393267 / MID005338371 MACDERMID INC
1221 FARROW ST, FERNDALE, MI 48220

Site

Site Name
MACDERMID INC
Site Identification
WDS ID Number:
393267 393267
Site ID Number:
MID005338371 MID005338371
Extract To Public:
Yes
Legal Site Name:
MACDERMID INC
Specific Site Name:
MACDERMID INC
District:
WARREN WARREN
Address Identification
Location Address
Mailing Address
Miscellaneous
Tax Number:
06XXXXX50
No Number Because:
GPS Coordinates (provide five decimal places)
Latitude Coordinate:
42.45689
Longitude Coordinate:
-83.11834
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.)
325998 - All Other Miscellaneous Chemical Product and Preparation Manufacturing
Haz Waste Contact
First Name:
KEVIN
M.I.:
Last Name:
BUDZIAK
Phone Number:
(248) 399-3553
Ext:
Fax:
Alternate Phone:
Email Address:
Name
Organization
Type
Active Date
Inactive Date
Owner and/or
Operator
MACDERMID INC Private 1/1/1966 Owner/Operator
Name:
MACDERMID INC
Organization Type:
Private
Owner:
Yes
Operator:
Yes
Active Date:
1/1/1966
Inactive Date:
New Row
Name:
Organization Type:
Owner:
No
Operator:
No
Active Date:
Inactive Date:
Discovery Date
Source of Information
Summary
2/20/2024 Site Generator Status: LQG
Discovery Date:
2/20/2024
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
2/20/2024 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
2/20/2024 Site Generator Status: LQG
Discovery Date:
2/20/2024
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
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
2/20/2024 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
7/13/2022 Site Generator Status: LQG
Discovery Date:
7/13/2022
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
1/1/1966 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
7/13/2022 Site Generator Status: LQG
Discovery Date:
7/13/2022
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
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
1/1/1966 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
2/25/2020 Site Generator Status: LQG
Discovery Date:
2/25/2020
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
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
1/1/1966 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
4/16/2019 Site Generator Status: LQG
Liquid industrial waste generator
Discovery Date:
4/16/2019
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
1/1/2018 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
3/5/2018 Site Generator Status: LQG
Liquid industrial waste generator
Discovery Date:
3/5/2018
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
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
1/1/2017 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
3/27/2017 Site Generator Status: LQG
Liquid industrial waste generator
Discovery Date:
3/27/2017
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
1/1/2016 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
6/8/2016 Site Generator Status: LQG
Designated facility
Liquid industrial waste generator
Discovery Date:
6/8/2016
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
2/29/2008 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
3/7/2016 Site Generator Status: LQG
Liquid industrial waste generator
Discovery Date:
3/7/2016
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
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
1/1/2015 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
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
2/20/2024 111/121-HW/LIW STATE-2023 BIENNIEAL REPORT COMPLETE-GENERATOR STATUS REMAINS LQG-PER EQP5150-CD
Date:
2/20/2024
Comment Type:
111/121-HW/LIW
Responsible Person:
Connie Darnell Connie Darnell
WDS Id:
393267 393267
Comment:
STATE-2023 BIENNIEAL REPORT COMPLETE-GENERATOR STATUS REMAINS LQG-PER
EQP5150-CD
7/13/2022 111/121-HW/LIW SUBSEQUENT NOTIFICATION - CHANGE OF SITE CONTACT - GENERATOR STATUS REMAINS LQG - GD
Date:
7/13/2022
Comment Type:
111/121-HW/LIW
Responsible Person:
Geraldine (INACTIVE) Durka Geraldine (INACTIVE) Durka
WDS Id:
393267 393267
Comment:
SUBSEQUENT NOTIFICATION - CHANGE OF SITE CONTACT - GENERATOR STATUS
REMAINS LQG - GD
7/13/2022 111/121-HW/LIW STATE - 2021 BIENNIAL REPORT REQUIREMENTS ARE COMPLETE - GENERATOR STATUS REMAINS LQG - GD
Date:
7/13/2022
Comment Type:
111/121-HW/LIW
Responsible Person:
Geraldine (INACTIVE) Durka Geraldine (INACTIVE) Durka
WDS Id:
393267 393267
Comment:
STATE - 2021 BIENNIAL REPORT REQUIREMENTS ARE COMPLETE - GENERATOR
STATUS REMAINS LQG - GD
3/5/2020 111/121-HW/LIW STATE - 2019 BIENNIAL REPORT COMPLETE 2/25/2020 - STATUS LQG - UPDATED SITE CONTACT INFORMATION - CJL
Date:
3/5/2020
Comment Type:
111/121-HW/LIW
Responsible Person:
Cecilia (CJ) (INACTIVE) Ludwick Cecilia (CJ) (INACTIVE) Ludwick
WDS Id:
393267 393267
Comment:
STATE - 2019 BIENNIAL REPORT COMPLETE 2/25/2020 - STATUS LQG - UPDATED
SITE CONTACT INFORMATION - CJL
10/23/2019 111/121-HW/LIW 2018 USER CHARGE - STATUS REMAINS LQG/LIB - CJL
Date:
10/23/2019
Comment Type:
111/121-HW/LIW
Responsible Person:
Cecilia (CJ) (INACTIVE) Ludwick Cecilia (CJ) (INACTIVE) Ludwick
WDS Id:
393267 393267
Comment:
2018 USER CHARGE - STATUS REMAINS LQG/LIB - CJL
3/12/2018 111/121-HW/LIW STATE - 2017 BIENNIAL REPORT - STATUS REMAINS LQG/LIB - CJL
Date:
3/12/2018
Comment Type:
111/121-HW/LIW
Responsible Person:
Cecilia (CJ) (INACTIVE) Ludwick Cecilia (CJ) (INACTIVE) Ludwick
WDS Id:
393267 393267
Comment:
STATE - 2017 BIENNIAL REPORT - STATUS REMAINS LQG/LIB - CJL
8/1/2017 111/121-HW/LIW 2016 USER CHARGE - STATUS REMAINS LQG/LIB - JW
Date:
8/1/2017
Comment Type:
111/121-HW/LIW
Responsible Person:
Jane (INACTIVE) Wysack Jane (INACTIVE) Wysack
WDS Id:
393267 393267
Comment:
2016 USER CHARGE - STATUS REMAINS LQG/LIB - JW
6/8/2016 111/121-HW/LIW 2015 USER CHARGE - STATUS REMAINS LQG/LIB-DESIGNATED FACILITY - JW
Date:
6/8/2016
Comment Type:
111/121-HW/LIW
Responsible Person:
Jane (INACTIVE) Wysack Jane (INACTIVE) Wysack
WDS Id:
393267 393267
Comment:
2015 USER CHARGE - STATUS REMAINS LQG/LIB-DESIGNATED FACILITY - JW
3/7/2016 111/121-HW/LIW STATE - 2015 BIENNIAL REPORT COMPLETE - STATUS REMAINS LQG WITH LIB - CJL
Date:
3/7/2016
Comment Type:
111/121-HW/LIW
Responsible Person:
Cecilia (CJ) (INACTIVE) Ludwick Cecilia (CJ) (INACTIVE) Ludwick
WDS Id:
393267 393267
Comment:
STATE - 2015 BIENNIAL REPORT COMPLETE - STATUS REMAINS LQG WITH LIB
- CJL
5/6/2015 111/121-HW/LIW STATE - BIENNIAL REPORT COMPLETE 5/8/2014 - JW
Date:
5/6/2015
Comment Type:
111/121-HW/LIW
Responsible Person:
Jane (INACTIVE) Wysack Jane (INACTIVE) Wysack
WDS Id:
393267 393267
Comment:
STATE - BIENNIAL REPORT COMPLETE 5/8/2014 - JW
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 (0)

Previous Specific
Site Name
Inactive Date
Responsible Person
Comment
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 (0)

Previous
Site Address
Inactive Date
Responsible Person
Comment
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:
New Tax Number
No Number Because
Comments*

Archive Legal Site Name

Please enter the new Legal Site Name*:
Comments*:

Archive Specific Site Name

Please enter the new Specific Site Name*:
Comments*:

Generate New Site ID?

Automatically generate a new Site ID and archive this existing Site ID?
Comments regarding this action:*
Site Fee Details:
Site Fee Collected?:*
Site ID Fee Generation Date:*
Site ID Fee Validation Date:*
Site ID Fee:*
Comment:*

Generate New Site ID?

Automatically generate a new Site ID and archive this existing Site ID?
Comments regarding this action:*
Site Fee Details:
Site Fee Collected?:*
Site ID Fee Generation Date:*
Site ID Fee Validation Date:*
Site ID Fee:*
Comment:*

Correct the Site ID

Please edit the Site ID. Your correction will be validated to ensure the updated value represents a valid Site ID.

Archive Mailing Address

Are you sure you wish to archive the Site's mailing address?:
Comments*:

Archive Location Address

Are you sure you wish to archive the Site's location address?:
Comments*:

Add/Edit Mailing Address

Addressee:
Address 1*:
Address 2 (e.g. suite, mail code, bldg #):
City*:
State / Province*:
Zip / Postal Code*:
+4 Zip:
County*:
Country*:

Add/Edit Mailing Address

Addressee:
Address 1*:
Address 2 (e.g. suite, mail code, bldg #):
City*:
State / Province*:
Zip / Postal Code*:
+4 Zip:
County*:
Country*:

Add/Edit Location Address

Addressee:
Address 1*:
Address 2 (e.g. suite, mail code, bldg #):
City*:
State / Province*:
Zip / Postal Code*:
+4 Zip:
County*:
Country*:

Add/Edit Location Address

Addressee:
Address 1*:
Address 2 (e.g. suite, mail code, bldg #):
City*:
State / Province*:
Zip / Postal Code*:
+4 Zip:
County*:
Country*:
New Hazardous Waste / Liquid Industrial Waste Site Id

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