23.07.2013 Views

Precious Metals Recovery LLC RCRA Permit Application Dry Hills ...

Precious Metals Recovery LLC RCRA Permit Application Dry Hills ...

Precious Metals Recovery LLC RCRA Permit Application Dry Hills ...

SHOW MORE
SHOW LESS

Create successful ePaper yourself

Turn your PDF publications into a flip-book with our unique Google optimized e-Paper software.

EPA ID Number OMB#: 2050-0024; Expires<br />

1. Facility <strong>Permit</strong><br />

Contact<br />

2. Facility <strong>Permit</strong><br />

Contact Mailing<br />

Address<br />

3. Operator Mailing<br />

Address and<br />

Telephone Number<br />

United States Environmental Protection Agency<br />

HARDOUS WASTE PERMIT INFORMATION FORM<br />

First Name: MI: Last Name:<br />

Contact Title:<br />

Phone: Ext.: Email:<br />

Street or P.O. Box:<br />

City, Town, or Village:<br />

State:<br />

Country: Zip Code:<br />

Street or P.O. Box:<br />

City, Town, or Village:<br />

State: Phone:<br />

Country: Zip Code:<br />

4. Facility Existence<br />

Date Facility Existence Date (mm/dd/yyyy):<br />

5. Other Environmental <strong>Permit</strong>s<br />

A. Facility Type<br />

(Enter code)<br />

6. Nature of Business:<br />

B. <strong>Permit</strong> Number C. Description<br />

Page 1 of 6

Hooray! Your file is uploaded and ready to be published.

Saved successfully!

Ooh no, something went wrong!