Hazardous waste licensing step 2 - retailers and wholesalers

Retailers and wholesalers

Complete this hazardous waste licensing step 2 form if your business is a retailer or wholesaler.

To complete step 2:

  1. Verify that you have completed step 1 (general and contact information).
  2. Review the presentation about hazardous waste training for retailers and wholesalers (PDF). This training will help you achieve compliance with regulations and avoid fines for violations.
  3. After reviewing the training, complete the hazardous waste survey for retailers and wholesalers below.

Hazardous waste survey for retailers and wholesalers

* = required field

Information about you
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Information about the company
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Write "unknown" if you're not sure, write "not applicable" if you haven't been working with any staff.
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Training presentation questionnaire
Enter as: MM/DD/YYYY
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Find the answer on slide 31 of the hazardous waste training for retailers and wholesalers.
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Find the answer on slide 32 of the hazardous waste training for retailers and wholesalers.
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Waste inventory
Does your business carry any of the following flammable products? (select all that apply)























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Does your business carry any of the following toxic or lethal products? (select all that apply)










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Does your business carry any of the following corrosive alkaline products? (select all that apply)







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Does your business carry any of the following corrosive acid products? (select all that apply)









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Does your business carry any of the following oxidizer products? (select all that apply)







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Does your business carry any of the following oil products? (select all that apply)







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Does your business perform services on equipment that generate any of the following used oil wastes? (select all that apply)





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What kind of lighting does your business use? (select all that apply)





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Who is responsible for changing out light bulbs and arranging for the disposal of old light bulbs from your facility?


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Does your business carry or use any of the following batteries? (select all that apply)








Does your company carry electronic devices including computers, phones, office equipment and other devices that have circuit boards?

Do you return or send any products to the following for possible use or credit? (select all that apply)






Certification
I am aware of hazardous waste resources:
In addition to the training for retailers and wholesalers, I am aware that I can access resources regarding the proper management and disposal of wastes at www.hennepin.us/hwgenerators and www.pca.state.mn.us/veiz8a8, or by calling 612-348-3777 and asking for the environmentalist-on-call.
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Certification of true, accurate and complete information:
I certify under penalty of law that I have personally examined and am familiar with the information submitted in this and all attached documents, and that based on my inquiry of those individuals immediately responsible for obtaining the information, I believe that the information is true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fine and imprisonment. I am aware of significant penalties for failing to comply with hazardous waste requirements as described in the step 2 training.
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