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