DSHW-2003-006647 - 0901a0688016125c

.d,Iffi-q\W-eeiiitot
State of Utah
Department of
Environmental
Quality
Dianne R. Nielson, Ph.D.
Executive Director
DTVISION OF SOLID &
HAZARDOUS WASTE
Dennis R. Downs
Director
GAYLE F. McKEACHNIE
Lieutenant Governor
December 1 ,2003
Doppelmayr CTEC Inc.
3160 West 500 South
salt I-ake city, uT 84104
Attn: John Pentesco, Vice President Mfg.
Dear Mr. Pentesco:
This letter is to acknowledge that you have filed a Notification of Regulated Waste Activity.
Your EPA Identification Number is: UTR000N77 32.
The EPA Number must be included on all shipping manifests for transporting hazardous wastes;
on all Biennial Reports that generators of hazardous waste must file with the State of Utah and
other hazardous waste management reports and documents required under the Utah Solid and
Hazardous Waste Act and the Utah Administrative Code (the Code).
The EPA Number is site specific. If your company changes physical locations, it is your
responsibility, as a generator, no notify the state and apply for a new EPA Number.
If you have any questions please contact Delene Stevenson at 538-6170.
Sincerely,
Utah Solid and Hazardous Waste Control Board
288 Norrh 1460 west . Fo Box 1,14880 . sart rrke city, ur Ml144880 . phone [phone] . fax (801) s38-67r5 lltah!
K"ffirehry
T.D.D. (801) 5364414 . www.deq.utah.gov Where ideas connecto
t-
lt/77/a3
aat
1
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EPA Form 870t)-23 (Revised 512002)Page 1 of 3
Unlted StatEs El$ronnrental p3gtecfon Agenc,
RCRASUBTITLE C SIIE IDENTIFIGATION FORI'uili/ 2 0 2ilff303.03935
UTAH DIVISTOI\I OF
I'IAIL.THE
gOUIPLETED FORU
c To:
The Approtriate EPA
Redooal cr SBe Office-
l. Reason for Submittal
(Seo lnstntc0on€ on Page
2q
STECKCoRREGT BOX(ES)
ffi SOLID & HAZARD0US WAST
dro p.ovlue'irniarr mohooo (b obtain an EpA Et Nur&er ftr hardous wa*, uriYeaal Be a userl ot advities)-
O To provtde srnceqoent ttoff,cdon (b r7ih sile ftsr[ficdon t'S""tr"t}
1 O As a anponenl of a Frst RCRA tlzadous Wale Prlt A Ferril Appfca0on'
I tr Rs a mmaorent ol a Ranbed RCRA Hazrdorrs Wasb Prt A Femt ApPtroaen 0{rmane* *-)Lt'
i O as e cornporern d lhc lhzardqrs WGb RcPof-
2. Slte EPA|D Nurfrer
(Seo lnstructoill on Page
26)
EPA lD llrnnber:
t. SltG Narne [Sce
lnstnrcfions ot page 26)
Name hpfltla4f CT€,L rrlc.
{ Sile LocaEon
lnfonnaiion {Sce
tsrstnrtions on PagP 26)
Stneet n*,tu
state: mTAf
countyHanrc: A,lt IAb zpcof: fl\+lOl
5. Sits Ltott TYPo (See
irrsfiustotts ur pagp 26)sitalrndTlpc:.{erirrr" OCorloty ODlsirtl OFeded OLtdao CIMrnLrpd OSildE OOtrer
G. llortr Arncdcan lndustry
classlfica8on Sydem
{ilrr651 Godits} for the
Site {Sg€ Insbuctior.a on
page 26)
" 33Lqqfl
B.
c.D.
7. Slto tlalsag AddrBsi
(See hsfoucfions on page
271
$b*torP.o,Eo', S\LO Ub€,t fu .ffi
Clty, Torn or Yillage, I I I^VL CffU
srare: UTAH
cotrltl': t/L>l zpGode, SqlOtl
0. Slte Gontac{ Person Fce
irrtructions on p4gs 2I}
Fhrlrarne: G{rlrn Hh LJ Lastlrarne: (eUI/g
Phonerumben ful ry3 7ry7 PhomltumberEilercbn: lQb
e. bgal Orvncl atd
@rator of tha Slte (See
hsnrucfions oo pagos 27
.nd 2g)
A Harrsof sne'rLegar *hdffi\rcr€c 4t DarcBccapouncrwz
ormerTlpe: I(P,hrS OOorn, BDhofi OFedcrd Olndan Oltrna*d Oslab OO0r€r
B' Narng or siGB's *a* @lm,qr crE[ ilL.DareBecame@rdorry/W*
Opcr.trTypc: tr,pfrrate OConlty ODEftf OF€dcrJ Ohdao Oltrnl*at Psldo trOtr€t
ll/77 /AJ l6:33 FAX
I)traste B oos
\rrt l'.rllr. r.rrrrva, l r O trIPtfeS l-lJfJll?o0}
Forlbrrs 2trmrryh6, cH
O 2. Tnnsportcr of Jlaa
D 3, Treater, Storer, or I
siio) Nob: A hzard
ach/frr.
O + Rcsffcr ol ]lardt
hazardouswaSe Pet
5, Erremfl BollBr rrd,
O.a, Smaf ArarftrU
O b. SlnelfrU, llel
O G Udcrgroud lofed
EPA D No.
I O- Tpe ot itegulabd Waste ADtiyig $atf .a, h fhe appmprlaL boles. Sce hslnrctioc cr p4es 2t to 3il1
Hai ardous Wasls ffiiYities
t, Generator ol Hirzardousl\faste
(ctrore only one of rre rorcryvirg three categaies)
B a. LQG; Beater than 1,000(/rro (2,200hs.Irno-) of ron-aorte
hazardous Yvasb; or
B b. SQG: 100 to I,ODO hg/rno gm -22W hsJrno) ol rpn-aortc
hazardou wasle; or
X", CESQG: Lqss than tOO hgftno lIz}tbsrlno.) of non-mrile hazatdous
waste
h adfiSon, lnd'rcde olhs gBrrrator aciivilles (check aI trd tPPlI}
O d. Untted States lnPorbr of llazrdotts Wasle
O o. Uh(ed Wasfe (iwardans ard radloaclire) Generdor
I IITN
r CI tlnt appl5
rrdous Waste
lspoeer of tlzardor
qrs mste pernit ls n
xr Waste (atyor s
rI rry be reqfrod I
or Lrdrrsilrial Funracr
,Onslte Brrrnor Fxnr
hg, ard RefrfrB Fun
lon Conbol
p Waste (atyorr
xplred fur this
Ile) Norer A
or tis ac{ivity.
D
rption
tace Ercrtpliort
e.
i
o
B
o
D
u
o
o
o
c
tr
D
t!
B
ag.
o Destlnation Facllity br Universal YIHo
$bte: A haardous ffi perrr*t mry be rc$rlred hr lhis aclivfr)t
B, UniY?real Waste Acf,vitles
l. trrge Qsantity Handlsr of Untwrsal Ufste (*ctrmulab 5,00 kg or morc)-
lrsfer to yo,ur Statu ]egddons to ffirmlne rfiat b ,egdabd] lndicat
typcs of unlversal w6!e gencriled *dlor *crrnrdiled d lour slb.
(ehcct all boxes lhEt aPPtY):
Genprated Acctrnrlabd
a. . Baterles
b. Pestlcides
c. Therrnostats
d- Lanrps
Otlrer {spedfy}
O{rrer Fpe€ify}
Gher Fpecify)
c. Ussd Oll lcltt l0os
l, Used Olt Transportcr - lndlcato Type(s) of Acttvihffcs)
El a Tramporter
O b- Transfer Facmty
Z tlsad OA Procossor andlor Re+efiner - kdicaie Type(s)
oracmittf,m)
E a Pmcessor
B b- Ro-reftrer
O f, OfiSpecmca$on Used (Il Burner
{ Used Oil Fuel Harfietcr - lndirzte Tpe(s} of Activibiles}
O a. lJlailc€{erWho DiEcfs qthment ol Ofi-.spectrcattcn
Used Ofl b Otr.Specitutbn UsedO[ Btrmer
B b. Martebr Who FiEt Clatrrs lhe Used Ot Meefs tho
Specilica6ons
lt. Descrfpeon oI ilzardous tUasles (See instrucll,ons on pagc iX})
Aylr,slrcodestorFededlyRsguhtcdlhzardousWasl.6. Please[sttrrvcboodeoftreFcdeCha&m*adeshardledatyouralte. ththornh
the ordor Srey are pesented h the regubtons (e.9., Dml, D0O3, F0Of ,Vllzl tbs an affind pge t mre sgaces ro ,Eeded.
wt o@5 P@6 DolS D$q Dqo
tros .Foo,
,
I t
EPA Form 8700-23 {Revised 5/2002}Page 2 of 3
EPA !D No.
"-
,.* "*ts lor state.Reg,lated (l-e,, nonfcdcra[ Hzardous waetcs, pbase rsl lherasb cotks of tre stafiHegutdGd haadousvcsbe handled
at yd,l slte. List them in the #* u"y i- ir**tt"o h ni" r"gt"firg use aa adfittoral pagre f, more cpaces aa rreeded fu ffi codes'
t2. Conrrnenb {Scs irrstructlons on Page 33}
13, cerlitcaUon I cedify rndr pe*dly o[ lar lhat tris docuen[ and dl alErnenfs were pepared rnder ry dhedoo a sqdvi$n Lr mrdancs uiDr a
sysbm deslSilled to as$ne that qmlfsd personnd pr,oFty glsrd end etduaiB tre irbrnatloo slnrSed. Bccd oo my hgriry ol ilp person s persoos wtp
managrelhe system, orthosepereosdirBcrryresprnsebbrgailreilrlg ltr hkmaUor1 Ore trbnnaloosrirf0edb,b tre Dddmytiroirledgeard befief,
tue. accurate, and corndele. I arn amre Slal llso* dgnificad peoalles hr $bmitlhe f*g hrmanoq hfuIng tu possmy d fp md lnpbonnsrt lor
lrmilirE riolalbns. {See lostructcns oo pagc 39
Hamc and OfFcld THe l$pe or prir$
'^) reArn tl.r?o*zlu,rr
P/oNuFncrtaQr-,b
- -',:j:rs pex aor sOrs Dlv of SoI Has l[aste @ ooa
1?I3lrao}
EPA Forrn'8700-23 tRevised il?O0zt Page 3 of 3