Site Identification Directions EQP5150 - michigan.gov

1 Site IdentificationDirectionsEQP5150revised 05/05 This is the replacement form for: Environmental Protection Agency Notification of Regulated Waste activity Form 8700-12 Environmental Protection Agency Hazardous Waste Permit Part A Form 8700-23 michigan Notification of Regulated Waste activity Form Identification and Certification Form for EPA Form 8700-13A/B and is Used in conjunction with the michigan Hazardous Waste Permit Part A Form EQP5111 Jennifer Granholm.

2 Governor Steven E. Chester, Director michigan Department of Environmental Quality Waste and Hazardous Materials DivisionFor a current map of the district office please use the Department of Environmental Quality web page Click on the hyperlink Contact DEQ and then DEQ Peninsula District Office 420 5th StreetGwinn, MI 49841 phone: (906) 346-8300 Cadillac District Office 120 W. Chapin St Cadillac, MI 49601-2158 phone: (231) 775-3960 Gaylord Field Office2100 West M-32 Gaylord, MI 49735-9282phone: 989-731-4920 Saginaw Bay District Office 503 N.

3 Euclid Ave, Ste 1 Bay City, MI 48706-2965 phone: (989) 686-8025 Grand Rapids District Office State Office Bldg 350 Ottawa NW, Unit 10 Grand Rapids, MI 49503-2341phone: (616) 356-0500 Kalamazoo District Office7953 Adobe Rd Kalamazoo, MI 49009-5026 phone: (269) 567-3500 Lansing District OfficeConstitution Hall 525 West Allegan Street Lansing, MI 48993 Phone: 373-4797 Jackson District Office 301 E Louis Glick Hwy Jackson, MI 49201-1556phone: (517) 780-7690SE michigan District Office 27700 Donald Court Warren, MI 48092-2793 phone: (586) 753-3700 Cadillac Place3058 West Grand BoulevardSuite 2-300 Detroit, MI 48202-6058phone: (313) 456-4700 The michigan Department of Environmental Quality (MDEQ) will not discriminate against any individual or group on the basis of race, sex, religion, age, national origin, color, marital status, disability or political beliefs.

4 Questions or concerns should be directed to the MDEQ Office of Personnel Services, Box 30473, Lansing, MI AND INFORMATION FOR EQP5150 - SITE Identification FORMThis booklet is designed to assist you in determining if the facility you represent is required to notify the MichiganDepartment of Environmental Quality (MDEQ) of the facility s regulated waste activities. The form entitled SiteIdentification ( EQP5150 ) contained in this package must be submitted for certain facilities under Part 111, HazardousWaste Management (Part 111) and Part 121, Liquid Industrial Wastes (Part 121) of michigan s Natural Resources andEnvironmental Protection Act, 1994 PA 451 (Act 451), as amended, Subtitle C of the Federal Resource Conservation andRecovery Act (RCRA), and the rules thereunder.

5 The instructions contained in this booklet will assist you in completing andsubmitting the form EQP5150 . Upon receipt of a completed form EQP5150 or the EQP5150 -v (pre-populated form), the MDEQ will, if required, issue aunique Site Identification Number (previously an EPA Identification Number or Liquid Industrial Waste IdentificationNumber) for each regulated facility, update the site information on record, compile the data for the Hazardous Waste(biennial) Report*, process the Hazardous Waste Permit Part A*, process the User Charge submittal*, or accept thesubmittal as required notification of specific regulated activities.

6 [*Note: Other forms are required to be submitted in conjunction with the site Identification form for a complete Part A, theHazardous Waste (biennial) Report submittal, and the User Charge submittal.]Although this booklet contains information and instructions for completing a Site Identification form, it should not beconsidered a substitute for the regulations. This booklet serves as a supplement to the regulations and provides additionalinformation not contained in the regulations for completing this form. As a handler of regulated wastes, you areresponsible for learning and complying with all the requirements that apply to you and your regulated waste activities.

7 Failure to comply with Part 111, Part 121, and RCRA requirements may subject you to civil and/or criminal penalties. Understanding these regulations and how they affect your business may be difficult. Reprints of the regulations are notprovided in this booklet. However, copies of the statute and rules for Part 111 may be downloaded free from the Internetat: by following the links: Waste, Hazardous Waste, Hazardous Waste Management, Laws& Rules: Statute and can also obtain a paper copy of Part 111 (for postage for 1 ounce), Part 121 (for postage for 1 ounce), and rulespromulgated for Part 111 (for $ , plus postage for 3 pounds), by sending a self-addressed 12" X 15" envelope withpostage affixed and a check payable to the "State of michigan " for the correct amount to.

8 WASTE AND HAZARDOUS MATERIALS DIVISIONMICHIGAN DEPARTMENT OF ENVIRONMENTAL QUALITYHAZARDOUS WASTE AND RADIOLOGICAL PROTECTION SECTIONPO BOX 30241 LANSING MI 48909-7741If you have any questions concerning the regulations please contact the MDEQ - Waste and HazardousMaterials Division (WHMD) staff in the district office responsible for your facility (see office listing on the inside cover).The following contacts are also available to help with your questions:MDEQ-Waste and Hazardous Materials Division web site Waste, Hazardous Waste, Hazardous Waste Management Forms.

9 Hazardous Waste Program Forms and Permit ApplicationsMDEQ-Environmental Assistance Division web site & Support Services, Technical AssistanceMDEQ-Environmental Assistance Division 1-800-662-9278 RCRA/Superfund Industry Assistance Hotline1-800-424-9346 (Federal regulations only) EPA Small Business Ombudsman Hotline1-800-368-5888 (Federal regulations only)Your Trade Association may also be able to assist your facility has an EPA or a Site Identification Number and/or if you are regulated under other Federal environmentalprograms, you may be able to view data about your site at.

10 You have any questions concerning the completion of the Site Identification Form please contactWHMD at 517-335-2690 and ask for the Site Identification Program you have any questions concerning the User Charges please contact WHMD at 517-335-5318 and press OF CONTENTSSite Identification FormSubmitted to obtain a Site Identification Number (previously an EPA or Liquid Industrial Waste ID Number) orprovide written notification of regulated to determine if your facility handles a hazardous waste that is regulated under Part 111 and RCRA.