DSHW-2024-009399

UTAIIEPARTMENT OF ENVIRCMENTAL QUALITY
DIVISION OF SOLID AND HAZARDOUS WASTE
Dennis R. Downs. Director
SQG Program
P. O Box 144880
Salt Lake City, UT 84114-4880
(801)-s3&6170
HAZARDOUS WASTE GENERATOR EVALUATION FORM
Facility Name= fto SS etr,] Pv-,e^^* C,^, -f..lC EPAID Number UTbl ?E o?r3 6 I
Street Address: 1A? $ S -Io o t^)City A/{*ir>vAr-f 7ap Code
County:* L Contact Person:PhoneNumber: 56b ? 12G> I
Generator Statust S CR, C- Number of Employees Date of Visit: "1 tZO*' TB
Inspectors:\{oe .,4- t/A
Other Personnel:
oT*r
WASTE STREAM / GENERATION PROCESS GENERATION RATE
PER MONTH
HAZARDOUS
WASTE CODE
PROPERLY
MAI.IAGED ?
Pa'ts \^) a*h <-rS lD q-!^T)srs t bsot Ll<l s
\D L, L,, 6.* t)O
',6\.*{€/An4n
J
rlse-e\ o i 5O Go\.Q-tn"/l-NL''Ht)VesP*afu /
G,^.{ i S",^""*-a,- €.-H.,S e,-s*,LLh*a vq-\
("{-1.' \H-r^,,a/Docrk /
Total Quantity of Hazardous
Waste Generated per Month:
50 po\,r*ols
p'L{ ,ne,., "l"n
RESPONSE NECESSARY:YES
COMMENTS:
RESPONSE DUE BY:
This compliance evaluation notes areas where your hazardous waste management practices may not meet the
regulatory requirements of the Utah Solid and Hazardous Waste Management Rules. lf a "Response Due Date' is
indicated, you must take the actions, summarized in this audit, in order to come into compliance and NOTIFY THIS
OFFICE IN WRITING by the indicated date. Please be advised, that if we do not receive written documentation of
these corrective actions by the response due date, you may be subject to further regulatory action, including
administrative penalties. Please include your EPA number with your correspondence.
lf you have further questions, or would like to discuss these issues with the inspectors or their supervisor, you may
contact them during business hours at [phone]. ltems that must be submitted may be mailed to the address at
the top of this page.
RECEIVED BY:INSPECTOR:
Name, Printed
Signature:
[<r;'t$t{ameo Printed
'$ignature:
, ifie:
$on
FVt
Date:
€r Title: Compliance Officer
Date
=
Page 2 of 6
@xample) XYZ Companv Emplovee Training Log
Date: Apnl9,1997
fime: 10:00 am to ll:00 am
Discussion lead by: John Doe, Health and Safety Coordinator
Topics discussed
L Hazardous Waste Accumulation Time
a. Do not store hazardous wastes for longer than 180 days on site.
b. Label each container or tank with the words "Hazardous Waste."
I Use and Management of Containers
a. Maintain a log weekly on the hazardous waste containers, are the containers closed,
labeled, dated and in good condition. If not, please contac't the emergency coordinator in order to
rectfy the problem.
m. Other topics as discussed.
a.
b.
Employee Name (Please Print)
1.
2.
3.
Employee Signaturrc
ETHIS IS ONLY AN EXAMPLE AND MUST BE ADAPTED SPECIFICALLY TO
YOUR FACILITY AND TRAINING FORMAT.
I
l
I
ok,.1.
Page 3 of 6
AND HAZARDOUS WASTE
SMALL QUANTITY GENERATOR
COMPLIANCE EVALUATION FORM
Items that are marked "NO" on the line in the left-hand column arc not in compliance with the Utah Solid and
Hazardous Waste Regulations and rcquire your immediate attention. ltems marked "OK" meet the minimum requirements of the
regulations. ltems marked 'NA' do not apply to your facility.
R315.5.2 DETERMII{ATION OFWHETHER AWASTE IS HAZARDOUS
ACTION NEEDED:
O urAH DrvtstoN oF soLtDO
oK 2.-Otr- a.
O(- 3.
7Ti'*,
b.
R315€ NOTIFICATION AND EPA HAZARDOUS WASTE IDENNFICATON NUMBERS:
lf you generate between 100 and 1000 Kgs (220-2200 pounds) of hazardous waste per month or up to 1 Kg of acutely
hazardous waste, )rou are classified as a Small Quantity Generator (SOG), and you must notify the Executive Secretary of
the Utah Solil and Hazardous Waste ControlBoad and obtain an EPA lD number. This's accomplbhed by notifying the Utah
Division of Solil and Hazardous Waste.
lf 1ou are a small quantity generator, 1pu must obtain an EPA lD Number in order to offer hazardous waste for management to
a transporter or to a treatment, storage and disposal facility (|-SDF) that has an EPA lD Number.
ACTION NEEDED:
R315.54 MANIFESTS
Only use approved manifest form 87OO-22 and 8700-22A when offering hazardous wastes for transport to a TSDF or use the
manifest of the state that the TSDF is located in, if required by that state.
Designate another facility or instruct a transporter to retum wastes if they are undeliverable.
Fill out all applicable sections of the manifest
Use a contractual d'sposal agreement on[ if a generation rate is less than 1000 Kg/month (SQG or less).
Keep copies of contractual agreements for three years after service ends.
ACTION NEEDED:
R315.5.5 RECORD KEEPING
Keep copies of manifests for three years.
Keep all records, including determinatbn of generatbn rates, waste characterizatbn documentation, disposition, etc., for three
)rears.
ACTION NEEDED:
R315.5.7 EXCEPTION REPORTING
lf TSDF does not return generators' copy of manifest within 60 days, a generator must submit a letter stating so
and a copy of the manifest to the Executive Secretary of the Utah Solii and Hazadous Waste Control Boad.
ACTION NEEDED:
R315-5-9 PACKAGING, LABELING, MARKING AND PLACARDING
Package, Label and mark waste in accordance with DOT 49 CFR prior to shipment.
ACTION NEEDED:
-E,^g-C)tLKE
6(.6/
a.
b.
c.
d.
e.
ClK, a.4E- b.
hn 6.,UA a.
d,.
011OENKrK.
$g;
CI14
o(ru
7.R315.5.10 ACCUMULATION TIME
Do not store hazardous wastes for longer than 180 days, or 270 dap if applicable, without a permit.
Do not exceed 6000 Kg of hazardous wastes stored at your facility at any time.
Mark the date the accumuhtion perbd began on each container of hazardous wastes. Satellite accumulation containers are
the exception.
Label each tank and container with the words 'HAZARDOUS WASTE" while it b being used to accumulate hazardous wastes.
Designate and authorLe an emergency coordinator(s) who is(are) readily available by some means at all times.
Post the following informatbn next to each telephone at the facility: Name and telephone number of the emergency
coordinator(s) bcation(s) of fire extinguishers, spill control equipment and fire alarms, telephone number of the local fire
department (or equivalent emergency response for facility).
Ensure that all employees are familiar with hazardous waste handling and emergency procedures.
The emergency coordinator must respond appropriately to emergencies that have the potential of invoMng hazardous waste(s).
ACTION NEEDED:
a.
b.
c.
d.
e.
f.
g-
h.
Page 4 of 6
These are only examples that will n"r!o, comply with the regulations, you
for and make it specific to YOUR facility.
omust ADAPT the following informetion
SEE #10e
Today's date
lrtters to: Your Hospital
Your local Police Department
Your local File Department
Dear sir or Madame,
e-'
ln accordance with aO Dfn 265 Subpart C, we are required to notiS you that we generate hazardous waste(s). The
waste(s) that we generate is (are)...examples might be; paint wastes, paint sludges, Methyl Ethyl Ketone, Acetone,
other solvents, acids, bases, listed wastes, etc.
We make every effort to properly manage our waste, but in the event of an emergency we may require your assistance.
In the event of an unforseen emergency, would you be able to respond?
Your Name and Title
ABC Company
#7e and 7f
rg IN CASE OF EMERGENCY DIAL 91 1rS EMERGENCY COORDINATOR IS CARL CAREFUL.
EXT. 2536r€ FIRE EXTINGUISHERS' LOCATION MARKED ON
WALLrS SPILL CONTROL EQUIPMENT LOCATED AT TIME
CLOCK
UilTI'ENSALWTE
IIIENCUNY.COilIAINIilG
DAT€,
turAH DrvrsroN oF soLrD o Page 5 of 6
AND HAZARDOUS WASTE
SMALL QUANTITY GENERATOR
COMPLIANCE EVALUATION FORM
sPrLL RESPONSE FHESE RULES ARE FOUND tN R31s-9)
Take appropriate action to minimize threats to human heahh and the environment by notifying the Utah State Department of
EnvironmentalQuality at (801)5364123 or 1{00-572€400 ( 24 hour number) if more than 1 Kg of acutely hazardous waste
or 100 Kg of hazardous waste or material which when spilled becomes hazardous waste, is spilled as specilied in 40 CFR
261 .33(e). Notity the National Response Center when applicable and provUe the appropriate information, listed in R315-9(c), in
the spill report.
ACTION NEEDED:
usE AND MANAGEMENT OF CONTAINERS (THESE RULES ARE FOUND tN 40 CFR 265 SUBPART D
HoH Hazardous Wastes in containers that are in good condition.
Store hazardous wastes in containers that ardbompatible with the waste.
Keep hazardous waste containers in a completely closed condition, except when adding or removing wastes.
Do not open, handle or store containers of hazardous waste in a manner which may cause a release.
lnspect containers of hazadous waste at least weekly to bok for signs of leakage or deterioratbn. A bg shouH be kept.
Do not store incompatible hazardous wastes in the same container.
Do not store hazardous wastes in containers that previousv heH an incompatible material without cleaning it first.
Separate incompatble hazardous wastes by means of a dike, berm or other method.
ACTION NEEDED:
10. PREPAREDT{ESS AND PREVENTTON (THESE RULES ARE FOUND !N 40 CFR 265 SUBPART C)a. You must operate pur facility in such a manner that MINIMIZES the possibility of fire, explosion or any unplanned release.b. You must have the following preparedness and prevention equipment unless the wastes')rou stores do not pose the hazards
that the equipment is designed to respond to: lntemal communications or alarm capable of instructbn, such as an intercom; A
device capable of summoning outsUe emergency assbtance (such as a direct alarm to the fire department or a telephone);
poilable fire extinguishers; water at adequate pressure and volume to supply fire fighting needs; Alarms and communbation
devices accessible to personnel where they are handling hazardous wastes.c. You must maintain and test where necessary all communication systems; fire, spill response, decontamination and ptotective
eoubment.
% d. You'must maintain aisle space to albw unobstructed movement of personnel and emergency equipment
9E=- ,- "r1( llls-,#'#l#fl3ii:tH*if,"fi*.:'{?ffsisP.;if;:Pl?Es!3xs#;#ifl:HHtxxl:f "*"""'" Maintain
W f. Document relusals by authorities to emergency arrangements.
OtL 8.&a
dL-6re.MTtr,wnc.d4w
w^@ru
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ACTION NEEDED:
w";
06bEc.
OY- d.
ruA 12.Ma.
LAND DISPOSAL RESTRICTIONS (LDR) (IHESE RULES ARE FOUND !N 40 CFR 268.7(aX4))
lf you treat your hazardous wastes to render them non-Land Disposal Restricted, 1ou must develop and follow a written waste
analysis plan. This waste analysis plan must be based on a laboratory analysis of the waste, and must contain all necessary
elements, including frequency. The waste anatysb plan must be submitted to the Executive Secretary of the Utah Solirj and
Hazardous Waste Control Board at least 30 days prior to treatment.
Maintain an assessment of LDR status on file for each hazardous waste generated at the facility.
A notice and certificatbn that each waste is, either not land disposal restricted, or if it is restricted, that il is land disposable after
treatment, must accompany each manifested shipment of hazardous waste.
Maintain all LDR Documentation for five years after the waste b shipped off site.
ACTION NEEDED:
R31 5.1 6 UNIVERSAL WASTES, FLUORESCENT LIGHT TUBES
Fluorescent light tubes must be reoycled or disposed of hazardous waste. Any broken tubes must be managed as a hazardous
waste, but can still be recpled. Do not dispose of tubes in the regular trash or in the dumpster.
Label either the waste tubes or container hoHing the tubes as "UNIVERSAL WASTE- MERCURY CONTAININGI-AMPS".
ACTION NEEDED:
R315.5-13 EXPORTS OF HAZARDOUS WASTE
R31 5.5.14 IMPORTS OF HAZARDOUS WASTE
usE AND MANAGEMENT OF TANK SYSTEMS fiHESE RULES ARE FOUND tN 40 CFR 265.201SUBPART J)
OTHER ACTIONS NEEDED:
_r!Sb
13.
a.
14.
a.
15.
16.
Page 6 of {t.?oo
CONTAINER MANAGBMENT LOG
Date lnspectors
Name
Are containers
labeled with the
words
eegl\I,ARDOUS
WASTE"?
Are accumulation
dates marked on
allhazardous
waste containers?
Are hazardous
waste containers
closed and are all
bungs and bung
rings secure?
Are all
Hazardous
waste
containers in
good
condition?
If any columns are marked
No,what was done to bring the
container into compliance?
Yes No Yes No Yes No Yes No
'!t