DSHW-2024-007273

urAH oilnrMENT oF ENVrRoNfiraL euALrry
DIVISION OF SOLID AND HMAHDOUS WASTE
Dennis Fl. Downs. Director
SQG Program
P. O Box 144880
salt Lake city, uT 84114-4880
(801)-s38-6170
HAZARDOUS WASTE GENERATOR EVALUATION FORM
Faeirirv Narne = f\af+ in Door fqF'G EPA ID Numher /,t.Tfl qBf, 068 862.
countyr s"tf hK( contact Person, [q,v]rr
Generator Status:Nurnber of Employees
lnspectors, EP J Q-r P.sA
Other Personnel:
WASTE STREAM, GENERATION PROCESS GENERATION RATE
PER MONTH
HAZARDOUS
WASTE CODE
PROPERLY
MAI.TAGED ?
<; Lrt* lt\,* L,\I {d o lh*i Y Yz*>
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( {'<re,.(71 trl4ata,,l,r i\^.{-
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Total Quantity of Hazardous
Waste Generated per Month:
BESPONSE NECESSAFIY:
COMMENTS:
YES HESPONSE DUE
This compliance evaluation notes areas where your hazardous waste management practices may not meet the
regulatory requirements of the Utah Solid and Hazardous Waste Management Rules. lf a "Response Due Date'is
indicated, you must take the actions, summarized in this audit, in order to come into compliance and notify this office
lN WBITING by the indicated date. Please be advised, that if we do not receive written documentation of these
corrective actions by the response due date, you may be subject to further regulatory action, including administrative
penalties.
lf you have further questions, or would like to discuss these issues with the inspectors or their supervisor, you may
contact them during business hours at [phone]. ltems that must be submitted may be mailed to the address at
tlre top of this page.
RECEIVED INSPECTOR:
Name, PrintedNarne, Print
Sig nature:Signature:
Title:Title:
Date:
6tl{AJ tht{9
Date:
These are only examples that
follorving information for and
Tod ay' s date
',vill help you comply rvith the resulations, you must ADAPT the
make it specific to YOUR facility
see #10 e
properly manage our waste, but in the event of an emergency we may
In the event of an unforseen emergency, would you be able to respond?
Letters to: Your Hospital
Your local Police Department
Your local Fire Department
Dear St or Madame,
In accordance with 40 CFR 265 Subpart C, we are required to notify you that we generate
hazardous waste(s). The waste(s) that we generate is (are)..examples might be; paint wastes,
paint sludges, Methyl Ethyl Ketone, Acetone, other solvents, acids, bases, listed wastes, etc.
We make every effort to
require your assistance.
Your Name and Title
ABC Company
#1 e and 7f
Bg IN CASE OF EMERGENCY, DIAL 911
S€ EMERGENCY COORDINATOR IS CARL
CAREFUL EXT. 2536
sg FIRE EXTINGUISHERS,LOCATION MARKED ON
WALL
S€, SPILL CONTROL EQUIPMENT LOCATED AT
TIME CLOCK
urAH Drvtloru oF soLID
AND HAZARDOUS WASTE
SMALL QUANTITY GENERATOR
COMPLIANCE EVALUATION FORM
hems that are marked "NO" on the line in the lett-hand column are not in compliance wilh the Utah Solid
Flegulations and require your immediate attenlion. hems marked "OK" meet the minimum requirements
marked "NA" do not apply to your facility.
&1
Page 2 of 3
Facility and Date
and Hazardous Waste
of the regulations. hems
R31 5-5-2 DETEBMINATION OF WHETHEH A WASTE IS HAZAHDOUS
ACTION NEEDED:
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R315.3 NOTIFICATION AND EPA HAZAHDOUS WASTE IDENTIFICATION NUMBEHS:
tl you generate betweep 100 and 1000 Kgs (220-2200 pounds) of hazardous wasle per month or up to 1 Kg of acutely
hazardous wasle, you are classified as a Small Quantity Generator (SOG). and you must notily lhe Executive Secretary of
the Utah Solid and Hazardous Waste Control Board and obtain an EPA lD number. This is accomplished by notiiying the Utah
Division dt Sona and Hazardous Waste.b. tf you are a small quantity generator, you must obtaln an EPA lD Number in order to otler hazardous wasie ior management lo
a lransporter or 1o a lreatment, storage and disposal lacihy fl'SDF) lhat has an EPA lD Number.
ACTION NEEDED:
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R315-5.4 MANIFESTS
Only use approved manilest lorm 87Oo-22 and 87oO-22A when oflering hazardous wastes lor lranspon to a TSDF or use the
manifesl ol lhe state tha the TSDF is located in, if requked by thal state.
Designale another laci8ty or instruct a lransporter lo retum wasles il they are undeliverable.
Fill oul all applicable sections or the manifest.
Use a conlrastual disposal agreement onty il a generation rate is less lhan 1000 Kg/month (SQG or less).
Keep copies of conlraclual agreements lor three years after service ends.
ACTION NEEDED:
R315.5.5 EECORD KEEPING
Keep copies ol manilests forthree years.
Keep all records, including determination of generation rates. waste characterization documenlation,
years.
ACTION NEEDED:
disposition, etc. , lor three
H315-5-9 PACKAGING, LABELING, MABKING AND PLACARDING
Package, Label and mark waste in accordance with DOT 49 CFR prior to shipment.
ACTION NEEDED:
-MA u. H31s-s-7 ExcEproN REeoHTTNG
-)Lt- a. lf TSDF does not return gen€rators' copy of manilest within 60 days, a generator must submit a letter stating soV and a copy ol the manifesl 1o the Executive Secretary ol the Utah So[d and Hazardous Waste Control Board.
ACTION NEEDED:
0V E.rra
o{/7.R315.5.10 ACCUMULATION TIME
Do not store hazardous wastes lor longer than 'l 80 days, or 270 days il applicable, without a permh.
Do not exceed 6000 Kg of hazardous wastes stored at your facility at any lime.
Mark the date the accumulalion period began on each container of hazardous wastes. Satellite accumulation containers are
the exception.
Label each tank and container wilh ihe words "HAZARDOUS WASTE'vrhile it is being used to accumulaie hazardous v/as:es.
Designate and auihorize an emergency coordinaior(s) vrho is(are) readily available by some means at all rimes.
Post the lollowing in{ormalion next to each telephone alfie faci[ty: Name and lelephone number of the emergency
coordinator(s) location(s) of lire erlinguishers. spill control equipment and fire alarms, telephone number ol the local fire
depanment (or equivalent em€rg€ncy response lor facifrty).
Ensure that all employees are familiar wilh hazardous wasle handling and emergency procedures.
The emergency coordinator must respond appropriately to emergencies that have the potential ol invoMng hazardous waste(s).
ACTION NEEDED:
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Faciliiy and date
SPILL RESPONSE (THESE RULES AHE FOUND rN F315-s)
Take appropriate aclion to minimize threats to human heahh and the environment by notilying the Utah State Department oi
Environmental Quality at [phone] ot 1-800-572-64oo (24 hour number) if more than 1 Kg ol acutely hazardous wasia
ort 00 Kg of hazardous waste or material which when spilled becomes hazardous waste. is spilled as speciiied in 40 CFR
261.33(e). Notily the National Response Center when applicable and provide the appropriate inlormation. lis:ed in R315-9(c), in
the spill report.
ACTION NEEDED:
USE AND MANAGEMENT OF CONTAINERS (THESE RULES ABE FOUND IN 40 CFR 265 SUBPABT I)
Hold Hazardous Wastes in containers that are in good condition.
Sibre hazardous wasles in containers that are coirpatible with the waste.
Keep hazardous wasl€ containers in a complete[ closed condition, except when adding or removing wasles.
Do not open, handle or slore containers ol hazardous wasle in a manner which may caus€ a release.
lnspecl conlainers of hazardous wasle al least weekly to look lor signs ol leakage or deterioralion. A log should be kept.
Do not store incompalible hazardous wastes in the same conlainer.
Do not store hazardous wasles in containers that previously held an incompatible material without cleaning h first.
Separate incompaible hazardous wastes by means of a dike, berm or other method.
ACTION NEEDED:
PREPAREDNESS AND PREVENTTON ITHESE BULES AFE FOUND tN 40 CFH 26s SUBPAHT C)
You must operal€ your facifity in such a manner that MiNIMIZES the possibi[ty of fire. explosion or any unptanned release.
You musl have the following preparedness and prevention equipmenl unless the wastes' you stores do nol pose the hazards
lhat the equipment is designed to respond lo: lnternal communicaiions or alarm capable ol instruction. such as an intercom; A
device capable ol summoning outside em€rgency assistance (such as a direct alarm to the fire departmenl or a telephone);
portable fire e:tinguishers; wal€r at adequate pressure and volume lo supply lire lighting needs; Alarms and communicaion
devices accessible to personnel where they are handlng hazardous wastes.
You must mainlajn and lest where necessary all communication systems; fire, spill response, decontaminalion and prolective
equipmenl.
You musl maintain aisle space to allow unobstructed movement ol personnel and emergency equipment
Make arrangements with localfire. police and hospitals ro respond lo emergency shuations at your lacifty. Maintain
documenlation of notitication letlers, responses or lack of responses lrom these agencies.
Document relusals by authorities 10 emergency arrangemenls.
ACTION NEEDED:
LAND DISPoSAL RESTHICTIoNS (LDR) 6rHEsE RULES ARE FoUND lN 40 cFB 268.7(a)(a)
tl you tr€al your hazardoLs wastes to render them non-Land Disposal Restricted, you must devebp and lolbw a written waste
analysis plan. This waste anatysis plan must be based on a laboraory analysis ol lhe waste, and must conlain all necessary
elements, including lrequency. The waste analysis plan must be submined 10 the Executive Secretary ol the Utah Sold and
Hazardous Waste Coilrol Board at least 30 days priorlo trealmenl.
Maintain an assessment of LDR stalus on lil€ for each hazardous wasle generated at the lacility.
A notice and certificaion that each waste is, ehher not land disposal restricted, or il it is reslricted. lhal it is land dispo=ble after
treAm€nt, must accompany each manifested shipment ol hazardous waste.
Mainrain all LDR Documentation lorlive years afterlhe waste is shipped ofl site.
ACTION NEEDED:
R315.5.11 FABMEHS
Do not dispose of containers that held hazardous wasles without first lriple rinsing and disposing of rinsate on your prooerty in a
manner consistenl whh the instruclions on1he original packagin,c. :
H315.5.13 EXPOHTS OF HAZABDOUS WASTE
You must compty with all notification. reporting and manifesting requirements ror exporters ol hazardous waste (40 CFR 262
Subpart E. 262.50-262.58).
R315.5.14 IMPORTS OF HAZARDOUS WASTE
You must comply with all nolificalion, reporting and manifesling requirements lor imponers of hazardous waste (40 CFA 262
Subpart F,262.60).
usE AND MANAGEMENT OF TANK SYSTEMS FHESE HULES ABE FOUND tN 40 CFR 26s.201 SUBPART J)
Page 3 of 3
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OTHEH ACTIONS NEEDED: