Fill in a Valid Mo 780 1097 Form Open Document Now

Fill in a Valid Mo 780 1097 Form

The MO 780 1097 form, provided by the Missouri Department of Natural Resources, is essential for any generator of hazardous waste within the state. It serves as a Hazardous Waste Summary Report, which generators must complete either annually or quarterly, depending on the amount of waste they produce. To ensure responsible waste management and compliance with state regulations, filling out this form accurately is crucial. Click the button below to get started on filling out your form accurately and efficiently.

Open Document Now

Navigating the complex landscape of environmental compliance, the MO 780 1097 form emerges as a cornerstone document for entities dealing with hazardous waste in Missouri. As mandated by the Missouri Department of Natural Resources Hazardous Waste Program, this form serves as a Hazardous Waste Summary Report, a dual-part document that plays a pivotal role in the state's efforts to track and manage hazardous wastes. Part I of the document delves into the generator's overview, requiring comprehensive information such as the generator's name, contact details, site address, and both federal EPA and Missouri generator ID numbers, underscoring the state's commitment to precise tracking and accountability. This section is complemented by a certification statement, underscoring the gravity and legal implications of the information provided. Part II extends the report's scope to specific hazardous waste shipments, demanding details about the waste, including its destination, quantity, and the specific hazardous waste codes, as delineated by EPA guidelines. The form’s structure facilitates not only the orderly reporting of hazardous waste generation and disposal but also stipulates reporting frequencies, thereby accommodating both large and small quantity generators. It encapsulates a mechanism for regulatory compliance, reflecting an intersection between environmental stewardship and operational transparency for businesses operating within Missouri's jurisdiction.

Example - Mo 780 1097 Form

MISSOURI DEPARTMENT OF NATURAL RESOURCES

HAZARDOUS WASTE PROGRAM

P.O. BOX 176

JEFFERSON CITY, MISSOURI 65102 573-751-3176

GENERATOR’S HAZARDOUS WASTE SUMMARY REPORT - PART I

BEFORE COPYING FORM, ATTACH SITE IDENTIFICATION LABEL OR ENTER:

GENERATOR’S NAME

CONTACT PERSON (NAME)

SITE STREET ADDRESS (DO NOT ENTER P.O. BOX)

CITY

 

 

 

STATE

 

 

 

ZIP CODE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

GENERATOR’S EPA I.D. NUMBER

 

 

 

 

 

 

GENERATOR’S MISSOURI I.D. NUMBER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NOTE: THE FEDERAL EPA AND MISSOURI GENERATOR I.D. NUMBERS ARE ASSIGNED EXCLUSIVELY TO THE SITE WHERE WASTE IS PRODUCED. YOU MUST NOTIFY THE DEPARTMENT IF THE ADDRESS FOR THE SITE OF GENERATION CHANGES.

NOTE PLEASE READ INSTRUCTIONS AND EITHER PRINT OR TYPE

 

 

 

 

 

SECTION A - REPORT IDENTIFICATION (Complete Item 1 or

Item 2, NOT BOTH)

 

 

 

 

 

 

1. ANNUAL

 

2. QUARTERLY

 

 

3. PAGE

 

 

 

 

 

FOR THE PERIOD ENDING

 

 

 

 

 

 

 

 

 

 

9/30 _________ (YEAR)

12/31 _________ (YEAR)

 

 

 

 

7/1 __________ (YEAR)

to 6/30 __________ (YEAR)

 

 

 

1

 

 

 

 

 

 

3/31 _________ (YEAR)

6/30 _________ (YEAR)

______ OF _____

 

 

 

 

 

 

 

 

 

 

SECTION B - GENERATOR IDENTIFICATION

 

 

 

 

 

 

NOTE: Complete only those items where the information has changed.

 

 

 

 

 

4. GENERATOR’S NAME

HAS CHANGED

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

5. GENERATOR CONTACT PERSON (NAME) HAS CHANGED

TELEPHONE NUMBER HAS CHANGED

 

 

 

 

 

 

 

 

 

 

 

6. MAILING ADDRESS

HAS CHANGED

 

 

CITY

 

STATE

 

ZIP CODE

 

 

 

 

 

 

 

 

 

 

 

7. PLANT SITE ADDRESS

 

 

 

CITY

 

STATE

 

ZIP CODE

 

 

 

 

 

 

 

 

 

 

 

8. NAME OF PARENT FIRM

HAS CHANGED

 

 

 

 

 

 

 

 

SECTION C - STATUS OF WASTE GENERATED

9.

10.

NUMBER OF SHIPMENTS MADE. Enter the number of shipments made this reporting period. If greater than zero, complete Part 2, sign certification and transmit to the department. If zero, check item 10 or item 11, whichever is appropriate.

SECTION D - COMMENTS

REPORTABLE QUANTITY NOT GENERATED. Sign certification and transmit to the department. (Do not complete Part 2)

11.

REPORTABLE QUANTITY GENERATED BUT NOT SHIPPED OFF-SITE THIS QUARTER. Sign certification and transmit to the department. (Do not complete Part 2)

12.

SECTION E - CERTIFICATION STATEMENT

I certify under penalty of law that I have personally examined an am familiar with the information submitted in this and all attached documents and that based on my inquiry of those individuals immediately responsible for obtaining the information, I believe that the submitted information is true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fine and imprisonment.

PRINT NAME

SIGNATURE

DATE

MO 780-1097 (03-14)

MANIFEST SUMMARY REPORT DNR-HWG-11

MISSOURI DEPARTMENT OF NATURAL RESOURCES

HAZARDOUS WASTE PROGRAM

P.O. BOX 176

JEFFERSON CITY, MISSOURI 65102

(573) 751-3176

GENERATOR’S HAZARDOUS WASTE SUMMARY REPORT - PART II

BEFORE COPYING FORM, ENTER THE GENERATOR’S NAME AND IDENTIFICATION NUMBERS AS SHOWN ON PART I.

GENERATOR NAME

EPA ID NUMBER

MISSOURI I.D. NUMBER

NOTE

PLEASE READ INSTRUCTIONS AND EITHER PRINT OR TYPE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ATTENTION: Summarize all shipments made

to the

 

SECTION F - REPORT IDENTIFICATION (AS SHOWN

ON PART 1)

 

 

 

1. FOR THE PERIOD ENDING (CHECK ONE & FILL IN YEAR)

 

2. PAGE

 

 

 

 

 

 

 

Hazardous Waste Management Facility you have identified

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

in Section G below. Additional pages are required for each

 

 

 

9/30 ___________ (YEAR)

12/31 ___________ (YEAR)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

off-site management facility listed.

 

 

 

 

 

 

3/31 ___________ (YEAR)

6/30 ___________ (YEAR)

 

________ OF _______

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SECTION G - FACILITY IDENTIFICATION

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

3. FACILITY NAME (NAME OF OFF-SITE LOCATION WHERE WASTE WAS DELIVERED)

 

 

 

 

 

 

 

4. FACILITY’S EPA I.D. NUMBER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

5. FACILITY SITE ADDRESS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CITY

 

 

 

 

 

STATE

 

ZIP CODE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SECTION H - WASTE IDENTIFICATION

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

L

 

6.

 

 

 

 

7.

 

 

 

 

8.

 

9.

 

 

 

 

 

 

 

 

 

10.

 

11.

 

12.

 

 

I

 

DESCRIPTION OF WASTE

 

 

 

 

 

 

 

 

 

 

TAX

 

 

 

 

 

 

 

 

 

 

 

 

UNIT

 

 

 

 

 

MANAGEMENT

N

 

SHIPPED TO THE

 

EPA HAZARDOUS

CODE

 

TOTAL AMOUNT

 

OF

SPECIFIC

 

METHOD

E

 

FACILITY LISTED ABOVE

 

WASTE NUMBER

(SEE INST.)

 

OF WASTE

MEAS.

GRAVITY

 

 

CODE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

H

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

H

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

3

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

H

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

4

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

H

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

5

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

H

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

6

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

H

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SECTION I - TRANSPORTATION SERVICES

UTILIZED

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

13. COMPANY NAME

 

 

 

 

 

 

 

 

 

 

 

 

14. US EPA ID NUMBER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

a

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

b

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

c

SECTION J - COMMENTS

15.

MO 780-1097 (03-14)

MANIFEST SUMMARY REPORT DNR-HWG-11

GENERAL INSTRUCTIONS FOR

THE GENERATOR’S HAZARDOUS WASTE

SUMMARY REPORT - DNR HWG-11

INTRODUCTION

1.All registered generators must report to the Department of Natural Resources all hazardous waste shipped off-site either quarterly or annually:

(A)Quarterly - If you are a large quantity generator and ship a reportable quantity regularly or intermittently or;

(B)Annually - If you are a small quantity generator, or are a large quantity generator and you have not shipped a reportable quantity of waste for the entire reporting year, or ship a reportable quantity only once a year.

2.All generators must read and hand-sign the generator certification in Section E. Unsigned reports are considered to be incomplete.

3.Used Oil Generators

Used oil which is to be recycled is not considered to be a hazardous waste. It does not have to be included when completing this report. NOTE-Burning for energy recovery is considered to be a form of recycling.

Used oil which is to be disposed of rather than recycled is considered a hazardous waste. It must be managed as well as disposed of as a hazardous waste. It must be included in this report along with all of your other hazardous waste. When reporting used oil use Hazardous Waste Code D098.

4.Fluorescent Lamp/Bulb Generators

Unbroken fluorescent lamps/bulbs that are sent for recycling are not considered hazardous, and do not have to be reported. Flourescent lamps may be handled as a universal waste. Flourescent lamps handled as a hazardous waste must be reported.

5.Universal Waste Generators

Universal waste is not a hazardous waste and should NOT be reported.

6.Reports are based on state fiscal years which begins July 1 and ends June 30 of each year.

1st quarter begins July 1 and ends September 30 2nd quarter begins October 1 and ends December 31 3rd quarter begins January 1 and ends March 31 4th quarter begins April 1 and ends June 30

7.Reports are due within forty-five (45) days after the end of each respective reporting period.

8.A reportable quantity of hazardous waste is 100 kilograms (220 pounds) of most types of hazardous waste. However, it may be as little as 1 kilogram (2.2 pounds) of acutely toxic wastes. A generator must report quarterly to the department when these quantities are actually produced within any month or accumulated from previous months.

9.Questions concerning the Generator’s Hazardous Waste Summary Report should be directed to the Missouri Department of Natural Resources, Hazardous Waste Program, P.O. Box 176, Jefferson City, MO 65102, or call (573) 751-3176.

MO 780-1097 (03-14)

PAGE 1

PART 1

INSTRUCTIONS FOR THE GENERATOR’S HAZARDOUS

WASTE SUMMARY REPORT - DNR HWG-11

IMPORTANT: BEFORE COPYING FORM PLEASE ATTACH THE SITE IDENTIFICATION LABEL TO THE TOP OF THE FORM OR ENTER THE REQUESTED INFORMATION.

SECTION A: REPORT INFORMATION

Item 1. ANNUAL REPORT - Annual reports are based on a reporting year which begins July 1 and ends June 30 of the following year.

Report annually if you are a small quantity generator, or ship a reportable quantity ONLY one time during the reporting year, or have not shipped a reportable quantity during the reporting year.

Item 2. QUARTERLY REPORT - Check the appropriate box which identifies when the reporting periods end. Then enter the year on the line immediately following the checked box.

Note: Quarterly reports are based on reporting year quarters: July 1 to September 30; October 1 to December 31; January 1 to March 31; April 1 to June 30.

Item 3. NUMBER OF PAGES - Enter the number of pages necessary to complete this report. (First page plus the total number of Part 2’s used.)

SECTION B: GENERATOR IDENTIFICATION

The items in this section are to be completed only when the information for that particular item has changed.

Item 4. GENERATOR NAME - Enter the new name of your company.

Item 5. GENERATOR CONTACT PERSON - Enter the name of the person now primarily responsible for the information contained in this report. Then enter the phone number of the contact person.

Item 6. MAILING ADDRESS - Enter the new street and number or P.O. Box number, city, state, and zip code where the U.S. Postal Service delivers your facility’s mail.

Item 7. PLANT SITE ADDRESS/LOCATION - Enter the street and number or route number (do not enter a P.O. Box number), city, state, and zip code which is the actual site address of your facility. If the plant address is the same as the mailing address, enter the words “same as above”.

Item 8. NAME OF PARENT FIRM - Enter the new legal owner’s name and address.

MO 780-1097 (03-14)

PAGE 2

SECTION C: STATUS OF WASTE GENERATED

Item 9. NUMBER OF SHIPMENTS MADE - If a reportable quantity* of hazardous waste was shipped off-site during any month, enter the number of shipments made this reporting period. Note that the number of shipments is not necessarily the same as the number of manifests, since more than one manifest can be used for a single shipment.

NOTE: You must complete the Generator Hazardous Waste Summary Report, Part 2, (one for each off-site facility used), sign the certification statement, and transmit this report to the department. If no shipments were made for the reporting period enter zero and then check item 10 or item 11, whichever is appropriate.

Item 10. REPORTABLE QUANTITY NOT GENERATED - If your facility is registered with the department as an “intermittent” generator or having the potential and registered as a contingency for unexpected situations (spills, etc.) and/or your facility has not generated nor accumulated reportable quantities* of hazardous waste, place a check mark in the box.

Item 11. REPORTABLE QUANTITY GENERATED BUT NOT SHIPPED OFF-SITE THIS QUARTER - If your facility did not ship waste off-site and a reportable quantity* has accumulated on-site during the reporting period, place a check mark in the box, sign the certification and transmit to the department.

NOTE: Do not complete a Part 2 until the reporting period in which the waste is actually shipped off site.

SECTION D: COMMENTS

Item 12. COMMENTS: Enter any comments which you feel may need explanation for any of the above entries. If additional space is needed, attach a sheet of paper.

SECTION E: CERTIFICATION STATEMENT

The generator or his/her authorized representative (e.g., the plant manager, superintendent or person of equivalent responsibility) must sign and date the certification by hand where indicated. The printed or typed name of the person signing the report must also be included where indicated.

PART 2

INSTRUCTIONS FOR

GENERATOR’S HAZARDOUS WASTE

SUMMARY REPORT - DNR HWG-11

SECTION F: REPORT IDENTIFICATION

Item 1. FOR THE QUARTER ENDING - Check the appropriate box which identifies the reporting quarter’s end then enter the year.

NOTE: This information must be exactly the same as recorded on the Part 1. When reporting annually check the 6/30 box and enter the year.

Item 2. PAGE _____ OF _____ - Enter the consecutive page number this page represents then the total number of pages necessary to

complete this report.

SECTION G: FACILITY IDENTIFICATION

Item 3. FACILITY NAME - Enter the name of the facility to which all waste listed on this page was shipped. If the waste was shipped to a foreign country, enter the name of the exporter and then enter the name and address of the foreign facility in Section J: Comments.

Item 4. FACILITY’S EPA IDENTIFICATION NUMBER - Enter the U.S. EPA identification number of the facility to which you sent the waste described under Section H. If the waste was shipped to a foreign facility, enter the U.S. EPA identification number issued to the exporter.

Item 5. FACILITY SITE ADDRESS: - Enter the site address (not a P.O. Box Number) of the facility (or exporter if the waste was shipped to a foreign country).

SECTION H: WASTE IDENTIFICATION

A separate entry is required for each different waste or waste mixture that was shipped to the facility identified in Section G. Same waste types shipped to the same facility may be summarized.

Item 6. DESCRIPTION OF WASTE - For hazardous wastes that are listed under 40 CFR 261.30, enter the EPA listed name, abbreviated if necessary. Where mixtures of listed wastes were shipped, enter the description which best describes the waste.

*See page 1, item 8 for reportable quantity definition.

MO 780-1097 (03-14)

PAGE 3

For unlisted hazardous waste identified by characteristic (i.e., ignitable, corrosive, reactive, or EP toxic) under 40 CFR 261.20, please include the following: (1) the description of the characteristic in which you believe best describes the waste; (2) the specific manufacturing or other process generating the waste; and (3) the chemical or generic chemical name of the waste, if known.

EXAMPLE:

 

SECTION H - WASTE IDENTIFICATION

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

L

6.

 

 

 

 

 

7.

 

 

 

8.

9.

10.

11.

 

12.

 

 

I

DESCRIPTION OF WASTE

 

 

 

 

 

 

 

 

 

 

 

TAX

 

UNIT

 

MANAGEMENT

N

SHIPPED TO THE

 

 

EPA HAZARDOUS

CODE

TOTAL AMOUNT

OF

SPECIFIC

 

METHOD

 

E

FACILITY LISTED ABOVE

 

 

WASTE NUMBER

(SEE INST.)

OF WASTE

MEAS.

GRAVITY

 

CODE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1

 

F

 

0

 

0

 

3

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Spent acetone and toluene used in painting.

F

 

0

 

0

 

5

 

 

 

 

 

14923

P

H

0

2

 

0

 

 

 

 

 

 

 

 

 

2

Corrosive metal sludge contains cadmium

D

 

0

 

0

 

2

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

D

 

0

 

0

 

6

 

 

 

 

 

8250

P

 

 

 

 

 

 

and nickel.

 

 

 

 

 

 

 

 

H

1

2

 

9

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Item 7. U.S. EPA HAZARDOUS WASTE NUMBER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

For listed wastes, enter the four (4)-character U.S. EPA Hazardous Waste Number from 40 CFR 261.30 which identifies the waste. For unlisted wastes which exhibit hazardous characteristics, enter the four (4)-character U.S. EPA Hazardous Waste Number from 40 CFR 261.20 which is applicable to the waste.

If the waste is a mixture of more than one or unlisted waste, enter all of the relevant U.S. EPA Hazardous Waste Number. Six (6) spaces are provided for this on each line. Generators who ship lab packs are required to list separately the hazardous waste number for each waste in such shipments.

Item 8. TAX CODE - Place an “A” or “B” in this box only if one of these two situations is applicable, otherwise leave blank.

A.Enter an “A” if waste has been previously reported to the Department on form “Facility Summary Report - MO 780-0408”. (Not to be confused with the Generator’s Hazardous Waste Summary Report.) This is only applicable to those sites which have been permitted or who have interim status to store hazardous waste longer than the regulatory time limits.

B.Enter a “B” if the waste involved was generated as a result of hazardous waste which must be disposed of as provided by a remedial plan for an abandoned or uncontrolled site under section 260.435-260.550 RSMo or as part of a remedial plan required by sections 260.350-260.434 RSMo.

Item 9. TOTAL AMOUNT OF WASTE - Enter the total quantity of the waste or waste mixture described on this line.

Item 10. UNIT OF MEASURE - Enter the unit of measure code for the quantity of waste described on this line. Units of measure and the appropriate codes are to be used as follows:

UNIT OF MEASURE

CODE

Pounds

. . . . P

Tons (2,000 lbs.)

. . . . T

Kilograms

. . . . K

Metric Tons

. . . . M

Gallons**

. . . . G

Liters*

. . . . L

**If these codes are used, you must provide the specific gravity rounded off to the nearest tenth, of each waste, in Item 11, located directly to the right. If the specific gravity is not provided for a total described as gallons or liters, Missouri Department of Natural Resources will assume the waste’s specific gravity to be 1.5.

Item 11. SPECIFIC GRAVITY - If a volume code is used as described in Item 10 to describe a total quantity, you need to indicate the specific gravity of the waste, otherwise leave blank.

NOTE: Specific gravity is a ratio based on the weight of water - water weighs 8.3 pounds per gallon and has a specific gravity of 1.0.฀ A฀ substance which weighs 12.5 pounds per gallon is 1.5 times heavier than water therefore the specific gravity is 1.5 (1.5 x 8.3 lbs = 12.5 pounds฀ per gallon).฀A substance which weighs 6.6 pounds per gallon weighs 0.8 times that of water (.8 x 8.3 lbs= 6.6 lbs.฀per gallon).

MO 780-1097 (03-14)฀

PAGE 4

ITEM 12. MANAGEMENT METHOD CODE

Management Method codes describe the type of hazardous waste management system used to treat, recover or dispose a hazardous waste. Enter the management method code that was entered on your manifest.

NOTE: If a different handling code applies to different portions of the same waste, use a separate line entry for each portion as shown in the example on page 6.

MANAGEMENT METHOD CODES

 

 

USE THE CODE IN THE

 

 

FAR LEFT COLUMN IF

 

 

YOUR MANIFEST HAS A

 

 

CODE LISTED IN THIS

CODE

DESCRIPTION

COLUMN

1.

RECLAMATION AND RECOVERY

 

 

 

 

H010

Metals recovery including reporting, smelting, chemical, etc.

 

H020

Solvents recovery (distillation, extraction, etc.)

 

 

Other recovery or reclamation for reuse including acid regeneration, organics recovery, etc.

 

H039

(specify in comments)

 

 

Energy recovery at this site – used a fuel (includes on-site fuel blending before energy

 

H050

recovery; report only this code)

 

 

Fuel blending prior to energy recovery to another site (waste generated either on site or

 

H061

received from off-site)

 

2.DESTRUCTION OR TREATMENT PRIOR TO DISPOSAL AT ANOTHER SITE

 

Incineration – thermal destruction other than use as a fuel (includes any preparation prior to

 

H040

burning)

 

 

Chemical treatment (reduction/destruction/oxidation/precipitation); do not include immediate

 

 

treatment in an exempt wastewater treatment unit with discharge to a NPDES-POTW

 

H070

(unless required by state)

H071, H073, H075, H077

 

Biological treatment with or without participation (includes any preparation or final processes

 

H081

for consolidation of residuals)

 

 

Physical treatment only

 

 

(absorption/adsorption/separation/stripping/dewatering); do not include immediate treatment

 

 

in an exempt wastewater treatment unit with discharge to a NPDES-POTW (unless required

H082, H083, H101, H103,

H100

by state)

H123, H124

 

Stabilization prior to land disposal at another site

 

H110

(encapsulation/stabilization/fixation)

H111, H112

 

Combination of chemical, biological, and/or physical treatment; do not include immediate

 

 

treatment in an exempt wastewater treatment unit with discharge to a NPDES-POTW

 

H120

(unless required by state)

 

H121

Neutralization only (no other treatment)

 

 

Evaporation (as the major component of treatment; not reportable as H070, H081, H100 or

 

H122

H120)

 

H129

Other treatment that does not include onsite disposal (specify in comments)

 

3.DISPOSAL – SEE NOTE BELOW CODES

H131

Land treatment or application (to include any prior treatment and/or stabilization)

 

 

Landfill or surface impoundment that will be closed as landfill (to include prior treatment

 

H132

and/or stabilization)

 

 

Deepwell or underground injection (with or without treatment; this waste was counted as

 

H134

hazardous waste)

 

H135

Discharge to sewer/POTW or NPDES (with prior storage – with or without treatment)

 

If these codes are used, and the waste was rendered non-hazardous prior to being placed into the ground, indicate the type of treatment that was used to render the waste non-hazardous in the comment section. If the waste was still hazardous when it was placed into the ground, you may leave the comment section blank. Failure to indicate that a waste was rendered non-hazardous prior to being placed into the ground can result in your company being assessed a land disposal fee that you would not otherwise owe.

4.TRANSFER OFF SITE

The site receiving this waste stored/bulked and transferred the waste with no treatment or recovery (H010-H129), fuel blending (H061), or disposal (H131-H135)

H141 at the receiving site.

*If these codes are used then you must specifically describe the process method used to treat, store, or dispose the identified waste by line number in the comment section as shown in the following example:

MO 780-1097 (03-14)

PAGE 5

If different management method apply to portions of the same waste, use a separate line entry for each portion as shown in the following example.

EXAMPLE:

 

SECTION H - WASTE IDENTIFICATION

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

L

6.

 

 

 

 

 

7.

 

 

 

8.

9.

10.

11.

 

12.

 

 

I

DESCRIPTION OF WASTE

 

 

 

 

 

 

 

 

 

 

 

TAX

 

UNIT

 

MANAGEMENT

N

SHIPPED TO THE

 

 

EPA HAZARDOUS

CODE

TOTAL AMOUNT

OF

SPECIFIC

 

METHOD

 

E

FACILITY LISTED ABOVE

 

 

WASTE NUMBER

(SEE INST.)

OF WASTE

MEAS.

GRAVITY

 

CODE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1

Waste gasoline and kerosene mixture

D

 

0

 

0

 

1

 

 

 

 

 

14923

p

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

used in cleaning engine parts

 

 

 

 

 

 

 

 

 

 

 

 

H

0

2

 

0

2

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

3

Waste gasoline and kerosene mixture

D

 

0

 

0

 

1

 

 

 

 

 

1523

p

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

used in cleaning engine parts.

 

 

 

 

 

 

 

 

 

 

 

 

H

0

6

 

1

4

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SECTION I: TRANSPORTATION SERVICES UTILIZED

Item 13. COMPANY NAME - List the name for each transporter whose services were used for shipments identified on this page.

Item 14. U.S.EPA ID NUMBER - Enter the U.S. EPA ID number for each transporter whose services were used for shipments identified on this page.

SECTION J: COMMENTS

Item 15. COMMENTS - This space may be used to explain, clarify or continue any entry. If used, enter a cross reference to the appropriate section number. If additional space is needed, attach a piece of paper.

MO 780-1097 (03-14)

PAGE 6

File Attributes

Fact Name Description
Form Title Generator’s Hazardous Waste Summary Report - Part I & Part II
Governing Body Missouri Department of Natural Resources, Hazardous Waste Program
Form Number MO 780-1097
Reporting Cycle Quarterly for large quantity generators or Annually for small quantity generators and large quantity generators not shipping reportable quantities
Reportable Quantity Definition 100 kilograms (220 pounds) for most hazardous wastes; as low as 1 kilogram (2.2 pounds) for acutely toxic wastes
Certification Requirement Hand-signed generator certification is required in Section E to validate the report
Used Oil and Universal Waste Reporting Used oil (to be recycled) and universal waste are not considered hazardous and should not be reported, with exceptions under specific conditions.
Governing Law(s) Regulations under the Code of Federal Regulations 40 CFR 261.30 for waste identification and Missouri state hazardous waste management programs
Form Revision Date March 2014

How to Write Mo 780 1097

Filling out the MO 780 1097 form, officially known as the Generator’s Hazardous Waste Summary Report for the state of Missouri, requires careful attention to detail and accurate information. This document is a critical component of environmental compliance, ensuring that hazardous waste is tracked and managed responsibly. It's designed for both small and large quantity generators of hazardous waste to report their activities to the Missouri Department of Natural Resources. The form is divided into two parts: Part I focuses on basic information and the summary of activities, and Part II delves into detailed information about each hazardous waste shipment.

To complete the MO 780 1097 form correctly, follow the steps outlined below:

  1. Attach the Site Identification Label to the top of the form, or manually enter the generator’s name, contact person’s name, site address, city, state, zip code, and both EPA and Missouri ID numbers.
  2. Choose the reporting period by selecting either “Annual” or “Quarterly” in Section A and specify the reporting year and the number of pages included in the report.
  3. In Section B (Generator Identification), update any information that has changed since the last report, such as generator’s name, contact person, telephone number, mailing address, plant site address, and name of the parent firm.
  4. Under Section C (Status of Waste Generated), note the number of shipments made. If no shipments were made, indicate whether this was due to not generating a reportable quantity or if the generated quantity was not shipped off-site.
  5. Use Section D (Comments) to provide any additional information or explanation related to the report.
  6. The Section E (Certification Statement) must be signed and dated by an authorized representative, validating the accuracy and completeness of the information provided.
  7. For Part II of the form, ensure that the generator’s name and identification numbers are transferred correctly from Part I.
  8. In Section F (Report Identification), reiterate the period ending date and page number corresponding to this part of the report.
  9. Section G (Facility Identification) calls for detailed information about the off-site facility to which the waste was shipped, including the facility’s name, EPA ID number, and address.
  10. In Section H (Waste Identification), list each type of waste shipped to the facility, describing the waste, its EPA hazardous code, amount, specific gravity, and the treatment, storage, or disposal method used.
  11. Section I (Transportation Services Utilized) should include the name and EPA ID number of the transportation company.
  12. Finally, the Section J (Comments) can be used to provide additional details or clarification about the waste shipments.

Upon completion, it’s imperative to review the form for accuracy and completeness to avoid potential legal and environmental repercussions. Once satisfied with the information provided, the form should be submitted to the Missouri Department of Natural Resources according to the specified deadlines, typically within 45 days after the end of the reporting period. Timely and accurate reporting supports environmental protection efforts and contributes to the responsible management of hazardous materials.

What You Should Know About This Form

What is the MO 780-1097 form?

The MO 780-1097 form is used by registered hazardous waste generators in Missouri to report all hazardous wastes shipped off-site. This form is part of the Missouri Department of Natural Resources Hazardous Waste Program and helps track the generation, transportation, and management of hazardous wastes to ensure environmental protection and compliance with regulations.

Who is required to fill out this form?

This form must be completed by all registered hazardous waste generators in Missouri. Depending on your generator status and waste generation activities, you may need to submit this form either quarterly or annually:

  • Large quantity generators who ship hazardous waste regularly or intermittently are required to submit the form quarterly.
  • Small quantity generators, or large quantity generators who have not shipped a reportable quantity for the entire year or only once a year, must submit the form annually.

How is the form submitted?

Generators must complete the MO 780-1097 form with accurate information regarding their hazardous waste activities and then sign and transmit the form to the Missouri Department of Natural Resources. This can be done either via mail to the provided PO Box or, in some instances, electronically if the platform is available and accepted by the department.

When is the MO 780-1097 form due?

The submission deadlines for the MO 780-1097 form are within 45 days after the end of each reporting period. Missouri's state fiscal year begins on July 1st and ends on June 30th of the following year, making the quarterly reporting periods end on September 30, December 31, March 31, and June 30.

What information is needed to complete the form?

To successfully complete the MO 780-1097 form, you will need the following information:

  1. Generator’s name and contact information including the site street address (not a P.O. Box).
  2. Generator’s EPA and Missouri ID numbers.
  3. Details on any changes to the generator’s name, contact person, mailing address, plant site address, or parent firm name.
  4. Status of waste generated, including the number of shipments made, and if a reportable quantity was generated but not shipped off-site.
  5. A certification statement hand-signed by the generator or their authorized representative.

Are there any exceptions or special considerations for certain types of waste?

Yes, there are exceptions and special considerations for certain types of waste:

  • Used oil intended for recycling is not considered hazardous waste and does not need to be included in this report. However, used oil meant for disposal must be included.
  • Unbroken fluorescent lamps/bulbs sent for recycling are not considered hazardous and need not be reported. However, if handled as hazardous waste, they must be reported.
  • Universal waste, which is not considered hazardous, should not be reported on this form.

Common mistakes

When filling out the MO 780-1097 form, a few common errors can lead to delays or complications in processing the form by the Missouri Department of Natural Resources. Below are some of these mistakes:

  1. Entering the site street address as a P.O. Box: Since precise location information is crucial for hazardous waste tracking, entering a P.O. Box instead of the physical address can cause inaccuracies in the waste's traceability.

  2. Not updating the contact information: It's essential to provide the current name and telephone number of the contact person to ensure effective communication. Failure to update these details can lead to miscommunication or unprocessed forms.

  3. Misidentifying the reporting period: Choosing both annual and quarterly reporting periods or incorrectly identifying the applicable period can result in processing errors or even fines for non-compliance.

  4. Omitting the generator’s name change: If the generator's name has changed but the form reflects outdated information, it might lead to legal and tracking issues regarding the responsible party.

  5. Incorrectly reporting the number of shipments: Either overreporting or underreporting the number of shipments made during the reporting period can affect waste management records and compliance status.

  6. Failing to sign the certification statement: An unsigned certification statement is a critical error since it means the report could be considered incomplete, potentially resulting in legal consequences.

  7. Not including all necessary pages: If the report spans multiple pages and all are not included upon submission, critical information could be missing, hindering accurate hazardous waste tracking.

  8. Leaving the reporting quarter and year blank: Not specifying the reporting quarter and year can lead to the report being misplaced temporally, causing confusion and possibly affecting compliance.

Beyond these common mistakes, it's vital to:

  • Ensure that all required sections are completed based on the current status and information.

  • Review the form thoroughly before submission to avoid typographical errors.

  • Attach any additional documentation that may be necessary to support the information provided in the report.

Adhering to these guidelines will help ensure that the report is processed efficiently and accurately, maintaining compliance with the Missouri Department of Natural Resources' regulations.

Documents used along the form

The MO 780 1097 form, used by the Missouri Department of Natural Resources, is a comprehensive document designed to track and report hazardous waste generation and shipment. This form, vital for environmental compliance, is often filed alongside several other forms and documents that support and expand on the details provided within. These associated documents cover a range of purposes, from identifying waste types to certifying safe transport.

  • Hazardous Waste Manifest: This document tracks the transport of hazardous waste from its point of generation to the disposal facility. It ensures all parties involved handle the waste according to regulations, providing a detailed description of the waste, including quantity and type.
  • Site Identification Form: This form is required for any site generating hazardous waste and must be submitted to the appropriate environmental agency. It includes information on the generator, waste types produced, and safety measures implemented at the site.
  • Annual Waste Summary Report: An in-depth report that provides an annual overview of waste generation, management, and disposal activities at a facility. It is crucial for regulatory compliance and long-term environmental planning.
  • Uniform Hazardous Waste Manifest: An updated version of the hazardous waste manifest required for the transport of hazardous waste under federal regulations. It standardizes waste tracking across states and ensures safe and legal disposal practices.
  • Emergency and Contingency Plan: Filed alongside the MO 780 1097, this plan outlines the procedures to be followed in case of an accidental spill or release of hazardous materials. It is essential for protecting worker safety and preventing environmental damage.
  • Biennial Report Form: Required by large quantity generators of hazardous waste, this report provides the EPA with updates on waste generation quantities, management practices, and disposal methods. It is filed every two years and supports national hazardous waste tracking efforts.

These documents serve as critical components of the environmental safety and compliance puzzle, working in conjunction with the MO 780 1097 form to ensure the responsible handling of hazardous waste. Together, they provide a robust framework for managing hazardous materials, safeguarding human health, and protecting the environment from potential harm.

Similar forms

The MO 780 1097 form, required by the Missouri Department of Natural Resources, closely resembles other environmental compliance documents such as the Uniform Hazardous Waste Manifest and the EPA's Biennial Hazardous Waste Report. Each of these forms serves a crucial role in the management and tracking of hazardous wastes, ensuring responsible disposal and adherence to regulatory standards.

The Uniform Hazardous Waste Manifest is a tracking form that parallels the MO 780 1097 in purpose and content. It is used nationwide by generators, transporters, and facilities that treat, store, or dispose of hazardous wastes. Similar to the MO 780 1097, the manifest requires detailed information about the waste, including its quantity, composition, and the parties involved in its shipping and handling. Both forms are instrumental in ensuring that hazardous waste is managed in a way that protects public health and the environment. The manifest, however, is used for each individual shipment, while the MO 780 1097 serves as a summary report, possibly consolidating multiple shipments.

The EPA's Biennial Hazardous Waste Report, another similar document, is required from large quantity generators and facilities that treat, store, or dispose of hazardous waste. Like the MO 780 1097, this report collects comprehensive data on the generation, management, and final disposition of hazardous wastes. The primary similarity between these documents lies in their shared goal of inventorying hazardous waste generation and movement. However, the Biennial Report provides a nationwide snapshot every two years, offering insights into broader trends in hazardous waste management, while the MO 780 1097 form is an annual or quarterly state-specific requirement.

Dos and Don'ts

When preparing to fill out the Missouri Department of Natural Resources' MO 780-1097 form for your hazardous waste summary report, attention to detail is key. To ensure accuracy and compliance, here are several dos and don'ts you should follow:

  • Do thoroughly read the instructions before you start filling in the form. This will familiarize you with what information is necessary and how it should be formatted.
  • Do make sure that you hand-sign the certification in Section E of the form. Unsigned reports are incomplete and could lead to non-compliance issues.
  • Do verify and use the correct Hazardous Waste Codes as per the instructions to accurately classify your waste.
  • Do include all required details for each waste shipment made during the reporting period, ensuring none are inadvertently omitted.
  • Do attach the site identification label at the top of the form if copying it, or accurately enter the requested site information.
  • Don't enter a P.O. Box address for the site street address; always use the physical location of the site where the waste was generated.
  • Don't guess or estimate numbers or other details. Verify all information for accuracy before submission to avoid the need for corrections and potential fines.

Focusing on these guidelines will help streamline the reporting process, ensuring it's done accurately and in compliance with Missouri Department of Natural Resources requirements. Remember, the goal is to provide a true, accurate, and complete report of your hazardous waste activities.

Misconceptions

Understanding the Mo 780 1097 form can be confusing due to a number of common misconceptions. Let's clarify these to ensure accurate and compliant submissions:

  • Misconception 1: The form is only for large quantity generators of hazardous waste. Truth: Whether you're a large or small quantity generator, if you ship hazardous waste off-site, you need to complete this form either quarterly or annually based on the volume of waste generated.

  • Misconception 2: Used oil is always considered hazardous waste and must be reported. Truth: Used oil intended for recycling is not classified as hazardous waste and should not be reported on the form; only used oil destined for disposal as waste requires reporting.

  • Misconception 3: All fluorescent lamps are considered hazardous and must be included. Truth: Unbroken fluorescent lamps sent for recycling are not considered hazardous and do not need to be reported. However, if managed as hazardous waste, they must be reported.

  • Misconception 4: Universal waste needs to be reported on this form. Truth: Universal waste, by definition, is not considered hazardous waste and should not be included in the Mo 780 1097 form submissions.

  • Misconception 5: The Mo 780 1097 is a one-page document. Truth: This form can extend to multiple pages depending on the number of hazardous waste shipments and details needed for each off-site facility used.

  • Misconception 6: Electronic signatures are acceptable for the certification statement. Truth: The form requires a hand-signed certification to verify that all provided information is true, accurate, and complete under penalty of law.

  • Misconception 7: A reportable quantity is always 100 kilograms. Truth: While 100 kilograms is the threshold for many types of hazardous waste, as little as 1 kilogram of acutely toxic wastes is considered a reportable quantity.

  • Misconception 8: The form is only necessary if hazardous waste is shipped off-site every quarter. Truth: Generators must submit the form annually if they are small quantity generators or if they did not ship a reportable quantity of waste during the year. Large quantity generators submit reports quarterly.

  • Misconception 9: Any change in generator information doesn't need to be updated immediately. Truth: It's crucial to update any change in generator name, contact information, or address as soon as possible, and specifically when submitting the next report.

By addressing these misconceptions, generators of hazardous waste can better understand their reporting responsibilities and ensure compliance with the Missouri Department of Natural Resources' requirements.

Key takeaways

Filling out the Missouri Department of Natural Resources Hazardous Waste Program's MO 780 1097 form, also known as the Generator's Hazardous Waste Summary Report, is an essential process for entities managing hazardous waste within Missouri. This guide aims to simplify the understanding and completion of this report by outlining key takeaways.

  • Identifying the Reporting Period: Generators must determine whether to report on an annual or quarterly basis. This is contingent on the volume of hazardous waste generated and the frequency of shipments.
  • Changes in Generator Information: Any alterations to the generator's name, contact person, mailing address, plant site address, or the name of the parent firm must be updated in Section B of the form.
  • Shipments Made: In Section C, generators are required to report the number of hazardous waste shipments made during the reporting period. If no shipments were made, specific boxes must be checked to indicate the status accurately.
  • Management of Used Oil and Universal Waste: Used oil intended for recycling is not considered hazardous waste and is exempt from this report unless it is disposed of, in which case it becomes reportable. Universal waste should not be included in the form.
  • Deadline for Submission: Reports must be submitted within 45 days following the end of the respective reporting period, ensuring timely compliance.
  • Determination of Reportable Quantities: It's crucial for generators to understand the thresholds for reportable quantities of hazardous waste, as these determine the need for quarterly reporting.
  • Documenting Waste Shipments in Part 2: When hazardous waste is shipped off-site, Part 2 of the report must be filled out, detailing the specifics of each shipment, including waste descriptions and amounts.
  • Certification Statement: The certification section demands the personal signature of the generator or an authorized representative, underscoring the accuracy and completeness of the submitted information.
  • Seeking Assistance: For queries or further clarification on completing the Generator's Hazardous Waste Summary Report, it's recommended to contact the Missouri Department of Natural Resources, Hazardous Waste Program directly.

Thorough understanding and diligent completion of the MO 780 1097 form are critical aspects of regulatory compliance for hazardous waste generators in Missouri. By keeping these key takeaways in mind, generators can ensure they accurately reflect their hazardous waste activities and remain in good standing with state environmental guidelines.

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