DTSC Form 1459 "Certified Appliance Recycler Orphan Waste Form" - California

This version of the form is not currently in use and is provided for reference only.
Download this version of DTSC Form 1459 for the current year.

What Is DTSC Form 1459?

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 December 14, 2016;
  • 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 printable version of DTSC Form 1459 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 1459 "Certified Appliance Recycler Orphan Waste Form" - California

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State of California – California Environmental Protection Agency
Department of Toxic Substances Control
Instructions for Certified Appliance Recycler (CAR) Orphan Waste Form
A person who transports, delivers, or sells an “orphan appliance” to a scrap recycling
facility must submit this Form to the facility (Health and Safety Code 25211.2(b)2(B)).
Both the scrap recycling facility and the person who delivers orphan appliance(s) to the
scrap recycling facility must keep a copy of this form for three years. Forms must be
made available for inspection upon request of a representative of DTSC or the local
CUPA.
The recycling facility must be a CAR and follow routine protocol for removing all
remaining Materials that Require Special Handling. The facility must also submit a
monthly report to DTSC (Form 1468) and the local CUPA containing the following
information:
• The name and address of the person who transported, delivered, or sold the
appliance to the scrap recycling facility
• The total number of “orphan” appliances received.
Definitions
Orphan appliance: a major appliance that has been processed in any way that could
result in the release, or prevent the removal of Materials that Require Special Handling
(Health and Safety Code 25211.2(b)2))
Major appliances: include, but are not be limited to, washers and dryers,
refrigerators and freezers, space heaters, microwaves, ovens, stoves, boilers,
furnaces, water heaters, and air conditioners, trash compactors. (Public Resource
Code 42166)
Materials that Require Special Handling: include the following materials (Public
Resource Code 42167):
o Encapsulated polychlorinated biphenyls (PCBs), Di (2-Ethylhexylphthalate)
(DEHP), and metal encased capacitors
o Chlorofluorocarbons (CFCs), hydrochlorofluorocarbons (HCFCs), and other non-
CFC replacement refrigerants, injected in air-conditioning/refrigeration units
o Used oil, & refrigeration oil
o Mercury found in switches and temperature control devices in major appliances
o Any other material that is a regulated hazardous waste (it exhibits any of the
following characteristics: ignitability, corrosivity, reactivity, and toxicity)
The name, address, and signature on this form must match those found on the
government issued identification (example CA driver’s license, US passport).
For more appliance recycling information contact: (916) 322-4819, or visit
http://www.dtsc.ca.gov/HazardousWaste/Mercury/#Appliance_Recyclers
DTSC Form 1459 (12/14/16)
Page 1 of 2
State of California – California Environmental Protection Agency
Department of Toxic Substances Control
Instructions for Certified Appliance Recycler (CAR) Orphan Waste Form
A person who transports, delivers, or sells an “orphan appliance” to a scrap recycling
facility must submit this Form to the facility (Health and Safety Code 25211.2(b)2(B)).
Both the scrap recycling facility and the person who delivers orphan appliance(s) to the
scrap recycling facility must keep a copy of this form for three years. Forms must be
made available for inspection upon request of a representative of DTSC or the local
CUPA.
The recycling facility must be a CAR and follow routine protocol for removing all
remaining Materials that Require Special Handling. The facility must also submit a
monthly report to DTSC (Form 1468) and the local CUPA containing the following
information:
• The name and address of the person who transported, delivered, or sold the
appliance to the scrap recycling facility
• The total number of “orphan” appliances received.
Definitions
Orphan appliance: a major appliance that has been processed in any way that could
result in the release, or prevent the removal of Materials that Require Special Handling
(Health and Safety Code 25211.2(b)2))
Major appliances: include, but are not be limited to, washers and dryers,
refrigerators and freezers, space heaters, microwaves, ovens, stoves, boilers,
furnaces, water heaters, and air conditioners, trash compactors. (Public Resource
Code 42166)
Materials that Require Special Handling: include the following materials (Public
Resource Code 42167):
o Encapsulated polychlorinated biphenyls (PCBs), Di (2-Ethylhexylphthalate)
(DEHP), and metal encased capacitors
o Chlorofluorocarbons (CFCs), hydrochlorofluorocarbons (HCFCs), and other non-
CFC replacement refrigerants, injected in air-conditioning/refrigeration units
o Used oil, & refrigeration oil
o Mercury found in switches and temperature control devices in major appliances
o Any other material that is a regulated hazardous waste (it exhibits any of the
following characteristics: ignitability, corrosivity, reactivity, and toxicity)
The name, address, and signature on this form must match those found on the
government issued identification (example CA driver’s license, US passport).
For more appliance recycling information contact: (916) 322-4819, or visit
http://www.dtsc.ca.gov/HazardousWaste/Mercury/#Appliance_Recyclers
DTSC Form 1459 (12/14/16)
Page 1 of 2
State of California – California Environmental Protection Agency
Department of Toxic Substances Control
Certified Appliance Recycler Orphan Waste Form
To be completed by the person delivering “orphan” appliances:
Name: ……………………………………………………..… Phone number: …………………………………….
Street Address: ……………………………………..…City: ………………….… State: ……..… Zip: …..………
Government ID type: ……………………………... Government ID number: ……...…………………………….
Please complete the following table, listing all “orphan” appliances individually:
Appliance type
Quantity
Name and address of the person that provided you the appliance
Under penalty of perjury, I …………………………… certify the information provided above is accurate to
(please print)
the best of my knowledge. I certify that the appliance(s) listed above were obtained in their current
condition and that I did not process, arrange to have processed, or knowingly accept them from
any other person who processed or arranged to have the appliance(s) processed.
………………………………………………….
………………………….
Signature
Date
………………………………………………….
…………………………...
Signature of person accepting delivery
Date
………………………………………………….
……………………………………..
Name of scrap recycling facility
CAR # of scrap recycling facility
DTSC Form 1459 (12/14/16)
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