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HomeMy WebLinkAboutDSHW-2024-007526COPK +",ilr "-'l..:,ir" "'':ii..i''' ,, E ,,,.".. ,lii,.. in i $,.. +l-l.li $j,,.,.,i, +l F * ,,lii,-".., ii1,,i {,, +i, ii. i,l. DEPARTMENT OF ENVIRONMENTAL QUALITY DIVISION OF SOLID AND HAZARDOUS WASTE 288 North 1460 West P.O. Box 144880 Salt l-ake city, utah 84114-4880 (801) s38-6170 (801) 538-6715 Fax (801) 536-Mt4 T.D.D. Superior Cleaners Inc. 24 West 10 0 North Logan UT 843 2I Attention: Steven Wheeler, Owner Dear Mr. Wheeler: fhis is to acknowledge that you have filed for a notification of Hazardous Waste Activity. Your EPA Identification Number is UT0000325801 other hazardous waste management reports and documents requiredunder the Utah Solid and Hazardous Waste Act and the UtahAdministrative Code (the Code). If you have any questions please contact Delene Thomas at 538-5170. Sincerely, Dennis R. Downs Executive Secretary Utah Solid and Hazardous Waste Control Board Michael O. Leavitt Governor Dianne R. Nielson, Ph.D. Executive Director Dennis R. Downs Director The EPA Number must betransporting hazardousgenerators of hazardous included on all shipping mani f ests f orwastes; on all Biennial Reports that waste must file with the State of Utah and Printed on recycled paper rdilrr-----.5*--o Please print or type wath ELITE type (12 characters per rnch) in the unshaded areas only EPA Form 8700- 12 (01-90) Previous edition is obsolete. RcY. 6f9O Fotm Aoptovcct. OlrlfJ No. ?Ofi oO2A. f ryxras ,0 J, ), GSANo 0?16 €ca-Cf Please relor to the lnstructions lor Filing Notification belorecomflstng this lorm. The inlormauon reguosted here is requrred by law (Section 3Ol0 ol lhe Rasourca Conservation utd Recovery Act). Dale Heceived (For Official Use OnlY)SEPA Notification of Hegulated Waste Activity Unlted States Envlronmental Protscillon l. lnstallatlon's EPA lD Number (Mark 'X ln the approprlale boxl ft7 A. Flrst Notlflcatlon n B. Subsequent NotlflcaUonI '"l I I @omplete item C) rtaltatlon'r EPA lD Numbcr ll. Name of lnstallatlon (lnclude company and speclllc slle name) lll. Locatlon of tnstallation (Physlcal address not P.O. Box or Route Numbor) Street Sireet (contlnue Clty or Town Countv Name lV. tnstallatlon Malllng Address (Sec lnstructlons) Street or P.O. Bor City or Town V. lnslallallon Contact (Person to bc conlacted rcga,dlng waste aclryrlres at srle, Narne (last Job Tltle Phone Numbet (arct code and number) Vl. tnstallatlon Contact Address (See lnstructlons) ontact Address B. Street or P.O. Box City or Town Vll. Ownershlp (See lnstructlons) A. Name of lnstallation's Legal Owner Street, P.O. Box. or Boute Number Clty or Town ZIP Code Phone Number (area code and number B. Land Typo Changed)Dav Year D. Change ol Owner (Date Cbalndlcator _Uqeth Da Yer I I t{o Contrnue on reverse !D - For Offlclal Use O Vlll. Typc of Fogulaled lYagto Acllvlty (Mark'X tn lhe oppropttato Doroa. eebt to tntuctlona.) A. Hazardous Waste Activity B. Us€d Oil Fuel Aclivities Genorator (Soe lnfirrc0onsl a Groatar than lffikg/rno (2,a00 lbe.) b. 100 to 1000 kdmo (m - Zm lbe.) o. Less than 100 kg/rno l?2:O lbs.) n Transporter (lnctkxte Mode in boxee 1-5 bobw)f] a For own wastp only Db. For cornrnercial purposos Mode ol Transpodation n t. Air n z. Rait n 3. Htghway n 4.warer t] s. otror - specity 3. Treater. Storor, Disposcr (at lnslallalronl Nots: A permrt is required lor this actfuity: soo insffirc[ons. 4. Hazardous Wasto Fuol 1.E H 2.D D a. Gsnerator Marketing to Burner b. Olher Markotors c. Bumer - indicata device(s) - Type ol Cornbustion Device tr t. uurrry Boibr U ?. tndustnal Boilor U 3. lndusrral Fumace Underground lnjection Control Oll-Sgrilbatkrn Usod Oil Fuol a. Gonerator Martteting to Eurnor b. Other Markerer c. Bumer - indicate device(s| - Typo ol Combusoon Devrce n t. utitrty Boiter n 2. hdustrral Eoilor n 3. firdustrial Fumace Specilrcation Used Oil Fuel Marketer (or On-sib Bumer| Who First Chims ure Orl Meots ure Spoclncauon tX. Descrlptlon of Rogulated Wasles (Use addlllonal sfieels ,, nocess ary) Ch.t.c!arl.Uc. of Nonllatod Hazerdour Wertol. Mark 'X' in the bor6s coresponding to lh6 characterisltcs ot nonlistod hazarctous yvasles yqr installation handles. (See 10 CFR Pans 26r.20 - 261.24) 1. lgnitable 2. (Doo.l) LJ 3. Reaaive 4. EP Toxic 'ffi,, 'ffCorrosive,ff WWMM rt (List specific EPA hazardous waste number(s) lor the EP Toxic contaminant(s)) E. Ll.Ld H.z.rdou. W[tor. (See aO CFR 261.31 - 33. So€ instructEns i, you need to hst rnore than 12 wasto codes.) C. Other Wertsr. (Stato or other wastes requiring an l.D. numbsr. Ses rnstructons.) X. Certlllcatlon t cerilty under penalty ol lawlhat I have personally examlned and amlamlllarwllhlhe lnlormallon submmed tnthls and all atlached documenls, and lhat Dased on my lnqutry ol tlrose lncllvlduals lmmedlately rcsponslble lot obtalnlng the lnlormatlon,I belleve that the submltled lnlotmatlon ls true, accutate, and complete. I am awarc that there are slgnlllcant penaltles lor suDrnmhg hlse inlormatlon, lncludlng t'le possrDrrrty ol llnes and lmprlsonment. Name and Oftictal Title (Noe or orint) V/tv a wfrprlEg; PQE;- Dale Sioned-v Ja /e- r Notc, M.lt comptcl.d lotm to tho apprcpil.t. EPA Regional or Srat. Olllcc, (Sec Section ttt ol thc booktel lot .ddtccses.) Please print or tyPo with ELITE type (12 characters por rnchf in tho unshaded areas only Fqm &grovclJ,. OMg No.20fi-Cn20. Erquo$ t0-Jr -J, G&4 rvo. 0216-EPA-Or J EPA Form 8700-12 (01-90) Prswious editlon ls obsolete.