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Region 5 State Contacts for Notification of Hazardous Waste Activity Site I.D. Forms
RCRA PROGRAM CONTACTS
The following contact information is offered as a reference for the RCRA regulated community, EPA partners, the Region 5 States and the general public. The information was current as of the point in time that it was posted to this web site.
NOTIFICATION FORM
Companies or individual persons that generate, transport, treat, or dispose of solid wastes are responsible for determining if their solid wastes are hazardous wastes regulated under the Resource Conservation and Recovery Act (RCRA) and, if so, must notify either the US EPA or their respective state of their regulated waste activities. Guidelines for determining if solid wastes are regulated under RCRA and instructions on completing the required Site I.D. Form (select here) EPA Form 8700-12 may be obtained as follows:
CONTACTS FOR NOTIFICATION OF REGULATED WASTE ACTIVITY WITHIN EPA REGION 5
Illinois|Indiana|Michigan|Minnesota|Ohio|Wisconsin
Obtain guidelines and instructions from the address below or to obtain form select EPA Form 8700-12 here:
Submit completed EPA Form 8700-12 to:
ILLINOIS ENVIRONMENTAL PROTECTION AGENCY
Division of Land
Pollution Control
1021 N. Grand Avenue, East
P.O. Box
19276
Springfield, Illinois 62794-9276
Illinois EPA's Frequently
Asked Questions 
Contact: Donna Nicholson Donna.Nicholson@illinois.gov
Telephone
Number: (217) 782-3559
Select here to obtain guidelines and instructions from the Indiana Department of Environmental
Management's "How to Obtain a RCRA ID Number" web site or select EPA Form
8700-12 here.
Submit completed EPA Form 8700-12 to:
INDIANA DEPARTMENT OF ENVIRONMENTAL MANAGEMENT
Office Of Land Quality
100 North Senate Ave, Room 1101
Indianapolis, Indiana
46206-2251
Indiana Department of Environmental Management
Contact: Nick Staller nstaller@idem.in.gov
Telephone Number:
(317) 234-3478
Select here to obtain guidelines and instructions from the Michigan
Department of Environmental Quality's site Identification Form and Directions
EQP5150 web site.
Submit completedMichigan Form EQP5150 to:
MICHIGAN DEPARTMENT OF ENVIRONMENTAL QUALITY
Waste
Management Division
P.O. Box 30241
Lansing, Michigan
48909
Michigan Department of Environmental Quality
Contact: Notification Program
Coordinators
Telephone Number: (517) 373-2730
Select here to obtain the Minnesota Pollution
Control Agency's Notification Form and Instructions web site.
Submit completed forms to:
MINNESOTA POLLUTION CONTROL AGENCY
Industrial Division
Compliance and Enforcement Section
520 Lafayette Road North
St. Paul, Minnesota
55155-4194
Minnesota Pollution Control Agency
Contact: MPCA Customer Assistance
Center
Telephone Number: (651) 297-2274 or
(800) 646-6247
Obtain Ohio's instructions and form at http://www.epa.state.oh.us/dhwm/notiform.html
web site.
Submit completed forms to:
OHIO ENVIRONMENTAL PROTECTION AGENCY
Division
of Hazardous Waste Management
Lazarus Government Center
P.O. Box
1049
Columbus, Ohio 43216-1049
Ohio Environmental Protection Agency
Contact: Kristina Durnell kristina.durnell@epa.state.oh.us
Telephone Number: (614) 644-1694
Obtain guidelines and instructions from the Wisconsin Department of Natural Resources Waste Management Program web site or select EPA Form 8700-12 here.
You may also call one of the Wisconsin Department of Natural Resources Regional offices listed in the above-referenced web site.
Submit completed EPA Form 8700-12 to:
WISCONSIN DEPARTMENT OF
NATURAL RESOURCES
Notification Processing WA/3
Bureau of Solid
Waste
P.O. Box 7921
Madison, Wisconsin 53707-7921
Wisconsin
DNR's Waste Management Program
Contact:
David Kollasch kollad@dnr.state.wi.us
Telephone Number: (608) 264-6022