Each applicant shall supply the following information on or as an attachment to the application form specified in Env-A 1816.01 through Env-A 1816.06, as applicable:
- (a) The name, mailing address, telephone number, telephone type, and email address of the applicant;
- (b) Date of birth of the applicant, if an individual;
- (c) If applicable, a list of alternate names, acronyms, or other identifiers by which the applicant is or has been known by, or uses, or has used, to conduct business or perform work;
- (d) Whether the application is initial or renewal;
- (e) Whether the applicant has been issued an asbestos-related license or certification for asbestos abatement work within the previous 5 years by any other state or federal agency;
- (f) If applicable, a copy of each asbestos-related license or certification issued, unless previously submitted;
(g) Whether any state or federal agency has taken any of the following with regard to environmental, health, or safety requirements against the applicant within the previous 10 years;
- (1) Enforcement action; or
- (2) Action related to a license, certification, or application for a license or certification, such as suspension, revocation, or denial, against the applicant or its responsible persons; and
- (h) If applicable, a copy of each state or federal enforcement action or action related to a license, certification, or application for a license or certification, such as suspension, revocation, or denial, and explanation of the status of such actions, unless previously submitted.
Source. (See Revision Note #1, Revision Note #2, and Revision Note #3 at chapter heading for Env-A 1800) #14104, eff 11-1-24; ss by #14467, eff 1-1-26, EXPIRES: 1-1-36