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Page 1: Program Description Attachments 3 through 7 | US EPA ...€¦ · batra ee iii 59330 gf dalton es iii 58681 gf hartman es iii 62650 gf higgins es iii 56689 rcra grant perrego ect iii
Page 2: Program Description Attachments 3 through 7 | US EPA ...€¦ · batra ee iii 59330 gf dalton es iii 58681 gf hartman es iii 62650 gf higgins es iii 56689 rcra grant perrego ect iii

PROGRAM DESCRIPTION

Attachment 3

Hazardous Waste ManagementEnforcement Strategy

Page 3: Program Description Attachments 3 through 7 | US EPA ...€¦ · batra ee iii 59330 gf dalton es iii 58681 gf hartman es iii 62650 gf higgins es iii 56689 rcra grant perrego ect iii

STATE OF DELAWARE

DEPARTMENT OF NATURAL RESOURCES AND ENVIRONMENTAL CONTROLDIVISION OF AIR AND WASTE MANAGEMENT

HAZARDOUS WASTE MANAGEMENTENFORCEMENT STRATEGY

INTRODUCTION

Environmental enforcement is a many-faceted program that ranges from technicalguidance on correcting deficiencies up to courtroom litigation. The principal objective ofenforcement is to achieve an improved environment through compliance withenvironmental laws and regulations.

The Division's enforcement policy will be firm, fair, and consistent. We believe that astrong enforcement posture will prove the best deterrent to potential violators. Thisstrategy sets forth a consistent approach for all enforcement cases in Delaware.

The achievement of high rates of environmental compliance in the hazardous wastemanagement program is a primary objective of the State and EPA. Delaware receivedfinal authorization to administer this program in 1986 and has received furtherauthorizations for program revisions in 1996 and 1998. EPA will continue to provideoversight to ensure that Delaware's program is consistent with national objectives and ~

adequately enforceable.

The Division will place greater emphasis on major polluters of the environment than ithas in the past and will find more efficient ways to deal with minor complaints.

The strategy reviews cases where non-compliance is likely to arise and determines theappropriate enforcement action to be taken by the Department. The intent of thisstrategy is to provide firm, consistent, equitable, management supported decisions onviolations, preventing decisions from being made reactively and hastily on a case-by­case basis.

STATE EPA RELATIONSHIPS

It is imperative that all enforcement activities be coordinated closely between theDepartment and EPA. The Department will use the current EPA Enforcement ResponsePolicy (ERP) when evaluating enforcement cases, and the EPA Civil Penalty Policy willbe considered in assessing fines under the RCRA program. '

ENFORCEMENT_

The Department utilizes various enforcement mechanisms to deal with non-compliance.The mechanisms range in strength, depending on the severity and complexity of thenon-compliance, from a Notice of Deficiency, through a Letter of Warning, Notice ofViolation, Secretary's Order, Civil Action, Criminal Action, to an Imminent HazardOrder. Experience from our inspections and our compliance-monitoring program hashelped us to determine which enforcement mechanisms are most appropriate forcertain kinds of violations,

The EPA Enforcement Response Policy establishes a set of minimum standards, whichthe Department must apply. Violations drawing the most severe initial actions will bethose which involve danger to human health and the environment, intentionalviolations, violations that result in a financial gain for the violator, and repeat offenses.

Page 4: Program Description Attachments 3 through 7 | US EPA ...€¦ · batra ee iii 59330 gf dalton es iii 58681 gf hartman es iii 62650 gf higgins es iii 56689 rcra grant perrego ect iii

At all times, enforcement must be at least as stringent as the requirements of thenational criteria for RCRA. The Department will follow the ERP guidelines forcategorizing violators as either Significant Non-Compliers (SNCs) or Secondary Violators(SVs) and when determining the appropriate enforcement action for non-compliancewith the State's hazardous waste regulations. A timely and appropriate enforcementaction will return the facility to compliance, as well as deter any future or potential non­compliance. It is also a valuable tool in considering judicial enforcement as opposedto administrative actions.

The Department's enforcement mechanisms consist of the following:

I. Notice of Deficiency !NOD)

A Notice of Deficiency is issued when an application or a required facilitydocument has been found to lack certain required information necessary toperform an adequate review.

II.. Letter of Warning (LOW)

A Letter of Warning. is issued for paperwork violations where there IS nopotential hazard to human health or the environment.

III.. Notice ofViolation (NOV)

A Notice of Violation is issued for a potential hazard to human health and theenvironment: for example, in case of a paperwork violation or a minor wastemanagement violation.

IV. Secretary's Order (SO)

A Final Secretary's Order is issued to stop operations and to order theimplementation of corrective actions approved by the Department.

V. Compliance Order/Schedule (CO)

A Compliance Order or Compliance Schedule is equivalent to a Secretary's Orderand is issued to allow a facility to operate while implementing corrective actionswhich would require considerable time to alleviate a violation. For example: anowner or operator has taken all the required corrective actions except forinstalling a groundwater monitoring system, evaluating any groundwatercontamination, and providing a mechanism for groundwater clean-up. Theimplementation of the groundwater-monitoring program will requireconsiderable time. A Compliance Order or Schedule is issued to allow thecompany to resume normal business operations while implementing thegroundwater-monitoring program. The Order or Schedule will require thecompany to meet specific deadlines. If the Order or Schedule is not adhered to,then the Department could pursue litigation under VI below.

VI. Civil Action (CA)

A Civil Action may be undertaken when at least one of the following occurs:

• a negligent act that causes injury or produces an imminent or substantialhazard to human health or the environment;

• a violation created by financial constraints of the violating party;

Page 5: Program Description Attachments 3 through 7 | US EPA ...€¦ · batra ee iii 59330 gf dalton es iii 58681 gf hartman es iii 62650 gf higgins es iii 56689 rcra grant perrego ect iii

• a repeat violation where an NOV or SO has been issued in the past;• Noncompliance with a Secretary's Order issued by the Department.

VII. Criminal Action (CRA)

Criminal Action requires at least one of the following:

• a knowing act that causes injury to human health or the environment:• a violation that results in a profit for the violating party.

VIII. Imminent Hazard Order

In the event the Secretary receives information that the storage, transportation,treatment, or disposal of any hazardous waste may present an imminent andsubstantial hazard to the health of persons, or the environment the Secretarymay issue an order directing the owner or operator of the treatment, storage ordisposal facility or site, to take the necessary steps to prevent the act oreliminate the practice which constitutes such hazard.

INSPECTIONS AND COMPLIANCE MONITORING

Inspection frequency and thoroughness are consistent with the national strategy.Specific actions are noted in annual work programs agreed upon between the'Department and EPA. The compliance-monitoring program has been closelycoordinated with our permitting program. It is the Department's belief that personnelinvolved with permitting best know the facilities and are most qualified to conductinspections. It is also important for the compliance monitoring activities to be closelycoordinated with the enforcement program. Accordingly, meetings between complianceand enforcement personnel are conducted on a regular basis to determine whereenforcement actions should be taken.

We have found it useful in achieving compliance to conduct various types of inspectionsbeyond those required by the RCRA program. Spot inspections, in which no notice isprovided to the generator or facility, have given more satisfactory long-term results thanannounced inspections. It appears, in some cases, that facilities or generators will do aquick cleanup job to meet the upcoming inspection and then allow compliance activitiesto lag until the next inspection is scheduled. By looking at facilities that have hadminor violations, we can schedule spot inspections and correct these problems.Moreover, it appears that the higher the level of management advised of the problem,the more responsive the action taken.

We look carefully at what we term "troubled companies." These are firms which havereceived NOVs or committed violations under other environmental programs withinDNREC. We identify companies with chronic hazardous waste management problemsand carefully focus or attention on these companies.

Revised_EnJ-Strategy.doc

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PROGRAM DESCRIPTION

Attachment 4

Hazardous Waste ManagementOrganization Chart

Page 7: Program Description Attachments 3 through 7 | US EPA ...€¦ · batra ee iii 59330 gf dalton es iii 58681 gf hartman es iii 62650 gf higgins es iii 56689 rcra grant perrego ect iii

DIVISION Of AIR &WASTE MANAGEMENTWASTE MANAGEMENT SECTION

NOVEMBER 16, 2001

SOliD & HAZARDOUS WASTEMANAGEMENT BRANCH

IMARKER

PM II59360

GENERAL FUNDS

EHEMANADMIN. ASS ISTANT II

61781RCRA GRANTIGENERAL FUNDS

HaRRISSECRETARY

08313GF

WASTE FACILITIESRUTHERFORD

PM I63441

GF/ASF

GEN./TRANSP./PROG. DEV.J'ANTHONY

PM I61782

GENERAL FUNDS/ASF

WASTE REDUC./REUSE/RECYC.SHORTPM I54952

ASF/GF

PLUMPSECRETARY

63661RCRA GRANT*

APGARHYDRO IV

8378GF

BATRAEE III

59330GF

DAlTONES III

58681GF

HARTMANES III

62650GF

HIGGINSES III

56689RCRA GRANT

PERREGOECT III

67252GF

RICEES I58682GRANT

WILLIAMSENV. COMPLIANCE SPEC.

67251ASF

ZIEnowHYDRO III

8356GF/RCRA GRANT*

VACANT'- EE. III

08318RCRA GRANT

HAMBURGSECRETARY

08315RCRA GRANT

VACANTMINI-MICRD COMP. OPER. II

64318RCRA GRANT/GF*

COlEES III

56690RCRA GRANT

SHORT, D.ES II61677FEES

TRINKLEHYDROLOG I ST I V

08354RCRA GRANT

WEISSEEIII08330

RCRA GRANT

YINGLINGES II64882

ASF

VACANTEEII54951

RCRA GRANT

VACANTES III

08355RCRA GRANT

VACANTES I65133

ASF

CORAZZASENIOR SECRETARY

59358ASF*

FRANKES III

64355RCRA GRANT

HATTIKUDUREE I54959

GENERAL FUNDS

MANCHESTERES III81B92

GF

VACANTCOMMUNITY RELATIONS OFCR

82070GF

VACANTES IV59363

GF

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Page 9: Program Description Attachments 3 through 7 | US EPA ...€¦ · batra ee iii 59330 gf dalton es iii 58681 gf hartman es iii 62650 gf higgins es iii 56689 rcra grant perrego ect iii

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Page 10: Program Description Attachments 3 through 7 | US EPA ...€¦ · batra ee iii 59330 gf dalton es iii 58681 gf hartman es iii 62650 gf higgins es iii 56689 rcra grant perrego ect iii

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Page 11: Program Description Attachments 3 through 7 | US EPA ...€¦ · batra ee iii 59330 gf dalton es iii 58681 gf hartman es iii 62650 gf higgins es iii 56689 rcra grant perrego ect iii

PROGRAM DESCRIPTION

Attachment 5

Staffing And Funding

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BUDGET INFORMATIONSALARY AND FRINGE

OCTOBER 1 2001 - SEPTEMBER 30 2003, ,POS# POSITION % of TWO YEAR TWO YEAR

TITLE FTE SALARY FRINGE(FY02 & FY03) (FY02 & FY03)

FEDERAL SHARE63661 Secretary 1.00 47,711 17,30008315 Secretary 1.00 57,613 26,01608318 Environmental Engineer III (Vacant) 1.00 97,903 24,45508330 Environmental Engineer III 1.00 1-11,989 26,95054951 Environmental Engineer I (Vacant) 1.00 74,688 20,34108355 Environmental Scientist III 1.00 88,471 30,67156689 Environmental Scientist III 1.00 78,323 25,89156690 Environmental Scientist III 1.00 90,018 31,75958682 Environmental Scientist I (Vacant) 1.00 59,751 20,34164318 Mini/Micro Computer Op II (Vacant) 0.50 25,966 9,33408354 Hydrologist IV 1.00 112,781 34,97961781 Administrative Assistant II (Vacant) 0.70 36,349 13,06764355 Environmental Scientist III 1.00 87,962 30,582

($6,000 paid from E-cycleactivity funding)08356 Hydrologist III 0.50 45,748 15,605

SUBTOTAL 12.70 $1,015,274 $327,291

STATE MATCH64882 Environmental Scientist II 0.50 34,206 9,00561677 Environmental Scientist II 0.75 71,076 21,60361782 Environmental Program Manager I 0.50 58,862 17,31063441 Env. Program Manager I 0.50 57,861 10,25459360 Environmental Program Manager II 0.25 33,542 9,69353562 Sr. Environmental Protection Officer 1.00 87,548 21,4020831~ Secretary 0.25 12,592 5,233

SUBTOTAL 3.75 $355,686 $94,500

TOTAL 16.45 $1;370,961 $421,791

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BUDGET INFORMATIONCONTRACTUAL

OCTOBER 1, 2001 • SEPTEMBER 30, 2003

I I iI I i! FY02 & FY03 ! FY02 & FY03 ii

GRANT FUNDING I STATE MATCH II I, !I ! i

State Personnel Charges i$ 6,350 I I

Analytical Services i$ 15,745 I $ 5,000 ILegal 1$ 15,863 I $ 5,000 iE-cycle Activities 1$ 7,000 I ;

I

TOTAL: 1$ 44,958 i $ 10,000 I

I I iI

i I IState Personnel Charges - These expenses are paid to our State Personnel Office for their costs incurred Ifor handling payroll, payroll deductions, pension issues, maintenance of files, and assistance in the lhiring process. This is a yearly per position charge for federally funded positions. The charge Iis $250 per position, and there are 12.70 federally funded positions listed in this grant application. Chargeslfor state funded positions are paid from state accounts. I I i!

I I I!

Analytical Services are expenses that will be incurred for laboratory analysis of samples collected Iat various RCRA sites. This analysis will be performed at appropriate laboratories, to be Idetermined based on sample analysis requirements. I I i

iI II

I iI

The legal charges are paid to the State's Attorney General's Office for legal support provided toI

the Hazardous-Waste Management Branch regarding hazardous waste facilities or issues (Le. - I

Administrative Orders, regulatory adoption). I I I

i I I

E-Cvcle Activities - Please see attached E-Cycle project description I,

8/9/01

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BUDGET INFORMATIONSUPPLIES

OCTOBER 1, 2001 • SEPTEMBER 30, 2003I i!

I i[FFY02 & FFY03 IFFY02 & FFY03[GRANT FUNDING [STATE MATCH\ I

SUPPLIES i iI

Office Supplies I $3,000 $2,000Health & Safety/Sampling Supplies I $1,911 $947Computers & Computer Supplies I $5,000 $2,000E-Cycle Activities * I $7,0001TOTAL I $16,911[ $4,947

I iI I

* E-Cycle - Please see attached E-Cycle project description I

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REQUESTED FOR FUNDING FFY02

PROJECT TITLE:

E-Cycle

ISSUE:

The collection and recycling of electronic wastes, which are oftentimes hazardous, are thwartedby regulatory requirements. Currently, generators of e-waste must comply with generatorstandards, utilize hazardous waste manifests, as well as, permitted hazardous waste transportersand ensure waste is received by a fully permitted TSDF. E-Cycle is a mechanism being piloted toencourage regulatory flexibility, and thus, encourage participation in recycling efforts.

OBJECTIVES:

1. Provide outreach to encourage public participation in the E-Cycle Initiative.2. Require data collection.3. Conduct data analysis.

TASKS:

#1: Develop and distribute advertising material via all media newspaper, television, etc.

#2: Collect data and help analyze to determine success ofproject and areas for improvement.

ESTIMATED PROJECT COST: $20,000.00

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PROGRAM DESCRIPTION

Attachment 6

Notification OfRegulated WasteActivity Form

and

Non-Notifier Tracking Form

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Please print or type with ELITE type (12 characters per inch) in the unshaded areas only Form Approved. OMB No. 20S{)..()()28 Expires 12131102. GSA No. 0246-EPA-QT

I. Installation's EPA 10 Number (Mark 'X'in the appropriate box)

Date Received(For Official Use Only)

DB. Subsequent Notification

(Complete item C)

Notification of Regulatedft Waste ActivityoEPA United States Environmental Protection Agency

DA. Initial Notification

II. Name of Installation (Include company and specific site name).

III. Location of Installation (Physical address not P.O. Box or Route Number)

Street

Please refer to Section V. Llne·by.Line InstrucUons for CompleUngEPA Form 8700·12 beforecompleting this form. TheInformation requested here Isrequired by law (Sectlon 3010 ofthe Resource Conservation andRecovery Act).

IV. Installation Mailing~Address(See instructions)

Street or P.O. Box

V. Installation Contact (Person to be contacted regardIng waste activities at site)

Name (Last) (First)

Job Title

VI. Installation Contact Address (See instructions)

Phone Number (Area Code and Number)

EPAForm 8700-12 (Rev. 12199) - 1 of 2-

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Please print or type with ELITE type (12 characters per inch) in the unshaded areas only Form Approved. OMS No. 2050-0028 EXpires 12131/02GSA No. 0246-EPA-QT

VIII. Type of Regulated Waste Activity (Mark 'X' in the appropriate boxes.

A. Hazardous Waste Activities

1. Generator (See Instructions)o a. Greater than 1000kg/mo (2,200 Ibs.)o b.100 to 1000 kg/mo (220-2,200 Ibs.)o c. Less than 100 kg/mo (220 Ibs)2. Transporter (Indicate Mode in boxes

1-5 below)o a. For own waste onlyo b. For commercial purposes

Mode of Transportationo 1.Airo 2. Railo 3.Highwayo 4. Watero 5. Other - specify

I

o 3. Treater, Storer, Disposer (atinstallation) Note: A permit Isrequired for this activity, seeinstructions.

4. Exempt Boiler and/or IndustrialFurnaceo a. Smelting, Melting, and Refin­

ing Furnace Exemptiono b. Small Quantity On-Site BurnerExemptiono 5. Underground Injection Control

C. Used Oil Management Activ.ities

1. Used 'Oil TransporterlTransferFacility - Indicate Type(s) ofActivity(les)o a. Transportero b. Transfer Facility

2. Used 011 Processor/Re-reflner •Indicate Type(s) of Activity(ies)o a. Processoro b. Re-reflnero 3. Off-Specification Used 011 Burner

4. Used 011 Fuel Marketero a. Marketer Who Directs Shipmentof Off-Specification Used Oil toUsed Oil Burnero b. Marketer Who First Claims theUsed Oil Meets theSpecifications

B. Universal Waste Activity

o Large Quantity Handler of Universal Waste

IX.Description of Hazardous Wastes (Use additional sheets if necessary)

A. Listed Hazardous Wastes. (See 40 CFR 261.31- 33; See instructions ifyou need to list more than 12waste codes.)

1 2 3 4 5 6

1211

B. Characteristics of Nonlisted Hazardous Wastes. (Mark 'X' in the boxes corresponding to the characteristics ofnonllsted hazardous wastes your installation handles; See 40 CFR Parts 261.20 - 261.24;See instructions Ifyou needto list more than 4 toxlclty characteristic waste codes.)

(List specific EPAhazardous waste number(s) for the Toxicity Characteristic contaminant(s))

2.Corrosive 3. Reactl.ve 4.TOxicity. 1 d EJ±d2I b 3 b 4(0002) (0003) Characteristic _.,-_,---_. r.---;,-----1

D D D1.Ignitable

(0001)

DC. Other Wastes.

X. Certification

I certify under penalty of law that this document and all attachments were prepared under my direction or supervision in accordance witha system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry ofthe person or persons who manage the system, or those persons directly responsible for gathering the information, the informationsubmitted is. to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties forsubmitting false information, including the possibility of fine and imprisonment for knowing violations.

Signature Name and Official Title (Type or print) Date Signed

XI. Comments

Note: Mail completed form to the appropriate EPA Regional or State Office. (See Sec;tlon IV of the booklet for addresses.)

EPAForm8700-12 (Rev.12J99) ·2 of 2·

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RCRA NON-NOT/HER TRACKING FORM

Part I: Handler DataTo be completed by the compliance data coordinator.

Date of Assessment: Initials:

-_/__/_-

Facility Information:

Handler:

Street Address:

City: State: DELAWARE Zip: County:

Hazardous Waste Indicator:

Does this facility handle hazardous waste?

[ ] YES

[ ]NO

What generator universe does this handler belong in:

[ ] CESOG[ ]SOG[ ] Non-Generator[ JOut of business[ JNever generated hazardous waste

Contact Information:

Contact Name: Telephone No.

Street Address:

City: State: Zip:

Supporting Documentation:\

[ ] Assessment Report-

Part II: EPA J.D. AssignedTo be completed by the handler data entry staff.

EPAI.D.Assigned: ' _

Date Data Entry Completed: / /

Part /II:To be completed by the handler data entry staff, if applicable.

IDate Notification Received: / /

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PROGRAM DESCRIPTION

Attachment 7

Uniform Hazardous Waste Manifest

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STATE OF DELAWAREDEPARTMENT OF NATURAL RESOURCES AND ENVIRONMENTAL CONTROLHAZARDOUS WASTE MANAGEMENT BRANCH, 89 KINGS HIGHWAYDOVER,DELAWARE19901

Please print or type (Form desiqned for use on elite (12 -pitcht tvpewrtter ) FormApproved OMS No 2050-0039

Month Day Year

Month Day Year

uoC

Month Day Year a:I I I C

1

I I I I

I . I I'

2. Page 1 IInformation In the shaded areasof :~wnot r e q u r r e d by Federal

A. State Manifest Document Number

DE·A· 56080B. State Generator's 10

D. Transporter's Phone

G. Slate Facility's 10

C. State Transporter's 10

F. Transporter's Phone

H. Facilitv's Phone

E. State Transporter's 10

I I I

I

12 Containers 13 I 14Total Unit I.No

IType Quantity IWtiVo Waste No.

III

i I' I I I I I IIII

I 1 I I I I I I

I I

!I I I I I I I I

iII

i I I I I I I I IK. Handling Codes for Wastes Listed Abovea. b.

c. d.

ManifestDocument No

I I • I I

i

i Signature

I Signature

I 1 I I 1 1 I I I

1

1 Generator's US EPA 10 No

! i I I I l ! I

MUST BE COMPLETED AND RETURNED BY THE TSD FACILITY TO THE DISPOSAL STATE.

UNIFORM HAZARDOUSWASTE MANIFEST

Printed/Typed Name ! Signature Month Day Year

i I I I I

19 Discrepancy lndrcation Space

20 Falll,ty Owner or Operator Cer nncanon of receipt of hazardous materials covered by trus' manifest except as noted In Item 19

Printed Typed Name I Signature

, Generator's Name and Mailing Address

COpy 1:

11 US DOT De scr iptron (Including Proper Sh,pping Name, Hazard Class. and ID Number)

c.

d.

15 Special Handling Instructions and Add.nona! Information

16 GENERATOR'S CERTIFICATlOI'll: I hereby declare that the contents of trus consignment are fully and accurately described above byproper shipping name and are classified, packed. marked. and labeled, and are In all respects In proper condition for transport by highwayaccording to applicable International and national government regulations

If I am a large quantity generator. I certify that I have a program In place to reduce Ihe volume and tOXICIW of waste generated to the degree I have determined to beeconomically practicable and that·1 have selected the practicable method of treatment, storage. or disposal currently available to me which minimizes the present andfuture threat to human health and the environment. OR, If I am a small quantity generator I have made a good faith effort to rrururruze my waste qenerauon and selectthe best waste management method that IS available to me and that I can afford

J. Additional Descriptions for Materials Listed Above

4 Generator's Phone ( )

b I ransporter 1 Company Name 6 US EPA 10 Number

I I ,i I I I I I I I I

I I ranspor ter 2 Company Name 8 US EPA 10 Number

I I I 1 I I 1I I I I

~ Oesrqnated Facrutv Name and Site Address 10 US EPA 10 Number

G a.E

NE

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oRt-::---------------- -+--L-..L---t---i---i!-L-L....-L---L.-+_ _+-----~

T 17 Transporter 1 Acknowledgement of Receipt of MaterialsRA Printed/Typed NameNSP0 18 Transporter 2 Acknowledgemenr of Receipt of MaterialsRT Printed Typed NameER

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EPA Form 8700-22(Rev, 9-88) Previous editions are obsolete.

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1

Form Approved. OMS No. 2()()()-0404

DEPARTMENT OF NATURAL RESOURCES AND ENVIRONMENTAL CONTROLHAZARDOUS WASTE MANAGEMENT BRANCH, 89 KINGS HIGHWAYP.O. BOX 1401, DOVER, DELAWARE 19903

(Form designed for use on elite (12 pitch) typewriter)

MUST BE COMPLETED AND RETURNED BY THE TSD FACILITY TO THE DISPOSAL STATE.

lse print or type

COpy 1:

'f

UNIFORM HAZARDOUS 21. Generator's US EPA ID No. Manifest 22. PageInformation in the shaded

WASTE MANIFEST ID~cu.me~t ~o. areas is not required by(Continuation Sheet) Federal law.

23. Generator's Name F. State Manifest Document Number

G. Generator's Phone No.

24. Transporter __ Company Name 25. US EPA ID Number H. Transporter No.3 Phone No.

I26. Transporter __ Company Name 27. US EPA ID Number I. Transporter No.4 Phone No.

I29. Containers 30. 31. J.28. US DOT Description (Including Proper Shipping Name, Hazard Class, and 10 Number) Total Unit

No. Type Quantity WtNol Waste No.

a.

b.

'c.

GENE

d.

IjI(

f.

g.

h. .

i.

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32. Special Handling Instructions and Additional Information

T 33. Transporter Acknowledgement of Receipt of Materials DateR PrintedlTyped Name ISignature > Month Day YearAN I Isp

Date0 34. Transporter Acknowledgement of Receipt of MaterialsR

PrintedlTyped Name ISignature Mor.1I1 Day YearT

~ I I( '. Discrepancy Indication Space

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C\Ios.;.C\I~

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~EPA Form 8700-22A (4/95)