DSHW-2009-013363 - 0901a06880140505

IK^ OMB#: 2050-0028 Expires 06/30/2009
SEND COMPLETED
FORM TO:
The Appropriate State or
EPA Regional Office.
United States Environmental Protection Agency
RCRA SUBTITLE C SITE IDENTIFICATION FORM
_^..^eu SK,^
1. Reason for
Submittal
(See Instructions
on page 13.)
MARK ALL BOX(ES)
THAT APPLY
Reason for Submittal:
n To provide Initial Notification of Regulated Waste Activity (to obtain an EPA ID Number for hazardous
waste, universal waste, or used oil activities)
El To provide Subsequent Notification of Regulated Waste Activity (to update site identification information)
l-l As a component of a First RCRA Hazardous Waste Part A Permit Application
1^ As a component of a Revised RCRA Hazardous Waste Part A Permit Application (Amendment # )
L-l As a component of the Hazardous Waste Report
RECEIVED 2. Site EPA ID
Number (page 14)
EPA ID Number
|U|T,D||0,0|9||0|8|1 ||3,5|7-|
OCT 2 4 2G57
ATK LAUNCH SYSTEMS INC. - PROMONTORY UTAH UIVISlUl\J U-
SQLin ^i^AZARDOUS WASTE
3. Site Name
(page 14)
Name:
^ 4. Site Location
Information
(page 14)
Street Address: 9160 NORTH HWY 83 : 03/33
City, Town, or Village: PROMONTORY
County Name: ggX ELDER
State: yjAH
Zip Code: 84302
5. Site Land Type
(page 14)
Site Land Type: [3 Private D County D District D Federal D Indian D Municipal D State D Other
6. North American
Industry
Classification
System (NAICS)
Code(s) for the
Site (page 14)
A.
|3|3|6|4|1|5|
lllllll
B.
|3|3|6|4|1|4|
lllllll
7. Site Mailing
Address
(page 15)
Street or P. O. Box: p_ Q. BOX 689 M/S 301
City. Town, or Village: BRIGHAM CITY
State: jTAH
Country: USA Zip Code: 84302-0689
8. Site Contact
Person
(page 15)
First Name: KENNETH Ml: G Last Name: CURTIS
PhoneNumber: ,„„„„„ . .^„ Extension: 435-863-4479 Email address:
[e-mail]
9. Operator and
Legal Owner
of the Site
(pages 15 and 16)
A. Name of Site's Operator:
ATK LAUNCH SYSTEMS INC.
Date Became Operator (mm/dd/yyyy):
04/20/2001
Operator Type: El Private D County D District D Federal D Indian D Municipal D State D Other
B. Name of Site's Legal Owner:
ALLIANT TECHSYSTEMS INC.
Date Became Owner (mm/dd/yyyy):
04/20/2001
Owner Type: E Private D County D District D Federal D Indian D Municipal D State D Other
EPA Form 8700-12 (Revised 7/2006) Page 1 of 3
EPA ID NO: 1 U 1 T
9. Legal Owner
(Continued)
Address
D|,0|0|9||0|8|1||3|5|7| OMB#: 2050-0028 Expires 06/30/2009
Street or P. 0. Box: 5Q5Q |_|NC0LN DRIVE
City, Town, or Village: EDINA
State: MINNESOTA
Country: yg^
10. Type of Regulated Waste Activity
Zip Code: 55436
Mark "Yes" or "No" for all activities; complete any additional boxes as instructed. (See instructions on pages 17 to 20.)
A. Hazardous Waste Activities
Complete all parts for 1 through 6.
YEND 1. Generator of Hazardous Waste
If "Yes", choose only one ofthe following - a, b, or c.
IZI a. LQG: Greaterthan 1,000 kg/mo (2,200 Ibs./mo.)
of non-acute hazardous waste; or
n b.SQG: 100 to 1,000 kg/mo (220-2,200 Ibs./mo.)
of non-acute hazardous waste; or
n c. CESQG: Less than 100 kg/mo (220 Ibs./mo.)
of non-acute hazardous waste
In addition, indicate other generator activities.
YD NlZl d. United States Importer of Hazardous Waste
YlZl NE] e. Mixed Waste (hazardous and radioactive) Generator
B. Universal Waste Activities
YD NE11. Large Quantity Handler of Universal Waste (accumulate
5,000 kg or more) [refer to your State regulations to
determine what is regulated]. Indicate types of universal
mark all boxes that apply:
Manaqe
a. Batteries El
b. Pesticides •
c. Mercury containing equipment El
d. Lamps E]
e. Other (specify) CH
f Other (soecifv) •
q. Other (specifv) ^
YD NE] 2. Destination Facility for Universal Waste
Note: A hazardous waste permit may be required for this activity.
YE] ND 2. Transporter of Hazardous Waste
YEI ND 3. Treater, Storer, or Disposer of
Hazardous Waste (at your site) Note: A
hazardous waste permit is required for this
activity.
YE] NG 4. Recycler of Hazardous Waste (at your
site)
YG NG 5. Exempt Boiler and/or Industrial Furnace
If "Yes", mark each that applies.
• a. Small Quantity On-site Burner
Exemption
• b. Smelting, Melting, and Refining
YG NG 6. Underground Injection Control
C. Used Oil Activities
Mark all boxes that apply.
YQ NG 1. Used Oil Transporter
If "Yes", mark each that applies.
G a. Transporter
• b. Transfer Facility
YG NG 2. Used Oil Processor and/or Re-refiner
If "Yes", mark each that applies.
• a. Processor
G b. Re-refiner
YG NG 3. Off-Specification Used Oil Burner
YG NG 4. Used Oil Fuel Marketer
If "Yes", mark each that applies.
G a- Marketer Who Directs Shipment of
Off-Specification Used Oil to
Off-Speclfication Used Oil Burner
G b. Marketer Who First Claims the
Used Oil Meets the Specifications
EPA Form 8700-12 (Revised 7/2006) Page 2 of 3
EPA IDNO:|U|T|D||0|0|9||0|8,1||3|5|7| OMB#: 2050-0028 Expires 06/30/2009
11. Description of Hazardous Wastes (See instructions on page 21.
A. 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., DOOl, DOOS, F007, U112). Use an
additional page If more spaces are needed.
D001
0008
p021
D002
D009
D022
D003
D010
D023
D004
D011
D024
0005
D016
D025
D006
D018
D026
D007
D019
D028
B. Waste Codes for State-Regulated (i.e., non-Federal) Hazardous Wastes. Please list the waste codes ofthe State-regulated
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 for waste codes.
12. Comments (See instructions on page 21.
13. Certification. I certify under penalty of law that this document and all attachments were prepared under my direction or supervision
in accordance with a system designed to assure that qualified personnel properly gather and evaluate the Information submitted. Based
on my inquiry ofthe person or persons who manage the system, or those persons directly responsible for gathering the Information, the
Information submitted is, to the best of my knowledge and belief true, accurate, and complete. I am aware that there are significant
penalties for submitting false information, Including the possibility of fine and imprisonment for knowing violations.
For the RCRA Hazardous Waste Part A Permit Application, all operator(s) and owner(s) must sign (see 40 CFR 270.10 (b) and 270.11).
(See instructions on page 21.)
Signature of operator, owner, or an
authorized representative
Name and Official Title (type or print) Date Signed
(mm/dd/yyyy)
c^f-i^i^^icftxJii^ &eo{c^e.f_ 6roOch mcJAri^ E7\i)ltomeMh{ Cylia^^t^ ^ Olh
EPA Form 8700-12 (Revised 7/2006) Page 3 of 3
EPAIDNO: UTD009081357
Waste Codes continued: D029, D035, D036, D038, D039, D040, D043, D042, FOOl, F002,
F003, F004, F005, F006, F007, FOOS, F009 K044, P003, P012, P022, P028, P029, P030, P064,
P067, P077, P087, P092, P093, P095, P098, P105, P106, Pl 12, Pl 19, UOOl, U002, U004, U008,
U009, U019, U025, U028, U029, U031, U037, U041, U044, U048, U053, U056, U057, U069,
U070, U072, U077, U079, UOSO, U0S5, UOSS, U092, U093, U095, U098, UlOl, U102, U103,
UIOS, U112, U113, Ul 17 , uns, U121, U122, U123, U131, U133, U134, U140, U147, U14S,
U149, U151, U154, U156, U159, U160, U161, U162, U165, U16S, U169, U171, U185, U1S6,
UISS, U190, U196, U201, U209, U210, U211, U213,U218, U219, U220, U221, U223, U224,
U225, U226, U22S, U238, U239, U240, U243, U244, U246, U253, U32S, U359, U404