Hazardous Waste Biennial Report GM
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Hazardous Waste Biennial Report GM Form. This is a Indiana form and can be use in Department Of Enviromental Management Statewide.
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Tags: Hazardous Waste Biennial Report GM, 52388, Indiana Statewide, Department Of Enviromental Management
HAZARDOUS WASTE BIENNIAL REPORT
State Form 52388 (9-05)
Indiana Department of Environmental Management
RCRA ID |_ _|_ _|_ _|_ _|_ _|_ _|_ _|_ _|_ _|_ _|_ _|_ _|
FORM
GM
REPORT YEAR
NAME
A. Waste Description
B. Waste Codes
|_ _|_ _|_ _|_ _|
C. Quantity Generated
D. Form Code
W |_
|_ _|_ _|_ _|_ _| |_ _|_ _|_ _|_ _| |_ _|_ _|_ _|_ _|
|_ __|_ __|_ __|_ __|_ __|__ _|_ __|_ __|__ _| . |_ __|
__|_ __|_ __|
E. Source Code
OFF SITE SHIPMENT
F. RCRA ID of Facility Shipped To
_ _ pounds
_ _ tons
_ _ kilograms
_ _ metric tons
G|_ __|_ __|
(If G25 enter a management code)
H |_ __|_ __|_ __|
G. Quantity Shipped Off-site
H. Management
Code
Site
#1
|_ __|_ __|_ __|_ _|_ _|_ _|_ _|_ _|_ _|_ _|_ _|_ _|
|_ _|_ _|_ _|_ _|_ _|_ _|_ _|_ _|_ _| . |_ _|
H |_ _|_ _|_ _|
Site
#2
|_ __|_ __|_ __|_ _|_ _|_ _|_ _|_ _|_ _|_ _|_ _|_ _|
|_ _|_ _|_ _|_ _|_ _|_ _|_ _|_ _|_ _| . |_ _|
H |_ _|_ _|_ _|
Site
#3
|_ __|_ __|_ __|_ _|_ _|_ _|_ _|_ _|_ _|_ _|_ _|_ _|
|_ _|_ _|_ _|_ _|_ _|_ _|_ _|_ _|_ _| . |_ _|
H |_ _|_ _|_ _|
Site
#4
|_ __|_ __|_ __|_ _|_ _|_ _|_ _|_ _|_ _|_ _|_ _|_ _|
|_ _|_ _|_ _|_ _|_ _|_ _|_ _|_ _|_ _| . |_ _|
H |_ _|_ _|_ _|
I. Management Code
ON SITE
MANAGEMENT
|_ _|_ _|_ _|_ _|
J. Quantity Managed On-site
System
#1
H |_ _|_ _|_ _|
|_ _|_ _|_ _|_ _|_ _|_ _|_ _|_ _|_ _| . |_ _|
System
#2
H |_ _|_ _|_ _|
|_ _|_ _|_ _|_ _|_ _|_ _|_ _|_ _|_ _| . |_ _|
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