Get Dtsc Form 1171 - The Department Of Toxic Substances Control ... - Dtsc Ca

Filling out the DTSC Form 1171 is essential for notifying the Department of Toxic Substances Control about household hazardous waste collection facilities. This guide will provide clear instructions for each section of the form to ensure you complete it accurately and efficiently online.

Follow the steps to fill out the DTSC Form 1171 effectively.

1. Click ‘Get Form’ button to obtain the form and open it in the online editor.
2. Carefully read the top of the form to identify the type of notification required. You may need to check the boxes for 'Initial Notification', 'Revised Notification', 'One Time Event', or 'Continuous Operations' as applicable.
3. Fill in the Facility Information section. Complete the following fields: Facility Name, Address, City, County, State, Zip Code, and Facility EPA ID Number.
4. In the Facility Operation Information section, indicate the Date(s) the facility will operate or begin operations. Then, check the appropriate day(s) of operation and enter the collection hours.
5. Provide any additional collection information needed in the designated space.
6. In the Contact Person section, enter the Name, Agency, and Phone Number of the person responsible for the facility.
7. In the Waste Collected section, check all applicable types of waste that will be accepted at the facility. This includes lead acid batteries, small household batteries, latex paint, used oil, etc.
8. Certify the information by entering the name of the Sponsoring Public Agency, its address, printing your name and title, and providing your signature and date.
9. After completing all sections, ensure that the form is saved. You may also choose to download, print, or share the document as needed.

Proceed to complete your DTSC Form 1171 online today.