Hazardous Waste Storage Facility Accumulation Time Extension Request

Wisconsin's hazardous waste regulations allow both Large Quantity Generators (LQGs) and Small Quantity Generators (SQGs) to request an accumulation (storage) time limit extension in the event of unforeseen, temporary or uncontrollable circumstances that prevent shipment of hazardous waste off site within the 90-day timeframe (LQGs) and or 180-day timeframe (SQGs).

Please fill out this information in order to request a 30-day hazardous waste storage facility accumulation time extension to your existing storage limit.

Large Quantity Generators (LQGs) - s. NR 662.034(2), Wis. Adm. Code
Small Quantity Generators (SQGs) - s. NR 662.192(3), Wis. Adm. Code

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* 1. Business Name

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* 2. US EPA ID Number

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* 3. Contact Information

Contact Name

Email Address

Phone Number

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* 4. Generator Status

Large Quantity Generator (LQG)

Small Quantity Generator (SQG)

Extensions may be granted due to unforeseen, temporary and uncontrollable circumstances. Please select a reason for your extension below. If you select "Other," please provide an explanation.

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* 5. Reason for Time Extension

Scheduled receiving facility closed or unavailable

Scheduled transporter is delayed or unavailable

Facility is unable to move waste off-site due to closure and/or staffing issues

Other (please specify):

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* 6. What is your current deadline for moving hazardous waste off-site?

Note: LQGs have a 90-day timeframe and SQGs have a 180-day timeframe. The date below should be the date that your current accumulated hazardous waste would exceed your existing time limit.

Current deadline

Date

Hazardous Waste Storage Facility Accumulation Time Extension Request

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* 1. Business Name

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* 2. US EPA ID Number

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* 3. Contact Information

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* 4. Generator Status

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* 5. Reason for Time Extension

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* 6. What is your current deadline for moving hazardous waste off-site?

Note: LQGs have a 90-day timeframe and SQGs have a 180-day timeframe. The date below should be the date that your current accumulated hazardous waste would exceed your existing time limit.

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* 7. Please describe the type and volume of hazardous waste for which you are requesting this extension.

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* 8. Have you requested an extension for the same waste before?

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* 9. Please enter any additional comments you have.

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* 1. Business Name

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* 2. US EPA ID Number

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* 3. Contact Information

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* 4. Generator Status

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* 5. Reason for Time Extension

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* 6. What is your current deadline for moving hazardous waste off-site?Note: LQGs have a 90-day timeframe and SQGs have a 180-day timeframe. The date below should be the date that your current accumulated hazardous waste would exceed your existing time limit.

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* 7. Please describe the type and volume of hazardous waste for which you are requesting this extension.

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* 8. Have you requested an extension for the same waste before?

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* 9. Please enter any additional comments you have.

* 6. What is your current deadline for moving hazardous waste off-site?

Note: LQGs have a 90-day timeframe and SQGs have a 180-day timeframe. The date below should be the date that your current accumulated hazardous waste would exceed your existing time limit.