7/21/2019 Contact

http://slidepdf.com/reader/full/contact-56daaffd5ad71 1/12

1

WHERE CAN I OBTAIN ASSISTANCE?

To obtain assistance in filling out the Notification of Regulated Waste Activity, RCRA Hazardous Waste Part APermit Application, or the Hazardous Waste Report , you may call or e-mail your State or EPA Regional Office contact fordetailed assistance. Some States have reporting requirements in addition to those shown in the Federal booklet. See the list

below for State and EPA Regional Office addresses, contact names, telephone numbers, and e-mail addresses.

STATE OFFICE CONTACT INFORMATION

Please return your forms to the appropriate State or EPA Regional Office listed below. Call or email the contactidentified below for additional information. The list of contacts is up-to-date as of March 2015.

Note: Some States use the Federal Form, while others use a State Form. See the list for this information.

STATE ADDRESS CONTACT

AlabamaFederal & State

Form)

Alabama Department of Environmental ManagementLand Division

P.O. Box 301463Montgomery, AL 36130-1463

Notification (State Form) BiennialReport (Federal Form)Adrian Corbitt(334) 274-4163Corbitt@Adem.state.al.usDustin Land(334) 271-7837dland@adem.state.al.us Part A (Federal)Jason Wilson(334) 271-7789

jwilson@adem.state.al.us

Alaska (Federal Form) U.S. EPA Region 10Office of Air Waste and Toxics Resource Management & RCRAState Programs Unit Hazardous Waste ReportAWT-1221200 Sixth AvenueSeattle, WA 98101

For Alaska:Notification of Regulated WasteActivity, RCRA Hazardous WastePart A Permit Application, of theHazardous Waste ReportOfelia Erickson(206) 553-2583erickson.ofelia@epa.gov

AmericanSamoa

RCRA Notification and Hazardous Waste ReportUSEPA Region 975 Hawthorne Street, LND-1San Francisco, CA 94105

Elizabeth Janes(415) 972-3537Janes.elizabeth@epa.gov

7/21/2019 Contact

http://slidepdf.com/reader/full/contact-56daaffd5ad71 2/12

2

STATE ADDRESS CONTACT

Arizona (Federal Form)

RCRA Notification (only) Arizona Department of Environmental QualityWaste Programs DivisionPlanning & Outreach SectionGIS & IT UnitMail Code 4415A-11110 West Washington StreetPhoenix, AZ 85007

Notifications Forms (only)Dee Woodard(602) 771-4232Dw1@azdeq.gov Hazardous Waste Report (only) David Janke(602) 771-4173drj@azdeq.gov

Arkansas (State Form)

Arkansas Department of Environmental QualityHazardous Waste Division5301 Northshore Drive,

North Little Rock, AR 72118-5317

Eric Bella(501) 682-0848

bella@adeq.state.ar.us Carrie Jackson(501) 682-0848

jackson@adeq.state.ar.us

California (Federal Form) California Department of Toxic Substances Control

Attention: RCRA NotificationsorCalifornia Department of Toxic Substances ControlAttention: Biennial Reports

Mail:Via USPS: P.O. Box 806Sacramento, CA 95812-0806Via UPS/FedEx: 1001 I Street, 11 th FloorSacramento, CA 95814

General Information line:(800) 618-6942 or view:www.dtsc.ca.gov , see links for ID

Number or Biennial Report.

Send 8700-12 electronic copies toidnumber@dtsc.ca.gov , note howeverwet ink signature page required to bereceived in hard copy.

Send Biennial Report questions to: brsstaff@dtsc.ca.gov

Colorado (Federal Form)

Colorado Department of Public Health and EnvironmentHMWMD (Mailcode HMWMD-CP-B2)4300 Cherry Creek Drive, South

Denver, CO 80246-1530

Laura Gurule(303) 692-3360Laura.gurule@state.co.us

Commonweatlhof NorthernMariana Islands(Federal Form)

RCRA Notification and Hazardous Waste Report U.S. EPA Region 975 Hawthorne Street LND-1San Francisco, CA 94105

Elizabeth Janes(415) 972-3537Janes.elizabeth@epa.gov

Connecticut (Federal Form)

Connecticut Departmentof Environmental ProtectionBureau of Waste Management, 4th floor79 Elm Street Hartford, CT 06106-5127

Notification and Part A FormsJulie Dutton(860) 424-3279Julie.Dutton@ct.govHazardous Waste Report (BR) FormsDavid Westcott(860) 424-3666David.Westcott@ct.gov

7/21/2019 Contact

http://slidepdf.com/reader/full/contact-56daaffd5ad71 3/12

3

STATE ADDRESS CONTACT

Delaware (Federal Form)

Delaware Department of Natural ResourcesAnd Environmental ControlSolid and Hazardous Waste Management Branch89 Kings HighwayDover, DE 19901

Debra Nielsen(302) 739-9403Fax (302) 739-5060

Debra.nielsen@state.de.us

District ofColumbia(Federal Form forLQGs. If lessthan 1,000 kg, useDistrict forms).

District Department of EnvironmentToxic Substances Division1200 First Street, NE 5 th FloorWashington, DC 20002

Jan Walwyn(202) 671-5120Fax (202) 535-1383

jan.walwyn@dc.gov

Florida (State Form)

Florida Department of EnvironmentalProtection Operational and Program Performance MS-45552600 Blair Stone RoadTallahassee, FL 32399-2400

Erin Wilcox(850) 245-8754erin.wilcox@dep.state.fl.us http://www.dep.state.fl.us/waste/categor ies/hazardous/pages/BRS_data.htm

Georgia (Federal Form)

Georgia Department of Natural Resources Hazardous WasteManagement BranchSuite 1054, East Tower2 Martin Luther King, Jr. Dr.Atlanta, GA 30334-9000

Linda Weglewski(404) 657-8839linda.weglewski@dnr.state.ga.us Part A State Form:http://epd.georgia.gov/hazardous-waste-forms-0

Guam (Federal Form)

RCRA Notification Hazardous Waste Report Guam Environmental Protection Agency Building 173304 Mariner AvenueTiyan, Guam 96913

Don Quinata(671) 475-1637don.quinata@epa.guam.gov Michael O’Mallan(671) 475-1617michael.omallan@epa.guam.gov

Hawaii (Federal Form)

Hawaii Department of HealthSolid and Hazardous Waste BranchRoom 212919 Ala Moana Boulevard

Honolulu, HI 96814

Grace Simmons(808) 586-4226Gracelda.simm ons@doh.hawaii.gov

Noa Klein

noa.klein@doh.hawaii.gov

Idaho (Federal Form)

Idaho Department of Environmental QualityWaste Management & Remediation Division2nd Floor1410 North HiltonBoise, ID 83706

Notification of Regulated WasteActivity, RCRA Hazardous WastePart A Permit Application, or theHazardous Waste ReportRene Anderson(208) 373-0210rene.anderson@deq.idaho.gov

7/21/2019 Contact

http://slidepdf.com/reader/full/contact-56daaffd5ad71 4/12

4

STATE ADDRESS CONTACT

Illinois(Federal & StateForm)

Illinois Environmental Protection AgencyRecords Management Division MC16P.O. Box 19276Springfield, IL 62794-9276

Illinois Environmental Protection AgencyBureau of Land, MC 33P.O. Box 19276Springfield, IL 62794-9276

Illinois Environmental Protection AgencyBureau of Land, MC 24P.O. Box 19276Springfield, IL 62794-9276

Notification of Hazardous WasteActivity (Federal Form) (only) Donna Nicholson(217) 782-3559donna.nicholson@illinois.gov RCRA Hazardous Waste Part APermit Application (Federal Form) (only)

Nancy Gutmann-Kelly(217) 524-3287nancy.gutmann-kelly@illinois.gov Hazardous Waste Report (StateForm) (only) Hope Wright(217) 785-2361hope.wright@illinois.gov

Indiana (Federal Form forNew Notificationsand State Form forupdates)

Indiana Department of Environmental ManagementOffice of Land QualityRoom 1101100 North Senate AvenueIndianapolis, IN 46204-2251

Regulatory Reporting Section(317) 233-0066Fax (317) 234-0428olqregulatoryreporting@idem.in.gov

Iowa (Federal Form)

U.S. EPA Region 7AWMD/WEMM

11201 Renner BoulevardLenexa, Kansas 66219

Elizabeth Koesterer913-551-7673

koesterer.elizabeth@epa.gov

Kansas (State Form)

Kansas Department of Health &Environment

Bureau of Waste Management1000 SW Jackson, Suite 320Topeka, Kansas 66612-1366

Debbie Lusby(785) 296-0005notifications@kdheks.gov www.kdheks.gov/waste

Kentucky (State Form)

Kentucky Division of Waste ManagementHazardous Waste Branch200 Fair Oaks Ln

Frankfort, KY 40601

Carla Cornettcarla.cornett@ky.govEdith Greeredith.greer@ky.gov (questions on electronic filing)Maria WoodMaria.wood@ky.gov (502) 564-6716

7/21/2019 Contact

http://slidepdf.com/reader/full/contact-56daaffd5ad71 5/12

5

STATE ADDRESS CONTACT

Louisiana (Federal Form)

Louisiana Department of Environmental QualityOES, Permit Support Services Division

P.O. Box 4313Baton Rouge, LA 70821-4313[located at 602 N. Fifth Street, B.R., LA 70802]

Hazardous Waste Report Form: Sheryl Grimmer

(225) 219-1665Sheryl.grimmer@la.gov Notification Form: Lee McNabb(225) 219-3244malcolm.mcnabb@la.gov Part A Permit Form:

Nora Lane(225) 219-3422

Nora.lane@la.gov Estuardo Silva (225) 219-3421estuardo.silva@la.gov

Maine (Federal Form)

Maine Department of Environmental ProtectionBureau of Remediation and WasteDivision of Oil and Hazardous Waste Facilities RegulationRay Building

17 State House StationAugusta, ME 04333-0017[Located at 28 Tyson Drive]

Notification Form & Part A PermitForm:Tom Gilbert(207) 287-4861Thomas.Gilbert@maine.gov Hazardous Waste Report Form:Cherrie Plummer(207) 287-7882cherrie.f.plummer@maine.gov

Maryland (Federal Form) Maryland Department of the EnvironmentHazardous Waste ProgramSuite 6501800 Washington BoulevardBaltimore, MD 21230-1719

Floyd Owens410-537-3344fowens@mde.state.md.us

Massachusetts (Federal Form)

Massachusetts Department of EnvironmentalProtectionBureau of Waste Prevention7th Floor One Winter StreetBoston, MA 02108

Michael Hurley(617) 292-5633michael.m.hurley@state.ma.us http://www.mass.gov/dep

Michigan (Federal Form)

Michigan Department of Environmental Protection Waste andHazardous Materials DivisionP.O. Box 30241Lansing, MI 48909

Biennial Report ProgramCoordinator(517) 335-2690http://www.michigan.gov/deq/1,1607,7-135-3312---,00.htmlhttp://www.deq.state.mi.us/WDSPI

7/21/2019 Contact

http://slidepdf.com/reader/full/contact-56daaffd5ad71 6/12

6

STATE ADDRESS CONTACT

Minnesota (Federal Form)

Minnesota Pollution Control AgencyRegulatory Data Management

Attn: Jelil Abdella520 Lafayette Rd. N St. Paul MN 55155

Attn: Jelil Abdella(651) 757-2178

a-jelil.abdella@pca.state.mn.us

Mississippi (Federal Form)

Mississippi Department of Environmental QualityEnvironmental Compliance & Enforcement Div. P.O. Box 2261Jackson, MS 39225-2261[located at 515 East Amite Street Jackson, MS39201]

Biennial Report Forms: Sonia Weddington(601) 961-5305Sonia_Weddington@deq.state.ms.us Notification & Part A Permit Forms:Sonia Weddington(601) 961-5305Sonia_Weddington@deq.state.ms.us

Missouri (Federal Form)

Missouri Department of Natural ResourcesP.O. Box 176Jefferson City, MO 65102

David Green(573) 751-3204david.green@dnr.mo.gov

Montana (Federal & StateForm)

Montana Department of Environmental QualityWaste and Underground Tank ManagementBureau Hazardous Waste Program Attn: MarkHallP.O. Box 200901Helena, MT 59620-0901

Mark Hall(406) 444-4096mahall@mt.gov Pamela LaFountaine(406) 444-2891

plafountaine@mt.gov Fax: (406) 444-1374http://deq.mt.gov/hazwaste

Navajo Nation (Federal Form)

Attention: RCRA Notifications orAttention: Biennial Reports

USEPA, Land Division (LND-1)75 Hawthorne Street, San Francisco, CA 94105

Copy in both cases: NNEPA, RCRA C ComplianceP.O. Box 339, Window Rock, Navajo Nation, (AZ) 86515

Elizabeth Janes(415) 972-3537

jane .elizabeth@epa.gov

Nebraska (Federal Form)

Nebraska Departmentof Environmental QualityWaste Management Section, Suite 4001200 N StreetThe Atrium Building Lincoln, NE 68509-8922[located at 1200 N Street]

Compliance Unit/Waste Management Section(402) 471-4210Fax: (402) 471-2909

7/21/2019 Contact

http://slidepdf.com/reader/full/contact-56daaffd5ad71 7/12

7

STATE ADDRESS CONTACT

Nevada (Federal Form)

Nevada Department of Conservation and Natural ResourcesDivision of Environmental ProtectionSuite 4001901 S Stewart StreetCarson City, NV 89701-5249

Jim Trent(775) 687-9478Jtrent@ndep.nv.gov Valerie Kauffman(775) 687-9464vkauffman@ndep.nv.gov

New Hampshire(SpecialProcedure contactstate)

New Hampshire Department of Environmental ServicesP.O. Box 95Concord, NH 03302[located at 29 Hazen Drive]

Maria Michel(603) 271-2921Maria.Michel@des.nh.gov

New Jersey (Federal Form)

Notification of Regulated Waste Activity/Site Identificationforms/Biennial Report Forms and Part A Forms

NJ Department of Environmental ProtectionHazardous Waste Compliance & Enforcement9 Ewing St. 3 rd Flr. Mail Code 09-03P.O. Box 420Trenton, NJ 08625-0420

Phone: (609) 292-2913(main) (609) 943-3019 (alt.)Fax: (609) 292-3970Email:Becky.Mulle n@dep.nj.govPat.Buffin@dep.nj.govChimene.White@dep.nj.govGale.Vincent@dep.nj.gov Carla.Davis@dep.nj.gov

New Mexico (Federal Form)

New Mexico Environment DepartmentHazardous Waste Bureau Building 12905 Rodeo Park Dr. East Building 1Santa Fe, NM 87505-6303

James S. Valdez(505) 476-6018Fax: (505) 476-6030

james.valdez@state.nm.us www.nmenv.state.nm.us/hwb/index.htm

New York (BR-State Formand NotificationPart A FederalForm)

Biennial Report forms should be mailed to: New York State Department ofEnvironmental ConservationDivision of Remediation625 Broadway, 12th FloorAlbany, NY 12233-7250Notification of Regulated Waste Activity/Site Identificationforms (not included as part of a Biennial Report) EPA Form8700-12 and Part A Form 8700-23 should be mailed to:USEPA Region 2CASD-Hazardous Waste Programs BranchAtt: RCRA Notifications290 Broadway, 22nd Floor

New York, NY 10007-1866

Toni Norfleet(518) 402-8730hazardousreport@dec.ny.gov www.dec.ny.gov/chemical/8770.htmlRCRA Notification Section(212) 637-4106

7/21/2019 Contact

http://slidepdf.com/reader/full/contact-56daaffd5ad71 8/12

8

STATE ADDRESS CONTACT

North Carolina(Federal Form)

Postal Address: North Carolina Division Waste ManagementHazardous Waste Section1646 Mail Service CenterRaleigh, NC 27699-1646Physical Address: 217 W. Jones StreetRaleigh, NC 2760

Patricia Davalos(919) 707-8233Patricia.davalor@ncdenr.gov Melodi (Mel) Deaver(919) 707-8204

Melodi.Deaver@ncdenr.gov

North Dakota(Federal Formand SQG-StateBR Form)

North Dakota Department of HealthDivision of Waste Management1120 28 th Ave. N., Suite BFargo, ND 58102

Christine K. Roob(701) 499-5207croob@nd.gov www.ndhealth.gov/wm

Ohio(State Form)

Ohio Environmental Protection AgencyDivision of Hazardous Waste ManagementP.O. Box 1049Columbus, OH 43216-1049

Notification (State Form) Part A (Federal Form & State Info.)Jim Long(614) 728-5324 james.long@epa.ohio.govhttp://epa.ohio.gov/dmwm/Home/Notiform.aspx Biennial Report Form (State Form) Thomas Babb(614) 914-2527Thomas.babb@epa.ohio.gov Ralph McGinnis(614) 644-3065Ralph.mcginnis@epa.ohio.gov

http://epa.ohio.gov/dmwm/home/hwannualreportprogram.aspx

Oklahoma (Federal Form)

Oklahoma Department of Environmental QualityLand Protection DivisionData Management Section707 North Robinson AvenueOklahoma City, OK 73102

Lixia (Alicia) Chen(405) 702-5219Alicia.Chen@deq.ok.gov Al Coulter(405) 702-5189Al.Coulter@deq.ok.gov Biennial Report FormRoarke.Blackwell

(405) 702-5127Roarke.Blackwell@deq.ok.gov

7/21/2019 Contact

http://slidepdf.com/reader/full/contact-56daaffd5ad71 9/12

9

STATE ADDRESS CONTACT

Oregon (State Form)

Oregon Department of Environmental Quality811 S. W. Sixth AvenuePortland, OR 97204-1390

Notification and Part A:Edna Mayes(503) 229-6938Mayes.edna@deq.state.or.us

Biennial Report:Patty McGovern(503) 229-6765Mcgovern.patty@deq.state.or.us Notification and BR for OregonTribes:Federal Form is required for TribalLocationsOfelia Erickson(206) 553-2583Erickson.ofelia@epa.gov

Pennsylvania (Federal Form)

Pennsylvania Department of Environmental ProtectionBureau of Waste Management14th FloorP.O. Box 69170Harrisburg, PA 17105-9170[for UPS or FedEx: 400 Market Street Harrisburg, PA 17101-2301]

Part A:Vu Tran(717) 787-6239P.O. Box 69170vutran@pa.gov Biennial Report:Robert Finkel(717) 783-9183P.O. Box 8550rfinkel@pa.govNotification & Site Identificaton:Chris Gilmore(717) 787-6239P.O. Box 69170cgilmore@pa.govhttp://www.dep.state.pa.us

Puerto Rico Federal Form)

Biennial Report forms should be mailed to: Puerto Rico Environmental Quality BoardP.O. Box 11488San Turce, PR 00910Notification of Regulated Waste Activity/Site Identificationforms (not included as part of a Biennial Report) EPA Form8700-12 and Part A Form 8700-23 should be mailed to:USEPA Region 2CASD-Hazardous Waste Programs BranchAtt: RCRA Notifications290 Broadway, 22nd Floor

New York, NY 10007-1866

Biennial Report website assistance(787) 767-8181 Ext. 3561ivetterodriguez@jca.gobierno.pr

RCRA Notification Section(212) 637-4106

7/21/2019 Contact

http://slidepdf.com/reader/full/contact-56daaffd5ad71 10/12

10

STATE ADDRESS CONTACT

Rhode Island (Federal Form)

Rhode Island Departmentof Environmental ManagementOffice of Waste Management235 Promenade StreetProvidence, RI 02908-5767

Mark Dennen(401) 222-2797 ext. 7112mark.dennen@dem.ri.gov

South Carolina(State Form )

South Carolina Department of Health and EnvironmentalControlBureau of Land and Waste Management2600 Bull StreetColumbia, SC 29201-1708

Lisa Yeager(803) 898-0482yeageref@dhec.sc.govhttp://www.scdhec.gov/Environment/PermitCentral/ApplicationForms/#Haz

South Dakota (Federal Form)

South Dakota Department of Environment and Natural Resources

Waste Management Program523 East Capitol AvenuePierre, SD 57501

Biennial Report & Notification Form:Dustin Witt(605) 773-3153Dustin.Witt@state.sd.usBiennial Report Form:http://denr.sd.gov/des/wm/hw/

hwbiennial.aspxPart A Permit Form: Carrie Jacobson(605) 773-3153Carrie.Jacobson@state.sd.us http://denr.sd.gov/des/wm/hw/hwmainpage.aspx

Tennessee(State Form)

Tennessee Department of Environment and ConservationDivision of Solid Waste ManagementWilliam R. Snodgrass Tennessee Tower312 Rosa L. Parks Ave. 14 th Floor

Nashville, TN 37243

Ed King(615) 532-0240Ed.king@tn.us

Texas (State Form)

Texas Commission on Environmental QualityRegistration and Reporting Section MC 129P.O. Box 13087Austin, TX 78711-3087

Andriana (Andi) Windham(512) 239-1325Andi.Windham@tceq.texas.gov

Trust Territories(Federal Form)

RCRA Notification and Hazardous Waste Report U.S. EPA Region 975 Hawthorne Street LND-1San Francisco, CA 94105

Elizabeth Janes(415) 972-3537Janes.elizabeth@epa.gov

Utah (Federal Form)

Utah Department of Environmental QualityDivision of Solid and Hazardous WasteP.O. Box 144880Salt Lake City, UT 84114-4880

Biennial Report, Notification Part A,and Permit Forms: Carlee Christoffersen(801) 536-0233cchristoffersen@utah.govRalph Bohn(801) 536-0200rbohn@utah.gov

7/21/2019 Contact

http://slidepdf.com/reader/full/contact-56daaffd5ad71 11/12

11

STATE ADDRESS CONTACT

Vermont (Federal Form)

Vermont Department of EnvironmentalConservation

Waste Management and Prevention Division1 National Life DriveMontpelier, VT 05620-3704

Primary Contact for BRMaria Stadlmayer(802) 522-0239Maria.stadlmayer@state.vt.us (Site ID and Part A Notificationforms, backup on BR)

Linda Joyal(802) 522-0239Linda.joyal@state.vt.us

Virgin Islands (Federal Form)

U.S. EPA Region 2CASD-Hazardous Waste Programs BranchAttn: RCRA Notifications290 Broadway, 22nd floor

New York, NY 10007-1866

RCRA Notification Section(212) 637-4106Biennial Report forms only:Betsy Lopez(212) 637-3194Lopez.betsy@epa.gov

Virginia (Federal Form)

Virginia Department of Environmental QualityLand Division629 E. Main StreetRichmond, VA 23219

Kimberlyn Hughes(804) 698-4201Fax (804) 698-4327Kimberlyn.hughes@deq.virginia.gov

Washington(State Form)

Washington State Department of EcologyHazardous Waste and Toxic ReductionP.O. Box 47658Olympia, WA 98504-7658

Notification (State Form is requiredfor non-Tribal and Puyallup Triballocations)Iris Aquilera(360) 407-6734Iagu461@ecy.wa.gov Part A (State Form) Pallavi Mukerjee(360) 407-7018Pmk461@ecy.wa.gov Biennial Report (State Form)Kathleen Kaynor(360) 407-6735Kraw461@ecy.wa.gov Notification and BR (Federal Form isrequired for Tribal Locations except

the Puyallup Tribe)Ofelia Erickson (206) 553-2583Erickson.ofelia@epa.gov

7/21/2019 Contact

http://slidepdf.com/reader/full/contact-56daaffd5ad71 12/12

12

STATE ADDRESS CONTACT

West Virginia(Federal Form)

West Virginia Department of Environmental Protection602 57 th StreetCharleston, WV 25304

Margie Skeens(304) 926-0499 ext. 1297Marjorie.A.Skeens@wv.gov

Wisconsin

(Federal Form)

Wisconsin Department of Natural Resources

Bureau of Waste and Materials ManagementP.O. Box 7921Madison, WI 53707-7921[located at 101 South Webster Street]

Receptionist will direct you to

appropriate WIDNR Regional Office(608) 266-211

Wyoming (Federal Form)

Wyoming Department of Environmental QualitySolid & Hazardous Waste Division122 West 25th StreetCheyenne, WY 82002

Tim Link(307) 777-7752tlink@state.wy.us