United States 

Environmental Protection 

Agency 

[INSERT MONTH] 2011 

RCRA Hazardous 

Waste Part A 

Permit Application

Instructions and Form 

EPA Form 8700-23 

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

(5303P) 

Washington, DC 20460 

RCRA Hazardous Waste Part A Permit Application 

Instructions and Form 

The Resource Conservation and Recovery Act (RCRA) Section 3005 requires EPA to establish permitting requirements 

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

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

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

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

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

status facilities. EPA needs information contained in the application to identify the person(s) legally responsible for hazardous 

waste activity, to determine which facilities require permits under more than one program, to assess potential for the facility to 

pollute nearby ground and surface waters, to identify the timeframe available for EPA to process permit applications, and to 

determine the specific wastes a facility is legally allowed to handle for different purposes. EPA must ensure that hazardous 

wastes are managed in a way that protects human health and the environment as required by RCRA. This is mandatory reporting 

by the respondents. 

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

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

hazardous waste activities. EPA also uses the information for tracking and planning and for a variety of enforcement and 

inspection purposes. Finally, EPA uses this information to ensure that: hazardous wastes are managed properly; TSDFs are 

operated and maintained as required; statutory provisions are upheld; and that regulations are adhered to by facility owners and 

operators. 

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

information, both contain provisions for confidentiality. However, the Agency does not anticipate that businesses will assert a 

claim of confidentiality covering all or part of the RCRA Hazardous Waste Part A Permit Application. If such a claim were 

asserted, EPA must and will treat the information in accordance with the regulations cited above. EPA also will assure that this 

information collection complies with the Privacy Act of 1974 and OMB Circular 108. 

Estimated Burden: The public reporting burden for First Part A Permit Applications (new applications) is estimated to be 

approximately 26 hours. The public reporting burden for Revised Part A Permit Applications is estimated to be approximately 13

hours. This reporting burden includes time for reviewing instructions, searching existing data sources, gathering the data, 

completing the application, and recordkeeping. 

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

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

ICR under Docket ID Number EPA-HQ-RCRA-2011-0280, which is available for online viewing at www.regulations.gov, or in 

person viewing at the RCRA Docket in the EPA Docket Center (EPA/DC), EPA West, Room B102, 1301 Constitution Avenue, 

NW, Washington, D.C. The EPA Docket Center Public Reading Room is open from 8:30 a.m. to 4:30 p.m., Monday through 

Friday, excluding legal holidays. The telephone number for the Reading Room is (202) 566-1744, and the telephone number for 

the RCRA Docket is (202) 566-0270. An electronic version of the public docket is available at www.regulations.gov. This site 

can be used to submit or view public comments, access the index listing of the contents of the public docket, and to access those 

documents in the public docket that are available electronically. When in the system, select “search,” then key in the Docket ID 

Number identified above. Also, you can send comments to the Office of Information and Regulatory Affairs, Office of 

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

EPA Docket ID Number EPA-HQ-RCRA-2011-0280 and OMB Control Number 2050-0024 in any correspondence.
Table of Contents 

PURPOSE OF THE RCRA HAZARDOUS WASTE PART A PERMIT ............................... 1 

Where to Get Help ...................................................................................................................... 1 

Existing Facilities ........................................................................................................................ 2 

New Facilities ............................................................................................................................. 3 

First Part A Submission .............................................................................................................. 3 

Revised Part A Submission ......................................................................................................... 4

DETERMINING IF YOU MUST FILE ..................................................................................... 5 

Who Must File a RCRA Hazardous Waste Permit Application? ............................................... 5 

How Do I Know if I Handle a Regulated Hazardous Waste? ..................................................... 5 

Off-Site Facilities .................................................................................................................... 5 

On-Site Facilities .................................................................................................................... 5

HOW TO FILE A RCRA HAZARDOUS WASTE PERMIT APPLICATION ..................... 7 

How Many Permit Applications Should I File? .......................................................................... 7 

Can I Request that this Information be Kept Confidential? ........................................................ 7 

Where Should I Send My Completed Permit Application? ........................................................ 8 

When Should I File My Permit Application? ............................................................................. 8 

When Should My Permit Application be Revised? .................................................................... 9 

Facilities Operating Under Interim Status .............................................................................. 9 

Facilities Operating Under a RCRA Hazardous Waste Permit .............................................. 9

INSTRUCTIONS FOR FILLING OUT THE RCRA SUBTITLE C SITE 

IDENTIFICATION (SITE ID) FORM ..................................................................................... 11 

Who Must Submit This Form ................................................................................................... 11 

Purpose Of This Form ................................................................ Error! Bookmark not defined.

How To Fill Out This Form ....................................................... Error! Bookmark not defined.

Item-By-Item Instructions .......................................................... Error! Bookmark not defined.

Item 1 – Reason for Submittal ............................................... Error! Bookmark not defined.

Item 2 – Site EPA ID Number ............................................... Error! Bookmark not defined.

Item 3 and 4 – Site Name and Location ................................. Error! Bookmark not defined.

Item 5 – Site Land Type......................................................... Error! Bookmark not defined.

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

Bookmark not defined.

Item 7 – Site Mailing Address ............................................... Error! Bookmark not defined.

Item 8 – Site Contact Person .................................................. Error! Bookmark not defined.

Item 9 – Legal Owner and Operator of the Site ..................... Error! Bookmark not defined.

Item 10 – Type of Regulated Waste Activity ........................ Error! Bookmark not defined.

Item 11 – Description of Hazardous Wastes .......................... Error! Bookmark not defined.

Item 12 – Notification of Hazardous Secondary Material (HSM) Activity Error! Bookmark 

not defined.

Item 13 – Comments .............................................................. Error! Bookmark not defined.
Item 14 – Certification ........................................................... Error! Bookmark not defined.

ADDENDUM TO THE SITE IDENTIFICATION FORM: NOTIFICATION OF 

HAZARDOUS SECONDARY MATERIAL ACTIVITY ........ Error! Bookmark not defined.

You Must Fill Out This Section If ............................................. Error! Bookmark not defined.

Item 1 – Indicate Reason for Notification .............................. Error! Bookmark not defined.

Item 2 – Description of Hazardous Secondary Material (HSM) Activity .. Error! Bookmark 

not defined.

Item 3 – Facility has Financial Assurance Pursuant to 40 CFR 261 Subpart H ............ Error! 

Bookmark not defined.

INSTRUCTIONS FOR FILLING OUT THE HAZARDOUS WASTE PERMIT 

INFORMATION FORM............................................................................................................ 32 

General Instructions .................................................................................................................. 32 

Item-By-Item Instructions ......................................................................................................... 33 

Item 1 – Facility Permit Contact ........................................................................................... 33

Item 2 – Facility Permit Contact Address ............................................................................. 33 

Item 3 – Operator Mailing Address and Telephone Number ............................................... 33 

Item 4 – Facility Existence Date ........................................................................................... 33

Item 5 – Other Environmental Permits ................................................................................. 33 

Item 6 – Nature of Business .................................................................................................. 34 

Item 7 – Process Codes and Design Capacities .................................................................... 34 

Item 8 – Other Processes ....................................................................................................... 34 

Item 9 – Description of Hazardous Wastes ........................................................................... 34 

Item 10 – Map ....................................................................................................................... 35 

Item 11 – Facility Drawing ................................................................................................... 36 

Item 12 – Photographs .......................................................................................................... 36 

Item 13 – Comments ............................................................................................................. 36

OTHER REFERENCE INFORMATION AND CODE LISTS ............................................. 37 

Excluded Wastes ....................................................................................................................... 38 

Definitions................................................................................................................................. 39 

EPA Hazardous Waste Codes ................................................................................................... 48 

HSM Facility Codes .................................................................................................................. 49 

HSM Land-Based Unit Codes .................................................................................................. 50
1

PURPOSE OF THE RCRA HAZARDOUS WASTE PART A PERMIT 

APPLICATION 

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

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

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

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

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

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

hazardous waste permit by submitting a revised application. 

There are two parts to a RCRA hazardous waste permit application – Part A and Part B. Part A of the 

RCRA hazardous waste permit application consists of EPA Form 8700-23 (includes both the RCRA 

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

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

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

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

information described in applicable sections of 40 CFR 270.14 through 270.27. 

NOTE 

• Although this booklet contains information and instructions for completing a 

RCRA Hazardous Waste Part A Permit Application, it should not be considered a 

substitute for the regulations in Title 40 of the Code of Federal Regulations (40 

CFR). Rather, this booklet serves as a supplement to the regulations and provides 

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

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

learning and complying with all the requirements that apply to you and the 

operations at your facility. 

 

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

the Federal hazardous waste program. Many States may have hazardous waste 

permitting requirements that differ from the Federal requirements; those States 

may use EPA Form 8700-23 for the RCRA Part A submission or they may use a 

similar State form that requires information not requested in the EPA form. Again, 

it is your responsibility to make sure that you have completed and submitted all 

forms required under the Federal or your State program. 

Where to Get Help 

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

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

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

located at: http://www.epa.gov/osw/inforesources/data/form8700/contact.pdf. 
Purpose of the RCRA Hazardous Waste Part A Permit Application 

(continued) 

2

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

provide information on EPA regulations: 

• RCRA Frequently Asked Questions. This allows users to find answers to commonly asked 

questions that cover a wide range of RCRA issues and topics. Find at: http://www.custhelp.com/ 

cgi-bin/waste.cfg/php/enduser/entry.php. 

 

• RCRA Online. The RCRA Online database is designed to enable users to locate documents, 

including publications and other outreach materials that cover a wide range of RCRA issues and 

topics. Find at: http://www.epa.gov/rcraonline. 

• RCRA Regulations. The Federal regulations can be found at: http://www.access.gpo.gov 

/nara/cfr/cfr-table-search.html. 

• Compliance Assistance Centers. The Environmental Protection Agency (EPA) has sponsored 

partnerships with industry, academic institutions, environmental groups, and other agencies to 

launch sector-specific Compliance Assistance Centers (Centers). Each Center addresses real 

world issues in understandable language for you to understand Federal environmental 

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

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

• EPA National Compliance Assistance Clearinghouse. The Clearinghouse is a comprehensive 

source of compliance assistance information and resources. Use links to Federal, State, local, and 

other compliance assistance providers to find the tools you need. Visit the Clearinghouse at: 

http://www.epa.gov/clearinghouse. 

• EPA Small Business Ombudsman Office – 1-800-368-5888. 

• Your Trade Association

Existing Facilities 

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

facilities which were in operation or for which construction had commenced on or before November 19, 

1980, or which were in existence on the effective date of the statutory or regulatory amendments that 

render the facility subject to the requirement to obtain a RCRA permit. RCRA establishes a procedure for 

obtaining interim status that allows these existing facilities to continue operating until a final hazardous 

waste permit is issued. 

You must submit a RCRA Hazardous Waste Part A Permit Application completing all forms included in 

this booklet. If you do not file a Notification of RCRA Subtitle C Activity and complete the Part A 

Permit Application by the deadlines specified in page 8 of these instructions, you will be required by law 

to halt your operations until a RCRA hazardous waste permit is issued. 

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

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

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

requested by EPA. You will then have up to six months to submit the Part B Permit Application. 
Purpose of the RCRA Hazardous Waste Part A Permit Application 

(continued) 

3

New Facilities

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

facilities which were not in operation or for which construction had not commenced on or before 

November 19, 1980. Owners or operators of new hazardous waste management facilities must submit 

both Parts A and B of the RCRA hazardous waste permit application at least 180 days before physical 

construction of the facility is expected to commence. In addition, these owners or operators are not 

allowed to begin physical construction of the new facility or to treat, store, or dispose of hazardous wastes 

until receiving a RCRA hazardous waste permit. As such, new facilities do not receive interim status. In 

addition, new facilities are those facilities that are newly subject to the requirement to obtain a RCRA 

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

application for a permit may be submitted any time after promulgation of those standards in 40 CFR 

subjecting the facility to hazardous waste permitting requirements. 

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

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

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

application requirements of that State. 

The following instructions provide specific information for completing and submitting a RCRA 

Hazardous Waste Part A Permit Application using the forms included in this booklet. The instructions 

also provide general information for completing a RCRA Part B Permit Application. If, after reading the 

instructions, you have any questions regarding the RCRA hazardous waste permit application process, 

contact your State Representative who can answer your questions and help you understand the Federal 

and State requirements that apply to you. A list of State contacts is available at: http://www.epa.gov/osw 

/inforesources/data/form8700/contact.pdf. 

. 

First Part A Submission

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

submit a RCRA Hazardous Waste Part A Permit Application in accordance with the deadlines set forth in 

page 8 of these instructions. Owners or operators of facilities that have not previously submitted a Part A 

Permit Application will need to submit a permit application for the first time. Examples of facilities 

making their first Part A submission are new facilities or existing facilities that become newly subject to 

the requirement to have a RCRA hazardous waste permit. You should mark the box in Item 1 of the 

RCRA Subtitle C Site Identification Form (Site ID Form) to indicate as a component of a first RCRA 

Hazardous Waste Part A Permit Application. This booklet contains information and item-by-item 

instructions for completing both the Site ID Form and the Hazardous Waste Permit Information Form. 
Purpose of the RCRA Hazardous Waste Part A Permit Application 

(continued) 

4

Revised Part A Submission 

There are several conditions under which a facility that has previously submitted a RCRA Hazardous 

Waste Part A Permit Application must revise that first submission to reflect changes that have occurred at 

the facility. Both facilities operating under interim status and facilities operating under a RCRA 

hazardous waste permit may find it necessary to revise their Part A Permit Application. You should mark 

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

component of a revised RCRA Hazardous Waste Part A Permit Application. 

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

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

Revised Part A Permit Application are summarized in the “How to File a RCRA Hazardous Waste Permit 

Application” section of this booklet. There is also item-by-item instructions for completing both the Site 

ID Form and the Hazardous Waste Permit Information Form contained in this booklet. 
5

DETERMINING IF YOU MUST FILE 

Who Must File a RCRA Hazardous Waste Permit Application? 

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

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

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

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

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

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

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

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

submit a RCRA Hazardous Waste Part A Permit Application as described in 40 CFR Part 270. Four 

types of facilities are required to submit the Part A Permit Application; new facilities not yet constructed; 

newly regulated existing facilities subject to RCRA permitting requirements for the first time; permitted 

facilities with newly regulated units; and interim status facilities. 

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

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

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

does a major permit modification. 

Contact your State if you have questions about the applicability of the Part A form to your facility. A list 

of Part A contacts can be found at: http://www.epa.gov/osw/inforesources/data/form8700/contact.pdf. 

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

Off-Site Facilities 

Owners or operators of off-site facilities that treat, store, or dispose of solid wastes, as defined by 40 CFR 

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

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

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

procedures for on-site facilities that are described below. 

On-Site Facilities 

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

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

regulated by RCRA. This determination is made as follows: 

• First, you need to determine if the solid waste handled is excluded from regulation under RCRA. 

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

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

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

handled is not excluded by Section 261.4, you need to determine if the solid waste handled is a 
Determining if You Must File 

(continued) 

6

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

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

hazardous waste code because it possesses any of the four hazardous waste characteristics. 

 

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

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

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

subject to regulation and must file a RCRA hazardous waste permit application, unless the 

hazardous waste has been exempted as described below. 

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

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

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

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

contaminants may be made based on either: 

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

materials or processes used; or 

 

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

261, Subpart C. 

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

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

Application, unless the hazardous waste has been exempted as described below. 

• If the hazardous waste that you handle has been exempted under 40 CFR 261.5 or 261.6(a)(3), 

you are not subject to regulation and do not need to file a RCRA Hazardous Waste Permit 

Application. 

 

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

hazardous waste permit. They are: 

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

in 40 CFR 262.34; 

 

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

262.70; and 

• Owners and operators of totally enclosed treatment facilities as defined in 40 CFR 260.10. 
7

HOW TO FILE A RCRA HAZARDOUS WASTE PERMIT 

APPLICATION 

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

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

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

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

Application is submitted by completing the two forms included in this booklet: the RCRA Subtitle C Site 

Identification Form and the Hazardous Waste Permit Information Form. 

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

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

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

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

narrative form. 

How Many Permit Applications Should I File? 

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

provided that you describe all of the activities at that facility. If you conduct hazardous waste activity(ies) 

at more than one facility, you must submit a separate RCRA Hazardous Waste Permit Application (Part A 

and Part B) for each facility location. You must also have an EPA Identification Number for each of the 

facilities. 

NOTE 

Only one permit application is required per facility. At some point, you may be required to 

submit revised applications to update your first Part A Permit Application submission. At 

any given time, the first submission and any subsequent revised submissions represent the 

Part A Permit Application for your facility. 

Can I Request that this Information be Kept Confidential?

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

Freedom of Information Act, 5 U.S.C. Section 552, and EPA’s Business Confidentiality Regulations, 40 

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

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

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

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

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

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

entitled to confidential treatment? 

 

• For how long is confidential treatment desired for the information? 
How to File a RCRA Hazardous Waste Permit Application 

(continued) 

8

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

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

taken in connection with that disclosure? 

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

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

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

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

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

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

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

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

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

Where Should I Send My Completed Permit Application? 

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

contact. A list of State Contacts can be found at: http://www.epa.gov/osw/inforesources/data/form8700/ 

contact.pdf. 

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

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

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

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

submission. 

When Should I File My Permit Application? 

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

• Existing Facilities: Under 40 CFR 270.10(e), existing facilities must submit a Part A Permit 

Application no later than six months following the publication of regulations that subject the 

facility to the requirement to have a RCRA hazardous waste permit. 

 

• New Facilities: Under 40 CFR 270.10(f), new facilities must submit both Part A and Part B 

Permit Applications at least 180 days before commencing physical construction of the facility. A 

permit must be received before construction begins. 
How to File a RCRA Hazardous Waste Permit Application 

(continued) 

9

When Should My Permit Application be Revised? 

Facilities Operating Under Interim Status

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

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

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

facility’s Part A permit. Similarly, when EPA (or a State with an authorized RCRA program) 

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

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

 

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

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

before they take effect at the facility. 

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

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

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

facility. 

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

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

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

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

newly regulated by EPA or a State. A revised Part A Permit Application must be submitted on or 

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

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

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

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

A Permit Application. 

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

grounds for termination of interim status. 

Facilities Operating Under a RCRA Hazardous Waste Permit

Owners or operators of facilities operating under a RCRA hazardous waste permit may modify their 

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

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

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

changes that keep the permit current with changes that occur to the facility or its operation. Class 2 and 3 

modifications involve more significant changes in facility operations. 
How to File a RCRA Hazardous Waste Permit Application 

(continued) 

10

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

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

modification submittal. 

Finally, under 40 CFR 270.10(h), facilities with a RCRA hazardous waste permit must submit a new 

application (Part A and Part B) at least 180 days prior to the expiration date of the permit. 
11

INSTRUCTIONS FOR FILLING OUT THE RCRA 

SUBTITLE C SITE IDENTIFICATION (SITE ID) FORM 

Who Must Submit This Form 

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

(Site ID) Form: 

• Initial Notification of Regulated Waste Activity 

• Subsequent Notification of Regulated Waste Activity 

• First RCRA Hazardous Waste Part A Permit Application 

• Revised RCRA Hazardous Waste Part A Permit Application 

• Hazardous Waste Report 

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

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

• Notification for facilities managing hazardous secondary material pursuant to 40 CFR 260.42 (if 

in an eligible State) 

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

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

http://www.epa.gov/epawaste/inforesources/data/form8700/contact.pdf. The list will tell you whether the 

Federal form or a State form is used, who to contact, and where to mail the completed form. 

Purpose of This Form 

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

Identification Number. The Site ID form also provides updated information for items that have changed at 

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

How to Fill Out This Form 

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

• Item 1 – your reason for submitting the form 

• Item 2 – your site’s EPA Identification Number 

• Item 3 – the name of your site 

• Item 4 – the physical location of your site 

• Item 5 – the land type of your site 

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

• Item 7 – the mailing address for your site 

• Item 8 – name, title, address, phone number, fax, and e-mail of a contact person at your site 

• Item 9 – name, address, and phone number of the legal owner(s) and name of the operator(s) of 

your site 

• Item 10 – your site’s regulated waste activities (enter all that apply) 

• Item 11 – the description of hazardous waste
Site ID Form 

(continued) 

12

• Item 12 – your site’s hazardous secondary material activity, if you manage any 

• Item 13 – additional comments on Items 1 – 12 

• Item 14 – certification that the information you provided throughout the form is truthful, accurate 

and complete 

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

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

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

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

form; for an Initial Notification for this site, leave the EPA Identification Number blank. Use Item 13 – 

Comments to clarify or provide additional information for any entry. When entering information in the 

comments section, enter the item number and box letter to which the comment refers. If you must use 

additional sheets for comments, enter your site’s EPA Identification Number in the top left-hand corner of 

each sheet. 
Site ID Form 

(continued) 

13

Item-By-Item Instructions 

Item 1 – Reason for Submittal 

Reason for Submittal: Place an “X” in the appropriate box(es) to indicate whether this form is your 

Initial Notification (i.e., this is your first time submitting site identification information / to obtain an EPA 

Identification Number for this location); a Subsequent Notification (to update your site identification 

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

component of the Hazardous Waste Report. 

• To provide an Initial Notification (first time submitting site identification information / to 

obtain an EPA Identification Number for this location). 

o If your waste activity is regulated under Subtitle C of the Resource Conservation and 

Recovery Act (RCRA) and the rules promulgated pursuant to the Act (specifically 40 

CFR Parts 260-299), you must submit this form to notify the appropriate State or EPA 

Regional Office of your regulated waste activities and obtain an EPA Identification 

Number. 

 

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

laboratory hazardous wastes AND you have never before submitted site identification 

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

Office of your activities. Note: You must check with your State to determine if you are 

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

order for you to notify. 

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

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

identification information, you must submit this form, pursuant to 40 CFR 260.42, to 

notify the appropriate State or EPA Regional Office of your activities. Note: You must

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

material under these exclusions in order for you to notify. 

• To provide a Subsequent Notification (to update site identification information for this 

location). 

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

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

new site contact person, new owner, new mailing address, new regulated waste activity, 

etc.). 

 

o If you have previously submitted site identification information and are an eligible 

academic entity opting into or withdrawing from 40 CFR Part 262 Subpart K for 

managing laboratory hazardous wastes, you must use this form. Note: You must check 

with your State to determine if you are eligible to manage laboratory hazardous waste 

pursuant to 40 CFR Part 262 Subpart K in order for you to notify. 

o If you have previously submitted site identification information and are notifying (or renotifying) that you will begin managing, are managing, or have stopped managing 

hazardous secondary material under 40 CFR 261.2(a)(2)(ii), 40 CFR 261.4(a)(23), (24), 
Site ID Form 

(continued) 

14

or (25), you must submit this form, pursuant to 40 CFR 260.42, to notify the appropriate 

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

determine if you are eligible to manage hazardous secondary material under these 

exclusions in order for you to notify. 

• As a component of a First RCRA Hazardous Waste Part A Permit Application. If your site 

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

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

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

regulated under RCRA Subtitle C and the rules promulgated pursuant to the Act (specifically 40 

CFR Parts 260-299), you must submit this form as part of the Part A Permit Application. 

• As a component of a Revised RCRA Hazardous Waste Part A Permit Application. If you 

must submit a revised Part A Permit Application to reflect changes that have occurred at your 

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

site changes requiring a revised Part A Permit Application include managing new wastes not 

identified in the first submission of the form or changes to existing waste treatment processes. 

When submitting a revised Part A Permit Application, please include the Amendment number in 

the appropriate space. 

• As a component of the Hazardous Waste Report. (If marked, see sub-bullet below). If you 

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

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

A Site ID Form submitted with a Hazardous Waste Report is equivalent to a Subsequent 

Notification. 

o Site was a TSD facility and/or generator of ≥ 1,000 kg of hazardous waste, > 1 kg of 

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

more months of the report year (or State equivalent LQG regulations). The purpose 

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

file a report versus those who file voluntarily or by State-only requirement but were not a 

TSD facility or a Large Quantity Generator (LQG) during the report year. Sites required 

to file the report should place an “X” in this box while non-LQG/TSD sites should not. 

For more information about who must file a report, refer to Who Must File the Hazardous 

Waste Report. 

Item 2 – Site EPA ID Number 

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

Number must be a valid state postal code. Be sure to include your EPA Identification Number at the top 

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

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

and proceed to Item 3. 
Site ID Form 

(continued) 

15

Item 3 and 4 – Site Name and Location 

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

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

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

Location Country outside of the U.S. 

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

Item 5 – Site Land Type 

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

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

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

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

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

this in Item 13 – Comments. 

Tribal – A member of one of the tribes/entities on the list of federally recognized American 

Indian tribes and Alaskan Native entities located at: 

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

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

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

Box A Provide the North American Industry Classification System (NAICS) code that 

best describes your site’s primary business production process for your products 

or services. Referencing the latest NAICS codes, use the 6-digit code (most 

specific description) if available for your business; if not, use the 5-digit code; do 

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

Boxes B – D List other NAICS codes that describe the other business production processes for 

your site. Referencing the latest NAICS codes, use the 6-digit code (most specific 

description) if available for your business; if not, use the 5-digit code; do not 

enter any four (4) or less digit codes. 

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

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

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

Item 7 – Site Mailing Address 

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

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

(continued) 

16

Item 8 – Site Contact Person 

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

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

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

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

and their other contact information in Item 13. If the person completing the Hazardous Waste Report is 

not the primary site RCRA hazardous waste contact, enter the primary site RCRA hazardous waste 

contact here and add the contact information for the person completing the Hazardous Waste Report in 

Item 13 – Comments. 

Note: This is NOT the Facility Permit Contact information. The Facility Permit Contact information 

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

Item 9 – Legal Owner and Operator of the Site 

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

A. Name of Site’s Legal Owner: Provide the name of your site’s legal owner(s). This includes 

owner(s) of the building(s) and land. Please review these definitions: 

Owner – The person who owns a RCRA site or part of a RCRA site. Note: This includes 

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

business name. See Person. 

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

(including a government corporation), partnership, association, State, municipality, 

commission, political subdivision of a State, or any interstate body. 

Date Became an Owner: Indicate the date on which the above entity became the owner of 

your site. Enter dates as in this example: For April 22, 2011, enter 04/22/2011. This is a 

required field and a date must be reported. 

Owner Type: Place an “X” in the box that best describes the owner type for your site. 

Select only one type: Private, County, District, Federal, Tribal (see below), Municipal, State, 

or Other. If your site’s Owner Type could be described as Municipal and another Owner 

Type, such as County, District, or Tribal, do not place an “X” in Municipal. Instead, choose 

the other appropriate Owner Type. (For example, if your site’s Owner Type is both Municipal 

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

13 – Comments. 

Tribal – A member of one of the tribes/entities on the list of federally recognized 

American Indian tribes and Alaskan Native entities located at: 

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

Legal Owner Address: Enter the address of the legal owner. If the address and the Location 

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

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

they became owners, owner type, mailing address, and which owner(s), if any, are no longer 
Site ID Form 

(continued) 

17

owners since your last submission of this form. If necessary, attach a separate sheet of paper. 

Remember to enter your site’s EPA Identification Number in the top left-hand corner of each 

sheet. 

B. Name of Site’s Operator. Provide the name of your site’s operator. Please review these 

definitions. 

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

is the legal entity which controls the RCRA site operation rather than the plant or site 

manager. This is usually a company or business name, but may be an individual. See 

Person.

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

(including a government corporation), partnership, association, State, municipality, 

commission, political subdivision of a State, or any interstate body. 

 Date Became an Operator: Indicate the date on which the above entity became the operator 

of your site. Enter dates as in this example: For April 22, 2011, enter 04/22/2011. This is a 

required field and a date must be reported. 

Operator Type: Place an “X” in the box that best describes the operator type for your site. 

Select only one type: Private, County, District, Federal, Tribal (see below), Municipal, State, 

or Other. If your site’s Operator Type could be described as Municipal and another Operator 

Type, such as County, District, or Tribal, do not place an “X” in Municipal. Instead, choose 

the other appropriate Operator Type. (For example, if your site’s Operator Type is both 

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

in Item 13 – Comments. 

Tribal – A member of one of the tribes/entities on the list of federally recognized 

American Indian tribes and Alaskan Native entities located at: 

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

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

they became operators, operator type, mailing address, and which operator(s), if any, are no 

longer operators since your last submission of this form. If necessary, attach a separate sheet 

of paper. Remember to enter your site’s EPA Identification Number in the top left-hand 

corner of each sheet. 

NOTE 

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

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

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

location, the owner or operator must notify the State or EPA Regional Office of this 

change. Since your business has changed locations, a new EPA Identification Number will 

be assigned. 
Site ID Form 

(continued) 

18

Item 10 – Type of Regulated Waste Activity 

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

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

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

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

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

(not a generator) box for Generator of Hazardous Waste. 

NOTE 

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

ID Form. For the Hazardous Waste Report, your current status may be different than your 

status during the reporting year. 

A. Hazardous Waste Activities (Complete all parts 1 through 10): 

NOTE 

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

State where your site is located has definitions different from the Federal 

definitions, you must use the State definitions. 

1. Generator of Hazardous Waste (at your site): If you generate a hazardous waste 

that is listed in 40 CFR 261.31 through 261.33 or identified by one or more 

hazardous waste characteristic(s) contained in 40 CFR 261.21 through 261.24, place 

an “X” in the appropriate box for the quantity of hazardous waste that is generated 

per calendar month. (These regulations can be found at 

http://ecfr.gpoaccess.gov/cgi/t/text/text-idx?c=ecfr&tpl=%2Findex.tpl.) The 

regulations for hazardous waste generators are found in 40 CFR Part 262. Consult 

these regulations and your State for details about how the regulations apply to your 

situation. Below is a brief description of the three types of hazardous waste 

generators. 

 

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

a. LQG: Large Quantity Generator 

This site is a Large Quantity Generator if the site meets any of the following 

criteria: 

i) Generates, in any calendar month, 1,000 kg (2,200 lbs.) or more of nonacute RCRA hazardous waste; or

ii) Generates, in any calendar month, or accumulates at any time, more than 

1 kg (2.2 lbs) of RCRA acute hazardous waste; or

iii) Generates, in any calendar month, or accumulates at any time, more than 

100 kg (220 lbs.) of spill cleanup material contaminated with RCRA 

acute hazardous waste. 
Site ID Form 

(continued) 

19

NOTE 

If, in addition to being an LQG, you recycle hazardous 

wastes at your site, mark both this box and Item 10.A.4. 

Hazardous secondary material managed under 40 CFR 

261.2(a)(2)(ii), 40 CFR 261.4(a)(23), (24), or (25) DOES 

NOT count towards your generator status. However, you 

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

manage hazardous secondary material under these 

exclusions. 

b. SQG: Small Quantity Generator 

This site is a Small Quantity Generator if the site meets all of the following 

criteria: 

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

kg (2,200 lbs.) of RCRA hazardous waste; and

ii) Does not generate, in any calendar month, or accumulate at any time, 

more than 1 kg (2.2 lbs.) of acute hazardous waste; and 

iii) Does not generate more than 100 kg (220 lbs.) of material from the 

cleanup of a spill of acute hazardous waste. 

OR, the site is Small Quantity Generator if the site: 

i) Meets i) and iii) of the Conditionally Exempt Small Quantity Generator 

criteria (see below), but 

ii) Is storing more than 1,000 kg (2,200 lbs.) of RCRA hazardous waste onsite. If the site accumulates, at any time, more than 1,000 kg (2,200 lbs.) 

of RCRA hazardous waste, the site must apply for an EPA ID Number 

using this form. 

c. CESQG: Conditionally Exempt Small Quantity Generator 

 This site is a CESQG if the site does all of the following: 

i) Generates no more than 100 kg (220 lbs.) of RCRA hazardous waste in 

any calendar month; and

ii) Does not accumulate, at any time, more than 1,000 kg (2,200 lbs) of 

RCRA hazardous waste; and

iii) Does not generate, in any calendar month, or accumulate at any time, 

more than 1 kg (2.2 lbs.) of acute hazardous waste and no more than 100 

kg (220 lbs.) of material from the cleanup of a spill of acute hazardous 

waste. 

NOTE 

If you generate acute hazardous wastes listed in 40 CFR 261.31, 

261.32, or 261.33(e), please refer to 40 CFR 261.5(e) to determine the 

circumstances under which you must notify the EPA. 

If you marked “Yes” above, indicate your other generator activities. Mark “Yes” or 

“No” for the other hazardous waste activities listed below that may occur at this site. 

Complete all parts 2-10.
Site ID Form 

(continued) 

20

2. Short-Term Generators 

Mark “Yes” if the site is currently generating hazardous waste only as the result of a 

one-time, non-recurring, temporary event that is not related to normal production 

processes. In other words, short-term generators produce hazardous waste from a 

particular activity for a limited time and then cease conducting that activity. Shortterm generators would not be considered episodic generators because episodic 

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

that fluctuates from SQG to LQG in one month is not a short-term generator). 

Examples of short-term generators include: 1) one-time highway bridge waste 

generation; 2) underground storage tank removals; 3) generation of off-spec or outof-date chemicals at a site that normally doesn’t generate hazardous waste; 4) 

remediation or spill clean-up at sites with no previous RCRA ID; and 5) site or 

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

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

3. United States Importer of Hazardous Waste

Mark “Yes” if you import hazardous waste from a foreign country into the United 

States. Refer to 40 CFR 262.60 for additional information.

4. Mixed Waste Generator

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

radioactive). RCRA defines “mixed waste” as waste that contains both hazardous 

waste and source, special nuclear, or by-product material subject to the Atomic 

Energy Act (AEA), RCRA Section 1004(41), 42 U.S.C. 6903 (63 FR 17414; April 9, 

1998). See the Definitions section. 

5. Transporter of Hazardous Waste: If “Yes”, place an “X” in all that apply. 

a. Transporter 

You transport hazardous waste within the United States. The Federal 

regulations for hazardous waste transporters are found in 40 CFR Part 263. 

b. Transfer Facility (at your site) 

You are a hazardous waste transfer facility, at your site, if you hold 

manifested hazardous waste(s) at your site for a period of ten (10) days or 

less while the waste is in transit. The Federal regulations for hazardous waste 

transfer facilities are found in 40 CFR Part 263.12. 

6. Treater, Storer, or Disposer of Hazardous Waste (at your site): If you treat, 

store, or dispose of hazardous waste, mark “Yes”. A RCRA Hazardous Waste Part B 

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

more information. The Federal regulations for owners and operators of permitted 

treatment, storage, and disposal facilities (TSDFs) are found in 40 CFR Parts 264, 

265, 266, and 270. 

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

1. This facility does not receive hazardous waste from other generators and 

ships all waste off-site for management within the regulatory timeframe. 
Site ID Form 

(continued) 

21

 

2. This facility is only involved with on-going post-closure activities, corrective 

actions under HSWA, or a consent order under a non-traditional permit or 

without a RCRA permit being required. 

3. Receives waste from off-site but does not store greater than 10 days before 

re-shipping (i.e., transfer facility). 

NOTE 

If your site is a destination facility for universal wastes in addition to 

being a treatment, storage, or disposal facility for other RCRA 

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

7. Recycler of Hazardous Waste (at your site): If you recycle regulated hazardous 

wastes (recyclable materials) at your site, mark “Yes”. The Federal regulations for 

owners and operators of sites that recycle hazardous waste are found in 40 CFR 

261.6. You also may be subject to other Federal and State regulations; in some cases 

a permit is required. 

NOTE 

If your site, in addition to being a recycling site for hazardous waste, 

is a treater, storer, or disposer of hazardous waste, mark “Yes” for 

both this box and Item 10.A.6. If your site is a destination facility for 

universal wastes in addition to being a recycling site for other RCRA 

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

8. Exempt Boiler and/or Industrial Furnace (at your site): If “Yes”, place an “X” in 

all that apply. 

a. Small Quantity On-Site Burner Exemption 

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

industrial furnace in accordance with the conditions in 40 CFR 266.108, 

place an “X” in the box to indicate that you qualify for the Small Quantity 

On-Site Burner Exemption. 

b. Smelting, Melting, and Refining Furnace Exemption 

You process hazardous wastes in a smelting, melting, or refining furnace 

solely for metals recovery, as described in 40 CFR 266.100(d), or to recover 

economically significant amounts of precious metals, as described in 40 CFR 

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

recover lead, as described in 40 CFR 266,100(h), place an “X” in the box to 

indicate that you qualify for the Smelting, Melting, and Refining Furnace 

Exemption. 

9. Underground Injection Control (at your site): If you generate, treat, store, or 

dispose of hazardous waste and place the waste or its residuals into an underground 

injection well (e.g., a Class I well) located at your site, mark “Yes”. The Federal 
Site ID Form 

(continued) 

22

regulations for owners and operators of underground injection wells are found in 40 

CFR Part 148. 

10. Receives Hazardous Waste From Off-site (at your site): If you received 

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

transaction or waste received from a restricted group of off-site generators, mark 

“Yes”. 

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

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

B. Universal Waste Activities (at your site): Refer to your State-specific requirements and 

definitions for universal waste. Also, refer to 40 CFR 261.9 and 40 CFR Part 273 for the 

Federal regulations covering universal waste. Complete parts 1 and 2.

1. Large Quantity Handler of Universal Waste (LQHUW): You are an LQHUW if 

you accumulate a total of 5,000 kg or more total of universal wastes (batteries, 

pesticides, mercury-containing equipment, or lamps - calculated collectively) at any 

time. This designation is retained through the end of the calendar year in which the 

5,000 kg limit is met or exceeded. If “Yes”, place an “X” in the appropriate box(es) 

to indicate the type(s) of universal wastes managed at your site. If your State has 

other additional universal wastes, indicate what they are by placing an “X” in the 

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

2. Destination Facility for Universal Waste: Mark “Yes” if you treat, dispose, or 

recycle universal wastes on-site. A hazardous waste permit is required if you treat or 

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

NOTE 

If your site, in addition to being a destination facility for universal 

wastes, is also a treatment, storage, or disposal facility for RCRA 

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

addition, if your site recycles RCRA hazardous wastes, mark “Yes” 

for both this box and Item 10.A.7. 

C. Used Oil Activities: Mark the appropriate box(es) to indicate which used oil management 

activities are taking place at this site. The Federal regulations for used oil management are 

found in 40 CFR Part 279. Complete all parts 1 through 4.

1. Used Oil Transporter: If “Yes”, place an “X” in all that apply. 

a. Transporter 

You transport used oil within the United States. The Federal regulations for 

used oil transporters are found in 40 CFR Part 279.40-47. 

b. Transfer Facility (at your site) 

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

used oil transfer facilities are found in 40 CFR Part 279.40-47. 
Site ID Form 

(continued) 

23

2. Used Oil Processor and/or Re-refiner (at your site): If “Yes”, place an “X” in all 

that apply. 

a. Processor 

You process used oil. The Federal regulations for processors of used oil are 

found in 40 CFR Part 279.50-59. 

b. Re-Refiner 

You refine used oil. The Federal regulations for re-refiners of used oil are 

found in 40 CFR Part 279.50-59. 

3. Off-Specification Used Oil Burner (at your site): You burn off-specification used 

oil fuel, mark “Yes” to indicate this used oil management activity. 

4. Used Oil Fuel Marketer (at your site): If “Yes”, place an “X” in all that apply. 

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

You are a marketer who directs shipment of off-specification used oil to offspecification used oil burners. The Federal regulations for off-specification 

used oil are found in 40 CFR Part 279.70-75. 

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

You are the first to claim that used oil meets the used oil specification 

established in 40 CFR 279.11. 

NOTE 

If either of these boxes is marked, you must also notify (or have 

previously notified) as a used oil transporter (10.C.1), used oil 

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

burner (10.C.3), unless you are a used oil generator. (Used oil 

generators are not required to notify.) 

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

withdrawing from managing laboratory hazardous wastes pursuant to 40 CFR Part 262 

Subpart K: Note: Fill out Box D ONLY if you are at least one of the following: a college 

or university; a teaching hospital that is owned by or has a formal written affiliation 

agreement with a college or university; or a non-profit research institute that is owned by or 

has a formal written affiliation agreement with a college or university; AND you have 

checked with your State to determine if 40 CFR Part 262 Subpart K is effective in your state 

and for any state-specific requirements. (See EPA’s website for more information about these 

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

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

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

eligible to operate under Subpart K for management of their hazardous wastes in laboratories 

in lieu of 40 CFR 262.34(c) (or 40 CFR 261.5 for CESQGs). Eligible academic entities with 

laboratories that generate hazardous waste that elect to opt into Subpart K, are currently 
Site ID Form 

(continued) 

24

operating under Subpart K, or subsequently withdraw from Subpart K must complete this 

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

262.204. 

NOTE 

Eligible academic entities with laboratories must complete a separate Site ID 

Form for each site (i.e., EPA ID number) that is managing hazardous waste 

under Subpart K. All laboratories with the same EPA ID number will be 

regulated under this Subpart. If eligible academic entities with laboratories 

withdraw from Subpart K, all laboratories with the same EPA ID number 

associated with the withdrawal from Subpart K will be regulated under 40 

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

1. Opting Into or Currently Operating Under 40 CFR Part 262 Subpart K for the 

Management of Hazardous Wastes in Laboratories: Mark “Yes” for this box if you 

are an eligible academic entity and you elect to opt into or are currently operating under 

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

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

indicate your type of eligible academic entity. Place an “X” in all that apply: 

 

a. College or University. You are an eligible college or university if you are a 

private or public, post-secondary, degree-granting, academic institution, that 

is accredited by an accrediting agency listed annually by the U.S. Department 

of Education. 

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

agreement with a college or university: You are an eligible teaching 

hospital if you are a hospital that trains students to become physicians, 

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

university, or (2) has a master affiliation agreement and program letter of 

agreement, as defined by the Accreditation Council for Graduate Medical 

Education, with an accredited medical program or medical school. 

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

agreement with a college or university: You are an eligible non-profit 

institute if you are an organization that conducts research as its primary 

function and files as a non-profit organization under the tax code of 26 

U.S.C. 501(c)(3) and is either: (1) owned by a college or university, or (2) 

has a formal written affiliation agreement with a college or university that 

establishes a relationship between institutions for the purposes of research 

and/or education and is signed by authorized representatives from each 

institution. A relationship on a project-by-project or grant-by-grant basis is 

not considered a formal written affiliation agreement.

2. Withdrawing from 40 CFR Part 262 Subpart K for the Management of Hazardous 

Wastes in Laboratories: Mark “Yes” for this box if you have previously elected to opt 

into 40 CFR Part 262 Subpart K and are now withdrawing from participation in this 

optional set of alternative requirements for hazardous waste generation in laboratories. 

Withdrawing generators will automatically revert to regulation under 40 CFR 262.34 (c) 
Site ID Form 

(continued) 

25

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

include comments in Section 13 that explain your reasons for withdrawing from Subpart 

K. 

Item 11 – Description of Hazardous Wastes 

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

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

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

your State Office. 

A. Waste Codes for Federally Regulated Hazardous Wastes: Please list the waste codes of 

the Federal hazardous wastes (described in 40 CFR Part 261) handled at your site. List them 

in the order they are presented in the regulations using the appropriate 4-digit code(s) (e.g., 

D001, D003, F007, U112). 

NOTE 

EPA Hazardous Waste Codes. If you handle more hazardous wastes than will 

fit under Item 11.A, please continue under Item 13 – Comments or on an 

extra sheet. Remember to include your EPA Identification Number on the top 

of each page. If you handle a large number of codes, you may copy the list in 

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

to the Site ID Form. Remember to include your EPA Identification Number 

on the top of each page. 

 

B. Waste Codes for State-Regulated (i.e., non-Federal) Hazardous Wastes: If you manage 

State-regulated hazardous wastes that have a State waste code, enter the appropriate code(s) 

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

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

NOTE 

State Hazardous Waste Code. If you handle more hazardous wastes than will 

fit under Item 11.b, please continue under Item 13 – Comments or on an 

extra sheet. Remember to include your EPA Identification Number on the top 

of each page. 

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

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

or will stop managing hazardous secondary material under 40 CFR 261.2(a)(2)(ii), 40 CFR 261.4(a)(23), 

(24), or (25). Mark “No” if you are not notifying under 40 CFR 260.42. Note: You must check with your 

State to determine if you are eligible to manage hazardous secondary material under these regulations. 

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

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

(continued) 

26

Item 13 – Comments 

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

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

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

Item 14 – Certification 

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

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

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

specifics.) An “authorized representative” is a person responsible for the overall operation of the site (i.e., 

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

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

(continued) 

27

ADDENDUM TO THE SITE IDENTIFICATION FORM: NOTIFICATION 

OF HAZARDOUS SECONDARY MATERIAL ACTIVITY 

You Must Fill Out This Section If:

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

under 40 CFR 261.2(a)(2)(ii), 261.4(a)(23), (24), or (25). See 

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

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

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

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

These regulations exclude certain hazardous secondary material being reclaimed from the RCRA 

Subtitle C definition of solid waste provided certain requirements and conditions are met. See 

EPA’s website for more information about these regulations: 

http://www.epa.gov/epawaste/hazard/dsw/rulemaking.htm#2008. 

Complete all parts 1-3. 

NOTE 

You must be managing excluded hazardous secondary material in compliance with 40 

CFR 261.2(a)(2)(ii), 261.4(a)(23), (24), and/or (25) (or state equivalent). Do not include 

any information regarding your hazardous wastes in this section. See 73 FR 64668 or 

http://www.epa.gov/epawaste/hazard/dsw/impresource.htm for more information on these 

exclusions.

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

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

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

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

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

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

and do not expect to manage any amount of hazardous secondary material under the 

exclusion(s) for at least one year, you must also submit a completed Site ID Form, 

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

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

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

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

• Facility will begin managing excluded hazardous secondary material as of 

(mm/dd/yyyy): Place an “X” in this box if you are notifying that you will begin managing 

hazardous secondary material under the exclusion(s). 

 Facilities must notify prior to operating under the exclusion(s). 
Addendum to the Site ID Form 

(continued) 

28

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

managing hazardous secondary material under 40 CFR 261.2(a)(2)(ii), 40 CFR 

261.4(a)(23), (24), or (25). Note: If the facility had previously notified that it will stop 

managing hazardous secondary material in the past but will now begin anew, list the 

next planned start date. 

• Facility is still managing excluded hazardous secondary material/re-notifying as 

required by March 1 of each even-numbered year: Place an “X” in this box if you are 

re-notifying that you are still managing hazardous secondary material under the 

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

secondary materials in order to check this box. 

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

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

• Facility has stopped managing excluded hazardous secondary material as of 

(mm/dd/yyyy) and is notifying as required: Place an “X” in this box if you are notifying 

that you have stopped managing hazardous secondary material under the exclusion(s) and 

do not expect to manage any amount of hazardous secondary material for at least one year 

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

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

 Facilities must notify within 30 days of when they stopped managing hazardous 

secondary material. You are considered to have stopped managing hazardous 

secondary material if: 1) you stop managing hazardous secondary material completely 

(e.g., you cease operations); 2) you choose to manage the hazardous secondary 

material as hazardous waste; 3) you undergo closure and request release from financial 

assurance per 40 CFR 261.143(h); or 4) you temporarily suspend management of 

hazardous secondary material for at least one year. 

 Only place an “X” in this box if you have stopped managing all hazardous secondary 

material under the exclusion(s). For example, if your facility only stopped managing 

one hazardous secondary material, but continued to manage another hazardous 

secondary material, you would leave this box blank since your facility continues to 

manage some amount of hazardous secondary material. 

 If you submit a notification that you have stopped managing hazardous secondary 

material, you do not need to renotify (unless you choose to manage hazardous 

secondary material again, in which case you would have to submit a notification prior 

to managing). After submitting a stop notification, you can leave the Addendum blank 

for subsequent submissions, including any subsequent biennial report submissions. 

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

In the table provided on the Addendum to the Site ID Form, list your appropriate facility code, each waste 

code for the hazardous secondary material you manage, the estimated and actual quantities in short tons 

for each hazardous secondary material, and the appropriate land-based unit code for how you mange the 

hazardous secondary material. Do not include any information regarding your hazardous wastes in this 

section. See examples below on how to answer this question.
Addendum to the Site ID Form 

(continued) 

29

a. Facility Code: Using the facility codes, found in the Code List section of these 

instructions, enter the appropriate 2-digit code(s) that correctly describes your facility. If 

more than one code applies to your facility, enter each 2-digit code on a separate row. Each 

hazardous secondary material should be reported by facility code. 

 

b. Waste Codes(s) for HSM: Use the box provided to enter the appropriate 4-digit 

hazardous waste code(s) that would apply to your hazardous secondary material if you 

managed it as hazardous waste (i.e., the waste code(s) that would apply if you did not 

manage your material in accordance with 40 CFR 261.2(a)(2)(ii), 40 CFR 

261.4(a)(23),(24), or (25)). 

NOTE

If you list more codes or manage more hazardous secondary material than 

will fit in the table under Item 2, please continue under Item 13 – 

Comments, or on an extra sheet. Remember to include your EPA ID 

number on the top of each page. 

c. Estimated Short Tons of Excluded HSM to be Managed Annually: In the box 

provided, enter your estimated tonnage (using short tons) of hazardous secondary material 

you expect to manage annually. Convert all physical quantities (e.g., gallons, cubic yards, 

kilograms, metric tons, etc.) to short tons (1 short ton = 2,000 pounds) and round to the 

nearest ton (no decimals). Note: Your estimated tonnage should be for the entire amount 

of hazardous secondary material to be reclaimed (NOT just the quantity of constituent or 

product reclaimed). 

d. Actual Short Tons of Excluded HSM Managed During the Most Recent OddNumbered Year: Report the tonnage (using short tons) of each hazardous secondary 

material you actually managed during the most recent odd-numbered year. For example, if 

you are submitting this notification on February 20, 2012, enter the amount you actually 

managed during 2011 (i.e., the tonnage you managed from January 1, 2011 to December 

31, 2011). Convert all physical quantities (e.g., gallons, cubic yards, kilograms, metric 

tons, etc.) to short tons (1 short ton = 2,000 pounds) and round to the nearest ton (no 

decimals). Note: Your actual tonnage should be for the entire amount of hazardous 

secondary material that was sent for reclamation (NOT just the quantity of constituent or 

product reclaimed). If this is your initial notification, enter “0”. 

e. Land-Based Unit Code: Using the land-based unit codes, found in the Code List section 

of these instructions, enter in the 2-digit code that best describes the land-based unit you 

use or will use to manage the hazardous secondary material. If you do not use any landbased units, enter “NA”. If you use the code “OT” (Other), please describe your landbased unit in Item 13 – Comments. If more than one land-based unit code applies to a 

hazardous secondary material, list it separately using another row.
Addendum to the Site ID Form 

(continued) 

30

Examples for Reporting Hazardous Secondary Material Activity: 

EXAMPLE 1: A pharmaceutical manufacturer generates spent solvents that are characteristic for 

ignitability (D001). The manufacturer plans to manage spent solvents under 40 CFR 261.2(a)(2)(ii) and 

261.4(a)(24) by sending some amount to a reclaimer within its own company and the rest off-site to a 

reclamation facility within the United States. The manufacturer will not manage any spent solvents in a 

land-based unit. Following the regulations, the manufacturer submits an initial notification prior to 

managing its spent solvents under the exclusions. The facility would report its hazardous secondary 

material activity as follows: 

a. Facility code

(answer using codes 

listed in the Code List 

section of the 

instructions) 

b. Waste Code(s) for 

hazardous secondary 

material (HSM) 

c. Estimated 

short tons of 

HSM to be 

managed 

annually 

d. Actual short tons 

of HSM that was 

managed during the 

most recent oddnumbered year 

e. Land-based unit 

code (answer using 

codes listed in the 

Code List section of 

the instructions) 

02 D001 15 0 NA 

06 D001 40 0 NA 

EXAMPLE 2: A steel manufacturer generates electric arc furnace dust and spent pickle liquor from one 

of its steel operations. The manufacturer sends electric arc furnace dust (K061) off-site to a reclamation 

facility within the U.S. and reclaims spent pickle liquor (K062) on-site. Neither hazardous secondary 

material is managed in a land-based unit. The steel manufacturer has managed both hazardous secondary 

material under 40 CFR 261.2(a)(2)(ii) and 261.4(a)(24) for a number of years and it is now time to renotify. The facility would report its hazardous secondary material activity as follows: 

a. Facility code

(answer using codes 

listed in the Code List 

section of the 

instructions) 

b. Waste Code(s) for 

hazardous secondary 

material (HSM) 

c. Estimated 

short tons of 

HSM to be 

managed 

annually 

d. Actual short tons 

of HSM that was 

managed during the 

most recent oddnumbered year 

e. Land-based unit 

code (answer using 

codes listed in the 

Code List section of 

the instructions) 

01 K062 60 52 NA 

06 K061 20,000 22,468 NA 

EXAMPLE 3: A reclamation facility has been receiving and reclaiming spent solvents under 40 CFR 

261.2(a)(2)(ii) and 261.4(a)(24) for a number of years. The facility receives and reclaims spent solvents 

from multiple hazardous secondary material generators, some of which are within the same company. No 

spent solvents are managed in a land-based unit. It is now time to re-notify. The facility would report its 

hazardous secondary material activity as follows: 

a. Facility code

(answer using codes 

listed in the Code List 

section of the 

instructions) 

b. Waste Code(s) for 

hazardous secondary 

material (HSM) 

c. Estimated 

short tons of 

HSM to be 

managed 

annually 

d. Actual short tons 

of HSM that was 

managed during the 

most recent oddnumbered year 

e. Land-based unit 

code (answer using 

codes listed in the 

Code List section of 

the instructions) 

03 D001;F002;F003;F005 6,000 7,533 NA 

03 D001;D038;F002;F003 1,500 918 NA 

07 D001;F002;F003;F005 3,000 3,509 NA 

07 D001;D038;F002;F003 1,000 523 NA 
Addendum to the Site ID Form 

(continued) 

31

EXAMPLE 4: A smelting operation generates furnace bricks that are characteristic for chromium 

(D007) and sends them off-site for reclamation. Before shipping the bricks off-site, the facility manages 

some of the bricks in a containment building and the rest in a pile on the land. The facility has been 

managing the bricks under 40 CFR 261.4(a)(24) for a number of years and must now re-notify. The 

facility would report its activity as follows: 

a. Facility code

(answer using codes 

listed in the Code List 

section of the 

instructions) 

b. Waste Code(s) for 

hazardous secondary 

material (HSM) 

c. Estimated 

short tons of 

HSM to be 

managed 

annually 

d. Actual short tons 

of HSM that was 

managed during the 

most recent oddnumbered year 

e. Land-based unit 

code (answer using 

codes listed in the 

Code List section of 

the instructions) 

06 D007 200 235 NA 

06 D007 115 126 PL 

EXAMPLE 5: An intermediate facility has been managing wastewater treatment sludges from 

electroplating operations (F006) for the past seven years but, due to company consolidation, it will soon 

shut down. In accordance with 40 CFR 260.42, the facility notifies that it will stop managing hazardous 

secondary material. The facility would report its activity as follows: 

a. Facility code

(answer using codes 

listed in the Code List 

section of the 

instructions) 

b. Waste Code(s) for 

hazardous secondary 

material (HSM) 

c. Estimated 

short tons of 

HSM to be 

managed 

annually 

d. Actual short tons 

of HSM that was 

managed during the 

most recent oddnumbered year 

e. Land-based unit 

code (answer using 

codes listed in the 

Code List section of 

the instructions) 

08 F006 0 5,034 NA 

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

Financial assurance is required for reclaimers (07, 11) and intermediate (08) facilities managing 

hazardous secondary material under 40 CFR 261.4(a)(24) and (25). See EPA’s website for more 

information about these regulations: http://www.epa.gov/epawaste/hazard/dsw/impresource.htm. 

• Mark “Yes”, if you have financial assurance pursuant to 40 CFR 261.4(a)(24)(vi) AND

you use at least one facility code that is 07, 08, or 11 in Item 2.a above. For example, the 

facilities in Examples 3 and 5 above are required to have financial assurance because the 

facility codes are 07 and 08, respectively. 

 

• Mark “No”, if you do NOT have financial assurance pursuant to 40 CFR 261.4(a)(24)(vi). 

Note: Reclaimers (07, 11) and intermediate (08) facilities must have financial assurance 

in order to manage hazardous secondary material under 40 CFR 261.4(a)(24) and (25). 

Answering “No” to this question may mean you are in violation of these regulations if you 

report facility codes 07, 08, or 11. For example, the facilities in Examples 1, 2, and 4 

above are not required to have financial assurance because these facilities did not report 

facility codes of 07, 08, or 11. 
32

INSTRUCTIONS FOR FILLING OUT THE HAZARDOUS WASTE 

PERMIT INFORMATION FORM 

General Instructions 

Please type or print, leaving only one blank box between words. Abbreviate, if necessary, to stay within 

the number of boxes allowed for each item. Some items in the form require narrative explanation. If 

more space is necessary to answer a question, use the space provided in Item 13 and reference the item 

number to which the additional information applies or attach a separate sheet entitled “Additional 

Information”. Remember to include your EPA Identification Number and site name in the upper lefthand corner of each attached page. 

Unless otherwise specified in the instructions to the form, each item must be answered. To indicate that 

each item has been considered, enter “NA” for not applicable, if a particular item does not fit the 

circumstances or characteristics of your facility or activity. 

For a Revised Part A Permit Application, circle the item numbers with new information or changes. 
Hazardous Waste Permit Information Form 

(continued) 

33

Item-By-Item Instructions 

Item 1 – Facility Permit Contact 

Give the name, title, work telephone number, and e-mail of a person who is thoroughly familiar with the 

activities at the facility that require a hazardous waste permit and with the facts reported in the Hazardous 

Waste Permit Information Form. This person must be available to be contacted by offices reviewing the 

permit application, if necessary. If the Facility Permit Contact person is the same as the Site Contact 

Person identified in Item 8 of the RCRA Subtitle C Site Identification Form (Site ID Form), you may 

print “Same as Site Contact” in this box. 

Item 2 – Facility Permit Contact Mailing Address 

Enter the mailing address for the facility permit contact. If the mailing address is the same as the Site 

Mailing Address (Item 7) on the Site ID Form, you may print “Same as Site Mailing Address” in this box. 

Item 3 – Operator Mailing Address and Telephone Number

Enter the mailing address and telephone number of the facility operator identified in Item 9.B of the Site 

ID Form. 

Item 4 – Facility Existence Date 

Enter the appropriate date that applies to your facility from among the following: 

• the date that hazardous waste operations at the facility commenced; 

• the date construction on the facility commenced; or 

• the date operation is expected to begin. 

Item 5 – Other Environmental Permits 

A. Permit Type: Using the codes listed below, enter a letter on the form for all other environmental 

permits the facility has received, or for which the facility has filed an application, even if the 

permit has not yet been received. 

 

 N = NPDES (National Pollutant Discharge Elimination System) Clean Water Act 

 P = PSD (Prevention of Significant Deterioration) Clean Air Act 

 R = RCRA (Resource Conservation and Recovery Act) 

 U = UIC (Underground Injection Control) Safe Drinking Water Act 

 F = EPA 404 (Dredge or Fill Permits under Section 404 of the Clean Water Act) 

 E = Other relevant environmental permits. List any other relevant Federal (e.g., 

permits under the Ocean Dumping Act), State (e.g., State permits for new air 

emission sources in nonattainment areas under Part D of the Clean Air Act or 

State permits under Section 404 of the Clean Water Act), or local environmental 

permits or applications. 

B. Permit Number: Give the number of each presently effective permit issued to the facility for 

each program, or if you have previously filed an application, but have not yet received a permit, 

give the number of the application and note this in the description. You may list additional 

permit numbers on a separate sheet of paper if you have more than one currently effective permit 
Hazardous Waste Permit Information Form 

(continued) 

34

for your facility under a particular permit program. Remember to include your EPA 

Identification Number and site name in the upper left-hand corner of each attached page. 

C. Description: Use the space provided for any additional information identifying or describing the 

permits. 

Item 6 – Nature of Business 

Briefly describe the nature of your business (e.g., products produced or services provided). If more space 

is needed, please attach additional sheets. Remember to include your EPA Identification Number and site 

name in the upper left-hand corner of each attached page. 

Item 7 – Process Codes and Design Capacities

The information in Item 7 describes all the processes that will be used to treat, store, or dispose of 

hazardous waste at the facility. The process code and design capacity of each process must be provided 

as part of the description. The design capacity of injection wells and landfills at existing facilities should 

be measured as the remaining, unused capacity. Tank storage should refer to each tank, not each tank 

farm. Please indicate the location of each process listed in Item 7 on either the map provided for Item 10 

or the photographs provided for Item 12. Use the line number from Item 7 to indicate where the 

process(es) are located. See the form for detailed instructions on Item 7. 

NOTE 

Submission of a Revised Part A Permit Application is required before processes for 

treating, storing, or disposing of hazardous wastes are changed; before new processes are 

added; and/or before the design capacities of these processes are increased. 

Item 8 – Other Processes 

Use this space to describe other processes that did not have a specific process code listed in Item 7.A of 

the form. Follow the instructions for Item 7.A on the form for other process codes (i.e., D99, S99, T04, 

and X99 process codes). Describe the other processes in Item 13 - Comments. 

Item 9 – Description of Hazardous Wastes

This information describes all the hazardous wastes, using their hazardous waste codes, that will be 

treated, stored, or disposed at the facility. In addition, the processes that will be used to treat, store, or 

dispose of each hazardous waste and the estimated annual quantity of each hazardous waste must be 

provided. The form contains three pages to capture the information for Item 9: Page 4 of 6, which has 

detailed instructions; Page 5 of 6, which is to be filled out; and Page 5_ of _, which is used if additional 

pages are needed. If additional pages are needed, the pages should be numbered as follows: Page 5a of 6, 

Page 5b of 6, Page 5c of 6, etc. See the form for detailed instructions on Item 9. 
Hazardous Waste Permit Information Form 

(continued) 

35

NOTE 

Submission of a Revised Part A Permit Application is required before a facility begins 

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

facility’s Part A Permit Application. Changes in the quantity of hazardous waste 

previously specified in the Part A Permit Application can be made without submitting a 

Revised Part A Permit Application, provided the quantity does not exceed the process 

design capacities specified in the first Part A submission. 

Item 10 – Map

Provide a topographic map or maps of the area extending to at least one mile beyond the property 

boundaries of the facility. The map must clearly show the following: 

• The legal boundaries of the facility; 

 

• The location and serial number of each of your existing and proposed intake and discharge 

structures; 

• All hazardous waste management facilities; 

• Location of all processes listed in Items 7 and 8 identified by process code; 

• Each well where you inject fluids underground; and 

• All springs and surface water bodies in the area, plus all drinking water wells within 1⁄4 mile of the 

facility which are identified in the public record or otherwise known to you. 

If an intake or discharge structure, hazardous waste disposal site, or injection well associated with the 

facility is located more than one mile from the plant, include it on the map, if possible. If not, attach 

additional sheets describing the location of the structure, disposal site, or well, and identify the U.S. 

Geological Survey (or other) maps corresponding to the location. Remember to include your EPA 

Identification Number and site name in the upper left-hand corner of each attached page. 

On each map, include the map scale, a meridian arrow showing north, and latitude and longitude at the 

nearest whole second. On all maps of rivers, show the direction of the current, and in tidal waters, show 

the directions of the ebb and flow tides. Use a 7-1/2 minute series map published by the U.S. Geological 

Survey. If a 7-1/2 minute series map has not been published for your facility site, then you may use a 15-

minute series map from the U.S. Geological Survey. If neither a 7-1/2 nor 15-minute series map has been 

published for your facility site, use a plant map or other appropriate map, and include all the requested 

information; in this case, briefly describe land uses in the map area (e.g., residential, commercial). 

For information about obtaining maps, contact the U.S. Geological Survey at (888) 275-8747 or see the 

USGS web site at http://www.usgs.gov/pubprod. 

You may trace your map from a geological survey chart, or other map meeting the above specifications. 

If you do, your map should bear a note showing the number or title of the map or chart from which it was 

traced. Include the names of nearby towns, water bodies, and other prominent points. 
Hazardous Waste Permit Information Form 

(continued) 

36

Item 11 – Facility Drawing 

All existing facilities must include a drawing showing the general layout of the facility. This drawing 

should be approximately to scale and fit on an 8 1⁄2” x 11” sheet of paper. The drawing should show the 

following: 

• The property boundaries of the facility; 

 

• The areas occupied by all storage, treatment, or disposal operations that will be used during 

interim status; 

• The name of each operation (e.g., multiple hearth incinerator, drum storage area, etc.); 

• Areas of past storage, treatment, or disposal operations; 

• Areas of future storage, treatment, or disposal operations; and 

• The approximate dimensions of the property boundaries and all storage, treatment, and disposal 

areas. (Where applicable, use the process codes listed in Items 7 and 8 to indicate the location of 

all storage, treatment, and disposal areas.) 

NOTE New facilities do not have to complete Item 11. 

 

Item 12 – Photographs 

All existing facilities must include photographs that clearly delineate all existing structures; all existing 

areas for storing, treating, or disposing of hazardous waste; and all known sites of future storage, 

treatment, or disposal operations. Photographs may be color or black and white, ground-level or aerial. 

Indicate the date the photograph was taken on the back of each photograph. Use the process codes listed 

in Items 7 and 8 to indicate the location of all storage, treatment, and disposal areas. 

NOTE New facilities do not have to complete Item 11. 

 

Item 13 – Comments

Use this space for any additional comments and attach additional sheets if necessary. Remember to 

include your EPA Identification Number and site name in the upper left-hand corner of each attached 

page. 
RCRA Hazardous Waste 

Part A Permit Application 

OTHER REFERENCE INFORMATION 

AND 

CODE LISTS 
38

EXCLUDED WASTES 

This section presents a partial list of excluded materials and wastes. This list includes materials excluded 

from the definition of solid waste in 40 CFR 261.4(a) and solid wastes excluded from the definition of 

hazardous waste in 40 CFR 261.4(b). In addition, it also includes specific solid waste samples that are 

excluded from the definition of hazardous waste in 40 CFR 261.4(d)-(f). Finally, this list includes 

specific hazardous wastes, as described in 40 CFR 261.4(c), that are exempted from certain RCRA 

Subtitle C regulations. 

Agricultural Waste Fertilizer 

§261.4(b)(2) 

Analytical Samples 

§261.4(d) 

Arsenic Treated Wood and Wood 

Products 

§261.4(b)(9) 

Cement Kiln Dust

§261.4(b)(8) 

Coking By-products

§261.4(a)(10) 

Comparable/Syn gas Fuels 

§261.4(a)(16) 

Domestic Sewage

§261.4(a)(1) 

Dredged Material

§261.4(g) 

Drilling Fluid

§261.4(b)(5) 

Excluded Scrap Metal Being Recycled

§261.4(a)(13) 

Exported Wastes

§262.56 

Fossil Fuel Emission Control Waste

§261.4(b)(4) 

Hazardous Secondary Material 

Generated and Reclaimed Under the 

Control of the Generator 

40 CFR 261.2(a)(2)(ii) 

40 CFR 261.4(a)(23) 

Hazardous Secondary Material 

Transferred Off-site for Reclamation 

40 CFR 261.4(a)(24) 

40 CFR 261.4(a)(25)

Household Waste

§261.4(b)(1)(i)-(ii) 

HTMR Condenser Residue

§261.4(a)(11) 

In situ Mining Materials

§261.4(a)(5) 

Irrigation Return Flows 

§261.4(a)(3) 

Kraft Mill Steam Stripper 

Condensates 

§261.4(a)(15) 

Leachate 

§261.4(b)(15) 

Mining and Mineral Process Wastes 

§261.4(b)(7) 

Mining Overburden

§261.4(b)(3) 

Nuclear Material

§261.4(a)(4) 

Oil Filters 

§261.4(b)(13) 

Petrochemical Recovered Oil 

§261.4(a)(18) 

Petroleum-contaminated Media and 

Debris

§261.4(b)(10) 

Petroleum Refining 

§261.4(a)(12) 

Pulping Liquor

§261.4(a)(6) 

Refrigerants

§261.4(b)(12) 

Secondary Material Returned to 

Original Process 

§261.4(a)(8) 

Secondary Material from Mineral 

Processing

§261.4(a)(17) 

Shredded Circuit Boards Being 

Recycled 

§261.4(a)(14) 

Spent Caustics from Petroleum 

Refining 

§261.4(a)(19) 

Spent Wood Preserving Solutions and 

Wastewaters 

§261.4(a)(9) 

Sulfuric Acid 

§261.4(a)(7) 

Treatability Study Samples 

§261.4(e) 

Treatability Studies at Laboratories 

and Testing Facilities 

§261.4(f) 

Trivalent Chromium Waste 

§261.4(b)(6) 

Used Oil Distillation Bottoms

§261.4(b)(14) 

Wastes Generated in Storage Tanks, 

Transport Vehicles, Pipelines, or 

Manufacturing Process Units 

§261.4(c) 

Wastewater Point Source Discharge

§261.4(a)(2) 
39

DEFINITIONS 

This section contains definitions of terms helpful for completing the form. For terms defined in the Code 

of Federal Regulations (CFR), the appropriate citation is provided. 

Accumulation A site that does not hold RCRA Interim Status or a RCRA permit may 

accumulate hazardous waste for a short period of time before shipping it

off-site. The waste must be accumulated in either tanks or containers; it

may not be accumulated in surface impoundments. 

Generators of more than 1,000 kg (2,200 lbs) of hazardous waste per month 

may accumulate their waste for up to 90 days before shipping it off-site. 

Generators of 100 kg (220 lbs) to 1,000 kg (2,200 lbs) of hazardous waste

per month may accumulate their waste for up to 180 days before shipping it

off-site. If the nearest treatment, storage, disposal, or recycling facility to

which they can send their waste is more than 200 miles away, they may

accumulate their waste for 270 days. See 40 CFR 262.34. 

 

Act or RCRA The Solid Waste Disposal Act, as amended by the Resource Conservation 

and Recovery Act of 1976, as amended by the Hazardous and Solid Waste

Amendments of 1984, 42 U.S.C. Section 6901 et seq.

 

Acute Hazardous Waste Any hazardous waste with an EPA hazardous waste code beginning with the

letter “P” (40 CFR 261.33(e)) or any of the following “F” codes: F020,

F021, F022, F023, F026, and F027 (40 CFR 261.31). These wastes are

subject to stringent quantity standards for accumulation and generation (40

CFR 261.5(e)). 

 

Authorized 

Representative

 The person responsible for the overall operation of the site or an operational

unit (i.e., part of a site), e.g., superintendent or plant manager, or person of

equivalent responsibility. 

 

Authorized State A State that has obtained authorization from the EPA to direct its own 

RCRA program. 

 

Boiler An enclosed device using controlled flame combustion and having the

following characteristics: 

1. The unit has physical provisions for recovering and exporting

energy in the form of steam, heated fluids, or heated gases; 

2. The unit's combustion chamber and primary energy recovery

section(s) are of integral design (i.e., they are physically formed into

one manufactured or assembled unit); 

3. The unit continuously maintains an energy recovery efficiency of at 

least 60 percent, calculated in terms of the recovered energy

compared with the thermal value of the fuel; 

4. The unit exports and utilizes at least 75 percent of the recovered

energy, calculated on an annual basis (excluding recovered heat

used internally in the same unit, for example, to preheat fuel or

combustion air or drive fans or feedwater pumps); or 

5. The unit is one which the Regional Administrator has determined, 

on a case-by-case basis, to be a boiler, after considering the 

standards in 40 CFR 260.32 
Definitions 

(continued) 

40

By-product Material A by-product material is (1) any radioactive material (except special nuclear

material) yielded in or made radioactive by exposure to the radiation

incident to the process of producing or utilizing special nuclear material; 

and (2) the tailings or wastes produced by the extraction or concentration of

uranium or thorium from any ore processed primarily for its source material

content (defined in the Atomic Energy Act of 1954). 

 

Code of Federal 

Regulations (CFR)

 Codification of the general and permanent rules published in the Federal

Register by the Executive departments and agencies of the Federal

Government. The Code is divided into 50 titles which represent broad areas

subject to Federal regulation. Each title is divided into chapters that usually 

bear the name of the issuing agency. Each chapter is further subdivided into

parts covering specific regulatory areas. The CFR title applicable for the

Hazardous Waste Report is “40,” as in “40 CFR 262.34.” 

 

Conditionally Exempt 

Small Quantity 

Generator (CESQG) of 

Hazardous Waste

 A generator that meets the following criteria:

In every month during the year, the site did all of the following: 

1. Generates no more than 100 kg (220 lbs.) of RCRA hazardous

waste in any calendar month; and

2. Did not accumulate, at any time, more than 1,000 kg (2,200 lbs.) of

RCRA hazardous waste; and

3. Did not generate, in any calendar month, or accumulate at any time,

more than 1 kg (2.2 lbs.) of acute hazardous waste, and no more 

than 100 kg (220 lbs.) of material from the cleanup of a spill of

acute hazardous waste. 

 

Confidential Business 

Information (CBI)

 Information a facility does not wish to make available to the general public

for competitive business reasons. Confidential Business Information (CBI) 

may be claimed for certain information in your submittal. A claim may be 

made in accordance with 40 CFR Part 2, Subpart B. 

 

Delisted Waste Site-specific wastes excluded from regulation under 40 CFR 260.20 and

260.22. A waste at a particular generating site may be excluded by

petitioning the EPA Administrator for a regulatory amendment. These

wastes are listed in Appendix IX of 40 CFR Part 261. 

 

Disposal The discharge, deposit, injection, dumping, spilling, leaking, or placing of

any solid waste or hazardous waste into or on any land or water so that such

solid waste or hazardous waste or any constituent thereof may enter the

environment or be emitted into the air or discharged into any waters,

including ground waters. 

 

Eligible Academic Entity A college or university, or a non-profit research institute that is owned by or

has a formal written affiliation with a college or university, or a teaching

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

university pursuant to 40 CFR Part 262 Subpart K (See 40 CFR 262.200). 
Definitions 

(continued) 

41

Environmental 

Protection Agency (EPA)

 EPA, also called U.S. EPA, means the United States Environmental

Protection Agency. Some State environmental authorities may be called the 

EPA also, as in “Illinois EPA.” 

 

EPA Identification (ID) 

Number

 The number assigned by the EPA to each hazardous waste generator,

hazardous waste transporter, and treatment, storage, or disposal facility;

United States importer of hazardous waste; mixed waste (hazardous and 

radioactive) generator; recycler of hazardous waste; exempt boiler and/or

industrial furnace burning or processing hazardous waste; large quantity

handler of or destination facility for universal wastes; disposer of hazardous 

waste with an underground injection permit; used oil transporter, used oil

processor/re-refiner, off-specification used oil fuel burner, used oil fuel 

marketer; eligible academic entity managing laboratory hazardous waste

under Subpart K; or site undergoing corrective action. Additionally, 

facilities that must notify using the Site ID Form and Addendum to the Site

ID Form that they are managing hazardous secondary material will also be

assigned an EPA ID number. 

 

Excluded Wastes Wastes excluded from the definition of solid or hazardous waste under 40 

CFR 261.3 and 261.4. For a partial listing, see the “Other Reference 

Information” section of this booklet. 

 

Hazardous Waste A hazardous waste as defined in 40 CFR 261.3. 

 

Hazardous Secondary 

Material (HSM) 

 A secondary material (e.g., spent material, by-product, or sludge) that, when 

discarded, would be identified as hazardous waste under 40 CFR Part 261.

Facilities managing hazardous secondary material under 40 CFR

261.2(a)(2)(ii), 40 CFR 261.4(a)(23), (24), or (25) must complete the 

Addendum to the Site Identification Form: Notification for Managing

Hazardous Secondary Material. You must check with your State to 

determine if you are eligible to manage hazardous secondary material under

these exclusions (see also http://www.epa.gov/epawaste/hazard/dsw/ 

statespf.htm). 

 

Hazardous Waste 

Generator

 Any person, by site, whose act or process produces hazardous waste

identified or listed in 40 CFR Part 261. 

 

Hazardous Waste 

Number or Code, EPA

 The number (or code) assigned by the EPA to each hazardous waste listed in

40 CFR Part 261, Subpart D and to each characteristic identified in 40 CFR

Part 261, Subpart C. The codes consist of one letter (D, F, P, U, or K) and 

three numbers. For a list of EPA hazardous waste codes see the “Other

Reference Information” section of this booklet. 

 

Hazardous Waste 

Number or Code, State

 The number (or code) assigned by the State to each hazardous waste listed

in the State regulations. Obtain a list of the States waste codes from your

State. 

 

Hazardous Waste 

Storage

 The holding of hazardous waste for a temporary period, at the end of which

the hazardous waste is treated, disposed of, or stored elsewhere. 

 
Definitions 

(continued) 

42

Hazardous Waste 

Transfer Facility

 Refer to “Transfer Facility" definition. 

 

Hazardous Waste 

Transporter

 Refer to “Transporter" definition. 

 

Hazardous Waste 

Treatment

 Any method, technique, or process, including neutralization, designed to

change the physical, chemical, or biological character or composition of any 

hazardous waste so as to neutralize such hazardous waste, or so as to

recover energy or material resources from the hazardous waste, or so as to

render such hazardous waste nonhazardous, or less hazardous; safer to

transport, store or dispose of; or amenable for recovery, amenable for

storage, or reduced in volume. Such term includes any activity or

processing designed to change the physical form or composition of

hazardous waste so as to render it nonhazardous. 

 

Incineration Burning of certain types of solid, liquid, or gaseous materials; or a treatment

technology involving destruction of waste by controlled burning at high

temperatures (e.g., burning sludge to remove the water and reduce the

remaining residues to a safe, non-burnable ash that can be disposed safely 

on land, in some waters, or in underground locations). 

 

Industrial Furnace Any of the following enclosed devices that are integral components of

manufacturing processes and that use thermal treatment to accomplish 

recovery of materials or energy: cement kilns; lime kilns; aggregate kilns;

phosphate kilns; coke ovens; blast furnaces; smelting, melting and refining

furnaces; titanium dioxide chloride process oxidation reactors; methane

reforming furnaces; pulping liquor recovery furnaces; combustion devices 

used in the recovery of sulfur values from spent sulfuric acid; halogen acid

furnaces, as defined under industrial furnace in 40 CFR 260.10; and such

other devices as the Administrator may add to this list. 

 

Interim (Permit) 

Status

 Period during which the owner/operator of an existing TSD facility is

treated as having been issued a RCRA permit even though he/she has not

yet received a final determination. An existing facility should have

automatically qualified for interim status if the owner/operator filed both

timely “notification” and the first part (Part A) of the RCRA permit

application. Interim status continues until a final determination is made to

issue or deny the permit. Owner/operator of new facilities cannot by 

definition qualify for interim status; rather, they need a RCRA permit prior

to beginning construction of a hazardous waste management facility. 

 

Large Quantity 

Generator (LQG) of 

Hazardous Waste

 A generator that meets any of the following criteria: 

1. Generates, in a calendar month, 1,000 kg (2,200 lbs.) or more of

non-acute RCRA hazardous waste; or

2. Generates, in a calendar month, or accumulates at any time, more

than 1 kg (2.2 lbs.) of RCRA acute hazardous waste; or

3. Generates, in a calendar month, or accumulates at any time, more

than 100 kg (220 lbs.) of spill cleanup material contaminated with

RCRA acute hazardous waste. 
Definitions 

(continued) 

43

Large Quantity Handler 

of Universal Waste 

(LQHUW) 

 A universal waste handler (as defined in 40 CFR 273.9) who accumulates 

5,000 kg or more total of universal wastes (batteries, pesticides, mercurycontaining equipment, or lamps – calculated collectively) at any time. This 

designation is retained through the end of the calendar year in which the

5,000 kg limit is met or exceeded. 

 

Management, or 

Hazardous Waste 

Management

 Systematic control of the collection, source separation, storage,

transportation, processing, treatment, recovery, or disposal of hazardous

waste (40 CFR 260.10). 

 

Manifest, Uniform 

Hazardous Waste

 The shipment document EPA form 8700-22 and, if necessary, Form 8700-

22A, originated and signed by a generator in accordance with the

instructions included in the appendix to 40 CFR Part 262. The “cradle-tograve” paperwork must accompany a shipment of hazardous waste as it 

moves from the generator to the transporter and eventually to the hazardous

waste management facility. 

 

Mixed Waste Waste that contains both hazardous and source, special nuclear, or byproduct material subject to the Atomic Energy Act (AEA), RCRA section

1004(41), 42 U.S.C. 6903 (63 FR 17414; April 9, 1998). 

 

Municipality A city, village, town, borough, county, parish, district, association, Indian

tribe or authorized Indian tribal organization, designated and approved

management agency under Section 208 of the Clean Water Act, or any other

public body created by or under State law and having jurisdiction over

disposal of sewage, industrial wastes, or other wastes. 

 

Off-site Facility A hazardous waste treatment, storage, disposal, or recycling area located at

a place away from the generating site. 

 

Off-Specification Used 

Oil Burner

 A site where used oil not meeting the specification requirements in 40 CFR

279.11 (off-specification used oil) is burned for energy recovery in devices 

identified in Section 279.61(a). 

 

Off-Specification Used 

Oil Fuel

 Used oil fuel that does not meet the specification provided under 40 CFR

279.11. 

 

On-site Facility A hazardous waste treatment, storage, disposal, or recycling area located on 

the generating site. 

 

On-Specification Used 

Oil Fuel

 Used oil fuel that meets the specification provided under 40 CFR 279.11. 

 

Operator The person responsible for the overall operation of a RCRA site. 

Note: This is the legal entity which controls the RCRA site operation rather

than the plant or site manager. This is usually a company or business name,

not an individual. See Person. 

 

Owner The person who owns a RCRA site or part of a RCRA site. Note: This

includes the owner(s) of the building(s) and/or land. This may be an 

individual, company, or business name. See Person. 
Definitions 

(continued) 

44

Person An individual, trust, firm, joint stock company, Federal Agency, corporation

(including a government corporation), partnership, association, State, 

municipality, commission, political subdivision of a State, or any interstate

body.

 

Resource Conservation 

and Recovery Act 

(RCRA)

 The Solid Waste Disposal Act as amended by the Resource Conservation 

and Recovery Act (RCRA) (40 CFR 270.2). It is the Federal statute that 

regulates the generation, treatment, storage, disposal, recycling, and/or

transportation of solid and hazardous waste. 

 

RCRA Interim (Permit) 

Status

 Refer to “Interim (Permit) Status” definition. 

 

RCRA Permit A complete RCRA permit is comprised of an operating permit for hazardous

waste treatment, storage, and disposal, and a corrective action permit

addressing releases from solid waste management unit (SWMUs). To apply

for a permit, a site must file a two-part application (Part A and Part B). A 

facility is not considered to have a complete RCRA permit until both parts

have been issued. 

 

RCRA Subtitle C Site 

(RCRA Site or Site) 

The physical plant or location at which one or more of the following

regulated waste activities occurs: the generation, transportation, treatment,

storage, or disposal of hazardous wastes; recycling of hazardous wastes;

United States importer of hazardous waste; mixed waste (hazardous and

radioactive) generator; exempt boiler and/or industrial furnace burning or

processing hazardous waste; large quantity handler of or destination facility

for universal wastes; disposing hazardous waste with an underground

injection permit; the transportation (and temporary storage during

transportation), processing/re-refining, burning, or marketing of used oil; 

eligible academic entity managing laboratory hazardous waste under

Subpart K; facility managing hazardous secondary material being reclaimed

that must comply with certain requirements and conditions; or undergoing 

corrective action. 

A site may consist of several treatment, storage, or disposal operational

units. For entities that only transport regulated wastes, the term site refers to

the headquarters of that entity’s operations. 

 

Recycling Use, reuse, or reclamation of a material (40 CFR 261.1(c)(7)).

“Reclamation” is the processing or regeneration of a material to recover a

usable product (e.g., recovery of lead values from spent batteries,

regeneration of spent solvents) (40 CFR 261.1(c)(4)). A material is “used or

reused” if it is either: (1) employed as an ingredient (including use as an

intermediate) in an industrial process to make a product (e.g., distillation

bottoms from one process used as feedstock in another process) (40 CFR

261.1(c)(5)). However, a material will not satisfy this condition if distinct

components of the material are recovered as separate end products (as when

metals are recovered from metal-containing secondary material); or (2) 

employed in a particular function or application as an effective substitute for

a commercial product (e.g., spent pickle liquor used as phosphorous

precipitant and sludge conditioner in wastewater treatment). 
Definitions 

(continued) 

45

Small Quantity 

Generator (SQG) of 

Hazardous Waste

 A generator that meets all the following criteria: 

1. Generates, in any calendar month, more than 100 kg (220 lbs.) but 

 less than 1,000 kg (2,200 lbs.) of RCRA hazardous waste; and

2. Does not generate, in any calendar month, or accumulates at any

time, more than 1 kg (2.2 lbs.) of acute hazardous waste and 

3. Does not generate more than 100 kg (220 lbs.) of material from the 

cleanup of a spill of acute hazardous waste. 

OR, a site is a Small Quantity Generator if the site: 

1. Meets 1) and 3) of the Conditionally Exempt Small Quantity 

Generator criteria (see definition), but 

2. Is storing more than 1,000 kg (2,200 lbs.) of RCRA hazardous

waste on-site. If the site accumulates, at any time, more than 1,000

kg (2,200 lbs.) of RCRA hazardous waste, the site must apply for

an EPA ID Number using this form. 

 

Small Quantity On-Site 

Burner Exemption

 The persons who burn small quantities of hazardous waste in an on-site 

boiler or industrial furnace, in accordance with 40 CFR 266.108, are

conditionally exempt from regulation for that activity. 

 

Smelting, Melting, and 

Refining Furnace 

Exemption

 Under 40 CFR 266.100(c), owners or operators of smelting, melting, and

refining furnaces that process hazardous wastes solely for metals recovery

are conditionally exempt from regulation, except for 40 CFR 266.101 and

266.112, provided they comply with limited requirements set forth in

Section 266.100(c). Similarly, 40 CFR 266.100(f) provides that owners or

operators of smelting, melting and refining furnaces that process hazardous

wastes for the recovery of precious metals are conditionally exempt from

regulation, except for 40 CFR 266.112, provided they comply with limited

requirements specified in Section 266.100(f). 

 

Solid Waste Any garbage, refuse, or sludge, or other materials not excluded under 40 

CFR 261.4(a). Exclusions include, for example, domestic sewage and any

mixture of other wastes that pass through a sewer system to a publicly

owned treatment works (POTWs); industrial wastewater discharges that are

point source discharges subject to regulation under the Clean Water Act;

irrigation return flows; nuclear materials defined by the Atomic Energy Act;

and in situ mining materials (see the “Other Reference Information” section 

of this booklet.). Wastewaters being collected, stored, or treated before 

discharge and sludges generated by wastewater treatment are not excluded.

The EPA defines hazardous waste as a subset of solid waste. 

 

Source Material As defined by the Atomic Energy Act of 1954: (1) Uranium, thorium, or

any other material determined by the Nuclear Regulatory Commission 

pursuant to the provisions of Section 2091 of this title to be source material;

or (2) ores containing one or more of the foregoing materials in such

concentration as the Commission may by regulation determine from time to 

time. 

 
Definitions 

(continued) 

46

Special Nuclear Material As defined by the Atomic Energy Act of 1954: (1) plutonium, uranium

enriched in the isotope 233 or in the isotope 235, and any other material

which the Nuclear Regulatory Commission, pursuant to the provisions of

Section 2071 of this title, determines to be special nuclear material, but does

not include source material; or (2) any material artificially enriched by any

of the foregoing, but does not include source material. 

 

Subpart K An alternative set of generator requirements for managing laboratory

hazardous waste at eligible academic entities. Generators that are eligible

academic entities with laboratories may elect to opt into 40 CFR Part 262

Subpart K and manage their laboratory hazardous waste under Subpart K in 

lieu of 40 CFR 262.34(c) (or 40 CFR 261.5 for CESQGs). In order for

eligible academic entities (see definition) to opt into Subpart K or

subsequently withdraw from Subpart K, they must use the Site ID Form to

notify the appropriate State or EPA Regional Office. Refer to 40 CFR

262.203 and 262.204. Note: You must check with your State to determine 

if you are eligible to manage laboratory hazardous waste pursuant to 40

CFR Part 262 Subpart K and for any state-specific requirements. 

 

Tolling Tolling arrangements describe a particular type of recycling contract

between two companies. Specifically, the “tolling” company certifies that it

has a contract with a manufacturer to produce a product, and that

manufacturing process generates a residual material that can be recycled by

the tolling company. If the tolling company certifies that the contract

specifies that the tolling company owns and has responsibility for the

recyclable material once it is generated, and the material is returned to the 

tolling company for reclamation, and subsequently recycled, the material is

excluded from regulation (under 40 CFR 261.2(a)(2)(ii) or 261.4(a)(23)),

provided certain requirements are met. 

 

Transfer Facility Any transportation-related facility including loading docks, parking areas,

storage areas, and other similar areas where shipments of hazardous waste

are held for 10 days or less during the normal course of transportation (40

CFR 260.10 and 40 CFR 263.12). 

 

Transporter A person engaged in the off-site transportation of hazardous waste by air, 

rail, highway, or water. 

 

Underground Injection 

Control

 The subsurface emplacement of fluids through a bored, drilled or driven

well; or through a dug well, where the depth of the dug well is greater than 

the largest surface dimension. Underground injection wells are regulated

under both the Safe Drinking Water Act and the Resource Conservation and

Recovery Act (see 40 CFR Part 148). 

 

United States Importer Any person who imports hazardous waste from a foreign country into the

United States. This does not include hazardous waste shipped from a

foreign Department of Defense site, Maquiladora, United States territory or

protectorate. 

 
Definitions 

(continued) 

47

Universal Waste Any of the following hazardous wastes that are managed under the universal

waste requirements of 40 CFR Part 273: batteries, pesticides, mercurycontaining equipment, and lamps. Some States may have State-specific 

universal wastes defined as well. 

 

Used Oil Any oil that has been refined from crude oil, or any synthetic oil, that has

been used, and as a result of such use, is contaminated by physical or

chemical impurities. 

 

Used Oil Fuel Marketer Any person who conducts either of the following activities: 

1. Directs a shipment of off-specification used oil from their site to an 

off-specification used oil burner; or 

2. First claims that used oil that is to be burned for energy recovery

meets the used oil fuel specifications set forth in 40 CFR 279.11. 

 

Used Oil Management 

Activities

 For the purposes of the Site ID Form, includes used oil transportation; used 

oil processing and re-refining; burning off-specification used oil fuel; and 

used oil fuel marketing. 

 

Used Oil Processing Chemical or physical operations designed to produce from used oil, or to

make used oil more amenable for production of, fuel oils, lubricants, or

other used oil-derived products. Processing includes, but is not limited to:

blending used oil with virgin petroleum products, blending used oils to meet 

the fuel specification, filtration, simple distillation, chemical or physical

separation, and re-refining. 

 

Used Oil Processor A site that processes on- specification or off-specification used oil. 

 

Used Oil Re-Refiner A site that produces lubricating oils and greases, industrial fuel, asphalt

extender, gasoline, and other products from on- specification or offspecification used oil. 

 

Used Oil Transfer 

Facility

 Any transportation-related facility, including loading docks, parking areas, 

storage areas, and other areas where shipments of used oil are held for more

than 24 hours during the normal course of transportation and not longer than

35 days. Transfer facilities that store used oil for more than 35 days are

subject to regulation under 40 CFR Part 279, Subpart F. 

 

Used Oil Transporter Any person who transports used oil, any person who collects used oil from

more than one generator and transports the collected oil, and owners and

operators of used oil transfer facilities. Used oil transporters may 

consolidate or aggregate loads of used oil for purposes of transportation but,

with the following exception, may not process used oil. Used oil

transporters may conduct incidental processing operations that occur in the 

normal course of used oil transportation (e.g., settling and water separation),

but that are not designed to produce (or make more amenable for production

of) used oil-derived products or used oil fuel. 
48

EPA HAZARDOUS WASTE CODES 

A list of all the hazardous waste codes is shown below. See the regulations for details. 

CHARACTERISTICS OF HAZARDOUS WASTE (SEE 

40 CFR 261.24) – DXXX 

HAZARDOUS WASTE FROM NON-SPECIFIC 

SOURCES (SEE 40 CFR 261.31) – FXXX 

HAZARDOUS WASTE FROM SPECIFIC SOURCES 

(SEE 40 CFR 261.32) - KXXX

DISCARDED COMMERCIAL CHEMICAL PRODUCTS, 

OFF-SPECIFICATION SPECIES, CONTAINER 

RESIDUALS, AND SPILL RESIDUES THEREOF – 

ACUTE HAZARDOUS WASTE (SEE 40 CFR 261.33) – 

PXXX 

DISCARDED COMMERCIAL CHEMICAL PRODUCTS, 

OFF-SPECIFICATION SPECIES, CONTAINER 

RESIDUES, AND SPILL RESIDUES THEREOF – 

TOXIC WASTES (SEE 40 CFR 261.33) - UXXX

D001 

D002 

D003 

D004 

D005 

D006 

D007 

D008 

D009 

D010 

D011 

D012 

D013 

D014 

D015 

D016 

D017 

D018 

D019 

D020 

D021 

D022 

D023 

D024 

D025 

D026 

D027 

D028 

D029 

D030 

D031 

D032 

D033 

D034 

D035 

D036 

D037 

D038 

D039 

D040 

D041 

D042 

D043 

F001 

F002 

F003 

F004 

F005 

F006 

F007 

F008 

F009 

F010 

F011 

F012 

F019 

F020 

F021 

F022 

F023 

F024 

F025 

F026 

F027 

F028 

F032 

F034 

F035 

F037 

F038 

F039 

K001 

K002 

K003 

K004 

K005 

K006 

K007 

K008 

K009 

K010 

K011 

K013 

K014 

K015 

K016 

K017 

K018 

K019 

K020 

K021 

K022 

K023 

K024 

K025 

K026 

K027 

K028 

K029 

K030 

K031 

K032 

K033 

K034 

K035 

K036 

K037 

K038 

K039 

K040 

K041 

K042 

K043 

K044 

K045 

K046 

K047 

K048 

K049 

K050 

K051 

K052 

K060 

K061 

K062 

K069 

K071 

K073 

K083 

K084 

K085 

K086 

K087 

K088 

K093 

K094 

K095 

K096 

K097 

K098 

K099 

K100 

K100 

K101 

K102 

K103 

K104 

K105 

K106 

K107 

K108 

K109 

K110 

K111 

K112 

K113 

K114 

K115 

K116 

K117 

K118 

K123 

K124 

K125 

K126 

K131 

K132 

K136 

K141 

K142 

K143 

K144 

K145 

K147 

K148 

K149 

K150 

K151 

K156 

K157 

K158 

K159 

K161 

K169 

K170 

K171 

K172 

K174 

K175 

K176 

K177 

K178 

K181 

P001 

P002 

P003 

P004 

P005 

P006 

P007 

P008 

P009 

P010 

P011 

P012 

P013 

P014 

P015 

P016 

P017 

P018 

P020 

P021 

P022 

P023 

P024 

P026 

P027 

P028 

P029 

P030 

P031 

P033 

P034 

P036 

P037 

P038 

P039 

P040 

P041 

P042 

P043 

P044 

P045 

P046 

P047 

P048 

P049 

P050 

P051 

P054 

P056 

P057 

P058 

P059 

P060 

P062 

P063 

P064 

P065 

P066 

P067 

P068 

P069 

P070 

P071 

P072 

P073 

P074 

P075 

P076 

P077 

P078 

P081 

P082 

P084 

P085 

P087 

P088 

P089 

P092 

P093 

P094 

P095 

P096 

P097 

P098 

P099 

P101 

P102 

P103 

P104 

P105 

P106 

P108 

P109 

P110 

P111 

P112 

P113 

P114 

P115 

P116 

P118 

P119 

P120 

P121 

P122 

P123 

P127 

P128 

P185 

P188 

P189 

P190 

P191 

P192 

P194 

P196 

P197 

P198 

P199 

P201 

P202 

P203 

P204 

P205 

U001 

U002 

U003 

U004 

U005 

U006 

U007 

U008 

U009 

U010 

U011 

U012 

U014 

U015 

U016 

U017 

U018 

U019 

U020 

U021 

U022 

U023 

U024 

U025 

U026 

U027 

U028 

U029 

U030 

U031 

U032 

U033 

U034 

U035 

U036 

U037 

U038 

U039 

U041 

U042 

U043 

U044 

U045 

U046 

U047 

U048 

U049 

U050 

U051 

U052 

U053 

U055 

U056 

U057 

U058 

U059 

U060 

U061 

U062 

U063 

U064 

U066 

U067 

U068 

U069 

U070 

U071 

U072 

U073 

U074 

U075 

U076 

U077 

U078 

U079 

U080 

U081 

U082 

U083 

U084 

U085 

U086 

U087 

U088 

U089 

U090 

U091 

U092 

U093 

U094 

U095 

U096 

U097 

U098 

U099 

U101 

U102 

U103 

U105 

U106 

U107 

U108 

U109 

U110 

U111 

U112 

U113 

U114 

U115 

U116 

U117 

U118 

U119 

U120 

U121 

U122 

U123 

U124 

U125 

U126 

U127 

U128 

U129 

U130 

U131 

U132 

U133 

U134 

U135 

U136 

U137 

U138 

U140 

U141 

U142 

U143 

U144 

U145 

U146 

U147 

U148 

U149 

U150 

U151 

U152 

U153 

U154 

U155 

U156 

U157 

U158 

U159 

U160 

U161 

U162 

U163 

U164 

U165 

U166 

U167 

U168 

U169 

U170 

U171 

U172 

U173 

U174 

U176 

U177 

U178 

U179 

U180 

U181 

U182 

U183 

U184 

U185 

U186 

U187 

U188 

U189 

U190 

U191 

U192 

U193 

U194 

U196 

U197 

U200 

U201 

U202 

U203 

U204 

U205 

U206 

U207 

U208 

U209 

U210 

U211 

U213 

U214 

U215 

U216 

U217 

U218 

U219 

U220 

U221 

U222 

U223 

U225 

U226 

U227 

U228 

U234 

U235 

U236 

U237 

U238 

U239 

U240 

U243 

U244 

U246 

U247 

U248 

U249 

U271 

U278 

U279 

U280 

U328 

U353 

U359 

U364 

U367 

U372 

U373 

U387 

U389 

U394 

U395 

U404 

U409 

U410 

U411 
49

HSM FACILITY CODES 

Facility codes describe the specific regulation a facility uses to manage its hazardous secondary material 

(HSM) and the type of activity the facility performs under that regulation (e.g., generator, reclaimer). 

Review the groups and pick the appropriate code. If more than one facility code applies to you, enter 

each code on a separate row under Item 2 of the Addendum to the Site ID Form. 

Under Control of the Generator Exclusion (40 CFR 261.2(a)(2)(ii) or 261.4(a)(23)) 

Code Facility Code Description 

01 

HSM Generator reclaiming HSM “on-site”: This code applies if you generate and reclaim hazardous 

secondary material at your generating facility. See also paragraph (1) in the Federal definition of 

“Hazardous secondary material generated and reclaimed under the control of the generator” in 40 CFR 

Part 260.10

02 

HSM Generator transferring HSM to reclaimer within the “same company”: This code applies if 

you generate hazardous secondary material and send the material for reclamation to a different facility 

that is either controlled by you or controlled by the same person that controls your generating facility. See 

also paragraph (2) in the Federal definition of “Hazardous secondary material generated and reclaimed 

under the control of the generator” in 40 CFR Part 260.10.

03 

Reclaimer receiving HSM from HSM generator within the “same company”: This code applies if 

you receive and reclaim hazardous secondary material from a different facility that either controls you or 

is controlled by the same person that controls you. See also paragraph (2) in the Federal definition of 

“Hazardous secondary material generated and reclaimed under the control of the generator” in 40 CFR 

Part 260.10.

04 

Tolling Contractor reclaiming HSM pursuant to a tolling contract: This code applies if you are a 

tolling contractor that reclaims hazardous secondary material pursuant to a written contract with a toll 

manufacturer. See also paragraph (3) in the Federal definition of “Hazardous secondary material 

generated and reclaimed under the control of the generator” in 40 CFR Part 260.10.

05 

Toll Manufacturer managing HSM pursuant to a tolling contract: This code applies if you generate 

and send hazardous secondary material for reclamation to a tolling contractor pursuant to a written 

contract. See also paragraph (3) in the Federal definition of “Hazardous secondary material generated 

and reclaimed under the control of the generator” in 40 CFR Part 260.10.

Transfer-based Exclusion (40 CFR 261.4(a)(24)) 

Code Facility Code Description 

06 

HSM Generator transferring HSM off-site to a domestic reclamation facility: This code applies if 

you generate and send hazardous secondary material for reclamation to an off-site domestic reclamation 

facility.

07 Reclaimer receiving HSM from off-site: This code applies if you reclaim hazardous secondary material 

received from an off-site domestic hazardous secondary material generator or other domestic facility. 

08 

Intermediate facility: This code applies if you receive hazardous secondary material from an off-site 

domestic hazardous secondary material generator or another domestic facility and you store it for more 

than ten days. This code does not apply if you generate or reclaim the hazardous secondary material.

Imports/Exports (40 CFR 261.4(a)(24) or (25)) 

Code Facility Code Description 

09 HSM Generator exporting HSM off-site to a foreign reclamation facility: This code applies if you 

generate and export hazardous secondary material for reclamation to a foreign reclamation facility.

10 

HSM Generator importing HSM from a foreign entity to send to another domestic reclamation 

facility: This code applies if you import hazardous secondary material from a foreign entity and send the 

material for reclamation to a domestic reclamation facility.

11 HSM Generator AND Reclaimer of imported HSM: This code applies if you import hazardous 

secondary material from a foreign entity and reclaim the material at your facility.
50

HSM LAND-BASED UNIT CODES

A 2-digit code that best describes the land-based unit you use or will use to manage the hazardous 

secondary material. 

Code Land-based Unit Code Description 

NA Do not use land-based units to manage hazardous secondary material. 

SI 

Use surface impoundment(s) to manage hazardous secondary material. A surface impoundment 

is a natural topographic depression, man-made excavation or diked area formed primarily of 

earthen materials (although it may be lined with man-made materials), which is designed to hold 

an accumulation of liquid hazardous secondary materials or materials containing free liquids and 

which is not an injection well. 

PL 

Use pile(s) to manage hazardous secondary material. Pile means any non-containerized 

accumulation of solid, nonflowing hazardous secondary material that is used for storage and is 

not a containment building. 

OT Use other land-based unit(s) to manage hazardous secondary material. 
51

DRAFT 

OMB# 2050-0024; Expires xx/xx/xxxx 

SEND 

COMPLETED

FORM TO:

The Appropriate State 

or Regional Office. 

United States Environmental Protection Agency 

RCRA SUBTITLE C SITE IDENTIFICATION FORM

1. Reason for 

Submittal 

MARK ALL 

BOX(ES) THAT 

APPLY 

Reason for Submittal:

 To provide an Initial Notification (first time submitting site identification information / to obtain an EPA ID number for this

location)

 To provide a Subsequent Notification (to update site identification information for this location)

 As a component of a First RCRA Hazardous Waste Part A Permit Application 

 As a component of a Revised RCRA Hazardous Waste Part A Permit Application (Amendment # ) 

 As a component of the Hazardous Waste Report (If marked, see sub-bullet below) 

 Site was a TSD facility and/or generator of >1,000 kg of hazardous waste, >1 kg of acute hazardous waste, or >100 kg of 

acute hazardous waste spill cleanup in one or more months of the report year (or State equivalent LQG regulations)

2. Site EPA ID 

Number EPA ID Number

3. Site Name Name: -

4. Site Location 

Information 

Street Address: 

City, Town, or Village: County: 

State: Country: Zip Code: 

5. Site Land Type Private County District Federal Tribal Municipal State Other 

6. NAICS Code(s) 

for the Site 

 (at least 5-digit 

 codes) 

A. - C. -

B. - D. -

7. Site Mailing 

Address 

Street or P.O. Box: 

City, Town, or Village: 

State: Country: Zip Code: 

8. Site Contact 

Person 

First Name: MI: Last:

Title: 

Street or P.O. Box: 

City, Town or Village: 

State: Country: Zip Code: 

Email: 

Phone: Ext.: Fax: 

9. Legal Owner 

and Operator of 

the Site 

A. Name of Site’s Legal Owner: Date Became 

Owner: 

Owner Type: Private County District Federal Tribal Municipal State Other 

Street or P.O. Box: 

City, Town, or Village: Phone: 

State: Country: Zip Code: 

B. Name of Site’s Operator: Date Became 

Operator: 

Operator 

Type: Private County District Federal Tribal Municipal State Other 
52

DRAFT

EPA ID Number OMB#: 2050-0024; Expires xx/xx/xxxx 

10. Type of Regulated Waste Activity (at your site) 

 Mark “Yes” or “No” for all current activities (as of the date submitting the form); complete any additional boxes as instructed. 

A. Hazardous Waste Activities; Complete all parts 1-10. 

Y N 1. Generator of Hazardous Waste 

 If “Yes”, mark only one of the following – a, b, or c.

Y N 5. Transporter of Hazardous Waste 

 If “Yes”, mark all that apply.

a. LQG: Generates, in any calendar month, 1,000 kg/mo (2,200 

lbs./mo.) or more of hazardous waste; or Generates, in 

any calendar month, or accumulates at any time, more 

than 1 kg/mo (2.2 lbs./mo) of acute hazardous waste; 

or Generates, in any calendar month, or accumulates 

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

acute hazardous spill cleanup material. 

a. Transporter 

b. Transfer Facility (at your site) 

Y N 6. Treater, Storer, or Disposer of Hazardous 

Waste Note: A hazardous waste Part B permit 

is required for these activities. 

Y N 7. Recycler of Hazardous Waste 

b. SQG: 100 to 1,000 kg/mo (220 – 2,200 lbs./mo) of nonacute hazardous waste. 

c. CESQG: Less than 100 kg/mo (220 lbs./mo) of non-acute 

hazardous waste. 

Y N 8. Exempt Boiler and/or Industrial Furnace 

If “Yes”, mark all that apply. 

If “Yes” above, indicate other generator activities in 2-4. a. Small Quantity On-site Burner Exemption

Y N 2. Short-Term Generator (generate from a short-term or one-time event 

and not from on-going processes). If “Yes”, provide an explanation in 

the Comments section. 

b. Smelting, Melting, and Refining Furnace 

Exemption 

Y N 3. United States Importer of Hazardous Waste Y N 9. Underground Injection Control 

Y N 4. Mixed Waste (hazardous and radioactive) Generator Y N 10. Receives Hazardous Waste from Off-site 

B. Universal Waste Activities; Complete all parts 1-2. C. Used Oil Activities; Complete all parts 1-4. 

Y N 1. Large Quantity Handler of Universal Waste (you accumulate 

5,000 kg or more) [refer to your State regulations to determine 

what is regulated]. Indicate types of universal waste managed 

at your site. If “Yes”, mark all that apply. 

Y N 1. Used Oil Transporter 

 If “Yes”, mark all that apply. 

a. Transporter 

b. Transfer Facility (at your site) 

 

a. Batteries 

b. Pesticides 

c. Mercury containing equipment 

d. Lamps 

e. Other (specify) 

f. Other (specify) 

g. Other (specify) 

Y N 2. Used Oil Processor and/or Re-refiner 

 If “Yes”, mark all that apply. 

a. Processor 

b. Re-refiner 

Y N 3. Off-Specification Used Oil Burner 

Y N 4. Used Oil Fuel Marketer 

 If “Yes”, mark all that apply. 

Y N 2. Destination Facility for Universal Waste 

Note: A hazardous waste permit may be required for this activity. 

a. Marketer Who Directs Shipment of OffSpecification Used Oil to OffSpecification Used Oil Burner 

b. Marketer Who First Claims the Used Oil 

Meets the Specifications 
53

DRAFT

EPA ID Number OMB#: 2050-0024; Expires xx/xx/xxxx

D. Eligible Academic Entities with Laboratories—Notification for opting into or withdrawing from managing laboratory hazardous wastes 

pursuant to 40 CFR Part 262 Subpart K 

 You can ONLY Opt into Subpart K if: 

• you are at least one of the following: a college or university; a teaching hospital that is owned by or has a formal affiliation agreement with a 

college or university; or a non-profit research institute that is owned by or has a formal affiliation agreement with a college or university; AND 

• you have checked with your State to determine if 40 CFR Part 262 Subpart K is effective in your state 

Y N N 1. Opting into or currently operating under 40 CFR Part 262 Subpart K for the management of hazardous wastes in laboratories 

 See the item-by-item instructions for definitions of types of eligible academic entities. Mark all that apply:

a. College or University 

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

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

Y N N 2. Withdrawing from 40 CFR Part 262 Subpart K for the management of hazardous wastes in laboratories 

11. Description of Hazardous Waste 

A. Waste Codes for Federally Regulated Hazardous Wastes. Please list the waste codes of the Federal hazardous wastes handled at your site. List them 

in the order they are presented in the regulations (e.g., D001, D003, F007, U112). Use an additional page if more spaces are needed. 

B. Waste Codes for State-Regulated (i.e., non-Federal) Hazardous Wastes. Please list the waste codes of the State-Regulated hazardous wastes handled 

at your site. List them in the order they are presented in the regulations. Use an additional page if more spaces are needed.
54

DRAFT 

EPA ID Number OMB#: 2050-0024; Expires xx/xx/xxxx

12. Notification of Hazardous Secondary Material (HSM) Activity 

Y N Are you notifying under 40 CFR 260.42 that you will begin managing, are managing, or will stop managing hazardous secondary material 

under 40 CFR 261.2(a)(2)(ii), 40 CFR 261.4(a)(23), (24), or (25)? 

If “Yes”, you must fill out the Addendum to the Site Identification Form: Notification for Managing Hazardous Secondary Material. 

13. Comments 

14. Certification. I certify under penalty of law that this document and all attachments were prepared under my direction or supervision in accordance 

with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person 

or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my 

knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the 

possibility of fines and imprisonment for knowing violations. For the RCRA Hazardous Waste Part A Permit Application, all owner(s) and 

operator(s) must sign (see 40 CFR 270.10(b) and 270.11). 

Signature of legal owner, operator, or an 

authorized representative 

Name and Official Title (type or print) Date Signed 

(mm/dd/yyyy) 
55

DRAFT 

 

 

EPA ID Number OMB#: 2050-0024; Expires xx/xx/xxxx

ADDENDUM TO THE SITE IDENTIFICATION FORM: 

NOTIFICATION OF HAZARDOUS SECONDARY MATERIAL ACTIVITY 

ONLY fill out this form if: 

 You are located in a State that allows you to manage excluded hazardous secondary material (HSM) under 40 CFR 261.2(a)(2)(ii), 261.4(a)(23), 

(24), or (25) (or state equivalent). See http://www.epa.gov/epawaste/hazard/dsw/statespf.htm for a list of eligible states; AND

 You are or will be managing excluded HSM in compliance with 40 CFR 261.2(a)(2)(ii), 261.4(a)(23), (24), or (25) (or state equivalent) or you 

have stopped managing excluded HSM in compliance with the exclusion(s) and do not expect to manage any amount of excluded HSM under 

the exclusion(s) for at least one year. Do not include any information regarding your hazardous waste activities in this section.

1. Indicate reason for notification. Include dates where requested. 

Facility will begin managing excluded HSM as of _____________ (mm/dd/yyyy). 

 Facility is still managing excluded HSM/re-notifying as required by March 1 of each even-numbered year. 

 Facility has stopped managing excluded HSM as of ____________ (mm/dd/yyyy) and is notifying as required. 

2. Description of excluded HSM activity. Please list the appropriate codes and quantities in short tons to describe your excluded HSM activity ONLY

(do not include any information regarding your hazardous wastes). Use additional pages if more space is needed. 

a. Facility code

(answer using codes 

listed in the Code List 

section of the 

instructions) 

b. Waste code(s) for HSM c. Estimated short tons 

of excluded HSM to be 

managed annually 

d. Actual short tons of 

excluded HSM that 

was managed during 

the most recent oddnumbered year 

e. Land-based unit 

code (answer using 

codes listed in the 

Code List section of 

the instructions) 

3. Facility has financial assurance pursuant to 40 CFR 261.4(a)(24)(vi). (Financial assurance is required for reclaimers and intermediate facilities 

managing excluded HSM under 40 CFR 261.4(a)(24) and (25)) 

Y N Does this facility have financial assurance pursuant to 40 CFR 261.4(a)(24)(vi)? 
56

This page intentionally left blank
57

EPA ID Number OMB#: 2050-0024; Expires xx/xx/xxxx

 

United States Environmental Protection Agency 

HARDOUS WASTE PERMIT INFORMATION FORM 

1. Facility Permit Contact First Name: MI: Last Name:

Contact Title: 

Phone: Ext.: Email: 

2. Facility Permit 

Contact Mailing Address Street or P.O. Box: 

City, Town, or Village: 

State: 

Country: Zip Code: 

3. Operator Mailing 

Address and Telephone 

Number 

Street or P.O. Box: 

City, Town, or Village: 

State: Phone: 

Country: Zip Code: 

4. Facility Existence Date Facility Existence Date (mm/dd/yyyy): 

5. Other Environmental Permits 

A. Facility Type 

(Enter code) B. Permit Number C. Description 

 

6. Nature of Business: 
58

EPA ID Number OMB#: 2050-0024; Expires xx/xx/xxxx

7. Process Codes and Design Capacities – Enter information in the Section on Form Page 3 

A. PROCESS CODE – Enter the code from the list of process codes below that best describes each process to be used at the facility. If more lines are 

needed, attach a separate sheet of paper with the additional information. For “other” processes (i.e., D99, S99, T04 and X99), describe the process 

(including its design capacity) in the space provided in Item 8. 

B. PROCESS DESIGN CAPACITY – For each code entered in Item 7.A; enter the capacity of the process. 

1. AMOUNT – Enter the amount. In a case where design capacity is not applicable (such as in a closure/post-closure or enforcement action) enter 

the total amount of waste for that process. 

2. UNIT OF MEASURE – For each amount entered in Item 7.B(1), enter the code in Item 7.B(2) from the list of unit of measure codes below that 

describes the unit of measure used. Select only from the units of measure in this list. 

C. PROCESS TOTAL NUMBER OF UNITS – Enter the total number of units for each corresponding process code.

Process Code 

Process 

Appropriate Unit of Measure for Process 

Design Capacity 

Process 

Code 

Process Appropriate Unit of 

Measure for Process 

Design Capacity 

Disposal Treatment (Continued) (for T81 – T94) 

D79 Underground Injection Well 

Disposal 

Gallons; Liters; Gallons Per Day; or Liters Per 

Day 

T81 Cement Kiln Gallons Per Day; Liters Per 

Day; Pounds Per Hour; 

Short Tons Per Hour; 

Kilograms Per Hour; Metric 

Tons Per Day; Metric Tons 

Per Hour; Short Tons Per 

Day; BTU Per Hour; Liters 

Per Hour; Kilograms Per 

Hour; or Million BTU Per 

Hour 

D80 Landfill Acre-feet; Hectares-meter; Acres; Cubic 

Meters; Hectares; Cubic Yards T82 Lime Kiln 

D81 Land Treatment Acres or Hectares T83 Aggregate Kiln 

D82 Ocean Disposal Gallons Per Day or Liters Per Day T84 Phosphate Kiln 

D83 Surface Impoundment 

Disposal Gallons; Liters; Cubic Meters; or Cubic Yards T85 Coke Oven 

D99 Other Disposal Any Unit of Measure Listed Below T86 Blast Furnace 

Storage T87 Smelting, Melting, or Refining Furnace 

S01 Container Gallons; Liters; Cubic Meters; or Cubic Yards T88 Titanium Dioxide Chloride Oxidation Reactor 

S02 Tank Storage Gallons; Liters; Cubic Meters; or Cubic Yards T89 Methane Reforming Furnace 

S03 Waste Pile Cubic Yards or Cubic Meters T90 Pulping Liquor Recovery Furnace 

S04 Surface Impoundment Gallons; Liters; Cubic Meters; or Cubic Yards T91 Combustion Device Used in the Recovery of Sulfur 

Values from Spent Sulfuric Acid 

S05 Drip Pad Gallons; Liters; Cubic Meters; Hectares; or 

Cubic Yards T92 Halogen Acid Furnaces 

S06 Containment Building 

Storage 

Cubic Yards or Cubic Meters T93 Other Industrial Furnaces Listed in 40 CFR 260.10 

S99 Other Storage Any Unit of Measure Listed Below T94 Containment 

Building Treatment 

Cubic Yards; Cubic Meters; 

Short Tons Per Hour; 

Gallons Per Hour; Liters Per 

Hour; BTU Per Hour; 

Pounds Per Hour; Short 

Tons Per Day; Kilograms 

Per Hour; Metric Tons Per 

Day; Gallons Per Day; Liters 

Per Day; Metric Tons Per 

Hour; or Million BTU Per 

Hour 

Treatment

T01 Tank Treatment Gallons Per Day; Liters Per Day 

T02 Surface Impoundment Gallons Per Day; Liters Per Day 

T03 Incinerator Short Tons Per Hour; Metric Tons Per Hour; 

Gallons Per Hour; Liters Per Hour; BTUs Per 

Hour; Pounds Per Hour; Short Tons Per Day; 

Kilograms Per Hour; Gallons Per Day; Metric 

Tons Per Hour; or Million BTU Per Hour 

Miscellaneous (Subpart X) 

X01 Open 

Burning/Open 

Detonation 

Any Unit of Measure Listed 

Below 

X02 Mechanical 

Processing 

Short Tons Per Hour; Metric 

Tons Per Hour; Short Tons 

Per Day; Metric Tons Per 

Day; Pounds Per Hour; 

Kilograms Per Hour; 

Gallons Per Hour; Liters Per 

Hour; or Gallons Per Day 

T04 Other Treatment Gallons Per Day; Liters Per Day; Pounds Per 

Hour; Short Tons Per Hour; Kilograms Per 

Hour; Metric Tons Per Day; Short Tons Per 

Day; BTUs Per Hour; Gallons Per Day; Liters 

Per Hour; or Million BTU Per Hour 

X03 Thermal Unit Gallons Per Day; Liters Per 

Day; Pounds Per Hour; 

Short Tons Per Hour; 

Kilograms Per Hour; Metric 

Tons Per Day; Metric Tons 

Per Hour; Short Tons Per 

Day; BTU Per Hour; or 

Million BTU Per Hour 

T80 Boiler Gallons; Liters; Gallons Per Hour; Liters Per 

Hour; BTUs Per Hour; or Million BTU Per Hour 
59

X04 Geologic 

Repository 

Cubic Yards; Cubic Meters; 

Acre-feet; Hectare-meter; 

Gallons; or Liters 

X99 Other Subpart X Any Unit of Measure Listed 

Below 

Unit of Measure Unit of Measure Code

Gallons ................................................. G 

Gallons Per Hour ................................. E 

Gallons Per Day ................................... U 

Liters ..................................................... L 

Liters Per Hour ..................................... H 

Liters Per Day ...................................... V

Unit of Measure Unit of Measure Code

Short Tons Per Hour ................................ D 

Short Tons Per Day .................................. N 

Metric Tons Per Hour .............................. W 

Metric Tons Per Day ................................. S 

Pounds Per Hour ...................................... J 

Kilograms Per Hour.................................. X 

Million BTU Per Hour ............................... X

Unit of Measure Unit of 

Measure Code

Cubic Yards .........................................

Cubic Meters ........................................

Acres ....................................................

Acre-feet ...............................................

Hectares ...............................................

Hectare-meter ......................................

BTU Per Hour .......................................

 
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7. Process Codes and Design Capacities (Continued) 

 EXAMPLE FOR COMPLETING Item 7 (shown in line number X-1 below): A facility has a storage tank, which can hold 533.788 gallons. 

Line 

Number 

A. Process 

Code 

(From list above)

B. PROCESS DESIGN CAPACITY C. Process Total 

Number of Units For Official Use Only 

(1) Amount (Specify) (2) Unit of Measure

X 1 S 0 2 533.788 G 001 

 1 

 2 

 3 

 4 

 5 

 6 

 7 

 8 

 9 

1 0 

1 1 

1 2 

1 3 

Note: If you need to list more than 13 process codes, attach an additional sheet(s) with the information in the same format as above. 

Number the line sequentially, taking into account any lines that will be used for “other” process (i.e., D99, S99, T04, and X99) in Item 8. 

8. Other Processes (Follow instructions from Item 7 for D99, S99, T04, and X99 process codes) 

Line 

Number 

(Enter #s in 

sequence 

with Item 7) 

 A. Process Code 

(From list above)

B. PROCESS DESIGN CAPACITY 

C. Process Total 

Number of Units For Official Use Only 

(1) Amount (Specify) (2) Unit of 

Measure 

X 2 T 0 4 100.00 U 001 

 

 

 

 

 

 

 

 

 

 

 

 
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9. Description of Hazardous Wastes - Enter Information in the Sections on Form Page 5 

A. EPA HAZARDOUS WASTE NUMBER – Enter the four-digit number from 40 CFR, Part 261 Subpart D of each listed hazardous waste you will 

handle. For hazardous wastes which are not listed in 40 CFR, Part 261 Subpart D, enter the four-digit number(s) from 40 CFR Part 261, Subpart 

C that describes the characteristics and/or the toxic contaminants of those hazardous wastes. 

B. ESTIMATED ANNUAL QUANTITY – For each listed waste entered in Item 9.A, estimate the quantity of that waste that will be 

handled on an annual basis. For each characteristic or toxic contaminant entered in Item 9.A, estimate the total annual 

quantity of all the non-listed waste(s) that will be handled which possess that characteristic or contaminant. 

C. UNIT OF MEASURE – For each quantity entered in Item 9.B, enter the unit of measure code. Units of measure which must be 

used and the appropriate codes are: 

ENGLISH UNIT OF MEASURE CODE METRIC UNIT OF 

MEASURE 

CODE 

POUNDS P KILOGRAMS K 

TONS T METRIC TONS M 

If facility records use any other unit of measure for quantity, the units of measure must be converted into one of the required

units of measure, taking into account the appropriate density or specific gravity of the waste. 

D. PROCESSES 

 1. PROCESS CODES: 

 For listed hazardous waste: For each listed hazardous waste entered in Item 9.A, select the code(s) from the list of 

process codes contained in Items 7.A and 8.A on page 3 to indicate all the processes that will be used to store, treat, 

and/or dispose of all listed hazardous wastes. 

 For non-listed waste: For each characteristic or toxic contaminant entered in Item 9.A, select the code(s) from the list of 

process codes contained in Items 7.A and 8.A on page 3 to indicate all the processes that will be used to store, treat, 

and/or dispose of all the non-listed hazardous wastes that possess that characteristic or toxic contaminant. 

 NOTE: THREE SPACES ARE PROVIDED FOR ENTERING PROCESS CODES. IF MORE ARE NEEDED: 

1. Enter the first two as described above. 

2. Enter “000” in the extreme right box of Item 9.D(1). 

3. Use additional sheet, enter line number from previous sheet, and enter additional code(s) in Item 9.E. 

2. PROCESS DESCRIPTION: If code is not listed for a process that will be used, describe the process in Item 9.D(2) or in 

Item 9.E(2). 

 NOTE: HAZARDOUS WASTES DESCRIBED BY MORE THAN ONE EPA HAZARDOUS WASTE NUMBER – Hazardous 

wastes that can be described by more than one EPA Hazardous Waste Number shall be described on the form as follows: 

1. Select one of the EPA Hazardous Waste Numbers and enter it in Item 9.A. On the same line complete Items 9.B, 9.C, 

and 9.D by estimating the total annual quantity of the waste and describing all the processes to be used to store, 

treat, and/or dispose of the waste. 

2. In Item 9.A of the next line enter the other EPA Hazardous Waste Number that can be used to describe the waste. In 

Item 9.D.2 on that line enter “included with above” and make no other entries on that line. 

3. Repeat step 2 for each EPA Hazardous Waste Number that can be used to describe the hazardous waste. 

 EXAMPLE FOR COMPLETING Item 9 (shown in line numbers X-1, X-2, X-3, and X-4 below) – A facility will treat and dispose of an 

estimated 900 pounds per year of chrome shavings from leather tanning and finishing operations. In addition, the facility will treat 

and dispose of three non-listed wastes. Two wastes are corrosive only and there will be an estimated 200 pounds per year of each 

waste. The other waste is corrosive and ignitable and there will be an estimated 100 pounds per year of that waste. Treatment will 

be in an incinerator and disposal will be in a landfill. 

Line 

Number 

A. EPA Hazardous 

Waste No. 

(Enter code) 

B. Estimated 

Annual 

Qty of 

Waste 

C. Unit of 

Measure 

(Enter code) 

D. PROCESSES 

(1) PROCESS CODES (Enter Code) (2) PROCESS DESCRIPTION 

(If code is not entered in 9.D(1)) 

X 1 K 0 5 4 900 P T 0 3 D 8 0 

X 2 D 0 0 2 400 P T 0 3 D 8 0 

X 3 D 0 0 1 100 P T 0 3 D 8 0 
62

X 4 D 0 0 2 Included With Above 

 
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9. Description of Hazardous Wastes (Continued. Use additional sheet(s) as necessary; number pages as 5a, etc.)

Line Number 

A. EPA Hazardous 

Waste No. 

(Enter code) 

B. Estimated 

Annual 

Qty of 

Waste 

C. Unit of 

Measure 

(Enter code) 

D. PROCESSES 

(1) PROCESS CODES (Enter Code) (2) PROCESS DESCRIPTION 

(If code is not entered in 9.D(1)) 

 1 

 2 

 3 

 4 

 5 

 6 

 7 

 8 

 9 

1 0 

1 1 

1 2 

1 3 

1 4 

1 5 

1 6 

1 7 

1 8 

1 9 

2 0 

2 1 

2 2 

2 3 

2 4 

2 5 

2 6 

2 7 

2 8 

2 9 

3 0 

3 1 

3 2 

3 3 

3 4 
64

3 5 

3 6 

 
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EPA ID Number OMB#: 2050-0024; Expires xx/xx/xxxx

9. Description of Hazardous Wastes (Continued. Use additional sheet(s) as necessary; number pages as 5a, etc.)

Line Number 

A. EPA Hazardous 

Waste No. 

(Enter code) 

B. Estimated 

Annual 

Qty of 

Waste 

C. Unit of 

Measure 

(Enter code) 

D. PROCESSES 

(1) PROCESS CODES (Enter Code) (2) PROCESS DESCRIPTION 

(If code is not entered in 9.D.1) 

 
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EPA ID Number OMB#: 2050-0024; Expires xx/xx/xxxx

10. Map 

 Attach to this application a topographical map, or other equivalent map, of the area extending to at least one mile beyond property 

boundaries. The map must show the outline of the facility, the location of each of its existing intake and discharge structures, each of its 

hazardous waste treatment, storage, or disposal facilities, and each well where it injects fluids underground. Include all spring, rivers, and 

other surface water bodies in this map area. See instructions for precise requirements. 

11. Facility Drawing 

All existing facilities must include a scale drawing of the facility (see instructions for more detail). 

12. Photographs 

 All existing facilities must include photographs (aerial or ground-level) that clearly delineate all existing structures; existing storage, 

treatment, and disposal areas; and sites of future storage, treatment, or disposal areas (see instructions for more detail). 

13. Comments 
67