35 Ill. Adm. Code 745.122
Application
Section 745
Section 745.122 Application
An application for prior conduct
certification shall include:
a) The name and address of the applicant;
b) Identification of each waste disposal site at any time owned
or operated by the applicant, or at which the applicant served as chief
operator, including:
1) The name and address of each site; and
2) A description of the nature of each site and the type of waste
disposed there (e.g., hazardous waste, municipal waste); and
3) A description of the length of and nature of involvement with
each site;
c) A copy of any final administrative or judicial determination,
made after opportunity for an adversarial proceeding, that the applicant has:
1) Violated federal, state or local laws, regulations or
ordinances governing the operation of any waste disposal site;
2) Been convicted in Illinois or another state of any crime which
is a felony under Illinois law, or been convicted of a felony in a federal
court;
3) Shown gross carelessness or incompetence in the handling,
storing, processing, transporting or disposing of any hazardous waste in any
state;
d) A description, including the name of the agency or court,
title, docket number and status, of any administrative or judicial proceeding,
which is still pending, which:
1) Could result in a determination against the application of
type described in subsection (c); or
2) Could result in a reversal of any administrative or judicial
determination provided by the applicant in response to subsection (c);
e) An affidavit attesting to the truth and completeness of the
facts asserted in the application.