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HomeMy WebLinkAboutDSHW-2018-004590 - 0901a0688082616dRE: Hazardous Waste Manifest Exception Report Div of Wp:ste Managernent and Ra.clation Control MAY 2 1 2018 D5Riki -2-0I 0 II-5 9,0 Utah Division of Waste Management and Radiation Control 195 N. 1950 W. Salt Lake City, UT. 84116 Attn: Scott Anderson CardinalHealth May 18, 2018 Dear Mr. Scott Anderson: This is a follow up letter from a previous letter sent on 4-27-18 regarding 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 with transporter Stericycle Specialty Waste Solutions INC. (EPA ID # MN5000110924). 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, 2018. We have now received signed copies (please see attached) as this shipment has arrived at its TSDF. If you have any questions regarding this matter, please contact me at 385-285-3226. Sincerely yours, Chad Moss Environmental, Health and Safety Advisor Cardinal Health 955 W. 3100 S. SLC UT. 84119 Enclosure: Signed copies of Manifest Number 010414469FLE 934115-1.8 3095182 ile (12•oðchì tvoewnter. Form Aporoved. OMB No. 2050-0039 A g ffi aR 3 • UNIFORM HAZARDOUS WASTE MANIFEST . , 1 General" I° Number M1000011338 2 Page 1 of /ii 3. Emergency Response Phone (877) 577-2669 4. Manifest Tracking Number 0 1 0 4 1 4 4 6 9 FLE 5. Genera.or's Name and Mailing Address eneraWs Site Address (if different than mailing address) CARDINAL MALTA CAN - SILT LATE CITT 155 1 3101 II 355 11 3111 S GmieratoesPhcme. SALT LASS CITY UT 04111 (111)373-4115 ISALT LASN CITY UT 14115 5/9‘ciAL r Whit Sre $.49 4pr/0)W, Zi'Ve,. us EpApi maglrie f evariaq 6 TranwIR eiiiilia.aBIL3n;Aeggia, wees.Neuelowtaie je I 7 Transporter 2Company Name •• U.S EPA ID Number 29 11:!ited4 Ih Stot tfr-444- YCLAISpOrta.,1--70 0 1 nc.„ lYv--0,2rip32-1 53 8. 1151 Fealty's PHILIP • Facility Name mie Address U S. EPA ID Number 11CMINATION MMUS HOUSTON, LLC Nolostoad load Phone: BOISION, TS 11121 (113) 179-2311 1 TICD074196338 ga. 90. U S DOT Description (including Proper Shipping Name. Hazard Class. ID Number, 10. Containers 11 Total 12 Unit 13 Waste Codes ` Hm and Packing Group (if any)) No. Type Quantity WIA/ol I 1111311 USTI( WOOLS FLAINABLI (0111) 2.1 (HACH NOT HICESOING 1 OUTS 1111 0111 IC LIM CAPICITI) 10(0111) / IN V. 7 P , 2E a 013211 USTI IIMICIIII, LIPID, FLAMBE, TOSIC, 11.0.8. (ITHANOL,- PACLIIIINL) 3 (1.1) XII 1Q(0111) / Cr //i/ OATS 1112 1111 0111 IC 3 1111553 USTI 11111ABLI LIgoIns, 1.0.S. (ALCOHOLS, IONE) 3 PGII DF OUTS 21311 0111 1Q(0111) / 425 P 1 2E 4 U11325 visa fLAIRADLI SOLIDS, MANIC, 1.0.5. (SALM, CIIPHOl) 1.1 POII 19(0111) / IN C OITA 1110 0111 14. Special Handing Instructions and Additional Information (1) C011211T1-17 - 116(12) (TS)CONSUIll PACKAGE (2) C011311T1-17 - ElO(131) (17)C01811111 !ACME (1) C111131511-17 - 1110(120 (TS)CONSIMEI MIAMI (1) COM1ITS-17 - 119(133) (11)=81111 PIC= ktifertAgo. /f5-4/rSf/1 /9:Cð7, /?..Cat? ,IS .e , / 9.K.f.:". /9e, /95:4,ze Ar.14.///fSztP 15. OENERATOR'SIOFFEROR'S CERTIRCATION: I hereby declare lhat the contents 61 , this consignment bre fully and accurately described above by-the proper shipping &am and are classified. packaged, marked and labeled/placarded, and are in ail respects in proper condition for transpod according lo applicable international and national governmental regulations If mood shipment and I am the Primary Exporter, I certify that the contents of this consignment confomi to Ihe terms of the attached EPA AcknoMedgment of Consent. I caddy that the waste minimization statement identified m 40 CFR 262 27(a) (if I am a large quantity generator) or (b) (uf I am a small quantity generator) is true Generatoes/Offeror's Printed/Typed Name signature moniri Day Year illA r 10%4 Solvi s,o,-1 I /11 A4%7" 0 -- e k 16. International Shit/meta 0 Import lo U S Export frorn U.S Pod of entry/exit Transcater signature (for moods only). Dale leaving U S - TR A NS P O R T E R I 17. Traispoder ActindMedgment of Receipt of Matenals Transporter 1 gded7Typed Name Signature MOntt• . Day Year , rked or e s&',1)--7- I; 122I/r- IG-e.--""1 •--1.^E i 5 'Mb C.) < LI- 0 oiC I 19. CI 18 Discrepancy 18a. Discrepancy Indicaeon Space Cf Quantity Type CJ Residue 0 Partial Refection El Full Rejecion Manifest Reference Number: . Alternate FacAly (or Generator) U.S. EPAID Number Facility's Phone l • 18c knalure of Alternate Facility (or Generator) Month Day Year 1 1 1 Hazardous Report Management Method Codes (i.e.. codes hazardous waste treatment, disposal. and recycl systems) 2 3. /f/ 29. Designated FlAty or Operaq.erencatr receipt of hazardous materials covered by the manifest s noted in Nem 18a 1 PrmledfTyped s... **476r . e.." aji // //51-r- t' 'illr**1#1 11) EPA Form 8700-22 (Rev. 3-05) Previous editions are obsOlete DESIGNATED FACIUTY TO DESTINATION STATE (IF REQUIRED) • • ' 934115-18 3095182 please pant or type. Ram magne0 tor use on eine 1Z-atall Wroewritsr4 FOND Approval. unas NO. 416U-U1739 CD A T M , - I UNIFORM HAZARDOUS WASTE MANIFESTÌ (Continuation Skeet) 21- Neuerarer IN Number MR000011338 22. Pag2 of 23. Manifest %Wel Numhir 010414469FLE 24. Generator's Name CAIDINAL HEALTH 955 V 3111 $ , SALT LAKE CITY VT 84119 (811)973-4985:226 U.S. EPA ID Number 25. Transporter 7 CompanY Name /L. Z.C./Aiii I 7-Xe.ele7.0.6r-119=--- .„'..i.moyloot 26. Transporter U.S. EPA 10 Number ComPanY ILVOL Cira katSie_DI tithm Irsnosoz)c)1 1 cciaq 27a. HM X )C IC IC 271). U.S. DOT Description (Mcluding Proper Shipping Name, Hazard , ID Number, 28. Containers 29. Total 30. Unit and Packing Group id any) No. T ype 00,104 WI-Nut 31. Waste Codes 5 UN3199 MASTS OKIIIIIING LIQUID, TOKIC, N.O.S. (SURE NITEATE , POTASSIUM DICIMONATI) 5.1 (6.1) PGII 11Q(0111) / DF 023 P 1 i offs 4110 0111 . ' . - - 1,- - - (10il irillL 1 6 1111851 ELITE MEDICINE, LIQUID, TUX, N.O.S. (PHENOL, OUTS. i41111 10115 MESOECINOL) 6.1 PGII 1Q(0111) I Or 7. P , 0011 Or 0011 7 0N1851 VAST! MEDICINE, LIQUID, ?MU, N.O.S. (VAIPAEIN SALTS .2 e) Om 11141I 1 P111 >1.34 CNC, NICOTINE) 6.1 PGII / IT P Pin illeic RICA 8 UN1851 VASTE IEDICINE, LIQUID, TOXIC, N.O.S. (NITIETCIN C, CHLONANBUCIL) 6.1 PGII / DF S— P ours ilum - ' 1 ------ jos 41141 gm - 111S4 11 ic 9 U12121 NUTS COMMOSIVE LIQUIDS, PLANIABLE, 1.0.8. (GLACIAL ACETIC ACID, NTONOCHLOMIC ACID) 8 (3) POO" EQ(0111,0142) / OF ‘ cas ion!! I Ow i mit 111 , 11 12 — — - - -- -- - -- 13 14 — - ----- . - - --- -- . PACKAGE 32. SlreMel Nerrelieb Instructmas and Additional inbfinatill5 ) C01154111-17 - E1G(142) (11)CONS111111 PACKAGE (6) C01161111-17 - 11G(151) (11)CONSMIEE (7) C3161111-18 - ENG(151) CONNED PACKAGED Plf (8) C00613T1-17 - 120(151) (11)CONSVNEE PACKAGE (9) C011113T1-17 - ERG(132) TI)CONSIIIIER PACKAGE 5 33. Transporter_f_ye ‘for4o it o Receipt of Mat z f Signature Month Day Year i Pring7 14/ IA ir---. 34: Transportert. Acknowledgment of Receipt Matertals , rì' i , 6--.) ,......e (... i . I L-7‘ I qiiti 5 1 35. mcrepancY 0 36.14azar I Management Method 7),",,,,tfr for hazardous waste weatmffips,#bcycling sYMefris) 4,/// g I I I I EPA Form 8700-22A (Rev. 3-05) Previous editions are obsolete. DESIGNATED FACIUTYTO DESTINATION STATE (IF REQUIRED) Please print or type. (Form designed for use on elite 12-pitch) typewriter.) Form Approved. OMB No. 2050-0039 UNIFORM HAZARDOUS WASTE MANIFEST 21. &marmot ID Number (Continuation Shed) 11112,6600 t 1 333 22. Ppge 31 5 23. Menifist TraCIng ....., k') 1l1/4-1L-kci VLF, 24. Generator's Name aucv vw Irkto Aote‘..., 25. Transpoder ja Convany U.S EPA ID Number Name5 rieA.40A e 4e,aial t/00,50,01-i61‘.1 IA Sl.tOt 109 ;3114 u S. EPA Number 26. Transpoder 14444/efir az iaiN JO 4440PC I AA A/C0040/Aia 27. 27b. U.S. DOT Description (including Proper Shipping Name, Class, II) , 28. Containers , 29. Total 30. Unit 31. Waste NM owl Pooldo9 GrouP Pi orlYn No. Type Quantity INt.Nol. i , : i I • 1 ffl 1 , — - .i. • 32. Siiecial Handling Instnictions and Additional Information o, 33. Transporter 5 4:4 Receipt of Materials Signaita4 jAi A/1 I S 1 T gis 34. TrorW cal , g PrirtMgyped Name Month Day Year .1 ,...,,.. , 1 1 Ci ED FAC IU T Y 35. Discrepancy 2 3 38. Hazardous Waste Report Management Method Codes (i.e.. codes for hazardous wade treatment. disposal. and recyding systems) I I 1 I S I I 1 I EPA Form 8700-22A (Rev. 3-05) Previous editions are obsolete. DESIGNATED FACILITY TO DESTINATION STATE (IF REQUIRED)