RCRA Hazardous Waste Storage Extension Application

If you are unable to complete this form, please contact Trent Mitchell at trent.mitchell@state.co.us.

Generator name *

EPA ID # *

Facility generator status

LQG

SQG

Facility address

Facility city

Facility state

Facility zip code

Is the facility mailing address different than the physical address?

Yes

No

Facility mailing address

Facility mailing city

Facility mailing state

Facility mailing zip code

Email address *

Please confirm email address *

Phone number

Please select the number of waste streams you are applying for an extension. If you have more than ten, you will have the opportunity to fill out another form. *