310 CMR 30.062
Form of the Notification
Except as provided in 310 CMR 30.061(2) notification shall be on a form prescribed by the
Department and shall include the following information:
(1) The name and address of the generator, transporter, user, or facility for which notification
is being given.
(2) The address of the site for which notification is being given.
(3) The EPA identification number of the generator, transporter, user, or facility if one has been
assigned.
(4) The name and telephone number of the individual who should be contacted regarding
information contained in the notification.
(5) The name of the legal owner of the generator, transporter, user, or facility.
(6) The type of activity involving hazardous waste or regulated recyclable material for which
notification is being given, i.e. generation, transportation, treatment, storage, use, or disposal.
(7) For generators of hazardous waste or regulated recyclable material, information showing
whether or not the generator is a Very Small Quantity Generator pursuant to 310 CMR 30.353,
a Small Quantity Generator pursuant to 310 CMR 30.351, or a Large Quantity Generator subject
to 310 CMR 30.340.
(8) The name and EPA or Massachusetts hazardous waste number of each hazardous waste or
regulated recyclable material handled by the generator, transporter, user, or facility. Transporters
who do not generate, use, store, treat, or dispose of hazardous waste, and persons conducting
activities regulated pursuant to 310 CMR 30.393(3), are not required to complete this section of
the notification form with respect to such activities.
(9) Certification, in compliance with 310 CMR 30.009.