DSHW-2018-003865 - 0901a06880809145

5/2/2018 RCRAInfo Review Source Record Div of Waste Management
and Radiation Control
MAY - 2 2018 Dsl-N-2010-0035G5
UTAH STATE UNIVERSITY - 576 WEST 200 SOUTH - UTR000014274
BLANDING BLANDING
Review Source Record
General Information Revision History Details in
Received Date Non-notifier Extract to Public?
05/02/2018 Yes
Accessibility Acknowledgement Flag
1. Reason for Submittal
Obtaining or updating an EPA ID number for an on-going regulated activity that will continue for a period of
time. (Includes HSM activity) [Source N]
2. Site ID
EPA ID Activity Location
UTR000014274 UT
3. Site Name
Name
UTAH STATE UNIVERSITY - BLANDING
4. Site Location
Street Street 1 Street 2
Number 576 WEST 200 SOUTH
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5/2/2018 RCRAInfo Review Source Record
Zip City, Town or Village State
84511 BLANDING UTAH
Country
UNITED STATES
County State District
SAN JUAN
5. Site Mailing Address
Street Street 1 Street 2
Number 576 WEST 200 SOUTH
Zip City, Town or Village State
84511 BLANDING UTAH
Country
UNITED STATES
6. Site Land Type
Land Type
State
7. North American Industry Classification System (NAICS)
Primary NAICS
61131 - COLLEGES, UNIVERSITIES, AND PROFESSIONAL SCHOOLS
Other NAICS
8. Site Contact Person
First Name Middle Initial Last Name
GARY LARSEN
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Title Email
HAZARDOUS WASTE [e-mail]
MANAGER
Phone Number Extension Fax
435-797-2763
8a. Site Contact Address
Street Street 1 Street 2
Number 8315 OLD MAIN HILL
Zip City, Town or Village State
84322 LOGAN UTAH
Country
UNITED STATES
9a. Legal Owner
Type Name Address Date
State UTAH STATE UNIVERSITY 8315 OLD MAIN HILL, LOGAN, UT 84322
9b. Legal Operator
Type Name Address Date
State UTAH STATE UNIVERSITY 8315 OLD MAIN HILL, LOGAN, UT 84322
10. Type of Federal Regulated Waste Activity
A. Hazardous Waste Activities
1. Generator of Hazardous 4. Treater, Storer, or Disposer 7. Exempt Boiler and / or
Waste (Federal) of Hazardous Waste Industrial Furnace
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5/2/2018

RCRAInfo Review Source Record

3 - Very Small Quantity
Generator
Generator of Hazardous
Waste (State)
F - Same as federally defined
2-3. Other Generator
Activities
None Selected
None Selected
5. Receives Hazardous
Waste from Off-site
None Selected
6. Recycler of Hazardous
Waste
None Selected
None Selected
B. Waste Codes for Federally Regulated Hazardous Wastes
A. Hazardous Waste Codes (Federal)
D-Codes:
D001 D002 D003 D004 D005 D006 D007 D008 D009 D010 D011 D018 D022
• F-Codes:
F001 F002 F003 F004
C. Waste Codes for State Regulated (non-Federal) Hazardous Wastes
B. Hazardous Waste Codes (State)
None Selected
11. Additional Regulated Waste Activities
A. Other Waste Activities
1. Transporter of Hazardous 3. United States Importer of 5. importer/Exporter of
Waste Hazardous Waste SLABs
None Selected None Selected None Selected
2. Underground Injection 4. Recognized Trader
Control None Selected
None Selected
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5/2/2018 RCRAInfo Review Source Record
B. Universal Waste
Activities
1. Large Quantity Handler
of Universal Waste
None Selected
2. Destination Facility for
Universal Waste
None Selected
C. Used Oil Activities
1. Used Oil Transporter
None Selected
2. Used Oil Processor and /
or Re-refiner
None Selected
3. Off-Specification Used Oil
Burner
None Selected
4. Used Oil Fuel Marketer
None Selected
D. State Activities
Your State does not have any State defined activities.
12. Eligible Academic Entities with Laboratories
1. Opting into or currently operating under 40 CFR Part 262 Subpart K for the management of
hazardous wastes in laboratories.
2. Withdrawing from 40 CFR Part 262 Subpart K for the management of hazardous wastes in
laboratories.
No
13. Episodic Generation
Are you an SQG or VSQG generating hazardous waste from a planned or unplanned episodic event,
lasting no more than 60 days, that moves you to a higher generator category? lf "Yes", you must fill
out the Addendum for Episodic Generator.
No
14. LQG Consolidation of VSQG Waste
Are you an LQG notifying of consolidating VSQG hazardous waste under the control of the same
person pursuant to 40 CFR 262.17(f)?
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No
15. Notification of LQG Site Closure for a Central Accumulation Area (CAA) (optional) and Entire Facility
LOG Site Closure of a Central Accumulation Area or Facility
No
16. Notification of Hazardous Secondary Material (HSM) Activity
Are you reporting HSM activities?
No
17. Electronic Manifest Broker
Are you notifying as a person, as defined in 40 CFR 260.10, electing to use the EPA electronic
manifest system to obtain, complete, and transmit an electronic manifest under a contractual
relationship with a hazardous waste generator?
No
18. Comments
Internal Comments
Public Comments
19. Certification
First Name M.l. Last Name Title Date Signed
GARY LARSEN HAZARDOUS WASTE MANAGER 05/02/2018
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