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Detailed Instructions for Completing the GM form - Section 1

Be certain to include your EPA Idenfication Number on the top of each page

View a Sample Completed GM Form (PDF) - (80 KB)

Box A - Waste Descriptions - Provide a short narrative on exactly what the hazardous waste is. It should include the general type of hazardous waste, the description of the source and the generic chemical name. Do not use the generic DOT description that is entered on the hazardous waste manifest form. A solvent used for cleaning might be described as follows; 'Ignitable spent solvent from cleaning machinery in tool production, it is primarily mineral spirits.'

Box B - EPA Hazardous Waste Codes - Enter the federal EPA hazardous waste codes that apply to the material being described on this GM form. EPA waste codes can be found on the manifest form if the waste was shipped off site. For a complete list of EPA waste codes please refer to 6NYCRR Part 371. If the waste is characterized by more than one waste code, enter up to five in the subsequent boxes. If none of the waste codes apply, leave this entire section blank.

Box C - State Hazardous Waste Codes - Enter the State hazardous waste codes that apply to the material being described on this GM form. Please note that there are only State hazardous waste codes for PCB waste. The list of State hazardous waste codes for PCB's can be found at 6NYCRR Part 371.

Box D - Source and Management Code - Enter the Source Code (PDF) (152 KB) that best describes how the hazardous waste being described on this page originated. Enter a Management Method Code (PDF) (152 KB) only if you chose a Source code of G25. Otherwise leave blank.

Box E - Form Code - Enter the Form Code (PDF) (152 KB) that best corresponds to the physical or chemical composition of the hazardous waste being described on this page.

Box F - Quantity Generated - Enter the quantity generated for the entire calendar year that the report is being filed for. Keep in mind which unit of measure will be used in Box G. Be sure to right justify the entry. Do not start the number on the left (see sample form). Enter the Unit of Measurement (PDF) (150 KB) for the quantity reported in Box F. If you are using a UOM of 5, 6 or 7, you must enter a density. Enter density in either pounds per gallon (lbs/gal) or specific gravity (sg), and check the appropriate box. If density is unknown, enter 1.00 in the density space and check the box marked "sg". Be careful not to put 8.34 and then check the "sg" box. This would translate into a volumetric measurement of 69.55 lbs/gal. Conversely do not put 1.00 and then check lbs/gal. This would translate into a volumetric measurement of only 1 lb/gal.

Box G - Waste Minimization Code - Enter the Waste Minimization Code that best corresponds to waste minimization, recycling, or pollution prevention efforts implemented to reduce the volume and toxicity of the hazardous waste reported in Section 1, Item A. This waste minimization activity must have occurred during this reporting cycle. If minimization was not attempted (to the point of implementing a change) for this waste, you must enter an "X" (no waste minimization efforts were implemented for this waste) for this item.

Box H - Regulatory Fee Exemptions -
Wastewater
- check this box for any hazardous waste or hazardous wastewater claimed to be eligible for the 90% recycling exemption from Regulatory Fees. Specify in the comments the basis for this exemption.

Exempt Remedial - Check this box to claim a Remedial exemption from Regulatory Fees for this hazardous waste or wastewater. Enter any additional information identifying the basis for this claim (DER site code, Brownfields code etc.) in the comments box at the bottom of this form.
Note: The wastes listed in ECL 72-0402(1)(d) are the only remedial wastes exempt from Regulatory Fees. See the Regulatory Fee Instructions for more information concerning the requirements for this exemption.

Exempt Recycling - Check this box for any hazardous waste or wastewater claimed to be eligible for the 90% recycling exemption from Regulatory Fees. See the Regulatory Fee Instructions for the details on the required documentation that must be submitted to the Department to substantiate this claim.