DSHW-2025-001476

S*# #flUtnh
Michael O. Leavitt
Got cmor
Dianne R. Nielson, Ph.D.
Executivo Direcror
Dennis R. Downs
Director
C:
DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF SOLID AND HAZARDOUS WASTE
288 North 1460 West
P.O. Box 144880
Salt L-ake City, Utah 84114-4880
(801) 538-6 170
[phone] Fax
[phone] T.D.D.
February 28, L994
Refinishing Center
3435 South West TempleSaIt, Lake City, UT 8 4l- L5
Attention: Garret Fronk, Owner
Dear Mr. Fronk:
fhis is to acknowledge that you have filed for a notification of
Hazardous Waste Activity
Your EPA Identification Number is UTO000L2L3ol-.
The EPA Number must be included on all shipping manifests fortransporting hazardous wastes; on all Biennial Reports thatgenerators of hazardous waste must file with the State of Utah andother hazardous waste management reports and documents requiredunder the Utah Solid and Hazardous Waste Act and the UtahAdministrative Code (the Code).
If you have any questions please contact Delene Thomas at 538-6170.
Sincerely,
M''$odDennis R. Downs
Executive SecretaryUtah Solid and Ha zardous Waste Control Board
Dave Schal1er, U.S. Environmental Protection Agency,
Region VIII
Prirrtt-.cJ on recycled praper
Date Received
(For Official Use Only)
Ptease reler to the lnstrudionslor Filing Notiflcation betorecompletng Uris lonn. Theinformaton requ€stod here isrequired by hw (Sacrion 3Ot0of thc Resowca conseruationand Recovery /r//.
i}EPA Notification of
Regulated Waste
Activity
United Statc Erwironmental ftmcnlon
l. lnstallatlon's EPA lD Number (Mark'X ln the approprlale boxl
Et I A. First Nottllcatton n B. Subseguent Nottllcatlonl/\l I | (completeitemG)
ll. Name of lnstallatlon (lnclude company and speciflc slte namel
lll. Locatton of tnstallation (Physical address not P.O. Box ot Route Numbelfl
Street
Sireet (contln
CIty or Town k
lV. lnstallatton Mailtng Address (See lnstrudlons)
Street or P.O. Bor
Y. lnstallauon Contact (Person to be contected regardlng rsste actMrr.r aa srtr,
Name (last
Phonc Numbet (aru codo and numbcr)
Vl. tnstaltatlon Contact Address (See lnstrucllons)
B. Street or P.O. Bor
City or Town
Vlt. Ownershlp (See instructlonsf
A. Name of lnstallation's Legal Owner
Street, P.O. Bor, or Route Nurnber
City or Town ZP Code
PhqOe Numbet rarea eode and number
D. Changc ol Owner (Date Changed)Monttr Dav- Year
P[ease print or type with ELITE type (12
EPA Form 8700-12 (01-90) Previous edition is obsolete.
Rtv.6B0
per inch) in the unshaded areatf only
{y'
t0
,,t,tii
contrnue on reverse
O *o,,va<t. o'aNo.20,o-@28. Eo,cs,o-Jr-f rll
Please print or type wth EUTE type (12 characterc p€r inch) in the unshaded arers only
lD - For Oflldal Use Only
Vllt. Type of Fegulated Wastc Ac-ttulty (Ma*'X tnthc apgoprlale Dorrs Rcler to tlrlrr"a"rol)
A Hazal@us Waste Activrty B. Us€d Oil Fuel ActlviUs
Generer (S€e lnstustonsl
a. Greerthan lffiq/nro (Zm bs.)
b. 100 b 1000 kdmo (m - Zm lbs.)
o. Lesstran l(D kg/rno (m lbs.)
Transporbr (lndicab Mode in boxee 1-5 below)
e. For own wasb qtly
b. For cornrnercial pulpms
Mode ol Transportatcntr 1. Airtl z. Reitn a. Herrwaytr 4.wabr
t] s. otror - specify
Treabr, Sbr€r, DbpGer (at instalhtionl
Nob: A permit is required for
fins actvity; lne insfirctilrns.
Hazadow Wasts Fuel
a Generabr Markoling b Bumer
b. Ofier Merkffirs
c. Burner - indicab clevics(s) -
Ttrye of Combuston Devico
tr r. utitty Boilor
U Z hdusuhl Boiler
U 3. lndusilial Furnrceu5. Undergiound lnjection ConUd
U
trn
1. Of?-Specitlcdon t sed Oil Fuel
t] a Generabr Marleting b Bumer
n b. Other Markerer
t] c. Burner - indicab devica(s) -
Type o, Cornbustlcn Danica
l-.|. ,. utitlty Boiler
t] z hdrrsuiat Boilor
n 3. frdusfrial ftnnace
n Specffication Used Oil Fuel Marketer
(or O11-site Burne$ tthg First Oaimsne Oii Meets tne Specrfication
lX. Descrlptlon of Regulated Wastes (Use addltlonal sfieets it necessary,\
^/A Ch.?.ct rkdc. ol l{onllrtod Hezrrdour W.3h+ Mad( 'X' in lh. box6 conesponding to the charas:teristiG o, nonlisbcl hazardous
wcstet your lnstallelion handbs. (Sec rO CFR Parc fi|.N - 261.24)
I.
(tist sp€cific EPA hazardous wasb number(s) br the EP Toxic contaminant(s))
1. lgnitable 2 Concive 3. Reactive 4. EP Toxic'ffi,, ,tr 'ffi,, ,ff
Utbd Hazildou. W.rt .. (S€e 40 CFR 261.31 - 3:r. S€. infilgtirns il you neecl to list mors than 12 wsst8 cod€s.)
C. Othcr \tastes. (State or other wastes requiring an l.D. numb€r. S€e insrr,rctions.)
I cerll$ under penalty ol law that I have personally examlned and am lamlllar wlth the lnlormatlon submltted ln thls
and eil attaclrcd documents, and that Dased on firy lnqulry of tiose lndlvlduals lmmedlately rcsponslble lor
obtalntng the lnlormatlon, I belleve that the submltted lntormatlon ls true, accutete, and complete. I am aware
that there are slgnlflcant penaltles lor submlttlng lalse lnlormatlon, lncludlng the posslbllity ol tlnes and
lmprlsonment
Nageapct Otficial fitle (tyqor print),( \trrc [- f-rs Yt l(Date Sionedrrglol .-qq
Note: Nell completcd lotm to thc apptopd.tc EPA Regional or Slalc Olllce. (Sce Sccrroa lll ol t/l,e booklet lor addrcsscs.)
EPA Form 8700-12 (01-90) Previous edltton ls obsolete. -2 -
Rcv. 6190