several treatment, storage, or disposal operational units. For entities that only 

transport regulated wastes, the term site refers to the headquarters of that entity’s operations.

RECYCLING – Use, reuse, or reclamation of a material (40 CFR 261.1(c)(7)). “Reclamation” is the processing 

or regeneration of a material to recover a usable product (e.g., recovery of lead values from spent 

batteries, regeneration of spent solvents) (40 CFR 261.1(c)(4)). A material is “used or reused” if it is 

either: (1) employed as an ingredient (including use as an intermediate) in an industrial process to 

make a product (e.g., distillation bottoms from one process used as feedstock in another process) (40 

CFR 261.1(c)(5)). However, a material will not satisfy this condition if distinct components of the 

material are recovered as separate end products (as when metals are recovered from metalcontaining secondary material); or (2) a commercial product (e.g., spent pickle liquor used as 

phosphorous precipitant and sludge conditioner in wastewater treatment). 

SHORT-TERM GENERATOR – A generator whose generator status is the result of a one-time, non-recurring, 

temporary event that is not related to normal production processes. In other words, short-term 

generators produce hazardous waste from a particular activity for a limited time and then cease 

conducting that activity. Short-term generators would not be considered episodic generators because 

episodic generators have the potential to generate on a regular basis. Examples of short-term 

generators include: one-time highway bridge waste generation, underground storage tank removals, 

generation of off-spec or out-of-date chemicals at a site that normally does not generate hazardous 

waste, remediate or spill clean-up sites with no previous RCRA EPA Identification Number, and site or 

production process decommissions by a new operator.
Definitions

(continued)

51

SMALL QUANTITY GENERATOR (SQG) OF HAZARDOUS WASTE – is a generator if the site meets all of the following 

criteria:

(i) Generates, in any calendar month, more than 100 kilograms (kg; 220 pounds [lbs]) but less than 

1,000 kg (2,200 lbs) of RCRA hazardous waste; and

(ii) Does not generate, in any calendar month, more than 1 kg (2.2 lbs) of acute hazardous waste 

listed in sections261.31 or 261.33(e); and

(iii) Does not generate more than 100 kg (220 lbs) of material from the cleanup of any residue or 

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

or water, of any acute hazardous wastes listed in sections 261.31 or 261.33(e).

SMALL QUANTITY ON-SITE BURNER EXEMPTION – The persons who burn small quantity of hazardous waste in 

an on-site boiler or industrial furnace, in accordance with 40 CFR 266.108, are conditionally exempt 

from regulation for that activity.

SMELTING, MELTING, AND REFINING FURNACE EXEMPTION – Under 40 CFR 266.100(c), owners or operators of 

smelting, melting, and refining furnaces that process hazardous wastes solely for metals recovery are 

conditionally exempt from regulation, except for 40 CFR 266.101 and 266.112, provided they comply 

with limited requirements set forth in Section 266.100(c). Similarly, 40 CFR 266.100(f) provides that 

owners or operators of smelting, melting, and refining furnaces that process hazardous wastes for the 

recovery of precious metals are conditionally exempt from regulation, except for 40 CFR 266.112, 

provided they comply with limited requirements specified in Section 266.100(f).

SOLID WASTE – Any garbage, refuse, or sludge, or other materials not excluded under 40 CFR 261.4(a). 

Exclusions include, for example, domestic sewage and any mixture of other wastes that pass through 

a sewer system to a publicly owned treatment works (POTWs); industrial wastewater discharges that 

are point source discharges subject to regulation under the Clean Water Act; irrigation return flows; 

nuclear materials defined by the Atomic Energy Act; and in situ mining materials (see the “EXCLUDED 

WASTES” section of this booklet). Wastewaters being collected, stored, or treated before discharge 

and sludges generated by wastewater treatment are not excluded. The EPA defines hazardous waste 

as a subset of solid waste.

SOURCE MATERIAL – As defined by the Atomic Energy Act of 1954: (1) Uranium, thorium, or any other 

material determined by the Nuclear Regulatory Commission pursuant to the provisions of Section 

2091 of this title to be source material; or (2) ores containing one or more of the foregoing materials 

in such concentration as the Commission may by regulation determine from time to time.

SPECIAL NUCLEAR MATERIAL – As defined by the Atomic Energy Act of 1954: (1) plutonium, uranium enriched 

in the isotope 233 or in the isotope 235, and any other material which the Nuclear Regulatory 

Commission, pursuant to the provisions of Section 2071 of this title, determines to be special nuclear 

material, but does not include source material; or (2) any material artificially enriched by any of the 

foregoing, but does not include source material.

SUBPART K – An alternative set of generator requirements for managing laboratory hazardous waste at 

eligible academic entities. Generators that are eligible academic entities with laboratories may elect 

to opt into 40 CFR 262 Subpart K and manage their laboratory hazardous waste under Subpart K in 

lieu of 40 CFR 262.34(c) (or 40 CFR 261.5 for CESQGs). In order for eligible academic entities (see 
Definitions

(continued)

52

definition) to opt into Subpart K or subsequently withdraw from Subpart K, they must use the Site ID 

Form to notify the appropriate State or EPA Regional Office. Refer to 40 CFR 262.203 and 262.204. 

Note: You must check with your State to determine if you are eligible to manage laboratory hazardous 

waste pursuant to 40 CFR Part 262 Subpart K and for any State-specific requirements.

TOLLING – Tolling arrangements describe a particular type of recycling contract between two companies. 

Specifically, the “tolling” company certifies that it has a contract with a manufacturer to produce a 

product, and that manufacturing process generates a residual material that can be recycled by the 

tolling company. If the tolling company certifies that the contract specifies that the tolling company 

owns and has responsibility for the recyclable material once it is generated, and the material is 

returned to the tolling company for reclamation, and subsequently recycled, the material is excluded 

from regulation (under 40 CFR 261.4(a)(23)), provided certain requirements are met.

TRANSFER FACILITY – Any transportation-related facility including loading docks, parking areas, storage 

areas, and other similar areas where shipments of hazardous waste are held for 10 days or less during

the normal course of transportation (40 CFR 261.2(a)(2)(ii) 40 CFR 261.4(a)(23) and 40 CFR 263.12).

TRANSPORTER – A person engaged in the off-site transportation of hazardous waste by air, rail, highway, or 

water.

UNDERGROUND INJECTION CONTROL – The subsurface emplacement of fluids through a bored, drilled or driven 

well; or through a dug well, where the depth of the dug well is greater than the largest surface 

dimension. Underground injection wells are regulated under both the Safe Drinking Water Act and 

the Resource Conservation and Recovery Act (see 40 CFR Part 148).

UNITED STATES IMPORTER – Any person who imports hazardous waste from a site located in a foreign country 

into the U.S. This does not include hazardous waste shipped from a foreign Department of Defense 

site, Maquiladora, U.S. territory or protectorate.

UNIVERSAL WASTE – Any of the following hazardous wastes that are managed under the universal waste 

requirements of 40 CFR Part 273: batteries, pesticides, mercury-containing equipment, and lamps. 

Some States may have State-specific universal wastes defined as well.

USED OIL – Any oil that has been refined from crude oil, or any synthetic oil, that has been used, and as a 

result of such use, is contaminated by physical or chemical impurities.

USED OIL FUEL MARKETER – Any person who conducts either of the following activities:

1. Directs a shipment of off-specification used oil from their site to an off-specification used oil 

burner; or

2. First claims that used oil that is to be burned for energy recovery meets the used oil fuel 

specifications set forth in 40 CFR 279.11.

USED OIL MANAGEMENT ACTIVITIES – For the purposes of the Site ID Form, includes used oil transportation; 

used oil processing and re-refining; burning off-specification used oil fuel; and used oil fuel marketing.

USED OIL PROCESSING – Chemical or physical operations designed to produce from used oil, or to make used 

oil more amenable for production of, fuel oils, lubricants, or other used oil-derived products. 
Definitions

(continued)

53

Processing includes, but is not limited to: blending used oil with virgin petroleum products, blending 

used oils to meet the fuel specification, filtration, simple distillation, chemical or physical separation, 

and re-refining.

USED OIL PROCESSOR – A site that processes on-specification or off-specification used oil.

USED OIL RE-REFINER – A site that produces lubricating oils and greases, industrial fuel, asphalt extender, 

gasoline, and other products from on-specification or off-specification used oil.

USED OIL TRANSFER FACILITY – Any transportation-related facility, including loading docks, parking areas, 

storage areas, and other areas where shipments of used oil are held for more than 24 hours during 

the normal course of transportation and not longer than 35 days. Transfer facilities that store used 

oil for more than 35 days are subject to regulation under 40 CFR Part 279, Subpart F.

USED OIL TRANSPORTER – Any person who transports used oil, any person who collects used oil from more 

than one generator and transports the collected oil, and owners and operators of used oil transfer 

facilities. Used oil transporters may consolidate or aggregate loads of used oil for purposes of 

transportation but, with the following exception, may not process used oil. Used oil transporters may 

conduct incidental processing operations that occur in the normal course of used oil transportation 

(e.g., settling and water separation), but that are not designed to produce (or make more amenable 

for production of) used oil-derived products or used oil fuel.
Form Codes

(continued)

54

EPA HAZARDOUS WASTE CODES

A list of all the hazardous waste codes is shown below. See the regulations for details.

CHARACTERISTICS OF HAZARDOUS WASTE (SEE 40 CFR 

261.24) – DXXX

HAZARDOUS WASTE FROM NON-SPECIFIC SOURCES (SEE 40 

CFR 261.31) – FXXX

HAZARDOUS WASTE FROM SPECIFIC SOURCES (SEE 40 CFR 

261.32) - KXXX

DISCARDED COMMERCIAL CHEMICAL PRODUCTS, OFFSPECIFICATION SPECIES, CONTAINER RESIDUES, AND SPILL 

RESIDUES THEREOF – ACUTE HAZARDOUS WASTE (SEE 40 

CFR 261.33) – PXXX

DISCARDED COMMERCIAL CHEMICAL PRODUCTS, OFFSPECIFICATION SPECIES, CONTAINER RESIDUES, AND SPILL 

RESIDUES THEREOF – TOXIC WASTES (SEE 40 CFR 261.33) –

UXXX

D001

D002

D003

D004

D005

D006

D007

D008

D009

D010

D011

D012

D013

D014

D015

D016

D017

D018

D019

D020

D021

D022

D023

D024

D025

D026

D027

D028

D029

D030

D031

D032

D033

D034

D035

D036

D037

D038

D039

D040

D041

D042

D043

F001

F002

F003

F004

F005

F006

F007

F008

F009

F010

F011

F012

F019

F020

F021

F022

F023

F024

F025

F026

F027

F028

F032

F034

F035

F037

F038

F039

K001

K002

K003

K004

K005

K006

K007

K008

K009

K010

K011

K013

K014

K015

K016

K017

K018

K019

K020

K021

K022

K023

K024

K025

K026

K027

K028

K029

K030

K031

K032

K033

K034

K035

K036

K037

K038

K039

K040

K041

K042

K043

K044

K045

K046

K047

K048

K049

K050

K051

K052

K060

K061

K062

K069

K071

K073

K083

K084

K085

K086

K087

K088

K093

K094

K095

K096

K097

K098

K099

K100

K100

K101

K102

K103

K104

K105

K106

K107

K108

K109

K110

K111

K112

K113

K114

K115

K116

K117

K118

K123

K124

K125

K126

K131

K132

K136

K141

K142

K143

K144

K145

K147

K148

K149

K150

K151

K156

K157

K158

K159

K161

K169

K170

K171

K172

K174

K175

K176

K177

K178

K181

P001

P002

P003

P004

P005

P006

P007

P008

P009

P010

P011

P012

P013

P014

P015

P016

P017

P018

P020

P021

P022

P023

P024

P026

P027

P028

P029

P030

P031

P033

P034

P036

P037

P038

P039

P040

P041

P042

P043

P044

P045

P046

P047

P048

P049

P050

P051

P054

P056

P057

P058

P059

P060

P062

P063

P064

P065

P066

P067

P068

P069

P070

P071

P072

P073

P074

P075

P076

P077

P078

P081

P082

P084

P085

P087

P088

P089

P092

P093

P094

P095

P096

P097

P098

P099

P101

P102

P103

P104

P105

P106

P108

P109

P110

P111

P112

P113

P114

P115

P116

P118

P119

P120

P121

P122

P123

P127

P128

P185

P188

P189

P190

P191

P192

P194

P196

P197

P198

P199

P201

P202

P203

P204

P205

U001

U002

U003

U004

U005

U006

U007

U008

U009

U010

U011

U012

U014

U015

U016

U017

U018

U019

U020

U021

U022

U023

U024

U025

U026

U027

U028

U029

U030

U031

U032

U033

U034

U035

U036

U037

U038

U039

U041

U042

U043

U044

U045

U046

U047

U048

U049

U050

U051

U052

U053

U055

U056

U057

U058

U059

U060

U061

U062

U063

U064

U066

U067

U068

U069

U070

U071

U072

U073

U074

U075

U076

U077

U078

U079

U080

U081

U082

U083

U084

U085

U086

U087

U088

U089

U090

U091

U092

U093

U094

U095

U096

U097

U098

U099

U101

U102

U103

U105

U106

U107

U108

U109

U110

U111

U112

U113

U114

U115

U116

U117

U118

U119

U120

U121

U122

U123

U124

U125

U126

U127

U128

U129

U130

U131

U132

U133

U134

U135

U136

U137

U138

U140

U141

U142

U143

U144

U145

U146

U147

U148

U149

U150

U151

U152

U153

U154

U155

U156

U157

U158

U159

U160

U161

U162

U163

U164

U165

U166

U167

U168

U169

U170

U171

U172

U173

U174

U176

U177

U178

U179

U180

U181

U182

U183

U184

U185

U186

U187

U188

U189

U190

U191

U192

U193

U194

U196

U197

U200

U201

U202

U203

U204

U205

U206

U207

U208

U209

U210

U211

U213

U214

U215

U216

U217

U218

U219

U220

U221

U222

U223

U225

U226

U227

U228

U234

U235

U236

U237

U238

U239

U240

U243

U244

U246

U247

U248

U249

U271

U278

U279

U280

U328

U353

U359

U364

U367

U372

U373

U387

U389

U394

U395

U404

U409

U410

U411
Form Codes

(continued)

55

HAZARDOUS SECONDARY MATERIAL (HSM) FACILITY CODES

Facility codes describe the specific regulation a facility uses to manage its hazardous secondary material 

(HSM) and the type of activity the facility performs under the regulation (e.g., generator, reclaimer). 

Review the groups and pick the appropriate code. If more than one facility code applies to you, enter 

each code on a separate row under Item 2 of the Addendum to the Site ID Form.

Under Control of the Generator Exclusion (40 CFR 261.2(a)(2)(ii) or 261.4(a)(23)) Under

Generator Exclusion (40 CFR 261.4(a)(23))

Code Facility Code Description

01 HSM Generator reclaiming HSM “on-site”: This code applies if you generate and reclaim hazardous secondary 

material at your generating facility. See also paragraph (1) in the Federal definition of “Hazardous secondary material 

generated and reclaimed under the control of the generator” in 40 CFR Part 260.10. See also 40 CFR 261.4(a)(23)(i)(A).

02 HSM Generator transferring HSM to reclaimer within the “same company”: This code applies if you generate 

hazardous secondary material and send the material for reclamation to a different facility that is either controlled by 

you or controlled by the same person that controls your generating facility. See also paragraph (2) in the Federal

definition of “Hazardous secondary material generated and reclaimed under the control of the generator” in 40 CFR

Part 260.10. See also 40 CFR 261.4(a)(23)(i)(B).

03 Reclaimer receiving HSM from HSM generator within the “same company”: This code applies if you receive and 

reclaim hazardous secondary material from a different facility that either controls you or is controlled by the same 

person that controls you. See also paragraph (2) in the Federal definition of “Hazardous secondary material generated 

and reclaimed under the control of the generator” in 40 CFR Part 260.10. See also 40 CFR 261.4(a)(23)(i)(B).

04 Tolling Contractor reclaiming HSM pursuant to a tolling contract: This code applies if you are a tolling contractor that 

reclaims hazardous secondary material pursuant to a written contract with a toll manufacturer. See also paragraph (3) 

in the Federal definition of “Hazardous secondary material generated and reclaimed under the control of the 

generator” in 40 CFR Part 260.10. See also 40 CFR 261.4(a)(23)(i)(C).

05 Toll Manufacturer managing HSM pursuant to a tolling contract: This code applies if you generate and send 

hazardous secondary material for reclamation to a tolling contractor pursuant to a written contract. See also 

paragraph (3) in the Federal definition of “Hazardous secondary material generated and reclaimed under the control of 

the generator” in 40 CFR Part 260.10. See also 40 CFR 261.4(a)(23)(i)(C).

Transfer-based Exclusion (40 CFR 261.4(a)(24)) Verified Recycler Exclusion (40 CFR 261.4(a)(24))

Code Facility Code Description

06 HSM Generator transferring HSM off-site to a domestic reclamation permitted or verified recycling facility: This code 

applies if you generate and send hazardous secondary material for reclamation to an off-site domestic reclamation

permitted or verified recycling facility.

07 Permitted Reclaimer receiving HSM from off-site: This code applies if you have a RCRA Part B permit, or operate under 

interim status standards, and reclaim hazardous secondary material received from an off-site domestic hazardous 

secondary material generator or other domestic facility. (If you do not have a RCRA Part B permit and are not operating 

under interim status standards and, instead, have obtained a variance to receive hazardous secondary material under 

this exclusion, use code 17 below.)

08 Permitted Intermediate facility: This code applies if you have a RCRA Part B permit, or operate under interim status 

standards, and receive hazardous secondary material from an off-site domestic hazardous secondary material generator 

or another domestic facility and you store it for more than ten days. This code does not apply if you generate or reclaim 

the hazardous secondary material. (If you do not have a RCRA Part B permit and are not operating under interim status 

standards and, instead, have obtained a variance to receive hazardous secondary material under this exclusion, use code 

18 below.)

09 HSM Generator exporting HSM off-site to a foreign reclamation facility: This code applies if you generate and export 

hazardous secondary material for reclamation to a foreign reclamation facility. (Reserved)

10 HSM Generator importing HSM from a foreign entity to send to another domestic reclamation facility: This code 

applies if you import hazardous secondary material from a foreign entity and send the material for reclamation to a 

domestic reclamation facility. HSM Generator importing HSM from a foreign entity to send to recycling: This code 
Form Codes

(continued)

56

applies if you import hazardous secondary material from a foreign entity and send the material for reclamation to a 

permitted or verified recycling facility.

11 HSM Generator AND Reclaimer of imported HSM: This code applies if you import hazardous secondary material from 

a foreign entity and reclaim the material at your facility. HSM Generator AND Permitted Reclaimer of imported HSM: 

This code applies if you import hazardous secondary material from a foreign entity and reclaim the material at your 

facility under a RCRA Part B permit or under interim status standards. (If you do not have a RCRA Part B permit and are 

not operating under interim status standards and, instead, have obtained a variance to receive hazardous secondary 

material under this exclusion, use code 18 below.)

Imports/Exports (40 CFR 261.4(a)(24) or (25)) Remanufacturing Exclusion (40 CFR 261.4(a)(27))

Code Facility Code Description

12 HSM Generator transferring HSM off-site to a remanufacturer: This code applies if you generate and send hazardous 

secondary material to a remanufacturer in the pharmaceutical, basic organic chemical, plastics and resins, and/or paint 

and coatings manufacturing sectors. 

13 Remanufacturer receiving HSM from off-site: This code applies if you remanufacture hazardous secondary material 

received from an off-site domestic hazardous secondary material generator. You must be in the pharmaceutical, basic 

organic chemical, plastics and resins, and/or paint and coatings manufacturing sectors to use this code.

Non-waste Determinations and Solid Waste Variances (40 CFR 260.30)

Code Facility Code Description

14 Variance for Materials that are Accumulated Speculatively: This code applies if you operate under an approved variance 

from EPA or your State for materials that are accumulated speculatively without sufficient amounts being recycled (see 

40 CFR 260.31(a)).

15 Variance for Materials that are Reclaimed and then Reused within the Original Production Process: This code applies 

if you operate under an approved variance from EPA or your State for materials that are reclaimed and then reused as 

feedstock within the original production process in which the materials were generated (see 40 CFR 260.31(b)).

16 Variance for Materials that are Partially-Reclaimed: This code applies if you operate under an approved variance from 

EPA or your State for materials that have been partially-reclaimed but must be reclaimed further before recovery is 

completed if the partial reclamation has produced a commodity-like material (see 40 CFR 260.31(c)).

17 Variance for HSM transferred for reclamation and managed at a verified reclamation facility: This code applies if you 

operate under an approved variance from EPA or your State for hazardous secondary materials that are transferred to 

you for reclamation under 40 CFR 261.4(a)(24) (see 40 CFR 260.31(d)). (If you have not obtained a variance to receive 

hazardous secondary material under this exclusion and, instead, have a RCRA Part B permit or operate under interim 

status standards, use code 07 above.)

18 Variance for HSM transferred and managed at a verified intermediate facility: This code applies if you operate under 

an approved variance from EPA or your State for hazardous secondary materials that are transferred to you for storage 

greater than 10 days under 40 CFR 261.4(a)(24) (see 40 CFR 260.31(d)). (If you have not obtained a variance to receive 

hazardous secondary material under this exclusion and, instead, have a RCRA Part B permit or operate under interim 

status standards as an intermediate facility, use code 08 above.)

19 Variance for HSM imported AND managed at a verified reclamation facility: This code applies if you operate under an 

approved variance from EPA or your State for hazardous secondary materials that are imported to you for reclamation 

at your site under 40 CFR 261.4(a)(24) (see 40 CFR 260.31(d)). (If you have not obtained a variance to receive hazardous 

secondary material under this exclusion and, instead, have a RCRA Part B permit or operate under interim status 

standards, use code 07 above.)

20 Non-waste determination for HSM reclaimed in a continuous industrial process: This code applies if you operate under 

an approved non-waste determination from EPA or your State for hazardous secondary material which is reclaimed in a 

continuous industrial process (see 40 CFR 260.34(b)).

21 Non-waste determination for HSM that are indistinguishable from a product or intermediate: This code applies if you 

operate under an approved non-waste determination from EPA or your State for hazardous secondary materials which 

is indistinguishable in all relevant aspects from a product or intermediate (see 40 CFR 260.34(c)).
Form Codes

(continued)

57

HAZARDOUS SECONDARY MATERIAL (HSM) LAND-BASED UNIT CODES

A 2-digit code that best describes the land-based unit you use or will use to manage the hazardous 

secondary material.

Code Land-based Unit Code Description

NA Do not use land-based units to manage hazardous secondary material.

SI Use surface impoundment(s) to manage hazardous secondary material. A surface impoundment 

is a natural topographic depression, man-made excavation or diked area formed primarily of 

earthen materials (although it may be lined with man-made materials), which is designed to hold 

an accumulation of liquid hazardous secondary materials or materials containing free liquids and 

which is not an injection well.

PL Use pile(s) to manage hazardous secondary material. Pile means any non-containerized 

accumulation of solid, non-flowing hazardous secondary material that is used for storage and is 

not a containment building.

OT Use other land-based unit(s) to manage hazardous secondary material.
58

Management Method Codes

Management method codes describe the type of hazardous waste management system used to treat, 

recover, or dispose a hazardous waste. Select the final substantive method used. Review the groups and 

pick the appropriate code.

Reclamation and Recovery

Code Management Method Code Description

H010 Metals recovery including retorting, smelting, chemical, etc.

H020 Solvents recovery (distillation, extraction, etc.)

H039 Other recovery or reclamation for reuse including acid regeneration, organics recovery, etc. (specify in comments)

H050 Energy recovery at this site – used as fuel (includes on-site fuel blending before energy recovery; report only this code)

H061 Fuel blending prior to energy recovery at another site (waste generated on-site or received from off-site)

Destruction or Treatment Prior to Disposal at Another Site

Code Management Method Code Description

H040 Incineration – thermal destruction other than use as a fuel (includes any preparation prior to burning)

H070 Chemical treatment (reduction/destruction/oxidation/precipitation); do not include immediate treatment in an 

exempt wastewater treatment unit with discharge to a NPDES-POTW (unless required by State) 

H081 Biological treatment; do not include immediate treatment in an exempted wastewater treatment unit with discharge 

to a NPDES-POTW (unless required by State) 

H100 Physical treatment only (adsorption/absorption/separation/stripping/dewatering); do not include immediate 

treatment in an exempted wastewater treatment unit with discharge to a NPDES-POTW (unless required by State) 

H110 Stabilization prior to land disposal at another site (encapsulation/stabilization/fixation)

H120 Combination of chemical, biological, and/or physical treatment; do not include immediate treatment in an exempted 

wastewater treatment unit with discharge to a NPDES-POTW (unless required by State)

H121 Neutralization only (no other treatment)

H122 Evaporation (as the major component of treatment; not reportable as H070, H081, H100 or H120)

H129 Other treatment that does not include onsite disposal (specify in comments)

Disposal

Code Management Method Code Description

H130 Surface Impoundment that will be closed as a landfill (to include prior treatment)

H131 Land treatment or application (to include any prior treatment and/or stabilization)

H132 Landfill or surface impoundment that will be closed as landfill (to include prior treatment and/or stabilization) 

H134 Deepwell or underground injection (with or without treatment; this waste was counted as hazardous waste)

H135 Discharge to sewer/POTW or NPDES(with prior storage – with or without treatment)

Transfer Off-site

Code Management Method Code Description

H141 The site receiving this waste stored/bulked and transferred the waste with no treatment or recovery (H010-H129), fuel 

blending (H061), or disposal (H131-H135) at that receiving site. Do not use this code on GM Form in Section 1 – Item 

D or in Section 2.
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DRAFT

OMB# 2050-0024; Expires 01/31/2017

SEND 

COMPLETED

FORM TO:

The Appropriate 

State or Regional 

Office.

United States Environmental Protection Agency 

RCRA SUBTITLE C SITE IDENTIFICATION FORM

1. Reason for 

Submittal

MARK ALL 

BOX(ES) THAT 

APPLY

Reason for Submittal:

 To provide an Initial Notification (first time submitting site identification information / to obtain an EPA ID number 

for this location)

 To provide a Subsequent Notification (to update site identification information for this location)

 As a component of a First RCRA Hazardous Waste Part A Permit Application

 As a component of a Revised RCRA Hazardous Waste Part A Permit Application (Amendment # )

 As a component of the Hazardous Waste Report (If marked, see sub-bullet below)

 Site was a TSD facility and/or generator of >1,000 kg of hazardous waste, >1 kg of acute hazardous waste, or 

>100 kg of acute hazardous waste spill cleanup in one or more months of the report year (or State 

equivalent LQG regulations)

2. Site EPA ID 

Number

EPA ID Number

3. Site Name Name: 

4. Site Location 

Information

Street Address: 

City, Town, or Village: County: 

State: Country: Zip Code: 

5. Site Land Type Private County District Federal Tribal Municipal State Other

6. NAICS Code(s) 

for the Site

(at least 5-digit 

codes)

A. - C. -

B. - D. -

7. Site Mailing 

Address

Street or P.O. Box: 

City, Town, or Village: 

State: Country: Zip Code: 

8. Site Contact 

Person

First Name: MI: Last: 

Title: 

Street or P.O. Box: 

City, Town or Village: 

State: Country: Zip Code: 

Email: 

Phone: Ext: Fax: 

EPA Form 8700-12, 8700-13 A/B, 8700-23 Page 1 of 
9. Legal Owner 

and Operator 

of the Site

A. Name of Site’s Legal Owner: Date Became 

Owner:

Owner 

Type:

 

 Private

 

 County

 

 District

 

 Federal

 

 Tribal

 

 Municipal

 

 State

 

 Other

Street or P.O. Box: 

City, Town, or Village: 

State: Country: Zip Code: 

Email: 

Phone: Ext: Fax: 

Notes:

B. Name of Site’s Operator: Date Became 

Operator:

Operator 

Type:

 

 Private

 

 County

 

 District

 

 Federal

 

 Tribal

 

 Municipal

 

 State

 

 Other

Street or P.O. Box: 

City, Town, or Village: 

State: Country: Zip Code: 

Email: 

Phone: Ext: Fax: 

Notes:

EPA Form 8700-12, 8700-13 A/B, 8700-23 Page 2 of 
EPA ID Number OMB#: 2050-0024; Expires 01/31/2017

10. Type of Regulated Waste Activity (at your site)

Mark “Yes” or “No” for all current activities (as of the date submitting the form); complete any additional boxes as instructed.

A. Hazardous Waste Activities; Complete all parts 1-10.

Y N 1. Generator of Hazardous Waste

If “Yes,” mark only one of the following – a, b, or c. Y N 5. Transporter of Hazardous WasteIf “Yes,” mark all that apply.

a. LQG: Generates, in any calendar month, 1,000 kg/mo 

(2,200 lbs/mo.) or more of non-acute hazardous 

waste; or Generates, in any calendar month, or 

accumulates at any time, more than 1 kg/mo 

(2.2 lbs/mo) of acute hazardous waste; or

Generates, in any calendar month, or 

accumulates at any time, more than 100 kg/mo 

(220 lbs/mo) of acute hazardous spill cleanup 

material.

a. Transporter

b. Transfer Facility (at your site)

Y N 6. Treater, Storer, or Disposer of Hazardous 

Waste Note: A hazardous waste Part B 

permit is required for these activities.

Y N 7. Recycler of Hazardous Waste

b. SQG: 100 to 1,000 kg/mo (220 – 2,200 lbs/mo) of 

non-acute hazardous waste and no more than 1 

kg (2.2 lbs) of acute hazardous waste and no 

more than 100 kg (220 lbs) of any acute 

hazardous spill cleanup material.

c. CESQG: Less than or equal to 100 kg/mo (220 lbs/mo) of 

non-acute hazardous waste.

Y N 8. Exempt Boiler and/or Industrial Furnace

If “Yes,” mark all that apply.

 If “Yes” above, indicate other generator activities in 2-10.

a. a. Small Quantity On-site Burner 

Exemption

Y N 2. Short-Term Generator (generate from a short-term or one-time 

event and not from on-going processes). If “Yes,” provide an 

explanation in the Comments section.

b. Smelting, Melting, and Refining 

Furnace Exemption

Y N 3. United States Importer of Hazardous Waste Y N 9. Underground Injection Control

Y N 4. Mixed Waste (hazardous and radioactive) Generator Y N 10. Receives Hazardous Waste from Off-site

B. Universal Waste Activities; Complete all parts 1-2. C. Used Oil Activities; Complete all parts 1-4.

Y N 1. Large Quantity Handler of Universal Waste (you 

accumulate 5,000 kg or more) [refer to your State 

regulations to determine what is regulated]. Indicate 

types of universal waste managed at your site. If “Yes,” 

mark all that apply.

a. Batteries

b. Pesticides

c. Mercury containing equipment

d. Lamps

e. Other (specify) 

f. Other (specify) 

g. Other (specify) 

Y N 1. Used Oil Transporter

If “Yes,” mark all that apply.

a. Transporter

b. Transfer Facility (at your site)

Y N 2. Used Oil Processor and/or Re-refiner

If “Yes,” mark all that apply.

a. Processor

b. Re-refiner

Y N

3. Off-Specification Used Oil Burner

Y N 4. Used Oil Fuel Marketer

If “Yes,” mark all that apply.

Y N 2. Destination Facility for Universal Waste

Note: A hazardous waste permit may be required for this 

activity.

a. Marketer Who Directs Shipment of

Off-Specification Used Oil to

Off-Specification Used Oil Burner

b. Marketer Who First Claims the Used 

Oil Meets the Specifications

EPA Form 8700-12, 8700-13 A/B, 8700-23 Page 3 of 
EPA ID Number OMB#: 2050-0024; Expires 01/31/2017

D. Eligible Academic Entities with Laboratories—Notification for opting into or withdrawing from managing laboratory hazardous 

wastes pursuant to 40 CFR Part 262 Subpart K

 You can ONLY Opt into Subpart K if:

 you are at least one of the following: a college or university; a teaching hospital that is owned by or has a formal affiliation 

agreement with a college or university; or a non-profit research institute that is owned by or has a formal affiliation agreement with 

a college or university; AND

 you have checked with your State to determine if 40 CFR Part 262 Subpart K is effective in your state

Y N N 1. Opting into or currently operating under 40 CFR Part 262 Subpart K for the management of hazardous wastes in laboratories

See the item-by-item instructions for definitions of types of eligible academic entities. Mark all that apply:

a. College or University

b. Teaching Hospital that is owned by or has a formal written affiliation agreement with a college or university

c. Non-profit Institute that is owned by or has a formal written affiliation agreement with a college or university

Y N N 2. Withdrawing from 40 CFR Part 262 Subpart K for the management of hazardous wastes in laboratories

11. Description of Hazardous Waste

A. Waste Codes for Federally Regulated Hazardous Wastes. Please list the waste codes of the Federal hazardous wastes handled at 

your site. List them in the order they are presented in the regulations (e.g., D001, D003, F007, U112). Use an additional page if more 

spaces are needed.

B. Waste Codes for State-Regulated (i.e., non-Federal) Hazardous Wastes. Please list the waste codes of the State-Regulated 

hazardous wastes handled at your site. List them in the order they are presented in the regulations. Use an additional page if more 

spaces are needed.

EPA Form 8700-12, 8700-13 A/B, 8700-23 Page 4 of
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EPA ID Number OMB#: 2050-0024; Expires 01/31/2017

12. Notification of Hazardous Secondary Material (HSM) Activity

Y N A. Are you notifying under 40 CFR 260.42 that you will begin managing, are managing, or will stop managing hazardous 

secondary material under 40 CFR 261.2(a)(2)(ii), 40 CFR 261.4(a)(23), (24), or (25) 40 CFR 260.30, 40 CFR 261.4(a)(23), 

(24), or (27)?

If “Yes,” you must fill out the Addendum to the Site Identification Form: Notification for Managing Hazardous Secondary 

Material.

Y N B. Are you notifying under 40 CFR 260.43(a)(4)(iii) that the product of your recycling process has levels of hazardous 

constituents that are not comparable to or unable to be compared to a legitimate product or intermediate but that the recycling 

is still legitimate?

If “Yes,” you may provide comments in Item 13 below. You must also document that your recycling is still legitimate and 

maintain that documentation on-site.

13. Comments

14. Certification. I certify under penalty of law that this document and all attachments were prepared under my direction or supervision in 

accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based 

on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the 

information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant 

penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations. For the RCRA 

Hazardous Waste Part A Permit Application, all owner(s) and operator(s) must sign (see 40 CFR 270.10(b) and 270.11).

Signature of legal owner, operator, or an 

authorized representative

Name and Official Title (type or print: 

first name, middle initial, last name, and 

title)

Date Signed

(mm/dd/yyyy) Email

EPA Form 8700-12, 8700-13 A/B, 8700-23 Page 5 of 
EPA ID Number OMB#: 2050-0024; Expires 01/31/2017

ADDENDUM TO THE SITE IDENTIFICATION FORM:

NOTIFICATION OF HAZARDOUS SECONDARY MATERIAL ACTIVITY

ONLY fill out this form if:

 You are located in a State that allows you to manage excluded hazardous secondary material (HSM) under 40 CFR 260.30 40 

CFR 261.2(a)(2)(ii), 261.4(a)(23), (24), or (25) (27) (or state equivalent); See 

http://www.epa.gov/epawaste/hazard/dsw/statespf.htm for a list of eligible states; AND

 You are or will be managing excluded HSM in compliance with 40 CFR 261.2(a)(2)(ii) 40 CFR 260.30, 261.4(a)(23), (24), or (25)

(27) (or state equivalent) or you have stopped managing excluded HSM in compliance with the exclusion(s) and do not expect to 

manage any amount of excluded HSM under the exclusion(s) for at least one year. Do not include any information regarding your 

hazardous waste activities in this section. Note: If your facility was granted a solid variance under 40 CFR 260.30 prior 

to July 13, 2015, your management of hazardous secondary materials under 40 CFR 260.30 is grandfathered under 

the previous regulations and you are not required to notify for the HSM management activity excluded under 40 

CFR 260.30. 

1. Indicate reason for notification. Include dates where requested.

Facility will begin managing excluded HSM as of _____________ (mm/dd/yyyy). 

Facility is still managing excluded HSM/re-notifying as required by March 1 of each even-numbered year.

Facility has stopped managing excluded HSM as of ____________ (mm/dd/yyyy) and is notifying as required.

2. Description of excluded HSM activity. Please list the appropriate codes and quantities in short tons to describe your excluded HSM 

activity ONLY (do not include any information regarding your hazardous wastes). Use additional pages if more space is needed.

a. Facility code

(answer using 

codes listed in the 

Code List section of 

the instructions)

b. Waste code(s) for HSM c. Estimated short 

tons of excluded HSM 

to be managed 

annually

d. Actual short tons 

of excluded HSM 

that was managed 

during the most 

recent oddnumbered year

e. Land-based unit 

code (answer using 

codes listed in the 

Code List section of 

the instructions)

3. Facility has financial assurance pursuant to 40 CFR 261.4(a)(24)(vi). (Financial assurance is required for reclaimers and

intermediate facilities managing excluded HSM under 40 CFR 261.4(a)(24) and (25))

Y N Does this facility have financial assurance pursuant to 40 CFR 261.4(a)(24)(vi)?

EPA Form 8700-12, 8700-13 A/B, 8700-23 Addendum Page of
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EPA ID Number OMB#: 2050-0024; Expires 01/31/2017

United States Environmental Protection Agency

HAZARDOUS WASTE PERMIT INFORMATION FORM

1. Facility Permit

Contact

First Name: MI: Last Name:

Contact Title:

Phone: Ext.: Email:

2. Facility Permit 

Contact Mailing 

Address

Street or P.O. Box:

City, Town, or Village:

State:

Country: Zip Code:

3. Operator Mailing 

Address and 

Telephone Number

Street or P.O. Box:

City, Town, or Village:

State: Phone:

Country: Zip Code:

4. Facility Existence

Date Facility Existence Date (mm/dd/yyyy):

5. Other Environmental Permits

A. Facility Type

(Enter code) B. Permit Number C. Description

6. Nature of Business:

Page 1 of 7
EPA ID Number OMB#: 2050-0024; Expires 01/31/2017

7. Process Codes and Design Capacities – Enter information in the Section on Form Page 3

A. PROCESS CODE – Enter the code from the list of process codes below that best describes each process to be used at the facility. If more lines 

are needed, attach a separate sheet of paper with the additional information. For “other” processes (i.e., D99, S99, T04 and X99), describe the 

process (including its design capacity) in the space provided in Item 8.

B. PROCESS DESIGN CAPACITY – For each code entered in Item 7.A; enter the capacity of the process.

1. AMOUNT – Enter the amount. In a case where design capacity is not applicable (such as in a closure/post-closure or enforcement action)

enter the total amount of waste for that process.

2. UNIT OF MEASURE – For each amount entered in Item 7.B(1), enter the code in Item 7.B(2) from the list of unit of measure codes below that 

describes the unit of measure used. Select only from the units of measure in this list.

C. PROCESS TOTAL NUMBER OF UNITS – Enter the total number of units for each corresponding process code.

Process Appropriate Unit of Measure for

Code ProcessProcess Design Capacity

Process Process Appropriate Unit of Measure for

Code Process Design Capacity

Disposal Treatment (Continued) (for T81 – T94)

D79 Underground Injection Gallons; Liters; Gallons Per Day; or

Well Disposal Liters Per Day

D80 Landfill Acre-feet; Hectares-meter; Acres; 

Cubic Meters; Hectares; Cubic 

Yards

D81 Land Treatment Acres or Hectares

D82 Ocean Disposal Gallons Per Day or Liters Per Day

D83 Surface Impoundment Gallons; Liters; Cubic Meters; or

Disposal Cubic Yards

D99 Other Disposal Any Unit of Measure Listed Below

T81 Cement Kiln Gallons Per Day; Liters Per Day; Pounds 

Per Hour; Short Tons Per Hour; 

Kilograms Per Hour; Metric Tons Per

T82 Lime Kiln Day; Metric Tons Per Hour; Short Tons

Per Day; BTU Per Hour; Liters Per Hour;

T83 Aggregate Kiln Kilograms Per Hour; or Million BTU Per

Hour

T84 Phosphate Kiln

T85 Coke Oven

T86 Blast Furnace

T87 Smelting, Melting, or Refining Furnace

T88 Titanium Dioxide Chloride Oxidation Reactor

T89 Methane Reforming Furnace

T90 Pulping Liquor Recovery Furnace

T91 Combustion Device Used in the Recovery of Sulfur Values from Spent

Sulfuric Acid

T92 Halogen Acid Furnaces

T93 Other Industrial Furnaces Listed in 40 CFR 260.10

T94 Containment Building Cubic Yards; Cubic Meters; Short Tons

 Treatment Per Hour; Gallons Per Hour; Liters Per 

 Hour; BTU Per Hour; Pounds Per Hour;

Short Tons Per Day; Kilograms Per 

Hour; Metric Tons Per Day; Gallons Per 

Day; Liters Per Day; Metric Tons Per 

Hour; or Million BTU Per Hour

Storage

S01 Container Gallons; Liters; Cubic Meters; or

Cubic Yards

S02 Tank Storage Gallons; Liters; Cubic Meters; or

Cubic Yards

S03 Waste Pile Cubic Yards or Cubic Meters

S04 Surface Impoundment Gallons; Liters; Cubic Meters; or

Cubic Yards

S05 Drip Pad Gallons; Liters; Cubic Meters; 

Hectares; or Cubic Yards

S06 Containment Building Cubic Yards or Cubic Meters

Storage

S99 Other Storage Any Unit of Measure Listed Below

Treatment

T01 Tank Treatment Gallons Per Day; Liters Per Day

T02 Surface Impoundment Gallons Per Day; Liters Per Day

T03 Incinerator Short Tons Per Hour; Metric Tons 

Per Hour; Gallons Per Hour; Liters 

Per Hour; BTUs Per Hour; Pounds 

Per Hour; Short Tons Per Day; 

Kilograms Per Hour; Gallons Per 

Day; Metric Tons Per Hour; or 

Million BTU Per Hour

T04 Other Treatment Gallons Per Day; Liters Per Day; 

Pounds Per Hour; Short Tons Per 

Hour; Kilograms Per Hour; Metric 

Tons Per Day; Short Tons Per Day; 

BTUs Per Hour; Gallons Per Day; 

Liters Per Hour; or Million BTU Per 

Hour

T80 Boiler Gallons; Liters; Gallons Per Hour; 

Liters Per Hour; BTUs Per Hour; or 

Million BTU Per Hour

Miscellaneous (Subpart X)

X01 Open Burning/Open Any Unit of Measure Listed Below

Detonation

X02 Mechanical Processing Short Tons Per Hour; Metric Tons Per 

Hour; Short Tons Per Day; Metric Tons 

Per Day; Pounds Per Hour; Kilograms 

Per Hour; Gallons Per Hour; Liters Per 

Hour; or Gallons Per Day

X03 Thermal Unit Gallons Per Day; Liters Per Day; Pounds 

Per Hour; Short Tons Per Hour; 

Kilograms Per Hour; Metric Tons Per 

Day; Metric Tons Per Hour; Short Tons 

Per Day; BTU Per Hour; or Million BTU 

Per Hour

X04 Geologic Repository Cubic Yards; Cubic Meters; Acre-feet; 

Hectare-meter; Gallons; or Liters

X99 Other Subpart X Any Unit of Measure Listed Below

Unit of Measure Unit of Measure Code

Gallons ............................................... G 

Gallons Per Hour.................................E 

Gallons Per Day ..................................U 

Liters.................................................... L 

Liters Per Hour....................................H 

Liters Per Day......................................V

Unit of Measure Unit of Measure Code

Short Tons Per Hour .............................. D 

Short Tons Per Day ................................ N 

Metric Tons Per Hour .............................W 

Metric Tons Per Day................................S 

Pounds Per Hour ..................................... J 

Kilograms Per Hour.................................X 

Million BTU Per Hour...............................X

Unit of Measure Unit of Measure Code

Cubic Yards ............................................. Y 

Cubic Meters............................................C 

Acres ........................................................B 

Acre-feet ..................................................A 

Hectares .................................................. Q 

Hectare-meter .......................................... F 

BTU Per Hour............................................ I

Page 2 of 7
Page 3 of 7

EPA ID Number OMB#: 2050-0024; Expires 01/31/2017

7. Process Codes and Design Capacities (Continued)

EXAMPLE FOR COMPLETING Item 7 (shown in line number X-1 below): A facility has a storage tank, which can hold 533.788 gallons.

Line

Number

A. Process

Code

(From list above)

B. PROCESS DESIGN CAPACITY C. Process Total

Number of Units

For Official Use Only

(1) Amount (Specify) (2) Unit of Measure

X 1 S 0 2 533.788 G 001

1

2

3

4

5

6

7

8

9

1 0

1 1

1 2

1 3

Note: If you need to list more than 13 process codes, attach an additional sheet(s) with the information in the same format as above. 

Number the line sequentially, taking into account any lines that will be used for “other” process (i.e., D99, S99, T04, and X99) in Item 8.

8. Other Processes (Follow instructions from Item 7 for D99, S99, T04, and X99 process codes)

Line

Number

(Enter #s in 

sequence 

with Item 7)

A. Process Code

(From list above)

B. PROCESS DESIGN CAPACITY

C. Process Total

Number of Units

For Official Use Only

(1) Amount (Specify)

(2) Unit of

Measure

X 2 T 0 4 100.00 U 001
Page 4 of 7

ENGLISH UNIT OF MEASURE CODE METRIC UNIT OF 

MEASURE

CODE

POUNDS

TONS

P

T

KILOGRAMS

METRIC TONS

K

M

EPA ID Number OMB#: 2050-0024; Expires 01/31/2017

9. Description of Hazardous Wastes - Enter Information in the Sections on Form Page 5

A. EPA HAZARDOUS WASTE NUMBER – Enter the four-digit number from 40 CFR, Part 261 Subpart D of each listed hazardous waste you will 

handle. For hazardous wastes which are not listed in 40 CFR, Part 261 Subpart D, enter the four-digit number(s) from 40 CFR Part 261, Subpart 

C that describes the characteristics and/or the toxic contaminants of those hazardous wastes.

B. ESTIMATED ANNUAL QUANTITY – For each listed waste entered in Item 9.A, estimate the quantity of that waste that will be 

handled on an annual basis. For each characteristic or toxic contaminant entered in Item 9.A, estimate the total annual 

quantity of all the non-listed waste(s) that will be handled which possess that characteristic or contaminant.

C. UNIT OF MEASURE – For each quantity entered in Item 9.B, enter the unit of measure code. Units of measure which must be 

used and the appropriate codes are:

If facility records use any other unit of measure for quantity, the units of measure must be converted into one of the required 

units of measure, taking into account the appropriate density or specific gravity of the waste.

D. PROCESSES

1. PROCESS CODES:

For listed hazardous waste: For each listed hazardous waste entered in Item 9.A, select the code(s) from the list of 

process codes contained in Items 7.A and 8.A on page 3 to indicate all the processes that will be used to store, treat, 

and/or dispose of all listed hazardous wastes.

For non-listed waste: For each characteristic or toxic contaminant entered in Item 9.A, select the code(s) from the list of 

process codes contained in Items 7.A and 8.A on page 3 to indicate all the processes that will be used to store, treat, 

and/or dispose of all the non-listed hazardous wastes that possess that characteristic or toxic contaminant.

NOTE: THREE SPACES ARE PROVIDED FOR ENTERING PROCESS CODES. IF MORE ARE NEEDED:

1. Enter the first two as described above.

2. Enter “000” in the extreme right box of Item 9.D(1).

3. Use additional sheet, enter line number from previous sheet, and enter additional code(s) in Item 9.E.

2. PROCESS DESCRIPTION: If code is not listed for a process that will be used, describe the process in Item 9.D(2) or in

Item 9.E(2).

NOTE: HAZARDOUS WASTES DESCRIBED BY MORE THAN ONE EPA HAZARDOUS WASTE NUMBER – Hazardous 

wastes that can be described by more than one EPA Hazardous Waste Number shall be described on the form as follows:

1. Select one of the EPA Hazardous Waste Numbers and enter it in Item 9.A. On the same line complete Items 9.B, 9.C, 

and 9.D by estimating the total annual quantity of the waste and describing all the processes to be used to store, 

treat, and/or dispose of the waste.

2. In Item 9.A of the next line enter the other EPA Hazardous Waste Number that can be used to describe the waste. In

Item 9.D.2 on that line enter “included with above” and make no other entries on that line.

3. Repeat step 2 for each EPA Hazardous Waste Number that can be used to describe the hazardous waste.

EXAMPLE FOR COMPLETING Item 9 (shown in line numbers X-1, X-2, X-3, and X-4 below) – A facility will treat and dispose of an 

estimated 900 pounds per year of chrome shavings from leather tanning and finishing operations. In addition, the facility will treat 

and dispose of three non-listed wastes. Two wastes are corrosive only and there will be an estimated 200 pounds per year of each 

waste. The other waste is corrosive and ignitable and there will be an estimated 100 pounds per year of that waste. Treatment will 

be in an incinerator and disposal will be in a landfill.

Line

Number

A. EPA Hazardous

Waste No. 

(Enter code)

B. Estimated 

Annual 

Qty of 

Waste

C. Unit of

Measure

(Enter code)

D. PROCESSES

(1) PROCESS CODES (Enter Code)

(2) PROCESS DESCRIPTION 

(If code is not entered in 9.D(1))

X 1 K 0 5 4 900 P T 0 3 D 8 0

X 2 D 0 0 2 400 P T 0 3 D 8 0

X 3 D 0 0 1 100 P T 0 3 D 8 0

X 4 D 0 0 2 Included With Above
EPA ID Number OMB#: 2050-0024; Expires 01/31/2017

9. Description of Hazardous Wastes (Continued. Use additional sheet(s) as necessary; number pages as 5a, etc.)

Line Number

A. EPA Hazardous

Waste No. 

(Enter code)

B. Estimated 

Annual 

Qty of 

Waste

C. Unit of

Measure

(Enter code)

D. PROCESSES

(1) PROCESS CODES (Enter Code)

(2) PROCESS DESCRIPTION

(If code is not entered in 9.D(1))

1

2

3

4

5

6

7

8

9

1 0

1 1

1 2

1 3

1 4

1 5

1 6

1 7

1 8

1 9

2 0

2 1

2 2

2 3

2 4

2 5

2 6

2 7

2 8

2 9

3 0

3 1

3 2

3 3

3 4

3 5

3 6

Page 5 of 7
EPA ID Number OMB#: 2050-0024; Expires 01/31/2017

9. Description of Hazardous Wastes (Continued. Use additional sheet(s) as necessary; number pages as 5a, etc.)

Line Number

A. EPA Hazardous

Waste No. 

(Enter code)

B. Estimated 

Annual 

Qty of 

Waste

C. Unit of

Measure

(Enter code)

D. PROCESSES

(1) PROCESS CODES (Enter Code)

(2) PROCESS DESCRIPTION 

(If code is not entered in 9.D.1)

 Page 6 of 7
EPA ID Number OMB#: 2050-0024; Expires 01/31/2017

10. Map

Attach to this application a topographical map, or other equivalent map, of the area extending to at least one mile beyond property 

boundaries. The map must show the outline of the facility, the location of each of its existing intake and discharge structures, each of its 

hazardous waste treatment, storage, or disposal facilities, and each well where it injects fluids underground. Include all spring, rivers, and 

other surface water bodies in this map area. See instructions for precise requirements.

11. Facility Drawing

All existing facilities must include a scale drawing of the facility (see instructions for more detail).

12. Photographs

All existing facilities must include photographs (aerial or ground-level) that clearly delineate all existing structures; existing storage,

treatment, and disposal areas; and sites of future storage, treatment, or disposal areas (see instructions for more detail).

13. Comments

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