The purpose of this blog post is to inform readers of the EPA Form 5700 52A, also known as the Hazardous Waste Manifest. This form must be completed by anyone who transports hazardous waste. The information on this form is used to track and monitor the movement of hazardous waste from its point of generation until it is disposed of properly. By understanding and completing this form correctly, you can help ensure that hazardous waste is transported safely and responsibly. In addition to informing readers about the EPA Form 5700 52A, in this post we will provide an overview of what constitutes hazardous waste, when this form must be used, and some key points to keep in mind when completing it. We hope that after reading this post you will have a better understanding of the Hazardous Waste Manifest and how to complete it correctly. Thanks for reading!
| Question | Answer |
|---|---|
| Form Name | Epa Form 5700 52A |
| Form Length | 2 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 30 sec |
| Other names | 5700 52a epa form, MBE, 5700-52A, Kleen |
OMB CONTROL
APPROVED: 12/30/02
APPROVAL EXPIRES: 12/31/05
U.S. ENVIRONMENTAL PROTECTION AGENCY
MBE/WBE UTILIZATION UNDER FEDERAL GRANTS, COOPERATIVE
AGREEMENTS, AND INTERAGENCY AGREEMENTS
PART 1. (Reports are required even if no procurements are made during the reporting period.)
1A. FEDERAL FISCAL YEAR |
1B. REPORTING QUARTER (Check appropriate box) |
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200_______ |
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9 1st |
9 2nd |
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9 3rd |
9 4th |
9 Annual |
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1C. REVISION |
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HIGHLIGHT ITEMS TO BE REVISED AND PROVIDE EXPLANATION IN BLOCK No. 6 |
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Year: _________ |
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Quarter: _________ |
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2A. FEDERAL FINANCIAL ASSISTANCE AGENCY |
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3A. REPORTING RECIPIENT (Name and Address) |
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(EPA Office Address - ATTN: DBE Coordinator) |
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2B. REPORTING CONTACT |
2C. PHONE: |
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3B. REPORTING CONTACT (Recipient) |
3C. PHONE: |
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(EPA DBE Coordinator) |
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4A. FINANCIAL ASSISTANCE AGREEMENT ID NUMBER |
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4B. FEDERAL FINANCIAL ASSISTANCE PROGRAM |
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(SRF State Recipients, Refer to Instructions for Completion of 4A, 5A, and 5C) |
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5A. TOTAL ASSISTANCE AGREEMENT |
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5B. Check and skip to Block |
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5C. TOTAL PROCUREMENT AMOUNT THIS REPORTING |
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AMOUNT |
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No. 7 if no procurements |
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PERIOD (ONLY include the amount not in any prior reporting |
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and accomplishments |
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period and procurements made by SRF Loan Recipients and Sub- |
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EPA Share: |
$_______________________ |
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were made this reporting |
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Recipients) |
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period. |
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$______________________________ |
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9 |
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(Exclude procurement amounts reported by Prime Contractors) |
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Recipient Share: $_____________________ |
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5D. ACTUAL MBE/WBE PROCUREMENT ACCOMPLISHED THIS |
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5E. ACTUAL MBE/WBE PROCUREMENT ACCOMPLISHED THIS |
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REPORTING PERIOD BY RECIPIENT (SRF State Recipients, Report |
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REPORTING PERIOD BY LOAN RECIPIENTS, |
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State Procurement Activities Here) |
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AND PRIME CONTRACTORS |
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$ MBE |
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$ WBE |
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$ MBE |
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$ WBE |
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Construction |
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Construction |
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Equipment |
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Equipment |
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Services |
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Services |
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Supplies |
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Supplies |
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TOTAL |
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TOTAL |
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______________ |
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6. COMMENTS: |
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7. NAME OF AUTHORIZED REPRESENTATIVE |
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TITLE |
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8. SIGNATURE OF AUTHORIZED REPRESENTATIVE |
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DATE |
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EPA FORM
NOTE: THIS REPORT IS DUE 30 DAYS AFTER THE END OF EACH FEDERAL FISCAL QUARTER OR ANNUAL:
SUBMISSION DATES ARE: January 30, April 30, July 30, and October 30*
*ANNUAL REPORT
MBE/WBE PROCUREMENTS MADE DURING REPORTING PERIOD EPA Financial Assistance Agreement Number: _______________
1. Procurement Made By |
2. Business Enterprise |
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Recipient |
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Other |
Minority |
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Women |
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3.$ Value of Procurement
4.Date of Award
MM/DD/YY
5.Type of Product or ServicesA
(Enter Code)
6.Name/Address/Phone Number of MBE/WBE Contractor or Vendor
AType of product or service codes:
1 = Construction |
2 = Supplies |
3 = Services |
4 = Equipment |
A = Business Services
B = Professional Services
C = Repair Services
D = Personal Services
EPA FORM