HAZARDOUS WASTE BIENNIAL REPORT
State Form 52387 (9-05) Indiana Department of Environmental Management
FORM CC
RCRA ID |_ _|_ _|_ _|_ _|_ _|_ _|_ _|_ _|_ _|_ _|_ _|_ _| NAME
REPORT YEAR
Treatment, Storage, and Disposal Facilities (TSD) are required by 329 IAC 3.1-9-1 and 3.1-10-1 to submit the most recent closure cost estimate under 329 IAC 3.1-14-3 and 329 IAC 3.1-15-3 and for disposal facilities, the most recent post closure cost estimate under 329 IAC 3.1-15-5. Please complete the items below and return along with your Hazardous Waste Biennial Report.
Cost Estimate for Facility Closure _ _ _ _ _ _, _ _ _ _ _ _, _ _ _ _ _ _.00
Cost Estimate for Post Closure Monitoring and Maintenance _ _ _ _ _ _, _ _ _ _ _ _, _ _ _ _ _ _.00