DSHW-2024-005504

Cycle Site Name Site ID
2023 MEDLINE INDUSTRIES UTP000001725
Summary Totals
Generated (Tons)Managed (Tons)Shipped (Tons)Received (Tons)
0 0 0 0
General Information
Received Date
03/26/2024
Include in National Report?
Yes
1. Reason for Submittal
BR / AR with Notification. [Source B]BR Exempt
No
2. Site ID
UTP000001725
3. Site Name
MEDLINE INDUSTRIES
4. Site Location
Street Number
1820
Street 1
S. 5200 WEST
Street 2
Zip
84104
City, Town or Village
SALT LAKE CITY
State
UTAH
Country
UNITED STATES
County
SALT LAKE
State District
Latitude
40.730427
Longitude
-112.015607
Use Lat/Long as Primary Address
No
5. Site Mailing Address
Street Number
1820
Street 1
S. 5200 WEST
Street 2
Zip
84104
City, Town or Village
SALT LAKE CITY
State
UTAH
Country
UNITED STATES
6. Site Land Type
Private
7. North American Industry Classification System (NAICS)
Primary NAICS
423450 - MEDICAL, DENTAL, AND HOSPITAL EQUIPMENT AND SUPPLIES MERCHANT WHOLESALERS
Other NAICS
8. Site Contact Person
First Name
JOE
Middle Initial Last Name
MOROZIN
Title
WAREHOUSE MANAGER
Email
[e-mail]
Language
ENGLISH
Phone Number
801-604-5213
Extension Fax
8a. Site Contact Address
Street Number
1820
Street 1
S. 5200 WEST
Street 2
Zip
84104
City, Town or Village
SALT LAKE CITY
State
UTAH
Country
UNITED STATES
8b. Additional Contact #1
Contact Type
COMPLIANCE
First Name
REBECCA
Middle Initial Last Name
BROWN
Title
EHS MANAGER
Email
[e-mail]
Language
ENGLISH
Phone Number
951-491-3747
Extension Fax
Street Number
42500
Street 1
WINCHESTER ROAD
Street 2
Zip
92590
City, Town or Village
TEMECULA
State
CALIFORNIA
Country
UNITED STATES
B. Universal Waste Activities
1. Large Quantity Handler of Universal Waste
Accumulated/Managed:
None selected
Generated:
None selected
2. Destination Facility for Universal Waste
No
C. Used Oil Activities
1. Used Oil Transporter
None selected
3. Off-Specification Used Oil Burner
No
2. Used Oil Processor and / or Re-refiner
None selected
4. Used Oil Fuel Marketer
None selected
9a. Legal Owner #1
Name
MEDLINE INDUSTRIES, LP
Date Type
Private
Street Number
1820
Street 1
S. 5200 WEST
Street 2
Zip
84104
City, Town or Village
SALT LAKE CITY
State
UTAH
Country
UNITED STATES
Email
[e-mail]
Phone Number
951-491-3747
Extension Fax
Internal Comments
Public Comments
9b. Legal Operator #1
Name
MEDLINE INDUSTRIES, LP
Date Type
Private
Street Number
1820
Street 1
S. 5200 WEST
Street 2
Zip
84104
City, Town or Village
SALT LAKE CITY
State
UTAH
Country
UNITED STATES
Email
[e-mail]
Phone Number
951-491-3747
Extension Fax
Internal Comments
Public Comments
10. Type of Federal Regulated Waste Activity
A. Hazardous Waste Activities
1. Generator of Hazardous Waste (Federal)
N - Not a Generator
3. Treater, Storer, or Disposer of Hazardous Waste
No
6. Exempt Boiler and / or Industrial Furnace
None selected
Generator of Hazardous Waste (State)
F - Same as federally defined
4. Receives Hazardous Waste from Off-site
No
2. Short Term Generator
No
5. Recycler of Hazardous Waste
None selected
B. Waste Codes for Federally Regulated Hazardous Wastes
Hazardous Waste Codes (Federal)
None selected
C. Waste Codes for State Regulated (non-Federal) Hazardous Wastes
Hazardous Waste Codes (State)
None selected
11. Additional Regulated Waste Activities
A. Other Waste Activities
1. Transporter of Hazardous Waste
None selected
3. United States Importer of Hazardous Waste
No
5. Importer/Exporter of SLABs
None selected
2. Underground Injection Control
No
4. Recognized Trader
None selected
D. Pharmaceutical Activities
Operating under 40 CFR 266 Subpart P for the management of hazardous waste pharmaceuticals.
Withdrawing from operating under 40 CFR 266 Subpart P for the management of hazardous waste pharmaceuticals.
No
E. State Activities
State Activities
None selected
12. Eligible Academic Entities with Laboratories
1. Opting into or currently operating under 40 CFR Part 262 Subpart K for the management of hazardous wastes in laboratories.
None selected
2. Withdrawing from 40 CFR Part 262 Subpart K for the management of hazardous wastes in laboratories.
No
13. Episodic Generation
Are you an SQG or VSQG generating hazardous waste from a planned or unplanned episodic event, lasting no more than 60 days, that moves you to a higher generator category pursuant to 40 CFR Part 262 Subpart L? If "Yes", you must fill out
the Addendum for Episodic Generator.
No
14. LQG Consolidation of VSQG Waste
Are you an LQG notifying of consolidating VSQG hazardous waste under the control of the same person pursuant to 40 CFR 262.17(f)?
No
15. Notification of LQG Site Closure for a Central Accumulation Area (CAA) (optional) and Entire Facility
LQG Site Closure of a Central Accumulation Area or Facility
No
16. Notification of Hazardous Secondary Material (HSM) Activity
Are you reporting HSM activities?
No
17. Electronic Manifest Broker
Are you notifying as a person, as defined in 40 CFR 260.10, electing to use the EPA electronic manifest system to obtain, complete, and transmit an electronic manifest under a contractual relationship with a hazardous waste generator?
No
18. Comments
Internal Comments
Public Comments
The facility did not generate hazardous waste during this period. The EPA ID number may be closed out
19. Certification
Certifier #1
First Name
Rebecca
Middle Initial
A
Last Name
Brown
Title
EHS Manager
Email
[e-mail]
Date Signed
03/26/2024