HomeMy WebLinkAboutDSHW-2024-007526COPK
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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EPA Form 8700- 12 (01-90) Previous edition is obsolete.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.