FRS Facility Detail Report

TRI-STATE HOSPITAL SUPPLY CORP

EPA Registry Id: 110015679256
3173 E 43RD ST
YUMA, AZ 85365

The facility locations displayed
come from the FRS Spatial
Coordinates tables. They are the
best representative locations for
the displayed facilities based on
the accuracy of the collection
method and quality assurance
checks performed against each
location. The North American
Datum of 1983 is used to display
all coordinates.

Environmental Interests

Information System	System Facility Name	Information System Id/Report Link	Environmental Interest Type	Data Source	Last Updated Date	Supplemental Environmental Interests:
TOXICS RELEASE INVENTORY SYSTEM	CENTURION MEDICAL PRODUCTS	85365TRSTT3173E	TRI REPORTER	TRIS	07/01/2019
ARIZONA UNIFIED REPOSITORY FOR INFORMATIONAL TRACKING OF THE ENVIRONMENT	TRI-STATE HOSPITAL SUPPLY CORP.	125785	STATE MASTER	AZURITE
RESOURCE CONSERVATION AND RECOVERY ACT INFORMATION SYSTEM	CENTURION MEDICAL PRODUCTS	AZR000522227	SQG (Y)	RCRAINFO
ARIZONA UNIFIED REPOSITORY FOR INFORMATIONAL TRACKING OF THE ENVIRONMENT	CENTURION MEDICAL PRODUCTS	13966	STATE MASTER	AZURITE		-179610 AIR MINOR
EMISSION INVENTORY SYSTEM (EIS)	TRI-STATE HOSPITAL SUPPLY CORP	1013511	HAZARDOUS AIR POLLUTANT MAJOR	EIS	08/26/2021

Additional EPA Reports:

MyEnvironment Enforcement and Compliance Site Demographics Facility Coordinates Viewer Environmental Justice Map Viewer Watershed Report

Standard Industrial Classification Codes (SIC)

Data Source	SIC Code	Description	Primary
AZURITE	3842	ORTHOPEDIC, PROSTHETIC, AND SURGICAL APPLIANCES AND SUPPLIES

Facility Codes and Flags

EPA Region:	09
Duns Number:
Congressional District Number:	04
Legislative District Number:
HUC Code/Watershed:	15030108 / YUMA DESERT
US Mexico Border Indicator:	YES
Federal Facility:	NO
Tribal Land:	NO

Alternative Names

Alternative Name	Source of Data
CENTURION MEDICAL PRODUCTS	AZURITE

Organizations

Affiliation Type	Name	Information System	Mailing Address
APPLICANT	TRI STATE HOSPITAL SUPPLY CORP	AZURITE	View
RESPONSIBLE PARTY	TRI-STATE HOSPITAL SUPPLY CORP--YUMA AZ	AZURITE	View
APPLICANT	TRI-STATE HOSPITAL SUPPLY CORP--YUMA AZ	AZURITE	View
OWNER	MRE PROPCO LP	RCRAINFO	View
RESPONSIBLE PARTY	CENTURION MEDICAL PRODUCTS	AZURITE	View
OPERATOR	CENTURION MEDICAL PRODUCTS	RCRAINFO	View
APPLICANT	CENTURION MEDICAL PRODUCTS	AZURITE	View
RESPONSIBLE PARTY	LDRV HOLDINGS	AZURITE	View
PARENT COMPANY	MEDLINE INDUSTRIES	TRIS

National Industry Classification System Codes (NAICS)

Data Source	NAICS Code	Description
TRIS	339113	SURGICAL APPLIANCE AND SUPPLIES MANUFACTURING.
EIS	339113	SURGICAL APPLIANCE AND SUPPLIES MANUFACTURING.
RCRAINFO	339113	SURGICAL APPLIANCE AND SUPPLIES MANUFACTURING.

Facility Mailing Addresses

Affiliation Type	Delivery Point	City Name	State	Postal Code	Information System
APPLICANT	100 CENTURION WAY	WILLIAMSTON	MI	48895-9086	AZURITE
APPLICANT	PO BOX 4608	YUMA	AZ	85366-2433	AZURITE
LICENSEE'S AGENT	301 CATRELL DR	HOWELL	MI	48843-1703	AZURITE
FACILITY MAILING ADDRESS	3173 E 43RD ST	YUMA	AZ	85365	RCRAINFO
OPERATOR	3173 E 43RD ST	YUMA	AZ	85365	RCRAINFO
RESPONSIBLE PARTY	100 CENTURION WAY	WILLIAMSTON	MI	48895-9086	AZURITE
MAILING ADDRESS	ATTN: REBECCA BROWN	NORTHFIELD	IL	60093	TRIS
LICENSEE'S AGENT	100 CENTURION WAY	WILLIAMSTON	MI	48895-9086	AZURITE
REGULATORY CONTACT	3173 E 43RD ST	YUMA	AZ	85365	RCRAINFO
LICENSEE'S AGENT	3173 E 43RD ST	YUMA	AZ	85365	AZURITE
OWNER	3173 E 43RD ST	YUMA	AZ	85365	RCRAINFO

Contacts

Affiliation Type	Full Name	Office Phone	Information System	Mailing Address
PUBLIC CONTACT	ROBERT SIMS	9283441029	TRIS
TECHNICAL CONTACT	MR. DUANE RAYL	5175465400	TRIS
REGULATORY CONTACT	MARIA QUINTERO	928-344-1029	RCRAINFO	View
LICENSEE'S AGENT	KUEHNE, KELLEY	(928) 344-1029	AZURITE	View
LICENSEE'S AGENT	JACKSON, JEFF	(928) 344-1029	AZURITE	View
LICENSEE'S AGENT	JACKSON, JEFF	(526) 561-4366	AZURITE	View

Query executed on: APR-19-2024

Additional information for CERCLIS or TRI sites:

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