DSHW-2018-003824 - 0901a06880807824

HAZARDOUS WASTE INSPECTION REPORT
WASTE I.IANAGEt.{gNT
& RADIATION CONTROL
INSPECTION REPORT FOR:
DATE OF INSPECTION:
FACILITY ADDRESS:
FACILITY COUNTY:
FACILITY CONTACT:
EPA ID #:
CURRENT NOTIFICATION:
TYPE OF INSPECTION:
PARTICIPANTS:
TIME IN/TIME OUT
REPORT PREPARED BY:
WEATHER CONDITIONS:
APPLICABLE REQUIREMENTS:
Cardinal Health
March 2I,2OI8
955 West 3100 South
Salt Lake City, Utah 84119
Salt Lake County
Chad Moss, EH&S Advisor
[phone]
uTR000011338
LQG
CEI
Chad Moss, Cardinal
Denny Schantz, DWMRC
Jon Parry, DWMRC
0900 hrs. / I 100 hrs.
Jon Parry
Cloudy, -47"F
R315 of the Utah Administrative Code
FACILITY DESCRIPTION:
Cardinal Health specializes in the distribution of pharmaceuticals and medical products to
hospitals and pharmacies. The company employs about 40 people at this location and has been
here since the 1980's.
The facility, a warehouse, is located on flat terrain in a commercial area in South Salt Lake just
west of Central Valley Water Reclamation Plant.
CREDENTIALS, PURPOSE AND SCOPE:
Inspectors arrived at the facility, checked in with security, and then met with Chad Moss to
whom they presented their credentials. The inspectors explained that the purpose of the
inspection was to determine the facility's compliance status with respect to the Rules. The scope
of the inspection would include a review of required paperwork and a tour of the facility's waste
generation and management areas.
MANAGEMENT ACTIVITIES :
Cardinal Health is a medical and pharmaceutical warehouse where the wastes that are generated
consist of off-specification, and./or damaged medical and pharmaceutical products. The facility
reports that they generate somewhere between 30 to 60 lbs. of hazardous waste per quarter.
Many of the waste streams are p-listed which accounts for the facility's LQG status.
Damaged or dated materials are culled from the shelves or product stream and taken to the waste
management area where they are categorized and placed in appropriate containers for off-site
disposal.
Universal waste bulbs are also containerized and stored in this area prior to off-site reclamation.
NARRATIVE:
Inspectors conducted the paperwork review in the facility's conference room and then visited the
< 90 day hazardous waste storage area.
Containers holding hazardous waste were in good condition, closed and properly labeled.
Container inspections were being conducted weekly. No problems were noted.
COMPLIANCE STATUS: (also see attached checklist)
Cardinal Health is in the process of updating their Contingency Plan. Inspectors made them
aware of the need for a quick reference guide as they work through the process.
ISSUES:
None noted.
INSPECTOR SIGNATURE:
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CardinalHealth
D':gWaste Managementand Radiation Co-ntrol
F'EB 2 3 2018
February 22,20t9
Utah Division of Waste Management and Radiation Control
r.95 N. 1950 W.
salt Lake city, uT. 94116
Attn: Scott Anderson
RE: Hazardous Waste Manifest Exception Report
Dear Mr. Scott Anderson:
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The following report is being submitted pursuant to Hazardous Waste Regg[ation 40 CFR
262.42. On December 19, 2Ot7 CardinalHealth (EPA lD # UTROO0011338fiocated at 955 W.
3L00 S' Salt Lake City, UT. 84119 shipped hazardous waste under Manifest Number
OLA4ZA79LFLE, (attached) with transporter Stericycle Specialty Waste Solutions lNC. (EPA lD #
MNS0001109241. The shipment was scheduled for delivery to Philip Reclamation Services
Houston, LLC (EPA lD # TXD074196338), and arrived on 2-12-18. we do have signed copies of
this Manifest which I have attached.
lf you have any questions regarding this matter, please contact me at 801"-973-4985.
Sincerely yours,
Chad Moss
Environmental, Health and Safety Advisor
Cardinal Health
955 W. 3100 S.
sLc uT.84119
Enclosure: Manifest Number 010420791F1E
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Site Name:
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WASTg MANAGEMENT
& RAOIATION CONTROL
EPA ID:Date:
'3lz I I t I
Waste Determination:
l. Has the generator determined
whether his/her solid waste is a
hazardous waste?
2. Has a waste determination been done
for each waste stream?
R3t5-262
R3 l5-262-t I
40 cFR 262.1
R3l5-261-3
40 cFR26l.3
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3. Has the generator notified of
regulated activity and obtained an
EPA ID# in accordance with the
requirements of Section 3010 of
RCRA?
R3 I s-262-10(a)(l )(iir)(c
R3l5-262-18(a)
a0CFR262. I 0(aX I XiiiXC)
40 CFR 262.18(a)
? ue
Manifest:
l. ls the generator using a Uniform
Hazardous Waste Manifest for its
shipments of hazardous waste?
2. Did the generator designate a facility
permitted to handle its waste?
3. Was an alternate facility designated?
4. Did the generator use the correct
manifest?
R3 I 5-262-20(a)(l)
a0 cFR262.20(aXl)
R3 l5-262-20(b)
{0 cFR 262.20(b)
k3r5-262-20(c)
R3rs-262-20(a)(r)
40 CFR262.20(aXl
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l{anifest requirements for the Generator:
l. Did the generator sign the manife st
certification by hand?
2. Did the generator obtain a handwritten
signature from the initial transporter and
the date ofacceptance?
3. Did the generator retain a copy ofthe
manifest in accordance with
R3r5-262-40(a)?
R3r5-262-23(a)(r)
a0 CFR 262.23(a)(l)
R3r5-262-23(a)(2)
40 CFR 262.23(a)(2)
R3 I 5-262-23(a)(3)
40 CFR 262.23(a)(3)
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Recordkeeping:
l. Is the generator maintaining signed
copies of the hazardous waste manifest
for three years?
R3 I 5-262-40(a)
40 CFR262.40(a
?'(
2. Is the generator maintaining copies
ofeach Biennial Report and all
Exception Reports for a period of at
least three years?
R3 l 5-262-40(b)
40 cFR 252.40(b)
trr\
|anuary 2018 lnspector's Initials Page I of2g
Site Name:EPA ID:Date:
3. Is the facility maintaining records
sufficient to determine quantities and
disposition of hazardous waste or other
determinations, test results, or waste
analyses made in accordance with
R3l5-262-l l(f) for a period ofat least
three years from the date oflast shipment?
R3 l5-262-40(c)
40 CFR 262.40(c)
Biennial Reporting
Has the generator submitted complete
Biennial Report(s)?
315-262-41
40 cFR262.4l
Exception Reporting
Has the generator been required to
prepare an Exception Report, ifyes
describe the circumstances?
R3ts-262-42
40 cFR262.42
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Packaging, Labeling, Marking, and
Placarding
l. Is the generator packaging his/trer
hazardous waste in the appropriate
DOT shipping containers?
2. Are containers labeled and marked in
accordance with appropriate DOT
shipping requirements prior to shipping?
3. Is the generator providing or
offering appropriate placarding to
the initial transporter when
initiating hisftrer shipment?
R3l5-262-30
40 cFR 262.30
R3ts-262-31&
F.3t5-262-32
40cFR262.3t &262.32
F'3t5-262-33
40 cFR 262.33
Accumulation Times
(See Satellite, 90 Day and Tank
Checklists as applicable)
R3l5-262-17(a)
Also see ch.ecklists for:
Personnel Training,
Preparedness & Prevention,
Contingency Plan & Emergency
Procedures and Manifest
fanuary 2018 Inspector's Initials Page2 of.2
.llta
''.lI f'Srll
WAST€ MANAGEMEN'
& RADIATION CONTROL
Site: C)^rd,"-r.{ru llh EpA#:
Hazardous Waste Inspection
Satellite Accumulation Checklist
<55 gallons
Is the satellite accumulation area at or near the
point ofgeneration?
R3 l5-262-15(a)lo Sa l.,l(.Jcs
Is the satellite area under the control ofthe
operator ofthe process generating the waste?R3 I 5-262-l 5(a)
Does the generator have the accumulation
container labeled with the words "hazardous
waste"?R3 I 5-262-l 5(a)(s)(i)
The generator can not store more than 55
gallons ofhazardous waste or I quart of
acutely hazardous waste at the satellite
accumulation area.
R3 l5-262-15(a)
Are the containers in good condition, and
being managed in a way so it does not leak
or soill?
R3 I 5-262-l 5(a)(l)
Is the hazardous waste stored in containers that
are compatible with the waste?R3ls-262-ls(a)(2)
Is the accumulation container being
maintained in a closed condition except
when waste is being added or removed, or
when temporary venting is necessary for
proper operation of equipment or to prevent
dangerous situations such as pressure
builduo?
R3 l5-262-l s(a)(a)
Does the generator have the accumulation
containers marked with an indication of the
hazards of its contents?
R3l5-262-15(aX5)(ii)
Is the generator correctly labeling and moving
hazardous waste, in excess ofthe 55 gallon or
I quart limits, to a 90-day storage area within
72 hours of exceeding the limit?
R3l5-262-15(a)(6 )(i)U
January 2018 Page I of I Inspectors Initiak
,Qp
','ro.,site: CwJ, ^- \ l-le,+ l{ huro u,
Hazardous Waste Inspection
90 Day Storage Site
>55 gallons
WASTE MANAGEMENT&RAOIATION CONTROL
l. Is the container labeled with the
words "Hazardous Waste"?
2. Is the container marked or labeled
with an indication of the hazards of
the contents?
3. Is the date upon which accumulation
began clearly marked and visibly for
inspection?
4. Is that date <= 90 days old?
R3 I s-262- I 7(a)(s)(i)(e)
R3 I s-262- I 7(a)(s)(i)(B)
R3 ls-262- I 7(a)(s)(i)(c)
R3rs-262-t7(a)
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4. Is there a Preparedness and Prevention
Plan for this site or the facility as a whole,
including this site? (see separate Check List)
R3 I s-262-17(a)(6)
R3l5-262-250 thru 256 7 4c'
5. Operated to minimize chance of Spill or Fire?
6. Spill and Fire control equipment? .
7. Emergency communication device: Internal?
Emergency communication device: External?
Sufficient Aisle and Access space?
R3t5-262-251
R3rs-262-252(c)
R3rs-262-2s2(a)
R3rs-262-252(b)
F.3ts-262-2ss
L( e\
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8. Is there a Contingency Plan for this site or
the facility as a whole, including this site?
(see separate Check List)
9. a. Description ofactions that should be taken?
b. Name & Phone # for Eniergency Coordinator?
c. Primary and alternate evacuation routes?
d. List of emergency equipment & location?
R3 ls-262-17(a)(6)
R3 I 5-262-260 thru 265
R3r5-262-261(a)
R3 l 5-262-261(d)
R3ts-262-26r(f)
R3ts-262-26r(e)
\eS
Have personnel at this site Successfully
completed up to date Personnel Training on
HzW Handling & Fire & Spill Response?
Is the training documented?
(see separate Check List)
R3l5-262-17(a)(7)(i)
R3ls-262-17(a)(7)(v)
?.S
t,
Are the containers accumulating and holding
hazardous waste in good condition?
Are they compatible with the HzW in them?
R3 I s-262-l 7(a)(l)(ii)
R3 I 5-262- I 7(a)( I )(iii)
"l ot
J
Is the generator maintaining his/her containers
in a closed condition except when adding or
removing waste from the container?
R3 I 5-262-l 7(a)( I XivXA ln-s
Containers holding hazardous waste must not
be opened, handled and/or stored in a manner
which could cause it to leak.
R3 ls-262- I 7(a)( I Xiv)(B c(-
Is the generator inspecting hiVher containers
at least weekly, and do the inspections look for
leaks, deterioration, and any factor that may
cause a release ofhazardous waste?
R3 l5-262-17(a)(l)(v)7ns
No ignitable or reactive HzW within 50 feet of
the facility's property line.R3 I 5-262- I 7(a)( I )(vi)(A 6L
January 2018 Page I of I Inspectors Initials.
,',ffi,Site. CARD/NAL Ht,qLrH EpA#: tsrRooot(333 Oate:3/ztf ttt
Hazardous Waste Inspection
Manifest Checklisttn/AST€ MANAGEMENT&RADIA'ION CONTROL
Manifest Number (box 4)faq456t1727ig &nqsb#n r-bBzrzzrz Ftj-htGza t44A trtt
Generator EPA ID#
Appendix to R3l5-262 (boxl\ nr4-ttrR@>lB3B ..'.-- ot<OK- otr^
Generator information:
Mailing Address (box 5)
Phone Number
_C{R6/^IAL (&rtl
9ssw 3ra2-S
-s.At+ trtlty81tr2
-sTaFAYa-?
- YES
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.2t sa 4,-:luf;j-ot tJEvr&l4
WS
Transporter # I information:
Company Name (box 6)
EPA ID# (box 6)
_ ZtFrce;n<X/*rEvA$fr
Ye>
Transportcr #2 information:
Company Name (box 7)
EPA ID# (box 7)
-<p1rrl{s{srE 4s-v6
- Pil ruPhec^tzl.t'6nas
- Ho.r:-ro({;rl
-oK
-96p.tcvcc8
- YY}
- P111urF
Arcz-(t'o(rra6-- pa/-ryro)J/-Ty
-oK
SA{rrrl.SVSTEAS-
Ye9
grc/<ETUFV.- utRFlEA
- yas
_oKDesignated Facility information:
Name and Address (box 8)
EPA ID# (box 8)
Phone Number (box 8)
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6K_Waste Shippine requirements:
DOT Description (Including proper
name, Hazard class, and ID #) (box 9b)
(box 9a "X" if hazardous materials)
Containers: No & Type (box l0)
Total Quantity (box I l)
Unit - Wt/Vol (box 12)
Waste Codes (box 13)
_oK
- Dy-
- o1<-
- O/-
_6K
OK
II
I
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Iv
Special Handline Instructions
(box l4)-ok - oKt -OA OK
Manifest Certifi catio ns :
Generator's Signature (boxl5)
International Shipments (box l6)
Transporter's Signature (box l7 )
Discrepancy Indication (box l8)
Hazardous Waste Report Management
Method Codes (box l9)
- ol<
- o)2-
- N/4
-DFH4l
_oK
- or:-
-NA
_&_
H i4t
- OIZ-
_ o/<
- N/A
- oK-
H t4l
_ o,.
- oF-
- N/4-oL
H14t
Facility Signature (box 20)
- oF-- oK_-q--6K
Final Observations and Comments:-M,At<(reSrg srFn G@c) ,trRortREttirAJ GVI?SE
- 4N Excaprto^-\ LE-rrzg- w,(q &SPurtBb 7o u6wF(AC-
p-E;c*.xsrl--Y FoR {\4*tFES7- F ala42o79 ( ft-2
4
Common container codes: DM - metal drum\barrel; DF - fiberbanel; TT - cargo tank; TC - tank car; DT - dump truck; CM - metal
box\carton (includesroll-offs) CommonUnitsofMeasure: G- sallons:P -oounds: T-tons: Y- cubic vards)
January 2018 Page I of I lnspectors Initials
'"ffi
Site:/'"ecd.*. ," I l-l** l}\ EPA #:
WASTE MANA6EMENT
& eADtAttoN coilrRoL
Hazardous Waste Inspection
Personnel Training Checklist
Facility personnel must successfully complete
classroom instruction, online training or on-
the-job training which teaches them to
perform theirjobs, such that the facility is
operated in compliance with the applicable
hazardous waste management requirements.
R3 | s -262 - r7 (a)(7XiXA)
40cFR262. I 7(a)(7XiXA)
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)+. i..'*
Is the program directed by a person trained in
hazardous waste management procedures?
R3 I s-262- 1 7(a)(7)(i)(B)
40CFR262 t7(a\(7XD@)Yo, - Ch^I
Does the training teach facility personnel
hazardous waste management and contingency
plan implementation procedures?
R3 1s-262- I 7(a)(7)(i)(B)
40cFR262. l 7(a)(7Xi)(B)t4 Q \"- S* 6-e ^.- L |fo '' ' *t q. Al\ |
Does the training program include, at a
minimum, the following, where applicable:
l. Procedures for using, inspecting, repairing,
and replacing facility emergency equipment;
2. Key parameters for automatic waste cut-off
systems;
3. Communications or alarm svstems:
4. Response to fires or explosions;
5. Response to groundwater
contamination incidents:
6. Shutdown ofoperations; and
R3 | s -262 - | 7 (a)( 7X i Xc )
40cFR262. I 7(a)(7XD(c)
R3ts-262-17(apxixcxl)
40cFR262. I 7(a{TXiXcX I )
R3ts-262-t7(a)(7XD(cX2)
40cFR262 l 7(a{7XD(cX2)
R3 I s-262- l 7(a{7)(i)(cN3)
40cFR262 I 7(a)(7XiXcX3)
R3 I s-262- I (a)(7{iNcf 4)
40cFR262 1 7(a[7XD(cX4)
R3t5-262-17(a\TXiXcXs)
40cFR262. I 7(a)(7XiXcX5)
R3 I s-262- I 7(a[7Nr{Cl6)
+ocFR262. I laXTXiXCX6)
Have facility personnel successfully completed
the personnel training program within six
months of the date of their employment or
assignment to the facility?
R3 I s-262-l 7(a)(7)(ii)
FR262. I 7(a)(7)(ii)
Do the facility personnel receive an annual
review oftheir initial trainins?
F.315-262-17(aXTXiiD
40cFR262.t7(aXTXiiD
January 2018 Page I of2 Inspectors friti"f, tPrT-
Site:EPA #:
Hazardous Waste Inspection
Personnel Training Checklist
Date:
The owner/operator of the facility must
maintain the following documents at the
facility:
l. The job title for each position at the facility
related to hazardous waste management, and
the name of the employee filling each job;
2. A writtenjob description for each position
listed under #l;
3. A written description ofthe type and
amount ofboth introductory and continuing
training that will be given to the employees
listed in #1, and;
4. Records that document that employees have
the training orjob experience required by
paragraphs 265.16 (a), (b), and (c).
R.3r5-262-17(aXTXiv)
40cF R2 62. r7 (a)(7)( iv)
R3 I s-262- I {a)(7[iv)(A)
40CFR262. I {a)(TXivXA)
R3 I s-262- I 7(a)(7[iv[B)
40cFR262. I {a)(7Xiv)(s)
Rj I s -262- 17 (a\(7X iv)(c)
40cFR262. I 7(a[7{ivlc)
R3 ls-262- l7(a)(7{iv)(D)
l(a)(7)(iv)(D)
Are training records maintained at the facility
for current employees and for at least three
years for employees that have left the
company?
R.3r5-262-17 (a)(7)(v)
40cFR262.r7(a)(7)(v)
Januarv 2018 Page2 of 2 Inspectors Initials fl Pa-
-.""**. sit", 4jruzrJ<vw I l-l,r.* l+U EPA ID:
;- .Itr
il I.
-. V^- a"NtNf'Preparedness and Prevention Checklist
WASTE MANAG€MENT
& RADIATION COII'ROL
Date 31, , I t!
c1
Is the facility maintained and operated to
minimize the possibility of a fire, explosion, or
any unplanned sudden or non-sudden release
ofhazardous waste or hazardous waste
constituents?
R3rs-262-2st (LQG)
R3 l s-262- l6(bX8Xi) (soc)
R3ls-261-410(a) (/rn{7uJ
The facility must be equipped with items (l)-
(4), identified below, unless it can be shown
that hazardous waste managed at the site
would not require the particular kind of
equipment specified.
l. Does the facility have an intemal
communications or alarm system capable of
providing immediate emergency instruction to
its personnel?
2. Does the facility have a device capable of
summoning external emergency assistance to
the facility (phone or two-way radio)?
3. Does the facility have portable
extinguishers, fire control equipment
(including special extinguishing equipment
necessary for their facility), spill control
equipment, and decontamination equipment?
4. Does the facility have water at adequate
volume and pressure to supply water hoses, or
foam producing equipment, or automatic
sprinklers, or water spray systems?
R31s-262-2s2 (LQG)
R3 1 5-262-16(bXsXiD (SoG)
R315-261-410(b) (HSM
R31s-262-2s2(a) (LQG)
R3l s-262- l6(bXsXiiXA) (.tcc)
R3 l s-26 l -4 I O(bX I ) (115,1.1)
R3rs-262-2s2(b) (LQG)
R3 l 5-262- r 6(bxsXiD(B) (soc)
R3 l s-26 1 -4 I 0(b)(2) (HSM
R3ts-262-2s2(c) (LQG)
R3 l s-262- I 6(bX8Xii)(C) (soc)
R3 l s-26 r -4 l0(b)(3) (HS M
R31s-262-2s2(d) (LQG)
R3 l s-262- l 6(bXsXiD(D) (soc)
R3 rs-261-4 l0(b)(4) (HSA{)
(L
, t'^kzc'o*OL 3 ta^\ ol
?t.." -4_ | ,r* J .. 1
'rot
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Are facility communications or alarm systems,
fire protection equipment, spill control
equipment, and decontamination equipment
tested and maintained to assure its proper
operation in time of an emergency?
R3rs-262-2s3 (LQG)
R3 r s-262- l6(bXsXiii) (SoG)
R3 I 5-26 1 -4 l0(c) (HS,l1)7n'
Do facility personnel have immediate access to
an internal alarm or emergency
communication device, either directly through
visual or voice contact, while managing
hazardous waste?
R3ts-262-2sa@) @QG)
R3 I s-262- I 6(bX8)(iv)(A) (sQG)
R3 I 5-26 l -4 I O(dX l ) (i/S,r./)10'
Is there everjust one employee on the
premises while the facility is operating? If
yes, does that person have immediate access to
device capable of summoning external
emergency assistance?
Rsts-262-2s4(b) (LQG)
R3 I s-262- I 6(bxsXiv)(B) (sQG)
R3 1 s-26 r-4 l 0(d)(2) (HS M
il{u-tz ).-rJ- ov\'e-
Inspector'slnitials A(an 2018 Page 1 of2 tllrl
Site:EPA ID:
Preparedness and Prevention Checklist
Date
Is aisle space maintained to allow the
unobstructed movement of emergency
personnel or equipment (unless aisle space is
not needed for any ofthese purposes)?
F.tts-262-2ss (LQG)
R3 I s-262- l6(bX8Xv) (spc)
R3 I s-26 l-a I 0(e) (IIsn{
The facility must arrange the following types
of agreements or arrangements with local
organizations (as appropriate):
l. Has the facility made or attempted to make
arrangements to familiarize local police, fire
departments, and emergency fesponse teams
with the layout ofthe facility, character ofthe
hazardous waste(s) managed, locations where
facility personnel normally work, location of
facility entrances and possible evacuation
routes?
2. Has the facility designated primary
emergency authority to a specific police or fire
department, when more than one police or fire
department might respond in the event of an
emergency?
3. Have agreements with State emergency
response teams, emergency fesponses
contractors, and equipment suppliers been
made?
4. Have anangements been made to
familiarize local hospitals with the properties
ofhazardous waste handled at the facility and
the types ofinjuries or illnesses which could
result from fires, explosions, or releases at the
facility?
R3t5-262-2s6(a) (LQG)
R3 I s-262- I 6(bX8)(vi)(A) (sQG)
R3ls-26r-410(00) @sM
R3 | s -262 -2 5 6(a)(2) (L Q c)
R3 I 5-262- l6(bx8)(vi)(A)(II) (sQG)
Rr l s-261-4 10(0(l xD (r1stf)
R3 | 5 -262 -2 5 6(a)(3) (L Q G)
R3 1s-262- I 6(bX8)(vi)(A)(lII) (sQG)
R3 l s-26 l -4 I 0(0( l xiD (Hs,r1)
R3 | 5 -262 -2 5 6(a)(t ) (LQ G)
R3 I 5-262- I 6(bX8)(vi)(e)fl ) (sQG)
R3 l 5-26 l-4 l 0(0( l xiiD (Hs,,r.1)
R3 | 5 -262 -2 5 6(a)(2) (L Q G)
R3 I 5-262- l6(bx8)(vi)(a)(ll) (sQc)
R3 I 5-26 l -4 I 0(0( I Xiv) (HsMt
Ifany State or local authorities have declined
to enter into such arrangements, has the
facility documented the refusal in the
operating record?
R3ts-262-2s6(b) (LQG)
R3 I s-262- I 6(bX8)(vi)@) (spc)
1s-261-4t0(f)(2) (HSM
/,o 0" ll.,ro\g
Jan 2018 Page 2 of2 Inspector's Initials
s'rc' CAEJ,,^.,-l Fl*,^ /il" EpA #:
Contingency Plan and Emergency procedures Checklist
Note: this checklist is applicable to LQG's and to HSM handlers (except where indicated) who accumulate >6,000 kg (-13,22g tbs)
General Reouirements:
Ha"-;;oples b-eer AGt.ibuted to all local police andfire departments, hospitals, and State and local
emergency response teams that may be called uponfor assistance?
R3 I s-262-1 7(a)(6) (LQG)
R31s-262-262(a) (LQG)
R3 I 5-26 l -420(c)(2) (HSI4)I's
Content ofthe Continsencv Plan:
1. Does the contingency plan describe the
actions facility personnel will take to minimize the
hazard to human health or the environment when
responding to fires, explosions, or any unplanned
sudden or non-sudden release ofhazardous waste?
2. Does the contingency plan describe
arangements agreed to by local police and fire
departments, hospitals, contractors, and State and
local emergency response teams?
3. Does the contingency plan list the names,
addresses, and phone numbers (office and
home) ofprimary and all other persons
qualified to act as emergency coordinator?
4. Does the contingency plan include a list of
all emergency equipment atthe facility? The list
must be kept up-to-date, and include the location
and a physical description of each item on the list.
and a briefoutline ofthe equipment's capability.
5. Does the contingency plan include an
evacuation plan for the facility? This plan must
include a description ofsignal(s) to be used tobegin an evacuation, evacuation routes, and
alternate evacuation routes.
lR3 1 s -2 62 - 26 1 (a) (L Q G)
R3 l s-261-420(bX l) (Hsn4
R315-262-26r(c) (LQc)
R3 r s-26 I -420(bX3 ) (rls,11)
R3ts-262-26t(d) (LQG)
R3 r5-26 f-420(b)(4) (HSM
R3t5-262-261(e) (LQG)
R3 1s-26 l-420(bxs) (flsn4
R31s-262-261(0 (LQG)
R3 l s-26 I -420(bX6) (HSM)
4t
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lnr
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1
Ifthe facility first became subject to these
provisions after May 30, 20 17, or has otherwise
amended its contingency plan, has it developed and
submitted a quick reference guide ofthe
contingency plan to Iocal emergency responders in
R3l5-262-262(a), and state and local emergency
response teams that could be called for assistance?
R3ts-262-262(b) (LQG)
Notrequired-HSM
4pcl. L ,.-^J{f -r}_
Ifthe facility has a quick reference guide for its
contingency plan, does it have the following
required elements?:
l. Types/names ofhaz wastes and the associated
hazard for each haz waste present at any one time
(e.g., toxic paint wastes, spent ignitable solvent,
etc.)
2. Estimated maximum amount of each haz waste
-
that may beEesent-t an
3. Identification ofany haz wastes for which
exposure would requiie unique/special treatment by
medical or hospital staff
4. Map of the facility showing where haz wastes are
generated, accumulated md treated, and routes for
accessing these wastes
5. Street map ofthe faciliW in relation to
"rn@sroennat areas
99ns34{rY9&!:-
6. Locations ofwater supply (fire hydrant, flow rate)
7. Identified on-site notification systems (alarms)
8. Name ofemergency coordinator and 7/24-hour
emerqencv nhone number
This section not
applicable for HSM
handling
R3 | s -262-262(b)(t) (LQ G)
R3 1 s -2 62 -2 62(b)(2) (L Q G)
R3 | s -2 62 -2 62(b)(3) ( L Q G)
R3 1 s -262-252(b)(4) (LQ C)
R3 1 s -2 62 -2 62 (b) (s) (L Q G)
R3 1 s -262 -2 62 (b) (6) (L Q G)
R3 1 s - 2 62 -2 62(b)(7 ) ( L Q G)
R3 | s -262 -2 62 (b)(8) (L Q G)
70\
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ou
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ir,,t( rPLI-
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Page I of3January 20 I 8 Inspectors Initials
Site:EPA #:
Contingency Plan and Emergency Procedures Checklist
Date:
Note: this checklist is applicable to LQG's and to HSM handlers (except where indicateQ who accumulate >6,000 kg (-13,228 |bs)
Does the facility have a least one employee
on-site or on-call at all time who is qualified to
act as the emergency coordinator?
Does the contingency plan include procedures
for activation ofthe internal alarm by the
emergency coordinator?
Does the contingency plan include provisions
for notifying the appropriate State and\or local
response agencies?
t5-262-264 (LQG)
15-261-420(e) (HSM)
R3 | 5 -262-26 s (a)(r) (rQG)
R3 I 5-26r -420(0( l)(D (HS,r./)
R3 | 5 - 2 62 -2 6 s (a) (2) (L Q G)
R3 r 5-26 l -420(0( l XiD (H,Si,f)
lns
ln'
\2,
Does the contingency plan outline the
procedure(s) that the emergency coordinator
will follow to immediately identify the
character, source, amount, and extent of
released material?
R3rs-262-265(b) (LQG)
R3r5-26r-420(DQ) @sM)
Does the contingency plan include procedures
for the emergency coordinator to follow in
order to assess possible hazards to human
health or the environment?
R3r5-262-265(c) (rQG)
R3 l 5-26 l -420(0(3) (HS,r../)
If it is determined that the incident could
threaten human health or the environment.
outside the facility, the emergency coordinator
must notify the appropriate local, State and
Federal agencies. Does the contingency plan
include provisions for notifying the
appropriate agencies? Do the notification
measures include information to be reported
(name and telephone # ofreporter, name and
address offacility, name and quantity of
material(s) involved, extent of injuries, and
possibility of exposure outside the facility),
and identify the National Response Center
and the State as parties to be notified?
R3rs-262-265(d) (LQG)
R3 l 5-26 l -420(r)(4) (HSI4)
Does the plan include procedures to prevent
the spread of the incident to other hazardous
waste/material at the facility?
R3t5-262-265(e) (rQG)
R3 l 5-26 l -420(0(5) (rls,r.f)\a\
Are measures included to monitor for leaks,
pressure buildup, gas generation, or ruptures in
valves, pipes, or other equipment, when it is
necessary to shut-down operations as a
response to an incident?
R3ts-262-265(D @QG)
R3 l 5 -26 l -420(fX6) (t1st1)
Does the contingency plan provide procedures to
follow to manage the hazardous waste/material
senerated as a result ofan incident?
R3t5-262-265(g (LQG)
R3 I 5-26 I -420 (f)(7 ) (HS M
Following implementation of the contingency
plan, are provisions included to ensure that in
the affected area(s):
l. No waste that may be incompatible with the
released material is treated, stored, or disposed
of until the cleanup is complete.
2. That all equipment listed in the contingency
plan is cleaned and fit for use prior to
resuming activities at the facility.
R3 | s -262-26 5 (h)(r) (L QG)
R3 l 5-26 r -420(f)(8)(i) (HS,r./)
R3 | s -262 -26 5 (h) (2) (L Q G)
R3 l 5-26 l -420(fXsXiD (HSi.1)
b
I
I
=J4
January 20 I 8 Page 2 of 3 Inspectors Initials
EPA #:
Contingency Plan and Emergency procedures Checklist
p,sL, zlzrllt
IWL:G': jrd.t: HsM h"rdt"rs (ucept*her" indi""ted) who accumutate>6,(no kg (-13,22s tbs)
The contingency plan must include
provisions for recording the incident
requiring implementation of the
contingency plan and specifying
information that will be recorded and
reported. The requirements are as follows:
l Will a written report on the incident be
provided to the Utah State Department of
Environmental Quality within l5 days?
2. The following information needs to be
recorded and reported:
a) The name, address, and telephone # ofthe
owner/operator;
b) The name address, and telephone # ofthe
facility;
c) Date, time, and type of incident;
d) Name and quantity of material(s) involved;
e) Extent of injury, if any;
f) An assessment of the actual or potential
hazard to human health or the environment:
and
g) An estimate of the quantity and disposition
ofrecovered material(s) that resulted from the
incident.
R3ts-262-265(i) (LgG)
R3 l 5-26 I -420(0(9) (fl.t/l,r')
R3rs-262-26s(i) (LQG)
R3 I 5-26 l -420(fx9) (HS,t1)
R3 | s-262-26stil( | ) tlw (ix 7) (z?c)
R3 l 5-26 1420(0(9Xi) rhru (ry9xvii)
HSM Only: Are all employees thoroughly
familiar with proper waste handling and
emergency procedures relevant to their
responsibilities during normal facility
operations and emergencies?
R3ts-26r-420(d (HSM)
January 20 l 8 Page 3 of3 Inspectors Initiah gf
a