Document 4a3Rbkz6dgDykDZ23v4qZMkMV

FORM A IDENTIFICATION INSTRUCTIONS Section I. EPA Identification (l.D.) Number - Enter the 12 character nuriber assigned to you during the notification process. Section II. Name of Installation - Enter the name of your company or organization as it appears on the mailing envelope. Section III. Installation Mailing Address - Enter the address to which all mail and correspondence is to be sent. Section IV. Location of Installation - If your location address is different from the mailing address, enter the location address of your installation. Always enter the county, even if the location and mailing addresses are the sane. Section V. Installation Contact - Enter the name (last and first) and telephone number of the person who may be contacted regarding information contained in this report. Section VI. Process in Use - Check the process(es) that best describes your hazardous waste activities during 1985: MID - Non-Handler of Hazardous Waste (Generate less than 220 pounds per month) SQG - Small Quantity Generator (Generate more than 220 pounds but less than 2200 pounds per month) GEN - Generator (Generate over 2200 pounds in any month) TRN - Transporter T01 - Treatment, tank T02 - Treatment, surface impoundment T03 - Treatment, incinerator T04 - Treatment, other 501 - Storage, container 502 - Storage, tank 503 - Storage, waste pile 504 - Storage, surface impoundment D80 - Disposal, landfill D81 - Disposal, land treatment or application D83 - Disposal, surface impoundment NOTE: If you checked MID or SQG, enter the date of the official notice received from the Environmental Protection Division that advised that you had been granted such status. Also check whether you were: Private (handle only hazardous waste that you generate) or Commercial (handle hazardous waste from off-site handlers).