### United States

Environmental Protection Agency October 2005 

# 2005 Hazard ous Waste Report
Instruction s and Form s EPA Form 8700-13 A/B (OMB #2050-0024; Expi res 10/ 31/2007)

## Office of Solid W aste

( 53 01 W) Washington, DC 20460 

# 2005 Hazardous Waste Report In st ru ct i on s a nd Fo rm s

This is an ongoing i nformati on coll ecti on from hazardous waste gener ators and hazardous wast e tre atment, stor age, or disposal fa cilities. This colle ction is done on a t wo-year cycl e as required by Sect ions 3002 and 3004 of the Resource C onservat ion and Recovery Act (RCRA ). The informati on is col lect ed via a mechani sm known as th e Hazardous Waste Report for the re quired reporting year[EPA Form 8 700-13 A/B ](also know n as the B iennial Rep ort). Bo th RCR A Sections 3002 and 3004 require EPA to establ ish standards f or recordkeeping and r eporting of hazar dous waste. Section 3002 appl ies t o hazardous wast e generat ors andSectio n 30 04 ap plies to h azard ous w aste treatme nt, stora ge, and disposa l fac ilities . The impl ementing r egulat ions ar e found at 40 CFR Parts 262. 40(b) and (d); 262.41 (a)(1)-(5), (a)(8), and (b); 264.75 (a)-(e) and (j); 265.75(a)-(e) and (j); and 27 0.30(l)(9). This is man datory reporting by the respondents. The respondent s' s ubm issio ns (re ports) describe each generated hazardous wast e, the acti vity by which they generat ed the w aste, an d the w aste qu antity; the repo rts also list the man agem ent m ethod by w hich e ach w aste is treated, rec ycled, or dis posed and the quantit y managed. There are a number of us es of Bienni al Repo rtdata . EPA uses BiennialReport dat a for pl anning and devel oping regul ations , compli ance monitoring, and enforcement . Also, BiennialRep ort d ata allows the Agency to determine whether its regulations are havi ng the desired eff ect on t he generat ion and management of hazardous waste. Fo r examp le, Biennial R eport data pr ovides informati on on whether wa ste management has shifted fro m on e me thod o f dispo sal to an other. S ome State u ses of R epo rt data include sup port of plan ning, fe e asse ssm ent, co mplia nce m onitorin g, and enforc eme nt. Some business es conside r some of t heir ha zardous waste infor mation to be C onfid entia l Business Infor mation (CB I). A business may, if it desi res, protec t it s Biennial Report i nformati on from pub lic disclo sure b y asse rting a c laim of con fi den ti al it

y co verin g al l o r p art o f i ts in fo rmati on. When acl ai m i s made EPA will treat th e inform ation in accordance with the confi dentia lit y regulations in 40 CFR Part 2, Subpart B. EPA also ens ures that the i nformati on colle ction procedures comply with t he Privac y Act of 1974 and OMB C ircul ar 108. Esti mated Burden: The total ann ual pu blic reporting and re cordkeepi ng burden for this coll ecti on of inf

ormati on is esti mated to av era ge 18.26 hours per resp onse. Th e annua l reporting burden is estimated to avera ge 16.70 hours per respo nse in cludin g time for revie win g instru ctions , gathe ring da ta, com pleting and re view in g the fo rms, and submitting the report. The an nual re c ordkeeping requirement is estimated to ave rage 1.56 hours per respondent including the t ime for

fil ing and storing t

he BiennialReport submis sion. To comment on the Agency' s need forthis infor mation, the accuracy of t he provide d burden estimates, and any suggested

methods for

minimizing respondent burden, including the use of automated c ollec tion techniques, EPA has establ isheda pub li c doc ket for this IC R u nde r Do cket ID Nu mbe r RC RA -200 5-00 03, w hich is a vailab le for pu blic viewing at t

he RCRA Docket in t

he EPA Docket Center(EPA /DC ), EPA W est, Ro om B 102 , 1301 Co nstitution Av e., NW, Washington, DC. The EPA Docket Center Publi c Reading Room is open from 8:30 a.m. t o 4:30 p.m. , Monday throughFriday, exclud ing legal holiday s. The telepho ne num ber for the Reading R oom is (202) 566-1744 and the tele phone number for the RCRA D ocket i s (202) 566- 0270. An elect ronic ve rsionof the p ublic d ock et is ava ilable throu gh E PA Do ckets (ED OC KE T) at - htt p:// www .epa.gov/edocket Use E DO CK ET to submit or view publi c comments, acc ess the index l ist ing of the c onten ts of the p ublic d ock et, and to acc ess th ose doc umen ts inth e publ ic doc ket th atar e av ai labl e el ect ro ni cal ly . On ce in the s ystem, sel ect “searc h,” then key in the docke t ID nu mber identifi ed above. Also, you can send comments to the Offi ce of Infor mation and R egu la tory Affa irs, Office of Management and Budget, 725 17t h Street , NW, W ashingt on, DC 20503, Attenti on: Desk O ffi ce forEPA. Please include t he EPA Docket ID Num ber RCRA -2005-0003 and OMB Control Number 2050-0024 in any cor respondence.i



## PURPOSE OF THE 200 5 HAZA RDOUS WASTE REPORT
The U.S. Envi ronmentalProte cti on Agency's (EPA) miss ion t o prote ct human hea lth and the envir onment includes the res ponsibi lit y to ef fectivel y manage, wit

h the St ates , the nati on's hazar dous wast e. As part of this tas k, the EPA and the St ates coll ect and mainta in i nformat ion about the ge neration, management, and final dispo sition of the n ation's hazard ous w aste regu lated by the Re source Con servation and R ecov ery Act (R CR A). The EPA prepared t

his bookl et f

or hazardous wast e gener ator s and f or fa cil iti es that t

reat , store, or dispos e hazardous wast e to r eport thei r hazardous wast e act ivities for c alendar year 2005. The info rma tion c ollecte d w ill:



### # Provide the EPA and the Stat es wit h an unders tandi ng of hazardous wast e gener ati on and manag ement in the U nited States.



### # Help the EP A m easure th e quality of the en vironm ent, such as mo nitoring in dustry compliance with the r egulations and evaluating waste mi nimization effor ts t aken by indus try.



### # Be summarize d and communicat ed to t he publi c, primari ly through publi cati on of the 200 5 N ation al Bie nnia l RC RA Ha zard ous W aste R epo rt. Th e data yo u pro vide will b e ente red in to a co mp uter d atab ase b y th e Sta te or th e EP A R egio nal O ffice to wh ich y ou re turn yo ur H azard ous W aste R epo rt. Afte r revie w to ensu re the qua lity of the d ata, E PA will create a na tional datab ase for this info rmation . You r efforts in carefu lly filling out all the re port form s are apprec iat ed.

IMP ORTANT Before c ompleting the 2005 Hazardous Waste Report f orms, pl ease c aref

ully r ead the inst

ruct ions in this boo klet.

IF YOU NEED A SSI STANCE To obtai n assi stance in fil ling out the 2005 Hazardous Waste Report forms, pleas e conta ct your Stat e Offi ce. Some Stat es’ r eport ing re quire ments di ffer from the Federa l re quire ments. The li st of State and EPA Regional Office addres ses, c ontact names, telephone numbers, and e- mail address es is on the In terne t at - http://w ww .epa.g ov/e pao sw er/ha zw aste/d ata/br 05/form s.htmii 

## THI S PAGE I NTENT ION ALLYLEFT BLANKiii



## NOTE:

NOTE: WHO MUST FI LE TH E 200 5 HAZA RDOUS WASTE REPORT
SIT ES REQUIRED TO FILE THE HAZARDOUS WASTE REPORT
Yo u are requ ired b y F ede ral statu te (m and atory repo rting ) to co mp lete an d file th e 20 05 H azard ous W aste Report ( als o known as the “Bienni al Report”) or your St ate’ s equi valent hazar dous wast e repor t i f your site :



### # Met the def inition (s ee box bel ow) of a RCRA Large Quanti ty Generator ( LQG) during 200 5; AND/ OR



### # Treat ed, s tore d, or dispos ed of RCRA hazardous was tes on sit e duri ng 2005. If you are re quired to r eport, s ee WHICH FORMS T O SUBMI T AND WHAT TO RE PORT on pag e 2 to deter min e w hich form s yo u m ust su bm it.



### DEFINITI ON OF A RCRA LARGE QUANT ITY GENE RATOR WHO MUST REPORT FOR CALENDAR Y EAR 2005 A site is a R CR A L arge Qu antity Ge nera tor (L QG ) for 2 005 if the site me t any of the fol lowing crit eria: (a) The sit e gener ated, in any s ingle cale ndar month, 1,000 kg ( 2,200 lbs) or more of RC RA haza rdo us w aste; or (b) The site generated , in any sin gle calen dar m onth, o r accum ulated at an y time , more than 1 kg (2.2 lb s) of R CR A a cute haza rdo us w aste; or (c) The site generated , in any sin gle calen dar m onth, o r accum ulated at an y time , more than 100 kg (2 20 lb s) of sp ill clean up m aterial c onta min ated with RC RA acute hazardous waste.

Yo u w ill report you r curr ent Hazardous Waste Generator s tat us as of the date of su bm itting y our 200 5 H azard ous W aste R epo rt on th e Site Ident ifi cati on Form in I tem 10.A. 1 - Generator of Hazardous Waste. Your status may have changed s ince 2005.
Ha zard ous wa ste im por ted fro m a foreig n co untr y in 200 5 m ust b e cou nted in dete rmin ing y our gen erato r status if yo ur site is the U .S. Im por ter. Th is wa ste mu st be re por ted o n Fo rm G M or F orm W R in yo ur 20 05 H azard ous W aste Re por t.iv

SIT ES THAT SHOULD NOT FILE THE HAZARDOUS WASTE REPORT
Do not file the 200 5 H azard ous W aste R epo rt if, dur ing 2 005 , you r site w as no t a RC RA Larg e Q uan tity Gen erator (yo ur site did n ot me et any o f the LQ G criteria in the box abov e) AND did not tre at, stor e, or dispose of RCRA hazardous w astes on site. If you are not r equired to r eport, you should noti fy us if your hazardous waste generator stat us has cha nge d; ple ase fill o ut the RC RA Sub title C S ite Ide ntifica tion F orm and sub mit it to yo ur S tate O ffice. See page 7 for instr

ucti ons on fi lling out the Sit e Identifi cati on Form. Mark the box for Subsequent No tificatio n of R egu lated W aste A ctivity in Item 1 - R easo n for Sub mitta l.
Do not file the 2 005 Ha zard ous W aste R epo rt if, dur ing 2 005 , all of your hazardous waste was exporte d direct ly out of the United States to a fore ign country. An Annual Report must be fil ed in this case as requi red under

40 CFR 262.56. ST AT E-S PE CIF IC REQUIREMENTS States may impose reporting require ments above and beyond the Federal requir ements. If your State does so, it will at tach inf ormation to (or

delete informati on from) this booklet. Alt ernati vely, some State s use a modifi ed vers ion of this report or thei r own inst ruct ions and forms f

or ful fil ling the r eport ing requi rements . Pl ease c ontact your State Off

ice a bout st ate- speci fic requi rements . See the Conta cts li st on the In terne t at - http ://ww w.e pa.g ov/e pao sw er/ha zw aste/d ata/br 05/form s.htmv 

## 200 5 HAZA RDOUS WASTE REPORT TABLE OF CONTENTS
PURPOS E OF THE 20 05 HAZARDOUS WASTE REP ORT

................. .............. i WHO MUST FI LE THE 2 005 HAZARDOU S WASTE R EPORT

................. .......... iii SI TES REQUI RED TO FI LE THE HAZARDOUS WASTE REPORT

................. . . iii SI TES THAT SHOULD NOT FI LE THE HAZARDOUS WASTE REPORT

.............. iv STATE-SP ECIFI C REQUIREMENTS

................. ................. .......... iv INS TRUCTI ONS FOR FI LIN G THE 2 005 HAZARDOU S WASTE R EPORT

................ 1 INT RODUCT ION

................. ................. ................. ......... 1 Au thor ity

................. ................. ................. .......... 1 Ov erview of the 20 05 H azardo us W aste Rep ort
................. .............. 1 CHANGES TO THE 200 5 HAZARDOUS WASTE REPORT

................. ......... 2 WHICH FORMS TO S UBMIT AND WHAT TO REPOR T

................. ........... 2 FI LL I NG O UT TH E F OR MS

................. ................. ................. . 3 Contacts for Assistance

................. ................. ................ 3 Copi es of

Haz ar dou s Was te Rep or t I ns tr uctio ns andForms ................. ..... 3 Document s He lp fu l in Fi ll in g Out th e Fo rms ................. ................ 3 Site Id entific ation Lab els

................. ................. ............... 4 Co de L ists

................. ................. ................. ......... 4 Skip Ins truc tions

................. ................. ................. .... 4 Explanat ions

................. ................. ................. ........ 4 Right Justi fication of Quantiti es ................. ................. ......... 4 Comme nt s S ec ti on o f F or ms ................. ................. ............ 4 Pag e Numb er in g of

Forms ................. ................. .............. 5 Photoco pi es of

Forms ................. ................. ................. 5 Elect ronic Reporting ................. ................. ................. . 5 Con fidential B usiness In forma tion (CB I)

................. ................. . . 5 WHEN AN D WHERE TO FILE

................. ................. ............... 6 INS TRUCTI ONS FOR FI LLI NG OUT THE RCRA SUB TIT LE C S ITE IDE NTI FI CATI ON (S ITE ID) FORM

................. ................. ................. ................ 7 WHO MUST SUBMIT THI S FORM

................. ................. ............ 7 PURPOSE OF THI S FORM

................. ................. ................. . . 7 HOW TO FILL OUT THI S FORM

................. ................. ............. 7 IT EM-B Y-I TEM I NSTRU CTI ONS

................. ................. ............. 9 INS TRUCTI ONS FOR FI LLI NG OUT FORM GM – WAST E GENERA TIO N AND MANAGEMENT

................. ................. ................. ............... 18 WHO MUST SUBMIT THI S FORM

................. ................. ........... 18 PURPOSE OF THI S FORM

................. ................. ................. . 18 HOW TO FILL OUT THI S FORM

................. ................. ............ 18 WASTES TO BE REPORTED

................. ................. ................ 18 WASTES NOT TO BE REPORTED

................. ................. ........... 19 HOW TO REP ORT S IMI LAR WAST ES ON ONE FO RM GM

................. ...... 20 IT EM-B Y-I TEM I NSTRU CTI ONS

................. ................. ............ 21

## 200 5 HAZA RDOUS WASTE REPORT TABLE OF CONTENTS (Continued)

vi INST RUCTIONS F OR FILLI NG OUT FORM W R – WASTE RECEI VED FROM OFF SIT E

. 27 WHO MUST SUBMIT THI S FORM

................. ................. ........... 27 PURPOSE OF THI S FORM

................. ................. ................. . 27 HOW TO FILL OUT THI S FORM

................. ................. ............ 27 IT EM-B Y-I TEM I NSTRU CTI ONS

................. ................. ............ 28 OTHER REF ERENCE I NFORMATI ON AND CODE LIS TS

................. ............ 31 EXCLUDED W ASTES

................. ................. ................. .... 33 DEFINIT ION S

................. ................. ................. ........... 35 SPE CI AL I NSTRU CTI ONS

................. ................. ................. . 45 EPA HAZARDOUS W ASTE CODES

................. ................. .......... 49 SOURCE CODES

................. ................. ................. ......... 51 FORM CODES

................. ................. ................. ........... 53 MANAG EMENT METH OD CODES

................. ................. .......... 55 20 05 HA ZA RD OU S WA ST E R EP OR T F OR MS

................. ................. ...... 571 

# INSTRUCTI ONS FOR FILING THE 2005 HAZARDOUS WASTE REPORT

IN TRODUCT ION The instructions and forms for t he 2005 Hazardous W aste Report are prepared by the U.S. Environmental Pro tection Ag enc y (E PA ) for g ene rators and for trea tme nt, stor age , and disp osal fa cilities (T SD Fs) to report thei r hazardous wast e act ivities for 2005. A UTHORITY The author ity f

or the 2005 Hazardous Waste Report is c ontai ned in Sec tions 3002 and 3004 of t he Re sou rce C ons erva tion a nd R eco very Ac t of 19 76 (R CR A), a s am end ed b y th e H azard ous and Solid Waste Amendments of 1984 (HSWA ). Secti on 3002 requi res hazardous waste ge nerat ors t o report t o the EPA or the authorized Stat es, at least every two years, t

he quantiti es, nat

ure, and dis positi on of generated hazardous waste. Under the authorit y of Section 3004, the EPA requires reporting by treatment, storage, and disposal f

acilities for the wast es they rece ive. O VERVIEW OF THE 2005 H AZA RDOUS W ASTE R EPORT To deter mine if you are r equir ed to f

ile the Hazardous Waste Report, read WHO MUST FI LE THE 200 5 HAZ ARDOUS WAST E REPORT on pages i ii and iv. CHANGES TO THE 2 005 HAZARDOU S WASTE R EPORT , on pag e 2, sum marizes the prim ary changes that have b een mad e to the 2005 H azardous W aste Report forms and instructions. WHICH FORMS T O SUBMI T AND WHAT TO RE PORT , on pages 2 and 3 , describes cir cumstanc es and s ituations under whic h each of the f orms shoul d be complet ed.
FI LL I NG OU T T HE FO RMS , on pages 3 to 5, provide genera l gui deli nes for fil ling out the Hazardous Waste Report

forms. This i ncludes where t o find the t elephone number for the St ate Cont acts , which you can call w ith qu estion s abo ut co mp leting the H azard ous W aste R epo rt. WHEN AND W HERE TO FIL E , on page 6, provide s the fil ing dat e and det ail s the procedur es for obtai ning an e xtens ion of the f iling date for your

sit e’s Hazardous Waste Report. The addres s for the State or EPA Regional Office to which you should send the Hazardous W aste Report i s specif ied in other info rma tion s ent to yo u w ith this boo klet. T here also is a com plete lis ting o f the C onta cts for each State on th e Inte rnet a t - http://w ww .epa.g ov/e pao sw er/ha zw aste/d ata/br 05/form s.htm Detai led i nstr

ucti ons for

fil ling out eac h of the forms begin on page 7. Beginni ng on page 31, rel evant other ref erenc e inf

ormati on and code l ist s are provide d including: a li st of exclude d wastes ; def

initions of key terms; a s ection on speci al inst ructions that expl ains how to report certain types of wastes ( e.g., lab packs, PCBs); t

he li st of hazar dous wast e codes; and the Source c ode, Form code, and Management M ethod code lists.2

CHANGES IN THE 2005 HAZARDOUS WASTE REPORT EPA made signif

icant modifi cati ons to t

he Hazardous Waste Report for t he 2001 submis sion ba sed on a lengthy study of the info rmation needs of EP A an d State h azardo us w aste prog rams. T hose c hang es we re ma de to imp rov e the c ons istenc y, ac cura cy, a nd re liability of the data. E PA has n ot m ade any chan ges in reporti ng requirements and for ms for this 2005 report; t here are s ome minor editorialchanges. You can find infor ma tion a bou t the p revio us 2 001 and 200 3 in th e bo okle ts at - http://w ww .epa.g ov/e pao sw er/ha zw aste/d ata/bie nnia lrepo rt/inde x.htm WHICH FORMS TO SU BM IT AND WHAT TO REPORT The 20 05 H azardous W aste Report contains the following fo ur forms: Site ID Form A site requ ired to file the 2 005 Ha zard ous W aste R epo rt mu st sub mit th e RC RA Sub title

C S ite ID For m (S ite ID For m) a s a co mp one nt of th e Re por t. Yo u w ill report you r curr ent Haza rdou s W aste Ge nerator statu s as of the d ate of submitting your 2005 Hazardous Waste Report on the Site Identif icati on Form in Item 10.A.1 - Generat or of Hazardous Waste . Your s tat us may have changed si nce 2005 Inst ruct ions f

or the Site ID Form begin on pa ge 7.
For m GM A site requ ired to file the 2 005 Ha zard ous W aste R epo rt mu st sub mit F orm GM for all

haz ardo us w aste th at w as us ed to deter min e the s ite’s g ene rator s tatus. H azard ous wa ste must be repo rted if it

was:



### # Gen erated an d accu mu lated on site and su bsequ ently m anag ed on site or shipp ed off sit e in 2005; or 

### # Gen erated an d accu mu lated on site in 200 5 bu t not m anag ed on site or shipp ed off sit e unti l af

ter 2005; or


### # Generat ed and acc umulate d on sit e pri or to 2005 but ei ther managed on si te or shippe d off s ite in 2005; or 

### # Importe d from a f

orei gn countr

y in 2005. Examples of RCR A hazardous wastes to be re ported include those that were:



### # Generat ed on si te f rom a production proc ess, servi ce activit y, or routine cleanup; 

### # Generat ed fr om equipment de commissi oning, spil l cl eanup, or re medial cleanup act ivi ty;


### # Shipped off sit e, including hazardous waste that was received from off site (report ed on the Waste Received from Off Site Form (Form WR )) and subsequently shipped off si te without being treat ed or recycled on site;


### # Remov ed from on-sit e storage f or treating, recycling, or disposing on si te or shipped off si te.

## IN STRUCT ION S (Conti nued)

3 

### # Derived f

rom the manage ment of non- hazar dous wast e; or 

### # Derived f

rom the on- sit e tr eatment (inc luding recl amati on), di sposal , or recycl ing of previo usly ex isting haza rdou s waste (a s a residual).
DO NOT submita Form GM for any hazardous wast e shi pped dir ectly to a f orei gn cou ntry . An An nua l Rep ort m ust b e filed in this c ase as requ ired u nde r 40 C FR 262 .56.
Inst ruct ions f

or Form GM begin on page 18.
Fo r m WR A site requi red t o fil e the 2005 Hazardous Waste Report must submi t Form WR if, during 200 5, it rece ived RC RA haza rdo us w aste fro m o ff site an d m ana ged the w aste o n site (includin g sub seque nt transfer off-site).
Inst ruct ions f

or Form WR begin on page 27.
For m OI A site m ust com plete Fo rm O I on ly if th e site’s S tate r equ ires it . Instructions fo r Form

OI are on t

he b ac k of

th e f orm. FI LLI NG OUT THE FORMS C ONTACTS F OR A SSIST ANCE To obtai n assi stance in fil ling out the 2005 Hazardous Waste Report forms, pleas e conta ct your Stat e or EPA Regional O ffice. Some States’ reporting requirements differ from the Fed eral requirements. The list of co ntac t add resses , con tact na me s, telep hon e nu mb ers, an d e-m ail add resses is on th e Inte rnet a t - http://w ww .epa.g ov/e pao sw er/ha zw aste/d ata/br 05/form s.htm C OPIES OF H AZA RDOUS W ASTE R EPORT I NSTRUCTIONS AND F ORMS Additi onal copi es of 2005 Hazardous Waste Report inst ruct ions and forms c an be obt ained f rom the contac t provi ded for

your State. If your

Stat e uses the EPA’s ve rsi on of the ins truc tions and forms, you can dow nloa d the boo klet fro m th e Inte rnet a t - http://w ww .epa.g ov/e pao sw er/ha zw aste/d ata/br 05/form s.htm D OCUMENTS H ELPFUL I N F IL LI NG O UT THE F ORMS To prepar e the 2005 Hazardous Waste Report , you shoul d consul t your r ecords on quanti tie s and types of hazardous waste that

your site generated, managed, shipped, or r eceived in 2005. Some records t hat may be helpful ar e:



### # Hazardo us waste ma nifest forms; 

### # Hazardo us W aste Report forms sub mitted in previous years; 

### # Records of quantit ies of hazardous waste generat ed or accumulated on si te; 

### # Results of laboratory analyses of y our wastes; 

### # Contrac ts or

agree ments wit

h off- sit e fac ilitie s managing your wastes ; and 

### # Copies of perm its for on-sit e waste man agemen t systems.4



# a S ITE I DENTIFI CATI ON L ABELS If yo u rec eive d pre -prin ted site iden tificatio n lab els for yo ur state with yo ur 20 05 H azard ous W aste Re por t instru ction s and form s bo okle t, pleas e rev iew the lab els to v erify that th e info rma tion is accu rate and ma rk an y ch ang es dire ctly o n the labels . Attac h on e labe l to eac h for m in the H azard ous W aste Report. If you di d not r ecei ve labe ls wit h your bookle t, enter

the s ite name and EPA Identi fic ati on Nu mb er on each form in the spac e pro vide d for the lab el (i.e., the top le ft-han d co rner o f the fo rm). Before making copies of t he forms in order to complete t hem, be sure that

you have either at

tached a prepri nte d label to e ach f

orm or , i f you di d notrec eiv e l abel s, that you h ave e nte red the si te’ s name and EPA Id entif ic at io n Numb erinth e t op l ef t- han d co rn erof

ea ch f orm. C ODE L ISTS 

## LIST This symbol denotes refe rences t o the page numbers of rel evant code li sts. Please use on ly

the codes included in the instructions or in the lists of codes that begin on page 4 9. Please minimiz e the use of “Other” and “Unknown” codes. If you do us e an “Othe r” or “Unknown ” c ode , p le as e provi de an expl anati on i n the C ommen ts se ct io n of th e f orm. S KIP I NSTRUCTIONS

This symbol denotes dire cti ons to s kip t o the ne xt appr opriate s ecti on or box t o be complet ed, given certain responses to som e questions. E XPLANA

TIONS 

## NOTE This sym bol denotes exp lanatory text or definitions of terms used in the instructions.

R IGHT J USTIFICATION OF Q UANTI TIES Right j usti fy al l quant iti es re porte d on the f orms. For example , ent er a quantit y of 12,000 tons on the form as: .)2)2)2)2)2 1 2 2 2 0 2 0 2 0 -

. . 0 - Enter a quantity of 29,59 9.5 tons as: .)2)2)2)2

)2 2 2 9 2 5 2 9 2 9 -

. . 5 -
C OMMENTS S ECTION OF F ORMS Us e the C om me nts se ction at the b ottom of the form s to cla rify o r con tinue any entry . For e ach com me nt, reference the section num ber and box letter of the entry that is being continu ed. Fo r exam ple, if a hazar dous wast e gener ated on sit e has s ix EPA hazardous waste c odes, enter the f irs t five in Sec tion 1, Box B of Form GM . Ente r the sixt h waste c ode in t

he Comments sec tion and cros s-r efer ence Section 1, Bo x B : “Sec . 1, Bo x B , con tinue d: D 001 .”

## IN STRUCT ION S (Conti nued)

5 P AGE N UMBERING OF F ORMS Wh en you have fill ed out allthe appropriate forms i n your Hazardous W aste Report s ubmission, number the page s (ea ch piec e of pape r is a page) consecutivel y throughout your submis sion. Do not number each setof for ms separ ately, but rather number e ach page s equenti all y. The i ndividua l page number and the tota l number of

pages in your submis sion s hould appear at the bot tom of ea ch page ( e.g. , Page 1 of 7, Page 2 of 7). If i t i s neces sary t o conti nue inf ormati on from one f

orm onto anot

her page , make additiona l copi es of the form and number the additionalpages with the s ame page numb er as t he firs t page, f

ollowed by a lett er (e.g. , page 27, page 27a; page 28, page 28a, 28b). When continuing informati on on a supplemental page, enter only the infor

mation t hat i s bei ng conti nued. P HOTOCO PIES OF F ORMS A sin gle co py of eac h for m is in clud ed in this bo okle t. Pho toco py as m any form s as y ou n eed to comp lete your Hazardo us W aste Report. Mak e copies after yo u ha ve atta che d the pre-p rinted site ident ifi cati on labelor ent ered t he si te name and EPA Identi fic ati on Number in the top l eft -hand cor ner of the fo rm, b ut before you beg infi ll in g ou t t he f orm. After you have finishe d fil ling out the forms, phot ocopy the e ntire Hazardous Waste Report and keep a copy for a period of at least three y ears from the due date of the report as req uired b y 40 CF R 26 2.40(b ). E LECTRONIC R EPORTING Th e EP A e nco urag es elec tron ic rep ortin g of H azard ous W aste R epo rts. To obta in ins tructio ns o n ho w to fil e elect ronically, contact

your State or EPA Regional Office. C ONFIDENTIAL B USINESS I NFORMATI ON (CB I) You may not with hold infor ma tion fr om the A dm inistrato r of the EP A b ecau se it is co nfid ential. How ever, when the Administr ator i s request ed to consider informati on confidentia l, i t must be tr eated accor ding t o the EPA regul ati ons cont ained in Titl e 40 of t he CFR, Part

2, Subpar

t B. Thes e regul ati ons provide that

a busi ness may, if it desi res, asse rt a claim of busine ss conf ident ial ity c overi ng allor part of th e i nf or mat io n f

urni sh ed to the E PA. 40 CF R 2. 203 (b ) e xpl ai ns how t o as se rt a c la im. Th e EP A w ill treat info rma tion c ove red b y su ch a c laim in acc ord anc e w ith the proc edu res set fo rth in SubpartB. If

someone re quest s rel ease of infor mation c overed by aclaim of confi denti ali ty, or if the EPA otherwise deci des to make a deter mination as t o whether such informati on is enti tled t o confidenti al tre atment , the EPA will notify t he busi ness. The EPA will not disc lose infor

mation a s to when aclaim of con fiden tiality h as be en m ade exce pt to th e exte nt of a nd in acco rdan ce w ith 40 CF R P art 2, S ubp art B

. How ever, i f the busi ness does not cl aim confidenti alit y when it furnishes the infor mation, the EPA may make the inform ation available to the public without notice to the business.

## IN STRUCT ION S

(Conti nued)

6 WHEN AND WHERE TO SEND YOUR COMPLETED REPORT The 2005 Ha zar dous Wast e Repor t i s due to your St ate or EPA Regi onal Offi ce by March 1, 200 6 . Re turn yo ur co mp leted H azard ous W aste R epo rt to the add ress liste d for yo ur S tate or Reg iona l con tact. See t he add it iona l i nfor

mati on se nt t o you wit

h thi s bookl et. An updat ed l is ti ng of S tate and EPA Re gion al m ailing add resses , con tact na me s, telep hon e nu mb ers, an d e-m ail add resses is ma intain ed at - ww w.e pa.g ov/e pao sw er/ha zw aste/d ata/br 05/form s.htm If you need more time to f illout the 2005 Hazardous Waste Report, contact your State or EPA Regional Office as soon as possible for specific instructions.

IF YOU NEED A SSI STANCE To obtai n assi stance in fil ling out the 2005 Hazardous Waste Report forms, pleas e conta ct your State or EPA Regional Office. Some States’ reporting require ments diffe r from the Federal requi rements . The l ist

of State and EPA Regional Off ice a ddress es, contac t names, tel ephone num bers , and e-m ail add resses is on th e Inte rnet a t - http://w ww .epa.g ov/e pao sw er/ha zw aste/d ata/br 05/form s.htm This booklet and other

relat ed informati on can also be found on this Internet page.7



# Instructions for Filling Out the RCRA Subti tle C SiteIdentification ( Site ID) F orm

WHO MUST SUBMIT THIS FORM
All sites requi red t o submitany of the fol lowing must submitthe RCRA Subtit le C Site Identifi cati on (S it e I D) F or m:



### # Initial N otifica tion o f Re gula ted W aste A ctivity 

### # Su bseq uen t No tificatio n of R egu lated W aste A ctivity 

### # Firs t RCRA Hazardous Waste Par t A Permit

Application 

### # Revised RCRA Hazardous Waste Part A Permit Appl ication 

### # Ha zard ous W aste R epo rt You must com plete al l t he ite ms o n the S it e I D Form. 

## PURPOS E OF THI S FORM
Fo r pur pos es of th e N otifica tion o f Re gula ted W aste A ctivity , the S ite ID For m p rov ides s ite-spe cific informati on about a facil ity for obtaining an EPA Identifi cation Number and submitting Ini tial No tificatio n of R egu lated W aste A ctivity . For p urp oses of a S ubs equ ent N otifica tion o f Re gula ted W aste Activity, the Sit e ID Form provides updated sit e-specif ic inf ormation for t

hose items t

hat have changed at your si te and veri fie s the infor mation f or thos e it ems that

remai n unchanged. For the purposes of the RC RA Hazardou s Wa ste Part A Permit Ap plication and the Hazardo us W aste Report, you m ust also complet e the Site ID Form to updat e your site i nformat ion. 

## HOW TO FIL L OUT THI S FORM
Com plete all of t

he Site ID Form items.



### # Item 1 - y our reaso n for sub mitting th e form


### # Item 2 - your si te’s EPA Identif icati on Num ber


### # Item 3 - the nam e of y our site


### # Item 4 - the phy sical lo cation of y our site


### # Item 5 - the land typ e of y our site


### # Ite m 6 - the North Americ an Indust ry Clas sif

ication Syst em (NAICS) code(s ) for your site


### # Item 7 - the ma iling a ddr ess fo r yo ur site


### # Item 8 - na me and pho ne n um ber o f a con tact pe rson at yo ur site

## Site ID F orm

(Conti nued)

8 

### # Item 9 - na me s of th e op erato r and the leg al ow ner(s ) of y our site


### # It em 10 - your s it e’s reg ula tedwast e ac ti vit ies (enter al l thatappl y)


### # Ite m 11 - the de scription of hazardous wast e if you handle any 

### # Ite m 12 - additionalcomments on I tems 1 t hrough 11


### # Item 13 - c ertificatio n tha t the in form ation yo u pro vide d thro ugh out th e form is truth ful, accu rate an d co mp lete Ty pe or p rint in black ink all items e xcep t the Sign ature bo x in Item 13. En ter you r site’s EPA ID Number in the top l eft -hand cor ner on t he second and thi rd pages of the form; for InitialNotif

ication for this site, l eave the EPA Identi fic ati on Number blank. Use It em 12 - Comments t o clarify or provide additionalinformati on for any entry. Wh en enteri ng information i n the comments secti on, enter the it em num ber and box letter to wh ich the comm ent refers. I f you m ust use additional sheets for comm ents, ente r yo ur site’ s EP A ID Nu mb er in th e top left-ha nd c orn er of e ach shee t.

## Site ID F orm (Conti nued)

9 

## ITE M-BY- ITE M INST RUCTI ONS
Item 1 -- R easo n fo r Su bm ittal: Reason for Submitt al : Pl ace an “ X” in the appropr iat e box to indicat e whether thi s for m is your Initial N otifica tion o f Re gula ted W aste A ctivity (to ob tain an EP A Id entific ation Nu mb er); a Subsequent

Notif ication of Regulat ed Waste Activity ( to updat e your site i denti fic ati on infor mation) ; a c omponent of aFirs t or a Revis ed Hazardous Waste Part A Permit Appl ication; or a com pon ent o f the H azard ous W aste R epo rt.



### # For Init ial Notifi cati on of Regulat ed Waste Activity to pr ovide site i dentif icat ion information and obtain an E PA Identificati on Num ber for hazardous waste, un iver sal w aste , or u sed oil ac tivities . If yo ur w aste ac tivity is regu lated u nde r Su btitle C of the Resource Conservati on and Recovery A ct (RCRA) and the rules promulgated pur suan t to the Ac t (spec ifically 40 C FR Parts 260 –29 9), y ou m ust su bm it this fo rm to notify the appropriate State or EPA Regional Office of your regulated wast e acti viti es and o btain an EPA Identification Nu mb er.


### # For Sub sequ ent N otification of Re gula ted W aste A ctivity to u pda te site iden tificatio n in form atio n. You must use t his f orm to submi t a s ubsequent noti fic ati on if your sit e already has an EPA Identi fic ati on Number and you wish t o change infor mation ( e.g. , gene rat or st atus , new si te contact pe rson, new owner, new mai ling addres s, new regulated waste ac tivity, etc.).



### # As a co m po nen t of a Firs t RC RA Ha zard ou s W aste Pa rt A Per m it Ap plica tion . If yo ur site is plan ning to treat, sto re, or d ispo se of h azard ous wa ste on site in a u nit tha t is not ex emp t from o btaining a hazard ous w aste perm it, you m ust subm it this form as p art of the Part

A Permit Appl ication. Also, if the ac tivity at thi s si te ( tre atment , storage, or disposal) became newly regulated under RCRA Subtitl e C and the rules pr omulgated purs uant to t he Act (s peci fi cal ly 40 CFRParts 260-299), you must submit this f orm as part of the Part

A Permit Appl ication.



### # As a co m po nen t of a Re vised RC RA Ha zard ou s W aste Pa rt A Per m it Ap plica tion . If you must

submita revi sed Part A Permit Application to re fle ct changes that have occ urred at yo ur site, y ou m ust su bm it this fo rm a s part o f yo ur rev ised P art A Perm it Application. Examples of sit e changes requi ring a revi sed Part A Permit

Application include managing new wastes not ident ifi ed in the f irst submission of t

he form or changes to ex isting wa ste treatm ent p roce sses. W hen sub mittin g a rev ised P art A Perm it Application, please include the Amendment num ber in the appropriate space.


### # As a co m po nen t of th e H aza rdo us W aste Re po rt. If yo u are requ ired to sub mit a Ha zard ous W aste R epo rt indic ating the am oun t of ha zard ous wa ste yo u ge nera te, treat, re cyc le , d is pos e, sh ip of f s it e, orre ce iv e f

ro m of f s it e, you mus t f

il l o utth is fo rm.



## NOTE Yo u w ill report you r curr ent Hazardous Wast e Generator st atus as of the date of sub mittin g the Site Id entific ation For m in Item 10.A .1 - G ene rator o f Ha zard ous W aste. Your status may have changed since your las t submissi on (unless t his is an Initi al No tification of R egulated W aste Ac tivity).

## Site ID F orm

(Conti nued)

10 Item 2 -- Site EPA ID Num ber: Provide your EPA Identi fic ati on Number in Item 2 for this s ite. Also , be sur e t o inc lude your EPA Identification Nu mb er at the top o f pages 2 and 3 of the form (as well as o n any attachm ents to the S ite ID Form ).


## NOTE If t

his i s your I niti al Noti fic ati on for t his s ite , l eave the EPA Identi fic ati on Number blank and proce ed to I tem 3.
Ite ms 3 and 4 - - Si te Name and Loc ati on: Provide the l egal name of your s ite and a comple te l ocati on addres s. Pl ease note that the a ddress you give for Item 4, Site Lo cation , mu st be a phy sical ad dres s, not a post offic e box or route num ber. 

## NOTE A new E PA Identification Number is requir ed if you change the l ocation of your si te.
Item 5 -- Site Land T ype: Plac e an “ X” in the box that best descri bes the land t ype of your site. Select onl y one type: Privat e, Coun ty, District, Federal, Indian (see Indian Cou ntry below ), Municipal, State, or Other. If your site’s Lan d T yp e cou ld be desc ribed as M unic ipal and as Co unty , as District, or as Ind ian, do n ot ma rk M unic ipal. In stead cho ose th e oth er ap pro priate cod e; yo u m ay e xpla in this in Item 12 - C om me nts . Indian Coun try - Land governed by an entity on the l ist of Federally recognized American Ind ian trib es an d A laska n N ative e ntities a t: http: //www.epa. gov/edr /fde tribal. pdf
Item 6 -- No rth A me rican In dustr y C lassification System (NA ICS ) Co de(s): Box A must be completed. Completing Boxes B-D is rec omm ended, if applicabl e. Box A Provide the North American Industr y Classifi cation System (NAICS) code that best desc ribes y our site’s p rima ry b usin ess p rod uctio n pro cess fo r yo ur pr odu cts or ser vices . Use t

he si x (6) di git code (most speci fic descr ipti on) if avail able f

or your bu siness; if not, use the five (5) digit code; do not enter any four (4) or less digit c ode.
Box es B - D List other NAIC S codes that desc ribe the primary business production process es for your sit e. Use the 6 or 5 digit codes that appl y to your site

. Check with your accounting or business staff to deter mine your NA ICS code(s); t he NAIC S code is used in tax repo rting and other bu siness repo rts. A list of the acce ptable co des is on the Interne t at - http://w ww .epa.g ov/e pao sw er/ha zw aste/d ata/br 05/form s.htm Yo u can obta in ad dition al info rma tion a bou t NA ICS cod es fro m th e Inte rnet a t - http: //www.cens us.gov/ epcd/na ics 02/

## Site ID F orm (Conti nued)

11 Item 7 -- Site M ailing Add ress: Pleas e ente r the Site Mailing Address. If t he mail ing addr ess and the Location of Sit e (I tem 4) are the same, you c an ente r “Same as Ite m 4” in the box for Ite m 7.
Ite m 8 -- Site Cont act Pers on: Enter the name, busi ness tel ephone numb er, and ext ension of the individual who should be contacte d regar ding the inf

ormati on submitted i n the Si te I D Form. You may also e nter an emailaddres s; i f you wa nt to b e con tacted by fax, en ter tha t num ber in Item 12 - C om me nts. A Sub sequ ent N otifica tion is reco mm end ed w hen the S ite Co ntac t Pers on c han ges. Do not enter othe r contact p ersons h ere; if there are other persons who may be contacted about this submission, l ist them and their ot her contact info rma tion in Item 12. A n ex am ple w ould be a c onta ct spe cifically for the Ha zard ous W aste R epo rt. No te that th e Fa cility P erm it Co ntac t infor ma tion fo r the R CR A H azard ous W aste P art A Perm it Appl ic at io n i s e nt er ed in I te ms 1 and2 of th e Ha za rd ous Wast e Pe rmi t I nf ormat io n Fo rm.


## NOTE It is assumed that the Site Contact Person w ill receive mail at the Site Mailing A ddress

pro vide d in Ite m 7 . If this is n ot the case, p lease p rov ide th e m ailing add ress fo r the S ite Contact Person in Item 12 - Com ments. Item 9 -- Operator and Legal O wner of the Site: This section should b e used to indicate all the operators and own ers of this site. Please review these definitions: Operator - The per son res ponsibl e for the ove ral l oper ati on of a RCRA site . Note: This i s the lega l entity wh ich co ntro ls the R CR A site ope ration rathe r than the p lant o r site m ana ger. T his is usually a company or business name, not an individual . See Person

. Ow ner - The per son who owns a RCRA site or part of a RCRA site . Note: This i ncludes the property owner. This may be an indivi dual, company, or business name. See Person

. Person - An indi vidual , trust , firm, j oint stoc k company, Federal Agency, corpor ati on (inc luding a government corporati on), part nership, association, Stat e, municipal ity, c omm issi on, polit ical subdi vis ion o f a State , or any i nte rstate body.
A. Na me of Site’s O pera tor: Prov ide the na me o f you r site’s operato r. Da te Bec am e an O pera tor: Indic ate t he date on which the above entity be came the operat or of your si te. Enter

dates as i n thi s example : For Apr il 22, 2005, enter 04/22/ 2005.

## Site ID F orm

(Conti nued)

12 Op erator Typ e: Plac e an “ X” in the box that best descri bes the o pera tor ty pe o f yo ur site. Selec t onl y one type: Private, County, Dis tri ct, Federal , Indi an (se e below), Municipal , St ate, or Oth er. If yo ur site’ s Op erato r Ty pe co uld b e des cribe d as M unic ipal and as C oun ty, as D istrict, or as In dian , do n ot m ark M unic ipal. In stead cho ose th e oth er ap pro priate cod e; yo u m ay e xpla in this in Item 12 - Com ments. Indian - A memb er of an entity on the li st of Federa lly rec ognized American Indian tribes and Ala skan Native entitie s at : http:/ /www.epa.gov/ edr/ fdetriba l. pdf Use the Comm ents section in It em 12 to list any additionaloperators, their names, the dat es they became oper ator s, ope rat or type , and mai ling addres s. I f nece ssar y, attach a

separ ate s heet of pape r. B. Nam e of Site’ s Legal Own er : Provide t he name of your site’s legal owner(s ). This includes owner(s) of the buil ding(s ) and l and.
Da te Bec am e an O wn er: Indic ate t he date on which the above entity be came the owner of your sit e. Ent er dat es as in this e xample: For April 22, 2005, enter

04/22/ 2005. Ow ner T ype: Plac e an “ X” in the box that best descri bes the owner type of your site. Selec t only one typ e: Priv ate, C oun ty, D istrict, Fe dera l, India n (see belo w), M unic ipal, S tate, or O ther. If yo ur site’ s Ow ner T yp e cou ld be desc ribed as M unic ipal and as County, as District , or as Ind ian, d o no t ma rk M unic ipal. In stead cho ose th e oth er ap pro priate cod e; yo u m ay e xpla in this in Item 12 - Comments.

Indian - A memb er of an entity on the li st of Federa lly rec ognized American Indian tribes and Ala skan Native entitie s at : http:/ /www.epa.gov/ edr/ fdetriba l. pdf Use the Comm ents section in It em 12 to list any additionalowners, thei r names, the dates they becam e ow ners, ow ner typ e, mailing address , and w hich o wn er(s), if any, are no longe r ow ners since y our last sub mission of this form . If necessary , attach a sepa rate sheet of p aper. Lega l Ow ner Ad dress: Please enter this information if your State requires it; see your State’s specifi c instr

uctions i f any. If

the address and the Location of Si te (I tem 4) are t he same, you can enter “Same as I tem 4” i n the box f or It em 9.



## NOTE A su bseq uen t notific ation is reco mm end ed w hen the o pera tor or ow ner o f a site ch ang es.

Because an EPA Identi fic ati on Number is s ite -spec ifi c, t he new owner wil l keep the existing EPA Identif

icati on Num ber for t

hat location. If

your business moves to another loca tion, th e op erato r or o wn er m ust n otify the S tate or EP A R egio nal O ffice o f this cha nge . Sinc e yo ur bu sines s has chan ged locatio ns, a n ew EP A Id entific ation Nu mb er w ill be ass igned.

## Site ID F orm (Conti nued)

13 Item 10 -- T ype o f Reg ulated W aste A ctivity

Place an “X” in box “Yes” or in box “No” as appropriate for activi ties at thi s sit e; complet e any addi tiona l boxes as i nstr ucted.
A. Hazardous Waste Activitie s: Complete allparts 1 through 6.



## NOTE List ed below ar e the Federalgenerator s tat us definiti ons. I f, howeve r, t he Stat e where your site is loc ated has d efinitio ns d ifferen t from the F ede ral de finition s, yo u m ust u se the State definitions.
1. Generator of Hazardou s Waste: If you ge nerat e a hazardous wast e that is l ist ed in 40 CF R 2 61.3 1 thro ugh 261 .33 o r iden tified b y o ne o r mo re ha zard ous wa ste chara cteristic( s) contained in 40 CFR 261.21 thr ough 261.24, place an “X” in t he appropriate box for the quanti ty of non-acutely hazardous waste that is generated per cal endar month. The r egul ati ons f or ha zar dous was te gener ato rs are foundin 40 CFR Part262. Consul t these r egulations and your State f or det ail s about

how the re gulat ions app ly to y our situatio n. B elow is a brie f desc ription of the three typ es of h azard ous wa ste generators. If “Yes”, mark only one of the following - a, b, or c. a. LQG: Large Quantity Generat or This site is a Large Quantity G enerator if the sit e meets any of the fol lowing crit eria: i) Gene rate s, inanyca le ndar mo nth, 1, 000 kg ( 2, 200 lb s. ) o r mo re of RCRA haz ardo us w aste; or ii) Generat es, in any ca lendar month, or

accumulates at any time, more than 1 kg (2.2 lb s.) of R CR A a cute haza rdo us w aste; or iii) Generat es, in any ca lendar month, or

accumulates at any time, more than 100 kg (220 lbs .) of

spil l cl eanup mate ria l cont aminat ed with RCRA acute hazardous waste.


## NOTE If, in ad dition to be ing a n L QG , you recy cle ha zard ous wa stes at y our site, m ark b oth th is

box and Box A. 4 b el ow.

## Site ID F orm

(Conti nued)

14

b. SQG: Small Quantity Generator This site is a Small Quantity Gen erator if t he site meets all of the fol lowing crit eria: i) Generates, in any calendar month, more t han 100 kg (220 lbs.) but l ess than 1,00 0 kg (2,20 0 lbs .) of R CR A h azard ous wa ste; and ii) Generat es, in any ca lendar month, or

accumulates at any time, no more than 1 kg (2.2 lbs. ) of acute hazardous waste and no more than 100 kg (220 lbs.) of materialfrom the cle anup of a spillof acute hazardous waste.
OR , the s ite i s a Small Quantit y Generator if the site: i) Meets al l other crite riafor aConditi onall y Exempt Small Quantit y Generat or (see b elow ), but ii) Accumulate s, at any t ime, mor e than 1,000 kg ( 2,200 lbs.) of RCRA hazardous waste.

c. CESQ G: Conditional ly Exempt Small Quantity Generator This site is a CESQ G if the site does all of the foll owing: i) Generat es no more t han 100 kg (220 lbs.) of RCRA hazardous wast e in any calen dar m onth ; and ii) Acc umul at es , at any t ime , n o mor e than1, 000 kg ( 2, 200 lb s. ) o f RCRA haz ardo us w aste; and iii) Generat es, in any ca lendar month, or

accumulates at any time, no more than 1 kg (2.2 lb s.) of ac ute h azard ous wa ste, and no more than 100 kg (220 lbs.) of materialfrom the cle anup of a spillof acute hazardous waste.



## NOTE If

you gene rat e ac ute ly ha zar dous was tes li st ed i n 40 CFR 261 .31, 26 1.32 o r 261.3 3(e), ple ase ref

er to 40 CFR 261.5(e) to determine the circum stances under w hich you must notif y the EPA. In addition to the above, mark “Yes” or “No” for the other hazardous waste activit ies l iste d belo w th at m ay o ccu r at this site

. Comp let e 1.d and e,and 2 through 6.
d. Un ited Sta tes Im porte r of H azard ous W aste
M ark “ Ye s” if yo u im por t haza rdo us w aste fro m a foreig n co untr y in to the Un ited S tates. Refe r t o 40 CFR 262.60 f or addi tiona l i nformat ion. e. Mixed Waste Generat or Mark “Yes” if

you are agenerator of

mixed wast e (wast e that is bot h hazar dous and radio active ). RC RA defin es “m ixed wa ste” as wa ste tha t con tains b oth h azard ous wa ste and source, spec ial nucl ear, or by-product materi al subjec t to t he Atomic Energy A ct (AEA), RCRA secti on 1004(41), 42 U.S.C. 6903 (63 FR 17414; Apri l 9, 1998). See the defi niti ons on pages 39, 42, and 43.

## Site ID F orm (Conti nued)

15 2. Transporter of Hazardou s Waste: M ark “ Ye s” if yo u tran spo rt haz ardo us w aste w ithin the U nited State s. Th e Fe dera l regu lation s for h azard ous wa ste tran spo rters are foun d in 40 CF R Part263. 3. Trea ter, Store r, or D isposer of H azard ous W aste: If you t reat , store, or di spose of haz ardo us w aste, m ark “ Ye s”. A RC RA Ha zard ous W aste P erm it is requ ired fo r this activi ty. Contact the appropriate offi ce for your Stat e for more infor mation. The Federal regulati ons for operat ors and owners of permitt ed treat ment, stor age, and disposal fac il it ies (TSDFs) are foundin 40 CFR Part s 264, 265, 266, and 270.



## NOTE If yo ur site is a des tinatio n fac ility fo r univ ersal w astes in add ition to bein g a trea tme nt,

stor age, or dis posal faci lit y for ot her RCRA hazardous was tes , mark bot h thi s box and Box B. 2 b el ow.
4. Rec ycler of H azard ous W aste: If yo u rec ycle regu lated h azard ous wa stes (rec ycla ble material s), mark “Yes”. The Federal regulations f or operators and owners of site s that rec ycle hazardous wast e ar e fo und i n 40 CFR 261.6. You also may be subject t o other Federaland State regul ati ons; in some cas es a pe rmitis r equir ed.



## NOTE If your

sit e, i n addit ion t o being arecycl ing si te f or hazardous wast e, i s a treat er, stor er, or dispos er of

hazar dous wast e, mark both this box and Box A .3 above. If your site is a des tinatio n f

ac il it y f oruni ver sa l wa st es inadd itio n t o be in g a re cyc ling s it e f orother RCRA hazar dous wast es, mark both t his box and Box B. 2 b el ow.
5. Exem pt Boiler and/or Industrial Furnace: If you ma rk “Yes”, mark each that applies.

a. If you burn small quant iti es of hazardous waste in an on-si te boil er or i ndustrial furnace in a ccor dance with the condi ti ons i n 40 CFR 266 .108 , mar k “Y es” to indic ate that you quali fy for

the Smal l Quanti ty On-Sit e Burner Exemption.
b. If you process hazar dous wast es i n a smelting, melting, or refining fur nace sol ely f

or me tals reco very , as de scribe d in 4 0 C FR 266 .100 (d), o r to rec ove r eco nom ically signi fic ant amount s of pr ecious metal s, a s desc ribe d in 40 CFR 266.100( g), or if you proces s hazardous wast es i n a le ad rec overy fur nace t o recove r le ad, a s desc ribe d in 40 CFR 266.100(h), place an “X” in t he box to indicat e that

you quali fy for

the Smel ting, Melting, and Refi ning Furna ce Exempti on. 6. Un derg roun d Inje ction C ontro l: If you gene rat e, t reat , store, or di spose of hazar dous waste and ther e is an underground inj ecti on well l ocate d at your sit e, mark “Yes”. The Fed eral reg ulatio ns fo r ope rators or ow ners of un derg rou nd in jection we lls are fo und in 40 CFR Part 148. In addition to the above, mark “Yes” or “No” for the other regulat ed waste activiti es li sted belo w th at m ay o ccu r at this site

. Compl et e I te ms B and C.

## Site ID F orm

(Conti nued)

16 B. Un iversal W aste A ctivities: Refer to your State- speci fic requi rements and definiti ons for universalwaste. Also , ref er to 40 CFR 261. 9 and 40 CFR Part 273 for t

he Federa l re gulat ions cov ering univ ersal w aste. Comp let e 1 and 2.
1. Lar ge Q uan tity Ha ndler of Un iversal W aste (L QH UW ): You are an LQHUW if you accumulate a t otal of 5, 000 kg or more of any universal wastes (calcul ated coll ectively) at any ti me. If

“Yes”, place an “X” in t he appropriat e box(es ) to indic ate t he type( s) of universalwastes you generate and/or accumulate at your site. If your Stat e has additi onal unive rsal wastes, ind icate wh at they are and p lace an “X ” in the co rrespon ding b ox(es).
2. Desti nation Faci lity: Mark “Yes” if you treat, dispose of, or recycle universalwastes on site. A hazardous w aste permit is required if you treat or dispose of universal wastes; a per mit m ay b e req uired if yo u rec ycle univ ersal w astes.



## NOTE If your

sit e, i n addit ion t o being adest inat ion fa cil ity f or unive rsalwastes , i s al so a tre atment , storage, or di sposalfaci lit y for RCRA hazardous wastes , mark bot h thi s box and Bo x A .3 ab ove . In ad dition , if you r site rec ycle s RC RA haza rdo us w astes, m ark b oth th is box and Box A .4 above.
C. Used O il Activities: Mark the appropriate box( es) to indi cate which used oil management activi ties are taking place at this s ite. The Federa l re gulat ions f or used oil management ar e found in 40 CF R P art 27 9. Comp let e 1 through 4.
1. Used Oil T rans porte r: If yo u tran spo rt used oil an d/or ow n or o pera te a us ed o il transf er facility , mar k “Y es” an d pla ce an “X ” in th e app rop riate b ox( es) to in dica te this used oilmanage ment a ctivit y. 2. Used Oil Pr ocesso r/Re-R efiner: If you process and /or re-refi ne used oil, mark “Y es” and pl ace an “X” in the appr opri ate box(e s) to i ndic ate thi s us ed oi l mana gement act ivi ty. 3. Off-S pecificatio n U sed O il Burn er: If you burn o ff-specification used o il fuel, mark “Yes” to indic ate thi s us ed oi l mana gement act ivi ty. 4. Used Oil Fuel M arketer: M ark “Y es” if you mark et used o il fuel. If you m arket offspec ificatio n us ed o il direc tly to a burn er, plac e an “ X” in B ox 4 .a. If yo u are the first to cla im the us ed oi l mee ts the usedoilspec if icati on es tab li shed in 40 CFR 279.11, place an “X” in Box 4.b. If e ithe r of t hese boxes is mar

ked, you al so must notify ( or have previo usly n otified) as a use d oil transp orter, used o il processo r/re-refiner, or offspec ificatio n us ed o il fuel b urn er, un less y ou a re a us ed o il gen erato r. (Us ed o il gen erato rs are n ot req uired to no tify.)

## Site ID F orm (Conti nued)

17 Item 11 -- Description of H azardou s W astes: Complete t

his i tem if

you marked “Yes” for any acti vity in Item 10. A . and if your State r equir es i t. You will need t o refer to 40 CFR Part 261 to complete this i tem. Part 261 identif

ies t hose solid wast es which the EPA defi nes as hazar dous and r egulat es under RCRA . I f you need he lp comple ting this section, plea se co ntac t yo ur S tate O ffice.
A. Fed erally R egula ted H azard ous W astes: If yo u ha ndle haza rdo us w astes th at are d escrib ed in 40 CFR Part 261, enter the appropri ate 4- digit code(s ) in the box( es) provided.



## NOTE EP A H azard ous W aste C ode s. If you handle more hazardous wastes than will f it under Ite m 11.A., pleas e continue li sti ng the ha zardous waste c odes on an e xtrasheet . I f you handle a large number of codes, you may copy the list in this booklet and mark the ones th at you han dl e. Attac h any ad di ti ona l s hee ts to th e Site Id entif ic at io n Fo rm.
B. State-R egula ted H azard ous W astes: If you manage Stat e-re gulat ed hazardous wast es that have a st ate was te code , ent er the appropriat e code( s) i n the box( es) provided.
Item 12 -- Com men ts: Use this sec tion as needed t o provide additi onal informati on for Ite ms 1 through 11. Include the item num ber a nd b ox le tter (if an y) fo r each com me nt y ou m ake . Yo u m ay a ttach a dditio nal sh eets if n eed ed.
Ite m 13 -- Certi fi cati on: Thi s c erti fi ca ti on mus t be si gne d b y op er at or (s ), own er (s ), orau th or iz edre pr es en tative (s ) o f t he si te
. An “authorized repres entative” i s a per son res ponsibl e for the ove ral l oper ati on of the si te ( i. e., a plant ma nag er or su perin tend ent, o r a per son of eq ual re spo nsib ility). F or the RC RA Ha zard ous W aste P art A Permit Application, alloperat or(s ) and owner( s) of the s ite must si gn (see 40 CFR 270. 10 (b) and 270 .11). 

## NOTE All Site ID Form subm issi ons must include this certifi cation t o be complete.18



# INSTRUCTI ONS FOR F ILLING O UT FORM GM – WASTE GEN ERATION AN D MANAGEMEN T
WHO MUST SU BM IT TH IS FORM
A site req uired to file th e 20 05 H azard ous W aste Rep ort m ust su bm it Form GM if th e s it e ge nerat ed R CRA hazar dous waste that , in 2005, was accumulat ed on site; managed on site in a t reatment, storage, or disposal unit; and /or sh ippe d off site for m ana gem ent, con sis tent with the cri teri a below. (See WASTES TO BE REPORTE D, below, f or spec ifi c ins truc tions on generated RCRA hazardous wa stes th at sho uld be reported on Form GM . See WA STES N OT TO BE REPORTED , bel ow, for any excl usions or exempt ions f rom Fo rm G M repo rting requ irem ents u nde r the 2 005 Ha zard ous W aste R epo rt.) PURPOSE OF TH IS FORM
Form GM is f

or re porting on-si te haz ardous was te gene rat ion andmanagement in 2005. Form G M is divided into thre e sections t

hat document

1) the sourc e, c harac ter istics , andquanti ty of ha zardous waste ge nerat ed; 2) the q uan tity of

haza rdo us w aste m ana ged on s ite alon g w ith th e M ana gem ent Method used; and 3) t he qua ntity o f hazardous wa ste sh ippe d off site for tre atm ent, d ispo sal, or re cyc ling a long with the o ff-site Management Method used. HOW TO FILL OUT TH IS FORM Make and s u bm it a photo copy of Fo rm G M for each generated RCRA hazardous waste t hat s hould be reported, consist ent with the crite ria disc usse d be low . Prior to ph otoc opy ing, p lace th e pre -prin ted site ident ifi cati on labelin the top l eft -hand corn er of th e form or, if you did not receive pr e-print ed labels , enter the site nam e and EP A Id entific ation Nu mb er in th is spa ce. Use the Comments s ecti on at t he end of

the form to clarify an y entry (e.g., “Othe r” respons es) or to continue any entry. When entering i nformation in t he Comm ents section, cros s-ref erence the s ecti on number and box letter to wh ich the comm ent refers.


## NOTE Refer to the Special Instructions beginning on page 45 for repo rting lab packs, asbestos, PCB s,

waste oils, groundw ater contaminated by leachate, and RCR A-radioactive mixed wastes.
WASTES TO BE REPORTED
In gen eral, each gen erated RC RA haza rdo us w aste that is us ed to de termine the sit e’s ge nerat or status sho uld be reported on Form GM . (See WASTES NOT TO BE REPORTED , bel ow, for any excl usions or exe mp tions from For m G M repo rting requ irem ents u nde r the 2 005 Ha zard ous W aste R epo rt.)
A Form GM mu st be sub mitted fo r each generated RCRA hazardous w aste. Hazardous waste m ust b e reported if it was:



### # Generated and accu mu lated o n site a nd s ubs equ ently managed on si te or ship ped off site in 2005; or

## FORM GM (Conti nued)

19 

### # Generated and accumulated on s ite in 2005 but n ot m ana ged on s ite or sh ippe d off site un til aft er 2005; or


### # Generated and accu mu lated o n site p rior to 200 5 bu t either man aged on site or sh ipped off sit e in 2005; or


### # Importe d from a f orei gn countr

y in 2005. Examples of RCR A hazardous wastes to be re ported include those that were:


### # Generat ed on si te f rom a production proc ess, servi ce activit y, or routine cleanup. 

### # Gener ate d fr om equi pment decommi ssi oning , s pil l c leanup, or r emedi al cle anup a ctivit y. 

### # Remov ed from on-sit e storage. 

### # Derived from the management of non-hazardous waste.


### # Derived from the on-site t reat ment (includ i ng recl amati on), di sposal , or recycl ing of previo usly ex isting haza rdou s waste (a s a residual).



### # Shipped off si te, including hazardous waste t hat was received from o ff sit e (r eport ed on the W aste Receive d from Off Site Form (Form WR)) and subseque ntly s hipped of f si te wit hout being treated or recycled on site. Radi oacti ve was tes mixe d w ith RC RA hazard ous w astes shou ld also be reported ; be sure to m ark “Yes” on the Si te I denti fic ati on Form in I tem 10.A. 1.e. See the definiti ons on pages 39, 42, and 43 and see the s pecia l i nstr ucti ons on page 46. Hazardous wastes regulated only by your State should be report ed if r equired by your State. WASTES NOT TO BE REPORTED RCRA haza rdo us w astes e xpo rted d irectly to a fo rei gn count ry should not be reported onFo r m G M. Rath er, hazar dous wast e export s shoul d be repor ted on t he Annual Report

requi red under

40 CFR 262.56. In addition , materials and wastes id entified at 40 CF R 26 1.4(a) an d (b) an d 26 1.5(c) should notbe reported on Form GM . Secti on 261.4(a) and (b) i dentify mater ials an d soli d wastes tha t do not quali fy as s olid or hazar dous wastes , re spect ivel y. Section 261.5(c) i dentifi es hazardous wastes thatsho uld n ot be inclu ded in a sit e’s generat or stat

us determinat ion, even if these hazardous wastes were generat ed at the s ite. Followi ng are the mate rial s and wastes addres sed under 40 CFR 261.4(a ) and ( b) and 261. 5(c), which sho uld not be reported onFo r m G M:



### # M aterials wh ich ar e exc lude d fro m b eing a solid wa ste, e.g ., any mix ture o f dom estic sewage and other

wastes that

passe s thr ou gh a sewer syst em to a publ icl y owned treatment works (unless they are sto red o r treated in reg ulated units prio r t o bei ng di scharged ). (40 CFR 261 .4(a))



### # So lid wastes that are excluded f

rom being hazardous waste, e .g., petrole um-co ntamina ted media and de bris that

fai l the tes t for

the t oxici ty char acte ris tic (Waste Codes D018

## FORM GM

(Conti nued)

20

throughD043 only) and are subjectto the corr ective action reg ulations u nder 4 0 CF R P art 280 . (40 CF R 26 1.4(b))



### # W aste exemp t from regulation because the waste has not exited t he raw materialstor age or prod uction u nit yet, as spec ified in 26 1.4(c). (40 CF R 26 1.5(c)(1))



### # Hazardous waste that has been co ll ected as a sam ple(s) for the purp ose o f dete rmin ing its characteristic o r com position , as specified in 2 61.4(d ). (40 CF R 26 1.5(c)(1))



### # Sam ple(s) un dergo ing treatab ility studies, as spe cified in 26 1.4(e). (40 CF R 26 1.5(c)(1))



### # Samp le(s) undergoi ng tre atabi lit y studi es at

the l aborat ory or t est ing fac il ity, as spe cified in 261 .4(f). (40 C FR 261 .5(c)(1))



### # Hazardous wa ste that i s a speci fied re cyclable material s uch as eth yl alc oho l or scra p m etal, as specified in 261 .6(a)(3). (40 C FR 261 .5(c)(1))



### # A res idue of hazardous waste i n an empty container or in an inner liner removed from an emp ty con tainer, as specified in 261 .7(a)(1). (40 C FR 261 .5(c)(1))



### # PCB wastes regul ated unde r the Toxic Substance Control Act, as speci fiedin 261.8, unless mixe d w ith a hazard ous w aste. (40 C FR 261 .5(c)(1))



### # Wastes managed immed iat ely upon generation only in on- sit e ele mentary ne utra liz ati on units, wastewater treatmen t units , or totall y enclos ed tr eatment faci lities as def

ined i n 40 CFR 260 .10. (40 C FR 261 .5(c)(2)) An y ha zardo us w aste residues genera ted from these uni ts , how ev er , mus t b e r ep or te d on For m GM

.


### # Wastes recycl ed, with out p rior sto rage , only in an on-s ite process subj ect to r egulati on under 40 C FR 261 .6(c)(2). (40 C FR 261 .5(c)(3))



### # Used oil t

hat is recy cled and is also a haza rdo us w aste so lely b ecau se it exhibi ts ahazar dous waste c haracteristic an d is ma nage d un der 40 CF R P art 279 . (40 CF R 26 1.5(c)(4))



### # Spent l ea d- ac idba tter ie s mana ge d u nde r t he re quire men ts of

40 CFR P art 266 , Sub pa rt G, which includes per sons who reclaim spent l ead-acid bat teri es that are recyclable materials; persons w ho generate, transport , or coll ect s pent bat ter ies ; per sons who rege nerat e spent batt eri es; or per sons who st ore them (othe r than spent batteries that are to be regene rated). ( 40 CF R 26 1.5(c)(5)) Any hazardous wastes generate d during batt ery rec lamat ion , howe ve r, mus t b e r ep or te d on For m GM.



### # Universal wastes m anag ed un der 40 CF R 26 1.9 and 40 C FR Part 273. (40 CFR261 .5(c)(6)) HOW TO REPORT SI MIL AR WASTES ON FORM GM Gener ally, a Form GM shou ld be co mp leted for each generated RCRA hazardous waste. Co ntac t yo ur S tate ab out co mbi ni ng an d r ep orting si mi lar h az ar dou s wa st es on For m GM.

## FORM GM (Conti nued)

21 IT EM-BY- IT EM IN STRUCT ION S
Sect ion 1 : W aste Characteristi cs Secti on 1 req uests infor ma tion o n eac h R CR A h azard ous wa ste tha t, in 2005, was generatedand accumulated on site; managed on site; and/ or shipped off s ite. Boxes B, D, F, and G must be c omplete d. Boxes A and E r equest non-mandat ory inf

ormati on. Box A : Waste desc ription Provide a short narrative description of the waste, such as:


### # General type; 

### # Source; 

### # Type of hazard; and 

### # Generic chem ical name or primary hazardous con stituents.
Ex am ple : “Ign itable spent solve nt from degreas ing operati on in tool producti on; mixture of miner al spirits a nd k eros ene .”
In th e e xamp le, note t hat t he gener al t

ype (spent

solve nt), source (degr easi ng operation i n tool prod uction), type o f hazard (ignitability), and gener ic che mical names (mi neralspirits and kerosene) have al l been cit ed.
Box B : EPA hazardous wast e code Enter the f

our-charact er EP A h azard ous wa ste co de(s ) that ap plies to t he was te re por te d i n Bo x A. EPA hazar dous wast e codes are l ist ed on page 49. If you n eed room for a dditi onal code s, l ist the codes in the C omments sec ti on and c ros s-refe renc e Sec ti on 1, Box B. I f f ewer t han f ive EPA hazar dous wa ste co des a re ap plicab le, ente r “N A” in the rem ainin g sp aces. If the w aste is regulat ed onl y by y our

St at e, enter“NA” inBox B andre port t he S tate haz ar dou s wa st e c ode s i n Box C. 

## LIST EPA Hazardous Waste Codes , page 49.
Box C : Stat e hazardous wast e code Enter th e State ha zardou s waste c ode(s) th at applies to th e was te reported in Bo x A , if:



### # Your Stat e regul ates hazar dous wast es not regul ated as RCRA hazardous wastes and r equires thes e waste s to be reported i n the 2005 Hazardous Waste Report; or 

### # Your State us es a h az ar dou s wa st e c ode sys te m other than t he EPA h azardous waste codes th at ap pl ie s t o the was te de sc ribe d i n Bo x A. Otherwise, leave Bo x C blan k. If y ou n eed spac e for a dditio nal S tate ha zard ous wa ste codes, li st t he cod es inth e Co mment s s ec ti on and c ro ss -r ef er enc e Se ct io n 1, Box C

.

## FORM GM

(Conti nued)

22 Box D : Source and Management Method code Enter the Source code that bes t describes how the hazardous waste report ed in Bo x A originated . If the hazar dous wast e was mixed wi th other non- hazar dous material s, r eport the Sour ce code f

or only the haz ardous was te portion. 

## LIST Source code s, pa ge 51.
If the S ource code i s G25 - Hazardous waste management , you al so need t o provide the Management Metho d code. Sou rce code G2 5 indicates that this waste was g eneratedfr om a hazar dous waste management system de sc ribe d o n a se pa rate For m GM orForm WR. En te r t he s ame Management Method code that i s li ste d on the mat ching Form GM - Section 2, or on the matchi ng Fo rm W R - B ox H , linkin g this wa ste w ith the on-s ite pro cess th at crea ted it.


## LIST Provide the Management M ethod code if you sel ected Source code G25. See

page 55.
Report ing ha za rd ou s w as tei mpo rt ed f ro m a foreign country - Revie w the Specia l Ins truc tions for W astes rece ived from foreign countries on page 47.



## NOTE Provide th e appr opr iate Sou rc e c ode fo r h az ar dou s wa st e i mp orted fr om a

forei gn coun try if you r site is the U.S. Im porter. Also , mar k “Y es” o n the Site ID Form, Item 10.A.1.d. - United States Importer of Hazardous Waste.

Box E : Form code Review the For

m codes begi nning on page 53 a nd e nter th e cod e that b est co rresp ond s to the physical form or chemical co mpo si ti on of t he ha zard ous was tere por te d i n Bo x A. Note: The Form codes have been revised t o provide a simpler coding struct

ure. 

## LIST Fo rm c ode s, page 53.

## FORM GM (Conti nued)

23 Wei gh t an d Vo l ume Conversi ons 1 kilogram (kg) = 2.2046 pounds ( lb) 1 short ton = 2,0 00 lb 1 metri c tonne = 1,000 kg 1 metri c tonne = 1.1023 short tons 1 cubic mete r (m) = 1. 3079 cubic yards 1 cub ic yard (yd) = 27 cu bic fee t (ft) 1 liter (l) = 0.264 2 gallo ns (ga l) Box F : Quantit

y generated in 2005 Enter the t otalquanti ty of the hazardous waste described i n Box A that was generated during 2005. Ri ght j us ti fy t he qu an tityen tr y. Re por

t th e UOM and de ns it

y f ort hi s qua nt it

y i n Bo x G. Box G : UO M and De nsity Enter the uni t of measure (UOM ) code f or the q uan tity y ou re por ted in Bo x F. R epo rt the q uan tity in one of t

he un it s o f m ea su re l is te d b el ow. If you s elec t a vol umetricmeasure (gal

lons, liter

s, or cub ic yar ds), yo u m ust a lso re por t the d ens ity of th e wa ste
. Code Un it of M easure 1 Pounds 2 Short tons (2,000 p ounds) 3 Kil ogr ams 4 M etric tonnes (1,000 kilograms) 5 Gallons 6 Liters 7 Cubic yards 

# a Skip to Sec tion 2 if you s elec ted code 1, 2, 3, or 4. Continue to Dens ity if you s elec ted code 5, 6, or 7.
De nsity Rep ort the de nsit

y only if you enter ed code 5, 6, or 7 for t he unit of measure . Provi de the den sity in either pounds per

ga ll on (lb s/gal) o r spec ific gra vity (sg) an d m ark th e app rop riate b ox to indic ate which measur e was used. Sect ion 2 : On-sit e Generati on and M anagement of Hazardous Waste Duri ng 2005 All boxes in this secti on are mandatory. For each on-s ite RCRA-regulated man agem ent system, you must report the ManagementMethod and quant ity t reat ed, di sposed, or re cycled on sit e duri ng 2005. Was any of this waste managed on site? M ark “Yes” or

“No” to i ndicat e if

the s ite did any of the fol lowing t o the was te re por te d i n Bo x A: treat on site; dispo se on site; recy cle on site. If you marked “Yes, ” complet e the bloc ks fo r On -site Pr oc es s S ys te ms b el ow. 

# a Skip t o Sect ion 3 if yo u m arke d “N o.”

Con ti nu e t o On -s i tePr oc es s S ys te m 1 if yo u m arke d “Y es.”

## FORM GM

(Conti nued)

24 On-si te Pr oces s Sys tems 1 and 2 : On-sit e Management Method Class ify t

he proce ss sys tem (s ee def inition on page 40) with a Managem ent Method code that best identif ies the fin al sub stantiv e pu rpo se/op eratio n it pe rform s. Spac e is provid ed to rep ort up t o two differe nt M ana gem ent M etho ds. If y ou d id not use a sec ond on-si te pr ocess syst em to manage t he waste, enter “NA” in the spac e fo r reporting the Man agemen t Method code und er On-site Process System 2. 

## LIST M ana gem ent M etho d co des, page 55.
The spac e pro vide d for the se con d on -site pr oce ss sy stem sho uld be used only in the special case of management of the same waste on site b y more than one proce ss sys tem duri ng 2005. Use t he second on- sit e proce ss sys tem only when:



### # A waste is managed in one proces s system for p art of a yea r and in another process system for t he res t of the year; or 

### # A wa ste is manage d by two dif fere nt proces s syst ems at t he same t ime (i .e. , management of the w aste is split betw een pa rallel process sy stems). If more than tw o on-site process syst ems meet one of the above conditions , you need not c om plete the entir e form ag ain. Simply at tach a second c opy of Form GM, leavi ng blank a ll entr ies except Secti on 2 for on-site process systems. No te in th e Co mm ents s ection of eac h pa ge: “S ec. 2, o n-site process syst em type cont inued on s upplement al pa ge.” (Re fe r to page 5 for inst ruct ions on pa ge num bering of supp lemen tal pages.) The spac e pro vide d for the se con d on -site pr oce ss sys te m sho uld not be used to report the fol lowing:



### # The on-si te manage ment of t he tr eatment

resi dual gene rat ed fr om management of the w aste by the first M anagem ent Me thod (on-site manag ement of treatment residuals sh ould be reported on a se parat e Form GM); or


### # To report treat ment in a s eri es of proces s unit s (s ee def inition on pag e 40 ). Rep ort on ly process systems, not process un its.

## FORM GM (Conti nued)

25 Quantit y tre ated, dispos ed, or

recycl ed on si te i n 2005 Enter the q uan tity of ha zard ous wa ste described in Section 1 that was treat ed, disposed, or recycle d by the r eport ed on-site pr ocess management method during 2005. Ent er the qua nt

it y i n t he sa me unit of measure re

porte d in Sect

ion 1, Box H

. Ex am ple : A firm generat ed 100 tons of F002 solvent wast e in 2005. Eig hty (80) tons were r ecycled forreuse in a batch distill ation process system, generating 5 ton s of stillbottoms. The remai ning 20 tons w ere burn ed in an industrial bo iler. Under On-sit e Proces s Syste m 1, the sit e ente rs t he Management Method code f or distill ati on (H020) and a quant ity of

80 tons. Under On-si te Pr ocess System 2, the s ite enter s the Management Method code for energ y recov ery of li qui ds (H0 50) anda q uan ti ty of 20 t ons . The 5 t ons of st il l b ot to ms sh oul d b e r ep orte d o n a se pa rate For m GM. Sect ion 3 : Off-sit e Shipment of Ha zardous W aste Th is section re quest s inf ormati on on the off- sit e shi pment of ha zardous waste. B oxes B and D are ma ndato ry forsuch o ff-site sh ipm ent. B oxe s A a nd C requ est no n-m and atory infor ma tion. Do report shipment s o f prev ious ly gen erated haza rdo us w astes sto red u ntil 20 05. Do repo rt wa ste sh ippe d via tr ansf er f aci li ty. Do not report shipments of dech aracterized wastes. Space is provided to report shipments of the waste to three dif ferent off-si te f

acilitie s. I f the waste you reportedin Secti on 1 was shipped to more than three off-si te faci lit ies during 2005, you need not c om plete the enti re f

orm agai n. Si mply att ach a seco nd c opy of F orm GM , leavin g bla nk a ll entr ies except Secti on 3, Boxes B, C, and D. Note i n the Co mm ents s ection of eac h pa ge: “Sec. 3, Box B continued on supplemental page.” (Refe r to pag e 5 fo r instru ction s on pag e nu mb ering of su pple me ntal p age s.)
Box A : Was any of thi s wast e shi pped off sit e in 2005 f

or treatment , di sposal , or recycl ing ? M ark “Y es” o r “N o” to indic ate if an y o f the w aste d escrib ed in Sec tion 1 wa s ship ped o ff sit e for treatm ent, disp osal, o r recy cling durin g 20 05. While r espond ing to Box A is not mandatory, provi ding i nformation for wast e shi pped off sit e is requi red. 

# a Th is Form GM is com plete i f y ou mar ke d “ No” i n Bo x A. Continue to Box B i f y ou mar ke d “ Yes ” i n Bo x A.
Box B : EPA ID No. of facil ity to which waste was s hipped Enter the 12- digit

EPA Ide nti fi ca ti on Numb er of t he fa ci lityt o wh ic h the was te was sh ip pe d. DO NOT create a GM Form for ha zardous waste s hipped di rectly to a fore ign count

ry fr om this sit e. You must complete an Annual Report as requi red under 40 CFR 262 .56, no later than Mar c h 1 of each year.

## FORM GM

(Conti nued)

26 Box C : Off -site M ana gem ent M etho d co de sh ippe d to Review the Management M ethod codes beginni ng on page 55. Enter the ManagementMethod code thatbest descr ibes the way in which the waste was managed at the initi al rece iving faci lit y reported inBox B

. 

## LIST M ana gem ent M etho d co des, page 55.

Box D : Total quanti ty shipped in 2005 Enter the to tal qu antity of the w aste sh ippe d to th e off-s ite facility durin g 20 05. Re por t the q ua ntity in thesam e un it of m easu re en tered in Secti on 1, Box G . Shipment quantities should equalthe tot al qua ntity recorded on Unifor m Hazardous Waste Manifest s for thi s si te dur ing 2005 , unless there were rej ecti ons or other complic ations. The quantity shipped may not n ecess arily e qua l the q uan tity gene rated (e.g., beca use som e was te is on site).27



# INSTRUCTI ONS FOR F ILLING O UT FORM WR – WASTE RECEIVED FROM OFF SITE
WHO MUST SU BM IT TH IS FORM
A site req uired to file the 2 005 Ha zard ous W aste R epo rt mu st sub mit th is form if, during 2005, it received RCR A hazardous waste from off si te. PURPOSE OF TH IS FORM
Form WR iden tifies ha zard ous wa stes th at w ere rec eive d fro m o ther h azard ous wa ste sites and the method(s) used to manage t

hem. Form WR is divi ded int o thre e identicalpart s (i .e. , wast e blocks ), l abele d Waste 1, W aste 2, and Wast e 3, t hat col lect

infor mation on t

he quantitie s and charact eri sti cs of each haz ardous wa ste received f

rom an off-si te source dur ing 2005 and managed on sit e. HOW TO FILL OUT TH IS FORM
You may report

waste recei ved fr om more than one off-site han dler o n the sam e pag e of th e form . A se para te wa ste block must

be fi lle d out f

or eac h hazar dous waste recei ved fr om each off -si te handl er. Hazardous wa ste from the s ame off- sit e handle r may be aggregated as long as a si ngle Form code describes the phy sical form or chem ical co mp ositio n, an d all o f the w aste is m ana ged in a sing le pro cess s yste m (i.e ., same Management M ethod code). If your site received more than thre e RCRA hazardous wast es from off-s ite handler s duri ng 2005, phot ocopy and fil l outaddit ionalcopies of thi s for m. Pri or to photocopyi ng, pl ace the pre-pri nted sit e identi fication label in the t op lef

t-hand cor ner of

the f orm or , i f you did not

rece ive pr e-printed l abels , ent er the si te name and EPA Identi fic ati on Number in the space provide d.
Use the Comments s ecti on at the e nd o f the fo rm to clarify any entry (e.g., “Other” respons es) or to continue any entry . W hen enter ing in form atio n in the Com ments s ecti on, cr oss- refe rence the waste block and box letter to wh ich the comm ent refers.

## FO RM W R

(Conti nued)

28 IT EM-BY- IT EM IN STRUCT ION S
Fo r each wa ste rep orted , Bo xes B , D, E , F, an d H mu st be fille d ou t. Box A : De scriptio n of h azard ous wa ste Provide a short narrative description of the waste, such as:



### # General type; 

### # Source; 

### # Type of hazard; and 

### # Generic chem ical name or primary hazardous con stituents.
Ex am ple : “Igni tabl e spent solve nt use d as a de greas er i n tool product ion; mix ture o f min eral sp irits and kero sene .”
In the example, not e thatthe ge neraltype (spent solve nt), source (degr easer in t ool produc tion) , type of hazar d (ignitabi lit

y), and generi c chemic al names (miner al s piri ts and kerosen e) have allbeen cit ed.
Box B : EPA hazardous wast e code Enter the EPA hazar dous wast e code( s) t hat appl ies to the waste reported i n Box A

. If you need room for a dditi onal code s, l ist the cod es in the C om me nts se ction and cross -refere nce the ap plicab le wa ste block number

(e. g., Waste 1) and Box B. If fewer tha n four E PA hazard ous w aste cod es are applicabl e, enter

“NA” in the remaining spaces. If t he waste is regulated only by your State, enter “NA” inBox B andre port t he S tate haz ar dou s wa st e c ode s i n Box C. 

## LIST EP A H azard ous W aste C ode s, page 49.
Box C : Stat e hazardous wast e code Enter th e State ha zardou s waste c ode(s) th at applies to th e was te reported in Bo x A , if:



### # Your Stat e regul ates hazar dous wast es not regul ated a s RCRA hazardous wast es, and requi res t

hese wast es t o be repor ted i n the 2005 Hazardous Waste Report; or 

### # Your St at e us es a h az ar dou s wa st e c ode sys te m other than the E PA haza rdo us w aste codes th at ap pl ie s t o the was te de sc ribe d i n Bo x A. Otherwise, leave Box C blank. If you need space f or additi onal State hazardous w aste codes, li st t he codes in the Comments secti on and cross-ref erence the a

pplicable waste block num ber (e .g., W aste 1) andBox C

.

## FO RM W R (Conti nued)

29 Wei gh t an d Vo l ume Conversi ons 1 kilogram (kg) = 2.2046 pounds ( lb) 1 short ton = 2,0 00 lb 1 metri c tonne = 1,000 kg 1 metri c tonne = 1.1023 short tons 1 cubic mete r (m) = 1. 3079 cubic yards 1 cub ic yard (yd) = 27 cu bic fee t (ft) 1 liter (l) = 0.264 2 gallo ns (ga l) Box D : Off-sit e handler EPA ID num ber Ent er the 1 2-d ig it EPA Identif icati on Num ber of the of f-si te handler from which the waste was recei ved. If the site does n ot hav e an E PA Identification Nu mb er, it may b e a CE SQ G o r foreig n count ry. Refe r to the Spe cial In structio ns in th is bookl et f or inst ruct ions on how t o complet e Box D for these off-site handlers. If the w aste repo rted u nde r W aste 2 is receiv ed fro m th e sam e off-s ite han dler a s the w aste reported under W aste 1, mark t

he box to indicat e that

the EPA ID number i s the same as the one repo rted in W aste 1; i f Waste 3 i s rec eived f rom the same off-site handler as W aste 2 , mar k the box to ind icate that the EPA ID number i s the same as the one reported under Waste 2.


## NOTE Refer to the Spec ialInst ruct ions f

or re porting wastes rece ived f rom CESQG s on page 46 and f

or re porting wastes rece ived f rom fore ign count

rie s on page 47.
Box E : Quantit

y received in 2005 Rep ort the to tal qu antity of the haza rdo us w aste re por ted in Bo x A that w as rec eive d fro m th e off-s ite handler reported in Box D during 2005. If more t han one shipment of this waste was rece ived f rom the sam e off-s ite han dler, ad d the qua ntities a nd re por t only the s um. Report the unitof measur e and density i n Box F.
Box F : UO M and De nsity Enter the uni t of measure (UOM ) code for th e quantity y ou r epor te d i n Box E. Rep ort qu antities in one of t he un it s o f m ea sure l is te d b el ow. If you select a volu metr ic measur e (gal lons, liter

s, or cubic yards), you must also report t he density of the waste. Code Un it of M easure 1 Pounds 2 Short tons (2,000 p ounds) 3 Kil ogr ams 4 M etric tonnes (1,000 kilograms) 5 Gallons 6 Liters 7 Cubic yards


## NOTE Skip to Box G if you enter ed code 1, 2, 3, or 4.

Co ntinu e to D ensity if you enter ed code 5, 6, or 7.
De nsity Co mp lete den sity o nly if yo u en tered cod e 5, 6 , or 7 a s a un it of m easu re. Pro vide the d ensity in eith er pou nds per g allon (lbs/g al) or sp ecific g ravity (sg) an d m ark th e app rop riate b ox to indic ate which measur e was used.

## FO RM W R

(Conti nued)

30 Box G : Form code Review the For

m codes begi nning on page 53 an d enter the code that best corresponds to t he physical form or ch em ical co mp ositio n of th e haz ardo us w aste re por ted in Bo x A

. Note: The For m codes have been revised t o provide a simpler coding struct

ure. 

## LIST Fo rm c ode s, page 53.

Box H : Management Method code Enter the c ode that

descr ibe s the type of proc ess s ystem ( see def inition on page 40) in which the waste was managed. 

## LIST M ana gem ent M etho d co des, page 55.31



# 2005 Haz ardous W aste Rep ort
OTHER REFERENCE INFORMATION

AND CODE LISTS32 

## THI S PAGE I NTENT ION ALLYLEFT BLANK33 

## EXCLUDED WA STES

This secti on presents a par tiallis t of excluded materials and wastes. This lis t includes material s excluded from the definiti on of sol id wast e in 40 CFR 261.4( a) and s olid wastes exclude d from the definiti on of hazard ous w aste in 40 CF R 26 1.4(b). In ad dition, it also inclu des spe cific solid w aste sam ples that are excluded from the definiti on of hazardous waste i n 40 CFR 261.4(d)-(f ). Final ly, thi s li st i ncludes sp ec if ic haz ar dou s wa st es , a s d es cr ib ed in 40 CFR 26 1. 4( c) , t hat ar e e xemp te d f

ro m ce rt ai n RCRA Subtitle C regulations.
Agricultural

Waste Fertili

zer §261.4(b) (2) Analytical

Samples §261.4(d)
Arsenic Treated Wood and W ood P rodu cts §261.4(b) (9)
Cem ent Kiln Dust §261.4(b) (8)
Cok ing By -produ cts §261.4(a) (10)
Com parable/Syn gas Fu els §261.4(a) (16)
Dom esti c Sewage §261.4(a) (1) Dredged M aterial §261.4(g)
Dr illing Flu id §261.4(b) (5)
Excluded Scrap MetalBeing Recycled §261.4(a) (13) Exported Wastes § 262.56
FossilFuel Emission Control W aste §261.4(b) (4)
Hou sehold W aste §26 1.4(b )(1)(i)-(ii)
HTM R Condenser Resi due §261.4(a) (11) In situ M ining M ateria ls §261.4(a) (5)
Ir ri gatio n Re tu rn Fl ows §261.4(a) (3)
Kraft Mill St eam Stripper Cond ensates §261.4(a) (15)
Lea chate §261.4(b) (15)
M ining and M ineral Process Wastes §261.4(b) (7) Mining Overburden §261.4(b) (3)
Nuclear Material §261.4(a) (4)
Oil Filters §261.4(b) (13)
Petr och em ical R ecov ered Oil §261.4(a) (18)
Petroleum-contaminat ed M edia a nd D ebr is §261.4(b) (10)
Petrol eum Refini ng §261.4(a) (12) Pulping Liquor §261.4(a) (6) Refrige rants §261.4(b) (12)
Sec ond ary M ateria ls Returned to Original Process §261.4(a) (8) Secondary Materials f rom Mineral Pr ocess ing §261.4(a) (17)
Shredded Ci rcuit

Boards Being Recycled §261.4(a) (14) Spent Caustics from Petrol eum Refini ng §261.4(a) (19) Spent Wood Pres ervi ng Soluti ons and Wastewaters §261.4(a) (9)
Sulf uric Acid §261.4(a) (7)
Treatability Study Samples §261.4(e)
Treatability Studie s at Laborator ies and Test ing Facilities §261.4 (f)
Triva lent Ch rom ium W aste §261.4(b) (6)
Us ed Oi l Di sti l l at i on Bo t t oms §261.4(b) (14) Wastes Generated in Storage Tanks, Tra nsport Veh icles, Pipelines , or Manufa cturi ng Proce ss Un its §261.4(c)
Wastewater Point Source Discharge §261.4(a) (2)34 

## THI S PAGE I NTENT ION ALLYLEFT BLANK35 

## DEFI NI TI ONS

Thi s s ec ti on c ont ai ns def in itio ns of

te rms hel

pf ul fo r c ompl et in g the Haza rd ous Wast e Re port. For te rms defi ned in t

he Code of Fede ral Regulat ions ( CFR), the appropr iat e citati on is provided.
Accumulation A site that does not hold RCRA Interim Status or a RCR A permit may accu mu late ha zard ous wa ste for a sho rt perio d of tim e before sh ippin g it off site . The wa ste m ust b e acc um ulated in eith er tan ks o r con tainer s; it may n ot be accum ulated in surface impoun dmen ts. Generators of more t

han 1,000 kg (2,200 lbs) of haz ardous waste per mo nth m ay a ccu mu late the ir wa ste for up to 90 d ays befo re ship ping it off s ite . Gener ator s of 100 kg ( 220 lbs) to 1, 000 kg (2, 200 lbs) of hazar dous wast e per month may accumulat e their wast e for up to 180 days before shippi ng it off sit e. If the neares t tr eatment, s torage, dispos al, or recyclin g facility to w hich the y can send th eir waste is m ore than 200 miles away, they may accumulate their waste f or 270 days. See 40 CFR 262.34. Actor RCRA The Solid Waste Disposal Act, as amended by the Resource Conservation and Recove ry Act of 1976, as amended by the Hazardous and Soli d Waste Amendments of 1984, 42 U.S. C. Sect ion 6901 et s eq. Acu te Ha zardo us W aste An y h azard ous wa ste w ith an EP A h azard ous wa ste co de b egin ning with the lette r “P” (40 C FR 261 .33(e )) or an y o f the fo llow ing “ F” c ode s: F020 , F021, F02 2, F023, F0 26, and F0 27 (40 C FR 2 61.31). These wastes are s ubject

to st ringe nt quant ity s tandards for accumulation and gene ration (40 CF R 26 1.5(e)).
Authorize d Representative The person responsible for the over all oper ation of t he site or an operationalunit(i. e., part of a s ite ), e .g. , supe rint endent or plant manager , or

per son of

equi val entres ponsibil ity. Au thorized State A St at e t ha t ha s o bt ai ne d a uthoriz at io n f ro m t he EPA to d irec t it s o wn RCRA pr ogr am. Boiler An enclose d device using c ontrol led f lame combustion and having the following characteristics: 1. The unit

has physi cal provisi ons for recove ring and export ing energy in the form of steam, heated fluids, or heated gases; 2. The unit's com bustion cham ber and primary energy recove ry secti on(s) are of integr al desi gn (i.e. , they ar e physically formed into on e man ufactured or assem bled u nit); 3. The unit continuously maint ains an energy rec overy effic iency of at leas t 60 per cent, calc ulat ed in t erms of the r ecover ed ener gy com pare d w ith the therm al valu e of th e fue l;

## DEFI NI TI ONS

(Conti nued)

36 4. The unit exports and utili zes at l east 75 perce nt of the r ecovered energy, calc ulated on an annual basi s (excludi ng recovered heat used i nter

nall y in the same unit , for example, to pr eheat

fuelor combusti on air

or drive fans or fe edwater pumps); or 5. The unit is one which the Regional Administrat or has determined, on a ca se-by-case bas is, to be a boil er, af ter consi deri ng the s tandards in 40 CFR 260.32 By-product Materi al Fo r pur pos es of th e H azard ous W aste R epo rt, a by -pro duc t ma terial is (1) an y rad ioac tive m aterial (e xce pt sp ecial n ucle ar m aterial) y ielded in or made radioac tive by exposu re to the radiation incident to the process of produc ing or util izi ng speci al nucl ear mat eri al; and (2) the t ail ings or wastes produced by t

he extracti on or conce ntration of uranium or thorium from any ore proces sed primaril y for i ts s ource mat eri al content (defined in the A tomic E nergy Act of 1 954 ).
Code of Federal Reg ul at io ns (C FR) Codificati on of the generaland permanent rules publi shed in the Federa l Register by the Executive departments and agencies of t he Federal Government. The Code is divided into 50 titles which represent broad areas sub ject to Fed eral regulatio n. Each title is divided into chapters that usual ly bear the name of t he issui ng agency. Each chapter i s further sub divid ed in to pa rts cov ering spec ific reg ulato ry are as. Th e CF R title appl ica ble for the Hazar dous Wast e Repor t i s “40 ,” as in “40 CFR 262 .34.” Condit ionally Exe mpt Small Quantit y Generator (CESQG) of Haza rdous W aste A generator that meets the f

ollowing criteria:
In ever y month during t he year, the s ite did all of the foll owing: 1. Generat ed no more than 100 kg (220 lbs.) of RCRA hazardous wa ste in a calen dar m onth ; and 2. Generat ed, i n a cal endar month, or accumulated at any ti me, no mo re tha n 1 k g (2.2 lbs.) o f acu te haz ardo us w aste, and no m ore than 100 kg ( 220 lbs. ) of mat eri al f rom the c leanup of

a spi ll of acu te haz ardo us w aste; and 3. Accumulated, at any time, no more than 1,000 kg ( 2,200 lbs.) of hazardous waste.
Con fidential Business Inform ation (CB I) Information a f acility does not wish to make avail able to t he general public for comp etitive business reasons. Confidential Business Info rma tion (C BI) m ay b e claim ed fo r certain infor ma tion in yo ur rep ort. A cl ai m may b e ma de in ac cordan ce wit h 40 CFR Part

2, Sub par

t B

. Delisted Wastes Site -spec ifi c waste s excluded fr om regulation under 40 CFR 260.20 and 260.22. A waste at

a particul ar gene rat ing si te may be e xcluded by petitioning the EPA Adm inistrator f or a regulatory amen dmen t. These wastes are l ist ed in Appendi x IX of 40 CFR Part 261.

## DEFI NI TI ONS (Conti nued)

37 Disposal The disc harge, deposi t, inj ecti on, dumping, spil ling, leaking, or placing of any solid waste or hazardous waste into or on any land or water s o that such solid wast e or hazardous waste or any constit

uent thereof

may enter the environm ent or be emitted into the air or discharged into any w aters, including groun d waters. Environmental Prot ecti on Age nc y ( EPA) EPA , als o called U.S. EPA, means the United States Envir onmental Protecti on Agency. Som e State e nvironmental authorities may be called the EPA also, as i n “Ill inois EPA.”
EPA I de nt if

ic at io n ( ID) Num ber The num ber assign ed by the EP A to ea ch haz ardou s waste g enerato r, hazardous wast e trans port er, and t reatment , s tor age, or di spos al fac il ity; United St ates import er of hazar dous wast e; mixe d waste (hazar dous and radi oactive) gene rat or; recycle r of ha zardous waste; exempt boi ler and/or indu strial fur nac e bu rnin g or p roce ssing haza rdo us w aste; larg e qu antity handler of or de sti nati on faci lit y for uni versa l wast es; dispos er of haz ardo us w aste w ith an und ergro und injectio n pe rmit; u sed o il transport er, used oi l process or/re- refi ner, off -specif icati on used oil fuel burner, used oi l fue l marke ter ; or sit e undergoing corr ective act ion.
Excluded W astes Wastes excluded from the definiti on of solid or hazardous waste under 40 CFR 261.3 and 261.4. See page 33 for apart ialli sti ng. Ha zardo us W aste A hazardous waste a s defined in 40 CFR 261.3.
Ha zardo us W aste Generator An y p erso n, by site, w hos e act o r pro cess p rod uce s haz ardo us w aste ident ifi ed or l ist ed in 40 CFR Part 261.
Hazardou s Waste Nu mber or Cod e, EPA Th e nu mb er (or c ode ) assig ned by the E PA to eac h ha zard ous wa ste listed in 40 CFR Part 261, Subpart D and to each charact eristic ident ifi ed in 40 CFR Part

261, Subpar

t C. The co des c onsi stof one le tt er ( D, F, P, U, or K) and three numbers. The l ist of EPA hazardous waste codes begins on page 49. Hazardous Waste Storage The holdi ng of hazardous wast e for a te mporary period, at t he end of which the hazardous waste i s treated, di sposed of, or stored el sewhere.
Ha zardo us W aste Transporter A p erson en gage d in the o ff-site transportation of haza rdou s waste b y air, rail, highw ay, or w ater.
Ha zardo us W aste Treat ment An y m etho d, tech niqu e, or p roce ss, inclu ding neu tralizatio n, de sign ed to change the physic al, chemica l, or bi ologic al charact er or composit ion of any haza rdo us w aste so as to n eutra lize su ch h azard ous wa ste, or so as to recover energy or material r esources from the hazardous waste, or so as to ren der su ch h azard ous wa ste no nha zard ous , or less h azard ous ; safer to transport , store or

dispos e of; or amenabl e for recove ry, amenable f

or stor age, or re duced in volume. Such ter m include s any activit

y or proces sing de signe d to change the physica l for m or composition of hazardous w aste so as to render it nonhazardous.

## DEFI NI TI ONS

(Conti nued)

38 Incine rati on Burn ing of ce rtain type s of solid, liquid , or gaseo us m aterials; or a treat ment technology involving destr uction of waste by controlled burning at high t emperatures ( e.g., burning sludge to r emove the water and reduc e the remaining resi dues t o a saf e, non- burnabl e ash t

hat can be dispos ed safely on land , in som e wate rs, or in und ergrou nd loc ations). Industrial Furnace Any of the f ollowi ng enclos ed devic es that are int egralcomponents of manu facturing processes and that use thermal treatment to accom plish reco very of m aterials or en ergy : cem ent k ilns; lim e kiln s; agg rega te kilns ; phosphate ki lns; coke ovens ; bl astfurna ces; smelt ing, melting and refining furnaces; tit anium d ioxide chloride process oxidation reactors; methane reform ing furnaces; pulping liquor recov ery furnaces; combusti on device s used in the r ecovery of sul fur va lues from spe nt sulfuri c acid; halogen acid fur naces, as defined under i ndustrialfurnace in 40 CFR 260.10; and such ot her devi ces as the Admini str ator may add to this list.
Interim (Perm it) Stat us Perio d du ring wh ich th e op erato r/ow ner o f an ex isting TS D fa cility is tre ated a s havi ng been i ssued aRCRA permit even though he/s he has not yet r ecei ved a final determination. An existing fa cil ity s hould have auto ma tically qua lified fo r interim status if the o pera tor/o wn er filed both time ly “n otifica tion” and the first p art (Pa rt A) o f the R CR A p erm it appli cati on. I nter im st atus conti nues unt il a fi nal determination i s made to i ssue or

deny the pe rmit . Operator/owner of new f acil iti es cannot

by defin ition q ualify for inte rim s tatus; ra ther, th ey n eed a RC RA perm it prior to beginning cons truc tion of a haz ardous was te manage ment fac il ity. Large Quantity Generat or (LQ G) o f Ha zardo us W aste A gen erator that meets any of the fol lowing crit eria: 1. Generat es, in a c alendar month, 1,000 kg ( 2,200 lbs.) or more of RC RA haza rdo us w aste, d urin g on e or m ore m onth s in a y ear; or 2. Gen erates, in a calen dar m onth, o r accum ulates at any time, mo re than 1 kg (2.2 lb s.) of R CR A a cute haza rdo us w aste; or 3. Gen erates, in a calen dar m onth, o r accum ulates at any time, mo re than 100 kg (220 lbs.) of spillcleanup materi al contaminat ed with RCRA acute hazar dous waste. Large Quantity Handlerof Un iversal W aste A univers al wast e handle r (a s defined in 40 CFR 273.9) who accumulates a t otal of 5, 000 kilograms or more of univers al wastes (batte ries, pestic ides, thermostat s, or l amps - calculated coll ectively) at any time. This des ignation i s reta ined through the end of t he calendar year in w hich 5 ,000 k ilogram s or mo re of un iversal w astes are accumulated. Management, or Hazar dous Waste Management Systematic control of the c ollection, source separat ion, st orage, transport ati on, proc essing, treat ment, recovery, or di sposalof hazardous waste (4 0 CF R 26 0.10).

## DEFI NI TI ONS (Conti nued)

39 Ma nifest,Uniform Ha zardo us W aste The shippe d document EPA form 8700-22 and, i f nece ssar y, Form 8700- 22A, ori ginat ed and si gned by a gener ator in ac cordanc e with t

he instr uctions i ncluded in the appendix t o 40 CFR Part 262. The “cra dleto-grave” paper

work must accompany a shipment of hazar dous waste as it moves fr om the gener ator to the tr ansport er and e ventual ly to t he hazardous wast e manag ementfac il ity. M ixed W aste Waste tha t c onta ins bothhazardous and s ourc e, spec ialnucl ear , orbypr odu ct mat er ia l s ubj ec t to the Atomi c En er gy Ac t ( AEA), RCRA sect ion 1004(41) , 42 U.S. C. 6903 (63 FR 174 14; A pril 9, 199 8).
M unicip ality A city, vil lage, town, bor ough, count y, par ish, dist

ric t, assoc iat ion, Indian tribe or aut

horiz ed Indi an tr ibalorgani zati on, des ignat ed and approved managem ent agency under Secti on 208 of the Clean Water Act, or any other

publi c body cre ated by or under St ate l aw and having jurisdiction over disposal of sewage, industrial wastes, or other wastes. Off-site F acility A hazardous waste treat ment, stor age, disposa l, or recycli ng area locat ed at a pla ce away from the generati ng site. Of f-Sp ecifica tion Use d O il Burner A site where use d oil not meet ing the speci fic ati on requi rements in 40 CF R 2 79.1 1 (of f-spe cificatio n us ed o il) is bu rned for en ergy reco very in devices identified in S ection 2 79.61 (a).
Of f-Sp ecifica tion Use d O il Fuel Used oi l f uel that doe s not

meetthe spec if

icati on pro vide d under

40 CFR 279.11.
On -site Fac ility A hazardous waste treat ment, stor age, disposa l, or recycli ng area locat ed on the generating site.
On -Sp ecifica tion Use d O il Fuel Used oilfuelthat meets t he speci fic ati on provide d under 40 CFR 279.11.
Operator The person responsible for the over all oper ation of a RCR A site. Note: Thi s is the l egal e ntit y which controls the RCRA site operation rather than the plant

or si te manage r. Thi s is usual ly a company or business name, not an individual. See Person

. Ow ner Th e per son wh o ow ns a R CR A site or pa rt of a R CR A site . No te: Th is includes the proper

ty owner. This may be an indi vidual , company, or business name. See Person

. Person An indi vidua l, tr ust , f ir m, j oint st ock co mpany, Feder al Agency, corporation (inc luding a government corpor ati on), partne rship, association , State, mu nicipality, co mm ission, po litical subdivisio n of a State, or any int ers tate body.

## DEFI NI TI ONS

(Conti nued)

40 Process System Fo r pur pos es of th e H azard ous W aste R epo rt, a pro cess s yste m re fers to one o r more units used togethe r to treat, recover, o r dispose of a hazardous waste. The proces s syst em begins at the unit where the hazardous wast e first

ent ers and c onsi st s of

al l ot her tr eatment, rec overy, or dis posal unit s downstr eam from the point of ent ry. Not e that

stor age is not consi dered aproces s syst em, exce pt for stor age at

a bulking and re-shipp ing facility (H 141 ). Classify each process system with a M anagem ent Me thod code that best identif ies t he fi na l su bs ta nt i ve pu rp os e/ op er at i on i t pe rf or ms . For example, a process system to remove diss olved metals f rom wastewater prior to shipping the sl udge off sit e typi cally incl udes equal ization, pH adjus tment, chemica l pre cipi tat ion, floc culation, clarifi cati on/se ttl ing, and dew aterin g of th e slud ge re mo ved from the b ottom of the clarifier. The chemica l pre cipi tat ion proc ess be st i denti fie s the primar y purpose of this trea tme nt sy stem – to re mo ve m etals fro m th e w astew ater. If this wastewater treatment syst em is RCRA -regulat ed, it would be reported as H077 (chemica l pre cipi tat ion). If t he sl udge will

be dis posed at

the reporti ng site in a landfil l, t he code will be H132 (landfi ll) and will need to be re porte d on a s eparate GM For m be ca us e i t i s are si dua l f ro m a treat ment process. However, t his process is exempt if the tr eated water flows to a POTW or a NPDES outfal l with no RCRA -regul ated s tora ge or treatment

unit s in t

he syst em, and s hould notbe repor ted. A lis ting of Management Method codes begins on page 55.
Pro cess U nit For purpos es of the Hazardous Waste Report, a proce ss uni t re fers to a single t ype of treat

ment (e.g. , tank, disti llation column, surfa ce impoundment) in which hazardous wast e is tre ated, dispos ed, or recycl ed.
Resourc e Conse rvat ion and Rec ove ry Act(R CRA) The Solid Waste Dispos al Act as amended by t

he Resourc e Conservation and Recovery Act (RCR A) (40 CFR 270.2). I t is the Federalstat ute that regul ates the ge neration, tre atment , storage, dispos al, recycl ing, and/or transport ation of s olid and hazardous waste

. RC RA Interim (Perm it) Stat us Refer to “Int eri m (Permit) Status” defi niti on on page 38.

RC RA Per m it A complete RCRA permit is c omprise d of an operati ng permit for hazar dous wast e tr eatment , storage, and dis posal , and acorr ective act ion perm it add ressin g rele ases fr om solid wa ste m ana gem ent u nit (S W M Us ). To apply for

a permi t, a si te must

fil e a two-part

appli cati on (Part

A and Part B ). A fa cility is n ot co nsid ered to ha ve a c om plete R CR A p erm it untilboth par

ts have been i ssued.

## DEFI NI TI ONS (Conti nued)

41 RC RA Sub title C Site (RCR A Site or Site) The physica l pl ant or location at

which one or

more of t

he fol lowing regul ated was te ac tivitie s occur s: t he gener ati on, transpor tat ion, tre atment , storage, or di sposalof hazardous wast es; recycl ing of hazardous wastes; United States importer of hazardous waste; mixed waste (hazar dous and r adioac tive ) gener ator ; exempt boil er and/or indu strial fur nac e bu rnin g or p roce ssing haza rdo us w aste; larg e qu antity handler of or de sti nati on faci lit y for uni versa l wast es; dispos ing hazar dous wast e with an undergr ound inj ecti on permit ; the tr ansport ati on (and t emporary s tora ge duri ng transport ati on), process ing/re-re fining, bur ning , or m arke ting o f used oil; or u nde rgo ing c orrec tive ac tion. A site may consist

of severaltreat

ment, stor age, or di sposal operational units. Fo r entities that only transpo rt regulated wastes, the term site refers to the head qua rters o f that en tity’s o pera tions

. Recycling Us e, reus e, or re clam ation of a m aterial (4 0 C FR 261 .1(c)(7 )). “Rec lamation ” is the proc essing o r regene ration of a m aterial to recov er a usable produc t (e.g., recovery of lead values from spent batteries, rege nera tion o f spen t solv ents) ( 40 C FR 261 .1(c)(4 )). A m aterial is “used or reuse d” if

itis e ithe r: (1) e mployed as an ingre dient (inc luding use a s an in term edia te) in an indu strial pro cess to ma ke a p rod uct (e .g., disti llation bottoms from one process us ed as feedst ock in another pro cess) ( 40 C FR 261 .1(c)(5 )). Ho we ver, a m aterial w ill not sa tisfy th is con dition if distin ct com pon ents o f the m aterial a re reco vere d as se para te end product s (as when metal s are recove red f rom metal -cont aini ng secondar y materi als ); or

(2) e mployed in apart icul ar f uncti on or app lication as an effectiv e sub stitute fo r a com me rcial p rod uct (e .g., spentpickl e li quor used as phosphorous prec ipitant and sludge cond itioner in w astewa ter treatmen t).
Residual A h azardo us w aste derive d from the treatme nt, dispos al, or recyclin g of a previously exis ting hazardous wast e (e.g. , the s ludge remaining after initial wastew ater treatmen t). Sludge An y so lid, sem i-solid , or liqu id w aste g ene rated from a mu nicip al, com me rcial, or indu strial w astew ater trea tme nt pla nt, w ater su pply treat ment plant, or air polluti on control fac ili ty exclusi ve of the treated effluent from a wastew ater treatmen t plant (40 CF R 26 0.10).

## DEFI NI TI ONS

(Conti nued)

42 Small Quantit y Generator (SQ G) o f Ha zardo us W aste A gen erator that meets all the foll owing criter ia: 1. Generat es, in a c alendar month, more than 100 kg (220 lbs.) but les s than 1,000 kg ( 2,200 lbs.) of RCRA hazardous wast e, during one or m ore m onth s in a y ear; and 2. Generat es, in a c alendar month, or acc umulate s at any ti me, no more than 1 kg (2.2 lbs. ) of acute hazardous waste and no m ore than 100 kg ( 220 lbs. ) of mat eri al f rom the c leanup of

a spi ll of acute hazardous wast e. OR , your sit e is a SmallQuantity Generator i f the site: 1. M eets all o ther c riteria fo r a Co nditio nally Ex em pt Sm all Qu antity Ge nera tor, bu t 2. Accumulate s, at any t ime, mor e than 1,000 kg ( 2,200 lbs.) of hazardous waste. Sm all Qu antity O n-Site Burner Exemption Th e per son s wh o bu rn sm all qu antities of ha zard ous wa ste in a n on -site boiler or ind ustrial furnac e, in accord ance w ith 40 C FR 266 .108, are condi ti onal ly e xempt fr om regu lation f or t hatact ivi ty. Smelt ing, Melti ng, an d Refining Furnace Exemption Under 40 CFR 266.100(c) , oper ator s or owner s of s melting, melting, and refinin g fur nac es tha t proc ess h azard ous wa stes so lely fo r me tals rec overy are condi ti onal ly e xempt fr om regu lation, exce pt f or 40 CFR 266 .101 and 266 .112 , prov ided they com ply with limited requ irem ents set for th in Secti on 266.100(c). Simil arly, 40 CFR 266.100(f) provides that operators or owners of smelting, melting and refining f urnaces that proces s hazard ous w astes for the rec overy of precio us m etals are condit ional ly exemptfrom re gulat ion, except for 40 CFR 266.112, provide d they compl y with l imit ed requirements speci fie d in Section 266 .100(f). Solid W aste Any garbage, ref use, or sludge, or

other mater ial s not e xcluded unde r 40 CFR 261.4(a). Exclusi ons inc lude, for e xample, domesti c sewage and any mixtur e of ot

her wast es that pas s thr ough a sewer syst em to a publicly owned treat

ment works (POT Ws); industri al wastewater discharges t

hat are poi nt source di scharges subj ect to r egulati on under the Cle an Water Act ; i rri gati on ret urn fl ows; nucl ear mat eri als defi ned by the Atomi c Energy Act; and in s itu mining mat eri als (see als o pag e 33 ). Wastewater s bei ng coll ecte d, stored, or treat ed befor e dis charge and sl udges generate d by wast ewat er t reatment are not e xcl uded. The EPA defines hazardous waste as a subset of soli d waste. Source Material As defi ned by the At omic Energy Act of 1954: (1) Uranium, t horium, or any other

mater ialdeter

mined by the Commission pur suantto the provisions of

Section 2091 of thi s ti tle to be source materi al; or (2) ores containing one or

more of t

he for egoing mat eri als in suc h concentrat ion as the Commission may by regulation deter mine from time to t ime.

## DEFI NI TI ONS (Conti nued)

43 SpecialNuclear Materi al As defi ned by the At omic Energy Act of 1954: (1) plutonium, urani um enriched in t

he isotope 233 or i n the isot ope 235, and any other materi al which the Commission, pursuant to the provi sions of Section 2071 of this ti tle , det ermines to be s pecia l nucl ear mat eri al, but does not i nclude source mater ial ; or (2) any materi al ar tif ici all y enri ched by any of the foreg oing , but d oes n ot inc lude sou rce m aterial. Superf und The program operat ed under t he legi slative author ity of the Co mp rehe nsiv e En viro nm enta l Res pon se, C om pen sation , and Liab ility Act (CERCLA) and the Super fund Amendments and Reauthori zati on Act (SARA ) that

funds and carri es out the s olid waste emergency re sp ons e and lo ng- te rm re med ia l ac tivi ti es of t he EPA. Surfa ce I mpoundment A natural topographic depressi on, man-made excavation, or di ked area form ed p rima rily fro m e arthe n m aterials (thou gh it m ay b e lined with man-made material s) t

hat i s desi gned to a ccumulat e li quid wast es or wast es c onta ini ng fr ee l iqui ds, and t hatis not an inj ect ion wel l ( 40 CFR 260 .10).
Tra nsfer F acility Any transpor tat ion-r elat ed fac ility inc luding loadi ng docks, parki ng area s, s tora ge are as, and othe r si milar area s where s hipments of hazar dous wast e are held during the normal course of transpor tat ion (40 CF R 26 0.10). Underground Inject ion Control The subsurface emplacement of f luids t hrough a bored, dril led or dri ven well; or t hrough a dug well, where the depth of the dug well is greater than the largest surface dime nsion. U nderg roun d injection wells are regulate d under both the Safe Drinki ng W ater Act and t he Resource Con servation and R ecov ery A ct (see 40 C FR Part 14 8).
Un it Refer to “Proces s Unit”defi niti on on page 40. United States Importer Any person who import s hazardous wast e fr om a forei gn countr y into t he Uni te d St at es . Thi s d oes not in cl ude haz ar dou s wa st e s hi ppe d f ro m a foreign Dep artmen t of Defe nse site, M aquilad ora, Un ited States territory or protect orate. Un iversal W aste Any of the f ollowi ng hazar dous wast es that are managed under the universal waste requiremen ts of 40 CFR Part 273: batteries, pesti cides, thermostats, and lamps.
Us ed O il Any oil that has been r efined from crude oil, or any synthetic oi l, t

hat has been used, and as aresult of such use , i s cont aminat ed by physic al or chemical impu rities.

## DEFI NI TI ONS

(Conti nued)

44 Used Oil Fuel M arketer An y p erso n w ho c ond ucts e ither o f the fo llow ing a ctivities : 1. Dire cts a sh ipm ent o f off-sp ecifica tion u sed o il from their site to an off -spec ifi cati on used oi l burne r; or 2. First claims th at used o il that is to be bu rned fo r energy recove ry meets t he used oi l fue l spe cif

ications s et f

orth in 40 CFR 279.11. Used Oil

Management Activiti es Fo r the p urp oses of the Site Id entific ation For m, in clud es us ed o il transpo rtation; used oil proces sing an d re-refining ; burnin g offspeci fic ati on used oi l fue l; and used oi l fue l marke ting. Used Oil

Proce ssi ng Ch em ical or phy sical o pera tions desig ned to pro duc e from used oil, or to make used oi l more amenable f or produc tion of, f

uel oi ls, lubri cants , or other used oil -derived product s. Proces sing includes, but i s not li mited to: ble ndin g us ed o il with virgin petro leum prod ucts, b lend ing u sed o ils to meet the f uel s pecif

ication, filtration, simpl e dis til lat ion, chemica l or physica l se paration, and re- refining. Used Oil Proce ssor A site that p roce sses o n- or off-sp ecifica tion u sed o il.
Used Oil Re-Refiner A site that p rod uce s lub ricatin g oils and grea ses, ind ustrial fu el, asp halt extender, gasoline, and other products from on- or off- specifi cation used oil.
Used Oil T rans fer Fa cility Any transpor tat ion-r elat ed fac ility, includi ng loadi ng docks, parki ng areas , storag e area s, and othe r areas wh ere sh ipm ents o f used oil are h eld for more than 24 hour s duri ng the nor mal cour se of transport ati on and not lon ger than 35 da ys. Tran sfer facilities that store used oil for mo re than 35 days are subj ect to r egul ati on under

40 CFR Part 279 , Subp art F. Used Oil Transporter An y p erso n w ho tra nsp orts u sed o il, any perso n w ho c ollects used oil from more t

han one generator

and tr ansport s the coll ecte d oil , and operato rs and o wn ers of used oil transfer facilities. Used oil transpo rters may consoli date or

aggregate l oads of used oi l for purposes of transport ation but, with the fol lowing exception, may not process used oil. Used oiltransport ers may conduc t i ncident al pr ocess ing oper ati ons that occur in the nor

mal cour se of used oi l transpor tat ion (e .g. , se ttl ing and water

separ ati on), but

that are not desi gned to pr oduce (or make mo re am ena ble fo r pro duc tion o f) use d oil-d erive d pro duc ts or u sed o il fuel.45 

## SPECI AL I NSTRUC TI ONS

Th ese in structio ns ex plain how to co mp lete the 200 5 H azard ous W aste R epo rt for w astes a nd s ites w ith unique regu latory or reporting requirements.
As bes tos, P CB s, wa ste oils In m ost ca ses, do not report asb estos, PC Bs, and waste o ils. How ever, you mu st re port t

hem if any of the follow ing c ond itions exist: (1) If your

Stat e speci fic all y requi res t hat t hese wast es be r eport ed; (2) If a listed RC RA haza rdo us w aste (i.e., E PA haza rdo us w aste cod e that b egin s with “F,” “ K,” “P,” o r “U ”) is m ixed with asbestos, PCB s, or waste oil, in which case the entire mixture is a hazar dous wast e; or (3) If the waste possesses one or more of the chara cteri stic s that resu lt in assig ning EP A h azard ous wa ste co de b egin ning with “D.” (This does not a

pply to used oil that i s recycled a s exp lained belo w.)
Do not repo rt “use d oil th at is recy cled and is also a haza rdo us w aste solely b ecause it exhibits a ha zardou s characteristic (criterion 3 abo ve). Used oilthat

is r ecycle d includes any us ed oilwhich is reuse d, fol lowing its orig inal u se, for a ny purp ose (in clud ing th e pu rpo se for wh ich th e oil was originally used). Such ter m includes, but is not l imited t o, oil which is re- refi ned, recl aimed, burned for energy recovery, or re processed.” (40 C FR 261 .6(a)(4)) Groun dwater contam inated by lea chate Groundwater c ontaminated by RCRA hazardous was te l eachat e is not consi dered asoli d waste and is, ther efore , not clas sif ied as a hazardous waste. However, bec ause haz ardous was te i s “cont ained in” the gro und wa ter, it mu st be tre ated “as if” it w ere a R CR A h azard ous wa ste. When reporting groundwater contami nated by l eachat e in t he 2005 Hazardo us W aste Report, observe the following conventions: (1) Do not report generation quanti ties for contaminat ed groundwater . Ente r “NA” in Form GM , Section 1, Box F (qu antity ). Ex plain in the Co mm ents s ection that it is groundwater, not a hazardous waste, that was generated on site. (2) Do report quant iti es managed on s ite (Form GM, Secti on 2, Onsit e Proces s Syste ms 1 and 2); quanti tie s shipped off sit e for management (Form G M, Section 3); and quanti ties received from o ff site and m anag ed on site (Form W R, B ox E ). Lab packs The foll owing rul es apply to the reporting of la b pack wast es i n the 2005 Ha zard ous W aste R epo rt: (1) Yo u m ay ag gregate lab pack wastes if the y hav e the sam e Form code. However, you must report them as s eparate wast es under the following con ditions:



### P If t hey conta in RCR A acute hazardous w astes (i .e. , EPA hazar dous wast e codes F020, F021, F022, F023, F026, F027,

## SPECI AL I NSTRUC TI ONS

(Conti nued)

46 and all“P” wast e codes) . Report separ ately from la

b packs cont ain ing o the r RCRA hazardous wast es ( allothe r EPA hazard ous w aste cod es).



### P If t hey are managed dif

fere ntly f

rom each ot

her. For example, report l ab packs shippe d to l andfi lls separ ately from those inci nerat ed. (2) Enter a

Form code (s ee page 53) indi cating lab pa cks (i .e. , W001 or W004) on Form GM , i n Secti on 1, Box E or on For m W R in Box G. These Form code s are to be us ed with any lab pac k, whether the wastes are gaseous, liquid, solid, or sludge. (3) It is not necess ary t o report ever y EPA hazardous wast e code included in a batch of lab packs. Record one, or a fe w predominant , EPA hazar dous wast e codes in Section 1, Box B of Form GM, or Box B of For m WR . I f there are many EPA hazardous w aste codes associated with the batch of lab pack s, enter “LABP” in the f

irs t four -char acte r fi eld i n Secti on 1, Box B of Form GM, or Box B of Form WR; then ent er “NA” in t he remaining spaces for the E PA h azardous w aste codes. (4) W hen reporting qu antities f or lab packs:



### P Incl ude the weight of t he containers if t

hey are disposed (e.g. , landfi lled) or treated (e. g., i ncinerat ed) with the wast e.



### P Exclude the weight of t he containers if t

he waste is removed from the co ntain ers be fore tre atm ent o r disp osal. RCR A-radioactive mixed wastes By themselves, source material , speci al nuclear material , or by-product materi als (See Def

initions s ecti on beginni ng on page 35), as def ined by the A tom ic En ergy Ac t of 19 54 a nd a me nde d by 42 U .S.C . 201 1 et. se q., are not classified as hazardous wastes under R CR A. Ho wever, if these ma terials ar e m ixed with a RC RA haza rdo us w aste, th e m aterial is contr olle d under RCRA regulation, as wellas under the Atomi c Energy Act (DOE, NRC, and EPA) regul ati ons, and is to be repor ted i n the 2005 Ha zard ous W aste R epo rt. Wastes rece ived f

rom Condit ionally Exe mpt Sma ll Quantity Generators (CES QG s) Waste managementfaci lities someti mes rec eive hazardous wastes from large nu mb ers of C ond itionally E xem pt Sm all Qua ntity G enerato rs (CESQGs) or othe r si tes that do not have RCRA EPA Identi fic ati on Num bers. To minimize t he response burden for f ill ing out the Form WR for t

hese wast es, you may aggregat e the wastes acros s gener ati ng sites, in accordance w ith these guidelines: (1) All the waste s must have the same EPA hazardous waste c ode (Box B), St ate hazardous waste c ode (Box C), Form code (Box G), and M anag eme nt M ethod code (B ox H ).

## SPECI AL I NSTRUC TI ONS (Conti nued)

47 (2) Wastes received f rom different

States must be reported separ ately. For t

he off -si te handl er EPA ID number (Box D), the entr y should i nclude t

he two-l ett er postal code of the ori ginat ing State , follow ed b y th e letters “ CE SQ G.” For example , wast es re ceive d from se veralCESQG s in t he Stat e of Ala ska (A K) th at sha re a co mm on E PA haza rdo us w aste co de, S tate hazar dous wast e code, Form code, RCRA radi oactive mixed code , and Managem ent Method code could be aggregated in a s ingle waste bl ock of Fo rm W R (e.g., W aste 1). In B ox D , the off-site han dler EP A ID number is entered as “ AKC ESQG .” Note : This method of c ompleting Box D can also be used f or CESQG w ast e that

is not aggregated. Wastes rece ived f

rom foreign countries Rep or ti ng o n Fo rm GM - If your sit e was the generator of record and was the U. S. Importer f or hazardous wast e rec eived f rom a for eign country (other than a forei gn Department of Defense sit e, Maquiladora, U.S. t erritory or

prote ctor ate) , comple te a Form GM . Ente r the appropriate code in Secti on 1, Box D - Source code from the list of codes G63 through G75 - Hazardous wast e rec eived f rom [name of

fore ign countr y]. Include the Import Notif ication and ot

her f orei gn generator informati on in Comm ents. Also, mark “Yes” on the Sit e ID Form, Item 10.A.1, Box d - Unite d Stat es Importer of Hazar dous Waste. Report on Fo rm O I the n am e and add ress o f all fore ign g ene rators if this fo rm is requ ired b y y our State

. Rep or ti ng o n Fo rm WR - If yo ur site re ceiv ed h azard ous wa ste dire ctly from a gene rat or in a for eign count ry (ot her than a for eign Depar tment of Defense sit e, Maquiladora, U.S. territory or pr otectorate), complete a Fo rm W R fo r the w aste trea ted, rec ove red, o r disp osed at yo ur site. T his waste was not shipped to your sit e by a U.S. Import er. Report the code “FC” followed by the nam e of the forei gn country in B ox D - Off S ite Handler EPA ID number. Include the Import Notifi cation and other forei gn generator informat ion i n Comments. Report on Form OI t he name and addre ss of

allfore ign generator s if thi s for m is re quire d by your State.48 

## THI S PAGE I NTENT ION ALLYLEFT BLANK49 

## EPA HAZARDOUS W ASTE CODES

A list of all t

he hazardou s waste codes is show n below . See the regulations for details.
CHARACTERISTICS OF HAZARDOUS WASTE (SEE 40 CFR 261.24) - DXXX
HA ZAR DO US W AST E FR OM NO NSP EC IFIC SOURC ES (SEE 40 CFR 261.31) - FXXX
HA ZAR DO US W AST E FR OM SPEC IFIC SOURC ES (SEE 40 CFR 261.32) - KXXX DIS CARDED COMMERCIAL CHEMIC AL PROD UCTS, OFF-SPECIFICAT ION SPECIES, CONTAINER RESIDUALS, AND SPILL RESI DUES THERE OF – ACUT E HAZARDOUS WASTE (SE

E 40 CFR 2 61. 33 FOR AN ALP HABET IZ ED LI STI NG) - PXXX DIS CARDED COMMERCIAL CHEMIC AL PROD UCTS, OFF-SPECIFICAT ION SPECIES, CONTAINER RESIDUES,AND SPILL RES IDUES THEREOF – TOXIC WASTES (SEE 40 CFR 261.33 FOR A N ALP

HABET IZ ED LI STI NG) - 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 K181 K105 K106 K107 K108 K109 K110 K111 K112 K113 K114 K115 K116 K117 K118 K123 K124 K125 K126 K131 K132 K136 K140 K141 K142 K143 K144 K145 K147 K148 K149 K150 K151 K156 K157 K158 K159 K161 K169 K170 K171 K172 K174 K175 K176 K177 K178 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 U41150 

## THI S PAGE I NTENT ION ALLYLEFT BLANK51 

## SOURCE CODES

Source codes describe the type of proce ss or activity (i.e. , source) from which a hazardous waste was generated. Review the groups and pick the appropri ate code. Code Source Code Group Wastes from Ongoing Producti on and Service Process es (wast e from general day to day ma nufacturin g, produ ction, or ma intenance a ctivities) G01 Dip, flush or

spray rins ing (using solvents to cl ean or prepare par ts or as semblies f

or further proc ess ing - i. e. pai nti ng or a sse mbly) G02 Strip ping and acid o r cau stic clea ning (usin g cau stics to r em ove coatin gs o r laye rs from parts

or assemblies ) G03 Plat ing and phos phati ng (el ectro- or non- elec tropl ati ng or phosphating) G04 Etching (using cau stics or other methods to remov e layers or partial l ayers) G05 Metal f

orming and t

reat ment (pi ckli ng, heat treating, punching, bending, anneal ing, grinding, hard enin g, etc.) G06 Painting and coat ing (manufacturing, building, or maintenance) G07 Productand by-produc t proc essing (direct f low of wast es from chemicalmanufact uring or pro cessin g, etc.) G08 Remov al of spent process l iquids or catalyst s (bulk removal of wast es from chemical ma nufactu ring or pr oce ssing , etc.) G09 Other pr oducti on or se rvic e-re lat ed proce sses from which t he waste is a

dire ct out flow or result (specify in commen ts) Other Intermittent Events or Processes G11 Discar ding off -spec ifi cati on or out -of- date c hemical s or pr oducts (unused chemical s or products - correspond s to P and U hazardous w aste codes) G12 Lagoo n or sedimen t dragout and leachate collection (large scale operations in open pits,

ponds, or lagoo ns) G13 Cleaning out process equipment (periodi c sludge or re sidual r emoval from enclosed process es

including i nter

nal s crubbi ng or cl eaning) G14 Removal of t ank sl udge, s ediment s, or sla g (per iodic sludge or re sidua l re moval fr om stora ge tanks including i nter

nal s crubbi ng or cl eaning) G15 Proces s equi pment change -out or disc ontinuation of equipment use ( fina l mate ria ls and resi duals removal including cl eaning) G16 Oil changes and fi lter or batte ry replacement ( automotive, machiner y, etc) G19 Other one-time o r intermittent processes (specify in comments)

Po llutio n C on trol a nd W aste M an age m ent P roc ess R esidu als G21 Air pollution control devices (bagh ouse dust or ash from stack scrubbers or precipitators;

vap or co llection , etc.) G22 Laboratory analytical wastes (used chemicals from labo ratory operations) G23 W astewa ter treatmen t (sludge, filter cake , etc., including wastes fro m treatm ent befo re

disch arge by NP DE S or PO TW or by UIC disp osal) G24 Solvent

or produc t di sti llation or re covery ( sludge , wast e sol vent, bott oms, from reco very /recy cling of us ed p rod uct) G25 Hazardous waste management - indicat e management method (for resi duals fr om regulated

hazardous waste treatment process es - ent er the r elate d H code) G26 Leachate collection (from landfill operations or other land units) G27 Hazardous residualfrom treat ment or recovery of univer sal waste

## SOURCE COD ES

(Conti nued)

52

Spills and Accidental Release s G31 Accident al contaminat ion of product s, mat eri als , or containers ( other than G11) G32 Cleanup of spillresidues (infr equent, not r outine) G33 Leak collect ion and floor s weeping (ongoing, routine) G39 Other cleanup o f current contamination (specify in com ments)

Remediation of

Past Contaminati on G41 Clo su re of

haz ar dou s wa st e ma nag eme ntuni t unde r RCRA G42 Corre ct iv e a ct io n at a s ol idwas te man age ment uni t unde r RCRA G43 Remedial acti on or emerge ncy res ponse under Superfund G44 Stat e progr am or volunt ary cl eanup G45 Underground storage t ank cle anup G49 Other remed iation (specify in comm ents)

W aste N ot Ph ysically G enera ted O n Site G61 Hazardous was te r ecei ved fr om off si te f or st orage/

bulking and tr ansfe r off sit e for tre atment or disposal For codes G63 - G75 Hazardo us waste received from a foreign country (other than a foreign D epartment of D efense

site, M aqu ilado ra, U .S. territo ry o r pro tector ate). T his site w as the gen erato r of rec ord and is the U .S. Imp orter. Ent er t he ap pr opriate co de from the l is t be lo w - G63 Hazardous waste recei ved from Antarctica G64 Hazardous was te r ecei ved fr om Aruba G65 Hazardous waste recei ved from Bahamas G66 Hazardous was te r ecei ved fr om Belgium G67 Ha zard ous wa ste rec eive d fro m B razil G68 Hazardous was te r ecei ved fr om Canada G69 Hazardous was te r ecei ved fr om Holland G70 Ha zard ous wa ste rec eive d fro m M alay sia G71 Hazardous waste recei ved from Mexico G72 Hazardous was te r ecei ved fr om New Zealand G73 Hazardous waste recei ved from Taiwan G74 Ha zard ous wa ste rec eive d fro m V ene zue la G75 Haz ar dou s wa st e r ec ei vedfr om ot her fo re ig n co unt

ry - s ee Comme nt s f

orcountry name53 

## FORM COD ES

Form codes de scribe the genera l physi cal and chemica l characte ris tic s of ahazar dous wast e. Revi ew the groups and pick the appropri ate code.
Code Form Code Group

Mixed M edia/Debris/Devices - Waste that is a mixture of organic and inorganic wastes, liqui d and solid wastes , or devic es that are not eas ily cat egorized W001 Lab packs from any source not c ontai ning acute haza rdo us w aste W002 Conta minat ed deb ri s ( see def ini ti on at 40 CFR 268. 2(g) and r equi remen ts at40 CFR 268.45): for exam ple, certain paper, clothing, rags, woo d, empty fiber or plastic containers, glas s, piping, other

soli ds (us uall y from const ruct ion, demolition, cleaning, or re mediat ion) W004 Lab packs from any source conta ining a cute haza rdo us w aste W301 Contaminat ed soi l (us uall y from spi ll clean up, demol iti on, or remediation) ; se e als o W512 W309 Batteries, batter y parts, cores, casings (lead-acid or other types) W310 Filt ers, soli d adsorbe nts, ion exc hange re sins and spent carbon (usual ly fr om producti on, inte rmittent

proces ses, or re mediat ion) W320 Elec tr ica l de vic es ( lamps , f luor esc entla mps, or t

hermos tat s us ual ly c onta ini ng merc ury; CRT s containing lead; et c) W512 Sediment or la goon dragout , dri lling or other muds ( wet or muddy soi ls) ; se e als o W301 W801 Compressed ga ses of any type Inor gan ic Liqu ids - W aste th at is prim arily in org anic and high ly flu id (e.g ., aqu eou s), with low suspe nded inor ganic s olids and low organic content W101 Very dilute aque ous wast e conta ining more than 99% water (l and dis posal rest ric tion defined wastewater

that i s not exempt under NPDE S or POTW discharge) W103 Spent concentrat ed acid (5% or more) W105 Acidic aqueous wastes l ess t han 5% acid ( diluted but pH <2) W107 Aqueous w aste cont aining cyanides ( generall y caustic) W110 Causti c aqueous waste wi thout cyanides (pH >12.5) W113 Other aqueous waste or wastewater s (fluid but not sludge) W117 Waste liquid mercury (metal lic) W119 Other inorgan ic liquid (specify in commen ts)

Org anic L iquid s - W aste th at is prim arily o rgan ic and is high ly flu id, w ith low inorg anic soli ds cont ent and low-t o-moderat e water content W200 Stillbottoms in li quid form (fl uid but not sludge) W202 Concentr ated ha logenat ed (e. g., chlor inat ed) solvent W203 Concentr ated non- halogenated ( e.g. , non-c hlorinated) solve nt W204 Con centrated halog enated / non-h alogen ated solv ent m ixture W205 Oil-water emulsi on or mixture (f luid but not s ludge) W206 W aste o il W209 Paint, ink, lacquer, or varnish ( fluid - not dried out or sludge) W210 Reactive or polymeri zable organic liquids and adhesives (f luid but not s ludge) W211 Paint thinner or petroleum distillates W219 Other organ ic liquid (specify in commen ts)

## FORM COD ES

(Conti nued) Code Form Code Group

54 Inor gan ic Solids - Waste that i s pri maril y inorganic and soli d, wit h low organi c conte nt and low -to-m ode rate w ater co nten t; not p um pab le W303 Ash (from any type of burning of hazardous waste) W304 Slags, drosses, and other solid thermal residues W307 M etal scale, filings and scrap (including metal drum s) W312 Cy anid e or m etal cy anid e bea ring solid s, salts o r che mic als W316 Metal salt s or chemicals not containing cyanides W319 Other inorgan ic solids (specify in commen ts)

Org anic S olids - W aste th at is prim arily o rgan ic and solid , with low -to-m ode rate in org anic con tent an d w ater co nten t; not p um pab le W401 Pesti cide s olids (used or dis carde d - notcontami nated s oils - W301) W403 Solid resins, plas tics or polymerized organic s W405 Explosi ves or reac tive organi c sol ids W409 Other organ ic solids (specify in commen ts)

Inor gan ic Slud ges - Waste that i s pri maril y inorganic, with moderate- to-hi gh water content and low orga nic co nten t; mo stly p um pab le W501 Lime an d/or metal hydro xide sludges and solids with no cyan ides (not contaminated m uds -

W512) W503 Gypsum sludges f rom wastewat er treat

ment or a ir pol luti on contr ol W504 Other s ludges from wast ewater tre atment

or ai r pollution contr ol W505 Metal bearing sludges (includi ng plating sludge) not containing cyanides W506 Cyanide-be ari ng sludge s (not contami nated s oils - W512) W519 Other inorgan ic sludges (not contaminated m uds - W 512; specify in com ments)

Org anic S ludg es - Waste that i s pri maril y organi c with l ow-to-moder ate inorgani c sol ids con tent an d w ater co nten t; pum pab le W603 Oily sludge (not contami nated muds - W512) W604 Paint

or i nk sludge s, s til l bottoms i n sludge form (not contami nated muds - W512) W606 Resins , t ars, polymer or tar ry sl udge (not

contami nated muds - W512) W609 Other organ ic sludge (specify in comm ents)55 

## MANAGEMENT METHOD CODES

M ana gem ent M etho d co des d escrib e the ty pe o f haz ardo us w aste m ana gem ent sy stem used to treat, recove r, or

dispos e a hazardous wast e. Sel ect t he fi nal s ubstantive method used. Review the groups and pick the appropri ate code.
Code Management Method Code Group Reclamation and Recovery H010 Metals recovery i ncluding ret orting, smelti ng, chemical, etc. H020 Solvents recover y (disti llation, extraction, etc) H039 Other recovery or r eclamati on for reuse including acid r egenerati on, organics recovery, etc
.

(specify in comm ents) H050 Energy rec overy at thi s si te - used as fuel(inc ludes on-si te f uel bl ending bef

ore ene rgy recovery; r eport only thi s code) H061 Fuel bl ending pr ior to energy r ecovery at anot her site ( waste ge nerat ed eit her on s ite or received f

rom off sit e) Destr uction or T reatm ent P rior to D isposa l at An other Site H040 Incin eratio n - the rma l destru ction othe r than use a s a fue l (inclu des a ny prep aratio n prio r to

burning) H071 Chemical reducti on with or without precipitat ion (includes any preparati on or finalprocesses

for consolidation of residuals) H073 Cyanide destructi on with or without precipitat ion (includes any preparati on or finalprocesses

for consolidation of residuals) H075 Chemical oxidat ion (includes any preparat ion or fina l proc esse s for consol idat ion of residuals) H076 W et air oxidation (includes any preparation or final processes for consolidation of residuals) H077 Other che mical precipitation with or without pre- tre atment

(inc ludes proces ses f

or consolidation of residuals) H081 Biological t

reatment with or without precipitat ion (includes any preparati on or final processes for consolidation of residuals) H082 Ad sorp tion (a s the m ajor c om pon ent o f treatm ent) H083 Air o r steam stripp ing (a s the m ajor c om pon ent o f treatm ent) H101 Sludge treat

ment and/ or dewate ring ( as the major component of

tre atment ; notH071-H075, H077, or H082) H103 Ab sorp tion (a s the m ajor c om pon ent o f treatm ent) H111 Stabi liz ati on or chemi cal f ixat ion pri or to dispos al at another sit e (as the maj or componentof tre atment ; notH071-H075, H077, or H082) H112 M acro -enc apsu lation prior to disp osal a t ano ther site (as the major co mp one nt of tre atm ent;

not re porta

ble as H071-H075, H077, or H082) H121 Ne utraliz ation only (no o ther tre atm ent) H122 Evaporat ion (a s the major c omponent of t reat ment; not

reportabl e as H071-H083) H123 Sett ling or cl ari fic ati on (as the maj or componentof treat ment; not

reportabl e as H071-H083) H124 Phase s eparation (as t he major component of

tre atment ; notreportabl e as H071-H083) H129 Other t

reat ment (s pecif

y in comments ; notreportabl e as H071-H124)

## MANAGEM ENT METHOD CO DES

(Conti nued) Code Management Method Code Group

56 Disposal H131 Land tre atment or appl ication (to include any pri or treatment and/or stabili zati on) H132 Landfil l or surf ace i mpoundment that

willbe cl osed as landf ill(to include pri or treatment and/or stabili zati on) H134 Deepwell or underground inject ion (with or wit hout treat

ment; this waste was counted as hazardous waste) H135 Dis cha rge to sew er/PO TW or N PD ES (with prior storag e - w ith or w ithou t treatm ent)

Tra nsfer O ff Site H141 The sit e rec eivi ng thi s wast e st ored/ bulked and transfer

red the waste with no t reat ment or reco very (H0 10- H1 29) , fuel b lend ing (H 061 ), or dis pos al (H 131 -H1 35) at that re ceiv ing s ite. Do not use thi s code on Form GM in Sect ion 1- Box D or i n Secti on 2.57 

# 2005 HAZARDOUS WASTE REPORT FORMS
REA D AL L I NST RUC TI ONS BE FOR E CO MPL ET I NG T HE F ORMS

## THI S PAGE I NTENT ION ALLYLEFT BLANKOMB#: 2050-0024 Expires 10/31/2007

SEND COMPLETED FORM TO: The Appropr iat e Stat e or EPA Regional Of

fi ce. 

### United States Environmental Protection Agency 

## RCRA SUBT IT LE C SI TE I DENTI FI CATI ON FORM
1. Reas on for Submittal (See instructi ons on page 9) MARK ALL BOX(ES) THAT APPLY Reason f or Submitt

al:  To provide Initial Notification of Reg ulated Waste Activity (to obtain an EPA ID Number for hazardous waste, universal w

aste, or used oil activities)  To provide Subsequent Notification o f Regulated Waste Activity (to u pdate site identification information )  As a component of a First RCRA Hazardous Waste Part A Permit Applicatio n  As a component of a Revised RCRA Hazardous Waste Part A Permit Ap plication (Amendment #______)  As a component o

f the Hazardous W

aste Report 2. Site E PA ID Number (page 10) EPA ID Number
.))2))2))2) )2))2))2))2

))2))2))2))

2))- 3. Site Name (page 10) Name:

4. Site Location Inform ation (page 10) Street Address: City, Town, or Village: State: County Name: Zip Code: 5. Site Land Type (page 10) Site Land Type:  Private  County  District  Federal  Indian  Municipal  State  Other
6. North American Industry Class ification System (NA

ICS) Code(s) for the Site (page 10) A. B.

C. D.

7. Site M ailing Address (page 11) Street or P. O. Box: City, Town, or Village: State: Country: Zip Code: 8. Site Contact Pers on (page 11) First Name: MI: Last Name:
Phone Number: Extension : E-mail ad dress: 9. Opera

tor and Legal Owner of the

Site (pages 11 and 12) A. Name of Site's Operator: Date Be came Ope rator (m m/dd/yy yy): Operator Type:  Private  County  District  Federal  Indian  Municipal  State  Other
B. Name of Site's Legal Owner: Date Be came Owner ( mm/dd/yy yy): Owner Type:  Private  County  District  Federal  Indian  Municipal  State  Other EPA Form 8700-13 A/B ( Revised 10/2005)Page 1 of 3

## THI S PAGE I NTENT ION ALLYLEFT BLANK

### EPA ID N O: .)2)2)-.)2) 2)-.)2)2)-.

)2)2)- OMB#: 2050-0024 Expires 10/31/2007 9. Legal Owner (Continue d) Address Street or P. O. Box: City, Town, or Village: State: Country: Zip Code: 10. Type of R

egulated Waste A

ctivit y Mark “Yes” or “No ” for all activ ities; co mplete a ny additi onal boxes as instructed. (S ee instructions onpages 13 to 16.) A. Hazardous Waste Activities Complete all parts for 1 through 6. Y  N  1. Generator of Hazardous Waste If “Yes”, choose only one of the following - a, b, or c.  a. LQG: Greater than 1,0 00 kg/mo (2,200 lbs./mo.) of non-acute hazardous w aste; or  b. SQG: 100 to 1 ,000 kg/mo (220 - 2,200 lbs./mo.)

of non-acute hazardous w aste; or  c. CESQG : Less th an 100 kg/mo (2 20 lbs./mo.)

of non-a cute hazardous w aste In addition, indicate other generator activities.
Y  N  d. United States Importer of Haza rdous Wa ste
Y  N  e. Mixed Waste (hazardous a nd radioactive) Generator Y  N  2. Transport er of Hazardous W

aste
Y  N  3. Treater

, Storer, or Dispos er of Hazardous Waste (at your site)Note: A hazardous waste p ermit is required for this a ctivi ty.
Y  N  4. Recycl er of Hazardous W aste (at your site)
Y  N  5. Exempt Boiler and/or Industrial

Furnace If “Yes”, mark each that applies.  a. Small Quantity On-site Burner Exemption  b. Smelting, Melting, and Refining Furnace Exemption
Y  N  6. Undergrou nd Injecti on Control B. Universal Waste A ctivities
Y  N  1. Large Qua ntity Ha ndler of U niver sal Wast

e (accum ulate 5,000 kg or more ) [refer to your State r egulations

to determin e what is reg ulated]. Indicate types of unive rsal waste generated and/or accumulated at your site. If “Yes”, mark all boxes that apply: Generate Accumulate
a. Batteries   b. Pesticides   c. Th ermostat

s   d. Lamps   e. Other (specify) ________________   f. Other (specify) ________________   g. Other (specify) ________________  

Y  N  2. Destinat ion Facilit y for Un ivers al Waste Note: A hazard ous wast e permi t may be r equir ed for this ac tivit y. C. Used Oil Activities Mark all boxe s that apply.
Y  N  1. Used Oil Transporter

If “Yes”, mark each that applies.  a. Transporter  b. Trans

fer Facil ity
Y  N  2. Used Oil Processor and/or Re-refiner If “Yes”, ma rk each that appli es.  a. Processor  b. Re-refiner
Y  N  3. Off-Specification Used Oil Burner
Y  N  4. Used Oil Fuel Marketer

If “Yes”, mark each that a pplies.  a. Marketer Who Directs Shipment of Off-Speci ficationUsed Oi l to Off-Specification Used Oil Burner  b. Marketer Who First Claims the Used Oil Meets the Specifications EPA Form 8700-13 A/B ( Revised 10/2005) Page 2 of 3

## THI S PAGE I NTENT ION ALLYLEFT BLANK

### EPA ID N O: .)2)2)-.)2) 2)-.)2)2)-.

)2)2)- OMB#: 2050-0024 Expires 10/31/2007 11. Des cription o

f Hazard ous Wastes (See in struction s on page 17.) A. Waste Codes for Federally Regulated Hazardous Wastes. Please list the w aste codes of the Federal haza rdous wastes handled at your site. List them in the order the y are presented in th e 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 w aste codes of the State-regulated hazardo us wa stes han dled at your s ite. List them inthe ord er they are pre sented i n the re gulatio ns. Use an addi tional p age if more spaces are needed for waste codes.

12. Comm ents (Se e instruc tions on pa ge 17.)

13. Cer tificatio n. I certify under pena lty of law that this document and all attachme nts 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 in formation, the information submitted is, to the best of my knowled ge and belief, true, accurate, an d complete. I am awa re that there are significant penalties for submitting false information, including the possibili ty of fine and imprisonme nt for knowing viol ations. (See inst ructions on page 17 .) Signature of operator, owner, or an aut hor ize d rep rese nta tive Name andOfficial Title (ty pe or prin t) Date Signed (mm/dd/yyyy)

EPA Form 8700-13 A/B ( Revised 10/2005) Page 3 of 3

## THI S PAGE I NTENT ION ALLYLEFT BLANKOMB#: 2050-0024 Expires 10/31/2007

BEFORE COPYING FORM, ATTACH SITE IDENTIFICATION LABEL OR ENTER: SITE NAME:

_

_____________________ _______

EPA ID NO : 

### .)2)2)-.)2) 2)-.)2)2)-.

)2)2)- 

### U.S. ENVIRONMENTAL PROTECTION AGENCY
2005 Hazardous Wa ste Repo rt WASTE GE NERATION AND MANAGEMENT 

## FORM GM

Instructi ons: Ple ase see the deta iled in structio ns on pages 18 t o 26 of this boo klet bef ore comp leting t his form

. Sec. 1 A. Waste description

B. EPA hazardous w

aste code .)2)2)2)-.)2)2 )2)- .)2)2)2)- .)2)2)2)- .)2)2)2)- C. State hazardous w aste code .)2)2)2)2)2)-.

)2)2)2)2)2)-.)

2)2)2)2)2)-

D. Source code . G 2)2)- Management Method code for Source code G25 . H 2)2)2)- E. Form code . W 2)2)2)- F. Quantity generated in 2005

.)2)2)2)2)2)2)

2)2)-

. .)- G. UOM .)-

Densit y .)2)-

. .)2)- 9 lbs/gal 9 sg Sec. 2 Was any of this w aste managed on site? (pag es 24 and 25) 9 1 Yes (CONTINUE TO ON-SITE PROCESS SYSTEM 1) 9 2 No (SKIP TO SEC. 3) ON-SITE PR

OCESS SYSTEM 1 ON-SITE PR OCESS SYSTEM 2 On-site Management Quantity treated, disposed, or Method code recycled on site in 2 005 . H 2)2)2)- .)2)2)2)2)2)2) 2)2)-

. .)- On-site Managem ent Quantity treated, disposed, or Method code recycled on site in 2 005 . H 2)2)2)- .)2)2)2)2)2)2) 2)2)-

. .)- Sec. 3 A. Was any of this w aste shipped off site in 200 5 for treatment, disposal, or recy cling? (pages 25 and 2 6) 9 1 Yes (CONTINUE TO BOX B) 9 2 No (FORM IS COMPLETE) Site 1 B. EPA ID No . of faci lity to whic h waste was shipped .)2)2)-.)2)2)- .)2)2)-.)2)2)- C. Off-site Management Method code Sh ipped to . H 2)2)2)- D. Total quantity shipped in 2005 .)2)2)2)2)2)2)

2)2)-

. .)-
Site 2 B. EPA ID No . of faci lity to whic h waste was shipped .)2)2)-.)2)2)- .)2)2)-.)2)2)- C. Off-site Management Method code Sh ipped to . H 2)2)2)- D. Total quantity shipped in 2005 .)2)2)2)2)2)2)

2)2)-

. .)-
Site 3 B. EPA ID No . of faci lity to whic h waste was shipped .)2)2)-.)2)2)- .)2)2)-.)2)2)- C. Off-site Management Method code Sh ipped to . H 2)2)2)- D. Total quantity shipped in 2005 .)2)2)2)2)2)2)

2)2)-

. .)-

Comments:

EPA Form 8700-13 A/B ( Revised 10/2005) Page _ of _

## THI S PAGE I NTENT ION ALLYLEFT BLANKOMB#: 2050-0024 Expires 10/31/2007

BEFORE COPYING FORM, ATTACH SITE IDENTIFICATION LABEL OR ENTER: SITE NAME:

_

_____________________ _______

EPA ID NO : 

### .)2)2)-.)2) 2)-.)2)2)-.

)2)2)- 

### U.S. ENVIRONMENTAL PROTECTION AGENCY 2005 Hazardous Wa ste Repo rt WASTE RECEIVED FROM OFF SITE 

## FORM WR

Instructi ons: Ple ase see the deta iled in structio ns on pages 27 t o 30 of this boo klet bef ore comp leting t his form

.
Waste 1 A. Descr

iption o f hazard ous w

aste B. EPA hazardous w aste code .)2)2)2)- .)2)2)2)- .)2)2)2)- .)2)2)2)- C. State hazardous w aste code .)2)2)2)2)2)- .)2)2)2)2)2)- D. Off-site handler EPA ID number

.)2)2)-.)2)2)- .)2)2)-.)2)2)- E. Quantity received in 2005

.)2)2)2)2)2)2)

2)2)2)-

. .)- F. UOM Density .)- .)2)-

. .)2)- 9 1 lbs/gal 9 2 sg G. Form code . W 2)2)2)- H. Management Method code . H 2)2)2)-

Waste 2 A. Descr

iption o f hazard ous w

aste B. EPA hazardous w aste code .)2)2)2)- .)2)2)2)- .)2)2)2)- .)2)2)2)- C. State hazardous w aste code .)2)2)2)2)2)- .)2)2)2)2)2)- D. Off-site handler EPA ID number 9 Mark if same as in Waste 1 .)2)2)-.)2)2)- .)2)2)-.)2)2)- E. Quantity received in 2005
.)2)2)2)2)2)2)

2)2)2)-

. .)- F. UOM Density .)- .)2)-

. .)2)- 9 1 lbs/gal 9 2 sg G. Form code . W 2)2)2)- H. Management Method code . H 2)2)2)-

Waste 3 A. Descr

iption o f hazard ous w

aste B. EPA hazardous w aste code .)2)2)2)- .)2)2)2)- .)2)2)2)- .)2)2)2)- C. State hazardous w aste code .)2)2)2)2)2)- .)2)2)2)2)2)- D. Off-site handler EPA ID number 9 Mark if same as in Waste 2 .)2)2)-.)2)2)- .)2)2)-.)2)2)- E. Quantity received in 2005

.)2)2)2)2)2)2)

2)2)2)-

. .)- F. UOM Densi ty .)- .)2)-

. .)2)- 9 1 lbs/gal 9 2 sg G. Form code . W 2)2)2)- H. Management Method code . H 2)2)2 )- Comments:

EPA Form 8700-13 A/B ( Revised 10/2005) Page _ of _

## THI S PAGE I NTENT ION ALLYLEFT BLANKOMB#: 2050-0024 Expires 10/31/2007

BEFORE COPYING FORM, ATTACH SITE IDENTIFICATION LABEL OR ENTER: SITE NAME:

_

_____________________ _______

EPA ID NO : 

### .)2)2)-.)2) 2)-.)2)2)-.

)2)2)- 

### U.S. ENVIRONMENTAL PROTECTION AGENCY
2005 Hazardous Wa ste Repo rt

OFF-SITE IDENTIFI CATION 

## FORM OI
Instructi ons: Ple ase readthe det ailed i nstructi ons on t he rever se side before c

ompleti ng this form.
Site 1 A. EPA ID No. of off-site installation or transporter

.)2)2)-.)2)2)- .)2)2)-.)2)2)- B. Name of off-site installation or transporter

C. Handler type (MARK ALL THAT APPLY) 9 Generator
9 Transporter
9 TSDR faci lity D. Address of off-site installation Street

_____________________ _____________________ ________ City

_____________________ _____________________ ________ State .)2)- Zip .)2)2)2)2)- - .)2)2)2)-

Site 2 A. EPA ID No. of off-site installation or transporter

.)2)2)-.)2)2)- .)2)2)-.)2)2)- B. Name of off-site installation or transporter

C. Handler type (MARK ALL THAT APPLY) 9 Generator
9 Transporter
9 TSDR faci lity D. Address of off-site installation Street

_____________________ _____________________ ________ City

_____________________ _____________________ ________ State .)2)- Zip .)2)2)2)2)- - .)2)2)2)-

Site 3 A. EPA ID No. of off-site installation or transporter

.)2)2)-.)2)2)- .)2)2)-.)2)2)- B. Name of off-site installation or transporter

C. Handler type (MARK ALL THAT APPLY) 9 Generator
9 Transporter
9 TSDR faci lity D. Address of off-site installation Street

_____________________ _____________________ ________ City

_____________________ _____________________ ________ State .)2)- Zip .)2)2)2)2)- - .)2)2)2)-

Site 4 A. EPA ID No. of off-site installation or transporter

.)2)2)-.)2)2)- .)2)2)-.)2)2)- B. Name of off-site installation or transporter

C. Handler type (MARK ALL THAT APPLY) 9 Generator
9 Transporter
9 TSDR faci lity D. Address of off-site installation Street

_____________________ _____________________ ________ City

_____________________ _____________________ ________ State .)2)- Zip .)2)2)2)2)- - .)2)2)2)- Comments:

EPA Form 8700-13 A/B ( Revised 10/2005) Page _ of _

## IN STRUCT ION S FOR F IL LI NG OUT FORM OI – OFF -S IT E I DENTI FI CATI ON
WHO MUST SUBMIT THIS FORM Sites requ ired to file th e 20 05 H aza rdou s W aste Re port m ust su bm it Form OI if:

 Form OI is re quire d by you r State ; AND

 The sit e recei ved hazar dous waste from off sit e or sent

hazardous waste of

f si te dur ing 2005

. 

### PURPOSE OF THIS FORM
Form OI docum ents the names and addresses of off -sit e instal lati ons and transport ers. 

### HOW TO FILL OUT THIS FORM
Form OI is divi ded into five i dentical parts. You mu st fi ll out one part for each of f-si te inst allat ion to which you shi pped hazar dous waste, each of f- sit e inst all ati on from which you r eceive d hazardou s waste, and each transport er you used to ship ha zardous wast e duri ng 2005. If these o ff

-si te i nstal lat ions an d trans porte rs total m ore th an fo ur, you mu st ph otoc opy and com plete add itional c opie s of the form . Prior to photocopy ing, place the pre-pr int ed sit e ident if icat ion l abel i n the t op lef t- hand corne r of

the f orm or, if

you did n ot rec eive pre-p rinted labe ls, ente r the site nam e an d E PA Iden tification N um ber in this sp ace
. Us e the Co mm ents sec tion at th e en d of the form to clarify a ny e ntry (e.g ., “Othe r” resp ons es) o r to conti nue any ent ry. When enteri ng inf ormati on in t he Comm ents se cti on, cross-refer ence the sit e number and box lett er to which t he comm ent ref ers. 

### ITEM-BY-ITEM INSTRUCTIONS
Com plete Boxes A through D for each off- site i nstall ation t o which you shipped hazardous waste and each off -si te i nstal lat ion from which yo u recei ved hazar dous waste dur ing 2005 . Complet e Boxes A through C for each transpo rter you us ed du ring the yea r (addres s in Bo x D is no t required for trans porters). Box A : EPA ID No. of of f- sit e inst all ati on or t ranspor ter Enter t he 12-di git

EPA ID number of t he off -si te i nstal lat ion t o which yo u shipp ed hazardo us waste or

from which you r eceive d hazardou s waste. Or, enter t he EPA ID number of t he tran sp orte r wh o sh ipp ed ha za rdo us wa ste to or from you r site . Ea ch EP A ID Nu m be r sh ou ld appear onl y once. If

the of f- sit e inst all ati on or t ranspor ter did not have an EPA ID number dur ing 2005, ent er “ NA” in Box A and not e the reason i n the Comments sect ion. Box B : Name of off -si te i nstal lat ion or

tr ansport er Ent erth e name of

th e of f- si te in st al la ti on or

transp or te r repor

te d i n Box A. Box C : Handler type

Mark all boxes t hat appl y to the handl er type (i .e. , generator , t ranspor ter , or tr eatment, storage, ordi spos al (TS D) f

aci li ty ) o f t he of

f- si te in st al la ti on or

transp or te r repor

te d i n Box A. Box D : Address of off -si te i nstal lat ion En ter th e a dd res s of th e o ff-site insta llatio n re po rted in B ox A. If th e E PA ID n um be r rep orte d in Box A r efer s t o a trans por te r, ent er

“NA ” i n Bo x D.