DTSC Form 1299 "Consolidated Transporter Notification" - California

What Is DTSC Form 1299?

This is a legal form that was released by the California Department of Toxic Substances Control - a government authority operating within California. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on April 1, 2020;
  • The latest edition provided by the California Department of Toxic Substances Control;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of DTSC Form 1299 by clicking the link below or browse more documents and templates provided by the California Department of Toxic Substances Control.

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Download DTSC Form 1299 "Consolidated Transporter Notification" - California

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California Environmental Protection Agency
Department of Toxic Substances Control
Transporter Unit
1001 I Street MS 11A, Sacramento, CA 95814
Phone: (800) 618-6942 Fax: (916) 323-3500
Consolidated Transporter Notification
DTSC Form 1299 (Revision 04/2020)
1. Business Name (Show DBA name, show name exactly as it will appear on
registration; the same name or trademark is required on all vehicles):
______________________________________________________________________
2. Transporter Registration Number: __________
3. Business Address:_____________________________________________________
Street
______________________________________________________________________
City
State
County
ZIP Code
4. Mailing Address (if different from above): ___________________________________
Street/P.O. Box
______________________________________________________________________
City
State
County
ZIP Code
5. a) Telephone Number: ___________________ b) Fax Number: _________________
(ext.)
c) E-mail Address: ______________________________________________________
6. Hazardous Waste EPA Identification Numbers. If your company transports hazardous
wastes, operates the designated facility, and intends to submit only the facility copy of
the consolidated manifests pursuant to Health and Safety Code, section 25160(b)(5)(A),
you must provide all the transporter and facility EPA identification numbers (12
characters) used by your company on these manifests. If necessary, list additional EPA
identification numbers on a separate sheet.
a) ________________________________ b) ________________________________
c) ________________________________ d) ________________________________
California Environmental Protection Agency
Department of Toxic Substances Control
Transporter Unit
1001 I Street MS 11A, Sacramento, CA 95814
Phone: (800) 618-6942 Fax: (916) 323-3500
Consolidated Transporter Notification
DTSC Form 1299 (Revision 04/2020)
1. Business Name (Show DBA name, show name exactly as it will appear on
registration; the same name or trademark is required on all vehicles):
______________________________________________________________________
2. Transporter Registration Number: __________
3. Business Address:_____________________________________________________
Street
______________________________________________________________________
City
State
County
ZIP Code
4. Mailing Address (if different from above): ___________________________________
Street/P.O. Box
______________________________________________________________________
City
State
County
ZIP Code
5. a) Telephone Number: ___________________ b) Fax Number: _________________
(ext.)
c) E-mail Address: ______________________________________________________
6. Hazardous Waste EPA Identification Numbers. If your company transports hazardous
wastes, operates the designated facility, and intends to submit only the facility copy of
the consolidated manifests pursuant to Health and Safety Code, section 25160(b)(5)(A),
you must provide all the transporter and facility EPA identification numbers (12
characters) used by your company on these manifests. If necessary, list additional EPA
identification numbers on a separate sheet.
a) ________________________________ b) ________________________________
c) ________________________________ d) ________________________________
7. Hazardous Waste Streams. I intend to transport the following hazardous waste
stream under the consolidated manifesting procedure, as described in Health and
Safety Code, section 25160.2. Check all applicable boxes.
A. Used oil
B. Contents of an oil/water separator
C. Solids contaminated with used oil
D. Brake fluid.
E. Antifreeze
F. Antifreeze sludge
G. Parts cleaning solvents, including aqueous cleaning solvents
H. Hydroxide sludge contaminated solely with metals from a wastewater treatment
process
I. "Paint-related" wastes, including paints, thinners, filters, and sludges
J. Spent photographic solutions
K. Dry cleaning solvents (including perchloroethylene, naphtha, and silicone-based
solvents)
L. Filters, lint, and sludges contaminated with dry cleaning solvent
M. Asbestos and asbestos-containing materials
N. Inks from the printing industry
O. Chemicals and laboratory packs collected from K-12 schools
P. Absorbents contaminated with other wastes listed in Health and Safety Code,
section 25160.2(c)
Q. Filters from dispensing pumps for diesel and gasoline fuels
8. Name and Title of Authorized Representative
____________________________________________________________________
Name (print or type)
Title
______________________________________________________________________
Signature of Authorized Representative (use blue on other non-black ink)
Date
Note: Keep this Consolidated Transporter Notification signed by DTSC with the
valid Transporter Registration Certificate in the vehicle at all times during the
transportation of hazardous waste. Transportation of waste stream(s) listed
above, under the consolidated manifesting procedure, without notifying DTSC is
a violation of Health and Safety Code (HSC), section 25165(a) and may be subject
to significant penalties. Consolidated transporters are also required to submit
quarterly reports pursuant to HSC, section 25160.2(d).
Do Not Write Below This Line (For DTSC Use Only)
Transporter Unit Representative: ______________________ Received Date:________
Print or Type Name: ________________________________ Expiration Date: _______
DTSC Acknowledgement Date: ____________________________________________
Consolidated Transporter Notification Instructions
1. Business Name
• Enter the name, the doing business as (DBA) name, or fictitious name under
which you are doing business. This will be the same name that will appear on the
Registration Certificate issued by DTSC, the Certificate of Insurance for Public
Liability Coverage (DTSC Form 8038), and the Endorsement for Motor Carrier
Policies of Insurance for Public Liability (Form MCS90).
• If you have more than one DBA or fictitious name, you must apply for a separate
registration for each DBA or fictitious name under which you will transport
hazardous waste.
2. Transporter Registration Number
Enter your current registration number.
3. Contact Number
Enter the telephone number, fax number and e-mail address of the business contact
person.
4. Business Address
Enter the complete business address.
5. Mailing Address
Enter the complete mailing address.
6. Hazardous Waste EPA Identification Numbers
If your company transports hazardous wastes, operates the designated facility, and
intends to submit only the facility copy of the consolidated manifests pursuant to
Health and Safety Code, section 25160(b)(5)(A), you must provide all the transporter
and facility EPA identification numbers used by your company on these manifests.
7. Hazardous Waste Streams
Check all applicable boxes of waste streams that you plan to transport under the
consolidated manifesting procedure as described in Health and Safety Code, section
25160.2.
8. Authorized Representative
The business owner or officer who is authorized to make decisions for the business
shall sign in the space provided. Enter the full printed name and title of the person
signing the form, and the date that the form was signed. Since the original signature
is required on the form, please use blue or other non-black ink.
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