DSHW-2023-207536 - 0901a06881251545

State of Utah Mail - Exception Report (Manifest)
Deq submit <[e-mail]>
Exception Report (Manifest)
1 message
Ed Corbett <[e-mail]>Mon, Aug 7, 2023 at 5:22 PM
To: "[e-mail]" <[e-mail]>
Exception Report
We have not received the return copy of Uniform Hazardous Waste Manifest 018382721 FLE (a
copy of the manifest is attached). The item was shipped out on June 23, 2023. Clean Harbors
Environmental service has been E-mailed twice once the 35-day mark was reached. They said the
item is still in the status of being transported to the designated disposal facility. In other
communication, Clean Harbors has indicated that their incinerators are delayed in being able to
burn hazardous waste items. The delays have caused a backup in items completing the disposal
process in a timely manner. If you have any questions, feel free to contact me.
Sincerely,
Ed Corbett
Ed Corbett, MBA CHMM
Hazardous Materials Manager
Risk Management and Safety
Brigham Young University
103 Chemicals Management Building
Provo, UT 84602-7800
[phone] (Office)
Manifest 018382721 FLE - 23 Jun 2023 - BYU.pdf
443K
DSHW-2023-207536
Please print 0 ffljTherator acknowtedges that no material change has occurred either In the characteristics or In the pro cess generatlnQ:i~ Rpilf8-MJ: OMB No. 2050 _0039
UNIF ORM HAZARDOUS , 1. Generator ID Number
WASTE MANIFEST U T D O O 9 0 9 4 0 1 2
5. Generato(s Name and Mailing Address
Brigham Young University
101 Chemicals M ar.agen1cr.t Building
Provo, UT 84602
Generator's Phone: 101\-4 \ A 'l-'J_Q'lQ'l
6. Transporter 1 Company Name
1
2. Page 1 of , 3. Emergency Response Phone
1 [phone]
Generato(s Site Address (if different than mailing address)
SAME
I
U.S. EPA ID Number
Clean Harbors Environmental Services, Inc. I MAD03~~')')')~0
7. Transporter 2 Company Name U.S. EPA ID Number
I
8. Designated Facility Name and Site Address U.S. EPA ID Number
Clean Harbors Environmental Services_ Inc.
2247 South Hif!hwav 71 NE098:1723513
0::
0
Kimball, NE 69145
Facility's Phone: /~OR\ 'J?s:;. ..\IH ?
9a .
HM
9b. U.S. DOT Description (in cluding Proper Shipping Name, Hazard Class, ID Number,
and Packing Group (if any))
1
· UN1993, WASTE FLAMMABLE LIQUIDS, N.O.S .. {TOLUENE .
~ X METHANOL\. 3. PG Ill
w z w
(!)
2.
3.
4.
14. Special Handling Instructions and Additional Information ,---
1. CH431.81. ERG#1.28 0 \Kc;-~
10. Containers
No. Type
I
11. Total
Quantity
12. Unit
Wt.Nol. 13. Waste Codes
UOO? llnl\'l 111\A.A
UH.9 U:122 U1.64
i,.,.;;.i\nlll ,,n ini-.,,.,i :.~, '" rn ,.,;,; nr ... :~ ,.,;,;;,i,w,i --. :..-:.-:: :-. np.ontract fet~!ne~i~~~-erator cqnrers ~A~E£1
15. GENERATOR'S/OFFEROR'S CERTIFICATION: I hereby declare that the contents of this consignment are fully and accurately described above by the proper shipping name, ard are classified , packaged ,
marked and labeled/placarded, and are in all respects in proper condition for transport according to applicable international and national governmental regulations. If export shipment and I am the Primary
Exporter, I certify that the contents of this consignment conform to the tenns of the attached EPA Acknowledgment of Consent.
t certify that the waste minimization statement identified in 40 CFR 262.27(a) (if I am a large quantity generator) or (b) (if l am a small quantity generator) is true.
Generators/Offero(s PrintedfTyped Name Signature Month Day Year
I It% 12$127,
...1 16. International Shipments • 0
~ Import to U.S. 0 Export from U.S. Port of entry/exit: __________________ _
~ Transporter signature (for exports only):
ffi 17. Transporter Acknowledgment of Receipt of Materials
~ Transprer 1 PrintedfTyped Name
~ \ lo. V\ VIA.. -~ Transporter 2 PrintedfTyped Name
c2
I-
18a. Discrepancy Indication Space
1
18. Discrepancy
;:= 18b. Alternate Facility (or Gene rator)
::i u
0 Quantity
I
I
□Type
Date leaving U.S.:
I
Signature ~/e-/<1 Month Day Year
r°t l ~I-Z,-3
Signature -\ { Month Day Year
I I I
DResidue 0 Partial Rejection 0 Full Rejection
Manifest Reference Number:
U.S. EPA ID Number
~~~ I C 1-,..:....::__....., ______ __, _____ -,-___________________________ .._ ________ --,--,-,--,,--.,,...----,,~
w 18c. Signature of Alternate Facility (or Generator) I Month I Day Year
~
~ 1-1-9-. H-a-z-ar-do_u_s W-as-te_R_e-po_rt_M_a_n-ag_e_m_en_t _M-et-ho_d_C_o_de_s_(i-.e-., -co-de-s-fo_r_h-az-a-rd-ou_s_w-as-te-1-re-at_m_e-nt-. d-is_po_s_al-. a-n-d-re-cy-c-lin-g-sy-s-tem_s_) ______________ ,.._ _ _._ __ ..... _--l
in 1-------'-----=:.._----.---'---'------------;-,--__;'--.:;_;'--....;.-------.-----------------l
C 1. H040 12 3.
l 20 . Designated Facility Owner or Operator: Certification of receipt of hazardous materials covered by the manifest except as ncted in Item 18a
1-P,,.r'"in'"te""dfTc:y-pe-d'"'N.,..a_m_e.;._ __ __; _______ --'-----------'---,,Si,..gn_a.,..tu-re--------------------,-,---.,-...,,.--,.,--i
I
I
14.
Month Day Year
I I I
EPA Form 8700-22 (Rev. 12-17l Previous editions are obsolete. DESIGNATED FAC ILITY TO EPA's e-MANIFEST SYSTEM
Clean Harbo rs has tile appropr1ate permits ror and WIii accept the waste the generator Is shlppTng. 69 2302948250--001 PPW