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:
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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
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Facility's Phone:
U.S. EPA ID Number
9a.
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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
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14. Special Handling Instructions and Additional Information
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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.:
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17. Transporter Acknowledgment of Receipt of Materials
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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
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UNIFORM HAZARDOUS WASTE MANIFEST
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24. Generator's Name
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Hazardous Waste Report Management Method Codes (i.e., codes for hazardous waste treatment, disposal and recycling systems)
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GENERATOR'S INITIAL COPY