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HomeMy WebLinkAboutDSHW-2025-001377i*i',-ll 'u'" ;:f-lii 'iii'" ,i :i: " i.,l.i" 'i' ''lii'" o;''''*;,i '.Iii,,".:,, r...i+ #:ffi ,i]t{ry}i, ' ffi,,,,i ui. ;':$ fr'.$,e, Michael O. l.eavitt Governor Dianne R. Nielson, Ph.D. Executive Director Dennis R. Downs Director DEPARTMENT OF ENVIRONMENTAL QUALITY DIVISION OF SOLID AND HAZARDOUS WASTE 288 North 1460 West P.O. Box 144880 Salt Lake City, Utah 841144880 (801) 538-6r70 (801) 538-6715 Fax (801) 5364414 T.D.D. www.deq. state.ut.us Web QrtT Lak,th ver LtC'o t/'\A/\ ^ 1 Tare0.\^ah t,tnA qTDu July 15, 1999 Costco Wholesale 648 East 800 South orem, ut 84097 Attn: Michele Lundberg, Licensing Specialist Dear Ms. Lundberg: This letter is to acknowledge you have filed a Notification of Hazardous Waste Activity. Your EPA Identification Number is UTR000005082. The EPA Number must be included on all shipping manifests for transporting hazardous wastes; on all Biennial Reports that generators of hazardous waste must file with the State of Utah and other hazardous waste management reports and documents required under the Utah Solid and Hazardous Waste Act and the Utah Administrative Code (he Code). The EPA Number is site specific. If your company changes physical locations, it is your responsibility, as a generator, to notify the state and apply for a new EPA Number. If you have any questions please contact Delene Thomas at 538-6170. Sincerely, 0A- Dennis R. Downs Executive Secretary Utah Solid and Hazardous Waste Control Board Please pint or type with ELITE type (12 characters per inch) in the unshaded areas only Form Apprcved, OMB No. fr*N?tl Eryios 9-.30-96 EPA Form 870G12 (Bev. 11-30€3) Prcvloue cdltlon lr obrolcta.Con0nued on Rcvoritc Form ,Appoved,, OMB No. frSO&fr E\pires 9130-96 G&{ No. 024*E?AOTPlease print or type with ELITE tlpe (12 ch+rrcters per inch) in the unshaded areas only, .fers per inch) in the unshaded a I ,r:i$i:i:iii::;,,:.i;il\trD "i:'For, OtfiEliil USe=pnlUi.NN\Ns\ l - ,:\': \iE,ir,;2; Srnall $uan0$ Er j|ld-n, :i'lndlcate Type','6f , Combuatlon tiiri ,lir i'*,irii:=ii:i\:i:;'i;l:it ,,,:,ii $lii sl .. . tlevlce(g1 1i"r,ii,ii,'iri.,tili+ii*iii\.l." i,iiiii;;,ii,:..iiiii,llii:llS::' *i$:',li.: s,i l\silrs,$,;$i;1i5;, n ,;,ii. Oduti Hriffi','...ti,tr,,,,:iXi:,r+,1;tii ii\\' ,ii,', iiil,,..,1-,t$iiii*:,tir,,..itir:t,1i..'",fI ,,2. lnou;Hil BollCi l..f1ii l,,,';r$..ilt,: 1,.*\Sirr$aie;,,.sroi_ri.ii..o.1"ii.iia.{".i,ii(iii\i ,i \,,$,il n stal Iatlo n) Note :i:A pe r mI t .\ls .\) isi,,rSiiileqriiidd,,tr+uiiC'iiiitirintty j.,isHi\,Ninlg $t N:t,sNr*isl ,Ni$\.\Hi11 rdq*"w3i-Ej,f r*1,.. {$ +\\ B. Lbted Hazardous Wastes.(Soe 40 CFR fi1.31 - 33; Soo lnstructlons ll yw nae'd to ilst mono tlun 12 wasta cottes.) #Hf#Hffi(::ffi p j,;?{ffi ;}-},-AF^ffi +rj:-fi3i' -t r.:'.e :'1.V. ;!dii! wdqt }}.',,f.t.qS , ) ,f, is 'it#;'m Sltr', \+i/9d11' .'rl<^ rt;ffi i{,*m'.-#*ffi,ifil I L' {, +i i q, I t'+'i<f.l.t s+l:,)i ,'; t-l- 'o.^:F;i'5t. ' ,!{, :' .i: t a ffiru-t"-l-]ffi-T tffiI[ I ccrtfy undcr p.nllty ol lrw lhat thl. documcnt and lll ltlschtncntr warc pGprrad undar my dlrccllon or lupawlrlon ln accordlnca wllh a.yd.m d.rlgncd to !.rurc thd qurtltl.d p.r&nnct proporty grlh.r.nd cyllurtc thc lntormltlon rubmlitrd. B.tod on my lnqulry of thc Pcrtonor pcrronr who mcnagc thc rytllm, ot thor. p.non. dlrrctly ruponrlblc tor gdhcilng thc lnlormatlon, lhc lnformatlon rubmlttcd lr, lo th. bctl o, my knowlcdgc lnd bcll.r, iru., .ccuretc, and complct.. I !m lwarc lhll thcr. !r. rlgnllhrnt poneltlcr lor rubmlttlng lalrc lnlormlilon, lncludlng thc aoa.lblllty ol tlno and lmprhonmcnt tor klpwlng vlohllon.. $** s,Wft Name and Ofllclal Tltle (Type or prlnt) ffiAIL E. TSUffiffI i ,'",3c[0i" &t Ucens;i"ifl Date Slgned JUt 3 0 tsgg l{oir: Mall compbtrd lorm b ttto tpproprht EPA Rcalonal or Stab Offlca. (So Scclloa lil ol tlr boobt lot oddll,clrc,.) EPA Form 87qF12 (Rev. 11-30{}) Prevlorr! cdltlon lr obrol€to.