Dtsc 1299 Form PDF Details

Every business is required to submit a Dtsc 1299 form to the California Department of Toxic Substances Control. This form provides information on the types and quantities of hazardous materials used or produced by the company. The Dtsc 1299 form must be updated annually, and it can be a complex process to complete correctly. However, with the right guidance, submitting a Dtsc 1299 form can be relatively easy. In this article, we'll provide an overview of what you need to know in order to complete your Dtsc 1299 form. We'll also offer some helpful tips for making sure your submission is accurate and complete.

QuestionAnswer
Form NameDtsc 1299 Form
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesdtsc form 1358, dtsc form 1299, dtsc examination form, dtsc 8038

Form Preview Example

State of California - California Environmental Protection Agency

Department of Toxic Substances Control

 

Transportation Unit

 

8800 Cal Center Drive, Sacramento, CA 95826

 

Phone (916) 440-7145 Fax (916) 255-6436

CONSOLIDATED TRANSPORTER NOTIFICATION

1.Business Name (Show d.b.a. name, show name exactly as it will appear on registration; same name or trademark is required on all vehicles):

2.Transporter Registration Number

3. Business Address Number/Street

City

 

County/Province

State/Country

 

Zip/Postal Code

 

 

 

 

 

 

 

4. Mailing Address (If different) P.O. Box/Street

City

 

County/Province

State/Country

 

Zip/Postal Code

 

 

 

 

 

 

 

 

5a. Telephone Number

(Ext. Number)

6. Identification Numbers. If

your company transports

hazardous wastes,

operates the designated

 

 

 

facility, and intends to submit only the facility copy of the consolidated manifests pursuant to Health

 

 

 

and Safety Code Section 25160(b)(5)(A), you must provide all the transporter and facility identification

(

)

 

numbers (12 characters) used by your company on these manifests. If

necessary, list additional

 

identification numbers on a separate sheet.

 

 

 

 

 

 

 

 

 

5b. Fax Number

()

5c. E-mail Address

7.I intend to transport the following hazardous wastestream under the consolidated manifesting procedure, as described in Health and Safety Code, Section 25160.2. [Check all applicable box(es)]:

A.Used oil

B.Contents of an oil/water separator

C.Solids contaminated with used oil

D.Brake fluid

E.Antifreeze

F.Antifreeze sludge

G.Parts cleaning solvents, including aqueous cleaning solvents

H.Hydroxide sludge contaminated solely with metals from a wastewater treatment process

I."Paint-related" wastes, including paints, thinners, filters, and sludges

J.Spent photographic solutions

K.Dry cleaning solvents (including perchloroethylene, naphtha, and silicone based solvents)

L.Filters, lint, and sludges contaminated with dry cleaning solvent

M.Asbestos and asbestos-containing materials

N.Inks from the printing industry

O.Chemicals and laboratory packs collected from K-12 schools

P.Absorbents contaminated with other wastes listed in Health and Safety Code Section 25160.2(c)

Q.Filters from dispensing pumps for diesel and gasoline fuels

8.Name and Title of Authorized Representative (print or type):

Signature of Authorized Representative

Use blue or other non-black ink

Date

Note: Keep this Consolidated Transporter Notification, signed by DTSC, with the valid Transporter Registration Certificate in the vehicle at all times during the transportation of hazardous waste. Transportation of wastestream(s) listed above, under the consolidated manifesting procedure, without notifying DTSC is a violation of Health and Safety Code (HSC) Section 25165(a), and may be subject to significant penalties. Consolidated transporters are also required to submit quarterly reports pursuant to HSC Section 25160.2(d).

DO NOT WRITE BELOW THIS LINE (FOR DTSC USE ONLY)

Transportation Unit Representative

Received date

(Print or type name)

Expiration date

 

DTSC acknowledgement date

DTSC 1299 (7/09)

CONSOLIDATED TRANSPORTER NOTIFICATION

1.BUSINESS NAME -

Enter the name, the “DBA” (doing business as) name, or fictitious name under which you are doing business. This will be the same name that will appear on the Registration Certificate issued by DTSC, the Certificate of Insurance for Public Liability Coverage (Form DTSC 8038), and the Endorsement for Motor Carrier Policies of Insurance for Public Liability (Form MCS- 90).

If you have more than one DBA or fictitious name, you must apply for a separate registration for each DBA or fictitious name under which you will transport hazardous waste.

2.TRANSPORTER REGISTRATION NUMBER - Enter your current Registration Number.

3.BUSINESS ADDRESS - Enter the complete business address.

4.MAILING ADDRESS - Enter the complete mailing address.

5.CONTACT NUMBERS - Enter the telephone number, fax number and e-mail address of the business contact person.

6.IDENTIFICATION NUMBER (ALSO KNOWN AS EPA ID NUMBER) -

If your company transports hazardous wastes, operates the designated facility, and intends to submit only the facility copy of the consolidated manifests pursuant to Health and Safety Code Section 25160(b)(5)(A), you must provide all the transporter and facility identification numbers used by your company on these manifests.

7.Check all applicable boxes of wastestreams that you plan to transport under the consolidated manifesting procedure, as described in Health and Safety Code, Section 25160.2.

8.The business owner or officer who is authorized to make decisions for the business shall sign in the space provided.

Enter the full printed name and title of the person signing the form, and the date that the form was signed. Since the original signature is required on the form, please USE BLUE OR OTHER NON-BLACK INK.

DTSC 1299 (7/09)