Form MO780-1037 "Scrap Tire Processing Facility Operations Records Form" - Missouri

What Is Form MO780-1037?

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 March 1, 2009;
  • 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 fillable version of Form MO780-1037 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 MO780-1037 "Scrap Tire Processing Facility Operations Records Form" - Missouri

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MISSOURI DEPARTMENT OF NATURAL RESOURCES
SOLID WASTE MANAGEMENT PROGRAM
SCRAP TIRE PROCESSING FACILITY OPERATIONS RECORDS FORM
FOR THE MONTH OF
, 20
TIRES STORED
TOTAL NUMBER OF SCRAP TIRES STORED AT THE
TOTAL NUMBER OF SCRAP TIRES ACCEPTED
TOTAL NUMBER OF SCRAP TIRES REMOVED
TOTAL NUMBER OF SCRAP TIRES STORED
START OF THE MONTH:
THIS MONTH:
THIS MONTH:
AT THE END OF THE MONTH:
+
=
VECTOR CONTROL ACTIVITIES
Date(s)
Action(s) taken to control vectors (See note below)
Note: If a larvicide/adulticide is used to control vectors list the following information:
A.
If a registered pest control company is used, list the names of the pest control company and the date of the application.
B.
If a registered pest control company was not used, list the type of larvicide/adulticide used, the amount used and the date applied.
MAJOR OPERATIONAL PROBLEMS/COMPLAINTS/DIFFICULTIES
Date(s)
Problem/complaint/difficulty
Corrective action taken
MO 780-1037 (03/09)
MISSOURI DEPARTMENT OF NATURAL RESOURCES
SOLID WASTE MANAGEMENT PROGRAM
SCRAP TIRE PROCESSING FACILITY OPERATIONS RECORDS FORM
FOR THE MONTH OF
, 20
TIRES STORED
TOTAL NUMBER OF SCRAP TIRES STORED AT THE
TOTAL NUMBER OF SCRAP TIRES ACCEPTED
TOTAL NUMBER OF SCRAP TIRES REMOVED
TOTAL NUMBER OF SCRAP TIRES STORED
START OF THE MONTH:
THIS MONTH:
THIS MONTH:
AT THE END OF THE MONTH:
+
=
VECTOR CONTROL ACTIVITIES
Date(s)
Action(s) taken to control vectors (See note below)
Note: If a larvicide/adulticide is used to control vectors list the following information:
A.
If a registered pest control company is used, list the names of the pest control company and the date of the application.
B.
If a registered pest control company was not used, list the type of larvicide/adulticide used, the amount used and the date applied.
MAJOR OPERATIONAL PROBLEMS/COMPLAINTS/DIFFICULTIES
Date(s)
Problem/complaint/difficulty
Corrective action taken
MO 780-1037 (03/09)