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Home My WebLink AboutDSHW-2014-005852 - 0901a06880425cf9OMB#: 2050-0024 Expires 12/31/2014 I 0 V&iA SLA A - 9 - (4 Division of SullUanfl Hazardous Waste SEND THE COMPLETED FORM TO: The Appropriate State or Regional Office United States Environmental Protection Agency RCRA SUBTITLE C SITE IDENTIFICATION FORM ZQ\t±-:QQ585Z 1. Reason for Submittal MARK ALL BOX(ES) THAT APPLY Reason for Submittal: 0 To provide initial notification (to obtain an EPA ID Number for hazardous waste, universal waste, or used oil activities). H To provide subsequent notification (to update site identification information). [] As a component of a First RCRA Hazardous Waste Part A Permit Application. [] As a component of a Revised RCRA Hazardous Waste Part A Permit Application (Amendment # ). [S As a component of the Hazardous Waste Report (If marked, see sub-bullet below) 8 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 of the report year (or State equivalent LOG regulations) 2. Site EPA ID Number EPA ID Number: UTD009081357 3. Site Name Name: ATK LAUNCH SYSTEMS INC. - PROMONTORY 4. Site Location Information Street Address: 9160 N. HWY 83 City, Town, or Village: BRIGHAM CITY State: UT Country: TJS County: BOX ELDER Zip Code: 843 02- 5. Site Land Type gJPrivate •County •District •Federal •Tribal •Municipal •State •Other 6. NAICSCode(s) for the Site (at least 5-digit codes) 336414 336415 D. 7. Site Mailing Address Street or P.O. Box: PO BOX 7 07 M/S 301 City, Town, or Village: BRIGHAM CITY State: UT Country: US Zip Code: 84302- 8. Site Contact Person First Name: JASON Ml: E Last: WELLS Title: ENVIRONMENTAL ENGINEER Street or P.O. Box: PO BOX 7 07 M/S 301 City, Town, or Village: BRIGHAM CITY State: UT Country: US Zip Code: 843 02- Email: JASON. WELLSOATK. COM Phone: (435)863-6895 Ext: Fax: (435) 863-4037 9. Legal Owner and Operator of the Site A. Name of Site's Legal Owner: ALLIANT TECHSYSTEMS, INC. Date Became 04/20/2001 Owner: Owner Type: BPrivate •County •District •Federal •Tribal •Municipal • State •Other Street or P.O. Box: 13 00 WILSON BOULEVARD SUITE 40 0 City, Town, or Village: ARLINGTON State: VA Country: US B. Name of Site's Operator: ATK LAUNCH SYSTEMS, INC Phone: (703)412-5960 Zip Code: 22209- Date Became 04/20/2001 Operator: Operator Type: IS Private • County • District • Federal • Tribal ^Municipal DState • Other EPA Form 8700-12, 8700-13 A/B, 8700-23 (Revised 12/2012 ) Page 1 of y EPA ID Number UTD009081357 OMB#: 2050-0024 Expires 12/31/2014 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;Complete all parts for Items 1 through 7. Y £T] N[~J 1 • Generator of Hazardous Waste If "Yes" mark only one of the following - a, b, or c. pT| a. LQG: Generates, in any calendar month, 1,000 kg/mo (2,200 Ibs./mo.) or more of hazardous waste; or Generates, in any calendar month, or accumulates at any time, more than 1 kg/mo (2.2 Ibs./mo) of acute hazardous waste; or Generates, in any calendar month, or accumulates at any time, more than 100 kg/mo (220 Ibs./mo) of acute hazardous spill cleanup material. [] b. SQG: 100 to 1,000 kg/mo (220 - 2,200 lbs.) of non-acute hazardous waste Q c. CESQG: Less than 100 kg/mo (220 Ibs./mo) of non-acute hazardous waste If "Yes" above, indicate other generator activities. Y| I N JST] d- Short-Term Generator (generate from a short-term or one- time event and not from on-going processes). If "Yes", provide an explanation in the Comments section. Y| I N|X] e. United States Importer of Hazardous Waste Y| | N ^] f. Mixed Waste (hazardous and radioactive) Generator 2. Transporter of Hazardous Waste If "Yes", mark all that apply. pC| Transporter [~~| Transfer Facility Y H N ED 3. Treater, Storer, or Disposer of Hazardous Waste (at your site) Note: A hazardous waste permit is required for these activities Yl~l NH 4. Recycler of Hazardous Waste (at your site) Note: A hazardous waste permit may be required for this activity. Yl~~l NH 5. Exempt Boiler and/or Industrial Furnace | | a. Small Quantity On-site Burner Exemption [ [ b. Smelting, Melting, Refining Furnace Exemption YD m 6. Underground Injection Control Y E N CH 7. Receives Hazardous Waste from Off-site B. Universal Waste Activities Complete all parts 1 - 2. YDNH YD NH 1. Large Quantity Handler of Universal Waste (you accumulate 5,000 KG or more) [refer to your State regulations to determine what is regulated]. Indicate types of universal waste managed at your site. If "Yes", mark all that apply. Manage or Accumulate a. Batteries b. Pesticides c. Mercury containing equipment d. Lamps e. Other f. Other g. Other • • • • • • • 2. Destination Facility for Universal Waste Note: A hazardous waste permit may be required for this activity. C. Used Oil Activities -Complete all parts 1-4. y| j N [X] 1. Used Oil Transporter If "Yes", mark all that apply. | | a. Transporter | | b. Transfer Facility Y| | N[X1 2. Used Oil Processor and/or Re-refiner- If "Yes", mark all that apply. | | a. Processor | | b. Re-refiner YQ NH 3-off-Specification Used Oil Burner YD NH 4. Used Oil Fuel Marketer If "Yes", mark all that apply. I I a. Marketer Who Directs Shipment of Off-Specification Used Oil to Off- Specification Used Oil Burner r~] b. Marketer Who First Claims the Used Oil Meets the Specifications EPA Form 8700-12, 8700-13 A/B, 8700-23 (Revised 12/2012 ) Page 2 of V EPA ID No. UTD009081357 OMB#: 2050-0024 Expires 12/31/2014 D. Eligible Academic Entities with Laboratories—Notification for opting into or withdrawing from managing laboratory hazardous wastes pursuant to 40 CFR Part 262 Subpart K • You must check with your State to determine if you are eligible to manage laboratory hazardous wastes pursuant to 40 CFR Part 262 Subpart K [] 1. Opting into or currently operating under 40 CFR Part 262 Subpart K for the management of hazardous wastes in laboratories See the item-by-item instructions for definitions of types of eligible academic entities. Mark all that apply: [] a. College or University []b. Teaching Hospital that is owned by or has a formal written affiliation agreement with a college or university []c. Non-profit Institute that is owned by or has a formal written affiliation agreement with a college or university [] 2. Withdrawing from 40 CFR Part 262 Subpart K for the management of hazardous wastes in laboratories 11. Description of Hazardous Wastes 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., D001, D003, F007, U112). Use an additional page if more spaces are needed. D001 D009 D027 D040 P048 U117 U220 D002 D010 D028 F001 U042 U133 U223 D003 D011 D030 F002 U056 U154 U226 D005 D018 D035 F003 U080 U159 U239 D006 D019 D036 F005 U103 U161 D007 D021 D038 K044 U105 U169 D008 D022 D039 P030 U112 U170 B. Waste Codes for State-Regulated (i.e., non-Federal) Hazardous Wastes. Please list the waste codes of the 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. EPA Form 8700-12, 8700-13 A/B, 8700-23 (Revised 12/2012 ) Page 3 of Y EPA ID No. UTD009081357 OMB#: 2050-0024 Expires 12/31/2014 12. Notification of Hazardous Secondary Material (HSM) Activity YD Are you notify'na under 40 CFR 260.42 that you will begin managing, are managing, or will stop managing hazardous secondary material under 40 CFR 261.2(a)(2)(ii), 40 CFR 261.4(a)(23), (24), or (25)? If "Yes", you must fill out the Addendum to the Site Identification Form: Notification for Managing Hazardous Secondary Material. 13. Comments JASON.WELLS@ATK.COM 14. 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 of the 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 signifigant 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 owner(s) and operator(s) must sign (see 40 CFR 270.10(b) and 270.11). Signature of owner, operator, or an authorized representative Name and Official Title (type or print) D. Date Signed (mm-dd-yyyy) GEORGE E GOOCH 02/27/2014 MANAGER, ENVIRONMENTAL SERVICES EPA Form 8700-12, 8700-13 A/B, 8700-23 (Revised 12/2012 ) Page 4 of Jj_