Form GM "Waste Generation and Management Form" - New York

What Is Form GM?

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

Form Details:

  • Released on November 27, 2019;
  • The latest edition provided by the New York State Department of Environmental Conservation;
  • 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 GM by clicking the link below or browse more documents and templates provided by the New York State Department of Environmental Conservation.

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Download Form GM "Waste Generation and Management Form" - New York

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Site Name: __________________________________________
N
Y
┴──┴──┴──┴──┴──┴──┴──┴──┴──┴──┘
EPA ID Number
Hazardous Waste Report
GM
FORM
Calendar Year Being Reported (CYBR) - 2019
WASTE GENERATION
AND MANAGEMENT FORM
Sec. 1
A. Waste Description
Waste Characterization
B. EPA Hazardous Waste Codes
C. State Hazardous Waste Codes
└─┴─┴─┴─┘ └─┴─┴─┴─┘
└─┴─┴─┴─┘ └─┴─┴─┴─┘ └─┴─┴─┴─┘
└─┴─┴─┴─┘└─┴─┴─┴─┘└─┴─┴─┴─┘└─┴─┴─┴─┘
└─┴─┴─┴─┘ └─┴─┴─┴─┘ └─┴─┴─┴─┘
D. Source Code
F. Quantity Generated in CYBR
└─┴─┴─┴─┘ └─┴─┴─┴─┘
└─┘
G..
Waste Minimization Code
E. Form Code
└─┴─┴─┴─┘
G
┴─┴─┘
H. Regulatory Fees
└─┴─┴─┴─┴─┴─┴─┴─┴─┘.•└─┘
Management Method Code
Wastewater
W
for Source Code G25
┴─┴─┴─┘
.
└─┴─┘.└─┴─┘
└─┘
Exempt Remedial
UOM
Density
H
┴─┴─┴─┘
Exempt Recycling
lbs/gal
sg
See Instructions if any box is checked
Sec. 2
A. Was any of this waste managed on-site?
Waste Management
Yes (COMPLETE ON-SITE PROCESS SYSTEM 1)
On Site
No (SKIP TO SEC 3)
B.
ON-SITE PROCESS SYSTEM 1
ON-SITE PROCESS SYSTEM 2
On-site Management
On-site Management
Quantity treated, disposed, or
Method Code
Quantity treated, disposed, or
Method Code
recycled on site in CYBR
recycled on site in CYBR
H
┴─┴─┴─┘
H
└─┴─┴─┴─┴─┴─┴─┴─┴─┘.└─┘
└─┴─┴─┴─┴─┴─┴─┴─┴─┘.└─┘
┴─┴─┴─┘
A. Was any of this waste shipped off site during CYBR?
Sec. 3
Yes (CONTINUE TO ITEM B)
Waste Management
No (FORM IS COMPLETE)
Off Site
Site 1
B. EPA ID No. of facility to which waste was shipped
C. Off-site Management
D. Total quantity shipped in CYBR
Method Code shipped to
H
└──┴──┴──┴──┴──┴──┴──┴──┴──┴──┴──┴──┘
└─┴─┴─┴─┴─┴─┴─┴─┴─┘.└─┘
┴─┴─┴─┘
Site 2
B. EPA ID No. of facility to which waste was shipped
C. Off-site Management
D. Total quantity shipped in CYBR
Method Code shipped to
H
└─┴─┴─┴─┴─┴─┴─┴─┴─┘.└─┘
└──┴──┴──┴──┴──┴──┴──┴──┴──┴──┴──┴──┘
┴─┴─┴─┘
Site 3
B. EPA ID No. of facility to which waste was shipped
C. Off-site Management
D. Total quantity shipped in CYBR
Method Code shipped to
H
└──┴──┴──┴──┴──┴──┴──┴──┴──┴──┴──┴──┘
└─┴─┴─┴─┴─┴─┴─┴─┴─┘.└─┘
┴─┴─┴─┘
Comments
Last Revised – 11/27/2019
Page _______ of _________
Page ______ of _______
Site Name: __________________________________________
N
Y
┴──┴──┴──┴──┴──┴──┴──┴──┴──┴──┘
EPA ID Number
Hazardous Waste Report
GM
FORM
Calendar Year Being Reported (CYBR) - 2019
WASTE GENERATION
AND MANAGEMENT FORM
Sec. 1
A. Waste Description
Waste Characterization
B. EPA Hazardous Waste Codes
C. State Hazardous Waste Codes
└─┴─┴─┴─┘ └─┴─┴─┴─┘
└─┴─┴─┴─┘ └─┴─┴─┴─┘ └─┴─┴─┴─┘
└─┴─┴─┴─┘└─┴─┴─┴─┘└─┴─┴─┴─┘└─┴─┴─┴─┘
└─┴─┴─┴─┘ └─┴─┴─┴─┘ └─┴─┴─┴─┘
D. Source Code
F. Quantity Generated in CYBR
└─┴─┴─┴─┘ └─┴─┴─┴─┘
└─┘
G..
Waste Minimization Code
E. Form Code
└─┴─┴─┴─┘
G
┴─┴─┘
H. Regulatory Fees
└─┴─┴─┴─┴─┴─┴─┴─┴─┘.•└─┘
Management Method Code
Wastewater
W
for Source Code G25
┴─┴─┴─┘
.
└─┴─┘.└─┴─┘
└─┘
Exempt Remedial
UOM
Density
H
┴─┴─┴─┘
Exempt Recycling
lbs/gal
sg
See Instructions if any box is checked
Sec. 2
A. Was any of this waste managed on-site?
Waste Management
Yes (COMPLETE ON-SITE PROCESS SYSTEM 1)
On Site
No (SKIP TO SEC 3)
B.
ON-SITE PROCESS SYSTEM 1
ON-SITE PROCESS SYSTEM 2
On-site Management
On-site Management
Quantity treated, disposed, or
Method Code
Quantity treated, disposed, or
Method Code
recycled on site in CYBR
recycled on site in CYBR
H
┴─┴─┴─┘
H
└─┴─┴─┴─┴─┴─┴─┴─┴─┘.└─┘
└─┴─┴─┴─┴─┴─┴─┴─┴─┘.└─┘
┴─┴─┴─┘
A. Was any of this waste shipped off site during CYBR?
Sec. 3
Yes (CONTINUE TO ITEM B)
Waste Management
No (FORM IS COMPLETE)
Off Site
Site 1
B. EPA ID No. of facility to which waste was shipped
C. Off-site Management
D. Total quantity shipped in CYBR
Method Code shipped to
H
└──┴──┴──┴──┴──┴──┴──┴──┴──┴──┴──┴──┘
└─┴─┴─┴─┴─┴─┴─┴─┴─┘.└─┘
┴─┴─┴─┘
Site 2
B. EPA ID No. of facility to which waste was shipped
C. Off-site Management
D. Total quantity shipped in CYBR
Method Code shipped to
H
└─┴─┴─┴─┴─┴─┴─┴─┴─┘.└─┘
└──┴──┴──┴──┴──┴──┴──┴──┴──┴──┴──┴──┘
┴─┴─┴─┘
Site 3
B. EPA ID No. of facility to which waste was shipped
C. Off-site Management
D. Total quantity shipped in CYBR
Method Code shipped to
H
└──┴──┴──┴──┴──┴──┴──┴──┴──┴──┴──┴──┘
└─┴─┴─┴─┴─┴─┴─┴─┴─┘.└─┘
┴─┴─┴─┘
Comments
Last Revised – 11/27/2019
Page _______ of _________
Page ______ of _______