DSHW-2024-008587

Michael O. I-eavitt
Govcrnor
ianne R. Nielson, Ph.D.
Exccutivc Director
Dennis R. Downs
Dircctor
September 4, 1996
Henries Cleaners
223 East 300 South
Salt Lake city, uT 84 I 1 1
Attention: Joy Kampf, Manager
Dear Ms. Kampf:
This is to acknowledge that you have filed a Subsequent Notification of Hazardous Waste
Activity.
Your EPA Identification Number is UTD981541709.
The EPA Number must be included on all shipping manifests for transporting hazardous wastes;
on all Biennial Reports that generators of hazardous waste must file with the State of Utah and
other hazardous waste rnanagement reports and documents required under the Utah Solid and
Hazardous Waste Act and the Utah Administrative Code (the Code).
The EPA Number is site specific. If your company chzrnges physical locations, it is your
responsibility, as a generator, to notify the state and apply for a new EPA Number.
If you have any questions please contact Delene Thomas at 538-6170.
Sincerely,
MUhru
Dennis R. Downs
Executive Secretary
Utah Solid and Hazardous Waste Control Boarcl
Q
DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF SOLID AND HAZARDOUS WASTE
288 North 1460 West
P.O. Box 144880
Salt lake City, Utah 841 14-4880
(80 I ) 538-6 170 Voice
(801) 538-67 l5 Fax
[phone] T.D.D.
t t,"u." print or type with ELITE type (12 "n"1. per inch) in the unshaded areas onty
Form Approved, OMB No. frS&@fr Expires 9-30-9.6
GSA Ho. 0246-EPAQT
EPA Form 870G'12 (Rev. 11-3G93) Previous edition is obsolete.Continued on Reverse
Ptease print or type with ELITE type f"r".,"r. per inch) in the unshaded areas only O
lD, Foi Off cial Use Only
;i!iit
Vlll; Type of Reguta'ted Wagte Activrty {rh*'X' in ti,re appropriaa tuiesi"girer a instructjbng', )
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t. Used Oil Fuel Marketer .,, l,
fJr., *{arketer,Directs Shiprnent ol Used
''.,,,,,':.,,.,,:,,.,,. Oil to ffi-Specification B urngr
flb,'tlarketer li/ho First Cfairm the Used
,,,:,,;',,,,'',','i,',,',Oil t{€€ts the Spggifications '
Z',,,Used Oit Burner - lndicate Typ{s) of
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fla;, Utility goller , ,' i': ,,1i::'
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f| u. lndustrial Boiter i ,,1 ,,
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3.,' Used Oil Transporter: lndlcate Type{s)
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L'b. Transfer Faciltty '
4.,,, Used Oil Processg/He-refiner- I4dicate
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fa-Process' ' '
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: A. Characteristics of Nonlisted Hazardous Wastes. (Mark'X' in the boxes corresponding to the characteristics ol
: nonlisted hazardous wastes your installation landles; *e 40 CFR Parts 26120 - 26124)
:;:;::l:::t:::' ' .:. ...: .l:
1. lgnilablei1Eno|) :
3 ' . ... i...i:1. .:..... ..:. '...:." . .-
(tJst 3p.cific EPA trrzllr&os uqdo rufib.r(r) for tfie Toxicity cfrrracteristic corBnins:f (s))
B. Listed Hazardous Wasles. (* 40 CFR 261.31 - 3!l; See instructions il you ned to list more lhan 12 waste codes.) :'
C Other Wastes. (State or other wastes requiring a tandler to have an l.D.See instructions.)
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5
I I certify under penalty of law that this document and all atlachments were prepared under my direction or supervision in accordance with a
I syslemdesignedloassurethatqualifiedpersonnel properlygatherandevaluatelheinformalionsubmitled. Basedonmylnquiryof theperson
I or persons who manage the syslem, or lhose p€rsons direclly responsible for gatherlng the information, the information submitted is, to the
I bestof myknowledgeandbelief, lrue,accurate,andcomplete. lamawarethattherearesignificantpenaltiestorsubmittingfalselnformation,
I including the possibility of line and imprisonment for knowing violations.
U4- %**il/ | *y*^.,--*424 *.,,r r/l*,rP .F .4-f,
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EPA Form 870G.12 (Rev. 11-3G.93) Previous edition is obsolete.