Ariz. Admin. Code § tit. 18, ch. 13, art. 13, app A

Current through Register Vol. 30, No. 44, November 1, 2024

Appendix A - Application for Arizona Special Waste Identification Number

Instructions for the Completion of the ADEQ Application for the Arizona Special Waste Identification Number.

1. Place an "X" in the appropriate box indicating which type of operation you will be performing.

2. Enter the complete company/agency name.

3. Enter the complete address. Do not use P.O. Box or Route Number.

4. Enter the complete address if it is different than the address listed in item 3.

5. Enter the name, job title, and complete phone number of the person who will act as the company/agency contact.

6. Enter the complete address of the company/agency contact listed in item 5.

7. Enter the name, complete address, and phone number of the company's/agency's legal owner.

8. Enter the signature of the person who will assume the responsibility of completion of this form and its contents.

9. Enter the name and title of the responsible person listed in item 8.

10. Enter the date that the responsible person signed the document.

11. List all special wastes that the applicant generates, transports, stores, or receives.

Ariz. Admin. Code tit. 18, ch. 13, art. 13, app A

Appendix A recodified from 18 A.A.C. 8, Article 3, filed in the Office of the Secretary of State September 29, 2000 (Supp. 00-3).