Form Dhec 3422 PDF Details

The South Carolina Department of Health and Environmental Control (Dhec) is responsible for regulating a variety of health and environmental issues in the state. One of the ways they do this is by issuing licenses and permits to business owners who need to operate in specific industries. If you're looking to start a business in South Carolina, you'll likely need to apply for one or more of these licenses. In this blog post, we'll outline the process for applying for a Dhec 3422 permit. We'll also discuss what this permit covers and provide some tips for completing the application. So if you're thinking about starting a business in SC, be sure to read on!

QuestionAnswer
Form NameForm Dhec 3422
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesd 3422 dhec asbestos section form

Form Preview Example

 

 

Application Form For Group License

 

 

 

 

Asbestos Section

 

 

1. Company Name:

 

 

4. Group License Number:

 

2. Mailing Address:

 

 

5. Company Official:

 

 

 

 

 

6. Title:

 

 

(City)

 

(State)

(Zipcode)

7. Telephone #:

 

 

3. Street Address:

 

 

 

 

 

 

 

 

 

 

 

 

 

8. In-house Contractor:

 

(City)

 

(State)

(Zipcode)

 

 

 

Name

 

SS Number

Discipline

(P)ass

Training Provider/Instructor

Exam Date

 

(F)ail

(MM/DD/YYYY)

DHEC 3422

8/96

 

 

 

 

 

Disciplines Under Group License

Class IV Worker Disturbing RACM

O & M Worker

Roofer Worker

Roofer Supervisor

AHERA Worker

AHERA Supervisor

Air Sampler

Project Designer

Building Inspector

Mgmt. Planner

Fee Schedule For Group License

up to 10 people

$

25.00 minimum fee

11th to 20th person

$

2.50

per person

21st to 50th person

$

5.00

per person

51st to 90th person

$

7.50

per person

91st or more persons

$500.00 maximum fee

Name

SS Number

Discipline (Pass/Fail)

Training Provider/Instructor Exam Date

10.Total Fee Due:

11.Signature: