Form R-5211 Schedule A "Hazardous Waste Generated and Disposed/Stored at Same Site" - Louisiana

What Is Form R-5211 Schedule A?

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

Form Details:

  • Released on July 1, 2007;
  • The latest edition provided by the Louisiana Department of Revenue;
  • 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 R-5211 Schedule A by clicking the link below or browse more documents and templates provided by the Louisiana Department of Revenue.

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Download Form R-5211 Schedule A "Hazardous Waste Generated and Disposed/Stored at Same Site" - Louisiana

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R-5211 (7/07)
Page ______ of ______
HW SCHEDULE A
Hazardous Waste Generated and
Disposed/Stored at Same Site
Report hazardous waste generated and disposed or stored
over 90 days for disposal at the same site as generated.
PLEASE PRINT OR TYPE.
Name
LA Revenue Account Number
Quarter Ending (MM/DD/YYYY)
a
b
c
d
e
f
g
Total Tons Disposed/
Exempt
Stored over 90 Days
Disposals
Taxable Wet Weight
Dry Weight
Taxable
Description of Waste
(Wet Weight)
(Wet Weight)
Method of Exempt Disposal
(Column b less Column c)
Factor
Dry Weight
TOTALS
R-5211 (7/07)
Page ______ of ______
HW SCHEDULE A
Hazardous Waste Generated and
Disposed/Stored at Same Site
Report hazardous waste generated and disposed or stored
over 90 days for disposal at the same site as generated.
PLEASE PRINT OR TYPE.
Name
LA Revenue Account Number
Quarter Ending (MM/DD/YYYY)
a
b
c
d
e
f
g
Total Tons Disposed/
Exempt
Stored over 90 Days
Disposals
Taxable Wet Weight
Dry Weight
Taxable
Description of Waste
(Wet Weight)
(Wet Weight)
Method of Exempt Disposal
(Column b less Column c)
Factor
Dry Weight
TOTALS