Form MO780-1520 "Used Oil Burners Who Burn off-Specification Used Oil for Energy Recovery Inspection and Record Checklist" - Missouri

What Is Form MO780-1520?

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

Form Details:

  • Released on June 1, 2004;
  • The latest edition provided by the Missouri Department of Natural Resources;
  • 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 Form MO780-1520 by clicking the link below or browse more documents and templates provided by the Missouri Department of Natural Resources.

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Download Form MO780-1520 "Used Oil Burners Who Burn off-Specification Used Oil for Energy Recovery Inspection and Record Checklist" - Missouri

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MISSOURI DEPARTMENT OF NATURAL RESOURCES
HAZARDOUS WASTE PROGRAM
USED OIL BURNERS WHO BURN OFF-SPECIFICATION USED OIL FOR ENERGY RECOVERY
INSPECTION RECORD AND CHECKLIST
S
NAME
DATE
EPA I.D. NUMBER
ADDRESS
MO I.D. NUMBER
CITY
NUMBER OF EMPLOYEES
YEARS AT SITE
TELEPHONE NUMBER
FACILITY REPRESENTATIVE(S), TITLE(S)
DESCRIPTION OF THE FACILITY’S OPERATIONS AND PLANT
A. GENERAL REQUIREMENTS
1.
Off-specification used oil burned in industrial furnaces or boilers - 10 CSR
COMMENTS
25-11.279(1) incorporating 40 CFR 279.61(a).
2.
Registered and obtained EPA identification number - 10 CSR 25-11.279(1)
incorporating 40 CFR 279.62(a).
3.
Facility determines that the used oil is not hazardous waste - 10 CSR 25-
11.279(1) incorporating 40 CFR 279.63(a).
4.
Records of analyses conducted or information used to determine that the
used oil is not hazardous are maintained for at least three years - 10 CSR 25-
11.279(1) incorporating 40 CFR 279.63(d).
B. USED OIL STORAGE
1.
Containers are in good condition - 10 CSR 25-11.279(1) incorporating 40 CFR
COMMENTS
279.64(b)(1).
2.
Containers are not leaking - 10 CSR 25-11.279(1) incorporating 40 CFR
279.64(b)(2).
3.
Tanks/containers exposed to rainfall are kept closed - 10 CSR 25-
11.279(2)(G)4.
4.
Containers used to store used oil are equipped with secondary containment
system - 10 CSR 25-11.279(1) incorporating 40 CFR 279.64(c).
MO 780-1520 (6-04)
MISSOURI DEPARTMENT OF NATURAL RESOURCES
HAZARDOUS WASTE PROGRAM
USED OIL BURNERS WHO BURN OFF-SPECIFICATION USED OIL FOR ENERGY RECOVERY
INSPECTION RECORD AND CHECKLIST
S
NAME
DATE
EPA I.D. NUMBER
ADDRESS
MO I.D. NUMBER
CITY
NUMBER OF EMPLOYEES
YEARS AT SITE
TELEPHONE NUMBER
FACILITY REPRESENTATIVE(S), TITLE(S)
DESCRIPTION OF THE FACILITY’S OPERATIONS AND PLANT
A. GENERAL REQUIREMENTS
1.
Off-specification used oil burned in industrial furnaces or boilers - 10 CSR
COMMENTS
25-11.279(1) incorporating 40 CFR 279.61(a).
2.
Registered and obtained EPA identification number - 10 CSR 25-11.279(1)
incorporating 40 CFR 279.62(a).
3.
Facility determines that the used oil is not hazardous waste - 10 CSR 25-
11.279(1) incorporating 40 CFR 279.63(a).
4.
Records of analyses conducted or information used to determine that the
used oil is not hazardous are maintained for at least three years - 10 CSR 25-
11.279(1) incorporating 40 CFR 279.63(d).
B. USED OIL STORAGE
1.
Containers are in good condition - 10 CSR 25-11.279(1) incorporating 40 CFR
COMMENTS
279.64(b)(1).
2.
Containers are not leaking - 10 CSR 25-11.279(1) incorporating 40 CFR
279.64(b)(2).
3.
Tanks/containers exposed to rainfall are kept closed - 10 CSR 25-
11.279(2)(G)4.
4.
Containers used to store used oil are equipped with secondary containment
system - 10 CSR 25-11.279(1) incorporating 40 CFR 279.64(c).
MO 780-1520 (6-04)
5.
Secondary containment system consist of dikes, berms or retaining wall and
COMMENTS
a floor - 10 CSR 25-11.279(1) incorporating 40 CFR 279.64(c)(1).
6.
Secondary containment system has surface floor/walls impervious to used oil
- 10 CSR 25-11.279(1) incorporating 40 CFR 279.64(c)(2).
7.
Secondary containment system has a capacity equal to or greater than 10
percent of the containerized waste volume or the volume of the largest
container, whichever is greater - 10 CSR 25-11.279(2)(G)(1).
8.
Tanks/containers used to store used oil are labeled as “Used Oil” - 10 CSR 25-
11.279(1) incorporating 40 CFR 279.64(f)(1).
9.
Fill pipes used to transfer used oil into underground storage tanks are labeled
“Used Oil” - 10 CSR 25-11.279(1) incorporating 40 CFR 279.64(f)(2).
C. TRACKING
COMMENTS
1.
Keep records on forms provided by the department of each used oil shipment
accepted for burning - 10 CSR 25-11.279(2)(G)(3) referencing 40 CFR 279.65(a).
2.
Used oil shipment records are maintained for at least three years - 10 CSR 25-
11.279(1) incorporating 40 CFR 279.65(b).
3.
Records include name and address of the transporter that delivered the used
oil - 10 CSR 25-11.279(1) incorporating 40 CFR 279.65(a)(1).
4.
Records include name and address of the generator or processor/re-refiner
that sent the used oil to the burner - 10 CSR 25-11.279(1) incorporating 40 CFR
279.65(a)(2).
5.
Records include the EPA identification number of the transporter that
delivered the used oil to the burner - 10 CSR 25-11.279(1) incorporating 40 CFR
279.65(a)(3).
6.
Records include processor/re-refiner that sent the used oil to the burner - 10
CSR 25-11.279(1) incorporating 40 CFR 279.65(a)(4).
7.
Records include the quantity of used oil accepted - 10 CSR 25-11.279(1)
incorporating 40 CFR 279.65(a)(5).
8.
Records include date of acceptance of the used oil - 10 CSR 25-11.279(1)
incorporating 40 CFR 279.65(a)(6).
9.
“First-shipment” certification from the burner is provided to the facility
shipping the used oil to the burner - 10 CSR 25-11.279(1) incorporating 40 CFR
279.66(a).
10.
“First-shipment” certifications are maintained for three years from the date
the burner last receives shipment of off-specification used oil from that
generator, transporter or processor/re-refiner - 10 CSR 25-11.279(1)
incorporating 40 CFR 279.66(b).
CHECKLIST KEY

Check the
if in compliance.
Circle the
if not in compliance and provide comment.
N/A = Not Applicable.
A shaded item is a serious deviation from the requirements (Class I violation).
An unshaded item is a significant deviation from the requirements (Class II violation unless conditions warrant Class I).
COMMENTS
INSPECTOR’S SIGNATURE
DATE
MO 780-1520 (6-04)
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