§ 284.611. General application requirements.

 (a)  An application for a license to transport infectious or chemotherapeutic waste shall be submitted to the Department, in writing, on forms provided by the Department. An application for a license shall be accompanied by information, specifications and other data required by the Department to determine compliance with this subchapter.

 (b)  The application shall contain the following:

   (1)  The applicant’s identification number, as required by §  284.603 (relating to identification number).

   (2)  The name, mailing address, place of business, business telephone number and 24-hour emergency telephone number of the applicant.

   (3)  The average yearly total tonnage of infectious and chemotherapeutic waste picked up or delivered in this Commonwealth.

   (4)  A nonrefundable application fee in the form of a check payable to the “Commonwealth of Pennsylvania” for $500.

   (5)  Information concerning terminal locations that will store infectious and chemotherapeutic waste in-transit.

   (6)  An identification of interests and compliance history, as provided in § §  271.124 and 271.125 (relating to identification of interests; and compliance information).

   (7)  Collateral bond, as required by §  284.641 (relating to bond requirement).

   (8)  Certificate of insurance, as required by §  284.612 (relating to vehicular liability insurance).

   (9)  A contingency plan consistent with §  284.632 (relating to infectious or chemotherapeutic waste discharges or spills).

 (c)  An application for a license shall be certified by a responsible official of the applicant with a statement that the information contained in the application is true and correct to the best of the official’s information and belief.