DSHW-2018-003847 - 0901a06880808c5f

5/1/2018 RCRAInfo Review Source Record Div of Waste Management and Raalation Control
APR 3 0 2O18
PI-11/1/-200--0:0313+7
BIOMERICS LLC 620 JOHN GLENN ROAD - UTD988070215
SALT LAKE CITY
Review Source Record
General Information Revision History Details IM
Received Date Non-notifier Extract to Public?
04/30/2018 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
UTD988070215 UT
3. Site Name
Name
BIOMERICS LLC
4. Site Location
Street Street 1 Street 2
Number JOHN GLENN ROAD
620
https://rcrainfo.epa.gov/rcrainfoprod/action/secured/update-handler/view/UTD988070215/N/6#!/Confirmation 1/7
5/1/2018 RCRAInfo Review Source Record
Zip City, Town or Village
84116 SALT LAKE CITY
Country
UNITED STATES
County
SALT LAKE
State
UTAH
State District
5. Site Mailing Address
Street Street 1 Street 2
Number JOHN GLENN ROAD
620
Zip City, Town or Village State
84116 SALT LAKE CITY UTAH
Country
UNITED STATES
6. Site Land Type
Land Type
Private
7. North American Industry Classification System (NAICS)
Primary NAICS
339112 - SURGICAL AND MEDICAL INSTRUMENT MANUFACTURING
Other NAICS
325211 - PLASTICS MATERIAL AND RESIN MANUFACTURING
8. Site Contact Person
First Name Middle Initial Last Name
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5/1/2018 RCRAInfo Review Source Record
JASON CUTLER
Title Email
[e-mail]
Phone Number Extension Fax
775-857-7252 310-882-1160
8a. Site Contact Address
Street Street 1 Street 2
Number SANTA MONICA BLVD SUITE 600
11111
Zip City, Town or Village State
90025 LOS ANGELES CALIFORNIA
Country
UNITED STATES
9a. Legal Owner
Type Name Address Date
Private B.H. JOHN GLEN ROAD LLC 11111 SANTA MONICA BLVD SUITE 04/14/2015
600, LOS ANGELES, CA 90025
Private BIOMEDICAL INDUSTRIAL
HOLDINGS LLC
595 SOUTH RIVERWOODS PARKWAY,
SUITE 400, AXTELL, UT 84621
03/02/2018
9b. Legal Operator
Type Name Address Date
Private B.H. JOHN GLEN ROAD LLC 04/14/2015
Private BIOMERICS LLC 620 JOHN GLENN ROAD, SALT LAKE 03/02/2018
CITY, UT 84116
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5/1/2018 RCRAInfo Review Source Record
10. Type of Federal Regulated Waste Activity
A. Hazardous Waste Activities
1. Generator of Hazardous
Waste (Federal)
2 - Small Quantity Generator
Generator of Hazardous
Waste (State)
F - Same as federally defined
2-3. Other Generator
Activities
None Selected
4. Treater, Storer, or Disposer
of Hazardous Waste
None Selected
5. Receives Hazardous
Waste from Off-site
None Selected
6. Recycler of Hazardous
Waste
None Selected
7. Exempt Boiler and / or
Industrial Furnace
None Selected
B. Waste Codes for Federally Regulated Hazardous Wastes
A. Hazardous Waste Codes (Federal)
D-Codes:
D001 D002 D007 D011 D022 D035 D038
F-Codes:
F003 F005
P-Codes:
P024
U-Codes:
U002 U003 U034 U044 U056 U057 U123 U134 U154 U159 U188 U196 U210 U213 U220
U223
C. Waste Codes for State Regulated (non-Federal) Hazardous Wastes
B. Hazardous Waste Codes (State)
None Selected
11. Additional Regulated Waste Activities
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A. Other Waste Activities
1. Transporter of Hazardous
Waste
None Selected
2. Underground Injection
Control
None Selected
3. United States Importer of
Hazardous Waste
None Selected
4. Recognized Trader
None Selected
5. Importer/Exporter of
SLABs
None Selected
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
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5/1/2018 RCRAInfo Review Source Record
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 LOG notifying of consolidating VSQG hazardous waste under the control of the same
person pursuant to 40 CFR 262.17(f)?
No
15. Notification of LQG Site Closure for a Central Accumulation Area (CAA) (optional) and Entire Facility
LQG 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
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19. Certification
First Name M.l. Last Name Title Date Signed
JASON C CUTLER EHS COORDINATOR 04/30/2018
https://rcrainfo.epa.gov/rcrainfoprod/action/secured/update-handler/view/UTD988070215/N/6#!/Confirmation 7/7
5/1/2018 State of Utah Mail - EPA ID Number
Carlee Christoffersen <[e-mail]>
EPA ID Number
1 message
Carlee Christoffersen <[e-mail]> Tue, May 1, 2018 at 4:57 PM
To: [e-mail]
Jason,
This is to acknowledge you have filed a RCRA Subtitle C Site Identification Form for waste generated at the following
address:
BIOMERICS LLC
620 NORTH JOHN GLENN ROAD
SALT LAKE CITY, UT 84116
The EPA Identification Number for this site is UT0988070215.
The EPA Number must be included on all shipping manifests for transporting hazardous wastes; on all Hazardous
Waste Biennial Reports that some 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 EPA Number is site specific. If your company changes physical locations, it is your responsibility, as a generator,
to notify the state and apply for a new EPA ID Number. You can submit a new form to update information regarding
your site at any time.
If you would like to arrange a compliance assistance visit to discuss waste management practices, please contact
Deborah Ng at 801-536-0218.
For questions regarding your EPA ID number or site status please call Carlee Christoffersen at (801) 536-0233 or reply
to this email.
Thank you,
Carlee Christoffersen l Environmental Program Coordinator
Phone: [phone]
U1AH LLPA1Nt ct
ENVIRONMENTAL QUAL111,
WASTE MANAGEMENT
RADIATION CONTROL
Statements made in this email do not constitute the official position of the Director of the Division of Waste Management and Radiation
Control. If you desire a statement of the Division Director's position, please submit a written request to Director, Division of Waste
Management and Radiation Control, P.O. Box 144880, Salt Lake City, Utah 84114-4880, including copies of documents relevant to your
request.
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