Form MO780-1522 "Used Oil Transporter and Transfer Facilities Inspection and Record Checklist" - Missouri

What Is Form MO780-1522?

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 July 1, 2011;
  • 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 MO780-1522 by clicking the link below or browse more documents and templates provided by the Missouri Department of Natural Resources.

ADVERTISEMENT
ADVERTISEMENT

Download Form MO780-1522 "Used Oil Transporter and Transfer Facilities Inspection and Record Checklist" - Missouri

Download PDF

Fill PDF online

Rate (4.5 / 5) 13 votes
MISSOURI DEPARTMENT OF NATURAL RESOURCES
HAZARDOUS WASTE PROGRAM
USED OIL TRANSPORTER AND TRANSFER FACILITIES INSPECTION RECORD
AND CHECKLIST
DATE
EPA ID NUMBER
NAME
ADDRESS
MISSOURI ID NUMBER
CITY
NUMBER OF EMPLOYEES
YEARS AT SITE
TELEPHONE NUMBER WITH AREA CODE
FACILITY REPRESENTATIVE(S) AND TITLE(S)
DESCRIPTION OF THE FACILITY’S OPERATIONS AND PLANT
A. GENERAL REQUIREMENTS
COMMENTS
Y
N NA
Registered and obtained EPA identification number - 10 CSR 25-
11.279(1) incorporating 40 CFR 279.42(a).
1.
Obtained a Missouri hazardous waste transporter license - 10 CSR
2.
25-11.279(2)(E)(1) referencing 10 CSR 25-6.263.
Ensures the used oil is not hazardous waste - 10 CSR 25-11.279(1)
3.
incorporating 40 CFR 279.44(a).
Records used to determine the used oil is not hazardous are
maintained by the transporter for at least three years - 10 CSR 25-
4.
11.279(1) incorporating 40 CFR 279.44(d).
B. USED OIL STORAGE
Containers in good condition - 10 CSR 25-11.279(1) incorporating 40
CFR 279.45(c)(1).
1.
Containers not leaking - 10 CSR 25-11.279(1) incorporating 40 CFR
279.45(c)(2).
2.
Transfer facilities equipped with a secondary containment system -
10 CSR 25-11.279(1) incorporating 40 CFR 279.45(d).
3.
Secondary containment system has capacity equal to or greater than
10 percent of containerized waste volume or the volume of the largest
4.
container- 10 CSR 25-11.279(2)(E)(2).
MO 780-1522 (07-11)
MISSOURI DEPARTMENT OF NATURAL RESOURCES
HAZARDOUS WASTE PROGRAM
USED OIL TRANSPORTER AND TRANSFER FACILITIES INSPECTION RECORD
AND CHECKLIST
DATE
EPA ID NUMBER
NAME
ADDRESS
MISSOURI ID NUMBER
CITY
NUMBER OF EMPLOYEES
YEARS AT SITE
TELEPHONE NUMBER WITH AREA CODE
FACILITY REPRESENTATIVE(S) AND TITLE(S)
DESCRIPTION OF THE FACILITY’S OPERATIONS AND PLANT
A. GENERAL REQUIREMENTS
COMMENTS
Y
N NA
Registered and obtained EPA identification number - 10 CSR 25-
11.279(1) incorporating 40 CFR 279.42(a).
1.
Obtained a Missouri hazardous waste transporter license - 10 CSR
2.
25-11.279(2)(E)(1) referencing 10 CSR 25-6.263.
Ensures the used oil is not hazardous waste - 10 CSR 25-11.279(1)
3.
incorporating 40 CFR 279.44(a).
Records used to determine the used oil is not hazardous are
maintained by the transporter for at least three years - 10 CSR 25-
4.
11.279(1) incorporating 40 CFR 279.44(d).
B. USED OIL STORAGE
Containers in good condition - 10 CSR 25-11.279(1) incorporating 40
CFR 279.45(c)(1).
1.
Containers not leaking - 10 CSR 25-11.279(1) incorporating 40 CFR
279.45(c)(2).
2.
Transfer facilities equipped with a secondary containment system -
10 CSR 25-11.279(1) incorporating 40 CFR 279.45(d).
3.
Secondary containment system has capacity equal to or greater than
10 percent of containerized waste volume or the volume of the largest
4.
container- 10 CSR 25-11.279(2)(E)(2).
MO 780-1522 (07-11)
B. USED OIL STORAGE - CONTINUED
COMMENTS
Containers/aboveground tanks are labeled or marked clearly with the
words “Used Oil” - 10 CSR 25-11.279(1) incorporating 40 CFR
5.
279.45(g)(1).
Fill pipes used to transfer used oil into underground storage tanks
are labeled or marked clearly “Used Oil” - 10 CSR 25-11.279(1)
6.
incorporating 40 CFR 279.45(g)(2).
Secondary containment system has surface floor/walls impervious to
used oil - 10 CSR 25-11.279(1) incorporating 40 CFR 279.45(d)(2).
7.
Tanks/containers exposed to precipitation closed - 10 CSR 25-
11.279(2)(E)(7).
8.
C. SHIPPING USED OIL
Deliver only to another licensed transporter, a processing/re-refining
facility or used oil burner - 10 CSR 25-11.279(1) incorporating 40 CFR
1.
279.43(a).
Uses form MO 780-1449 (04-07) for transporting used oil - 10 CSR 25-
11.279(2)(E)3.A.
2.
Shipment records of used oil accepted for transport include name
and address of the facility that provided the used oil for transport - 10
3.
CSR 25- 11.279(1) incorporating 40 CFR 279.46(a)(1).
Shipment records of used oil accepted for transport include the EPA
identification number of the facility that provided the used oil for
4.
transport - 10 CSR 25-11.279(1) incorporating 40 CFR 279.46(a)(2).
Shipment records of used oil accepted for transport include the
quantity of used oil accepted - 10 CSR 25-11.279(1) incorporating 40
5.
CFR 279.46(a)(3).
Shipment records of used oil accepted for transport include the date
of acceptance - 10 CSR 25-11.279(1) incorporating 40 CFR 279.46(a)(4).
6.
Shipment records of used oil accepted include the signature of a
representative of facility that provided the used oil for transport - 10
7.
CSR 25- 11.279(1) incorporating 40 CFR 279.46(a)(5).
Shipment records of used oil delivered include the name and address
of the receiving facility or transporter - 10 CSR 25-11.279(1)
8.
incorporating 40 CFR 279.46(b)(1).
Shipment records of used oil delivered include the EPA identification
number of the receiving facility or transporter - 10 CSR 25-11.279(1)
9.
incorporating 40 CFR 279.46(b)(2).
Shipment records of used oil delivered include the quantity of used
oil delivered - 10 CSR 25-11.279(1) incorporating 40 CFR 279.46(b)(3).
10.
Shipment records of used oil delivered include the date of delivery -
10 CSR 25-11.279(1) incorporating 40 CFR 279.46(b)(4).
11.
Shipment records of used oil delivered include the signature of a
representative of the receiving facility or transporter - 10 CSR 25-
12.
11.279(1) incorporating 40 CFR 279.46(b)(5).
Yearly report of the shipment records (on a form provided by the
department) submitted to the Hazardous Waste Program - 10 CSR
13.
25-11.279(2)(E)3.B.
Shipment records maintained for at least three years - 10 CSR 25-
11.279(1) incorporating 40 CFR 279.46(d).
14.
Transporters operating transfer facilities maintain log to assure off-
15.
site shipment of used oil within 35 days - 10 CSR 25-11.279(2)(E)4.
Log maintained for at least three years - 10 CSR 25-11.279(2)(E)(5).
16.
Note: A shaded item is a serious deviation from the requirements (Class I violation).
An un-shaded item is a significant deviation from the requirements (Class II violation unless conditions warrant Class I).
MO 780-1522 (07-11)
COMMENTS
INSPECTOR’S SIGNATURE
DATE
MO 780-1522 (07-11)
Page of 3