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HomeMy WebLinkAboutDSHW-2024-009284C E5CP6 SEND COMPLETED FORM TO: The Appropriate State or EPA Regional Office United States Environmental Protection Agency RCRA SUBTTTLE C SITE TDENTTFTCATTON FORM (20071 1. Reason for Submittal MARK ALL BOX(ES) THAT APPLY Reason for Submiftal: il To provide initial Notification of Regulated Waste Adivity (to obtain an EPA lD Number for hazardous waste, Universal waste, or used oil activities). fl T6 Oror'0" Subsequent Notification of Regulated Waste Activity (to update site identification information). il As a component of a First RCRA Hazardous Waste Part A Permit Application. fl As a component of a Revised RCRA Hazardous Waste Part A Permit Application (Amendment # - X As a component of the Hazardous Waste Report. 2. Site EPA lD Number EPA lD Number: UTR000008730 3. Site Name Name:METAL MANAGEMENT WEST, INC. 4. Site Location lnformation Street Adress: 3260 500 SOUTH City, Town, or Village: SALT 1AKE CITY County Name: SALT LAKE State: UT Zip Code: 84104 5. Site Land Type Site Land Type: X Private J County J oistria tl Federal ! lndian J Municipat il State J Other 6. NAICS Code(s) for the Site A. 42193 B.D.c. 7. Site Mailing Address Street or P. O. Box: 3260 500 SOUTH City, Town, or Village: SALT LAKE CITY State: UT Zip Code: 84104CountryUNITED STATES 8. Site Contact Person Finst Name: DAN Ml: Last Name: ROBERTSON Phone Number: 8019548888 Extension: EmailAddress: drobertson@mtlm.com 9. Operator and Legal Owner of the Site A. Name of Site's Operator: METAL MANAGEMENT WEST, Date Became Operator: 21111999 operator Type: lNc' X Private J County iJ oistrict iJ Federal :l lndian I Municipat LJ State iJ Other B. Name of Site's Legat Owner: METAL MANAGEMENT WEST, Date Became Owner: 21111999 owner Type: lNc' I Private J county J oistria il Federat J tndian J Municipat Jl state il other Submit Date: 112312008 10:32:44 AM Page 1 of 3 EPA lD NO: UTR000008730 9. Legal Owner Address (continued) Street or P. O. Box: 3260 500 SOUTH city: SALT LAKE CITY State: UT Country: UNITED STATES Zip Code: 84104 10.Type of Regulated Waste Activity Mark Yes or No for all activities; complete any additional boxes as instructed. A. Hazardous Waste Activities Complete a!! parts for I through 6. YE Nl 1. Generator of Hazardous Waste !f Yes, choose only one of the following - o, b, or c. J a. LQG: Greater than 1,000 kg/mo (2,2AA lbs./mo.) of non-acute hazardous waste; or J o. sQG: . 100 to 1,000 kg/mo (220 -2,200lbs./mo.) of non-acute hazardous waste; or H c. CESQG: Less than 100 kg/mo QZA tbs./mo.) of non-acute hazardous waste ln addition, indicate other generator activities. YI NX d. United States lmporter of Hazardous Waste YI NX e. Mixed Waste (hazardous and radioactive) Generator Transporter of Hazardous Waste Treater, Storer, or Disposer of Hazardous Waste (at your site) Note: A hazardous waste permit is required for this activity. Recycler ol Hazardous Waste (at your site) Exempt Boiler and/or lndustrial Furnace lf Yes, mark each that applies. a. Small Quantity On-site Burner Exemption b. Smelting, Melting, and Refining Furnace Underground lnjection Control YlNH 2 YJ NX 3 Y NXI YJ NH Y-J N 4. 5. YJ B. Universal Waste Activities NX 1. Large Quantity Handler of Universat Waste (accumulate 5,000 kg or more) [refer to your State regulations to determine what is regulatedl. lndicate types of univercal mark all boxes that apply: Generate Manaqed a. Batteries b. Pesticides c. Mercury containing equipment d. Lamps e. Other (specify) f. Other (specify) g. Other (specify) Y]NX 2. Destination Facility for Universal Waste Note: A hazardous waste permit may be required for this activity. -l -JJ J YI NH C. Used Oil Activities Mark all boxes that apply 1.Used Oil Transporter lf Yes, mark each that applies. I a. Transporter J O. Transfer Facility Used Oil Processor and/or Re-refiner lf Yes, mark each that applies. a. Processor J o. Re-refiner Off-Specification Used Oil Burner Used Oil Fuel Marketer lf Yes, mark each that applies. J a. Marketer Wtro Directs Shipment of Off-Specification Used Oil to Off--Qnonifinatinn I leod f)i! Ftr rrnAr J O. Marketer \Mro First Claims the Used Oil Meets the Specifications 3. 4. Y-J N YJ NH YJ NX Submit Date: 112312008 10:32:44 AM Page 2 of 3 EPA lD NO: UTR000008730 '11. Description ol Hazardous Wastes A. Waste Codes for Federally Regulated Hazardous Wastes. Please list the waste codes ofthe Federal hazardous wastes handled at your site. List them in the order they are presented in the regulations (e.9., D001 , D003, F007, U1 12). Use an additional page if more spaoes are needed. D008 B. Waste Codes for State*egulated (i.e., non-Federal) Hazardous Wastes, Please list the waste codes of the State-regulated hazardous wastes handled at your site. List them in the order they are presented in the regulations. Use an additional page if more spaces are needed for waste codes. 12. Gomments 13. Certification I certiff under penalty of law that this document and all attachments were prepared under my direction or supervision in accordance with 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. Signature of Operator, Owner, or an Authorized Representative Name and Official Title (type or print)Date Signed (mm/dd Nyyyl TODD MEHALL, VICE PRESIDENT 01123t2008 Submit Date: 112312008 1432:44 AM Page 3