DSHW-2020-013714 - 0901a06880d334a3

9/22/2020 RCRAInfo Review Source Record
Div of Waste Management
and Radiation Control
DSHW-2o20- 0137 14 SEP 1 7 2020 di- Vim
CVS PHARMACY #10927 1982 WEST 1700 SOUTH - UTR000014548
SYRACUSE (/rcrainfoprod/action/secured/handler/viev
handler/UTR000014548/N/1)
yrcrainfoprod/rest/reportlinline-
quick-report/H_SITE_DETAIL?
p_handler_id=UTR0000145488,p_activity_l
Review Source Record
General Information
Received Date Non-notifier Extract to Public?
09/17/2020 Yes
Accessibility Acknowledgement Flag
1. Reason for Submittal
Obtaining or updating an EPA ID number for an on-going regulated activity that will continue for a period of time. (Includes HSM
activity) [Source N]
2. Site ID
EPA ID Activity Location
UTR000014548 UT
3. Site Name
Name
CVS PHARMACY #10927
4. Site Location
Street Number Street 1 Street 2
1982 WEST 1700 SOUTH
Zip City, Town or Village State
84075 SYRACUSE
UTAH
Country
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UNITED STATES
County State District
DAVIS
5. Site Mailing Address
Street Number Street 1 Street 2
1 CVS DRIVE MC2340
Zip City, Town or Village State
02895 WOONSOCKET RHODE ISLAND
Country
UNITED STATES
6. Site Land Type
Land Type
Private
7. North American Industry Classification System (NAICS)
Primary NAICS
446110 - PHARMACIES AND DRUG STORES
Other NAICS
8. Site Contact Person
First Name Middle Initial Last Name
NICOLE WILKINSON
Title Email
DIRECTOR, CORPORATE [e-mail]
ENVIRONMENTAL
Phone Number Extension Fax
40'1-770-1500
8a. Site Contact Address
Street Number Street 1 Street 2
1 CVS DRIVE MC2340
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9/22/2020 RCRAInfo Review Source Record
Zip City, Town or Village State
02895 WOONSOCKET RHODE ISLAND
Country
UNITED STATES
9a. Legal Owner
Type Name Address Date
Private UTAH CVS PHARMACY, L.L.C. 1 CVS DRIVE, WOONSOCKET, RI 02895 09/07/2016
9b. Legal Operator
Type Name Address Date
Private UTAH CVS PHARMACY, L.L.C. 1 CVS DRIVE, WOONSOCKET, RI 02895 01/28/2018
10. Type of Federal Regulated Waste Activity
A. Hazardous Waste Activities
1. Generator of Hazardous Waste 3. Treater, Storer, or Disposer of 6. Exempt Boiler and / or Industrial
(Federal) Haz Waste Furnace
3 - Very Small Quantity Generator None Selected None Selected
Generator of Hazardous Waste 4. Receives Hazardous Waste from
(State) Off-site
F - Same as federally defined None Selected
2. Short Term Generator 5. Recycler of Hazardous Waste
None Selected None Selected
B. Waste Codes for Federally Regulated Hazardous Wastes
A. Hazardous Waste Codes (Federal)
D-Codes:
D001 D002 D007 D009 D010
U-Codes:
U002 U129 U165 U188 U205
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C. Waste Codes for State Regulated (non-Federal) Hazardous Wastes
B. Hazardous Waste Codes (State)
None Selected
11. Additional Regulated Waste Activities
A. Other Waste Activities
1. Transporter of Hazardous Waste
None Selected
2. Underground Injection Control
None Selected
3. United States Importer of
Hazardous Waste
None Selected
4. Recognized Trader
None Selected
5. lmporter/Exporter of SLABs
None Selected
B. Universal Waste Activities C. Used Oil Activities
1. Large Quantity Handler of 1. Used Oil Transporter 3. Off-Specification Used Oil
Univ Waste None Selected
Burner
None Selected None Selected
2. Used Oil Processor and / or Re-
2. Destination Facility for refiner 4. Used Oil Fuel Marketer
Universal Waste None Selected None Selected
None Selected
D. Pharmaceutical Activities
Operating under 40 CFR 266 Subpart P for the management of hazardous waste pharmaceuticals.
Healthcare Facility
Withdrawing from operating under 40 CFR 266 Subpart P for the management of hazardous waste pharmaceuticals.
No
E. State Activities
Your State does not have any State defined activities.
12. Eligible Academic Entities with Laboratories
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1. Opting into or currently operating under 40 CFR Part 262 Subpart K for the management of hazardous wastes in
laboratories.
2. Withdrawing from 40 CFR Part 262 Subpart K for the management of hazardous wastes in laboratories.
No
13. Episodic Generation
Are you an SQG or VSQG generating hazardous waste from a planned or unplanned episodic event, lasting no more
than 60 days, that moves you to a higher generator category? If "Yes", you must fill out the Addendum for Episodic
Generator.
No
14. LQG Consolidation of VSQG Waste
Are you an LQG notifying of consolidating VSQG hazardous waste under the control of the same person pursuant to 40
CFR 262.17(f)?
No
15. Notification of LQG Site Closure for a Central Accumulation Area (CAA) (optional) and Entire Facility
LQG Site Closure of a Central Accumulation Area or Facility
No
16. Notification of Hazardous Secondary Material (HSM) Activity
Are you reporting HSM activities?
No
17. Electronic Manifest Broker
Are you notifying as a person, as defined in 40 CFR 260.10, electing to use the EPA electronic manifest system to obtain,
complete, and transmit an electronic manifest under a contractual relationship with a hazardous waste generator?
No
18. Comments
Internal Comments
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9/22/2020 RCRAInfo Review Source Record
Public Comments
The site is a CVS retail pharmacy, meets the definition of Healthcare Facility and with this submittal is opting into RCRA Subpart
P for pharmaceutical hazardous waste. Historical data shows that the non-pharmaceutical hazardous waste generated at the site
does not exceed 220 pounds per month (SQG) or 2,200 pounds per month (LQG). CVS will continue to monitor non-
pharmaceutical hazardous waste at the site and take appropriate action (upgrade generator status) should the waste data show
that the site operates as an SQG or LQG.
19. Certification
First Name MI Last Name Title Date Signed
Charles Savage Regulatory Compliance Specialist 09/17/2020
Accept

Make Changes
Back to Pending Submissions (/rcrainfoprod/action/secured/myrcraid/submissions/pending)
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