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395940 / MID050615921 GRID LOGIC INCORPORATED
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395940 / MID050615921 GRID LOGIC INCORPORATED
1070 CLARK RD, LAPEER, MI 48446
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Site
Site Name
GRID LOGIC INCORPORATED
Site Identification
WDS ID Number:
395940
395940
History...
Site ID Number:
MID050615921
MID050615921
Extract To Public:
Yes
No
Yes
History...
Get New
Correct
Legal Site Name:
GRID LOGIC INCORPORATED
History...
Archive
Specific Site Name:
GRID LOGIC INCORPORATED
History...
Archive
District:
LANSING
LANSING
Address Identification
Location Address
1070 CLARK RD LAPEER MI 48446-3017
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Copy
Mailing Address
1070 CLARK RD LAPEER MI 48446-3017
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Archive
History...
Miscellaneous
Tax Number:
26XXXXX98
History...
Archive
No Number Because:
COMPOST FACILITY
Emergency Site
Electronic Waste Recycler
LIB Only
LIW Only
Not a Generator
Out of Business
Not Located in Michigan
SOLID WASTE LANDFILL
Tribal
Transfer Station Processing Facility
Unmanned
VSQG only
GPS Coordinates (provide five decimal places)
Latitude Coordinate:
43.03616
Longitude Coordinate:
-83.30356
Collection Method:
20 GPS-Unspecified
Submitted by Handler
Lat/Long Interpolation
Verified
Zip Code Centroid
Lat/Long Interpolation
Receives All Waste?:
Yes
No
No
Railroad?:
Yes
No
No
Facility on Indian Reservation Land?:
Yes
No
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.)
335311
- Power, Distribution, and Specialty Transformer Manufacturing
Haz Waste Contact
First Name:
ELIZABETH
M.I.:
J
Last Name:
ZAVOLTA
Phone Number:
(810) 272-5215
Ext:
5
Fax:
(810) 272-4700
Alternate Phone:
Email Address:
[email protected]
Owner/Operator (2)
Activities (9)
Site ID Fees (1)
Comments (7)
Petitions (0)
Used Oil Biennial Reports (0)
Parceling (0)
Institutional Controls (0)
Exemptions (0)
Name
Organization
Type
Active Date
Inactive Date
Owner and/or
Operator
GRID LOGIC INCORPORATED
Private
1/1/2011
Owner/Operator
Name:
GRID LOGIC INCORPORATED
Organization Type:
County
District
Federal
Indian
Municipal
Other
Private
State
Private
Owner:
Yes
Operator:
Yes
Active Date:
1/1/2011
Inactive Date:
LAPEER METAL PRODUCTS
Private
1/1/1986
7/1/2011
Owner/Operator
Name:
LAPEER METAL PRODUCTS
Organization Type:
County
District
Federal
Indian
Municipal
Other
Private
State
Private
Owner:
Yes
Operator:
Yes
Active Date:
1/1/1986
Inactive Date:
7/1/2011
New Row
Name:
Organization Type:
County
District
Federal
Indian
Municipal
Other
Private
State
Owner:
No
Operator:
No
Active Date:
Inactive Date:
Discovery Date
Source of Information
Summary
12/11/2012
Site
Generator Status: CESQG
Discovery Date:
12/11/2012
Source of Information:
Part A
EPA reques
Notification
Biennial R
State
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
LQG: Greater than 1,000 kg/mo
SQG: 100 to 1,000 kg/mo
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
11/27/2012
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
6/1/2012
Site
Site out of business and no waste generation
Discovery Date:
6/1/2012
Source of Information:
Part A
EPA reques
Notification
Biennial R
State
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
SQG: 100 to 1,000 kg/mo
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
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)
7/1/2011
F.
Miscellaneous
1. Emergency Site
6/21/2011
Site
Generator Status: SQG
Generates/accumulates batteries
Generates/accumulates electric lamps
Liquid industrial waste generator
Discovery Date:
6/21/2011
Source of Information:
Part A
EPA reques
Notification
Biennial R
State
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
LQG: Greater than 1,000 kg/mo
SQG: 100 to 1,000 kg/mo
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
6/7/2006
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
3/30/2009
Site
Generator Status: SQG
Designated facility
Discovery Date:
3/30/2009
Source of Information:
Part A
EPA reques
Notification
Biennial R
State
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
LQG: Greater than 1,000 kg/mo
SQG: 100 to 1,000 kg/mo
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
6/7/2006
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
6/7/2006
Site
Generator Status: SQG
Designated facility
Discovery Date:
6/7/2006
Source of Information:
Part A
EPA reques
Notification
Biennial R
State
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
SQG: 100 to 1,000 kg/mo
LQG: Greater than 1,000 kg/mo
SQG: 100 to 1,000 kg/mo
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
6/7/2006
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
9/12/2002
State
Designated facility
Site out of business and no waste generation
Discovery Date:
9/12/2002
Source of Information:
Part A
EPA reques
Notification
Biennial R
State
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
LQG: Greater than 1,000 kg/mo
SQG: 100 to 1,000 kg/mo
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
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)
9/12/2002
F.
Miscellaneous
1. Emergency Site
7/31/1995
State
Designated facility
Site out of business and no waste generation
Discovery Date:
7/31/1995
Source of Information:
Part A
EPA reques
Notification
Biennial R
State
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
LQG: Greater than 1,000 kg/mo
SQG: 100 to 1,000 kg/mo
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
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)
1/1/1970
F.
Miscellaneous
1. Emergency Site
11/13/1980
Site
Designated facility
Discovery Date:
11/13/1980
Source of Information:
Part A
EPA reques
Notification
Biennial R
State
Part A
No Regulated Waste Activity:
Yes
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
SQG: 100 to 1,000 kg/mo
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
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
8/18/1980
Site
Site out of business and no waste generation
Discovery Date:
8/18/1980
Source of Information:
Part A
EPA reques
Notification
Biennial R
State
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
SQG: 100 to 1,000 kg/mo
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
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)
1/1/1970
F.
Miscellaneous
1. Emergency Site
New Row
Discovery Date:
Source of Information:
Part A
EPA reques
Notification
Biennial R
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
LQG: Greater than 1,000 kg/mo
SQG: 100 to 1,000 kg/mo
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
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
Fee Collected
12/11/2012
12/7/2012
Site ID Fee Collected?:
Credit card payment (CEPAS)
Fee Collected
Not Collected - Emergency Site
Not Collected - Indian Lands
Not Collected - LIB
Not Collected - Out of State
Not Collected - VSQG
Polychlorinated biphenyls
Internal bill State Agencies
Waived by MDEQ-RMD
Time Critical Removal Action
Fee Collected
Site ID Generation Date:
12/11/2012
Site ID Fee Validation Date:
12/7/2012
Site ID Fee ($):
$50.00
Comment:
Site ID: MID050615921
Site ID: MID050615921
New Row
Site ID Fee Collected?:
Credit card payment (CEPAS)
Fee Collected
Not Collected - Emergency Site
Not Collected - Indian Lands
Not Collected - LIB
Not Collected - Out of State
Not Collected - VSQG
Polychlorinated biphenyls
Internal bill State Agencies
Waived by MDEQ-RMD
Time Critical Removal Action
Site ID Generation Date:
Site ID Fee Validation Date:
Site ID Fee ($):
$0.00
Comment:
Date
Comment
Type
Comment
12/11/2012
111/121-HW/LIW
WASTE ACTIVITY CESQG, LEGAL/SITE NAMES, NAICS CODE, TAX ID, MAILING ADDRESS, CONTACT INFORMATION, OWNER/OPERATOR INFORMATION-BUD
Date:
12/11/2012
Comment Type:
Groundwater
111/121-HW/LIW
Site Info
Site Merge
Site Data Replication
Tires
Solid Waste
111/121-HW/LIW
Responsible Person:
Richard (INACTIVE) Pennell
Richard (INACTIVE) Pennell
WDS Id:
395940
395940
Comment:
WASTE ACTIVITY CESQG, LEGAL/SITE NAMES, NAICS CODE, TAX ID, MAILING ADDRESS, CONTACT INFORMATION, OWNER/OPERATOR INFORMATION-BUD
WASTE ACTIVITY CESQG, LEGAL/SITE NAMES, NAICS CODE, TAX ID, MAILING
ADDRESS, CONTACT INFORMATION, OWNER/OPERATOR INFORMATION-BUD
6/1/2012
111/121-HW/LIW
2011 USER CHARGE - THEY NOTIFIED DEQ THAT THEY WENT OUT OF BUSINESS AS OF 7/1/2011. GEK
Date:
6/1/2012
Comment Type:
Groundwater
111/121-HW/LIW
Site Info
Site Merge
Site Data Replication
Tires
Solid Waste
111/121-HW/LIW
Responsible Person:
Gerald (INACTIVE) Kelly
Gerald (INACTIVE) Kelly
WDS Id:
395940
395940
Comment:
2011 USER CHARGE - THEY NOTIFIED DEQ THAT THEY WENT OUT OF BUSINESS AS OF 7/1/2011. GEK
2011 USER CHARGE - THEY NOTIFIED DEQ THAT THEY WENT OUT OF BUSINESS
AS OF 7/1/2011. GEK
6/28/2011
111/121-HW/LIW
SUBSEQUENT NOTIFICATION - NEW MAILING ADDRESS, CONTACT PERSON THE SAME BUT NEW CONTACT INFORMATION. THEY ARE STILL SQG AND LIW. GEK
Date:
6/28/2011
Comment Type:
Groundwater
111/121-HW/LIW
Site Info
Site Merge
Site Data Replication
Tires
Solid Waste
111/121-HW/LIW
Responsible Person:
Gerald (INACTIVE) Kelly
Gerald (INACTIVE) Kelly
WDS Id:
395940
395940
Comment:
SUBSEQUENT NOTIFICATION - NEW MAILING ADDRESS, CONTACT PERSON THE SAME BUT NEW CONTACT INFORMATION. THEY ARE STILL SQG AND LIW. GEK
SUBSEQUENT NOTIFICATION - NEW MAILING ADDRESS, CONTACT PERSON THE SAME
BUT NEW CONTACT INFORMATION. THEY ARE STILL SQG AND LIW. GEK
3/30/2009
111/121-HW/LIW
2008 ANNUAL USER CHARGE - LAPEER METAL PRODUCTS INDICATED THEY ARE AN SQG OF HAZARDOUS WASTE AND STORES WASTE ON SITE - ES.
Date:
3/30/2009
Comment Type:
Groundwater
111/121-HW/LIW
Site Info
Site Merge
Site Data Replication
Tires
Solid Waste
111/121-HW/LIW
Responsible Person:
WDS Id:
Comment:
2008 ANNUAL USER CHARGE - LAPEER METAL PRODUCTS INDICATED THEY ARE AN SQG OF HAZARDOUS WASTE AND STORES WASTE ON SITE - ES.
2008 ANNUAL USER CHARGE - LAPEER METAL PRODUCTS INDICATED THEY ARE
AN SQG OF HAZARDOUS WASTE AND STORES WASTE ON SITE - ES.
6/7/2006
111/121-HW/LIW
2005 BIENNIAL REPORT FOR TSD - FACILITY REPORTED THEY ARE AN SQG. THE STATE ADDED STORES WASTE ON SITE BECAUSE THE FACILITY DID NOT INDICATE THEIR TSD STATUS WHICH MUST BE RETAINED -ES.
Date:
6/7/2006
Comment Type:
Groundwater
111/121-HW/LIW
Site Info
Site Merge
Site Data Replication
Tires
Solid Waste
111/121-HW/LIW
Responsible Person:
WDS Id:
Comment:
2005 BIENNIAL REPORT FOR TSD - FACILITY REPORTED THEY ARE AN SQG. THE STATE ADDED STORES WASTE ON SITE BECAUSE THE FACILITY DID NOT INDICATE THEIR TSD STATUS WHICH MUST BE RETAINED -ES.
2005 BIENNIAL REPORT FOR TSD - FACILITY REPORTED THEY ARE AN SQG.
THE STATE ADDED STORES WASTE ON SITE BECAUSE THE FACILITY DID
OT INDICATE THEIR TSD STATUS WHICH MUST BE RETAINED -ES.
5/10/2006
111/121-HW/LIW
SINCE THEY ARE NO LONGER OPERATIONAL AT THIS SITE, THE MAILING ADDRESS AND CONTACT NAME HAVE BEEN CHANGED. WE MUST KEEP CONTACT WITH THESE PEOPLE AS THIS IS A TSD SITE.
Date:
5/10/2006
Comment Type:
Groundwater
111/121-HW/LIW
Site Info
Site Merge
Site Data Replication
Tires
Solid Waste
111/121-HW/LIW
Responsible Person:
WDS Id:
Comment:
SINCE THEY ARE NO LONGER OPERATIONAL AT THIS SITE, THE MAILING ADDRESS AND CONTACT NAME HAVE BEEN CHANGED. WE MUST KEEP CONTACT WITH THESE PEOPLE AS THIS IS A TSD SITE.
SINCE THEY ARE NO LONGER OPERATIONAL AT THIS SITE, THE MAILING ADDRESS
AND CONTACT NAME HAVE BEEN CHANGED. WE MUST KEEP CONTACT WITH TH
SE PEOPLE AS THIS IS A TSD SITE.
9/12/2002
111/121-HW/LIW
STORES WASTE ON SITE AS CONFIRMED BY HWPS-ES.
Date:
9/12/2002
Comment Type:
Groundwater
111/121-HW/LIW
Site Info
Site Merge
Site Data Replication
Tires
Solid Waste
111/121-HW/LIW
Responsible Person:
WDS Id:
Comment:
STORES WASTE ON SITE AS CONFIRMED BY HWPS-ES.
STORES WASTE ON SITE AS CONFIRMED BY HWPS-ES.
New Row
Date:
Comment Type:
Groundwater
111/121-HW/LIW
Site Info
Site Merge
Site Data Replication
Tires
Solid Waste
Responsible Person:
WDS Id:
Comment:
Receipt Date
Decision Date
Decision
Petition/Category
New Row
Receipt Date:
Decision:
Approve
Deny
Moot
Partial Approval
Withdrawn
Decision Due Date:
Decision Date:
Responsible Person:
Petition/Category:
Beneficial Reuse Determination
Boiler Variance
Tri-Valent Chrome Exclusion
Delist
Planned episodic event
Hazardous Secondary Materials Exemption
Laboratory Method
Part 121 Report
LQG consolidation of VSQG hazardous waste
LQG CLOSURE FOR A CENTRAL ACCUMULATION AREA
LDR Variance
Recycling Variance
Solid Waste Variance
Unplanned episodic event
Universal Waste Category
VSQG consolidation of hazardous waste at LQG
Notes:
Receipt Date
Calendar Year
Used Oil Quantity
Processes Used
New Row
Receipt Date:
Quantity:
Calendar Year:
Unit of Measure:
GALLONS
KILOGRAMS
LITERS
METRIC TONS
CUBIC METERS
POUNDS
SHORT TONS (2,000 POUNDS)
CUBIC YARDS
Processes Used:
Report Notes:
Name
WDS / Site ID
Type
New Row
Name:
WDS/Site ID:
Type:
Parceled
Part of Parcel
Date Parceled:
Notes:
Date Recorded
Institutional Control Type
Statute
New Row
Date Recorded:
Institutional Control Type:
Deed Restriction
Groundwater Restriction
Legally Enforceable Agreement
Restrictive Covenant
Entry Login Date:
Statute:
Hazardous Waste/Liquid Industrial Waste
Solid Waste
Scrap Tires
Environmental Remediation
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:
Comp/Syngas Burner
Comp/Syngas Generator
Groundwater Reinjection
HTMR Residues
Importation Notice
LDR Notice
Regulatory Exemption
Treatability Study
Used Oil Aggregation Site
Used Oil Collection Site
Wood Preserving Exclusion
Zinc Fertilizers
Notes:
New Row
Site Identification
WDS ID Number:
History...
Extract To Public:
Yes
No
No
History...
Get New
Correct
Legal Site Name:
History...
Archive
Specific Site Name:
History...
Archive
Address Identification
Location Address
Add/Edit
Archive
History...
Copy
Mailing Address
Add/Edit
Archive
History...
Miscellaneous
Tax Number:
History...
Archive
No Number Because:
COMPOST FACILITY
Emergency Site
Electronic Waste Recycler
LIB Only
LIW Only
Not a Generator
Out of Business
Not Located in Michigan
SOLID WASTE LANDFILL
Tribal
Transfer Station Processing Facility
Unmanned
VSQG only
GPS Coordinates (provide five decimal places)
Latitude Coordinate:
Longitude Coordinate:
Collection Method:
20 GPS-Unspecified
Submitted by Handler
Lat/Long Interpolation
Verified
Zip Code Centroid
Receives All Waste?:
Yes
No
No
Railroad?:
Yes
No
No
Facility on Indian Reservation Land?:
Yes
No
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:
Owner/Operator (0)
Activities (0)
Site ID Fees (0)
Comments (0)
Petitions (0)
Used Oil Biennial Reports (0)
Parceling (0)
Institutional Controls (0)
Exemptions (0)
Name
Organization
Type
Active Date
Inactive Date
Owner and/or
Operator
New Row
Name:
Organization Type:
County
District
Federal
Indian
Municipal
Other
Private
State
Owner:
No
Operator:
No
Active Date:
Inactive Date:
Discovery Date
Source of Information
Summary
New Row
Discovery Date:
Source of Information:
Part A
EPA reques
Notification
Biennial R
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
LQG: Greater than 1,000 kg/mo
SQG: 100 to 1,000 kg/mo
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
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?:
Credit card payment (CEPAS)
Fee Collected
Not Collected - Emergency Site
Not Collected - Indian Lands
Not Collected - LIB
Not Collected - Out of State
Not Collected - VSQG
Polychlorinated biphenyls
Internal bill State Agencies
Waived by MDEQ-RMD
Time Critical Removal Action
Site ID Generation Date:
Site ID Fee Validation Date:
Site ID Fee ($):
$0.00
Comment:
Date
Comment
Type
Comment
New Row
Date:
Comment Type:
Groundwater
111/121-HW/LIW
Site Info
Site Merge
Site Data Replication
Tires
Solid Waste
Responsible Person:
WDS Id:
Comment:
Receipt Date
Decision Date
Decision
Petition/Category
New Row
Receipt Date:
Decision:
Approve
Deny
Moot
Partial Approval
Withdrawn
Decision Due Date:
Decision Date:
Responsible Person:
Petition/Category:
Beneficial Reuse Determination
Boiler Variance
Tri-Valent Chrome Exclusion
Delist
Planned episodic event
Hazardous Secondary Materials Exemption
Laboratory Method
Part 121 Report
LQG consolidation of VSQG hazardous waste
LQG CLOSURE FOR A CENTRAL ACCUMULATION AREA
LDR Variance
Recycling Variance
Solid Waste Variance
Unplanned episodic event
Universal Waste Category
VSQG consolidation of hazardous waste at LQG
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Calendar Year
Used Oil Quantity
Processes Used
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Quantity:
Calendar Year:
Unit of Measure:
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KILOGRAMS
LITERS
METRIC TONS
CUBIC METERS
POUNDS
SHORT TONS (2,000 POUNDS)
CUBIC YARDS
Processes Used:
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Type
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Type:
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Part of Parcel
Date Parceled:
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Institutional Control Type
Statute
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Institutional Control Type:
Deed Restriction
Groundwater Restriction
Legally Enforceable Agreement
Restrictive Covenant
Entry Login Date:
Statute:
Hazardous Waste/Liquid Industrial Waste
Solid Waste
Scrap Tires
Environmental Remediation
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:
Comp/Syngas Burner
Comp/Syngas Generator
Groundwater Reinjection
HTMR Residues
Importation Notice
LDR Notice
Regulatory Exemption
Treatability Study
Used Oil Aggregation Site
Used Oil Collection Site
Wood Preserving Exclusion
Zinc Fertilizers
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WDS Id History (
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)
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WDS ID
Inactive Date
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Comment
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Comment:
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0
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)
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Legal Site Name History (
1
)
Previous
Site Name
Inactive Date
Responsible Person
Comment
LAPEER METAL PRODUCTS
12/11/2012
Pennell, Richard (INACTIVE)
PAID FOR UPDATE
Previous Legal Site Name:
LAPEER METAL PRODUCTS
Inactive Date:
12/11/2012
WDS ID:
395940
Responsible Person:
Pennell, Richard (INACTIVE)
Comment:
PAID FOR UPDATE
PAID FOR UPDATE
New Row
Previous Legal Site Name:
Inactive Date:
WDS ID:
Responsible Person:
Comment:
Cancel
Specific Site Name History (
3
)
Previous Specific
Site Name
Inactive Date
Responsible Person
Comment
LAPEER METAL PRODUCTS
12/11/2012
Pennell, Richard (INACTIVE)
PAID FOR UPDATE
Previous Legal Site Name:
LAPEER METAL PRODUCTS
Inactive Date:
12/11/2012
WDS ID:
395940
Responsible Person:
Pennell, Richard (INACTIVE)
Comment:
PAID FOR UPDATE
PAID FOR UPDATE
UNION CAMP CORP
1/1/1970
Not collected, (INACTIVE)
legacy record - no comments collected
Previous Legal Site Name:
UNION CAMP CORP
Inactive Date:
1/1/1970
WDS ID:
Responsible Person:
Not collected, (INACTIVE)
Comment:
legacy record - no comments collected
legacy record - no comments collected
UNION CAMP CORP
1/1/1970
Not collected, (INACTIVE)
legacy record - no comments collected
Previous Legal Site Name:
UNION CAMP CORP
Inactive Date:
1/1/1970
WDS ID:
Responsible Person:
Not collected, (INACTIVE)
Comment:
legacy record - no comments collected
legacy record - no comments collected
New Row
Previous Legal Site Name:
Inactive Date:
WDS ID:
Responsible Person:
Comment:
Cancel
Site Tax Number History (
1
)
Previous Tax
Number
Inactive Date
Responsible Person
Comment
Legal Site Name
38XXXXX35
6/1/2012
Kelly, Gerald (INACTIVE)
THEY WENT OUT OF BUSINESS
LAPEER METAL PRODUCTS
Previous Tax Number:
38XXXXX35
Inactive Date:
6/1/2012
Responsible Person:
Kelly, Gerald (INACTIVE)
Legal Site Name:
LAPEER METAL PRODUCTS
Comment:
THEY WENT OUT OF BUSINESS
THEY WENT OUT OF BUSINESS
New Row
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Site Location Address History (
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)
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Inactive Date
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Comment
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Addressee:
Address 1:
Address 2 (e.g. suite, mail code, bldg #):
City:
State:
Zip:
+4 Zip:
County:
ALCONA
ALGER
ALLEGAN
ALPENA
ANTRIM
ARENAC
BARAGA
BARRY
BAY
BENZIE
BERRIEN
BRANCH
CALHOUN
CASS
CHARLEVOIX
CHEBOYGAN
CHIPPEWA
CLARE
CLINTON
CRAWFORD
DELTA
DICKINSON
EATON
EMMET
GENESEE
GLADWIN
GOGEBIC
GRAND TRAVERSE
GRATIOT
HILLSDALE
HOUGHTON
HURON
INGHAM
IONIA
IOSCO
IRON
ISABELLA
JACKSON
KALAMAZOO
KALKASKA
KENT
KEWEENAW
LAKE
LAPEER
LEELANAU
LENAWEE
LIVINGSTON
LUCE
MACKINAC
MACOMB
MANISTEE
MARQUETTE
MASON
MECOSTA
MENOMINEE
MIDLAND
MISSAUKEE
MONROE
MONTCALM
MONTMORENCY
MUSKEGON
NEWAYGO
OAKLAND
OCEANA
OGEMAW
ONTONAGON
OSCEOLA
OSCODA
OTSEGO
OTTAWA
PRESQUE ISLE
ROSCOMMON
SAGINAW
SANILAC
SCHOOLCRAFT
SHIAWASSEE
ST CLAIR
ST JOSEPH
TUSCOLA
VAN BUREN
WASHTENAW
WAYNE
WEXFORD
Country:
UNITED STATES
AFGHANISTAN
ALBANIA
ALGERIA
AMERICAN SAMOA
ANDORRA
ANGOLA
ANGUILLA
ANTARCTICA
ANTIGUA AND BARBUDA
ARGENTINA
ARMENIA
ARUBA
AUSTRALIA
AUSTRIA
AZERBAIJAN
BAHAMAS
BAHRAIN
BANGLADESH
BARBADOS
BELARUS
BELGIUM
BELIZE
BENIN
BERMUDA
BHUTAN
BOLIVIA
BOSNIA AND HERZEGOVINA
BOTSWANA
BOUVET ISLAND
BRAZIL
BRITISH INDIAN OCEAN TERRITORY
BRUNEI DARUSSALAM
BULGARIA
BURKINA FASO
BURUNDI
CAMBODIA
CAMEROON
CANADA
CAPE VERDE
CAYMAN ISLANDS
CENTRAL AFRICAN REPUBLIC
CHAD
CHILE
CHINA
CHRISTMAS ISLAND
COCOS (KEELING) ISLANDS
COLOMBIA
COMOROS
CONGO
CONGO, THE DEMOCRATIC REPUBLIC OF THE
COOK ISLANDS
COSTA RICA
CÔTE D'IVOIRE
CROATIA
CUBA
CYPRUS
CZECH REPUBLIC
DENMARK
DJIBOUTI
DOMINICA
DOMINICAN REPUBLIC
ECUADOR
EGYPT
EL SALVADOR
EQUATORIAL GUINEA
ERITREA
ESTONIA
ETHIOPIA
FALKLAND ISLANDS (MALVINAS)
FAROE ISLANDS
FIJI
FINLAND
FRANCE
FRENCH GUIANA
FRENCH POLYNESIA
FRENCH SOUTHERN TERRITORIES
GABON
GAMBIA
GEORGIA
GERMANY
GHANA
GIBRALTAR
GREECE
GREENLAND
GRENADA
GUADELOUPE
GUAM
GUATEMALA
GUINEA
GUINEA-BISSAU
GUYANA
HAITI
HEARD ISLAND AND MCDONALD ISLANDS
HOLY SEE (VATICAN CITY STATE)
HONDURAS
HONG KONG
HUNGARY
ICELAND
INDIA
INDONESIA
IRAN, ISLAMIC REPUBLIC OF
IRAQ
IRELAND
ISRAEL
ITALY
JAMAICA
JAPAN
JORDAN
KAZAKHSTAN
KENYA
KIRIBATI
KOREA, DEMOCRATIC PEOPLE'S REPUBLIC OF
KOREA, REPUBLIC OF
KUWAIT
KYRGYZSTAN
LAO PEOPLE'S DEMOCRATIC REPUBLIC
LATVIA
LEBANON
LESOTHO
LIBERIA
LIBYAN ARAB JAMAHIRIYA
LIECHTENSTEIN
LITHUANIA
LUXEMBOURG
MACAO
MACEDONIA, THE FORMER YUGOSLAV REPUBLIC OF
MADAGASCAR
MALAWI
MALAYSIA
MALDIVES
MALI
MALTA
MARSHALL ISLANDS
MARTINIQUE
MAURITANIA
MAURITIUS
MAYOTTE
MEXICO
MICRONESIA, FEDERATED STATES OF
MOLDOVA, REPUBLIC OF
MONACO
MONGOLIA
MONTSERRAT
MOROCCO
MOZAMBIQUE
MYANMAR
NAMIBIA
NAURU
NEPAL
NETHERLANDS
NETHERLANDS ANTILLES
NEW CALEDONIA
NEW ZEALAND
NICARAGUA
NIGER
NIGERIA
NIUE
NORFOLK ISLAND
NORTHERN MARIANA ISLANDS
NORWAY
OMAN
PAKISTAN
PALAU
PALESTINIAN TERRITORY, OCCUPIED
PANAMA
PAPUA NEW GUINEA
PARAGUAY
PERU
PHILIPPINES
PITCAIRN
POLAND
PORTUGAL
PUERTO RICO
QATAR
RÉUNION
ROMANIA
RUSSIAN FEDERATION
RWANDA
SAINT HELENA
SAINT KITTS AND NEVIS
SAINT LUCIA
SAINT PIERRE AND MIQUELON
SAINT VINCENT AND THE GRENADINES
SAMOA
SAN MARINO
SAO TOME AND PRINCIPE
SAUDI ARABIA
SENEGAL
SERBIA AND MONTENEGRO
SEYCHELLES
SIERRA LEONE
SINGAPORE
SLOVAKIA
SLOVENIA
SOLOMON ISLANDS
SOMALIA
SOUTH AFRICA
SOUTH GEORGIA AND THE SOUTH SANDWICH ISLANDS
SPAIN
SRI LANKA
SUDAN
SURINAME
SVALBARD AND JAN MAYEN
SWAZILAND
SWEDEN
SWITZERLAND
SYRIAN ARAB REPUBLIC
TAIWAN, PROVINCE OF CHINA
TAJIKISTAN
TANZANIA, UNITED REPUBLIC OF
THAILAND
TIMOR-LESTE
TOGO
TOKELAU
TONGA
TRINIDAD AND TOBAGO
TUNISIA
TURKEY
TURKMENISTAN
TURKS AND CAICOS ISLANDS
TUVALU
UGANDA
UKRAINE
UNITED ARAB EMIRATES
UNITED KINGDOM
UNITED STATES MINOR OUTLYING ISLANDS
URUGUAY
UZBEKISTAN
VANUATU
VENEZUELA
VIET NAM
VIRGIN ISLANDS, BRITISH
VIRGIN ISLANDS, U.S.
WALLIS AND FUTUNA
WESTERN SAHARA
YEMEN
ZAMBIA
ZIMBABWE
Inactive Date:
Responsible Person:
WDS Id:
Comment:
Cancel
Site Mailing Address History (
2
)
Previous
Site Address
Inactive Date
Responsible Person
Comment
3056 TALON CIRCLE LAKE ORION, MI 48360
12/11/2012
Pennell, Richard (INACTIVE)
NEW OWNER/ADDRESS
Addressee (if other than legal/specific name):
Address Line 1:
3056 TALON CIRCLE
Address Line 2:
City:
LAKE ORION
State:
MI
Zip:
48360
+4 Zip:
2608
County:
ALCONA
ALGER
ALLEGAN
ALPENA
ANTRIM
ARENAC
BARAGA
BARRY
BAY
BENZIE
BERRIEN
BRANCH
CALHOUN
CASS
CHARLEVOIX
CHEBOYGAN
CHIPPEWA
CLARE
CLINTON
CRAWFORD
DELTA
DICKINSON
EATON
EMMET
GENESEE
GLADWIN
GOGEBIC
GRAND TRAVERSE
GRATIOT
HILLSDALE
HOUGHTON
HURON
INGHAM
IONIA
IOSCO
IRON
ISABELLA
JACKSON
KALAMAZOO
KALKASKA
KENT
KEWEENAW
LAKE
LAPEER
LEELANAU
LENAWEE
LIVINGSTON
LUCE
MACKINAC
MACOMB
MANISTEE
MARQUETTE
MASON
MECOSTA
MENOMINEE
MIDLAND
MISSAUKEE
MONROE
MONTCALM
MONTMORENCY
MUSKEGON
NEWAYGO
OAKLAND
OCEANA
OGEMAW
ONTONAGON
OSCEOLA
OSCODA
OTSEGO
OTTAWA
PRESQUE ISLE
ROSCOMMON
SAGINAW
SANILAC
SCHOOLCRAFT
SHIAWASSEE
ST CLAIR
ST JOSEPH
TUSCOLA
VAN BUREN
WASHTENAW
WAYNE
WEXFORD
OAKLAND
Country:
UNITED STATES
AFGHANISTAN
ALBANIA
ALGERIA
AMERICAN SAMOA
ANDORRA
ANGOLA
ANGUILLA
ANTARCTICA
ANTIGUA AND BARBUDA
ARGENTINA
ARMENIA
ARUBA
AUSTRALIA
AUSTRIA
AZERBAIJAN
BAHAMAS
BAHRAIN
BANGLADESH
BARBADOS
BELARUS
BELGIUM
BELIZE
BENIN
BERMUDA
BHUTAN
BOLIVIA
BOSNIA AND HERZEGOVINA
BOTSWANA
BOUVET ISLAND
BRAZIL
BRITISH INDIAN OCEAN TERRITORY
BRUNEI DARUSSALAM
BULGARIA
BURKINA FASO
BURUNDI
CAMBODIA
CAMEROON
CANADA
CAPE VERDE
CAYMAN ISLANDS
CENTRAL AFRICAN REPUBLIC
CHAD
CHILE
CHINA
CHRISTMAS ISLAND
COCOS (KEELING) ISLANDS
COLOMBIA
COMOROS
CONGO
CONGO, THE DEMOCRATIC REPUBLIC OF THE
COOK ISLANDS
COSTA RICA
CÔTE D'IVOIRE
CROATIA
CUBA
CYPRUS
CZECH REPUBLIC
DENMARK
DJIBOUTI
DOMINICA
DOMINICAN REPUBLIC
ECUADOR
EGYPT
EL SALVADOR
EQUATORIAL GUINEA
ERITREA
ESTONIA
ETHIOPIA
FALKLAND ISLANDS (MALVINAS)
FAROE ISLANDS
FIJI
FINLAND
FRANCE
FRENCH GUIANA
FRENCH POLYNESIA
FRENCH SOUTHERN TERRITORIES
GABON
GAMBIA
GEORGIA
GERMANY
GHANA
GIBRALTAR
GREECE
GREENLAND
GRENADA
GUADELOUPE
GUAM
GUATEMALA
GUINEA
GUINEA-BISSAU
GUYANA
HAITI
HEARD ISLAND AND MCDONALD ISLANDS
HOLY SEE (VATICAN CITY STATE)
HONDURAS
HONG KONG
HUNGARY
ICELAND
INDIA
INDONESIA
IRAN, ISLAMIC REPUBLIC OF
IRAQ
IRELAND
ISRAEL
ITALY
JAMAICA
JAPAN
JORDAN
KAZAKHSTAN
KENYA
KIRIBATI
KOREA, DEMOCRATIC PEOPLE'S REPUBLIC OF
KOREA, REPUBLIC OF
KUWAIT
KYRGYZSTAN
LAO PEOPLE'S DEMOCRATIC REPUBLIC
LATVIA
LEBANON
LESOTHO
LIBERIA
LIBYAN ARAB JAMAHIRIYA
LIECHTENSTEIN
LITHUANIA
LUXEMBOURG
MACAO
MACEDONIA, THE FORMER YUGOSLAV REPUBLIC OF
MADAGASCAR
MALAWI
MALAYSIA
MALDIVES
MALI
MALTA
MARSHALL ISLANDS
MARTINIQUE
MAURITANIA
MAURITIUS
MAYOTTE
MEXICO
MICRONESIA, FEDERATED STATES OF
MOLDOVA, REPUBLIC OF
MONACO
MONGOLIA
MONTSERRAT
MOROCCO
MOZAMBIQUE
MYANMAR
NAMIBIA
NAURU
NEPAL
NETHERLANDS
NETHERLANDS ANTILLES
NEW CALEDONIA
NEW ZEALAND
NICARAGUA
NIGER
NIGERIA
NIUE
NORFOLK ISLAND
NORTHERN MARIANA ISLANDS
NORWAY
OMAN
PAKISTAN
PALAU
PALESTINIAN TERRITORY, OCCUPIED
PANAMA
PAPUA NEW GUINEA
PARAGUAY
PERU
PHILIPPINES
PITCAIRN
POLAND
PORTUGAL
PUERTO RICO
QATAR
RÉUNION
ROMANIA
RUSSIAN FEDERATION
RWANDA
SAINT HELENA
SAINT KITTS AND NEVIS
SAINT LUCIA
SAINT PIERRE AND MIQUELON
SAINT VINCENT AND THE GRENADINES
SAMOA
SAN MARINO
SAO TOME AND PRINCIPE
SAUDI ARABIA
SENEGAL
SERBIA AND MONTENEGRO
SEYCHELLES
SIERRA LEONE
SINGAPORE
SLOVAKIA
SLOVENIA
SOLOMON ISLANDS
SOMALIA
SOUTH AFRICA
SOUTH GEORGIA AND THE SOUTH SANDWICH ISLANDS
SPAIN
SRI LANKA
SUDAN
SURINAME
SVALBARD AND JAN MAYEN
SWAZILAND
SWEDEN
SWITZERLAND
SYRIAN ARAB REPUBLIC
TAIWAN, PROVINCE OF CHINA
TAJIKISTAN
TANZANIA, UNITED REPUBLIC OF
THAILAND
TIMOR-LESTE
TOGO
TOKELAU
TONGA
TRINIDAD AND TOBAGO
TUNISIA
TURKEY
TURKMENISTAN
TURKS AND CAICOS ISLANDS
TUVALU
UGANDA
UKRAINE
UNITED ARAB EMIRATES
UNITED KINGDOM
UNITED STATES MINOR OUTLYING ISLANDS
URUGUAY
UZBEKISTAN
VANUATU
VENEZUELA
VIET NAM
VIRGIN ISLANDS, BRITISH
VIRGIN ISLANDS, U.S.
WALLIS AND FUTUNA
WESTERN SAHARA
YEMEN
ZAMBIA
ZIMBABWE
UNITED STATES
Inactive Date:
12/11/2012
Responsible Person:
Pennell, Richard (INACTIVE)
WDS Id:
395940
Comment:
NEW OWNER/ADDRESS
NEW OWNER/ADDRESS
PO BOX 306 LAPEER, MI 48446
5/10/2006
Not collected, (INACTIVE)
THEY NO LONGER HAVE THIS P O BOX
Addressee (if other than legal/specific name):
Address Line 1:
PO BOX 306
Address Line 2:
City:
LAPEER
State:
MI
Zip:
48446
+4 Zip:
County:
ALCONA
ALGER
ALLEGAN
ALPENA
ANTRIM
ARENAC
BARAGA
BARRY
BAY
BENZIE
BERRIEN
BRANCH
CALHOUN
CASS
CHARLEVOIX
CHEBOYGAN
CHIPPEWA
CLARE
CLINTON
CRAWFORD
DELTA
DICKINSON
EATON
EMMET
GENESEE
GLADWIN
GOGEBIC
GRAND TRAVERSE
GRATIOT
HILLSDALE
HOUGHTON
HURON
INGHAM
IONIA
IOSCO
IRON
ISABELLA
JACKSON
KALAMAZOO
KALKASKA
KENT
KEWEENAW
LAKE
LAPEER
LEELANAU
LENAWEE
LIVINGSTON
LUCE
MACKINAC
MACOMB
MANISTEE
MARQUETTE
MASON
MECOSTA
MENOMINEE
MIDLAND
MISSAUKEE
MONROE
MONTCALM
MONTMORENCY
MUSKEGON
NEWAYGO
OAKLAND
OCEANA
OGEMAW
ONTONAGON
OSCEOLA
OSCODA
OTSEGO
OTTAWA
PRESQUE ISLE
ROSCOMMON
SAGINAW
SANILAC
SCHOOLCRAFT
SHIAWASSEE
ST CLAIR
ST JOSEPH
TUSCOLA
VAN BUREN
WASHTENAW
WAYNE
WEXFORD
LAPEER
Country:
UNITED STATES
AFGHANISTAN
ALBANIA
ALGERIA
AMERICAN SAMOA
ANDORRA
ANGOLA
ANGUILLA
ANTARCTICA
ANTIGUA AND BARBUDA
ARGENTINA
ARMENIA
ARUBA
AUSTRALIA
AUSTRIA
AZERBAIJAN
BAHAMAS
BAHRAIN
BANGLADESH
BARBADOS
BELARUS
BELGIUM
BELIZE
BENIN
BERMUDA
BHUTAN
BOLIVIA
BOSNIA AND HERZEGOVINA
BOTSWANA
BOUVET ISLAND
BRAZIL
BRITISH INDIAN OCEAN TERRITORY
BRUNEI DARUSSALAM
BULGARIA
BURKINA FASO
BURUNDI
CAMBODIA
CAMEROON
CANADA
CAPE VERDE
CAYMAN ISLANDS
CENTRAL AFRICAN REPUBLIC
CHAD
CHILE
CHINA
CHRISTMAS ISLAND
COCOS (KEELING) ISLANDS
COLOMBIA
COMOROS
CONGO
CONGO, THE DEMOCRATIC REPUBLIC OF THE
COOK ISLANDS
COSTA RICA
CÔTE D'IVOIRE
CROATIA
CUBA
CYPRUS
CZECH REPUBLIC
DENMARK
DJIBOUTI
DOMINICA
DOMINICAN REPUBLIC
ECUADOR
EGYPT
EL SALVADOR
EQUATORIAL GUINEA
ERITREA
ESTONIA
ETHIOPIA
FALKLAND ISLANDS (MALVINAS)
FAROE ISLANDS
FIJI
FINLAND
FRANCE
FRENCH GUIANA
FRENCH POLYNESIA
FRENCH SOUTHERN TERRITORIES
GABON
GAMBIA
GEORGIA
GERMANY
GHANA
GIBRALTAR
GREECE
GREENLAND
GRENADA
GUADELOUPE
GUAM
GUATEMALA
GUINEA
GUINEA-BISSAU
GUYANA
HAITI
HEARD ISLAND AND MCDONALD ISLANDS
HOLY SEE (VATICAN CITY STATE)
HONDURAS
HONG KONG
HUNGARY
ICELAND
INDIA
INDONESIA
IRAN, ISLAMIC REPUBLIC OF
IRAQ
IRELAND
ISRAEL
ITALY
JAMAICA
JAPAN
JORDAN
KAZAKHSTAN
KENYA
KIRIBATI
KOREA, DEMOCRATIC PEOPLE'S REPUBLIC OF
KOREA, REPUBLIC OF
KUWAIT
KYRGYZSTAN
LAO PEOPLE'S DEMOCRATIC REPUBLIC
LATVIA
LEBANON
LESOTHO
LIBERIA
LIBYAN ARAB JAMAHIRIYA
LIECHTENSTEIN
LITHUANIA
LUXEMBOURG
MACAO
MACEDONIA, THE FORMER YUGOSLAV REPUBLIC OF
MADAGASCAR
MALAWI
MALAYSIA
MALDIVES
MALI
MALTA
MARSHALL ISLANDS
MARTINIQUE
MAURITANIA
MAURITIUS
MAYOTTE
MEXICO
MICRONESIA, FEDERATED STATES OF
MOLDOVA, REPUBLIC OF
MONACO
MONGOLIA
MONTSERRAT
MOROCCO
MOZAMBIQUE
MYANMAR
NAMIBIA
NAURU
NEPAL
NETHERLANDS
NETHERLANDS ANTILLES
NEW CALEDONIA
NEW ZEALAND
NICARAGUA
NIGER
NIGERIA
NIUE
NORFOLK ISLAND
NORTHERN MARIANA ISLANDS
NORWAY
OMAN
PAKISTAN
PALAU
PALESTINIAN TERRITORY, OCCUPIED
PANAMA
PAPUA NEW GUINEA
PARAGUAY
PERU
PHILIPPINES
PITCAIRN
POLAND
PORTUGAL
PUERTO RICO
QATAR
RÉUNION
ROMANIA
RUSSIAN FEDERATION
RWANDA
SAINT HELENA
SAINT KITTS AND NEVIS
SAINT LUCIA
SAINT PIERRE AND MIQUELON
SAINT VINCENT AND THE GRENADINES
SAMOA
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SLOVAKIA
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SOLOMON ISLANDS
SOMALIA
SOUTH AFRICA
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SPAIN
SRI LANKA
SUDAN
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SWEDEN
SWITZERLAND
SYRIAN ARAB REPUBLIC
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URUGUAY
UZBEKISTAN
VANUATU
VENEZUELA
VIET NAM
VIRGIN ISLANDS, BRITISH
VIRGIN ISLANDS, U.S.
WALLIS AND FUTUNA
WESTERN SAHARA
YEMEN
ZAMBIA
ZIMBABWE
UNITED STATES
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ALCONA
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BERRIEN
BRANCH
CALHOUN
CASS
CHARLEVOIX
CHEBOYGAN
CHIPPEWA
CLARE
CLINTON
CRAWFORD
DELTA
DICKINSON
EATON
EMMET
GENESEE
GLADWIN
GOGEBIC
GRAND TRAVERSE
GRATIOT
HILLSDALE
HOUGHTON
HURON
INGHAM
IONIA
IOSCO
IRON
ISABELLA
JACKSON
KALAMAZOO
KALKASKA
KENT
KEWEENAW
LAKE
LAPEER
LEELANAU
LENAWEE
LIVINGSTON
LUCE
MACKINAC
MACOMB
MANISTEE
MARQUETTE
MASON
MECOSTA
MENOMINEE
MIDLAND
MISSAUKEE
MONROE
MONTCALM
MONTMORENCY
MUSKEGON
NEWAYGO
OAKLAND
OCEANA
OGEMAW
ONTONAGON
OSCEOLA
OSCODA
OTSEGO
OTTAWA
PRESQUE ISLE
ROSCOMMON
SAGINAW
SANILAC
SCHOOLCRAFT
SHIAWASSEE
ST CLAIR
ST JOSEPH
TUSCOLA
VAN BUREN
WASHTENAW
WAYNE
WEXFORD
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AFGHANISTAN
ALBANIA
ALGERIA
AMERICAN SAMOA
ANDORRA
ANGOLA
ANGUILLA
ANTARCTICA
ANTIGUA AND BARBUDA
ARGENTINA
ARMENIA
ARUBA
AUSTRALIA
AUSTRIA
AZERBAIJAN
BAHAMAS
BAHRAIN
BANGLADESH
BARBADOS
BELARUS
BELGIUM
BELIZE
BENIN
BERMUDA
BHUTAN
BOLIVIA
BOSNIA AND HERZEGOVINA
BOTSWANA
BOUVET ISLAND
BRAZIL
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BRUNEI DARUSSALAM
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BURUNDI
CAMBODIA
CAMEROON
CANADA
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CENTRAL AFRICAN REPUBLIC
CHAD
CHILE
CHINA
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COLOMBIA
COMOROS
CONGO
CONGO, THE DEMOCRATIC REPUBLIC OF THE
COOK ISLANDS
COSTA RICA
CÔTE D'IVOIRE
CROATIA
CUBA
CYPRUS
CZECH REPUBLIC
DENMARK
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IRAN, ISLAMIC REPUBLIC OF
IRAQ
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ISRAEL
ITALY
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JORDAN
KAZAKHSTAN
KENYA
KIRIBATI
KOREA, DEMOCRATIC PEOPLE'S REPUBLIC OF
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KYRGYZSTAN
LAO PEOPLE'S DEMOCRATIC REPUBLIC
LATVIA
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LESOTHO
LIBERIA
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PERU
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ROMANIA
RUSSIAN FEDERATION
RWANDA
SAINT HELENA
SAINT KITTS AND NEVIS
SAINT LUCIA
SAINT PIERRE AND MIQUELON
SAINT VINCENT AND THE GRENADINES
SAMOA
SAN MARINO
SAO TOME AND PRINCIPE
SAUDI ARABIA
SENEGAL
SERBIA AND MONTENEGRO
SEYCHELLES
SIERRA LEONE
SINGAPORE
SLOVAKIA
SLOVENIA
SOLOMON ISLANDS
SOMALIA
SOUTH AFRICA
SOUTH GEORGIA AND THE SOUTH SANDWICH ISLANDS
SPAIN
SRI LANKA
SUDAN
SURINAME
SVALBARD AND JAN MAYEN
SWAZILAND
SWEDEN
SWITZERLAND
SYRIAN ARAB REPUBLIC
TAIWAN, PROVINCE OF CHINA
TAJIKISTAN
TANZANIA, UNITED REPUBLIC OF
THAILAND
TIMOR-LESTE
TOGO
TOKELAU
TONGA
TRINIDAD AND TOBAGO
TUNISIA
TURKEY
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UKRAINE
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URUGUAY
UZBEKISTAN
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VENEZUELA
VIET NAM
VIRGIN ISLANDS, BRITISH
VIRGIN ISLANDS, U.S.
WALLIS AND FUTUNA
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YEMEN
ZAMBIA
ZIMBABWE
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ALCONA
ALGER
ALLEGAN
ALPENA
ANTRIM
ARENAC
BARAGA
BARRY
BAY
BENZIE
BERRIEN
BRANCH
CALHOUN
CASS
CHARLEVOIX
CHEBOYGAN
CHIPPEWA
CLARE
CLINTON
CRAWFORD
DELTA
DICKINSON
EATON
EMMET
GENESEE
GLADWIN
GOGEBIC
GRAND TRAVERSE
GRATIOT
HILLSDALE
HOUGHTON
HURON
INGHAM
IONIA
IOSCO
IRON
ISABELLA
JACKSON
KALAMAZOO
KALKASKA
KENT
KEWEENAW
LAKE
LAPEER
LEELANAU
LENAWEE
LIVINGSTON
LUCE
MACKINAC
MACOMB
MANISTEE
MARQUETTE
MASON
MECOSTA
MENOMINEE
MIDLAND
MISSAUKEE
MONROE
MONTCALM
MONTMORENCY
MUSKEGON
NEWAYGO
OAKLAND
OCEANA
OGEMAW
ONTONAGON
OSCEOLA
OSCODA
OTSEGO
OTTAWA
PRESQUE ISLE
ROSCOMMON
SAGINAW
ST CLAIR
ST JOSEPH
SANILAC
SCHOOLCRAFT
SHIAWASSEE
TUSCOLA
VAN BUREN
WASHTENAW
WAYNE
WEXFORD
Country*:
UNITED STATES
AFGHANISTAN
ALBANIA
ALGERIA
AMERICAN SAMOA
ANDORRA
ANGOLA
ANGUILLA
ANTARCTICA
ANTIGUA AND BARBUDA
ARGENTINA
ARMENIA
ARUBA
AUSTRALIA
AUSTRIA
AZERBAIJAN
BAHAMAS
BAHRAIN
BANGLADESH
BARBADOS
BELARUS
BELGIUM
BELIZE
BENIN
BERMUDA
BHUTAN
BOLIVIA
BOSNIA AND HERZEGOVINA
BOTSWANA
BOUVET ISLAND
BRAZIL
BRITISH INDIAN OCEAN TERRITORY
BRUNEI DARUSSALAM
BULGARIA
BURKINA FASO
BURUNDI
CAMBODIA
CAMEROON
CANADA
CAPE VERDE
CAYMAN ISLANDS
CENTRAL AFRICAN REPUBLIC
CHAD
CHILE
CHINA
CHRISTMAS ISLAND
COCOS (KEELING) ISLANDS
COLOMBIA
COMOROS
CONGO
CONGO, THE DEMOCRATIC REPUBLIC OF THE
COOK ISLANDS
COSTA RICA
CÔTE D'IVOIRE
CROATIA
CUBA
CYPRUS
CZECH REPUBLIC
DENMARK
DJIBOUTI
DOMINICA
DOMINICAN REPUBLIC
ECUADOR
EGYPT
EL SALVADOR
EQUATORIAL GUINEA
ERITREA
ESTONIA
ETHIOPIA
FALKLAND ISLANDS (MALVINAS)
FAROE ISLANDS
FIJI
FINLAND
FRANCE
FRENCH GUIANA
FRENCH POLYNESIA
FRENCH SOUTHERN TERRITORIES
GABON
GAMBIA
GEORGIA
GERMANY
GHANA
GIBRALTAR
GREECE
GREENLAND
GRENADA
GUADELOUPE
GUAM
GUATEMALA
GUINEA
GUINEA-BISSAU
GUYANA
HAITI
HEARD ISLAND AND MCDONALD ISLANDS
HOLY SEE (VATICAN CITY STATE)
HONDURAS
HONG KONG
HUNGARY
ICELAND
INDIA
INDONESIA
IRAN, ISLAMIC REPUBLIC OF
IRAQ
IRELAND
ISRAEL
ITALY
JAMAICA
JAPAN
JORDAN
KAZAKHSTAN
KENYA
KIRIBATI
KOREA, DEMOCRATIC PEOPLE'S REPUBLIC OF
KOREA, REPUBLIC OF
KUWAIT
KYRGYZSTAN
LAO PEOPLE'S DEMOCRATIC REPUBLIC
LATVIA
LEBANON
LESOTHO
LIBERIA
LIBYAN ARAB JAMAHIRIYA
LIECHTENSTEIN
LITHUANIA
LUXEMBOURG
MACAO
MACEDONIA, THE FORMER YUGOSLAV REPUBLIC OF
MADAGASCAR
MALAWI
MALAYSIA
MALDIVES
MALI
MALTA
MARSHALL ISLANDS
MARTINIQUE
MAURITANIA
MAURITIUS
MAYOTTE
MEXICO
MICRONESIA, FEDERATED STATES OF
MOLDOVA, REPUBLIC OF
MONACO
MONGOLIA
MONTSERRAT
MOROCCO
MOZAMBIQUE
MYANMAR
NAMIBIA
NAURU
NEPAL
NETHERLANDS
NETHERLANDS ANTILLES
NEW CALEDONIA
NEW ZEALAND
NICARAGUA
NIGER
NIGERIA
NIUE
NORFOLK ISLAND
NORTHERN MARIANA ISLANDS
NORWAY
OMAN
PAKISTAN
PALAU
PALESTINIAN TERRITORY, OCCUPIED
PANAMA
PAPUA NEW GUINEA
PARAGUAY
PERU
PHILIPPINES
PITCAIRN
POLAND
PORTUGAL
PUERTO RICO
QATAR
RÉUNION
ROMANIA
RUSSIAN FEDERATION
RWANDA
SAINT HELENA
SAINT KITTS AND NEVIS
SAINT LUCIA
SAINT PIERRE AND MIQUELON
SAINT VINCENT AND THE GRENADINES
SAMOA
SAN MARINO
SAO TOME AND PRINCIPE
SAUDI ARABIA
SENEGAL
SERBIA AND MONTENEGRO
SEYCHELLES
SIERRA LEONE
SINGAPORE
SLOVAKIA
SLOVENIA
SOLOMON ISLANDS
SOMALIA
SOUTH AFRICA
SOUTH GEORGIA AND THE SOUTH SANDWICH ISLANDS
SPAIN
SRI LANKA
SUDAN
SURINAME
SVALBARD AND JAN MAYEN
SWAZILAND
SWEDEN
SWITZERLAND
SYRIAN ARAB REPUBLIC
TAIWAN, PROVINCE OF CHINA
TAJIKISTAN
TANZANIA, UNITED REPUBLIC OF
THAILAND
TIMOR-LESTE
TOGO
TOKELAU
TONGA
TRINIDAD AND TOBAGO
TUNISIA
TURKEY
TURKMENISTAN
TURKS AND CAICOS ISLANDS
TUVALU
UGANDA
UKRAINE
UNITED ARAB EMIRATES
UNITED KINGDOM
UNITED STATES MINOR OUTLYING ISLANDS
URUGUAY
UZBEKISTAN
VANUATU
VENEZUELA
VIET NAM
VIRGIN ISLANDS, BRITISH
VIRGIN ISLANDS, U.S.
WALLIS AND FUTUNA
WESTERN SAHARA
YEMEN
ZAMBIA
ZIMBABWE
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ALCONA
ALGER
ALLEGAN
ALPENA
ANTRIM
ARENAC
BARAGA
BARRY
BAY
BENZIE
BERRIEN
BRANCH
CALHOUN
CASS
CHARLEVOIX
CHEBOYGAN
CHIPPEWA
CLARE
CLINTON
CRAWFORD
DELTA
DICKINSON
EATON
EMMET
GENESEE
GLADWIN
GOGEBIC
GRAND TRAVERSE
GRATIOT
HILLSDALE
HOUGHTON
HURON
INGHAM
IONIA
IOSCO
IRON
ISABELLA
JACKSON
KALAMAZOO
KALKASKA
KENT
KEWEENAW
LAKE
LAPEER
LEELANAU
LENAWEE
LIVINGSTON
LUCE
MACKINAC
MACOMB
MANISTEE
MARQUETTE
MASON
MECOSTA
MENOMINEE
MIDLAND
MISSAUKEE
MONROE
MONTCALM
MONTMORENCY
MUSKEGON
NEWAYGO
OAKLAND
OCEANA
OGEMAW
ONTONAGON
OSCEOLA
OSCODA
OTSEGO
OTTAWA
PRESQUE ISLE
ROSCOMMON
SAGINAW
ST CLAIR
ST JOSEPH
SANILAC
SCHOOLCRAFT
SHIAWASSEE
TUSCOLA
VAN BUREN
WASHTENAW
WAYNE
WEXFORD
Country*:
UNITED STATES
AFGHANISTAN
ALBANIA
ALGERIA
AMERICAN SAMOA
ANDORRA
ANGOLA
ANGUILLA
ANTARCTICA
ANTIGUA AND BARBUDA
ARGENTINA
ARMENIA
ARUBA
AUSTRALIA
AUSTRIA
AZERBAIJAN
BAHAMAS
BAHRAIN
BANGLADESH
BARBADOS
BELARUS
BELGIUM
BELIZE
BENIN
BERMUDA
BHUTAN
BOLIVIA
BOSNIA AND HERZEGOVINA
BOTSWANA
BOUVET ISLAND
BRAZIL
BRITISH INDIAN OCEAN TERRITORY
BRUNEI DARUSSALAM
BULGARIA
BURKINA FASO
BURUNDI
CAMBODIA
CAMEROON
CANADA
CAPE VERDE
CAYMAN ISLANDS
CENTRAL AFRICAN REPUBLIC
CHAD
CHILE
CHINA
CHRISTMAS ISLAND
COCOS (KEELING) ISLANDS
COLOMBIA
COMOROS
CONGO
CONGO, THE DEMOCRATIC REPUBLIC OF THE
COOK ISLANDS
COSTA RICA
CÔTE D'IVOIRE
CROATIA
CUBA
CYPRUS
CZECH REPUBLIC
DENMARK
DJIBOUTI
DOMINICA
DOMINICAN REPUBLIC
ECUADOR
EGYPT
EL SALVADOR
EQUATORIAL GUINEA
ERITREA
ESTONIA
ETHIOPIA
FALKLAND ISLANDS (MALVINAS)
FAROE ISLANDS
FIJI
FINLAND
FRANCE
FRENCH GUIANA
FRENCH POLYNESIA
FRENCH SOUTHERN TERRITORIES
GABON
GAMBIA
GEORGIA
GERMANY
GHANA
GIBRALTAR
GREECE
GREENLAND
GRENADA
GUADELOUPE
GUAM
GUATEMALA
GUINEA
GUINEA-BISSAU
GUYANA
HAITI
HEARD ISLAND AND MCDONALD ISLANDS
HOLY SEE (VATICAN CITY STATE)
HONDURAS
HONG KONG
HUNGARY
ICELAND
INDIA
INDONESIA
IRAN, ISLAMIC REPUBLIC OF
IRAQ
IRELAND
ISRAEL
ITALY
JAMAICA
JAPAN
JORDAN
KAZAKHSTAN
KENYA
KIRIBATI
KOREA, DEMOCRATIC PEOPLE'S REPUBLIC OF
KOREA, REPUBLIC OF
KUWAIT
KYRGYZSTAN
LAO PEOPLE'S DEMOCRATIC REPUBLIC
LATVIA
LEBANON
LESOTHO
LIBERIA
LIBYAN ARAB JAMAHIRIYA
LIECHTENSTEIN
LITHUANIA
LUXEMBOURG
MACAO
MACEDONIA, THE FORMER YUGOSLAV REPUBLIC OF
MADAGASCAR
MALAWI
MALAYSIA
MALDIVES
MALI
MALTA
MARSHALL ISLANDS
MARTINIQUE
MAURITANIA
MAURITIUS
MAYOTTE
MEXICO
MICRONESIA, FEDERATED STATES OF
MOLDOVA, REPUBLIC OF
MONACO
MONGOLIA
MONTSERRAT
MOROCCO
MOZAMBIQUE
MYANMAR
NAMIBIA
NAURU
NEPAL
NETHERLANDS
NETHERLANDS ANTILLES
NEW CALEDONIA
NEW ZEALAND
NICARAGUA
NIGER
NIGERIA
NIUE
NORFOLK ISLAND
NORTHERN MARIANA ISLANDS
NORWAY
OMAN
PAKISTAN
PALAU
PALESTINIAN TERRITORY, OCCUPIED
PANAMA
PAPUA NEW GUINEA
PARAGUAY
PERU
PHILIPPINES
PITCAIRN
POLAND
PORTUGAL
PUERTO RICO
QATAR
RÉUNION
ROMANIA
RUSSIAN FEDERATION
RWANDA
SAINT HELENA
SAINT KITTS AND NEVIS
SAINT LUCIA
SAINT PIERRE AND MIQUELON
SAINT VINCENT AND THE GRENADINES
SAMOA
SAN MARINO
SAO TOME AND PRINCIPE
SAUDI ARABIA
SENEGAL
SERBIA AND MONTENEGRO
SEYCHELLES
SIERRA LEONE
SINGAPORE
SLOVAKIA
SLOVENIA
SOLOMON ISLANDS
SOMALIA
SOUTH AFRICA
SOUTH GEORGIA AND THE SOUTH SANDWICH ISLANDS
SPAIN
SRI LANKA
SUDAN
SURINAME
SVALBARD AND JAN MAYEN
SWAZILAND
SWEDEN
SWITZERLAND
SYRIAN ARAB REPUBLIC
TAIWAN, PROVINCE OF CHINA
TAJIKISTAN
TANZANIA, UNITED REPUBLIC OF
THAILAND
TIMOR-LESTE
TOGO
TOKELAU
TONGA
TRINIDAD AND TOBAGO
TUNISIA
TURKEY
TURKMENISTAN
TURKS AND CAICOS ISLANDS
TUVALU
UGANDA
UKRAINE
UNITED ARAB EMIRATES
UNITED KINGDOM
UNITED STATES MINOR OUTLYING ISLANDS
URUGUAY
UZBEKISTAN
VANUATU
VENEZUELA
VIET NAM
VIRGIN ISLANDS, BRITISH
VIRGIN ISLANDS, U.S.
WALLIS AND FUTUNA
WESTERN SAHARA
YEMEN
ZAMBIA
ZIMBABWE
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Addressee:
Address 1*:
Address 2 (e.g. suite, mail code, bldg #):
City*:
State / Province*:
Zip / Postal Code*:
+4 Zip:
County*:
ALCONA
ALGER
ALLEGAN
ALPENA
ANTRIM
ARENAC
BARAGA
BARRY
BAY
BENZIE
BERRIEN
BRANCH
CALHOUN
CASS
CHARLEVOIX
CHEBOYGAN
CHIPPEWA
CLARE
CLINTON
CRAWFORD
DELTA
DICKINSON
EATON
EMMET
GENESEE
GLADWIN
GOGEBIC
GRAND TRAVERSE
GRATIOT
HILLSDALE
HOUGHTON
HURON
INGHAM
IONIA
IOSCO
IRON
ISABELLA
JACKSON
KALAMAZOO
KALKASKA
KENT
KEWEENAW
LAKE
LAPEER
LEELANAU
LENAWEE
LIVINGSTON
LUCE
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