OF LOUISIANA NOTIFICATION OF HAZARDOUS WASTE ACTIVITY FORM (HW-1) AND INSTRUCTIONS (COMPLIES WITH US EPA’S RCRA SUBTITLE C SITE IDENTIFICATION FORM REQUIREMENTS) I M P O R T A N T ************************ ************************ Although this STATE form looks very similar to the FEDERAL form (8700-12), they are not the same. This form is the current State of Louisiana Notification of Hazardous Waste Activity Form (HW-1) and may be obtained via the Louisiana Department of Environmental Quality (LDEQ) public website at Please note differences: This current Louisiana HW-1 form is used for Louisiana reporting sites only. Item 1.A Reason for Submittal, please check only one reason per submittal. In the case of more – than one submittal reason, a separate form is required. Item 1.B Indicate number of employees at this site. – Item 10.A.2 Transfer Facility Status box is included. – Item 10.A.3 Boxes for status of TSD permit are included. – Item 10.B.1.e Antifreeze, Mercury-containing Equipment and Electronics are listed as additional – Universal Wastes in Louisiana. Item 10.C.5 Used Oil Burner is included, with boxes for type of device. – **************************************************************************** Please send completed form to: Louisiana Department of Environmental Quality Office of Environmental Services Public Participation and Permit Support Division Notifications & Accreditations Section Post Office Box 4313 Rouge, LA 70821-4313 If you have any questions, please call (225) 219-1352.
OF LOUISIANA NOTIFICATION OF HAZARDOUS WASTE ACTIVITY FORM (HW-1) AND INSTRUCTIONS (COMPLIES WITH US EPA’S RCRA SUBTITLE C SITE IDENTIFICATION FORM REQUIREMENTS) ************************ I M P O R T A N T ************************ Although this STATE form looks very similar to the FEDERAL form (8700-12), they are not the same. This form is the current State of Louisiana Notification of Hazardous Waste Activity Form (HW-1) and may be obtained via the Louisiana Department of Environmental Quality (LDEQ) public website at Please note differences: This current Louisiana HW-1 form is used for Louisiana reporting sites only. Item 1.A – Reason for Submittal, please check only one reason per submittal. In the case of more than one submittal reason, a separate form is required. Item 1.B – Indicate number of employees at this site. Item 10.A.2 – Transfer Facility Status box is included. Item 10.A.3 – Boxes for status of TSD permit are included. Item 10.B.1.e – Antifreeze, Mercury-containing Equipment and Electronics are listed as additional Universal Wastes in Louisiana. Item 10.C.5 – Used Oil Burner is included, with boxes for type of device. **************************************************************************** Please send completed form to: Louisiana Department of Environmental Quality Office of Environmental Services Public Participation and Permit Support Division Notifications & Accreditations Section Post Office Box 4313 Rouge, LA 70821-4313 If you have any questions, please call (225) 219-1352.
State_of_LA_Haz_Waste_Notif_Form_HW-1.docx