United States

Environmental Protection

Agency

[INSERT MONTH] 2011

2011 Hazardous

Waste Report

Instructions and Form

EPA Form 8700-13 A/B

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

(5303P)

Washington, DC 20460

2011 Hazardous Waste Report

Instructions and Form

This is an ongoing information collection from hazardous waste generators and hazardous waste treatment, storage, or disposal

facilities. This collection is done on a two-year cycle as required by Sections 3002 and 3004 of the Resource Conservation and 

Recovery Act (RCRA). The information is collected via a mechanism known as the Hazardous Waste Report for the required 

reporting year [EPA Form 8700-13 A/B] (also known as the Biennial Report). Both RCRA Sections 3002 and 3004 require EPA 

to establish standards for recordkeeping and reporting of hazardous waste. Section 3002 applies to hazardous waste generators 

and Section 3004 applies to hazardous waste treatment, storage, and disposal facilities. The implementing regulations are found 

at 40 CFR Parts 262.40(b) and (d); 262.41(a)(1)-(5), (a)(8), and (b); 264.75(a)-(e) and (j); 265.75(a)-(e) and (j); and 270.30(l)(9). 

This is mandatory reporting by the respondents.

The respondents’ submissions (reports) describe each generated hazardous waste, the activity by which they generated the 

wastes, and the waste quantity; the reports also list the management method by which each waste is treated, recycled, or disposed 

and the quantity managed. There are a number of uses of Biennial Report data. EPA uses Biennial Report data for planning and 

developing regulations, compliance monitoring, and enforcement. Also, Biennial Report data allows the Agency to determine 

whether its regulations are having the desired effect on the generation and management of hazardous waste. For example, 

Biennial Report data provides information on whether waste management has shifted from one method of disposal to another. 

Some State uses of Report data include support of planning, fee assessment, compliance monitoring, and enforcement.

Some businesses consider some of their hazardous waste information to be Confidential Business Information (CBI). A business

may, if it desires, protect its Biennial Report information from public disclosure by asserting a claim of confidentiality covering 

all or part of its information. When a claim is made EPA will treat the information in accordance with the confidentiality 

regulations in 40 CFR Part 2, Subpart B. EPA also ensures that the information collection procedures comply with the Privacy 

Act of 1974 and OMB Circular 108.

Estimated Burden: The total annual public reporting and recordkeeping burden for this collection of information is estimated to 

average [x] hours per response. The annual reporting burden is estimated to average [x] hours per response including time for 

reviewing instructions, gathering data, completing and reviewing the forms, and submitting the report. The annual recordkeeping 

requirement is estimated to average [x] hours per respondent including the time for filing and storing the Biennial Report 

submission.

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

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

docket for this ICR under Docket ID Number 0976.15, which is available for public viewing at the RCRA Docket in the EPA 

Docket Center (EPA/DC), EPA West, Room B102, 1301 Constitution Ave., NW, Washington, D.C. The EPA Docket Center 

Public Reading Room is open from 8:30 a.m. to 4:30 p.m., Monday through Friday, excluding legal holidays. The telephone 

number for the Reading Room is (202) 566-1744 and the telephone number for the RCRA Docket is (202) 566-0270. An 

electronic version of the public docket is available through EPA Dockets (EDOCKET) at 

http://www.epa.gov/dockets/regulations.htm.

Use EDOCKET to submit or view public comments, access the index listing of the contents of the public docket, and to access 

those documents in the public docket that are available electronically. Once in the system, select “search,” then key in the docket 

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

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

EPA Docket ID Number 0976.15 and OMB Control Number 2050-0024 in any correspondence.

Deleted: 18.7

Deleted: 16.4

Deleted: 2.3

Deleted: 4

Deleted: 4
Table of Contents

PURPOSE OF THE 2011 HAZARDOUS WASTE REPORT................................................. 1

WHO MUST FILE THE 2011 HAZARDOUS WASTE RE .................................................... 3

Sites Required to File the Hazardous Waste Report.................................................................3

Sites That Should Not File the Hazardous Waste Report..........................................................4

State-Specific Requirements....................................................................................................4

INSTRUCTIONS FOR FILING THE 2011 HAZARDOUS WASTE REPORT ................... 5

Introduction.............................................................................................................................5

Authority.................................................................................................................................5

Overview of the 2011 Hazardous Waste Report.......................................................................5

When and Where to Send Your Completed Report..................................................................5

Which Forms To Submit and What to Report ..........................................................................6

Filling out the Forms...............................................................................................................8

Contacts for Assistance .......................................................................................................8

Copies of Hazardous Waste Report Instructions and Forms.................................................8

Documents Helpful in Filling out the Forms........................................................................8

Code Lists...........................................................................................................................8

Skip Instructions..................................................................................................................8

Explanations........................................................................................................................8

Alphanumeric Fields ...........................................................................................................9

Right Justification of Quantities ..........................................................................................9

Comments Section of Forms................................................................................................9

Page Numbering of Forms...................................................................................................9

Photocopies of Forms..........................................................................................................9

Electronic Reporting..........................................................................................................10

Confidential Business Information (CBI)...........................................................................10

INSTRUCTIONS FOR FILLING OUT THE RCRA SUBTITLE C SITE 

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

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

Purpose of This Form............................................................................................................11

How to Fill Out This Form....................................................................................................11

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

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

Item 2 – Site EPA ID Number ...........................................................................................14

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

Item 5 – Site Land Type ....................................................................................................15

Item 6 – North American Industry Classification System (NAICS) Code(s) ......................15

Item 7 – Site Mailing Address ...........................................................................................15

Item 8 – Site Contact Person..............................................................................................16

Item 9 – Legal Owner and Operator of the Site..................................................................16

Item 10 – Type of Regulated Waste Activity .....................................................................18

Item 11 – Description of Hazardous Wastes ......................................................................25

Item 12 – Notification of Hazardous Secondary Material (HSM) Activity .........................25

Item 13 – Comments .........................................................................................................26
Item 14 – Certification.......................................................................................................26

ADDENDUM TO THE SITE IDENTIFICATION FORM: NOTIFICATION OF 

HAZARDOUS SECONDARY MATERIAL ACTIVITY....................................................... 27

You Must Fill Out This Section If: ........................................................................................27

Item 1 – Indicate Reason for Notification (include dates where requested): ...........................27

Item 2 – Description of Excluded Hazardous Secondary Material (HSM) Activity ................28

Item 3 – Facility has Financial Assurance Pursuant to 40 CFR 261.4(a)(24)(vi) ....................31

INSTRUCTIONS FOR FILLING OUT THE GM FORM – WASTE GENERATION AND 

MANAGEMENT ........................................................................................................................ 32

Who Must Submit this Form .................................................................................................32

Purpose of this Form .............................................................................................................32

How to Fill out this Form ......................................................................................................32

Wastes to be Reported...........................................................................................................32

Wastes Not to be Reported ....................................................................................................33

How to Report Similar Wastes on the GM Form ...................................................................35

Item-By-Item Instructions .....................................................................................................36

Section 1 – Waste Characteristics......................................................................................36

Item A – Waste Description...........................................................................................36

Item B – EPA Hazardous Waste Code(s).......................................................................36

Item C – State Hazardous Waste Code(s).......................................................................36

Item D – Source Code and Management Method Code for Source Code G25 ................37

Item E – Form Code ......................................................................................................37

Item F – Quantity Generated in 2011 / UOM and Density..............................................38

Item G – Waste Minimization Code...............................................................................38

(Changes may be implemented in 2013)........................................................................38

Section 2 – On-site Generation and Management of Hazardous Waste During 2011..........39

On-Site Management Method Code...............................................................................39

Quantity Treated, Disposed, or Recycled On-site in 2011 ..............................................40

Section 3 – Off-site Shipment of Hazardous Waste............................................................41

Item A – Was any of this Waste Shipped Off-site in 2011 for Treatment, Disposal, or 

Recycling?.....................................................................................................................41

Item B – EPA ID Number of Facility to which Waste was Shipped ...............................41

Item C – Off-site Management Method Code Shipped To..............................................41

Item D – Total Quantity Shipped in 2011.......................................................................41

INSTRUCTIONS FOR FILLING OUT THE WR FORM – WASTE RECEIVED FROM 

OFF-SITE.................................................................................................................................... 43

Who Must Submit this Form .................................................................................................43

Purpose of this Form .............................................................................................................43

How to Fill out this Form ......................................................................................................43

Item-By-Item Instructions .....................................................................................................44

Item A – Waste Description...............................................................................................44

Item B – EPA Hazardous Waste Code(s)...........................................................................44

Item C – State Hazardous Waste Code(s)...........................................................................44

Item D – Off-site Handler EPA Identification Number ......................................................45

Item E – Quantity Received in 2011 ..................................................................................45

Item F – UOM and Density ...............................................................................................45
Item G – Form Code..........................................................................................................46

Item H – Management Method Code .................................................................................46

OTHER REFERENCE INFORMATION AND CODE LISTS ............................................. 47

EXCLUDED WASTES.........................................................................................................48

DEFINITIONS......................................................................................................................49

SPECIAL INSTRUCTIONS .................................................................................................60

EPA HAZARDOUS WASTE CODES..................................................................................64

HSM FACILITY CODES .....................................................................................................65

HSM LAND-BASED UNIT CODES....................................................................................66

SOURCE CODES.................................................................................................................67

FORM CODES .....................................................................................................................69

MANAGEMENT METHOD CODES...................................................................................71

WASTE MINIMIZATION CODES......................................................................................73
1

PURPOSE OF THE 2011 HAZARDOUS WASTE REPORT

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

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

waste. As part of this task, the EPA and the States collect and maintain information about the generation, 

management, and final disposition of the nation’s hazardous waste regulated by the Resource 

Conservation and Recovery Act (RCRA).

The EPA prepared this booklet for hazardous waste generators and for facilities that treat, store, or 

dispose hazardous waste to report their hazardous waste activities for calendar year 2011. The 

information collected will:

Provide the EPA and the States with an understanding of hazardous waste generation and 

management in the United States.

Help the EPA measure the quality of the environment, such as monitoring industry compliance 

with the regulations and evaluating waste minimization efforts taken by industry.

Be summarized and communicated to the public, primarily through publication of the 2011

National Biennial RCRA Hazardous Waste Report.

The data you provide will be entered into a computer database by the State or the EPA Regional Office to 

which you return your Hazardous Waste Report. After review, to ensure the quality of the data, EPA will 

create a national database for this information. Your efforts in carefully filling out all the report forms are

appreciated.

IMPORTANT

Before completing the 2011 Hazardous Waste Report forms, please carefully read the instructions in this 

booklet.

IF YOU NEED ASSISTANCE

To obtain assistance in filling out the 2011 Hazardous Waste Report forms, please contact your State 

Office. Some States’ reporting requirements differ from the Federal requirements. The list of State and 

EPA Regional Office addresses, contact names, telephone numbers, and e-mail addresses is located at:

http://www.epa.gov/epawaste/inforesources/data/form8700/contact.pdf.

Deleted: 

http://www.epa.gov/osw/inforesources/data/form870

0/contact.pdf
2

Revised waste minimization codes (May be 

implemented in 2013) We expanded the list of waste 

minimization codes, added examples of waste 

minimization activities and included definitions for 

“waste minimization” and “sustainable materials 

management.”

Clarified Underground Injection Control (UIC) 

Instructions Facilities that generate, treat, store, or 

dispose of hazardous waste and place the waste into an 

underground injection well (e.g., a Class I well) located 

at their site must mark “Yes” in Section 10.A.9 of the 

Site ID form.

Added “Waste Pharmaceuticals” to the list of Form 

Codes Form code W005 has been added to track waste 

pharmaceuticals managed as hazardous waste.

Clarified what should be reported for a generator who 

is only an LQG for some (but not all) months of the 

reporting year (May be implemented in 2013) A 

generator who is an LQG for one or months of the 

reporting year should report all their waste generated 

during the reporting year.

Modified the description for G11 and W206 The source 

code for G11 is now “Discarding off-specification, outof-date, and/or unused chemicals or products” and the 

form code W206 is now “Waste oil managed as 

hazardous waste.”

Consolidated some management method codes (May 

be implemented in 2013) Many “Destruction or 

Treatment Prior to Disposal” management method 

codes are consolidated to enable easier reporting.

Revised “Groundwater contaminated by Hazardous 

Waste” instructions Replaced the term “leachate” with 

“hazardous waste” and added further instructions 

regarding contaminated media.

Clarified instructions for on-site management Modified 

the language to clarify that filers should choose the 

management method code that best identifies the last 

substantive purpose/operation it performs onsite.

Revised wording of Box 10.D (Academic Labs) and the 

Addendum to the Site ID form (Hazardous Secondary 

Material) Wording changes implemented to both the 

Site ID form and instructions to help minimize confusion 

for reporting under these rules.

Clarified “Short-term Generator” Added examples, 

further instruction, and a definition for short-term 

generator. 

Developed the “Reportable and Non-Reportable 

Waste Guidance” This guidance offers instruction for 

determining which wastes should be reported. This 

guidance can be found at [INSERT LINK]. 

Revised note for Treater, Storer, or Disposer of 

Hazardous Waste (May be implemented in 2013) on 

the Site ID form The note under Box 10.A.6 now reads 

“Note: A hazardous waste Part B permit is required for 

these activities.”

Added instruction for source code G61 If reporting 

source code G61 (hazardous waste received from offsite for storage/bulking and transfer off-site for 

treatment or disposal), the generation amount must be 

zero (0) in Section 1, Item F.”

Added example of sequential process This example 

complements the existing non-sequential process for 

reporting on-site management.

Modified language for GM Form, Section 2 On-site 

Generation and Management Section 2 now asks “Was 

any of this hazardous waste that was generated at this 

facility treated, disposed, and/or recycled on-site?”

NOTE: As of the 2009 biennial report cycle, all 

information on the GM form Section 1 and the WR 

form are mandatory for filers submitting those forms. 

What’s New

A list of changes in the 2011 Biennial Report 

Instructions and Forms
3

WHO MUST FILE THE 2011 HAZARDOUS WASTE REPORT

Sites Required to File the Hazardous Waste Report

You are required by Federal statute (mandatory reporting) to complete and file the 2011 Hazardous Waste 

Report (also known as the “Biennial Report”) or your State’s equivalent hazardous waste report if your 

site:

Met the definition (see box below) of a RCRA Large Quantity Generator (LQG) during 2011; or

Treated, stored, or disposed of RCRA hazardous wastes on-site during 2011.

If you are required to report, see WHICH FORMS TO SUBMIT AND WHAT TO REPORT to 

determine which forms you must submit.

DEFINITION OF A RCRA LARGE QUANTITY GENERATOR

WHO MUST REPORT FOR CALENDAR YEAR 2011

A site is a RCRA Large Quantity Generator (LQG) for 2011 if the site met any of the following criteria:

a. The site generated, in any single calendar month, 1,000 kg (2,200 lbs.) or more of RCRA 

non-acute hazardous waste; or

b. The site generated, in any single calendar month, or accumulated at any time, more than 1 

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

c. The site generated, in any single calendar month, or accumulated at any time, more than 

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

waste.

Note: You will report your current Hazardous Waste Generator status as of the date of submitting 

your 2011 Hazardous Waste Report on the Site ID Form in Item 10.A.1 – Generator of 

Hazardous Waste. Your current status may be different from the status during the report year 

that requires you to file the Hazardous Waste Report.

Note: Hazardous waste imported from a foreign country in 2011 must be counted in determining your 

generator status if your site is the U.S. Importer. This waste must be reported on the GM Form 

or the WR Form in your 2011 Hazardous Waste Report.

Note: Some states, as a matter of state law, require other categories of generators to report as well. See

the discussion under “State-Specific Requirements” on page 4.
Who Must File the 2011 Hazardous Waste Report

(continued)

4

Sites That Should Not File the Hazardous Waste Report

Do not file the 2011 Hazardous Waste Report if, during 2011, your site was not a RCRA Large Quantity 

Generator (your site did not meet any of the LQG criteria) and your site did not treat, store, or dispose of 

RCRA hazardous wastes on-site in waste management units subject to a RCRA operating permit. 

Exception: file the report if your state has more stringent reporting requirements. See “State-Specific 

Requirements” below.”

If you are not required to report, you should notify us if your hazardous waste generator status has 

changed; please fill out the RCRA Subtitle C Site Identification Form and submit it to your State Office. 

See the Item-by-Item Instructions for information on filling out the Site Identification Form. Place an 

“X” in the box for Subsequent Notification in Item 1 – Reason for Submittal.

Unless required by your state, DO NOT file the 2011 Hazardous Waste Report if, during 2011, all of 

your hazardous waste was exported directly out of the United States to a foreign country. Facilities that 

export hazardous waste must file a separate Annual Report under 40 CFR 262.56. (This Annual Report 

will be in addition to the Hazardous Waste Report, if your state requires you to submit a Hazardous Waste 

Report.)

State-Specific Requirements

States may impose reporting requirements above and beyond the Federal requirements. If your State does 

so, it will attach information to (or delete information from) this booklet. Alternatively, some States use a 

modified version of this report or their own instructions and forms to fulfill their reporting requirements. 

Please contact your State Office about State-specific requirements. See the Contacts list at: 

http://www.epa.gov/epawaste/inforesources/data/form8700/contact.pdf.

Deleted: of Regulated Waste Activity 

Deleted: Do

Deleted: not

Deleted: A

Deleted: n

Deleted: must be filed in this case as required 

under 40 CFR 262.56

Deleted: http://www.epa.gov/osw/inforesources/da

ta/form8700/contact.pdf
Instructions for Filing the 2011 Hazardous Waste Report

(continued)

5

INSTRUCTIONS FOR FILING THE 2011 HAZARDOUS WASTE REPORT

Introduction

The instructions and forms for the 2011 Hazardous Waste Report are prepared by the U.S. Environmental 

Protection Agency (EPA) for generators and for treatment, storage, and disposal facilities (TSDFs) to 

report their hazardous waste activities for 2011. Additionally, facilities may use this Hazardous Waste 

Report to notify their regulatory authority that they are managing hazardous secondary material under 40 

CFR 261.2(a)(2)(ii), 40 CFR 261.4(a)(23), (24), or (25) (these facilities would notify using the RCRA 

Subtitle C Site Identification Form and Addendum to the Site Identification Form).

Authority

The authority for the 2011 Hazardous Waste Report is contained in Sections 3002 and 3004 of the 

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

Waste Amendments of 1984 (HSWA). Section 3002 requires hazardous waste generators to report to the 

EPA or the authorized States, at least every two years, the quantities, nature, and disposition of generated 

hazardous waste. Under the authority of Section 3004, the EPA requires reporting by treatment, storage, 

and disposal facilities for the wastes they receive.

Overview of the 2011 Hazardous Waste Report

To determine if you are required to file the Hazardous Waste Report, read WHO MUST FILE THE 

2011 HAZARDOUS WASTE REPORT.

Changes to the 2011 Hazardous Waste Report summarizes the primary changes that have been made to 

the 2011 Hazardous Waste Report forms and instructions.

Which Forms to Submit and What to Report describe circumstances and situations under which each 

of the forms should be completed.

Filling out the Forms provides general guidelines for filling out the Hazardous Waste Report forms. 

This includes where to find the telephone number for the State Contacts, which you can call with 

questions about completing the Hazardous Waste Report.

When and Where to Send Your Completed Report

The 2011 Hazardous Waste Report is due to your State or EPA Regional Office by March 1, 2012. 

Return your completed Hazardous Waste Report to the address listed for your State or Regional contact. 

See the additional information sent to you with this booklet. An updated listing of State and EPA 

Regional mailing addresses, contact names, telephone numbers, and e-mail addresses is maintained at:

http://www.epa.gov/epawaste/inforesources/data/form8700/contact.pdf.

Detailed instructions for filling out each of the forms are provided. Other reference information and code 

lists are provided, including: a list of excluded wastes; definitions of key terms; special instructions that 

explains how to report certain types of wastes (e.g., lab packs, PCBs); a list of hazardous waste codes, 

HSM facility codes, HSM land-based unit codes, source codes, form codes, management method codes, 

and waste minimization codes.

Deleted: When and Where to File provides the 

filing date and details of the procedures for obtaining 

an extension of the filing date for your site’s 

Hazardous Waste Report. The address for the State 

or EPA Regional Office to which you should send 

the Hazardous Waste Report is specified in other 

information sent to you with this booklet. There is 

also a complete listing of the Contacts for each State 

located at:

http://www.epa.gov/osw/inforesources/data/form870

0/contact.pdf.¶

¶
Instructions for Filing the 2011 Hazardous Waste Report

(continued)

6

Which Forms To Submit and What to Report

The 2011 Hazardous Waste Report contains the following four forms:

Site ID Form A site required to file the 2011 Hazardous Waste Report MUST submit the 

RCRA Subtitle C Site Identification Form (Site ID Form) as a component of the 

Report.

You will report that you are submitting the Site ID form as part of the 2011 

Hazardous Waste Report in Item 1- Reason for Submittal. Mark “As a 

component of the Hazardous Waste Report (If marked, see sub-bullet below)” 

and mark the sub-bullet, if the status is applicable to you during the 2011 

reporting year.

You will fill out the Site ID form by reporting all information current as of the 

date of submitting your 2011 Hazardous Waste Report. This includes reporting 

your current Hazardous Waste Generator status in Item 10.A.1 (Generator of 

Hazardous Waste), which may have changed since 2011.

Facilities that 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) must submit the Site Identification Addendum as a 

component of the Report pursuant to 40 CFR 260.42. These regulations exclude 

certain hazardous secondary material(s) being reclaimed from the RCRA Subtitle 

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

GM Form A site required to file the 2011 Hazardous Waste Report must submit Waste 

Generation and Management (GM) Form(s) for all hazardous waste that was 

counted to determine the site’s generator status (May be implemented in 2013). 

Hazardous waste must be reported if it was:

Generated and accumulated on-site and subsequently managed on-site or 

shipped off-site in any calendar month during 2011; or

Generated and accumulated on-site in any calendar month during 2011

but not managed on-site or shipped off-site until after 2011; or

Generated and accumulated on-site prior to 2011 but either managed onsite or shipped off-site in any calendar month during 2011; or

Imported from a foreign country in any calendar month during 2011.

Examples of RCRA hazardous wastes to be reported include those that were:

Generated on-site from a production process, service activity, or routine 

cleanup;

Generated from equipment decommissioning, spill cleanup, or remedial 

cleanup activity;

Deleted: ¶

Changes in the 2011 Hazardous Waste Report¶

¶

EPA has added the collection of additional data to 

incorporate changes from the Revisions to the 

Definition of Solid Waste Final Rule and the 

Subpart K Hazardous Waste at Academic 

Laboratories Final Rule. EPA has also made 

some editorial changes to the Instructions and 

Forms for clarification and to improve the 

consistency, accuracy, and reliability of the data 

collected.¶

¶

Specifically, revisions to the 2011 Hazardous 

Waste Report include:cation that if a site was a 

large quantity generator in any month of the 

reporting calendar year, then they are required to 

report all hazardous waste that they generated 

and accumulated during the course of the 

calendar year. which Removed the term 

“leachate” from Added reference to new EPA 

guidance¶

Added sub-bullet in Item 1 – Reason for 

Submittal on the Site ID Form to indicate if the 

facility was a TSD facility and/or large quantity 

generator during the report year;¶

Added Location Country in Item 4 – Site 

Location Information on the Site ID Form;¶

Added Title; Street or P.O. Box; City, Town, or 

Village; State; Country; Zip Code, and Fax in 

Item 8 – Site Contact Person on the Site ID Form;¶

Added Owner Telephone in Item 9.A – Owner 

Information on the Site ID Form;¶

Added Short-Term Generator, Transfer Facility, 

and Receives Hazardous Waste From Off-site in 

Item 10.A – Hazardous Waste Activities;¶

Added Item 10.D – Eligible Academic Entities 

with Laboratories;¶

Added Item 12 – Notification of Hazardous 

Secondary Material Activity;¶

Added Addendum to the Site Identification Form 

– Notification of Hazardous Secondary Material

Activity;¶

Added Waste Minimization Code to Section 1 of 

the Waste Generation and Management Form.¶

¶

Additionally, for the 2011 cycle, all of the 

information on the GM Form Section 1 (i.e., 

waste description, waste code(s), source code, 

form code, quantity generated, unit of measure, 

and waste minimization code) and on the WR 

Form (i.e., waste description, waste code(s), offsite handler EPA ID number, quantity received, 

unit of measure, form code, and management 

code) will be required. ¶

¶

Deleted: You will report 

Deleted: as of the date of submitting your 2011

Hazardous Waste Report on the Site Identification 

Form 

Deleted: –

Deleted: . Your status 

Deleted: .

Deleted: used
Instructions for Filing the 2011 Hazardous Waste Report

(continued)

7

Shipped off-site, including hazardous waste that was received from offsite (reported on the waste Received From Off-site Form [WR Form]) 

and subsequently shipped off-site without being treated or recycled onsite;

Removed from on-site storage for treating, recycling, or disposing onsite or shipped off-site;

Derived from the management of non-hazardous waste; or

Derived from the on-site treatment (including reclamation), disposal, or 

recycling of previously existing hazardous waste (as a residual).

Unless required by your state, DO NOT submit a GM Form for any hazardous 

waste shipped directly to a foreign country. Facilities that export hazardous 

waste must file a separate Annual Report under 40 CFR 262.56. (This Annual 

Report will be in addition to the Hazardous Waste Report, if your state requires 

you to submit a Hazardous Waste Report.)

WR Form A site required to file the 2011 Hazardous Waste Report must submit Waste 

Received From Off-site (WR) Form(s) if, during 2011, it received RCRA 

hazardous waste from off-site and managed the waste on-site (including 

subsequent transfer off-site).

OI Form A site must complete Off-Site Identification (OI) Form(s) only if the site’s State 

requires it. Instructions for OI Form are on the back of the form. For a list of 

State Contacts go to: 

http://www.epa.gov/epawaste/inforesources/data/form8700/contact.pdf.

Deleted: An Annual Report must be filed in this 

case as required under 40 CFR 262.56.
Instructions for Filing the 2011 Hazardous Waste Report

(continued)

8

Filling out the Forms

Contacts for Assistance

To obtain assistance in filling out the 2011 Hazardous Waste Report forms, please contact your State or 

EPA Regional Office. States’ reporting requirements or forms may differ from the Federal requirements. 

The list of contact addresses, contact names, telephone numbers, and e-mail addresses is located at:

http://www.epa.gov/epawaste/inforesources/data/form8700/contact.pdf.

Copies of Hazardous Waste Report Instructions and Forms

Additional copies of the 2011 Hazardous Waste Report Instructions and Forms can be obtained from the 

contact provided for your State. If your State uses the EPA’s version of the instructions and forms, you 

can download the booklet from:

http://www.epa.gov/epawaste/inforesources/data/biennialreport/index.htm.

Documents Helpful in Filling out the Forms

To prepare the 2011 Hazardous Waste Report, you should consult your records on quantities and types of 

hazardous waste that your site generated, managed, shipped, or received in 2011. Some records that may 

be helpful are:

Hazardous waste manifest forms;

Hazardous Waste Report forms submitted in previous years;

Records of quantities of hazardous waste generated or accumulated on-site;

Results of laboratory analyses of your waste;

Contracts or agreements with off-site facilities managing your wastes; and

Copies of permits for on-site waste management systems.

Code Lists

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

instructions or in the lists of codes provided. 

Skip Instructions

This symbol denotes directions to skip to the next appropriate section or item to be completed, 

given certain responses to some questions.

Explanations

NOTE This symbol denotes explanatory text of definitions of terms used in the instructions.

Deleted: 

http://www.epa.gov/osw/inforesources/data/form870

0/contact.pdf

Deleted: 

http://www.epa.gov/osw/inforesources/data/biennialr

eport
Instructions for Filing the 2011 Hazardous Waste Report

(continued)

9

Alphanumeric Fields

Valid characters for alphanumeric fields are limited to:

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

Invalid characters for alphanumeric fields include:

> <

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

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

Right Justification of Quantities

Right justify all quantities reported on the forms. For example, enter a quantity of 12,000 tons on the 

form as: 

1 2 0 0 0 . 0

Enter a quantity of 29,599.5 tons as:

2 9 5 9 9 . 5

Comments Section of Forms

Use the Comments section at the bottom of the forms to clarify or continue any entry. For each comment, 

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

hazardous waste generated on-site has seven EPA hazardous waste codes, enter the first six in Section 1, 

Item B of the GM Form. Enter the seventh waste code in the Comments section and cross-reference 

Section 1, Item B. For example, you would write: “Sec. 1, Item B, continued: D007.”

Page Numbering of Forms

When you have filled out all the appropriate forms in your Hazardous Waste Report submission, number 

the pages (each piece of paper is a page) consecutively throughout your submission. Do not number each 

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

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

Page 2 of 7).

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

form and number the additional pages with the same page number as the first page, followed by a letter 

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

enter only the information that is being continued.

Photocopies of Forms

A single copy of each form is included in this booklet. Photocopy as many forms as you need to 

complete your Hazardous Waste Report. Make copies after you have written your site name and EPA 

Identification Number in the top left-hand corner of the form, but before you begin filling out the form.
Instructions for Filing the 2011 Hazardous Waste Report

(continued)

10

After you have finished filling out the forms, photocopy the entire Hazardous Waste Report and keep a 

copy for a period of at least three years from the due date of the report as required by 40 CFR 262.40(b).

Electronic Reporting

The EPA encourages electronic reporting of Hazardous Waste Reports. To obtain instructions on how to 

file electronically, contact your State or EPA Regional Office.

Confidential Business Information (CBI)

You may not withhold information from the Administrator of the EPA because it is confidential. 

However, when the Administrator is requested to consider information confidential, it must be treated 

according to the EPA regulations contained in 40 CFR, Part 2, Subpart B. These regulations provide that 

a business may, if it desires, assert a claim of business confidentiality covering all or part of the 

information furnished to the EPA. 40 CFR 2.203(b) explains how to assert a claim.

The EPA will treat information covered by such a claim in accordance with the procedures set forth in 

Subpart B. If someone requests release of information covered by a claim of confidentiality, or if the 

EPA otherwise decides to make a determination as to whether such information is entitled to confidential 

treatment, the EPA will notify the business. The EPA will not disclose information as to when a claim of 

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

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

make the information available to the public without notice to the business.

IF YOU NEED ASSISTANCE

To obtain assistance in filling out the 2011 Hazardous Waste Report forms, please contact your State or 

EPA Regional Office. States’ reporting requirements or forms may differ from the Federal requirements. 

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

addresses is located at: http://www.epa.gov/epawaste/inforesources/data/form8700/contact.pdf.

This booklet and other related information can be found at: http://www.epa.gov/osw/inforesources 

/data/biennialreport.

Deleted: When and Where to Send Your 

Completed Report¶

¶

The 2011 Hazardous Waste Report is due to your 

State or EPA Regional Office by Monday, March 1, 

2012. Return your completed Hazardous Waste 

Report to the address listed for your State or 

Regional contact. See the additional information 

sent to you with this booklet. An updated listing of 

State and EPA Regional mailing addresses, contact 

names, telephone numbers, and e-mail addresses is 

maintained at: 

http://www.epa.gov/osw/inforesources/data/form870

0/contact.pdf.¶

¶

If you need more time to fill out the 2011 Hazardous 

Waste Report, contact your State or EPA Regional 

Office as soon as possible for specific instructions.¶

Deleted: 

http://www.epa.gov/osw/inforesources/data/form870

0/contact.pdf
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

Deleted: http://www.epa.gov/

osw/inforesources/data/form8700/contact.pdf

Deleted: O

Deleted: T
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.

Deleted: “X”

Deleted: box
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.

Deleted: as County, as District, or as Tribal, do not 

place an “X” in MunicipalInstead, choose the other 

appropriate code; 
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 of 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 

Deleted: as 

Deleted: as 

Deleted: as 

Deleted: other

Deleted: code

Deleted: ;
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 of 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.

Deleted: as 

Deleted: County, as District, or as Tribal, do not 

place an “X” in Municipal. Instead, choose the other 

appropriate code; y
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 the 

status requiring the report during the calendar year.

A. Hazardous Waste Activities (Complete all parts 1 through 7): 

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.

Deleted: e
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 1.d-f, and 2-7.
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. (This change may be implemented in 2013.)

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.

Deleted: <#>Short-Term Generation¶

Mark “Yes” if your reported hazardous waste 

generator status is determined from a short-term or 

one-time event and not from on-going processes. If 

you mark “Yes”, you must provide an explanation of 

your short-term or one-time generation in Item 13 -

Comments.¶
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.3. 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 Deleted: there is an 
Site ID Form

(continued)

22

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

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.3. In 

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

for both this box and Item 10.A.4. 

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)
Site ID Form

(continued)

23

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.

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, used oil processor/rerefiner, or off-specification used oil fuel burner, 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 

Deleted: Note: You must check with your State to 

determine if you are eligible to manage laboratory 

wastes pursuant to 40 CFR Part 262 Subpart K and 

for any state-specific requirements.
Site ID Form

(continued)

24

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

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

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

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. 

Deleted: Place an

Deleted: X

Deleted: in

Deleted: place an 

Deleted: X

Deleted: in

Deleted: Place an

Deleted: X

Deleted: in
Site ID Form

(continued)

25

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

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

include comments in 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), 3, 4, or 5 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 
Site ID Form

(continued)

26

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

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

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).

Deleted: ¶

You must check with your State to determine if you 

are eligible to manage hazardous secondary material 

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

(25). (See also 

http://www.epa.gov/epawaste/hazard/dsw/statespf.ht

m.)¶

Deleted: , which is secondary material (e.g., spent 

material, by-product, or sludge) that when discarded, 

would be identified as hazardous waste under 40 

CFR Part 261. 

Deleted: http://edocket.access.gpo.gov/2008/pdf/E

8-24399.pdf

Deleted: Notifying that the f
Addendum to the Site ID Form

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.

Deleted: Re-notifying that the 

Deleted: f

Deleted: Notifying that the 

Deleted: f
Addendum to the Site ID Form

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.

Deleted: Hazardous Secondary Material

Deleted: Hazardous Secondary Material 

Deleted: Hazardous Secondary Material 
Addendum to the Site ID Form

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

Deleted: He 

Deleted: his 

Deleted: . He will 

Deleted: his 

Deleted: He 

Deleted: he is 

Deleted: ting

Deleted: his 

Deleted: his 

Deleted: . He reports his

Deleted: He

Deleted: his 

Deleted: his 

Deleted: He does not 

Deleted: manage either 

Deleted: n

Deleted: his

Deleted: He

Deleted: his

Deleted: He does not manage any 

Deleted: in

Deleted: He

Deleted: his
Addendum to the Site ID Form

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.

Deleted: He reports his activity as such

Deleted: he

Deleted: He

Deleted: 

Deleted: s his activity as such

Deleted: Subpart H

Deleted: Subpart H of 40 CFR Part 261 

Deleted: Subpart H of 40 CFR Part 261
32

INSTRUCTIONS FOR FILLING OUT THE GM FORM – WASTE 

GENERATION AND MANAGEMENT

Who Must Submit this Form

A site required to file the 2011 Hazardous Waste Report must submit a GM Form if the site generated 

RCRA hazardous waste that, in 2011, was accumulated on-site; managed on-site in a treatment, storage, 

or disposal unit; and/or shipped off-site for management, consistent with the criteria below. (See Wastes 

to be Reported, below, for specific instructions on generated RCRA hazardous wastes that should be 

reported on the GM Form. See Wastes Not to be Reported, below, for any exclusions or exemptions 

from the GM Form reporting requirements under the 2011 Hazardous Waste Report.)

Purpose of this Form

The GM Form is for reporting on-site hazardous waste generation and management in 2011. The GM 

Form is divided into three sections that document 1) the source, characteristics, and quantity of hazardous 

waste generated; 2) the quantity of hazardous waste managed on-site along with the management method 

used; and 3) the quantity of hazardous waste shipped off-site for treatment, disposal, or recycling along 

with the off-site management method used.

How to Fill out this Form

Make and submit a photocopy of the GM Form for each generated RCRA hazardous waste that should be 

reported, consistent with the criteria discussed below. Prior to photocopying, place the pre-printed site 

identification label in the top left-hand corner of the form or, if you did not receive pre-printed labels, 

enter the site name and EPA Identification Number in this space.

Use the Comments section at the end of the form to clarify any entry (e.g., “Other” responses) or to 

continue any entry. When entering information in the Comments section, cross-reference the section 

number and item letter to which the comment refers.

NOTE

Please review your previous cycle’s GM source, form, and management method codes to 

see if they are still applicable. If applicable, use those same codes for consistency.

Refer to the Special Instructions for reporting lab packs, asbestos, PCBs, waste oils, 

groundwater contaminated by hazardous waste, RCRA-radioactive mixed wastes, and 

laboratory clean-out wastes.

Wastes to be Reported

In general, each generated RCRA hazardous waste that is used to determine the site’s generator status 

should be reported on the GM Form. (See Wastes Not to be Reported, below, for any exclusions or 

exemptions from the GM Form reporting requirements under the 2011 Hazardous Waste Report.)

Deleted: leachate
GM Form

(continued)

33

A GM Form must be submitted for each generated RCRA hazardous waste. Hazardous waste must be 

reported if it was:

Generated and accumulated on-site and subsequently managed on-site or shipped off-site in 2011; 

or

Generated and accumulated on-site in 2011 but not managed on-site or shipped off-site until after 

2011; or

Generated and accumulated on-site prior to 2011 but either managed on-site or shipped off-site in 

2011; or

Imported from a foreign country in 2011.

Examples of RCRA hazardous wastes to be reported include those that were:

Generated on-site from a production process, service activity, or routine cleanup.

 

Generated from equipment decommissioning, spill cleanup, or remedial cleanup activity.

Removed from on-site storage.

Derived from the management of non-hazardous waste.

Derived from the on-site treatment (including reclamation), disposal, or recycling of previously 

existing hazardous waste (as a residual).

Shipped off-site, including hazardous waste that was received from off-site (reported on the 

Waste Received From Off-site Form [WR Form]) and subsequently shipped off-site without 

being treated or recycled on-site.

Radioactive wastes mixed with RCRA hazardous wastes should also be reported; be sure to mark 

“Yes” on the Site Identification Form in Item 10.A.1.f. See the definitions and the special 

instructions regarding this waste.

Hazardous wastes regulated only by your State should be reported if required by your State.

Wastes Not to be Reported

RCRA hazardous wastes exported directly to a foreign country should not be reported on the GM Form

(unless required by your state). Facilities that export hazardous waste must file a separate Annual 

Report under 40 CFR 262.56. (This Annual Report will be in addition to the Hazardous Waste Report, if 

your state requires you to submit a Hazardous Waste Report.)

In addition, materials and wastes identified at 40 CFR 261.2(a)(2)(ii) and 261.4(a) and (b) and 261.5(c) 

should not be reported on the GM Form. Section 261.4(a) and (b) identify materials and solid wastes 

that do not qualify as solid or hazardous wastes, respectively. Section 261.5(c) identifies hazardous 

wastes that should not be included in a site’s generator status determination, even if these hazardous 

wastes were generated at the site.

Deleted: Rather, hazardous waste exports should 

be reported on the Annual Report required under 40 

CFR 262.56.
GM Form

(continued)

34

Following are the materials and wastes addressed under 40 CFR 261.4(a) and (b) and 261.5(c), which 

should not be reported on the GM Form:

Materials which are excluded from being a solid waste, e.g., any mixture of domestic sewage and 

other wastes that passes through a sewer system to a publicly owned treatment works (unless they 

are stored or treated in regulated units prior to being discharged). (40 CFR 261.4(a))

Solid wastes that are excluded from being hazardous waste, e.g., petroleum-contaminated media 

and debris that fail the test for the toxicity characteristic (waste codes D018 through D043 only) 

and are subject to the corrective action regulations under 40 CFR Part 280. (40 CFR 261.4(b))

Waste exempt from regulation because the waste has not exited the raw material storage or 

production unit yet, as specified in 261.4(c). (40 CFR 261.5(c)(1))

Hazardous waste that has been collected as a sample(s) for the purpose of determining its

characteristic or composition, as specified in 261.4(d). (40 CFR 261.5(c)(1))

Sample(s) undergoing treatability studies, as specified in 261.4(e). (40 CFR 261.5(c)(1))

Sample(s) undergoing treatability studies at the laboratory or testing facility, as specified in 

261.4(f). (40 CFR 261.5(c)(1))

Hazardous waste that is a specified recyclable material such as ethyl alcohol or scrap metal, as 

specified in 261.6(a)(3). (40 CFR 261.5(c)(1))

A residue of hazardous waste in an empty container or in an inner liner removed from an empty 

container, as specified in 261.7(a)(1). (40 CFR 261.5(c)(1))

PCB wastes regulated under the Toxic Substance Control Act, as specified in 261.8, unless mixed 

with a hazardous waste. (40 CFR 261.5(c)(1))

Wastes managed immediately upon generation only in on-site elementary neutralization units, 

wastewater treatment units, or totally enclosed treatment facilities as defined in 40 CFR 260.10. 

(40 CFR 261.5(c)(2)) Any hazardous waste residues generated from these units, however, 

must be reported on the GM Form. (For additional information, see the guidance document 

“Biennial Report: Reportable and Non-Reportable Wastes” at [INSERT LINK].)

Wastes recycled, without prior storage, only in an on-site process subject to regulation under 40 

CFR 261.6(c)(2). (40 CFR 261.5(c)(3)) Any hazardous waste residues generated from these 

units, however, must be reported on the GM Form.

Used oil that is recycled and is also a hazardous waste solely because it exhibits a hazardous 

waste characteristic and is managed under 40 CFR Part 279. (40 CFR 261.5(c)(4))

Spent lead-acid batteries managed under the requirements of 40 CFR Part 266, Subpart G, which 

includes persons who reclaim spent lead-acid batteries that are recyclable materials; persons who 

generate, transport, or collect spent batteries; persons who regenerate spent batteries; or persons 

who store them (other than spent batteries that are to be regenerated). (40 CFR 261.5(c)(5)) Any 

hazardous wastes generated during battery reclamation, however, must be reported on the 

GM Form.
GM Form

(continued)

35

Universal wastes managed under 40 CFR 261.9 and 40 CFR Part 273. (40 CFR 261.5(c)(6)) 

Any hazardous waste residues generated from these units, however, must be reported on 

the GM Form.

Unless required by your state, hazardous wastes that were, during 2011, all exported directly

out of the United States to a foreign country. An Annual Report must be filed in this case as 

required under 40 CFR 262.56. (This Annual Report will be in addition to the Hazardous Waste 

Report, if your state requires you to submit a Hazardous Waste Report.)

How to Report Similar Wastes on the GM Form

Generally, a GM Form should be completed for each generated RCRA hazardous waste. Contact your 

State about combining and reporting similar hazardous wastes on the GM Form.
GM Form

(continued)

36

Item-By-Item Instructions

Section 1 – Waste Characteristics

Section 1 requests information on each RCRA hazardous waste that, in 2011, was generated and 

accumulated on-site; managed on-site; and/or shipped off-site.

All items in this section are mandatory. Note: Either Item B and/or Item C must be provided for 

each waste stream.

Item A – Waste Description

Provide a short narrative description of the waste, such as:

General type;

Source;

Type of hazard; and

Generic chemical name or primary hazardous constituents.

Example: “Ignitable spent solvent from degreasing operation in tool production; mixture of mineral 

spirits and kerosene.”

In the example, note that the general type (spent solvent), source (degreasing operation in tool 

production), type of hazard (ignitability), and generic chemical names (mineral spirits and kerosene) have 

all been cited.

Item B – EPA Hazardous Waste Code(s)

Enter the four-character EPA hazardous waste code(s) that applies to the waste reported in Section 1, Item

A. EPA hazardous waste codes are provided in the “Other Reference Information” section of this 

booklet. If you need room for additional codes, list the codes in the Comments section and crossreference Section 1, Item B. If fewer than six EPA hazardous waste codes are applicable, leave the 

remaining spaces blank. If the waste is regulated only by your State, leave Item B blank and report the 

State hazardous waste codes in Item C.

LIST For a list of EPA Hazardous Waste Codes, see the “Other Reference Information” section 

of this booklet.

Item C – State Hazardous Waste Code(s)

Enter the State hazardous waste code(s) that applies to the waste reported in Section 1, Item A, if:

Your State regulates hazardous wastes not regulated as RCRA hazardous waste and requires these 

wastes to be reported in the 2011 Hazardous Waste Report; or

Your State uses a hazardous waste code system other than the EPA hazardous waste codes that 

applies to the waste described in Section 1, Item A.

Otherwise, leave Section 1, Item C blank. If you need space for additional State hazardous waste codes, 

list the codes in the Comments section and cross-reference Section 1, Item C.
GM Form

(continued)

37

Item D – Source Code and Management Method Code for Source Code G25

Enter the Source Code that best describes how the hazardous waste reported in Section 1, Item A 

originated. If the hazardous waste was mixed with other non-hazardous materials, report the Source Code 

for only the hazardous waste portion.

If your site is a U.S. Importer, provide the appropriate Source Code for hazardous waste imported from a 

foreign country. Also, mark “Yes” on the Site ID Form, Item 10.A.1.e – United States Importer of 

Hazardous Waste. Review the Special Instructions for wastes received from foreign countries.

LIST For a list of Source and Management Method Codes, see the “Other Reference 

Information” section of this booklet.

NOTE

 If reporting Source Code G25 (Hazardous Waste Management), you also need to 

provide the Management Method Code. Source Code G25 indicates that this waste 

was generated from a hazardous waste management system described on a 

separate GM Form or WR Form. Enter the same Management Method Code that 

is listed on the matching GM Form – Section 2, or on the matching WR Form –

Item H, linking this waste with the on-site process that created it. Do not report

H141 in this Section 1- Item D.

 If reporting Source Code G61 (Hazardous waste received from off-site for 

storage/bulking and transfer off-site for treatment or disposal), the generation 

amount must be zero (0) in Section 1, Item F.

 Source Code G17 (Subpart K laboratory waste clean-out) is for facilities that have 

opted into the Subpart K Academic Laboratory Waste Rule to report the amount of 

laboratory waste shipped or managed during clean-out. The generation amount 

must be zero (0) in Section 1, Item F for this source code. See the Special 

Instructions for additional information.

 

Item E – Form Code

Review the Form Codes and enter the code that best corresponds to the physical form or chemical 

composition of the hazardous waste reported in Section 1, Item A.

LIST For a list of Form Codes, see the “Other Reference Information” section of this booklet.

Deleted: A new 

Deleted: has been added to the 2009 Hazardous 

Waste Report 

Deleted: ¶

If the Source Code is G25 (Hazardous Waste 

Management), you also need to provide the 

Management Method Code. Source Code G25 

indicates that this waste was generated from a 

hazardous waste management system described on a 

separate GM Form or WR Form. Enter the same 

Management Method Code that is listed on the 

matching GM Form – Section 2, or on the matching 

WR Form – Item H, linking this waste with the onsite process that created it.¶

¶

LIST ...

Deleted: NOTE ...
GM Form

(continued)

38

Item F – Quantity Generated in 2011 / UOM and Density

Enter the total quantity of the hazardous waste described in Section 1, Item A that was generated during 

2011. Right justify the quantity entry. 

Enter the Unit of Measure (UOM) code for the quantity you reported in Section 1, Item F. Report the 

quantity in one of the units of measure listed below. If you select a volumetric measure (gallons, liters, 

or cubic yards), you must also report the density of the waste.

Code Unit of Measure Weight and Volume Conversions

1 kilogram (kg)= 2.2046 pounds (lb)

1 short ton= 2,000 lb

1 metric ton= 1,000 kg

1 metric ton= 1.1023 short tons

1 cubic meter (m)= 1.3079 cubic yards

1 cubic yard (yd) = 27 cubic feet (ft)

1 liter (l)= 0.2642 gallons (gal)

1 Pounds

2 Short tons (2,000 pounds)

3 Kilograms

4 Metric tons (1,000 kilograms)

5 Gallons

6 Liters

7 Cubic yards

Skip to Section 1, Item G if you selected code 1, 2, 3, or 4.

Continue to Density if you selected code 5, 6, or 7.

Report the density only if you entered code 5, 6, or 7 for the unit of measure. Provide the density in either 

pounds per gal (lbs/gal) or specific gravity (sg) and place an “X” in the appropriate box to indicate which 

measure was used.

Item G – Waste Minimization Code

(Changes may be implemented in 2013)

40 CFR 262.41(a)(6), 264.75(h), and 265.75(h) requires that data be collected for waste minimization 

activities. Enter the code that best corresponds to waste minimization, recycling, or pollution prevention 

efforts implemented or continuing during this reporting year to reduce the volume and toxicity of the 

hazardous waste reported in Section 1, Item A. Note: a decrease in waste generation resulting from a 

decrease in production is not considered a waste min activity.

Example: During 2011, a firm implemented a change in its production process and, as a result, was able 

to separate a spent material into two separate wastestreams, enabling the firm to reclaim one of 

the wastestreams on-site, which the firm then put back into the production process. This firm 

would choose the waste minimization code (F) “This waste was used, reused, or reclaimed as a 

result of: A change in the product formulation.” 

Example: A facility was able to substitute a less toxic hazardous substance into its production process, 

resulting in the generation of a non-hazardous waste, which decreased its overall volume of 

hazardous waste generation for 2011. This facility would choose waste minimization code (B) 

“The quantity and/or toxicity of this waste was reduced by: A change in the product’s 

chemical ingredients.”

Example: An electroplating company installs an ion exchange unit as part of its wastewater treatment 

system to capture valuable metals used in its operations. The ion exchange units, once 

saturated, are sent off-site to another facility that regenerates the ion exchange system and 

recovers the metals for subsequent reclamation. This facility would choose waste minimization

Deleted: tonne

Deleted: ne

Deleted: e
GM Form

(continued)

39

code (H) “This waste was used, reused, or reclaimed as a result of: A change in the

equipment.”

If minimization was not implemented (to the point of implementing a change) for this waste, you must 

enter a waste minimization code L-X.

You may provide in the Comment section any additional information (including toxicity and quantity 

changes to the extent that data are available) that will help EPA and the States understand what you did to 

implement pollution prevention, waste minimization, or recycling for this waste stream, or why your 

efforts did not succeed.

LIST For a list of Waste Minimization Codes, see the “Other Reference Information” section of 

this booklet.

Section 2 – On-site Generation and Management of Hazardous Waste During 2011

Answering “Yes” or “No” to this question is mandatory. If you answer “Yes”, for each on-site RCRAregulated management system, you must report the management method and quantity treated, disposed, or 

recycled on-site during 2011.

Was any of this waste that was generated at this facility treated, disposed, and/or recycled on-site?

Mark “Yes” or “No” to this question to indicate if the site did any of the following to the waste reported 

in Section 1, Item A: treat on-site; dispose on-site; recycle on-site. If you marked “Yes,” complete the 

blocks for On-site Process Systems below. If you marked “No,” skip to Section 3.

Example: Facility A generates spent solvents that it recycles on-site in a distillation column. This facility 

would mark “Yes” in Section 2 and would fill out the on-site process system box accordingly.

Example: Facility B receives spent solvents from off-site and blends the solvents into fuel. The facility 

then sends the fuels off-site to be burned for energy recovery. Facility B would report on its 

GM form the new waste generated in Section 1, Item D as Source Code G25 (“Hazardous 

waste management”) with the management method code of H061 (“Fuel blending”). Facility B

would mark “No” in Section 2 because it did not manage any of the newly generated fuels onsite. This facility would report the off-site shipment in Section 3 and would report the 

Management Method Code H050 (“Energy recovery”).

On-Site Management Method Code

Classify the process system (see definition) with a Management Method Code that best identifies the last

substantive purpose/operation performed at your site. Space is provided to report up to two different (nonsequential) Management Methods. If you did not use a second on-site process system to manage the 

waste, leave the Management Method Code under On-site Process System 2 blank. Do not report H141 

in this Section 2.

LIST For a list of Management Method Codes, see the “Other Reference Information” section of 

this booklet.

Deleted: This waste minimization activity must 

have occurred during this reporting cycle. 

Deleted: attempted 

Deleted: n

Deleted: “X”

Deleted: (no waste minimization efforts were 

implemented for this waste) for this item. This item

is new for 2011.¶

Deleted: e

Deleted: Was any of this waste managed onsite?

Deleted: final

Deleted: it

Deleted: s
GM Form

(continued)

40

The space provided for the second on-site process system should be used only in the special case of 

management of the same waste on-site by more than one process system during 2011. Use the second onsite process system only when:

A waste is managed in one process system for a part of a year and in another process system for 

the rest of the year; or

A waste is managed by two different process systems at the same time (i.e., management of the 

waste is split between parallel process systems).

Example of Non-Sequential 

(Parallel) Processes: 

A firm generated 100 tons of F002 solvent waste in 2011. Eighty (80) tons 

were recycled for reuse in a batch distillation process system, generating 5 

tons of still bottoms. The remaining 20 tons were burned in an industrial 

boiler. Under On-site Process System 1, the site enters the Management 

Method Code for distillation (H020) and a quantity of 80 tons. Under Onsite Process System 2, the site enters the Management Method Code for 

energy recovery of liquids (H050) and a quantity of 20 tons. The 5 tons of 

still bottoms should be reported on a separate GM Form.

If more than two on-site process systems meet one of the above conditions, you need not complete the 

entire form again. Simply attach a second copy of the GM Form with the EPA ID number and Site Name. 

Leave all the other fields blank except Section 2 for on-site process systems. Note in the Comments 

section of each page: “Section 2, On-site Process System Type continued on supplemental page.” (Refer 

to instructions on page numbering of supplemental pages.)

The space provided for the second on-site process system should not be used to report the following:

The on-site management of the treatment residual generated from management of the waste by 

the first management method (on-site management of treatment residuals should be reported on a 

separate GM Form); or

To report treatment in a series of process units (see definition). Report only process systems, not 

process units.

Example of Sequential 

Processes:

A firm generated 100 tons of D002 and D007 plating waste in 2011. 100 

tons were neutralized, stored on-site, and then chemically batch-treated to 

remove the D007 Chromium. Ninety (90) tons of wastewater and 10 tons 

of D007 and F006 sludge were shipped off-site for eventual disposal. 

Under On-site Process System 1, the site enters the final substantive onsite Management Method Code for Chemical Treatment (H070) and a 

quantity treated of 100 tons. The site reports the residual 10 tons of sludge 

on a separate GM Form with Section 1 Item D Management Method Code 

of H070. (If there was no storage and the wastewater had been allowed to 

go into the POTW or NPDES, this page would not be reported, only the 

D007 and F006 sludge - with a source code of G23.)

Quantity Treated, Disposed, or Recycled On-site in 2011

Enter the quantity of hazardous waste described in Section 1 that was treated, disposed, or recycled by the 

reported on-site process management method during 2011. Enter the quantity in the same unit of 

measure reported in Section 1, Item F (Quantity generated in 2011).

Deleted: Simply attach a second copy of the GM 

Form, leaving blank all entries except Section 2 for 

on-site process systems. 

Deleted: ¶

Example: A firm generated 100 tons of F002 solvent 

waste in 2011. Eighty (80) tons were recycled for 

reuse in a batch distillation process system, 

generating 5 tons of still bottoms. The remaining 20 

tons were burned in an industrial boiler.¶

¶

Under On-site Process System 1, the site enters the 

Management Method Code for distillation (H020) 

and a quantity of 80 tons. Under On-site Process 

System 2, the site enters the Management Method 

Code for energy recovery of liquids (H050) and a 

quantity of 20 tons. The 5 tons of still bottoms 

should be reported on a separate GM Form.¶

¶
GM Form

(continued)

41

Section 3 – Off-site Shipment of Hazardous Waste

This section requests information on the off-site shipment of hazardous waste. Answering “Yes” or “No” 

to this question is mandatory. If you answer “Yes”, all items in this section are mandatory. Do report 

shipments of previously generated hazardous wastes stored until 2011. Do report waste shipped via 

transfer facility. Do not report shipments of de-characterized wastes.

Space is provided to report shipments of the waste to three different off-site facilities. If the waste you 

reported in Section 1 was shipped to more than three off-site facilities during 2011, you need not 

complete the entire form again. Simply attach a second copy of the GM Form, leaving blank all entries 

except Section 3, Items B, C, and D. Note in the Comments section of each page: “Section 3, Item B 

continued on supplemental page.” (Refer to instructions on page numbering of supplemental pages.)

Item A – Was any of this Waste Shipped Off-site in 2011 for Treatment, Disposal, or Recycling?

Mark “Yes” or “No” to indicate if any of the waste described in Section 1 was shipped off-site for 

treatment, disposal, or recycling during 2011.

This GM Form is complete if you marked “No” in Item A.

Continue to Section 3, Item B if you marked “Yes” in Item A.

Item B – EPA ID Number of Facility to which Waste was Shipped

Enter the 12-digit EPA Identification Number of the facility to which the waste was shipped. Do not

create a GM Form for hazardous waste shipped directly to a foreign country from this site. You must 

complete an Annual Report as required under 40 CFR 262.56, no later than March 1 of each year.

Item C – Off-site Management Method Code Shipped To

Review the Management Method Codes in the “Other Reference Information” section of this booklet. 

Enter the Management Method Code that best describes the way in which the waste was managed at the 

initial receiving facility reported in Section 3, Item B.

LIST For a list of Management Method Codes, see the “Other Reference Information” section of 

this booklet.

Item D – Total Quantity Shipped in 2011

Enter the total quantity of the waste shipped to the off-site facility during 2011. Report the quantity in 

the same unit of measure entered in Section 1, Item F. Shipment quantities should equal the total 

quantity recorded on Uniform Hazardous Waste Manifests for this site during 2011, unless there were 

rejections or other complications. The quantity shipped may not necessarily equal the quantity generated 

(e.g., because some waste is still on-site at the end of the year or waste was removed from storage from a 

previous year’s generation). 

Comments

Use this section as needed to explain anything contained in the form including any waste minimization 

efforts. The comments may help make determinations of data validity if questions arise during the 
GM Form

(continued)

42

review of the report. If there are special circumstances surrounding the waste described on the form, 

please note this here, especially if you are filing the report due to a one-time event. 
43

INSTRUCTIONS FOR FILLING OUT THE WR FORM – WASTE 

RECEIVED FROM OFF-SITE

Who Must Submit this Form

A site required to file the 2011 Hazardous Waste Report must submit this form if, during 2011, it received 

RCRA hazardous waste from off-site.

Purpose of this Form

The WR Form identifies hazardous wastes that were received from other hazardous waste sites and the 

method(s) used to manage them. The WR Form is divided into three identical parts (i.e., waste blocks), 

labeled Waste 1, Waste 2, and Waste 3, that collect information on the quantities and characteristics of 

each hazardous waste received from an off-site source during 2011 and managed on-site.

How to Fill out this Form

You may report waste received from more than one off-site handler on the same page of the form. A 

separate waste block must be filled out for each hazardous waste received from each off-site handler. 

Hazardous waste from the same off-site handler may be aggregated as long as a single form code 

describes the physical form or chemical composition, and all of the waste is managed in a single process 

system (i.e., same management method code).

If your site received more than three RCRA hazardous wastes from off-site handlers during 2011, 

photocopy and fill out additional copies of this form. Prior to photocopying, place the pre-printed site 

identification label in the top left-hand corner of the form or, if you did not receive pre-printed labels, 

enter the site name and EPA Identification Number in the space provided.

Use the Comments section at the end of the form to clarify any entry (e.g., “Other” responses) or to 

continue any entry. When entering information in the Comments section, cross-reference the waste block 

and item letter to which the comment refers.
WR Form

(continued)

44

Item-By-Item Instructions

All items in this section are mandatory for each waste reported. Note: Either Item B and/or Item

C must be provided for each reported waste.

Item A – Waste Description

Provide a short narrative description of the waste, such as:

General type;

Source;

Type of hazard; and

Generic chemical name or primary hazardous constituents.

Example: “Ignitable spent solvent from degreasing operation in tool production; mixture of mineral 

spirits and kerosene.”

In the example, note that the general type (spent solvent), source (degreasing operation in tool 

production), type of hazard (ignitability), and generic chemical names (mineral spirits and kerosene) have 

all been cited.

Item B – EPA Hazardous Waste Code(s)

Enter the four-character EPA hazardous waste code(s) that applies to the waste reported in Item A. EPA 

hazardous waste codes are provided in the “Other Reference Information” section of this booklet. If you 

need room for additional codes, list the codes in the Comments section and cross-reference the applicable 

waste block number (.e.g., Waste 1) and Item B. If fewer than four EPA hazardous waste codes are 

applicable, leave the remaining spaces blank. If the waste is regulated only by your State, leave Item B 

blank and report the State hazardous waste codes in Item C.

LIST For a list of EPA Hazardous Waste Codes, see the “Other Reference Information” section 

of this booklet.

Item C – State Hazardous Waste Code(s)

Enter the State hazardous waste code(s) that applies to the waste reported in Item A, if:

Your State regulates hazardous wastes not regulated as RCRA hazardous waste and requires these 

wastes to be reported in the 2011 Hazardous Waste Report; or

Your State uses a hazardous waste code system other than the EPA hazardous waste codes that 

applies to the waste described in Item A.

Otherwise, leave Item C blank. If you need space for additional State hazardous waste codes, list the 

codes in the Comments section and cross-reference the applicable waste block number (e.g., Waste 1) and 

Item C.
WR Form

(continued)

45

Item D – Off-site Handler EPA Identification Number

Enter the 12-digit EPA Identification Number of the off-site handler from which the waste was received. 

If the site does not have an EPA Identification Number, it may be a CESQG or foreign country. Refer to 

the Special Instructions in this booklet for instructions on how to complete Item D for these off-site 

handlers.

If the waste reported under Waste 2 is received from the same off-site handler as the waste reported under 

Waste 1, put “Same as above” to indicate that the EPA Identification Number is the same as the one 

reported in Waste 1; if Waste 3 is received from the same off-site handler as Waste 2, put “Same as 

above” to indicate that the EPA Identification Number is the same as the one reported under Waste 2.

NOTE Refer to the Special Instructions for reporting wastes received from CESQGs and for 

reporting wastes received from foreign countries.

Item E – Quantity Received in 2011

Report the total quantity of the hazardous waste reported in Item A that was received from the off-site 

handler reported in Item D during 2011. If more than one shipment of this waste was received from the 

same off-site handler, add the quantities and report only the sum.

Item F – UOM and Density

Enter the Unit of Measure (UOM) code for the quantity you reported in Section 1, Item F. Report the 

quantity in one of the units of measure listed below. If you select a volumetric measure (gallons, liters, 

or cubic yards), you must also report the density of the waste. 

Code Unit of Measure Weight and Volume Conversions

1 kilogram (kg)= 2.2046 pounds (lb)

1 short ton= 2,000 lb

1 metric ton= 1,000 kg

1 metric ton= 1.1023 short tons

1 cubic meter (m)= 1.3079 cubic yards

1 cubic yard (yd) = 27 cubic feet (ft)

1 liter (l)= 0.2642 gallons (gal)

1 Pounds

2 Short tons (2,000 pounds)

3 Kilograms

4 Metric tons (1,000 kilograms)

5 Gallons

6 Liters

7 Cubic yards

Skip to Item G if you selected code 1, 2, 3, or 4.

Continue to Density if you selected code 5, 6, or 7.

Report the density only if you entered code 5, 6, or 7 for the unit of measure. Provide the density in either 

pounds per gal (lbs/gal) or specific gravity (sg) and place an “X’ in the appropriate box to indicate which 

measure was used.

Deleted: ne

Deleted: ne

Deleted: e
WR Form

(continued)

46

Item G – Form Code

Review the Form Codes and enter the code that best corresponds to the physical form or chemical 

composition of the hazardous waste reported in Section 1, Item A.

LIST For a list of Form Codes, see the “Other Reference Information” section of this booklet.

Item H – Management Method Code

Enter the code that describes the type of process system (see definition) in which the waste was managed.

LIST For a list of Management Method Codes, see the “Other Reference Information” section of 

this booklet.

Comments

Use this section as needed to explain anything contained in the form. The comments may help make 

determinations of data validity if questions arise during the review of the report. If there are 

special circumstances surrounding the waste described on the form, please note this here.
2011 Hazardous Waste Report

OTHER REFERENCE INFORMATION AND CODE LISTS
48

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)
49

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)

50

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. Check with your state 

to confirm your state’s policy on CBI.

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)

51

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.

GM Form Waste Generation and Management form.

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.

Deleted: ed
Definitions

(continued)

52

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)

53

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.

OI Form Off-Site Identification form.

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.
Definitions

(continued)

54

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

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

individual, company, or business name. See Person.

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

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

municipality, commission, political subdivision of a State, or any interstate 

body.

Process System For purposes of the Hazardous Waste Report, a process system refers to one 

or more units used together to treat, recover, or dispose of a hazardous 

waste. The process system begins at the unit where the hazardous waste 

first enters and consists of all other treatment, recovery, or disposal units 

downstream from the point of entry. Note that storage is not considered a 

process system, except for storage at a bulking and re-shipping facility 

(H141).

Classify each process system with a Management Method code that best 

identifies the final substantive purpose/operation it performs. For 

example, a process system to remove dissolved metals from wastewater 

prior to shipping the sludge off-site typically includes equalization, pH 

adjustment, chemical precipitation, flocculation, clarification/settling, and 

dewatering of the sludge removed from the bottom of the clarifier. The 

chemical precipitation process best identifies the final purpose of this 

treatment system - to remove metals from the wastewater. If this 

wastewater treatment system is RCRA-regulated, it would be reported as 

H070 (chemical precipitation). If the sludge will be disposed at the reporting 

site in a landfill, the code will be H132 (landfill) and will need to be 

reported on a separate GM Form because it is a residual from a treatment 

process. However, this process is exempt if the treated water flows to a 

POTW or a NPDES outfall with no RCRA-regulated storage or treatment 

units in the system, and should not be reported. A listing of Management 

Method codes may be found in the “Other Reference Information” section 

of this booklet.

Process Unit For purposes of the Hazardous Waste Report, a process unit refers to a 

single type of treatment (e.g., tank, distillation column, surface 

impoundment) in which hazardous waste is treated, disposed, or recycled.

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.

Deleted: 7
Definitions

(continued)

55

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).

Residual A hazardous waste derived from the treatment, disposal, or recycling of a 

previously existing hazardous waste (e.g., the sludge remaining after initial 

wastewater treatment).

Short-term Generator A generator whose generator status is the result of a one-time, nonrecurring, temporary event that is not related to normal production 

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

from a particular activity for a limited time and then cease conducting that 

activity. Short-term generators would not be considered episodic generators 

because episodic generators have the potential to generate on a regular 

basis. Examples of short-term generators include: one-time highway bridge 

waste generation, underground storage tank removals, generation of offspec or out-of-date chemicals at a site that normally doesn’t generate 

hazardous waste, remediate or spill clean-up sites with no previous RCRA 

ID, and site or production process decommissions by a new operator. 

Sludge Any solid, semi-solid, or liquid waste generated from a municipal, 

commercial, or industrial wastewater treatment plant, water supply 

treatment plant, or air pollution control facility exclusive of the treated 

effluent from a wastewater treatment plant (40 CFR 260.10).
Definitions

(continued)

56

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)

57

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.

Superfund The program operated under the legislative authority of the Comprehensive 

Environmental Response, Compensation, and Liability Act (CERCLA) and 

the Superfund Amendments and Reauthorization Act (SARA) that funds 

and carries out the solid waste emergency response and long-term remedial 

activities of the EPA.

Surface Impoundment A natural topographic depression, man-made excavation, or diked area 

formed primarily from earthen materials (though it may be lined with manmade materials) that is designed to accumulate liquid wastes or wastes 

containing free liquids, and that is not an injection well (40 CFR 260.10).

Sustainable Materials 

Management

Sustainable Materials Management is an approach to serving human needs 

by using/reusing resources most productively and sustainably throughout 

their life cycles, generally minimizing the amount of materials involved and 

all the associated environmental impacts. “Materials” include all those 

extracted or derived from natural resources, which may be either inorganic 

or organic substances, at all points throughout their life-cycles. “Life-cycle 

of materials” includes all activities related to materials such as extraction, 

transportation, production, consumption, material/product reuse, recovery 

and disposal. For more information, go to Sustainable Material 

Management: The Road Ahead located at 

http://www.epa.gov/wastes/inforesources/pubs/vision2.pdf and Vision 2050 

located at 

www.wbcsd.org/web//projects/BZrole/Vision2050_Summary_Final.pdf

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)), 
Definitions

(continued)

58

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). Hazardous wastes must be injected 

into a Class I well or, if authorized under a federal or state ground water 

remediation project, may be injected into a Class IV well. See 

http://water.epa.gov/type/groundwater/uic/wells.cfm for more information.

Unit Refer to “Process Unit" definition.

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.

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 and is managed under 40 CFR Part 279. Used oil is not 

reported on the biennial report.

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.
Definitions

(continued)

59

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.

Waste Minimization The reduction, to the extent feasible, of hazardous waste that is generated or 

subsequently treated, stored, or disposed. It includes any source reduction 

or recycling activity undertaken by a generator that results in: (1) the 

reduction of total volume or quantity of hazardous waste; (2) the reduction 

of toxicity of hazardous waste; or (3) both, as long as the reduction is 

consistent with the goal of minimizing present and future threats to human 

health and the environment.

Waste Oil (Biennial 

Report Only)

WR Form

Any oil that has been refined from crude oil, or any synthetic oil, that has 

been used, and as a result of such use, is contaminated by physical or 

chemical impurities and is managed as a hazardous waste.

Waste Received from Off-Site form.
60

SPECIAL INSTRUCTIONS

These instructions explain how to complete the 2011 Hazardous Waste Report for wastes and sites with 

unique regulatory or reporting requirements.

Asbestos, PCBs, Waste Oils In most cases, do not report asbestos, PCBs, and waste oils. 

However, you must report them if any of the following 

conditions exist:

(1) If your State specifically requires that these wastes be 

reported;

(2) If a listed RCRA hazardous waste (i.e., EPA hazardous 

waste code that begins with “F”, “K”, “P”, or “U”) is mixed 

with asbestos, PCBs, or waste oil, in which case the entire 

mixture is a hazardous waste; or

(3) If the waste possesses one or more of the characteristics that 

result in assigning EPA hazardous waste code beginning 

with “D”. (This does not apply to used oil that is recycled as 

explained below.)

Do not report “used oil that is recycled and is also a hazardous 

waste solely because it exhibits a hazardous characteristic 

(criterion 3 above). Used oil that is recycled includes any used 

oil which is reused, following its original use, for any purpose 

(including the purpose for which the oil was originally used). 

Such term includes, but is not limited to, oil which is re-refined, 

reclaimed, burned for energy recovery, or reprocessed.” 

(40 CFR 261.6(a)(4))

Groundwater Contaminated by 

Hazardous Waste

Groundwater contaminated by RCRA hazardous waste is not 

considered a solid waste and is, therefore, not classified as a 

hazardous waste. However, because hazardous waste is 

“contained in” the groundwater, it must be treated “as if” it were 

a RCRA hazardous waste if it is removed for treatment, storage 

or disposal.

1 When reporting groundwater contaminated by 

hazardous waste in the 2011 Hazardous waste Report, observe 

the following conventions:

(1) Enter “0” in the GM Form, Section 1, Item F (quantity). 

Explain in the Comments section that it is groundwater, not a 

hazardous waste that was generated on-site. 

(2) Report quantities managed on-site (GM Form, Section 2, 

 

1

To determine if the contaminated media must be reported at all (generated OR treated): If the contamination is due to a 

characteristic waste, then it is the generator’s responsibility to determine if the contaminated groundwater is a hazardous waste.

Once the characteristics are eliminated, the media is no longer considered to “contain” hazardous waste. If a facility has first 

removed groundwater and is claiming that the groundwater is contaminated with a listed hazardous waste or “contains” listed 

hazardous waste, EPA Regions or Authorized States should make a site-specific determination of whether the media is a RCRA 

Waste. Please see: “Management of Remediation Waste Under RCRA,” EPA530-F-98-026, October 14, 1998. RCRA Online 

Document No. 14291. Available online at: 

http://yosemite.epa.gov/osw/rcra.nsf/0c994248c239947e85256d090071175f/d9e61a0505db4b6885256817006e32b8!OpenDocu

ment.

Deleted: Leachate

Deleted: leachate 

Deleted: leachate 

Deleted: Do not report generation quantities for 

contaminated groundwater. 

Deleted: NA

Deleted: Do r
61

On-site Process Systems 1 and 2); quantities shipped off-site 

for management (GM Form, Section 3); and quantities 

received from off-site and managed on-site (WR Form, Item

E).

Lab Packs The following rules apply to the reporting of lab pack wastes in 

the 2011 Hazardous Waste Report:

(1) You may aggregate lab pack wastes if they have the same 

Form Code. However, you must report them as separate 

wastes under the following conditions:

If they contain RCRA acute hazardous wastes (i.e., EPA 

hazardous waste codes F020, F021, F022, F023, F026, F027, 

and all “P” waste codes). Report separately from lab packs 

containing other RCRA hazardous wastes (all other EPA 

hazardous waste codes).

If they are managed differently from each other. For 

example, report lab packs shipped to landfills 

separately from those incinerated.

(2) Enter a Form Code indicating lab packs (i.e., W001 or 

W004) on the GM Form, in Section 1, Item E or on the WR 

Form in Item G. These Form Codes are to be used with any 

lab pack, whether the wastes are gaseous, liquid, solid, or 

sludge.

(3) It is not necessary to report every EPA hazardous waste 

code included in a batch of lab packs. Record one, or a few 

predominant, EPA hazardous waste codes in Section 1, Item 

B of the GM Form, or Item B of the WR Form. If there are 

many EPA hazardous waste codes associated with the batch 

of lab packs, enter “LABP” in the first four-character field in 

Section 1, Item B of the GM Form, or Item B of the WR 

Form; then enter “NA” in the remaining spaces for the EPA 

hazardous waste codes.

(4) When reporting quantities for lab packs:

Include the weight of the containers if they are 

disposed (e.g., landfilled) or treated (e.g., 

incinerated) with the waste.

Exclude the weight of the containers if the waste is 

removed from the containers before treatment or 

disposal.

RCRA-Radioactive Mixed Wastes By themselves, source material, special nuclear material, or byproduct materials (see definitions section), as defined by the 

Atomic Energy Act of 1954 and amended by 42 U.S.C. 2011 et. 

Seq., are not classified as hazardous wastes under RCRA. 

However, if these materials are mixed with a RCRA hazardous 

waste, the material is controlled under RCRA regulation, as well 

as under the Atomic Energy Act (DOE, NRC, and EPA) 

regulations, and is to be reported in the 2011 Hazardous Waste 
62

Report.

Subpart K Laboratory Waste 

Clean-out

A Subpart K laboratory clean-out conducted in accordance with 

40 CFR 262.213(a), is defined as: once per 12 months per 

laboratory, a laboratory will have 30 days to conduct a clean-out 

and will not have to count the hazardous waste that consists of 

unused commercial chemical products (either listed or 

characteristic) generated during those 30 days towards the 

eligible academic entity’s generator status for the purposes of onsite accumulation. See 40 CFR 262.213(a)(1-4) for other 

Subpart K laboratory clean-out requirements. 

The waste generated from this clean-out should be reported on 

the GM Form with a source code of “G17 – Subpart K 

Laboratory Waste Clean-out” with a generation amount of zero 

(0) (Section 1, Item F). The amount shipped off-site or managed 

on-site will be reported in Sections 2 or 3 of the GM Form as 

appropriate. 

Laboratory waste that is generated during routine operations 

(e.g., spent solvents or spent acids/bases) should be reported 

separately from Subpart K laboratory clean-out wastes. 

Routinely generated laboratory waste should be reported with 

source code(s) other than G17. 

Wastes Received from 

Conditionally Exempt Small 

Quantity Generators (CESQGs)

Waste management facilities sometimes receive hazardous waste 

from large numbers of Conditionally Exempt Small Quantity 

Generators (CESQGs) or other sites that do not have RCRA EPA 

Identification Numbers. To minimize the response burden for 

filling out the WR Form for these wastes, you may aggregate 

the wastes across generating sites, in accordance with these 

guidelines:

(1) All the wastes must have the same EPA hazardous waste 

code (Item B), State hazardous waste code (Item C), Form 

code (Item G), and Management Method code (Item H).

(2) Wastes received from different States must be reported 

separately. For the off-site handler EPA Identification 

Number (Item D), the entry should include the two-letter 

postal code of the originating State, followed by the letters 

“CESQG”.

For example, wastes received from several CESQGs in the State 

of Alaska (AK) that share a common EPA hazardous waste code, 

State hazardous waste code, Form code, and Management 

Method code could be aggregated in a single waste block of the 

WR Form (e.g., Waste 1). In Item D, the off-site handler EPA 

ID number is entered as “AKCESQG”. Note: This method of 

completing Item D can also be used for CESQG waste that is not 

aggregated. 

Wastes Received from Foreign 

Countries

Reporting on the GM Form – If your site was the generator of 

record and was the U.S. Importer for hazardous waste received 

from a foreign country (other than a foreign Department of 

Defense site, Maquiladora, U.S. territory or protectorate), 
63

complete a GM Form. Enter the appropriate code in Section 1, 

Item D – Source Code from the list of codes G63 through G75 –

Hazardous waste received from [name of foreign country]. 

Include the Import Notification and other foreign generator 

information in the Comments. Also, mark “Yes” on the Site ID

Form, Item 10.A.1.e – United States Importer of Hazardous 

Waste. Report on the OI Form the name and address of all 

foreign generators if this form is required by your State.

Report on the WR Form – If your site received hazardous 

waste directly from a generator in a foreign country (other than a 

foreign Department of Defense site, Maquiladora, U.S. territory 

or protectorate), complete a WR Form for the waste treated, 

recovered, or disposed at your site. This waste was not shipped 

to your site by a U.S. Importer. Report the code “FC” followed 

by the name of the foreign country in Item D – Off-site 

Handler EPA ID number. Include the Import Notification and 

other foreign generator information in the Comments. Report on 

the OI Form the name and address of all foreign generators if this 

form is required by your State.
64

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

LABP

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
65

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.
66

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.
67

SOURCE CODES

Source codes describe the type of process or activity (i.e., source) from which a hazardous waste was 

generated. Review the groups and pick the appropriate code.

Wastes from Ongoing Production and Service Processes (waste from general day to day 

manufacturing, production, or maintenance activities)

Code Source Code Description

G01 Dip, flush or spray rinsing (using solvents to clean or prepare parts or assemblies for further 

processing - i.e. painting or assembly)

G02 Stripping and acid or caustic cleaning (using caustics to remove coatings or layers from parts or 

assemblies )

G03 Plating and phosphating (electro- or non-electroplating or phosphating)

G04 Etching (using caustics or other methods to remove layers or partial layers)

G05 Metal forming and treatment (pickling, heat treating, punching, bending, annealing, grinding, 

hardening, etc.)

G06 Painting and coating (manufacturing, building, or maintenance)

G07 Product and by-product processing (direct flow of wastes from chemical manufacturing or 

processing, etc.)

G08 Removal of spent process liquids or catalysts (bulk removal of wastes from chemical 

manufacturing or processing, etc.)

G09 Other production or service-related processes from which the waste is a direct outflow or result 

(specify in comments)

Other Intermittent Events or Processes

Code Source Code Description

G11 Discarding off-specification, out-of-date, and/or unused chemicals or products 

G12 Lagoon or sediment dragout and leachate collection (large scale operations in open pits, ponds, 

or lagoons)

G13 Cleaning out process equipment (periodic sludge or residual removal from enclosed processes 

including internal scrubbing or cleaning)

G14 Removal of tank sludge, sediments, or slag (periodic sludge or residual removal from storage 

tanks including internal scrubbing or cleaning)

G15 Process equipment change-out or discontinuation of equipment use (final materials and 

residuals removal including cleaning)

G16 Oil changes and filter or battery replacement (automotive, machinery, etc)

G17 Subpart K laboratory waste clean-out (facility must have opted into the Subpart K rule to use 

this source code)

G19 Other one-time or intermittent processes (specify in comments)

Pollution Control and Waste Management Process Residuals

Code Source Code Description

G21 Air pollution control devices (baghouse dust or ash from stack scrubbers or precipitators; vapor 

collection, etc.)

G22 Laboratory analytical wastes (used chemicals from laboratory operations)

G23 Wastewater treatment (sludge, filter cake, etc., including wastes from treatment before 

discharge by NPDES or POTW or by UIC disposal)

G24 Solvent or product distillation as part of a production process (including totally enclosed 

treatment systems). Does not include batch treatment in a separate process.

G25 Hazardous waste management - indicate management method (for residuals from regulated 

hazardous waste processes - enter the related H code)

G26 Leachate collection (from landfill operations or other land units)

G27 Hazardous residual from treatment or recovery of universal waste 

Deleted: or 

Deleted: (unused chemicals or products -

corresponds to P and U hazardous waste codes)

Deleted: or recovery (sludge, waste solvent, 

bottoms, from recovery/recycling of used product)

Deleted: treatment 
Source Codes

(continued)

68

Spills and Accidental Releases

Code Source Code Description

G31 Accidental contamination of products, materials, or containers (other than G11)

G32 Cleanup of spill residues (infrequent, not routine)

G33 Leak collection and floor sweeping (ongoing, routine)

G39 Other cleanup of current contamination (specify in comments)

Remediation of Past Contamination

Code Source Code Description

G41 Closure of hazardous waste management unit under RCRA

G42 Corrective action at a solid waste management unit under RCRA

G43 Remedial action or emergency response under Superfund

G44 State program or voluntary cleanup

G45 Underground storage tank cleanup

G49 Other remediation (specify in comments)

Waste Not Physically Generated On-Site

Code Source Code Group

G61 Hazardous waste received from off-site for storage/bulking and transfer off-site for treatment or 

disposal

For

codes

G63 -

G75

Hazardous waste received from a foreign country (other than a foreign Department of Defense 

site, Maquiladora, U.S. territory or protectorate). This site was the generator of record and is 

the U.S. Importer.

Enter the appropriate code from the list below -

G63 Hazardous waste received from Antarctica

G64 Hazardous waste received from Aruba

G65 Hazardous waste received from Bahamas

G66 Hazardous waste received from Belgium

G67 Hazardous waste received from Brazil

G68 Hazardous waste received from Canada

G69 Hazardous waste received from Holland

G70 Hazardous waste received from Malaysia

G71 Hazardous waste received from Mexico

G72 Hazardous waste received from New Zealand

G73 Hazardous waste received from Taiwan

G74 Hazardous waste received from Venezuela

G75 Hazardous waste received from other foreign country - see Comments for country name
69

FORM CODES

Form codes describe the general physical and chemical characteristics of a hazardous waste. Review the 

groups and pick the appropriate code.

Mixed Media/Debris/Devices - Waste that is a mixture of organic and inorganic wastes, liquid and 

solid wastes, or devices that are not easily categorized

Code Form Code Description

W001 Lab packs from any source not containing acute hazardous waste

W002 Contaminated debris (see definition at 40 CFR 268.2(g) and requirements at 40 CFR 268.45): 

for example, certain paper, clothing, rags, wood, empty fiber or plastic containers, glass, 

piping, or other solids

W004 Lab packs from any source containing acute hazardous waste

W005 Waste pharmaceuticals managed as hazardous waste

W301 Contaminated soil (usually from spill clean up, demolition, or remediation); see also W512

W309 Batteries, battery parts, cores, casings (lead-acid or other types)

W310 Filters, solid adsorbents, ion exchange resins and spent carbon (usually from production,

intermittent processes, or remediation)

W320 Electrical devices (lamps, fluorescent lamps, or thermostats usually containing mercury; 

CRTs containing lead; etc)

W512 Sediment or lagoon dragout, drilling or other muds (wet or muddy soils); see also W301

W801 Compressed gases of any type

Inorganic Liquids - Waste that is primarily inorganic and highly fluid (e.g., aqueous), with low 

suspended inorganic solids and low organic content

Code Form Code Description

W101 Very dilute aqueous waste containing more than 99% water (land disposal restriction defined 

wastewater that is not exempt under NPDES or POTW discharge)

W103 Spent concentrated acid (5% or more)

W105 Acidic aqueous wastes less than 5% acid (diluted but pH <2)

W107 Aqueous waste containing cyanides (generally caustic)

W110 Caustic aqueous waste without cyanides (pH >12.5)

W113 Other aqueous waste or wastewaters (fluid but not sludge)

W117 Waste liquid mercury (metallic)

W119 Other inorganic liquid (specify in comments)

Organic Liquids - Waste that is primarily organic and is highly fluid, with low inorganic solids 

content and low-to-moderate water content

Code Form Code Description

W200 Still bottoms in liquid form (fluid but not sludge)

W202 Concentrated halogenated (e.g., chlorinated) solvent

W203 Concentrated non-halogenated (e.g., non-chlorinated) solvent

W204 Concentrated halogenated/ non-halogenated solvent mixture

W205 Oil-water emulsion or mixture (fluid but not sludge)

W206 Waste oil managed as hazardous waste

W209 Paint, ink, lacquer, or varnish (fluid – not dried out or sludge)

W210 Reactive or polymerizable organic liquids and adhesives (fluid but not sludge)

W211 Paint thinner or petroleum distillates 

W219 Other organic liquid (specify in comments)
Form Codes

(continued)

70

Inorganic Solids - Waste that is primarily inorganic and solid, with low organic content and low-tomoderate water content; not pumpable

Code Form Code Description

W303 Ash (from any type of burning of hazardous waste)

W304 Slags, drosses, and other solid thermal residues 

W307 Metal scale, filings and scrap (including metal drums)

W312 Cyanide or metal cyanide bearing solids, salts or chemicals

W316 Metal salts or chemicals not containing cyanides

W319 Other inorganic solids (specify in comments)

Organic Solids - Waste that is primarily organic and solid, with low-to-moderate inorganic content and 

water content; not pumpable

Code Form Code Description

W401 Pesticide solids (used or discarded – not contaminated soils - W301)

W403 Solid resins, plastics or polymerized organics

W405 Explosives or reactive organic solids

W406 Dried paint (paint chips, filters, air filters, other)

W409 Other organic solids (specify in comments)

Inorganic Sludges - Waste that is primarily inorganic, with moderate-to-high water content and low 

organic content; mostly pumpable

Code Form Code Description

W501 Lime and/or metal hydroxide sludges and solids with no cyanides (not contaminated muds -

W512)

W503 Gypsum sludges from wastewater treatment or air pollution control

W504 Other sludges from wastewater treatment or air pollution control

W505 Metal bearing sludges (including plating sludge) not containing cyanides

W506 Cyanide-bearing sludges (not contaminated soils - W512)

W519 Other inorganic sludges (not contaminated muds - W512; specify in comments)

Organic Sludges - Waste that is primarily organic with low-to-moderate inorganic solids content and 

water content; pumpable

Code Form Code Description

W603 Oily sludge (not contaminated muds - W512)

W604 Paint or ink sludges, still bottoms in sludge form (not contaminated muds - W512)

W606 Resins, tars, polymer or tarry sludge (not contaminated muds - W512)

W609 Other organic sludge (specify in comments)
71

MANAGEMENT METHOD CODES

(These changes may be implemented in 2013.)

Management method codes describe the type of hazardous waste management system used to treat, 

recover, or dispose a hazardous waste. Select the final substantive method used. Review the groups and 

pick the appropriate code.

Reclamation and Recovery

Code Management Method Code Description

H010 Metals recovery including retorting, smelting, chemical, etc.

H020 Solvents recovery (distillation, extraction, etc)

H039 Other recovery or reclamation for reuse including acid regeneration, organics recovery, etc. 

(specify in comments)

H050 Energy recovery at this site - used as fuel (includes on-site fuel blending before energy 

recovery; report only this code)

H061 Fuel blending prior to energy recovery at another site (waste generated either on-site or 

received from off-site)

Destruction or Treatment Prior to Disposal at Another Site

Code Management Method Code Description Comparison to

previous 2009 

Codes

H040 Incineration - thermal destruction other than use as a fuel (includes any 

preparation prior to burning) [No change]

H070 Chemical treatment (reduction/destruction/oxidation/precipitation); this 

code is not applicable to treatment in an exempt wastewater treatment 

unit with discharge to NPDES-POTW (unless required by state)

Includes previous 

H071, H073, 

H075, H076, and 

H077 

H081 Biological treatment; this code is not applicable to treatment in an 

exempt wastewater treatment unit with discharge to NPDES-POTW

(unless required by state)

[No change]

H100 Physical treatment only 

(adsorption/absorption/separation/stripping/dewatering); this code is 

not applicable to treatment in an exempt wastewater treatment unit with 

discharge to NPDES-POTW (unless required by state)

Includes previous 

H082,H083,H101,

H103,H123,H124

H110 Stabilization prior to land disposal at another site

(encapsulation/stabilization/fixation)

H111H112

Includes previous 

H111 and H112

H120 Combination of chemical, biological and/or physical treatment; this 

code is not applicable to treatment in an exempt wastewater treatment 

unit with discharge to NPDES-POTW (unless required by state)

New code

H121 Neutralization only (no other treatment) [No change]

H122 Evaporation (as the major component of treatment; not reportable as 

H070-H081)

[No change]

H129 Other treatment that does not include onsite disposal (specify in 

comments) [No change]

Deleted: ¶

H071 ...

Deleted: Biological treatment with or without 

precipitation (includes any preparation or final 

processes for consolidation of residuals)

Deleted: ¶

H082 ...

Deleted: 11

Deleted: Stabilization or chemical fixation prior to 

disposal at another site (as the major component of 

treatment; not H071-H075, H077, or H082)

Deleted: 2

Deleted: Macro-encapsulation prior to disposal at 

another site (as the major component of treatment; 

not reportable as H071-H075, H077, or H082)

Deleted: 1

Deleted: 3

Deleted: ¶

H123 ...

Deleted: (specify in comments; not reportable as 

H071-H124)
Management Method Codes

(continued)

72

Disposal

Code Management Method Code Description

H131 Land treatment or application (to include any prior treatment and/or stabilization)

H132 Landfill or surface impoundment that will be closed as landfill (to include prior treatment 

and/or stabilization)

H134 Deepwell or underground injection (with or without treatment; this waste was counted as 

hazardous waste)

H135 Discharge to sewer/POTW or NPDES (with prior storage - with or without treatment)

Transfer Off-site

Code Management Method Code Description

H141 The site receiving this waste stored/bulked and transferred the waste with no treatment or 

recovery (H010-H129), fuel blending (H061), or disposal (H131-H135) at that receiving site. 

Do not use this code on GM Form in Section 1- Item D or in Section 2.
73

WASTE MINIMIZATION CODES

(These changes may be implemented in 2013.)

Waste Minimization Codes describe the type of waste minimization, recycling, or pollution prevention 

efforts used to reduce the volume and toxicity of the hazardous waste generated at your facility. Select the 

most detailed, appropriate, and specific method that best describes your results. 

You may provide in the Comment section any additional information (including toxicity and quantity 

changes to the extent data are available and other applicable codes) that will help EPA and the States 

understand what you did to implement pollution prevention, waste minimization, or recycling for this 

waste stream, or why your efforts did not succeed. 

Code Waste Minimization Code Description

We successfully implemented or continued pollution prevention, waste minimization and/or 

recycling efforts during the reporting year for this hazardous waste:

The quantity and/or toxicity of this waste was reduced by:

A A change in the product formulation or usage (e.g., using less primer or solvent)

B A change in the product’s chemical ingredients (e.g., using a different solvent)

C A change in equipment (e.g., auto bath analyzers that keep a bath operating longer or 

wastewater treatment system upgrades)

D A change in inventory/waste management or safety practices (e.g., “First In First Out” 

programs, chemical vending, bulk systems that replace drums, improved storage)

This waste was used, reused or reclaimed as a result of:

F A change in the product formulation

G A change in the product’s chemical ingredients 

H A change in equipment

Other efforts:

I A materials management process with a goal of sustainable use of materials

2

J This hazardous waste was successfully recycled (either onsite or offsite)

K Other efforts not covered under Codes A through J were implemented successfully 

We attempted but did not succeed at pollution prevention, waste minimization and/or recycling 

efforts during the reporting year for this reason:

L Economic constraints halted implementation

M Technical problems halted implementation

N Other reasons halted implementation 

We determined pollution prevention, waste minimization or recycling efforts to be economically 

impracticable for this reason: 

T This waste was received from off-site and was not generated at this location

U This waste is infrequently generated 

V Economic constraints prevented efforts

W Lack of available technology prevented efforts

X Other reasons prevented efforts 

 

2

Sustainable Materials Management is an approach to serving human needs by using/reusing resources most productively and 

sustainably throughout their life cycles, generally minimizing the amount of materials involved and all the associated 

environmental impacts. “Materials” include all those extracted or derived from natural resources, which may be either inorganic 

or organic substances, at all points throughout their life-cycles. “Life-cycle of materials” includes all activities related to 

materials such as extraction, transportation, production, consumption, material/product reuse, recovery and disposal. For more 

information, go to Sustainable Material Management: The Road Ahead located at 

http://www.epa.gov/wastes/inforesources/pubs/vision2.pdf and Vision 2050 located at 

www.wbcsd.org/web//projects/BZrole/Vision2050_Summary_Final.pdf.

Deleted: Waste minimization codes describe the 

type of waste minimization, recycling, or pollution 

prevention efforts used to reduce the volume and 

toxicity of the hazardous waste generated at your 

facility. Select the most detailed, appropriate, and 

specific method used. If minimization was not 

attempted (to the point of implementing a change) 

for this waste, you must select the “X” code.¶
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

EPA Form 8700-12, 8700-13 A/B, 8700-23 (Revised xx/xx/xxxx) Page1 of 
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 Offsite

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

EPA Form 8700-12, 8700-13 A/B, 8700-23 (Revised xx/xx/xxxx) Page 2 of 

Deleted: 7

Deleted: 2

Deleted: 3

Deleted: 4

Deleted: d

Deleted: e

Deleted: 6

Deleted: f

Deleted: 7
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 laboratoriesN 

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 N 2. Withdrawing from 40 CFR Part 262 Subpart K for the management of hazardous wastes in laboratories

11. Description of Hazardous Waste

A. Waste Codes for Federally Regulated Hazardous Wastes. Please list the waste codes of the Federal hazardous wastes handled at 

your site. List them in the order they are presented in the regulations (e.g., D001, D003, F007, U112). Use an additional page if more 

spaces are needed.

B. Waste Codes for State-Regulated (i.e., non-Federal) Hazardous Wastes. Please list the waste codes of the State-Regulated 

hazardous wastes handled at your site. List them in the order they are presented in the regulations. Use an additional page if more 

spaces are needed.

EPA Form 8700-12, 8700-13 A/B, 8700-23 (Revised xx/xx/xxxx) Page 3 of 

Deleted: You must check with your State to 

determine if you are eligible to manage 

laboratory hazardous wastes pursuant to 40 

CFR Part 262 Subpart K¶
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)

EPA Form 8700-12, 8700-13 A/B, 8700-23 (Revised xx/xx/xxxx) Page 4 of 
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)? 

EPA Form 8700-12, 8700-13 A/B, 8700-23 (Revised xx/xx/xxxx) Addendum Page of 

Deleted: hazardous secondary material

Deleted: , which is secondary material (e.g., 

spent material, by-product, or sludge) that when 

discarded, would be identified as hazardous 

waste under 40 CFR Part 261. 

Deleted: Do not include any information 

regarding your hazardous waste activities in this 

section

Deleted: ¶

You must submit a completed Site Identification 

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 

Identification Form as pursuant to 40 CFR 

260.42. Persons who must satisfy this 

notification requirement can submit information 

at the same time as their Biennial Report (which 

is also due by March 1 of each even-numbered 

year). 

Deleted: If 

Deleted: you stop

Deleted: hazardous secondary material 

Deleted: accordance with the 

Deleted: hazardous secondary material 

Deleted: Notifying that the facility 

Deleted: hazardous secondary material 

Deleted: Re-notifying that the 

Deleted: hazardous secondary material

Deleted: and is 

Deleted: Notifying that the facility 

Deleted: hazardous secondary material 

Deleted: and 

Deleted: within 30 days of stopping 

management. 

Deleted: hazardous secondary material 

(HSM) 

Deleted: hazardous secondary material 

Deleted: in this section

Deleted: hazardous secondary material (

Deleted: )

Deleted: 261 Subpart H

Deleted: hazardous secondary material 

Deleted: 261 Subpart H
This page intentionally left blank
OMB# 2050-0024; Expires xx/xx/xxxx

BEFORE COPYING FORM, ATTACH SITE IDENTIFICATION LABEL 

OR ENTER:

SITE NAME: 

 

EPA ID Number

U.S. ENVIRONMENTAL

PROTECTION AGENCY

2011 Hazardous Waste Report

WASTE GENERATION

AND MANAGEMENT

GM

FORM

Sec. 1 A. Waste description:

B. EPA hazardous waste code(s) C. State hazardous waste code(s)

D. Source code

G

 Management Method code for Source code G25

H

E. Form code

W

F. Quantity generated in 2011

. 

.

.

.

.

UOM

Density . lbs/gal sg

 lbs/gal sg

G. Waste

 minimization code

Sec. 2 Was any of this waste that was generated at this facility treated, disposed, and/or recycled on site?

 Yes (CONTINUE TO ON-SITE PROCESS SYSTEM 1)

 No (SKIP TO SEC. 3)

ON-SITE PROCESS SYSTEM 1 ON-SITE PROCESS SYSTEM 2

On-site Management Quantity treated, disposed, or

 Method code recycled on site in 2011

H .

.

On-site Management Quantity treated, disposed, or

 Method code recycled on site in 2011

 

H .

Sec. 3 A. Was any of this waste shipped off site in 2011 for treatment, disposal, or recycling? 

 Yes (CONTINUE TO ITEM B)

 No (FORM IS COMPLETE)

Site 1 B. EPA ID No. of facility to which waste was shipped

G

C. Off-site Management 

Method code shipped to

H

G

D. Total quantity shipped in 2011

G

.

Site 2 B. EPA ID No. of facility to which waste was shipped

G

C. Off-site Management 

Method code shipped to

H

H

G

D. Total quantity shipped in 2011

G

.

Site 3 B. EPA ID No. of facility to which waste was shipped

G

C. Off-site Management 

Method code shipped to

H

D. Total quantity shipped in 2011

G

.

Comments:

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Deleted: managed 
This page intentionally left blank
OMB# 2050-0024; Expires xx/xx/xxxx

BEFORE COPYING FORM, ATTACH SITE IDENTIFICATION LABEL 

OR ENTER:

SITE NAME: 

 

EPA ID Number

U.S. ENVIRONMENTAL

PROTECTION AGENCY

2011 Hazardous Waste Report

WASTE RECEIVED

FROM OFF SITE

WR

FORM

Waste 1 A. Description of hazardous waste

B. EPA hazardous waste code(s) C. State hazardous waste code(s) D. Off-site handler EPA ID number

E. Quantity received in 2011

. 

.

.

.

.

 

F. UOM

Density .

lbs/gal sg

G.Form code

W

 

H. Management Method code

H

 

Waste 2 A. Description of hazardous waste

B. EPA hazardous waste code(s) C. State hazardous waste code(s) D. Off-site handler EPA ID number

E. Quantity received in 2011

. 

.

.

.

.

 

F. UOM

Density .

lbs/gal sg

G. Form code

W

 

H. Management Method code

H

 

Waste 3 A. Description of hazardous waste

B. EPA hazardous waste code(s) C. State hazardous waste code(s) D. Off-site handler EPA ID number

E. Quantity received in 2011

. 

.

.

.

.

 

F. UOM

Density .

lbs/gal sg

G. Form code

W

 

H. Management Method code

H

 

Comments:

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This page intentionally left blank
OMB#: 2050-0024; Expires xx/xx/xxxx

BEFORE COPYING FORM, ATTACH SITE IDENTIFICATION LABEL 

OR ENTER:

SITE NAME: 

 

EPA ID NO:

U.S. ENVIRONMENTAL

PROTECTION AGENCY

2011 Hazardous Waste Report

OFF-SITE

IDENTIFICATION

OI

FORM

Site 1 A. EPA ID number of off-site installation or transporter B. Name of off-site installation or transporter

C. Handler type (MARK ALL THAT APPLY)

 Generator

 Transporter

 Receiving facility

D. Address of off-site installation

Street

City

State Zip -

Site 2 A. EPA ID number of off-site installation or transporter B. Name of off-site installation or transporter

C. Handler type (MARK ALL THAT APPLY)

 Generator

 Transporter

 Receiving facility

D. Address of off-site installation

Street

City

State Zip -

Site 3 A. EPA ID number of off-site installation or transporter B. Name of off-site installation or transporter

C. Handler type (MARK ALL THAT APPLY)

 Generator

 Transporter

 Receiving facility

D. Address of off-site installation

Street

City

State Zip -

Site 4 A. EPA ID number of off-site installation or transporter B. Name of off-site installation or transporter

C. Handler type (MARK ALL THAT APPLY)

 Generator

 Transporter

 Receiving facility

D. Address of off-site installation

Street

City

State Zip -

Comments:

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INSTRUCTIONS FOR FILLING OUT THE OI FORM –

OFF-SITE IDENTIFICATION

Who Must Submit this Form

Sites required to file the 2011 Hazardous Waste Report must submit the OI Form if:

The OI Form is required by your State; AND

The site received hazardous waste from off-site or sent hazardous waste off-site during 2011.

For a list of State Contacts go to: http://www.epa.gov/epawaste/inforesources/data/form8700/contact.pdf.

Purpose of this Form

The OI Form documents the names and addresses of off-site installations and transporters.

How to Fill out this Form

The OI Form is divided into five identical parts. You must fill out one part for each off-site installation to 

which you shipped hazardous waste, each off-site installation from which you received hazardous waste, 

and each transporter you used to ship hazardous waste during 2011. If these off-site installations and 

transporters total more than four, you must photocopy and complete additional copies of the form. Prior 

to photocopying, place the pre-printed site identification label in the top left-hand corner of the form or, if 

you did not receive pre-printed labels, enter the site name and EPA Identification Number in this space.

Use the Comments section at the end of the form to clarify any entry (e.g., “Other” responses) or to 

continue any entry. When entering information in the Comments section, cross-reference the site number 

and item letter to which the comment refers.

Item-By-Item Instructions

Complete Items A through D for each off-site installation to which you shipped hazardous waste and each 

off-site installation from which you received hazardous waste during 2011. Complete Items A through C 

for each transporter you used during the year (address in Item D is not required for transporters). 

Item A – EPA ID No. of Off-site Installation or Transporter

Enter the 12-digit EPA ID number of the off-site installation to which you shipped hazardous waste or 

from which you received hazardous waste. Or, enter the EPA ID number of the transporter who shipped 

hazardous waste to or from your site. Each EPA ID number should appear only once. If the off-site 

installation or transporter did not have an EPA ID number during 2011, leave blank if this item is not 

applicable or “don’t know” in Item A and note the reason in the Comments section.
OI Form

(continued)

Item B – Name of Off-Site Installation or Transporter

Enter the name of the off-site installation or transporter reported in Item A.

Item C – Handler Type

Place an “X” in all boxes that apply to the handler type (i.e., generator, transporter, or receiving facility) 

of the off-site installation or transporter reported in Item A.

Item D – Address of Off-site Installation

Enter the address of the off-site installation reported in Item A. If the EPA ID number reported in Item A 

refers to a transporter, leave blank if this item is not applicable or “don’t know” in Item D.