Free 52389.pdf - Indiana

HAZARDOUS WASTE BIENNIAL REPORT
State Form 52389 (9-05) Indiana Department of Environmental Management

FORM OI

RCRA ID |_ _|_ _|_ _|_ _|_ _|_ _|_ _|_ _|_ _|_ _|_ _|_ _| NAME

REPORT YEAR

Off-Site Installation#1

RCRA ID Name

|_ _|_ _|_ _|_ _|_ _|_ _|_ _|_ _|_ _|_ _|_ _|_ _|

_ _ Generator _ _ Transporter _ _ Treatment, Storage, Disposal

Street Address City State ZIP

Off-Site Installation#2

RCRA ID Name

|_ _|_ _|_ _|_ _|_ _|_ _|_ _|_ _|_ _|_ _|_ _|_ _|

_ _ Generator _ _ Transporter _ _ Treatment, Storage, Disposal

Street Address City State ZIP

Off-Site Installation#3

RCRA ID Name

|_ _|_ _|_ _|_ _|_ _|_ _|_ _|_ _|_ _|_ _|_ _|_ _|

_ _ Generator _ _ Transporter _ _ Treatment, Storage, Disposal

Street Address City State ZIP

Off-Site Installation#4

RCRA ID Name

||_ _|_ _|_ _|_ _|_ _|_ _|_ _|_ _|_ _|_ _|_ _|_ _|

_ _ Generator _ _ Transporter _ _ Treatment, Storage, Disposal

Street Address City State ZIP

COMMENTS:
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