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HomeMy WebLinkAboutDSHW-2018-003796 - 0901a06880805ddeDiv of Waste Management and Radlation Control 'CardinalHealth APR 3 0 2018 April 27, 2017 Utah Division of Waste Management and Radiation Control 195 N. 1950 W. Salt Lake City, UT. 84116 Attn: Scott Anderson Ds oi- z01 e - oo 371(, RE: Hazardous Waste Manifest Exception Report Dear Mr. Scott Anderson: The following report is being submitted pursuant to Hazardous Waste Regulation 40 CFR 262.42. On March 16, 2018 Cardinal Health (EPA ID # UTR000011338) located at 955 W. 3100 S. Salt Lake City, UT. 84119 shipped hazardous waste under Manifest Number 010414469FLE (attached), with transporter Stericycle Specialty Waste Solutions INC. (EPA ID # MNS000110924). The shipment was scheduled for delivery to Philip Reclamation Services Houston, LLC (EPA ID # TXD074196338). As of April 30, 2018, which is the 45th day after shipment was tendered to the transporter, we had not received a copy of the manifest from Philip Reclamation Services Houston, LLC. We have been in contact with the Management of Stericycle Specialty Waste Solutions INC, and tracking the delivery since April 18, 2017. The shipment is currently in Avalon, TX, and should arrive at the TSDF by next Thursday, May 3rd. We will continue to monitor this shipment and will file a follow-up report with your office as soon as significant new information is received. If 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 010414469FLE Please print or type. (Form designed for use on elite (12-pitch) typewriter.) Form Approved. OMB No. 2050-0039 1. Generator ID Number 2. Page 1 of UNIFORM HAZARDOUS WASTE MANIFEST 3. Emergency Response Phone 3 rr'i 4. M fest Tracking Number 6 10414469 FLE 5. Generator's Name and Mailing Address Generators Site Address (if different than mailing address) Generator's Phone: ; 6. Transporter 1 Company Name U.S. EPA ID Number ; 7. Transporter 2 Company Name U.S. EPA ID Number 8. Designated Facility Name and Site Address r `?";,•: •Vf ,.; •,, Facility's Phone: U.S. EPA ID Number 9a. HM 9b. U.S. DOT Description (including Proper Shipping Name, Hazard Class, ID Number, and Packing Group (if any)) 10. Containers No. Type 11. Total Quantity 12. Unit Wt.Nol. 13. Waste Codes 1. 33 V, Pie 2. " 1 L 3. , = 4. “kkr1 Pe. • AJJ • 14. Special Handling Instructions and Additional Information ' ki,;4 1.t tiv4r,k- Atsf•tii' „ •; . • „ Of. Li: i eht,-;27,:161, -c • •':rr. ttelvi '; J'JP‘i•I ..,- 7/ 15. GENERATOR'S/OFFEROR'S CERTIFICATION: I hereby declare that the contents of this consignment are fully and accurately described above by the proper shipping name, and are classified, packaged, marked and labeled/placarded, and are in all respects in proper condition for transport according to applicable intemational and national govemmental regulations. If export shipment and I am the Primary Exporter, I certify that the contents of this consignment conform to the terms of the attached EPAAcknowledgment of Consent. I certify that the waste minimization statement identified in 40 CFR 262.27(a) (if I am a large quantity generator) or (b) (if I am a small quantity generator) is true. Generators/Offerors Printed/Typed Name Signature Month Day Year -J 16. Intemational Shipments Ei Import to U.S. Export from U.S. Port of entry/exit Transporter signature (for exports only): Date leaving U.S.: TR A N S P O R T E R 17. Transporter Acknowledgment of Receipt of Materials e r , Transporter 2 Printed/Typed Name Month Day Year Signature Month Day Year Transporter 1 Printed/Typed Name Signature 18. Discrepancy 18a. Discrepancy Indication Space ni 1-.-r Quantity Type EIResidue Partial Rejection Full Rejection Manifest Reference Number 18b. Alternate Fadlity (or Generator) U.S. EPA ID Number Facility's Phone: 18c, Signature of Altemate Facility (or Generator) 19. Hazardous Waste Report Management Method Codes (i.e., codes for hazardous waste treatment, disposal, and recycling systems) 2. 1. 4. 3. 20. Designated Facility Owner or Operator: Certifica on of receipt of hazardous materials covered by the manifest except as noted in Item 18a Printed/Typed Name Signature Month Day Year EPA Forrn 8700-22 (Rev. 3-05) Previous editions are obsolete. GENERATOR'S INITIAL COPY Month Day Year /;4.1.1'-. • 4 ti .3(,•;•95.1.12 Please orint or tvDe. Form desi ned for use on elite 2- itch ewriter. Form A roved OMB No. 20 -0 CC 0 I— CC UJ UNIFORM HAZARDOUS WASTE MANIFEST (Continuation Sheet) 21. Generator ID Number i row:404..2-4,4 1 22. Page =„ — ,'')'{' , .. 23. Manifest Tracking Number 0/ flzi I 'V,' 24. Generator's Name , ' '-i-t3- el a 1-i=4 hbA1,111 'it Il.yq .., ; 'i -I' t,.'tr= t 11,-, ill =.141 • tli.' i ; ..• ! i -,"=I:; • -. :t U.S. EPA ID Number 25. Transporter Company Name I U.S. EPA ID Number 26. Transporter Company Name I 27a. 27b. U.S. DOT Description (including Proper Shipping Name, Hazard Class, ID Number, 28. Containers 29. Total 30. Unit HM and Packing Group (if any) No. Type Quantity Wt.Nol. 31. Waste Codes ) t4•11"t 10.)U. ,j4it,!aili',= i4041!,,, itr, 'V ,4 :' '-, ,I,,lA i114-:,11 J011 i nth ._ . 1461 rt,!-kg il,)141,i11,7 / i i)v t. =. tit' 0.1.. iit,44;t:i iit., I. ikii; , it, /,-;:, ,J . ., ;ii-isiqi, , ist t", ( 1.-;;; 410k.! Lyif .;Iiii. 1,0,:- i 1,k t ,511i it-Kalli kali ,..i fit.. i..1 VD f.ti , vq:, 0, e;-',,,,, .._,. i k ,-,,F,r ikt; 1,6 ?0,1-, ,,Itit 4o4ti Ptoi 0,i kt01 Ohl4W 04-',1e, 161,111.iik, i.,,,i441), T',/,%P.,, i,-, ,,, rilTiNit.,/ii ,,. -,,i(cVt *tr i 11 Ili) 0 0';' F, two; tip, d Z 0 ,, piA:11. ,..tiet1-614t, 10fiti.,, r640NA6Lb, A.0 .4. .tiOtAfi. 7 9lirl Riiii tiiiii I • - , *9 l'I:41•7, k. A1411. A , titirt.34,.; ii• t', ,.,Itt, ( .!f f.",,i C ierth Mtn ,,fi'diti.: • I., I , • _ , t 1 ..4 T 32. Special Handling Instructions and Additional Information =, ,:tAii70.4r.,, s i iii , , T4 ,...iiiStIkiiit pAilta.o.i, , y I i.10,04111, i) k. i,ititi.j; t ti R.1104Siii(fal t ,i +...sitii)611'4 44 LT:ti i i -',i ,':04:itilikA! fAt.:k itq.kt Pt) =t! f ..;-iiiti,t ria i / 14...:,ii it 3. . ,:rstiMiiiiik MI it, AO; i 9! Pfligiligl-i), - Litt-, i Whil i'ACELO: cc lu i.— cc 0 a. 33. Transporter Acknowledgment of Receipt of Materials i Prnted/Typed Name Signature Month Day Year I I I I 2 34. Transporter Acknowledgment of Receipt of Materials Printed/Typed Name Signature Month Day Year I I 1 1 < cc 1— r.) .4 u. 0 w 35. Discrepancy 1- 36. 4 z = , 0 Hazardous Waste Report Management Method Codes (i.e., codes for hazardous waste treatment, disposal and recycling systems) I. I., ! ., 1 • I, b 1 Eli w ci , I EPA Form 8700-22A (Rev. 3-05) Previous editions are obsolete. GENERATOR'S INITIAL COPY