DSHW-2018-005185 - 0901a0688083e91a

HAZARDOUS WASTE INSPECTION REPORT
WASTE HANAGEMENT
8 RADIATION CONTROL
INSPECTION REPORT FOR:
DATE OF INSPECTION:
FACILITY ADDRESS:
FACILITY COUNTY:
FACILITY CONTACT:
EPA ID #:
CURRENT NOTIFICATION:
TYPE OF INSPECTION:
PARTICIPANTS:
TIME IN / TIME OUT
REPORT PREPARED BY:
WEATHER CONDITIONS:
APPLICABLE REQUIREMENTS :
FACILITY DESCRIPTION:
Tesoro (Andeavor) Refinery
April 19, 2018
474 WEST 9OO NORTH
Salt Lake City, Utah 84103
Salt Lake County
Carl Magnus, Environmental Administrator,
(80r) s2r-49r4
uTD000826362
LQG
CEI
Carl Magnus, Tesoro
Denny Schantz, DWMRC
Jon Parry, DWMRC
0900hrs. / 1245hrs.
Jon Parry
Cloudy, -53oF
R315 of the Utah Administrative Code
Tesoro Refinery, now the Andeavor Refinery - presently the largest in Utah with a crude oil
capacity of 63,000 baruels a day - produces gasoline, diesel, jet, heavy fuel oils and LPG which
are distributed to Utah, Idaho Washington, Nevada and Wyoming.
The refinery originally started operations in 1908 and has had different owners and operators
over the years. It currently employs about 250 people.
The refinery is at the base of the Wasatch Mountain Range in an industrial area on relatively flat
terrain just west of Beck Street and North of Salt Lake City.
CREDENTIALS, PURPOSB AND SCOPE:
The inspectors checked through security and then watched a required safety video before
meeting with Carl Magnus to whom they presented their credentials.
The inspectors explained that this was a routine hazardous waste compliance evaluation
inspection that would consist of a review of required paperwork and plans followed by a tour of
the refinery's waste generations and management areas.
MANAGEMENT ACTIVITIES :
Tesoro hazardous waste streams are consistent with the listed and characteristic wastes
associated with petroleum refining. Major waste streams generated at the refinery include the
following materials:
o K048, K049, K050, D018, F037, F038 which are associated with the plants waste water
treatment system. The refinery generated about 400,000 lbs. in calendar year 2017.
These wastes are generally managed in roll-off containers near the waste water treatment
units.
o K171, spent hydro treating catalyst. The refinery generated about 25,000lbs. in 2017.
This waste stream will likely be managed as a hazardous secondary material starting this
yeat.
o D018, benzene contaminated debris from soil clean up and tank bottom sludges.
o K050, D018, bundle cleaning sludges from heat exchanger cleaning
o D009, mercury contaminated media and debris from building cleanup and clean out.
o Other listed and characteristic wastes associated with refinery operations.
In general, bulk wastes are managed in roll off containers at or near the point of generation.
Satellite containers and other lower volume wastes are collected and moved to the facilitv's < 90
dav central accumulation area.
NARRATIVE:
After completing the office review the inspectors toured portions of the refinery where the major
waste streams are generated and managed.
Inspectors visited the waste water treatment area and observed satellite containers and roll off
containers. All were in good condition and properly labeled. Weekly containers inspections
were being conducted as required.
Inspectors visited the bundle cleaning area. No problems were noted.
Inspectors visited the <90 day central accumulation area. Drums were in good condition,
properly labeled and inspected weekly. No problems were noted.
The inspectors returned to the office for a close out briefing where they discussed the new
requirements for the contingency plans and additional container labeling as to the nature of the
hazard.
COMPLIANCE STATUS: (also see attached checklist)
With the exception of the new quick reference guide requirements, which the facility is presently
working on, no problems were noted.
ISSUES: A
None noted n I)
INSPECTOR SIGNATURE: W I]< DATE
U
5lto
,3.&"t
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V/ASTE MANAGEMEHT
8- FADIATIOI{ CONTFOL
Site Name:EPA ID:Date:
.11 t1lt8S^lra J,rr-:
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INSPECTION ITEM CITATION ,.COMMENTS
Waste Determination:
l. Has the generator determined
whether his,&er solid waste is a
hazardous rvaste?
2. Has a waste determination been done
for each rvaste stream?
Pt3t5-262
R3t5-262-rr
40 cFR262 I I
R3 I 5-261-3
40 cFR 261 3
a,(zl
'(e\
3. IIas the generator notified of
regulated activity and obtained an
EPA ID# in accordance rvith the
requirements ofSection 3010 of
RCRA?
R3 ls-262-10(a)(l )(iii)(c
R3l5-262-18(a)
40CFR262. I0(aXlXiiiXC)
40 CFR 262 l8(a)
Ie\
Manifest:
l. Is the generator using a Uniform
Hazardous Waste Manifest for its
shipments of hazardous rvaste?
2. Did the generator designate a facility
permitted to handle its waste?
3. Was an alternate facility designated?
4. Did the generator use the correct
manifest?
R3 I 5-262-20(a)(l)
a0 CtR 262.20(a)(l)
R3 l 5-262-20(b)
40 clR 262.20(b)
R3l5-262-20(c)
R3r5-262-20(a)(r)
40 ctrR252.2o(.Xrl
Y!
tr o,
A4
1*t
Manifest requirements for the Generator
l. Did the generator sign the manifest
certification by hand?
2. Did the generator obtain a handwritten
signature from the initial transporter and
the date ofacceptance?
3. Did the generator retain a copy of the
manifest in accordance with
R3 I 5-262-40(a)?
R3 l5-262-23(a)(l)
40 cIR 252.23(a)(l)
F.3rs-262-23(a)(2)
40CFR 262.23(aX2)
R3 l5-262-23(a)(3)
a0 CFR 252.23(rX3)
Y"t
laY
lor
Recordkeeping:
l. Is the generator maintaining signed
copies of the hazardous waste manifest
for three years?
R3 I 5-262-40(a)
{0 CFR 262.40(a
YI\
2. Is the generator maintaining copies
of each Biennial Report and all
Exception Reports for a period of at
least three years?
R3 r 5-262-40(b)
40 cFR 262.{0(b)1tY
fanuary 2018 Inspector's Initials Page I of2
Site Name:EPA ID:Date:
3. Is the facility maintaining records
suflicient to determine quantities and
disposition ofhazardous waste or other
determinations, test results, or wa$e
analyses made in accordance with
R3l5-262-l l(D for a period ofat least '
three years from the date of last shipment?
3rs-262-40(c)
40 CFR 262.40(c)
Biennial Reporting
Has the generator submitted complete
Biennial Report(s)?
R3ts-262-41
40 cFR 262.41
Exception Reporting
Has the generator been required to
prepare an Exception Report, ifyes
describe the circumstances?
R3rs-262-42
40cFR262.42
Packaging, Labeling, Marking, and
Placarding
l. Is the generator packaging his/her
hazardous waste in the appropriate
DOT shipping containers?
2. Are containers labeled and marked in
accordance with appropriate DOT
shipping requirements prior to shipping?
3. Is the generator providing or
offering appropriate placarding to
the initial transporter when
initiating his/her shipment?
R3l5-262-30
40 cFR262.30
R3t5-262-31&
R3ts-262-32
10cFR262.31 &252-32
R3ts-262-33
40 cFR262.33
Accumulation Times
(See Satellite, 90 Day and Tank
Checklists as applicable)
R3r5-262-17(a)
Also see checklists for;
Personnel Training,
Preparedness & Prevention,
Contingency Plan & Emergency
Procedures and Manifest
|anuary2018 Inspector's Initials Page2of 2
site: -lESoRo PLFut&Y EpA
Hazardous Waste Inspection
Manifest Checklist
r r-hrJ r_l)
#: e)Q"<>362-
UJASTE MANA,GEMENT
I. EADIATIOH CO'ITROL
Requirements Manifests Reviewed
Manifest Number (box 4)*617426p9 p7 1:Ot6{461F.F,btt f)3ttc) trr,t;&,fH741 fi2Generator EPA ID#
Appendix to R3 I 5-262 (box I )wbcYna2642
Generator information:
Mailing Address (box 5)
Phone Number
- oj<
- oY-
- STFf.NYCLF,
MNS
_c'Q.)t( o?24
_ ol<_
- oK-
_ o7-
- OIL
PHtu P- Fr,qa;' S U&S
OTb-q%w7427
- (>K_
_oK-
'l'ransoorter # I information:
Companl'Name (box 6)
EPA ID# (box 6)
ftyedl/Qt4-FsC\
(Jrd
- ? r'c-4z-74
Transnortcr #2 information:
Companl'Name (box 7)
EPA ID# (box 7)
- ^)/<
- eH 4paq@^ftE
-(JTbqA{55-:.t-77
- o(-
- N/,4,
21$7- cz,LjE)6e,)- EN'/ l.k'+r-i -'
- NVb9wr23a
-N#\N/A
fr,{ln"uw-
ok-
- O-Y_
- of_-oK
- oK*
-oY_
Desienated Facilitv irrformation:
Name and Address (box 8)
EPA ID# (box 8)
Phone Number (box 8)
-'Tihrqe.^rt-tof
- oK-
_ or_
- ol1
- OY-
- <)Y_
- or_
Waste Shippins reouirements:
DOT Description (Including proper
name, Ilazard class, and ID #) (box 9b)
(box 9a "X" if hazardous materials)
Containers: No & lype (box l0)
Total Quantitl' @ox I l)
Unit- Wt/Vol (box 12)
Waste Codes (box l3)
_ oK_
-Ctra)
_ br_
- o(<_
- aF_
-*-- otr_-oK
- or.
- ots_
Special Ilandlins Instructions
(box l4)- OK-ok:---G--Otr-
Man i fe st Certi fi c ations :
Generator's Signature (boxl5)
International Shipments (box l6)
Transporter's Signature (box l7 )
Discrepancy Indication (box l8)
Hazardous Waste Report Management
Method Codes (box l9)
_oK
- N/A
- aF-
-f+cw
-OY-- NiA
- (>'<_
- Ht4 t
- Or<
- pi(
- oY-
- of.--
- fta6'
-OK
- /.1/^_oF
_oK
- N/A
Facilitl' Signature (box 20)- ol<-- oK-- or_- N/4
G':t+Z,RllT'oA€
RezoR*t
Final Observations and Comments:
t <4/Jtlesr ft rc1"474t R*E / S
--+ ,\wArT/NG Fxc/ t fY e-of.y
rPIT/AL CX)PY Gnta
Common container codes: DM - metal drum\barrel; DF - fiberbar
box\carton (includes roll-offs) Common Units of Measure: G - i
rel; TT - cargo tank; TC - tank car; DT - dump truck; CM - metal
Iallons: P - pounds: T - tons: Y - cubic vards)
January 2018 Page I of I Inspectors Initials D 1
,l_ff:
-lSite: 4rq- r o / AJ.*,- EpA #:p"",_tlgl/B
WASTE }'ANAGEMENT
A RADIATION CONTROL
Hazardous Waste Inspection
Satellite Accumulation Checklist
<55 gallons
INSPECTION ITEM CITATION COMMENTS
Is the satellite accumulation area at or near the
point ofgeneration?
R3 I 5-262-l 5(a)
?ns
Is the satellite area under the control ofthe
operator ofthe process generating the rvaste?R3 I 5-262-1 5(a)\af
Does the generator have the accumulation
container labeled rvith the words "hazardous
rvaste"?R3 I s-262-l s(a)(s)(i)1d(
The generator can not store more than 55
gallons ofhazardous waste or I quart of
acutely hazardous waste at the satellite
accumulation area.
R3l5-262-15(a)0e
Are the containers in good condition, and
being managed in a rvay so it does not leak
or spill?
R3l5-262-15(aXl )\es
Is the hazardous waste stored in containers that
are compatible rvith the r.l'aste?R3l5-262-15(a)(2)l/(
Is the accumulation container being
maintained in a closed condition except
rvhen *'aste is being added or removed, or
u'hen temporary venting is necessary for
proper operation ofequipment or to prevent
dangerous situations such as pressure
buildup?
R3 ls-262-15(a)(a)? z\
Does the generator have the accumulation
containers marked rvith an indication ofthe
hazards of its contents?
R3 I 5-262-l s(a)(s)(ii)\eE
Is the generator conectly labeling and moving
hazardous waste, in excess ofthe 55 gallon or
I quart limits, to a 90-day storage area within
72 hours of exceeding the limit?
R3l5-262-15(a)(6 )(i)\1\
January 2018 Page I of I Inspectors I"irid, 0P
YJASTE HAt{AGEMENf
a PAOTATTCi{ CONTPO!
I
Site: ?S.-,rc., /And*,a,. r EPA #:
Hazardous Waste Inspection
90 Day Storage Site
>55 gallons
d
INSPECTION ITEM CITATION COMMENTS
l. Is the container labeled u'ith the
rvords "Hazardous Waste"?
2. Is the container marked or labeled
rvith an indication ofthe hazards of
the contents?
3. Is the date upon rvhich accumulation
began clearly marked and visibly for
inspection?
4. Is that date <:90 days old?
R3 I s-262- I 7(a)(s)(i)(A)
R3 I s-262- I 7(a)(s)(i)(B)
R3 I s-262- I 7(a)(s)(i)(c)
R3l5-262-17(a)
,? "rs
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4. Is there a Preparedness and Prelention
Plan for this site or the facility as a rvhole,
including this site? (see separate Check List)
R3ls-262-17(a)(6)
R3 I 5-262-250 thru 256 \er
5. Operated to minimize chance of Spill or Fire?
6. Spill and Fire control equipment?
7. Emergency communication device: Internal?
Emergency comrnunication der.ice: Ilxternal?
Sufficient Aisle and Access space?
R3t5-262-251
R3r5-262-2s2(c)
R31s-262-252(a)
R3rs-262-2s2(b)
l\3t5-262-255
q4
8. Is there a Contingency Plan for this site or
the facility as a u'hole, including this site?
(see separate Check List)
9. a. Description ofactions that should be taken?
b. Name & Phone # for Eniergency Coordinator?
c. Primary'and alternate evacuation routes?
d. List of emergency equipment & location?
R3l5-262-17(a)(6)
R315-262-260 thru 265
R3l5-262-261(a)
R3 l5-262-26 l (d)
R3ts-262-261(l)
R3l5-262-261(e)
J
1'e
Have personnel at this site Successfully
completed up to date Personnel Training on
I{zW Handling & Fire & Spill Response?
Is the training documented?
(see separate Check List)
R3 | 5 -262-17 (a)(1)(i)
R3l5-262-17(aX7Xv)I t1-e<
Are the containers accumulating and holding
hazardous rvaste in good condition?
Are they compatible rvith the HzW in them?
R3 I 5-262-l 7(a)(l)(ii)
R3r5-262-17(aXlXiii)
i qc\{lr
Is the generator maintaining his4rer containers
in a closed condition except when adding or
removins rvaste from the container?
R3I5-262- I7(a)( I XivXA '( nl
Containers holding hazardous waste must not
be opened, handled and/or stored in a manner
which could cause it to leak.
R3 l s-262- I 7(a)( I XivXB ac
Is the generator inspecting his/her containers
at least rveekly, and do the inspections look for
leaks, deterioration, and any factor that may
cause a release ofhazardous rvaste?
R3 I 5-262-17(a)(l)(v)'1 t\
No ignitable or reactive HzW u,ithin 50 feet of
the facility's property line.R3 I s-262- I 7(a)( 1 )(viXa 0(_
January 201 8 Page I of I Inspectors Initials
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IVAS'E MANA6EMENT
& RADtAttoi{ CONtnOL
5;r..'G-S". "". fr+-d<r+u-EpA #:Date: t-t ) lg
----T---Hazardous Waste Inspection
Personnel Training Checklist
T
INSPJCTION ITEM CITATION.COMMENTS
Facility personnel must successfully complete
classroom instruction, online training or on-
the-job training rvhich teaches them to
perform theirjobs, such that the faciliry" is
operated in compliance rvith the applicable
hazardous $'aste management requirements.
R3 | 5 -2 62 - | 7 (a)( 7X i X A )
40CFR262. l7(a)(7XiXA)
OA l. u.- *.1-* r.rr rr!\
zu{.-btd7 ,Fh Hn>'c rccK
a-.^d H^! i"(*
Is the program directed by a person trained in
haz ardous waste management procedures?
R3 | 5 -262 - | 7 (a)(7X i XB )
40CF R262.17 (a)(7XiXts)O v\ - I \ v\-(*- I .4 r^. ^.'^f D.FfrG6
(o*-.e- 'lo^'t;r p l!.f r.<-i-.
Does the training teach facility personnel
hazardous waste management and contingency
plan implementation procedures?
R3 | 5 -262 - | 7 (a)( 7X iX B )
40CFR262 17(a)(7XD(B)
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t Crc,'F 4U'- p-*-'l-1 r
ft.n,rl-.-\ tn"r ^ . '^, o^^ (:^t''rz4;fsn' :rc--rf A-.-d") | | $' tl .
Does the training program include, at a
minimum, the follouing. rvhere applicable:
l. Procedures for using, inspecting, repairing,
and replacing facility emergency equipment;
2. Key parameters for automatic u'aste cut-off
systems;
3. Communications or alarm svstems:
4. Response to fires or explosions;
5. Response to groundrvater
contamination incidents;
6. Shutdonn ofoperations; and
R3 | 5 -262 - | 7 (a)(7X i Xc)
40CFR262. I 7(a)(7XiXc)
R3 l s-262- I (a{7)(iNC)( I )
40cFR262 I7(a)(TXiXcXI)
R3 | s -262- t7 (a)(7 X iXcX2)
40cFR262 I 7(a{7XD(cX2)
R3 I 5-262- I 7(a[7XiXCX3)
40CF R262. t7 (a)(7XiXCX3)
R3 | 5 -262- t7 (a)(7 X iXCX4)
40cFR262 I (a)(7XD(cX4)
R3 1 5 462- t7 (a\7 XiXCXS )
40CI;R262 1 7(a)(TXiXCXs)
R3 1s-262-l 7(a{7Ni[C[6)
40cFR262. I 7(aXTXiXcX6)
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Have facility personnel successfully completed
the personnel training program rvithin six
months of the date of their employment or
assignment to the facility?
R3 I 5-262- I 7(a)(7)(ii)
40cF R262. | 7 (a)(7 )( i i )
.al
r{f r'1 f^r# z-3
Lr
no^a^* ll1
r N\o LK-S
Do the facility personnel receive an annual
review oftheir initial trainine?
F.3r5-262-17(aXTXiiD
40CFR262.r7(aXTXiii)\es
January 2018 Page I of2 lnspectors l^rti* ,AQ
Site:EPA #:
Hazardous Waste Inspection
Personnel Training Checklist
Date:
The owner/operator of the facility muil
maintain the following documents at the
the faci
2. A writtenjob description for each position
listed under #l;
3. A written description ofthe type and
amount ofboth introductory and continuing
training that will be given to the employees
listed in #1, and;
4. Records that document that employees have
the training orjob experience required by
paragraphs 265.16 (a), (b), and (c).
title for each
R3 I 5-262-l 7(a)(7)(iv)
aOCFR262. I 7(a)(7)(iv)
R3 I s-262- I {a)(7Niv)(A)
l(a[7)(w[A)
s-262-17(a)(7[iv[B)
l(aXTXivXB)
R3l5-262-t(ax7[iv[c)
.l(a)(7)(iv)(c)
ls-262-t(a)(7{iv[D)
.17(a{7)(iv)(D)
Are training records maintained at the facilitv
for current employees and for at least three
years for employees that have left the
company?
rs-262-r7(a)(7)(v)
R262.17(a)(7Xv)
January 2018 Page2 of2 Inspectors Initials
f@ilzie xti,rY,M;
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EPA #:
Contingency Plan and Emergency Procedures Checklist
,itoxc 1l t1ltb
{
Nofe.' this checklist is applicahle to LQG's and to HSM handters (except where indicated) who accumulate >6,000 kg (-13'228 lbs')
INSPECTION ITEM CITATION COMMENTS
Have copies been distributed to all local police and
fire departments, hospitals, and State and local
emergency response teams that may be called upon
for assistance?
\3 | s -262- | 1 (a)(6) (LQ G )
t3ts-262-262(a) (LQG)
r3 I 5-26 I -420(c)(2\ (HSt ,
tl n\
Content ofthe ContinsencY Plan:
l. Does the contingency plan describe the
actions facility personnel rvill take to minimize the
hazard to human health or the environment when
responding to fires, explosions, or any unplanned
sudden or non-sudden release ofhazardous rvaste?
2. Does the contingency plan describe
arrangements agreed to by local police and flre
departments, hospitals, contractors, and State and
local emergency response teams?
3. Does the contingency plan list the names,
addresses, and phone numbers (office and
home) ofprimary and all other persons
qualified to act as emergenc)'coordinator?
4. I)oes the contingenc;'plan include a list of
all emergency equiprnent at the facility? The list
must be kept up-to-date, and include the location
and a physical description ofeach item on the list,
and a briefoutline ofthe equipment's capability.
5. Does the contingency plan include an
evacuation plan for the l'acility? This plan must
include a description ofsignal(s) to be used to
begin an evacuation, evacuation routes, and
alternate evacuation routes.
R3t5-262-261(a) (LQG)
R3 l s-261-420(bX l ) (HS"4
R3ts-262-26t(c) (LQG)
R3 l s-26 I -420(bX3) (J6n4
P.3ts-262-261(d) (LQG)
R3 I5-26l -420(b)(4) (HSt'0
R3ts-262-26t(e) (LQc)
R3 l s-26r -420(bXs) (HS,4,4
R3rs-262-261(0 (r,QG)
R3 l s-26 l-420(b)(6) (r{sM)
'f*\
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7!\
Ifthe facility first became subject to these
provisions after May 30,2017, or has othenvise
amended its contingency plan, has it developed and
submitted a quick reference guide ofthe
contingencl plan to Iocal emergency responders in
R3l5-262-262(a), and state and local emergency
response teams that could be called for assistance?
R3ts-262-262(b) (LQG)
Not required - HSM
*.l\ l-t.,*.- P'o" .!'o'1) tf'
GrV (r * -t.^c$'(PI^* R
-,
fL-'t Pl'+* Oyl tl'':Vr
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Ifthe faciliry" has a quick reference guide for its
contingency plan, does it have the follorving
required elements?:
l. Types/names ofhaz wastes and the associated
hazard for each haz \ aste present at any one time
(e.g., toxic paint wastes, spent ignitable solvent,
etc.)
2. Estimated marimum amount of each haz waste
that ma) be present at any one time
3. Identification ofany haz wastes for which
exposure uould require unique/special treatment by
medical or hospital staff
4. Map of the facility showing where haz rvastes are
generated, accumulated and treated, and routes for
accessing these rvastes
5. Street map ofthe facility in relation to
sunounding businesses, schools and residential areas
for the purpose olgetting to it and/or evacuating
citizens and workers.
6. Locations ofrvater supply (fire hydrant, flow-rate)
7. Identified on-site notification systems (alarms)
8. Name of emergency coordinator and 7124-hour
emergencv phone number
This section nol
npplicable for HSIII
handling
R3 | s -262-262(b)(t) (LQG)
R3 | s -2 62 -2 62 (b) (2) ( L Q G )
Rt I s -262-262(b)(3) (L Q G)
R3 | s -262 -262(b)(4) ( L Q G)
R3 | s -262 -262(b)(s) (LQ c)
R3 | s -262-262(b)(6) ( L Q G)
R3 | s -262 -2 62(b)(7 ) (LQ G)
R3 | s -262 -262(bX 8 ) (rQC)
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Yl*r<-f," -PO'*fL
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6-
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January 2018 Page 1 of3 Inspectors Initiars 0P
INSPECTION ITITM CITATION i.COMMENTSuurs urtr rauully nave a least one employee
on-site or on-call at all time rvho is qualified toact as the emergency coordinator?
Does the contingency plan include procedures
for activation ofthe internal alarm by theemergency coordinator?
Does the contingency plan include provisions
for notifying the appropriate State and\or localresponse agencies?
R3r5-262-264 (LQG)
R3 | s -2 6 | - 420 (e) (H S La)
R3 | 5 -262-26 s (a)(t) (L e G)
R3 I 5-26 I -420(r)( I Xi) (rlsr./)
R3 | 5 -2 62 -2 6 s (a)(2) (L e G)
R3 | s -26 r - 420(fx I xi i) (fls,r[)
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1"(
L\-
Does the contingency plan outline theprocedure(s) that the emergency coordinatorrvill follorv to immediately identify the
cnaracter, source, amount, and extent ofreleased material?
R3ts-262-26s(b) (LQG)
R3rs-26r-420(DQ) (HSM o(-
Does the contingency plan include procedures
for the emergency coordinator to follor.v in
order to assess possible hazards to humanhealth or the environnent?
R3r5-262-26s(c) (LeG)
R3 | s -26 r - 420(0(3) (HSM)?,\
Il'it is determined that the incident couldthreaten human health or the environment.
outsidc the lacility, the emergency coordinator
must notify the appropriate local, State andFederal agencies. Does the contingency plan
includc provisions for notifying thi
appropriate agencies? Do the notification
mcasures include information to be reported
(name and lelephone # of,reporter, name and
address offacility, name and quantitv of
material(s) involved, extent oiinjuries, andpossibility of exposure outside the facility),
and identify the National Response Centei
and the State as parties to be notified?
R3ts-262-26s(d) (LQG)
R3ts-26t-420(Dg) (HSM
1e\
Does the plan include procedures lo prevent
the spread of the incident to other haiardous
rvaste/material at the facility?
R31s-262-26s(e) (LeG)
R3r5-26r-420(06) @SM ()u
Are measures included to monitor for leaks,
pressure buildup, gas generation. or ruptures in
valves, pipes, or other equipment, when it isnecessary to shut-dorvn operations as a
response to an incident?
R3ts-262-26s(D QQG)
R3 I s -26 I -420 (t)(6) (H S M )
1s-#
Does the contingency plan provide procedures to
follow to manage the hazardous lvaste/material
generated as a result ofan incident?
R3rs-262-265(e) QeG)
R3r 5 -26 | -420(f)(7 ) (HS M oe
Following implementation of the contingencyplan, are provisions included to ensure that in
the affected area(s):
l. No waste that may be incompatible with the
released material is treated, stored, or disposed
of until the cleanup is complete.
2. That all equipment listed in the contingency
plan is cleaned and fit for use prior to
resuming activities at the facility.
R3 | 5 -2 62 -2 6 s (h)(r) (L QG)
R3 | 5 -26 t - 420(0(8xD (1/St1)
R3 | s - 2 62 -2 6 5 (h) (2) (L Q G)
R3 l 5 -26 I -420(0(8)(ii) (/1St1)
Site:EPA #:Date:
Contingency Plan and Emergency procedures Checklist
dicated) who accumulate >6,000 kg (_I9,228
January 2018 Page 2 of 3 Inspectors Initials
site:{l4SoCc)EPA #:o^r", 'lln ltg
Contingency Plan and Emergency Procedures Checklist
Note: this checktist ts appliable to LQGb and to HSM handlers (exceptwhere indicated) who accumulate >6,(M) kg (-13,228 lbs)
The contingency plan must include
provisions for recording the incident
requiring implementation of the
contingency plan and specifying
information that will be recorded and
reported. The requirements are as follows:
l. Will a written report on the incident be
provided to the Utah State Department of
Environmental Qualrty within l5 days?
2. The following information needs to be
recorded and reported:
a) The name, address, and telephone # ofthe
owner/operator;
b) The name address, and telephone # ofthe
facility;
c) Date, time, and type of incident;
d) Name and quantity of material(s) involved;
e) Extent of injury, if any;
f) An assessment of the actual or potential
hazard to human health or the environment;
and
g) An estimate of the quantity and disposition
ofrecovered material(s) that resulted from the
incident.
r5-262-26s(i) (LQc)
| 5 -2 6r - 420 (f) (9) (H S M)
rs-262-265(i) (LgG)
| 5 -26 r - 420 (f) (9) (H S M)
s -262-265 (iXD tJrlu (iX7 ) (IQC)
5-261420(fxexi) ftru
HSM Only: Are all employees thoroughly
familiar with proper waste handling and
procedures relevant to their
responsibilities during normal facility
R3ts-26r-420(g (HSM)
January 2018 Page 3 of3 Inspectors Initials
Site:EPA ID:
Preparedness and Prevention Checklist
Date
*#,r':"'9,Xt
WAST€ HAIIA6E}.1ENT
& RADIATIOTT CONTFOL
()I
INSPECTION ITEM ,CITATJONi .::COMMENTS
Is the facility maintained and operated to
minimize the possibility of a fire, explosion, or
any unplanned sudden or non-sudden release
ofhazardous rvaste or hazardous rvaste
constituents?
R3ts-262-251 (LQG)
R3 l s-262-r 6(bX8Xi) (sOG)
R3ls-261-410(a) (ffSn4 1nt
The facilitl'must be equipped rvith items (l)-
(4), identified belorv, unless it can be shown
that hazardous rvaste managed at the site
rvould not require the particular kind of
equipment specified.
l. Does the facility have an internal
communications or alarm system capable of
providing immediate emergency instruction to
its personnel?
2. Does the faciliry" have a device capable of
summoning external emergency assistance to
the facility (phone or trvo-u'ay radio)?
3. Does the facility have portable
extinguishers, fire control equipment
(including special extinguishing equipment
necessary for their facility), spill control
equipment, and decontamination equipment?
4. Does the facility have rvater at adequate
volume and pressure to supply water hoses, or
foam producing equipment, or automatic
sprinklers. or u'ater spray systems?
R31s-262-2s2 (LQG)
R3 r s-262-16(bX8XiD (soc)
R3ls-261-410(b) (HsM)
R31s-262-2s2(a) (LQG)
R3 r s-262- l 6(bxsXiiXA) (s0G)
R3 l5-261 -410(bXr) (HSnl)
R3ts-262-2s2(b) (LQG)
R3 1 s-262- 16(bXsXiiXB) (sqc)
R3 r s-26 r -4 r0(b)(2) (HSr0
R3ts-262-2s2(c) (LQG)
R3 l s-262- l 6(bxsXiiXC) (soc)
R3 r s-26 r-4 l0(bx3) (Hs'r1)
R3ts-262-2s2(d) (LQG)
R3 l 5-262- l 6(bX8XiiXD) (soc)
R3 I 5-26 l -4 l 0(bX4) (I/srI4
\o,,
?er
7e<
u-_
70t
Are facility communications or alarm systems,
fire protection equipment, spill control
equipment, and decontamination equipment
tested and maintained to assure its proper
operation in time of an emergency?
R3rs-262-2s3 (LQG)
R3 l 5-262- l6(bXsXiii) (sgc)
R3 I s-261-4 l0(c) (Ilsnfl ? nr
Do facility personnel have immediate access to
an intemal alarm or emergency
communication device, either directly through
visual or voice contact, while managing
hazardous rvaste?
R31s-262-2sa@) (LQG)
R3 I s-262- 1 6(bXsXiv)(A) (s0G)
R3 r 5-26l-4 r 0(dX l) (HSnl)78e
P*J'u\
Is there everjust one employee on the
premises while the facility is operating? If
yes, does that person have immediate access to
device capable of summoning extemal
emergency assistance?
R31s-262-2s4(b) (LQG)
R3 I 5-262- I 6(bX8)(ivXB) (sQG)
R3 l 5-26 1 -4 l 0(d\(2\ (HS M Vl Lo L-*r \ " l- J.-
Jan 2018 Page I ofT Inspector's Initials
Site:EPA ID:
Preparedness and prevention Checklist
Date
Is aisle space maintained to allow the
unobstructed movement of emergencypersonnel or equipment (unless aisle space isnot needed for any ofthese purposes)?
R3ts-262-2ss (LQc)
R3 ls-262- l6(bx8Xv) (sgc)
s-261-410(e) (HSM)
The facility must arrange the foilowing typesor agreements or arrangements with localorganizations (as appropriate) :
l. Has the facility made or attempted to makearrangements to familiarize local police, firedepartments, and emergency response teamswith the layout of the facility, character of thehazardous waste(s) managed, locations wheretactltty personnel normally work, Iocation ofractttty entrances and possible evacuation
routes?
2. Has the facility designated primary
emergency authority to a specific police or firedepartment, when more than one police or firedepartment might respond in the event of anemergency?
3. Have agreements with State emergency
response teams, emergency responses
contractors, and equipment suppliers beenmade?
4. Have arrangements been made tofamiliarize local hospitats with the properties
or nazardous waste handled at the facility andthe t5pes of injuries or illnesses which couldresult from fires, explosions, or releases at thefacilitv?
R3 | 5 -262-2 s 6(a)(3) (Lec)
R3 | s -262 -2 s 6(a)e) (LeG)
R3 I s-262- l 6(bx8)(vi)(A)([r) (sec)
R3 I s-26 I -4 I 0(f)( I XiD (I/srt/)
R3 I s-262-256(a)( t) (r.ec)
R3 | s-252-l 6(bxsXviXA)fl) (spc)
R3 I s-2614 I 0(0( l xiii) (I/SM)
Rsts-262-2s6(a) (Lec)
R3 I s-262- I 6(bx8[vi{A) (seG)
R3 | s-26 t -4 I 0(D0) (HSM)
R3 | s -2 62-256(a)(2) (Lec)
R3 I 5-262- l6(bXs)(vi)(A)(rr) (spc)
R3 r s-26 I -4 I 0(0( | xi) (//st1)
| 5-262-l 6(bxsxvi[A)(tr) (Sec)
I s-26 I -4 I o(fx I )(iv) (HsM)
Ifany State or local authorities have declined
!o enter into such arrangements, has thefacility documented the refusal in theoperating recor.d?
R3ts-262-2s6(b)(LQc)
R3 I s-262- I6(bXsXviXB) (sgc)
R3 r 5-26 l -4 I 0(fx2) (HSM)
rAo {- N, r,a t g
Ian 2018 Page 2 of2 Inspectoy's Initials
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Cyclc Slte Na'me Site ID
20t7 TESORO REFINING & MARKETb{G4O'TPANY LLC uTD000826362
I Genenl Infomation
I Received Dote llnclude in National ReDorI? | |t_r"llI n:r30.,:o t .q I Ye*
I l. Reason for Submltral
I BR / Notification. {Soure Bl
i :. Site fD
I u'rooooszotozI
| 3. site Name
I
I resono nrnntNc & MARKETING coMPANY LLc
4. Site Location r l- ^
Street Numher l$reet I lrtreer zt..___^^^..^^_..1474 | wEsTgooNoRTH I
4p
84103
City.Town or Villase
SALT LAKE CITY
&E
UTAH
Count rv
UNITED STATES
Countv
SALT LAKE
State District
UNITED STATES
I o.sitet"oaTyp. I
I
II Pri vete
?. North American Industry Classification Systsn (NAICS)
Primarv NAICS
324I I - PETROLEUM REFINERIES
Other NAICS
8. Site Contsct PeFon
First Nome
LARSEN
Middle Initial b!ttl4s
AMBER
ak
MANAGER,HSE
Email
AMBER.C.LARSEN @ANDEAVOR.COM
Phone Number
801-521-4923
Extension
4923
Fax
80 1 -52 l-4965
Page I of4
zip
64t03
Citv.Town orVillape
SALT LAKE CITY
Countrv
UNITED STATES
96. f,€g.l Orrni*f
Name
TESORO REFINING & MARKETING COMPANY LLC
Date
09to6t200l
Tvoe
Pri Yate
Street Number
474
Street I
WEST 9OO NORTH
Street 2
zig
84 t03
Citv. Town or Villape
SALT LAKE CITY
Stqte
UTAH
Countrv
UNTTED STATES
tu!!
Phone Number
801-52r-4966
Extension Fax
Internal Comments
[e-mail] F
Public Commqts
b.I4al Op.qltdr*l
We
TESORO REFINING & MARKETING COMPANY LLC
48.
Q9t06t2001
Type
Private
Street Number
474
Street I
WEST 9OO NORTH
Street 2
zip.
84t03
City. Tow or Villape
SALT LAKE CITY
State
UTAH
Counlrv
UNITED STATES
Email
Phone Number
E0l-52t4966
Extqsion Fox
Internal Comments
[e-mail] F
Public Comments
10. Itpo of fedmt Regulabd Wutc Acff rlty
Page2 of 4
C. Sro.lc Codcs for stat Rcgulrt d (troo.F€dcnl) Ifaardoc Wsstcs
t'.,Qi[.c{f,iiib*dif ff ec
I. Transporrer of Hozardous Wosle
NoDe scletcd
3. lJnited Sta,es Importer of Hozqrdous Wasle
No
5. Importer/Expoiler of SIABs
None selwted
No
4, RecosnizedTrader
NoDe selcted
Accumulrtcd/Manrged:
None seletcd
Genentedi
None selccted
Stale Activities
None selcted
lrl-trx:Comnll&donof VSOGWaste I
I Are vou an LOG notifvinp of consolidarinp VSOG hozard.ous wasrc under the control of the same oerson oursuan, to 40 CFR 262'17(fl?
Il-rl*o , I
IIAC SitcclosureofacenrralAccumulationArgor Facilitv It._l
lNo t
lArc vou rcportins HSM activities? |rl
tZ. &fuittclcromlc Enddcr vithLtitnntories
17. Elscriollc Mrdlitst Broku
No
Page 3 of4
lS.Coq|M
Internol Comments
THIS REPORT INCLUDES WASTE STREAMS GENERATED DURING ON-LINE OPERATIONS, TURNAROUND (TAR) UPGRADES, AND REFINERY EXPANSION PROJECTS. UTB
Public Comments
THIS REPORT INCLUDES'WASTE STREAMS GENERATED DURTNG ON-LINE OPERATIONS, CAPTTAL PROJECTS, AND OTHER REFTNERY EXPANSION PROJECTS. TESOROREFININC & MARKETINC COMPANY LLC IS CHANGING TTS NAME TO ANDEAVOR REFINING & MARKETINC COMPANY LLC TO REFLECT CHANCE IN CORPORATE NAME.THIS NAME CHANGE WAS INITIATED IN 20I7 AND WILL BE COMPLETE BY YEAR'S END 2OIE.
Pagc 4 of4
Cycle Site Namc Sile ID
20r'1 TESORO REFININC &MARKETTNG COMPANY LLC urD000826362
GM l Wlstt Chsmcleristi6
PROCESSED API, DAF, HEAT EXCHANCER SLUDGE, AND REFINERY SEWER SOLIDS FROM SLOP TANKS (TANKS 5 I /52) AT THE REFINERY WASTE WATER TREATMENT
PLANT (WWTP).
B. EPA Hazardous Waste Code(sl
K048. K049. K050, D0l 8, FO37, F038
D. Source Code
G23
Manaaement Method Code E. Form Code
w409
G. Ouantit\
3949t0.0
W.
POUNDS
Densit "-
On-site Genmtion ud Mmagement of Huardous Waste
Off'site Shiprent of Hzardous Waste
Site I B. EPA lD offacilitv to which waste was shipped
urDg8t552l?7
C. Manapement Method Code
H040
D, Total Ouantirv Shipoed
394910.0
Comments
WASTE GENERATED DURING CLEANOUT OF REFINERY WASTE WATERTREATMENT PLANT SLOPTANKS (TANKS 51/52). EIGHTEEN WASTE SHIPPMENTS ON (I8)
MANIFESTS (0103 I 5 195 FLE - 0l 0l I 5 I 97 FLE), (0 I 030 I 5200 FLE - 0103 I 521 3 FLE).
a
GM 2 Wes& Cl|rroctcristics
A. DescriDtion of hozqrdous wasle
CONTAMINATED DEBRIS REMOVED FROM REFINERY SEWER SYSTEM IN THE COURSE OF CLEANING SEWER LINES.
B. EPA Hazardous Waste Code(s)
F037, D0l 8
D, Source Code
G39
E. Form Code
w002
F, Waste Minimization Code
X
G. Ouantit\
2066o.o
!.9,4
POUNDS
DenEit\
On-site Genemtion ud Management of Hazardotrs waste
Off-sitc Shipment of Harudous Waste
Site I
NED98t7235l3 H040
D. Total O uant irv Shipped
4000.0
Site 2 B- EPA ID of facilitv to which waste was shiooed
uTD98r552l77
C. Manapement Method Code
H040
D. Totsl Ouantitv Shippe.l
r 6660.O
Comrnents
sEc I (D) - CLEANED SEWER LINES. SHtppED ON MANTFESTS 00945061 I FLE,009450683 FLE,009450756 FLE,009450800 FLE,00945083 4FLB,010420424 FLE' 010420478 FLE'
OIO42OI59 FLE, AND OIO42O736 FLE. MANIFEST 099450834 WAS SHIPPED IN A BULK CONTAINER, ALL OTHER SHIPMENTS WERE IN DRUMS.
Page I of l0
GM 3 Wast€ Chamct€ristic
DISCARDED AEROSOL SPRAY CANS.
B. EPA Hazardous Waste Code(sl
D001
C- Stote Hazardous Waile Code(s)
D. Source Code
G06
E. Form Code
w209
G. Ouantit\
1325.0
UOM
POUNDS
Densit\
On-site Geremtioo and Maflagernent ofHazardous Waste
Off-site Shipment of Hurdous Waste
Site I B. EPA ID of facility to whiclt wa$te was shipped
N VD980895338 Hl 4t
D- Total Ouantitv Shipped
t325.O
Comlnents
SHIPPEDINDRUMSONMANIFESTS009450684FLE,009450'75'1FLE,009450831FLE.0t0420423FLF,,O1042047}FLE,010420158FLE,010420566FLE,10t20606FLE,O10420672
FLE, AND OIO42O735 FLE.
GM 4 Waste Characteristis
LEAD AND BENZENE CONTAMINATED SOIL DERIVED FROM EXCAVATIONS ON SITE FOR REFINERY CAPITAL EXPANSION PROJECTS.
D018, D008
D. Source Code
cl9
E. Form Code
w30l X
G. Ouantit\ | UOM
I16800.0 IPOUNDS
Densit\
On-sitc Generatiotr and Muagcmcnl of Hmdous Waslc
Qff-site Shipment ofHaztrdous Waste
Site I
uTD98l552r7't H040 16800.0
Comments
SHIPPED IN 28 DRUMS ON MANIFEST OO945O83O FLE.
GM 5 Wastc Characteristis
MERCURY CONTAMINATED MATERIAL (PERSONAL PROTECTIVE EQUIPMENT, ETC.) DERIVED FROM SANITIZINC A SMALL BUILDING WHICH WAS CONTAMINATED
WITH FREE.PHASE MERCURY.
D009
D. Source Code
cl9
E. l'orm Code
w002
G. Ouantitt,
52.O
UOM
GALLONS
Densit\
1.0 sg
On-site Getreratiotr md Mmagemetrt of Heardous Wrote
Off-sitc Shipmcnt of Huardous Wastc
Site I
NVD98089s 338
C. Manaqement Metho.l Code
H14l
D- Total Ouattilv Shioned
52.0
Coments
SHIPPED IN ONE 55.CALLON DRUM ON MANIFEST OIO42O423 FLE.
Page2ofl0
GM 6 Wsste Chrrrcteristics
WASTE PAINTS.
D00l
Mssspls
Gt9
E, Form Code
w209 X
E -fusllilt
268.0
W,M
GALLONS
MJD
l.0sg
On-site Cenffition md Muagement of Huardous Waste
Off-site Shipmt of Hazardous Waste
Site I
uTD98t552t77
C. Manapement Method Code
H040 208.0
Sitc 2
NVD980895338 Hl4l
D. Toral Ouantitv Shipped
60.0
Comrentg
SHIPPED ON MANIFESTS 00945061O FLE, AND O IO42O4'I9FT-B,
GM 7 Waste Chrracteristis
TANK BOTTOMS SLUDCE.
B. EPA Hazatdous Waste Code(sl
D0l8
D. Source Code
cl4
Manoeement Method Code E. Form Code
w603 x
G. Ouontit\
2000.0
aoa
POUNDS
Densitv
On-site Genemtion and Milagement of Haardous Wrote
Off-site Shipment of Huardous Wast€
Site I B. EPA ID of facilit\ to which waste was rhipped
NED9817235 l3
C. Maaaeement Method CUde
H040
D. Total Ouuntitt Shipped
1600.0
Site 2 B. EPA lD offacilitv to which woste was shinped
uTD98 l 552 177 H040
D. Total Ouantiry Shipped
400.0
Comments
ONE DRUM SHIPPED TO ARAGONITE ON MANIFEST OO945O8OO FLE. FOUR DRUMS SHIPPED TO KIMBALL ON MANIFEST O I O42O I 59 FLE.
GM 8 Waste Characaeristics
A. Description of hozordous waste
SPENT HYDROTREATING CATALYST.
A. EPA Hggldo"" WattelJ&b)
K t7l
C. State Hazardous Wastc Code(s)
D. Source Code
G09
E. Form Code
w3l6 X
G. Ot antitr
2s433.0
UOM
POUNDS
Densitr
O0-site Geileratioo and Ma0agemcnt of Hazardous waste
Off-site Shipunnt of Haardous Waste
Site I B. EPA ID of facilitr to which wasre was shipoed
uTD98 I 552 177
C, Mqnaeement Melhod Code
H040
D. Total Ouailitv ShiDDed
25433.O
ComMts
SEC I (D) - CHANGEOUT CATALYST IN REACTOR. SHIPPED IN 6 FLOW BINS ON MANIFEST O I 037255 FLE.
Page3ofl0
'1/
GM 9 Waste Chardcterlsdcs
REAGENT VIALS.
UL!!.sst&s u&!g-c, d elil
D002. D007. D009
D, Source Code
G22
Manaaement Method Code E. Form Code
wl l9
F'. Waste Minimiz.ation Code
x
G. Ouantitt
t0.0
UOM
GALLONS
Densitr
1.0 sg
On-sitc Generation md Mmagement of Hazardous Waste
Off-site ShipmeDt of Haardous Waste
Sitc I
NVD980895338 Hr4l 10.0
Comments
SHIPPED IN D.O.T.5-GALLON CONTAINERS ON MANIFESTS O0945O6E4FLE, AND OI042O754FLE.
GM l0 Waste Characterlslics
A, I)escriotion of hazardous waste
CONTAMINATED SULFURIC ACID,
D002
C, Stote Hazqrdou$ Waste Code(s)
D. Source Code
cll
Manaeement Method Code E. Form Code
wr03
F. Wqste Minimization Code G. Ouantity
3082.0
UOM
CALLONS
Densitt'
| .84 sg
On-siteGenemtion and Managemqt of Haardous Waste
Off-site Shipment of Hazardous Waste
Site I
NVD980895338 Ht2l 3082.0
Comments
TWOSHIPMENTSINTDRUMSONMANIFESTS0094506IOFLE,ANDOI04206T2FLE.ONESHIPMENTIN IO(3OOGAL.)TOTESONMANIFESTOIO42O423FLE.
GM 11 Waste Chancteristis
A. DescriDtion of hazardous wasle
OFF.SPEC SODIUM HYDROXIDE.
B. EPA Hazardous Waste Code(sl
D002
D. Source Code
c3l
Manasement Method Code E. Form Code
wl l0
O. Ouantitr
134.0
W,M
GALLONS
Mi!)
1.0 sg
On-site Gen@tion md Management of Hzardous Wilste
Off-site Shipment of Haardous Waste
Site t B. EPA ID of facilitt to which waste was shinped
NVD980895338 Hl2t
D- Total Ouantitv S hippe.l
134.0
Coments
SHIPPED IN 3 DRUMS TOTAL ON MANIFESTS 0094506IO FLE. AND 009450684 FLE
Page4ofl0
GM 12 Wrste Chsrrct€ristics
DEBRIS GENERATED DURING EXCAVATION ACTIVTTIES CONTAMINATED WITH LEAD.
D008
2. Source CoaS
G49
E. Form Code
w002 X
G. Ouontit\
200.0
w,a.
POUNDS
Densilt
On-site Genmtion ald Matragement of Haardous Wste
Off-site Shipnrnt of Hazrdous Waste
Site I
NVD980895338 Hl l0
D. Total O uantity Shipped
200.0
Cotrmnts
sEc I (D) - GENERATED DURTNG REMOVAL OF LEAD BASED PAINT. SHIPPED IN D.O.T. CONTAINER ON MANIFEST 0094506 I 0 FLE
GM l3 Woste Charocterisdcs
BENZENE CONTAMINATED SOIL CENERATED DURING EXCAVATION ACTIVITIES.
Dor 8
C. Slate Hozardous Waste Code(s)
D. Source Code
Gl9
E, l'orm Code
w30l x
G. Ouaalit\
28360.0
UOM
POUNDS
DsljJr
On-sitc Gcn€mtion and Management of Hmdous Waste
Off-siteShipmrt of Hazardous Waste
Site I
uTD98l552l77 H040 28360.0
Cotrr|Mts
SEC I (D). SOIL GENERATED DURING EXCAVATTON FOR CONSTRUCTION PROJECT. SHIPPED IN BULK CONTAINER ON MANIFFEST OI 03I4605 FLE.
L,;
GM 14 Wsste Cbaracterlsdcs
SOLIDS DERTVED FROM CLEANING HEAT EXCHANGER COMPONENTS.
B. EPA Hazordous Waste Code(s)
K050, D0l 8
C, State Hozsrdous Waste Code(sl
D. Source Code
Gl3
Manoeement Method Code E. Form Code
w603
F. Waste Minimization Code
x
G. Ousntirr
400.0
UOM
POUNDS
Densitr
On-site Genemtion and Management of Hazardous Waste
Off-siteShipment of Hazrdous Waste
Site I B. EPA ID of facilit\ to which wasre was shipped
NED98l 7235 I 3 H040
D. Total Ouontitv S hipoed
t 50.0
Site 2 B. EPA ID of fqcilitv to which wuste was shipped
uTD98t552l7?
C. Manaeement Method Code
H040
D. Total Oudntitv Shipped
250.0
Comnenls
SHIPPED IN TWO DRUMS ON MANIFESTS 0094506I I FLE, AND OIO42O I59 FLE.
Page5ofl0
9{ls wrsE ctllctlll.sdcs
MERCURY CONTAMINATED WATER GENERATED FROM A MERCURY DECONTAMINATION PROJECT IN A SMALL BUILDING.
D009
D, Source Code
G49
E. Form Code
wr l3
F. Waste Minimization Code
N
G. Ouantity
52.O
UOM
GALLONS
Densitr
1.0 sg
On-sitc Cetefation and Mmagemant of Hazardous Wrete
Ofr+ite Shipmt of Hazardous Wasre
Site I B. EPA ID offacility to which waste was shioped
NVD980895338 Ht4t
D. Total Ouonritr Shipped
52.O
eitllili$It
SEC I (D)-GENERATED DURINC DECONTAMINATION OFSMALL BUILDINC ONSME.SHIPPED IN 5s.GALLON DRUMON MANIFESTOIO42O5IS FLE.
GM,:lf, :tTlrsiC Clirriictrxlsdcs
A NAPHTHA/SODruM HYDROXIDE CONTAMINATED MIXTURE OF SLUDGE.
B. EPA Hozordous YYqste Code(sl
D00l
D. Source Code
Gl4
E. Form Code
w603 x
G. Ouantir\
89.0
WM
POUNDS
P@!!t
Gtrsila&ngr.rtion :rsd:Maege|ncjrt of llazardous Atslc
Olf.s.i1o.Ship. !4{ous Wast€
Site I
NVD980895338 Ht22 89.0
ComErcntE
PART OFOFF-SPEC SODIUM HYDROXIDE SOLUTION WHICH WAS PROCESSED SEPARATELY AT THE DISPOSAL FACILITY. SHIPPED ON MANMST 0094506IO FLE.
GM [7,l1|$ia:eharar:ic*lsdcs
A. Descriotion of hozardous waste
F002
C- State Hozardous Woste Code(st
D. Source Code
Gl9
E. Form Cod.e
w2Q3 x
G.Ouantity
52.O
uoM
CALLONS
Density
1.34 sg
Otr€itc Gu€dioe ild Mffigdnert of Haardous W6te
Off$ita Shipqq+!:of 1{mrdour Wtrt€
Site I
uTD98l552 177 H040
D. Total Ouantitv Shiooed
52.0
Comrrents
SEC I (D) - SOLVENT USED BY CONTRACTORS IN FABRICATION YARD. SHIPPED IN ONE DRUM ON MANIFEST 009450653 FLE.
Page6ofl0
CM 13 X,itto Chtrecterirde
A, Description of hazardous waste
SPENT AMMONIA AMPULES GENERATED IN LABORATORY ACTIVITY,
B. EPA Hazardous Wostc Code(sI
D009.D002
D, Source Codc
G22
E. Form Code
wl l9 x
G. OuaLritv
r5.0
UOM
GALLONS
Densit\
1.0 sg
On-site Genmtion and Mmryffimt of Hazardous Wste
Off-dte$itiiHt of Hsrrdou8 w|!rc
Site I
NVD9r0895338
C. Manapement Mahod Code
Hl4l 15.0
60iffiifi
THREE SHIPMENTS EACH IN D.O.T.5 GALLON BUCKETS ON MANIFESTS 009450684 FLE, OO945O8O1 FLE,AND OIO42O754FLE.
GM It Wsta'Ctrrrcterl.dcs
MERCURY SWITCHES DISCOVERED IN OLD EQUTPMENT DURING MAINTENANCE AND REPAIR ACTIVITIES.
B. EPA Hozardous \Itostc Code(s)
D009
C. Sto,e Hazardous was,e Code(sl
Mse@e
Gl5
Manaemcnt Me,hod.Code E. Form Code
wl17 x
C. Ouantit\
2.O
UOM
POUNDS
Densit\
o[r.$itp $tni,liilibn and lv(riiiageincnt of Hrmrdoul Wsste
Off-sitc Shipncnt of Hazardous Wute
Site I
NVD980895338
C. Manapment Method Code
Hl4l
D. Total Ouantitt Shiooed
2.O
Conffirt*
SHIPPED IN TO SHIPMENTS IN 2 D.O.T.5 GALLON CONTAINERS ON MANIFESTS 009450757 FLE.AND OIO42O754FLE,
CM t0:il|str CtlrrcfrdrdQ
u2l0
D, Source Code
Gil
Manaeement Method Code E. Form Code
w203
F. Waste Minimizotion Codc
x
G. Ouoatit\
10.0
UOM
GALLONS
Densit\
1.0 sg
On riie.Ganc(ation md Managri&nt of Hazardour Wsste
Ofi-sira:Shitrlnl af, llsrdout Srrtr
Sitc I B. EPA lD offacilitt to which wastc was shiooed
uTD98l552 177
C. Manapnent Method Codc
H040
D- To,al Ouantity Shioped
10.0
Comt| ,,.:
SHIPPED IN ONE DRUM ON MANIFEST OO945O8OO FLE.
PageTofl0
CM:2t lttua Chenct dtli6
A. Description of hazardous was,e
DEBRIS GENERATED DURING EXCAVATION ACTIVITIES CONTAMINATED WITH LEAD AND BENZENE'
B. EPA Hszardous WasteCode(sl
D008, D0l8
C. State Hozardous Waste Code(sl
D, Source Code
ct9
Manaement Method Code E-f orn Co*
w002
F. Waste M inimization Code
x
9.-@4!!r
300.0
geu
FOUNDS
Densitr
On-siie Gelenrion anrt fdanagclmt of Hazardous Waste
G.fi-=+ite$[lp i:ofll&q{au*:,rytsl!:'::':"::"::;;;.,,..,:.:,,
Site I B. EPA ID offacilitv to which waste was shiooed
uTD981552 177
C. Manaement Method Codc
H040
D. Total Ouantit\ Shipped
300.0
C,omments
sEc I (D) - CoNTAMTNATED DEBRIS GENERATED DURTNG ONSTTE EXCAVATION ACTTVITTES. SHIPPED IN ONE D.O.T. CONTAINER ON MA
GM 22 WastcC$4c@lrtiss
A. Descriotion of hazsrdous waste
MERCURY CONTAMINATED MATERIAL GENERATED FROM DECONTAMINATING AS SMALL ONSITE BUTLDING' ITEMS TNCLUDE SMALL TNTERIOR FURNISHINGS
B. EPA Hozardous Waste Code(sl
D009
C. Stote Hazardous Waste Code(sl
I
D. Sourcc Codc
G19
Manapement Me,hod Code E. Form Code
w002
F. Waste Minimizstion Codc
X
g.-@si!j
2520.O
UOM
POUNDS
I Densitrt-
Otr-site G€lmtioo ild Muagffit of Hazardous Wste
Off-sit€ Shipmnt of Hazrrdous Wasre
Site I B. EPA ID offacilitv to which waste was shiooed
uTD991301748
C. Manaeement Method Code
Ht32
D- Totol Ouonrirt Shipped
2520.O
sEc I (D) - CONTAMTNATED MATERIAL DISCOVERED WHILE CLEANING A SMALL BUILDINC. THIS INCLUDES FURNISHINGS AND SOME OFFICE EQUIPMENT. SHIPPED IN
BULK CONTAINERON MANIMST OIO42O425 FLE,
GM:t3:WNh :chr-clertrdce
A, Descriotion of hazardous waste
CAUSTIC SLUDCE
B. EPA Hazardous Woste Code(31
D002
D, Source Code
Gt4
Manapement Mcthod Code E. Form Code
w409 x
Eg@lxt
| 00.0
wM
POUNDS
Deasit)
On{ite GctremtioE ud Managmt of Haandous Wste
Off-site Shipnui of Hurdous Wdtc
Site I B. EPA ID of facilitr ,o which waste was shiDDed
NVD980895338
C, Manasment Method Code
H12l
D. Total Ouantirr S hipped
t00.0
CtlE iEnts
SHIPPED IN ONE DRUM ON MANIFEST OIO42O479 FLE.
Page8ofl0
GM 24 WdiG Cnartctertrtcs,
A. Description of hazordout waste
coRRossrvE oFF-spEc CHEMTCAL (NALCO 3DT I 97)
B. EPA Hozardoas Waste Codekl
D002
D. Sourcc Code
Gil
E. Forn Code
w2t9
F. Woste Minimization Code
x
G. Ouontity
600.0
UOM
POUNDS
DeaEitr
On-site Caersfion sd M8tratffit of llffirdouE Wste
Off-cite Stipurcat of Handous Waetc
Site I B. EPA ID offocility to which waste was shiooed
NVD98089533E
C. Manaement Method Code
Hl4t
D- Total Ouantitt Shiooed
600.0
Cirtmetrta
SHIPPED IN 3 DRUMS ON MANIFEST OIO42O158 FLE.
Cnt rS Wrr* Ctrrrd.fi sdci
A- Descriotion of hazardous wastc
GLYCOL CONTAMINATED WITH FLAMMABLE HYDROCARBONS.
D00l
D. Source Codc
G08
E. Form Code
wil9 x
G. Ouantitv
10.0
uoM
GALLONS
Densitr
1.03 sg
Omitc Crncrarion ard trfanagcmt of Hazardms Wstc
Off-8iE StiFmtt of Haandour Wasre
Site I B. EPA ID offacilitr to which wasre |9ar shipped
NVD980895338 Hl4t 10.0.eou
SHIPPED IN 2 D.O.T.5 GALLON CONTAINERS ON MANIFEST OIO42O566 FLE.
CM 26 W.*!. Cturrctdtdcr
UNUSED DRAEGER GAS DETECTION TUBES.
D003
D. Source Code
Gll
E. Form Code
w00t
F. Was,e Minimizq,ion Code
x
G. Ouontitt
6.0
UOM
POUNDS
DeNitr
On-sic Gcncnlion rd ltiraogemt of Hazardous W8ste
Ofi-sit.t Stiimot of Hszadors Wstc
Site I B. EPA ID offacilit\ to which waste \9os shipped
NVD980895338 Hl4l
D. Totol Ouontitr Shipped
6.0
Courlrr
SHIPPED IN ONE D.O.T.s GALLON CONTAINER ON MANIFBST OI0420566 FLE.
Pagc9ofl0
CM 2? *asts Chrnrterigtlct
A. Description of hazordous waste
LEAD CONTAMINATED DEBRIS COLLESTED FROM REMOVAL OF LEAD'BASED PAINT.
B. EPA Hazardous Waste Code(sl
DOOE
D. Source Code
G06
E. Form Code
wo02
F. Waste M ininization Code
x
G- Ouonritv
s00.0
UOM
POUNDS
Densitr
Oo{itc GenmtioD md Mmagernent of Hmrdour Wrote
Otr-site ShlFrnmt of Haandous Wrste
Site I B. EPA ID offacilitv to which watte was shipoed
NVD980895338
C. Manasement Method Code
Hl4l 500.0
Coramonts
SHIPPED IN 5 DRUMS ON MANIFESTS 010420606 FLE' AND O 10420672 FLE.
GM 28 WarteChcEqt d6dca
A. Description of hazardous waste
SPENT STODDARD SOLVENT
B. EPA Hazardous Waste Code(sl
D00l
C. State Hazardous ritaste Code(sl
D. Source Code
c02
Manaeemenl Method Code E, Form Code
w203 X
g.grsliu
52.O
UOM
GALLONS
Dcnsitv
0.8 sg
O!-site Gctrmtion and Manageni€nt of HaErdous wdte
Ofr-site Sbipmcnt of Hazatdous Wsste
Site I B. EPA ID offacilit! to which waste was shipDed
NED9Er7235 l3
C. Manaeement Method Code
H040
D. Total O uantitv Shipoed
52.O
Cgmmolts '
SOLVENT USED IN MACHINE SHOPTO CLEAN PARTS. SHIPPED ON MANIFEST O104206?3 FLE.
Pagel0ofl0