The contact information required by Env-Dw 303.03(c) shall be as follows:

1. (a) The legal name, mailing address, street address, billing address, daytime telephone number, and fax number of the laboratory and, if available, the e-mail address and web site address of the laboratory;
2. (b) The name, daytime telephone number, extension number, if applicable, and e-mail address of the individual at the laboratory who is the contact for purposes of the application;
3. (c) The name and title of the individual authorized by the laboratory to sign the application form;
4. (d) The name and daytime telephone number including extension, if applicable, of the authorized agent;
5. (e) The name and daytime telephone number including extension, if applicable, of the quality assurance officer; and
6. (f) The name and daytime telephone number including extension, if applicable, of the lead technical manager and of each additional technical manager.

Source. (See Revision Note at chapter heading for Env-C 300) #12065, eff 1-1-17; ss by #13291, eff 11-23-21