DSHW-2024-006992

DSHW-2024-006992
Clean Harbors Aragonite, LLC
11600 North Aptus Road
Aragonite, UT 84029
435.884.8100
www.cleanharbors .com
June 28 , 2024
Sent via email to [e-mail]
Mr. Douglas J. Hansen, Director
Division of Waste Management & Radiation Control
Department of Environmental Quality
195 North 1950 West
P.O. Box 144880
Salt Lake City, UT 84114-4880
RE: Unresolved Manifest Discrepancies
Clean Harbors Aragonite, LLC
EPA Number-UTD 981552 177
Dear Mr. Hansen,
In accordance with Module 2 condition 2.K of Clean Harbors Aragonite's (CHA) State RCRA
Permi t 40 CFR 264. 72( c) and R315-264-72( c ), this correspondence serves as written
notification of three (3) unresolved manifest discrepancies. The manifest information,
discrepancy and what is being done to resolve these issues can be seen below:
• Manifest 019975820FLE-Upon receipt of the shipment it was discovered that twenty-
five containers were missing from line 2. CHA is working with the transporter to get this
resolved.
• Manifest 019975819FLE-Upon receipt of the shipment, it was discovered that thirty-five
containers were missing from line 1. CHA is working with the transporter to get this
resolved.
• Manifest BOL799783-Upon receipt of the shipment, it was discovered that one container
was missing from line 1. CHA is working with the transporter to get this resolved.
I certify under penalty of law that this document and all attachments were prepared under my
direction or supervision according to a system designed to assure that qualified personnel
properly gather and evaluate the information submitted. Based on my inquiry of the person or
persons who manage the system , or those persons directly responsible for gathering the
information the information submitted is to the best of my knowledge and belief, true , accurate ,
and complete. I am aware that there are significant penalties for submitting false information,
including the possibility of fine and imprisonment for knowing violations.
"People and Technology Creating a Better Environment"
(JeJ1p6ar_liits·
WJLUAWAUAU.A.W..R.W.
Should you have any questions regarding this matter, please contact me at the number listed
below.
Sincerely,
William Simmons
Facility General Manager III
Clean Harbors Aragonite/Clive Incinerations
11600 North Aptus Road
Dugway, UT 84022
(o) 435.884.8351
(c) 870.310.6029
Simmons. [e-mail]
www.cleanharbors.com
UNIFORM HAZARDOUS 1 Generator ID Number
WASTE MANIFEST
7. T~ 2 Cempany Name
• ~-Hazard Class. tD Number.
No, Type
Form ApproVed. 0MB No. 2050-0039
4. Minlfm TrJCki ne Number
01 9975819 FLE
U.S. EPA ID Numl>et
11 Total
Quantity
12 Un~
'M.Nol. 13. Waste Codes
GEHE:RATOR'SIOFA:ROR 'S CE:RTIFICATIO~: I hereby declare !hat th8 oontoolS of this cooslgnmenl are fuJy and ilCQJtiltely cleroibed abo\'9 by Ille pnJpej' shippi,g name. an! n dassffied, padlaged.
malled and labeledlpl.gnled. and are In all respects in prope, oonditiOII !Of lrall!l)O!t acconlirg to IIPIJlk::a~ intlll!lalionaard nabonill gol.ffllmenli!I ragulalions . If export sNpmenl and I-am Iha Prinla'y
Exporter, I certify 11131 the oontenlS of lh~ oonsignrnent oonform to the tem,9 of the attached Ef'AAd<OOIWl(lgment of Consent
I tr.'Jtify lhat Ille waslB minimization stalement idenlified in40 CFR 262.27(a) (~ I am a ~quantity gener.llor) or [bl [~I .vn a small quanlilygenera(Of),:; trve.
Month Day Year
b~ fl-t
....1 6. lnlefflalional Shipmen
;:.. lmpo~ to U,S □Exportfrom U.S. Portofentrylexit: _______________ _
ii!: T ranspa1er slgl\¥\lre (for el(IJOIIS only):
18a Discrepancy lndica!ion Space 1
18. Dlsal!PIIICV
~ 18b. Alternate Facility (or GeneralOr)
...I c:;
~ facil1tfs Phone :
0 Quantity
fa Hie. SigNJture of Altemate F-aality (or Gena!ator}
~
Dam lc.b'ingU ,S.:
0 Rl!Sidue O Partial Rejection
Mml!SI Re~ NIITbar.
U S. EF>A ID Number
Mon th Day Year
z~ __________________________________________ .._ _____ --;
i 19. Hazanlous Waste Repoft Man31JemenI MelhOd Codes (l 1 .. oodi,,s for hazardeus waste ~t. disposal, and reeyc{ng syslems)
~ ,. 2. 3.
0
1
20. oesigna. tad Fe ci!ily Owner or Operator: Certification of NIQl<pl of ha2ardous rnateriaJs oovet'ell by lhe manifest exoepI as ncfed in Item 18a
PrintadfTypidNall'le • ,,..,--,-., Sign~
Please print or type , Form Approved. 0MB No . 2050-0039
UNIFORM HAZARDOUS 1. Generator 10 I-lu mbar
WASTE MANIFEST
2 Page 1 of 3. Eme,gency Response Ptio ne •· Man N1 Tradung Number
019975820 FLE
9a. 9b . U.S. DOT Desaiption (including Proper Shipping Nam&. Haza/II Class. ID Number.
HM and Pacmg Groop (hny))
1.
3,
~s SiteAad~ (K lfdle,.nl 111an mailing ~l
U.S. EPA 10 Number
11. Total
Quantity
12, Unit
WIN~. 13. Wasla Codes
OENfRATOR'SIOFfEIIOR'S CERTIFICATION: I J1eraby dedillB that fie contents of this cons ignment are funy and ac:arrately described a!X>ve by the proper shipp ing riama , &rd Ill\! classified , packaged,
mal1Ced and labeled/placarded, and are in all respecis in proper ccndilion for transport aw,rding ID appli<;.jtM& intematjonaland national go.vemmenlal regulations H export shipment and I am lhe Primary
upollar, I ca<tily lhat the coolents of lhis consignment coofonn ID !he tanns of !he attao;hed EPAAcl<noMedgmenl of Consem.
I certify1hat1he wast& minim izalio/l slalemenl idenlified in 40 CFR 262.V(a) (if I am a large quantity gencrator)or (b) [~I a
lfi 17. TransporterAdmO\Oo1e(lgmentol Retei!ltof Mat~
~ Tra<)Sp0111!t 1 Primed/Typed Nam!
~ AM-<-,-,..-c.,,__
i T~·2 Prin!ed!Typed Narre
!
Slg11at1Jre
Si;Jnam
true
18a . [);scr~cy Indication Space I 18. Oisavpancy
0 Quantity □Type □ Residue O Pallial Rejection.
~ 18b.Memah! Faciily (or Gencrat<X)
;;;
(.)
i'.f Facility's l'llooe •
~ 18c. Sfgoa LUre of AUemate Facilrty {or Genera or)
Uanife sl Ref~noe Number.
U S. EPA IO Number
Month Day Ye.r
Mo ntfl Oay Yaas
i c,1---------------------------------------------...._ _ _.__ ....... .__----I -19 Haza/1100s Waste Raport Management Method Codl!S (ie .. oodes for hazardo us wasle treatment, disposal , and recycfng systems) ffli-,-----.....;......:.... _ _.:.,::.;.__..;..._,,,...._,_ _________ .....;..-r::,.....;--'---.:....:-.....;.. _____ ..,.. ____________ ---f
c 1. 2, 3. 4.
j 20 . ~nated ~ by !he IT'oaM8SI ex as rdl!d in Item 18a
PrilltoofT Slg .
EPA Fo rm 87
Site Address: SAME
SC PPW 4/1/2024
WORK OADEJlitii, ~8'265242&
DOCUMENT NO. 7 J j 7 8 j STRAIGHT BIU OF LADING
TRANSPORTER 1
EPA ID#
--C~l1toeaw1n~•Kile,11,boti.eB1r"-s+E"'nt,,11t-•irH81t1AfffflK>e.,.11ta~I s~e"""'¥-4iieee~s.-, lk'l,i.ee.------VEHICLE ID #
--;PM-A-AA,+9M8,._.,3_9""'3-""2c...;i2i...;.2~5...,8------------TRANS. 1 PHON97s1) 792 E3 000
TRANSPORTER2 _________________ _ VEHICLE ID#
EPA ID# ___________________ TRANS .2PHONE ______ _
DESIGNATED FACILITY SHIPPER
Clean Harbors Ara,!onite LLC Universitw of California
FACILITY EPA ID II TSOF Telepllone tF SHIPPER EPA ID # Slllpper Tetei>none ,,
UTD98i552i77 (4::1~\ RA.4...~1 00 CAD073i34777 {9M \ A,7-4 ?AA
ADDRESS ADDRESS
11600 NorthAptus Road 900 UniYersity Annue Environmental Health and Safety
CITY STATE ZIP CITY STATE ZIP
Grantsville UT 84029 Riverside CA 92521.
CONTAINERS TOTAL UNIT
NO . & SIZE TYPE HM DESCRIPTION OF MATERIALS QUANTITY WTNO L
Ix.LI~ C..r 4iiNS291, N£DICAL WASTf. lLO.S., (VIALS, NEEDLES, I./~ e X • ---;-;;~ If.? DI:. II
B. I
C.
D .
E.
F.
G.
H .
SPECIAL HANDLING INSTRUCTIONJj.~G!,Hf;Y PHONE #: fS00\483-3718 GENERATOR: Un~ersity of California
.CH27G8155ERG#i58 \..;A> d,vn °0 ,. ~ LvJJ'-IVl.1 TransporterAddress:.42 LongwaterDnve. Norwell.MA
er11~ ,1 uo-11t2-2 3· Medical waste transnorter ID 3500. Gene.rator authorizes the use
of subsequenttransportanon as selected by Clean Harbors
SHIPPERS CERTIFICATION: This is to certify that the above named materials are properly classified ,
described, packaged, marked and labeled and are in proper condition for transportatfon according to
the applicable regulations of the Department of Transportation.
DATE
SHIPPER ----
DATE
TRANSPORTER 1
PAINT SIGN DATE
TRANSPORTER 2
PRINT SIGN • DATE -
RECEIVED BY
Generator acknowledges that no m.aterial change has occurred either in the ch acterislics or m the process generating: the matenal
CH HF I
SllitA .... r: 893WUnHnSt
Rtnmdl.CA 12907
9C,.. 4/S/202'
WORK OADEA--aot.NQ235
DOCUMENTNO. 06 7 4427 STIWGHT BILL OF LADING
TRANSPORTER 1 _jClgn;lfJiD.JffllJM1AC1maJEaMldl•1111m.ueew•USil:1DM1maaJIM!lla... _____ VEHICLE ID# 41'Jtf\~
EPA IOI _ .... Ma.iAD.M.D.x.0.-3_.1~31..o112...,.2._.2ullu0,.__ _________ TRANS. 1 PHONE (781)D2-IOOO
TRANSPORl"ER 2 _________________ VEHICLE ID#
EPAIDt _________________ TRANS.2PHONE _____ _
OESfGNATED FACILITY SHIPPER
iw...u..ns,a.ms.1na. u ... --.:---
FACILITY EPA ID # SHIPPER EPA ID t
CA-T&OIT-tDi CAD073l34777
ADDlffls. YALE 81Rm tBfD=..,A ... Em ........ Hnllhandtnr
CITY STATE ZIP CrTY STATE ZIP
S...AM eA 92704 Rwlrltdt r.A 92121
CONTAINERS TOTAi. UNIT
NO.ASIZE TYPE HM 0£SCAIPTION OF MATERIALS QUANTITY WTNOL
~x'/3(!£ c~ AIIIIHi.REAIIURD_,,.,.....tl.WTI. IUU,.1.2. NH. \,800 1' X -----•WTE
8.
c.
D.
E.
F.
a.
H.
SPECIAL HANOI.ING INSTRUCTIONS EMEROEIIC't PHONE .. f'800\ 41N7ll IENEMlOR: Unt..,... lfC...,_,
leff218017oao.1151 Df\JM ~i::Sc:fU-IS cll.111-o -uf\""e-f,t:rA;; i¼,L. 11c1; 13 Uh,l..r dNll1 Ill~~·) 4 l.ZI
/'\', ..
SHIPPERS CERTIFICATION: Thia 6a to certify lhat the lbOvt named fflllari ■II are pn,party otusllled,
dffcrlbed, pacugld, marked and libeled anct ■re In proper condition for tranaportlltion according to
the applfcable regulallone of th• Departmtm ot Transportation.
DATE
TRANSPORTER 1
TRANSPORTER 2
PAINT SIGN DATE
RECEIVEOl!IY
GNlnf., ......... lhtn■ mttdal ..... hf NIWIH tilMrilt tltt ••mllilJ erillt .. ,_.,.(flltltirelllt llll'letal.
CHI 107
I