Form Dhec 2738 PDF Details

Every time you file a tax return, you are required to indicate your occupation. This is done by completing a Form Dhec 2738, which is the Occupation/Income Tax Return. The form must be completed regardless of whether or not you are required to file a return. The information on the form helps the Department of Revenue determine your correct tax bracket and whether or not you are eligible for any deductions or credits. There are several variables that can affect your occupation code, so it is important to complete the form accurately. In most cases, you will simply need to reference your employer's assigned code. However, if you are self-employed or have more than one job, things get a bit more complicated.

In the listing, there's some information regarding the form dhec 2738. There, you'll find the specifics of the form you intend to fill out, including the estimated time for you to fill it out along with other details.

QuestionAnswer
Form NameForm Dhec 2738
Form Length2 pages
Fillable?Yes
Fillable fields48
Avg. time to fill out10 min 6 sec
Other namesD 2738 scdhec tire manifest form

Form Preview Example

South Carolina Waste Tire Manifest

Used for Waste Tires Hauled to a Waste Tire Collection Facility,

Landfill or Processing Facility

Must be permitted and/or approved by the S.C. Department of Health and Environmental Control (DHEC)

or on the Waste Tire Rebate List

PART 1: CERTIFICATION BY RETAILER OR GENERATOR

Retailer/Generator:__________________________________________________________________________________________________________________________

Owner:_____________________________________________________________________________________________________________________________________

Business Address:___________________________________________________________________________________________________________________________

City:_ _________________________________________________________ State:_________________________________Zip:____________________________________

Telephone:____________________________________________________________ Fax:_ ________________________________________________________________

Amount of Waste Tires Transported

Total Number of Tires:______________________________________________ Number of Passenger Tires:_________________________________________________

Number of Truck Tires:_____________________________________________ Number of Off-road Tires:___________________________________________________

Destination of Waste Tires:___________________________________________________________________________________________________________________

South Carolina-approved Waste Tire Collection Facility, Landfill or Processing Facility

I hereby certify that the above indicated waste tires were collected in the normal course of business in _________________________ County,________________

State of _________________________ and are destined to be transported to the facility indicated above.

Signed:_______________________________________________________________________________________Date:_________________________________________

(Retailer/Generator or Authorized Representative)

PART 2: CERTIFICATION BY REGISTERED WASTE TIRE HAULER

Waste Tire Hauler:___________________________________________________________________________________________________________________________

Waste Tire Hauler Registration Number:________________________________________________________________________________________________________

Business Name:_____________________________________________________________________________________________________________________________

Business Address:___________________________________________________________________________________________________________________________

City:_ _________________________________________________________ State:_________________________________Zip:____________________________________

County:__________________________________________________________ Telephone:________________________________________________________________

S.C. Sales Tax Number:______________________________________________________________________________________________________________________

Number of Tires Listed Above Selected by the Waste Tire Hauler as Used Tires:_ _______________________________________________________________

Storage Address of Used Tires:_______________________________________________________________________________________________________________

City:_ _________________________________________________________ State:_________________________________Zip:____________________________________

I hereby certify that the waste tires received from the retailer/generator (see Part I of this form) will be delivered to the destination designated by the retailer/ generator and that the completed and signed manifest will be returned to the retailer generator within 30 days from this date. I also certify that I will retain a copy of the manifest for my records per Regulation 61-107.3.

Signed:_______________________________________________________________________________________Date:_________________________________________

(Waste Tire Hauler or Authorized Representative)

PART 3: CERTIFICATION BY WASTE TIRE COLLECTION FACILITY, LANDFILL OR PROCESSING FACILITY (Must be permitted and/or approved by DHEC or on the Waste Tire Rebate List)

Waste Tire Collection Facility, Landfill or Processing Facility:______________________________________________________________________________________

Owner/Operator:_ ___________________________________________________________________________________________________________________________

Business Address:___________________________________________________________________________________________________________________________

City:_ _________________________________________________________ State:_________________________________Zip:____________________________________

County:__________________________________________________________ Telephone:________________________________________________________________

S.C. Permit Number (if applicable):____________________________________________________________________________________________________________

I hereby certify that this facility is permitted and /or approved by DHEC to receive waste tires from South Carolina and has received the following amount of waste tires

Amount of Waste Tires Received

Total Number of Tires:______________________________________________ Number of Passenger Tires:_________________________________________________

Number of Truck Tires:_____________________________________________ Number of Off-road Tires:___________________________________________________

Signed:_______________________________________________________________________________________Date:_________________________________________

(Waste Tire Collection Facility, Landfill or Processing Facilities Authorized Representative)

Continuity Check

Passenger Tires: 22.5 lbs. each

Commercial Tires: 120 lbs. each

Mix Load of Tires: 37 lbs. (average)

 

 

 

 

Approximately

89 per ton

17 per ton

54 per ton

 

 

 

 

DHEC 2738 (8/2014)

SOUTH CAROLINA DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL

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INSTRUCTIONS FOR COMPLETING DHEC 2738

South Carolina Waste Tire Manifest

PURPOSE:

This form is used to track and certify that waste tires received from a retailer/generator of waste tires are delivered to a waste tire collection, facility, landfill or processing facility that is permitted and/ or approved by DHEC or listed on the DHEC Waste Tire Rebate List.

EXPLANATION:

Any person engaged in transporting waste tires in South Carolina for the purpose of storage, disposal or processing must use a S.C. Waste Tire Manifest to track and certify the movement of waste tires from the retailer/generator to the waste tire collection facility, landfill or processing facility. The manifest supports Regulation 61-107.3, Section F.5, that requires waste tire haulers to record and maintain for three years the following:

1.quantity of tires hauled;

2.where and from whom the tires were hauled; and

3.where the tires were deposited.

Finally the manifest certifies transportation of waste tires from the retailer/generator to the waste tire collection facility, landfill or processing facility and ensures that retailer/generator has documented proof that their waste tires go to the designated facility.

INSTRUCTIONS:

Part 1: Certification by Retailer/Generator – The retailer/generator of waste tires shall complete all items on this part of the form. Please type or print.

List the name of the retailer/generator of the waste tires. This may either be the name of the business or, if it is not a business, the name of the person generating the waste tires.

Provide the name of the owner of the business.

List the business address or, if it is not a business, the home address of the person generating the waste tires.

List the business telephone number or, if it is not a business, the home telephone of the person generating the waste tires.

Provide the name of the county where the business is located or, if it is not a business, the county where the person generating the waste tires is located.

Enter the County or Municipal Business License and the S.C. Sales Tax Number if you have them. If not, enter N/A.

List the number of used tires selected and removed from the waste tires.

Provide the number of waste tires to be transported by type (passenger, truck, off-road). Also provide the total number of waste tires to be transported.

List the name, address and telephone number of the waste tire collection facility, landfill or processing facility that will receive the waste tires.

Enter the county and state in the certification statement and sign and date it.

Part 2: Certification by Waste Tire Hauler – The waste tire hauler shall complete Part 2 of the form. If the waste tire hauler removes tires from those received from the retailer/generator for the purpose of resale as used tires, list the number of used tires removed. These tires are not those listed in Part 1 above. Provide the storage address for the used tires. Please note that sorting of waste tires at a location other than the retailer/generator requires a waste tire collection permit from DHEC.

Part 3: Certification by Waste Tire Collection Facility, Landfill or Processing Facility – The waste tire collection facility, landfill or processing facility shall complete Part 3 of the form.

After the form is completed the waste tire hauler will provide the completed and signed manifest to the retailer/generator of the waste tires within 30 days and retain a copy of the completed and signed manifest for their records per Regulation 61-107.3.

Office Mechanics and Filing – DHEC’s Division of Compliance and Enforcement will file and retain manifests that it requests from waste tire haulers for matters of compliance and enforcement. File retention is three years from the termination date of the registration.

DHEC 2738 (8/2014)

SOUTH CAROLINA DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL

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Form Dhec 2738 spaces to fill in

Include the required details in the StorageAddressofUsedTires, CityStateZip, SignedDate, OwnerOperator, BusinessAddress, CityStateZip, CountyTelephone, SCPermitNumberifapplicable, AmountofWasteTiresReceived, SignedDate, ContinuityCheck, Approximately, PassengerTireslbseach, CommercialTireslbseach, and MixLoadofTireslbsaverage section.

Filling out Form Dhec 2738 part 2

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