Dtsc Form 1358, Permanent State Id Number Application – California Environmental Protection Agency, Department Of Toxic Substances Control
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3State of California – California Environmental Protection Agency
Department of Toxic Substances Control
Office of Environmental Information Management
Permanent State ID Number Instructions and Application (DTSC Form 1358)
Do not use DTSC Form 1358 to apply for a temporary State ID number or to apply or make changes to a federal EPA ID number.
Item #
Section
•
1
New Number
If you are applying for a new permanent State ID number, check this box. Select Generator,
Requests
Transporter or both, and select the reason you are applying.
•
You cannot apply for a new permanent State ID number and the inactivation of an existing
permanent State ID number on the same application. Two separate applications must be submitted.
•
2 – 5
Changes to Status or
Check the appropriate box to update, inactivate or reactivate a permanent State ID number or to
Information for an
change the business name only.
Existing State ID
•
A permanent State ID number is specific to the location and owner to which it was assigned. If your
Number
business has moved or had a change in ownership, you must apply for a new permanent State ID
number.
•
You may change the business name without applying for a new permanent State ID number if there
has been no change in ownership.
•
6
Site/Facility/Business
Enter the legal name of the site/facility/business, this may include a Doing Business As (DBA).
Name
•
7
Site Location
Enter the site/business location address, including the name of the county.
•
A permanent State ID number is specific to the location and owner to which it was assigned. If your
business has moved or had a change in ownership, you must apply for a new permanent State ID
number.
•
The address must be a physical address; street number and street name. If there is no physical
address, latitude and longitude or assessor’s parcel number is acceptable.
•
Post office boxes or descriptive addresses are not acceptable.
•
8a –
Federal Employer ID
Enter the Federal Employer ID Number (FEIN), also known as the Federal Tax Identification Number.
8b
Number
If the business is a sole proprietorship and does not have a FEIN, enter “sole proprietorship” or
Board of Equalization
“N/A”. This field is required and cannot be left blank.
(BOE) Number
•
A BOE Number, also known as a hazardous waste generator fee account number is only required if
your business generates or produces five or more tons of hazardous waste per calendar year,
regardless of the final waste disposition. DTSC notifies the California State Board of Equalization
(BOE) when a State ID number has been issued. To apply for a BOE Number or for more information,
please visit www.boe.ca.gov.
•
If the business does not have a BOE Number, this field will be blank.
•
9
Mailing Address
Enter the mailing address. This address may be different from the site location address.
•
10
Site Contact
Enter the site contact person’s name, address, and phone number.
•
Information
Entering an email address and fax number are recommended if available.
•
11
Legal Business
Enter the legal business owner’s information. If the business is a corporation, enter the company’s
Owner
legal business name. Example: Mike’s Bikes, Inc.
•
Do not enter the property owner or management company since they are not the entity generating
hazardous waste.
•
DTSC does allow a change in ownership to an immediate family member without issuing a new
permanent State ID number.
•
If there has been a change in ownership, you must apply for a new permanent State ID number.
•
12
Standard Industrial
Enter your 4-digit Standard Industrial Classification (SIC) Code. The SIC Code best describes your
Classification (SIC)
company’s primary business activity. To search for your SIC Code please visit
Code for the Site
https://www.osha.gov/pls/imis/sicsearch.html.
•
13
Certification
The application must include a hand-written signature of an owner, officer or employee of the
business or an authorized consultant. DTSC does not accept digital signatures.
•
Enter the date, name, title, and phone number of the person who is signing.
Application Submission
Postal Mail
Email
Fax
Department of Toxic Substances Control
idnumber@dtsc.ca.gov
(916) 323-3500
OEIM – Business Operations Unit, 11th Floor
P.O. Box 806
An email submission is recommended for
DTSC does not confirm receipt of faxes.
trackability.
Sacramento, CA 95812-0806
DTSC does not confirm receipt of mail.
Instructions for DTSC Form 1358 (9/18)
Page 1 of 3
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