Document RJM3J8JEwjaG5q1YNXJKVaNmv

FOKM A IDENTIFICATION INSTRUCTIONS Section I. EPA Identification (I.D.) Number - Enter the 12 character number 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 than the mailing address, enter the location address of your installation. Always enter the county, even if the location and mailing addresses are the same. 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 1983: SQG - Small Quantity Generator GEN - Generator 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 Also check whether you were: Private (handle only hazardous waste that you generated) or Commercial (handle hazardous waste from other Georgia handlers or out-of-state handlers). Section VII. Certification - The owner or operator of the installation or his or her authorized representative must sign' and date, the certification where indicated. The printed or typed name and title of the person signing the report must also be included where indicated. SCI 03035