DSHW-2024-006086

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oF ENVTRO$TAL QUAL|TYUTAH
Dennis R. Downs. Pjre,ctor
SQG Program
P. O Box 144880
Salt Lake City, UT 841 14-4880
(901 )-538-6170
AND HMARDOUS WASTE
HAZARDOUS WASTE GENERATOR EVALUATION FORM
FacirityName: 4ra.( Eo/ EpAtD Nsmber Af @ ZzgV6o
Street Address: ZzO ,fr, dcgf Z?zkny 5ze Zip Code:
Countv, 5Z contast Person: - 7, ' t ,hone Numb er: .f76 -./ada
Generator Status: SA G Number of Employees Date of Visit:,f-ZO_?F
lnspectors: Fo / Ezzz-= 'aoly' 4
other Personnet: ^2 ' /r
WASTE STREAM, GENEHATION PROCESS GENERATION HATE
PEH MONTH
HAZARDOUS
IffASTE CODE
PROPERLY
MAIIAGED ?
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//czal ,b/t- ,4*z- z,z Zaae,/.'/o
Total Quantity of Hazardous
Waste Generated per Month:7aa-fl6t,4h
HESPONSE NECESSAHY:
COMMENTS:
RESPONSE DUE Jo,rta 44
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. lf a "Response Due Date' is
indicated, you must take the actions, summarized in this audit, in order to come into compliance and notify this office
lN WRITING by the indicated date. Please be advised, that if we do not receive written documentation of these
corrective actions by the response due date, you may be subject to further regulatory action, including administrative
penalties.
lf you have further questions, or would
ccntaci them during business hours at
the top of this page.
RECEIVED BY:INSPECTOR:
Naffi€, Printed
Signature:
Title: Compliance Officer
Date:,f-.ZO-?7
like to discuss these issues with the inspectors or their supervisor, you may
(BO1)538-6170. items that must be submitted may be mailed to the acidress at
Narne, Print
Signaturg:
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These are only examples that wiil help you comply with the regulations, you must ADAPT rhe
following information for and make it specific to YOUR faciJity
Today's date
Letters to:
see #10 e
Your Hospital
Your local Police Department
Your local Fire Department
Dear Sir or Madame,
In accordance with 40 CFR 265 Subpart C, we are required to notify you that we generate
hazardous waste(s). The waste(s) that we generate is (are)..examples might be; paint wastes,
paint sludges, Methyl Ethyt Ketone, Acetone, other solvents, acids, bases, Iisted wastes, etc.
We make every effort to properly manage our waste, but in the event of an emergency we may
require your assistance. In the event of an unforseen emergency, would you be able to respond?
Your Name and Titie
ABC Company
4{le and 7f
OA IN CASE OF EMERGENCY, DIAL 911
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SS FIRE EXTINGUISHERS'LOCATION MARKED ON
WALL
r€ SPILL CONB.OL EQUIPMENT LOCATED AT
TIME CLOCK
ffi urAH DtrlN oF soltD
AND HAZFRDOUS WASTE
SMALL QUANTITY GENERATOH
COMPLIANCE EVALUATION FORM
Page 2 of 3
Facility and Date
.'
,
and Hazardous Waste
of the regulations. hems
ftems that are marked "NO" on the line in the left-hand column are not in compliance with the Utah Solid
Regulations and require your immediate attention. ttems marked "OK" meet the minimum requirements
marked "NA" do not apply 1o your facility.
2r( 1.FI31 5.5.2 DETEHMINATION OF WHETHEH A WASTE IS HAZAHDOUS
ACTION NEEDED:
oK 2.R315.3 NOTIFICATION AND EPA HAZAHDOUS WASTE IDENTIFICATION NUMBEBS:
ll you generale between 100 and 1000 Kgs (220-2200 pounds) of hazardous waste per month or up to 1 Kg of acutely
hazardous waste, you are classi{ied as a Small Quantity Generalor (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 notitying the Utah
Division ol 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 lo a treatment, slorage and disposal facility fl'SDF) that has an EPA lD Number.
ACTION NEEDED:
R315-5-4 MANIFESTS
OnlyuseapprovedmanifesttotmSToo-22and8700-22A whenofferinghazardouswasteslorlransporttoaTSDForuselhe
manifest of lhe slate that the TSDF is located in, if required by that siate.
Designate another facifty or instruct a transporter to return wastes if they are undeliverable.
Fill out all applicable sections o, the manifest.
Use a contractual disposal agreement only if a generation rale is less lhan 1000 Kg/monlh (SQG or less).
Keep copies of conlractual agreements for three years atter service ends.
ACTION NEEDED:
H315.5.5 RECOFD KEEPING
Keep copies of manifests for three years.
Keep all records, including determination of generation rates, waste characterization documentation. disposition, elc., for three
years.
ACTION NEEDED:
R315-5.7 EXCEPTION REPOHTING
lf TSDF does not return generators' copy of manifest within 60 days, a generalor must submil a letter stating so
and a copy of the manifesl to the Executive Secretary of the Ulah Solid and Hazardous Waste Control Board.
ACTION NEEDED:
R315-5.9 PACKAGING, LABELING, MARKING AND PLACARDING
Package, Label and mark waste in accordance with DOT 49 CFR priorto shipment.
ACTION NEEDED:
b.
OKt
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Tb
3.
a.
b.
c.
d.
a
6.
7.R315-5.10 ACCUMULATION TIME
Do not store hazardous wastes for longerlhan 180 days,.or 270 days il applicable, wilhout a permit.
Do not exceed 6000 Kg of hazardous wastes stored at your facility at any time.
Mark the date the accumulalion period began on each container of hazardous wastes. Satellite accumulation containers are
the exception.
Labei each lank and container wiih the words "HAZARDOUS WASTE" while it is being used 1o accumulate hazardcus rvasies.
Designate and authorize an emergency coordinalor(s) who is(are) readily available by some means at all times.
Post the following inlormation next to each telephone at the facitrty: Name and telephone number of the emergency
coordinator(s) location(s) ol fire extinguishers, spill control equipment and lire alarms, telephone number of the local fire
department (or equivalent emergency response for facility).
Ensure that all employees are lamiliar with hazardous waste handling and emergency procedures.
The emergency coordinator must respond appropriately to emergencies that have the potenlial ol invoMng hazardous waste(s).
ACTION NEEDED:
d.
b.
g.
h.
o.
ao
I.
@xample) XYZ Company Employee Training Log
Date: April9,1997
Time: 10:00 am to 11:00 am
Discussion lead by: John Dowe, Health and Saftey Coordinator
Topics discussed:
Hazardous Waste Accumulation Time
a. Do not store hazardous wastes for longer than 180 days on site.
b. I-abel each container or tank with the words "Hazardous Waste".
Use and Management of Containers
a. Maintain a log weekly on the hazardous waste containers, are the
containers closed,labeled, dated and in good condition. If not, please
contact the emergency coordinator in order to rectify the problem.
Other topics as discussed.
a.
b.
Employee Name (Please Print)
1.
2.
5.
Employee Signature
THIS IS ONLY AN EXAMPLE AND MUST BE ADAPTED SPECIFICALLY TO YOUR
FACILITY AND TRAIMNG FORMAT.
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SMALL QUANTITY
SOLID
WASTE
GENERATOR
Page 3 of
AKT 8.
Facility and dat
COMPLIANCE EVALUATION FORM
sPtLL RESPONSE (THESE RULES AHE FOUND lN H31s-s)
Take appropriate action to minimize threats lo human heaith and the environment by notifying the Utah State Depanment of
Environmenlal Quality at (801)536-4'123 or 1-800-572-6400 ( 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 speciiied in 40 CFR
251.33(e). NotifytheNational ResponseCenterwhenapplicableandprovidetheappropriateinformation,fstedinR315-9(c).i:
the spill report.
ACTION NEEDED:
usE AND MANAGEMENT OF CONTAINERS TTHESE RULES ARE FOUND tN 40 CFB 25s SUEPART 0
Hold Hazardous Wastes in containers that are in good condition.
Store hazardous wasles in containers that are compatible with the waste.
Keep hazardous wasle containers in a completelv closed condition. except when ar{rling or removing wastes.
Do not open, handle or slor€ containers ol hazardous waste in a manner which may cause a release.
containers of h r siqns of leakage or deterioration. A log shouH be k
Do not store incompatible hazardous wastes in the same container.
Do not store hazardous wastes in containers lhat previousty held an incompatible material without cleaning it first.
Separate incompatible hazardous wastes by means ol a dike, berm or olher method.
d.
9.
a.
b.
@
cl.
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g.
h.
10.
a.
b.
11.
d.
b.
c.
d.
12.
a.
13.
a.
14.
a.
15.
16.
ACTION NEEDED:
PFEPAHEDNESS ANO PFEVENTTON CTHESE RULES ABE FOUND tN 40 CFR 26s SUBPAFT C)
You must operate your facility in such a manner thal MINIMIZES the possibility ol fire, explosion or any unplanned release.
You musl have the lollowing preparedness and prevention equipment unless the wastes'you stores do nol pose lhe hazards
that the equipmeil is designed to respond to: lnternal communications or alarm capable ol in$ruaion, such as an inlercom; A
device capable ol summoning outside emergency assistance (such as a direct alarm lo lhe lire departmenl or a telePhone);
portable lire e:iinguishers; water al adequale pressure and volume lo supply lire lighting needs; Alarms and communication
devices accessible to personnel where they are handling hazardous wastes.
You must maintain and test where necessary all communicalion systems; fire, spill response, decontamination and protective
equipment.
You must maintain aisle space to allow unobslructed movement ol personnel and emergEncy equipment
Make arrangemenls with bcallire. poftce and hospitals lo respond lo emergency shuations at your faci&ty. Mainlain
documentation of notilication letters. responses or lack of responses {rom these agencies.
Document relusals by aulhorities 10 emergency arrangements.
ACTION NEEDED:,/orc.-)-2a/<f A{tzu
LAND DISPoSAL HESTRICTIoNS (LDR) ITHESE HULES ARE FoUND lN 40 cFH 268.7(a)(a))
ll you treat your hazardous wast€s to renderlhem non-Land Disposal Flestricted, you must develop and folbw a written waste
analysis plan. This waste analysis plan must be based on a laboratory analysis ol the wisle, and must conlain all necessary
elemenls. including lrequency. The waste anatysis pla-n must be submitted lo the Execulive Secretary of the Utah So[d and
Hazardous Waste Control Board al least 30 days priorlo treatmenl.
Maintain an assessment of LDR stalus on file lor each hazardous waste generated at th€ facility.
A notice and certilication that each wasle is. either not land disposal restricted, or il h is reslricled, that it is land disposable atter
lrealmenl, musl accompany each manilested shipment ol hazardous waste.
Mainlain all LDR Documentation forlive years afterlhe waste is shipped off site.
ACTION NEEDED:
H315.5.11 FARMEFS
Do not dispose ol conlainers that held hazardous wastes whhoul lirst triple rinsing and disposing of rinsate on your propeny in a
manner consislenl wih rhe instructions on the original packaging.-
H315.5.13 EXPOHTS OF HAZARDOUS WASTE'
You must comply with all notification, reporting and manifesting requiremenls for export€rs ol hazardous wast€ (40 CFR 262
Subpart E. 262.50-262.581.
H315.5-14 IMPOHTS OF HAZAHDOUS WASTE
You must comply with all notification, reporting and manifesting requirements lor importers of hazardous waste (40 CFR262
Subpart F,252.60).
usE AND MANAGEMENT OF TANK SYSTEMS (THESE RULES AHE FOUND tN 40 CFR 26s2O1 SUBPABT J)
OTHER ACTIONS NEEDED:
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