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BEFORE THE ILLINOIS POLLUTION CONTROL BOARD CLERK'S
REICE
OFFICE
VED
DEC 3 1 2007
STATE OF ILLINOIS
AS 08-006
?
pollution Control Board
(Adjusted Standard – Land)
IN THE MATTER OF:
PETITION OF BIOMEDICAL TECHNOLOGY )
SOLUTIONS, INC.,
A Colorado Corporation,
)
FOR ADJUSTED STANDARD FROM
)
35 III.
Adm.
Code
Sec.
1422
)
NOTICE OF FILING
Dorothy M. Gunn, Clerk
Illinois Pollution Control Board
James R. Thompson Center
100 West Randolph Street
Suite 11-500
Chicago, IL 60601
GREENBERG TRAURIG, LIT
Attn: Neal H. Weinfield , Esq.
77 West Wacker Drive, Suite 2500
Chicago, Illinois 60601
PLEASE TAKE NOTICE
that I have today filed with the office of the Clerk of the
Pollution Control Board the
AMENDED RECOMMENDATION OF THE ILLINOIS EPA,
copies of which are herewith served upon you.
Respectfully submitted,
ILLINOIS ENVIRONMENTAL PROTECTION
AGENCY,
Respondent
William D. Ingersoll
Division of Legal Counsel
1021 North Grand Avenue, East
P.O. Box.19276
Springfield, Illinois 62794-9276
217/782-5544
217/782-9143 (TDD)
Dated: December 26, 2007
This filing submitted on recycled paper.

 
BEFORE THE ILLINOIS POLLUTION CONTROL BOARD
?
FitLEcFiwgbec
nE O
FF
ICE
STAD
E:
3F
%Hut'
ton
Control
I
LLINOIS
AS 08-006
Board
(Adjusted Standard – Land)
IN THE MATTER OF:
PETITION OF BIOMEDICAL TECHNOLOGY )
SOLUTIONS, INC., A Colorado Corporation, )
FOR ADJUSTED STANDARD FROM )
35 Ill. Adm. Code Sec. 1422
)
AMENDED ILLINOIS EPA RECOMMENDATION
The ILLINOIS ENVIRONMENTAL PROTECTION AGENCY ("Illinois EPA"), by its
attorney William Ingersoll, hereby submits its Amended Recommendation in the above captioned
matter. The only modification is to correct exhibit references in paragraph 14, and attach those
exhibits that were inadvertently omitted. This filing is submitted pursuant to Section 35 of the
Illinois Environmental Protection Act ("EPAct") [415 ILCS 5/35 (2006)] and 35 III. Adm. Code
104
et seq.
For the reasons outlined below, the Illinois EPA recommends that this petition be
GRANTED conditionally.
I.
INTRODUCTION
On June 28, 2007, Biomedical Technology Solutions, Inc. ("Petitioner"), filed a
petition for Variance ("Variance") requesting relief from the Initial Efficacy Test
("IET") within 35 Ill. Adm. Code 1422.124(a). (Variance at 3)
2.
According to the Variance, relief was sought "... to demonstrate the effectiveness of
its device by conducting the [Initial Efficacy Test] using the Brown Indicator...
(ATCC 9372) in place of ATCC 19659 as required by statute." (Variance at 3)
3.
A July 28, 2007, Board Order considering the petition noted that Petitioner
"...appears to be seeking more permanent relief more generally provided by an
adjusted standard under Section 28.1 of the [EPAct]" and further noted that for
Petitioner to seek temporary relief under a variance, it must provide a compliance
plan that indicated how it will comply with the rule of general applicability when the
variance expires. The Board found the petition failed to meet the necessary
requirements under 35 Ill. Adm. Code 104.204 and directed Petitioner to file an
amended petition by August 27, 2007, or the petition would be deemed dismissed.
(Exh. 1)
The Pollution Control Board ("Board") on July 26, 2007, found that the petition for
Variance did not meet the content requirements of the Board's regulations.
Petitioner was allowed the opportunity to file an amended petition by August 27,
2007. If not filed, the Board would dismiss the Variance petition and close the
docket.
4.
The Petitioner did not file an amended Variance petition. Thus, on September 20,

 
2007, the Board dismissed the petition for Variance and closed the docket. (Exh. 2)
5. On November 28, 2007, Petitioner filed a petition for Adjusted Standard ("petition
or pet.") with the Board. The Illinois EPA received a copy of this pleading on
November 30, 2007.
Within the Adjusted Standard, Petitioner notes that it manufactures a countertop
medical waste treatment device, the Demolizer ®, and seeks a technology-specific
adjusted standard from 35 Ill. Adm. Code Sec. 1422. (Pet. at
1)
II. INVESTIGATION
7.
Notice of the petition, pursuant to Section 28.1 of the EPAct and Section 104.408 of
the regulations, has been published in a newspaper of general circulation.
8.
To date, Respondent has not received a citizen inquiry.
9.
The Illinois EPA and Petitioner have engaged in discussions over this matter.
10.
The Illinois EPA notes that the copy of the Adjusted Standard served on it was miss
captioned as a pleading in the form of a Variance petition which identifies the
Illinois EPA as a Respondent. Such is not the case. Further, the Illinois EPA took
the liberty of captioning the pleading as a request for relief from 35 III. Adm. Code
Sec. 1422 as noted in the Adjusted Standard at page 1. However, as discussed
below, such relief is overly broad.
11.
The Illinois EPA further notes that the petition provides that "BMTS and the Illinois
[EPA] have agreed to waive a hearing for this petition." (Pet. at 1, footnote
1)
Though the Illinois EPA and Petitioner discussed the hearing requirement, the
Illinois EPA did not agree to waive a hearing since it is not within the Illinois EPA's
authority to waive a hearing. The Board regulations (35 Ill. Adm. Code 104.422)
discussed provides guidance relative to a public hearing and one may be held if
requested by the Petitioner, any person, or at the Board's discretion. In addition, one
must be held if the petition seeks relief from certain regulations. The Illinois EPA
does not request a hearing in this matter.
III. FACTS PRESENTED IN THE PETITION
12.
Petitioner starts off its petition requesting the Board "... for an Adjusted Standard
from a provision of 35 IAC 1422. Later in this paragraph, Petitioner clarifies that
relief is sought since Section 1422 requires the use of a particular microorganism,
Bacillus subtilis
(ATCC 19659), to determine the initial efficacy of the technology."
(Pet. at 1) Petitioner concludes its petition by providing that it seeks relief "... from
the provisions of 35 IAC 1422.Table B ."
(Pet. at 32) Generally speaking,
2

 
Adjusted Standard petitions are filed from specific relief from rules of general
applicability. In this case, Petitioner does not request specific relief within its
discussion of the matter, choosing to request general relief from Section 1422. In
such a case, the Illinois EPA would recommend that, if the Board provides relief,
that relief by limited to the requirement that
Bacillus subtilis
(ATCC 19659) alone
may be used, which would be specific relief to 35 III. Adm. Code Section 1422,
Appendix A, Table B(1). Again, relief should not be granted, as plead, from Section
1422 in general.
13.
Within the Introduction, Petitioner provides that "... the waste [that is] sterilized
and rendered into a non-recognizable solid waste [ ] can then be disposed of as any
other refuse." (Pet. at 2) The Illinois EPA would suggest that treated PIMW would
still be an "industrial process waste" and a "special waste" under Illinois regulations
and not be like any other "solid waste" or "refuse."
14.
Petitioner states at various points within the petition that "[t]he technology is
formally approved or meets statutory requirements in 46 states." (Pet. at 2, See also
reference to 46 states at pages: 3, 5, 11, 15, and 27) Initially, some states do not
specify a particular strain of indicator and some states do not regulate such testing at
all. Some states, such as Texas, require that a commercially available species he
used that can achieve a "kill ratio" of 99.99%. States such as Alabama, West
Virginia, Virginia and Utah do recognize expressly ATC19659 as an appropriate
bacterial spore. (Exh. A) Moreover, it is possible, though more review would be
necessary to confirm that States such as Arizona and Delaware which have issued
approved the use of the KSU test reviewed more information regarding the
Demolizer ® than simply a recitation of whether ATCC 19659 and ATCC 9372 are
similar. Finally, this claim (that ... "[c]urrently, out of the 46 states that have
approved the Demolizer ® or for which the Demolizer ® meets statutory
requirements ...") is suspect, in general, since such a contention is that of the 46
states, the Demolizer ® "meets statutory requirements" which falls short of stating
that the unit is approved in 46 states. For example, according to Petitioner's web
site (www.bmtscorp.com) the Demolizer ® system is either formally approved or
meets the requirements for medical waste treatment and disposal in 46 U.S. states.
(www.bmtscorp.com/usmap.shtm) Yet, interestingly, the state of Illinois is listed as
one of the states "approved or meet[ing] state requirements" and not as a state
within which "approval [is] in process." (Exh. B)
15.
Likewise, Petitioner provides that ATCC 9372 "... is the scientifically-recognized
standard in 46 states ... ." (Pet. at 3) This contention is difficult to verify and
would seem suspect. If again Illinois is within the 46 number continually used by
Petitioner, the statement is not correct, to date. As noted within Attachment A to the
Petition, BMTS provides that the Demolizer ® is formally approved in only 22
states (20 states plus Arizona and Delaware) and that 23 states do not formally
review technologies for onsite treatment of low volumes of medical waste. Thus, it
is difficult to reconcile that 46 states scientifically-recognize ATCC 9372 when,
3

 
according to Attachment A, 23 states do not formally review technologies.
However, more information could be provided to bolster this contention'.
Additionally, 1 state appears to be missing (22 states alleged to have formally
approved and 23 states alleged to meet or exceed regulatory requirements 45
states)
15.
Similarly, Petitioner offers that "[c]urrently, out of the 46 states that have approved
the Demolizer ® or for which the Demoizer meets statutory requirements, Illinois
is the only state that has required use of the Chemical Indicator in the lET for the
Demolizer ® technology rather than the Certified or Dry Heat Indicator for the
validation of the dry heat sterilization technology." (Pet. at 5) This statement is not
entirely correct in that, as noted within the petition, Arizona and Delaware have
regulations providing that ATCC 19659 be used. (Pet. at 11 -- "... three states
specifically identify [ATCC 19659] in their regulations for use in validation
procedures: Arizona, Illinois and Delawarel
16.
The Illinois EPA would also like to clarify several instances where Petitioner has
alleged Illinois EPA's position. For example, at page 6 of the petition, Petitioner
alleges "[b]ased on
all of this information, the Agency has agreed to
recommend to
the Board that it grant this Petition for an Adjusted Standard."
(Pet. at 15 – bold original, yet significance of such is unknown) The Illinois EPA's
agreement to these contentions is not present within the documents provided in the
petition and the Illinois EPA would like the opportunity to make its own
conclusions and recommendations known rather than having them thrust upon them.
No agreement was made regarding a recommendation prior to a pleading being
filed and reviewed.
Additionally, Petitioner provides that Bill Ingersoll of the Illinois EPA "...
recognized that the Yellow Indicator was not commercially available [footnote 9]."
(Pet. at 13) Such a statement is not contained within Mr. Ingersoll's e-mail of June
4, 2007. To the contrary, Mr. Ingersoll provides simply that "... I am told that while
this strain (ATCC 19659) may not be 'off the shelf at this time, it can still be
purchased." (Pet. Exh. E) The statement of Mr. Ingersoll is far from the statement
offered. Further adrift from anything Mr. Ingersoll stated in his e-mail is footnote
nine, which accompanies the above language attributed to Mr. Ingersoll, and
provides clarification of what Petitioner contends to be an obstacle to its use of
ATCC 19659. None of footnote 9 can fairly be placed into the brief discussion
contained in the June 4, 2007 e-mail.
This same paragraph, Petitioner offers that "[p]ursuant to the suggestion of Mr.
Ingersoll, BMTS filed a Variance Petition on or about June 24, 2007." (Pet. at 13)
Petitioner filed a Variance petition, this is true. However, the Illinois EPA
suggested, in writing, both on January 5, 2007 and April 4, 2007, that Petitioner had
1
Attachment A to the Petition includes a letter dated September 28, 2007, indicating that it was written in response to a
conversation with Kyle Davis of the Illinois Pollution Control Board. Mr. Kyle Davis is a counsel with the Illinois EPA and not
with the Board. The Illinois EPA is unaware of any discussions between the Board and Petitioner.
4

 
options to use ATCC 19659 or to seek an Adjusted Standard. (Pet. Exh. B and D)
IV.
STATUTORY CRITERIA
STANDARD FROM WHICH ADJUSTED STANDARD IS SOUGHT
35 III. Adm. Code Section 104.406(a)
17. The Board promulgated the requirements of 35 III. Adm. Code Section 1422 Design
and Operation of Facilities for facilities treating potentially infectious medical
wastes in 1993. As of June 21, 1993, the regulations stated:
a)
The manufacturer, owner or operator of a treatment unit shall conduct an
Initial Efficacy Test, pursuant to Appendix A of this Part, for each model
prior to its operation. ...
b)
The Initial Efficacy Test must be conducted by the use of Options 1, 2 or
3 of Appendix A of this Part, ...
Appendix A provides:
... This Option 3 is for a treatment unit that uses thermal treatment and
maintains the integrity of the container of indicator microorganism spores
(e.g., autoclaves and incinerators). ...
Appendix A, Table B, provides:
Section1422.TABLE B Indicator
Microorangisms
1. Bicillus subtilis (ATCC 19659) ...
Petitioner conducted testing of its medical waste treatment device using
Bacillus
subtilis
var.
niger,
ATCC 9372 in place of
Bicillus
?
ATCC 19659, as
required by Section 1422, Appendix A, Table B. Petitioner now seeks an
Adjusted Standard.
STATEMENT OF IMPLEMENTATIOIN OF FEDERAL REQUIREMENTS
35 III. Adm. Code 104.496(b)
18. This regulation of general applicability was not promulgated to implement, in whole
of in part, the requirements of the CWA (33 USC 1251 et seq.), CAA (42 USC 7401
et seq.), or the State programs concerning RCRA, UIC or NPDES [415 ILCS
5/28.1].
5

 
LEVEL OF "USTI F1CATON
35 III. Adm. Code 104.406(c)
19.
The regulations do not specify a level of justification or other requirements.
DESCRIPTION OF PETITIONER'S ACTIVITY
35 Iii.
Adm. Code 104.406(d)
20.
Petitioner intends to sell its product throughout the State of Illinois.
DESCRIPTION OF COMPLIANCE EFFORTS AND ALTERNATIVES
35
111.
Adm. Code 104.406(e)
21.
Petitioner offers that "[u]nder the Agency's current interpretation of the Board's
regulations, it is impossible for BMTS to achieve immediate compliance, which
could take as long as two and a half years due to the time and resources required to
grow and certify a Chemical Indicator to the same standards already demonstrated in
the KSU Efficacy Test." (Pet. at 17) It is questionable what significance should be
attributed to the statement that it is impossible to achieve "immediate compliance."
Petitioner is not faced with an issue of immediate compliance other than one created
by its own conduct. In essence, Petitioner seeks review of it not complying with a
regulatory requirement that it never intends to comply with. Petitioner, simply put,
does not want to repeat the efficacy test it chose to perform with another indicator
spore with those required, since 1993, under Illinois law.
77
.
Petitioner also offers that "immediate compliance would impose an arbitrary and
unreasonable hardship." This standard is far more appropriate for seeking a
Variance. However, the Illinois EPA will address the basic argument presented.
At the heart of Petitioner's claim for relief is the fact that Petitioner has already done
a test and does not wish to re-test. For such a contention to be weighed equitably
you need to review the circumstances surrounding the claim that it should not be
required to re-test. Illinois regulations relative to which strain of indicator spore to
used were enacted following a long regulatory process. The Board set the
compliance date of June 21, 1993 for its regulations. Thus, for over 14 years the
regulatory standards have been apparent for compliance with Illinois law. Petitioner
conducted its testing in 2006. This testing was 13 years following the enactment
and compliance deadline for Illinois law.
Additionally, if anything, the Illinois EPA's correspondence notes that the ATCC
19659 strain spore is commercially available. Petitioner's contention that it is not
commercially available is troubling since the spore is available. Petitioner's issue
with the spore is the fact that it will be require to purchase the strain, populate
certified cultures and then re-test. Yet, as noted above, and as provided for within
the petition, Illinois law required use of ATCC 19659 years long prior to Petitioner
contracting for a test to be preformed.
6

 
There is no doubt that it will he more costly to do the IEF with the ATCC 19659.
However, you have to answer the question why? The reason it is more costly is
because Petitioner did not use the ATCC 19659 strain in the first place.
Moreover, this is not an issue relative to availability of the required spore, it is a
contention that such costs would have to be spread to consumers in the price of the
product. (Pet. at 21) This argument, is not unique to this matter, and as such should
not be persuasive in itself.
The Board and the Illinois EPA should not be responsible for Petitioner's choice to
use a spore which does not comply with long standing regulatory requirements. The
existence of this ATCC issue was apparent to Petitioner, and was considered by
Petitioner's consultant at Kansas State University. (Pet. at 8) Petitioner, though its
consultant, chose to use a spore that was similar to that required by a number of
states. Again, even arguendo if the spores are 99.8% similar in their genetic
material, the difference between them was the cost to culture them and certify the
population. (Pet. at 8) A choice to use the ATCC 9372 was purely elective and
considered. Thus, the cost spreading of the need to use ATCC 19659 (which is
overwhelmingly recognized as an appropriate spore for this type of testing) would
have been far easier, and spread over far more units, had Petitioner chosen to use the
spore identified in many states as an appropriate spore.
Is the time required to comply a factor? Petitioner posits that it could take a total
time from of up to two years to cultivate a population. (Pet. at 21) However, the
two year time frame surely must have been considered in Petitioner's initial decision
to use the ATCC 9372 strain in place of the ATCC 19659 strain. Thus, it is difficult
to assert that it will take Petitioner additional time to comply with Illinois law when
Petitioner itself determined long before the filing of this pleading to accept the
consequences of seeking approval for its use of a spore strain that did not comply
with the express language within several state statutes. Additionally, the cost of
time to sell these units in Illinois surely must have been considered prior to the filing
of this petition.
Petitioner is not economically situated in a unique position as compared to others
who would seek to comply with Illinois law. Other than the fact that Petitioner
chose to proceed using ATCC 9372 in place of ATCC 19659, Petitioner is situated
no differently than any other manufacturer of a medical waste treatment unit who
wanted to certify a unit's IET. The costs to be born by use of ATCC 19659 by
Petitioner, and indeed the time, would be the same for any manufacturer. The
regulations do not arbitrarily or adversely affect Petitioner in this manner. The
regulation does not impact this Petitioner more adversely or arbitrarily than any
other person subject to an IET.
PROPOSED ADJUSTED STANDARD
7

 
35 III. Adm. Code 104.406(0
23.
The Illinois EPA notes the language proposed by Petitioner in at page 22 of the
Petition, but can not agree to such. In the Illinois EPA's opinion, this Adjusted
Standard petition would not be an appropriate mechanism to alter the rule of general
applicability as to others, and as such, the general amendment proposed to Section
1422, Appendix A, Table B is not correct. Additionally, the Illinois EPA is not sure
what the reference to it means within the last paragraph of Petitioner's Petitioner in
Section DC of page 22. The phrase "... the Agency has been acknowledged meets
..." is incomplete and adds nothing to the rationale presented.
Provided the Board agrees to grant Petitioner's Adjusted Standard in this matter, the
Illinois EPA would propose the following language for inclusion in the Board's
Order in this matter:
"The Board grants Petitioner an Adjusted Standard, as presented in In the Matter of:
Petition of Biomedical Technology Solutions, Inc., AS 08-006, from the
requirement that
Bicillus subtilis
(ATCC 19659) be used in an Initial Efficacy Test
under Section 1422, Appendix A, Table B(1) upon the condition that a appropriate
test is preformed using
Bacillus subtilis
var.
niger
(ATCC 9372) and the results of
such test comply with the requirements of this
Part."
IMPACT ON THE ENVIRONENT
35
Adm. Code
104.406(g)
24.
The
Illinois EPA does not take issue generally with the representations made by
Petitioner concerning environmental impact.
JUSTIFICATION FOR PROPOSED ADJUSTED STANDARD
35 III. Adm. Code
104.406(h)
25.
The Burden of Proof contained at Section 104.426 states those matters the Board
should consider in rendering a decision regarding a petition for Adjusted Standard.
(See also EPAct: 415 ILCS 5/27(a)) The Illinois EPA would agree with Petitioner
that the scholarly information provided establishes that the use of ATCC 9372 is
consistent with present practice in testing dry-heat resistance. As such, the Board
could find that factors relating to the Petitioner are substantially and significantly
different from the factors relied upon by the Board in adopting the general
regulations applicable to the Petitioner, and as such, grant an Adjusted Standard
based upon this rationale.
8

 
CONSISTENCY WITH FEDERAL LAW
35I11. Adm. Code 104.406(i)
26.
No issues regarding compliance with Federal law were identified during the review
of this matter.
WAIVER OF HEARING
35 Ill. Adm. Code 104.406(j)
27.
As stated above, the Illinois EPA does not request a hearing in this matter. Should
the Board determine that a hearing is necessary, the Illinois EPA will participate.
V.
RECOMMENDATION
A thorough review of the petition for relief was made by Illinois EPA technical
staff. The Illinois EPA concludes that sufficient justification is presented to allow
Petitioner to be granted an Adjusted Standard regarding the use of ATCC 9372 in an
Initial Efficacy Test. The Illinois EPA recommends that the Board conditionally
grant Petitioner its Adjusted Standard as presented in In the Matter of: Petition of
Biomedical Technology Solutions, Inc., AS 08-006, from the requirement that
Bicillus subtilis
(ATCC 19659) be used in an Initial Efficacy Test under Section
1422, Appendix A, Table B(1), upon the condition that a appropriate test is
preformed using
Bacillus subtilis
var.
niger
(ATCC 9372) and the results of such
test comply with the requirements of this Part.
Based upon the forgoing, the Illinois EPA recommends that the Board conditionally
GRANT Petitioner's petition for Adjusted Standard.
Respectfully submitted,
ENVIRONMENTAL PROTECTION AGENCY
OF THE STATE OF ILLINOIS
William D. Ingersoll
Division of Legal Counsel
DATED: December 26, 2007
1021 North Grand Ave. East
P.O. Box 19276
Springfield, Illinois 62794-9276
217/782-5544
By:
9

 
Departmental Forms
?
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Groundwater System Monthl y
Operational Data Report
Groundwater System Monthly
Operational DatQPeport
52
Registration Form for the
Rye istration Form for the
Construction, Installation, or
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Construction Installation or
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60
Notification of Intent to Drill a
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Water Well
103
Operating; Permit Application
Facility Identification Form
Operating_Permil Application
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104
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105
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106
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107
Permit Application for Stationar y
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Ermines
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108
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Permit- Application for Loading and
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109
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110
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112
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166
ktint Application and Notification
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U. S. Department of Army, Corps
S. Department of Army, Corps of
C
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Environmental Management
184
Seal Gei) Test Form
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L
185
Purchase Water Sy
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186
State Indirect PermitApplication
187
NPDES Permit Application
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188
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193
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197
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198
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242
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257
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259
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278
Disposal Approval Request
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279
Notification for Underground
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4,
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283
Notification for Above Ground
Sitoragelanks
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300
Solid Waste Profile Shed
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305
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309
Cargo Tank Tightness Test Report Cargo Tank Tightness Test Report
310
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313
Calculation of Total Annualized
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314
ADEM Baseline MonitorinOeport ADEM Baseline Monitoring Report
Submittal Form
Submittal Form
315
ADEM lid d Operation Division
NPDES Individual Permit
Application
ADEM Field Operation Division
NPDES Individual Permit
C
Application
316
Alabama Coastal Area
Alabama Coastal Area MManagemen
Program Application for Approval
,
Management Program Application
C
for Approval of a Non-Regulated
of a Non-Regulated Use ADEM
Use ADEM Adminst4rative Code
Adminst4rative Code Rule 335-8-1-
Rule 333-8-1-.11 Groundwater
.11 Groundwater Extraction 50 GPM
Extraction 50 GPM or Greater
or Greater
___
_
317
Alabama Hazardous Waste/Used
Alabama Hazardous Waste/ Used
Oil Tranvorter Permit
Oil Transporter Permit Application
Application
318
Alabama Tank Trust Fund Cost
Proposal Form
Alabama Tank Trust Fund Cost
Proposal Form
._--
319
Alabama Tank Trust Fund
Payment Request Form
Alabama Tank Trust Fund Payment
Request Form
320
ALG610000
&
ALG490000
Authorization Termination
Request and Certification
ALG610000
&
ALG490000
Authorization Termination Request
and Certification
C
L-14 • It ? ?
I .
?
IC
.w.nrif
?
.0/2
/r>/1/17

 
Departmental Forms
?
Page 4 of 19
This form is replaced by Form
1:t
499
This form is replaced by Form
# 499
321
ALG610000
&
ALG490000
Inspection Report and BMP
Certification
This form is replaced by Form #
500
AEU:10000
&
ALG490000 Inspection
Report and BMP Certification
This form is replaced by Form
#
500
C
322
ALG610000 & ALG490000
Noncompliance Notification
Report
This form is replaced by Form
#
501
ALG610000 &
ALG490000
Noncompliance Notification Report
This form is replaced by Form
#
501
C
323
Alternative Medical Waste
Alternative Medical Waste
_
Treatment Technoloip4 Equipment Treatment Technology Equipment
Approval Application
Approval Application
324
1
Annual Certification Form for
Discharges Associated with
Annual Certification Form tor
=-
11___
Discharges Associated with
Petroleum Storage and Handling
Areas
Petroleum Storage and I kindling
1—
Areas
325
Annual Compliance Statement
Annual CcAnpliance Statement Form
Form
326
Annual Statistical Inventory
Reconciliation?? ?
Reconciliation (SIRJ Report Form
>F l cation fgr a Permit fur tit
Construction of a Motel, I Iotei, or
Application for a Permit for the
Construction of a Motel Hotel, or
Other Multi-Unit Development on a
C
Other Multi-L`nit Development on
a Pttrty
-lntcisccteci
b}' the,
Property Intersected by the
Construction Cont of Line in the
Construction Control Line in the
Alabama Coastal Area
Alabama Coastal Area
Alication for a Permit for the
Application for a Permit for the
Constiuctio_n of Sii
?
le Family
Construction of Single Family
C
llwellii
ig
s,
Du
?
loxes, or Other
Dwellings, lluplexes, or Other
Similar Struct ues on Properties
Similar Structures on Properties
intersected by the Construction
Intersected by the Construction
Control Line in the Alabama
Control Line in the Alabama Coastal
Co
astal ?
Area
329
Application for Approval of a
Application for Approval of a Non-
Non-Regu lated Use in the
C
Alabama Coastal Area
Developments and Subdivisions of
Property Greater then 5 Acres in
Size
Regulated Use
_
in the Alabama
Coastal Area Developments and
Subdivisions of Property Greater
then 5 Acres in Size
ir
n In teln
n

 
Departmental Forms
?
Page 5 of 19
330
Application for Name
Change or
Transfer of Permit Solid Waste
Disposal Facility
Application for Name Change or
Transfer of Permit Solid Waste
Disposal Facility
331
Bulk (Gasoline)Plant Application
Bulk (Gasoline) Plant Application
332
Cathodic Protection Monitoring
Cathodic Protection Monitoring
Form for impressed Current
Systems
Form for Impressed Current Systems
333
CBM NPDES Stormwater
Dischar
ge
Monitoring Report
CBM NPDES Stormwater Discharge
Monitoring Report
C
334
CBM Toxicit
y Test Resort
Summary
CBM Toxicity Test Report Summary
C
335
Chemical Monitoring
?
Data
a Report
Chemical Monitoring Data Report
336
Chemical Monitoring_Waiver
Application
Chemical Monitoring_Waiver
Application
337
Chemical Sampling Chain of
Custod
y
Form
Chemical Sampling Chain of
Custody Form
338
Clean Water State Revolving Fund
Clean Water State Revolving Fund
(CWSRF) Construction Report Form
(This form is not available in a Word
or Excel Format)
_
(CWSRF) Construction Report
Form
339
Clean Water State Revolvin
g Fund
Clean Water State Revolving Fund
(CWSRF) Loan Application Form
(CWSRF) Loan Application Form
340
Clean
Water State Revolving Fund
Clean Water State Revolving Fu nd
(CWSRF) Preapplication Form
(CWSRF) Preapplication Form
_
341
Clean Water State Revolving Fund
Clean Water State RevolvingFund
(CWSRF) Supplemental General
(CWSRF) Supplemental General
Conditions
Conditions
342
Coal Permit Precipitation Event
Discharge Limitations Exemption
Coal Permit Precipitation Event
Discharge Limitations Exemption
C
Claim Report
Claim Report
343
Coalbed Methane Stormwater
Coalbed Methane Stormwater
Inspection Summary iepfilt
Inspection Summary Report
C
344
Coalbed Methane Temporary Pit
Coalbed Methane Temporary Pit
Wastewa teraandiApplica
t ion
Certification Report
WastewaterlandApplication
Certification Report
345
Community Public Nolificiaticm
Certification Form
Community Public Notification
r-
Certification
?
Form
_?
346
Community _S ystem
Susceptibility
Analysis Sheet
Community S_ystem Susc_ptibiliy
Analysis Sheet
i
ii
a?
ir--

 
Departmental Forms
?
Page 6 of 19
347
Consumer Confidence Report
Certification Form
Consumer Confidence Report
Certification Form
348
Discharge Monitoring Report for
CBM Coal - Tvw 60 Effluent
Discharge Monitoring Report for
CBM Coal - Type 60 Effluent
(This form is not available in a Word
or Excel Format)
C
Example
349
Discharge Monitoring;R(±Rorthor
ChM Coal -Type 60 Manual
Example
Discharge Monitoring Report for
CBM Coal - Type 60 Manual
(This form is not available in a Word
or Excel Format)
350
Discharge Monitorirni Report for
Discharge Monitoring Report for
CBM Coal - Type 60 Standard
(This form is not available in a Word
or Excel Format)
ChM Coal - Type 60 Standard
C
Example
351
Discharge Monitoring,Report or
Coal - Tvpe 1 & Type 3
Discharge Monitoring Report for
Coal - Type 1 & Type 3
(This form is not available in a Word
or Excel Format)
Example
352
Discharge Mo
nitoring Report for
Discharge Monitoring Report for
Coal - Type 11
(This form is not available in a Word
or Excel Format)
Coal -Type 11
Example
353
DischarMonitoring Report for
Discharge Monitoring Report for
Coal - Type 13
(This form is not available in a Word
or Excel Format)
Coal - Type 13
Example
354
Discharge Monitoring Report for
Discharge Monitoring Report for
Coal - Type 14 Sand & Gravel
(This form
is
not available in a Word
or_Excel Earmat)_
Coal - Type 14 Sand & Gravel
Example
355
Discharge MonitoringiReport for
Discharge Monitoring Report for
Coal - Type 14 Fire Clay
(This form is not available in a Word
or Excel Format)
IF
Coal - T
ype14
Eire Cla y
Example
II
lII
I?
At

 
Departmental Forms
?
Page 7 of 19
356
Discharge Monitoring Report for
Coal - T
ype 14 Shale - Common
Clay
Example
Discharge Monitoring Report for
Coal - Type 14 Shale - Common
Clay
(This form is not available in a Word
or Excel Format)
C
357
Discharge Monitoring Report for
Discharge Monitoring Report for
Coal - Type 15
(This form is not available in a Word
or Excel Format)
Coal - T±y-p 15
C
Example
358
Discharge Monitoring Report for
Coal - 'fype 38
Example
Discharge Monitoring Report for
Coal - Type 38
(This form is not available in a Word
or Excel Format)
C
359
Discharge Monitoring Report for
Discharge Monitoring Report for
Coal - Type 5
&
Type 7
(This form is not available in a Word
or Excel Format)
Coal - Type 5 & Type 7
C
Example
360
Dischaw Monitoring_t
Report for
Coal - Type 9
Example
Discharge Monitoring Report for
Coal - Type 9
(This form is not available in a Word
or Excel Format)
C
361
Discharge Monitoring Report for
Discharge Monitoring Report for
NonCoal - Type 30
(This form is not available in a Word
or Excel Format)
C
NonCoal - Type 30
Example
362
Discharge Monitoring Report for
Discharge Monitoring Report for
NonCoal - Type 32
(This form is not available in a Word
or Excel Format)
C
--
NonCoal - Type 32
Example
363
Discharge_Meport for
DischargaMonitoring Report for_
NonCoal - Type 34
(This form is not available in a Word
or Excel Format)
NonCoal - Type 34
C
Example
364
Discharge Monitoring Report for
Discharge Monitoring Report for

 
Departmental Forms
Page 8 of 19
NonCoal - T
y
pe 7,6 & Tya 48
&
The 50
Example
NonCoal - Type 36 & Type 48
&
Type 50
(This form
is not available in a Word
or Excel Format)
C
365
Discharge Mon nor] rigReport for
NonCoal - T
y
pe 41
Example
Discharge Monitoring Report for
NonCoal - Type 41
(This form is not available in a Word
or Excel Format)
C
366
Discharge Monitoring Report for
Discharge Monitoring Report for
NonCoal - Type 42
(This form is not available in a Word
or Excel Format)
NonCoal - Type 42
C
Example
367
Discharge Monitorina Report for
Discharge Monitoring Report for
NonCoal - Type 44 & Type 45
(This form is not available in a Word
or Excel Format)
Example
NonCoal - T
y
pe 44 & Type 45
C
Example
368
Discr Ye Monitoring Report for
Discharge Monitoring Report for
NonCoal - Type 46
(This form is not available in a Word
or Excel Format)
Example
NonCoal -
Type
46
C
Example
369
Drinking Water State Revolving,
Drinking Water State Revolving
Fund
(DWSR1l)
Loan Application
Fund (DWSRF) Loan Application
Form
Form
370
Drinking Water State Revolving
Drinking Water State Revolving
Fund LDWSRIMPreapplication
Form
Funci(DWSRF)Preapplication Form
371
Drhlilsin , Water State Revolving
Drinking Water State Revolving
.EimddliWSRE)Su pplementaL
General Conditions
(This form is not available in a Word
or Excel Format)
,
Eurut(DW_SRE) SuRlt_RibrrieaL
General Conditions
372
Emissions Statement
-R'portiner
Form
Emissions Statement Reporting
II
II
---Form
IF

 
Departmental Forms
?
Page 9 of 19
373
Excess I rnission Mor ti
?
ma
6
Excess Emission Monitoring Report
Report
374
Exemption Claim Form for Clofired
Combustors (Appendix li -
Division 3)
Exemption Claim Form for Cofired
Combustors (Appendix H - Division
33j
_
375
Exemption Claim Form I'or
Incinerators Burning Only
Pathological, Low-Level
Exemption Claim Form For
Incinerators Burning Only
Pathological, Low-Level Radioactive,
and Chemotherripeutic Waste
(Appendix H - Division 3)
Radioactive, and
Chemotherautic Waste
(Appendix 11 - Division 3)
376
Field Operation Division NPDES
Field Operation Division NPDES
Individual Permit Application
Addendum Form
Individual Permit Application
C
Addendum Form
377
Field Operation Division NPDES
Individual Permit Application
Minor Permit Modification
Field Operation Division NPDES
Individual Permit Application Minor
Permit Modification Addendum
Form
C
Addendum Form
378
Gasoline Dispensing Facility
Gasoline Dispensing Facility
Information Survey
Information Survey
=
379
General Permit Application Form
- NOI-61
& 49
This form is replaced by Form
#
498
General Permit Application Form
-
NOI-61 & 49
This form is replaced by Form
# 498
C
--
380
General Permit Application
General Permit Application Package
Package - N0111
- N01-11
381
General Permit Application
General Permit Application Packaae
Package - N01-12
- N01-12
382
General Permit Application
General Permit Application Package
Package - N01-14
- NOI-14
383
General Permit Application
General Permit Application Packaae
=
Package - N01-15
- NOI-15
384
General Permit Application
General Permit Application Package
Package - NOT-16
- N01-16
--
385
General Perrnit-A
pplication--
A
General Permit Application-Package-,
Package - N01-17
- N01-17
386
General Permit Application
Package - NOH18
General Permit Application Package
- NOI-18
387
General Permit Apication
Packa ge - NOI-2
General Permit Application Package
1—
- NOI-2
it
it

 
Departmental Forms
Page 10 of 19
388
Genf it
Permit Application
General Permit Npplication Package
Packaw - NO]-20
- NOI-20
389
General Perniit Application
General Permit Aplication Package
Package - NOI-23
- NOI-23
390
General Permit lipplication
General Permit Application Pack±Age
Package - NO1-24
- NOI-24
391
General Permit Application
General
_
Permit Application Package
Packa
?
NO1-25
- NOI-25
392
General Permit Application
General Permit Application Package
Package - NOI-28
- NOI-28
393
General PermitApplication
General Permit Application Package
Package- N01-3
- NOI-3
394
General l'ermit Application
General Permit Application Package
Package -
- NOI-34
395
General Permit Applica
General Permit Application Package
Package - NOI-36
- NOI-36
396
General Permit Application
General Permit Application Package
Package - NOI-6
- NOI-6
397
General Permit Application
General Permit Application Package
Package - NO1-67
- NOT-67
398
General Permit Renewal Form
General Permit Renewal Form
399
flydyegzp
r?
h
Control Release
Hydrograh Control ReleaselliCR)
(HCI:) Attachment
Attachment
400
Impressed Current Cathodic
Impressed Current Cathodic
Protection System 60-Day
Protection System 60-Da
y
Inspection
Inspection
Log
401
Individual NPDES Permit
Individual NPDES Permit
Noncompliance NotificationA5-
Noncompliance Notification (5-day
Report)
C
dav Report)
403
Interior Lining Inspection Form
Interior Lining Inspection Form
404
Interior Lining Report Form
Interior Lining Report Form
405
Lead and Copper Monitoring Data
Lead and Copper Monitoring Data
??
Report
Report
406
Manual Interstitial Monitoring
Manual Interstitial Monitoring
Monthl
y Log
Monthly
407
Material Safety Data Sheet
Material Safety Data Sheet Reporting
Reporting
408
Maximum Residual Disinfectant
Maximum Residual Disinfectant

 
?
k
cvel Input Ent miSaniples)
Maximum Residual Disinfectant
Level input Form (Sources)
Medical Waste Notification Form
Medical Waste Transporter Permit
Application
411
409
410
Level Input Form (Samples)
IL
Maximum Residual Disinfectant
Level Input Form (Sources)
412
414
415
416
417
418
420
421
422
423
424
Monthly Statistical Inventory
Reconciliation (SIR) Report
Municipal POTW SSO/MS4 Event
Fil2orting1Torm
Municipal Water Pollution
Prevention (MWPP) Annual
Report Package
Municipal Water Pollution
Prevention Resolution Form
MWPP Sewage Sludge Survey
Non-Community Public
Notification Certification Form.
Non-Compliance Report Form
Notice of Intent to Permanently
Close'Underground Storage Tanks
Departmental Forms
Page 11 of 19
Medical Waste Treatment Permit
Application
419
425
Municipal Water Pollution
Pre ven ti on_LIVIW FP) Annual
Report (Collection Systems)
Package
Notice of Proposed UST New
Installation or Upgrade
Medical Waste Notification Form
Medical Waste Transporter Permit
Application
Medical Waste Treatment Permit
Application
Monthly Statistical Inventory
Reconciliation (SIR) Report
Municipal POTW SSOf MS4 Event
Reporting Form
Municipal Water Pollution
Prevention LMWPP) Annual Report
(Collection Systems
.
) Package
Municipal Water Pollution
Prevention (MWPP) Annual Report
Packag
e
Municipal Water Pollution
Prevention Resolution Form
MWPP Sew_aze Sludge Survey
Non-Community Public Notification
Certification Form
Non-Compliance Report Form
Notice of Intent to Permanently
Close Unde
r
l Storage 'ranks
Notice of Proposed UST New
Installation or Upgrade
Notification - Above the Threshold
Planning Quantities (TPQ) of
Extremely Hazardous Substances
Notification of Election of Coverage
under The Alabama Drycleaning
Environmental Response Trust Fund
Act
Notification - Above the
'Threshold Planning Quantities
CITI Extremely Hazardous
Substances
Notification of Election of
CoverLige_under The Alabama
Drycl ea n lug Env ironmenta
Response Trust Fund Act
426
Nox Budget Permit Application
Nox Budget Permit Application

 
Departmental Forms
?
Page 12 of 19
IllForm
II
Form
427
Nox Budget Retired Unit
Exemption Claim Form
Nox Buduet Retired Unit Exemption
Claim Form
429
NPDES Annual Notice
or
NPDES Annual Notice of
Registration (NOR)
RAgistration (NOR)
This
form is for CAFO Registration
This form is for CAFO Registration
430
N PM'S Discharge Monitoring
Report Form (Monthl
y)
NPDES Discharge Monitoring
Report Form (Monthly)
433
NPDES Permitted Coalbed
Methane Operations Pollution
Abatement/ Trea t
MCilt
Measures
and Waste Treatment Facilities
Certification Report
t
434
Qper, Burnino_Incident Report
435
Operator Certification. Renewal
Operator Certification Renewal
Form
Form
(This form is not available in a
Word Format)
436
Perc Dry Cleaner Status Update
Perc Dry Cleaner Status Upthte
437
Permit Application
for Compliance
Permit Application for Compliance
Schedule
Schedule
438
Permit Application for Continuous
Permit Application for Continuous
Emission Monitoring Systems
Emission Monitoring Systems
(GEMS)
(CEMS)
439
Permit Application Solid Waste
Permit Application Solid Waste
Disposal Facility
Disposal Facility
440
Petroleum Solvent Dry Clearig
Petroleum Solvent Dry Cleaning
Questionnair
Ciestiontraireh
-
441
Plant and Collection System
Personnel Inventory
Plant and Collection System
Personnel Inventory
442
Potable Water Laboratory
Certification Application
Potable Water Laboratory
Certification Application
I
II
II
r

 
Departmental Forms
Page 13 of 19
443 Progress
Report form
Project Completion Form
Progress Report Form
444
Project Completion Form
445
PSD Project Information Form
PSD Projcct Information Form
446
Raw Sewage Bv_pass and Overflow
Event Ruportina Form
Raw Sewa/(0Bypass and Overflow
Event Reporting Form
447
Release Information Form
Release Information Form
C
448
Remediation Approval Form
Remediation Approval Form
449
Remediation Reporting Form
Remediation Reporting Form
450
ReRresentative Stormwater Outfall
Representative Stormwater Outfall
Certification
Certification
451
Request for Coal Permit Post-
Request for Coal Permit Post-Mining
Mining Discharae Limitations
Discharge Limitations
C
452
Request for Release from
Monitoring and Re porting
RiNu__Arements
Request for Release from Monitoring
anikeReporting; Requirements
C
453
Resuti_tst to Remove Subsurface
Request
_
to Remove Subsurface
Withdrawal From Dischar g e
Withdrawal From Discharge
C
Structure
Structure
454
Request to Remove Treatment
Request to Remove Treatment
Basin/Pond or Other Dischar ge
C
Structure
Basin/Pond or Other Discharge
Structure
455
Required Information for Mixing
Required Information for Mixing
Zone Modeling
Zone Modeling
456
Segmental Water System
Segmental Water System
Certification Application
Certification Application
457
SID Discharge Monitoring Report
SID Discharge Monitoring Report
Form (Monthl y)
Form (Monthly)
458
SID Discharge Monitorinort
SID Discharge Monitoring Report
Form (Qua
rte
rly
l
Form (Quarterly)
i._
459
SRF Payment Request Form
SRF Payment Request Form
(This form is not available in a Word
----
or–Excel-Format)
460
Statistical Inventor y
Reconciliation Statistical Inventory Reconciliation
SIR 7 Day Release investigation
SIR 7 Day Release Investigation
Notice Form
Notice Form
461
Surface Source Susceptibilit
y
Anal-y
sis Worksheet
Surface Source Susceptibility
ir-
IL____
Analysis Worksheet
n?Inn*,
-•

 
Departmental Forms
?
Page 14 of 19
462
lank Trust Fund Eligibility
/
Tank Trust Fund Eligibility'
/
I nel ioibility Determination harm
IneligNity Determination Form
464
Foxicity Discharge Monitoring
Report lorm
Toxicity Discharge Monitoring
Report Form
465
Toxicity Test Report Summary
Toxicity Test Report Summary
—C
466
'Transfer Agreement Form
Transfer Agreement Form
467
UIC Pemnt ,
Mplication
E
Existing
Discharge
UIC Permit .A_pication Existing
Discharge
468
UIC Permit Application New
Discharge
U1C Permit Application New
Discharge
469
Underground and Above Ground
_._
Underground and Above Ground
Storase Tank Transfer of
Storage Tank Transfer of Ownership
Ownership
471
UST ARBCA Tier 1 Report Forms
UST ARBCA Tier 1 Report Forms
(This form is available for purchase)
472
UST ARBCA Tier 2 Report Forms
UST ARBCA Tier 2 Report Forms
(This form is available for purchase)
473
UST ARBCA Tier 3 Report Forms
UST ARBCA Tier 3 Report Forms
(This form is available for purchase)
474
UST Closure Site Assessment
Report Form
UST_
Closure Site Assessment Report
Form
475
UST Free Product Recover
y Report
UST Free Product Recovery
Report
Form
Form
476
UST Groundwater Monitoring
USTI Groundwater Monitoring
Report Form
Report Form
477
UST Line Tightness test Report
UST Line Tightness Test Report
Form
Form
478
UST Natural Attenuation
UST Natural Attenuation
Monitoring Report Form
Monitoring Repprt Form
479
UST Release Pact Sheet
UST Release Fact_ Sheet
480
UST Release Report Form
UST Release Report Form
481
USTSitiTChassitica ti on-
?
s Liu
UST i
e eassificatiorrSystem
Checklist
Checklist
482
UST System Effectiveness
UST System Effectiveness
Monitoring Report Form
1—
Monitoring Report Form
483
'UST Tracer Tank?
iohtness Test
Report Fong
UST Tracer Tank Tightness Test
Report Form
11?
ir--

 
Departmental Forms
?
Page 15 of 19
484
US I' Ul lair 'lank lightness f est
Report
1 :
orm
UST Linage Tank Tightness Test
Report Form
485
US] Vacuum
:
1 ank Tiahtness 'fest UST Vacuum Tank Tightness Test
Report Form
Report Form
486
UST Volumetric Overfill lank
UST Volumetric Overfill Tank
Thrhtness
Test Report Form
Tightness Test Resort Form
487
US] Volumetric Underfill Tank
UST Volumetric Underfill Tank
Tightness Test Report Form
Tightness Test Report Form
488
Water Supply Construction Permit
Application
Water SupOyConstruction Permit
Application
489
Water Supply Permit Application
(Modificatiori)
Water Supply Permit Application
(Modification)
490
Water
Sup_pb*permit implication Water Suppl y Permit Application
(Renewall
(Renewal)
491
Water Sy stem Update
Water System Update
492
UST Closure Total Potential Voc
UST Closure Total Potential Voc
Emissions Calculations
Emissions Calculations
493
112
(D Part 1 Applicability
Notification
112 (j) Part 1 Applicability
Notification
494
Birminvham Fuel Suppli
e
r Report
Birmingham Fuel Supplier Report
495
Major Source Operating Permit
Major Source Operating Permit
Skeleton Form
Skeleton Form
496
Notice of Demolition and/or
Notice of Demolition and/or
c
..-
C
Asbestos Removal
Asbestos Removal
,
497
Asbestos Removal Contractor
Asbestos Removal Contractor
Certification
Certification
498
NPDES Construction
NPDES Construction,
Noncoal/Nonmetallic Mining and
Dry Procession less than Five
Noncoal/Nonmetallic Mining and
Dry Procession Less than Five Acres,
Acres,
Other Land Disturbance
Other Land Disturbance Activities
Activities Application Form
Application Form
499
N liDltS Construction, Noncoal
NPDES Construction, Noncoal
_
Mining Less than Five Acres
Mining Less than Five Acres
Stormwater
Regi
str
ation
Stormwater
Registration
Termination Request and
Termination Request and
Certification Form
Certification Form
500
N PDES Construction, and IN oncoal
Mining Less than Five Acres
Storm water Inspection Report and
NPDES Construction, and Noncoal
Mining_Less than Five Acres
C
Stormwater Inspection Report and

 
Departmental Forms
Page 16 of
19
11
BM P
Certification Form?
1BMP Certification Form
C
501
N I'D ES (onstruction, and Noncoal
Mining Less
than
Five Acres
Stormwater Noncompliance
Notification Report Form
NPDES Construction and Noncoal
Minim Less than Five Acres
Stormwater Noncompliance
Notification Report Form
502
Visible Emission Field 'Lest Sheet
Visible Emission Field Test Sheet
Only available in PDF
503
General Permit for Phase 11 Small
Municipal Separate Storm Sewer
General Permit for Phase II Small
Municipal Separate Storm Sewer
Systems (MS4) ALNOI
----
Sy stems LMS4) ALNOI
505
Water and Wastewater Operator
Water and Wastewater Operator
Exam Application
Only available in PDF
=
Exam
,
Application
C
506
Water and Wastewater Operator
Water and Wastewater Operator
Experience Verification
Only_ayailable in PDF
--
Experience Verification
C
507
Water and_ Wastewater Reciprocal
Application
Water and Wastewater Reciprocal
Application
Only_available in PDF
C
508
Water and Wastewater Operator
Water and Wastewater Operator for
Multiple Systems
Only available in PDF
for Multiple Systems
C
510
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Information
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Information
511
EDMR1 Permittee Registration
EDMR1 Permittee Registration Form
Form
512
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EDMR2 Electronic Signature
Application Ageement
Application Agreement
513
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EDMR3 Deactivation Request Form
httn
.
//www
arum
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?
0/Q /0(1(17

 
Departmental Forms
?
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514
Daily Discharac Monitor Report
Daily Discharge Monitor Report
Only_ available in PDF
515
Monthly Discharge
Monitoring
Monthly Discharge Monitoring
Report
Only available in PDF
.----
Report
516
Supplemental Petroleum
Application Information
Supplemental Petroleum
Application Information
530
1'
ec hn lc al Proposal for
Qualification as a Scrap Tire Fund
Remediation Center
Technical Proposal for Qualification
as a Scrap Tire Fund Rem
_
ediation
Center
531
Ei :tit° Tv
• Unit Evaluation
Hvdrogeolqgy Unit Evaluation
Report Form
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Minin
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UIC Permit Application for Coal
Mining Wastewater
533
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Documentation of Disability Related
Related Needs
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C
=
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536
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re Manifest
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537
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F
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RA/WIAI
ariom efatoa
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licillonfPnrrno/rnrrnnrif htrn
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538
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PreApplicati On Form
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545
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Alabama Hazardous Waste Receipt
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548
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549?
11N
IDES Coal bed Methane
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Operation
550
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551
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Last modified: 07/27/07

 
APPLICATION FOR APPROVAL OF
ALTERNATIVE TREATMENT TECHNOLOGIES
Please complete all items below. Mark N/A for any that are not applicable. Include any
support data that may be applicable. Use additional paper if necessary with a reference to
the appropriate section and number(s).
=== === === === === === === === === === === === === ===
A.
GENERAL
Al . Is the treatment technology best suited for on-site use at the point of generation,
or is it adaptable for use as a commercial or regional treatment process receiving
medical waste from several generators?
On-site
Commercial/Regional
Both
A2.
Is this treatment technology specified for use at small generator facilities (those
that treat less than 220 pounds per month)?
Yes No
A3.
Has this treatment technology been approved/disapproved in any other state? If
so, please indicate which states have issued a decision and submit copies of
approvals/disapprovals.
A4.
Has the use of this equipment ever resulted in any injuries of any kind, or the
transmission of any disease to any person? Describe all such instances.
A5.
Has the use of this equipment ever resulted in any environmental or occupational
safety violation (federal, state, or local)? Describe all such instances.
A6.
Have you reviewed all applicable state solid and medical waste regulations for
medical waste management and disposal?
Yes
No
A7.
Have you inquired as to whether any other permits are required? Please enclose
agency response and requirements with your application. List all required permits
and enclose copies of any permit approvals.
Yes
No NOTE:
Local governments or other agencies may
require permits and/or approvals.
ADEM Form 323 8-02
1

 
=== === === === === === === === === === =
== === === ===
B.
LEVEL OF TREATMENT
BL Does
the level of microbial inactivation achieved by the treatment process meet
the following definition?
"Inactivation of vegetative bacteria, fungi, lipophilic/hydrophilic viruses,
parasites, and mycobacteria at a 6 LoglO Reduction or greater; and inactivation of
B. stearothermophilus spores or B. subtilis spores at a 4 Log10 reduction or
greater."
Yes No If
no, specify where the definition is unfulfilled. •
=== === === === === === === === == === === === === ===
C.
CHARACTERIZATION OF PROPOSED TREATMENT PROCESS
Cl. Please
check the appropriate categories that best describe the methods used by
this proposed technology. Proposed treatment technologies may incorporate
several of the categories listed below.
Chemical
Grinder
Encapsulation Heat
Microwave
Irradiation
Plasma Arc
Mechanical
Steam
Radiowave
=== =
Other
=
= ===
(specify)
===
===
=== === === === === === =
=
= === ===
D.
WASTE COMPATIBILITY WITH PROPOSED TREATMENT PROCESS
Type of Waste
DI. Animal
Waste
D2.
Blood & Body Fluids
D3.
Microbiological Waste
D4.
Pathological Waste
DI Renal
Dialysis Waste
Compatible Non-compatible
ADEM Form 323 8-02
2

 
D6.
Sharps
D7.
Surgical Waste
Please refer to the state medical waste regulations for further definition of the
medical waste categories and prescribed medical waste management
requirements.
D8.
What waste characteristics present the greatest challenge to the proposed
treatment process.
Organic materials
?
Liquids
Density/Compaction ?
D9.
Describe by composition (i.e.,
?
material
Other
and percentage)
characteristics
those
?
medical
Specify:
wastes
?
that
would pose the most challenge to the proposed technology. Why?
D10.
Describe the physical or chemical components of medical wastes that would
interfere, cause mechanical breakdown, or compromise the treatment process or
microbial inactivation efficacy.
=== === === === === === === === == === === === === ===
E.
MICROBIOLOGICAL TEST PROCEDURES
Any proposed treatment method shall be capable of inactivating vegetative
bacteria, fungi or yeast, parasites, lipophilic/hydrophilic viruses, and
mycobacteria at a 6 Log
Reduction or greater. Bacterial spores shall be
inactivated at a 4 Log
Reduction or greater. A representative from each of the
microbial groups, listed in "El" below, are required to be tested.
El .?
Listed below are several test organisms which have been used as microbiological
indicators to determine the effectiveness of a given treatment method. If there are
any data that supports or refutes the inactivation of any of the biological
indicators using the proposed treatment process under normal operating
conditions, please check the appropriate space next to the indicator.
NOTE:
If protocols utilized by the applicant
to generate
microbial inactivation data are
deemed unacceptable by the Department, the Department reserves the right to request that the
applicant resubmit data generated from Department-approved protocols. If data has not yet been
procured to support the inactivation of the listed biological indicators below, please contact the
Department before initiating efficacy testing to ensure research protocols are in accordance with
the Department's requirements
ADEM Form 323 8-02
3

 
Vegetative Bacteria:
Staphylococcus aureus (ATCC 6538)
Pseudomonas aeruginosa (ATCC 15442)
Fungi
Candida albicans (ATCC 18804)
Aspergillus
Penicillium
nigerchrysogenum
(ATCC 24791)
Viruses:
Polio 2 or Polio 3
MS-2 Bacteriophage (ATCC 15597-BI)
Parasites:
Cryptosporidium sap. Oocysts
Giardia
SPA.
Cysts
Mycobacteria:
Mycobacterium terrae
Mycobacterium phlei
Bacterial
Mycobacterium
Spores:
bovis (BCG) (ATCC 35743)
B. stearothemophilus (ATCC 7953)
B. subtilis (ATCC 19659)
E2.?
Were the results certified by an independent public health or certified testing
laboratory?
Yes*?
No
* If yes, indicate the name, address, and telephone number of the certifying
laboratory and attach the test protocol, results and an explanation of any
available data not supporting the reduction factors referenced above.
ADEM Form 323 8-02
4

 
=== ===
===
=== === === === =
==
== === === === ===
===
F.
BY-PRODUCTS AND DISCHARGES OF THE TREATMENT PROCESS
.?
Please indicate all by-products and discharges (to air, water, or land) which may
be generated as a result of this alternative treatment technology.
Aerosols
Leachate
Stack Emissions
Ash
Liquid
Steam
Chemical Residues Odor
Vapors or Fumes
Dust
Slag
Heat
Smoke
F2.
If any of the above by-products or discharges are indicated, how will they be controlled?
F3.
If there are no by-products or discharges indicated, how was this determined'?
F4.
Are any of these by-products or discharges ADEM-listed hazardous wastes (ADEM
Administrative Code 335-14)? If yes, explain necessary controls, personal protective equipment,
storage, disposal, etc.
Yes
No
=
== === === == =
=== === === ==
= === === === =
== === ===
G.
ENVIRONMENTAL EFFECTS OF THE TREATMENT PROCESS
G1.
Are any negative effects on the environment anticipated from the use of the treatment process
and/or disposal of the treated waste from the treatment process?
Yes
No
G2.
What environmental, occupational, and/or public health hazards would be associated with a
G3.
malfunction
If the treatment
of the
process
treatment
includes
process?
the use
Specify
of water,
steam,
or other liquids, how will this waste
G4.
discharge
What are the
be handled
physical
(i.e.,
characteristics
sewer, recycled,
of the waste
etc.)?
residues
Specify
generated
from
he treatment process
05. (i.e.,
How
wet,
will the
dry,
treated
shredded,
medical
powdered,
waste from
etc.)?
this
Specify
process
be
disposed of (i.e., landfill, incineration,
recycled, etc.)? Specify
ADEM Form 323 8-02
5

 
Are any by-products classified as hazardous waste according to Div
i sion 335-14 of the ADEM
Administrative Code? Yes
No
=== ==
=
=== === === === === === == === =
== === === ===
H.
OCCUPATIONAL HAZARDS
Hi. What
training will the operator(s) of the treatment process receive?
112.
===
===
What frequency
=== ===
will update
===
training
===
be
===
provided?
===
== === === === === ===
I.
?
CRITICAL FACTORS OF THE TREATMENT PROCESS
Ii. What
are the critical factors that influence the specific treatment technology? Specify
12.13.
What
What
are
type
the
of
consequences
ongoing maintenance
if these
is
factors
required
are
in
not
the
met?
operation
Specify
of
the
treatment system? Specify
14.
(may
What
attach
emergency
maintenance
measures
manual)
would be
required
in the event of a malfunction? Specify
15.
What is the maximum amount of waste to be treated by this process per cycle or per hour?
pounds
16.
How long is a cycle?
minutes
=== ==
= === === === = =
= === === == === === === === ==
=
J.
CHEMICAL INACTIVATION TREATMENT PROCESSES
Complete this section if the treatment process involves the use of chemical inactivation.
it.
J2.
What
What
concentrations
is the name of the
must
active
he used
ingredient?
and maintained?
J3.J4.
At
What
what
is the
pH
minimum
is the chemical
contact
agent
time?active?
minutes
ADEM Form 323 8-02
6

 
J5. Specify
any incompatibility with specific materials and surfaces.
J6.17. What
List any
is the
additional
pH of any
factors
end
that
products
may interfere
(i.e., liquid
with
effluents)?
the chemical's
inactivation
potential.
J8.
?
What is the active life of the chemical agent after it has been exposed to air or medical waste?
J9.
Have studies been conducted relative to the long-term effectiveness of the chemical agent while in
J10.
Is
use?
a
If
MSDS
yes, please
attached?
attach a copy
Yes__
of the
Nostudy
and test results.
11. Is
the chemical agent registered for this specific use with the USEPA Pesticide Registration
112. Division?
Is the spent
Yeschemical
agent
Noclassified
If
as
yes,
a hazardous
provide
waste
numberby
Division
335-14 of the ADEM
=== ===
Administrative
=== ===
Code?
===
Yes
=== ===
No
=== === === === === === ===
K.
QUALITY ASSURANCE AND VERIFIVATION OF MICROBIAL
INACTIVATION
K1. Specify
how quality assurance of the treatment process is addressed.
K2.
What is the recommended frequency that a microbiological indicator should be used to confirm
K3.
effectiveness
Other than the
of
biological
the system?
indicators
listed
in Section E, what other indicators, integrators, or
monitoring devices would be used to show that the treatment unit or process was functioning
properly?
ADEM Form 323 8-02
7

 
K4. How is it determined that the processed waste has received proper treatment?
Temperature indicator.
Visual only
Continuous
Both
Pressure indicator:
Visual only__
Continuous
Both
Time indicator:
Visual only
Continuous
Both_
Chemical concentration indicator:
Visual only
Continuous
Both
Other: Please specify
How have the treatment process monitors been correlated with biological indicators to ensure
K.6. effective
What is the
and
established
accurate monitoring
procedure and
of the
frequency
treatment
to
process?
calibrate
the
process monitors (gauges, clocks,
K7. computers,
How are the
etc.)?
process
monitors
interfaced with the system's operations to effect proper treatment
conditions?
KS. How
are the process monitor controls secured to prevent operator over-ride of the process before
K9. treatment
What failure
is adequately
mode and effect
affected?
analyses
have
been performed on the treatment system?
===
=== === ===
=== === === =
== === === ==
= === === ===
L.
OTHER RELEVANT INFORMATION AND COMMENTS
All approvals or denials received from other states, counties or agencies concerning any aspect of
equipment operation and efficacy; as well as all safety, competency or training requirements for
the users/operators, etc. must also be included.
ADEM Form 323 8-02
8

 
CERTIFICATION STATEMENT
I certify that the information requested and contained in this document is accurate and complete and that all
existing documentation requested in this application for this system or similar systems is provided. The
Vendor, identified below, agrees to provide ADEM all results of all studies conducted by or for any state,
company, agency, country, or any other person as defined by Division 335-13 of the ADEM Administrative
Code, which the vendor conducts, or is in any way aware of, to determine the operational performance of
any aspect of the equipment for which authorization to operate in this state is requested on the filing of this
application. I am aware that regulated medical waste management systems to be operated in this state for
regulated medical waste treatment and/or destruction must be identical to the system described in this
application for authorization to operate in this state and for which operational data is presented in the
application for ADEM's review. Any and all changes in the system and related equipment after this
application submittal and ADEM's review and authorization to operate must be submitted in writing to
ADEM prior to use. The ADEM permitting conditions or other agency's authorizations granted to operate
this system to treat and/or destroy regulated medical waste will be reviewed by ADEM periodically to
ensure specifically authorized regulated medical waste technology systems meet currently accepted
standards for regulated medical waste management. ADEM may modify system operational or
performance requirements for systems that receive prior authorizations to operate, if warranted to protect
human health and the environment.
I am further aware that on reviewing the completed application and the required attachments, ADEM may
have additional questions and require submissions of data and other information deemed necessary
regarding this or related medical waste disposal systems. Failure to provide all existing requested
information will result in delays in processing the request for authorization to operate. Failure to provide
all required information as outlined in this application, or willfully withholding information, may be cause
for ADEM to deny or rescind authorization to operate if ADEM determines that the information not
submitted would have been in any way relevant to its review of this technology.
Name of system or equipment
Model Number
Name of certifying person (must be a owner, partner, etc.)
Title
Signature of certifying person
Date
Name of Vendor (company)
Telephone
Mailing Address
Fax Number
City, State & Zip Code
E-mail address
Vendor's contact person
Telephone
ADEM Form 323 8-02
9

 
IW-20
West Virginia Department of Health and Human Resources
Rev. 8/04
Office of Environmental Health Services
Infectious Medical Waste Program
Application for Alternative Treatment Technology Evaluation and Approval
Complete the following application and return it along with all supporting data which maybe applicable and the
evaluation fee of $500.00. Checks should be made payable to the WV Bureau for Public Health. Use
additional paper if necessary, reference with the related section and number(s).
A.
GENERAL
Al. Is the treatment technology best suited for on-site use at the point of generation, or is it adaptable for
use as a commercial or regional treatment process receiving waste from several generators?
A2.
On-siteIs
this treatment
Commercial/Regionaltechnology
specified for
use at
Bothsmall generator
facilities such as physician, dental, or
veterinary offices or clinics?
Yes No
A3.
Has this treatment technology been approved/disapproved in any other state? If so, please indicate
which states have issued a decision and submit copies of approvals/disapprovals.
Yes No
A4.
Has the use of this equipment ever resulted in any environmental or occupational safety violation
(federal, state, or local)?
Yes No
AS. Has the use of this equipment ever resulted in any injuries, of any kind, or transmissions of any disease
to any person? Describe all such instances.
Yes No
A6.
Have you reviewed all applicable state solid and medical waste regulations for medical waste
acceptance, treatment, and disposal?
Yes No
A7.
Have you inquired as to whether any other permits are required? Please enclose agency response and
requirements with your application. List all required permits and enclose copies of any permit
approvals.
Yes No
B. LEVEL OF TREATMENT
Bl. Does the level of microbial inactivation achieved by the treatment process meet the following
definition?
"Inactivation of vegetative bacteria, fungi, lipophilic/hydrophilic viruses, parasites, and mycobacteria
at a 6 Log
i
o reduction or greater; and inactivation of Bacillus stearothermophilus spores or B. subtilis
spores at a 4 Log i
o reduction or greater."
Yes
No If
no, specify where the definition is unfulfilled.

 
C. CHARACTERIZATION OF PROPOSED TREATMENT PROCESS
Cl. Please check the appropriate categories that best describe the methods of this proposed technology.
Proposed treatment technologies may incorporate several of the categories listed below.
Hammer
ChemicalEncapsulationGrinderHeat mill
Mechanical
Plasma
Microwave
Radiowave
Shredder
Arc
D.
WASTE
Irradiation
COMPATIBILITY
WITH PROPOSED
Other
TREATMENT
(specify)
PROCESS
Please identify if the proposed system is compatible or non-compatible with the following types of waste.
Type of Waste
Compatible Non-compatible
Dl. Cultures and stocks of infectious
agents and associated biologicals
D2.
Liquid human and animal waste
including blood and blood
products and body fluids
D3.
Pathological waste
D4. Contaminated waste from animals
D5.
Sharps
D6. Other
Please refer to the state medical waste regulations for further definition of the medical waste categories and
prescribed medical waste management requirements.
D7.
What waste characteristics present the most challenge to the proposed treatment process:
Organic materials
Liquids
Density/compaction
08 Describe
Other characteristicsby
composition
(i.e.,
material
Specify:
and
percentage)
those
medical wastes that would pose the most
challenge to the proposed technology. Why?
D9. Describe the physical or chemical components of medical wastes that would interfere, cause
mechanical breakdown, or compromise the treatment process or microbial inactivation efficacy.

 
E.
MICROBIOLOGICAL TEST PROCEDURES
Any proposed treatment method shall be capable of inactivating vegetative bacteria, fungi or yeasts,
parasites, lipophiliehydrophilic viruses, and mycobacteria at a 6 Log reduction or greater. Bacterial spores
shall be inactivated at a 4 Log reduction or greater. A representative from each of the following microbial
groups is required for testing.
El. Listed below are several test organisms which have been used as microbiological indicators to
determine the effectiveness of a given treatment method. If there are any data either to support or
refute the inactivation of any of the biological indicators using the proposed treatment process under
normal operating conditions, please check the appropriate space next to the indicator.
NOTE:
If protocols utilized by the applicant to generate microbial inactivation data are deemed
unacceptable by the Department, the Department reserves the right to request that the
applicant resubmit data generated from Department-approved protocols. If data has not yet
been procured to support the inactivation of the listed biological indicators below, please
contact the Department before initiating efficacy testing to ensure research protocols are in
accordance with the Department's requirements.
Vegetative Bacteria
- Staphylococcus aureus (ATCC 6538)
- Pseudomonas aeruginosa (ATCC 15442)
Fungi
- Candida albicans (ATCC 18804)
- Penicillium chrysogenum (ATCC 24791)
- Aspergillus niger
Viruses
- Polio 2 or Polio 3
- MS-2 Bacteriophage (ATCC 15597-B1)
Parasites
- Cryptosporidium spp. oocysts
- Giardia spp. cysts
Mycobacteria
- Mycobacterium terrae
- Mycobacterium phlei
- Mycobacterium bovis (BCG) ATCC 35743)
Bacterial Spores
- B stearothermophilus (ATCC 7953)
- B. subtilis (ATCC 19659)
E2. Were the results certified by an independent public health or certified testing laboratory?
Yes?
No
If yes, indicate the name, address, and telephone number of the certifying laboratory and attach the test
protocol, results and an explanation of any available data not supporting the reduction factors
referenced above.

 
F. BY-PRODUCTS AND DISCHARGES OF THE TREATMENT PROCESS
F I. Please indicate all by-products and discharges (to air, water, or land) which may be generated as a
result of this alternative treatment technology.
F2.
AerosolsDustAshChemical
If
Heatany
?
?
?
of the
?
Residuesabove
by-products
?
?
?
?
?
or discharges
LiquidLeachateOdorOther,
Slag
?
?
?
?
specify
?
are indicated,
?
?
how
?
?
?
will
Vapors
Stack
SmokeSteamthey
Emissions
?
?
or
be
Fumescontrolled?
?
?
F3.
If there are no by-products or discharges indicated, how was this determined?
F4. Are any of these by-products or discharges USEPA-listed hazardous wastes (40 CFR Part 261),
biohazardous, etc.?
Yes
?
No
If yes, explain necessary controls, personal protective equipment, storage, disposal, etc.
G.
ENVIRONMENTAL EFFECTS OF THE TREATMENT PROCESS
GI . Are any negative effects on the environment anticipated from the use of the treatment process and/or
disposal of the treated waste from the treatment process?
G2.
What environmental, occupational, and/or public health hazards would be associated with a
malfunction of the treatment process? Specify.
G3.
If the treatment process includes the use of water, steam, or other liquids, how will this waste discharge
be handled (i.e., sewer, recycled, etc.)? Specify.
G4.
What are the physical characteristics of the waste residues generated from the treatment process (i.e.,
wet, dry, shredded, powdered, etc.)? Specify.
G5 How will the treated medical waste from this process be disposed of (i.e., landfill, incineration,
recycled, etc.)? Specify.
G6. Are any by-products classified as hazardous waste (40 CFR Part 261)?
Yes ?
No ?
Complete
?
Item A6.

 
H. OCCUPATIONAL HAZARDS
1-11. What are the potential hazards associated with the treatment process?
H2.
What hazard abatement/reduction strategies will be used during the operation of this treatment process
(include engineering controls, person protection equipment, etc.)?
H3.
What training will the operator(s) of the treatment process receive?
I.
CRITICAL FACTORS OF THE TREATMENT PROCESS
11.
What are the critical factors that influence the specific treatment technology? Specify.
12.
What are the consequences if these factors are not met? Specify.
13.
Explain the ease and/or difficulty of operation of the medical waste treatment system. Specify.
14.
What type of ongoing maintenance is required in the operation of the treatment system? Specify.
15.
Maintenance
What emergency
Manual
measures
Attached?
would
Yesbe
required
?
Noin
the
?
event of a malfunction? Specify.
16.
How are these measures addressed in an emergency plan or in the operations protocol?
17.
What is the maximum amount of waste to be treated by this process per cycle?
18.
How long is a cycle?
J.
CHEMICAL TREATMENT PROCESS
J1. If the treatment process involves the use of chemical inactivation:
a.
What is the name of the active ingredient?
b.
What concentrations must be used and maintained?
c.
At what pH is the chemical agent active?
d.
What is the necessary contact time?
e.
If there is any incompatibility with specific materials and surfaces, specify.
f What is the pH of any end products (i.e., liquid effluents)?
g. List any additional factors or circumstances that may interfere with the chemical's inactivation
potential.
J2. What is the active life of the chemical agent after it has been exposed to air or contaminated medical
waste?

 
J3.
Have studies been conducted relative to the long-term effectiveness of the chemical agent while in
use? If yes, please attach a copy of the study and test results.
J4.
What health and safety hazards may be associated with the chemical (present and long-term)? Specify.
MSDS Attached? Yes No
J5.
Is the chemical agent registered for this specific use with the Environmental Protection Agency
(USEPA) Pesticide Registration Division?
If
Yes
yes, provide
Nothe USEPA
registration number
and a copy of the EPA-
approved label instructions for use.
J6.
Is the spent chemical agent classified as a hazardous waste by USEPA (40 CFR Part 261) or by other
state criteria?
Yes
No
If yes, specify whether by USEPA or by which state(s).
J7.
Is an environmental impact study for the chemical agent available?
Yes
No
If yes, attach a copy of this information.
K. QUALITY
ASSURANCE AND VERIFICATION OF MICROBIAL INACTIVATION
K1.
How is the quality assurance of the treatment process addressed? Specify.
K2.
What is the recommended frequency that a microbiological indicator should be used to confirm
effectiveness of the system? Specify.
K3.
Other than the biological indicators listed in Section E, what other indicators, integrators, or
monitoring devices would be used to show that the treatment unit or process was functioning properly?
(Please describe and explain.)
K4.
How is it determined that the processed waste has received proper treatment? (Check the appropriate
item.)
K5 How
Temperature
Tune
Pressure
Other:
Chemical
have
indicator:Please
the
indicator:concentration
treatment
indicator:specify process
indicator:
monitors
visual
visual
visual
visual
been
onlyonlyonlyonlycorrelated
with
continuouscontinuouscontinuouscontinuousbiological
indicators
bothbothbothbothto ensure
effective
and accurate monitoring of the treatment process? Specify.
K6.
What is the established process monitor calibration schedule, and what is its frequency of calibration?
K7.
How are the process monitors interfaced to the system's operations to effect proper treatment
conditions? Explain.
K8.
How are the process monitor controls secured to prevent operator over-ride of the process before
treatment is adequately affected? Explain.
K9.
What failure mode and effect analyses have been performed on the treatment system? Specify and
provide.

 
L.
POST-TREATMENT RESIDUE DISPOSAL, RECLAMATION OR RECYCLING
Ll. How will the treated medical wastes from this process be disposed of:
Burial in an approved landfill ? Incineration??
Recycled
?
?
L2.
If the wastes are to be recycled, provide additional evidence regarding this strategy.
L3.
If the wastes arc to be recycled, what percentage of the treated waste will be recycled? How will the
remainder of the treated waste be disposed of ?
M. POTENTIAL ENVIRONMENTAL BENEFITS
Ml. Has an energy analysis been conducted on the proposed technology?
Yes ?
No
?
If yes, specify and provide results of that analysis.
M2.
Has an economic analysis been performed on the proposed technology?
Yes
?
No ?
If yes, specify and provide results of that analysis.
M3.
How does this treatment technology improve on existing medical waste treatment and disposal
methods? Specify.
M4.
What is the potential of this proposed technology for waste volume reduction? Specify.
N.
OTHER RELEVANT INFORMATION AND COMMENTS
All approvals or denials received from other states, counties or agencies concerning any aspect of equipment
operation and efficacy; as well as all safety, competency or training requirements for the users/operators, etc.
must also be included.

 
CERTIFICATION STATEMENT
I certify that the information requested and contained in this document is accurate and complete and that
all existing documentation requested in this application for this system or similar systems is provided. The
Vendor, identified below, agrees to provide the West Virginia Infectious Medical Waste Program with all
results of all studies conducted by or for any state, company, agency or country, or any other person, and all
results of all studies which the vendor conducts, or is in any way aware of, to determine the operational
performance of any aspect of the equipment for which authorization to operate in this state is requested on the
filing of this application. I am aware that infectious medical waste management systems to be operated in this
state for infectious medical waste treatment and/or destruction must be identical to the system described in this
application for authorization to operate in this state and for which operational data is presented in the
application for the West Virginia Infectious Medical Waste Program's review. Any and all changes in the
system and related equipment after this application submittal and West Virginia Infectious Medical Waste
Program review and authorization to operate must be submitted in writing prior to use.
The West Virginia Infectious Medical Waste Program's permitting conditions or other agency's
authorizations granted to operate this system to treat and/or destroy infectious medical waste will be reviewed
periodically to ensure specifically authorized infectious medical waste technology systems meet currently
accepted standards for infectious medical waste management. The West Virginia Infectious Medical Waste
Program may modify system operational or performance requirements for systems that received prior
authorizations to operate, if warranted to protect human health and the environment.
I am further aware that on reviewing the completed application and the required attachments, the West
Virginia Infectious Medical Waste Program may have additional questions and require submissions of data and
other information deemed necessary regarding this or related medical waste disposal systems. Failure to
provide all existing requested information will result in delays in processing the request for authorization to
operate. Failure to provide all required information as outlined in the application, or willfully withholding
information, may be cause for the West Virginia Infectious Medical Waste Program to deny or rescind
authorization to operate if it is determined that the information not submitted would have been in any way
relevant to its review of this technology.
NAME OF SYSTEM/EQUIPMENT
?
MODEL NUMBER
NAME OF CERTIFYING PERSON (corporate officer)
?
TITLE
SIGNATURE OF CERTIFYING PERSON (corporate officer)
?
DATE
NAME OF PERSON COMPLETING APPLICATION ?
TITLE
NAME OF VENDER (COMPANY)
?
TELEPHONE
NAME OF DIVISION
FAX
ADDRESS
EMAIL
CITY, STATE & ZIP CODE

 
9VAC20-120-910. Criteria for microbial inactivation.
A.
Inactivation is required to be demonstrated of vegetative bacteria, fungi, all viruses, parasites, and mycobacteria at a
6 Log10 reduction or greater; a 6 Log10 reduction is defined as a 6 decade reduction or a one millionth (0.000001)
survival probability in a microbial population (i.e., a 99.9999% reduction).
B.
Inactivation is required to be demonstrated of B. stearothermophilus spores or B. subtilis spores at a 4 Log10
reduction or greater; a 4 Log10 reduction is defined as a 4 decade reduction or a 0.0001 survival probability in a microbial
population (i.e., a 99.99% reduction).
9VAC20-120-920. Representative of biological indicators.
A. One or more representative microorganisms from each microbial group shall be used in treatment efficacy
evaluation.
1.
Vegetative Bacteria.
- Staphylococcus aureus (ATCC 6538)
- Pseudomonas aeruginosa (ATCC 15442)
2. Fungi.
- Candida albicans (ATCC 18804)
- Penicillium chrysogenum (ATCC 24791)
- Aspergillus niger
3. Viruses.
- Polio 2 or Polio 3
- MS-2 Bacteriophage (ATCC 15597431)
4.
Parasites.
- Cryptosporidiumspp. oocysts
- Giardia spp. cysts
5.
Mycobacteria.
- Mycobacterium terrae
- Mycobacterium phlei
- Mycobacterium bovis (BCG) (ATCC 35743)
B. Spores from one of the following bacterial species shall be used for efficacy evaluation of chemical, thermal, and
irradiation treatment systems.
1. B. stearothermophilus (ATCC 7953)
2. B. subtilis (ATCC 19659)
9V?
-?
- 0. Quantification of microbial inactivation.
A.
Microbial inactivation ("kill") efficacy is equated to "Log10 Kill," which is defined as the difference between the
logarithms of number of viable test microorganisms before and after treatment. This definition is equated as:
Log10 Kill = Log101(cfu/g) %68 Log10 R(cfu/g) where:
Log10Kill is equivalent to the term Log10 reduction.
"1" is the number of viable test microorganisms introduced into the treatment unit.
"R" is the number of viable test microorganisms recovered after treatment.
"cfu/g" are colony forming units per gram of waste solids.
B.
For those treatment processes that can maintain the integrity of the biological indicator carrier (i.e., ampules, plastic
strips) of the desired microbiological test strain, biological indicators of the required strain and concentration can be used
to demonstrate treatment efficacy. Quantification is evaluated by growth or no growth of the cultured biological indicator.
C.
For those treatment mechanisms that cannot ensure or provide integrity of the biological indicator (i.e., chemical
inactivation/grinding), quantitative measurement of treatment efficacy requires a two step approach: Step 1, "Control';
Step 2, "Test." The purpose of Step 1 is to account for the reduction of test microorganisms due to loss by dilution or
physical entrapment.
1. Step 1.
Part XI, 9 VAC 20-120-910
Effective June 19, 2002

 
Department Use
Only
Date Application and Questionnaire
Received
Date Complete
PETITION FOR EVALUATION
AND APPROVAL OF
REGULATED MEDICAL WASTE TREATMENT TECHNOLOGY
PART
A:
GENERAL INFORMATION
Name of Company
Name of Petitioner (Must be an individual(s) Name)
Trade Name of Device
Model Number
Petitioner Address
City
State
ZIP
Code
Petitioner Telephone
Number
Note: The review and assessment process will not commence until all information required is
submitted by the petitioner and received by the Department.
Treatment Process Petition Page 1

 
EVALUATION OF MEDICAL WASTE TREATMENT TECHNOLOGY
INFORMATION REQUEST FORM
Complete the following questionnaire and return it along with the application. Please include
any additional support data that may be applicable. Use additional paper if necessary. Reference
with the related section and number(s).
A. GENERAL
Al. Is the alternative treatment technology best suited for onsite use at the point of
generation, or is it adaptable for use as a commercial or regional treatment process
receiving waste from several generators?
? Onsite
?
? Commercial/Regional? ? Both
A2.
Is this treatment technology specified for use at small generator facilities such as
physician, dental, or veterinary offices or clinics?
? No?? Yes
A3.
Has this alternative treatment technology been approved/disapproved in any other
state? If so, please indicate which states have issued a decision and submit copies of
approvals/disapprovals.
B. LEVEL OF TREATMENT
Bl. Does the level of microbial inactivation achieved by the treeatment process meet the
following definition:
"Inactivation of vegetative bacteria, fungi, all viruses, parasites, and mycobacteria at a 6
Logo reduction or greater, and B. stearothermophilus spores or B. subtilis spores at a 4
Log 10 reduction or greater."?
Yes I
No — If no, specify where the definition is unfulfilled.
Treatment Process Petition Page 2

 
C.
CHARACTERIZATION OF PROPOSED TREATMENT PROCESS
C:1 Please check the appropriate categories that best describe the methods of this
proposed technology. Proposed treatment technologies may incorporate several of the
categories listed below.
? Chemical
? Heat
?
Plasma Arc
? Encapsulation
? Irradiation
? Radiowave
? Grinder
? Mechanical
? Shredder
? Hammermill
? Microwave
? Other(specify)
D. WASTE COMPATIBILITY WITH PROPOSED TREATMENT PROCESS
Please identify whether the proposed system is compatible or non-compatible with the
following types of waste.
Types of Waste
Compatible Non-compatible
D I . Cultures and stocks of infectious
agents and associated biologicals
D2.
Liquid human and animal waste including ?
9
blood and blood products and body fluids
D3.
Human anatomical waste,
tissues and body fluids
D4.
Contaminated waste from animals
9
D5.
Sharps
Please refer to the State medical waste regulations for further definition of the medical waste
categories and prescribed medical waste management requirements.
Do. What
waste characteristics present the most challenge to the proposed treatment
process?
? Organic materials ? Liquids
? Density/compaction
D7.
?
Describe
Other characteristics
by composition
(Specify)(i.e.,
material
and
percentage) those medical wastes that
would provide the most challenge to the proposed technology. Why?
Treatment Process Pet
ition Page 3

 
E. BY-PRODUCTS OF THE TREATMENT PROCESS
El. Please
indicate all by-products which may be generated as a result of this alternative treatment
technology.
? Air Emissions '? Heat
? Slag
? Vapors or Fumes
? Ash ? Liquid
? Smoke
? Dust ? Odor
? Steam
E2.
If any of
?
the
Other
above
(Specify)by-products are
indicated, how will they be controlled?
E3.
If there are no by-products indicated, how was this determined?
E4.
Are any of these by-products toxic, biohazardous, etc.? ? No
? Yes
If yes, explain
necessary controls, personal protective equipment, storage, disposal, etc.
F. MICROBIALOGICAL TEST PROCEDURES
Any proposed treatment method shall be capable of inactivating vegetative bacteria, fungi or yeasts,
parasites, viruses, and mycobacteria at a 6 Log i
c, reduction or greater. A representative from each
microbial group is required for testing.
Fl. Lister
below are several test organisms which have been used as microbiological indicators to
determine the effectiveness of a given treatment method. If there are data to support the
inactivation of any of the biological indicators using the proposed treatment process under
normal operating conditions, please check the appropriate space next to the indicator.
Vegetative Bacteria
q
Staphylococcus aureus (ATCC 6538)
q
Pseudomonas aeruginosa(ATCC 15442)
Fungi
q
Candida albicans(ATCC 18804)
q
Penicillium chrysogenum(ATCC 24791)
q
Aspergillus niger
Viruses
q
Polio 2 or Polio 3
q
MS-2 Bacteriophage (ATCC 15597-B1)
Parasites
q
Cryptosporidium
spp. Oocysts
q
Giardia spp. Cysts
Mycobacteria
q
Mycobacterium terrae
q
Mycobacterium phlei
q
Mycobacterium
bovis(BCG)(ATCC 35743)
Bacterial Spores
q
B. stearothermophilus(ATCC 7953)
q
B. subtilis(ATCC 19659)
Treatment Process Petition Page 4

 
F.
MICROBIOLOGICAL TEST PROCEDURES (CONTINUED)
Fl. Were the results certified by an independent, public health or certified testing laboratory?
q
No
q
Yes — If so, indicate the name, address, telephone number of the
certifying laboratory and attach test protocol and results.
G.
CHEMICAL INACTIVATION TREATMENT PROCESSES
01. If
the treatment involves the use of chemical inactivation:
b)c)a)d)e)If
At
What
What
What
there
what
is
is
concentrations
is
the
the
Ph
any
is
necessary
name
the
incompatibility
chemical
of the
must
contact
active
be
agent
used
time?with
ingredients?active?and
specific
maintained? materials
and
surfaces, specify._
G2.
What is the active life of the chemical agent after it has been exposed to air or
contaminated medical waste?
G3.
Have studies been conducted relative to the long-term effectiveness of the chemical agent
while in use?
? No ? Yes - If yes, please attach a copy of the study and test results.
4.
What health and safety hazards may be associated with the chemical (present and long-
term)?
MSDS
SpecifyAttached?
? No ? Yes
5.
Is the chemical agent registered for this specific use with the Environmental Protection
Agency (EPA) Pesticide Registration Division?
G6.
?
Is
No
the
?
spent
Yes -
chemical
If yes, provide
agent classified
the EPA
as
registration
a hazardous
numberwaste by
U.S. EPA (40 CFR Part
261) or by other state criteria?
G7.
?
Is
No
an environmental
? Yes - If yes,
impact
specify
study
whether
for the
by
chemical
USEPA
agent
or which
available?state
? No ? Yes - If yes, attach a copy of this information.
Treatment Process Petition Page 5

 
H. ENVIRONMENTAL EFFECTS ON THE TREATMENT PROCESS
H1.
Can positive or negative effects on the environment be anticipated from the use and/or
disposal of the treated waste from the treatment process?
H2.
What
No
environmental,
? Yes - If yes, specifyoccupational, and/or
public hazards would be associated with a
H3.
malfunction
If the treatment
of the
process
treatment
includes
process?
the use
Specifyof
water,
steam,
or other liquids; how will this
waste discharge be handled (i.e., sewer, recycle, etc.)?
H4.
How
Specifywill the
treated waste from this process be disposed of (i.e., landfill, incineration,
H5.
recycle,
Are the by-products
etc.)? Specify
identified
as
a hazardous waste?
? No ? Yes - Complete item MI
I. CRITICAL FACTORS OF TREATMENT PROCESS
11.
What are the critical factors that influence the specific treatment technology?
12.
What
Specifyare the
consequences if these factors are not met?
13.
SpecifyExplain
the
ease and/or difficulty of operation of the medical waste treatment system?
14.
What
Specifytype of
ongoing maintenance is required in the operation of the treatment system?
Maintenance
Specify Manual
Attached?
? No ? Yes
IS. What emergency measures would be required in the event of a malfunction?
16.
SpecifyAre
these
measures
addressed in an emergency plan or in the operations protocol?
? No ? Yes - If yes, attach a copy
17.
What is the maximum amount of waste to be treated by this process per cycle?
18.
How long is a cycle?
Treatment Process Petition Page 5

 
J. QUALITY ASSURANCE AND VERIFICATION OF ADEQUATE TREATMENT
J I . How
is the quality assurance of the treatment process addressed?
J2. What
Specifyis
the
recommended frequency that a microbiological indicator should be used to
confirm effectiveness of the system?
J3.
Other
Specifythan
the
biological indicators listed in Section F, what other indicators, integrators,
or monitoring devices would be used to show that the treatment unit or process was
functioning properly? (Please describe and explain.)
J4.
How is it determined that the processed waste has received proper treatment?
(Check the appropriate item.)
Temperature indicator:
? Visual only ?
Continuous '? Both
Pressure indicator:
? Visual only ? Continuous ? Both
Time indicator:
? Visual
only
?
Continuous ? Both
Chemical concentration indicator: ?
Visual only
? Continuous
? Both
? Other - Please specify
J5.
Have the treatment process monitors been correlated with biological indicators to ensure
effective and accurate monitoring of the treatment process?
J6.
Is
Specifythere a
process monitor calibration schedule established, and at what frequency is
calibration performed?
J7.
Are the process monitors interfaced to the system's operations to effect proper treatment
conditions? Explain.
J8.
Are the process monitor controls secured to prevent operator over-ride of the process
before treatment is adequately effected? Explain.
Treatment Process Petition Page 6

 
K. POST TREATMENT RECYCLING
K I . Has
a strategy been developed for the recycling of any part of the treated waste?
q
No
q
Yes If yes, please include additional information regarding the strategy.
L. COMPLIANCE WITH MEDICAL WASTE REGULATIONS
LI. Does
your treatment technology meet the requirements of the State's medical waste
regulations for medical waste decontamination and disposal?
? No ? Yes
L2. Which of the following five categories of medical waste will be effectively treated by
your system? (Check all that apply.)
NO YES
a)
Cultures and Stocks
b)
Blood and Blood Products and Body Fluids
c)
Human Anatomical Waste,
Human Tissues and Body Fluids
d)
Sharps
e)
Contaminated Animal Wastes
M. INTERAGENCY COORDINATION
M1. Have you inquired from the States medical waste permit coordinator as to whether any
other permits are required? ? No ? Yes
If yes, please enclose the response and requirements with your application.
NOTE: Local governments may require permits.
Treatment Process Petition Page 8

 
N. POTENTIAL ENVIRONMENTAL BENEFITS
NI. Has an energy analysis been conducted on the proposed technology?
? No ? Yes - If yes, specify and provide results of that analysis.
N2.
Has an economic analysis been performed on the proposed technology?
? No ? Yes - If yes, specify and provide results of that analysis
N3.
How does this treatment technology improve on existing medical waste treatment and
disposal methods?
N4.
What
Specifyis the
potential of this proposed technology for:
0. OTHER
Waste
Recycling?
volume
RELEVANT
Specifyreduction? INFORMATION
Specify AND
COMMENTS
Treatment Process Petition Page 10

 
(Approvals received from other states, operator safety, competency or training requirements for the
users/operators, etc.)
PETITION FOR EVALUATION AND APPROVAL OF
REGULATED MEDICAL WASTE TREATMENT TECHNOLOGY
PART B: ATTACHMENTS
The general information contained in Part A and this check sheet are a required part of
the petition package. These assist the petitioner in submitting the petition and the
Department in its review, and they are supplemental to the required documents listed
below. The complete petition package consists of a completed Part A form, this Part B
check sheet, all the documents listed below, and any other supportive data or information
the petitioner wishes to be considered.
? Petitioner's submittal certification
? Quality Assurance and Quality Control Report
Microbiological testing report
? Material Safety Data Sheets
7 Environmental Protection Agency pesticide registration documents
Treatment Process Petition Page 10

 
? Maintenance manual
? Emergency operations manual
? Operations manual
? Design plans and specification
Treatment Process Petition Page 10

 
. DAR File No. 29215 (Rule R315-316) UT Bull 2006-23 (12/1/2006)
?
Page 1 of 6
OV?
line
Services Agency List Business
DAR File No. 29215
This filing was published in the 12/01/2006, issue, Vol. 2006, No. 23, of the Utah State Bulletin.
[ 12/01/2006 Bulletin Table of Contents I Bulletin Page I Rules Home ]
Environmental Quality, Solid and Hazardous Waste
R315-316
Infectious Waste Requirements
NOTICE OF PROPOSED RULE
DAR File No.: 29215
Filed: 11/09/2006, 03:28
Received by: NL
RULE ANALYSTS
Purpose of the rule or reason for the change:
The rule is changed to make it easer to find requirements for approval of an alternative treatment method and to clarify
storage.
Summary of the rule or change:
Rule language outlining the requirements for an alternative treatment approval is moved from the applicability section to
the treatment and disposal section. Storage wording is clarified.
State statutory or constitutional authorization for this rule:
Section 19-6-105
Anticipated cost or savings to:
the state budget:
The rule change does not affect state agencies and the enforcement and oversight of the rule will not change.
Therefore, no cost or saving impact is anticipated for the state budget.
local governments:
Since the requirements of the rule are clarified and not changed, there is no cost or savings impact anticipated for local
governments.
other persons:
Since the requirements of the rule are clarified and not changed, there is no cost or savings impact anticipated for other
persons.
Compliance costs for affected persons:
httn://www.rules Utah noviniihlirat/hi
illintin/71111R/7/111R17(1117Q71C htm
?
PP-2/0/1/17

 
DAR File No. 29215 (Rule R315-316) UT Bull 2006-23 (12/1/2006)
?
Page 2 of 6
Since the requirements of the rule are clarified and not changed, no compliance cost or savings impact for affected
persons is expected beyond that required by current statute or rule as a result of the proposed rule change.
Comments by the department head on the fiscal impact the rule may have on businesses:
Since the requirements of the rule are clarified and not changed, no compliance
cost
or savings impact for businesses is
expected beyond that required by current statute or rule as a result of the proposed rule change. Dianne R. Nielson,
Executive Director
The full text of this rule may be inspected, during regular business hours, at the Division of Administrative
Rules, or at:
Environmental Quality
Solid and Hazardous Waste
288 N 1460 W
SALT LAKE
CITY
UT 84116-3231
Direct questions regarding this rule to:
Ralph Bohn at the above address, by phone at 801-538-6794, by FAX at 801-538-6715, or by Internet E-mail at
Rbohn@utah.gov
Interested persons may present their views on this rule by submitting written comments to the address above no
later than 5:00 p.m. on:
01/02/2007
This rule may become effective on:
01/31/2007
Authorized by:
Dennis Downs, Director
RULE TEXT
R315. Environmental Quality, Solid and Hazardous Waste.
R315-316. Infectious Waste Requirements.
R315-316-1. Applicability.
(1)
The standards of Rule R315-316 apply to:
(a)
any health facility as defined by Subsection 19-6-102(10) that generates more than
2 00 pounds, per month,
of infectious waste as defined by Subsection 19-6-1o2(12);
(b)
any transporter that collects and transports more than
200 pounds of infectious waste in any one load; and
(c)
a storage, treatment, or disposal facility.
(2)
The standards of Rule R315-316 do not apply to a
health
facility that generates
200
pounds, or less, of
infectious waste per month.
3.01?
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?
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icaits of Tittle 113,5 316.
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htto://www.rules.utah.aov/ou
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RP1/71-1117

 
DAR File No. 29215 (Rule R315-316) UT Bull 2006-23 (12/1/2006)
?
Page 3 of 6
(A)1 ,, ,„„iictd
lai,(
tf S„f11,,tt
(B)
ii„,,e, ihst„,,,,, ed ini,..t,t,..Itcel„,:q„c„,
(C) ,fils.1
lc
a ti.tit
ha be
tl., test orga s,rL;,,tc,1 tc, the ,,,o r ,, „1 Le,
(A) s t.,„toTet5, In—Leh) Etaplgyl„ h„et
9,„„hs (ATCC h538) ar Pscude,(NTCC 15442) at ,.
„,r oft:ohs 9,(„95q996 ;,,h,5...ofthe hi b“,:wra
(B) fac
g
Ibi, uas (ATCC 18804),
(ATCC
E420), r Asp,,,;11..3 Rigel.
use,
,
.„, 1/4,t‘t(
(D) p„zat.,3 C
,,ogsata at Cie.. K.
av
F . 6
nAlua.C.
?
cote,
(E) If
? :L.
M r
Ivry
?
th,
Pia.,,?
(BCC) (ATCC 35743)
at.,
lheaft
.
,
(B) Bathe/L;(11
apts
:ce
tb,ria ap„rcl
(ATCC 7933)
po—G
(.ATCC .059>
et o4 Lvhie tahr(ate/(a
99.94% ,,Ja, Cu nt',
of
ti,, t-4,u1o;,11).
1
R315-316-3. Storage and Containment Requirements.
(i) Containment shall be in a manner and location which affords protection from animal intrusion, does not
provide a breeding place or a food source for insects [tmtHor rodents, and minimizes exposure to the public.
(2)
Unless all waste is considered infectious and labeled as such, infectious waste shall be segregated by
separate containment from other waste [bit
poiot of
9,
;,..eldur-a re.
(3)
Except for sharps, infectious waste shall be contained in plastic bags or inside rigid containers. The bags
shall be securely tied and the containers shall be securely sealed to prevent leakage or expulsion of solid or liquid
wastes during storage, handling, or transport.
(4)
Sharps shall be contained for storage, transportation, treatment, and disposal in leak-proof, rigid, puncture
resistant containers which are taped closed or tightly lidded to preclude loss of contents.
(5)
All containers used for containment of any infectious waste shall he red or orange, or if containers are not
red or orange, shall be clearly identified with the international biohazard sign and one of the following labels:
"INFECTIOUS WASTE", "BIOMEDICAL WASTE", or "BIOHAZARD".
(6) If other waste is placed in the same container as [
,,„lothdd infectious waste, then the generator must
package, label, and mark the container and its entire contents as infectious waste,
HA rigid infectious waste container may be reused for infectious or non-infectious waste if it is thoroughly
washed and decontaminated each time it is emptied or if the surfaces of the container have been completely
protected from contamination by disposable, unpunctured, or undamaged liners, bags, or other devices that are
removed with the infectious waste, and the surface of the liner has not been damaged or punctured.
(8)
Storage and containment areas it „,enthshall: protect infectious waste from the elements[;]; be ventilated to
the outside[;]; be only accessible to authorized persons[;]; and be marked with prominent warning signs on, or
adjacent to, the exterior doors or gates. The warning signs shall contain the international biohazard sign and shall
state: "CAUTION -- INFECTIOUS WASTE STORAGE AREA -- UNAUTHORIZED PERSONS KEEP OLIr and must
be easily read during daylight from a distance of 25 feet.
(9)
If infectious waste is stored longer than seven days, it shall be stored at 40 degrees Fahrenheit (5 degrees
Celsius), or below[ 8.1..;e
he t—ted di:iv/net' within 3 th.r].
htto://www
rules titah
onv/rn 'Hie:at/hi Olefin/70(16/701)61201 /2921 htm
?
RK1/71g17

 
OAR File No. 29215 (Rule R315-316) UT Bull 2006-23 (12/1/2006)
?
Page 4 of 6
(io) Under no conditions ma
y
_
infectious waste be stored fur longer than 30 days.
[4(.+H
wi Compactors, grinders, or similar devices shall not he used to reduce the volume of infectious waste
before the waste has been rendered non-infectious unless the device is contained sufficiently to prevent
contamination of the surrounding area.
R315-316-5. Infectious Waste Treatment and Disposal Requirements.
(t) Infectious waste shall be treated or disposed as soon as possible but not to exceed 30 days after generation,
and shall be treated or disposed at a facility with a permit or other form of approval allowing the facility to treat or
dispose infectious waste.
(21(gl All material that has been rendered non infectious through an approved treatment method ma
y
be
handled as non-infectious waste, provided it is not otherwise a hazardous waste or radioactive waste excluded from
disposal in a solid waste facility b y
Rule Rots-116.
tbi Except for incineration and steam sterilization,. no treatment method
,
ma y
be used to render materials non-
in tections without receiving prior approval from the Executive Secretary
[(3ff3) Infectious waste may be incinerated in an incinerator.
(a)
The incinerator shall comply with the requirements of Rule R315-306 and provide complete combustion of
the waste to carbonized or mineralized ash.
(b)
A composite sample of the ash and residues from the incinerator shall be taken at least once each year. The
sample shall be analyzed by the U.S. EPA Test Method 1311 as provided in go CPR Part 261, Appendix II, 1991 ed.,
Toxic Characteristics Leaching Procedure (TCLP) on parameters determined by the Executive Secretary to
determine if it is a hazardous waste. If hazardous, it shall be managed by applicable state regulations.
[(3)][41 Infectious waste may be sterilized by heating in a steam sterilizer to render the waste non-infectious.
(a)
The operator shall have available and shall certify in writing that he understands written operating
procedures for each steam sterilizer, including time, temperature, pressure, type of waste, type of container, closure
on container, pattern of loading, water content, and maximum load quantity.
(b)
Infectious waste shall be subjected to sufficient temperature, pressure and time to inactivate Bacillus
stearothermophilus spores in the center of the waste load at a 6 Log
in reduction or greater.
(c)
Unless a steam sterilizer is equipped to continuously monitor and record temperature and pressure during
the entire length of each sterilization cycle, each package of infectious waste to be sterilized shall have a temperature
sensitive tape or equivalent test material, such as chemical indicators, attached that will indicate if the sterilization
temperature and pressure have been reached. Waste shall not be considered sterilized if the tape or equivalent
indicator fails to indicate that a temperature of at least 25o degrees Fahrenheit (121 degrees Celsius) was reached
during the process.
(d)
Each sterilization unit shall be evaluated for effectiveness with spores of B. stearothermophilus at least once
each 40 hours of operation or each week, whichever is less.
(e) A written log for each load shall be maintained for each sterilization unit which shall contain at a minimum:
(i)
the time of day, date, and operator's name;
(ii)
the amount and type of infectious waste placed in the sterilizer; and
(iii) the temperature and duration of treatment.
s)(a) Alternative treatment methods may be approved on a site-specific basis when the Executive Secrety
finds the proposed alternative treatment method renders the material non-infectious.
(MThe determination shall be based on the results of laboratory tests submitted b y the person proposing the
ose of the treatment ntethod. meeting the follow ingfeonirements:
(i) the laboratory tests shall be conducted:
(A) by qualified laboratory personnel;
http
://www.rules.utah.ciov/oublicat/bulletin/2006/20061201/29215.htm ?
8/3/2007

 
OAR File No. 29215 (Rule R315-316) UT Bull 2006-23 (12/1/2006)
?
Page 5 of 6
0111'01
a
FM/
gilized microbial techniques:
(C) on samples
,
that have been inoculated with the test organ
isms.
then subjected to the_promed treatment
method and processed the same warms
Will
be used in file treatmer*process if ap_proved; and
1) the results of the tests must document that themwmosed treatment method inactivates:
LALveget a ti ve bacteria -
Sta
.
'ivlococc us au mils (ATCC 652B) or PseudoltIonas acrugi nosa
ICC ;54‘in
at_ a n
„reduction otigreateda cry,y929% redu
ction?
eater of the organism popitlation),
(1)Thingi - Candida albican
iATCC
188gMenicillium chrysogentim
LATCC 24790, oi &Tel:gibs niger at a
Lua
u,
reduction or greate
K} viruses - Polio
2,
:
POI 0 '2,, or IS-11
Bacteriophage 15017- t
a tlgio.
reduct ion or greater;
(ILLmrasites - Cryptosporidium sp_p. oocrysts
or Giardia spp. cysts at a 6 Lo
n
to
reduction or greater;
(E4 nwcobacteri a - Mycobacterium terrae, Mycobacterium
phlei. or Mimobacteri
tun
limas (BCC) (MCC 3574a)
at a 6 Log ic
reduction or greater;tand
(B) Bacterial spores - Bacillus stearothermophilus sPoresIATCC: 7053/ or Bacillus subtilis spores (ATCC 105g)
at a
4
Log
ic;
reduction orgreater (a 62_,go% reduction oLgreater of the p_gr
anima population'
(iii) The Executive Secretarishall review the submitted materials and repl
y
in waiting within 4o days of the
reed1Lpi
the submittal.
f(-et-)]
(±t21
infectious waste may be discharged to a sewage treatment system that provides secondary treatment of
waste but only if the waste is liquid or semi-solid and if approved by the operator of the sewage treatment system.
[f5)](7) Infectious waste may be disposed in a permitted Class
I, II,
or V Landfill. Upon entering the landfill, the
transporter of infectious waste shall notify the landfill operator that the load contains infectious waste. The landfill
operator shall abide by the following procedures in the disposition and covering of infectious waste:
(a)
place the infectious waste containers at the bottom of the working face with sufficient care to avoid breaking
them;
(b)
completely cover the infectious waste immediately with a minimum of
12
inches of earth or waste material
containing no infectious waste; and
(c)
not compact the infectious waste until completely covered with
12
inches of earth
or
waste material
containing no infectious waste.
KEY: solid waste management, waste disposal
Date
of Enactment or Last Substantive Amendment: [Octet—.
13, 2003]2007
Notice of Continuation: March
14., 2003
Authorizing, and Implemented or Interpreted Law: 19-6-103
ADDITIONAL INFORMATION
Text to be deleted is struck through and surrounded by brackets (e.g., [cxomploJ). Text to be added is
underlined (e.g.,
example). Older browsers may not depict some or any of these attributes on the screen or when the document is
printed.
For questions regarding the
content
or
application
of this rule, please contact Ralph Bohn at the above address, by
phone at 801-538-6794, by FAX at 801-538-6715, or by Internet E-mail at Rbohn@utah.gov
htto://www.rules.utah.aov/nuhlicat/hullptin/20nRonn617n1 owl
F him
R/2/911117

 
DAR File No. 29215 (Rule R315-316) UT Bull 2006-23 (12/1/2006)
?
Page 6 of 6
For questions about the
rulemaking process,
please contact the Division of Administrative Rules (801-53B-3764).
Please Note:
The Division of Administrative Rules is
NOT
able to answer questions about the content or application of
these administrative rules.
[ 12/01/2006 Bulletin Table of Contents I Bulletin Page I Rules Home ]
Last modified: 11/29/2006 11:05 AM
Utah.gov Home I Utah.gov Terms of Use I Utah.gov Privacy Policy I Utah.gov Accessibility Policy
Copyright © 2007 State of Utah - All rights reserved.
http://www.rules.utah.gov/oublicatibulletin/2006/20061201/29215 htm
?
R/1/911(17

 
R315. Environmental Quality, Solid and Hazardous Waste.
R315-316. Infectious Waste Requirements.
R315-316-1. Applicability.
(1) The standards of Rule R315-316 apply to:
(a) any health facility as defined by Subsection 19-6-
102(10) that generates more than 200 pounds, per month, of
infectious waste as defined by Subsection 19-6-102(12);
(b)
any transporter that collects and transports more than
200 pounds of infectious waste in any one load; and
(c)
a storage, treatment, or disposal facility.
(2) The standards of Rule R315-316 do not apply to a health
facility that generates 200 pounds, or less, of infectious waste
per month.
R315-316-2. General Operational Requirements.
(1) Every facility that generates, transports, stores,
treats, or disposes of infectious waste must prepare and maintain
on file a management plan for the waste that identifies the:
(a)
type and estimated quantity of waste generated or
handled;
(b) segregation, packaging, and labeling procedures;
(c)
collection, storage, and transportation procedures,
including the name of the transporter, to be implemented;
(d)
treatment or disposal methods that will be used, and
disposal facility that will be used; and
(e)
person responsible for the management of the infectious
waste.
(2) All infectious waste generators and handlers shall
report any delivery of unauthorized waste to the local health
department immediately upon recognition.
(3) Infectious waste consisting of recognizable human
anatomical remains including human fetal remains shall be disposed
by incineration or interment.
R315-316-3. Storage and Containment Requirements.
(1)
Containment shall be in a manner and location which
affords protection from animal intrusion, does not provide a
breeding place or a food source for insects or rodents, and
minimizes exposure to the public.
(2)
Unless all waste is considered infectious and labeled as
such, infectious waste shall be segregated by separate containment
from other waste during storage.
(3)
Except for sharps, infectious waste shall be contained
in plastic bags or inside rigid containers. The bags shall be
securely tied and the containers shall be securely sealed to
prevent leakage or expulsion of solid or liquid wastes during
storage, handling, or transport.
(4)
Sharps shall be contained for storage, transportation,
treatment, and disposal in leak-proof, rigid, puncture-resistant
containers which are taped closed or tightly lidded to preclude
loss of contents.
(5)
All containers used for containment of any infectious
waste shall be red or orange, or if containers are not red or
orange, shall be clearly identified with the international

 
biohazard sign and one of the following labels:
?
"INFECTIOUS
WASTE", "BIOMEDICAL WASTE", or "BIOHAZARD".
(6)
If other waste is placed in the same container as
infectious waste, then the generator must package, label, and mark
the container and its entire contents as infectious waste.
(7)
A rigid infectious waste container may be reused for
infectious or non-infectious waste if it is thoroughly washed and
decontaminated each time it is emptied or if the surfaces of the
container have been completely protected from contamination by
disposable, unpunctured, or undamaged liners, bags, or other
devices that are removed with the infectious waste, and the
surface of the liner has not been damaged or punctured.
(8)
Storage and containment areas shall: protect infectious
waste from the elements; be ventilated to the outside; be only
accessible to authorized persons; and be marked with prominent
warning signs on, or adjacent to, the exterior doors or gates.
The warning signs shall contain the international biohazard sign
and shall state: "CAUTION -- INFECTIOUS WASTE STORAGE AREA --
UNAUTHORIZED PERSONS KEEP OUT" and must be easily read during
daylight from a distance of 25 feet.
(9)
If infectious waste is stored longer than seven days, it
shall be stored at 40 degrees Fahrenheit (5 degrees Celsius), or
below.
(10)
Under no conditions may infectious waste be stored for
longer than 30 days.
(11)
Compactors, grinders, or similar devices shall not be
used to reduce the volume of infectious waste before the waste has
been rendered non-infectious unless the device is contained
sufficiently to prevent contamination of the surrounding area.
R315-316-4. Infectious Waste Transportation Requirements.
(1) Infectious waste shall not be transported in the same
vehicle with other waste unless the infectious waste is contained
in a separate, fully enclosed leak-proof container within the
vehicle compartment or unless all of the waste is to be treated as
infectious waste in accordance with this section.
(2)
?
Persons manually loading or unloading containers of
Infectious waste onto or from transport vehicles shall:
(a)
be trained in the proper use of protective equipment;
(b)
have available and easily accessible at all times
puncture resistant gloves and shoes, shatterproof glasses, and
coveralls; and
(c)
have face shields and respirators available as deemed
necessary by the transporter.
(d)
Protective gear that becomes soiled shall be
decontaminated or disposed as infectious waste.
(3) Surfaces of transport vehicles that have contacted
spilled or leaked infectious waste shall be decontaminated by
procedures approved by the Executive Secretary.
(4)?
Transport vehicles transporting infectious waste shall
meet all warning requirements of the Department of Transportation.
(5) Each truck, trailer, or semitrailer, or container used
for transporting infectious waste shall be so designed and
constructed, and its contents limited so that under conditions

 
normally incident to transportation, there shall be no releases of
infectious waste to the environment.
(6)
Any truck, trailer, semitrailer, or container used for
transporting infectious waste shall be free from leaks, and all
discharge openings shall be securely closed during transportation.
(7)
No person shall transport infectious waste into the
state for treatment, storage,
or
disposal unless the waste is
packaged, contained, labeled and transported in the manner
required by this section.
(8)
All transporter vehicles shall carry a spill containment
and cleanup kit and the transport workers shall be trained in
spill containment and cleanup procedures.
R315-316-5. Infectious Waste Treatment and Disposal Requirements.
(1) Infectious waste shall be treated or disposed as soon as
possible but not to exceed 30 days after generation, and shall be
treated or disposed at a facility with a permit or other form of
approval allowing the facility to treat or dispose infectious
waste.
(2)(a) All material that has been rendered non-infectious
through an approved treatment method may be handled as non-
infectious waste, provided it is not otherwise a hazardous waste
or radioactive waste excluded from disposal in a solid waste
facility by Rule R315-316.
(b) Except for incineration and steam sterilization, no
treatment method may be used to render materials non-infectious
without receiving prior approval from the Executive Secretary.
(3) Infectious waste may be incinerated in an incinerator.
(a)
The incinerator shall comply with the requirements of
Rule R315-306 and provide complete combustion of the waste to
carbonized or mineralized ash.
(b) A composite sample of the ash and residues from the
incinerator shall be taken at least once each year. The sample
shall be analyzed by the U.S. EPA Test Method 1311 as provided in
40 CFR Part 261, Appendix II, 1991 ed., Toxic Characteristics
Leaching Procedure (TCLP) on parameters determined by the
Executive Secretary to determine if it is a hazardous waste. If
hazardous, it shall be managed by applicable state regulations.
(4) Infectious waste may be sterilized by heating in a steam
sterilizer to render the waste non-infectious.
(a)
The operator shall have available and shall certify in
writing that he understands written operating procedures for each
steam sterilizer, including time, temperature, pressure, type of
waste, type of container, closure on container, pattern of
loading, water content, and maximum load quantity.
(b)
Infectious waste shall be subjected to sufficient
temperature, pressure and time to inactivate Bacillus
stearothermophilus spores in the center of the waste load at a 6
Log, reduction or greater.
(c) Unless a steam sterilizer is equipped to continuously
monitor and record temperature and pressure during the entire
length of each sterilization cycle, each package of infectious
waste to be sterilized shall have a temperature sensitive tape or
equivalent test material, such as chemical indicators, attached

 
that will indicate if the sterilization temperature and pressure
have been reached. Waste shall not be considered sterilized if
the tape or equivalent indicator fails to indicate that a
temperature of at least 250 degrees Fahrenheit (121 degrees
Celsius) was reached during the process.
(d)
Each sterilization unit shall be evaluated for
effectiveness with spores of B. stearothermophilus at least once
each 40 hours of operation or each week, whichever is less.
(e)
A written log for each load shall be maintained for each
sterilization unit which shall contain at a minimum:
(i)
the time of day, date, and operator's name;
(ii)
the amount and type of infectious waste placed in the
sterilizer; and
(iii)
the temperature and duration of treatment.
(5)(a) Alternative treatment methods may be approved on a
site-specific basis when the Executive Secretary finds the
proposed alternative treatment method renders the material non-
infectious.
(b) The determination shall be based on the results of
laboratory tests, submitted by the person proposing the use of the
treatment method, meeting the following requirements:
(i) the laboratory tests shall be conducted:
(A) by qualified laboratory personnel;
(B)
using recognized microbial techniques;
(C) on samples that have been inoculated with the test
organisms, then subjected to the proposed treatment method and
processed the same way as will be used in the treatment process if
approved; and
(ii)?
the results of the tests must document that the
proposed treatment method inactivates:
(A) vegetative bacteria - Staphylococcus aureus (ATCC 6538)
or Pseudomonas aeruginosa (ATCC 15442) at a 6
Log10 reduction or
greater (a 99.9999% reduction or greater of the organism
population);
(B)
fungi - Candida albicans (ATCC 18804), Penicillium
chrysogenum (ATCC 24791), or Aspergillus niger at a 6 Log10
reduction or greater;
(C) viruses - Polio 2, Polio 3, or MS-2 Bacteriophage
(ATCC15597-B1) at a 6
Log10 reduction or greater;
(D) parasites - Cryptosporidium spp. oocysts or Giardia spp.
cysts at a 6 Log10
reduction or greater;
(E) mycobacteria - Mycobacterium terrae, Mycobacterium
phlei, or Mycobacterium bovis (BCG) (ATCC 35743) at a 6 Log10
reduction or greater; and
(B) Bacterial spores - Bacillus stearothermophilus spores
(ATCC 7953) or Bacillus subtilis spores (ATCC 19659) at a 4 Log10
reduction or greater (a 99.99% reduction or greater of the
organism population).
(iii) The Executive Secretary shall review the submitted
materials and reply in writing within 30 days of the receipt of
the submittal.
(6) Infectious waste may be discharged to a sewage treatment
system that provides secondary treatment of waste but only if the
waste is liquid or semi-solid and if approved by the operator of

 
the sewage treatment system.
(7) Infectious waste may be disposed in a permitted Class I,
II, or V Landfill. Upon entering the landfill, the transporter of
infectious waste shall notify the landfill operator that the load
contains infectious waste. The landfill operator shall abide by
the following procedures in the disposition and covering of
infectious waste:
(a)
place the infectious waste containers at the bottom of
the working face with sufficient care to avoid breaking them;
(b) completely cover the infectious waste immediately with a
minimum of
12
inches of earth or waste material containing no
infectious waste; and
(c) not compact the infectious waste until completely
covered with 12 inches of earth or waste material containing no
infectious waste.
KEY: solid waste management, waste disposal
Date of Enactment or Last Substantive Amendment: February 1, 2007
Notice of Continuation: March 14, 2003
Authorizing, and Implemented or Interpreted Law: 19-6-105

 
PUMIC REAM..
T.
VETERINARY MEDICIPRL
MILITARY
MEDICINE
DEVELOPING WORLD ITFAITH
BMTS
?
Page 1 of 1
WHAT WE Do
...maselgraorescsi-e
BioMedical
El?
Technology Solutions, Inc.
W
innovative solutions to biomedical waste management
BioMedical Technology Solutions, Inc.
9800 Mt. Pyramid Court, Suite 350
Englewood, CO 80112
Toll Free: 866.525.BMTS1i
,
1ione. 803-653-01001 Fax: 303-653-0120
Who We Are 1 What We Do I Clinical Solutions i Long Term Care I Home Health
Public Health 1 Veterinary Medicine 1 Military Medicine 1 Developing World Health 1 Environmental Responsibility I Cont
@BioMedical Technology Solutions, Inc
2007. All Rights Reserved.
all1■111111111aaalliallal
EXHIBIT B
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8/2/2007

 
BMTS - Federal Compliance
Page 1 of 1
BIOMEDICAL TECHNOLOGY SO
Innovative solutions to biomedical waste ma
Home
w Who We Are
0 What We Do
Clinical Solutions
▪ Long-Term Care
0" Home Health
O Public Health
Veterinary Medicine
Pr
Military Medicine
w
Developing World Healthcare
Environmental Responsibility
Regulatory Compliance
The Demolizer® II system is designed to meet or exceed the standards or
guidelines for biomedical waste treatment by the EPA, CDC and OSHA.
Laws and regulations for medical waste treatment and disposal are
managed at the state or local level. The Demolizer® technology has been
reviewed by over 76 governmental agencies and is either formallly approved
or meets regualatory requriements for treatment in 46 U.S. Mates.
U S State Regulatory Compliance
Safety
Simplicity
Savings
Operation
Applications
Specification:
Performance
Technical Su
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View Demoli;
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Public Health 1 Veterinary Medicine I Military Medicine 1 Developing World Health 1 Environmental Responsibility 1 Contai
BioMedical Technology Solutions, Inc..
2007. All Rights Reserved.
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111 Approved or meet Blab requirement's
q
Approval in prowl;
BMTS - State Approvals
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E3NAMS
/
4'
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BIOMEDICAL TECHNOLOGY SO
Innovative solutions to biomedical waste ma
Home
Who We Are
• What We Do
• Clinical Solutions
• Long-Term Care
• Home Health
Public Health
Veterinary Medicine
Military Medicine
Developing World Healthcare
Environmental Responsibility
State Approvals
The Demolizer® system is approved or meets the regulatory requirements
for treatment as an alternative medical waste treatment device in the
following states
1 The Demolizer® system is either formally approved or meets the
requirements for medical waste treatment and disposal in 46 U.S. states.
The information above is not intended to be an endorsement of the
Demolizer® technology by any state or local agency.
For more information on the use of the Demolizer® II System in your
location, please complete the form below or contact BMTS at 1-866-525-
BMTS.
Safety
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= Required Item
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Address
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State?
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Zip Code
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SNITS - State Approvals
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Telephone
Email Address
Fax
Preferred Means of Delivery (email, fax, post):
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William D. Ingersoll
CERTIFICATE OF SERVICE
I, the undersigned attorney at law, hereby certify that on December 26, 2007 I
served A true and correct copy of the
AMENDED RECOMMENDATION OF THE
ILLINOIS EPA,
by placing true and correct copies in properly sealed and addressed
envelope and by depositing said sealed envelope in a U.S. mail drop box located within
Springfield, Illinois, with sufficient
following named persons:
Dorothy M. Gunn, Clerk
Illinois Pollution Control Board
James R. Thompson Center
100 West Randolph Street
Suite 11-500
Chicago, IL 60601
Certified Mail postage affixed thereto, upon the
GREENBERG TRAURIG, LLP
Attn: Neal H. Weinfield , Esq.
77 West Wacker Drive, Suite 2500
Chicago, Illinois 60601
This filing submitted on recycled paper.

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