DSHW-2024-005630

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Dennis R. Downs. Director
P. O Box 144880
Salt Lake City, UT 84114-4880
(801)-538-6170
HAZARDOUS WASTE GENERATOR EVALUATION FORM
Facility Name:
srreer Address: Z-Z3b S- I Z?oO Ul'City ztpcode= 8tt tt ?
county: S( C- Contact Person' ill^2tt-iscr,a one Number: nL- I
Generator Status:Date or visit: -f lsJ 1L
lnspectors:
Other Personnel:
_ Number of Emplo;*.^ I J*,^
WASTE STREAM, GENERATION PROCESS GENERATION RATE
PER MONTH
HAZARDOUS
WASTE CODE
PROPERLY
MANAGED ?
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Total Quantity of Hazardous
Waste Generated per Month:/\-- ru Enl r"*'tq
RESPONSE NECESSARY: YES tr\)
RESPONSE DUE BY:
COMMENTS:
This compliance evaluation notes areas where your hazardous waste management practices may not meet the
regulatory requirements of the Utah Solid and Hazardous Waste Management Rules. You must take the following
actions, summarized on the following pages, in order to come into compliance with these requirements. Please be
advised that if you do not take these actions within the required time frame, you may be subject to further regulatory
action, including administrative penalties.
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 INSPECTOR:
Name, Printe
Signature:
Title:
Date:
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*\,^Name,
Signa
Title:
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SMALL QUANTITY GENERATOR
COMPLIANCE EVALUATION FORM
Page 2 of 3
Facility and Date
Items that are marked "NO" on the line in the left-hand column are not in compliance with the Utah Solid and Hazardous Waste
Regulations and require your immediate attention. Items marked "OK" meet the minimum requlrements of the regulations. ltems
marked "NA" do not apply to your facility.
-b 1.R31 5.5.2 DETERMINATION OF WHETHER A WASTE IS HAZARDOUS
ACTION NEEDED:
R315.3 NOTIFICATION AND EPA HAZARDOUS WASTE IDENTIFICATION NUMBERS:
lf you generate betweenl 00 Kg - 1 000 Kg (220-2200 pounds) of hazardous waste per month or 0-1 Kg of acutely hazardous
waste, you are classified as a Small Quantity Generator (SOG), and you must notify the Executive Secretary of the Utah Solid
and Hazardous Waste Control Board and obtain an EPA lD number. This is accomplished by notifying the Utah Division of
Solid and Hazardous Waste.
lf you are a small quantity generator, you must obtain an EPA lD Number in order to otfer hazardous waste for management to
a transporter or to a treatment, storage and disposal facility (TSDF) that has an EPA lD Number.
ACTION NEEDED:
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3.R315.5.4 MANIFESTS
Only use approved manif est form 8700-22 and 8700-224 when otfering hazardous wastes for transport to a TSDF or use the
manilesi of ihe staie ihai ihe TSEIF is locaied in, il required by ihai siaie.
Designate another facility or instruct a transporter to return wastes if they are undeliverable
Fill out all applicable sections of the manifest.
Use a contractual disposal agreement only if a generation rate is less than 1000 Kghonth (SQG or less).
Keep copies of contractual agreements lor three years after service ends.
ACTION NEEDED:
R315.5.5 RECORDKEEPING
Keep copies of manifests for three years.
Keep all records, including determination of generation rates, waste characterization documentation, disposition, etc., for three
years.
ACTION NEEDED:
R315.5.7 EXCEPTION REPORTING
lf TSDF does not return generators' copy of manifest within 60 days, a generator must submit a letter stating so
and a copy of the manifest to the Executive Secretary of the Utah Solid and Hazardous Waste Control Board.
ACTION NEEDED:
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R315.5.9 PACKAGING, LABELING, MARKING AND PLACARDING
Package, Label and mark waste in accordance with DOT 49 CFR prior to shipment.
ACTION NEEDED:
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7.R315.5.10 ACCUMULATION TIME
Do not store hazardous wastes for longer than 180 days, or 270 days if applicable, without a permit.
Do not exceed 6000 Kg of hazardous wastes stored at your facility at any time.
Mark the date the accumulation period began on each container of hazardous wastes. Satellite accumulation containers are
the exception.
Label each tank and container with the words "HAZARDOUS WASTE" while it is being used to accumulate hazardous wastes.
Designate and authorize an emergency coordinato(s) who is(are) readily available by some means at all times.
Post the following information next to each telephone at the facility: Name and telephone number of the emergency
coordinato(s) location(s) of fire extinguishers, spill control equipment and lire alarms, telephone number of the local lire
department (or equivalent emergency response for facility).
Ensure that all employees are familiar with hazardous waste handling and emergency procedures.
The emergency coordinator must respond appropriately to emergencies that have the potential of involving hazardous wasle(s).
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UTAH DIVISION OF
AND HAZARDOUS
SMALL QUANTITY
SOLID
WASTE
GENERATOR
Page 3 of 3
Facility and date
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CoMPLTU)E EVALUATTON FoRM o'n4 8. SPrLL RESPONSE (THESE RULES ARE FOUND tN R31s-9)
---{t} a. Take appropriate action to minimize threats to human health and the environment by notifying the Utah State Department of
Environmental Quality at [phone] or 1-800-572-5400 (24 hour number) if more than 1 Kg of acutely hazardous waste
or 100 Kg of hazardous waste or material which when spilled becomes hazardous waste, is spilled as specified in 40 CFR
261 .33(e). Notify the National Response Center when applicable and provide the appropriate information, listed in R315-9(c), in
the spill report.
ACTION NEEDED:
9. USE AND MANAGEMENT OF CONTATNERS (THESE RULES ARE FOUND IN 40 CFR 26s SUBPART Da. Hold Hazardous Wastes in containers that are in good condition.b. Store hazardous wastes in containers that are compatible with the waste.c. Keep hazardous waste containers in a completely closed condition, except when adding or removing wastes.d. Do not open, handle or store containers of hazardous waste in a manner which may cause a release.e. lnspect containers of hazardous waste at least weekly to look for signs of leakage or deterioration. A log should be kept.f. Do not store incompatible hazardous wastes in the same container.
S. Do not store hazardous wastes in containers that previously held an incompatible material without cleaning it first.h. Separate incompatible hazardous wastes by means of a dike, berm or other method.
ACTION NEEDED:
10. PREPAREDNESS AND PREVENTTON (THESE RULES ARE FOUND IN 40 CFR 255 SUBPAHT C)a. You must operate your facility in such a manner that MINIMIZES the possibility of fire, explosion or any unplanned release.b. You must have the following preparedness and prevention equipment unless the wastes' you stores do not pose the hazards
that the equipment is designed to respond to: lnternal communications or alarm capabie of instruction, such as an intercom; A
device capable of summoning outside emergency assistance (such as a direct alarm to the fire department or a telephone);
portable fire extinguishers; water at adequate pressure and volume to supply fire lighting needs; Alarms and communication
devices accessible to personnel where they are handling hazardous wastes.c. You must maintain and test where necessary all communication systems;fire, spill response, decontamination and protective
equipment.
d. You must maintain aisle space to allow unobstructed movement of personnel and emergency equipmenie. Make arrangements with local fire, police and hospitals to responde to emergency situations at your facility. Maintain
documentation of notification letters, responses or lack ol responses lrom these agencies.f. Document refusals by authorities to emergency arrangements.
ACTION NEEDED:
11" LAND DISPOSAL RESTRICTIONS (LDR) (THESE RULES ARE FOUND IN 40 CFR 268.7(a)(a))
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a. lf you treat your hazardous wastes to render them non-Land Disposal Restricted, you must develop and follow a written waste
il analysis plan. This waste analysis plan must be based on a laboratory analysis of the waste, and must contain all necessary
{ elements, inclurding frequency. The waste analysis plan must be submitted to the Executive Secretary of the Utah Solid and
: Hazardous Waste Control Board at least 30 days prior to treatment.
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b. Maintain an assessment of LDR status on file for each hazardous waste generated at the facility.t^l
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c. A notice and certification that each waste is, either not land disposal restricted, or if it is restricted, that it is land disposable after
+ treatment, must accompany each manifested shipment ol hazardous waste.
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d. Maintain all LDR Documentation for five yearlafter the waste is shipped otf site.
^ AcroN NEEDED g*" - LNa \Lq 5 ye.,*r <
flh 12. R315-5-11 FARMERs
a. Do not dispose of containers that held hazardous wastes without lirst triple rinsing and disposing of rinsate on your property in a
manner consistent with the instructions on the original packaging.
nA 13. R315-5-1s ExpoRTs oF HAzARDous wASTE
a. You must comply with all notification, reporting and manilesting requirements for exporters of hazardous waste (40 CFR 262
Subpart E, 262.50-262.58).
14, R315.5.14 IMPOHTS OF HAZARDOUS WASTEa. You must comply with all notification, reporting and manifesting requirements lor importers of hazardous waste (40 CFR 262
Subpart F,262.60).
/t 15. usE AND MANAGEMENT oF TANK sysrEMs (THESE RULES ARE FouND rN 40 cFR 265.2o1suBpART J)16. OTHER ACTIONS NEEDED:
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