WW ORC Designation Expiration OR Resignation Form Submitted by dlfaison on Wed, 10/13/2021 - 16:58 Submit the following information to expire a designated operator or resign your designation: Indicates required field Permittee/Owner Name Facility Name(s) Permit Number(s) Contact Phone Number Contact Email Address Operator Information Click the blue add button to add additional Operators. Operator Full Name Certificate # Effective Date Operations Operator Full Name Certificate # Effective Date
