Attachment J-0200000-05(d) Used Oil Disposal and Recycling Summary Report Form.pdf

This is a template form for reporting used oil disposal and recycling activities at facilities.

The form is designed to capture summary data on used oil management across one or more facilities for a specified calendar year. It contains four columns: Name of Facility, Facility Location, Disposal Quantity for Calendar Year, and Recycled Quantity for Calendar Year. The form includes multiple blank rows to accommodate multiple facilities and a total row at the bottom to aggregate disposal and recycled quantities across all entries. The template does not specify units of measurement, reporting deadlines, regulatory requirements, or submission procedures. This is a data collection instrument intended to be completed by facility operators or environmental compliance personnel to document used oil handling practices.