Follow the steps to fill out the WI 4800-023 correctly.

1. Click ‘Get Form’ button to obtain the form and display it in the editor.
2. Begin by providing facility information in the designated fields, including the name of the audited facility and the date when the notice of intent application was submitted to the Department of Natural Resources (DNR). Indicate whether the facility is governmental or non-governmental by selecting the appropriate option.
3. If there are any changes to the facility address, permits, or contact information from the audit notification, select 'Yes' and provide the necessary updates in sections 1.a and 1.b. If there are no changes, select 'No.'
4. In the 'Environmental Compliance Audit Information' section, input the name of the person or firm that conducted the audit and the corresponding contact information. Specify the completion date of the audit and the date the final written report was submitted.
5. Confirm whether the scope of the audit aligns with the original audit notification by selecting 'Yes' or 'No,' and if 'No,' provide a brief explanation of any changes.
6. Complete the violation disclosure information by filling out the ENVIRONMENTAL ENVIRO-CHECK AUDIT REPORT SUMMARY TABLE (Table A), detailing each violation found during the audit, including the type and regulation it relates to.
7. For violations that will be corrected within 90 days, provide a detailed description for each violation, including actions taken or proposed to rectify the issue, mentioning relevant timelines.
8. For violations requiring more than 90 days for correction, furnish required information including a compliance schedule, proposed penalties for non-compliance, and preventive measures that will be implemented.
9. In the contact information section, enter details for the responsible environmental official, including their name, title, mailing address, phone number, and email address.
10. Finally, certify the information by signing and dating the form to confirm all details are true and comply with the requirements. Save the changes, and choose to download, print, or share the completed form as needed.

Complete your WI 4800-023 form online today to ensure compliance and maintain your facility's eligibility in the Enviro-Check program.