COMPLIANCE INFO_PRE 2019 - Laserfiche WebLink

Home Browse Search

State of California—California Environmental Protection Agency Department of Toxic Substances Control GISS, P.O Box 806 Sacramento CA 95812-0806 Item 5: Check this box to change the name of your business for the ID number shown. Please complete items 7 and 8. You may update this information as long as there has not been a change in ownership. If you have had a change in ownership, go to item 1. Item 6: Enter the legal name of the site/facility/business. Also include a DBA (Doing Business As) or fictitious business name, if you have one. Item 7: Enter the site/business location address, including county name. The address must be a physical address; s reet number and street name. If there is no street number and street name, latitude and longitude or Assessors Parcel Number(APN) may be used. Post Office boxes or descriptive addresses are not acceptable as a site location. Please do not abbreviate. Item 8: (a) Provide the business's Federal Employer Identification Number(FEIN). An FEIN, also known as a Federal Tax Identification Number, is used to identify a business entity. Go to www.irs.aov/businesses/small/article/O,,id=98350.00.html for additional information or call (800) 829-4933. Ali FEIN is usually written 00-00000000. (b) If the business has a Board of Equalization (BOE) fee account number, also known as a hazardous waste generator fee account number, please provide it. If the business does not have a BOE fee account number leave this space blank. A BCE number is only required if the business generates or produces five or more tons of hazardous Waste per calendar year, regardless of the final disposition of the waste. If you meet this criteria arid do not have a number, please contact BOE at (916) 323-9534 or visit their website at www.bo .ca. ov. Item 9: Provide the site/business mailing address. The mailing address may be different from the location address. Ite,n 10: Enter the site contact person's information. Select your preferred primary communication method, mail ore ail. Item 11: Enter the legal business owner's information. Use a company name if the business is a corporation or provide the owner's name if the business is a sole proprietorship. Do not list the property owner or nanagement company, if they are not the entity generating the hazardous waste. Please provide the owner's address, and phone and fax numbers. Item 12: Enter the 4-digit Standard Industrial Classification Code (SIC). The SIC Code is a four- digit number that best describes your company's primary business activity. If your company's SIC Code is unknown, go to the Internet at:www.osha.gov/oshstats/sicser.html to search for the Code. You may find it helpful to follow the online link"examine the manual structure". Item 13: Sign and date. Common ISIC Codes 3599 - Machine Shop 5541 - Gas Station 5511 - Car Dealer 7532 -Auto Body Shop 7538 - Auto Repair(general) 7623 - Refriger. &Air Conditioning Repair 8021 - Dental Office 7212 - Dry Cleaner Instructions for DTSC Form 1 58(6/08) Page 3 of 4