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OMB#: 2050.0175 E)pires 12/31/2003 <br /> EPAIDNo. 1 III 111 1111 <br /> 10. Type of Regulated Waste Activity(Mark the appropriate boxes for activities that apply to your site. See instructions on pages 26 to 30) <br /> A.•Hazardous Waste Activities <br /> 1. Generator of Hazardous Waste For Items 2 through 6,mark all that apply. <br /> (Choose only one of the following three categories.) <br /> ❑ 2. Transporter of Hazardous Waste <br /> O a. LQG: Greater than 1,000 kg/mo(2,200 lbs./mo.)of non-acute <br /> hazardous waste;or 3. Treater,Storer,or Disposer of Hazardous Waste(at your <br /> site) Note:A hazardous waste permit is required for this <br /> }rt b. SQG: 100 to 1,000 kg/mo(220-2,200 lbs./mo.)of non-acute activity. <br /> s hazardous waste;or <br /> ❑ 4. Recycler of Hazardous Waste(at your site) Note:A <br /> ❑ c. CESQG Less than 100 kg/mo(220 lbs./mo.)of non-acute hazardous hazardous waste permit may be required for this activity. <br /> waste <br /> 5. Exempt Boller and/or Industrial Furnace <br /> In addition,Indicate other generator activities.(Mark all that apply) <br /> Cla. Small Quantity Onsite Burner Exemption <br /> ❑ d. United States Importer of Hazardous Waste <br /> ❑ b. Smelting,Melting,and Refining Furnace Exemption <br /> ❑ e. Mixed Waste(hazardous and radioactive)Generator <br /> ❑ 6. Underground Injection Control <br /> B.Universal Waste Activities C.Used Oil Activities (Mark all boxes that apply.) <br /> 1. Large Quantity Handler of Universal Waste(accumulate 5,000 kg or 1. Used Oil Transporter-Indicate Type(s)of Activity(les) <br /> more)[refer to your State regulations to determine what Is regulated]. O a. Transporter <br /> Indicate types of universal waste generated and/or accumulated at your <br /> site. (Mark all boxes that apply): ❑ b. Transfer Facility. <br /> 2. Used Oil Processor and/or Re-reflner-Indicate Type(s) <br /> Generate Accumulate of Activity(los) <br /> a. Batteries ❑ ❑ ❑ a. Processor <br /> b. Pesticides ❑ ❑ ❑ b. Re-refiner <br /> c. Thermostats ❑ j' ❑ ❑ 3. OffSpecificatlon Used Off Burner <br /> d. Lamps ❑ ❑ 4. Used Off Fuel Marketer-Indicate Type(s)of Activity(les) <br /> e. Other(specify) ❑ ❑ <br /> ❑ a. Marketer Who Directs Shipment of Off-Specification <br /> I. Other(specify) ❑ C3 <br /> Used Oil to Off-Specification Used Oil Sumer <br /> g.Other(specify) ❑ O <br /> ❑ b. Marketer Who First Claims the Used Oil Meets the <br /> Specifications <br /> ❑ 2. Destination Facility for Universal Waste <br /> Note:A hazardous waste permit may be required for this activity. <br /> 11. Description of Hazardous Wastes(See instructions on page 31) �C ��n <br /> 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 <br /> the order they are presented in the regulations(e.g.,D001,0003,F007,U112). Use an additional page if more spaces are needed. <br /> woe <br /> ItPA Form 8700-12(Revised 5/2002) - Page 2 of 3 <br />