DEQ Form 205-022 "DEQ Quarterly Report Form" - Oklahoma

What Is DEQ Form 205-022?

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

Form Details:

  • Released on July 1, 2017;
  • The latest edition provided by the Oklahoma Department of Environmental Quality;
  • 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 DEQ Form 205-022 by clicking the link below or browse more documents and templates provided by the Oklahoma Department of Environmental Quality.

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Download DEQ Form 205-022 "DEQ Quarterly Report Form" - Oklahoma

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DEQ QUARTERLY REPORT FORM
To be completed by Oklahoma generators of hazardous waste as
required by 27A O.S. Supp. 1994, §2-7-103 and §2-7-105, and the rules
and regulations promulgated thereto. This report is to be received by
the Oklahoma Department of Environmental Quality, Land Protection
Division,
no later than sixty (60) days after the end of the
quarter.
EPA ID No.:
Land Protection Division
Disposal Plan No.:
See the seperate instruction on how to complete this form.
ATTN: Clark Packard
P.O. Box 1677
Reporting Calendar Year:
Oklahoma City, OK 73101-1677
For the quarter ending in (mark one below):
Thomas.King@deq.ok.gov
June
(405) 702-5100
March
September
December
Business/Plant Name:
Business/Plant Phyiscal Location:
Mailing Address (if different from physical loc):
Direct Contact Phone:
Contact Email:
1
2
3
4
5
Disposal Plan Waste Stream No.
Transporter EPA ID No.
Amount In Pounds
Handling Codes and Comments
Treatment, Storage, Disposal, Recycling Facility EPA ID No.
Total Amount this page:
0
I hereby certity that the above record is accurate and correct to the best of my knowledge and includes all hazardous waste generated by the facility.
Signature of Authorized Agent:
Date:
Typed Name of Authorized Agent:
Title:
Page
of
DEQ Form #205-022
Rev. Date 07/2017
DEQ QUARTERLY REPORT FORM
To be completed by Oklahoma generators of hazardous waste as
required by 27A O.S. Supp. 1994, §2-7-103 and §2-7-105, and the rules
and regulations promulgated thereto. This report is to be received by
the Oklahoma Department of Environmental Quality, Land Protection
Division,
no later than sixty (60) days after the end of the
quarter.
EPA ID No.:
Land Protection Division
Disposal Plan No.:
See the seperate instruction on how to complete this form.
ATTN: Clark Packard
P.O. Box 1677
Reporting Calendar Year:
Oklahoma City, OK 73101-1677
For the quarter ending in (mark one below):
Thomas.King@deq.ok.gov
June
(405) 702-5100
March
September
December
Business/Plant Name:
Business/Plant Phyiscal Location:
Mailing Address (if different from physical loc):
Direct Contact Phone:
Contact Email:
1
2
3
4
5
Disposal Plan Waste Stream No.
Transporter EPA ID No.
Amount In Pounds
Handling Codes and Comments
Treatment, Storage, Disposal, Recycling Facility EPA ID No.
Total Amount this page:
0
I hereby certity that the above record is accurate and correct to the best of my knowledge and includes all hazardous waste generated by the facility.
Signature of Authorized Agent:
Date:
Typed Name of Authorized Agent:
Title:
Page
of
DEQ Form #205-022
Rev. Date 07/2017