-------
r SEJ tncare Violation
-------
ion02
•oilers/.
edJCEJ
htm)
-> Air Conditioning/RefrigerEitior
ritcpV/yvvvvv.epELgoy/rsgiorjr
-> Asbestc
.gov/asbestos
mergency Generators
Waste Incinerators
http://www.epa.gov/ttn/atw/129/hmiwi/rihmiwi.htm
Other (e.g., degreasers, ETO sterilizers, spray
booths)
Region 2 Healthcare Compliance
Initiative
-------
Air Cornpliar.
-> Failure to use properly trained and accredited
asbestos personnel, •
notify EPA of asbestos remove'
and keep required
m/recordkeeping.
•e to properly dispose of asbestos debris.
•e to close lids on parts washers when not
-» FajJure cc
project
rlnrurrialilBlilg
-» Faiiu
Failure to properly handle CFCs and records.
Failure to include ETO sterilizer, spray paint
booth, and parts degreaser in air permit.
Region 2 Healthcare Compliance
Initiative
-------
SEJ
j j x^ >_>j
-------
07
"(A) a
or.
rrp-
stores/ treats/ iranspq
otherwise haric
waste;
entry: ...Any person who generates,
ts, disposes of, or
. . las handled hazardous
.on request of any officer,
ie or representative of the environmental
protection agency...Or...Of a state having an
authorized hazardous waste program, furnish
information relating to such wastes and permit
such person at all reasonable times to have
access to, and to copy all records relating to
SUCh WaSteS." ^^Hem^c™****
-------
ion Authorit
27 (
es or representatives
ameers, em p.
are authorized
enter at reasonable times any
nt or other place where hazardous
: or have been generated, stored,
.ed, disposed of, or transported from;
(2) to inspect and obtain samples from any
person of any such wastes and samples of any
containers or labeling for such wastes."
Region 2 Healthcare Compliance
Initiative
-------
on
rpr
Tea
ude one or two
rs...or may be as big as 4-6 for a
:ility (or more for a "multi-media
• "Credentials" will be presented by the
inspector upon entry/introduction. (Note
that they must remain in the inspector's
possession and may not be photocopied.)
Region 2 Healthcare Compliance
Initiative
-------
ction
f X~^l ^B
(Com
are
-> Review or storac
_**
areas/ waste-genera
docks/ dump
ie accurnuJ
:mg activities, loading
, material/product storage, etc
je the areas that you consider HW
others you may not think of as such.
Review of paperwork (manifests, waste ID,
training records, MSDS forms, etc.).
Close-out briefing.
Region 2 Healthcare Compliance
Initiative
-------
RCR
J _ "--^.X J •—/
(If There Are Viols
~> enforce
site,
-> Follow-
nt decisions are not made on-
Enforcer
3 request for information (RCRA
) is common.
lent may include:
V-
** Administrative complaint - with
penalty (up to $32,500/day).
Region 2 Healthcare Compliance
Initiative
-------
rce
-> Enforcement, ir n
-Civil jur
cessary, may include:
icial referral to DOJ
^•^•^H
order for imminent/substantial
endangerment.
Referral to another EPA/state program
Criminal referral.
Region 2 Healthcare Compliance
Initiative
-------
Hazardous vva
the r
Waste i
ital in both expected and unexpected areas.
lentification and knowledge of hazardous waste
nents is important in all areas of the hospital.
3ll technicians in waste determination/management.
Explain waste management procedures to all personnel who may
generate hazardous waste.
Ensure that all technicians and generators know who to call for
assistance and further information.
Region 2 Healthcare Compliance
Initiative
-------
OCllfJ
scussor
new
procedures; itwil
inspections and help in training
and failure to document the
termination may be a violation of
professional societies.
Region 2 Healthcare Compliance
Initiative
-------
RCRA Comment
onunuec.
-> Hospitals are responsible not only for the acti
r* II i I i . r" f I i | I
performed oy crieir
respon
contra
time on-sj
part
pr
tors/consultants, whether they are full-
i-site contractors, managing wastes as
f equipment maintenance contracts, or
ically hired for waste management
, jvities.
Always anticipate an inspection by regulators ~
perform self-audits, keep records organized and
accessible, and ensure that good operating
procedures are not just implemented, but also
maintained.
Region 2 Healthcare Compliance
Initiative
-------
aste (40 CFR Parts 2
ionO
ra cones
Dental Clinic
X-rays Units
Nucleai
Medicine Areas
macy
• Maintenance Areas
• Physical therapy
• Underground Storage
Tanks
htm)
aundry
Morgue
Operating Rooms
Nursing Units
Hazardous Waste Storage
Areas
Medical Technology Unit
Construction Areas
Region 2 Healthcare Compliance
Initiative
-------
r^ xJ I ' I •" J IJ ' J III
-> Did ins facility ids.
waste?
-> How
zardous waste does the
generate on a monthly basis?
.s the facility properly managing and
disposing of its hazardous waste?
Is the facility storing hazardous materials
safely?
Region 2 Healthcare Compliance
Initiative
-------
-> Ars hospital staff
hazardous waste
-> Is the ho
management;
repared for emergencies?
^^^1 ^^^^H
j hos
ospital have required records?
ie hospital's underground storage
tanks have the required corrosion, spill
and overfill protection or were closed
properly'' mmammmmmmmmmmm
Region 2 Healthcare Compliance
Initiative
-------
veer
J •*- _r-J ^ _r-J J K'J
ons
muianon areas
f HW
er labeling of HW containers
itainers of HW
Correct HW manifests
Improper disposal of HW (e.g., throw
fluorescent light bulbs and paints in trash,
lab chemicals down drain)
Region 2 Healthcare Compliance
Initiative
-------
management training o
-> LclCK Of rJ
employ
-> Treating
W without a permit
k of RCRA contingency plan
T control equipment not readily
accessible
Failure to make HW determinations
Region 2 Healthcare Compliance
Initiative
-------
meets Lan
Disn
estrictions
upgrade/close underground
canks (USTs) by 12/22/98
Malfunctioning leak detection systems on
USTs
Region 2 Healthcare Compliance
Initiative
-------
aste
onm
ornpl
-> Hazardous Wast
-> Used 01J
Uric]
ind Universal Waste Generators
-
. ste Treatment, Storage, and
Facilities
• Facilities Regulated under Subtitle D of RCRA
www.epa.gov/compliance/incentives/auditing/protocol.html
Region 2 Healthcare Compliance
Initiative
-------
-» Understanding t
andbook fo
ules: A
nail Businesses
epa.gov/region02/waste/public/sqg_pdf.pdf
/aste Requirements for Large
ntity Generators
ww.epa.gov/region02/waste/public/lqgpdf.pdf
EPA's Office of Underground Storage Tanks
http://www.epa.gov/swerustl/index.htm
Region 2 Healthcare Compliance
Initiative
-------
-------
ions (40 CFR Parts 100-13
Waste water DischarcjS
NPDES: htrpV/y
PretreEitrnerit; beep:/
UIC; httpV/vvvvvv.ep
.gov/npdes
cfpub.epa.gov/npdes/home.cfm?program_id=3
.gov/ogwdw/uic.html
-» Storm vv£ji
:r Discharges
j.gov/npdes/home.cfm?program_id=6
il above ground and underground tanks
tp://www.epa.gov/oilspill/index.htm
ther (e.g. filtration plants)
Region 2 Healthcare Compliance
Initiative
-------
Water Compliance
No permit fo
wastewater discharges
I with permit conditions
idequate secondary containment of
ge tanks/containers
o SPCC plan
Floor drains
Not compJyin
No/in
Region 2 Healthcare Compliance
Initiative
-------
Healthcare C
j j ~^** >_>j j ^tj j -^* >_>j j -«^> ^_^ j
-------
erne
ww.epa.
Know (4
WWW
Planning and Commu,
FR 302, 355, 370, 372)
fswercepp/crtk. html
s (40 CFR 150-189)
v/pesticides/
ca.htm)
ight to
PCBs (40 CFR Part 761)
//www.epa.gov/opptintr/pcb/
iv/compliance/incentives/auditing/protocol.html
Region 2 Healthcare Compliance
Initiative
-------
SEJ
J J X^*! >_>J
*^
ions
-------
r ea tnccirs EPC
J J N^ ^J J ^| J J N^rfl ^>J J -_*( 1 J X_^ J
T ^^P"
D anon
Breakout of EPCRA Violations from Hospital Disclosures
MSDS
38%
Chemical
Inventory
62%
Emergency
Planning
0%
Region 2 Healthcare Compliance
Initiative
-------
talM
CJ'O
is a set of management processes am
1 ires that allows an organization to
e environmental considerations into
Jay decisions and practices. It provides
mework for managing environmental
procedures mat aJ
Integra
dciy-to-cia
ipori:
• EPA Region 2's EMS Website
http://www.epa.gov/region02/ems
Region 2 Healthcare Compliance
Initiative
-------
1^^™" — I
I ^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^H ^^^r
Environment^
^^-^
r
^^^^
r
\
oluntary Audi
J AunJT AcirB:
j \ _j j _j j A —-1 j -»_^
ments
Region 2's Auditing Website
""" vw.epa.gov/region02/capp/cip
Region 2 Healthcare Compliance
Initiative
-------
W^^W^^H
on
yen
-> Hospitals for Ei Healthy Envlronm
lki 6-orilln6.org
-> Enviro
i.gov/opptintr/epp
Region 2's P2 Healthcare Website
' ww.epa.gov/region02/p2/health.htm
....nental Self-Assessment for Health Care
Facilities - NY Dept of Environmental Protection
http://www.dec.state.ny.us/website/ppu/esahcf.pdf
Region 2 Healthcare Compliance
Initiative
-------
Understanding the
Hazardous Waste
Rules
Guidance for Hospital
Environmental Health &
Safety Professionals
Hospital Compliance Initiative
RCRA Requirements
-------
Introduction
What is hazardous waste?
Typical healthcare hazardous wastes
Requirements for CE-small quantity generators
Requirements for small quantity generators
Hospital Compliance Initiative
RCRA Requirements
-------
Introduction
Summary of additional requirements for large quantity
generators
Treatment, storage, and disposal facilities
Universal waste requirements
Description of a hazardous waste inspection
Contact information
Hospital Compliance Initiative
RCRA Requirements
-------
What Is RCRA?
Resource Conservation and Recovery Act
RCRA's goals:
- Protect human health and the environment from the hazards
posed by waste disposal
- Conserve energy and natural resources through waste
recycling and recovery
- Reduce or eliminate the amount of waste generated, including
hazardous waste
- Ensure that wastes are managed in an environmentally safe
manner
Hospital Compliance Initiative
RCRA Requirements
-------
What Is RCRA?
RCRA Subtitle C - hazardous waste
management program
- Safe management of hazardous waste from
generation to disposal
RCRA Subtitle D - solid waste management
RCRA Subtitle I - underground storage tanks
Hospital Compliance Initiative
RCRA Requirements
-------
What Is RCRA?
RCRA Hazardous Waste
Regulations, 40 CFR
Hospital Compliance Initiative
RCRA Requirements
-------
What Is RCRA?
Part 260 - Hazardous Waste Management
System: General
Part 261 - Identification and Listing of
Hazardous Waste
Part 262 - Standards Applicable to Generators
of Hazardous Waste
Part 263 - Standards Applicable to
Transporters of Hazardous Waste
Hospital Compliance Initiative
RCRA Requirements
-------
What Is RCRA?
Part 264 - Standards for Owners and
Operators of Hazardous Waste Treatment,
Storage, and Disposal Facilities
Part 265 - Interim Status Standards for Owners
and Operators of Hazardous Waste Treatment,
Storage, and Disposal Facilities
Part 266 - Standards for the Management of
Specific Hazardous Wastes and Specific Types
of Hazardous Waste Management Facilities
Hospital Compliance Initiative
RCRA Requirements
-------
What Is RCRA?
Part 268 - Land Disposal Restrictions
Part 270 - EPA Administered Permit Programs:
The Hazardous Waste Permit Program
Part 271 - Requirements for Authorization of
State Hazardous Waste Programs
Part 272 - Approved State Hazardous Waste
Management Programs
Hospital Compliance Initiative
RCRA Requirements
-------
What Is RCRA?
Part 273 - Standards for Universal Waste
Management
Part 279 - Standards for the Management of
Used Oil
Part 280 - Technical Standards and Corrective
Action Requirements for Owners and
Operators of Underground Storage Tanks
(UST)
Hospital Compliance Initiative
RCRA Requirements
-------
What Is RCRA?
Part 281 - Approval of State Underground
Storage Tank Programs
Part 282 - Approved Underground Storage
Tank Programs
Hospital Compliance Initiative
RCRA Requirements
-------
What Is Hazardous Waste?
First determine if it is a solid waste
Solid Waste: Any discarded solid, liquid, or contained
gaseous material that is:
Hospital Compliance Initiative
RCRA Requirements
-------
What Is Hazardous Waste?
Abandoned
Disposed of
Burned
Incinerated
Recycled
Inherently waste-like
-40CFRPart261.2(d)
Hospital Compliance Initiative
RCRA Requirements
-------
What Is Hazardous Waste?
Is material abandoned
or inherently
"waste-like" (solid
waste)?
Yes
the definition of solid or
hazardous waste?
No
No
No
characteristic
hazardous waste?
Yes
MATERIAL IS NOf
SUBJECT TO
HAZARDOUS WAST
REGULATIONS
RE3LLAT1CNS
-------
What Is Hazardous Waste?
Is waste recycled by being:
1) Used as an ingredient;
2) Used as a product substitute;
3) Returned to the production process?
No
WASTE IS A SOLID
WAST"3
Js recycled waste:
1) Used in a manner constituting disposal;
2) Burned for energy recovery, used to produce a
fuel, or contained in fuels;
3) Accumulated speculatively; or
4) A dioxin-containing waste considered inherently
waste-like?
No
-------
What Is Hazardous Waste?
If it is a solid waste, then is it a hazardous waste (40
CFR Part 261)?
Hospital Compliance Initiative
RCRA Requirements
-------
What Is Hazardous Waste?
Characteristic hazardous wastes ("D" wastes)
- Ignitable (i.e., burns readily): D001
- Corrosive: D002
- Reactive (e.g., explosive): D003
- Toxic (D004 to 43)
Listed hazardous wastes appear on one of four
lists (currently, more than 400 wastes)
Hospital Compliance Initiative
RCRA Requirements
-------
What Is Hazardous Waste?
Listed sources ("F" and "K" wastes)
Listed chemicals ("P" and "U" wastes)
Note: many exemptions
Hospital Compliance Initiative
RCRA Requirements
-------
What Is Hazardous Waste?
A simple way to remember waste codes
FKD UP
Hospital Compliance Initiative
RCRA Requirements
-------
Typical Hospital Hazardous Waste
Mercury and mercury-containing items
Includes whole items and spill residues
Photographic/X-Ray fixer solutions
Silver recovered from fixer, if not recycled
Hospital Compliance Initiative
RCRA Requirements
-------
Typical Hospital Hazardous Waste
X-Ray Film containing silver or other metals
Ethanol and formaldehyde/ethanol solutions
Spent, off-spec, or excess laboratory
chemicals (solvents, acids, bases, etc.)
Chemotherapy drugs
Hospital Compliance Initiative
RCRA Requirements
-------
Typical Hospital Hazardous Waste
(Continued)
Waste, excess, and off-spec paints and
cleaning products
Fluorescent light bulbs, if not managed as
Universal Wastes
Other types include high-intensity discharge
(HID), neon, mercury vapor, high pressure
sodium, and metal halide lamps
Batteries, if not managed as Universal Wastes
Hospital Compliance Initiative
RCRA Requirements
-------
Typical Hospital Hazardous Waste
(Continued)
Computers/monitors, circuit boards, and other
lead-bearing electronics
Includes all cathode ray tube (CRT) screens
Compressed gases (generally, any that are
ignitable)
Waste pesticides, fungicides, etc.
Hospital Compliance Initiative
RCRA Requirements
-------
Specific Hospital Hazardous
Wastes
Cerrobend
X-ray shielding putty used to protect patients
from damage to adjacent healthy tissue during
irradiation of tumors and other confined areas
Contains Lead and Cadmium
Discarded material and shavings can be
characteristic toxic HW when disposed
Hospital Compliance Initiative
RCRA Requirements
-------
Specific Hospital Hazardous
Wastes (Continued)
Chemotherapy Drugs
Several chemotherapy drugs (antineoplastics)
are listed in 40 CFR 261.33(f) (U-listed HW)
Listing includes: discarded commercial
chemical products, off-specification species,
container residues, and spill residues
Hospital Compliance Initiative
RCRA Requirements
-------
Specific Hospital Hazardous
Wastes (Continued)
Some Examples:
- chlorambucil (U035)
- cyclophosphamide (U058)
- daunomycin (U059)
- melphalan (U150)
- mitomycin C (U010)
- streptozotocin (U206)
- uracil mustard (U237)
Hospital Compliance Initiative
RCRA Requirements
-------
Specific Hospital Hazardous
Wastes (Continued)
Mercury Containing Devices & Products
In Patient Rooms
Temperature Measurement
Blood Pressure
Nursing Incubators
Room Temperature Controllers
Batteries
Hospital Compliance Initiative
RCRA Requirements
-------
Specific Hospital Hazardous
Wastes (Continued)
Mercury Containing Devices & Products
In Storage & Maintenance Rooms
Antifouling agents
Cleaning Chemicals
Degreasers
Hospital Compliance Initiative
RCRA Requirements
-------
Specific Hospital Hazardous
Wastes (Continued)
Mercury Containing Devices & Products
In Storage & Maintenance Rooms
Preservatives
Solvents
Outdated mercury-containing equipment
Paints
Hospital Compliance Initiative
RCRA Requirements
-------
Specific Hospital Hazardous
Wastes (Continued)
Mercury Containing Devices & Products
In Treatment & Surgery Rooms
Merthiolate
Mercury Nitrate
Mercury Iodide
Mercurochrome
Thimerosal
Hospital Compliance Initiative
RCRA Requirements
-------
Specific Hospital Hazardous
Wastes (Continued)
Mercury Containing Devices & Products
In Treatment & Surgery Rooms
Esophageal Dilators
Cantor Tubes
Miller Abbot Tubes
Feeding Tubes
Dental Amalgam
Hospital Compliance Initiative
RCRA Requirements
-------
Specific Hospital Hazardous
Wastes (Continued)
Sodium Azide-P105
Also found in Enterococcus agars
Listed in 40 CFR 261.33(e) (P-listed HW)
Listing includes: discarded commercial
chemical products, off-specification species,
container residues, and spill residues
Hospital Compliance Initiative
RCRA Requirements
-------
Typical Laboratory Hazardous
Wastes
Which are
hazardous?
-------
Requirements for CE-small
Quantity Generators
You are considered a CE-SQG if you generate
no more than 220 Ibs (100 kg) of hazardous
waste and no more than 2.2 Ibs (1 kg) of
acutely hazardous waste in a calendar month.
You are exempt from hazardous waste
management regulations provided that you
comply with the basic requirements.
Hospital Compliance Initiative
RCRA Requirements
-------
Requirements for CE-small
Quantity Generators
NOTE: Your building/clinic may be part of a larger
facility and subject to regulations based on total
hazardous waste generation.
Hospital Compliance Initiative
RCRA Requirements
-------
Requirements for CE-SQG
Basic Requirements
Identify your hazardous waste
Comply with storage quantity limits
No more than 220-lbs (100-kg)
Ensure proper treatment and disposal of your
waste
Hospital Compliance Initiative
RCRA Requirements
-------
Requirements for CE-SQG
Basic Requirements (Continued)
Ensure proper treatment and disposal of your
waste
Good housekeeping
Minor mercury or lab chemical spills cleaned
immediately
Containers with volatile wastes kept closed
Hospital Compliance Initiative
RCRA Requirements
-------
Requirements for CE-SQG
Basic Requirements (Continued)
Deliver your hazardous waste to:
- A state or federally regulated hazardous waste
management treatment, storage, or disposal facility
- A facility permitted, licensed, or registered by a state
to manage municipal or industrial solid waste
(potential liabilities)
- A facility that uses, reuses, or legitimately recycles
the waste (or treats the waste prior to use, reuse, or
recycling)
Hospital Compliance Initiative
RCRA Requirements
-------
Requirements for CE-SQG
Otherwise the facility is fully subject to
regulation as a SQG
Hospital Compliance Initiative
RCRA Requirements
-------
Disposal Down the Drain
Beware of septic system hook-ups and floor drains.
Any hazardous waste disposed down the drain could
be both a RCRA and SDWA (UIC) violation.
Do not dispose of chemicals in sinks without prior
approval from your publicly owned treatment works
(POTW).
Hospital Compliance Initiative
RCRA Requirements
-------
Disposal Down the Drain
Be wary of RCRA hazardous wastes that may not
reach treatment plants (e.g., volatilization or pipe
leaks).
Hospital Compliance Initiative
RCRA Requirements
-------
Satellite Accumulation
Only permitted at or near point of generation
Label container with:
- "Hazardous Waste"
- Contents
Keep containers sealed
Keep in good condition
Store no more than 3 days in excess of 55 gal
or 1 qt for acutely hazardous waste
Hospital Compliance Initiative
RCRA Requirements
-------
Requirements for
Small Quantity Generators
If your facility generates between 220 Ibs (100
kg) and 2,200 Ibs (1,000 kg) of hazardous
waste and no more than 2.2 Ibs (1 kg) of
acutely hazardous waste in a calendar month,
you are a SQG.
Hospital Compliance Initiative
RCRA Requirements
-------
Requirements for SQGs
Obtain and use an EPA Identification Number
Correctly manage hazardous waste on site
Correctly manifest and ship waste off site
Hospital Compliance Initiative
RCRA Requirements
-------
Requirements for SQGs:
Obtaining an EPA ID Number
EPA and states use these 12-character numbers
to monitor and track waste activities
You will need the number when you send waste
off site to be managed
EPA ID numbers can be obtained from EPA
Region 2 offices: call (212) 637-4106
NJ also requires numbers for certain CE-SQGs
Hospital Compliance Initiative
RCRA Requirements
-------
Requirements for SQGs:
Correctly Manage HW on Site
Meet hazardous waste accumulation and
storage requirements
Ensure that hazardous waste meets the Land
Disposal Restrictions (LDR)
Minimize risks from fires, spills, and other
releases
Be prepared for emergencies
Hospital Compliance Initiative
RCRA Requirements
-------
Requirements for SQGs:
Correctly Manage HW on Site
Label each container with:
- "Hazardous Waste"
- Specific description of contents
- Date the waste was generated (also see
satellite accumulation.)
Hospital Compliance Initiative
RCRA Requirements
-------
Requirements for SQGs:
Correctly Manage HW on Site
Keep containers sealed, except when adding
or removing waste, and secured from failure
Weekly inspections with log book entries
Maintain in good condition
Store waste no more than 180 days (270
days if TSDF is more than 200 miles away)
Accumulate no more than 13,228-lbs (6,000-
kg)
Hospital Compliance Initiative
RCRA Requirements
-------
Requirements for SQGs:
Correctly Manage HW on Site
Ensure that hazardous waste meets the Land
Disposal Restrictions (LDR) requirements
Normally treated by the designated Treatment,
Storage, & Disposal Facility (TSDF)
Send the receiving TSDF a completed LDR
form
Meet the LDR requirements if treating on site
Hospital Compliance Initiative
RCRA Requirements
-------
Requirements for SQGs:
Correctly Manage HW on Site
Minimize risks from fires, spills, and other
releases
Ensure that all employees are thoroughly
familiar with proper waste handling and
emergency procedures
Internal communications or alarm system
Voice is OK for small facilities
Hospital Compliance Initiative
RCRA Requirements
-------
Requirements for SQGs:
Correctly Manage HW on Site
Telephone at the site for calling emergency
assistance
Have available and maintain:
- Fire extinguishers
- Spill control material
- Decontamination supplies
Hospital Compliance Initiative
RCRA Requirements
-------
Requirements for SQGs:
Correctly Manage HW on Site
Adequate water for fire fighting
Sufficient aisle space for emergencies
Advance emergency arrangements with:
- Fire department
- Police department
- Emergency response teams
- Equipment suppliers & emergency contractors (often
handled by transporter/TSDF)
- Hospitals
Hospital Compliance Initiative
RCRA Requirements
-------
Requirements for SQGs:
Correctly Manage HW on Site
Be prepared for emergencies
Designate an Emergency Coordinator
Must be on call or on the premises at all times
to coordinate all emergency response
measures
Post emergency information next to the phone
Name, office and home phone numbers, and
address of the emergency coordinator
Hospital Compliance Initiative
RCRA Requirements
-------
Requirements for SQGs:
Correctly Manage HW on Site
Location of emergency equipment
Fire extinguishers
Fire alarms
Spill control materials
Phone numbers of the fire department
Hospital Compliance Initiative
RCRA Requirements
-------
Requirements for SQGs:
Correctly Manifest and Ship Waste
Select a TSDF and transporter
Ensure that they have necessary permits
Ensure that hazardous waste shipments are
properly packaged, labeled, marked, and
placarded to DOT regulations (usually done by
transporter)
Hospital Compliance Initiative
RCRA Requirements
-------
Requirements for SQGs:
Correctly Manifest and Ship Waste
Prepare hazardous waste manifest correctly
Keep all copies for at least 3 years
Track signed TSDF copies
Send copies where required on form
Hospital Compliance Initiative
RCRA Requirements
-------
Summary of Additional Requirements
for LQG (Beyond SQG Requirements)
If you are a Large Quantity Generator (LQG),
i.e., generating more than 2,200 Ibs (1,000 kg)
of hazardous waste or more than 2.2 Ibs (1 kg)
of acutely hazardous waste in a calendar
month, you must comply with the full set of
hazardous waste regulations.
Hospital Compliance Initiative
RCRA Requirements
-------
Summary of Additional
Requirements for LQG (Cont.)
May accumulate any amount of hazardous waste for
90 days or less, without a permit, provided that you:
Meet the technical standards for the storage unit.
Accumulate hazardous waste under the satellite
accumulation requirements without a permit.
Prepare a written contingency plan.
Train employees on hazardous waste management
and emergency response:
Meet documentation requirements.
Hospital Compliance Initiative
RCRA Requirements
-------
Summary of Additional
Requirements for LQG (Cont.)
Submit a Biennial Report to your EPA
Regional Office (annual in NY State). Reports
submitted for off-site shipping must include:
- Your EPA identification number;
- Transporter and permitted TSD facility information;
- Description and quantity of waste;
- Actions taken to reduce the volume and toxicity of
the waste, and the results of those actions.
Hospital Compliance Initiative
RCRA Requirements
-------
Summary of Requirements for
Treatment, Storage, And/or
Disposal Facilities (TSDF)
Treatment: Any method, technique, or process designed to
change the physical, chemical, or biological character or
composition of any hazardous waste.
Storage: Holding hazardous waste for a temporary period, at the
end of which the hazardous waste is treated, disposed, or stored
elsewhere.
Disposal: The discharge, deposit, injection, dumping, spilling,
leaking, or placing of any solid or hazardous waste on or in the
land or water. A disposal facility is any site where hazardous
waste is intentionally placed and at which the waste will remain
after closure.
Hospital Compliance Initiative
RCRA Requirements
-------
Summary of Requirements for
TSDFs
Must have a permit from EPA or an
authorized state
Must have technical capability and
capacity to handle the waste
Hospital Compliance Initiative
RCRA Requirements
-------
Summary of Requirements for
TSDFs
Must meet financial requirements (e.g.,
insurance)
Must have a closure plan
Must meet more stringent operating and
training requirements
Hospital Compliance Initiative
RCRA Requirements
-------
Finding Compliance Information
To find out what listings EPA has for your
facility, or to look up your TSD:
Envirofacts: http://www.epa.gov/enviro/
Enforcement & Compliance History Online:
http://www.epa.gov/echo/
To find P2 ideas and other references:
http://www.epa.gov/Region2/p2/health.htm
Hospital Compliance Initiative
RCRA Requirements
-------
Universal Waste
Final Rule published in May 1995
Details are located at 40 CFR Part 273
The rule is optional for states because it is less
stringent than existing regulations, but is in
effect in all of Region 2 (NJ, NY, PR & VI)
Hospital Compliance Initiative
RCRA Requirements
-------
Universal Waste
Before shipping across state lines, note:
Universal Waste Rule may be used only if
adopted by receiving state
Hazardous waste requirements apply if not
adopted in receiving state
Hospital Compliance Initiative
RCRA Requirements
-------
Universal Waste (Cont.)
Defines streamlined management regulations
for "widely generated wastes"
Hazardous waste batteries
Hazardous waste pesticides that are recalled
or sent to a collection program
Mercury-containing thermostats
Spent fluorescent lamps and other hazardous
lamps (with mercury, and some lead)
Hospital Compliance Initiative
RCRA Requirements
-------
Universal Waste (Cont.)
Lessens regulatory burden on collection
programs
Eliminates concern for retailers that
wastes may have been generated by
RCRA-regulated generator
Hospital Compliance Initiative
RCRA Requirements
-------
Universal Waste (Cont.)
Ensures that waste goes to proper
treatment, recycling, or disposal facility
Has labeling and storage requirements,
but less stringent than for hazardous
waste
Hospital Compliance Initiative
RCRA Requirements
-------
Universal Waste (Cont.)
Small Quantity Handler of Universal Waste
- Accumulates less than 5,000kg (2,270 Ib)
Large Quantity Handler of Universal Waste
- Accumulates 5,000kg or more (2,270 Ib)
Hospital Compliance Initiative
RCRA Requirements
-------
Universal Waste (Cont.)
Notify EPA, if no hazardous waste ID already
obtained
Universal Waste Transporter
Must meet DOT requirements
Destination Facility
Must meet all requirements that would
otherwise apply
Hospital Compliance Initiative
RCRA Requirements
-------
RCRA Inspection Authority
42 USC Section 6927 (SWDA 3007
"(a) Access entry: ...any person who generates,
stores, treats, transports, disposes of, or otherwise
handles or has handled hazardous wastes shall, upon
request of any officer, employee or representative of
the Environmental Protection Agency...or...of a State
having an authorized hazardous waste program,
furnish information relating to such wastes and permit
such person at all reasonable times to have access to,
and to copy all records relating to such wastes."
Hospital Compliance Initiative
RCRA Requirements
-------
RCRA Inspection Authority
42 USC Sec. 6927 (SWDA 3007)
(Continued)
"...such officers, employees or representatives are
authorized -
(1) to enter at reasonable times any establishment or
other place where hazardous wastes are or have been
generated, stored, treated, disposed of, or transported
from;
(2) to inspect and obtain samples from any person of
any such wastes and samples of any containers or
labeling for such wastes."
Hospital Compliance Initiative
RCRA Requirements
-------
RCRA Inspection Basics
RCRA inspections are unannounced in nearly
all cases
Team may include one or two inspectors...or
may be as big as 4-6 for a large facility (or
more for a "multi-media inspection.")
"Credentials" will be presented by the inspector
upon entry/introduction. (Note that they must
remain in the inspector's possession and may
not be photocopied.)
Hospital Compliance Initiative
RCRA Requirements
-------
RCRA Inspection Basics
(Continued)
Inbriefing - introductions, explanation of procedures,
schedule for the day(s).
Review of storage areas, satellite accumulation areas,
waste-generating activities, loading docks, dumpsters,
material/product storage, etc.
Will include the areas that you consider HW areas and
others you may not think of as such.
Review of paperwork (manifests, waste ID, training
records, MSDS forms, etc.).
Hospital Compliance Initiative
RCRA Requirements
-------
RCRA Inspection Basics
(Continued)
Outbriefing - preliminary findings, planned
follow-up.
Follow-up through phone calls or "information
request letters" is common.
Feel free to ask questions throughout the
process.
Hospital Compliance Initiative
RCRA Requirements
-------
RCRA Enforcement
(If There Are Violations...)
**
Enforcement decisions are not made on-site.
Enforcement, if necessary, may include:
NOV - w/o penalty (may precede one of
the following and/or may accompany an
information request letter).
Administrative Complaint (Admin. Order)
w/penalty.
**
Hospital Compliance Initiative
RCRA Requirements
-------
RCRA Enforcement
(If There Are Violations...)
Enforcement, if necessary, may include:
- Civil Judicial Referral to DOJ.
- 7003 Order for imminent/substantial
endangerment.
- Referral to another EPA/state program
- Criminal referral.
Hospital Compliance Initiative
RCRA Requirements
-------
Closing Comments
Most small to mid-sized hospitals should be
operating as at least SQGs. However, the
proper category can only be confirmed through
a full chemical and waste inventory from cradle
to grave.
Waste identification is important for all areas of
the hospital — train all technicians in waste
determination and satellite storage.
Hospital Compliance Initiative
RCRA Requirements
-------
Closing Comments
Use the Universal Waste Rule, where
applicable.
Check web pages and ask questions of
regulatory agencies, trade groups, and
professional societies.
Always anticipate inspections - perform
self-audits, and keep records.
Hospital Compliance Initiative
RCRA Requirements
-------
Hazardous Waste Contacts
(EPA Region2)
For more information about hazardous waste
requirements for hospitals and healthcare:
EPA Region 2 RCRA Compliance Branch
- Steven Petrucelli, (212) 637-3129
- General number, (212) 637-4145
Hospital Compliance Initiative
RCRA Requirements
-------
Hazardous Waste Contacts
(EPA Region2)
EPA Region 2 Compliance Assistance
Program
- Diane Buxbaum, (212) 637-3919
EPA Region 2 Solid Waste Program
- Lorraine Graves, (212) 637-4099
Hospital Compliance Initiative
RCRA Requirements
-------
Hazardous Waste Contacts
(EPA National & States)
EPA RCRA Hotline (800) 424-9346
New York State DEC Hazardous Waste
Generator Hotline (800) 462-6553
New Jersey State DEP Bureau of Solid and
Hazardous Waste Enforcement (609) 584-
4250
Caribbean Environmental Protection Division
(787) 729-6951
Hospital Compliance Initiative
RCRA Requirements
-------
RCRA Inspections and
Enforcement by EPA Region 2
To date, EPA Region 2 has:
- Inspected at least 12 hospitals in the past 3 years
- Initiated 4 enforcement actions against hospitals
- Assessed $620,818 for penalties for violations by hospitals,
ranging from $57,749 $279,900
The number of inspections and enforcement actions
at hospitals is expected to increase.
We conduct inspections throughout the Region (NJ,
NY, PR, and VI), from the heart of big cities to the
smallest of towns.
-------
Common Violations Found at
Hospitals
Failure to perform waste identification -- frequently
observed examples are cited on the next few slides
Failure to determine or meet relevant requirements
for the proper generator category, often resulting
from inadequate waste ID
- If your facility generates any acutely hazardous waste (P-
waste), it is likely to be a LOG; examples include sodium
azide, nicotine, or arsenic trioxide (Trisonex)
- According to the regulations, you are exempt from needing
a TSD permit only if you comply with the appropriate
generator requirements
-------
Common Violations Found at
Hospitals (continued)
Failure to treat or dispose of waste as hazardous
Inadequate or improper labeling, waste tracking, or
container management
Failure to regularly inspect hazardous waste storage
areas
Inadequate training of staff responsible for
hazardous waste management
Failure to minimize releases
-------
Typical Hospital Hazardous Waste
Mercury
Chemotherapy drugs
Lead shielding
Photo/X-Ray Fixer or
X-Ray film (silver)
Formaldehyde/ethanol
solutions
Lab chemicals
(solvents, acids, etc.)
Compressed gases
Spent lamps
Batteries
Paints
Pesticides, fungicides,
etc.
Computers and
electronics
CRT screens
-------
Finding Compliance Information
To find out what listings EPA has for your
facility, or to look up your TSD:
Envirofacts: http://www.epa.gov/enviro/
Enforcement & Compliance History Online:
http://www.epa.gov/echo/
To find P2 ideas and other references:
http://www.epa.gov/Region2/p2/health.htm
-------
RCRA Inspection Authority
42 USC Section 6927 (SWDA 3007
"(a) Access entry: ...any person who generates,
stores, treats, transports, disposes of, or otherwise
handles or has handled hazardous wastes shall,
upon request of any officer, employee or
representative of the Environmental Protection
Agency...or...of a State having an authorized
hazardous waste program, furnish information
relating to such wastes and permit such person at all
reasonable times to have access to, and to copy all
records relating to such wastes."
-------
RCRA Inspection Authority (cont.)
42 USC Sec. 6927 (SWDA 3007)
"...such officers, employees or representatives are
authorized -
(1) to enter at reasonable times any establishment or
other place where hazardous wastes are or have
been generated, stored, treated, disposed of, or
transported from;
(2) to inspect and obtain samples from any person of
any such wastes and samples of any containers or
labeling for such wastes."
-------
RCRA Inspection Basics
RCRA inspections are unannounced in
nearly all cases
Team may include one or two inspectors...or
may be as big as 4-6 for a large facility (or
more for a "multi-media inspection.")
"Credentials" will be presented by the
inspector upon entry/introduction. (Note that
they must remain in the inspector's
possession and may not be photocopied.)
-------
RCRA Inspection Basics
(Continued)
Review of storage areas, satellite accumulation
areas, waste-generating activities, loading docks,
dumpsters, material/product storage, etc.
Will include the areas that you consider HW areas
and others you may not think of as such.
Review of paperwork (manifests, waste ID, training
records, MSDS forms, etc.)
Close-out briefing
-------
RCRA Enforcement
(If There Are Violations...)
Enforcement decisions are not made on-site
Follow-up request for information, as
provided for under RCRA 3007, is common
Enforcement, if necessary, may include:
- ** NOV - w/o penalty (may precede one of
the following and/or may accompany an
information request letter).
- ** Administrative Complaint (Admin.
Order) - w/penalty (up to $32,500/day.)
-------
RCRA Enforcement
(If There Are Violations...)
Enforcement, if necessary, may include:
- Civil Judicial Referral to DOJ.
- 7003 Order for imminent/substantial
endangerment.
- Referral to another EPA/state program
- Criminal referral.
-------
Closing Comments
Hazardous waste can be, and is likely to be,
generated throughout the hospital in both expected
and unexpected areas.
Waste identification and knowledge of hazardous
waste requirements is important in all areas of the
hospital.
- Train all technicians in waste determination/management
- Explain waste management procedures to all personnel
who may generate hazardous waste
- Ensure that all technicians and generators know who to call
for assistance and further information.
-------
Closing Comments (continued)
Document waste determinations, related
discussions, and procedures; it will expedite
inspections and help in training new staff and
failure to document the waste determination
may be a violation of RCRA.
Check web pages and ask questions of
regulatory agencies, trade groups, and
professional societies.
-------
Closing Comments (continued)
Hospitals are responsible not only for the actions
performed by their staff, but may also be responsible
for those of their contractors/consultants, whether
they are full-time on-site contractors, managing
wastes as part of equipment maintenance contracts,
or specifically hired for waste management activities.
Always anticipate an inspection by regulators --
perform self-audits, keep records organized and
accessible, and ensure that good operating
procedures are not just implemented, but also
maintained.
-------
Regulation of Chemo Wastes
Under RCRA
John Gorman
EPA Region 2
212-637-4008
gorman.john@epa.gov
-------
RCRA Regulated Chemotherapy Wastes
• Eight are U-listed:
- Chlorambucil (Leukeran) (U035)
- Cyclophosphamide (Cytoxan, CTX, Neosar, Procytox)
(U058)
- Daunomycin (Daunorubicin, Cerubidine, DaunoXome,
Rubidomycin, Liposomal Daunorubicin) (U059)
- Diethylstilbestrol (Diethylstilbesterol, DBS, Stilbestrol,
Honvol, Stilbesterol) (U089)
- Melphalan(Alkeran,L-PAM)(U150)
- Mitomycin C (Mitomycin, Mutamycin) (U010)
- Streptozotocin (Streptozocin, Zanosar) (U206)
- Uracil Mustard (U23 7)
EPA Region 2
Healthcare Compliance Initiative
-------
RCRA Regulated Chemotherapy Wastes
• One is P-listed:
- Arsenic Trioxide (Trisenox) (P012)
EPA Region 2
Healthcare Compliance Initiative
-------
Chemotherapy Wastes (Cont'd)
• Other listed chemicals used in cancer research or
treatment; but not FDA approved:
- Azaserine (UO15)
- Chlornaphazin (U026)
- Ethyl Carbamate (U238)
- 3 -MethyIcholanthrene (U15 7)
EPA Region 2
Healthcare Compliance Initiative
-------
Bulk & Trace Chemo
These terms do not exist in the federal
regulatory program
Mixture rule applies to listed chemo
wastes (see 40 CFR §261.3(a)(2)(iv))
No minimum quantity or concentration to
exit regulatory system
EPA Region 2
Healthcare Compliance Initiative
-------
Mixture Rule
A solid waste is a hazardous waste if:
It is a mixture of a solid waste and a
hazardous waste not listed solely because
it exhibits a characteristic
EPA Region 2
Healthcare Compliance Initiative
-------
Practical Application to PPE
HW only if contaminated with listed chemo
wastes
Solid waste if uncontaminated
Signs of contamination include: shiny
sheen, change in color, change in texture
or feel of the PPE, or seeing the material
on the PPE
Note: NIOSH & OSHA recommend
handling all PPE as contaminated
EPA Region 2
Healthcare Compliance Initiative
-------
Management of Containers
Containers may also be regulated
- If the container is not "empty" and
- if they formerly held a hazardous waste
Different rules for P-listed and U-listed
wastes
EPA Region 2
Healthcare Compliance Initiative
-------
Empty Containers - U-Listed
Wastes (40 CFR §261.7)
Containers, IV bags, vials and inner liners
that have held U-listed hazardous waste are
deemed empty when:
• All the wastes have been removed that can be
removed,
• No more than one inch of residue remains on the
bottom of the container or inner liner, or
• No more than 3 percent by weight of the total
capacity of the container remains in the container
or inner liner if the container is less than or equal
to 110 gallons in size.
Any residues removed from the container are
managed as listed HW.
EPA Region 2
Healthcare Compliance Initiative
-------
P-Listed Wastes
Not subject to the empty container rule
Containers, IV bags, vials and inner
liners that have held P-listed hazardous
waste are a HW unless triple rinsed
with an appropriate solvent
The rinse water must be managed as a
hazardous waste.
EPA Region 2
Healthcare Compliance Initiative
-------
Best Management Practices
Handle all chemo wastes as HW
Reverse distribution
Pharmacy as accumulation area
Special marking on regulated chemo
containers
Develop standard policy for PPE
EPA Region 2
Healthcare Compliance Initiative
-------
r
r
r
U.S. Environmental Protection Agency
Emergency Manage
Oil Prograr
November 2004
7^>X *'£•
f
-------
r
Update Outlin
Introduction-What is SPCC?
Regulatory History
Implementation Issues
Next Steps
Continues
-------
Prev
Establishes procedures, methods, and equipment
requirements to help prevent oil spills that could
reach navigable waters.
Requires that facilities develop and implement Spill
Prevention, Control, and Countermeasure (SPCC)
Plans.
-------
ope of the SP
Applies to non-transportation related facilities that:
- Could reasonably be expected to discharge oil into
navigable waters of the United States or adjoining
shorelines, and
- Have an aggregate aboveground storage capacity
greater than 1,320 gallons (counting only containers
with a capacity of 55 gallons or more), or
- Have a total underground storage capacity greater
than 42,000 gallons.
Excludes permanently closed containers and
completely buried storage tanks subject to all technical
requirements of 40 CFR Parts 280 and 281.
-------
lion of the Rul
ubpart A All facilities and all types of oil
Subpart B Petroleum oils and non-petroleum oils
Subpart C
Except those oils covered in Subpart C.
Animal fats and oils and greases, and fish
and marine mammal oils; and vegetable
oils from seeds, nuts, fruits, and kernels
Subpart D Response requirements
-------
A\\
acilities, All Types
Section 112.1
- General applicability
Section 112.2
- Definitions
Section 112.3
- Requirement to prepare and implement Plans;
including:
* Compliance dates
* Professional Engineer certification
* Maintaining and making Plan available
Extension of time
Continues
-------
A\\
(continued)
Section 112.4
- Amendment of SPCC Plan by Regional Administrator
Section 112.5
- Amendment of SPCC Plan by owners or operators
Section 112.7
- Prepare Plans in writing and according to good
engineering practices
- Management approval
- Alternative formats
-------
eral Requirements
112.7, General requirements for SPCC Plans
General facility description, including:
• Type of oil and storage capacity, physical layout, and
diagram
• Discharge prevention measures
) • Discharge and drainage controls
• Countermeasures for discharge discovery,response,
and cleanup
• Methods of disposal of recovered materials
• Contact list and phone numbers
.. , Description of potential discharges from equipment
!' failure
) Appropriate secondary containment
-------
eral Requirements
(continued)
112.7, General requirements for SPCC Plans (continued)
) Impracticability of secondary containment
' 0 Inspections, tests, and records
v.) Personnel, training, and discharge prevention procedures
Security measures
Facility tank car and tank truck loading/unloading rack
Evaluation of containers for brittle fracture or other
catastrophe
Conformance with applicable requirements and
procedures
-------
ific Facility Requirements
Sections 112.8 and 112.12
- Onshore Facilities (excluding production facilities)
« Facility drainage-112.8(b) and 112.12(b)
* Bulk storage containers-112.8(c) and 112.12(c)
« Facility transfer operations-112.8(d) and 112.12(d)
Section 112.9
- Oil Production Facilities (onshore)
Section 112.10
- Oil Drilling and Workover Facilities (onshore)
Section 112.11
- Oil Drilling, Production, or Workover Facilities (offshore)
-------
-------
ule Timeline
Initial Promulgation
Original requirements for SPCC Plan preparation,
implementation, and amendment.
Proposed Rule
Revise applicability and SPCC Plan procedures, and
add a facility notification provision.
Proposed Rule
Implement Oil Pollution Act of 1990-response plan
requirements and make minor technical changes.
Proposed Rule
Reduce the information collection burden.
Continues
-------
ule Timeline
(continued)
Final Rule: SPCC Rule Amendments
Incorporates many of the proposed modifications.
Final Rule: Compliance Date Extension
Additional time to prepare and update SPCC Plans.
Final Rule: Compliance Date Extension
Additional time to understand published clarifications.
NODAs
Certain Facilities and Oil-filled and Process Equipment
Guidance, Rulemaking, and Outreach
Address additional issues as appropriate.
-------
land Oil
In 1988, an aboveground storage tank owned by the
Ashland Oil Company collapsed and spilled
approximately 3.8 million gallons of diesel fuel.
Approximately 750,000 gallons were released into
the Monongahela River.
EPA formed an SPCC Task Force to:
- Focus on the prevention of large, catastrophic oil spills.
- Make recommendations on the SPCC program.
-------
Photos courtesy of
NOAA Office of Response and Restoration, National Ocean Service
-------
002
Revised rule incorporates suggestions of the SPCC
Task Force following the Ashland Oil Spill.
Is performance-based rather than prescriptive.
Incorporates aspects of the 1991, 1993, and 1997
proposals.
Uses a new format and "Plain English" style.
-------
erview of Rule C
Provides regulatory relief:
- Exempts completely buried tanks, small containers,
and most wastewater treatment systems.
- Raises the regulatory threshold.
- Reduces information required after a discharge, and
raises the regulatory trigger for submission.
- Increases the frequency of Plan review from 3 to 5
years.
- Allows for alternative formats for SPCC Plans with
cross-reference.
Continues
-------
erview of Rule Changes
^^
(continued)
Clarifies applicability for the operational use of oil.
Makes the Professional Engineer certification more
specific.
Clarifies mandatory requirements.
Establishes brittle fracture evaluation.
Clarifies employee training requirements.
Allows flexibility in meeting many rule provisions by
providing equivalent environmental protection or
developing contingency plans.
-------
-------
ompliance Date Extensions
Compliance dates for the SPCC amendments were
extended in 2003 and 2004 (§§112.3(a) and (b)).
- Provides additional time for regulated community to
update or prepare Plans, especially following the
litigation settlement (2004 extension).
- Alleviates the need for individual extension requests.
The 2004 extension also amended the compliance
deadlines for onshore and offshore mobile facilities
-------
ent Compliance Dates
A facility
starting operation...
On or before 8/16/02
After 8/16/02 through
8/18/06
After 8/18/06
Must...
Maintain existing Plan
Amend Plan no later than 2/17/06
Implement Plan no later than 8/18/06
Prepare and implement a Plan no
later than 8/18/06
Prepare and implement a Plan before
beginning operations
Onshore and offshore mobile facilities must prepare, implement,
and maintain a Plan as required by the rule.
- A facility must amend and implement the Plan, if necessary
to ensure compliance with the rule, on or before 8/18/06.
-------
Lawsuits filed by American Petroleum Institute,
Petroleum Marketers Association of America, and
Marathon Oil.
Terms of partial settlement published in Federal
Register on Tuesday May 25, 2004 (69 FR 29728.)
Litigation Issues:
- Loading racks
- Impracticability
- Produced water and
wastewater treatment
Integrity testing
- Security
- Facility
- Navigable waters
(Not resolved through settlement)
-------
-------
nsio
uring the extension...
The regulated community
will update/prepare Plans
and have additional time to
understand recent
clarifications of the rule.
EPA is developing guidance
to address the performance-
based nature of the rule.
Facilities must maintain a
Plan in accordance with the
extension.
After the extension...
Regional Guidance will be
available to the public
Facilities must have an
SPCC Plan in compliance
with revised rule provisions.
EPA will address additional
issues as needed.
-------
ional Guidance
EPA acknowledges there are additional policy issues
that require clarification and is working to address
them.
Clarifications can often be addressed through
performance-based provisions of the rule.
Currently developing guidance to regional inspectors
on how to evaluate SPCC Plans when environmental
equivalence and impracticability are claimed.
-------
Environmental Equivalence (§112.7(a)(2))
- Facilities may deviate from certain substantive
requirements of the SPCC rule (except secondary
containment) by implementing alternate measures that
provide equivalent environmental protection.
Impracticability (§112.7(d))
- In situations where secondary containment is not
practicable, the SPCC Plan must explain the reason.
- The owner/operator must prepare an oil spill
contingency plan and a written commitment of
manpower, equipment, and materials.
-------
J
J
Document!
Document!
-------
Environmental
Equivalence
- State reason for
nonconformance in Plan
- Describe in detail the
alternative method and
how you will achieve
environmental
equivalence.
Impracticability
- Clearly explain why
containment measures
are impracticable.
- Conduct integrity testing
- Develop a contingency
plan (40 CFR 109)
- Provide written
commitment of
manpower, equipment,
and materials.
-------
ional Guidance
Examples of issues to address in guidance
- Loading rack
- Integrity Testing
- Security
- Piping
- Mobile/portable containers
-------
ma
Background and History of SPCC
Overview of the SPCC provisions
Extension
Regional Guidance and performance-based
provisions of the rule
-------
More In
hristopher Jimenez
Region 2 SPCC Coordinator
(732) 906-6847
EPA Oil Program Website
www.epa.gov/oilspill
RCRA and EPCRA Call Center
1-800-424-9346
-------
U.S. EPA's Audit Policy
-------
Purpose
To enhance protection of human health and
the environment by encouraging regulated
entities to voluntarily discover, disclose, correct
and prevent violations of federal environmental
requirements.
As incentive, EPA will forgo all gravity-based
(non-economic benefit) penalties when the
regulated entity satisfies all policy conditions.
-------
Conditions
The violation was identified voluntarily
The violation was discovered through:
- an environmental audit; or
- an environmental management system
http://www.epa.gov/region02/ems
(75% reduction possible otherwise)
-------
Conditions
Promptly disclose violations in writing to EPA
(within 21 days of discovery)
In Region 2, send to:
Regional Administrator, EPA Region 2
c/o Compliance Assistance Section
290 Broadway
New York, New York 10007-1866
-------
Conditions
Must promptly correct violations (usually within
60 days)
Correcting the violation includes remediating
any environmental harm associated with the
violation, as well as implementing steps to
prevent a recurrence of the violation.
-------
The Policy Excludes:
Violations that result in serious actual harm or
present an imminent hazard to public health,
safety, or the environment
Violations of any judicial/administrative orders
or consent agreements
Repeat violations (within three years)
-------
The Policy Excludes:
Violations that are part of a pattern of similar
violations across a multi-facility organization
within the past five years.
Criminal violations of individuals (entities
generally exempt)
-------
Audit Policy Disclosures from
Academic Institutions
48 colleges and universities applied for
amnesty so far.
Although 10 of these disclosures are still under
review, a total of approximately 2.4 million
dollars in penalties have been waived to date.
No economic benefit was assessed.
-------
Audit Agreements
Audit agreements allow EPA and the company
to reach mutually acceptable terms regarding
schedules for conducting the audit, and
disclosing and correcting any violations
discovered.
Model Audit Agreement for Hospitals
http://www.epa.gov/region02/healthcare
-------
Steps to Negotiate an Audit
Agreement
Contact EPA for current model agreement.
Submit commitment letter.
EPA responds with "low inspection priority"
letter.
Submit draft agreement.
EPA discusses comments, if any, with facility
Draft agreement developed for final review.
Final agreement signed.
-------
Why Bother Self-Reporting? - A
Cost/Benefit Analysis
Increased attention from
Government if self-report
Potential for economic
benefit penalties
We know you are there.
More likely to get
attention if don't report.
Penalty much lower than
would be assessed
through enforcement.
Limits circumstances
under which EPA will
prosecute criminally.
-------
Why Bother Self-Reporting? - A
Cost/Benefit Analysis
Audit costs money
Cost of conducting audit
is much less than cost of
paying penalties.
May lose federal grants,
contracts, and other
funds if enforcement
occurs.
Bad publicity affects
fundraising.
-------
Why Bother Self-Reporting? - A
Cost/Benefit Analysis
Must fix violations on a
monitored schedule
Must request and
receive approval for
extensions
Must implement
measures to prevent
recurrence
Periodic auditing can
identify and correct
problems before they
become serious
Auditing can identify
wasted resources
Get a good night's sleep
knowing that things are
working as desired
-------
Advantages of Audit Agreements
"Low inspection priority" designation
More time to disclose and correct violations
Other flexibility can be built into agreement to
meet needs
Single point of contact for all environmental
regulatory issues
Partnering with EPA can result in good
publicity
-------
Resources
John Gorman
EPA Region 2 Audit Policy Coordinator
212-637-4008 or gorman.iohn@epa.gov
EPA Region 2's Auditing Website
http://www.epa.gov/region02/capp/cip
-------
Common Violations - Hazardous
Waste
Improper or lack of HW labeling
No or improper weekly inspections of HW
storage/satellite areas.
Open containers of HW.
Improper disposal of chemotherapy drugs
Failure to perform or improper HW
determinations.
No or inadequate HW manifests.
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Common Violations - Hazardous
Waste
Improper management of mercury-containing
wastes, expired Pharmaceuticals, paints, etc.
Lack of a contingency plan.
Lack of or inadequate training of employees in
HW management.
Failure to upgrade/close USTs by 12/22/98.
Malfunctioning leak detection systems.
Improper consolidation of wastes from nearby
facilities.
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Common Violations - Air
Failure to use properly trained and accredited
asbestos personnel.
Failure to notify EPA of asbestos removal projects
and to keep required documentation/records.
Failure to properly dispose of asbestos debris.
Failure to close parts washer lids when not in use.
Failure to include spray paint booths and parts
degreasers in air permit.
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Common Violations - Water
No permit for noncompliance with wastewater
discharges.
No or inadequate secondary containment for
storage tanks
Improper disposal down floor drains.
No Spill Prevention, Control and
Countermeasure Plan.
-------
Common Violations - Lead Paint
Failure to notify residents of lead paint in
building or lack of knowledge of any lead
hazard.
Failure to provide EPA's pamphlet, "Protect
Your Family from Lead in Your Home."
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Universa
-------
Overview
3€ Characteristics of Universal Wastes
n Goals of Universal Waste Rule
What is considered Universal Wastes?
Who generates Universal Wastes?
& Transporter of Universal Waste
Destination Facilities
Universal Wastes and the States
Special Issues
-------
Characteristics of UW
§€ Generated in a wide variety of settings
other than industrial settings usually
associated with hazardous wastes
Generated by a vast community of various
sizes which pose implementation
difficulties
May be present in volumes of non-
hazardous waste
-------
Goals
Final Rule published in May 1995
§€ Details located at 40 CFR Part 273
& Defines streamlined management
regulations for "widely generated wastes"
£ Targeted Goals of Rule are:
El Encourage environmentally sound collection and
recycling or treatment of universal waste
El Improve implementation of the hazardous waste system
El Ease regulatory burden
El Reduce the hazardous wastes going to municipal
landfills or municipal combustors
-------
What are Considered
Universal Wastes?
Universal waste categories must be
hazardous waste before they can be
designated as universal wastes
Four types of Federal universal wastes:
E Batteries (e.g., nickel cadmium)
El Certain pesticides that are either recalled or
collected in waste pesticides collection
programs
El Mercury-containing thermostats
El Lamps (e.g., fluorescent bulbs)
-------
Batteries
Device consisting of electrically connected
electrochemical cells designed to receive,
store, and deliver energy
§£ Unbroken batteries where the electrolyte
has been removed
Lead batteries - universal waste or Part
266 Subpart G
Waste determination made by generator
-------
Pesticides
3£Unused pesticides banned from use
3£Damaged by temperature extremes
Recalled pesticides become a UW
when:
EDGenerator participates in recall
E Generator decides to discard or burn for
energy
-------
Thermostats
§€ Temperature control devices containing
metallic mercury in an ampoule and
ampoules that have been removed from
these devices
§£ UWR does not cover mercury containing
equipment such as gauges, manometers,
relays, and circuit boards
-------
Hazardous Waste Lamps
Lamps are defined as the bulb or tube
portion of an electric lighting device
Fluorescent, high intensity discharge,
neon, mercury vapor, high pressure
sodium, and metal halide
Exhibit toxicity characteristics for mercury
or lead
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Universal Waste Handlers
(SQHUW)
Small Quantity Handlers of Universal
Wastes - less than 5,000 kilograms (2,270
Ib) of all universal waste categories
§€ Regs for SQHUW found in Part 273
Subpart G
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Universal Wastes Handler
(LQHUW)
Large Quantity Handlers of Universal
Wastes - 5,000 or more kilograms of all
universal waste categories
§€ Regs for LQHUW found in Part 273
Subpart C
Once a handler triggers the LQHUW
status, they remain for the rest of the
calendar year
-------
Benefits of Handling
Universal Wastes
Lessens regulatory burden on collection
programs
Eliminates concern for retailers that
wastes may have been generated by
RCRA-regulated generator
Ensures that waste goes to proper
treatment, recycling, or disposal facility
Has labeling and storage requirements,
but less stringent than for hazardous
waste
-------
Transporters
Persons who move UW shipments from a
handler to another handler, a destination
facility, or a foreign destination
§€ UW transporter regulations apply for any
amount of UW
-------
Transporters con't
§£ Seven UW Requirements
^Applicability (40 CFR 273.50) - to whom the
regulations apply
H Prohibitions (40 CFR 273.51) - prohibits
disposing, diluting, or treating UW
E Waste Management (40 CFR 273.52) -
comply with DOT regulations if UW fall
under DOT hazardous waste definition
mAccumulation Time Limits (40 CFR 273.53)
- UW can be stored for up to 10 days
-------
Transporters con't
[x]Response to Release (40 CFR 273.54) -
immediately contain UW releases and
handle residues appropriately
^Off-Site Shipments (40 CFR 273.55) -
prohibits transporting UW to any place
other than a UW handler, destination
facility, or foreign destination
HExports (40 CFR 273.56) - follow rules for
exporting hazardous wastes
-------
Destination Facilities
§€ Treats, disposes of, or recycles UW
§€Same general requirements as traditional
hazardous waste TSDF
§£ Subject to permitting and unit specific
requirements
-------
Universal Waste and the
£ The rule is optional for states because it is
less stringent than existing regulations,
but is in effect in all of Region 2 (NJ, NY,
PR & VI)
Before shipping across state lines, note:
E Universal Waste Rule may be used only if
adopted by receiving state
E Hazardous waste requirements apply if not
adopted in receiving state
-------
Special Issues
Mercury-Containing and Rechargeable
Battery Management Act signed on May 13,
1996 effective in all 50 States
El Goals -1. Decrease mercury content in batteries
2. Increase voluntary recycling of batteries
& Collection, storage, transportation of used
rechargeable batteries, lead-acid batteries,
banned mercury-containing batteries, used
consumer products containing batteries that
can't be removed
-------
Review
Defines streamlined management
regulations for "widely generated wastes"
hazardous waste batteries
hazardous waste pesticides that are
recalled or sent to a collection program
mercury-containing thermostats
spent fluorescent lamps and other
hazardous lamps (with mercury, and some
lead)
-------
Review
Lessens regulatory burden on collection
programs
Eliminates concern for retailers that
wastes may have been generated by
RCRA-regulated generator
Ensures that waste goes to proper
treatment, recycling, or disposal facility
Has labeling and storage requirements,
but less stringent than for hazardous
waste
-------
Review
Small Quantity Handler of Universal Waste
accumulates less than 5,000kg (2,270 Ib)
Large Quantity Handler of Universal Waste
accumulates less than 5,000kg (2,270 Ib)
Notify EPA, if no haz. waste ID already
obtained
Universal Waste Transporter
Must meet DOT requirements
Destination Facility - must meet all
requirements that would otherwise apply
Mercury-Containing & Rechargeable
Battery Act
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Compliance Assistance Program
for Hospitals in Region 2
The Region 2 Hospital Compliance
Initiative Commenced on December
27, 2002.
480 hospitals in New York, New
Jersey, Puerto Rico and the Virgins
Islands were notified of the Initiative
and invited to participate in the
voluntary audit program.
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-------
The EPA/AHA 1998 Memorandum of
Understanding
" Virtual Elimination of Mercury by 2005
• 33% Reduction of Solid Waste by 2005, 50%
by 2010
• Identification and Elimination of PBTfs in the
hospital environment
-------
Current Efforts
•A New York Focus Group meeting since
spring 2000 was set up to identify problems and
needs
•Two additional focus groups are planned:
Please sign at the registration table if you wish
to become a member of a New Jersey Hospital
Focus Group or a Caribbean Hospital Focus
Group
1 T ::.-1
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Seminars to provide compliance
information— as this one Information
about the Audit Policy Program
P2 and Voluntary Programs
Web site information
National H2E Partner and Award
Program
t,
-------
H2E Awards 2002 have given national
recognition to 4 hospitals in New York
and New Jersey
» Beth Israel Medical Center, Kings Highway
• St. John's Riverside Hospital 2 awards
• Hackensack University Medical Center
• University of Rochester, Strong Memorial Hospital 2
awards (also one of 3 in the nation to earn the
Environmental Leadership Award
-------
Seminars/Conferences Past, Current,
Future
• Region 1/2, Region 2/3, Caribbean and Greater New York
Hospital Association 2001
• Hackensack University Medical Center 2002
• Long Island Jewish Medical Center 2003
February 26, 2003 Beth Israel Medical Center, NYC--
today.
Planned sessions in NYC, in Albany with New York State
Department of Environmental Conservation, Pollution
Prevention Unit, in Rochester and in Princeton with New
Jersey Hospital Association
-------
Action Plan
• Hospital Compliance Initiative
• Encourage hospitals to participate in the
Voluntary Audit Program or, if the
hospital is part of a hospital consortium,
to pursue an Audit Agreement
• Provide technical assistance to hospitals
upon request with audit information,
relevant documents and web sites.
t,
-------
VOLUNTARY ENVIRONMENTAL
PROGRAMS
Energy Star Buildings Partnership
The ENERGY STAR BuildingsSM Partnership is a comprehensive
energy-efficiency program for commercial and industrial buildings.
The Partnership focuses on reducing waste and improving building
performance by using high-efficiency energy technologies
More than 7000 organizations are participating in the ENERGYSTAR
Buildings and Green Lights® Partnership
By 1999, cumulatively, these organizations had prevented 50.6 billion
pounds of carbon dioxide (CO2) from being released into the
atmosphere as a result of their energy-efficiency upgrades, which was
equivalent to removing the pollution from 1.9 million cars, or planting
2.6 million acres of trees annually
Annual savings in 1999 was $1.6 billion, Today it is 5.
-------
EnergyStar continued
The EnergyStar general program is on the EnergyStar
web site: http://www.energystar.gov/
Hospitals can n Join the Partnership". Case studies are
available by clicking on Success Stories under
Participants
http://yosemitel.epa.gov/Estar/business.nsf/webmenus/
Healthcare
There are currently more than 900 health-care/hospital
facilities participating in EnergyStar
1 "T "::J
-------
National Performance Track
National program designed to motivate and reward top
environmental performance, through:
National recognition as an environmental leader
Access to ??State-of-the-Artn information
Best practices database
Peer exchange networking opportunities
Informational briefings with senior EPA officials
Streamlined environmental monitoring and reporting
-------
Performance Track continued
• Eligibility Criteria:
• Mature Environmental Management System
• Demonstrate achievements, commit to continued
environmental improvements
• Have a record of sustained compliance with
environmental requirements
• Commit to public outreach and performance
reporting
-------
Benefits to the Environment from Performance Track:
Reducing solid waste by 225 million pounds
Reducing water use by 1.6 billion gallons
Preserving/restoring 4,600 acres
Benefits to You:
Public recognition (press releases, awards)
Participation in events, peer exchanges
Interaction with senior EPA officials
Low priority for routine inspections
Use of Performance Track logo
Listing on EPA web sites, articles, case studies
-------
Performance Track is now accepting
applications for the program.
Marcia Seidner, EPA Region 2 Performance
Track Coordinator, 212-637-3584,
seidner.marcia@epa.gov
Performance Track Information Center
888-330-PTRK
http://www.epa.gov/performancetrack
-------
WasteWise
• Targets the reduction of municipal solid waste; waste
that would otherwise end up in a trash dumpster.
Currently 57 health care facilities are on the
WasteWise list of partners, including:
New York: Canton-Potsdam Hospital, New York
Presbyterian Hospital, Southside Hospital, St. Luke's
Memorial Center, St. Peter's Health Care Service
• New Jersey: Christian Health Care Center, Passaic
Beth Israel, Robert Wood Johnson University Hospital,
St. Mary's Hospital
Puerto Rico: Jostra-Bentley Hospital
• Web site for additional information
http://www.epa.gov/epaoswer/non-hw/reduce/wstewise/
-------
More Voluntary Environmental Programs
The Water Alliances for Voluntary Efficiency program (WAVE)
encourages commercial businesses and institutions to reduce water
consumption while increasing efficiency, profitability, and
competitiveness
http://es.epa.gov/partners/wave/wave.html
Environmentally Preferable Purchasing is a federal-wide program
that encourages and assists Executive agencies in the purchasing of
environmentally preferable products and services (open to
participation from any interested party) Currently 13 non-
government healthcare institutions/projects are listed on this
website with contract information shown
http://www.epa.gov/opptintr/epp/,
http://notes.erg.com/eppstand2.nsf/Pages/Search.html7Open
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-------
The Pesticide Environmental Stewardship Program is a voluntary
program that forms partnerships with pesticide users to reduce the health
and environmental risks associated with pesticide use and implement
pollution prevention strategies
http://www.epa.gov/oppbppdl/PESP/
Useful Websites
EPA P2 Website:
Region 2 EPA College and University web site may have useful
information because of the laboratory/ institution overlap -
Region 2 EPA Health Care web site
http://www.epa.gov/region02/p2/health.htmftProg
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-------
Contacts at Region 2 EPA
Pollution Prevention, Hospital Compliance Assistance
Diane D. Buxbaum, 212-637-3919, buxbaum.diane@epa.gov
Federal Facilities, EMS's and SEP's
Kathleen Malone, 212-637-4083, malone.kathleen@epa.gov
Audit Policy and Self-Disclosure
John Gorman, 212-637-4080, gorman.john@epa.gov
Hospital Hazardous Waste (RCRA)
Steven Petrucelli, 212-637-3129, petrucelli.steven@epa.gov
National Performance Track
Marcia Seidner, 212-637-3584, seidner.marcia@epa.gov
WasteWise
Lorraine Graves, 212-637-4099, graves.lorraine@epa.gov
Small Business Assistance Program
Ronald Lockwood, 212-637-3413, lockwood.ronald@epa.gov
-------
!SE
T
-------
Partners for the Environment
ITALS
for a
EALTHY
VIRQNMENT'
Money tent All You're Saving
CLIMATE
&EPA
WVSTE
-------
What is WasteWise?
• U.S. EPA voluntary
partnership program
• Started in 1994
• Focuses on municipal solid
waste
iWVSTE
rISE
Preserving Res
Wfaste
-------
What is WasteWise?
•
•
Develop customized goals
• 3 in waste prevention
• 1 in recycling collection
• 1 in buying or manufacturing
products with recycled content
Implement over a 3-year period
Report progress annually
iWVSTE
rISE
Preserving Res
Wfaste
-------
WasteWise Membership
Nearly 1,200 partners
representing 53 government and
business sectors
Who are the partners?
• Numerous Fortune 500 companies
• More than 20% are governments
• 57 hospitals, pharmaceutical companies,
and other medical service providers
More than 1 25 endorsers
representing 30
government and
business sectors
ISE
Preserving Res
Wfaste
-------
WasteWise Accomplishments
• Reduced more than 35 million
tons of waste since 1994
• Saved more than $1.1 billion
since 1994
Prevented the emission of
25 million metric tons of
carbon equivalent
(MTCE) since 1994
ISE
Preserving Res
Wfaste
-------
WasteWise Accomplishments
Challenges partners to reduce
electronics, transport
packaging, and C&D waste
Promotes resource
management strategy
Assists partners in connecting
waste reduction to climate
impacts
Recognizes partners
• ^ _• ' mm
and endorsers annually '\WASTE
"ISE
Preserving Res
Wfaste
-------
Waste and Climate Chang
Waste prevention and
recycling activities:
• Reduce emissions from extracting
raw materials and manufacturing
• Reduce carbon dioxide and
methane emissions from waste
combustion and landfills
Increase carbon storage
in forests
iWVSTE
rISE
Preserving Res
Wfaste
-------
You Make a Difference
Action
Payoff
m • T \ T .
suiiy
Equivalent to Removing
s From the Roa
One Yea
-------
ucrion
(WARM)
jii wiiSt'i! Eiy 1l'
global wanning
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IH.-II..1IMUM
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WTW • - r:
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and voiuatariy report grf eufcc-iKt gas enasaoas reducbom from several
ifftreiiJ wssie eninagetoeot pticbtes
WAKM it ivjJaWe m a W«b-b*s«4 ««ttTilawr fonnst i»d w » Mictosoft
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-------
Medical Services: Teaming Up
with WasteWise
Bert Fish Medical Center
Bronson Methodist Hospital
Dana Farber Cancer Institute
Dartmouth Hitchcock Medical
Center
Fairview Health Services
Fisher-Titus Medical Center
Kaiser Permanente
Marian Residence
Memorial Hospital Association
Patrick B. Harris Psychiatric
Hospital
Redwood Area Hospital
St. Peter's Health Care
Services
Tulsa Regional Medical Center
University of Chicago Hospitals
University of Nebraska Medical
Center
...and many more!
WASTE
ISE
Preserving Res
Wfaste
-------
Medical Services: Sample
WasteWise Results
• Fisher-Titus Medical Center switched to soap in
a soft plastic bag and lightweight box.
Recycling the boxes and eliminating residue
from the gravity dispense bags minimizes both
packaging and product waste.
• Avoided waste disposal costs: $350
• Reduced annual purchasing expenses: $2,275
Dartmouth-Hitchcock Medical Center switched
from using a combination 32 oz. water pitcher
with lid and 8 oz. plastic cup to a 16 oz. foam
cup with lid for all patient use, minimizing
waste.
• Reduced annual purchasing expenditures: $4,000
WASTE
rISE
Preserving Res
Wfaste
-------
Medical Services: Sample
Climate Achievement
Dana Farber Cancer Institute
recycled 86.77 tons of paper, the
equivalent of taking approximately
51 cars off the road for one year.
By expanding their reusable tote
system, Kaiser Permanente
eliminated the use of approximately
550,000 cardboard boxes, the
equivalent of taking approximately
124 cars off the road for one year.
iWVSTE
rISE
Preserving Res
Wfaste
-------
WasteWise and Resource
Management
WasteWise RM Resources:
• RM Manual
RM Web page
Workshops and meetings
Public recognition of RM achievements
Technical assistance
1SE
Preserving Res
Wfaste
-------
Benefits of Joining WasteWise
Web Site and List Server
Partner Networking
J 4 , J • ^ •
Helpline ana
Account Representative
Satellite Forums
Library of Technical
Assistance Materials
v=/EPA
WasteWise Tip Sheet
Waste Prevention
J
•SEPA Business Guide for
Reducing Solid Waste
WasteWise
EPA
-------
Partner Recognition
Awards
Annual
Report
Bulletin
Update
Banking, Financial
and Insurance
Industry
Rjrtnera mi tin-1 'iitliiar Edge of Snstainabifitj
-------
Joining WasteWise
Enroll online at
Receive technical assistance
for RM
• Use your H2E report for
WasteWise reporting
iWVSTE
rISE
Preserving Res
Wfaste
-------
WASTE
T
-------