DSHW-2025-001157

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nFaclllty Name: L? a ry 't C l e", r,,^* r"< . EPA lD Number
Street Address, City,.F,.-".\'{o^ zlp Code: 61037-
County: [\ on^.1\s contactPerson:-T,'l^ Flqr nr.,y PhoneNumber: tl s f : - 1 1 5O
Generator Status:Number of Employees:Dateotvisit: g-3cJ-fe l2q5-
lnspectors: l\s(11 lY\Lt{ -Tayl0f
Other Personnel:
WASTE STREAiT I GENERATION PROCESS
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UTAH DEPARTMENT OF ENVIRONMENTAL QUALIW
DIVISION OF SOLID AND HAZARDOUS WASTE
Dennls R. Downs. Director
SQG Program
P. O Box 144880
Salt Lake City, UT 841 14-4880
(901)-539-6170
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Waste Generated per Month:
RESPONSE NECESSARY:RESPONSE DUE BY: i0 - 3 o *7{
HAZARDOUS WASTE GENERATOR EVALUATION FORM
GENERATION RATE
PER MONTH
HAZARDOUS
WASTE CODE
PROPERLY
MANAGED ?
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ENTS:
This compliance erraluation notes areas where your hazardous waste management practices may not meet the
regulatory requirements of the Utah Solid and Hazardous Waste Management Rules. !f a "Response Due Date'is
indicated, you must take the actions, summarized in this audit, in order to come into compliance and lloTIEY THISke the actions, summarized in this audit, in order to come into compliance and FQTIFY THIS
by the indicated date. Please be advised, that if we do not receive written oocumffi-oT
thes ns 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:
Title:
to r+ /,LName, Prin$(:_hi
,;lgnatgt€.*;] *t
liance
r)ate:Date:
Page2of6 r s
@xample) XYZ Companv Emplovee Training Log
Date: Apnl9,1997
fime: 10:00 am to 1l:00 am
Discussion lead by: John Doe, Health and Safety Coordinator
Topics discussed
t Hazardous Waste Accumulation fime
a. Do not store hazardous wastes for longer than 180 days on site.
b. Label each container or tank with the words 'Tlazardous Waste."
tr. Use and Management of Containers
a. Maintain a log weekly on the hazardous waste containers, are the containers closed,
Iabeled, dated and in good condition. If not, please contact the emergency coordinator in order to
rectiff the problem.
m. Other topics as discussed.
a.'b.
Employee Name (Please Print)Employee Signature
ETIIIS IS ONLY AN EXAMPLE AND MUST BE ADAPTED SPECIT'ICALLY TO
YOUR FACILITY AND TRAINING FORMAT.
1..
2.
3.
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UTAH DIVISION OF SOLID
AND HMARDOUS WASTE
SMALL QUANTIW GENERATOR
COMPLIANCE EVALUATION FORM
Page 5 of 6
8. SptLL RESPONSE OHESE RULES ARE FOUND lN R315-s)
a. Take appropriate actbn to minimize threats lo human health and the environment by notifying the Uiah State Department of
Environmental Quality 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 wasle or materialwhich when spilled becomes hazardous waste, is spilled as specified in 40 CFR
261 .33(e). Notify the Nalbnal Response Center when appl'rable and proviCe the appropriate informatbn, l'sted in R315-9(c), in
the spill report.
ACTION NEEDED:,.{,.d I
9. USEAND MANAGEMENTOFCONTAINERSCTHESERULESAREFOUNDIN40CFR265SUBPARTDa. HoH Hazardous Wastes in containers that are in good conditbn.
b. . Store hazardous wastes in containers that are compatble with the waste.
=c-)Xeep hazardous waste containers in a completely closed condilbn, except when adding or removing wasies.d. t Do not open, handle or store containers of hazardous wasle in a manner wh'rch may cause a release.'-edspect containers ol hazardous waste al least weekly to bok lor signs of leakage or deterbratbn. A bg shouH be kept,. 'Do not store incompatble hazardous wastes in the same container.
S. Do not store hazardous wastes in containers ihat prevbusly heH an incompatible material without cleaning it first.
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ni,ru(J /1nr PI4Ce-PREPAREDNESS AND PREVENTTON CTHESE RULES ARE FOUND lN 40 CFR 26s SUBPART C)
You must -operate yourfacility in such a mannerthat MINIMIZES the possbility of fire, erpbsbn or any unphnned release.
You must have the following preparedness and preventbn equipment unless ihe wasles'y,rcu stores do not pose ihe hazards
that the equipment is designed to respond to: lnternal communbatbns or alarm capable ol instructbn, such as an intercom; A
device capable ol summoning outsiJe emergency assbtance (such as a direct ahrm to the fire department or a telephone);
portable fke extinguishers; waler at adequate pressure and trolume to supply lke fighting needs; Alarms and communbatbn
devices accessble to personnel where they are handling hazardous wastes.
You must maintain and test where necessary all communicatbn systems; fire, spill response, decontaminatbn and protective
equipment.
You must maintain able space to albw unobstructed movement ol personnel and emergency equipment
Make anangemenls with bcal fire, police and hospitals to respond to emergency situatbns at your facility. Maintain
documentatbn ol notificatbn letters, responses or lack of responses Irom these agencies.
Document relusals by authorities to emergency anangements.
ACTION NEEDED:
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a.
b.
c.
d.
e.
f.
b.
c.
d.
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LAND DISPOSAL RESTRICTIONS (LDR) CTHESE RULES ARE FOUND lN 40 CFR 268.7(a[4))
lf pu treat lpur hazadou5 frastes to render them non-Land Dbposal Restrhed, 1ou must devebp and follow a writlen waste
analysis plan. This waste analysis plan must be based on a hboratory anatysis ol the waste, and must contain all necessary
elements, including frequency. The waste anatysis plan must be submitted to the Executive Secretary of the Utah SolU and
Hazardous Waste Control Board at least 30 days prbrto lreatment.
Mainlaln an assessment ol LDR status on file for each hazardous waste generated at the facility.
A notice and certificatbn that each wasle b, either not land dbposal restrbted, or it it b resiri:ted, that it b hnd disposable after
beatment, must accompany each manifested shirment of hazardous waste.
Maintain all LDR Documentation lorfive years afterthe waste b shi:ped off site.
ACTION NEEDED:
R315.16 UNIVERSAL WASTES, FLUORESCENT LIGHT TUBES
Fluorescent light tubes must be recycled or disposed of hazardous waste. Any broken tubes must be managed as a hazardous
wasle, but can still be recycled. Do not dispose of tubes in the regulartrash or in the dumpster.
Label either the wasle tubes or container hoHing the tubes as 'UNIVERSAL WASTE- MERCURY CONTAININGLAMPS'.
ACTION NEEDED:
R315.5.13 EXPORTS OF HAZARDOUS WASTT
R315.5.14 IMPORTS OF HAZARDOUS WASTE
usE AND MANAGEMENT OF TANK SYSTEMS OHESE RULES ARE FOUND lN 40 CFR 26s.2O1 SUBPART J)
a.
b.
13.
a.
14.
cl.
15.
16.OTHER ACTIONS NEEDED:
Fage O of e
CONTAINER MANAGEMENT LOG
UTAH DIVISION OF SOLID . I
AND HAZARDOUS WASTE
SMALL QUANTITY GENERATOR
COMPLIANCE EVALUATION FORM
Page 3 of 6
Items that are marked "NO" on the line in the left-hand column are not in compliance with the Utah Solid and
Hazardous waste Resurations "'1#;,:ffi#:1,ffi"i:?1""1'lfiiiri; ffl#ilf t;3.x;r,;;:tn" minimum requirements or the
(r. r. R315-5-2 DETERMINATION OFWHETHER AWASTE lS HAZARDOUS
ACTION NEEDED:
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R315.3 NOTIFICATION AND EPA HAZARDOUS WASTE IDENTIFICATION NUMBERS:
lf you generate between 100 and 1000 Kgs (220-2200 pounds) of hazardous waste per month or up to 1 Kg of acutety
hazardous waste, you are classified as a Small Quantity Generator (SOG), and you must notify the Executive Secretary ol
the Utah SolU and Hazardous Waste Control Board and obtain an EPA lD number. This is accompl'shed by notifying the Utah
Dlvis'ron of SolU and Hazardous Waste.
tf 1pu are a small quantity generator, you must obtain an EPA lD Number in order to ofler hazardous waste for management to
a lransporler or lo a lrealment, storage and disposal lacil'tty fl'SDF) that has an EPA lD Number.
ACTION NEEDED:
R315-5-0 MANIFESTS
Only use approved manifest lorm 870O-22 and 8700-224 when offering hazardous wastes lor lransport to a TSDF or use lhe
manifest of the state that the TSDF is located in, if required by thal state.
Des'rgnate another facility or instruct a transporter to retum wastes if they are undeliverable.
Fillout all applicable seclbns of lhe manifest.
Use a corilractual disposal agreement only if a generation rate is less than 1000 Kg/month (SQG or less).
Keep copies ol contractual agreements forthree years after service ends.
ACTION NEEDED:
R315-5-5 RECORD KEEPING
Keep copies of manifests for three years.
Keep all records, including determinatbn ol generation rates, wasle characterization documentatbn, dispositbn, etc., for three
years.
ACTION NEEDED:
R315.5.7 EXCEPTION REPORTING
lf TSDF does not return generators'copy of manifest within 60 days, a generalor must submit a letter stating so
and a copy of the manifest to the Executive Secretary of the Utah SoliJ and Hazardous Waste Control Board.
ACTION NEEDED:
R315-5-9 PACKAGING, LABELING, MARKING AND PLACARDING
Paclgge, Label and mark waste in accordance with DOT 49 CFR prbr to shipment.
ACTION NEEDED:
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7.R315.5.10 ACCUMULATION TIME
Do not store hazardous wastes lor bnger than 180 days, or 270 days if applicable, without a permit.
Do not exceed 6000 Kg of hazardous wastes stored at your lacility at any time.
Mark the date the accumulation period began on each container of hazardous wastes. Satellite accumulation containers are
the exceptbn.
Label each tank and container with the words 'HAZARDOUS WASTE" while it is being used to accumulale hazardous wasles.
Designate and authorize an emergency coordinator(s) who is(are) readity available by some means at all times.
Post the folbwing inlormatbn next to each telephone at the lacility Name and telephone number ol the emergency
coordinator(s) bcatbn(s) of lire extingubhers, spill control equipment and fire alarms, telephone number of the local fire
department (or equivalent emergency response for facility).
Ensure that all empbyees are lamiliar with hazardous waste handling and emergency procedures.
The emergency coordinator musl respond appropriately to emergencies that have the potential ol invoMng hazardous waste(s).
ACTION NEEDED:
a.
b.
c.
d.
e.
f.
g.
h.
Page 4 of 6
l.t
hese are only examples that will help you comply with the regulations, you must ADAPT the following information
)r and make it specific to YOUR facility.
SEE #10e
oday's date
etters to: Your Hospital
Your local Police Department
Your local File Department
ear sir or Madame,
I accordance with 40 DFR 265 Subpart C, we are required to notify you that we generate hazardous waste(s). The
'aste(s) that we generate is (are)...examples might be; paint wastes, paint sludges, Methyl Ethyl Ketone, Acetone,
ther solvents, acids, bases, listed wastes, etc.
/e make every effort to properly manage our waste, but in the event of an emergency we may require your assistance.
r the event of an unforseen emergency, would you be able to respond?
'our Name and Title
BC Company
#7e andTf
I€ IN CASE OF EMERGENCY DIAL 91 1
Sg, EMERGENICY COORDINATOR IS CARL CAREFUL-
EXT. 2s36!g FIRE EXTINGUISHERS'LOCATION MARKED ON
WALL!A SPILL CONTROL EQUIPMENT LOCATED AT TIME
CLOCK
uilIltEnsArffirE
IilENCUNY-COMillNG
DATC