Dh4081 010 2026

1. Click ‘Get Form’ to open the dh4081 010 in the editor.
2. Begin by entering your Application/Permit Number, selecting whether this is a New application, Renewal, or Change of Tenancy/Amendment.
3. Fill in your Business Name and Owner's Name, along with the Business Mailing Address, including City, State, and Zip Code.
4. Indicate the Occupational License number and Telephone number for your business.
5. Specify how many employees will use the facility and detail the Hours of Operation.
6. List the type and number of sanitary facilities available at your location. Provide anticipated flow details for each facility type listed.
7. Describe all activities that will take place at your business location, including types of waste generated and equipment used.
8. List any chemical compounds routinely used in your business and attach Material Safety Data Sheets as required.
9. Provide information about licensed waste haulers removing wastes from your site.
10. Complete the signature section to confirm accuracy and understanding of responsibilities regarding waste handling.

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