HomeMy WebLinkAboutDSHW-2018-004985 - 0901a06880839eadState Utah Zip Code 84014 Country U$
Street Address 950 W 400
City, Town, or Village Centerville
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and Rad a...on Goitol
IA AY 2'018
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OMBO 2050-0024; Expires 05/31/2020
United States Environmental Protection Agency
RCRA SUBTITLE C SITE IDENTIFICATION FORM
L Reason for Submittal (Select only one.)
111 Obtaining or updating an EPA ID number for an on-going regulated activity that will continue for a period of
time. (Includes HSM activity)
Submitting as a component of the Hazardous Waste Report for (Reporting Year)
0 Site was a TSD facility and/or generator of > 1,000 kg of hazardous waste, > 1 kg of acute hazardous
waste, or > 100 kg of acute hazardous waste spill cleanup in one or more months Ditto reporting year
(or State equivalent LQG regulations)
Ef Notifying that regulated activity is no longer occurring at this Site
Obtaining or updating an EPA ID number for conducting Electronic Manifest Broker actMtles
0 Submitting a new or revised Part A Form
2. Site EPA ID Number
0 4 1 0 6 8 9 6
3. Site Name
Trinity Highway Products LLC
4. Site Location Address
Street Address 950 W 400 3
City, Town, or Village Centerville CountY Davie
State Utah Country US _Zip Code 84014
5. Site Mailing Address Same as Location Address
6. Site Land Type
['Private ['County ODistrict OFederal ['tribal 0 Municipal 0State 0 Other
7. North American Industry Classification System (NAICS) Code(s) for the Site (at least 5-digit codes)
A. (Primary) 332322 C.
B. D.
EPA Form 8700-12, 8700-13 A/8, 8700-23 Page _ of _
0 6 0 4 1 7 5 8 9
Same as Location Address S. Site Contact information
1:1 Same as Location Address
9. Legal Owner and Operator of the Site
A. Name of Site's Legal Owner
El Same as Location Address B. Name of Site's Legal Operator
Page _ of _ EPA Form 8700-12, 8700-13 A/8, 8700-23
First Name Chris lol L Last Name Navarez
Title Distribution Center Supervisor
Street Adciress 950 W 400 S
City, Town, or Village Centerville
State Utah Country US zip Code 84014
Email chris.nevarezatrin.net
Phone 801-292-4481 Eat 25074 Fax
Full Name
Trinity Industries
Date Became Owner (mm/dd/yyyy)
11/15/1992
Owner Type
ariyate OCounty III District Federal 12jîrlbal OMunicipal State DOther
Street Address 2525 SterflmOns Freeway
City, Town, or Village Dallas
State Tx Country U$ Zip Cade 75207
Email
Phone 214-631-4420 Ext Fax
Comments
Full Name
Trinity Industries
Date Became Operator 0nm/dd./WM
11115/1992
Operator Type
ZPrivate County ElDistrict 0 Federal ci Tribal Olviunicipal E] state 00ther
Street Address 2525 Stemmons Freeway
aty, Town, or Village Dallas
state TX _ country US zip Code 75207
Email
Phone 214/83114420 Ext Fax
Comments
OMBa 2050-0024; Expires 05/31/2020 EPA ID Number
0 6 O 4 7 5 8 9 1.
Page _ of _ EPA Form 8700-12, 8700-13 Am, 8700-23
10. Type of Regulated Waste Activity (at your site)
Mark "Yes" or "No" for all current activities (as of the date submitting the form); complete any additional boxes as instructed.
A. Hazardous Waste Activities
Ey m N 1. Generator of Hazardous Waste—If "Yes", mark only one of the following—a, b, c
El a. LQG -Generates, in any calendar month (includes quantities imported by importer site)
1,000 kg/mo (2,200 lb/mo) or more of non-acute hazardous waste; or
- Generates, in any calendar month, or accumulates at any time, more than 1 kgimo
(2.2 lb/mo) of acute hazardous waste; or
- Generates, in any calendar month or accumulates at any time, more than 1(0 kg/mo
(220 lb/mo) of acute hazardous spill cleanup material.
El b. SQG 100 to 1,000 kg/mo (220-2,200 lb/mo) of non-acute hazardous waste and no more than
1 kg (2.2 lb) of acute hazardous waste and no more than 100 kg (220 lb) of any acute
hazardous spill cleanup material.
n _c. VSQG Less than or equal to 100 kg/mo (220 lb/mo) of non-acute hazardous waste.
If "Yes" above, indicate other generator activities in 2 and 3, as applicable.
la l N
processes).
2. Short-Term Generator (generates from a short-term or one-time event and not from on-going
If "Yes", provide an explanation in the Comments section. ' y ON 3. Mixed Waste (hazardous and radioactive) Generator
y ON '4. Treater, these activities. Storer or Disposer of Hazardous Waste—Note: A hazardous waste Part 8 permit is required for
la N N S. Receives Hazardous Waste from Off-site
Oy ei N 6. Recycler of Hazardous Waste
E a. Recycler who stores prior to recycling
• b. Recycler who does not store prior to recycling
1:11( 0 N 7. Exempt Boiler and/or Industrial Furnace—If "Yes", mark all that apply.
0 a. Small Quantity On-site Burner Exemption
El b. Smelting, Melting, and Refining Furnace Exemption
B. Waste Codes for Federally Regulated Hazardous Wastes. Please list the waste codes of the Federal hazardous wastes
handled at your site. List them in the order they are presented in the regulations (e.g. 0001, D003, F007, U112). Use an
additional page if more spaces are needed.
C. Waste Codes for State Regulated (non-Federal) Hazardous Wastes. Please list the waste codes of the State hazardous
wastes handled at your site. List them in the order they are presented in the regulations. Use an additional page if more
spaces are needed.
OMB# 2050-0024; Expires 05/31/2020 EPA ID Number
1:M02
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6 0 7 5 8 9 0 4 1
Page _ of _ EPA Form 8700-12, 8700-13 A/B, 8700-23
11. Additional Regulated Waste Activities (NOTE: Refer to your State regulatiorts to determine if a separate permit is reqs*ed.)
A. Other Waste Activities
Di FA N 1. Transporter of Hazardous Waste—If "Yes", mark all that apply.
0 a. Transporter
EI b. Transfer Facility (at your site)
N 2. Underground Injection Control R N 3. United States Importer of Hazardous Waste
Fly 171N 4. Recognized Trader—If "Yes", mark all that apply.
a. Importer
111 b. Exporter
Ov Z N 5. Importer/Exporter of Spent Lead-Acid Batteries (SLABs) under 40 CFR 266 Subpawt G—if "Yes', mark all that apply. 0 a. Importer
fJ b. Exporter
B. Universal Waste Activities
Ely i N 1. Large Quantity Handler of Universal Waste (you accumulate 5,000 kg or more) - If "Yes" mark all that apply. Nate: Refer to your State regulations to determine what is regulated.
III a. Batteries
II b. Pesticides
III c. Mercury containing equipment
d. Lamps
e. Other (specify)
111 f. Other (specify) 0 g. Other (specify)
OT si N 2. Destination Facility for Universal Waste Note: A hazardous waste permit may be required for this
activity.
C. Used 011Activities ry 0N 1. Used Oil Transporter—if "Yes', mark ail that apply.
0 a. Transporter
b. Transfer Facility (at your site)
IDy 0 N 2. Used Oil Processor and/or Re-refiner—lf 'Yes", mark all that apply.
0 a. Processor
b. Re-refiner
y gi N 3. Off-Specification Used Oil Bumer
Dy 0 N 4. Used Oil Fuel Marketer—If "Yes", mark all that apply.
III a. Marketer Who Directs Shipment of Off-Specification Used Oil to Off-Specification Used Oil Burner
0 b. Marketer Who First Claims the Used Oil Meets the Specifications
OMB# 2060-M24; Expires 05/31/2020 EPA ID Number
0 4 0 7 5 8 9 6 OMB# 2050-0024; Expires 05/31/2020 EPA ID Number
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. If "Yes', you must fill out the Ad-
dendum for Episodic Generator.
ay N
A. Are you notifying under 40 CFR 260.42 that you will begin managing, are managing, or will stop manag-
ing hazardous secondary material under 40 CFR 260.30, 40 CFR 261.4(a)(23), (24), or (27)? if "Yes", you
must fill out the Addendum to the Site Identification Form for Managing Hazardous Secondary Material.
Efr ON
B. Are you notifying under 40 CFR 260.43(a)(4)(iii) that the product of your recycling process has levels of
hazardous constituents that are not comparable to or unable to be compared to a legitimate product or
intermediate but that the recyding is still legitimate? if "Yes", you may provide explanation in Comments
section. You must also document that your recycling is still legitimate and maintain that documentation on
site.
D ON
12. Eligible Academic Entities with Laboratories—Notification for opting into or withdrawing from managing laboratory hazardous
wastes pursuant to 40 CFR 262 Subpart K.
[at El N A. Opting into or currently operating under 40 CFR 262 Subpart K for the management of hazardous
wastes in laboratories—if "Yes", mark all that apply. Note: See the item-by-item instructions for defini-
tions of types of eligible academic entities.
II 1. College or University 0 2. Teaching Hospital that is owned by or has a formal written affiliation with a college or university
0 3. Non-profit Institute that is owned by or has a formai written affiliation with a college or univer-
C:ly 0 N B. Withdrawing from 40 CFR 262 Subpart IC for the management of hazardous wastes in laboratories.
13. Episodic Generation
14. LQG Consolidation of VSQ6 Hazardous Waste
ElY N
Are you an LQG notifying of consolidating VSQG Hazardous Waste Under the Control of the Same Person
pursuant to 40 CFR 262.17(f)? if "Yes", you must fill out the Addendum for LQG Consolidation of VSQGs
hazardous waste.
15. Notification of LQG Site Closure for a Centrai Accumulation Area (CPA) (optional) OR Entire Facility (required)
11:DY 0 N I LQG Site Closure of a Central Accumulation Area (CAA) or Entire Facility.
A.0 Central Accumulation Area (CAA) 0 Entire Facility
B. Expected closure date: mm/dd/yyyy
C. Requesting new closure date: mm/ddhyyy
D. 0
Date closed : 12/13/2015 mrn/dd/YYYY
1. In compliance with the closure performance standards 40 CFR 262.17(0(8)
2. Not in compliance with the closure performance standards 40 CFR 262.17(0)(8) •
16. Notification of Hazardous Secondary Material (HSM) Activity
17. Electronic Manifest Broker riy N
Are you notifying as a person, as defined in 40 CFR 260.10, electing to use the EPA electronic manifest sys-
tem to obtain, complete, and transmit an electronic manifest under a contractual relationship with a haz-
ardous waste generator?
EPA Form 8700-12, 8700-13 A/B, 8700-23 Page _ of _
0 4 1 0 7 5 8 9 6 OMB* 2050-0024; Expires 05/31/2020 EPA ID Number
18. Comments (indude item number for each comment)
19. Certificatlini I certify under penalty of law that this document and all attachments were prepared under my direction or su-
pervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information
submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gath-
ering the information, the Information submitted is, to the best of my knowledge and belief, true, accurate, and complete. l am
aware that there are significant penalties for submitting false information, induding the possibility of fines and imprisonment for
knowing violations. Note: For the RCRA Hazardous Waste Part A pesmit Application, 10 owners and operators must sign (see 40
CFR 270.10(b) and 270.11).
Signet re-of I owner, operato or au ized representative
ex,
Date (mm/ddhyyy)
4/5/2018
IPi:in ame (F* t, Middle Mit
Christopher L Pievarez
Title
!Attribution Center Supendeor - Email chris.nevarez@trin.net
Signature of legal owner, operator or authorized representative Date (mm/dd/yyyy)
Printed Name (First, Middle Initial Last) 'Title
Email
EPA Form 8700-12, 8700-13 A/8, 8700-23 Page _ of _