395942 / MID050616622 RIVERVIEW APPARATUS SERVICE SHOP
18075 KRAUSE ST, RIVERVIEW, MI 48193

Site

Site Name
RIVERVIEW APPARATUS SERVICE SHOP
Site Identification
WDS ID Number:
395942 395942
Site ID Number:
MID050616622 MID050616622
Extract To Public:
Yes
Legal Site Name:
GENERAL ELECTRIC CO
Specific Site Name:
RIVERVIEW APPARATUS SERVICE SHOP
District:
WARREN WARREN
Address Identification
Location Address
Mailing Address
Miscellaneous
Tax Number:
14XXXXX40
No Number Because:
GPS Coordinates (provide five decimal places)
Latitude Coordinate:
42.1764
Longitude Coordinate:
-83.17248
Collection Method:
Lat/Long Interpolation
Receives All Waste?:
No
Railroad?:
No
Facility on Indian Reservation Land?:
No
Utilization Activities:
Scrap Tires Activities:
Scrap Tires Acres:
NAICS Codes (up to four six-digit codes):
(The list of NAICS codes in WDS is based on the 2007 definitions provided by the U.S.Census Bureau.)
339999 - All Other Miscellaneous Manufacturing
Haz Waste Contact
First Name:
JAMES
M.I.:
Last Name:
VAN NORTWICK
Phone Number:
(312) 513-4588
Ext:
Fax:
Alternate Phone:
Email Address:
Name
Organization
Type
Active Date
Inactive Date
Owner and/or
Operator
GENERAL ELECTRIC COMPANY Private 1/2/1969 Owner/Operator
Name:
GENERAL ELECTRIC COMPANY
Organization Type:
Private
Owner:
Yes
Operator:
Yes
Active Date:
1/2/1969
Inactive Date:
New Row
Name:
Organization Type:
Owner:
No
Operator:
No
Active Date:
Inactive Date:
Discovery Date
Source of Information
Summary
6/3/2016 Site Generator Status: CESQG
Discovery Date:
6/3/2016
Source of Information:
Biennial R
No Regulated Waste Activity:
No

A. Hazardous Waste Activity(ies) at this location 3. Designated facility of hazardous waste at this location that
1. Generator of hazardous waste (choose requires(ed) the submittal of a Part A and a permit
one of the following three categories a-c) a. Treats or treated hazardous waste on-site at this location
[see rules for limits on acute hazardous waste] and/or
  Stores or stored hazardous waste on-site at this location
Generator Status: and/or
CESQG: Less than 100 kg/mo Disposes of or disposed of hazardous waste on-site
  at this location
Date Activity Began: b. Recycles recyclable materials on-site at this location
1/9/2015 4. Underground injection well on-site at this location
  5. Import agent for hazardous waste
For items 2 through 8, check all that apply 6. Generates mixed radioactive waste on-site at this location
2. Transporter 7. Accepts waste from CESQG & accumulates over
a. Transporter of hazardous waste 1,000 kg on-site at this location
b. Commingle waste 8. Exempt boiler and/or industrial furnace on-site at this location
c. Offloads during transportation a. Smelting, melting, and refining furnace exemption
  b. Small quantity on-site burner exemption

B. Used Oil Activities at this location, check all C. Universal Waste Activity(ies) at this location,
that apply: (used oil generator only - go to D) check all that apply:
[see comments for additional information] 1. Large Quantity Handler: check the box(es) for the
1. Used Oil Fuel Marketer universal wastes generated or accumulated
a. Marketer who directs shipments of off- a. Generates/accumlates batteries
specification used oil to used oil burner b. Generates/accumulates thermostats
b. Marketer who first claims the used oil c. Generates/accumulates mercury thermometers
meets the specifications d. Generates/accumulates devices containing
2. Off-specification Used Oil Burner elemental mercury
3. Used Oil Processor e. Generates/accumulates mercury switches
4. Used Oil Re-refiner f. Generates/accumulates pesticides
Date Activity Began:
g. Generates/accumulates electric lamps
5. Used Oil Transporter (check only one) h. Generates/accumulates pharmaceuticals
[may require a permit & registration] i. Generates/accumlates consumer electronics
a. Transporter only j. Generates/accumlates antifreeze
b. Transporter with transfer facility 2. Destination Facility of Universal Waste
6. Used Oil Collection or Aggregation Point [a hazardous waste permit may be required for
7. Collection Center or Aggregation Point this activity]
that accepts DIY Used Oil

D. Liquid Industrial Waste Activities at this E. No longer generating waste or engaged in other
location, check all that apply: regulated activity
(not hazardous waste activity) 1. The site is still in business at this location
1. Liquid Industrial Waste Transporter but generation of waste or any other regulated waste
[requires a permit & registration] activity has ceased as of (date):
2. Transporting Own Waste
(mm/dd/yyyy)
3. Liquid Industrial Waste Generator 2. This site is out of business at this location and
4. Liquid Industrial Waste Designated Facility generation of waste or any other regulated waste
  activity has ceased as of (date):
 
(mm/dd/yyyy)

F. Miscellaneous
1. Emergency Site
3/16/2015 Site Generator Status: CESQG
Designated facility
Discovery Date:
3/16/2015
Source of Information:
Notification
No Regulated Waste Activity:
No

A. Hazardous Waste Activity(ies) at this location 3. Designated facility of hazardous waste at this location that
1. Generator of hazardous waste (choose requires(ed) the submittal of a Part A and a permit
one of the following three categories a-c) a. Treats or treated hazardous waste on-site at this location
[see rules for limits on acute hazardous waste] and/or
  Stores or stored hazardous waste on-site at this location
Generator Status: and/or
CESQG: Less than 100 kg/mo Disposes of or disposed of hazardous waste on-site
  at this location
Date Activity Began: b. Recycles recyclable materials on-site at this location
1/9/2015 4. Underground injection well on-site at this location
  5. Import agent for hazardous waste
For items 2 through 8, check all that apply 6. Generates mixed radioactive waste on-site at this location
2. Transporter 7. Accepts waste from CESQG & accumulates over
a. Transporter of hazardous waste 1,000 kg on-site at this location
b. Commingle waste 8. Exempt boiler and/or industrial furnace on-site at this location
c. Offloads during transportation a. Smelting, melting, and refining furnace exemption
  b. Small quantity on-site burner exemption

B. Used Oil Activities at this location, check all C. Universal Waste Activity(ies) at this location,
that apply: (used oil generator only - go to D) check all that apply:
[see comments for additional information] 1. Large Quantity Handler: check the box(es) for the
1. Used Oil Fuel Marketer universal wastes generated or accumulated
a. Marketer who directs shipments of off- a. Generates/accumlates batteries
specification used oil to used oil burner b. Generates/accumulates thermostats
b. Marketer who first claims the used oil c. Generates/accumulates mercury thermometers
meets the specifications d. Generates/accumulates devices containing
2. Off-specification Used Oil Burner elemental mercury
3. Used Oil Processor e. Generates/accumulates mercury switches
4. Used Oil Re-refiner f. Generates/accumulates pesticides
Date Activity Began:
g. Generates/accumulates electric lamps
5. Used Oil Transporter (check only one) h. Generates/accumulates pharmaceuticals
[may require a permit & registration] i. Generates/accumlates consumer electronics
a. Transporter only j. Generates/accumlates antifreeze
b. Transporter with transfer facility 2. Destination Facility of Universal Waste
6. Used Oil Collection or Aggregation Point [a hazardous waste permit may be required for
7. Collection Center or Aggregation Point this activity]
that accepts DIY Used Oil

D. Liquid Industrial Waste Activities at this E. No longer generating waste or engaged in other
location, check all that apply: regulated activity
(not hazardous waste activity) 1. The site is still in business at this location
1. Liquid Industrial Waste Transporter but generation of waste or any other regulated waste
[requires a permit & registration] activity has ceased as of (date):
2. Transporting Own Waste
(mm/dd/yyyy)
3. Liquid Industrial Waste Generator 2. This site is out of business at this location and
4. Liquid Industrial Waste Designated Facility generation of waste or any other regulated waste
  activity has ceased as of (date):
 
(mm/dd/yyyy)

F. Miscellaneous
1. Emergency Site
12/5/2014 Site Generator Status: LQG
Designated facility
Discovery Date:
12/5/2014
Source of Information:
Notification
No Regulated Waste Activity:
No

A. Hazardous Waste Activity(ies) at this location 3. Designated facility of hazardous waste at this location that
1. Generator of hazardous waste (choose requires(ed) the submittal of a Part A and a permit
one of the following three categories a-c) a. Treats or treated hazardous waste on-site at this location
[see rules for limits on acute hazardous waste] and/or
  Stores or stored hazardous waste on-site at this location
Generator Status: and/or
LQG: Greater than 1,000 kg/mo Disposes of or disposed of hazardous waste on-site
  at this location
Date Activity Began: b. Recycles recyclable materials on-site at this location
12/2/2014 4. Underground injection well on-site at this location
  5. Import agent for hazardous waste
For items 2 through 8, check all that apply 6. Generates mixed radioactive waste on-site at this location
2. Transporter 7. Accepts waste from CESQG & accumulates over
a. Transporter of hazardous waste 1,000 kg on-site at this location
b. Commingle waste 8. Exempt boiler and/or industrial furnace on-site at this location
c. Offloads during transportation a. Smelting, melting, and refining furnace exemption
  b. Small quantity on-site burner exemption

B. Used Oil Activities at this location, check all C. Universal Waste Activity(ies) at this location,
that apply: (used oil generator only - go to D) check all that apply:
[see comments for additional information] 1. Large Quantity Handler: check the box(es) for the
1. Used Oil Fuel Marketer universal wastes generated or accumulated
a. Marketer who directs shipments of off- a. Generates/accumlates batteries
specification used oil to used oil burner b. Generates/accumulates thermostats
b. Marketer who first claims the used oil c. Generates/accumulates mercury thermometers
meets the specifications d. Generates/accumulates devices containing
2. Off-specification Used Oil Burner elemental mercury
3. Used Oil Processor e. Generates/accumulates mercury switches
4. Used Oil Re-refiner f. Generates/accumulates pesticides
Date Activity Began:
g. Generates/accumulates electric lamps
5. Used Oil Transporter (check only one) h. Generates/accumulates pharmaceuticals
[may require a permit & registration] i. Generates/accumlates consumer electronics
a. Transporter only j. Generates/accumlates antifreeze
b. Transporter with transfer facility 2. Destination Facility of Universal Waste
6. Used Oil Collection or Aggregation Point [a hazardous waste permit may be required for
7. Collection Center or Aggregation Point this activity]
that accepts DIY Used Oil

D. Liquid Industrial Waste Activities at this E. No longer generating waste or engaged in other
location, check all that apply: regulated activity
(not hazardous waste activity) 1. The site is still in business at this location
1. Liquid Industrial Waste Transporter but generation of waste or any other regulated waste
[requires a permit & registration] activity has ceased as of (date):
2. Transporting Own Waste
(mm/dd/yyyy)
3. Liquid Industrial Waste Generator 2. This site is out of business at this location and
4. Liquid Industrial Waste Designated Facility generation of waste or any other regulated waste
  activity has ceased as of (date):
 
(mm/dd/yyyy)

F. Miscellaneous
1. Emergency Site
3/13/2013 Site Generator Status: SQG
Designated facility
Discovery Date:
3/13/2013
Source of Information:
Notification
No Regulated Waste Activity:
No

A. Hazardous Waste Activity(ies) at this location 3. Designated facility of hazardous waste at this location that
1. Generator of hazardous waste (choose requires(ed) the submittal of a Part A and a permit
one of the following three categories a-c) a. Treats or treated hazardous waste on-site at this location
[see rules for limits on acute hazardous waste] and/or
  Stores or stored hazardous waste on-site at this location
Generator Status: and/or
SQG: 100 to 1,000 kg/mo Disposes of or disposed of hazardous waste on-site
  at this location
Date Activity Began: b. Recycles recyclable materials on-site at this location
1/10/2013 4. Underground injection well on-site at this location
  5. Import agent for hazardous waste
For items 2 through 8, check all that apply 6. Generates mixed radioactive waste on-site at this location
2. Transporter 7. Accepts waste from CESQG & accumulates over
a. Transporter of hazardous waste 1,000 kg on-site at this location
b. Commingle waste 8. Exempt boiler and/or industrial furnace on-site at this location
c. Offloads during transportation a. Smelting, melting, and refining furnace exemption
  b. Small quantity on-site burner exemption

B. Used Oil Activities at this location, check all C. Universal Waste Activity(ies) at this location,
that apply: (used oil generator only - go to D) check all that apply:
[see comments for additional information] 1. Large Quantity Handler: check the box(es) for the
1. Used Oil Fuel Marketer universal wastes generated or accumulated
a. Marketer who directs shipments of off- a. Generates/accumlates batteries
specification used oil to used oil burner b. Generates/accumulates thermostats
b. Marketer who first claims the used oil c. Generates/accumulates mercury thermometers
meets the specifications d. Generates/accumulates devices containing
2. Off-specification Used Oil Burner elemental mercury
3. Used Oil Processor e. Generates/accumulates mercury switches
4. Used Oil Re-refiner f. Generates/accumulates pesticides
Date Activity Began:
g. Generates/accumulates electric lamps
5. Used Oil Transporter (check only one) h. Generates/accumulates pharmaceuticals
[may require a permit & registration] i. Generates/accumlates consumer electronics
a. Transporter only j. Generates/accumlates antifreeze
b. Transporter with transfer facility 2. Destination Facility of Universal Waste
6. Used Oil Collection or Aggregation Point [a hazardous waste permit may be required for
7. Collection Center or Aggregation Point this activity]
that accepts DIY Used Oil

D. Liquid Industrial Waste Activities at this E. No longer generating waste or engaged in other
location, check all that apply: regulated activity
(not hazardous waste activity) 1. The site is still in business at this location
1. Liquid Industrial Waste Transporter but generation of waste or any other regulated waste
[requires a permit & registration] activity has ceased as of (date):
2. Transporting Own Waste
(mm/dd/yyyy)
3. Liquid Industrial Waste Generator 2. This site is out of business at this location and
4. Liquid Industrial Waste Designated Facility generation of waste or any other regulated waste
  activity has ceased as of (date):
 
(mm/dd/yyyy)

F. Miscellaneous
1. Emergency Site
5/9/2006 Site Designated facility
Site out of business and no waste generation
Discovery Date:
5/9/2006
Source of Information:
Biennial R
No Regulated Waste Activity:
No

A. Hazardous Waste Activity(ies) at this location 3. Designated facility of hazardous waste at this location that
1. Generator of hazardous waste (choose requires(ed) the submittal of a Part A and a permit
one of the following three categories a-c) a. Treats or treated hazardous waste on-site at this location
[see rules for limits on acute hazardous waste] and/or
  Stores or stored hazardous waste on-site at this location
Generator Status: and/or
  Disposes of or disposed of hazardous waste on-site
  at this location
Date Activity Began: b. Recycles recyclable materials on-site at this location
  4. Underground injection well on-site at this location
  5. Import agent for hazardous waste
For items 2 through 8, check all that apply 6. Generates mixed radioactive waste on-site at this location
2. Transporter 7. Accepts waste from CESQG & accumulates over
a. Transporter of hazardous waste 1,000 kg on-site at this location
b. Commingle waste 8. Exempt boiler and/or industrial furnace on-site at this location
c. Offloads during transportation a. Smelting, melting, and refining furnace exemption
  b. Small quantity on-site burner exemption

B. Used Oil Activities at this location, check all C. Universal Waste Activity(ies) at this location,
that apply: (used oil generator only - go to D) check all that apply:
[see comments for additional information] 1. Large Quantity Handler: check the box(es) for the
1. Used Oil Fuel Marketer universal wastes generated or accumulated
a. Marketer who directs shipments of off- a. Generates/accumlates batteries
specification used oil to used oil burner b. Generates/accumulates thermostats
b. Marketer who first claims the used oil c. Generates/accumulates mercury thermometers
meets the specifications d. Generates/accumulates devices containing
2. Off-specification Used Oil Burner elemental mercury
3. Used Oil Processor e. Generates/accumulates mercury switches
4. Used Oil Re-refiner f. Generates/accumulates pesticides
Date Activity Began:
g. Generates/accumulates electric lamps
5. Used Oil Transporter (check only one) h. Generates/accumulates pharmaceuticals
[may require a permit & registration] i. Generates/accumlates consumer electronics
a. Transporter only j. Generates/accumlates antifreeze
b. Transporter with transfer facility 2. Destination Facility of Universal Waste
6. Used Oil Collection or Aggregation Point [a hazardous waste permit may be required for
7. Collection Center or Aggregation Point this activity]
that accepts DIY Used Oil

D. Liquid Industrial Waste Activities at this E. No longer generating waste or engaged in other
location, check all that apply: regulated activity
(not hazardous waste activity) 1. The site is still in business at this location
1. Liquid Industrial Waste Transporter but generation of waste or any other regulated waste
[requires a permit & registration] activity has ceased as of (date):
2. Transporting Own Waste
(mm/dd/yyyy)
3. Liquid Industrial Waste Generator 2. This site is out of business at this location and
4. Liquid Industrial Waste Designated Facility generation of waste or any other regulated waste
  activity has ceased as of (date):
 
(mm/dd/yyyy)
9/19/2002

F. Miscellaneous
1. Emergency Site
9/19/2002 Site Designated facility
Site out of business and no waste generation
Discovery Date:
9/19/2002
Source of Information:
Biennial R
No Regulated Waste Activity:
No

A. Hazardous Waste Activity(ies) at this location 3. Designated facility of hazardous waste at this location that
1. Generator of hazardous waste (choose requires(ed) the submittal of a Part A and a permit
one of the following three categories a-c) a. Treats or treated hazardous waste on-site at this location
[see rules for limits on acute hazardous waste] and/or
  Stores or stored hazardous waste on-site at this location
Generator Status: and/or
  Disposes of or disposed of hazardous waste on-site
  at this location
Date Activity Began: b. Recycles recyclable materials on-site at this location
  4. Underground injection well on-site at this location
  5. Import agent for hazardous waste
For items 2 through 8, check all that apply 6. Generates mixed radioactive waste on-site at this location
2. Transporter 7. Accepts waste from CESQG & accumulates over
a. Transporter of hazardous waste 1,000 kg on-site at this location
b. Commingle waste 8. Exempt boiler and/or industrial furnace on-site at this location
c. Offloads during transportation a. Smelting, melting, and refining furnace exemption
  b. Small quantity on-site burner exemption

B. Used Oil Activities at this location, check all C. Universal Waste Activity(ies) at this location,
that apply: (used oil generator only - go to D) check all that apply:
[see comments for additional information] 1. Large Quantity Handler: check the box(es) for the
1. Used Oil Fuel Marketer universal wastes generated or accumulated
a. Marketer who directs shipments of off- a. Generates/accumlates batteries
specification used oil to used oil burner b. Generates/accumulates thermostats
b. Marketer who first claims the used oil c. Generates/accumulates mercury thermometers
meets the specifications d. Generates/accumulates devices containing
2. Off-specification Used Oil Burner elemental mercury
3. Used Oil Processor e. Generates/accumulates mercury switches
4. Used Oil Re-refiner f. Generates/accumulates pesticides
Date Activity Began:
g. Generates/accumulates electric lamps
5. Used Oil Transporter (check only one) h. Generates/accumulates pharmaceuticals
[may require a permit & registration] i. Generates/accumlates consumer electronics
a. Transporter only j. Generates/accumlates antifreeze
b. Transporter with transfer facility 2. Destination Facility of Universal Waste
6. Used Oil Collection or Aggregation Point [a hazardous waste permit may be required for
7. Collection Center or Aggregation Point this activity]
that accepts DIY Used Oil

D. Liquid Industrial Waste Activities at this E. No longer generating waste or engaged in other
location, check all that apply: regulated activity
(not hazardous waste activity) 1. The site is still in business at this location
1. Liquid Industrial Waste Transporter but generation of waste or any other regulated waste
[requires a permit & registration] activity has ceased as of (date):
2. Transporting Own Waste
(mm/dd/yyyy)
3. Liquid Industrial Waste Generator 2. This site is out of business at this location and
4. Liquid Industrial Waste Designated Facility generation of waste or any other regulated waste
  activity has ceased as of (date):
 
(mm/dd/yyyy)
9/19/2002

F. Miscellaneous
1. Emergency Site
12/31/2001 Site Generator Status: CESQG
Designated facility
Discovery Date:
12/31/2001
Source of Information:
Notification
No Regulated Waste Activity:
No

A. Hazardous Waste Activity(ies) at this location 3. Designated facility of hazardous waste at this location that
1. Generator of hazardous waste (choose requires(ed) the submittal of a Part A and a permit
one of the following three categories a-c) a. Treats or treated hazardous waste on-site at this location
[see rules for limits on acute hazardous waste] and/or
  Stores or stored hazardous waste on-site at this location
Generator Status: and/or
CESQG: Less than 100 kg/mo Disposes of or disposed of hazardous waste on-site
  at this location
Date Activity Began: b. Recycles recyclable materials on-site at this location
12/31/2001 4. Underground injection well on-site at this location
  5. Import agent for hazardous waste
For items 2 through 8, check all that apply 6. Generates mixed radioactive waste on-site at this location
2. Transporter 7. Accepts waste from CESQG & accumulates over
a. Transporter of hazardous waste 1,000 kg on-site at this location
b. Commingle waste 8. Exempt boiler and/or industrial furnace on-site at this location
c. Offloads during transportation a. Smelting, melting, and refining furnace exemption
  b. Small quantity on-site burner exemption

B. Used Oil Activities at this location, check all C. Universal Waste Activity(ies) at this location,
that apply: (used oil generator only - go to D) check all that apply:
[see comments for additional information] 1. Large Quantity Handler: check the box(es) for the
1. Used Oil Fuel Marketer universal wastes generated or accumulated
a. Marketer who directs shipments of off- a. Generates/accumlates batteries
specification used oil to used oil burner b. Generates/accumulates thermostats
b. Marketer who first claims the used oil c. Generates/accumulates mercury thermometers
meets the specifications d. Generates/accumulates devices containing
2. Off-specification Used Oil Burner elemental mercury
3. Used Oil Processor e. Generates/accumulates mercury switches
4. Used Oil Re-refiner f. Generates/accumulates pesticides
Date Activity Began:
g. Generates/accumulates electric lamps
5. Used Oil Transporter (check only one) h. Generates/accumulates pharmaceuticals
[may require a permit & registration] i. Generates/accumlates consumer electronics
a. Transporter only j. Generates/accumlates antifreeze
b. Transporter with transfer facility 2. Destination Facility of Universal Waste
6. Used Oil Collection or Aggregation Point [a hazardous waste permit may be required for
7. Collection Center or Aggregation Point this activity]
that accepts DIY Used Oil

D. Liquid Industrial Waste Activities at this E. No longer generating waste or engaged in other
location, check all that apply: regulated activity
(not hazardous waste activity) 1. The site is still in business at this location
1. Liquid Industrial Waste Transporter but generation of waste or any other regulated waste
[requires a permit & registration] activity has ceased as of (date):
2. Transporting Own Waste
(mm/dd/yyyy)
3. Liquid Industrial Waste Generator 2. This site is out of business at this location and
4. Liquid Industrial Waste Designated Facility generation of waste or any other regulated waste
  activity has ceased as of (date):
 
(mm/dd/yyyy)

F. Miscellaneous
1. Emergency Site
9/10/2001 State Designated facility
Discovery Date:
9/10/2001
Source of Information:
State
No Regulated Waste Activity:
No

A. Hazardous Waste Activity(ies) at this location 3. Designated facility of hazardous waste at this location that
1. Generator of hazardous waste (choose requires(ed) the submittal of a Part A and a permit
one of the following three categories a-c) a. Treats or treated hazardous waste on-site at this location
[see rules for limits on acute hazardous waste] and/or
  Stores or stored hazardous waste on-site at this location
Generator Status: and/or
  Disposes of or disposed of hazardous waste on-site
  at this location
Date Activity Began: b. Recycles recyclable materials on-site at this location
  4. Underground injection well on-site at this location
  5. Import agent for hazardous waste
For items 2 through 8, check all that apply 6. Generates mixed radioactive waste on-site at this location
2. Transporter 7. Accepts waste from CESQG & accumulates over
a. Transporter of hazardous waste 1,000 kg on-site at this location
b. Commingle waste 8. Exempt boiler and/or industrial furnace on-site at this location
c. Offloads during transportation a. Smelting, melting, and refining furnace exemption
  b. Small quantity on-site burner exemption

B. Used Oil Activities at this location, check all C. Universal Waste Activity(ies) at this location,
that apply: (used oil generator only - go to D) check all that apply:
[see comments for additional information] 1. Large Quantity Handler: check the box(es) for the
1. Used Oil Fuel Marketer universal wastes generated or accumulated
a. Marketer who directs shipments of off- a. Generates/accumlates batteries
specification used oil to used oil burner b. Generates/accumulates thermostats
b. Marketer who first claims the used oil c. Generates/accumulates mercury thermometers
meets the specifications d. Generates/accumulates devices containing
2. Off-specification Used Oil Burner elemental mercury
3. Used Oil Processor e. Generates/accumulates mercury switches
4. Used Oil Re-refiner f. Generates/accumulates pesticides
Date Activity Began:
g. Generates/accumulates electric lamps
5. Used Oil Transporter (check only one) h. Generates/accumulates pharmaceuticals
[may require a permit & registration] i. Generates/accumlates consumer electronics
a. Transporter only j. Generates/accumlates antifreeze
b. Transporter with transfer facility 2. Destination Facility of Universal Waste
6. Used Oil Collection or Aggregation Point [a hazardous waste permit may be required for
7. Collection Center or Aggregation Point this activity]
that accepts DIY Used Oil

D. Liquid Industrial Waste Activities at this E. No longer generating waste or engaged in other
location, check all that apply: regulated activity
(not hazardous waste activity) 1. The site is still in business at this location
1. Liquid Industrial Waste Transporter but generation of waste or any other regulated waste
[requires a permit & registration] activity has ceased as of (date):
2. Transporting Own Waste
(mm/dd/yyyy)
3. Liquid Industrial Waste Generator 2. This site is out of business at this location and
4. Liquid Industrial Waste Designated Facility generation of waste or any other regulated waste
  activity has ceased as of (date):
 
(mm/dd/yyyy)

F. Miscellaneous
1. Emergency Site
3/26/2001 State Generator Status: SQG
Designated facility
Discovery Date:
3/26/2001
Source of Information:
State
No Regulated Waste Activity:
No

A. Hazardous Waste Activity(ies) at this location 3. Designated facility of hazardous waste at this location that
1. Generator of hazardous waste (choose requires(ed) the submittal of a Part A and a permit
one of the following three categories a-c) a. Treats or treated hazardous waste on-site at this location
[see rules for limits on acute hazardous waste] and/or
  Stores or stored hazardous waste on-site at this location
Generator Status: and/or
SQG: 100 to 1,000 kg/mo Disposes of or disposed of hazardous waste on-site
  at this location
Date Activity Began: b. Recycles recyclable materials on-site at this location
3/26/2001 4. Underground injection well on-site at this location
  5. Import agent for hazardous waste
For items 2 through 8, check all that apply 6. Generates mixed radioactive waste on-site at this location
2. Transporter 7. Accepts waste from CESQG & accumulates over
a. Transporter of hazardous waste 1,000 kg on-site at this location
b. Commingle waste 8. Exempt boiler and/or industrial furnace on-site at this location
c. Offloads during transportation a. Smelting, melting, and refining furnace exemption
  b. Small quantity on-site burner exemption

B. Used Oil Activities at this location, check all C. Universal Waste Activity(ies) at this location,
that apply: (used oil generator only - go to D) check all that apply:
[see comments for additional information] 1. Large Quantity Handler: check the box(es) for the
1. Used Oil Fuel Marketer universal wastes generated or accumulated
a. Marketer who directs shipments of off- a. Generates/accumlates batteries
specification used oil to used oil burner b. Generates/accumulates thermostats
b. Marketer who first claims the used oil c. Generates/accumulates mercury thermometers
meets the specifications d. Generates/accumulates devices containing
2. Off-specification Used Oil Burner elemental mercury
3. Used Oil Processor e. Generates/accumulates mercury switches
4. Used Oil Re-refiner f. Generates/accumulates pesticides
Date Activity Began:
g. Generates/accumulates electric lamps
5. Used Oil Transporter (check only one) h. Generates/accumulates pharmaceuticals
[may require a permit & registration] i. Generates/accumlates consumer electronics
a. Transporter only j. Generates/accumlates antifreeze
b. Transporter with transfer facility 2. Destination Facility of Universal Waste
6. Used Oil Collection or Aggregation Point [a hazardous waste permit may be required for
7. Collection Center or Aggregation Point this activity]
that accepts DIY Used Oil

D. Liquid Industrial Waste Activities at this E. No longer generating waste or engaged in other
location, check all that apply: regulated activity
(not hazardous waste activity) 1. The site is still in business at this location
1. Liquid Industrial Waste Transporter but generation of waste or any other regulated waste
[requires a permit & registration] activity has ceased as of (date):
2. Transporting Own Waste
(mm/dd/yyyy)
3. Liquid Industrial Waste Generator 2. This site is out of business at this location and
4. Liquid Industrial Waste Designated Facility generation of waste or any other regulated waste
  activity has ceased as of (date):
 
(mm/dd/yyyy)

F. Miscellaneous
1. Emergency Site
12/27/1999 State Generator Status: SQG
Designated facility
Discovery Date:
12/27/1999
Source of Information:
State
No Regulated Waste Activity:
No

A. Hazardous Waste Activity(ies) at this location 3. Designated facility of hazardous waste at this location that
1. Generator of hazardous waste (choose requires(ed) the submittal of a Part A and a permit
one of the following three categories a-c) a. Treats or treated hazardous waste on-site at this location
[see rules for limits on acute hazardous waste] and/or
  Stores or stored hazardous waste on-site at this location
Generator Status: and/or
SQG: 100 to 1,000 kg/mo Disposes of or disposed of hazardous waste on-site
  at this location
Date Activity Began: b. Recycles recyclable materials on-site at this location
12/27/1999 4. Underground injection well on-site at this location
  5. Import agent for hazardous waste
For items 2 through 8, check all that apply 6. Generates mixed radioactive waste on-site at this location
2. Transporter 7. Accepts waste from CESQG & accumulates over
a. Transporter of hazardous waste 1,000 kg on-site at this location
b. Commingle waste 8. Exempt boiler and/or industrial furnace on-site at this location
c. Offloads during transportation a. Smelting, melting, and refining furnace exemption
  b. Small quantity on-site burner exemption

B. Used Oil Activities at this location, check all C. Universal Waste Activity(ies) at this location,
that apply: (used oil generator only - go to D) check all that apply:
[see comments for additional information] 1. Large Quantity Handler: check the box(es) for the
1. Used Oil Fuel Marketer universal wastes generated or accumulated
a. Marketer who directs shipments of off- a. Generates/accumlates batteries
specification used oil to used oil burner b. Generates/accumulates thermostats
b. Marketer who first claims the used oil c. Generates/accumulates mercury thermometers
meets the specifications d. Generates/accumulates devices containing
2. Off-specification Used Oil Burner elemental mercury
3. Used Oil Processor e. Generates/accumulates mercury switches
4. Used Oil Re-refiner f. Generates/accumulates pesticides
Date Activity Began:
g. Generates/accumulates electric lamps
5. Used Oil Transporter (check only one) h. Generates/accumulates pharmaceuticals
[may require a permit & registration] i. Generates/accumlates consumer electronics
a. Transporter only j. Generates/accumlates antifreeze
b. Transporter with transfer facility 2. Destination Facility of Universal Waste
6. Used Oil Collection or Aggregation Point [a hazardous waste permit may be required for
7. Collection Center or Aggregation Point this activity]
that accepts DIY Used Oil

D. Liquid Industrial Waste Activities at this E. No longer generating waste or engaged in other
location, check all that apply: regulated activity
(not hazardous waste activity) 1. The site is still in business at this location
1. Liquid Industrial Waste Transporter but generation of waste or any other regulated waste
[requires a permit & registration] activity has ceased as of (date):
2. Transporting Own Waste
(mm/dd/yyyy)
3. Liquid Industrial Waste Generator 2. This site is out of business at this location and
4. Liquid Industrial Waste Designated Facility generation of waste or any other regulated waste
  activity has ceased as of (date):
 
(mm/dd/yyyy)

F. Miscellaneous
1. Emergency Site
New Row
Discovery Date:
Source of Information:
No Regulated Waste Activity:
No

A. Hazardous Waste Activity(ies) at this location 3. Designated facility of hazardous waste at this location that
1. Generator of hazardous waste (choose requires(ed) the submittal of a Part A and a permit
one of the following three categories a-c) a. Treats or treated hazardous waste on-site at this location
[see rules for limits on acute hazardous waste] and/or
  Stores or stored hazardous waste on-site at this location
Generator Status: and/or
  Disposes of or disposed of hazardous waste on-site
  at this location
Date Activity Began: b. Recycles recyclable materials on-site at this location
  4. Underground injection well on-site at this location
  5. Import agent for hazardous waste
For items 2 through 8, check all that apply 6. Generates mixed radioactive waste on-site at this location
2. Transporter 7. Accepts waste from CESQG & accumulates over
a. Transporter of hazardous waste 1,000 kg on-site at this location
b. Commingle waste 8. Exempt boiler and/or industrial furnace on-site at this location
c. Offloads during transportation a. Smelting, melting, and refining furnace exemption
  b. Small quantity on-site burner exemption

B. Used Oil Activities at this location, check all C. Universal Waste Activity(ies) at this location,
that apply: (used oil generator only - go to D) check all that apply:
[see comments for additional information] 1. Large Quantity Handler: check the box(es) for the
1. Used Oil Fuel Marketer universal wastes generated or accumulated
a. Marketer who directs shipments of off- a. Generates/accumlates batteries
specification used oil to used oil burner b. Generates/accumulates thermostats
b. Marketer who first claims the used oil c. Generates/accumulates mercury thermometers
meets the specifications d. Generates/accumulates devices containing
2. Off-specification Used Oil Burner elemental mercury
3. Used Oil Processor e. Generates/accumulates mercury switches
4. Used Oil Re-refiner f. Generates/accumulates pesticides
Date Activity Began:
g. Generates/accumulates electric lamps
5. Used Oil Transporter (check only one) h. Generates/accumulates pharmaceuticals
[may require a permit & registration] i. Generates/accumlates consumer electronics
a. Transporter only j. Generates/accumlates antifreeze
b. Transporter with transfer facility 2. Destination Facility of Universal Waste
6. Used Oil Collection or Aggregation Point [a hazardous waste permit may be required for
7. Collection Center or Aggregation Point this activity]
that accepts DIY Used Oil

D. Liquid Industrial Waste Activities at this E. No longer generating waste or engaged in other
location, check all that apply: regulated activity
(not hazardous waste activity) 1. The site is still in business at this location
1. Liquid Industrial Waste Transporter but generation of waste or any other regulated waste
[requires a permit & registration] activity has ceased as of (date):
2. Transporting Own Waste
(mm/dd/yyyy)
3. Liquid Industrial Waste Generator 2. This site is out of business at this location and
4. Liquid Industrial Waste Designated Facility generation of waste or any other regulated waste
  activity has ceased as of (date):
 
(mm/dd/yyyy)

F. Miscellaneous
1. Emergency Site
Fee Collected?
Generation Date
Validation Date
New Row
Site ID Fee Collected?:
Site ID Generation Date:
Site ID Fee Validation Date:
Site ID Fee ($):
$0.00
Comment:
Date
Comment
Type
Comment
8/11/2021 Site Info ANTICIPATED OWNERSHIP CHANGE - LETTER SENT INFORMING NEW OWNER OF THEIR RESPONSIBILITY TO SUBMIT NEW EQP 5150 FORM. EDIT 8/31/2021 - SIGNED DEED RECEIVED - NEW SITE ID FORM STILL NEEDED. ASB
Date:
8/11/2021
Comment Type:
Site Info
Responsible Person:
Andrew (INACTIVE) Bertapelle Andrew (INACTIVE) Bertapelle
WDS Id:
395942 395942
Comment:
ANTICIPATED OWNERSHIP CHANGE - LETTER SENT INFORMING NEW OWNER OF THEIR
RESPONSIBILITY TO SUBMIT NEW EQP 5150 FORM. EDIT 8/31/2021 - SIG
ED DEED RECEIVED - NEW SITE ID FORM STILL NEEDED. ASB
8/24/2016 111/121-HW/LIW 2015 USER CHARGE - FORM WAS RETURNED WITH NO INFORMATION-DATE OR SIGNATURE-FORM WAS DISCARDED - JW
Date:
8/24/2016
Comment Type:
111/121-HW/LIW
Responsible Person:
Jane (INACTIVE) Wysack Jane (INACTIVE) Wysack
WDS Id:
395942 395942
Comment:
2015 USER CHARGE - FORM WAS RETURNED WITH NO INFORMATION-DATE OR SIGNATURE-FORM
WAS DISCARDED - JW
6/3/2016 111/121-HW/LIW STATE - 2015 BIENNIAL REPORT COMPLETE - STATUS REMAINS CESQG AS OF 1/9/15 - CJL
Date:
6/3/2016
Comment Type:
111/121-HW/LIW
Responsible Person:
Cecilia (CJ) (INACTIVE) Ludwick Cecilia (CJ) (INACTIVE) Ludwick
WDS Id:
395942 395942
Comment:
STATE - 2015 BIENNIAL REPORT COMPLETE - STATUS REMAINS CESQG AS OF
1/9/15 - CJL
3/16/2015 111/121-HW/LIW SUBSEQUENT NOTIFICATION - COMPANY CHANGED STATUS TO CESQG AS OF 1/9/2015 - JW
Date:
3/16/2015
Comment Type:
111/121-HW/LIW
Responsible Person:
Jane (INACTIVE) Wysack Jane (INACTIVE) Wysack
WDS Id:
395942 395942
Comment:
SUBSEQUENT NOTIFICATION - COMPANY CHANGED STATUS TO CESQG AS OF 1/9/2015
- JW
12/5/2014 111/121-HW/LIW UPDATE-12/2/2014 WASTE ACTIVITY LQG, MAILING ADDRESS, CONTACT INFORMATION-BUD
Date:
12/5/2014
Comment Type:
111/121-HW/LIW
Responsible Person:
Richard (INACTIVE) Pennell Richard (INACTIVE) Pennell
WDS Id:
395942 395942
Comment:
UPDATE-12/2/2014 WASTE ACTIVITY LQG, MAILING ADDRESS, CONTACT INFORMATION-BUD
3/13/2013 111/121-HW/LIW WASTE ACTIVITY SQG 1/10/2013, PCB & STATE ENTERED DESIGNATED FACILITY FOR TSD STATUS AS WILL REMAIN UNTIL CLEANED UP, SITE NAME, NAICS CODE, TAX ID, MAILING ADDRESS, CONTACT INFORMATION-BUD
Date:
3/13/2013
Comment Type:
111/121-HW/LIW
Responsible Person:
Richard (INACTIVE) Pennell Richard (INACTIVE) Pennell
WDS Id:
395942 395942
Comment:
WASTE ACTIVITY SQG 1/10/2013, PCB & STATE ENTERED DESIGNATED FACILITY
FOR TSD STATUS AS WILL REMAIN UNTIL CLEANED UP, SITE NAME, NAICS CO
E, TAX ID, MAILING ADDRESS, CONTACT INFORMATION-BUD
5/9/2006 111/121-HW/LIW 2005 BIENNIAL REPORT - FACILITY REPORTED THE SITE WAS CLOSED ON 9/19/2002. THE STATE ENTERED STORES WASTE ON STIE BECAUSE THE FACILITY DID NOT INDICATE THEIR TSD STATUS WHICH MUST BE RETAINED-ES.
Date:
5/9/2006
Comment Type:
111/121-HW/LIW
Responsible Person:
WDS Id:
Comment:
2005 BIENNIAL REPORT - FACILITY REPORTED THE SITE WAS CLOSED ON 9/19/2002.
THE STATE ENTERED STORES WASTE ON STIE BECAUSE THE FACILITY DID
OT INDICATE THEIR TSD STATUS WHICH MUST BE RETAINED-ES.
5/3/2004 111/121-HW/LIW 2003 BIENNIAL REPORT - FACILITY REPORTED THEY HAVE NOT BEEN A GENERATOR SINCE 9/19/2002. SITE CLOSED IN 1986. WASTE GENERATED THROUGH REMEDIAL ACTIVITIES (PCB/TSCA MATERIAL). THE STATE ENTERED STORES WASTE ON SITE BECAUSE THEY DID NOT INDICATE THEIR TSD STATUS WHICH MUST BE RETAINED-ES.
Date:
5/3/2004
Comment Type:
111/121-HW/LIW
Responsible Person:
WDS Id:
Comment:
2003 BIENNIAL REPORT - FACILITY REPORTED THEY HAVE NOT BEEN A GENERATOR
SINCE 9/19/2002. SITE CLOSED IN 1986. WASTE GENERATED THROUGH REMED
AL ACTIVITIES (PCB/TSCA MATERIAL). THE STATE ENTERED STORES WA
TE ON SITE BECAUSE THEY DID NOT INDICATE THEIR TSD STATUS WHIC
MUST BE RETAINED-ES.
7/30/2003 111/121-HW/LIW SQG VERIFICATION - ADDED TAX ID NUMBER, NEW CONTACT PERSON AND PHONE NUMBER, CHANGED STATUS TO CESQG. THE STATE ENTERED STORES WASTE ON SITE BECAUSE THE FACILITY DID NOT INDICATE THEIR TSD STATUS WHICH MUST BE RETAINED - GEK
Date:
7/30/2003
Comment Type:
111/121-HW/LIW
Responsible Person:
WDS Id:
Comment:
SQG VERIFICATION - ADDED TAX ID NUMBER, NEW CONTACT PERSON AND PHONE
NUMBER, CHANGED STATUS TO CESQG. THE STATE ENTERED STORES WASTE
ON SITE BECAUSE THE FACILITY DID NOT INDICATE THEIR TSD STATUS
WHICH MUST BE RETAINED - GEK
New Row
Date:
Comment Type:
Responsible Person:
WDS Id:
Comment:
Receipt Date
Decision Date
Decision
Petition/Category
New Row
Receipt Date:
Decision:
Decision Due Date:
Decision Date:
Responsible Person:
Petition/Category:
Notes:
Receipt Date
Calendar Year
Used Oil Quantity
Processes Used
New Row
Receipt Date:
Quantity:
Calendar Year:
Unit of Measure:
Processes Used:
Report Notes:
Name
WDS / Site ID
Type
New Row
Name:
WDS/Site ID:
Type:
Date Parceled:
Notes:
Date Recorded
Institutional Control Type
Statute
New Row
Date Recorded:
Institutional Control Type:
Entry Login Date:
Statute:
Reference #:
Date EGLE Signed/Approved:
Date Sent to District:
Release Date:
Liber:
Date Release Sent to District/Facility:
Page:
Date Filled with County by EGLE:
Comments:
Notification Date
Regulation Exemption(s)
New Row
Notification Date:
Regulation Exemption:
Notes:
New Row
Site Identification
WDS ID Number:
Extract To Public:
No
Legal Site Name:
Specific Site Name:
Address Identification
Location Address
Mailing Address
Miscellaneous
Tax Number:
No Number Because:
GPS Coordinates (provide five decimal places)
Latitude Coordinate:
Longitude Coordinate:
Collection Method:
Receives All Waste?:
No
Railroad?:
No
Facility on Indian Reservation Land?:
No
Utilization Activities:
Scrap Tires Activities:
Scrap Tires Acres:
NAICS Codes (up to four six-digit codes):
(The list of NAICS codes in WDS is based on the 2007 definitions provided by the U.S.Census Bureau.)
Haz Waste Contact
First Name:
M.I.:
Last Name:
Phone Number:
Ext:
Fax:
Alternate Phone:
Email Address:
Name
Organization
Type
Active Date
Inactive Date
Owner and/or
Operator
New Row
Name:
Organization Type:
Owner:
No
Operator:
No
Active Date:
Inactive Date:
Discovery Date
Source of Information
Summary
New Row
Discovery Date:
Source of Information:
No Regulated Waste Activity:
No

A. Hazardous Waste Activity(ies) at this location 3. Designated facility of hazardous waste at this location that
1. Generator of hazardous waste (choose requires(ed) the submittal of a Part A and a permit
one of the following three categories a-c) a. Treats or treated hazardous waste on-site at this location
[see rules for limits on acute hazardous waste] and/or
  Stores or stored hazardous waste on-site at this location
Generator Status: and/or
  Disposes of or disposed of hazardous waste on-site
  at this location
Date Activity Began: b. Recycles recyclable materials on-site at this location
  4. Underground injection well on-site at this location
  5. Import agent for hazardous waste
For items 2 through 8, check all that apply 6. Generates mixed radioactive waste on-site at this location
2. Transporter 7. Accepts waste from CESQG & accumulates over
a. Transporter of hazardous waste 1,000 kg on-site at this location
b. Commingle waste 8. Exempt boiler and/or industrial furnace on-site at this location
c. Offloads during transportation a. Smelting, melting, and refining furnace exemption
  b. Small quantity on-site burner exemption

B. Used Oil Activities at this location, check all C. Universal Waste Activity(ies) at this location,
that apply: (used oil generator only - go to D) check all that apply:
[see comments for additional information] 1. Large Quantity Handler: check the box(es) for the
1. Used Oil Fuel Marketer universal wastes generated or accumulated
a. Marketer who directs shipments of off- a. Generates/accumlates batteries
specification used oil to used oil burner b. Generates/accumulates thermostats
b. Marketer who first claims the used oil c. Generates/accumulates mercury thermometers
meets the specifications d. Generates/accumulates devices containing
2. Off-specification Used Oil Burner elemental mercury
3. Used Oil Processor e. Generates/accumulates mercury switches
4. Used Oil Re-refiner f. Generates/accumulates pesticides
Date Activity Began:
g. Generates/accumulates electric lamps
5. Used Oil Transporter (check only one) h. Generates/accumulates pharmaceuticals
[may require a permit & registration] i. Generates/accumlates consumer electronics
a. Transporter only j. Generates/accumlates antifreeze
b. Transporter with transfer facility 2. Destination Facility of Universal Waste
6. Used Oil Collection or Aggregation Point [a hazardous waste permit may be required for
7. Collection Center or Aggregation Point this activity]
that accepts DIY Used Oil

D. Liquid Industrial Waste Activities at this E. No longer generating waste or engaged in other
location, check all that apply: regulated activity
(not hazardous waste activity) 1. The site is still in business at this location
1. Liquid Industrial Waste Transporter but generation of waste or any other regulated waste
[requires a permit & registration] activity has ceased as of (date):
2. Transporting Own Waste
(mm/dd/yyyy)
3. Liquid Industrial Waste Generator 2. This site is out of business at this location and
4. Liquid Industrial Waste Designated Facility generation of waste or any other regulated waste
  activity has ceased as of (date):
 
(mm/dd/yyyy)

F. Miscellaneous
1. Emergency Site
Fee Collected?
Generation Date
Validation Date
New Row
Site ID Fee Collected?:
Site ID Generation Date:
Site ID Fee Validation Date:
Site ID Fee ($):
$0.00
Comment:
Date
Comment
Type
Comment
New Row
Date:
Comment Type:
Responsible Person:
WDS Id:
Comment:
Receipt Date
Decision Date
Decision
Petition/Category
New Row
Receipt Date:
Decision:
Decision Due Date:
Decision Date:
Responsible Person:
Petition/Category:
Notes:
Receipt Date
Calendar Year
Used Oil Quantity
Processes Used
New Row
Receipt Date:
Quantity:
Calendar Year:
Unit of Measure:
Processes Used:
Report Notes:
Name
WDS / Site ID
Type
New Row
Name:
WDS/Site ID:
Type:
Date Parceled:
Notes:
Date Recorded
Institutional Control Type
Statute
New Row
Date Recorded:
Institutional Control Type:
Entry Login Date:
Statute:
Reference #:
Date EGLE Signed/Approved:
Date Sent to District:
Release Date:
Liber:
Date Release Sent to District/Facility:
Page:
Date Filled with County by EGLE:
Comments:
Notification Date
Regulation Exemption(s)
New Row
Notification Date:
Regulation Exemption:
Notes:

WDS Id History (0)

Previous
WDS ID
Inactive Date
Legal Site Name
Comment
New Row
Previous WDS ID:
Inactive Date:
Legal Site Name:
Comment:

Site Id History (0)

Previous
Site ID
Inactive Date
Responsible Person
Comment
New Row
Previous Site ID:
Inactive Date:
Responsible Person:
Comment:

Legal Site Name History (0)

Previous
Site Name
Inactive Date
Responsible Person
Comment
New Row
Previous Legal Site Name:
Inactive Date:
WDS ID:
Responsible Person:
Comment:

Specific Site Name History (1)

Previous Specific
Site Name
Inactive Date
Responsible Person
Comment
GENERAL ELECTRIC CO 3/13/2013 Pennell, Richard (INACTIVE) UPDATE
Previous Legal Site Name:
GENERAL ELECTRIC CO
Inactive Date:
3/13/2013
WDS ID:
395942
Responsible Person:
Pennell, Richard (INACTIVE)
Comment:
UPDATE
New Row
Previous Legal Site Name:
Inactive Date:
WDS ID:
Responsible Person:
Comment:

Site Tax Number History (0)

Previous Tax
Number
Inactive Date
Responsible Person
Comment
Legal Site Name
New Row
Previous Tax Number:
Inactive Date:
Responsible Person:
Legal Site Name:
Comment:

Site Location Address History (0)

Previous
Site Address
Inactive Date
Responsible Person
Comment
New Row
Addressee:
Address 1:
Address 2 (e.g. suite, mail code, bldg #):
City:
State:
Zip:
+4 Zip:
County:
Country:
Inactive Date:
Responsible Person:
WDS Id:
Comment:

Site Mailing Address History (3)

Previous
Site Address
Inactive Date
Responsible Person
Comment
1935 REDMOND CIRCLE ROME, GA 30165 6/3/2016 Ludwick, Cecilia (CJ) (INACTIVE) PROVIDED WITH NEW MAIL ADDRESS
Addressee (if other than legal/specific name):
Address Line 1:
1935 REDMOND CIRCLE
Address Line 2:
City:
ROME
State:
GA
Zip:
30165
+4 Zip:
1319
County:
Country:
UNITED STATES
Inactive Date:
6/3/2016
Responsible Person:
Ludwick, Cecilia (CJ) (INACTIVE)
WDS Id:
395942
Comment:
PROVIDED WITH NEW MAIL ADDRESS
319 GREAT OAKS BLVD ALBANY, NY 12203 12/5/2014 Pennell, Richard (INACTIVE) new mailing address
Addressee (if other than legal/specific name):
Address Line 1:
319 GREAT OAKS BLVD
Address Line 2:
City:
ALBANY
State:
NY
Zip:
12203
+4 Zip:
County:
Country:
UNITED STATES
Inactive Date:
12/5/2014
Responsible Person:
Pennell, Richard (INACTIVE)
WDS Id:
395942
Comment:
new mailing address
4200 WILDWOOD PARKWAY 1300-3-08A-04 ATLANTA, GA 30339 3/13/2013 Pennell, Richard (INACTIVE) NEW MAILING ADDRESS
Addressee (if other than legal/specific name):
Address Line 1:
4200 WILDWOOD PARKWAY
Address Line 2:
1300-3-08A-04
City:
ATLANTA
State:
GA
Zip:
30339
+4 Zip:
County:
Country:
UNITED STATES
Inactive Date:
3/13/2013
Responsible Person:
Pennell, Richard (INACTIVE)
WDS Id:
395942
Comment:
NEW MAILING ADDRESS
New Row
Addressee (if other than legal/specific name):
Address Line 1:
Address Line 2:
City:
State:
Zip:
+4 Zip:
County:
Country:
Inactive Date:
Responsible Person:
WDS Id:
Comment:

Archive Tax Number

Please enter the Site's new Tax Number, OR provide a reason why no number exists:
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Automatically generate a new Site ID and archive this existing Site ID?
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Automatically generate a new Site ID and archive this existing Site ID?
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Correct the Site ID

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+4 Zip:
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Add/Edit Location Address

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Address 1*:
Address 2 (e.g. suite, mail code, bldg #):
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New Hazardous Waste / Liquid Industrial Waste Site Id

Proceed with data entry
using this HW/LIW Site Id?