Arizona Administrative Code › Title 9 - HEALTH SERVICES › Chapter 14 - DEPARTMENT OF HEALTH SERVICES - LABORATORIES › Article 6 - LICENSING OF ENVIRONMENTAL LABORATORIES › Section R9-14-603 - License Application and Process; Transferability

Current through Register Vol. 30, No. 28, July 12, 2024
A. To obtain an initial or renewal license to
				operate a laboratory, an applicant shall submit to the Department, within the
				time prescribed in subsection  (B), an
				application that contains:
1. The following
				information in a Department-provided format:
a. The name of the
				laboratory;
b. The current Arizona license number for the
				laboratory, if any;
c. The current EPA certification number for the
				laboratory, if any;
d. Whether the
				applicant is applying to license:
i. A single
				laboratory,
ii. Multiple
				laboratories located on contiguous grounds according to subsection (C)(2),
				or
iii. One of multiple
				laboratories under a single license according to subsection (C)(3);
e. The physical and mailing addresses for each
				laboratory for which the application is being submitted;
f. The
				telephone number, fax number, and e-mail address for the laboratory;
g. The type of laboratory:
i. Governmental;
ii. Company, performing internal work
				only;
iii. Commercial, for profit;
				or
iv. Other, with a description of
				the type of laboratory operation;
h. For a type of
				laboratory specified in subsection (A)(1)(g)(ii) through (iv):
i. The name and address of the owner and of
				each additional person that has an ownership interest in the laboratory;
				and
ii. For each person specified in subsection
				(A)(1)(h)(i), the name of each officer, principal, and statutory agent;
i. The name of the laboratory director;
j. Whether the
				applicant is applying for a:
i. Level I
				license,
ii. Level II license,
				or
iii. Level III license;
k. If the applicant is applying to license a mobile
				laboratory:
i. The vehicle make, vehicle
				identification number, and Arizona vehicle license number of the mobile
				laboratory; and
ii. If the mobile laboratory is affiliated with a
				non-mobile laboratory, the name of the non-mobile laboratory;
l. If the application
				is for an initial license:
i. A list of the
				parameters for which the applicant is requesting to be licensed ,
ii. A
				list of the instruments and equipment to be used at the laboratory for
				compliance testing,
iii. A list of the software to be used at the
				laboratory for instrument control and data reduction interpretation,
				and
iv. A list of the states in
				which the laboratory is licensed or certified and the corresponding license or
				certificate number for each state;
m. If the application is for a renewal
				license, whether the applicant:
i. Is
				requesting to be licensed for the same parameters as on the current license;
ii. Is using the same instruments
				and equipment as used under the current license;
iii. Is using the same software as used under
				the current license; and
iv. Is
				requesting to make payments in installments, as permitted under
				R9-14-608,
				and, if so, an indication of the monthly, bimonthly, or quarterly schedule for
				the payments;
n. If the
				information provided according to subsection (A)(1)(m) indicates a change in
				parameters, instruments or equipment, or software for a renewal license, the
				changes to the:
i. Parameters on the current
				license,
ii. Instruments or
				equipment used under the current license, or
iii. Software used under the current license;
o. If the applicant is applying for an out-of-state
				laboratory, whether the applicant wants to receive technical updates at the
				laboratory by fax or by e-mail;
p.
				Whether the applicant agrees to allow the Department to submit supplemental
				requests for information; and
,
q.
				The dated signature of the laboratory director and:
i. If the owner is an individual, the
				individual;
ii. If the owner is a corporation, an officer of the
				corporation;
iii. If the owner is a partnership, one of the
				partners;
iv. If the owner is a limited liability company, a
				manager or, if the limited liability company does not have a manager, a member
				of the limited liability company;
v. If the owner is an
				association or cooperative, a member of the governing board of the association
				or cooperative;
vi. If the owner is a
				governmental agency, the individual in the senior leadership position with the
				agency or an individual designated in writing by that individual; or
vii.
				If the owner is a business organization type other than those described in
				subsections (A)(1)(q)(ii) through (v), an individual who is a member of the
				business organization;