DSHW-2016-012405 - 0901a0688065f3ac

Orbital ATK
Div of Waste Managemen;
August 22, 2016 and Radiation Control
8200-CY16-078 AU6 2 l 2016
Mr. Scott T. Anderson, Director ~D51W-20\y-D\?&>
State of Utah Department of Environmental Quality
Division of Waste Management and Radiation Control
195 N.1950 W.
P.O. Box 144880
Salt Lake City, Utah 84114-4880
Re: ATK Launch Systems-Promontory EPA ID number UTD009081357
Hazardous Waste Manifest Exception Report
Dear Mr. Anderson:
This letter accompanies information regarding a Hazardous Waste Manifest that was not returned
within 45 days from Clean Harbors Environmental Services Inc., which is required by 40 CFR
262.42.
ATK Launch Systems, Inc. shipped a load of hazardous waste, manifest #002709052, on April
20, 2016 to Clean Harbors in San Jose California. This shipment was then transferred to six
different transporters before finally arriving at the San Jose facility on June 9, 2016 exceeding
the 45 day requirement. Subsequently, the load of hazardous waste was rejected by the San Jose
facility due to an internal profiling error within the Clean Harbors electronic profiling system.
The shipment was then rerouted to the Clean Harbors Aragonite facility in Utah arriving June 20,
2016 for final disposal.
Enclosed are copies of the original manifest, the new manifest generated by the San Jose Clean
Harbors facility, and a manifest tracking history from Clean Harbors,
Clean Harbors has been contacted and made aware of the profiling error. They agreed to correct
the error to avoid its reoccurrence.
Please contact me if you have any questions concerning this report. My telephone number is
[phone] or you can contact Blair Palmer at [phone].
Sincerely
George Gooch, Manager
Environmental Services
Orbital ATK, Inc. • P.O. Box 707, Brigham City, UT 84302-0707 . 435-863-3511
Please print or tyie. (Form i for use on elite (12-pltch) typewriter.)
uif 3.
2. Page 1 of 3. Emergency Response Phone A Manifest Tracking Number
!t/vz.gfi'SW'r a09CS49?3 FLE
UNIFORM
WASTE
5. Generatoi'
Ar
IAZARDOUS M-Generator ®N«nb«
MANIFEST | {Jl 1) Of(l f' ’ * C ~7
Name and Mailing Addressl (\i . r l ■V'/ffer#*' ■'''
i ftv*
Generator'sTTr,
s •' . «/'T Sr'v H-i.
i- ione.
f, r r> I/: , J-rr y
4H., (lArvtv P- rft/*‘<£r
-- — w»w — ■ »• ■ ■ — - ■ . ■ ■■<5p - *S
c'4<« ^ T
11 Canary (tome —J " 7 "J 7 UAJWDNuite —
/'7 a. , >•)•; CAi^/iAgh /V! L M*(\ A(\ 6J i ■) J
2 Company Name “*“* * s t.
ransporle
7. Transporte
TDesignater
U S. EPA ID Number
Taoiiiy Name and Site Address
f'V ^ r Ll,+*rhf:' ’
z_/7 ?a jo ~: . ? >A/J
v 5 ^ t t
Ar-^rM, g^rn/l
U.S. ERA ID Number
9a.HM
9b. 1 andF S. DOT Description (Including Proper Shipping Name, Hazard Class, ID Number, acking Group (if any))10. Containers 11. Total Quantity 12. Unit WtTVbl.13. Waste CodesNo.Type
/
i.u w iftii.- . fg,
Si- 9 t> F vtfrep P
2.
3.
4.
§
14. Special H mdling Instructions and Additional Information{. (?< Kj'tlnT, ££6 * 'M "Hie H»‘f "l^ -fi-tify r'jjscfsrf -£?JvM
(11 sin or 2 Ft A ,
15. GENERATOR'! marked Exporte
I certify
’S/OFFEROR'S CERTIFICATION: I hereby dedare that the contents of this consignment are foUy and accurately described above by the proper shipping name, and are classified, packaged,
ind labeled/placarded, and are in al respects In proper condition for transport acoordlng to applicable international and national governmental regulations. If export shipment and I am the Primary
I certify that the contents of this consignment conform to the terms of Ihe attached ERA Acknowledgment of Consent
tat the waste minimization statement identified in 40 CFR 26227(a) (VI am a large quantity generator) or (b) (if I amaamal
I'voAl rVt,_L u i 'JjSt
generator) is true.
------77—
[Zl Export from U S. Roftofentry/didt
_________________Date leaving U.S.:
RonBi----Day----9eaF
ht \> £ IZ ^
16 InternationalShipmente U£«*US.
Transporter stonature (lor exports only):
17. Transport! r Acknowledgment of Receipt of Materials
Transports!^"HonK----Day----755F
Transporter
rtSri' ^rintedflyped Name
18. Discrepar sy v..
r, !; W °
vj,.,. V^ i „ v,,
/<
m il 11
18a. fDiscrepancy Indication Space Quantity □'Type □ Residue □ Partial Rejection
Manifest Reference Number.
□Full Rejection
18b. Altemati
Facility's
18c. Signatur i
Facility (or Generator)
Phoie:
U.S.ERAID Number
Month Day Year
1 I 1
of Alternate Facility (or Generator)
19. Hazarda Waste Report Management Method Codes (i.e., codes for hazardous waste treatment, disposal, and recycling systems)
' . j-ksUO
20. Designal! d
PrintedfTypetN E
Facility Owner or Operator: Certification of receipt of hazardous materials covered by Ihe manifest except as noted In Item 18a
--------------------------------------------------------Name
ERA Fbrm 8700-te (Rev. 3-05) Previous editions are obsolete.
jAHera.n LULu.'L y\
DESIGNATED FACILITY TO GENERATOR
Dear Generator:
RE: Revised Generator Copy of Uniform Hazardous Waste Manifest
A modification was made to the attached shipping documents subsequent to the generator
copy being mailed from Clean Harbors San Jose to your facility. The attached manifest
copy represents the finalized version of this shipping document, and should be kept for
your records. Please note that these changes will appear on the manifest copy that has
been or will be submitted to the Department of Toxic Substances Control.
Please contact your customer service representative if you have any questions.
Thank you,
Clean Harbors San Jose LLC.
1021 BerryessaRd.
San Jose, CA 95133
Rease print o type. (Form designed for use on elite (12-pitch) typewriter.)Form Approved. OMB No. 2050-0039
UNIFOR
WAS!
5 Genera
M. HAZARDOUS
E MANIFEST
nr1!; Marne and Mailir
1. Generator ID Number
UTDC>M02rl
2.Paget of
/
3. Emergency Response Phone
e»: /if A-.a___
4. Manifest Tracking Number
009064933 FLE
Generate'sTTrar
^Ibc N/o. Hwy
' rOT&ftcrJCrrTnnc
ofs Name and MaiSngAddrKS . ,4-TK Leu'V&. Sysferti xrpmorbixy
P.o.pn 7*1 4*h: lUivIy P. Ttiff^r
&rh, VI
mip Mr 1 Company Name ^ 1 T H —— as'ERA ID Number--------------------------------------
C|^4-n HA^i&nrs M/f&zZfJ l^Liro
7. Transporter 2 Company Name
I Fadity Name and Site Address
(fla--/ ifr WvTtf
h rk i^lc-
«*{
U.S.EPA ID Number
9a.
HM
9
a
i. U.S. DOT Description (including Proper Shipping Name, Hazard Class, D Number,
td Packing Group (if any))
10. Containers 11. Total
Quantity
12. Unit
WL/Vol.13. Waste CodesNo.Type
X
i.CM /$n v f r$~f p&jp.
<f>0 otfs»f>P
2.
3.
4.
Ul£d I Handling Instructions and Additional Informal------
f. iWf«r7^73 HI T^Je- *)eYe^ fafy rx-j^efcul -Go*
2-7P ?*£r2- .
15. GE5 ERATOR'S/OFFEROR’S CERTIFICATION: I heraby declare that Ihe contents of this consignment are fully and accurately described above by the proper shipping name, and are classified, packaged,
mart ad and labeledfplacarded, and are In all respects in proper condKkm for transport according to applicable international and national governmental regulations. If export shipment and I am the Primary
E*p< rter, I certify that the contents of this consignment conform to the terms of the attached ERA Acknowledgment of Consent
I cer ify that Ihe waste minimization statement identified in 40 CFR 262.27(a) (if I am a large quantity generator) or (b) (51 am a small mrantity generator) Is tree.
r ~ ‘ ffonffi-----DSy-----T55T
Transport it signature (lor exports only):
□ Export lromU.S.
17. Trans) vter Acknowledgment of Receipt of Materials
Name Trai-----Bay----SSST
felfgl/6
Transport r Narne Signature
1
MorinCayYear
18. Discre rancy
18a. IDiscrepancy Indication Space Q Quan||ty □ Type □ Residue □partial Rejection
Manifest Reference Number:_________________
□ Full Rejection
18b. Alterr ate Facility (or GeneratoO U.S.EPA ID Number
Rhone:
of Alternate Facility (or Generator)Month Day Year18c.
19. Hazar ous Waste Report Management Method Codes (i.s., codes for hazardous waste treatment disposal, and recycling systems)
1.
20. Deslgr ated Facility Owner or Operator Certification of receipt of hazardous materials covered by the manifest except as noted in Item 18a
Prlnted/Ty red Name Month Day Year
I i I
ERA Form 87( 0-22 (Rev. 3-05) Previous editions are obsolete.DESIGNATED FACILITY TO DESTINATION STATE (IF REQUIRED)
Approved. OMBfto. 20' iwi WWW Wll v>mw ^ it. piivuy1. Generator ID Number 2. Page 1 qlj 3. Emergency Response Phone i uiiiir\ppiuvcu. wivtu niu. /.vjuuuuocJ4. Manifest Tracking Number
UTD009081357
% ^ i
iJflA 4SS-8SS-SMS 002709052 FLEUNIFORM HAZARDOUS
WASTE MANIFEST
5. Generator's lame and Mailing Address
P.O. BXK
Phpne: 6. transporter
li Sjmtmm Ine. - Pronoatory 707, Attn: Randy D. WuUamzM
Company Name
9100 MO. BRZ 83
OoftLiuiA, Of 84307
XnoTfli
U.S. ERA ID Number
I MMD039322250
Company Name.j \/U* F8 U.S. ERA ID Number
1021
Facility's Phoiu
IXC
Swacars U.S. ERA ID Number
00)059494310
9a.9b. U.S
and
DOT Description (including Proper Shipping Name, Hazard Class, ID Number,
Group (if any))Drt .I/In/,racKing
10. Containers
No.Type
11. Total
Quantity
12. Unit
Wt/Vol.13. Waste Codes
g
ui
OK .830, want* Sulfnrla mold, 8, MIX
DF 4500
14. Special Han lling Instruclions and Additional Information
1) VroCjila# GB519C73 (9x55) ; IM #: 137
*0f
15. GENERA! IR’S/OFFEROR'S CERTIFICATION: I hereby dectere that the contents of this consignmant are fully and accurately described above by the proper shipping name, and are classified, packaged,
marked an I labeled/placarded, and are in all respects in proper condition for transport according to applicable international and national governmental regulations. If export shipment and I am the Primary
Exporter, I terrify that the contents of this consignment conform to the terms of the attached ERA Acknowledgment of Consent.I certify tha the waste minimization statement identified in 40 CFR 262.27(a) frf I am a targe qigprity-ggneratorjorfo) (if I am a agall quantity generator) is true.
Genergtoaeffe y-s BBBJlgSJIBw----7Z^-----------------------------TP'
16. InternationalBhipments / D, c '
j^IGNAJEDFACILlfY TO DESTINATION STATE (IF REQUIRED)
UNIFORM H; ((iZARDOUS WASTE MANIFEST 2] ■ ^eratoHD Number . ^ ___-ontinuation Sheet) .0^00^ 02>| 36^• 22. Page mW0&lFlj£
24. Generator's Name
mV- LaVaVvoW
25. Transporte c, im iavDOK
U.S. ERA ID Number
26. Transportei jteT-'&cuvU. Uvl JTS. ERA ID Number
4 "firtjp-ooo s; ^27a.
HM
27b. U.S
and Pad
DOT Description (induding Proper Shippsig Name. Hazard Class, ID Number,
ing Group (if any))
28. Containers (29. Total
Quantity
30. Unit
WtJVbl.31. Waste CodesNo.Type
V
'~y\\ —ft V)
\
\
\
\
\I
N
Vs
32. Special Hanc ing Instructions and Additional Information
^^VtO/K 7083
35. Discrepancy
.Wer^fip irar
\°i la
36. Hazardous W^sle Report Management Melhod Codes (i e., codes for hazardous waste treatment, disposal, and recycling systems)
________I____________________1__________________L
s 1
EPA Form 8700-22A (Rev. 3-05) Previous editions are obsolete.DESIGNATED FACIliTY TO DESTINATION STATE (IF REQUIRED
Please print or tyi e. (Fomi designed for use on elite 12-pitch) typewriter.)Form Approved. OMB No. 2050-0039
UNIFORM
24"
H \ZARDOUS WASTE MANIFEST
(lontinuation Sheet)
21. Generator ID Number
Generator i Name *Affl/ LAMAdL
X Company Name
!2.
25. Transport! r
5 ^X’x'X^Y]26. Transport!'Company Name
27a.
HM
27b. U.!
andPai
. DOT Description (including Proper Shipping Name, Hazard Class, ID Number,
king Group (if any))28. Containers 29. Total
Quantity
30. Un#
WtATOI.31. Waste CodesNo.Type
/
L )
A
/
/
32. Special Hare lincptlfetructionsand Additional Information
Printed/Typed Ni me
34.Tianaporter.
Printedn-ypedt
35. Discrepancy
__________OJ^ 1
1= \ fl Acknowtedgment of Receipt of Materials"
N StVH fywitfJlh,—
Month Day Year
Month Bay Year1^ \l2-\Uo
36. Hazardous \4ste Report Management Method Codes fi.e., codes for hazardous waste treatment, disposal, and recycling systems)
________I____________________I__________________L_
a 1
ERA Form 8700-22A (Rev. 3-05) Previous editions are obsolete.DESIGNATED FACILITY TO DESTINATION STATE {IF REQUIRED
Fullnu r, Randy
From:
Sent:
To:
Subject:
Creekmore, Jamie L <[e-mail]>
Tuesday, June 21, 2016 2:41 PM
Lawrence, Chuck O; Fullmer, Randy; Palmer, Blair
RE: Drum Shipped to San Jose
Below i: the travel history of the drum:
B Manifest Tracking History
Hub Vendor Trailer Number Tracking
UCF TR 6342 CR
ucf TR 6342 REMV
UCh SL0018 70106 MOVE
; UCF SL0018 70106 SHP
AG SL0018 70106 MVPR
AG SL0018 70106 REMV
AG SL0018 70149 MOVE
AG SLOOIB 70149 SHP
PH SL0018 70149 REMV
PHFI TR .FLOOR MOVE
PH .SLOOIB 7 0149 MVPR
PHh FLOOR REMV
PHh SL0018 7 0149 MOVE
PHK it _ SLOOIB 70149.........SHP
AMZR :v SLOOIS 70149 SHP
wx SLOOIB 70149 .......MVPR
WI SLOOIS 70149 REMV
mt TR FLOOR9 MOVE
Wlh TR FLOOR9 REMV
WIH at tr FLOOR?MOVE
Wlh TR FLOOR?REMV
WIF J;... .TR ,6424 MOVE
WIH TR 6424 SHP
.......BL TR 6424 MVPR
BL TR 6424 SHP
SJ li:;. tr 6424 PR
Next Destination
From:
Sent: 1
To: Law
Subjec:
Safety
PH
SOFFELCl
SOFFELC1
SOFFELCl
___SOFFELCl
PATTERM1
. WEBSTEC4
WEBSTEC4
GEORGED1
JENKINB1
JENKINBl
JENKINB1
SAENZCL1
AMZRIV
WI
SAENZCL1
. VOHANNA1
HEALYJ1
LOUIELZ
BL
SJ
FERIAA1
_FERIAA1_
RAMOSM1
■ RAMOSM1
RAMOSM1
RAMOSM1
HUNTERS3
HOUSEDl
HEALYJ1
JUNGELD 1
ctivity Date
04/Z2/2016 08:27:28 AM
04/29/2016 05:21:29 PM
04/29/2016 05:21:29 PM
04/29/2016 08:02:44 PM
05/04/2016 10:16:13 AM
05/04/2016 10:16:15 AM
05/06/2016 11:09:49 AM
05/09/2016 03:04:31 PM
. 05/09/2016 03:64:3.1 PM
05/09/2016 12:11:15 PM
05/11/2016AM
05/11/2016 04:38:00 AM
05/11/2016 03:47:01 PM
05/23/2016 01:18:17 PM
015/23/2016 01:30:01 PM
06/01/2016 08:23:17 PM
06/01/2016 08:23:17 PM
06/02/2016 07:27:49 AM
06/02/2016 .07.427:49 AM. .
06/07/2016 11:26:29 AM
06/07/2016 11:26:29 AM
06/07/2016 02:51:35 PM
06/08/2016 10:22:29 AM...
06/09/2016 10:49:36 AM
06/09/2016 04:41:42 PM
Creekmore, Jamie L
uesday, June 21, 2016 2:37 PM
rence, Chuck 0; 'Fullmer, Randy'; '[e-mail]'
Drum Shipped to San Jose
Attached is the paperwork.
Starts with Me: Live It 3-6-5
Jamie C -eekmore
Technic il Services District Manager - Rockies Region
Clean H arbors
2150 Nc rth 470 East
Tooeie, UT 84074
(o) 435.543.4846
(c) 801.589.1640
i