1
    1 BEFORE THE ILLINOIS POLLUTION CONTROL BOARD
    2 IN THE MATTER OF: )
    )
    3 HOSPITAL/MEDICAL/INFECTIOUS ) R99-10
    WASTE INCINERATORS: ADOPTION ) (Rulemaking - Air)
    4 OF 35 ILL. ADM. CODE 229. )
    5
    6
    7 The following is the transcript of a
    8 hearing held in the above-entitled matter, taken
    9 stenographically by Caryl L. Hardy, CSR, a notary
    10 public within and for the County of Cook and State
    11 of Illinois, before Catherine F. Glenn, Hearing
    12 Officer, at 100 West Randolph Street, Room 9-031,
    13 Chicago, Illinois, on the 21st day of January,
    14 1999, A.D., commencing at the hour of approximately
    15 1:05 p.m.
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    L.A. REPORTING (312) 419-9292

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    1 PRESENT:
    2 HEARING TAKEN BEFORE:
    ILLINOIS POLLUTION CONTROL BOARD
    3 100 West Randolph Street
    Suite 11-500
    4 Chicago, Illinois 60601
    (312) 814-6923
    5 BY: MS. CATHERINE F. GLENN
    6
    ILLINOIS POLLUTION CONTROL BOARD MEMBERS PRESENT:
    7
    Dr. Ronald C. Flemal
    8 Ms. Kathleen Hennessey
    Ms. Elena Kezelis
    9
    10 ILLINOIS POLLUTION CONTROL BOARD TECHNICAL UNIT
    MEMBERS PRESENT:
    11
    Mr. Anand Rao
    12
    13 ILLINOIS ENVIRONMENTAL PROTECTION AGENCY MEMBERS
    PRESENT:
    14
    Mr. Kevin Greene
    15 Ms. Bonnie Sawyer
    Mr. Joe C. Uy
    16 Ms. Deborah Williams
    17
    MEMBERS OF THE PUBLIC WERE ALSO PRESENT
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    L.A. REPORTING (312) 419-9292

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    1 I N D E X
    2 Page
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    GREETING BY HEARING OFFICER . . . . . . . . . 4
    4 GREETING BY DR. FLEMAL. . . . . . . . . . . . 8
    OPENING STATMENT BY MS. SAYWER. . . . . . . . 8
    5 TESTIMONY BY JOE C. UY. . . . . . . . . . . . 15
    TESTIMONY BY KEVIN GREENE . . . . . . . . . . 18
    6 QUESTION & ANSWER SESSION . . . . . . . . . . 22
    CLOSING COMMENTS BY HEARING OFFICER . . . . . 50
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    L.A. REPORTING (312) 419-9292

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    1 HEARING OFFICER GLENN: Good afternoon. My
    2 name is Catherine Glenn, and I am the hearing
    3 officer in this proceeding.
    4 I would like to welcome you to this
    5 hearing held on behalf of the Illinois Pollution
    6 Control Board, In the Matter of:
    7 Hospital/Medical/Infectious Waste Incinerators:
    8 Adoption of 35 Illinois Administrative Code 229.
    9 Present today on behalf of the Illinois
    10 Pollution Control Board and seated to my left is
    11 Dr. Ronald Flemal, the board member coordinating
    12 this rulemaking. To Dr. Flemal's left is board
    13 member Elena Kezelis. To my right from our
    14 technical unit is Anand Rao, and to Mr. Rao's right
    15 is board member Kathleen Hennessey.
    16 In the back actually behind me at the
    17 table, I have placed the notice and service list
    18 sign-up sheets. If anybody here today would like to
    19 be on the notice or service lists, please sign your
    20 name on the sign-up sheets, and we'll see that the
    21 appropriate documents come to you.
    22 Please keep in mind if you're on the
    23 service list, you have the responsibility of serving
    24 any filings that you file with the board to all of
    L.A. REPORTING (312) 419-9292

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    1 the other members on the service list.
    2 If you're on the notice list, you will
    3 simply receive any hearing officer orders or board
    4 orders and opinions in this matter.
    5 Copies of the board's December 3rd, 1998,
    6 proposed rule and copies of the hearing officer
    7 order from December 4th are also located on the
    8 table in the back.
    9 On November 30th, 1998, the Illinois
    10 Environmental Protection Agency filed this proposal
    11 for rulemaking to create a new Part 229 to the
    12 35 Illinois Administrative Code entitled
    13 Hospital/Medical/Infectious Waste Incinerators.
    14 On December 3rd, 1998, the board adopted
    15 for first notice the adoption of Part 229 as
    16 proposed by the agency. This proposal was published
    17 in the Illinois Register on December 28th, 1998, at
    18 22 Ill. Reg. 22177. This proposal was filed
    19 pursuant to Section 28.5 of the Environmental
    20 Protection Act entitled Clean Air Act Rules:
    21 Fastrack Procedures. Pursuant to the provisions of
    22 that section, the board is required to proceed
    23 within set timeframes toward the adoption of the
    24 regulation.
    L.A. REPORTING (312) 419-9292

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    1 As stated in the board's December 3rd,
    2 1998, order, the board has no discretion to adjust
    3 these timeframes under any circumstances. Further,
    4 pursuant to section 28.5, the board has scheduled
    5 three hearings, and as announced in the hearing
    6 officer order dated December 4th of 1998, today's
    7 hearing is confined to testimony by the agency
    8 witnesses concerning the scope, applicability, and
    9 basis of the rule.
    10 Also pursuant to 28.5, this hearing will
    11 be continued on the record from day-to-day, if
    12 necessary, until it is completed.
    13 The second hearing, besides including
    14 economic impact considerations in accord with Public
    15 Act 90-489 effective January 1st of 1998, shall be
    16 devoted to presentation of testimony, documents, and
    17 comments by affected entities and all other
    18 interested parties.
    19 The third and final hearing will be held
    20 only at the agency's request, and if the third
    21 hearing is cancelled, all persons listed on the
    22 notice list will be advised of such cancellation
    23 through a hearing officer order.
    24 The second hearing is currently scheduled
    L.A. REPORTING (312) 419-9292

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    1 for Wednesday, February 3rd of this year at 3:00 p.m.
    2 in the hearing room of the Pollution Control Board's
    3 Springfield office. It will be devoted to economic
    4 impact considerations and presentation of testimony,
    5 documents, and comments by affected entities and all
    6 other interested parties. Prefiling deadlines are
    7 in the December 4th, 1998, hearing officer order.
    8 The third hearing is currently scheduled
    9 for Thursday, February 11th of this year at 1:00 p.m.
    10 in room 9-40 in the James R. Thompson Center. That
    11 will be devoted solely to any agency response to the
    12 materials submitted at the second hearing. The
    13 third hearing will be cancelled if the agency
    14 indicates to the board that it does not intend to
    15 introduce any additional material.
    16 The hearing will be governed by the
    17 board's procedural rules for regulatory proceedings.
    18 All information which is relevant and not
    19 repetitious or privileged will be admitted. All
    20 witnesses will be sworn and subject to cross
    21 questioning.
    22 Again, the purpose of today's hearing is
    23 to allow the agency to present testimony in support
    24 of the proposal and to allow questioning of the
    L.A. REPORTING (312) 419-9292

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    1 agency.
    2 The agency will present any testimony it may
    3 have regarding its proposal. Subsequently, we will
    4 allow for any questioning of the agency regarding
    5 its testimony.
    6 I prefer that during the question period,
    7 all persons raise their hands prior to asking a
    8 question. Wait for me to acknowledge you, and then
    9 please introduce yourself and who you might be with
    10 at that time.
    11 Are there any questions regarding the
    12 procedure we will follow today?
    13 Okay. At this time, I would like to ask
    14 Board Member Flemal if he has anything else he would
    15 like to add to my comments.
    16 MR. FLEMAL: I would just like to welcome
    17 everybody to this hearing, and that's it.
    18 HEARING OFFICER GLENN: Very well.
    19 At this time, I would ask the agency if it
    20 would like to make an opening statement, and then we
    21 will turn to the agency's presentation of its
    22 proposal.
    23 MS. SAWYER: Good afternoon. I'm Bonnie
    24 Sawyer. I'm assistant counsel with the Illinois
    L.A. REPORTING (312) 419-9292

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    1 Environmental Protection Agency.
    2 The rule that is of concern in this
    3 proceeding regulates hospital, medical, and
    4 infectious waste incinerators. Specifically, the
    5 rule establishes emission limits for particulate
    6 matter, carbon monoxide, Dioxins and Furans,
    7 hydrogen chloride, sulfur dioxide, oxides of
    8 nitrogen, lead, cadmium, and mercury. The rule also
    9 requires facilities that are affected by it to
    10 conduct waste management planning activities.
    11 This rule is federally required. Section
    12 129 of the Clean Air Act requires USEPA to establish
    13 guidelines for state regulation of existing hospital,
    14 medical, and infectious waste incinerators. On
    15 September 15th, 1997, USEPA promulgated an emissions
    16 guideline for this source category.
    17 The state of Illinois must submit a plan
    18 to USEPA that meets the minimum requirements of the
    19 federal emissions guideline. The rule under
    20 consideration today meets these minimum elements.
    21 Illinois must have a plan approved by
    22 USEPA to avoid the imposition of a federal plan on
    23 sources in Illinois by September 15th, 1999.
    24 Today, the Illinois EPA has several
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    1 revisions that they would like to propose to the
    2 rule. None of these revisions change the substance
    3 of the rulemaking. I would just like to explain
    4 them briefly, and then we will offer a written
    5 document entitled a motion to amend the rulemaking
    6 proposal that outlines the specific language that we
    7 are requesting and also our rationale for this.
    8 This document is available at the table behind the
    9 hearing officer.
    10 First of all, the Illinois EPA would like
    11 to amend certain procedures related to emissions
    12 testing. This rule requires facilities to perform
    13 emissions testing. The Illinois EPA requests that
    14 the board add method 26A as a permissible method to
    15 test for hydrogen chloride emissions.
    16 The rule as currently drafted requires
    17 these facilities to use method 26 to test for
    18 hydrogen chloride. Method 26A is a more recently
    19 promulgated USEPA method that is considered
    20 equivalent to method 26. So the Illinois EPA
    21 believes it is a good idea to add this rule -- this
    22 method as another option for facilities when they're
    23 conducting testing.
    24 There is another amendment that we are
    L.A. REPORTING (312) 419-9292

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    1 proposing that relates to testing. It's actually
    2 the last one listed on this amendment on page 3.
    3 The rule establishes protocols for emissions testing
    4 and also establishes conditions that a source must
    5 meet when they're performing the testing.
    6 The Illinois EPA wants to make it clear
    7 that these sources need to be tested during a period
    8 that captures or is representative of maximum
    9 emissions from the emissions unit, and that's what
    10 this amendment is intended to do. It reads when
    11 conducting a performance test for a HMIWI, the owner
    12 or operator shall conduct testing during periods
    13 that are inclusive of maximum emissions of the HMIWI
    14 and not during periods of start-up, malfunction, or
    15 shutdown.
    16 The final amendment that we're requesting
    17 the board make to the proposal today deals with
    18 permitting requirements under the rule. Sources
    19 that are subject to the emission limits under this
    20 rule are required to obtain Clean Air Act permit
    21 program permits. Section 229.120 specifies the date
    22 that these subject sources must submit their
    23 applications.
    24 Subsection B was intended to capture
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    1 sources that were not previously required to submit
    2 permits because they may have been a major source of
    3 emissions but are only required to submit permits
    4 based on their -- this particular regulation.
    5 The rule as currently drafted specifies
    6 that any HMIWI subject to the emission limits of
    7 this part that is not required to obtain a CAPP
    8 permit under section 39.5 of the act shall submit
    9 their application by September 15th, 2,000.
    10 We propose to revise this provision
    11 because it's not entirely accurate. Pursuant to
    12 section 39.5 of the Illinois Environmental
    13 Protection Act, sources that are subject to
    14 regulation under section 111 are required to obtain
    15 Clean Air Act permit programs, and this would
    16 include the sources regulated pursuant to this
    17 proposal. So we are just changing it to clarify
    18 that that provision applies to sources that are
    19 first required to obtain Clean Air Act permits
    20 because of the promulgation of this rule.
    21 That's the final revision that we have for
    22 you today.
    23 There is another matter that I would like
    24 to raise that we've recently become aware of, and it
    L.A. REPORTING (312) 419-9292

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    1 relates to the waste management planning provisions
    2 of the rule.
    3 As the rule is currently drafted, three
    4 categories of sources are required to submit waste
    5 management -- or to do waste management planning
    6 activities. One is a hospital that operates an
    7 incinerator. Another is a commercial facility that
    8 accepts waste from -- off-site
    9 hospital/medical/infectious waste from off-site
    10 generators. And the third category is a hospital
    11 that sends waste off-site for incineration.
    12 The federal emissions guideline requires
    13 all affected facilities to submit some form of a
    14 waste management plan. There could be facilities
    15 that are not hospitals but would be considered
    16 affected facilities other than commercial facilities
    17 such as potentially a veterinarian clinic could
    18 operate an incinerator and may burn medical
    19 infectious waste. The rule as currently drafted
    20 would not require a plan from these facilities, so
    21 we're a little concerned we may not be meeting the
    22 minimum requirements of the federal guidelines in
    23 this limited instance.
    24 We really just realized this recently, and
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    1 we're not prepared at this point to propose a
    2 revision, but it's something that we're discussing
    3 with USEPA, and there is a good possibility that we
    4 will be proposing a revision to address this in the
    5 future.
    6 At this time, I would like to introduce
    7 agency personnel that are in attendance at this
    8 hearing. To my right is Deborah Williams. She is
    9 an assistant counsel with the Illinois Environmental
    10 Protection Agency. To my immediate left is Joe Uy.
    11 He is an environmental protection engineer with the
    12 office of air quality planning. Two over to my left
    13 is Kevin Greene. He's the manager of the office of
    14 pollution prevention.
    15 Also in attendance in the audience is Jim
    16 Jansen. He's also from the office of pollution
    17 prevention at the Maywood regional office.
    18 The Illinois EPA has submitted testimony
    19 from both Joe and Kevin. We prefiled written
    20 testimony. They're here today to answer questions.
    21 We would like to be as responsive as possible, and
    22 in some instances, we may not be prepared to give
    23 our best answer on the record today in which case we
    24 would like to take the opportunity to supplement or
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    1 provide those answers in our written comments
    2 following the hearing.
    3 At this point, I would like to introduce
    4 Joe Uy.
    5 MR. UY: Good afternoon. My name is Joe Uy,
    6 and I'm employed as an environmental protection
    7 engineer in the air quality planning section in the
    8 Bureau of Air of the Illinois Environmental
    9 Protection Agency.
    10 HEARING OFFICER GLENN: Mr. Uy, before we
    11 continue, could we go ahead and swear everybody in?
    12 MS. SAWYER: Sure.
    13 HEARING OFFICER GLENN: Wonderful. Those of
    14 you who will be answering questions or giving
    15 testimony today, would you --
    16 MS. SAWYER: We'll just start with Joe and
    17 Kevin.
    18 HEARING OFFICER GLENN: Great. Okay. If we
    19 can get them sworn in, we'll proceed.
    20 (The witnesses were duly sworn.)
    21 HEARING OFFICER GLENN: Please proceed.
    22 MR. UY: Yes. Good afternoon. My name is Joe
    23 Uy, and I'm employed as an environmental protection
    24 engineer in the air quality planning section of the
    L.A. REPORTING (312) 419-9292

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    1 Bureau of Air at the Illinois Environmental
    2 Protection Agency. I have been employed in this
    3 capacity since November of 1991.
    4 Prior to my employment with the agency, I
    5 worked as a civil engineer for 12 years and was
    6 involved in various civil and sanitary works design
    7 and construction development projects.
    8 My educational background includes a
    9 bachelor of science degree in civil engineering from
    10 the University of Santo Tomas in Manila, Philippines.
    11 As part of my regular duties in the air
    12 quality planning section, I was involved with
    13 preparing emissions estimates for various emission
    14 source categories used in the development of the
    15 1990 ozone season weekday emissions inventories,
    16 evaluation of control technologies applicable to
    17 volatile organic material emissions utilized in
    18 preparation of the 15 percent Rate-of-Progress plans
    19 for Chicago and the Metro-East St. Louis ozone
    20 nonattainment areas, and assisting in the
    21 development of regulations for the control of
    22 volatile organic emissions from source categories
    23 included in the 15 percent Rate-of-Progress plans.
    24 Regarding the proposal before you today, I
    L.A. REPORTING (312) 419-9292

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    1 have been involved in the development of the
    2 hospital and medical/infectious waste incinerator
    3 regulations and personally prepared the technical
    4 support document for the proposal.
    5 I just wanted to clarify table 73 of the
    6 technical support document where it lists the
    7 sources subject to the notification of exemption
    8 reporting and recordkeeping requirement. We wanted
    9 to clarify that if any of these facilities fit the
    10 applicability criteria of the hospital and medical
    11 waste incinerator, they're going to be subject to
    12 the provisions of the proposal.
    13 I'm now available to answer questions
    14 regarding my prefiled testimony and the technical
    15 support document.
    16 MS. SAWYER: Madam Hearing Officer, may I take
    17 a moment?
    18 HEARING OFFICER GLENN: Yes.
    19 MS. SAWYER: I didn't explain that the agency
    20 witnesses did prefile testimony, but they're not
    21 really reading that testimony into the record.
    22 We're going to offer it as an exhibit. They're just
    23 giving a brief introduction to their involvement in
    24 the proceeding.
    L.A. REPORTING (312) 419-9292

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    1 HEARING OFFICER GLENN: And I believe there are
    2 copies of the prefiled testimony for those of you
    3 who are interested on the table behind us.
    4 MS. SAWYER: Yes.
    5 HEARING OFFICER GLENN: Thank you.
    6 MS. SAWYER: We can go ahead with Kevin and
    7 then ask -- accept questions for both of them
    8 afterwards.
    9 HEARING OFFICER GLENN: Okay. I would prefer
    10 to do it that way if that would be all right with
    11 you.
    12 MS. SAWYER: Yes.
    13 HEARING OFFICER GLENN: Okay. Mr. Greene.
    14 MR. GREENE: Thank you. Good afternoon. My
    15 name is Kevin Greene, and I'm manager of the
    16 Illinois EPA's office of pollution prevention. Our
    17 office -- well, actually, the mission of our office
    18 is to work with industries and others to encourage
    19 them to look for opportunities to reduce pollution
    20 or eliminate pollution at the source rather than
    21 trying to treat it or clean it up or control it
    22 after the fact.
    23 We have a number of voluntary programs,
    24 technical assistance programs, and special
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    1 recognition programs that we've developed over the
    2 years to encourage industries to practice pollution
    3 prevention, and one of our functions is to go out
    4 and provide technical assistance to industries and
    5 others.
    6 We have several engineers on our staff,
    7 including Jim Jansen, who's here today, that will go
    8 out in the field, work with companies, go inside
    9 their facilities, and do waste reduction assessments
    10 and help them identify opportunities so they can
    11 take advantage of more effective approaches to
    12 dealing with some of their environmental problems.
    13 I have been with the agency for two and a
    14 half years. Prior to joining the agency, I worked
    15 for three environmental groups in a variety of
    16 capacities. I did some lobbying down in our state
    17 capital, did some community outreach on some solid
    18 waste recycling incinerator issues, and was also
    19 involved in regulatory issues before both the
    20 Pollution Control Board and the Illinois EPA, as
    21 well as USEPA primarily working on clean air
    22 issues.
    23 I was involved in developing both the
    24 waste management planning provisions of the proposed
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    1 rule, as well as the technical support document for
    2 the waste management planning provisions.
    3 I wanted to add one other item. Before we
    4 did some additional outreach work in developing
    5 waste management planning provisions, we actually
    6 conveyed a small focus group consisting of
    7 representatives from environmental groups, technical
    8 assistance agencies, as well as the hospital
    9 community to get feedback from them prior to
    10 developing regulations and tried to reach some
    11 consensus with them, and out of that evolved our
    12 regulatory proposal that we took out for outreach to
    13 the hospital community as part of the agency's
    14 outreach efforts last summer.
    15 The other thing I would like to point out
    16 is our office has been collaborating with the
    17 Illinois Waste Management Research Center in a
    18 special outreach project to hospitals in the Chicago
    19 area. We are -- we formed a team of individuals,
    20 including myself, that is conducting waste reduction
    21 assessment at hospitals, and we're putting a special
    22 focus on mercury reduction. This is a project
    23 that's actually being funded by the United States
    24 Environmental Protection Agency, and we hope to do
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    1 waste reduction assessments at about 20 hospitals
    2 this year, and we're going to expand that effort to
    3 downstate hospitals hopefully over the next three
    4 months.
    5 Other than that, I'm available for any
    6 questions that you might have.
    7 HEARING OFFICER GLENN: Before we proceed with
    8 the questioning, I would just like to introduce
    9 another board member who came in so everyone is
    10 aware. Marili McFawn, also a member of the board,
    11 is present here today and may or may not be asking
    12 questions. Thank you.
    13 If anyone then would like to proceed with
    14 questioning of our witnesses, please do so. If not,
    15 I have a few questions.
    16 MS. SAWYER: Also, I would like to offer their
    17 testimony as an exhibit and also the motion to amend
    18 the proposal as an exhibit.
    19 HEARING OFFICER GLENN: Okay. Anyone object to
    20 the admission of the two testimonies being admitted
    21 or the motion to amend?
    22 Seeing no objections, I will enter the
    23 testimony of Joe Uy as Exhibit Number 1, the
    24 testimony of Kevin Greene as Exhibit Number 2, and
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    1 the motion to amend the rulemaking proposal as
    2 Exhibit Number 3.
    3 MR. RAO: I have a couple of questions for
    4 Mr. Uy.
    5 On page 5 of your testimony where you
    6 discuss about the control requirements these
    7 incinerators will be required to add on under the
    8 rules, for the rural incinerators, you say that they
    9 don't need to use add-on controls, but they can
    10 achieve compliance through good combustion practices
    11 and waste segregation. I realize that they have a
    12 less stringent standard to meet, but could you
    13 explain why they don't need add-on controls?
    14 MR. UY: First off, the standard for small
    15 rural criteria is based on good combustion
    16 practices, and the reason why USEPA has added this
    17 particular category that would address small, rural
    18 hospital medical waste incinerators is because they
    19 feel that -- they believe that this type of facility
    20 doesn't have as many alternatives in disposing their
    21 hospital/medical/infectious waste, and therefore,
    22 they have developed a less -- what would seem like
    23 less stringent emissions standards compared to the
    24 small urban, medium, and large hospital and medical
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    1 waste incinerators.
    2 HEARING OFFICER GLENN: It is our understanding
    3 that currently only one rural HMIWI would be
    4 affected by these regulations. Is that your
    5 understanding as well?
    6 MR. UY: Correct. There is only one -- we only
    7 have identified one hospital that would fit the
    8 small rural criteria.
    9 HEARING OFFICER GLENN: Do you know what
    10 hospital that is?
    11 MR. UY: I believe it's Memorial Hospital in
    12 Carthage, Illinois.
    13 HEARING OFFICER GLENN: Thank you.
    14 MR. UY: If I may add, Carthage, Illinois, is
    15 one of those areas that would fit the criteria for
    16 the small rural criteria and the criteria being is
    17 that the facility has to be more than 50 miles from
    18 the standard metropolitan statistical area and
    19 burning less than 2,000 pounds per week of
    20 hospital/medical/infectious waste.
    21 DR. FLEMAL: And you recognize only one such
    22 incinerator at the present time?
    23 MR. UY: Potentially because they may --
    24 DR. FLEMAL: Is it because there is no other
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    1 incineration of hospital and infectious medical
    2 waste in that area, or there are some incinerators
    3 out there that for some other reason don't come
    4 under this regulation?
    5 MR. UY: Well, it's because the facility has an
    6 incinerator and they're fitting -- they're located
    7 more than 50 miles from a standard metropolitan
    8 statistical area, and also they're burning less than
    9 2,000 pounds per week of hospital and medical
    10 infectious waste.
    11 (Brief pause.)
    12 DR. FLEMAL: Let me put that question maybe
    13 just a slightly different way. What is currently
    14 the disposition of the wastes that are generated
    15 within these areas? They're not presumably being
    16 incinerated? Is that the assumption we reach?
    17 MR. UY: Well, if -- we're talking about the
    18 rural -- excuse me.
    19 (Brief pause.)
    20 MR. UY: The reason why we identified only one
    21 hospital that -- because of the criteria -- the
    22 specific criteria for small, rural hospital, medical
    23 waste incinerators, and there is only one hospital
    24 in that area that would fit that criteria.
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    1 DR. FLEMAL: This actually is anticipating a
    2 large area of questioning that I thought might be
    3 useful to get into, and I don't know if it's
    4 appropriate to try to finish up that thought here.
    5 HEARING OFFICER GLENN: Yes. Let's do that.
    6 DR. FLEMAL: One, in sort of normal daily life,
    7 runs into lots of generation of this kind of waste:
    8 The hospital, your clinic, rural areas, veterinaries,
    9 whatnot. Can you give us some sense of how this
    10 waste is normally processed now, where its ultimate
    11 disposition is, and in what cases this path into
    12 incinerators is used? What are the circumstances
    13 that cause that kind of pathway to become the
    14 effective disposal method?
    15 MR. UY: In general, there are a lot of
    16 facilities other than hospitals that can potentially
    17 generate materials that would fall under the
    18 classification of hospital and medical infectious
    19 waste. Typically for these facilities that generate
    20 medical infectious waste, what they do -- if they
    21 have an incinerator on site, the means that they
    22 would dispose of that medical infectious waste is
    23 through incineration. But for those facilities that
    24 doesn't have any incinerator on site, their option
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    26
    1 is either to send their medical infectious waste to
    2 a dis -- commercial disposal facility, and medical
    3 infectious waste can be disposed in many ways like --
    4 one of them is incineration. There are other
    5 alternative disposal technologies available; for
    6 example, autoclaving and macrowaving, and those are
    7 the -- those are some of the options that facilities
    8 that generate this medical infectious waste could
    9 opt into.
    10 DR. FLEMAL: I take it the small generators
    11 almost always use one of these second options,
    12 either autoclaving or some such method or bagging it
    13 and sending it to somebody else who then actually
    14 does the operation, but incineration on site is, for
    15 most generators, not the method of disposal; is that
    16 correct?
    17 MR. UY: Yes. For some facilities, yes.
    18 MR. GREENE: We've visited six hospitals so
    19 far, and we've seen -- some of them have had
    20 incinerators. Some of them have both an incinerator
    21 and an autoclave on site. So some of their
    22 infectious waste may go to an incinerator. Some may
    23 go to the autoclave. We've been at facilities which
    24 have neither, and it's being shipped off site. It
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    1 may go up to Wisconsin to an outfit called
    2 Stericycle, and they are using macrowaves to
    3 sterilize the material. It may be sent downstate to
    4 a commercial incinerator operated by BFI. It may
    5 be -- I don't think we've run into it yet, but it
    6 may be sent to another hospital. They may be part
    7 of a health care network. So we have seen a wide
    8 variety of options utilized.
    9 DR. FLEMAL: Do you have any sense of how many
    10 hospitals do on-site incineration, what percent?
    11 MR. UY: Well, we sent the survey, and
    12 unfortunately, the number of facilities that
    13 responded to our survey is only about 42 percent of
    14 what we have sent out, but 75 percent of those who
    15 responded to our survey are hospitals.
    16 Right now, we have identified 98 hospitals
    17 that are potentially going to be subject to the
    18 provisions of the proposal.
    19 DR. FLEMAL: But in the waste reduction
    20 provisions, I take it that number applies not
    21 necessarily in incineration provisions?
    22 MR. UY: Yes.
    23 DR. FLEMAL: So there are not 98 hospital
    24 incinerators that you've identified?
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    28
    1 MR. UY: Yes.
    2 DR. FLEMAL: There are?
    3 MR. UY: Yes, all over the state.
    4 DR. FLEMAL: Okay. How about other types of
    5 medical facilities, not hospitals, clinics, even
    6 veterinary hospitals, what sort of incidence of
    7 incinerators do you encounter there?
    8 MR. UY: Just basing it on the results of the
    9 survey, there are some veterinary clinics that have
    10 responded that they -- that they have an on-site
    11 incinerator for the type of waste that they're
    12 generating in their clinics, and some of them --
    13 well, a majority of them are -- the waste that
    14 they're burning are pathological waste rather than
    15 medical infectious waste.
    16 DR. FLEMAL: So they would not come under this
    17 regulation, at least in part, for that reason?
    18 MR. UY: Yes. But we are not saying, you know,
    19 that the rule would not cover some veterinary
    20 clinics. If they fall within the applicability
    21 criteria of the proposal, then they will be subject
    22 to the provisions of the proposal.
    23 DR. FLEMAL: I understand. I'm just trying to
    24 get some sense of how many they are; hence, what
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    29
    1 kind of impact that rule is going to have.
    2 I have no idea, for example, whether the
    3 veterinary clinic that I take our animals to
    4 incinerates. I suspect probably not. I expect they
    5 probably ship off site. But I'm just trying to get
    6 some sense of what kind of -- down there in the
    7 day-to-day life existence what this rule has an
    8 effect on.
    9 MR. UY: The thing is we didn't count how many
    10 veterinary clinics. We just lumped the veterinary
    11 clinics with other facilities that are
    12 non-hospitals.
    13 HEARING OFFICER GLENN: On that vein, Mr. Uy,
    14 regarding the applicability section, you talk about
    15 a cofired combustor is only subject to certain
    16 provisions. I was wondering if you have any
    17 statistics on how many hospitals use or have a
    18 cofire -- or how many facilities have cofired
    19 combustors, how often are we talking about
    20 facilities that incinerate not only the infectious
    21 waste but other things with fuels and that sort of
    22 thing.
    23 MR. UY: Technically, hospitals would not fit
    24 the cofired combustors because everything that's
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    30
    1 generated within the hospital facility are
    2 considered hospital wastes.
    3 HEARING OFFICER GLENN: Okay.
    4 MR. UY: And so in that respect, there would be
    5 no cofired combustors as far as hospitals are
    6 concerned. The only instance where cofired
    7 combustors criteria would apply is for those
    8 facilities other than hospitals that may burn a
    9 combination of wastes.
    10 By combination of wastes, I mean the
    11 combustion -- the combusting of medical infectious
    12 waste and other type of waste like -- other type of
    13 waste that would not fit the medical infectious
    14 definition.
    15 HEARING OFFICER GLENN: Right. Cofired
    16 combustor is defined in today's proposal. I was
    17 just trying to get a sense of how many there are of
    18 those out there.
    19 MR. UY: Unfortunately, we don't have that kind
    20 of information currently.
    21 HEARING OFFICER GLENN: That's fine. If you
    22 might -- if you are able to get it for us, that
    23 would be appreciated. Otherwise --
    24 MS. SAWYER: We can look into it and see if we
    L.A. REPORTING (312) 419-9292

    31
    1 could develop a number on that. I'm not really sure
    2 if we could or not, but we can look into it.
    3 HEARING OFFICER GLENN: Thank you, Ms. Sawyer.
    4 MR. RAO: Along the same lines, you mentioned
    5 there are like 98 facilities which may have
    6 incinerators on site. Could it be possible for you
    7 to get some information as to how many facilities
    8 would be affected by this rule in terms of
    9 developing waste management plans and if those
    10 facilities would ship off site?
    11 MR. UY: In the technical support document, we
    12 actually have a table, number 72, wherein we
    13 identified the hospital sources which currently
    14 doesn't have any on-site incinerator are shipping
    15 their waste to a commercial disposal facility or
    16 have other forms of alternative disposal
    17 capabilities.
    18 MR. RAO: Does that table also include these
    19 what's called veterinarian clinics that Dr. Flemal
    20 was asking, or is that based on some other types of
    21 facilities?
    22 MR. UY: Table 72 only refers to hospitals
    23 without incinerator. The veterinary clinics would
    24 fall on table 73.
    L.A. REPORTING (312) 419-9292

    32
    1 MR. RAO: Okay.
    2 MR. UY: We just want to clarify that
    3 veterinary clinics, if they don't have any
    4 incinerator on site and they send their waste to an
    5 off-site disposal facility, they are not required to
    6 submit a waste management plan.
    7 MR. RAO: Okay.
    8 HEARING OFFICER GLENN: Mr. Uy, I had a
    9 question for you from your testimony.
    10 You're very forthcoming with how today's
    11 proposal for the most part is similar to the EG. My
    12 question for you is you do point out two areas where
    13 this proposal strays a little bit from the EG mainly
    14 regarding the operator training and qualifications.
    15 Do you know what I'm speaking about there? In that
    16 one, you've changed the one-hour on call requirement
    17 to on call during the operating of the actual
    18 incinerator. I think that's a correct, all
    19 encompassing statement there. That is the
    20 difference in today's proposal that the operator --
    21 MR. UY: The difference between the emissions
    22 guidelines and the proposal before the board today
    23 is that -- and as far as the operator training is
    24 concerned is that the proposal requires that a
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    33
    1 trained operator must be present at all times as
    2 opposed to the emissions guideline requirement of a
    3 one-hour availability.
    4 HEARING OFFICER GLENN: At all times while the
    5 incinerator is running?
    6 MR. UY: While the incinerator is combusting
    7 waste.
    8 HEARING OFFICER GLENN: So we have that
    9 difference.
    10 And then also you say that the agency's
    11 proposal differs from the EG because the facilities
    12 that are required to meet the waste management
    13 planning requirements and in addition to the
    14 hospitals operating the HMIWIs, the proposed rule
    15 requires hospitals sending waste off site to an
    16 HMIWI must develop and submit a waste management
    17 plan?
    18 MR. GREENE: Not develop and submit a waste
    19 management plan but do an assessment of their
    20 current activities and identify additional things
    21 they could do to reduce the volume and toxicity of
    22 waste sent off site. That assessment would not have
    23 to be provided to the agency. So the requirements
    24 for facilities shipping off site are less strenuous
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    34
    1 than for facilities that are going to be burning
    2 medical waste on site. They have to submit a plan
    3 to us.
    4 HEARING OFFICER GLENN: Okay. I think that is
    5 a little different than what Mr. Uy's prefiled
    6 testimony said.
    7 MR. UY: I would defer to Kevin Greene's answer
    8 because he is the person responsible for --
    9 MR. GREENE: I'm sorry for the confusion.
    10 HEARING OFFICER GLENN: That's okay. I just --
    11 I do want to be clear that that was the intent.
    12 MR. GREENE: In our first draft that we took
    13 out to the regulated community, there was a
    14 requirement that facilities shipping off site submit
    15 a plan to us, and we decided to change that
    16 provision. They have to give us a report on their
    17 activities each year.
    18 HEARING OFFICER GLENN: The hospitals that are
    19 shipping off site must submit a report. Is that in
    20 keeping with the EG, or is that different?
    21 MR. GREENE: It goes beyond.
    22 HEARING OFFICER GLENN: Okay. That being said,
    23 then we have two somewhat different standards in
    24 today's proposal from the EG. I was wondering if
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    35
    1 you could respond to my question of how can we
    2 accept the proposal under 28.5 when this isn't
    3 identical to the EG and it goes beyond the EG.
    4 MS. SAWYER: Could we respond to this question
    5 in writing?
    6 HEARING OFFICER GLENN: Certainly, yes. Thank
    7 you.
    8 MS. SAWYER: Sure.
    9 (Brief pause.)
    10 MS. SAWYER: I can answer that just briefly.
    11 The EG does provide that state plans can be more
    12 stringent than the guidelines, and that is
    13 specifically allowed for as an EG.
    14 MR. RAO: Does it say that the state plan can
    15 be more stringent?
    16 MS. SAWYER: Yes.
    17 MR. RAO: Or does it say that the scope can be
    18 broadened? Because basically that's what they have
    19 done here. The scope of regulations is broader.
    20 MS. SAWYER: I would have to look at the actual
    21 EG to tell you what the language is.
    22 MR. RAO: We just want to make sure that what
    23 we are doing here is consistent with section 28.5
    24 requirements.
    L.A. REPORTING (312) 419-9292

    36
    1 DR. FLEMAL: Perhaps in further focus on that
    2 issue, I think our concern is that we want to be on
    3 the safe side of the very first provision that we
    4 find in 28.5 of the act which says this section
    5 shall apply solely to the adoption of rules required
    6 to be adopted by the state, and we want to make sure
    7 that everything that we're considering as provisions
    8 within this 28.5 rule comport with that requirement,
    9 and we would certainly like your perspective on --
    10 MS. SAWYER: Okay. And I think we can expand
    11 on that in written comments better than on the
    12 record here. I mean, basically, I would say the EG
    13 requires a state plan regulating these sources, and
    14 the state plan has to meet minimum criteria. If the
    15 state plan goes beyond that, it still is the state
    16 plan to meet that federal requirement. I mean, that's
    17 how I think it's viewed. So we can expand on that
    18 in written comments.
    19 DR. FLEMAL: Thank you.
    20 MR. RAO: I have another question for Mr. Uy.
    21 On page 6 where you discuss the amount of
    22 emissions that are reduced when these rules are
    23 implemented, and you refer to certain tonnage here
    24 like -- I think you say the rules result in a total
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    37
    1 reduction of 972 tons per year. What does this
    2 tonnage represent?
    3 MR. UY: The tonnage represents the amount of
    4 emission reductions that will be realized through
    5 the adoption of this proposal.
    6 MR. RAO: No. What I'm asking now is how does
    7 it relate to the pollutants themselves that are
    8 regulated? Is this like a total tonnage?
    9 MR. UY: It's the total emission reduction
    10 considering all the pollutants that are coming out
    11 of the stack from uncontrolled hospital and medical
    12 waste incinerators.
    13 MR. RAO: Okay.
    14 DR. FLEMAL: Is there a breakdown in the record
    15 somewhere that tells us what each of the various
    16 components -- regulated components contribute to
    17 that total?
    18 MR. UY: I believe there is. I think it's
    19 submitted with the state --
    20 MS. SAWYER: Right. There was --
    21 DR. FLEMAL: It's the attachment?
    22 MS. SAWYER: -- the appendix and attachments
    23 and statement of reasons, the second one,
    24 appendix 2.
    L.A. REPORTING (312) 419-9292

    38
    1 DR. FLEMAL: Thank you.
    2 HEARING OFFICER GLENN: I had a question
    3 regarding general applicability again. I don't
    4 know, Mr. Uy, if you can answer this.
    5 Part 229.110(a) -- I will give you a
    6 chance to get there -- talks about the part applying
    7 to the HMIWIs for which construction commenced. I
    8 noticed in today's proposal there is no strict
    9 definition of construction, and I was wondering if
    10 the intent -- what the intent of that word was and
    11 if we should maybe look towards defining that.
    12 There is an Illinois Administrative Code definition,
    13 but maybe the federal guidelines give us something
    14 new.
    15 MS. SAWYER: I would like to take a look at
    16 this and get back to you in writing on this. I
    17 mean, there may be a definition under part 60 of the
    18 federal rules that is important in defining what's
    19 construction activities for purposes of this rule,
    20 and I'm not sure how that compares with Illinois'
    21 definition in the code. So if I could get back to
    22 you on that....
    23 HEARING OFFICER GLENN: Yes. Thank you,
    24 Ms. Sawyer.
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    39
    1 MR. RAO: I have got a question on the rules,
    2 section 229.170. I think it deals with operator
    3 training and qualification requirements.
    4 Under subsection B, there is a provision
    5 which says that there is some kind of an examination
    6 that -- an operator training examination that must
    7 be administered in accordance with the requirements
    8 of the section. Who will be administering this
    9 examination?
    10 MR. UY: The person who is going to be
    11 administering the examination is the instructor of
    12 the -- instructor of the training program, the
    13 training program which contains the minimum criteria
    14 set by the emission guidelines.
    15 MR. RAO: So any individual can start a training
    16 program as long as it meets the requirements of the
    17 section? You know, is there any entity that is
    18 responsible for conducting these training programs
    19 and the exams and certifying these operators? It's
    20 not the agency, right?
    21 MR. UY: No. It's not the agency. But you're
    22 right. Any entity would be able to conduct the
    23 training as long as they meet the minimum criteria
    24 as set by the emission guidelines.
    L.A. REPORTING (312) 419-9292

    40
    1 MR. RAO: Okay.
    2 DR. FLEMAL: I note in your comments in the
    3 statement of reason regarding your communication
    4 with interested parties, your outreach effort, that
    5 one of the questions that was raised was how the
    6 current proposed regulations would interface with
    7 the existing board regulations for potentially
    8 infectious medical wastes, the PMIW regulations. I
    9 wonder if one of you could expand a little bit
    10 further on that. And I'm particularly interested to
    11 know whether there's a concern out there in the
    12 regulated community that in having these two
    13 separate sections, we're going to have either
    14 confusion or problems with disparate regulations in
    15 its complying with the two.
    16 MS. SAWYER: Could you give us just a moment?
    17 DR. FLEMAL: Surely.
    18 (Brief pause.)
    19 MR. UY: The agency has an existing regulation
    20 regarding potentially infectious medical waste, and
    21 those are being administered by the Bureau of Land
    22 of the agency. I think -- there is no confusion
    23 because the PMIW, or the potentially infectious
    24 medical waste definition, would identify those
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    1 materials that are -- that have the infectious
    2 potential; whereas, the medical infectious waste
    3 definition of this proposal is only -- it's not
    4 defining what is medically infectious or not, but
    5 it's defining the materials that would pull in an
    6 incinerator that's combusting those type of wastes
    7 in the proposal.
    8 DR. FLEMAL: Let me give you an example.
    9 Suppose I generate sharps as part of my medical or
    10 veterinary, whatever, operation, dentist operation,
    11 and I wonder what regulations apply to me in terms
    12 of my ability to dispose of that. Where do I go?
    13 Do I go here to 229, or do I go to 1400, or do I
    14 have to go to both? And if I go to both, am I --
    15 can I be assured that I won't find inconsistencies?
    16 MR. UY: The sharps --
    17 (Brief pause.)
    18 MR. UY: I think it could be viewed this way.
    19 If we're talking about sharps -- medical sharps,
    20 waste generated in the veterinary clinic environment,
    21 as far as the proposal is concerned, those sharps
    22 are considered medical infectious. But then if the
    23 veterinary clinic is not generating enough medical
    24 infectious waste, they are considered -- those
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    1 veterinary clinics with on-site incinerators that
    2 are burning this type of waste may be considered
    3 cofired combustors and are exempt from the emission
    4 standards of the rule, but they're subject to the
    5 reporting requirements of the rule, the reason being
    6 that we want to make sure that these type of
    7 facilities are not combusting more than ten percent
    8 of their waste as medical infectious waste.
    9 DR. FLEMAL: I understand your purpose, and
    10 your purpose has to do with an air purpose, but when
    11 we have potentially infectious medical waste, we had
    12 the land people then saying that their concern was
    13 that we weren't landfilling those sharps without
    14 some pretreatment. Both are admirable goals. The
    15 question is the regulatory context: Do we have a
    16 problem with having two separate views of what we --
    17 how we ought to properly dispose of that waste,
    18 sharp or whatever cultures, whatever it might be.
    19 MR. GREENE: Let me try something. I may just
    20 confuse you even more, but there are differences
    21 between the definition of -- definitions under this
    22 rule and the definitions under the rules defining --
    23 under the state rules defining potential infectious
    24 medical waste, and I sat down with somebody from the
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    1 Bureau of Land, and she pointed out a couple things.
    2 In terms of sharps, if the sharps are
    3 laboratory sharps and have no contact with
    4 infectious agents, they would not be considered
    5 potentially infectious medical waste. However, if
    6 the hospital sends those sharps to an incinerator,
    7 they're covered under the definition in this rule,
    8 and therefore, that would -- this facility would be
    9 regulated under this rule. The same thing would be
    10 true with IV bags.
    11 Now, IV bags, if they're sent to an
    12 incinerator, they're -- that incinerator would be
    13 regulated under this rule, but if the IV bag only
    14 contains IV solution or medications and it doesn't
    15 include blood components, it's not potentially
    16 infectious medical waste. So theoretically, the
    17 hospital wouldn't have to send that material -- if
    18 it's just an IV bag with IV solution or medications
    19 in it, it wouldn't necessarily have to be sent to
    20 the incinerator for treatment under the state
    21 definition of potentially infectious medical waste.
    22 But if the hospital does send that to the
    23 incinerator, it's covered. That incinerator is
    24 covered under this rule.
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    44
    1 DR. FLEMAL: How about in waste reduction, is
    2 it also covered independent of whether they intend
    3 to send it to the incinerator?
    4 MR. GREENE: It's a thing that they could
    5 consider. There are some tubing and bags where you
    6 could shift to reusable components. Those would
    7 obviously have to be sterilized before they're
    8 reused, but the hospital could think about that as a
    9 waste reduction opportunity.
    10 We have discovered in the case of
    11 blood-soaked items or caked items or drenched that
    12 some hospitals -- if it's under the rules, if it's
    13 just -- if the item is tainted with blood or spotted
    14 with blood, it's not potentially infectious medical
    15 waste. It can be disposed of in the regular
    16 garbage.
    17 However, some hospitals have more
    18 conservative policies. It goes into the red bag,
    19 the infectious red bag, and therefore, it would be
    20 treated as infectious waste. And if it went to an
    21 incinerator, under our rules, that incinerator would
    22 be covered by the emission requirements. Some
    23 hospitals will distinguish better than others.
    24 So I may have confused you. I think
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    45
    1 hospitals understand the distinction we're trying to
    2 make.
    3 DR. FLEMAL: I guess that's the kind of thing
    4 that I'm looking for some comfort on. We see in our
    5 business on a regular basis the regulating community
    6 coming and saying everybody wants a bite of me.
    7 It's this agency, it's that agency, they've all got
    8 regulations, and sometimes the regulations come at
    9 us this way. I think what we really want to make
    10 sure is that intra-agency we don't do that same
    11 thing; that we're not developing regulations here
    12 and there that have some kind of basic
    13 incompatibility and even if they don't have the
    14 incompatibility that they have the impression of
    15 being incompatible because you have to look in two
    16 rather distinct parts of regulations to handle that
    17 very same thing.
    18 I know when I go into my clinic, there's a
    19 little box on the wall that has a biochemical
    20 hazard. They prick my finger and get some blood,
    21 that goes in there, the whole lot, but we developed
    22 those regulations. I never tell the doctor that I'm
    23 responsible in some small measure for him having to
    24 go through all of that stuff. But are we doing some
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    46
    1 more regulations to that same box now because it
    2 might be incinerated or there's a potential for it
    3 being incinerated?
    4 MR. GREENE: Well, if it goes to an incinerator,
    5 it's covered by these rules. In other words, it's
    6 kind of --
    7 DR. FLEMAL: You have to know beforehand how
    8 you're going to dispose of the waste?
    9 MR. GREENE: Exactly.
    10 DR. FLEMAL: When you put it in the box, right?
    11 MS. SAWYER: Can I take a moment to try to
    12 respond to this? We're not, under this rule, telling
    13 people how they can dispose of their waste in either
    14 instance. You know, if they send it to a landfill
    15 or incinerator, we're not telling them how they can
    16 dispose of their waste. We're talking about the end
    17 product if they elect to incinerate their waste.
    18 So essentially in terms of how this
    19 coordinates with the PMIW rule, it really -- I mean,
    20 they really work in tandem. Even though the
    21 definitions are slightly different, they work in
    22 tandem because now if a source incinerates their
    23 waste, to address the potentially infectious medical
    24 waste aspect of it, we'll be controlling the
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    1 emissions from that incinerator, so we'll be
    2 protecting the environment on that front, as well as
    3 on the land front.
    4 DR. FLEMAL: So your intent of disposal method
    5 really is the spot where you split off as to whether
    6 you go to potentially infectious medical waste or
    7 this Part 229?
    8 MR. GREENE: I think USEPA also recognized that
    9 not only do the -- sometimes these incinerators are
    10 going to burn not only infectious waste, but they
    11 may burn solid waste. I have been in hospitals -- I
    12 have been in one hospital where they weren't doing
    13 very good recycling. Their paper, cardboard, along
    14 with their infectious waste was being sent to the
    15 incinerator.
    16 MS. KEZELIS: I have a question to follow-up
    17 along those lines.
    18 The hospitals that you've visited, did you
    19 meet with any of the infectious controls or
    20 infectious committee folks designated at each of the
    21 hospitals? Because that's how they determine where
    22 the waste goes.
    23 MR. GREENE: When we do our waste reduction
    24 assessments, we try to meet with different people in
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    48
    1 the hospital, including the people from the
    2 infectious control department or with the nurses, to
    3 get a feel for how they're being trained in defining
    4 something as infectious or not and also looking at
    5 their segregation procedures and things like that.
    6 And normally when we -- we encourage hospitals to --
    7 when they're developing their plans, we encourage
    8 them to put a team together that will include
    9 representatives from as many departments as possible,
    10 including the infection control department, because
    11 we know that's an issue. It's not just whether it
    12 can be recycled or if it can be reduced. They have
    13 to think about patient safety. They have to think
    14 about infection control, as well as cost issues.
    15 So we encourage kind of a team effort
    16 because we know it's a more complicated facility
    17 than, say, a typical industrial facility.
    18 MS. KEZELIS: And so under this set of rules,
    19 once the hospital, the site -- facility has
    20 determined that this sheet, this bed sheet, actually
    21 is drenched enough, it is infectious -- potentially
    22 infectious, then the rule kicks in about what
    23 happens then, or is it that the sheet has gone to an
    24 incinerator?
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    49
    1 MR. GREENE: Right. That's it.
    2 MS. KEZELIS: All right. That was that last
    3 step. There we go.
    4 HEARING OFFICER GLENN: Are there any other
    5 questions?
    6 DR. FLEMAL: I can't resist just throwing this
    7 suggestion.
    8 Assuming we go forward and we adopt 229,
    9 let me pose a question. Is there anything we ought
    10 to do then to go back and review our potentially
    11 infectious waste regulations to bring them in
    12 greater compatibility? Is there any need for
    13 greater compatibility that would generate? No
    14 answer necessary at this stop, but if you folks
    15 would like to think about that --
    16 MS. SAWYER: We can consider that as well.
    17 DR. FLEMAL: -- and share any opinions you have
    18 on that with us later, that would be useful.
    19 HEARING OFFICER GLENN: Would the agency like
    20 to put forth any other information regarding this
    21 proposal today?
    22 MS. SAWYER: No. I think we're through.
    23 HEARING OFFICER GLENN: Does anyone in the
    24 audience have any questions of the agency regarding
    L.A. REPORTING (312) 419-9292

    50
    1 today's proposal?
    2 Seeing none, let's see. Again, I would
    3 note that the second hearing that will be held in
    4 this matter is scheduled for Wednesday, February
    5 3rd, 1999, at 3:00 o'clock in the afternoon in the
    6 board's hearing room at the Springfield office
    7 located at 600 South Second Street in Springfield.
    8 The third hearing is currently scheduled
    9 for Thursday, February 11th, 1999, at 1:00 p.m. in
    10 room 9-40 of the James R. Thompson Center.
    11 I remind you that if the agency does not
    12 request that third hearing and request that it be
    13 cancelled, we will send notice to everybody on the
    14 notice and service list that the third hearing has
    15 indeed been cancelled.
    16 And incidentally, the transcript from
    17 today's proceedings will timely be put on the board's
    18 web site, and the web site is www.IPCB.STATE.IL.US.
    19 And I would like to remind the agency that
    20 any matters that they agreed to address for the
    21 board in the future that they will -- we will
    22 answers those perhaps at the forefront of the second
    23 hearing. So anything that you submit between now
    24 and then or would like to address at the next
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    51
    1 hearing regarding the questions raised today we will
    2 address at the beginning of the second hearing.
    3 MS. SAWYER: When will the transcript be
    4 available from this hearing?
    5 HEARING OFFICER GLENN: On the web site?
    6 MS. SAWYER: Yes.
    7 HEARING OFFICER GLENN: We're going to request
    8 an expedited transcript today. We usually get those
    9 within a week. We will try to get it on the board's
    10 web site within two weeks from today, but I can call
    11 you when I know it's there, if you'd like.
    12 MS. SAWYER: Where does that put us in relation
    13 to the second hearing?
    14 HEARING OFFICER GLENN: Oh. That's the hearing
    15 date. That won't help us. We'll get you a copy
    16 directly, Ms. Sawyer, when it comes out. You will
    17 receive it promptly. But for the rest of you, I
    18 guess it may not be available much before the second
    19 hearing. If you'd like a copy, let me know, and I
    20 will send it to you in the mail, though. You can
    21 see me afterward.
    22 Any other questions?
    23 Great. Well, thank you all very much for
    24 coming today. I would like to thank the agency for
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    1 being very well prepared and giving us a good
    2 proposal to start with certainly. And thank you
    3 all, members of the public, also. See you in two
    4 weeks.
    5 (Whereupon, the hearing was adjourned
    6 at 2:10 p.m.)
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    L.A. REPORTING (312) 419-9292

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    1 STATE OF ILLINOIS )
    ) SS.
    2 COUNTY OF COOK )
    3
    4 I, CARYL L. HARDY, a Certified Shorthand
    5 Reporter doing business in the County of Cook and
    6 State of Illinois, do hereby certify that I reported
    7 in machine shorthand the proceedings at the hearing
    8 of the above-entitled cause.
    9 I further certify that the foregoing is a
    10 true and correct transcript of said proceedings as
    11 appears from the stenographic notes so taken and
    12 transcribed by me.
    13
    14
    15
    16
    17 CSR No. 084-003896
    18
    19 SUBSCRIBED AND SWORN TO
    before me this ____ day
    20 of ___________, A.D., 1999.
    21 _____________________________
    Notary Public
    22
    23
    24
    L.A. REPORTING (312) 419-9292

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