DEP Form 62-710.901(3) "Annual Report by Used Oil and Used Oil Filter Handlers" - Florida

What Is DEP Form 62-710.901(3)?

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

Form Details:

  • Released on December 1, 2019;
  • The latest edition provided by the Florida Department of Environmental Protection;
  • 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 DEP Form 62-710.901(3) by clicking the link below or browse more documents and templates provided by the Florida Department of Environmental Protection.

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DEP Form #62-710.901(3)
EPARTMENT OF
NVIRONMENTAL
ROTECTION
Form Title Annual Report by Used
Oil and Used Oil Filter Handlers
Mail Station 4560, 2600 Blair Stone Road, Tallahassee, Florida 32399-2400
Effective Date
Incorporated in Rule 62-710.510(5)
Annual Report by Used Oil and Used Oil Filter Handlers*
(*Used Oil handlers are any person(s) subject to the registration requirements of rule 62-710.500 and 62-710.850, F.A.C. See Section A, Box 8 below.)
For the reporting period January 1, _____ through December 31, _____
Use the information recorded in your Record Keeping Form [62-710.901(2)] or equivalent to complete this document.
SECTION A TO BE COMPLETED BY ALL REGISTERED PERSONS
1. Company Name: ___________________________________
2. Site Address: ____________________________________________________________________
3. Telephone No: _____________________________________________
‫܆‬
Check box if any of the above items (1-3) have changed since your last registration.
4. EPA ID No.____________________________________ 5. Name of person preparing report (please print) ___________________________________________
6. Title: _
____________ ________________________________ 7. Phone number (if different from #3, above) _______________________________________
8. Type of operation (check all that apply):
9. Email Address: _______________________________________________________
Used Oil
:
Transporter
Transfer Facility
Collection Center/Aggregation Point
Processor
‫܆‬
‫܆‬
‫܆‬
‫܆‬
Marketer:
On Spec
Off Spec
‫܆‬
‫܆‬
‫܆‬
Burner (off-specification used oil):
Industrial Furnace
Industrial Boiler
Utility Boiler
Heater
‫܆‬
‫܆‬
‫܆‬
‫܆‬
‫܆‬
Used Oil Filter
:
Transporter
Transfer Facility
Processor
End User
‫܆‬
‫܆‬
‫܆‬
‫܆‬
SECTION B USED OIL (TO BE COMLETED BY ALL REGISTERED USED OIL HANDLERS). SEE DIRECTIONS BELOW
1. Amount (in gallons) of Used Oil and Oily Wastes collected (type code)
Automotive
Industrial
Mixed
Total
a. In Florida …………………………………………
b. From out of State ………………………………….
c. Beginning Inventory …………………………………………………………………………………………….
d. Total (sum of totals from Lines a + b + c) ..…………………………………………………………………….
2. Amount (in gallons) of Used Oil and Oily Wastes managed (end use code)
In State
Out of State
N - Transferred to another facility (not an end use)..……………………………….
O - Marketed as an on-specification used oil fuel.…………..……………….……..
F - Marketed as an off-specification used oil fuel.………..……………….………..
I - Marketed for an industrial process..………………..…………………….………
B - Burned as an off-specification used oil fuel.…………..……….………….…….
D - Disposed of:
Landfilled……………………………………………………….
Treated at a wastewater treatment unit………………………….
Incinerated ………………………………………………………
3. Total amount (in gallons) of Used Oil managed ………………………………………………………………….
4. End of year, on hand estimate (difference between Line 1d and Line 3) ...……………………………………….
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DEP Form #62-710.901(3)
EPARTMENT OF
NVIRONMENTAL
ROTECTION
Form Title Annual Report by Used
Oil and Used Oil Filter Handlers
Mail Station 4560, 2600 Blair Stone Road, Tallahassee, Florida 32399-2400
Effective Date
Incorporated in Rule 62-710.510(5)
Annual Report by Used Oil and Used Oil Filter Handlers*
(*Used Oil handlers are any person(s) subject to the registration requirements of rule 62-710.500 and 62-710.850, F.A.C. See Section A, Box 8 below.)
For the reporting period January 1, _____ through December 31, _____
Use the information recorded in your Record Keeping Form [62-710.901(2)] or equivalent to complete this document.
SECTION A TO BE COMPLETED BY ALL REGISTERED PERSONS
1. Company Name: ___________________________________
2. Site Address: ____________________________________________________________________
3. Telephone No: _____________________________________________
‫܆‬
Check box if any of the above items (1-3) have changed since your last registration.
4. EPA ID No.____________________________________ 5. Name of person preparing report (please print) ___________________________________________
6. Title: _
____________ ________________________________ 7. Phone number (if different from #3, above) _______________________________________
8. Type of operation (check all that apply):
9. Email Address: _______________________________________________________
Used Oil
:
Transporter
Transfer Facility
Collection Center/Aggregation Point
Processor
‫܆‬
‫܆‬
‫܆‬
‫܆‬
Marketer:
On Spec
Off Spec
‫܆‬
‫܆‬
‫܆‬
Burner (off-specification used oil):
Industrial Furnace
Industrial Boiler
Utility Boiler
Heater
‫܆‬
‫܆‬
‫܆‬
‫܆‬
‫܆‬
Used Oil Filter
:
Transporter
Transfer Facility
Processor
End User
‫܆‬
‫܆‬
‫܆‬
‫܆‬
SECTION B USED OIL (TO BE COMLETED BY ALL REGISTERED USED OIL HANDLERS). SEE DIRECTIONS BELOW
1. Amount (in gallons) of Used Oil and Oily Wastes collected (type code)
Automotive
Industrial
Mixed
Total
a. In Florida …………………………………………
b. From out of State ………………………………….
c. Beginning Inventory …………………………………………………………………………………………….
d. Total (sum of totals from Lines a + b + c) ..…………………………………………………………………….
2. Amount (in gallons) of Used Oil and Oily Wastes managed (end use code)
In State
Out of State
N - Transferred to another facility (not an end use)..……………………………….
O - Marketed as an on-specification used oil fuel.…………..……………….……..
F - Marketed as an off-specification used oil fuel.………..……………….………..
I - Marketed for an industrial process..………………..…………………….………
B - Burned as an off-specification used oil fuel.…………..……….………….…….
D - Disposed of:
Landfilled……………………………………………………….
Treated at a wastewater treatment unit………………………….
Incinerated ………………………………………………………
3. Total amount (in gallons) of Used Oil managed ………………………………………………………………….
4. End of year, on hand estimate (difference between Line 1d and Line 3) ...……………………………………….
Page 1 of 2
DEP Form
#62-710.901(3)
Form Title
Annual Report by
Used Oil and Used Oil Filter Handlers
(IIHFWLYH'DWH
Incorporated in Rule 62-710.510(5)
DIRECTIONS FOR SECTION B
1. Enter the amount of Used Oil or Oily Waste collected in gallons for type code: Automotive, Industrial, and Mixed.
a.
In State
b.
from Out of State
c.
Beginning Inventory from last year’s ending amount
d.
Enter the total sum of lines a + b + c
2. Enter the amount of used oil managed by your facility by end use code (N, O, F, I, B, and D).
3. Enter total amount in gallons of Used Oil managed.
4. Enter the end-of-year on hand amount (difference between Line 1d and Line 3).
In State
Out of State
SECTION C USED OIL FILTERS (USE TABLE BELOW FOR CONVERSIONS)
1. Number of filters on hand from previous year ………………………………………………………………………
2. Number of used oil filters collected …………………………………………………………………………………
3. Total number of used oil filters to manage (Line 1 plus Line 2) ……………………………………………………
4. Disposition of
used oil f
ilters collected:
a. Transferred to another registered facility ……………………….
b. Burned for energy recovery at a Waste-To-Energy facility ……
c. Transferred directly to a metal foundry for recycling ………….
d. TOTAL ………………………………………………………....
5. End of year, on hand estimate (Line 3 minus Line 4d) …………………………………………………………….
6. Gallons of used oil collected as a result of filter processing ……………………………………………………….
7. Gallons of used oil transferred to a used oil handler (transporter or processor) ……………………………………
gallons
‫܆‬
cubic yards
8
. Volume of oily waste collected and managed as a result of filter processing ……
‫܆‬
.......
9. Description of oily waste management
DIRECTIONS FOR SECTION C
Conversion Table
One 55-gallon drum of crushed used oil filters = approximately 400 used oil filters
One 55- gallon drum of uncrushed used oil filters = approximately 250 used oil filters
One ton of drained used oil filters = approximately 2,350 used oil filters
1. Enter the number of Used Oil Filters on hand, from previous year’s inventory.
2. Enter the number of Used Oil Filters collected.
3. Enter the sum of Line 1 + Line 2.
4. Enter the number of filters managed by your facility in blocks 4a-c. Enter the sum of 4a-c in block 4d.
5. Enter the number of filters on hand at your site as of December 31, last year.
6. Fill in the number of gallons of used oil collected by your filter operation.
7. Enter the number of gallons transferred to a used oil transporter or processor.
8. List the volume (gallons or cubic yards) of the oily wastes collected through your filter handling. Oily wastes are identified in Florida
Administrative Code Rule 62-710.201(1), and include wastewaters, filter residues or sludges, tank bottoms, sorbents, wipes, etc.
9. Describe how oily wastes were managed (sent to a WTE, hazardous waste facility, landfilled after appropriate testing, etc.).
For assistance with this form, please contact the Used Oil Coordinator at 850-245-8707.
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