Get Wi 4800-023 2021-2026

The WI 4800-023 is a vital document for submitting a Final Audit Report related to the Enviro-Check program in Wisconsin. This guide provides clear and concise steps to assist users in completing the form efficiently and accurately while ensuring compliance with state regulations.

Follow the steps to complete the WI 4800-023 online.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. In the 'Facility Information' section, provide the name of the audited facility and its Facility Identification Number (FID). Fill in the date the facility submitted a signed statement to DNR regarding pre-audit violations and select whether the facility is governmental or non-governmental.
3. Complete the address fields including county, street address, city, state, and zip code for both the facility and its mailing address. Include the numbers of any permits or licenses held by the audited facility.
4. Provide contact information for the facility representative, including their name, title, phone number, and email address. Also, briefly describe the operations or practices reviewed during the audit and the general scope of the audit.
5. In the 'Enviro-Check Audit Information' section, enter the name of the auditor, their contact details, including street address, phone number, and email address, along with the start and completion dates of the audit.
6. Fill out the 'Violation Disclosure Information' using Table A to detail each violation uncovered during the audit. Specify the nature of each violation and the respective environmental regulations it relates to.
7. For violations that will be corrected within 60 days, provide details on each violation, including the description, identification number, corrective measures, and prevention strategies.
8. For those that will require more than 60 days, outline the violation details along with proposed compliance schedules and justifications.
9. In the 'Contact Information & Signature of Responsible Environmental Official' section, fill in the signature block, and ensure that the responsible official’s name, title, and contact information are accurately included.
10. After completing all sections, review your responses for accuracy. Users can then save their changes, download a copy, print the document, or share it as necessary.

Complete your WI 4800-023 form online today to ensure compliance and take advantage of the Enviro-Check program.