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EPA ID Number �1 A 1_1101 01 0 121619 3 7 5 OMB#:2050-0024; Expires 01/31/2017 <br /> D. Eligible Academic Entities with Laboratories—Notification for opting into or withdrawing from managing laboratory hazardous <br /> wastes pursuant to 40 CFR Part 262 Subpart K <br /> You can ONLY Opt into Subpart K if: <br /> • you are at least one of the following: a college or university; a teaching hospital that is owned by or has a formal affiliation <br /> agreement with a college or university;or a non-profit research institute that is owned by or has a formai affiliation agreement with <br /> a college or university;AND <br /> • you have checked with your State to determine if 40 CFR Part 262 Subpart K is effective in your state <br /> YF� NQ 1. Opting into or currently operating under 40 CFR Part 262 Subpart K for the management of hazardous wastes in laboratories <br /> See the item-by-item instructions for definitions of types of eligible academic entities. Mark all that apply: <br /> ❑a. College or University <br /> ❑b. Teaching Hospital that is owned by or has a formal written affiliation agreement with a college or university <br /> 0c. Non-profit Institute that Is owned by or has a formal written affiliation agreement with a college or university <br /> (not applicable) <br /> YE] NO 2. Withdrawing from 40 CFR Part 262 Subpart K for the management of hazardous wastes in laboratories <br /> 11. Description of Hazardous Waste <br /> A. Waste Codes for Federally Regulated Hazardous Wastes. Please list the waste codes of the Federal hazardous wastes handled at <br /> 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 <br /> spaces are needed. <br /> D001 D002 D018 <br /> B. Waste Codes for State-Regulated(i.e.,non-Federal)Hazardous Wastes. Please list the waste codes of the State-Regulated <br /> hazardous 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 /> 133 221 223 232 291 513 <br /> EPA Form 8700-12, 8700-13 A/B, 8700-23 Page 3 of 4 <br />