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Last Modified:  2/16/2008
Hazardous Waste Forms

Forms


1. To print out the form and fill it in by hand, use the following link: Instructions and Registration of Hazardous Waste Activity Form (DEP-7037, revised 2007)If you would like to type in the information using Word, use this  fillable form link. Fillable forms for additional waste stream pages are also available. Please note: Office 2007 users will need to convert the fillable forms to an earlier version of Word. Regardless of the way you filled out the form, we will need you to print out the form and sign it (preferably in blue ink).  Mail the original signed registration to the address on the form.

2. Request To Be Removed From The Hazardous Waste Handler List. DEP Form 7072.  This form is incorporated by reference in Section 5 of 401 KAR 32:040.  Any generator whose status was large or small quantity during any part of 2007 must fill out these forms.  Fillable forms for 2007 are located below.  Please note: Office 2007 users will need to convert the fillable forms to an earlier version of Word.

3. 2007 Hazardous Waste Annual Report and Assessment Return (2007), DEP Form 7072.  This form is incorporated by reference in Section 5 of 401 KAR 32:040.  Any generator whose status was large or small quantity during any part of 2007 must fill out these forms.  Fillable forms for 2007 are located below:

   a) Assessment Return
   b) Claim for Exclusion Form
   c) Form 1
   d) Form 2
   e) Form 3
   f) Form 4 (Formerly Form 5)
   g) Form 5 (Formerly Form 6)

4. Electronic version of the Hazardous Waste Transportation Activity Form (DEP-7053, revised October 2001). Instructions for the electronic version of the Hazardous Waste transportation Activity Form.

5. Groundwater Sample Analysis Form (August 1995), DEP Form 8046. This form is incorporated by reference in Section 13 of 401 KAR 34:060.

6. Hazardous Waste Groundwater Report Form (March 1996), DEP Form 8046A. This form is incorporated by reference in Section 13 of 401 KAR 34:060.

7. Trust Agreement for Closure and Postclosure Assurance (February 1994), DEP Form 6035A. This form is incorporated by reference in Section 4 of 401 KAR 34:080.

8. Financial Guarantee Bond to Demonstrate Closure and/or Postclosure Care and Trust Agreement for Closure and Postclosure Assurance (February 1994), DEP Forms 6035B and 6035A. These forms are incorporated by reference in Section 4 of 401 KAR 34:080.

9. Corporate Guarantee for Closure or Postclosure Care (February 1994), DEP Form 6035H1. This form is incorporated by reference in Section 4 of 401 KAR 34:080.

10. Letter from Chief Financial Officer to Demonstrate Assurance of Closure or Postclosure Care (February 1994), DEP Form 6035F. This form is incorporated by reference in Section 4 of 401 KAR 34:080.

11. Irrevocable Standby Letter of Credit for Closure and/or Postclosure Care and Trust Agreement for Closure and Postclosure Assurance (February 1994), DEP Forms 6035D and 6035A. This form is incorporated by reference in Section 4 of 401 KAR 34:080.

12. Hazardous Waste Site or Facility Bond to Demonstrate Closure and/or Postclosure Care and Escrow Agreement to Demonstrate Closure and/or Postclosure Care (February 1994), DEP Forms 6035I and 6035J. This form is incorporated by reference in Section 4 of 401 KAR 34:080.

13. Performance Bond to Demonstrate Closure and/or Postclosure Care (February 1994), DEP Form 6035C. This form is incorporated by reference in Section 4 of 401 KAR 34:080.

14. Letter from Chief Financial Officer to Demonstrate Liability Coverage or to Demonstrate Both Liability Coverage and Assurance of Closure or Postclosure Care (February 1994), DEP Form 6035G. This form is incorporated by reference in Section 4 of 401 KAR 34:080.

15. Corporate Guarantee for Liability Coverage (February 1994), DEP Form 6035H2. This form is incorporated by reference in Section 4 of 401 KAR 34:080.

16. Hazardous Waste Facility Liability Endorsement (February 1994), DEP Form 6035K. This form is incorporated by reference in Section 4 of 401 KAR 34:080.

17. Hazardous Waste Facility Certificate of Liability Insurance (February 1994), DEP Form 6035L. This form is incorporated by reference in Section 4 of 401 KAR 34:080.

18. Certificate of Insurance for Closure or Postclosure Care (February 1994), DEP Form 6035E. This form is incorporated by reference in Section 4 of 401 KAR 34:080.

19. Irrevocable Standby Letter of Credit To Demonstrate Liability Coverage with Standby Trust Agreement (February 1994), DEP Form 6035N. This form is incorporated by reference in Section 4 of 401 KAR 34:080.

20. Standby Trust Agreement for Letter of Credit Demonstrating Liability Coverage (February 1994), DEP Form 6035R. This form is incorporated by reference in Section 4 of 401 KAR 34:080.

21. Payment Bond to Demonstrate Liability Coverage (February 1994), DEP Form 6035O. This form is incorporated by reference in Section 4 of 401 KAR 34:080.

22. Trust Agreement to Demonstrate Liability Coverage (February 1994), DEP Form 6035P. This form is incorporated by reference in Section 4 of 401 KAR 34:080.

23. Irrevocable Standby Letter of Credit to Demonstrate Liability Coverage (February 1994), DEP Form 6035Q. This form is incorporated by reference in Section 4 of 401 KAR 34:080.

24. Notification of Minor Modifications to Hazardous Waste Permits Not Requiring Prior Approval of the Cabinet (July 1996), DEP Form 7092. This form is incorporated by reference in Section 3(2) of 401 KAR 38:040.

25. Part A of the Kentucky Hazardous Waste Permit Application (June 1995), DEP Form 7058A. This form is incorporated by reference in Section 3 of 401 KAR 38:080.

26. Application Technical Adequacy Checklist for Hazardous Waste Storage, Treatment, and Disposal Facilities. Please select the applicable sections below:

Instructions
Part A (See No. 25.)
Part B
Part C
Part D - Containers
Part D - Incinerators
Part D - Land Treatment
Part D - Landfills
Part D - Miscellaneous Units
Part D - Surface Impoundments
Part D - Tanks
Part D - Waste Piles
Part E
Part F
Part G
Part H
Part I
Parts J, K, and L

Documents
1. 40 CFR Part 261 Appendix X (February 1986). This section of the federal regulations is incorporated by reference in Section 1 of 401 KAR 31:190.

2. RCRA Method 8280 with revisions based on single laboratory testing: method of analysis for chlorinated dibenzo-p-dioxins and dibenzofurans (July 1985). This test method is incorporated by reference in Section 1 of 401 KAR 31:190.

3. 40 CFR Part 266 Appendix IX (July 1,1996). This section of the federal regulations is incorporated by reference in Section 11 of 401 KAR 36:025.

4. 40 CFR 268.10 to 268.12 (July 1, 1995). This section of the federal regulations is incorporated by reference in Section 10 of 401 KAR 37:010.

5. 40 CFR Part 268 Appendix IV (July 1, 1995). This section of the federal regulations is incorporated by reference in Section 10 of 401 KAR 37:010.

6. 40 CFR Part 268 Appendix VI (July 1, 1995). This section of the federal regulations is incorporated by reference in Section 10 of 401 KAR 37:010.

7. 40 CFR Part 268 Appendix VII (July 1, 1995). This section of the federal regulations is incorporated by reference in Section 10 of 401 KAR 37:010.

8. 40 CFR Part 268 Appendix VIII (July 1, 1995). This section of the federal regulations is incorporated by reference in Section 10 of 401 KAR 37:010.

9. 40 CFR Part 268 Appendix X (July 1, 1995). This section of the federal regulations is incorporated by reference in Section 10 of 401 KAR 37:010.

Some of the documents are in an Adobe Acrobat PDF (Portable Document Format) file. These documents have a "PDF" file extension. These must be viewed using the Adobe Acrobat viewer that can be downloaded free for Unix, Macintosh, Microsoft DOS and Microsoft Windows operating systems. The readers are available directly from Adobe at http://www.adobe.com/products/acrobat/main.html.

For copies of any of the forms or documents listed above, please contact:

Division of Waste Management
Hazardous Waste Branch
Attn: April Webb
14 Reilly Road
Frankfort, KY 40601
502-564-6716

Division of Waste Management
14 Reilly Road
Frankfort, KY 40601
Phone: 502-564-6716
Fax: 502-564-4049
E-mail: waste@ky.gov