8. Facility Contact Information/Personnel Select the primary contact by checking the box after the person whom will be the primary contact for questions regarding this application. Only primary contact should be selected. If any person in a f is a duplicate of a previously listed person, it one – is only necessary to indicate that this information is contained elsewhere in the application in the ‘Name’ blank. For example, the emergency contact is the same as the as be written in the blank under owner, so ‘same owner’ would ‘Name’ to contact in case of an ‘Person emergency.’ a. Manager of facility who is located at site Name Primary Contact Title Company Street or P.O. Box Suite, Mail Drop, or Division City State Zip Business Phone Cell Phone (Optional) E-mail (Optional) b. On-site contact regarding waste tires permit Name Primary Contact Title Company Street or P.O. Box Suite, Mail Drop, or Division City State Zip Business Phone Cell Phone (Optional) E-mail (Optional) c. Person to whom written correspondence should be directed Name Primary Contact Title Company Street or P.O. Box Suite, Mail Drop, or Division City State Zip Business Phone Cell Phone (Optional) E-mail (Optional) d. Person to contact in case of emergency, if different from owner in Section 1 Name Primary Contact Title Company Street or P.O. Box Suite, Mail Drop, or Division
8. Facility Contact Information/Personnel Select the primary contact by checking the box after the person whom will be the primary contact for questions regarding this application. Only one primary contact should be selected. If any person in a – f is a duplicate of a previously listed person, it is only necessary to indicate that this information is contained elsewhere in the application in the ‘Name’ blank. For example, the emergency contact is the same as the owner, so ‘same as owner’ would be written in the ‘Name’ blank under ‘Person to contact in case of an emergency.’ a. Manager of facility who is located at site Name Primary Contact Title Company Suite, Mail Drop, or Division Street or P.O. Box City State Zip Business Phone Cell Phone (Optional) E-mail (Optional) b. On-site contact regarding waste tires permit Name Primary Contact Title Company Suite, Mail Drop, or Division Street or P.O. Box City State Zip Business Phone Cell Phone (Optional) E-mail (Optional) c. Person to whom written correspondence should be directed Name Primary Contact Title Company Suite, Mail Drop, or Division Street or P.O. Box City State Zip Business Phone Cell Phone (Optional) E-mail (Optional) d. Person to contact in case of emergency, if different from owner in Section 1 Name Primary Contact Title Company Suite, Mail Drop, or Division Street or P.O. Box
Waste%20Tire%20Permit%20Application_r02.docx