27228        ^^*$^^£^                      J^ 2* *990 / Rules and Regulation
 Standards or National Emission
 Standard for Hazardous Air Pollutants
 (under 40 CFR part 60 and 61 as
 amended July 1,1986."; (2) Section 1,
 Subparagraph B (l)(a) was amended to
 conform to the intent of the Federal
 Prevention of Significant Deterioration
 regulations. •

 Final Action
   !EPA is approving the regulatory
 changes which were submitted on
 March 16.1989, as detailed in this
 notice. EPA is taking no action on
 revisions to Regulation 62.1, Section;!! B
 (Operating Permit) since EPA does not
 recognize this section is part,of the SIP.
 The revisions in Regulation 62.5,
 standard No. 4, Section XI (Compliance
 Schedules) and Section XO (Periodic
 Testing) will be processed as lll(d) plan
 revisions. The revisions in Regulation
 62.5, Standard No. 5 (Volatile Organic
 Compounds) will be acted upon in a
 separate notice.           ,
   The public is advised that this action
 will be effective 60 days from today.
 However, if notice is received within 30
 days that someone wishes to make
 adverse or critical comments, this action
 will be withdrawn and two subsequent
 notices will be published prior to the
 effective date. One notice will withdraw
 the final action and another will begin  a
 new rulemaking by announcing a
 proposed action and establishing a
 comment period.
   This action has been classified as a
 Table 3 action by the Regional
 Administrator under the procedures
 published jn the Federal Register on
 January 19,. 1989. (54 FR 2214-2225). On
 January 8,1989, the office of
 Management and Budget waived Table 2
 and 3 SIP revisions (54 FR 222) from the
 requirements of Section 3 of Executive
 Order 12291 for a period of two years.
   Nothing in this action should be
 construed as permitting or allowing or
 establishing a precedent for any future
 request for revision to any SIP. Each
 request for a revision to the SIP shall be
 considered separately in light of specific
 technical, economic and environmental
 factors and in relation to relevant
 statutory and regulatory requirements.
  Under 5 U.S.C. section 605(b). I certify
 that this SIP revision will not have a
 significant economic impact on a
 substantial number of small entities (See
 48 FR 8709).
  Under section 307(b)(i) of the Act,
 petitions for judicial review of this
 action must be filed in the United States
 Court of appeals for the appropriate
 circuit by August 31,1990. This action
 may not be challenged later in
proceedings to enforce its requirements.
 (See 307(b)(2}.)
 List of Subjects in 40 CFR Part 52
   Air Pollution control, Incorporation by
 reference, Intergovernmental relations,
 Participate matter, Sulfur oxides.

   Authority: 42 U.S.C. 7401-7642.
   Note: Incorporation by reference of the
 State Implementation Plan for the State of
 South Carolina was approved by the Director
 of the Federal Register on July1,1982.
   Dated: November 24,1989.
 Joe R. Franzmathea,
 Acting Regional Administrator.
   Part 52 of chapter I, title 40 of the
 Code of Federal Regulations is amended
 as follows:

 PART 52—[AMENDED]

 Subpart PP—South Carolina

   1. the authority citation for part 52
 continues to read as follows:  • .
   Authority: 42 U.S.C. 7401-7642.

   2. Section 62.2120 is amended by
 adding paragraph (c)(33) to read as
 follows:

 §524120  Identification of pten.
 *   '.  *     *.'*••»       •-.-•.
   (33) Changes in South Carolina's SIP
 submitted to EPA on March 16,1989, by
 the South Carolina Department of
 Health and Environmental Control.
   (i) Incorporation by reference.,    •-•'.'.
   (A) Regulation 62.5 Standard No. 4.
 Sections I thru VHI and Tables A and B
 effective April 22,1988.               :
   (B) Changes in South Carolina's
 Regulations which were effective March
 24,1989:       '•:•                   •:•
   1. Regulation 62.1: Section I
 Definitions. 9 and 38 and Section III
 Emission Inventory.
   2. Regulation 62.5. Standard No. 1
 Emissions from Fuel Burning
 Operations: Section I, Part D; Section IV,
 Paragraph A.2.a. and Part D.
   3. Regulation 62.5. Standard No. 2
 Ambient Air Quality Standards:
 Introductory paragraph.   .
   4. Regulation 623, Standard No. 4
 Emissions from Process Industries:'
 Section IX and X.
   5. Regulation 82.5, Standard No. 7
 Prevention of Significant Deterioration:
 Section 1 B(l)(a) and Part L
   (ii) Additional Material
   (A) March 16,1989, letter from South
Carolina Department of Health and
Environmental Control.   ,  .......
[FR Doc. 90-15203 Filed 6-29-60; 8:45 am]  .
BIUJKO CODE 8SCO-SO-M
   40CFRPart;Z59  I

   CSW-FRL-3793J-7J

   Standards for the Tracking and
   Management of Medical Waste;
   Technical Corrections

   AGENCY: Environmental Protection
   Agency.              .
   ACT8ON: Interim final rule; correction.

   SUMMARY: This document clarifies and
   corrects typographical and other errors
   in the Interim Final Rule that appeared
   in the Federal Register on Friday, March
   24,1989, (54 FR 12326). This notice also
   provides specific addresses within each
   Covered Statei where the notification(s)
.>  and reports re quired under this program
   are to be submitted. EPA is republishing
   the Appendices to part 259, containing
"   today's revisions. Without taking this
  measure, the revised Appendices would
  not be available to the regulated
  community until Autumn 1990 which i»
  shortly before the end of the
  demonstration program in mid-1991.
  Republication of the Appendices is
  solely for the purposes of aiding the
  regulated community.   •   -  '
  EFFECTIVE DATE These revisions will be
  effective October 1,1990.             -
  FOR FURTHEH INFORMATiON CONTACT:
  For genera] information, contact the
  RCRA/Superfund Hotline toll free at
  (800) 424-4346 (in Washington, DC, call
  (202) 382-306Q(. For information on '.
  specific aspecISs of today's rulemaking,
  contact Mary Greene, Office of Solid .
  Waste(OS-332), U.S. Environmental
  Protection Agency, 401M Street SW.,
  Washington, E|C 20460, (202) 475-7736.
  SUPPLEMENTAL INFORMATION:

  I. Background

   On March 2A\, 1989, EPA promulgated
  an Interim Final Rule establishing
  standards for the tracking and
  management of medical waste under the
  Resource Conservation and Recovery
  Act (RCRA). Si* 54 FR 12328-12395,
 March 24,1989, EPA has since identified
  several regulatory provisions at 40 CFR
 part 259 that require correction and/or
 clarification. Many of these changes are
 grammatical arid punctuation
 corrections, however, additional minor  '
 corrections are made to the text in part
 259 to make the: regulations consistent
 with the description of the tracking and
 management system in the preamble to
 the rule (54 FR 12326-12371 jj. Today's
 notice also clarifies the duration of the
 program in the demonstration states.
 These changes and clarifications are
 discussed below.                .    .
                                                                                        P'inted -xi- Recycled Paper

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              Federal Register / Vol.  55, No. 127 / Monday, July 2,199Q / Rules and RegukttkaMi        27229
A..Pro£ram Duration
  The part 250 regulations were
pmbtished March 24,1989t and became  .
effective June 22.198% to New York,.
New Jersey end Connecticut, and fidy
24* 1989. fat Rhode Island and Puerto
Rico, Because the statute provides a
limited duration for Ibis program and
because the rules became effective at
different times in different states, there
has been some confusion over the
precise time period during which the
ndea are effective. Today's notice
amends the regulations to establish the
dates of duration for the States
participating in the demonstration:.
program*            '

B. Definitions
  There are several' changes to the
definitions found at 1259.1Q[b) which.
help to'clarify and make the regulations
more consistent with the preamble.
discussion and background documents.
Body fluids,, as defined in § 25940{b}.  •
are liquids emanating: or derived feom
humana and ace limited UK, blood;.
cerebrospinal, syoovial, pleuial,
peritoneal, and! pericardia! fliiids; aemen
and vaginal secretions. The-rule
promulgated on- March 24* 198%. didnot.
contain certain additional fluids which
were included in the "Background   •
Document for ListingrMedical Waste."
Amniaticflttid was included in the-
Backgiotind Document aa an example of.
Class 2 wastes (Pathological WasteaJ
subject to t£e past 259 regulations.  :
However EPA did not include amnio&e
fluidaaa "body fluid" subject to
regulation; as: a,Class 2 waste-under."
1259^30£a). Thus, EPA is revising the
definition of "body fluids," in J25ai0£b}
to specifically include amniotie floitL
DocuEtentatkm for this correction: has:
been placed in the public docket foe this
rulemaking., .,
  EPA alsa notes; that dialysate wax
included kt the "Baekgroand Document
for Listing Medical Waste" as an -
example of Class 3 wastes^ Human;  •
Blood and Blood Products. After
reviewing infonnatiott provided fay the  •
State of Connecticut (tetter dated July  ..
18,1989-1 and the Centers for Disease
Control (letter dated July 11.1989). EPA
concludes; that dialysate should be
included in the list of body/ fluids subject
ta regulation aa a Class 2 waste
(Pathological Waste} rather than Class 3-
(Human Blood and Blood. Products).
Dialysate is a fliud with, a chemical
makeup similar to human plasma. It ie.
designed to carry avray metabolic waste
materials: and ta achieve electrolyte- and
water balance with the Wood of an
individual whose kidneys are not:
functioning properly. Dialysis i»
achieved by introducing the dialysate
fluid' to- one- aide of a leBiiperaisable
membrane (or filter) and passing blood
on the other side. Solutes, move from the
blood to. the dialysate, Therefore, the
dialysat& is a fluid derived from
humans. Thus, EPA is revising the ..
definition of "body fluid" in § 259.1Q(b>
to include dialysate. However, the
semipermeable membrane (or filter) and
tubing used to pass the blood from the
patient for dialysis remain subject to
regulation, under Class 3. (Human Blood
and Blood Products) when they are-
saturated with blood. Documentation for
this correction has been placed in. the -
public docket for this rulemakihg.
  Additionally, f 259.10 defines various
terms used throughout the rule.. After
reviewing many of'the questions-
received on the packaging standards,
EPA determined it was necessary to add
several terms and redefine other, terms
to clarify some of these issues. The
confusion centered on the use of the
terms "packaging" and "container**'
interchangeably and uncertainty as to
whether EPA was referring to the entire
package of medical waste or to the
individual1 boxes' and/or plastic bags
that are used  to satisfy the overall   *
standard. EPA interprets the term
"packaging*" as used' hi part 259 ta mean
the combination of boxes and/or plastic
bags that are  used1 to meet the packaging
standards(rigid, leak-resistant.  :; .
imperytcms to moisture, resistant ta
tearing or bursting, and sealing to
prevent leakage). The term "container"
means the individual boxes and/or
plastic bags that are used to contain the
regulated inedleaJ waste. Therefore, in
§ 259.10; EPA is adding; the terms-
"package**, "pacfeagfegi"* and   .
"coatainei1**'to clarify the packaging,
labelmgv and marking requirements.
Addf8oaa%,  the deflation of
"destroyed regulated medical waste** is
being revised confusion in regard to- the
intent of ttte destruction criteria has
prompted Ehis-clarification. The intent of
the destruction criteria was to ensure
the physical change of these wastes,
thereby reducing aesthetic concerns as
well as some of the physical hazards
associated with these wastes. The
definition of "destroyed regelated
medical waste"1 has been revised to
clarify the performance  standards for
the destruction: methods: used ta
physically alter waste components,

C. Pie-transport Requirements
  Minor corrections, to the pre-iransport
requirements found in subpart E are
intended to clarify/ the regulations for
decontamination, labeling and marking-
These changes will make the text more-
 consistent with the news definition*
 found in f 2SaiO{b} which ace diseassed
 above.          • .      •
   EPA £s alsci clarifying the segregation
 requirement. Section. 2S9.4aestabu'shes
 standards for the segregation of
 regulated meiiicai waste, to the extent
 feasible, from other soBd waste and'
 front hazardous and radioactive waste.
 The Agency recognizes- that it is not
 always possilile to segregate regulated-
 medical; waste from all1 other types of
 solid waste, irherefore, when
 segregation iii not possible, the "mixture
 rule," stated at § 259.31(a), applies.
 Under the nurture rule, generators,
. when unable to segregate regulated
 medical waste from other solid waste
 (except hazardous and radioactive
 waste], must package, label, and mark
 die packaging and its contents according
 to the part 259 regulations. When,
 regulated! meiiicai waste is mixed with
 hazardous waste, the. hazardous waste
 regulations  (subtitle  C part 2601 apply '
 unless the. waste is exempt from
 manifesting (ja-g-i when, generated by a
 small quantity generator)! then the part
 259 regulations apply; However, when
 regulated medical waste is mixed'with
 radioactive waste, both sets of
 regulations  apply. (See 54FR12362K
 12363 for a mare detailed discussion of
 the radioactive medical waste mixture
 handling procedures.] EPA has. revised
 § 259.40 slightly to clarify the
 application d! the mixture rule, to pre-
 transpoct segregation requirements-
 D. Generator Standards and Oil-Site
 Incinerator Reporting       •••  •

   EPA is also: clarifying the generator
 recordkeepinjj requirementa for tracking
 forms and on -site incineration reports.
 In § 259,54Ca)(l)£i). the regulation
 requires generators to keep a copy of,
 each tracking  form; signed in accordance
 with § 259.52 for at least three (ai years
 from the date  the waste waa accepted
 by the initial transporter. Although not
 specifically stated in § 259.54(aKlMi].
 EPA intended! that generators also retain
 a copy of the netumed traeking: foria
 with the destination facility owner or
 operator's signature^ as noted in
 § 259^2fc), QI  a. copy of the exception
 report, as noted: in: $ 259.54{aMlMn).
 These requirements were also described.
 in the preamble: to the rule. See 54 ER
 12351 and 12352. la order to clarify the
 Agency's intent EPA has revised the
 recordkeepinj! requirements hi
 § 2S4.54(a)fl]|;ti) to specifically require
 generators to maintain a copy of each
 original UacltEng form they have
 initiated and isigned.  and a copy 
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27230	Federal Register / Vol. 55, No. 127 / Monday, July 2,  1990 / Rules and Regulations
signature. EPA has also revised
paragraph (a){l)(ii) to specify that
exception reports must also be kept for
a period of three (3) years from the date
the exception report was submitted.
  The Agency has revised 5 259.61(a) to
slate that generators must maintain their
on-site incinerator quantity records by
weight, and not volume. This correction
is necessary to make the rule consistent
with the on-site incinerator report form
in Appendix n, and the preamble
discussion at 54 ER12352.
E. Transporter Requirements
  Subpart H regulations for transporters
of regulated medical waste have been
corrected to ensure consistency with
other sections of the rule and preamble.
Section 259.70(c) discusses the
applicability of the generator regulations
(subpart F) to transporters of regulated
medical waste. Under this section, the
rule originally stated that transporters
must comply with the generator
requirements when they consolidate two
or more shipments of regulated medical
waste onto a single form. This .section
did not, however, specify whether
transporters who accept waste from
generators who generate less than 50  •
pounds in a calendar month and use  ,
logs must initiate a tracking form for the
waste they accept; rather this was  \
required under §259.76(a) (labeled
"consolidating and remanifesting waste
to a new tracking form"). This
requirement was also explained in the
preamble at 54 FR12355. To clarify the
applicability of the manifest
requirements for transporters of waste
from small quantity generators,
 § 259.70(c) has been revised to state that
 transporters must meet all of the
requirements for generators under
 subpart F when: (1) They consolidate
 two or more shipments of regulated   .
 medical waste onto a single form of (2)
 they initiate a tracking form for waste
 received from generators of less than 50
 pounds. These requirements include, in
 addition to initiation of a tracking form,
 submission and retention of exception
 reports, as necessary, and the
 requirement to obtain the tracking form.
  Under § 259.72, each transporter who
 intends to transport regulated medical
 waste that was generated in a Covered
 State must notify EPA regardless of
 whether the transport occurs in a
 Covered or Non-Covered State. EPA will
 issue a unique medical waste
 identification number to each
 transporter, as described in § 259.72(c).
 The regulation originally provided for
 the issuance of a separate EPA Medical
 Waste Identification Number for each
 Covered State. However, EPA has
 subsequently decided to.utilize the
.existing Agen'cy-wide Facility
Identification Tracking system which
identifies all the environmental
activities at that location. This system
does not allow for more than one
identification number to be assigned to
a facility at a single location. Therefore,
one number will be issued to each
transporter for his activities in all
Covered States.
  EPA realizes that it was not possible
for all transporters to know whether or
not they would be transporting regulated
medical waste during the demonstration
program. Therefore, EPA is clarifying
that transporters may submit
notifications throughout the
demonstration program. If the.
transporter submits the notification by '
certified mail, return receipt requested.
the return receipt can serve as evidence
that the transporter has submitted his
notification until the  transporter
receives his EPA Identification Number
for transporting medical waste.
  In § 259.73(a), the regulation is revised
such that transporters are required to
ensure that regulated medical-waste •
does not become putrescent during
transport. This requirement was  ...
discussed in the preamble at 54 FR12354
and was inadvertently omitted from the.
regulation. •  .      • •  . .     '.,
  Also in § 259.73, paragraph (b) is
revised to clarify that the phrase
"INFECTIOUS WASTE" may be used in
the vehicle markings, as explained at 54
FR 12354.     . .   .  . :    .   ,     •   -
  Section 259.74(e) of the rule     -   ,
establishes the requirements
transporters must follow when ,
delivering regulated  medical waste   • -
outside of the United States. The rule
promulgated on March 24,1989, was not
 consistent with the preamble language
 at 54 FR 12351 describing procedures for
 documenting shipments of regulated
 medical waste delivered outside of the
 United States. EPA believes that the
 procedures outlined  in the preamble will
 provide generators with a greater level
 of assurance that their waste was
 received by the designated destination
 facility. Therefore,;EPA has revised
 § 259.74(e)(i) of the rule to require
 •transporters to obtain the signature of
 the representative of the foreign
 transporter or destination facility to
 which they deliver the waste, or (if those
 foreign transporters  or destination
 facilities choose not to sign), to verify
 that the waste has been delivered. The
 .last domestic transporter may verify
 delivery by signing their name* in Box 14 •
 of the tracking form, along with a
 statement that the waste has been given
 to the next (foreign) transporter or waste
 handler.
  In § 259.77(c)(2), the regulation is
revised so that transporters are required
to retain copies of all consolidation logs
required by 5 259.76(c)(4), for a period of
three years. This requirement was
discussed in the preamble discussion of
recordkeeping requirements at 54 FR
12356 and was inadvertently omitted
from the rule.
F. Intermediate Handler
  In § 259.81(b}(l), the regulation is
revised to require intermediate handlers
to note discrepancies on the tracking
form. This requirement was discussed in
the preamble at 54 FR 12358 and 12359
but was inadvertently omitted from the
rule.
G. Changes to Appendices I, II, and III

  Several corrections have been made
to Appendices I, II and III, to ensure  .• .
consistency. The format of the Medical
Waste Tracking Form, as presented in
Appendix I of the March 24, -1989, >• •
Federal Register notice, has been
modified to improve its ease of use;
content and information requirements,
however, have not been changed.  '
Highlighting has been added to the '
form's section  headings to set the
different sections apart from one '
another. "This was done to guide the user
to complete the appropriate section(s) of
the form (i.e.. Generator, Transporter, or
Destination Facility sections). Boxes 4,
7,10, lie and 19 have been lightly
shaded to indicate that they must be
completed only if required by the State
that issued the form. Additional space
has been added in Box 15, "Generator's
Certification," to enable the generator to
insert his full name within the    :
certification statement Further, Blocks
17 through 19 have been enlarged to
provide more space for inclusion of
Transporter 2 or Intermediate  Handler
identification information. The version
published in today's  Federal Register is
identical to the version EPA has been
distributing since June 1989. There are
minor corrections to  the instructions for
the tracking form; changes are in column
1, line 35 of the version published at 54
FR 12384 and in the instructions for
Boxes 5 and 14. ,
   In the Oh-site Medical Waste
Incinerator Report Form, as presented in
Appendix n, Box 9 contains the owner's
 certification of accuracy and
 completeness. Both the regulation at
 § 259.62(b) and the instructions for
 completing Box 9 (at 54 FR 12388)
 specify that the certification statement
 in Box 9 must be signed by the facility
 owner or an authorized representative.
 Box 9 of the form is revised so that the
 word "signature" appears instead of the

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             Federal Register / Vol. 55. No. 127 / Monday. July 2. 1990 / Rales and Regulations	27231
word "name." Minor corrections have
been made in the instructions for
completing the form, under the heading
"When to Complete this. Form?"
  In the Medical Waste Transporter
Report Form, as presented in Appendix
IE, originally published at 54 FR12389-
12391, two minor changes have been
made. Box 1, which contains check-off
boxes to identify the reporting period, is
revised to include a space for
transporters to specify the Covered
State for which they are reporting;, the
instructions for the form (originally
published at 54 FR 12392-12393) are
revised to reflect this change. In
addition, Box 11 of the form is revised to
include the phrase "Please Complete
Sections A, B, and C for each facility,"
which is consistent with the regulation
in § 259.78(c)(l}fvi} and the instructions
for Box 11 originally published at. 54 FR
12393. In addition, the instructions for
completing the report have been revised
in several places so that the term
"Medical Waste Transporter Report
Form" appears instead of the term
"Transporter ReportForm."'fa. the
instructions,, corrections are made to
identify the Covered State agencies to
which copies of the report must-be sent,
and to explain me Jury 24; 1989 &
December 19,1989, first reporting period1
for wastes generated in Puerto Rfcb and
Rhode Island. Minor-grammatical    '-"
corrections are made in "When to
Complete the Report?"* in the first
paragraph under "Section £ Transporter
Identification Information," and in the
title "Section TV. Intermediate Handlers
andDestination FaefliHesi** Finally,'at
the instructions for Box MB, Type of
Faeaftyi" Code #3 is revised to read
"Treatment Facifity,** and the    -    ;
instructions for Box 11C are revised to
read u. .. enter fee quantity of waste (Ja
pounds} that you delivered to the
intermediate handler or destination*
facility during the reporting period."'
  The Recommended Medical. Waste
Transporter Notification Form and
Instructions, originally published at 54
FR 12394, is revised so thattheCovered*
State waste management agencies*
addresses appear in the instructions!
H. Compliance With Administrative
Procedure Act Requirements
  Section 553(bJ of the Administrative
Procedure Act generally requires
proposal of administrative ralemaking to
receive public comment prior to
promulgation. However, section 553(bJ
excludes certain types of rules from; the
prior notice-and-eommentrequirement.
including: interpretative ruks and rules
for which pubMc comment is
unnecessary. Because today's notice
indudea only interpretive statements
concerning existing medical waste
requirements and minor technical.
corrections, pope notice and solicitation
of ~public comment on this notice, i»
unnecessary.
Dated:: £101325,1990.
Mary A. Godot
Acting Assistant Administrator. Offteeof
Solid Waste and Emergency Response,
  40 CFR part 253 is amended as
follows:

PART 259— STANDARDS FOR THE
TRACKING AND MANAGEMENT OF
MEDICAL WASTE  AND APPENDICES

  l>The authority citation for part 259
continues to read aa follows;
  Authority:; These regulations are issued
under the authority of sections 2002, 11001.
11002, 11003. 11004, 11005,. 11010, and Hull of
the SoKcf Waste Disposal Act of 1970; as
amended by the Medfeal Waste Tracking Act •
of 1988, 42 VS.C. 6992 et seq,
  2. Section 259.2 is amended by
revising paragraph (a) to read as.
follows:    '

§25&2 Effiectfew date* ami duration of tin
demaits&aiicn. program. •• •': ; • ...
  (a) Except for records and reports
required to* be maintained" or sabndtted
under tlus part the demonstration
program, will be effective for the period
June 22, 1989; to Jane 22, 199L, in the
Covered States of Connecticut, Pfew
Jersey, and New York. The
demonstration: program will be effective
for the period of Jmly 24»,1989S to June 22,
1991^ in the State of Rhode Island and
the Commonwealth of PufiEta Rico.

  3. Section 25940  i8 amended by
revising paragraph (bl with the
following definitions in alphabetical
order:
§259.10
  Body fluids means Ifajuid emanating or
derived frost humans and limited to
bloai dialysate; amniotkv
cerebrospinal, synovial, plenral,
peritoneai arad pericardia! fluids; and
semen: and vaginal secretions,
*    *   . *.    *    *    '
  Destroyed? regulated medical waste-
means regulated medical waste that is
no longer generally recognizable aa
medical waste because the- waste haa
been rained* torn apart, or mutilated (it
does not mean, compaction} through:
  (1> Processes such aa thermal
treatment or melting, during: whicli
treatment and destruction could occur;
or
  {2J Praeasaea such aa shredding,,
grinding* tearing^ or breaking, daring.
which only- d estructimt would take
place.             .,•
*****
  4. SectJcnilS59^10i« amended by
adding to pffiragraph (b) the following
definitions hi alphabetical order:

$2S».tO  Deftottkm*.
*****
  Container means any portable device
in which a regulated medical waste is
stored, transported; disposed or
otherwise handled. The term container
as used in this part does not inehtcfe
items hi the Table OP Regulated Medical
Waste at 5 259.30faJ of this part.
*     *  • *    * "  ife1
  'Package means the packaging/'
containers and its contents.
  Packaging means the assembly of one
or more containers and any other
components necessary to assure .
minimum compliance with $ 259.41 of
this part.                ' •

  5. Section; ;259.40. is amended by
revising Paragraph (b},to read as, '
                 "'''  ''''    '
§25».49  Segregation Requfrenwhts.
*    *    *    *  .  *•• .'•'•'• •''"•""• '
  (b) If other waste is placed in the
same confaineilslas regulated medical
waste, or if regulated; medical waste
cannot be segregated from other wastet
the generafoi- must paclcage^rabel. and
mark the coEiainerCsJ and. its. entire
contents according, to this Teq,uirementa
in 5J 259.41, 259.44; and 259.4ff of thia
part
  6. Section 1259.41 is amended by
revising the first sentence, and
paragraphs (aJC4J and [bj to read as
follows:
§259.41  Packaging Requirements.
  Generators musi ensure, that all
packages of regulated medical wastes
meet the following requirements, before
transporting JOT offering for transport
such waste off-site.  * *  *
  (a)* * *    ;-.,;.-      , ;
  (4) SufBciently strong to prevent
tearing or bursting under normal
conditions of use and handling;
and*  *•*.' ......  ...,.-•
  (b}CU In addition to-the requirements
of paragraph (a) of this section,
generators most package sharps and
sharps with residual fluids  in
packaging/containers that are puncture
resistant.
  (b)(2) In addition to the. requirementa
of paragraph fa) of this section,
generators; raast.package fluidsi
(quantities greater than 20 cubic
centimeters) :in packaging/containers

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27232
Federal Register / Vol. 55. No. 127 / Monday. July 2, 1990 / Rules  and Regulations
that are break-resistant and tightly
lidded or stoppered.
*****
  7. Section 259.43 is amended by
revising paragraphs (a) and (b) to read
as follows:

§ 259.43  Decontamination standards for
reusable containers.
*****
  (a) All non-rigid containers and inner
liners must be managed as regulated
medical waste under this part and must
not be reused.
  {b) Any rigid container used for the
storage and/or transport of regulated
medical waste and designated for reuse
once emptied, must be decontaminated
if the container shows signs of visible
contamination.
 *****
   8. Sectio'n 259.44 is amended by
 revising the introductory text and
 paragraph (a) to read as follows: ,

 5 259.44 Labeling requirements.
   Generators must label each individual
 container used to meet the packaging
 requirements under § 259.41 of this
 Subpart before transporting or offering •
 for transport off-site:
   (a) Untreated regulated medical
 ivflste. Each container of untreated
 regulated medical wastes must have a
 water-resistant label affixed to or    '
 printed on the outside of the container.
 The label must include the words ,
 "Medical Waste," or "Infectious
 Waste," or display the universal
 biohazard symbol. When a red plastic  .
 bag(s) is used as an inner container, it
_ need not display a label.

    9. Section 259.45 is amended by
 revising the introductory text and
 paragraph (a) introductory text to read
  as follows:               .'

  § 259.45  Marking (Identification)
  requirement*.
    Generators (including intermediate
  handlers) must mark each individual
  container of regulated medical waste
  according to the following marking  .
  requirements before the waste is
  transported or offered for transport off-
  site:
    (a) The outer-most surface of the outer
  container must be marked with a water-
  resistant identification tag of sufficient
  dimension to contain the following
  information:
  *****
    10. Section 259.50 is amended by
  revising paragraphs (e) and (f).

  § 259.50  Applicability and general
  requirements.
                            (e) *  *  *    -
                            (1) Generators of 50 pounds or more
                          per month. Generators who generate
                          and transport or offer for transport off-
                          site 50 pounds or more of regulated '
                          medical waste in a calendar month are
                          subject to the requirements of subpart E
                          and all of the applicable requirements of
                          this subpart for each shipment of
                          regulated medical waste.
                            (2) Generators of less than 50 pounds
                          per month.
                            (i) Generators who generate and
                          transport or offer for transport off-site
                          less than 50 pounds of regulated medical
                          waste in a calendar month are subject
                          only to the requirements of subpart E of
                          this part and §§ 259.50, 259.53, 259.54 (b)
                          and (c). and 259.58 of this part, unless
                          exempt-under § 259.51. ,
                            (ii) Generators who generate less than
                          50 pounds of regulated medical waste in
                          a calendar month but who, transport or
                          offer for transport off-site more than 50
                          pounds in any one shipment or in any
                          one calendar month are subject to
                         - subpart E of this part and §§ 259.50,
                          259.52,259.53. 259.54 (a) and {c), 259.55,
                          and 259.56 of this part, unless exempt
                          under 5 259.51(b).     -    .
                            (f) Generators of regulated medical
                          waste must use transporters who .have
                          notified EPA under § 259.72 of this part
                          1 to transport their regulated medical -
                          waste, except as provided in § 259.51 of
                          this subpart.         . ,;     •
                            11. Section 259.51 i8:amended by
                          revising paragraphs (a) and (b)
                           introductory text removing paragraph
                           (b)(2) and redesignating paragraphs
                           (b)(3) .and (b)(4) as (b){2) and 00(3),
                           respectively, to read as follows:  . .

                           §259.51  Exemptions.
                             (a) Generators of less than 50 pounds
                          per month. Generators who meet the
                           conditions  of § 259.50(e)(i) of this
                           subpart are exempt from the
                           requirement to use. a transporter which
                           has notified EPA, exempt from the
                         • requirement to use the tracking form,
                           and exempt from the requirements of
                           subpart H of this part, except from the
                           exception reporting requirements of
                            5 259.55 of this part, provided that the
                            following conditions are met: ;    ;
                            *     *     *    *    *
                              (b] Shipments between generator's
                           facilities. Generators are exempt from
                            the requirement to use a transporter
                            who has notified EPA, exempt from the
                            use of the tracking form, and exempt
                            from the requirements of subpart H of
                            this part when transporting regulated
                            medical waste from the original
                            generation point to a central collection
                            point or a  treatment facility owned or
operated by the generator, provided
they meet all of the following conditions:
******
  12. Section 259.52 is amended by
revising paragraphs 0>H2) and (d)(3) as
follows:

§259.52  Use oSth« tracking form.
«    *     *    *    .*   .
   (b)***
   (2) For all other generators, the
tracking form from the State in which
the waste was generated; or
   (3) Retain one copy, in accordance
 with § 259.54(a3(l)(i) of this part.
.*'*    *    *     *
   13. Section 259.53 is amended by   ,
 revising the first sentence.

 §253.53. Generators exporting regulated
 medical waste.
   Generators (including transporters
 and intermediate handlers that initiate
 tracking forms) who export regulated
 medical, waste to a foreign country (e.g.,
 Canada) for treatment, destruction, or
 disposal, must request that the
 destination facility provide written  ,
 confirmation that the waste was
 received. * * *     .   .  ;  •:,.— ,
   . 14. Section 259.54 is amended by.
 revising paragraph (a)(l) to read as
 follows: •  .  •••   . . v : '-,    •'.- '  '  •
 §259.54  Recordkeeplng. .
   (a)* * *            .
   (l)(i) Keep a copy of each tracking
 form signed in accordance with §.259.52
 of this part and a signed copy of each
 completed tracking form signed by .the
 owner or operator of the destination
 facility in accordance with § 259.81(a){4)
 of this part, for at least three (3) years
 from the date  the waste was accepted
 by the initial transporter; and    .
    (ii) Retain a copy of all exception
  reports required to be submitted under
  § 259.55(c) of this subpart for at least
  three (3) years from when the. exception
  report was submitted.
  *    *    *    *...•*•
    15. Section 259.55 is amended by
  revising paragraph (a) to read as
  follows:      •             •
  §259.55 Exception Reporting.
    (a) A generator who meets the
  conditions of 5 259.50 (e)(l) or (e)(2)(ii)
  of this subpart, or who utilizes a
  Medical Waste Tracking form, must
   contact the owner or operator of the
   destination facility, transporter(s), and
   intermediate  handler^),  as appropriate,
   to determine  the status of any tracked
   waste if he does not receive a copy of
   the completed tracking form with the

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             Federal Register / Vol.  55. No. 127 / Monday, July 2. 1990 / Rules and Regulations	'27233
handwritten signature of the owner or
operator of the destination facility
within 35 days of the date the waste was
accepted by the initial transporter.
*    *    •   ->»'••
  IS. Section 259.61 is amended by
revising paragraphs (a](l) (iii) and (iv) to
read ad follows:

§259.61   Recordkeeplng. .
  (aj* * *        •'••;•
  (iii) The total weight of medical waste
incinerated, per incineration cycle; and
  (iv) An estimate of the weight of
regulated medical waste incinerated, per
incineration cycle.
*****
  17. Section 259.70 is amended by
revising paragraph (c) to read as
follows:

§259.70  Applicability.
*****
  (c) A transporter of regulated medical
waste must meet all the requirements
for generators under subpart F of this
part when he consolidates two  or more
shipments of regulated medical waste
onto a single tracking form or when he
initiates a tracking form for medical
waste received from generators who met
the conditions of § 259.50[e][2)(i).
      '                         '
*    *'   *    *•
  18. Section 259.72 is amended by
revising paragraph (c) to read as
follows:     •

§ 259.72  Transporter notifications.
*    *    *    *    *             -
  (c) EPA will issue transporters, who
notify under this section, a unique EPA
Medical Waste Identification Number.
This identification number will apply to .
all transporter sites identified hi
paragraph (b)(2) of this section, that
relate to each Covered State.
Transporters may accept regulated
medical waste after notifying under this
section. Upon receipt of an EPA Medical
Waste Identification Number, the
transporter must make certain that the
number has been entered in Box 5 of the
Medical Waste Tracking Form  ,
(Appendix I of this part) that
accompanies each shipment they
handle.
*    *    *    *    *
  19. Section 259.73 is amended by
revising paragraphs (a)(2) and (b}(3) to
read as follows:

§259.73  Vehicle requirements.
  (a)* ' *
  (2) The transporter must ensure that
the.waste does not become putrescent
and is not subject to mechanical stress
or compaction during loading and
unloading or during transit;
  (b) * * *   -  . -
  (3) A sign or the flowing words
imprinted:  ,
  (i) MEDICAL WASTE; OR
  (ii) INFECTIOUS WASTE.
*    *    * '    *    *       -    *
  20. Section 259.74 is amended by
revising paragraph (d)(l), redesignating
paragraphs (e)(l) through (e)(3) as (e)(2)
through (e)(4), respectively, and adding
a new paragraph (e)(l) and revising
newly redesignated (e)(2), to read as
follows:

§ 259.74 Tracking form requirements.
  (1) Obtain the date of delivery and the
handwritten signature of the transporter,
intermediate handling facility or
destination facility on the tracking form;
*****
  (e) * * *
  (1) Obtain the signature of the
accepting foreign transporter or
destination facility; or
  (2) Verify that the waste has been
delivered to the next (foreign)
transporter, or treatment, destruction or
destination facility by writing a
statement to that effect in Box 14,
certifying that the entire shipment (as
specified hi Boxes 11, 12 and 13 of the
tracking form) has been delivered to the
next (foreign) party, including the
accepting party's name, company name,
and mailing address, and signing
directly below that certification
statement;        • •  ' •
*   .*••  *  .*.   *      : •
  21. Section 259.  76 is amended by
revising paragraph (c)(l) to read as
follows:

§ 259.76  Consolidating or remanif esting
waste to a new tracking form.
*****           .
  (c)  •  * *
  (1) Attach a copy of the tracking form
signed by the destination facility to the
generator's original tracking form;
*****
  22. Section 259.77 is amended by
revising paragraphs (c)(2) and (d) to
read as follows:

§ 259.77  Recordkeeplng.
*    *    *    *     *
  (c) * * *
  (2) Retain a copy of the transporter^
initiated tracking form signed by the
intermediate handler or destination
facility and all associated consolidation
logs for three (3) years from the date the
waste was accepted by .the intermediate
handler or destination facility.
  (d) Transporters must retain a copy of
each transporter report required by
§ 259.78 of this subpart for three (3)
years after the date of submission.
  23. Section ;Z59.78 is amended by
revising paraj^aphs (b)(2) and (c)(l)(i) to
read as follows:

$259.78 Reporting.
*    *    *    «    *
  (b) * « *
  (2) A second copy must be submitted
to the Director of the waste management
agency in the Covered State for which
the transporter has compiled the report.
  (c)(l)***
  (i) The transporter's name, address,
and EPA medical waste identification
number;
* •   *    *    *    *
  24. Section 259.80 is amended by
revising paragraph (b)(2) to read as
follows:

§259.80 Applicability.
*    *    *    *    * .
  (b) * * *
  (2) This subpart applies to generators
who receive regulated medical waste
required to be accompanied by a
tracking form,
  25. Section 259.81 is amended by
revising para;;raphs (b)(l), (b)(2)(iii) and.
0>)(3}(i) to read as follows:

§259.81 Use of the tracking form.
*    *    *    *    * •
  (b) * * *
  (1) The owner or operator must meet
ail the requirements for generators
under both subparts E and F of this part
including signing the tracking form
accepting the waste as specified in Box
20, noting any discrepancies on the
tracking form, and entering the new
tracking form number in Box 21 when
initiating a new tracking form for each
shipment of regulated medical waste -
that has either been treated or
destroyed.
  (2)
  (iii) The date the regulated medical
waste was originally shipped by the
generator or the generator's unique
tracking form number; and * *  *
  (3) * * *
  (i) Attach a copy of the tracking form
signed by the destination facility to the
original tracking form initiated by the
generator identified in paragraph
(b)(2)(i) of thisj section.  •
*****
  26. Section 259.83 is amended by
revising paragraph (b) introductory text
to read as follows:

§ 259.83 Recordkeeplng.
*****
  (b) The owner or operator of a
destination facility or an intermediate

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27234
federal Rflgteter J Vol. 55. Mo.. 127 7 Monday. Jqfr 2. 3390 /
handler lhat accepts tegulated medical
waste firomgenera*oi{6) -eubjecfto
5 259J1 [a)orfcj.af thiapaiUnust
maintain the following information for
each shipment of regulatedonedical
waste accepted:.

  27. Appendix I to part 259 and General
Instruction are amended by adding (the
                         new waste tracking form, and revising
                         the instructions for BoxS and Box 14.
                         Appendix I is revised to read as Bet
                         forth below.              ,
                           28. Appendix SI to part 289 iarovised
                         to read as set forth below.
                           29. Appendix JHie amended by
                         removing Par Island II and Inserting flie .
                         new form, removing Part IV and
inserting lha .new form, and revising the
instructions in Box 1. ABpendiic fll is
teviaed to read as «etioisth below.
  30. Appendix IV to partzsels sevised
to read as set forth below.

Appendix 1 to ^art 259-Medical Waste
Tracking Form and Instructions

BILLING CODE 65SO-EO-M

-------
              MEDICAL WASTE TRACKING FORM
 1. Generator's Ni
lama and Mailing Address
13. Telephone Number (
9 5. Transporter's Name and Mailing Address
 EPA Mad. Waste ID No.
II   I   I   I   I  I   I
       I  I   I ' I   I   )
j 8. Destination Facility Name and Address
111. US EPA Waste Description
  a. Regulated Medical Waste (Untreated)
  b. Regulated Medical Waste (Treated).
  c. State Regulated Medical Waste
2. Tracking Form Number
                                                 4. State Permit or-ID No.
                                 6. Telephone Number
                                                 7. State Transporter Permit or ID No.
                                 9. Telephone Number
                                                 10. State Permit or ID No.
                            12. Total No.  "
                               Containers
               13. T6ta! Weight
                  orVolume
114. Special Handling Instructions and Additional Information
  that the contents of this consignment an fully and accurately described above and are classified, packaged, marked, and
  libeled In an^ laws an^
  to make such' declarations by the person In charge of theBflrierator's operation.           .
  Printed/Typed Nam
                                      Signature
                                                                           Data
115. Generator's Certification:  .

  Under penalty of criminal arid dvH prosecution for the making or submission of false statements, representations, or
  omissions, I declare, on behalf of the generator..
   INSTRUCTIONS FOR COMPLETING MEDICAL WASTE TRACKING FORM

Copy 1 — GENERATOR COPY:  Mailed by Destination Facility to Generator.
Copy 2 —DESTINATION FACILITY COPY:  Retained by Destination Facility
Copy 3 -r- TRANSPORTER COPY: Retained by Transporter
Copy 4 — GENERATOR COPY:  Retained by Generator .
As required under 40 CFR Part 259:
1. This multicopy (4-page) shipping document must accompany each shipment of regulated medical
  waste generated in a Covered State.
2. Hems numbered 1-14 must be completed before the generator can sign the certification. Items 4,7.
  10,11c, S19 are optional unless required by the State. Item 22 must be completed by the
  destination facility.

  For assistance In completing this form, contact your nearest State office or Regional EPA office, or
  call (800) 424-9346.
                                                                         16. Transporter 1 (bonification of Receipt of Medical Waste as described in items 11,12, & 13)
                                                                                            Printed/Typed Name
                                                                                                                               Signature
                                                                         17. Transporter 2 or Intermediate Handler
                                                                             (name and address).
                                                                          EPA Med. Wast* ID No.

                                                                          II  I  I   I   II  I  I   I  I  I  I
                                                                                                                                          18. Telephone Number
                                                                                                                                          19. State Transporter
                                                                                                                                             Permit er ID No.
                                                                         20. Transporter 2 or Intermediate Handler (Certification of Receipt of Medical Waste as
                                                                            described in Kerns 11,12,&13)                                              •.
                                                                                             PrinttfoVTypedName •
                                                                                                                               Signature
                                                                                                                                                               Date
                                                                         21, New Tracking Form Number (for consolidated or remanlfested waste)
                                                                         22. Destination Facility (Certification of Receipt of Medical Waste as described in items 11,12,413)
                                                                            Q '  Received in accordance with items 11,12, & 13


                                                                            Printed/Typed Name                     Signature                   .       Data

                                                                        	(tfdtherthan destination facility, Indicate address, phone, and permit or ID no. In box 14.)
                                                                                         23< Discrepancy Box (Any discrepancies should be noted by item number and Initials)
                                                                                                                                                                   I

                                                                                                                                  I
                                                                                                                                                                                    i
                                                                                                                                                                                   >~
                                                                                                                                                                                    t
                                                                                                                                                                   I'
                                                                                                                                                                    pr
                                                                                                                                                                    a

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27238
               Federal Register / Vcfl.S5. No. 127 /Monday. )uij 2. 1090 / Bates   •
   (2) If the receiving Cowered State doeisnot
 require the use of its version of the fonn,«r  •
 the receiving State is a non-Covered Stale,'  ;
 then the generator mustobtain the fonnjfrom ,
 the generator's own State.          '.'-'•  .
   (3) If the generator's State does notMgulre^
 the use of that State's versiontffiiha tracking. •• •
 form, then the generatotfmBySblftataM^fiB*?,?^
 from other sources or produce', fheni usinjfffieT"
 printed version of the Federal form provided' \
 In this appendix.        :       '•-'.'•'••
   Section 11007 of the Medical Waste  -
 Tracking Act specifies ftatiany State»r local
 Jaw which requires submission ofcaiegulated
 medical waste trackingffonn fromsMBnpersori:
 subject to this Act shallrequire thatfte form'-
 be identical in content and formatlo ihe
 Medical Waste Tracking Form exceptlthat a '
 State may require the snbmissionisf other
 , information which is supplemental to thai on-
"Ithe form. Such State-reguired information
 may be included through use of addttionai
 sheets or such other means as theState
 deems appropriate. TheAgencyidetennines
 lhat no additional or supptemenJriLSiste
 Information can be required onShe form
 except as specified below.CenewSors of
 regulated medical waste inCoveredStetes  '
  are advised to be aware ofsanyapecM
  requirements within the Covered States.  .
    If States wish to print their ownfforms.ahey
  may print in one inch box at the tqpef ttbe '
  fonn the following types ofinformafion: Jl)
  Where to obtain a State printeditraolcmg
  form; (2) essential State.infonnattionJSlate
  addresses or telephonejnumbersQ;andJ3[)
  special State instructions £e.g., if (heSlate .,
  requires a five- or six-part form, that State •
  •might print addresses to which ihe additional
  forms must be sent).
    The Medical Waste Tradking^orra also .
  includes a box for a StateTradangEorm
  .Number. If the State reguiresBuchJiJnimber,
  It can be printed on theffonninahatbtjx.5n
  addition, some States mayaegmrewaste •
  Identification or waste authorization    •••
  numbers. These numbers can be entered by
  the generator in Box ll(a-c). In addition,
  States may require generators to use Box
 life) to Identify medical waste regulated
 understate law out not Hinder Federal law.
  Federal regulations require generators,
 transporters, intermediate handlers, and
 deSfinationff acuities to complete the form
 according to3ie folloiving instructions.
 Medical Waste Tracking Form Specific
 Instructions
  The following describes each«eotion of the
 Medical Waste Tracking Form and .provides
 instructions for complefing each of ithese
 sections (Le.. boxesJ.The waste generator
 complete* Boxes 1-15, the transporter and/or
 intermediate handlers completesSoxes 16-
 21, .-and the pwner or operator of ihe
 desfinationffaeility completes"Boxes 22-23.
 Tie transporter may assist the generator in
 completing any of the boxes, but the
 generator!* responsible for ensuring the
 accuracyA Medical Waste Identification Number. If
                                              a number has not yet been assigned, the
                                              transporter must leave this box blank. The
  Box 9. Jte/epAoneWumfieKlEnterthe .
destinationifacUity's teJephone-uumber which
a generator or transporter mayicall to obtain
information -regarding the status of a
shipment."                      _
  Box 10. State Permitar ID£fumber.1Ma is
as optionaTbox whSchanustljefilled out if
this information is .required by Ihe StateSn
which theaestinatipn facility's located. *
States may-require Shat the desttination  .
faciHty (/.aw treatment and destruction or
disposal facilities) be permitted and they may
require that a. State^ssignedunique perns* or
ideatificatioBinumber be entered in this
•space.  • •        	         !—
  Box 11. U.S. EPA Waste Description, Tbe
two federally-regulated medical waste
categories are listed inBoxes ll(a) and 14{b):
Regulated Medical Waste ifuntreated);
Regulated Medical Waste i(treated). Box aic)
isavailable for other Slate regulated medicd
waste. The generator must determineShe
categories of his waste, before compleiing
Boxes 12 and 13. Aaefinition of "waste
category" is found in146 CFR 259.10. [ffStales
have a waste code,a waste authorization.
number,or a similar requu-ement, it maybe
inserted*o the rightof She waste categoryto
which itapplies.]
  Box 1Z Total Number-Containers, The total
 numberof containers (eg, bags, boxes, pails,
 drumsl etc.) for each of file applicable-waste
 categories must be entered in the
 corresponding space.
   Box 13. Total Height w Vclioae. The total
 weight of the wastajexdudlng Ihe container
. Tveight); by appBcalile -waste category must
 be entered in the corresponding space, If the
 waste is oversized and toaot^ackagedin*
 standard container, a volumetric measure

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               Federal Begfefexr /  VbK. SSI Mb.. 122- / Monday, ]\i&r £. 1360. /' Rulag. and! Regulations
may be used; however, the unit of measure ,
must be noted ira thabspace as well.    .
  Box 14. Special Handling Instructions and
Additional Information. Generators may use
this space to indicate special transportation,
treatment, storage, or disposal information or
Bill of LadmglnTurmaHuii, including
alternative treatment and/or disposal facility
information, if necessary. Generators may
also include in this box a written request for
the destination facility, to certify, OJSposaLof;
the regulated medical waste through
signatune.nnd dating. within .thiH.hnx-[Note^
The signature in.theJ3fiBtination.Eacility,
Certification Box (Box 22) is only to be used
to certify receipt of the waate-.aftha tiineof
delivery to the facility.] '
  For international shipments; generators,
must  enter in this space the point oft
departure (city and State) for those wastes.
destined for treatment, destruction, or
.disposal outside the United States. This box
is also for use-oftransporters-delivering-
regulatqd medical waste across international
borders :to verify delivery of the waste to a
foreign transporter, intermediate handler or
destinailonjacility. This space .may/also be
used  if there is need" to identify an
intermediate handler and/or a third
transporter. Rta t n« may, nnt rpquirft -qdditionfll-
infonnation.to-be-provided-in-thi8.8pa«e-on-  •
the tracking form. However, other State-
specific information requirements may be
included on a separate, attached sheet
  This space should also be used to provide
special instructions or additional information
regarding oversized reguIated~medicaLwaste
that cannot be easily packaged in-plastic-
bags  or standard containers. In these
instances, enter a description of the waste
including whether the waste-is-untreated-br-
treated, .the number of pieces, .and the. _.
         flf t* tntel -weight-
shipment from the generator by signing,the  .....
  Box 15. Generator's Certification. This
statement, when signed by the generator,
certifiesithat all information required to be
provided by that generator is accurate *
(including any information-provided-by the
transporter in Boxeafr-lSJ, ailidocumented
wastes are.properiy.prepared.for.transpert^
and all annlicable.StntiR and Fftdfral . '
requirements have been met The generator
must read, sign by hand, date this
certification statement and enter the name of
the generator into the certification statement.
The persons signing the statement must be
authorized to make the required declarations.
in writing, by the person in.charge-otthe.  ,
generator's operations. THe generator must
make certain that Boxes 1-14 (except. Boxes
4, 7, 10, and ll(c), which are optional unless •
requirediby the State) are completed prior to
signing the form.
  Box 16. Transporter 1 Certification of
Receipt.. The first transporter is required to
acknowledge the acceptance of the waste
acceptance. Any discrepancies or other
related informatiQn.shoJuldheJioledin.tha>
form before signing it In those instances
when a transporter initiates a tracking form,
he must complete Boxes 1-15 and must also
certify receipt as transporter 1, if he is also
the first transporter, as identified in Box 5
(Transport er's-Name-'and Mailing; Addrese);
  Box 17. Transporter 2 or Intermediate1
Handle flName-and* Address, and-EPA-
Medical, W-astaldentifioation-Numben In-the-
event the waste shipment is to be transported.
by fa second-transporter or is taken to am
intermediate, handler, that recipient must
enteritssrKunejand business mailing address
information in this place; and its EPA
Medical Waste Identification Number, when
appropriate.
  Box 18. Telephone Number. Enter the
telephone-number of the ssecond transporter
orintermediate-rrandler Co be used when
checking or investigating the status ofa
shipment
 • Box 19. State-Transposier Permit or ID
Number.-lbis is an optional-entry.. .The ,
secondary transporter on intermediate ,
handler.State-assigned-permiko*  -
identifieation-numbershonld-be'^itered-nr ..... -
this space (see description for Box 7).
  Box 20. Transporter 2 or Intermediate  .
Handler Certification of Receipt- A
secondary transporter or intermediate
handler is required- tacfiEtify acceptancetofr •
the waste shipment by-printing or typing the
name of the persorr accepting the waste,
recording the date of acceptance, and signing
the form. Anj&discraRBncfes pr other .related ..-
infonnation-snouTd'be noted in the
Discrepancy Hnv (Pox 23) tif ihp tracking
  Box 21. New Tracking Form Number. If the
regulated medical waste shipment is
consolidated or reassigned to a new tracking
form, the new tracking form number must be
reeerded-in-this-box-on-tne-tjrigjnal-
generator's form. [If the Covered State
piepnnts-forms"ar.d-indudes-a"&tate-Tracking'
Fnrm NinnhgT, that niimhi.il should-bC-entered.
in this space.] If the State does not include a
preprmtedlmimfier attthafonrrtBs:
transporter or intermediate handler should
enter its own unique tracking form number.
  Box 22. Destination Facility. The
authorized representative of the destination
facility, certifies receipt and acceptance;of the
shipment on BeKalfbftEe owner ofiHe
facility by completing this box. If no
discrepancies are noted, the authorized
representative should place a checkmark
before the statement "received in accordance
with items.ll, 12, and 13," print or type his
name, recoroT-tiwdate-of acceptance, and sign
the box. If there are any discrepancies, he
 should not place a Check there., He should,
 instead! notfe-the discrepancies' in Box 23.
   If for some reason the regulated medical
 waste was delivered to a facility other than  •
 that indicated in Box 8, then the authorized
 representative of the facility that accepted
 the waste completes Box 22, as indicated
 above, enters iin,Bbxa4ittiemamBi.addieas?
 telephone number and the facility permit or
 identificationjiumber.^ any; of the facility
 scceprSng~the~lPVHste.
   Box 23. Discrepancy Box. The authorized
 representative ofthe destination: (or
 alternateTf&citity, oirbeltaifof the owner or
 operator, must: note any discrepancy, between
 the-.waste descrrbed.'on the tracking'fbrm^nd
 the waste actually received at the facility.
 [Note: in some' instances, due to the
. consolidation or remanifesting provisions of!
 this Part, transporters and intermediate
 handlers may also need-to,racord
 discrepancies.] All discrepancies must be
 noted by inclusion in Box 23. Owners and
 operators-of-facilities-who-cannotwsolve
 discrepancies witnin.lKdayrof>recei»ing a
 waste shipment must file a discrepancy
 report as required in 40 CFR 259.82.
 Discrepancy reports must be subrnittBd to the
 appropriate Slate agencies and to ther
 BDnrnPriate H'A RRgjnnal offings, as required
 in S 259.82 of (his Part EPA Regional office
 addresses are listadibalawr * ,-:, .-•-.,•   -

 EPA Regional Admhiistratoirs
 RegionaliAdministrator,,U.S.,ERA-Region I,
   J2K Kennedy Federal:B\iird5rig; R-ot>m 2203,*
   Boston, MA 02203
 Regional Administrator, U.S. EPA Region H, -
   28 FederalPlaza. JJew York. JNY.,10278
 Regional: AdrninistratOTrU,S>EPA£tegion ffl,,
   841 Chestnut Bldg. Philadelphia, PA 19107 '
 Regional* Administrator; tISTEPJt Region; IV,'
   .345.CburtIaiid"Slreet, NEi AtTanta, GA"  '..
           '   '          '
 Regional Administrator, U.S. EPA Region V, ,
  . 230 S. Dearborn Street Chicago, IL 60604
 Regional Administrator, JJ.S. EPA Region VU
   1445 Ross Avenue, 12th Floor^Suite/1200,  ,
   Dallas,.TX5'5202    .       .     .      . .
 Regional Administrator, U.S. EPA Region VH*
   726 Minnesota Avenue, Kansas Gty, MCT .
   66101.  .            .
 Regional Adniihistrator, UTS. EPA Region
   Vm, 999 18th Street Suite 500, Denver, COt
   80202-2305;
 Regional Administrator, ILStJSRA Region DC,,
   1325 Mission Street San Francisco, CA
   94103
 Regional Administrator, U.S. EPA Region X,
   120e-Sixth'/ijuenufi: Seattle WAiSSlOl

 Appendix ITtd-Part525*-Oh-Site
 MedfcalsWaifle liuaherafoi' Report Fount
 and Instructions

 BILUNG CODE 8S6O-50-M

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27238      .  Federal Register / Vol. 55, No. 127 / Monday, July 2,1990 / Rules and Regulations
                      ON-SITE MEDICAL WASTE INCINERATION REPORT

                                  I.  FACILITY SNFORMAtlbN
                                                                            Paget of.
1. Reporting Period
D June 22,1 989* to December 22,1 989 D June 22,1 990 to December 22, 1 990
. • •
2. Facility Name and Mailing Address
Facility Name
: • -
.Mailing Address
City •'..;,. l± .State Zip Code
3. Location of Incineration Facility
d Address of location is the same as
mailing address in Box 2.
.or
Street Address
City State Zip Code

4. Type of Facility
D Hospital LI 'Laboratory D
•Facility ;."•" ,
D Funeral Home/Crematorium • D
Veterinary D Private Practices :
Clinic/, .-.".- ...'. or Clinic > -::
Other (Specify) :


5. Contact Person at Facility '•"'•""'.
. • ' ' V ' •.'.'•••'.•:' ' ( ) : ' '. '•
Nam& Title Telephone Number
  6. Waste Feed Information (total for all incinerators specified in Box 7)



                                     II  I  I   I  I  I   I  I  \ Pounds/6-month reporting period
A. Approximate Total Quantity
   of Regulated Medical Waste
   Incinerated:
        B. Approximate Percentage of.
          Total Waste Incinerated
          That is Regulated Medical
          Waste:         •••••;

        C. Approximate Quantity of
           Regulated Medical Waste
           Received From Sources
           Outside This Facility:
                                            II  I  I  %
                               I  I  I  !  I  I  I  I  I  I Pounds/6-month reporting period
  •July 24,1989 for the State of Rhode Island and the Commonwealth of Puerto Rico.

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FederakRegisterr/ VoL
                                             '/ Mitmdayi JulpZ, X990./^R«les an& Regulations*        27Z3&
FacitftVNarne:
II. INGJNH3MMH
Paae of
UNFQHMATiCN
»
7. Total Number of Incinerators That1 Incinerate Regulatedr fifiedical Waste at This Facility;:.
R t F.
i
8a. Incinerator Design Information.
(fbrifietneratbF^ 15)11
1 *
!
Ai Agesofi
Incineratiorr^nttr K te 1- Years*
"Ek Tjjpe.oi-Uriit: lO^Excess-Aifc
1 '. .' •:-..'. : , -
; Euv'StawediAiir
• . "• : ; Q'Rbfarx Kil/r ' .
«.-..' •: • , D,©therr(SBeDifv)
C. Number-of
'"' jeo'mbtistion- ; ' '.'•'•'''
1 .': Chambers:. ' •! '.Q' One-Chamber ,,/"-;'...
..'-.. , :•.*•' * ''' v '• f . .,'
Dr TwasGhambers ••••••'
>-: ' •:' ..:-.•'• •.. ,..-..: . '•'-'• 'i':'- '•'•'
E]: "nTree-orftflore Chambers ,;.
D,, Design..Cljatgtfiar . • "• *
• • Gapaeity^: -js-li |; b.|= 1- | •PoundSrperrhotit
! ' <• ' ''
( -..-••
. 8fr. Incinerator Design Infoimation?
; (fofcrnc»flerator#2,,ifanx)r
i
jA-. Age..of
E- InetnefatiQn'Untt:: 1 1 1 Years.
j ' .
,E.Tyjjaof.'l3nit: D excess-Mr
t • D?Stacved:A'iif. . ;
Q RotafyjKihT-
i ' ^
1- . • , DJOtrrer:(SpBrJM: '•' V5 '
te Wtohbefof
Ji ; Cbmtaistibn' •.•!••••..:<
j -... Chajjifesers;. • Q QnaChamiaer , ... . •
d Two Chamlaeffsa - ..,<, .
C3 Three or-fSBore-ClTamlJers''- '
Ba.: DesignsGharging-i
Capacity: 1 1 1 F l!- I' |Y Pbtind&perttritifi
. i " • . ' , • .... .,.-.-
*-|fettere=are5addaional incineratora;- use'-asEMi8ona6.stteBt{s)?
' to^ovJdfeFffie^reqBtredineinerat&rinforrriatiBn'.- • . -. - •

9. Certification
1 certify that 1 have personally examined and am familiar with the information submitted
in this and all attached documents, and that based on my inquiry of those individuals
immediately responsible for obtaining the information, 1 believe that the submitted
information is true, accurate, and complete.
Signature and official title of owner or owner's authorized representative.
Signature Title Date
3
£
l •
.s
BILUNCI CODE 6560-50-C

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27240
Federal Register / VoL 55. No. 127 / Monday. July 2. 1990  / Jlules and Regulations
General Instructions
Authority
  This Information is required by EPA under
the authorities of section* 11003 and 11004 of
the Resource Conservation and Recovery
Act EPA expecta'that you wfll provide this
Information baeed on reasonably available
records, or, in the absence of such records, on
your knowledge.
Who Must Complete This Form?
  Till* form must be completed by generators
of regulated medical waste who:
  • Are located in Covered States; and
  • Use  an on-site incinerator to bum
regulated medical waste during the reporting
periods described below.
Only complete this form for incinerators that
bum regulated medical waste. Refer to 40  -
CFR 259.61 for recordkeeping requirements
pertaining to this reporting form.
When to Complete This Form?
  Generators who incinerate regulated
medical waste on-aite are required to submit
the On-site Medical Waste Incinerator Report
to EPA for two separate reporting periods.
  The first rep'ort covers the period from June
22.1889  (July 2*-1983 f°r generators located
In Rhode Island and the Commonwealth of
Puerto Rico) to December 22,1989. The
 submission date for the first reporting period
 is February 6,1990.
   The second report covers the period from
 June 22,1990, to December 22,1990. The  '
 submission date for the second reporting
 period Is February 8,1991-             ...
 Where to Send This Report?
   In each reporting period, submit two copies-
 to: Chief, Waste Characterization Branch;
 Office of Solid Waste (OS-332). U.S.   "   ..
 Environmental Protection Agency, 401M
 Street, SW., Washington. DC 20460.;,. ,, ,.,
 Instructions for Completing the Form
   Boxes' 1'through 5 require general
 Information about the facility. Boxes 6
 through 8 require specific information about
 the waste incinerated and technical
 Information regarding the incinerators
 themselves. Box 9 requires the facility owner
 or operator to certify the accuracy of the
 Information submitted. Begin with Box 1 and
 continue sequentially to each box. If there Is -,
 more than one on-aite incinerator used to
 incinerate regulated medical waste, complete
 Box 8[a) for the first incinerator and Box 8(b)
 for the second incinerator; for more than two
                             incinerators, you will need to use an
                             additional sheetOJ to provide the required
                             incinerator information. You will also need to
                             sign the certification Box (Box 9) on each
                             additional sheet
                               Box 1. Reporting Period. Mark an "X" in
                             the box that specifies the reporting period for
                             the information you are submitting.
                               Box 2. Facility Nome and Mailing Address.
                             Enter the name and mailing address of the
                             incineration facility.
                               Box 3. Location of Incineration Facility. If
                             the location address of the incineration
                             facility is the same as the mailing address
                             entered in Box 2, mark an "X" in the
                             designated box. If the location address is
                             different from the mailing address, enter the
                             location information.
                               Box 4. Type of Facility. Mark an "X" in the
                             box that classifies the business or
                             organization that owns or operates the
                             incineration facility. If the categories do not
                             accurately represent your facility, mark, the
                             "Other" category and specify the facility type
                             in the space provided.
                               Box 5. Contact Person at the Facility. Enter
                             the name, title, and telephone number of the
                             person who is most knowledgeable about the
                             incineration operations at your facility.
                               Box 6. Waste Feed Information. The
                             questions in this box ask about quantities or
                             regulated medical waste incinerated at your
                             facility. When entering a response, right
                             justify the entry (e.g., 2000 Pounds).
                               A. Approximate Total Quantity of
                             Regulated Medical Waste Incinerated. Enter
                             the total weight (in pounds) of the regulated
                             medical waste incinerated at your facility '   .
                            1 (total of all incinerator units) during the. six-
                             month reporting period. To identify, the
                             quantities of regulated medical waste
                             incinerated, refer to the operating logs kept :
                             for each incinerator at your facility as
                             required under 40 CFR 259.61.
                                B. Approximate Percentage of Hie Total
                              Waste Incinerated that is Regulated Medical
                              Waste. Using file information from your
                              operating log, calculate the percentage (by
                              weight) of the total waste'incinerated that is
                              regulated medical waste. To do this, divide
                              the amount of regulated medical waste
                              incinerated by'the total amount of waste
                              incinerated. Multiply the result by 100. Enter
                              the number-in the space provided.
                               • C. Approximate Quantity of Regulated
                              Medical Waste Received from Sources
                              Outside this Facility. Enter the total weight
                              (in pounds) of regulated medical waste
                              received from sources, outside your facility
during the six-month reporting period. An
example of outside sources would include a
facility that receives waste from a physician
with an office several miles away.
  Box 7. Total Number of Incinerators at this
Facility. Enter the total number of
incinerators that burn regulated medical
waste at your facility. Only include
incinerators that incinerate regulated medical
waste.
  Box 8. Incinerator Design Information. To
complete Items A through D in this box. refer
to design blue prints, manufacturer's
information, or other sources.
  A. Age of Unit. Enter the age of the
incinerator unit in years.
  B. Type of Unit Mark an "X" in the box
that describes this incinerator type.
   • An "excess air" unit is usually a compact
box-like structure with chambers and baffles.
and it operates with high air flows to assure
adequate combustion. It is usually loaded
manually through a charging door. . ,
   •  A "starved ail''unit is usually
cylindrical, but can be rectangular, and it
typically has combustion air fed through the
floor or on the sides. The waste is usually
manually loaded, although larger units can be
mechanically loaded.
   •  A "rotary kiln" unit is cylindrical and
rotates about the lengthwise axis. If this
incinerator is not described by any of the
 three groups listed, mark an "X" in the box
 labelled "other" and describe the unit in the
 space provided. If, necessary, attach
 additional sheets.        *..- V. '.. r .."•
   C. Number of Combustion Chambers. Mark
 an "X" in the box that describes the number
 of combustion chambers in this incinerator.
   D. Design.Charging Capacity. Enter the
.maximum amount of waste that this
 incinerator is designed to burn, in pounds per
 hour. If you cannot locate any records,
 estimate the number of .pounds per hour that
 this unit is designed to bunt [NOTE: When
 entering a quantitative responsei-such as,
 rates, weights or time, right justify the entry
 (e.g.. 2000)].
   Box 9. Certification. After completing this
 form, the facility owner or an authorized
 representative must sign and date the
 certification and indicate his or her position.

 Appendix Dl to Part 259—Medical
 Waste Transporter Report Form and
 Instructions           •

 BILLING COPE 6SSO-BO-M

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           Federal Register / Vol. 55, No. 127 / Monday. July 2,1990 / Rules and Regulations
27241
                     MEDICAL WASTE TRANSPORTER REPORT
                    TRANSPORTER IDENTIFICATION INFORMATION
                                                                      , Page 1 of	
1. Covered State and Reporting Period
Covered State
2. Transporter Name and Mailing Address
Name
Address
City State Zip Code
5. Contact Person
Name . Title
O -June 23,1989* to December 19, 1989
D December 20, 1 989 to June 1 7,1 990
D June 18,1 990 to December 14,1 990
D December 1 5, 1 990 to June 1 2, 1 991
3. EPA Medical Waste identification Number
1 I I I i I I I I I I I I

4. Certification for Intermediate Transporter
D Yes
D No Signature v

Telephone Number
6. Certification
I certify that I have personally examined and am familiar with the information submitted in this and all attached
documents, and that based on my inquiry of those individuals immediately responsible for obtaining the information, 1
believe that the submitted information is true, accurate, and complete. . .
Name and official title of owner or owner's authorized representative.
Signature' .Title
Date
                           II. DISPOSITION INFORMATION
7
. Total Quantity of Regula
A. Untreated Waste
B. Treated Waste
ted Medical Waste by Category t
Second Transporter or
Transfer Facility
I I I I I I I I I i Pounds
I 1 i I 1 1 I I I IPnnnrts

ind Destination
Intermediate Handier or
Destination Facility
1 f 1 1 f 1 1 1 1 1 Pounds
| 1 1 1 ! 1 1 1 1 iPnnnri*

— .
               [PLEASE USE TYPEWRITER OR BLACK INK TO COMPLETE THIS FORM]

•July 24,1989 for the State of Rhode Isiand and the Commonwealth of Puerto Rico

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27242
Federal Register / Vol. 55, No. 127 / Monday. July 2.1990 / Rules and Regulations
 Transporter Name or ID number.
                                                                                      page.
                                                                               of
                                III. GENERATOR IDENTIFICATION  
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              Federal Register / Vol. 55, No. 127 / Monday, July 2,1930 / Rules and Regulations
                                                                                             27243
Transporter Name or ID Number
                                                                                 page	. of	
         IV.  INTERMEDIATE HANDLER AND DESTINATION FACILITY IDENTIFICATION
             (USE ADDITIONAL SHEETS IF NECESSARY)
10. Total Number of intermediate Handlers and Destination Facilities to which Regulated
     Medical Waste was Delivered                           • (if your answer is "0", do not
                                                             continue with this section)
                                                  i
                                                  -
  11. Identity of Intermediate Handlers and Destination Facilities
                             Please Complete Sections A, 8 and C for each Facility
    A.  Name and Location of Facility
    Facility Name
    Street Address
    City
                             Slate
Zip Code
                                                   B. Type of Facility    1_1

                                                        Refer to instructions for code
 C. Quantity of Regulated Medical
    Waste Delivered to the Facility
  Untreated I  II  I t  I I I  I  Pounds

   Treated  I   I  I  i  i  III   I  Pounds
    A.  Name and Location of Facility
    Facility Name
                                                   B. Type of Facility    1-1
                                                        Refer to instructions for code
    Street Address
    City
                             State
Zip Code
 C. Quantity of Regulated Medical
    Waste Delivered to the Facility
  Untreated III  I till  i  Pounds

   Treated  I  I  I  I  I   I  I I  I  Pounds
    A.  Name and Location of Facility
    Facility Name

    Street Address
                                                   B. Type of Facility    l_i

                                                        Refer to instructions for code
    City
                             State
Zip Code
 C. Quantity of Regulated Medical
    Waste Delivered to the Facility
  Untreated I  I  I  I I  I I I  I  Pounds

   Treated  I   I  I  I  I   I  I  I   I  Pounds
    A.  Name and Location of Facility
    Facility Name

    Street Address
    City
                            State
Zip Code
 B. Type of Facility    i-1

      Refer to instructions for code

 C. Quantity of Regulated Medical
    Waste Delivered to the Facility
j  Untreated  I  I  I  I  I  I  I I  I  Pounds
:
{   Treated   I I  I  I   I  I  I  I   I  Pounds
 BILLING CODE «560-50-C

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27244        Federal Register / Vol 85. No. 127 / Monday.  July 2.1990 / Rules and Regulations
General Information
Authority
  This Information i* required by EPA under
the authorities of Section* 11003 aad 11004 of
the Resource Conservation and Recovery
Act EPA expect* that you will provide to
keep •« a medical waste transporter.
Who Must Complete This Report?
  This report must be completed by
transporters of regulated medical waste who
accept and transport regulated medical waste
generated in a Covered State, and who are
required to obtain an EPA Medical Waste
Identification Number under 1259.72 of this
Part.
What Type of Information is .Required by
This Report?
  The Medical Waste Transporter Report
Form collects information on the source and
disposition of regulated medical waste
handled by, a transporter. The form is divided
into four sections:
  L Transporter Identification Information
E. Disposition Information
HI. Generator Identification
IV. Intermediate Handlers and Destination
    Facility Identification
How to Complete These Forms?
  A separate copy of this form must be
 completed for each Covered State in which
 the regulated medical waste which you have
 transported, during the reporting period was
 generated.
   (Note: ff you did not transport regulated
 medical waste generated in a Covered State
 during a reporting period, you do not have to
 submit a Medical Waste Transporter Heport
 Form for that Covered State for that reporting
 period]. The examples described below
 illustrate who [i.e., those transporters) must  ,
 report, and for which Covered States:
 Example Is Company Xaccepts waste
     generated in New York. (In this scenario.
     New York Is assumed to be a Covered
     State and New Hampshire, a non-
     Covered State.)
   Company X accepts regulated medical
 waste from six generators located in New
 York nnd transports the waste for disposal to
 two facilities in New Hampshire. (Because
 New York ta a Covered State under the
 demonstration program. Company Xmust
 notify EPA that it accepts and transports
 regulated medical waste generated in a
 Covered State. EPA will issue an EPA
 Medical Waste Identification Number to '
 Company X for the State of New York.)
    In this case, Transporter X only accepts
 and transports regulated medical waste from
 one Covered State and, thus, will Only have
 to complete one report, for the State of New
 York.
 Example 2: Company Y accepts regulated
      medical waste generated in New Jersey
      and New York. (In this scenario, both
      New Jersey and New York are assumed
      to bo Covered States, and New
      Hampshire a non-Covered State.)
    Company Y accept* regulated medical
  waste from four generators in New York and
  from five generators in. New Jersey. Company
  Y delivers the waste accepted from these
generators to a destination facility in New
Hampshire. (Company Y notifies EPA that H
accepts and transports regulated medical
waste that is generated in two Covered
States. EPA issues two EPA Medical Waste
Identification Numbers to Company Y; the
first identification number is for the transport
of regulated medical waste generated in New
York and the second number ii for the
transport of regulated medical waste
generated in New Jersey.)
  Because Company Y has accepted waste
generated in two Covered States, the
company will be required to complete and
submit two Medical Waste Transporter
Report Forms, one for the waste from the four
generators in New York and a separate
Transporter Report Form for the five
generators in New Jersey.
Example 3: Three transporter companies.
    Company X, Company B, and Company
    Y, transport regulated medical waste
    generated in New York. (Again, in this
    scenario. New York Is assumed to be a
    Covered State and New Hampshire, a
    non-Covered State.)
  Company X accepts regulated medical
waste from six generators located in New
York and transports the waste to Company B
which is an intermediate transporter located
in New Hampshire. Company B accepts the
waste from Company X and transports the
waste to Company Y, also located in New
Hampshire, which then delivers the waste to
a destination facility in New Hampshire.
(Because New York Is a Covered State, all
three companies (X. B, and Y) must notify
EPA that they accept and transport regulated
medical waste generated in a Covered State.)
   Each transporter company must also
, complete a separate Medical Waste
Transporter Report Form. In completing the
form. Company X must supply information on
 each New York generator from which it
 accepts regulated medical waste, and on the
 quantities it accepted. Company Y must
 supply information on the disposal facility to
 which it delivers the regulated medical waste
 and the quantities it delivered. Company B
 must only supply information to verify it is an
 "intermediate transporter" as it neither
 accepted waste directly from a generator nor
 delivered waste to an intermediate handler or
 destination facility.
 When to Complete the Report?
   Complete each Medical Waste Transporter
 Report Form using the information that can
 be obtained from the tracking forms and
 transporter logs. Use only those tracking
 forms and logs that have certification receipt
 dates in Box 16 of the tracking form, that fall
 within the reporting periods identified below.
 Submit the report no later than 45 days
 following each reporting period. The schedule
 of submission dates Is as follows:
Reporting period :
December 15, 1990 to Jun* 12,
1991.
Submission 
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               Federal Register /  Vol 55.  No. 127 / Monday. July 2, 1990 /  Rules and Regulations        27245
  Box 3. EPA Medical Waste Identification
Number. Enter the 12-digit identification
number assigned to your company's
transporter operations in the Covered State
for which you are completing this form. If you
do not have an identification number, enter
the name of the Covered State for which you
are completing this form.
  Box 4. Certification for Intermediate
Transporter. Transporters who (1) solely
accept regulated medical waste from
transporters who have, themselves,
transported the waste, and (2) deliver such
waste only to another transporter for further
movement, are considered "intermediate
transporters" and need only complete Boxes
1 through 6. If you are an intermediate
transporter, mark an "X" in the box
corresponding to "YES" and enter your
signature after the box. If you are not an
intermediate  transporter, mark an "X" in the
box corresponding to "NO". In both cases.
continue on to Box 5.
  Box 5. Contact Person. Enter the name,
title, and telephone number of the person
who is most knowledgeable about your
transportation operations, or the person who
is responsible for the information in this
report.
  Box ft Certification. After completing this
form, the company owner or an authorized
representative must sign and date the
certification and indicate his or her title or
position. If your organization has no legal
owner (e.g., a local government entity), the
individual within your organization who is
responsible for  the information in this report
must sign and date the certification and
indicate his or her position.
   If you were an intermediate transporter
during the reporting period marked in Box 1,
you do not need to complete the remaining
sections of this  report. If, however, you
accepted regulated medical waste directly
from a generator located in a Covered State,
or you delivered such waste to an
intermediate handler or destination facility
during the reporting period marked in Box 1,
continue with sections II, III and IV and
follow the instructions.

Section Q. Disposition Information
   This section requires submittal of
information on  the quantities of regulated
medical waste you transported during the
reporting period marked in Box 1.
   Box 7. Total Quantity of Regulated
Medical Waste by Category and Destination.
This box requests information on the total
quantity of (A]  untreated and (B) treated
regulated medical waste you accepted for
transport during the reporting period. The
total quantity of waste should only include
the regulated medical waste you transported
that was generated in the Covered State for
which you are completing this form. For each
category of waste, enter the quantity of waste
(in pounds) that was delivered (1) to a second
transporter or transfer facility and (2) to an
intermediate handler or destination facility. If
either category of waste was not delivered to
a facility, enter "0" for that category and
facility combination. If you did not deliver
waste to one of the types of facilities, enter
"0" for that facility type. Right justify each
entry (e.g., 2000 pounds).
Section in. Generator Identification
  This section requires the submittal of
information regarding the generators from
whom you accepted regulated medical waste
during the reporting period marked in Box 1.
  Box 8. Total Number of Generators from
whom Regulated Medical Waste was
Accepted. Enter the total number of
generators from whom you accepted
regulated medical waste for transport during
the reporting period. Include only those
generators located in the Covered State for
which you are completing this form. If your
company did not pick up any regulated
medical waste directly from a generator,
enter "0" in the box and skip to Section IV,
Right justify each entry (e.g., 143).
  Box 9. Identity of Generators. Complete
Boxes 9A through 9C on each individual
generator in the Covered State from whom
you accepted regulated medical waste during
the reporting period. This form provides
space for identification of four generators. If
you accepted waste from more than four
generators, copy this page as needed and
provide the information on each generator.
The number of generators entered in Box 8
must equal the total number of all generators
identified in Box 9.
  9A. Name and Location of Generator. Enter
the name and the address representing the
physical location of the generator (i.e., the
location at which the waste is picked up).
  9B. Type of Generator. Enter one of the
following codes that best classifies the type
of generator. Use your best judgment as to
the generator's type.
Code
Generator Type
   01  Hospital—includes  waste  generated
         in all laboratories and departments.
   02  Laboratory—including clinical and re-
         search laboratories generating regu-
         lated medical waste.
   03  Clinic—includes group-practice facili-
         ties  that provide ambulatory care
         of one or more specialties such as
         hemodialysis,  prenatal, or postpar-
         tum  care, surgical  centers, family
         practice centers, etc. Also includes
         outpatient drug treatment facilities,
         and  nonresidential  medical  day
         care facilities.
   04  Physician—includes single and multi-
         ple  private-practice physician of-
         fices.
   05  Dentist—includes single and multiple
         private-practice dental offices.
   06  Veterinarian—includes  single   and
         multiple private-practice veterinary
         offices.
   07  Long   Term  or  Residential  Health
         Care  Facility—includes  facilities
         providing  skilled  or  non-skilled
         care such as nursing homes  and
         residential drug treatment centers.
   08  Blood  Banks—includes freestanding
         blood banks (not at a hospital) and
         their mobile off-site activities.
   09  Other—includes  any  other  facility
         generating regulated medical waste
         such as ambulance  services, infir-
         maries, etc. If you enter this code,
         specify the type of generator in the
         space after the code.
  9C. Quantity of Regulated Medical Waste
Accepted from the Generator. For each
category (untreated and treated), enter the
amount of waste (in pounds) that you
accepted from She generator during the
reporting period. If you did not accept waste
in one of the categories, enter "0." Right
justify each entry (e.g., 20000 pounds).
Section IV. Intermediate Handlers and
    Destination Facilities Identification
  Boxes 10 and 11 require the submittal of
information regarding the intermediate
handlers and destination facilities to which
you delivered regulated medical waste during
the reporting period marked in Box 1.
  Box 10. Tola! Number of Intermediate
Handlers and Destination Facilities  to which
Regulated Medical Waste was Delivered..
Enter the total number of intermediate
handlers and destination facilities to which
you delivered regulated medical waste during
the reporting period. This box should include
all facilities (in both Covered and non-
Covered States,) that accepted the regulated
medical waste listed in Box 7. If you did not
deliver any regulated medical waste to an
intermediate handler or destination facility
during the reporting period enter "0" in the
box and do no) complete the remainder of
this section. Right justify your entry (e.g., 29).
  Box 11. Identity of Intermediate Handlers
and Destination Facilities. Complete Boxes
11A through 11C identifying each individual
intermediate handler and destination facility
to which you delivered regulated medical
waste generated in the Covered State for
which this form is completed. This form
provides spaces for identification of four
facilities. If you delivered waste to more than
four facilities, copy this page as needed and
provide the requested information for each
facility. The number of facilities entered in
Box 10 must equal the number of facilities
identified in Box 11.
.   11A. Name and Location of Facility. Enter
the name and the address representing the
physical location of the facility.
   11B. Type of Facility. Enter one of the
following codes that best classifies the type
of facility:
                            Code
                   Facility Type
                               1  Landfill!
                               2  Incinerator
                               3  Treatment Facility (other than incin-
                                    erator)
                               4  Destruction Facility (other than incin-
                                    erator)
                               5  Treatment and Destruction Facility
                                    (other than incinerator)
                              11C. Quantity of Regulated Medical Waste
                            Delivered to the Facility. For each category
                            (untreated and treated) enter the quantity of
                            waste (hi pounds) that you delivered to the
                            intermediate handler or destination facility
                            during the reporting period. If you did not
                            deliver waste in one of the categories enter
                            "0" for that category. Right justify each entry
                            (e.g., 2000 pounds).                   .  .

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 :7246      Federal Register / Vol. 55, No. 127 /Monday. July 2, 1990 /Rules and Regulations
Appendix IV to 40 CFR Part 25*—
Recommended Medical Waste
Transporter Notification Form and
Instructions
BILLWQ CQGEC5CO-50-M

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                 Federal Register / Vol. 55, No. 127 / Monday. July 2.1990 / Rules and Reflations
                                                                                  27247
United States
Environmental Protection
Agency


Medical WasteTransporter
Notification Form
  FOR OFFICIAL EPA USE ONLY

  identification No.:    I    I    I

  Date Received:      _

  Receiving Official:
                                                      (Please Type or Print Cteartvt
  1. Covered State for which you are notifying
  2, Transporter Name and Mailing Address
  Name
  Adaress
 City
                                    Slaw
                                                      Zip Coae
 Contact
                                  Area Code-Teiepnone Number
                   3. EPA Hazardous Waste ID Number



                   II    I    I    M    I     II   .L-LU
 .A. Transporter's Facility Location(s)
fuse additional stieets if necessary)
 Address
 City.
                                    State
                                                      Zip COM
 Area Code/ Telephone Number
 Any current State Identification numCer(s) /permit or license) retired to handle
 medical or infectious waste
                                                              "f-
                                                                    Address
                                                                   City
                                                                                                      State
                                                                                                                        Zip Code
                                                                   Area Code Telephone Number
                  Any current State identification numb»r(s) (permit or license) required » handle
                  medical or infectious waste
 Address
                                                                   Address
 City
                                    State
                                                     Zip Cod*
                                                                   City
                                                                                                      State
                                                                                                                       Zip Code
 Area Code/ Telephone Number
                                                                   Area Code/ Telephone Number
 Any current State Identification numbers) (permit or license) required to handle
 medical tx infectious waste
                  Any current State Identification number(s) (permit or license) required totandle
                  medical or infectious waste
 Address
                                                                   Address
 City
                                    State
                                                     Zip Code
                                                                   City
                                                                                                      State
                                                                                                                       Zip Code
 Area Code/ Telephone Number
                                                                   Area Code/ Telephone Number
 Any current State Identification numbers) (permit or license) required to handle
 medical or infectious waste
                  Any current State Identification numbers) (permit or licunse) required to handle
                  medical or infectious waste
 5. Certification

 I certify, under penalty of criminal or civil prosecution for making or.submission of false statements, representations or omissions, that I have read
 understand, and will comply with the regulations at 40 CFB Part 259. issued under authority of Subtitle J of the Resource Conservation and Recovery
                     Signature
                                                                   Titte
                                                                                                          Date

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 27248	Federal Register  / Vol.  55. No. 127/ Monday. July 2. 1990  /  Rules and Regulations
Instructions for Completing the Medical
 Waste Transporter Notification Form
Genera! Information
  Authority. This information is required by
the EPA under authority of Sections 11003
nnd 11004 of the Resources Conservation and
Recovery Act
  Who Must Notify: Transporters that
transport regulated medical waste that is
generated in a Covered State must notify the
U.S. Environmental Protection Agency for
each Covered State's regulated medical
waste they intend to transport This
requirement extends to transporters that do
'not actually transport the waste within that
Covered State's boundaries but that transport
the waste, generated in the Covered State,
outside that Covered State's boundaries.
  Transporters planning such activity may
cither complete a Notification Form or submit
a letter containing the information required in
40 CFR 259.72(b). EPA will then issue a
Medical Waste Identification Number unique
to that transporter for each Covered State for
which they are notifying. That number will be
used to Identify regulated medical waste
transporters and can be used by generators
to verify that the transporter has notified EPA
of its intent to transport waste from their
Covered State.
  When to Notify: Notification must be
submitted for a Covered State before the
transporter may accept regulated medical
waste generated in that Covered State.
Transporters may, however, accept such
waste once they have submitted their
notification, but before receiving their
identification number. Upon receipt of that
number, the transporter must enter it in Box 5
 of the Medical Waste Tracking Form, when
 that form it required. Additionally, the
transporter must enter that number in Box 17
of the Tracking Form when acting as a
secondary transporter, and in Box 1 when
initiating a tracking form for load
consolidation purposes.
  Where to Send Notification: Two copies of
the completed Notification Form, for each
Covered State, must be sent to: Chief, Waste
Characterization Branch, Environmental
Protection Agency (OS-332), 401M Street.
SW.. Washington, DC 20460.
  One copy must also be sent to the Director
of the waste management agency in the State
for which the transporter is notifying. State
agency addresses are listed below:
Connecticut—Director, Solid Waste
    Management Unit, CT Department of
    Environmental Protection, State Office
    Building, 165 Capitol Avenue, Hartford,
    CT06106.
New Jersey—Medical Waste Group, Division
    of Solid Waste Management N] Dept. of
    Environmental Protection, 401E. State
    Street, CN-414, Trenton, NJ 08625.
New York—Chief of Waste Transportation
    Permit Section, New York State
    Department of Environmental
    Conservation, 50 Wolf Road, Albany, NY
    12233-7250.
Rhode Island—Assistant to the Director, RI
    Department of Environmental
    Management 9 Hayes Street Providence,
    RI 02908-5003.
Puerto Rico—Director, Land Pollution Control
    Area, Environmental Quality Board, P.O.
    Box 11488, Santurce, Puerto Rico 00910-
    1488.
Notification Form Instructions
  Note: All information must be typed or
printed clearly.
  Box 1. Covered Stale for which you are
notifying. Enter the name of the Covered
State of origin of the regulated medical
waste(s) you intend to collect and/or
transport. Enter only one State in this space;
if you intend to transport waste from more
than one Covered State you must submit a
separate Notification Form for each of those
States.
  Box 2. Transporter Name and Mailing
Address. Enter your organization's name,
mailing address, the name of contact person
at that location who is knowledgeable about
your operations, and include that person's "
telephone number.
  Box 3. EPA Hazardous Waste
Identification Numbers.  If the facility
identified in Box 2 has an EPA Hazardous
Waste Identification Number, enter the EPA-
assigned 12-character hazardous waste
identification number for the facility.
  Box 4. Transporter's Facility Location(s).
Enter the address, facility telephone number
end any current State medical or infectious
waste permit or license numbers for each
transportation or transfer facility located
within the Covered State identified in Box 1.
If there are more than four such facilities in
. that Covered State you will need to use  an
additional sheet(s) to provide the required
facility information; attached the additional
sheets to the first.
  Box 5. Certification. The Certification
Statement must be read  and hand signed by a
corporate officer or the owner/operator of the
transporter company.
[FR Doc. 90-15194 Filed 6-29-90; 8:45 amj
BILLING CODE 6560-50-M

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