R99-10.PDF

ILLINOIS POLLUTION CONTROL BOARD

May 6, 1999

IN THE MATTER OF:

)

HOSPITAL/MEDICAL/INFECTIOUS

) R99-10

WASTE INCINERATORS:

) (Rulemaking - Air)

ADOPTION OF 35 ILL. ADM. CODE 229

)

Adopted Rule. Final Order.

OPINION AND ORDER OF THE BOARD (by R.C. Flemal):

This matter comes before the Board upon a petition for rulemaking filed on November

30, 1998, by the Illinois Environmental Protection Agency (Agency). The Agency requests

that the Board amend its air pollution control regulations to establish a program for the control

of emissions from the incineration of hospital, medical, and infectious waste. The program

would be effectuated by the creation of new Part 229, titled “Hospital/Medical/Infectious

Waste Incinerators,” in the Board’s air pollution regulations. By today’s action the Board

promulgates the regulations.

The Board’s responsibility in this matter arises from the Environmental Protection Act

(Act) (415 ILCS 5/1

et seq.

(1996)). The Board is charged therein to “determine, define and

implement the environmental control standards applicable in the State of Illinois.” 415 ILCS

5/5(b). More generally, the Board’s rulemaking charge is based on the system of checks and

balances integral to Illinois environmental governance: the Board bears responsibility for the

rulemaking and principal adjudicatory functions; the Agency has primary responsibility for

administration of the Act and the Board’s regulations, including the regulations that are

adopted today.

Today’s regulations have been brought under Section 28.5 of the Act (415 ILCS 5/28.5

(1996)). Section 28.5 authorizes the Board to adopt via a “fast-track” procedure certain

regulations necessary for compliance with the Clean Air Act Amendments of 1990 (CAA) (42

U.S.C. §§ 7401-76719 (1990)). The United States Environmental Protection Agency

(USEPA) has established September 15, 1998, as the deadline for implementation of the

instant rules in Illinois. 42 U.S.C. 7429(b)(2).

BACKGROUND

On September 15, 1997, USEPA promulgated new source performance standards

(NSPS) and emission guidelines (EG) to reduce emissions from hospital, medical, and

infectious waste incinerators (HMIWIs). Pet. Exh. 1 at 48379-48391.

Under the terms of the

Documents that are attached to the Agency’s petition to which citation is made are as

follows:

NSPS and EG, certain HMIWIs are required to meet specific emission limits using the

maximum available control technology, considering costs, quality of health, and environmental

and energy impacts.

The NSPS and EG are based on USEPA’s determination that emissions from HMIWIs

can have adverse effects on both public health and welfare. Pet. Exh. 1 at 48350. The

emissions of concern include organic materials, particulates, metals, acid gases, and NOx.

Pet. Exh. 1 at 48350.

States are required in Section 111(d) of the CAA to submit a plan for the control of

emissions from any source for which USEPA has promulgated a performance standard. As

regards the HMIWI performance standards, the NSPS are directly implemented in Illinois

through the operation of Section 39.5 of the Act; they accordingly need no independent

promulgation by the Board. The EG, however, does need independent promulgation and

implementation. Today’s action is undertaken pursuant to that requirement. The regulations

contain standards and control requirements that are intended to be equivalent to those in the

EGs.

Pursuant to the CAA, states are required to submit their implementation plans to

USEPA within one year of adoption of an EG by USEPA. In this case Illinois was required to

submit its implementation plan by September 15, 1998. Pet. Exh. 1 at 48351. Illinois has not

met that deadline. However, the Agency did seek a formal 18-month extension of the deadline

because it believed that (1) substantial outreach would be required before initiating the

rulemaking process, due to the many sources affected by the regulations and the wide

variability in individual circumstances; and (2) additional time was needed given the process

Attachment 6: Agency’s Statement of Reasons. (Reasons)

Exhibit 1:

Standards of Performance for New Stationary Sources and Emission

Guidelines for Existing Sources: Hospital/Medical/Infectious Waste

Incinerators, Final Rule, 62 Fed. Reg. 48347 (September 15, 1997).

Exhibit 5:

Letter from Bharat Mathur, Chief, Bureau of Air, IEPA to David Kee,

Director, Air and Radiation Branch, USEPA Region 5 (December 15,

1997).

Exhibit 7:

Letter from Bharat Mathur, Chief, Bureau of Air, IEPA to David Kee,

Director, Air and Radiation Branch, USEPA Region 5 (unsigned and

transmitted by facsimile, March 4, 1998).

On March 2, 1999, the United States Court of Appeals for the District of Columbia Circuit,

in a case challenging USEPA’s rule establishing medical waste incinerator standards,

remanded the rule for further explanation regarding the maximum emissions allowed under the

rule. See Sierra Club and Natural Resources Defense Council v. United States Environmental

Protection Agency and Carol Browner, Administrator, United States Environmental Protection

Agency, No. 97-1686 (D.C. Cir. March 2, 1999). Since the court did not vacate the rule, the

Board proceeds with today’s promulgation of the rule.

by which environmental regulations are adopted in Illinois. Pet. Exh. 5. When USEPA

responded that it did not believe it had the authority to grant the Agency’s request, the Agency

asked USEPA to reconsider the issue. Pet. Exh. 7. USEPA consistently maintained that it did

not believe it had authority to extend time to the states. Reasons at 7. Although Illinois has

missed the September 15, 1998 deadline, if it submits a state plan to USEPA and USEPA

approves it by September 15, 1999, Illinois can avoid having USEPA impose a plan on

Illinois. 42 U.S.C. 7429(b)(3).

PROCEDURAL HISTORY

Schedule and Hearings

By order of December 3, 1998, the Board adopted the proposal for immediate first

notice, as required of rulemaking proposals filed under Section 28.5 of the Act. The Secretary

of State published first notice on December 28, 1998, at 22 Ill. Reg

22177.

Further, as also required by Section 28.5 of the Act, the Board in its December 3, 1998

order adopted a fast-track schedule for the proceeding. Pursuant to the schedule the first

hearing was held on January 21, 1999, in Chicago and the second hearing was held on

February 3, 1999, in Springfield.

Both hearings were before Board Hearing Officer

Catherine F. Glenn.

At the first hearing the Agency presented the testimony of Joe Uy, Environmental

Protection Engineer in the Air Quality Planning Section of the Agency, and Kevin Greene,

Manager of the Agency’s Office of Pollution Prevention. Mr. Uy, who helped develop the

HMIWI regulations, filed prefiled testimony regarding,

inter alia,

what facilities are affected

by the regulations and the objectives of the regulations. Hearing Exh. 1.

Mr. Greene

explained in his prefiled testimony that he drafted the waste management portion of the

The transcript from the January 21, 1999 hearing is cited as “Tr.1 at __.” The transcript

from the February 3, 1999 hearing is cited as “Tr.2 at __.”

The Agency submitted eight exhibits at the hearings. At the January 21, 1999 hearing the

following three exhibits were admitted:

Exhibit 1 (Exh. 1):

Testimony of Joe Uy

Exhibit 2 (Exh. 2):

Testimony of Kevin Greene

Exhibit 3 (Exh. 3):

Motion to Amend Rulemaking Proposal

At the February 3, 1999 hearing the following five exhibits were admitted:

Exhibit 4 (Exh. 4):

Motion to Amend Rulemaking Proposal

Exhibit 5 (Exh. 5):

Illinois Environmental Protection Agency’s Response to

Comments

Exhibit 6 (Exh. 6):

Illinois HMIWI Rural and Non-Rural Criteria Coverage

Exhibit 7 (Exh. 7):

Trends in the Health Care and Medical Waste Industries

Exhibit 8 (Exh. 8):

Waste Reduction in the Veterinary Clinic

regulations and described the intent of that portion. Hearing Exh. 2. No members of the

public attended the first hearing or presented testimony.

At the second hearing the Agency responded to several questions raised at the first

hearing. Also at the second hearing, the Board sought testimony regarding the Department of

Commerce and Community Affairs’ economic impact determination, in accord with Public Act

90-489, effective January 1, 1998, and codified as part of 415 ILCS 5/27(b) (1996); no

economic impact testimony was received. Tr.2 at 8.

The third hearing, which had been tentatively scheduled for February 11, 1999, was

canceled as provided for at Section 28.5(g)(3) of the Act. Tr. at 25.

By order of March 18, 1999, the Board adopted the Agency’s proposal for second

notice and forwarded the proposal to the joint committee on administrative rules (JCAR). At

its April 20, 1999 meeting, JCAR voted “no objection” to the regulations.

Public Comments

The Board received two timely-filed public comments. The first public comment, PC

1, was filed on February 22, 1999, by Bonnie R. Sawyer of the Agency. The second public

comment, PC 2, was also filed on February 22, 1999, by Heidi E. Hanson, on behalf of

Hinsdale Hospital. Three public comments were received after the record closed on

February 22, 1999. On February 23, 1999, the Agency filed a motion to file a response to PC

instanter

. On February 24, 1999, Ms. Hanson filed a motion to file

instanter

a response to

the Agency’s February 23, 1999 filing. On March 3, 1999, the Board received a combined

comment from Citizens for a Better Environment, the American Lung Association of

Metropolitan Chicago, and the Sustainable Hospitals Project. Because the Board received the

three comments after the record closed, the Board denied the two motions to file

instanter

and

did not accept the combined comment filed on March 3, 1999.

OVERVIEW

The regulations adopted today contain three principal provisions: (1) establishment of

emission limits for several categories of HMIWIs; (2) requirement that HMIWIs subject to the

emission limits operate pursuant to a Clean Air Act Permit Program (CAAPP) permit; and (3)

requirement that affected HWIMIs create waste management programs. The regulations

closely track the federal EG. The few provisions that are departures from the EG are

discussed later in this opinion.

The regulations are organized into 12 subparts and three appendices. The subparts

address the following:

Subpart A:

General Provisions

Subpart B:

Applicability

Subpart C:

Compliance Schedules

Subpart D:

CAAPP Permit Requirements

Subpart E:

Emission Limits

Subpart F:

Exceptions from Emission Limits

Subpart G:

Methods and Procedures for Performance Testing

Subpart H:

Compliance Requirements

Subpart I:

Monitoring Requirements

Subpart J:

Requirements for HMIWI Operators

Subpart K:

Waste Management Plan Requirements

Subpart L:

Recordkeeping and Reporting Requirements

Applicability

Today’s regulations apply to all HMIWIs, with limited exceptions, for which

construction began either on or before June 20, 1996. The Board notes that the proposed rules

apply statewide. In this context, they are unlike some other air regulations that have

applicability limited to certain geographic areas of the State. However, different emission

limits exist for different HMIWIs, depending on their charging capacity (

i.e.

, the amount of

waste that can be incinerated over a period of time) and geographical location. Reasons at 19.

Rural HMIWIs have less stringent emission limits. Reasons at 19. Almost all owners or

operators of HMIWIs will have to install at least some form or add-on pollution control device

in their incinerators. Hearing Exh. 1 at 5.

The majority of HMIWIs are located in hospitals, but HMIWIs are also found at

commercial waste treatment facilities, veterinary medical facilities, funeral homes, mortuaries,

skilled nursing care facilities, commercial physical, biological and medical research facilities,

and pharmaceutical manufacturing facilities. Reasons at 5.

Provisions Based on Types and Percentages of Waste Incinerated

Today’s regulations have varying requirements for HMIWIs that handle different types

and percentages of wastes.

HMIWIs that are otherwise subject to the emission limits in proposed Part 229, but that

during certain periods combust only pathological waste, low-level radioactive waste, or

chemotherapeutic waste, are only subject to the recordkeeping requirements in proposed

Sections 229.182(b), (f), and (g). See Section 229.110(b). The owners or operators of the

HMIWIs must notify the Agency in its CAAPP application of their intent to operate pursuant

to this operating scenario.

HMIWIs that combust only pathological waste, low-level radioactive waste, or

chemotherapeutic waste, are subject only to the recordkeeping requirements in Sections

229.182(c), (f), and (g). See Section 229.110(c). The owners or operators of these HMIWIs

must, by December 15, 1999, give both the Agency and USEPA a written certification that

their HMIWIs burn only these wastes. See Section 229.110(c).

Co-fired combustors are only subject to the recordkeeping requirements in Section

229.182(d), (f), and (g).

Owners or operators of a co-fired combustor must, by December

15, 1999, give both the Agency and USEPA a written certification of its status as a co-fired

combustor, including specific information about the amount of waste and other fuels

combusted at the facility. See Section 229.110(d).

Hospitals without HMIWIs that send their hospital waste or medical/infectious waste to

an off-site HMIWI, are subject only to the waste management plan provisions in Section

229.178. See Section 229.110(e).

Affected Facilities

The Agency believes that approximately 98 HMIWIs are potentially subject to the

emission limits in the regulations. Reasons at 8, Tr.1 at 27. The Agency estimates that an

additional 75 HMIWIs may have to notify the Agency and USEPA of their exempt status,

because of the type of waste burned or percentage of hospital, medical, or infectious waste

combusted. Reasons at 8. Further, the Agency believes that approximately 155 hospitals that

send waste off-site may be subject to the waste management planning requirement. Reasons at

9. The Agency estimates there are 43 facilities with on-site incinerators which may be

classified as co-fired combustors. Tr.2 at 22. At the January 21, 1999 hearing, Mr. Uy

testified that Memorial Hospital in Carthage, Illinois, is the only “rural HMIWI” known to the

Agency. See definition of “rural HMIWI” in Section 229.102, Tr.1 at 23. The reason for the

low number of rural HMIWI, Mr. Uy explained at the February 3, 1999 hearing, was that

only a small geographical portion of Illinois meets the rural criteria under the proposed rules.

Tr.2 at 22, Hearing Exh. 6.

Timeframes for Compliance

“Co-fired combustor,” defined in Section 229.102, is a unit combusting hospital waste or

medical/infectious waste with other fuels or wastes and subject to an enforceable requirement

limiting the unit to combusting a fuel feed stream, of which 10% or less of the weight is

comprised, in aggregate, of hospital waste and medical/infectious waste as measured on a

calendar quarter basis.

The rural criteria in today’s regulations are found in Section 229.102 in the definition of

“Rural HMIWI”. They are any HMIWI located more than 50 miles from the boundary of the

nearest Standard Metropolitan Statistical Area, meeting the criteria specified in the definition

of “small HMIWI” and burning less than 2,000 lbs per week of hospital waste and

medical/infectious waste.

Generally, HMIWIs subject to these regulations are required to comply with the

emission limits in this part by September 15, 2000. See Section 229.115. However, the

regulations contain separate provisions for those HMIWIs that will continue to operate after

the regulations are in effect, and those that will not continue to operate. See Sections 229.115

and 229.116. HMIWIs that intend to continue operation generally must come into compliance

by September 15, 2000. See Section 229.115(a). Under certain circumstances, the deadline

may be extended to September 15, 2002. See Section 229.115(b). HMIWIs that plan to

comply with these regulations by shutting down must timely notify the Agency and take

affirmative steps to show that the HMIWIs have been rendered permanently inoperable by

September 15, 2000. See Section 229.116. There is no provision for HMIWIs that plan to

shut down, but cannot comply with the September 15, 2000 deadline. The Agency suggests

that those HMIWIs request a variance from the Board in a timely fashion, so that the Board

can rule on the request before September 15, 2000. Reasons at 17.

CAAPP Requirements

Today’s regulations require all HMIWIs subject to the emission limits in the part to

operate under a CAAPP permit by September 15, 2000. See Section 229.120(a). One

provision was proposed at second notice that was different from the first-notice Section

229.120. At first notice, Section 229.120(b) provided that sources subject to Part 229 that are

not required to obtain a permit under Section 39.5 of the Act must submit an application by

September 15, 2000. At hearing, the Agency noted that this was not entirely accurate. Tr.1

at 12. Rather, Section 39.5 of the Act requires sources subject to a standard under Section 111

of the Clean Air Act to obtain a permit. At second notice the Board omitted the reference to

Section 39.5 of the Act in Section 229.120(b). Section 229.120(b) now reads, in part, that

any HMIWI subject to the emission limits in this part that is first required to obtain a CAAPP

permit because it is subject to the emission limits of this part shall submit the CAAPP

application permit by September 15, 2000. See Section 229.120(b). The Board believes this

change addresses the Agency’s accuracy concern.

Emission Limits

Sections 229.125 and 229.126 describe the emission limits for small, medium, large,

and rural HMIWIs. These HMIWIs are defined in proposed Section 229.102. The size of an

HMIWI is determined by the amount of waste that can be incinerated over a period of time.

The chart below summarizes the emission limits for the affected HMIWIs:

Pollutant Units

Small Rural

Small Urban

Medium

Large

Mercury

(mg/dscm or

percent

7.5

0.55 or 85%

reduction)

Dioxins/furans

(ng/dscm)

800

125

TEQ

dioxins/furans

(ng/dscm)

2.3

Cadmium

(mg/dscm or

percent

reduction)

0.16 or 65%

Lead (mg/dscm

or percent

reduction)

1.2 or 70%

Hydrogen

chloride (ppmv

or percent

reduction)

3,100

100 or 93%

Particulate

matter

(mg/dscm)

197

115

Carbon

monoxide

(ppmv)

Sulfur dioxide

(ppmv)

Nitrogen oxide

(ppmv)

250

There are exceptions to the emission limits. If an HMIWI is in a period of startup,

shutdown, or malfunction, it does not have to comply with the emission limits. See Section

229.130(a). Specific duties of the owner or operator of the HMIWI are set forth in Section

229.130(d). Testing procedures for the emission limits are described in Section 229.140. One

addition to the regulations that was not included at first notice, but was included at second

notice at the Agency’s request, is the requirement that when conducting a performance test for

an HMIWI, the owner or operator shall conduct that test when the HMIWI is capturing

maximum emissions, and not during periods of startup, malfunction or shutdown. See

Section 229.140(b)(3), Tr.1 at 11, Hearing Exh. 3. The Board believes adding this

requirement will result in a more relevant and accurate performance test.

Compliance Requirements

Sections 229.142 through 229.164 set forth the compliance requirements for HMIWIs

that are subject to the emission limits of this part. All HMIWIs must conduct an initial

performance test by September 15, 2000, for particulate matter, carbon monoxide,

dioxins/furans, hydrogen chloride, sulfur dioxide, nitrogen oxide, lead, cadmium, and

mercury.

See Section 229.142(a) and (b).

After the initial performance test, the owners or operators of the HMIWIs may repeat

the test at any time to establish new site-specific operating values for the HMIWIs. See

Section 229.144(a). Additionally the Agency may, at its discretion, request that a new

performance test be conducted at any time. See Section 229.144(b). In addition to the tests

performed at the owners or operators discretion, annual performance tests must be completed

by small, medium, and large HMIWIs to determine the particulate matter, carbon monoxide,

and hydrogen chloride emission limits.

See Section 229.148.

All owners and operators of

HMIWIs, including rural HMIWIs, must conduct an annual opacity test. See Section

229.146. A change from first notice is the addition of Method 26A as an approved method for

testing for hydrogen chloride. See Section 229.104(e) and proposed Part 229.Appendix C. At

the January 21, 1999 hearing the Agency explained that USEPA recently promulgated Method

26A, which is equivalent to Method 26. Tr.1 at 10. The Board included in the regulations

Method 26A as an option for hydrogen chloride testing.

HMIWI Operator Requirements

The regulations prohibit any HMIWI to operate unless a trained and qualified HMIWI

operator is available on-site. See Section 229.170(a). This standard differs from the federal

EG. The federal EG allows a trained and qualified operator to be available within one hour of

the HMIWI during all periods of operation. Hearing Exh. 5 at 9. The Agency believes that

such a requirement would be too difficult to implement, monitor, and enforce. Reasons at 20.

For safety and simplicity, the regulations require a qualified HMIWI operator to be on-site

when the HMIWI is being operated. See Section 229.170(a).

To become a trained and qualified operator, a person must comply with the procedures

set forth in Section 229.170(b) and (c). Annual maintenance of a person’s qualification status

is required. See Section 229.170(e). Also, the owner or operator of the HMIWI must keep

information on-site regarding the procedures for startup and shutdown of the HMIWI, and

other specific information. See Section 229.172.

Waste Management Plan

Today’s regulations require each hospital that uses on-site incinerators to submit a

waste management plan to the Agency. See Section 229.176(a). The plans must be filed with

Owners or operators of rural HMIWIs are not required to test for hydrogen chloride, lead, or

cadmium. See Section 229.142 (c).

If three consecutive annual tests show compliance with the emission limits for particulate

matter, carbon monoxide, or hydrogen chloride, no annual test is necessary for that pollutant

during the subsequent two years. See Section 229.148(a).

Owners or operators of rural HMIWIs are not required to conduct subsequent annual

performance tests. See Section 229.142. They are, however, required to annually inspect the

HMIWIs. See Section 229.162.

the Agency when the facility submits its emission test result and site-specific operating

parameters. See Section 229.176(e). The plans must contain certain elements, including

where the facility is located, goals for reducing the volume and toxicity of waste, names of

staff responsible for developing the plan, and a summary of existing waste management

policies and practices. See Section 229.176.

Hospitals that send their waste to an off-site HMIWI also must prepare a limited waste-

management plan. See Section 229.178. Although today’s regulations are based on an EG

that does not require these hospitals to develop and implement such a plan, the Agency

believes this requirement is consistent with the USEPA mandate, and the recently announced

memorandum of understanding between USEPA and the American Hospital Association

regarding waste management and waste reduction goals. Reasons at 21.

Owners or operators of HMIWIs that accept waste generated off-site, are required to

provide their customers with written information about the availability of waste management

practices. See Section 229.180(a)(1). They must also submit a waste management plan to the

Agency. See Section 229.180(a)(2).

At the January 21, 1999 hearing, the Agency expressed its concern that although the

waste management plans applied to three categories of sources (hospitals that operate an

incinerator, hospitals that send waste to an off-site incinerator, and commercial facilities that

accept waste from off-site generators), the regulations may not have met the federal guideline

requirements because they lacked a provision concerning waste management for affected

facilities that were not hospitals. Tr.1 at 13. The Agency indicated it was not prepared to

propose a revision for the regulations at that time. Tr.1 at 14. The Agency subsequently

discussed the first notice version of proposed Part 229 with USEPA (Hearing Exh. 4 at 2) and

on February 8, 1999, filed a motion to amend the rulemaking proposal

by adding a Section

229.181 entitled “Waste Management Plan Requirements for Other HMIWIs”. This section

requires waste management plans from owners or operators of HMIWIs other than those at

hospital or commercial facilities. Hearing Exh. 4 at 2, see Section 229.181. Mr. Greene

testified that the Agency anticipated these types of facilities would be nursing homes,

veterinary clinics, and research institutions. Tr.2 at 15. The plans include that these facilities

assess their current waste management practices, evaluate the feasibility of using certain

additional practices, and submit a waste management plan to the Agency. See Section

229.181. Today’s adopted regulations include Section 229.181.

Recordkeeping and Reporting Requirements

The final section in today’s adopted regulations addresses recordkeeping and reporting

requirements. See Section 229.182. Depending on the type of facility (exempt, co-fired

At the February 3, 1999 hearing, the Agency filed as Exhibit 4, the same motion to amend it

filed with the Clerk of the Board on February 8, 1999. The Board granted the motion in its

March 18, 1999 order. Also, the Board granted the Agency’s motion to amend the rulemaking

proposal filed as Exhibit 3 on January 21, 1999.

combustor, rural HMIWI, etc.), the owner or operator has varying responsibilities. See

Sections 229.182(a)-(e) and 229.184. Pathological waste incinerators that incinerate only

human remains (e.g., crematoriums) are included in these requirements, which is more

stringent than the EG, under Sections 229.182(b) and (c).

CHANGES FROM SECOND NOTICE

JCAR has requested some minor changes be made from second notice. In Section

229.115(b)(1) the phrase “within 6 months after the Board’s approval of this Part,” has been

changed to “on or before November 15, 1999”. Similarly, in Section 229.116(a), “within 6

months after the Board’s approval of the provisions of this Part” is changed to “on or before

November 15, 1999”. Finally, Section 229.120(d)(1) now reads:

If the CAAPP has 3 or more years remaining on the permit term, the owner or

operator of an HMIWI shall apply for revision to the CAAPP permit to

incorporate the applicable requirements of this Part on or before November 15,

1999.

This change is necessary because Section 229.120(d)(1) and (d)(2) had both previously applied

in cases where the CAAPP permit had less than 3 years remaining, which was erroneous. As

corrected, Section 229.120(d)(1) now applies when a CAAPP permit has 3 or more years

remaining on the permit term, and Section 229.120(d)(2) still applies when a CAAPP permit

has less than 3 years remaining on the permit term.

CONCLUSION

The Board finds that, based on the record developed in this matter, adoption of the

regulations as herein discussed and previously sent to first and second notice is warranted.

ORDER

The Board directs that the following Part 229 be submitted to the Secretary of State for

final notice publication in the

Illinois Register

pursuant to Section 5-40 of the Illinois

Administrative Procedure Act:

TITLE 35: ENVIRONMENTAL PROTECTION

SUBTITLE B: GENERAL PROVISIONS

CHAPTER I: POLLUTION CONTROL BOARD

SUBCHAPTER c: EMISSION STANDARDS AND LIMITATIONS FOR STATIONARY

SOURCES

PART 229

HOSPITAL/MEDICAL/INFECTIOUS WASTE INCINERATORS

SUBPART A: GENERAL PROVISIONS

Section

229.100

Abbreviations

229.102

Definitions

229.104

Incorporations by Reference

SUBPART B: APPLICABILITY

Section

229.110

General Applicability

229.112

Exemptions

SUBPART C: COMPLIANCE SCHEDULES

Section

229.115

Compliance Schedules for HMIWIs That Will Continue to Operate

229.116

Compliance Schedules for HMIWIs That Will Shut Down

SUBPART D: CAAPP PERMIT REQUIREMENTS

Section

229.120

CAAPP Permit Requirements

SUBPART E: EMISSION LIMITS

Section

229.125

Emission Limits for Small, Medium, and Large HMIWIs

229.126

Emission Limits for Rural HMIWIs

SUBPART F: EXCEPTIONS FROM EMISSION LIMITS

Section

229.130

Operation During Periods of Startup, Shutdown, or Malfunction

SUBPART G: METHODS AND PROCEDURES FOR PERFORMANCE TESTING

Section

229.140

Methods and Procedures for Performance Testing

SUBPART H: COMPLIANCE REQUIREMENTS

Section

229.142

Initial Performance Testing and Establishment of Operating Parameters

229.144

Subsequent Performance Testing for All HMIWIs

229.146

Annual Testing for Opacity

229.148

Annual Performance Testing for Small, Medium and Large HMIWIs

229.150

Compliance with Operating Parameter Values

229.152

Compliance Requirements for HMIWIs Using CEMS

229.154

Violations by HMIWIs Equipped with a Dry Scrubber Followed by a Fabric

Filter

229.156

Violations by HMIWIs Equipped with a Wet Scrubber

229.158

Violations by HMIWIs Equipped with a Dry Scrubber Followed by a Fabric

Filter and a Wet Scrubber

229.160

Compliance Requirements for Rural HMIWIs

229.162

Inspection Requirements for Rural HMIWIs

229.164

Optional Performance Testing to Address Actual or Potential Violations

SUBPART I: MONITORING REQUIREMENTS

Section

229.166

Monitoring Requirements for Small, Medium, and Large HMIWIs

229.168

Monitoring Requirements for Rural HMIWIs

SUBPART J: REQUIREMENTS FOR HMIWI OPERATORS

Section

229.170

Operator Training and Qualification Requirements

229.172

Documentation To Be Maintained On-Site for Employees Operating HMIWIs

SUBPART K: WASTE MANAGEMENT PLAN REQUIREMENTS

Section

229.176

Waste Management Plan Requirements for Hospitals Using On-Site Incinerators

229.178

Waste Management Plan Requirements for Hospitals Transporting Waste Off-

Site to an HMIWI

229.180

Waste Management Requirements for HMIWIs Accepting Waste Generated Off-

Site

229.181

Waste Management Plan Requirements for Other HMIWIs

SUBPART L: RECORDKEEPING AND REPORTING REQUIREMENTS

Section

229.182

Recordkeeping Requirements

229.184

Reporting Requirements

Appendix A

Toxic Equivalency (TEQ) Factors

Appendix B

Operating Parameters to Be Monitored and Minimum Measurement and

Recording Frequencies

Appendix C

Reference Test Methods and Procedures for Performance Tests

AUTHORITY: Implementing Sections 10, 39 and 39.5 and authorized by Section 27 of the

Environmental Protection Act (415 ILCS 5/10, 27, 39 and 39.5)

SOURCE: Adopted at _____ Ill. Reg. __________, effective ____________________.

SUBPART A: GENERAL PROVISIONS

Section 229.100

Abbreviations

The following abbreviations have been used in this part:

Act

Illinois Environmental Protection Act [415 ILCS 5]

Agency

Illinois Environmental Protection Agency

Board

Illinois Pollution Control Board

Btu

British thermal units

CAAPP

Clean Air Act Permit Program [415 ILCS 5/39.5]

CEMS

Continuous Emissions Monitoring System

carbon monoxide

cadmium

dscf

dry standard cubic foot

dscm

dry standard cubic meter

cubic feet

HCl

hydrogen chloride

mercury

HMIWI

hospital/medical/infectious waste incinerator

hour

lb(s)

pound(s)

milligrams

Nitrogen Oxide

lead

particulate matter

ppmv

parts per million by volume

Sulfur Dioxide

TEQ

toxic equivalency

USEPA

United States Environmental Protection Agency

Section 229.102

Definitions

The definitions contained in this Section apply only to the provisions of this Part. Unless

otherwise defined herein and unless a different meaning of a term is clear from its context, the

definitions of terms used in this Part shall have the meanings specified for those terms in 415

ILCS 5/39.5, 35 Ill. Adm. Code 201.102 or 35 Ill. Adm. Code 211.

“Batch HMIWI” means an HMIWI that is designed in such a way that neither waste

charging nor ash removal can occur during combustion.

“Biologicals” means preparations made from living organisms and their products,

including vaccines, cultures, etc., intended for use in diagnosing, immunizing, or

treating humans or animals or in research pertaining thereto.

“Body fluids” means liquid emanating or derived from humans and limited to: blood;

dialysate; amniotic, cerebrospinal, synovial, pleural, peritoneal and pericardial fluids;

semen and vaginal secretions.

“Bypass stack” means an alternative stack used for discharging combustion gases to the

atmosphere primarily to avoid severe damage to an air pollution control device or other

equipment.

“Charge” means the act of placing waste into an HMIWI for incineration.

“Chemotherapeutic waste” means waste material resulting from the production or use

of antineoplastic agents used for the purpose of stopping or reversing the growth of

malignant cells.

“Co-fired combustor” means a unit combusting hospital waste or medical/infectious

waste with other fuels or wastes (e.g., coal, municipal solid waste) and subject to an

enforceable requirement limiting the unit to combusting a fuel feed stream, of which 10

percent or less of the weight is comprised, in aggregate, of hospital waste and

medical/infectious waste as measured on a calendar quarter basis. For purposes of this

definition, pathological waste, chemotherapeutic waste, and low-level radioactive waste

are considered "other" wastes when calculating the percentage of hospital waste and

medical/infectious waste combusted.

“Continuous emission monitoring system” or “CEMS” means a monitoring system for

continuously measuring and recording the emissions of a pollutant from an affected

facility.

“Continuous HMIWI” means an HMIWI that is designed to allow waste charging and

ash removal during combustion.

“Dioxins/furans” means the total emissions of any tetra- through octa-chlorinated

dibenzo-para-dioxins and dibenzofurans, as measured by EPA Reference Method 23,

incorporated by reference in Section 229.104(d) of this Subpart.

“Dry scrubber” means an add-on air pollution control system that injects dry alkaline

sorbent (dry injection) or sprays an alkaline sorbent (spray dryer) to react with and

neutralize acid gases in an HMIWI exhaust stream, forming a dry powder material.

“Fabric filter” means an add-on air pollution control system that removes PM and

nonvaporous metals emissions by passing flue gas through filter bags.

“Facilities manager” means the individual in charge of purchasing, maintaining, and

operating an HMIWI, or the owner's or operator's representative responsible for the

management of an HMIWI. Alternative titles may include director of facilities or vice

president of support services.

“High air phase” means the stage of the batch operating cycle when the primary

chamber reaches and maintains maximum operating temperatures.

“Hospital” means any facility that has an organized medical staff, maintaining at least 6

inpatient beds and where the primary function of the facility is to provide diagnostic

and therapeutic patient services and continuous nursing care primarily to human

inpatients who are not related and who stay on average in excess of 24 hours per

admission. This definition does not include facilities maintained for the sole purpose of

providing nursing or convalescent care to human patients who generally are not acutely

ill but who require continuing medical supervision.

“Hospital/medical/infectious waste incinerator” or “HMIWI” means any device that

combusts any amount of hospital waste or medical/infectious waste.

“Hospital waste” means discards generated at a hospital, except unused items returned

to the manufacturer. The definition of hospital waste does not include human corpses,

remains, or anatomical parts that are intended for interment or cremation.

“HMIWI operator” means any person who operates, controls, or supervises the day-to-

day operation of an HMIWI.

“Infectious agent” means any organism that is capable of being communicated by

invasion and multiplication in body tissues and is also capable of causing disease or

adverse health impacts in humans.

“Intermittent HMIWI” means an HMIWI that is designed to allow waste charging, but

not ash removal, during combustion.

“Large HMIWI” means:

An HMIWI whose maximum design waste burning capacity is more than 500

lbs per hour; or

A continuous or intermittent HMIWI whose maximum charge rate is more than

500 lbs per hour; or

A batch HMIWI whose maximum charge rate is more than 4,000 lbs per day.

“Low-level radioactive waste” means waste that contains radioactive nuclides emitting

primarily beta or gamma radiation, or both, in concentrations or quantities that exceed

applicable Federal or State standards for unrestricted release. Low-level radioactive

waste is not high-level radioactive waste, spent nuclear fuel, or by-product material as

defined by the Atomic Energy Act of 1954 (42 U.S.C. 2014(e)(2)).

“Malfunction” means any sudden, infrequent, and not reasonably preventable failure of

air pollution control equipment, process equipment, or of a process to operate in a

normal or usual manner. Failures that are caused, in part, by poor maintenance or

careless operation are not malfunctions.

“Maximum charge rate” means:

For continuous and intermittent HMIWI, 110 percent of the lowest 3-hour

average charge rate measured during the most recent performance test

demonstrating compliance with all applicable emission limits specified in

Subpart E of this Part.

For batch HMIWI, 110 percent of the lowest daily charge rate measured during

the most recent performance test demonstrating compliance with all applicable

emission limits specified in Subpart E of this Part.

“Maximum design waste burning capacity” means:

For intermittent and continuous HMIWI:

C=P

x 15,000/8,500

Where:

HMIWI capacity, lb/hr

primary chamber volume, ft

15,000 =

primary chamber heat release rate factor, Btu/ft

/hr

8,500

standard waste heating value, Btu/lb;

For batch HMIWI:

C=P

x 4.5/8

Where:

HMIWI capacity, lb/hr

primary chamber volume, ft

4.5

waste density factor, lb/ft

typical hours of operation of a batch HMIWI, hours.

“Maximum fabric filter inlet temperature” means 110 percent of the lowest 3-hour

average temperature at the inlet to the fabric filter (taken, at a minimum, once every

minute) measured during the most recent performance test demonstrating compliance

with the applicable dioxin/furan emission limit specified in Subpart E of this Part.

“Maximum flue gas temperature” means 110 percent of the lowest 3-hour average

temperature at the outlet from the wet scrubber (taken, at a minimum, once every

minute) measured during the most recent performance test demonstrating compliance

with the applicable Hg emission limit specified in Subpart E of this Part.

“Medical/infectious waste” means any waste generated in the diagnosis, treatment, or

immunization of human beings or animals, in research pertaining thereto, or in the

production or testing of biologicals. The definition of medical/infectious waste does

not include hazardous waste identified or listed under the regulations in 40 CFR 261;

household waste, as defined in 40 CFR 261.4(b)(1); and domestic sewage materials

identified in 40 CFR 261.4(a)(1). For the purposes of this Part, medical/infectious

waste includes:

Cultures and stocks of infectious agents and associated biologicals, including:

vaccines and cultures intended for use in diagnosing, immunizing, or treating

humans or animals; cultures from medical and pathological laboratories;

cultures and stocks of infectious agents from research and industrial

laboratories; wastes from the production of biologicals; and discarded live and

attenuated vaccines;

Human pathological waste, including tissues, organs, and body parts and body

fluids that are removed during surgery or autopsy, or other medical procedures,

and specimens of body fluids and their containers;

Human blood, any products derived from human blood, or anything that has

been in contact with human blood in any form;

Intravenous bags and associated tubing;

Sharps that have been used in animal or human patient care or treatment or in

medical, research, or industrial laboratories, including hypodermic needles,

syringes (with or without the attached needle), pasteur pipettes, scalpel blades,

blood vials, and needles with attached tubing;

Culture dishes, regardless of the presence of infectious agents, and culture

dishes and devices used to transfer, inoculate, and mix cultures;

Any type of broken or unbroken glassware that has been in contact with

infectious agents;

Animal waste, including contaminated animal carcasses, body parts, bedding of

animals that were known to have been exposed to infectious agents during

research (including research in veterinary hospitals), production of biologicals

or testing of pharmaceuticals;

Isolation wastes, including biological waste and discarded materials

contaminated with blood, excretions, exudates, or secretions from humans who

are isolated to protect others from highly communicable diseases, or isolated

animals known to be infected with highly communicable diseases; and

Unused sharps, including the following unused, discarded sharps: hypodermic

needles, suture needles, syringes, and scalpel blades.

“Medium HMIWI” means:

An HMIWI whose maximum design waste burning capacity is more than 200

lbs per hour but less than or equal to 500 lbs per hour; or

A continuous or intermittent HMIWI whose maximum charge rate, as set by

permit, is more than 200 lbs per hour but less than or equal to 500 lbs per hour;

A batch HMIWI whose maximum charge rate, as set by permit, is more than

1,600 lbs per day but less than or equal to 4,000 lbs per day.

“Minimum dioxin/furan sorbent flow rate” means 90 percent of the highest 3-hour

average dioxin/furan sorbent flow rate (taken, at a minimum, once every hour)

measured during the most recent performance test demonstrating compliance with the

applicable dioxin/furan emission limit specified in Subpart E of this Part.

“Minimum Hg sorbent flow rate” means 90 percent of the highest 3-hour average Hg

sorbent flow rate (taken, at a minimum, once every hour) measured during the most

recent performance test demonstrating compliance with the applicable Hg emission

limit specified in Subpart E of this Part.

“Minimum HCl sorbent flow rate” means 90 percent of the highest 3-hour average HCl

sorbent flow rate (taken, at a minimum, once every hour) measured during the most

recent performance test demonstrating compliance with the applicable HCl emission

limit specified in Subpart E of this Part.

“Minimum horsepower” or “minimum amperage” means 90 percent of the highest

3-hour average horsepower or amperage to the wet scrubber (taken, at a minimum,

once every minute) measured during the most recent performance test demonstrating

compliance with the applicable emission limits specified in Subpart E of this Part.

“Minimum pressure drop across the wet scrubber” means 90 percent of the highest

3-hour average pressure drop across the wet scrubber PM control device (taken, at a

minimum, once every minute) measured during the most recent performance test

demonstrating compliance with the applicable PM emission limit specified in this

Subpart E of this Part.

“Minimum scrubber liquor flow rate” means 90 percent of the highest 3-hour average

liquor flow rate at the inlet to the wet scrubber (taken, at a minimum, once every

minute) measured during the most recent performance test demonstrating compliance

with the applicable emission limits specified in Subpart E of this Part.

“Minimum scrubber liquor pH” means 90 percent of the highest 3-hour average liquor

pH at the inlet to the wet scrubber (taken, at a minimum, once every minute) measured

during the most recent performance test demonstrating compliance with the applicable

HCl emission limit specified in Subpart E of this Part.

“Minimum secondary chamber temperature” means 90 percent of the highest 3-hour

average secondary chamber temperature (taken, at a minimum, once every minute)

measured during the most recent performance test demonstrating compliance with the

applicable PM, CO, and dioxin/furan emission limits specified in Subpart E of this

Part.

“Operating day” means a 24-hour period between 12:00 midnight and the following

midnight during which any amount of hospital waste or medical/infectious waste is

combusted at any time in an HMIWI.

“Operation” means any period during which waste is combusted in an HMIWI,

excluding periods of startup or shutdown.

“Pathological waste” means waste material consisting of only human or animal

remains, anatomical parts, tissue, and the bags or containers used to collect and

transport the waste material and associated animal bedding, if applicable.

“Primary chamber” means the chamber in an HMIWI that receives waste material, in

which the waste is ignited, and from which ash is removed.

“Rural HMIWI” means any HMIWI identified in Section 229.110(a) of this Part, that

is located more than 50 miles from the boundary of the nearest Standard Metropolitan

Statistical Area, as defined in OMB Bulletin No. 93-17, incorporated by reference at

Section 229.104(b) of this Part, meets the criteria specified in the definition of “small

HMIWI” and burns less than 2,000 lbs per week of hospital waste and

medical/infectious waste (except the 2,000 lbs per week limitation does not apply

during performance testing).

“Secondary chamber” means that component of an HMIWI that receives combustion

gases from the primary chamber and in which the combustion process is completed.

“Shutdown” means the period of time after all waste has been combusted in the

primary chamber.

“Small HMIWI” means:

An HMIWI whose maximum design waste burning capacity is less than or equal

to 200 lbs per hour; or

A continuous or intermittent HMIWI whose maximum charge rate, as set by

permit, is less than or equal to 200 lbs per hour; or

A batch HMIWI, whose maximum charge rate, as set by permit, is less than or

equal to 1,600 lbs per day.

“Startup” means the period of time between the activation of an HMIWI and the first

charge of waste to the unit. For batch HMIWI, startup means the period of time

between activation of an HMIWI and ignition of the waste.

“Wet scrubber” means an add-on air pollution control device that utilizes either an

alkaline or some other type of scrubbing liquor to collect pollutants and/or neutralize

acid gases.

Section 229.104

Incorporations by Reference

The following materials are incorporated in this Part by reference. These incorporations by

reference do not include any later amendments or editions.

“An Ounce of Prevention: Waste Reduction Strategies for Health Care

Facilities,” American Society for Healthcare Environmental Services, 840

North Lake Shore Drive, Chicago, Illinois, 60611 (1993).

"Revised Statistical Definitions for Metropolitan Areas," OMB Bulletin No.

93-17, Office of Management and Budget, Washington, D.C. (June 30, 1993).

40 CFR 60.8.

40 CFR 60, Appendix A, Methods 1, 2, 3, 3A, 5, 9, 10, 10B, 23, 26, 26A, 29.

40 CFR 60, Appendices B and F.

SUBPART B: APPLICABILITY

Section 229.110

General Applicability

This Part applies to all HMIWIs for which construction commenced either on or

before June 20, 1996, except as provided for in subsections (b), (c), (d) and (e)

of this Section and Section 229.112 of this Subpart.

An HMIWI otherwise subject to the emission limits in this Part is only subject

to the recordkeeping requirements set forth in Section 229.182(b), (f) and (g) of

this Part during those periods when it combusts only pathological waste, low-

level radioactive waste, or chemotherapeutic waste, provided the owner or

operator of the HMIWI notifies the Agency of its intention to operate pursuant

to this operating scenario in its CAAPP application submitted in accordance

with either Section 229.115(b)(1), Subpart D of this Part, or Section 39.5 of the

Act.

An HMIWI that combusts only pathological waste, low-level radioactive waste,

or chemotherapeutic waste is subject to only the recordkeeping requirements set

forth in Section 229.182(c), (f) and (g) of this Part, provided that the owner or

operator of an HMIWI provides, by December 15, 1999, both the Agency and

the USEPA with a written certification of its status as an HMIWI burning only

the wastes listed in this subsection.

A co-fired combustor is subject only to the recordkeeping requirements set forth

in Sections 229.182(d), (f) and (g) of this Part, provided that the owner or

operator of the combustor is subject to a permit condition limiting its fuel feed

stream to co-fired combustor status, provides, by December 15, 1999, both the

Agency and USEPA with a written certification of its status as a co-fired

combustor including an estimate of the relative weight of hospital waste,

medical/infectious waste, and other fuels and/or waste combusted at the facility.

Any hospital that does not operate an HMIWI but that sends any of its hospital

waste or medical/infectious waste to an off-site HMIWI is subject only to the

waste management plan provisions set forth at Section 229.178 of this Part.

Section 229.112

Exemptions

Notwithstanding other provisions of this Part, the following emission units are exempt from

the requirements of this Part:

Any combustor required to have a permit under Section 3005 of the Solid Waste

Disposal Act, 42 U.S.C. 6925;

Any municipal waste combustor that meets the applicability provisions for

municipal waste combustors under Subparts Cb, Ea or Eb of 40 CFR 60;

Any pyrolysis unit (i.e., a unit that uses endothermic gasification to treat

hospital waste or medical/infectious waste in order to render such waste

harmless);

Any cement kiln firing hospital waste or medical/infectious waste; or

Any HMIWI subject to the

Standards of Performance for

Hospital/Medical/Infectious Waste Incinerators for Which Construction is

Commenced After June 20, 1996

, contained in Subpart Ec of 40 CFR 60.50c.

SUBPART C: COMPLIANCE SCHEDULES

Section 229.115

Compliance Schedules for HMIWIs That Will Continue to Operate

Except as provided in subsection (b) of this Section and unless another date is

specified in the provisions of this Part, all owners or operators of HMIWIs shall

be in compliance with all of the provisions of this Part by September 15, 2000.

Except as provided in subsection (c) of this Section, the owner or operator of an

HMIWI may have up to September 15, 2002, to come into compliance with this

Part. To avail themselves of this extended compliance timeframe, the owner or

operator of an HMIWI shall:

Submit its CAAPP application to the Agency, on or before November

15, 1999, requesting an extended compliance schedule, pursuant to

Section 39.5(5)(d) of the Act, [415 ILCS 5/39.5(5)(d)]. This

compliance schedule shall include documentation supporting the need for

an extension, a final control plan for the HMIWI and incremental steps

to be taken toward compliance with this Part that, at a minimum, meet

the increments of progress specified in subsection (b)(2) of this Section;

Meet the following increments of progress by the dates indicated:

Finalize all contracts for the purchase of either pollution control

equipment, process modification or control systems by February

29, 2000;

Commence the implementation of either the process

modifications or the necessary construction or installation of air

pollution control devices for the HMIWI by November 30, 2000;

Complete either the process modifications or the installation or

construction of the new air pollution control equipment by

August 31, 2001;

Perform initial startup of the retrofitted HMIWI by January 15,

2002; and

Complete the initial performance test in accordance with Section

229.142 of this Part within 180 days after initial startup.

Any owner or operator of an HMIWI that fails to demonstrate compliance with

this Part by September 15, 2002, shall cease operation of the HMIWI until

compliance with the provisions of this Part is achieved.

Notwithstanding subsection (b) of this Section, all owners or operators of

HMIWIs shall be in full compliance with all of the HMIWI operator provisions

of Subpart J of this Part by September 15, 2000.

Section 229.116

Compliance Schedules for HMIWIs That Will Shut Down

All owners or operators of HMIWIs that intend to permanently shut down their HMIWI as a

means of complying with this Part shall:

Provide the Agency with written notice of their intention to permanently shut

down their HMIWI on or before November 15, 1999; and

Take the following affirmative steps to demonstrate that the HMIWI has been

rendered permanently inoperable by September 15, 2000:

Weld the primary chamber door shut;

Dismantle the HMIWI; or

Other means that reasonably demonstrate that the HMIWI is no longer

functional.

SUBPART D: CAAPP PERMIT REQUIREMENTS

Section 229.120

CAAPP Permit Requirements

All HMIWIs subject to the emissions limits in this Part shall operate pursuant to

a CAAPP permit by September 15, 2000.

For any HMIWI subject to the emission limits in this Part that is first required

to obtain a CAAPP permit because it is subject to the emission limits in this

Part, the owner or operator shall submit a complete application for a CAAPP

permit by September 15, 2000, except as provided for in Section 229.115(b)(1)

of this Part.

Upon submittal of a timely and complete CAAPP application, the owner or

operator of an HMIWI shall not be in violation of the requirement, specified in

subsection (a) of this Section, to have a CAAPP permit, to the extent provided in

Section 39.5(5)(h) of the Act [415 ILCS 5/39.5(5)(h)].

For any HMIWI that currently has a CAAPP permit, the following conditions

apply:

If the CAAPP permit has 3 or more years remaining on the permit term,

the owner or operator of an HMIWI shall apply for revision to the

CAAPP permit to incorporate the applicable requirements of this Part on

or before November 15, 1999; or

If the CAAPP permit has less than 3 years remaining on the permit term,

the CAAPP permit shall be revised to incorporate the applicable

requirements of this Part, upon renewal of the permit.

SUBPART E: EMISSION LIMITS

Section 229.125

Emission Limits for Small, Medium, and Large HMIWIs

The emission limits in this Section shall apply to HMIWIs identified in Section

229.110(a) at all times, except as provided in Section 229.110(b) of this Part,

Section 229.126 of this Subpart and Subpart F of this Part.

The emission limits for small, medium, and large HMIWIs are as follows:

HMIWI EMISSION LIMITS

Pollutant

Units

(7% oxygen, dry basis)

Small

Medium

Large

mg per dscm(grains per

dscf)

115 (0.05)

69 (0.03)

34 (0.015)

ppmv

Dioxins/

Furans

Nanograms per dscm,

total dioxins/furans

(grains per billion dscf),

or nanograms per dscm

TEQ (grains per billion

dscf)

125 (55) or

2.3 (1.0)

125 (55) or

2.3 (1.0)

125 (55) or

2.3 (1.0)

HCl

ppmv or percent

reduction

100 or 93%

ppmv

NOx

ppmv

250

mg per dscm (grains per

thousand dscf) or percent

reduction

1.2 (0.52)

or 70%

1.2 (0.52) or

70%

1.2 (0.52) or

70%

mg per dscm (grains per

thousand dscf) or percent

reduction

0.16 (0.07)

or 65%

0.16 (0.07) or

65%

0.16 (0.07) or

65%

mg per dscm (grains per

thousand dscf) or percent

reduction

0.55 (0.24)

or 85%

0.55 (0.24) or

85%

0.55 (0.24) or

85%

No owner or operator of a small, medium, or large HMIWI shall cause or allow

any emissions that cause greater than 10 percent opacity, as measured on a 6

minute block average, according to Method 9, 40 CFR 60, Appendix A,

incorporated by reference at Section 229.104(d) of this Part, from any stack

used by an HMIWI.

Section 229.126

Emission Limits For Rural HMIWIs

Notwithstanding the emission limits set out in Section 229.125 of this Part, any

rural HMIWI shall comply with the emission limits set out in subsection (b) of

this Section. The emission limits under this Section shall apply at all times,

except as provided for in Section 229.110(b) and Subpart F of this Part.

The emission limits for rural HMIWI are as follows:

Pollutant

Units

(7% oxygen, dry basis)

EMISSION LIMITS

mg per dscm (grains per dscf)

197 (0.086)

ppmv

Dioxin/

Furans

nanograms per dscm total

dioxins/furans (grains per billion dscf),

or nanograms per dscm TEQ (grains

per billion dscf)

800 (350) or 15 (6.6)

HCl

ppmv

3100

ppmv

NOx

ppmv

250

mg per dscm (grains per thousand dscf)

10 (4.4)

mg per dscm (grains per thousand dscf)

4 (1.7)

mg per dscm (grains per thousand dscf)

7.5 (3.3)

No owner or operator of a rural HMIWI shall cause or allow any emissions that

cause greater than 10 percent opacity, as measured on a 6 minute block average,

according to Method 9, 40 CFR Part 60, Appendix A, incorporated by

reference at Section 229.104(d) of this Part, from any stack used by an HMIWI.

SUBPART F: EXCEPTIONS FROM EMISSION LIMITS

Section 229.130

Operation During Periods of Startup, Shutdown, or Malfunction

The emission limits specified in Subpart E of this Part do not apply to an

HMIWI during periods of startup, shutdown or malfunction, if the requirements

provided in subsections (b), (c) and (d) of this Section are met.

No waste shall be charged to an HMIWI during periods of startup, shutdown or

malfunction.

The shutdown of any HMIWI shall proceed according to the following

requirements:

For continuous HMIWIs, shutdown may commence no less than 2 hours

after the last charge to an HMIWI;

For intermittent HMIWIs, shutdown may commence no less than 4 hours

after the last charge to an HMIWI; and

For batch HMIWIs, shutdown may commence no less than 5 hours after

the high air phase of combustion has been completed.

During periods of malfunction, the owner or operator of an HMIWI shall do all

of the following:

Take all reasonable steps to ensure that an HMIWI operates within the

parameters established for that HMIWI and to minimize excess

emissions;

Continue monitoring all applicable parameters; and

Take appropriate corrective actions prior to resuming the charging of any

waste to an HMIWI.

SUBPART G: METHODS AND PROCEDURES FOR PERFORMANCE TESTING

Section 229.140

Methods and Procedures for Performance Testing

This Section applies during all performance tests.

The owner or operator of an HMIWI shall provide, or cause to be provided, the

facilities for emission testing specified in 40 CFR 60.8(e), incorporated by

reference at Section 229.104(c) of this Part.

When conducting a performance test for an HMIWI, the owner or operator

shall:

Test an HMIWI at the waste charging rate specified in its permit or, if

no permit has been issued, in its permit application;

Burn representative waste streams that are typically combusted in that

HMIWI;

Conduct testing during periods that are inclusive of maximum emissions

of the HMIWI and not during periods of startup, malfunction, or

shutdown; and

Weigh the amount of waste combusted for each run of the performance

test before charging the waste to an HMIWI to within 1.0 percent

accuracy.

The owner or operator of an HMIWI shall submit a test plan to the Agency at

least 45 days before conducting a performance test pursuant to this Part.

Performance test plans shall include the following:

The proposed date of the performance test;

A roster of testing personnel, which provides information concerning

their testing experience;

A description of the specific conditions under which the test will be

performed, including, at a minimum:

Why these conditions will be representative of the operation and

include maximum emissions of the HMIWI; and

The means by which the operating parameter values will be

determined;

A technical description of the HMIWI being tested;

The parameters and pollutants that will be monitored during the

performance test; and

The quality assurance procedures that will be followed during the

performance test.

The owner or operator of an HMIWI shall give the Agency 5 days written

notice prior to actually conducting any performance testing required by the

provisions of this Part.

Testing conducted pursuant to this Part shall be according to the procedures and

test methods specified for the measurement of each pollutant in Appendix C of

this Part.

Notwithstanding subsection (e) of this Section, alternate testing methods may be

used if approved by the Agency in a permit and approved by USEPA.

Any use of a bypass stack during a performance test shall invalidate the results

of that run.

SUBPART H: COMPLIANCE REQUIREMENTS

Section 229.142

Initial Performance Testing and Establishment of Operating Parameters

The owner or operator of an HMIWI subject to the emissions limits under this Part shall

comply with the following requirements:

Except as provided in Section 229.115(b)(2)(E) of this Part, conduct an initial

performance test on their HMIWI by September 15, 2000;

Except as provided in subsection (c) of this Section, in the initial performance

test, test for all pollutants limited pursuant to Subpart E of this Part;

During the initial performance test, rural HMIWIs are not required to test for

HCl, Pb or Cd;

If an HMIWI is equipped with a dry scrubber followed by a fabric filter, a wet

scrubber, or a dry scrubber followed by a fabric filter and wet scrubber,

establish the appropriate maximum and minimum operating parameter values

indicated in Appendix B of this Part for the relevant control system during the

initial performance test, provided that the performance test demonstrates

compliance with the emission limits specified in Section 229.125 of this Part;

If air pollution control equipment other than a dry scrubber followed by a fabric

filter, a wet scrubber, or dry scrubber followed by a fabric filter and a wet

scrubber is used to comply with the emission limits under Section 229.125 of

this Part, the initial performance test may not be conducted until site-specific

operating parameters that will be monitored to demonstrate compliance with this

Part have been established by the Agency in a construction permit and approved

by USEPA.

For rural HMIWI, establish the maximum charge rate and minimum secondary

chamber temperature as site-specific parameters during the initial performance

test, provided that the performance test demonstrates that the HMIWI is in

compliance with the emission limits specified in Section 229.126 of this Part.

Section 229.144

Subsequent Performance Testing for All HMIWIs

The owner or operator of an HMIWI may conduct a repeat performance test at

any time to establish new site specific operating values for the HMIWI. Such

new site specific operating parameter values may not be relied upon until

approved by the Agency as a permit condition.

The Agency or the USEPA may request that the owner or operator of an

HMIWI conduct a new performance test at any time.

Section 229.146

Annual Testing for Opacity

Following the date on which the initial performance test is completed, as required by Section

229.142 of this Section, the owners or operators of all HMIWIs shall conduct an annual

opacity test, in accordance with Section 229.140 of this Part, by September 15 of each year.

Section 229.148

Annual Performance Testing for Small, Medium and Large HMIWIs

Following the date on which the initial performance test is completed, as required by Section

229.142 of this Part, all owners or operators of small, medium, or large HMIWIs shall

conduct an annual performance test, by September 15 of each year to determine compliance

with the PM, CO and HCl emission limits specified in Section 229.125(b) of this Part, using

the applicable test procedures and methods specified in Section 229.140 of this Part.

If all 3 annual performance tests over a 3-year period indicate compliance with

the emission limits for PM, CO, or HCl specified in Section 229.125(b) of this

Part, the owner or operator of an HMIWI may forego a performance test for

that pollutant during the next 2 years. If the next performance test conducted

every third year indicates compliance with the emission limits for PM, CO, or

HCl specified in Section 229.125(b) of this Part, the owner or operator of an

HMIWI may forego a performance test for that pollutant for an additional 2

years from the date of the previous performance test.

If any performance test indicates noncompliance with the respective emission

limit, the owner or operator of an HMIWI shall conduct a performance test for

that pollutant annually until all annual performance tests over a 3-year period

indicate compliance with the respective emission limits.

Section 229.150

Compliance with Operating Parameter Values

Following the date on which the initial performance test is completed, as

provided in Section 229.142 of this Part, an HMIWI, using a dry scrubber

followed by a fabric filter, a wet scrubber, or dry scrubber followed by a fabric

filter and a wet scrubber to comply with the emission limits of this Part, shall not

operate above any of the applicable maximum or below any of the applicable

minimum operating parameter values specified in Appendix B of this Part. All

operating parameters shall be measured at all times, except during periods of

startup, shutdown, and malfunction (calculated each hour as a 3-hour rolling

average of the previous 3 operating hours). For batch HMIWIs, the charge rate

shall be measured on a per batch basis.

For HMIWIs using air pollution control equipment other than a dry scrubber

followed by a fabric filter, a wet scrubber, or dry scrubber followed by a fabric

filter and a wet scrubber to comply with the emission limits under Section

229.125 of this Part, following the date on which the initial performance test is

completed, as provided in Section 229.142 of this Part, an HMIWI shall not

operate above any applicable maximum or below any applicable minimum

operating parameter values established in its CAAPP permit.

Operating parameter limits do not apply during performance tests.

Section 229.152

Compliance Requirements for HMIWIs using CEMS

The owner or operator of an HMIWI may use a CEMS to demonstrate compliance with any of

the emission limits under Section 229.125(b) of this Part, if provided for in its permit. Any

HMIWI that is allowed to use a CEMS to demonstrate compliance with the emission limits of

this Part shall:

Determine compliance with the applicable emission limits using a 12 hour

rolling average, calculated each hour as the average of the previous 12 operating

hours, not including startup, shutdown, or malfunction; and

Operate all CEMS in accordance with the applicable procedures under

Appendices B and F of 40 CFR 60, incorporated by reference at Section

229.104(e) of this Part.

Section 229.154

Violations by HMIWIs Equipped with a Dry Scrubber Followed by a

Fabric Filter

Except as provided in Section 229.164 of this Subpart, for an HMIWI equipped with a dry

scrubber followed by a fabric filter:

Simultaneous operation of an HMIWI above the maximum charge rate and

below the minimum secondary chamber temperature (each measured on a 3-

hour rolling average) shall be a violation of the CO emission limit;

Simultaneous operation of an HMIWI above the maximum fabric filter inlet

temperature, above the maximum charge rate, and below the minimum

dioxin/furan sorbent flow rate (each measured on a 3-hour rolling average) shall

be a violation of the dioxin/furan emission limit;

Simultaneous operation of an HMIWI above the maximum charge rate and

below the minimum HCl sorbent flow rate (each measured on a 3-hour rolling

average) shall be a violation of the HCl emission limit;

Simultaneous operation of an HMIWI above the maximum charge rate and

below the minimum Hg sorbent flow rate (each measured on a 3-hour rolling

average) shall be a violation of the Hg emission limit; or

Use of the bypass stack (except during startup, shutdown or malfunction) is a

violation of the PM, dioxin/furan, HCl, Pb, Cd and Hg emission limits.

Section 229.156

Violations by HMIWIs Equipped with a Wet Scrubber

Except as provided in Section 229.164 of this Subpart, for an HMIWI equipped with a wet

scrubber:

Simultaneous operation of an HMIWI above the maximum charge rate and

below the minimum pressure drop across the wet scrubber or below the

minimum horsepower or amperage to the system (each measured on a 3-hour

rolling average) is a violation of the PM emission limit;

Simultaneous operation of an HMIWI above the maximum charge rate and

below the minimum secondary chamber temperature (each measured on a 3-

hour rolling average) is a violation of the CO emission limit;

Simultaneous operation of an HMIWI above the maximum charge rate, below

the minimum secondary chamber temperature and below the minimum scrubber

liquor flow rate (each measured on a 3-hour rolling average) is a violation of the

dioxin/furan emission limit;

Simultaneous operation of an HMIWI above the maximum charge rate and

below the minimum scrubber liquor pH (each measured on a 3-hour rolling

average) is a violation of the HCl emission limit;

Simultaneous operation of an HMIWI above the maximum flue gas temperature

and above the maximum charge rate (each measured on a 3-hour rolling

average) is a violation of the Hg emission limit; or

Use of the bypass stack (except during startup, shutdown, or malfunction) is a

violation of the PM, dioxin/furan, HCl, Pb, Cd and Hg emission limits.

Section 229.158

Violations by HMIWIs Equipped with a Dry Scrubber Followed by a

Fabric Filter and a Wet Scrubber

Except as provided in Section 229.164 of this Subpart, for an HMIWI equipped with a dry

scrubber followed by a fabric filter and a wet scrubber:

Simultaneous operation of an HMIWI above the maximum charge rate and

below the minimum secondary chamber temperature (each measured on a 3-

hour rolling average) is a violation of the CO emission limit;

Simultaneous operation of an HMIWI above the maximum fabric filter inlet

temperature, above the maximum charge rate and below the minimum

dioxin/furan sorbent flow rate (each measured on a 3-hour rolling average) is a

violation of the dioxin/furan emission limit;

Simultaneous operation of an HMIWI above the maximum charge rate and

below the minimum scrubber liquor pH (each measured on a 3-hour rolling

average) is a violation of the HCl emission limit;

Simultaneous operation of an HMIWI above the maximum charge rate and

below the minimum Hg sorbent flow rate (each measured on a 3-hour rolling

average) is a violation of the Hg emission limit; or

Use of the bypass stack (except during startup, shutdown, or malfunction) is a

violation of the PM, dioxin/furan, HCl, Pb, Cd and Hg emission limits.

Section 229.160

Compliance Requirements for Rural HMIWIs

Following the date on which the initial performance test is completed or is

required to be completed under Section 229.142 of this Subpart, whichever date

comes first, the owners or operators of a rural HMIWI shall not operate their

HMIWI either above the maximum charge rate or below the minimum

secondary chamber temperature at all times, except during periods of startup or

shutdown (calculated each hour as a 3-hour rolling average of the previous 3

operating hours).

Except as provided in Section 229.164 of this Subpart, the simultaneous

operation of a rural HMIWI above the maximum charge rate and below the

minimum secondary chamber temperature (calculated as a 3-hour rolling

average) shall constitute a violation of the PM, CO and dioxin/furan emission

limits.

Section 229.162

Inspection Requirements for Rural HMIWIs

Each owner or operator of a rural HMIWI shall inspect the HMIWI according

to the following schedule:

An initial inspection shall be conducted by September 15, 2000; and

An annual inspection shall be conducted by September 15

of each year

thereafter.

Each inspection shall be conducted to ensure the proper operation of the rural

HMIWI and, at a minimum, shall consist of the following steps:

An inspection of all burners, pilot assemblies, and pilot sensing devices,

cleaning the pilot flame sensor, as necessary;

An inspection of the primary and secondary chamber combustion air

flow, adjusting, as necessary;

An inspection of the hinges and door latches, lubricating, as necessary;

An inspection of dampers, fans, and blowers;

An inspection of the HMIWI door and door gaskets;

An inspection of all HMIWI motors;

An inspection of the primary chamber refractory lining, cleaning,

repairing or replacing the lining, as necessary;

An inspection of the incinerator shell for corrosion or hot spots;

An inspection of the secondary/tertiary chamber and stack, cleaning as

necessary;

10)

Where applicable, an inspection of the mechanical loader, including limit

switches;

11)

A visual inspection of the waste bed (grates), repairing or sealing, as

necessary;

12)

Where applicable, an inspection of air pollution control devices to ensure

their proper operation;

13)

Where applicable, an inspection of the waste heat boiler systems;

14)

An inspection of all bypass stack components;

15)

Calibration of thermocouples, sorbent feed systems and monitoring

equipment; and

16)

A general inspection of all equipment to ensure that it is maintained in

good operating condition.

The owner or operator of a rural HMIWI shall document that, during the burn

cycle immediately following the inspection required by this Section, the HMIWI

is operating properly and make any necessary adjustments.

All maintenance, adjustments, or repairs identified during the inspection

required under this Section shall be completed within 10 days after the

inspection. The owner or operator of an HMIWI may have a longer period of

time in which to complete any repairs identified as a result of the inspection

required by this Section, provided that it makes this request to the Agency in

writing, and the Agency approves the owner or operator of an HMIWI’s request

in writing.

Section 229.164

Optional Performance Testing to Address Actual or Potential Violations

The owner or operator of an HMIWI may conduct another performance test within 30 days

after exceeding an applicable operating parameter value in order to demonstrate that an

HMIWI is not in violation of the applicable emission limits. In addition to the applicable

performance testing provisions under this Part, any performance test conducted pursuant to this

Section shall meet the following conditions:

All tests shall use the same operating parameter values that indicated a violation

under Section 229.154, 229.156, 229.158 or 229.160 of this Subpart;

The owner or operator of an HMIWI shall notify the Agency in writing at least

21 days before the date of any optional performance test;

The owner or operator of an HMIWI shall notify the Agency in writing of its

intent to proceed with the optional performance test 5 days prior to conducting

the test; and

The owner or operator of an HMIWI shall conduct the optional performance test

using the same approved performance test plan that was used for the

performance test in which the violated operating parameter values were

established.

SUBPART I: MONITORING REQUIREMENTS

Section 229.166

Monitoring Requirements for Small, Medium, and Large HMIWIs

Once the initial performance test required by Section 229.142 of this Part has

been performed, and the site-specific minimum and maximum operating

parameter values have been established, the owner or operator of a small,

medium or large HMIWI shall continuously monitor those parameters.

The owner or operator of a small, medium or large HMIWI shall comply with

the following monitoring requirements:

Install, calibrate according to manufacturer’s specifications, maintain,

and operate devices or establish methods for monitoring the applicable

maximum and minimum operating parameters specified in Appendix B

of this Part such that these devices or methods measure and record

values for these operating parameters at the frequencies indicated in

Appendix B of this Part at all times, except during periods of startup and

shutdown;

Install, calibrate according to manufacturer’s specifications, maintain,

and operate a device or establish a method for identifying the use of the

bypass stack, including date, time, and duration of use;

If control equipment other than a dry scrubber followed by a fabric

filter, a wet scrubber, or a dry scrubber followed by a fabric filter and a

wet scrubber is used to comply with the emission limits under Section

229.125(b) of this Part, install, calibrate according to manufacturer’s

specifications, maintain, and operate the equipment necessary to monitor

the site-specific operating parameters developed and approved pursuant

to Section 229.142 (e) of this Part; and

Record monitoring data at all times during HMIWI operation, except

during the periods of monitoring equipment malfunction, calibration, or

repair. At a minimum, valid monitoring data shall be recorded for 75

percent of the operating hours per day and for 90 percent of the

operating days per calendar quarter that an HMIWI is combusting

hospital waste or medical/infectious waste.

Section 229.168

Monitoring Requirements for Rural HMIWIs

The owner or operator of each rural HMIWI shall comply with the following monitoring

requirements:

Install, calibrate according to manufacturer’s specifications, maintain, and

operate a device measuring and recording the temperature of the secondary

chamber on a continuous basis, the output of which shall be recorded, at a

minimum, once every minute of operation;

Install, calibrate according to manufacturer’s specifications, maintain, and

operate a device that automatically measures and records the date, time, and

weight of each charge fed into an HMIWI; and

Record monitoring data at all times during HMIWI operation, except during

periods of monitoring equipment malfunction, calibration, or repair. At a

minimum, valid monitoring data shall be recorded for 75 percent of the

operating hours per day and for 90 percent of the operating hours per calendar

quarter that an HMIWI is combusting hospital waste or medical/infectious

waste.

SUBPART J: REQUIREMENTS FOR HMIWI OPERATORS

Section 229.170

Operator Training and Qualification Requirements

No HMIWI shall be operated unless a trained and qualified HMIWI operator, as

specified in this Section, is available on-site to operate or supervise the

operation of the HMIWI.

To become a trained and qualified operator, a person shall complete a training

program that, at a minimum, meets the criteria specified in subsection (c) of

this Section, pass the examination administered in accordance with subsection

(c)(2) of this Section and have either 6 months experience as an HMIWI

operator or have completed 2 burn cycles under the observation of 2 trained

and qualified HMIWI operators.

An operator training program shall satisfy all of the following criteria:

Consist of at least 24 hours of training covering the following subjects:

Work safety procedures;

Pre-startup procedures;

Environmental concerns, including pathogen destruction and

types of emissions;

Basic combustion principles, including combustion byproducts;

Instruction in the proper operation of the same type of incinerator

that will be used by the operator, including proper startup, waste

charging, and shutdown procedures;

Combustion controls and monitoring;

Operation of air pollution control equipment and factors affecting

performance;

Methods for monitoring pollutants, both by CEMS and by

monitoring of HMIWI and air pollution control device operating

parameters, and monitoring instrument calibration procedures;

Inspection and maintenance of an HMIWI, air pollution control

equipment, and CEMS;

Corrective measures to remedy malfunctions and conditions that

may lead to malfunction;

Characteristics of and proper handling procedures for bottom and

fly ash;

Recordkeeping procedures; and

Applicable Federal, State, and local regulations.

Administer an examination designed by the course instructor; and

Provide reference materials covering all of the course topics specified in

subsection (c)(1) of this Section.

Operator qualification is valid from the date on which the examination specified

in subsection (c)(2) of this Section is passed, or the completion of the

experience requirements set forth in subsection (b) of this Section, whichever is

later.

In order for an operator that has been qualified in accordance with subsection

(b) of this Section to maintain the necessary qualification status, the operator

shall:

Complete and pass an annual review course of at least 4 hours in length

that, at a minimum, covers the following subjects:

An update of applicable regulations;

Proper incinerator operation, including startup and shutdown

procedures;

Proper incinerator inspection and maintenance;

Responses to malfunctions and conditions that may lead to

malfunction; and

A discussion of operating problems encountered by attendees.

If an operator fails to either take or to complete and pass the annual

review course, the operator’s qualification will lapse.

If the operator’s qualification lapses for less than 3 years, qualification

may be reinstated by taking and passing the annual review course, as

provided under subsection (e)(1) of this Section.

If there is a 3 year or greater lapse in an operator’s qualification, then

the operator shall take and pass an operator training course, as provided

for under subsection (c) of this Section, in order to reinstate the

qualification.

Section 229.172

Documentation To Be Maintained On-Site for Employees Operating

HMIWIs

The owner or operator of an HMIWI shall maintain the following information

on-site for the use and reference of HMIWI operators:

A summary of the applicable requirements under this Part;

A description of basic combustion theory applicable to HMIWIs;

Procedures for receiving, handling, and charging waste;

Procedures for startup and shutdown of the HMIWI;

Procedures for maintaining proper combustion air supply levels;

Procedures for operating the HMIWI and associated air pollution control

systems within the standards established under this Part;

Procedures for responding to periodic malfunction or conditions that

may lead to malfunction;

Procedures for monitoring HMIWI emissions;

Recordkeeping and reporting procedures; and

10)

Procedures for handling ash.

The owner or operator of an HMIWI shall establish a program for the annual

review of all of the information listed under subsection (a) of this Section by all

employees that operate an HMIWI.

The initial review of the information listed in subsection (a) of this

Section shall be conducted by September 15, 2000, or prior to assuming

responsibilities for operating an HMIWI, whichever is later;

Subsequent reviews of the information contained in subsection (a) of this

Section shall be conducted annually.

The information identified in subsection (a) of this Section shall be kept in a

location readily accessible to all HMIWI operators.

SUBPART K: WASTE MANAGEMENT PLAN REQUIREMENTS

Section 229.176

Waste Management Plan Requirements for Hospitals Using On-Site

Incinerators

The owner or operator of a hospital subject to the requirements in this Part shall

submit to the Agency, in accordance with Section 229.184(b) of this Part, a

waste management plan. Such plans shall outline technically and economically

feasible policies and practices for reducing the amount and toxicity of hospital

and medical/infectious waste incinerated at the hospital. The waste management

plan shall include the following components:

The name and location of the facility;

A written policy statement setting forth management support for waste

management and implementation of the plan;

A statement of goals for reducing the volume and toxicity of waste,

expressed numerically where feasible;

Identification of the staff responsible for development and

implementation of the plan, as well as a description of their roles and

responsibilities;

A description of communication and education programs to make

employees aware of the waste management program and their

responsibilities;

A summary of existing waste management policies and practices;

Identification of technically and economically feasible waste management

policies and practices to be implemented and, where practical, a schedule

for the implementation of the selected measures; and

Procedures for tracking implementation of the plan and progress toward

achieving the goals.

Prior to the development of the waste management plan, the hospital shall

assess:

Current waste management practices;

All of the available data that it has collected on the types, quantities, and

sources of its waste;

Technical information on alternative waste management practices, such as

the American Hospital Association publication entitled “An Ounce of

Prevention: Waste Management Strategies for Health Care Facilities,”

incorporated by reference at Section 229.104(a) of this Part; and

The feasibility of implementing additional waste management policies and

practices, taking into account such considerations as:

The effectiveness of existing policies and practices;

The costs of additional measures;

The potential effects on patient care and worker safety;

The environmental benefits and savings;

The recycling options available in the area; and

The availability of products or equipment needed to implement

alternative measures.

The following measures, at a minimum, shall be considered when evaluating

alternative waste management practices and developing waste management

policies and procedures:

Segregating waste streams;

Phasing out the use of products containing toxic materials;

Reusing products and equipment;

Reducing the use of packaging and disposable items;

Collecting recyclable materials; and

Improving inventory control, training and housekeeping practices.

Any waste management plan that has been developed by a hospital subject to the

requirements of this Part prior to May 15, 1999, may be incorporated into the

waste management plan required by this Section for that hospital, to the extent

that such a plan is consistent with the requirements of this Section.

The owner or operator of each affected hospital shall submit a waste

management plan to the Agency at the same time site-specific operating

parameters are reported, as specified in Section 229.184(b) of this Part.

The waste management plan shall be updated every 5 years to coincide with

either the issuance or renewal of the facility’s CAAPP permit.

The owner or operator of each affected hospital shall submit a waste

management progress report to the Agency annually, along with the annual

emissions report required by 35 Ill. Adm. Code 201.302 and 254. The progress

report shall include the following elements:

A description of progress made during the previous calendar year toward

meeting the goals established in the plan;

A summary of the waste management practices that were implemented;

and

Any amendments to the plan along with a brief explanation of the need

for the amendments.

Upon written request, the affected hospital shall make the waste management

plan and annual progress reports available for public review during normal

business hours.

Section 229.178

Waste Management Plan Requirements for Hospitals Transporting Waste

Off-Site to an HMIWI

By September 15, 2000, the owner or operator of any hospital that transfers

hospital or medical/infectious waste off-site to an HMIWI shall conduct an

assessment of its current waste management program and consider additional

technically and economically feasible measures for reducing the volume and

toxicity of waste to be incinerated.

In identifying additional technically and economically feasible waste

management practices, the owner or operator shall consider:

Segregating waste streams;

Phasing out the use of products containing toxic materials;

Reusing products and equipment;

Reducing the use of packaging and disposable items;

Collecting recyclable materials; and

Improving inventory control, training and housekeeping practices.

Within 1 year after the assessment conducted pursuant to subsection (a) of this

Section, and annually thereafter, affected hospitals shall submit a waste

management progress report to the Agency. The progress report shall

summarize any waste management policies and practices that were implemented

in the previous calendar year.

Section 229.180

Waste Management Requirements for HMIWIs Accepting Waste

Generated Off-Site

The owner or operator of any HMIWI that accepts hospital waste or

medical/infectious waste generated off-site shall:

Provide hospital, medical or infectious waste customers with written

information at least once a year concerning the availability of waste

management practices for reducing the volume and toxicity of waste to

be incinerated; and

Submit a waste management plan to the Agency, in accordance with

Section 229.184(b) of this Part, that outlines the efforts that will be

undertaken to distribute information as specified in subsection (a)(1) of

this Section and identifies the information that will be distributed.

Paper or electronic copies of the materials disseminated under this Section shall

be made available to the Agency upon written request.

Section 229.181

Waste Management Plan Requirements for Other HMIWIs

The owner or operator of an HMIWI that is subject to emission limits in Subpart E of this

Part, but is not subject to the waste management plan provisions of Sections 229.176 or

229.180 of this Subpart, shall develop a waste management plan in accordance with this

Section.

(a)

The owner or operator of an HMIWI subject to this Section shall conduct an

assessment of its current waste management program and submit a waste

management plan to the Agency, in accordance with Section 229.184(b) of this

Part, that:

Identifies, pursuant to subsection (b) of this Section, the additional

technically and economically feasible measures for reducing the volume

and toxicity of the waste to be incinerated; and

Where practical, outlines a schedule for the implementation of the

selected measures.

(b)

In identifying additional technically and economically feasible waste

management practices, the owner or operator shall consider:

Segregating waste streams;

Phasing out the use of products containing toxic materials;

Reusing products and equipment;

Reducing the use of packaging and disposable items;

Collecting recyclable materials; and

Improving inventory control, training and housekeeping practices.

(c)

In assessing its current waste management practices, the facility shall consider

technical information on alternative waste management practices, such as the

American Hospital Association publication entitled “An Ounce of Prevention:

Waste Management Strategies for Health Care Facilities,” incorporated by

reference at Section 229.104(a) of this Part.

(d)

Any waste management plan that has been developed by a facility subject to this

Section before May 15, 1999, may be incorporated into the waste management

plan required for that facility, to the extent that such a plan is consistent with

the requirements of this Section.

(e)

The waste management plan shall be updated every 5 years to coincide with

either the issuance or renewal of the facility’s CAAPP permit.

SUBPART L: RECORDKEEPING AND REPORTING REQUIREMENTS

Section 229.182

Recordkeeping Requirements

The owner or operator of an HMIWI subject to the emission limits under

Subpart E of this Part shall maintain records of the following information:

The calendar date of each record;

The following data, where applicable:

Concentrations of all applicable pollutants listed in Section

229.125(b) or 229.126(b) of this Part (as determined by the

CEMS, if applicable) and any measurements of opacity as

required under Section 229.125(c) or 229.126(c);

HMIWI charge dates, times and weights, and hourly charge

rates;

If a fabric filter is used, the fabric filter inlet temperatures during

each minute of operation;

The amount and type of dioxin/furan sorbent used during each

hour of operation;

The amount and type of Hg sorbent used during each hour of

operation;

The amount and type of HCl sorbent used during each hour of

operation;

The secondary chamber temperatures recorded during each

minute of operation;

The liquor flow rate to the wet scrubber inlet during each minute

of operation;

The horsepower or amperage to the wet scrubber during each

minute of operation;

Any pressure drop across the wet scrubber system during each

minute of operation;

The temperature at the outlet from the wet scrubber during each

minute of operation;

The pH at the inlet to the wet scrubber during each minute of

operation;

Identification of any use of the bypass stack, including dates,

times, and the duration of such use; and

For sources complying with Section 229.166(b)(3)

of this Part,

all operating parameter data monitored;

Identification of any calendar days for which data on emission rates or

operating parameters specified under subsection (a)(2) of this Section

have not been obtained, with an identification of the emission rates or

operating parameters not measured, reasons for not obtaining data, and a

description of the corrective actions taken;

Identification of any malfunctions, including the calendar date, the time

and duration, and a description of the malfunction and of the corrective

action taken to remedy it;

Identification of calendar days for which data on emission rates or

operating parameters specified under subsection (a)(2) of this Section

exceeded the applicable limits, with a description of the exceedences,

reasons for such exceedences, and a description of the corrective actions

taken;

The results of the initial, annual, and any other performance tests;

Records of calibration of any monitoring devices as required under

Sections 229.166(b)(1), (2) and (3) and 229.168(a) and (b) of this Part;

and

Identification of the names of all HMIWI operators who have met the

criteria for qualification under Section 229.170 of this Part, including:

Documentation of training and the dates of the training; and

The date of the initial review and all subsequent annual reviews

of the information specified in Section 229.172(a) of this Part, as

required by Section 229.172(b) of this Part.

The owner or operator of an HMIWI claiming an exemption from the emission

limits in this Part pursuant to Section 229.110(b) of this Part shall keep

contemporaneous records identifying each period of time when only

pathological waste, low-level radioactive waste, or chemotherapeutic waste is

burned, including the calendar date and duration of such periods.

The owner or operator of an HMIWI claiming an exemption pursuant to Section

229.110(c) of this Part shall keep records on a calendar quarter basis

demonstrating that only pathological waste, low-level radioactive waste, or

chemotherapeutic waste is burned.

The owner or operator of a co-fired combustor claiming an exemption from the

emission limits under Section 229.110(d) of this Part shall maintain records on a

calendar quarter basis of the relative weight of hospital waste and/or

medical/infectious waste, and of all other fuels or waste combusted.

The owner or operator of each rural HMIWI shall maintain records of the

annual equipment inspections required under Section 229.162 of this Part, any

required maintenance, and any repairs not completed within 10 days after an

inspection or the time frame established by the Agency.

All records required under this Section shall be maintained onsite for a period of

5 years, in either paper copy or electronic format, unless an alternative format

has been approved by the Agency in a permit condition.

All records required to be maintained pursuant to this Section shall be made

available to the Agency upon request.

Section 229.184

Reporting Requirements

The facilities manager and the responsible official for the affected source shall

certify each report required under this Section.

The owner or operator of an HMIWI shall submit to the Agency the results of

any performance test conducted on the HMIWI within 60 days after conducting

the performance test. The information submitted with the initial performance

test required by Section 229.142 of this Part shall include:

The test data and values for the site-specific operating parameters

established for an HMIWI pursuant to either Section 229.142(d), (e) or

(f) of this Part, as applicable; and

A copy of the waste management plan required under Subpart K of this

Part.

All owners or operators of HMIWIs shall submit the information specified

under this subsection (c) to the Agency by September 15, 2001 and by

September 15 of each year thereafter. Once an HMIWI is issued a CAAPP

permit, the owner or operator of an HMIWI shall submit these reports semi-

annually, in accordance with subsection (d) of this Section. The annual report

shall include the following information:

The values for site-specific operating parameters established pursuant to

either Section 229.142(d), (e) or (f) of this Part;

The highest maximum operating parameter and the lowest minimum

operating parameter, as applicable, for each operating parameter,

recorded for the calendar year being reported and for the calendar year

preceding the year being reported;

Any information recorded pursuant to Section 229.182(a)(3) through (5)

of this Subpart for the calendar year being reported and for the calendar

year preceding the year being reported;

If no exceedences or malfunctions were recorded under Section

229.182(a)(3) through (a)(5) of this Subpart for the calendar year being

reported, a statement that no exceedences occurred during the reporting

period; and

Any use of the bypass stack, the duration of use, the reason for

malfunction, and the corrective actions taken.

Once the owner or operator of an HMIWI is required to submit semiannual

reports, these reports must be submitted within 60 days following the end of the

reporting period. The first semiannual reporting period ends on March 15 of

each year and the second semiannual reporting period ends on September 15 of

each year.

The owner or operator of each rural HMIWI subject to the emission limits

under Section 229.126(b) of this Part, shall submit an annual report containing

all information listed in subsections (b) and (c) of this Section by no later than

60 days following the year in which the data was collected. Subsequent reports

shall be sent no later than 12 calendar months following the previous report.

Once

the unit is subject to permitting requirements under the CAAPP, the

owner or operator shall submit these reports semiannually in accordance with

the schedule specified in subsection (d) of this Section.

Section 229.APPENDIX A

Toxic Equivalency (TEQ) Factors

The following TEQ factors shall be used to determine compliance with the dioxin/furans

standards under either Section 229.125(b) or Section 229.126(b) of this Part.

Dioxin/Furan Congener

Toxic Equivalency Factor

2,3,7,8-tetrachlorinated dibenzo-p-dioxin

1.0

1,2,3,7,8-pentachlorinated dibenzo-p-dioxin

0.5

1,2,3,4,7,8-hexachlorinated dibenzo-p-dioxin

0.1

1,2,3,7,8,9-hexachlorinated dibenzo-p-dioxin

0.1

1,2,3,6,7,8-hexachlorinated dibenzo-p-dioxin

0.1

1,2,3,4,6,7,8-heptachlorinated dibenzo-p-dioxin

0.01

octachlorinated dibenzo-p-dioxin

0.001

2,3,7,8-tetrachlorinated dibenzofuran

0.1

2,3,4,7,8-pentachlorinated dibenzofuran

0.5

1,2,3,7,8-pentachlorinated dibenzofuran

0.05

1,2,3,4,7,8-hexachlorinated dibenzofuran

0.1

1,2,3,6,7,8-hexachlorinated dibenzofuran

0.1

1,2,3,7,8,9-hexachlorinated dibenzofuran

0.1

2,3,4,6,7,8-hexachlorinated dibenzofuran

0.1

1,2,3,4,6,7,8-heptachlorinated dibenzofuran

0.01

1,2,3,4,7,8,9-heptachlorinated dibenzofuran

0.01

octachlorinated dibenzofuran

0.001

Section 229.APPENDIX B

Operating Parameters to be Monitored and Minimum

Measurement and Recording Frequencies. An “x” in any box in this matrix means that

measurement of that parameter is required.

MINIMUM FREQUENCY

CONTROL SYSTEM

Operating

Parameters

Data Meas-

urement

Data Recording

Dry Scrubber

Followed by

Fabric Filter

Wet

Scrubber

Dry Scrubber Followed

by Fabric Filter and Wet

Scrubber

Maximum

Charge Rate

Continuous

Once per hour

Maximum Fabric

Filter Inlet

Temperature

Continuous

Once per minute

Maximum flue

gas temperature

Continuous

Once per minute

Minimum

secondary

chamber

temperature

Continuous

Once per minute

Minimum

Dioxin/ Furan

Sorbent Flow

Rate

Hourly

Once per hour

Minimum HCl

Sorbent Flow

Rate

Hourly

Once per hour

Minimum Hg

Sorbent Flow

Rate

Hourly

Once per hour

Minimum

Pressure Drop

Across the Wet

Scrubber or

Minimum

Horsepower or

Amperage to Wet

Scrubber

Continuous

Once per minute

Minimum

Scrubber Liquor

Flow Rate

Continuous

Once per minute

Minimum

Scrubber Liquor

Continuous

Once per minute

For batch HMIWIs, record the charge per batch.

PART 229.APPENDIX C Reference Test Methods and Procedures for Performance Tests.

The following test methods and procedures shall be used as specified in Section 229.140(e) of

this Part, when conducting any performance test for the purpose of demonstrating compliance

with the emission limits established under this Part.

All performance tests shall consist of a minimum of 3 test runs conducted under

representative operating conditions. The minimum sample time of 1 hour per

test run shall be used unless otherwise indicated. In order to demonstrate

compliance with the emission limits set forth in Subpart E of this Part, the

arithmetic average of all 3 performance test runs shall be used.

Method 1, at 40 CFR 60, incorporated by reference at Section 229.104(d) of

this Part, shall be used to select the sampling location and number of traverse

points.

Method 2, at 40 CFR 60 shall be used to determine average gas density, as well

as to measure gas velocity.

Method 3 or 3A, at 40 CFR 60 shall be used for gas composition analysis,

including measurement of oxygen concentration. Method 3 or 3A, at 40 CFR 60

shall be used simultaneously with each reference method.

The pollutant concentrations shall be adjusted to 7 percent oxygen using the

following equation:

adj

= C

meas

(20.9-7)/(20.9-%O

)

Where:

adj

= pollutant concentration adjusted to 7 percent oxygen;

meas

= pollutant concentration measured on a dry basis

(20.9-7) =

20.9 percent oxygen – 7 percent oxygen (defined oxygen

correction basis);

20.9

= oxygen concentration in air, percent; and

= oxygen concentration measured on a dry basis, percent.

Method 5 or 29, at 40 CFR 60 shall be used to measure particulate matter

emissions.

Method 9, at 40 CFR 60 shall be used to measure stack opacity.

Method 10 or 10B, at 40 CFR 60 shall be used to measure CO emissions.

Method 23, at 40 CFR 60 shall be used to measure total dioxin/furan emissions.

The minimum sample time shall be 4 hours per test run. If the affected facility

has selected the TEQ for dioxin/furans (set out in Appendix A of this Part), as

provided under Section 229.125(b) or 229.126(b) of this Part, whichever is

applicable, the following procedures shall be used to determine compliance:

Measure the concentration of each dioxin/furan tetra-through-octa-

congener emitted using Method 23;

For each dioxin/furan congener measured in accordance with subsection

(i)(1) of this Section, multiply the congener concentration by its

corresponding TEQ factor specified in Appendix A of this Part; and

Sum the products calculated in accordance with subsection (i)(2) of this

Section to obtain the total concentration of dioxin/furans emitted in terms

of TEQ.

Method 26 or 26A, at 40 CFR 60 shall be used to measure HCl emissions. If

the affected facility has selected the percentage reduction standard for HCl as

provided under Section 229.125(b) or 229.126(b) of this Part, whichever is

applicable, the percentage reduction in HCl emissions (%R

HCl

) is computed

using the following formula:

(%R

HCl

)= ((Ei-Eo)/Ei) x 100

Where:

HCl

percentage reduction of HCl emissions achieved;

HCl emissions concentration measured at the

control device inlet, corrected to 7 percent oxygen

(dry basis); and

HCl emissions concentration measured at the

control device outlet, corrected to 7 percent

oxygen (dry basis).

Method 29, at 40 CFR 60 shall be used to measure Pb, Cd, and Hg emissions.

If the affected facility has selected the percentage reduction standards for metals

as provided in Section 229.125(b) or 229.126(b) of this Part, whichever is

applicable, the percentage reduction in emissions (%R

metal

) is computed using the

following formula:

(%R

metal

)=((Ei-Eo)/Ei)x 100

Where:

metal

percentage reduction of metal emissions (Pb, Cd,

or Hg) achieved;

metal emissions concentration (Pb, Cd, or Hg)

measured at the control device inlet, corrected to 7

percent oxygen (dry basis); and

metal emissions concentration (Pb, Cd, or Hg)

measured at the control device outlet, corrected to

7 percent oxygen (dry basis).

IT IS SO ORDERED.

I, Dorothy M. Gunn, Clerk of the Illinois Pollution Control Board, hereby certify that

the above opinion and order was adopted on the 6th day of May 1999 by a vote of 7-0.

Dorothy M. Gunn, Clerk

Illinois Pollution Control Board