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EPA ID Number I C I A I R 1 0 1 0 1 0 1 2 1 2 1 9 1 7 1 3 2 OMB#2050-0024; Expires 05/31/2020 <br /> 10. Type of Regulated Waste Activity(at your site) <br /> Mark"Yes"or"No"for all current activities(as of the date submitting the form); complete any additional boxes as instructed. <br /> A. Hazardous Waste Activities <br /> Z✓Y F�N 1. Generator of Hazardous Waste—If"Yes", mark only one of the following—a, b,c <br /> ❑ a. LQG -Generates, in any calendar month (includes quantities imported by importer site) <br /> 1,000 kg/mo(2,200 Ib/mo)or more of non-acute hazardous waste;or <br /> -Generates, in any calendar month,or accumulates at any time, more than 1 kg/mo <br /> (2.2 Ib/mo)of acute hazardous waste;or <br /> -Generates, in any calendar month or accumulates at any time, more than 100 kg/mo <br /> (220 Ib/mo)of acute hazardous spill cleanup material. <br /> b.SQG 100 to 1,000 kg/mo(220-2,200 Ib/mo) of non-acute hazardous waste and no more than <br /> 1 kg(2.2 Ib)of acute hazardous waste and no more than 100 kg(220 Ib)of any acute <br /> hazardous spill cleanup material. <br /> c.VSQG Less than or equal to 100 kg/mo(220 Ib/mo) of non-acute hazardous waste. <br /> If"Yes"above, indicate other generator activities in 2 and 3,as applicable. <br /> [1Y ZN 2. Short-Term Generator(generates from a short-term or one-time event and not from on-going <br /> processes). If"Yes", provide an explanation in the Comments section. <br /> []Y Z✓ N 3. Mixed Waste(hazardous and radioactive)Generator <br /> []Y Z N 4. Treater,Storer or Disposer of Hazardous Waste—Note:A hazardous waste Part B permit is required for <br /> these activities. <br /> E]Y Z 5. Receives Hazardous Waste from Off-site <br /> Y F,( N 6. Recycler of Hazardous Waste <br /> ❑ a. Recycler who stores prior to recycling <br /> ❑ b. Recycler who does not store prior to recycling <br /> []Y Z N 7. Exempt Boiler and/or Industrial Furnace—If"Yes", mark all that apply. <br /> a. Small Quantity On-site Burner Exemption <br /> ❑ b. Smelting, Melting,and Refining Furnace Exemption <br /> B.Waste Codes for Federally Regulated Hazardous Wastes. Please list the waste codes of the Federal hazardous wastes <br /> handled at your site. List them in the order they are presented in the regulations(e.g. D001, D003, F007, U112). Use an <br /> additional page if more spaces are needed. <br /> D001,D002,DOW,D009,DO10,D024,POO 1,P075,0002,U034,U 129,U205 <br /> C.Waste Codes for State Regulated(non-Federal) Hazardous Wastes. Please list the waste codes of the State hazardous <br /> wastes handled at your site. List them in the order they are presented in the regulations. Use an additional page if more <br /> spaces are needed. <br /> 122,181,214,311,331,791 <br /> EPA Form 8700-12,8700-13 A/B,8700-23 SI Page 3/6 <br />