DSHW-2006-001699 - 0901a0688013a387

VULCRAFT
1875 West Highway 13 South
P. O. Box 525
Bringham City, Utah 84006-0525
UTD0980959035
RCRA HAZARDOUS GENERATOR
Large Quantity Generator Compliance Evaluation Inspection
March 22, 2006
COMPLIANCE EVALUATION INSPECTION REPORT
Facility: VULCRAFT GROUP
Date of Inspection: March 22, 2006
Facility Address:
EPA ID Number:
Facility Contact:
Generator Status:
Applicable Regulations:
Type of Inspection:
Participants:
Weather Conditions:
Time In:
Time Out:
P. O. Box 637
1875 West Highway 13 South
Bringham City, UT 84302
UTD0980959035
Aaron Bell, Environmental Coordinator
Large Quantity Generator
R315-5, R315-8, R315-9, R315-13, and R315-16 ofthe Utah
Administrative Code
RCRA Compliance Evaluation Inspection
Eric Baiden, DSHW (Lead)
Jon Parry DSHW (Team Member)
Aaron Bell, Environmental Coordinator, VULCRAFT GROUP
Approximately 45 degrees
10:00 a.m.
12:00 p.m.
Report Prepared by: Eric Baiden
Facility Description
VULCRAFT GROUP is a subsidiary of NUCOR STEEL. It is located west of Bringham City,
Utah and immediately East of Interstate-15. The facility employs 365 workers and runs two
shifts ( Day and Swing) six days a week.
The facility manufacturing operations are conducted in two main buildings. The first building is
called the JOIST Building where steel joists are fabricated. In this building steel is cut to various
sizes and specifications which are then sent to the Rigging Area ofthe building for welding and
fabrication. After welding the materials are sent for inspection and then finally to the painting
area. The raw steel is received from NUCOR, Plymouth Utah. These steel joists are used as
roofing support structures for large industrial and commercial buildings.
The painting area consists of four bays with two painting wells per bay making it a total of eight
painting wells. Each painting well is about five feet deep.
The second building is called the COLD DRAW Building. Here, steel in the form of varying
diameters ranging from half inch to six inches go through a non-thermal process where the steel
goes through a blasting process to give it a nice smooth surface finish and at the same time gets
reshaped through a series of bends and stretching by intense mechanical forces. The blasting
media mixed with metal scales are collected and shipped back to NUCOR plant to be sent
through the steel making process.
Credentials, Purpose, and Scope
The inspection team met with and presented credentials to Mr. Aaron Bell, Environmental
Coordinator for VULCRAFT Group responsible for compliance issues at the facility. The
purpose of the inspection was to evaluate the RCRA Hazardous Waste Generator status of the
VULCRAFT Group as well as evaluate the hazardous waste management practices at the facility
for consistency with the Utah Hazardous Waste Management Rules (R-315).
The scope ofthe inspection included a pre-inspection briefing by VULCRAFT Group personnel
on their operations at the facility, description of processes and wastes generated during facility
operations, a tour of the facility and finally, examination of required records and plans on file at
the facility.
Waste Streams Generated
JOIST Building:
Wastes generated in this building are paint, paint residues and sludges from periodic cleaning of
paint wells. The cleaning of these paint wells do not follow any regular frequency because the
cleaning is only determined by the quality ofthe paint left after going through several painting
cycles. The paint, paint residues and sludges become hazardous waste because of their
ignitability characteristic (DOOl) with a flash point of 105 degrees Fahrenheit. Paint constituents
on the other hand alone don't make these materials hazardous waste. These hazardous waste
materials are shipped off site for disposal. Generally about forty to sixty drums of waste are
generated during each cleaning cycle and each drum weighing about seven hundred and fifty
pounds. At the time of inspection the 90-Day waste storage area was empty. All waste drums
had been shipped off to AET and RINECO in Arkansas.
COLD DRA W Building:
Wastes generated in this building are mainly residues from empty spray cans, empty lubricant
cans and other paint residues. These waste materials are collected in Satellite Accumulation
Areas (SAAs) distributed through out the building. Cans are punctured and drained into drums at
the SSAs and cans are shipped off site as solid waste to EC/DC. The satellite containers in these
areas were properly labeled and managed. The containers are later transferred to the 90-Day
Area for onward off-site disposal.
All used oil generated on site was stored in an above ground storage tank for subsequent
recycling. The tank was properly labeled.
R315-5 Hazardous Generator Requirements:
Record Keeping:
Records for 2005 to 2006 were reviewed and found to be in order. The records reviewed included
Manifests and LDRs, Training, Contingency Plan and Emergency Procedures and other reporting
requirements of VULCRAFT Group.
Compliance Status
R315-5 Hazardous Waste Generator Requirements. OK
5-1.11 Determination of Whether a Waste is a Hazardous Waste. OK
5-1.12 Identification Numbers. OK
5-2 Manifest. OK
5-4.40 Record keeping. OK
5-4.41 Biennial Rieporting. OK
5-4.42 Exception Reporting. N/A
5-4.43 Additional Reporting. N/A
5-3 Packaging, Labeling, Marking, and Placarding. OK
5-3.34 Accumulation Time OK
R315-7
7-9.7 Personnel Training OK
7-10 Preparedness/Prevention OK
7-11 Contingency/Emergency Plan OK
7-16 Management of Containers OK
R315-16 Standards for Universal Waste Management
Scope. NA.
Standards for Small Quantity Generators of Universal Waste. NA
Standards for Large Quantity Generators of Universal Waste. NA
Standards for Universal Waste Transporters. NA.
Standards for Destination Facilities. NA.
Petitions to Include Other Wastes Under R315-16. NA.
Attachment - Inspection Check List
Inspection Photographs
Lead Inspector: Eric Baiden
Signature
Date: S j<^j ^ ^
F:\WP\Vulcraft06insp.doc
ContPlanCklstli.XLS
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Hazardous Waste Inspection
Contingency Plan and Emergency Procedures Checklist
Page 1 of 3
INSPECTION ITEM CITATION COMMENTS
General Requirements:
Is a copy maintained at the facility?
Have copies been distributed to all local police
and fire departments, fiospitals, and State and
local emergency response teams tfiat may be
called upon for assistance?
R315-5-3.34
262.34(a)(4)
R315-7-11.4(a)
265.53(a)
R315-7-11.4(c)
265.53(b)
Content of the Contingency Plan:
1. Does the contingency plan describe the
actions facility personnel will take to minimize
the hazard to human health or the environment
when responding to fires, explosions, or any
unplanned sudden or nonsudden release of
hazardous waste?
2. Does the contingency plan describe
arrangements agreed to by local police and fire
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) of primary and all other persons
qualified to act as emergency coordinator?
4. Does the contingency plan include a list of
all emergency equipment at the facility? The
list must be kept up-to-date, and include the
location and a physical description of each
item on the list, and a brief outline of the
equipment's capability.
5. Does the contingency plan include an
evacuation plan for the facility? This plan must
include a description of signal(s) to be used to
begin an evacuation, evacuation routes, and
alternate evacuation routes.
R315-7-11.3(a)
265.52(a) % eS
R315-7-11.3(c)
265.52(c)
R315-7-11.3(d)
265.52(d)
R315-7-11.3(e)
265.52(e)
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R315-7-11.3(f)
265.52(f)
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Does the facility have a least one employee
on-site or on-call at all time who is qualified
to act as the emergency coordinator?
R315-7-11.6
265.55 Xe^
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Hazardous Waste Inspection
Contingency Plan and Emergency Procedures Checklist
Page 2 of 3
INSPECTION ITEM CITATION COMMENTS
Does the contingency plan include procedures
for activation of the internal alarm by the
emergency coordinator?
Does the contingency plan include provision for
notifying the appropriate State andXor local
response agencies?
R315-7-11.7(a)(1)
265.56(a)(1)
R315-7-11.7(a)(2)
265.56(a)(2)
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Does the contingency plan outline the
procedure(s) that the emergency coordinator
will follow to immediately identify the character,
source, amount, and extent of released
material?
R315-7-11.7(b)
265.56(b) \s
Does the contingency plan include procedures
for the emergency coordinator to follow in order
to assess possible hazards to human health or
the environment?
R315-7-11.7(c)
265.56(c) XeS
If it is determined that the incident could
threaten human health or the environment,
outside the facility, the emergency coordinator
must notify the appropriate local. State and
Federal agencies. Does the contingency plan
include provision for notifying the appropriate
agencies? Do the notification measures
include Information to be reported (name and
telephone # of reporter, name and address of
facility, name and quantity of material(s)
involved, extent of injuries, and possibility of
exposure outside the facility), and identify the
National Response Center and the State as
parties to be notified?
R315-7-11.7(d)(1)
and (d)(2)
265.56(d)(1) and
(d)(2)
OK
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Does the plan include procedure to prevent the
spread of the incident to other hazardous waste
at the facility?
R315-7-11.7(e)
265.56(e) TcS
Are measure included to monitor for leaks,
pressure buildup, gas generation, or ruptures in
valves, pipes, or other equipment, when it is
necessary to shut-down operations as a
response to an incident?
R315-7-11.7(f)
265.56(f) tooV (^^p\icuV.Vii
Inspector's Initials:
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Hazardous Waste Inspection
Contingency Plan and Emergency Procedures Checklist
Page 3 of 3
INSPECTION ITEM CITATION COMMENTS
Does the contingency plan provide procedures
to follow to manage the hazardous waste
generated as a result of an incident?
R315-7-11.7(g)
265.56(g) t^
Following implementation of the contingency
plan, are provisions included to ensure that in
the affected area(s):
1. 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.
R315-7-11.7(h)
265.56(h)
R315-7-11.7(h)(1)
265.56(h)(1)
R315-7-11.7(h)(2)
265.56(h)(2)
Does the contingency plan include provisions for
notifying the appropriate federal, State and local
authorities that the facility is In compliance with
40 CFR 265.56(h) prior to resuming operations
in the affected area?
R315-7-11.7(1)
265.56(1) Xo
The contingency plan must include provision for
recording the incident requiring implementation
of the contingency plan and specifying
information that will be recorded and reported.
The requirements are as follows:
1. Will a written report on the incident be
provided to the Utah State Department of
Environmental Quality within 15 days?
2. The following information needs to be
recorded and reported:
a) The name, address, and telephone # of the
owner/operator;
b) The name address, and telephone # of the
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
of recovered material(s) that resulted from the
incident.
R315-7-11.7(j)
265.56(j)
R315-7-11.7(j)
265.56(i)
R315-7-11.7(j)(1)
thru G)(7)
265.56(])(1)thru
0)(7)
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INSPECTION ITEM
Hazardous Waste Inspection
Large Quantity Generator Checklist
Page 1 of 2
CITATION COMMENTS
Waste Determination:
Has the generator determined whether his/her
solid waste is a hazardous waste?
Has a waste determination been done for each
waste stream?
R315-5
R315-5-1.11
262.11
R315-2-3
261.3
Has the generator notified of regulated activity
and obtained an EPA ID# in accordance with
the requirements of Section 3010 of RCRA?
R315-5-1.12
262.12 YcJ
1. Is the generator using a Uniform Hazardous
Waste Manifest for its shipments of hazardous
waste?
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?
R315-5-2.20(a)
262.20(a)
R315-5-2.20(b)
262.20(b)
R315-5-2.20(0)
262.20(C)
R315-5-2.20(a)
262.20(a)
Manifest requirements for the Generator:
1. Did the generator sign the manifest
certification by hand?
2. Did the generator obtain a handwritten
signature from the initial transporter and the
date of acceptance?
3. Did the generator retain a copy of the
manifest in accordance with R315-5-4.40(a)?
R315-5-2.23(a)(1)
262.23(a)(1)
R315-5-2.23(a)(2)
262.23(a)(2)
R315-5-2.23(a)(3)
262.23(a)(3) Yci
Recordkeeping
Is the generator maintaining signed copies of
the hazardous waste manifest for three years?
R315-5-4.40(a)
262.40(a) ^^S
Is the generator maintaining copies of each
Biennial Report and all Exception Reports for a
period of at least three years?
R315-5-4.40(b)
262.40(b) Id
Inspector's Initials
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INSPECTION ITEM
Hazardous Waste Inspection
Large Quantity Generator Checklist
Pace 2 of 2
CITATION COMMENTS
Is the facility maintaining records sufficient to
determine quantities and disposition of
hazardous waste or other determinations, test
results, or waste analyses made in accordance
with R315-5-1.11 for a period of at least three
years from the date of last shipment?
R315-5-4.40(0)
262.40(c) 1.J
Biennial Reporting
Has the generator submitted complete
Biennial Report(s)?
R315-5-4.41
262.41 ^ ci
Exception Reporting
Has the generator been required to prepare an
Exception Report, if yes describe the
circumstances.
R315-5-4.42
262.42
[OO
Pacluiging, Labeling, Marldng, and
Placarding
1. Is the generator packaging his/her
hazardous waste is the appropriate DOT
shipping containers?
2. Are containers labeled and marked in
accordance with DOT shipping requirement
prior to shipping?
3. Is the generator providing the appropriate
placarding to the initial transporter when
initiating his/her shipment?
R315-5-3.30
262.30
R315-5-3.31 &
R315-5-3.32
262.31 & 262.32
R315-5-3.33
262.33
-U) ECDC
Accumulation Times
(See Satellite, 90 Day and Tank
Checklists as applicable)
R315-5-3.34 Y^.
Also see checklist for:
Personnel Training,
Prepardness & Prevention,
Contingency Plan & Emergency Procedures,
and Manifest.
Comments
L
Inspector's Initials:. Page. of
90DayCklst II.XLS
Site: Uat-C<^.Av^T a<lOU i^ ID#:UTD0^ Jc09Sno3S Date: ?>]^^ ^^
Hazardous Waste Inspection
90 Day Storage Site
> 55 gallons
Site Manager.
INSPECTION ITEM CITATION COMMENTS
Is the container labeled with the words
"Hazardous Waste" ?
Is the date upon which accumulation began
clearly marked and visibly for inspection?
Is that date <= 90 days old?
R315-5-3.34
262.34(a)(3)
262.34(a)(2)
262.34(a)
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Is there a Preparedness and Prevention Plan
for this site or the facility as a whole, including
this site ? (see separate Check List)
Operated to minimize chance of Spill or Fire ?
Spill and Fire control equipment ?
Emergency communication device: Internal?
Emergency communication device: External ?
Sufficient Aisle and Access space ?
262.34(a)(4)
265 Subpart C
R315-7-10.2
R315-7-10.3(c)
R315-7-10.3(a)
R315-7-10.3(b)
R315-7-10.6 XjLi
Is there a Contingency Plan for this site or the
facility as a whole, including this site ?
(see separate Check List)
Description of actions that should be taken ?
Name & Phone # for Emergency Coordinator?
Primary and alternate evacuation routes ?
List of emergency equipment & location ?
262.34(a)(4)
265 Subpart D
R315-7-11.3(a)
R315-7-11.3(d)
R315-7-11.3(f)
R315-7-11.3(e)
X.S
Have personnel at this site Successfully
completed up to date Personnel Training on
HzW Handling & Fire & Spill Response?
Is the training documented?
(see separate Check List)
262.34(a)(4)
R315-7-9.7(a)
265.16(a)
R315-7-9.7(e)
262.16(e)
1u
Are the containers accumulating and holding
hazardous waste in good condition?
Are they compatible with the HzW in them?
262.34(a)(l)(i)
265 Subpart I, /\A,
BB, and CC
R315-7-16.2
R315-7-16.3
X5LS .
Is the generator maintaining his/her containers
in a closed condition except when adding or
removing waste from the container?
R315-7-16.4(a)
262.173(a) X.:
Containers holding hazardous waste must not
be opened, handled and/or stored in a manner
which could cause it to leak.
R315-7-16.4(b)
262.173(b)
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Xe5 ( ^"^^"ti ^^^^^bv-* V-o^ J Is the generator inspecting his/her containers at
least weekly, and do the inspections look for
leaks, deterioration, and any factor that may
cause a release of hazardous waste?
R315-7-16.5
262.174
No ignitable or reactive HzW within 50 feet of
the facility's property line.
R315-7-16.6
265.176
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Inspector's Initials:, f Page \ of L
SatLitAccumcklstll.XLS
Site:VJ^*^'*^^*'' G^^Ov^p
Hazardous Waste Inspectior
Satellite Accumulation Check
< 55 gallons
INSPECTION ITEM
is the satellite accumulation area at or near the
point of generation?
Is the satellite area under the control of the
operator of the process generating the waste?
Does the generator have the accumulation
container labeled with the words "hazardous
waste" or with other words that identify the
contents of the container?
The generator can not store more than 55
gallons of hazardous waste or 1 quart of acutely
hazardous waste at the satellite accumulation
area.
Are the containers in good conditions?
Is the hazardous waste stored in containers that
are compatable with the waste?
Is the accumulation container being maintained
in a closed condition except when waste is
being added or removed?
Is the generator managing the accumulation
container in a manner that will not cause it to
leak or spill?
Is the generator correctly labeling and moving
hazardous waste, in excess of the 55 gallon or 1
quart limits, to a 90-day storage area within 72
hours of exceeding the limit?
list Site Mar
CITATION
R315-5-3.34
262.34(c)(1)
262.34(c)(1)
262.34(c)(1)(ii)
262.34(c)(1)
262.34(c)(1)(i)
262.34(c)(1)(i)
262.34(c)(1)(i)
262.34(c)(1)(i)
262.34(c)(2)
^0^£<t03S Date: 2>|:2x\ob
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COMMENTS
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PrepPredCklstll.XLS
Site:Vj'^LC.^A?i Qao^ .' \D#'.y}^^0Hk^HSHO3S Date: ^UA
Hazardous Waste Inspection
Preparedness and Prevention treasures Checklist
INSPECTION ITEM
Is the facility maintained and operated to
minimize the possibility of a fire, explosion, or
any unplanned sudden or non-sudden release
of hazardous waste or hazardous waste
constituents?
The facility must be equipped with items (1)-(4),
identified below, unless it can be shown that
hazardous waste managed at the site would not
require the particular kind of equipment
specified.
1. Does the facility have an internal
communications or alarm system capable of
providing immediate emergency instruction to
its personnel?
2. Does the facility have a device capable of
summoning external emergency assistance to
the facility (phone or two-way 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 water at adequate
volume and pressure to supply water hoses, or
foam producing equipment, or automatic
sprinklers, or water spray systems.
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?
Do facility personnel have immediate access
to an internal alarm or emergency
communication device, either directly through
visual or voice contact, while managing
hazardous waste?
Is there ever just one employee on the
premises while the facility is operating? If yes.
does that person have immediate access to
device capable of summoning external
emergency assistance?
Page 1 of 2
CITATION
R315-7-10.2
265.31
R315-5-3.34
262.34(a)(4)
R315-7-10.3
265.32
R315-7-10.3(a)
265.32(a)
R315-7-10.3(b)
265.32(b)
R315-7-10.3(c)
265.32(c)
R315-7-10.3(d)
265.32(d)
R315-7-10.4
265.33
R315-7-10.5(a)
265.34(a)
R315-7-10.5(b)
265.34(b)
COMMENTS
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Hazardous Waste Inspection
Preparedness and Prevention Measures Checklist
Page 2 of 2
INSPECTION ITEM CITATION COMMENTS
Is aisle space maintained to allow the
unobstructed movement of emergency
personnel or equipment (un/essaisle space is
not needed for any of these purposes)?
R315-7-10.6
265.35
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The facility must arrange the following types
agreements or arrangements with local
organizations (as appropriate):
1. Has the facility made or attempted to make
arrangements to familarize local police, fire
departments, and emergency response teams
with the layout of the facility, character of the
hazardous waste(s) managed, locations where
facility personnel normally work, location of
facility entrances and possible evacuation
routes?
2. Has the facility designated primary
emergency authority to a specific police or fire
department, when more than one police or fire
department might respond in the event of an
emergency?
3. Have agreements with State emergency
response teams, emergency responses
contractors, and equipment suppliers been
made?
4. Have arrangements been made to familiarize
local hospitals with the properties of hazardous
waste handled at the facility and the types of
injuries or illnesses which could result from
fires, explosions, or releases at the facility?
R315-7-10.7(a)
265.37(a)
R315-7-10.7(a)(1)
265.37(a)(1) ^
R315-7-10.7(a)(2)
265.37(a)(2)
R315-7-10.7(a)(3)
265.37(a)(3)
R315-7-10.7(a)(4)
265.37(a)(4)
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If any State or local authorities have declined to
enter into such arrangements, has the facility
documented the refusal in the operating record?
R315-7-10.7(b)
265.37(b) M
Inspector's Initials:. W Page. J^ of
PerTrainCklstil.XLS
Site: \Ju-\c^AV^j— ID#: Date: 3J7Z\C)U
INSPECTION ITEM
Hazardous Waste Inspection
Personnel Training Checklist
Page 1 of 2
CITATION COMMENTS
Facility personnel must Successfully
complete classroom instruction or on-the-job
training which teaches them to perform their jobs,
such that the facility is operated in compliance
with the applicable hazardous waste
management requirements.
R315-5-3.34
262.34(a)(4)
R315-7-9.7(a)(1)
265.16(a)(1)
Is the program directed by a person trained in
hazardous waste management procedures?
R315-7-9.7(a)(2)
265.16(a)(2)
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Does the training teach facility personnel
hazardous waste management and contingency
plan implementation procedures?
R315-7-9.7(a)(2)
265.16(a)(2) y -es ; V '5 p AC 4~ % ^
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Does the training program include, at a minimum,
the following, where applicable:
1. Procedures for using, inspecting, repairing,
and replacing facility emergency equipment;
2. Key parameters for automatic waste cut-off
systems;
3. Communications or alarm systems;
4. Response to fires or explosions;
5. Response to groundwater
contamination incidents;
6. Shutdown of operations; and
7. Evacuation of personnel procedures.
R315-7-9.7(a)(3)
265.16(a)(3)
R315-7-9.7(a)(3)(i)
265.16(a)(3)(i)
R315-7-9.7(a)(3)(ii)
265.16(a)(3)(ii)
R315-7-9.7(a)(3)(iii)
265.16(a)(3)(iii)
R315-7-9.7(a)(3)(iv)
265.16(a)(3)(iv)
R315-7-9.7(a)(3)(v)
265.16(a)(3)(v)
R315-7-9.7(a)(3)(vi)
265.16(a)(3)(vi)
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Inspector's Initials ¥ Page | of ^
PerTrainCklstil.XLS
Site: Llc.^A^X-
INSPECTION ITEM
Have facility personnel successfully
completed the personnel training program
within six months of the their date of
employment or assignment to the facility?
Do the facility personnel recieve an annual
review of their initial training?
The owner/operator of the facility must maintain
the following documents at the facility:
1. The job title for each position at the facility
related to hazardous waste management,
and the name of the employee filling each
job;
2. A writtem job description for each position
listed under #1;
3. A written description of the type and
amount of both introductory and continuing
training that will be given to the employees
listed in#1, and;
4. Records that document that employees
have the training or job experience required
by paragraphs 265.16 (a), (b), and (c).
Are training records maintained at the facility for
current employees and for at least three years
for employees that have left the company?
ID#:
Hazardous Wasi
Personnel Traini
Paae 2
CITATION
R315-7-9.7(b)
265.16(b)
R315-7-9.7(c)
265.16(c)
R315-7-9.7(d)
265.16(d)
R315-7-9.7(d)(1)
265.16(d)(1)
R315-7-9.7(d)(2)
265.16(d)(2)
R315-7-9.7(d)(3)
265.16(d)(3)
R315-7-9.7(d)(4)
265.16(d)(4)
R315-7-9.7(6)
265.16(e)
Date:
e Inspection
ng Checklist
of 2
COMMENTS
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Inspector's Initials
#
Page. Q^ of -<
Site:_ |/M.\CK.-«\ 4-
Requirements:
ID#: MtP^^O ^^^DlS
Hazardous Waste Inspection
Manifest Checldist
Manifests
Date: 3l%z\hh
Reviewed: \ ^
Manifest Number # llo'j-^ # O^ri'n'T' # 11^13 # o^oi])
Generator EPA ID#
R315-5-2 y€s ^ 4A. 4 €S.
Mailing Address (box 3)
Phone Number (box 4) y« H^ r > V ^s
Transporter #1 information:
Company Name (box 5)
EPA ID# (box 6)
Phone Number (box D)
v/.e's.
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Transporter #2 information:
Company Name (box 7)
EPA ID# (box 8)
Phone Number (box F)
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Designated Facility information:
Name and Address (box 9)
EPAID* (box 10)
Phone Number (box H)
y 4) H ts •l a
7
Waste Shipping requirements:
DOT Description (Including
proper name. Hazard class, and
ID#) (box 11)
Containers: No & Type (box 12)
Total Quantity (box 13)
Unit- WtA/ol (box 14)
Waste Codes (box I)
1 €S
1 -e\
Y'
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Additional Descriptions (box J)
Special Handling Instructions
(box 15)
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Manifest Certifications:
Generator's Signature (box16)
Transporter's Signature
(box 17 & 18)
Facility Signature (box 20)
Discrepancy Indication (box 19)
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Final Observations and
Comments:
Common container codes: DM - metal drum\barrel; DF - fiberbarrel; TT - cargo tank; TC - tank car; DT - dump truck; CM - metal box\carton
(includes gondolas) Common Units of Measure: G - gallons; P - pounds; T - tons; Y - cubic yards) (Box K codes: STR - storage; TRT - treatment;
DSP - disposal; RCY - recycling)
Inspector's Initials: (][' Page. i_o._L
HAZARDOUS
,/ WASTE
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