Instructions for DEP Form 8700-12FL "Florida Notification of Regulated Waste Activity" - Florida

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INSTRUCTIONS FOR PREPARING THE 8700-12FL
FLORIDA NOTIFICATION OF REGULATED
WASTE ACTIVITY (Form 62-730.900(1)(c))
DEP Waste Management Division–HWRS, MS4560
2600 Blair Stone Rd. Tallahassee, FL 32399-2400
(850) 245-8707
What is the purpose of this form?
This form is used to notify the Florida Department of Environmental Protection (FDEP) of regulated waste
activities taking place at sites located in Florida. It is designed to help generators, transporters and processors of
hazardous waste, universal waste and used oil meet both the federal and state notification requirements. It is also
used to update information previously supplied to FDEP, and to notify FDEP when the facility closes, goes out
of business, and other changes
Who must fill out this form?
The Florida hazardous waste rules require that certain information be submitted by any site that generates
hazardous waste, transports hazardous waste, or operates a treatment/storage/disposal facility (TSDF) for
hazardous waste. Included are facilities that manage, in any month, over 100 kilograms (kg) [220 pounds (lbs)]
of hazardous waste regulated under the Resource Conservation and Recovery Act (RCRA), or 1 kg of acute
RCRA hazardous waste; or 5,000 kg (11,000 lbs) or more of combined universal waste on-site at any one time.
Sites that manage, transport and/or process used oil must notify; generators of used oil destined for recycling do
not need to notify. This form should also be used to notify FDEP of changes in previously submitted information,
including status of hazardous waste generators.
An EPA identification number must be obtained before beginning hazardous waste activities, except for
Conditionally Exempt Small Quantity Generators (CESQGs) who are exempt from this regulation under Title
40 Code of Federal Regulations (CFR), §261.5. CESQGs generate no more than 100 kg (220 lbs) of hazardous
waste in any month.
Temporary/Emergency identification numbers are handled by the FDEP district offices. If you need a
Temporary/Emergency identification number for a one-time generation of hazardous waste or for an emergency
clean-up, contact the district office handling the county in which your hazardous waste generation will occur.
See the attached FDEP Regulatory District Map for contact information.
Where can I get, help filling out this form?
In addition to reading these instructions, you can obtain further guidance in filling out this form by:
• Visiting our web site at
http://www.dep.state.fl.us/waste/categories/hazardous/pages/publications.htm
where you will find electronic versions of these documents and additional notification information;
• Calling us at (850) 245-8761 from 8:00 AM to 5:00 PM, Monday through Friday. We can help you go
through the form item by item, if you wish, or answer any specific questions you may have.
Where do I send this form once completed?
Please mail signed form and any related correspondence to:
EPA ID Notification Coordinator
Hazardous Waste Program MS 4560
Department of Environmental Protection
2600 Blair Stone Road
Tallahassee, Florida 32399-2400
After I submit this form, will I hear back from you?
After we have entered your information into our database, you should receive a confirmation letter from us
within two weeks. If you do not receive a confirmation letter stating that we received your notification form
within 30 days of sending it to us, please call the hazardous waste program at (850) 245-8761.
Instructions – 8700-12FL – Florida Notification of Regulated Waste Activity (Revised 04-23-2013)
Page 1
INSTRUCTIONS FOR PREPARING THE 8700-12FL
FLORIDA NOTIFICATION OF REGULATED
WASTE ACTIVITY (Form 62-730.900(1)(c))
DEP Waste Management Division–HWRS, MS4560
2600 Blair Stone Rd. Tallahassee, FL 32399-2400
(850) 245-8707
What is the purpose of this form?
This form is used to notify the Florida Department of Environmental Protection (FDEP) of regulated waste
activities taking place at sites located in Florida. It is designed to help generators, transporters and processors of
hazardous waste, universal waste and used oil meet both the federal and state notification requirements. It is also
used to update information previously supplied to FDEP, and to notify FDEP when the facility closes, goes out
of business, and other changes
Who must fill out this form?
The Florida hazardous waste rules require that certain information be submitted by any site that generates
hazardous waste, transports hazardous waste, or operates a treatment/storage/disposal facility (TSDF) for
hazardous waste. Included are facilities that manage, in any month, over 100 kilograms (kg) [220 pounds (lbs)]
of hazardous waste regulated under the Resource Conservation and Recovery Act (RCRA), or 1 kg of acute
RCRA hazardous waste; or 5,000 kg (11,000 lbs) or more of combined universal waste on-site at any one time.
Sites that manage, transport and/or process used oil must notify; generators of used oil destined for recycling do
not need to notify. This form should also be used to notify FDEP of changes in previously submitted information,
including status of hazardous waste generators.
An EPA identification number must be obtained before beginning hazardous waste activities, except for
Conditionally Exempt Small Quantity Generators (CESQGs) who are exempt from this regulation under Title
40 Code of Federal Regulations (CFR), §261.5. CESQGs generate no more than 100 kg (220 lbs) of hazardous
waste in any month.
Temporary/Emergency identification numbers are handled by the FDEP district offices. If you need a
Temporary/Emergency identification number for a one-time generation of hazardous waste or for an emergency
clean-up, contact the district office handling the county in which your hazardous waste generation will occur.
See the attached FDEP Regulatory District Map for contact information.
Where can I get, help filling out this form?
In addition to reading these instructions, you can obtain further guidance in filling out this form by:
• Visiting our web site at
http://www.dep.state.fl.us/waste/categories/hazardous/pages/publications.htm
where you will find electronic versions of these documents and additional notification information;
• Calling us at (850) 245-8761 from 8:00 AM to 5:00 PM, Monday through Friday. We can help you go
through the form item by item, if you wish, or answer any specific questions you may have.
Where do I send this form once completed?
Please mail signed form and any related correspondence to:
EPA ID Notification Coordinator
Hazardous Waste Program MS 4560
Department of Environmental Protection
2600 Blair Stone Road
Tallahassee, Florida 32399-2400
After I submit this form, will I hear back from you?
After we have entered your information into our database, you should receive a confirmation letter from us
within two weeks. If you do not receive a confirmation letter stating that we received your notification form
within 30 days of sending it to us, please call the hazardous waste program at (850) 245-8761.
Instructions – 8700-12FL – Florida Notification of Regulated Waste Activity (Revised 04-23-2013)
Page 1
To start filling out this form, please place any Environmental Protection Agency (EPA) identification number
that was previously assigned to your site address in the box in the upper left hand corner of the notification
form. If you are not sure whether your site already has an identification number, please contact the district
office serving your county for assistance in searching our database (see attached District Map). If, to your
knowledge, your site has never been assigned a number, please leave the box blank and we will provide you
with a new number. Please continue through each item on this form to supply us with the necessary
information to assign a number for your site.
Choose the correct box to indicate the reason for submittal.
Item 1.
Initial Notification: Put an “X” in this box if this is (as far as you know) the first time a notification
form has been submitted for this site address.
Subsequent Notification: Put an “X” in this box if this form is to change information that was
previously supplied on a notification form. Provide updated status and facility identification information
in pertinent sections of the form.
Final Notification: Put an “X” in this box if this facility has closed or moved and this is the last
notification form for this site address. Note: all applicable items of this form must be completed even if
the facility has closed or moved.
FL Registration(s): Put an “X” in this box if this facility is a UW Mercury, HW Transporter and/or
Used Oil.
Item 2. Facility or Business Name: Provide the legal company name of your facility as it will appear on your
manifests. If the company is doing business under another name (d/b/a), include this information on this line
and indicate which name will appear on the manifest
Item 3. Facility Operator: Enter the name of the facility operator, the “Date Became Owner” (mm/dd/yyyy),
complete mailing address and put an “X” in the operator-type box that applies to the facility. The operator is
the person responsible for the overall operation of a RCRA facility. Note: Florida Statutes defines person as
“any and all persons, natural or artificial, including any individual, firm, or association; any municipal or private
corporation organized or existing under the laws of this state or any other state; any county of this state; and any
governmental agency of this state or the Federal Government.” The facility operator is the legal entity which
controls the RCRA operation rather than the plant or facility manager. This is usually a company or business
name, not an individual. List additional operators in the Comments section on page 5.
Item 4. Physical Facility Location Information: Provide the complete location address (number, street, town
and county) of the site. This must be a physical address and not a post office box or rural route number. If the
facility cannot be assigned a street name and number, attach a legal description of the property and its parcel
number as assigned by the county Property Appraiser. If the mailing address and facility operator (Item 3)
address are the same, check the same box and indicate which item number it matches. Note: A new EPA
Identification Number is required if you change the location of your site.
Instructions – 8700-12FL – Florida Notification of Regulated Waste Activity (Revised 04-23-2013)
Page 2
Item 5. North American Industry Classification System (NAICS) Code(s):
Box A Provide the North American Industry Classification System (NAICS) code that best describes the
primary products or services provided by your facility.
Boxes B – D List other NAICS codes that describe the primary products and services provided by your
facility.
You can obtain NAICS codes from the following sources:
NAICS web site at http://www.naics.com,
Income Tax Form 1120 series,
Some libraries, or
From our department (by request).
Item 6. Facility Mailing Address: Provide the mailing address of the facility. If the mailing address and the
physical location (Item 4) and/or facility operator (Item 3) address are the same, check the same box and
indicate which item number it matches.
Item 7. Facility Contact Person: Enter the name, title, telephone number and extension, e-mail address and
mailing address of the employee who should be contacted regarding this site’s hazardous and regulated waste
activities. If the mailing address is the same in any of the above items, check the same box and indicate
which item number it matches. DO NOT enter the name of your facility’s hazardous waste contractor.
Item 8. Real Property Owner:
For all owners of this site, please provide the following information:
• Legal Owner
• Date Became an Owner (mm/dd/yyyy)
• Complete mailing address
• Phone number
• Owner Type: Put an “X” in the box that best describes the owner type. If you have an owner/operator
type not listed, please put an “X” in the “Other” box and write the appropriate owner/operator type in
the space provided.
We have provided room for one owner/operator; please list additional owners/operators in the Comments
section (Item 16) on page 5 or attach additional sheets.
Type of Regulated Waste Activity:
Item 9. A. Hazardous Waste Activities: Put an “X” in the applicable box(es) to indicate which hazardous
waste activities are being conducted at this site. For Items (1) a. through (1) c., choose only one box; for the
remainder, please choose all that apply.
Item 9. A. (1) Generator of Hazardous Waste
a. Large Quantity Generator (LQG)
Put an “X” in this box if your site meets any of the following criteria, at least once a year.
• Generates in any one calendar month 1,000 kg (2200 lbs) or more of hazardous waste,
• Generates in any one calendar month or accumulates at any one time more than 1 kg (2.2 lbs) of
acute hazardous waste, or
• Generates in any one calendar month, or accumulate at any one time, more than 100 kg (220 lbs)
of spill cleanup material contaminated with RCRA acute hazardous waste.
Instructions – 8700-12FL – Florida Notification of Regulated Waste Activity (Revised 04-23-2013)
Page 3
b. Small Quantity Generator (SQG)
Put an “X” in this box if your site generates in any one calendar month more than 100 kg but less
than 1,000 kg (220 lbs to 2,200 lbs) of hazardous waste, at least once a year.
c. Conditionally Exempt SQG (CESQG)
Put an “X” in this box if your site generates in any one calendar month no more than 100 kg (220
lbs) of hazardous waste and less than 1 kg (2.2 lbs) of acute hazardous waste, and has not
accumulated at any one time more than 1000 kg of hazardous waste or 1 kg of acute hazardous
waste.
d. Short-Term Generator
Put an “X” in this box if your site is a one-time generator and is not considered on-going.
e.
Episodic Generator
Put an “X” in this box if your site has no more than 1 episodic higher quantity waste generation
event per year and indicate if this episodic event is an SQG or an LQG quantity. An episodic higher
quantity waste generation event is the generation in any one month of the minimum quantity to place
the facility into a higher status (100 KG for SQG, 1000 KG or 1 KG of Acute waste for LQG). For
examples: If your facility generally generates 20 KG/month except for an annual cleanout of 1200
KG, you would be a CESQG and an Episodic LQG. If the facility generated the 1200 KG twice (or
more) a year you would be an LQG and not Episodic. If the 20 KG facility generated 120 KG every
2 or 3 years you would be a CESQG and an Episodic SQG. If your facility generally generates 120
KG/month except for a cleanout every 2 or 3 years of 1200 KG, you would be an SQG and an
Episodic LQG.
f. United States Importer of Hazardous Waste
Put an “X” in the box if you import hazardous waste from another country into the United States.
Refer to 40 CFR §262.60 for additional information.
g. Mixed Waste Generator
Put an “X” in the box if you are a generator of mixed waste (waste that is both hazardous and
radioactive). RCRA defines “mixed waste” as waste that contains both hazardous waste and source,
special nuclear, or by-product material subject to the Atomic Energy Act (AEA).
Item 9. A. (2) Treater, Stored, or Disposer of Hazardous Waste:
Do not complete this section if all of the following are true: (1) your facility hires another
company to dispose of hazardous wastes from the site, and (2) storage or treatment of hazardous
waste at your site complies with the generator requirements in 40 CFR §262.34, and (3) your site
does not have any postclosure or corrective action obligations.
If you have a permit to treat, store, or dispose of regulated hazardous waste at your site, or if your
site is not permitted to treat, store or dispose of regulated hazardous but your site has on-going
postclosure or corrective obligations via a permit or consent order (Hazardous and Solid Waste
Amendments (HSWA), etc.), put an “X” in the correct box or boxes below. (Burning hazardous
wastes in boilers and industrial furnaces and storing hazardous wastes before recycling them fall into
this category as well if the activities require a permit. Disposal may include the presence of
contaminated media at or under your site.) A hazardous waste permit is required for the operating
TSD activities and may be required for postclosure or corrective action. Call our hazardous waste
permitting staff at (850) 245-8792 for more details.
Instructions – 8700-12FL – Florida Notification of Regulated Waste Activity (Revised 04-23-2013)
Page 4
Item 9. A. (3) Recycler of Hazardous Waste:
If you recycle regulated hazardous wastes (recyclable materials), put an “X” in this box and specify whether
you are a commercial or non-commercial recycler. In some cases, a permit is required for this activity. You
may contact our hazardous waste permitting staff at (850) 245-8792 for more details.
Item 9. A. (4) Exempt Boiler and/or Industrial furnace:
a. If you burn small quantities of hazardous waste in an on-site boiler or industrial furnace in
accordance with the conditions in 40 CFR §266.108, put an “X” in this box to indicate that you
qualify for the Small Quantity On-Site Burner Exemption.
b. If you process hazardous wastes in a smelting, melting, or refining furnace solely for metals
recovery, as described in 40 CFR §266.100(d), or to recover economically significant amounts of
precious metals, as described in 40 CFR §266.100(g), or if you process hazardous wastes in a lead
recovery furnace to recover lead, as described in 40 CFR §266.100(h), put an “X” in this box to
indicate that you qualify for the Smelting, Melting, and Refining Furnace Exemption.
Item 9. A. (5) Person Authorized to Manage Conditionally Exempt Waste generated at other facilities:
Put an “X” in this box if you consolidate hazardous waste from sites that generate no more than 100 kg (220 lb.)
of hazardous waste per month. If you choose this box, attach the appropriate documents indicating
authorization.
Item 9. A. (6) Receives Hazardous Waste from Offsite:
Put an “X” in this box if you receive hazardous waste from offsite.
Item 9. A. (7) Underground Injection Control (UIC):
If you generate, treat, store, or dispose of hazardous waste and there is an underground injection well located at
your site, put an “X” in this box, even if the UIC well is not used for disposal of hazardous waste. The Federal
regulations for operators or owners of underground injection wells are found in 40 CFR Part 148. Contact the
Department for permit information.
Item 10. A. Waste Codes: List the appropriate waste codes as they are listed in 40 CFR Part 261. If you are
unsure of wastes or waste number, contact your transporter or the Department’s Hazardous Waste Program staff
at (850) 245-8792.
Below is as useful link for filling out waste codes:
www.epa.gov/osw/inforesources/data/br91/na_apb-p.pdf
Item 11. Other Status Changes:
If no longer handling waste or closed, sections 9 and 10 should be blank and skip Section 12-16.
Item 11. A. Non-Handler of Regulated Waste at This Facility:
Put an “X” in the applicable box(es) if waste generation changes have occurred at your facility.
Note: Sections 9, 10 and 12-16 should be blank.
Item 11. B. Facility Closed: Please notify if your facility has closed or moved by putting an “X” in the
applicable box(es). If a facility moves to another physical location, then it should apply for a new EPA ID
number as the numbers are site specific and cannot be transferred to another location.
Item 11. C. and D. Property Tax Default and Bankruptcy: Please put an “X” in the applicable box.
Instructions – 8700-12FL – Florida Notification of Regulated Waste Activity (Revised 04-23-2013)
Page 5
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