DSHW-2025-001376

Uf EHVsp Ue Department of Environmee Quality
Divi-sion of Waste Management and Radiation Gontrol
P.O. Box 144880
Salt Lake City, Utah 84114-4880
Phone [phone]
Fax [phone]
INSPECTION WORKSHEET
Facility Name:
Costo Wholesale #484
EPA ID Number:
uTR000005082
Street Address:
648 East 800 South
City:
Orem
Ztp=
84097
Gounty:
Utah
Contact Person:
Louis Parra
Telephone #:
706-602-8666
Generator Status:
LQG
Number of Employees:
290
Date of Visit:
BNPUT
Evaluators:
Alex Pashley
Other Personnel:
Waste Stream/Generation Process Estimated Generation Rate Per
Month
Hazardous Waste Code
Spilled, damaged, returned, off spec, products that
that can not be resold or returned to the manufacture,
and are hazardous when being disposed of.
Usually SQG amounts D001, D002, D003, and
many others.
Electronic and un
lamps, and batter
versal wastes,
es.a
Oil and grease from the cooking of
foods, i.e. fat.
Non-H azardous.
Estimated Quantity of Hazardous
Waste Generated Per Month
Date' $nP0fP t -? tr
RECEIVED BY
Name: (Printed)
Signature:
DWMRC REPRESENTATIVE:
Name: (Printed) Alex Pashley
Signature:
Title:Title:
Site: Costorem EpA #: urfrooos oB2 Date , Bl7 12017
Hazardous Waste Inspection
Contingency Plan and Emergency Procedures Checklist
General Requirements:
Have copies been distributed to all local police
and fire departments, hospitals, and State and
local emergency response teams that may be
called upon for assistance?
R3l s-262-34@)@)
40 cFR 26s.s3
Content of the Contingency Plan:
l. Does the contingency plan describe the
actions facility personnel will take to minimize
the hazard to human health or the environment
when responding to fires, explosions, or any
unplanned sudden or non-sudden release of
hazardous waste?
2. Does the contingency plan describe
arrangements agreed to by local police and fire
departments, hospitals, contractors, and State
and local emergency response teams?
3. Does the contingency plan list the names,
addresses, and phone numbers (office and
home) of primary and all other persons
qualified to act as emergency coordinator?
4. Does the contingency plan include a list of
all emergency equipment at the facility? The
list must be kept up-to-date, and include the
location and a physical description of each
item on the list, and a brief outline of the
equipment's capab il ity.
5. Does the contingency plan include an
evacuation plan for the facility? This plan
must include a description of signal(s) to be
used to begin an evacuation, evacuation
routes, and alternate evacuation routes.
40 CFR 26s.52(a)
40 CFR 26s.s2(c)
40 cFR 26s.sz(d)
40 CFR 26s.s2(e)
40 cFR 26s.s2(f)
qL,
YDoes the facility have a least one employee
on-site or on-call at all time who is qualified to
act as the emergency coordinator?40 cFR 265.5s
Does the contingency plan include procedures
for activation of the internal alarm by the
emergency coordinator?
Does the contingency plan include provision
for notiffing the appropriate State and\or local
response agencies?
40 CFR 26s.56(a)(l)
40 CFR 265.s6(a)(2) )
June 2017 Page 1 of 3 Inspectors Initials
Site Costco Orft ,TD000o05olEPA #: uTDoooo(Date.8l7 12017
Hazardous Waste Inspection
Contingency Plan and Emergency Procedures Checklist
Does the contingency plan outline the
procedure(s) that the emergency coordinator
will follow to immediately identify the
character, source, amount, and extent of
released material?
40 cFR 26s.56(b)
Does the contingency plan include procedures
for the emergency coordinator to follow in
order to assess possible hazards to human
health or the environment?
40 CFR 26s.56(c))
If it is determined that the incident could
threaten human health or the environment,
outside the facility, the emergency coordinator
must notify the appropriate local, State and
Federal agencies. Does the contingency plan
include provision for notiffing the appropriate
agencies? Do the notification measures
include information to be reported (name and
telephone # of reporter, name and address of
facility, name and quantity of material(s)
involved, extent of injuries, and possibility of
exposure outside the facility), and identify the
National Response Center and the State as
parties to be notified?
ro cFR 26s.s6(dxl) & (dx2
Does the plan include procedure to prevent the
spread of the incident to oth er hazardous waste
at the facility?
40 CFR 26s.56(e)
Are measures included to monitor for leaks,
pressure buildup, Bas generation, or ruptures in
valves, pipes, or other equipment, when it is
necessary to shut-down operations as a
response to an incident?
40 cFR 26s.56(0 /k
Does the contingency plan provide procedures
to follow to manage the hazardous waste
generated as a result of an incident?
40 CFR 26s.56(e)L,^.n
Following implementation of the contingency
plan, are provisions included to ensure that in
the affected area(s):
l. No waste that may be incompatible with the
released material is treated, stored, or disposed
of until the cleanup is complete.
2. That all equipment listed in the contingency
plan is cleaned and fit for use prior to
resuming activities at the facility.
40 cFR 26s.s6(h)
40 cFR 26s.56(hxl)
40 cFR 26s.56(hx2)
June 2017 Page 2 of 3 Inspectors Initials
Site Costco Gem uTD0000(EPA #: 'TDooooo*'Date .817 12017
Hazardous Waste Inspection
Contingency Plan and Emergency Procedures Checklist
Does the contingency plan include provisions
for notiffing the appropriate federal, State and
local authorities that the facility is in
compliance with 40 CFR 265.56(h) prior to
resuming operations in the affected area?
40 cFR 265.56(i)
The contingency plan must include provision
for recording the incident requiring
implementation of the contingency plan and
specifying information that will be recorded
and reported. The requirements are as
follows:
l. Will a written report on the incident be
provided to the Utah State Department of
Environmental Quality within l5 days?
2. The following information needs to be
recorded and reported:
a) The name, address, and telephone # of the
owner/operator;
b) The name address, and telephone # of the
facility;
c) Date, time, and type of incident;
d) Name and quantity of material(s) involved;
e) Extent of injury, if any;
0 An assessment of the actual or potential
hazard to human health or the environment;
and
g) An estimate of the quantity and disposition
of recovered material(s) that resulted from the
incident.
40 cFR 26s.s6(i)
40 cFR 26s.56(i)
40 CFR 265.560)(l) thru (,)(7)
Page 3 of 3June 2017 Inspectors Initiar, M
site, CoOt EpA #: urD;oooso 82 Date . BlTt2O17
WASTE MANAGEMENT
& RADIATION CONTROL
Hazardous Waste Inspection
Personnel Training Checklist
Facility personnel must successfully complete
classroom instruction or on-the-job training
which teaches them to perform their jobs, such
that the facility is operated in compliance with
the applicable hazardous waste management
requirements.
R3I s-262-3a(a)(a)
40 CFR 26s.16(aXl)
OK
Is the program directed by a person trained in
hazar dous waste management procedures?40 CFR 26s.16(aX2)ok
Does the training teach facility personnel
hazardous waste management and contingency
plan implementation procedures?
40 CFR 26s. l6(a)(2)Yes
Does the training program include, at a
minimum, the following, where applicable:
l. Procedures for using, inspecting, repairing,
and replacing facility emergency equipment;
2. Key parameters for automatic waste cut-off
systems;
3. Communications or alarm systems;
Response to fires or explosions;
5. Response to groundwater
contamination incidents ;
6. Shutdown of operations; and
Evacuation of personnel procedures.
40 CFR 26s.16(a)(3)
40 CFR 265.16(a)(3)(i)
40 CFR 265.16(aX3)(ii
40 CFR 26s.16(aX3)(iii)
40 CFR 26s.16(a)(3)(i
40 CFR 26s.16(a)(3)(v)
l0 CFR 26s.16(a)(3Xvi
,Where applicable
Have facility personnel successfully completed
the personnel training program within six
months of the date of their employment or
assignment to the facility?
40 cFR 26s. r6(b)
ok
Do the facility personnel receive an annual
review of their initial training?40 CFR 265.16(c)Yes
June 2017 Page 1 of 2 Inspectors Initial, A
Site Costco ot,urDooooouoO
Date ,gfr12017EPA #:
Hazardous Waste Inspection
Personnel Training Checklist
The owner/operator of the facility must
maintain the following documents at the
facility:
l. The job title for each position at the facility
related to hazardous waste management, and
the name of the employee filling each job;
2. A written job description for each position
listed under # l;
3. A written description of the type and
amount of both introductory and continuing
training that will be given to the employees
listed in # l, and;
4. Records that document that employees have
the training or job experience required by
paragraphs 265.16 (a), (b), and (c).
40 cFR 26s.16 (d)
40 cFR 26s. l6(dx l )
40 cFR 26s.16 (dX2)
40 cFR 26s.16 (dX3)
40 cFR 26s.16 (dX3)
Are training records maintained at the facility
for current employees and for at least three
years for employees that have left the
company?
40 CFR 26s-16(e)
June 2017 Page 2 of 2 Inspectors Initiarr(