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Home My WebLink AboutSEPA E96-0027 - MEDICAL RESOURCE RECYCLINGMEDICAL RESOURCE RECYCLING SOLID WASTE PROCESSING FACILITY OF BIOMEDICAL WASTE 6350 S. 143RD ST. E96-0027 CODE INTERPRETATION FORM CODE INTERPRETED: Zoning SECTION NO.:18.70.040(6)Nonconforming Uses Date Interpretation Made: 26 October 1996 Interpretation: Temporary uses that require no structural or land alteration shall not void the nonconforming use status of a property. Why was this interpretation developed? A property owner had a legal nonconforming use of her property, a used car sales lot in a NCC zone, that left. A temporary use, a Christmas Tree sales lot, wants to use the property for a short period. She wants to preserve the legal nonconforming status of her property and does not want the lot to use the property if it would prohibit a used car business from using the lot within the next 24 months she has to lease the property to one. 18.70.040(6) say that if a nonconforming use is superseded by a permitted use the land shall thereafter conform to the regulation of the zone and the nonconforming use may not thereafter be resumed. What is the justification of the interpretation? The purpose of the nonconforming chapter of the Zoning Code is to establish limits and describe under what circumstances a property must conform to new regulations. Tukwila's Zoning Code does not address temporary use of property. However, the City issues a no fee temporary license for businesses that operate for up to 30 days. Any length of time longer than that requires a regular business license with a fee. This interpretation recognizes that there are temporary uses that should not affect the permanent or legal status of the property. The City does not require temporary uses to meet City development codes for landscaping, parking, and pavement. Signature of Interpreter:lam— Date: 11 -13 - y'L'' � \ q Approved By. �. /// / date: //• /`! ' ' City of Seattle King County Norman B. Rice, Mayor Gary Locke, Executive • Seattle -King County Department of Public Health Alonzo L. Plough, Ph.D., MPH, Director October 9, 1996 Rick Kartevold Medical Resource Recycling Systems, Inc. P.O. Box 13186 Spokane, Washington 98213 RECEIVED OCT 1 0 1996 COMMUNITY DEVELOPMENT Re: Permit Application for Medical Resource Recycling System's Tukwila Site 6350 South 143rd Road, Tukwila - BID # HB -49058 Dear Nancy and Rick: We have completed our review of your application for a Medical Waste Treatment Site Permit for Medical Resource Recycling System's Tukwila Site. Biomedical waste will be autoclaved for disposal or recycling. No hazardous/dangerous or radioactive wastes will be accepted. The review process has included; study of the plans and application materials, the SEPA review, and consultation with the Department of Ecology and other agencies with jurisdiction. Based on our review, we approve your operation and will issue a Solid Waste/Biomedical Waste Treatment Site Permit subject to the following conditions: 1. Acceptable Materials: As described in your application, the facility may accept biomedical waste as defined in the Revised Code of Washington, Title 70.95 K and the Code of the Board of Health, Title 10, King County Solid Waste Regulations. Once autoclaved, sharps and waste high in plastic will be shipped to your Spokane Plant for recycling. All other autoclaved wastes will be disposed of at Waste Management's Columbia Ridge Landfill in Arlington, Oregon. The autoclaved waste will be bagged and identified, with no free flowing blood or bodily fluids and commingled with municipal solid waste. Plastics targeted for recycling in your Spokane facility will be source -separated prior to arrival at your Tukwila Plant. Sharps will be in designated,containers, other plastics will be designated for recycling by the generator. Bags of treated biomedical waste will not be opened and sorted on site. 2. Volumes: Daily operating records on weight (or volume) of waste in and of waste recycled in Spokane and number of vehicles shall be maintained. An annual report detailing quantity in tons, or volume in cubic yards of waste handled and quantity of waste recycled or disposed will be submitted by March 1 of each year. Because estimated volumes were provided for plan review, more frequent reports of volume may be requested. Environmental Health Division Room 201 Smith Tower Seattle, Washington 98104 (206) 296-4722 1 Nancy & Rick Kartevold October 9, 1996 Page 2 Since you will be recycling plastics in your Spokane Facility, provide Steve Holderby of the Spokane County Health Department with information of the volume of wastes that will be transported for recycling there. 3. Autoclave Operation: The autoclave/steam sterilizer shall be operated in a manner c pan o operation and Section 10.28.070(C)(2)(a) Title 10, King County Solid Waste Regulations. Records and procedures to monitor operation of the steam sterilization equipment shall be maintained on site for three years. Report of Actions: Major spills, the receipt of hazardous/dangerous waste or radioactive waste, equipment breakdowns or other similar incidents shall be reported to the Health Department within seven days. Nothing in this approval shall be constructed as satisfying other applicable federal, state or local statutes, ordinances or regulations. The facility shall be constructed and operated in a manner consistent with the Code of the King County Board of Health Title 10, Solid Waste Regulations and WAC 173-304 Minimum Functional Standards for Solid Waste Handling. Please submit the $125.00 ($250.00 prorated by '/2) annual permit fee. Once the fees are received, your permit will be processed. Please request a preoccupancy inspection when construction is complete and prior to operating. Contact me at 296-4831 if you have questions and to schedule the preoccupancy inspection. Good luck with your new business! Sincerely, , qii,e,A4cAtzin;?,6d1 Jill Trohimovich, Sr. Environmental Health Specialist Solid Waste Program JT:gao cc: Carl Osaki, Chief, Environmental Health Division Greg Bishop, Supervisor, Solid Waste Program Tony Bossart/Gary Criscione, Alder Square District Office Kevin Kiernan, King County Solid Waste Division Nancy Glaser, Seattle Solid Waste Utility Cullen Stephenson, DOE NW Regional Office Motor Cargo Louie Sonft, A&D Properties Michael Jenkins, City of Tukwila Steve Holderby, Spokane County Health District Jay Willenberg, PSAPCA Doug Hilderbrand, Industrial Waste Discharge Metro • • CODE INTERPRETATION: Tukwila Zoning Code, Section 18.30.020 Date interpretation made: October 8, 1996 Interpretation: Solid Waste Processing Facilities, specializing in the treatment and sterilization of non- hazardous biomedical waste, are permitted uses in the Commercial/Light Industrial (C/LI) Zone. These facilities gather biomedical waste typically generated in medical and/or dental clinics, hospitals, labs and other similar uses. Once collected, the material is rendered inert through a steam autoclaving process. This process completely sterilizes the materials for their entry into the recycling and/or waste stream. Materials that can be collected, and the manner in which they are handled and processed, are regulated by the Seattle -King County Department of Health and by state statute. What was this interpretation developed? A business license to open and operate this facility was submitted by the applicant What is the justification for the interpretation? There is no reference to these facilities in the zoning code. There are two uses currently allowed in the C/LI that closely match the proposed use: "Manufacturing, processing and/or packaging previously prepared materials including, but not limited to, bags, brooms, brushes, canvases, clay, clothing, fur, furniture, glass, ink, paint, paper, plastics, rubber, tile and wood." "Manufacturing, processing, assembling, packaging and/ore repairing electronic, mechanical or precision instruments such as medical and dental equipment, photographic goods, measurement and control devices, and recording equipment." TMC section 18.30.020 (58), permits those uses that are "...not specifically listed in this title, which the Director determines to be: a) similar in nature to and compatible with other uses permitted outright within this district; and b) consistent with the state purpose of this district; and c) consistent with the policies of the Tukwila Comprehensive Plan." The following is a brief discussion on the criteria listed above: Code Interpretation - TMC 18.3,20 October 8, 1996 Page 2 • Similar in nature to and compatible with other uses permitted outright within this district Permitted uses in the C/LI include uses that manufacture, process, assemble or repair medical or dental equipment; manufacture, process or package pharmaceuticals; medical and dental laboratories; medical and dental offices, and, outpatient, inpatient or emergency medical facilities. As the bulk of the uses generating materials the applicant is proposing to process are already permitted in this zone, the proposed use meets the test in the above code section. Consistent with the state purpose of this district TMC 18.30.010 states that the purpose of the Commercial/Light Industrial (C/LI) zone "...is intended to provide for areas characterized by a mix of commercials, office or light industrial uses. The standards are intended to promote viable and attractive commercial and industrial uses." MRRS engages in the processing of materials for entry into the recycling or waste streams. Accordingly, this use appears consistent with the purpose of the activities in the C/LI zone. Consistent with the policies of the Tukwila Comprehensive Plan Section 12.1.39 of the Comprehensive Plan indicates that Tukwila will "establish and maintain regulations and programs for residents and businesses to meet state and county solid waste reduction goals." MRRS will be providing waste reduction services for medical businesses in Tukwila, as well as in other jurisdictions. Section 12.1.41 states that Tukwila will "encourage and actively participate in a uniform regional approach to solid waste management". This facility is the first facility in the county to provide these services independent of hospitals or facilities outside of the region. Accordingly, the proposed use meets the criteria set forth and is a permitted use. Date: 8, /c7d77 Signature of Interpreter: Approved by: �""� Date: Oc- z 11 1551 Date: 30 -Sep -96 11:25:28 From: MICHAEL -J (MICHAEL JEN S) To: PENNY Copies -to: STEVE Subject: RE: Bus. License Message -id: 28AE4F3201000000 Application -name: MHS >Date: 30 -Sep -96 11:06:52 >From: PENNY (PENNY HANSEN) >To: MICHAEL -J >Subject: Bus. License >Message -id: CCA94F3201000000 >Application -name: MHS 1 >Chief Waldner of the Police Dept. had some questions regarding the >business license of Medical Resource Recycling. He wanted to know if >they process "medical solid waste" and if there are bio -hazard materials >involved. Since you were the one involved in DCD regarding approval of >this application, I thought I would direct these inquiries to you. >Thanks. Please e-mail me with the answers to that I can retain a copy >and forward one to the chief. MRRS will be processing biomedical waste. The waste that they can accept is waste that is regulated under WAC and Seattle -King County Dept. of Health guidelines and statutes. They can accept contaminated sharps, patient care wastes, lab materials and other products that have been in contact with human or animal blood or body fluids. These will be processed through a steam autoclaving process. Once they are rendered inert they will enter the recycling stream or will be disposed. MRRS can also accept wastes that have 3% or less, by volume, of materials used in chemotherapy treatments. They may not accept Radioactive Wastes, Dangerous Wastes regulated by WAC 173-303 (paitns, solvents, bulk chemotherapy wastes, formaldehydes, batteries, merculy thermometers), human remains, gas cylinders or cans or any leaking biomeical waste bags/containers. If needed, I can route the materials they submitted to us for our SEPA review... MJ Date: 25 -Sep -96 11:30:21 From: MICHAEL -J (MICHAEL JENIkS) To: PENNY Subject: Medical Resources Recycling Message -id: CD17493201000000 Application -name: MHS • We are in the procss of signing off on this business license. For full planning approval, a code interpretation is required. When this is completed, I will forward it to you. The code interpretation needs to be signed off before the license can be issued. I went ahead and sent it off to building to start the review up again, so when the interpretation is done, so will the interdepartmental review... MEMORANDA To: Steve Lancaster From: Michael Jenkins Date: August 30, 1996 Re: Medical Resources Recycling Systems, Inc, (MRRS) SEPA E96-0027 Per your request, I have attached the following documents to this memoranda as a review file: A. Staff memoranda dated 8/22/96 B. R.C.W. 70.95K, Biomedical Waste definitions C. King County Solid Waste Regulations, Title 10 • D. Waste Acceptance Policy for MRRS E. MRRS Protocol for service F. MRRS Waste Route through facility at 6350 S. 143rd. G. MRRS Biohazardous/Infectious Materials Treatment Process and Training Guide H. Autoclave Information I. Container washing procedures J. Contingency Pian K. Closure Plan L. Autoclave Quality Control Schedule M. MRRS Accident Prevention Program N. MRRS Bloodborne pathogens exposure control plan, per OSHA standards (29 CFR 1910.1030) O. MRRS Employee training and safety checklist P. SEPA Checklist submitted on 7/26/96 a:\SEPAWISL9627 CITY OF TUKWILA DEPARTMENT OF COMMUNITY DEVELOPMENT 6300 Southcenter Boulevard, Tukwila, WA 98188 Telephone: (206) 431-3670 AFFIDAVIT OF INSTALLATION AND POSTING OF PUBLIC INFORMATION SIGNS) State of Washington County of King City of Tukwila I/crrj ,J %"/fir*i ' (Print Name) understand that Section 18.104.110 of the Tukwila Municipal Code requires me to post the property no later than fourteen (14) days following the issuance of the Notice of Completeness. I certify that on 8_01_ q to the Public Notice Board(s) in accordance with Section 18.104.110 and other applicable guidelines were posted on the property located at (0 350 5 • 14 3 F ci S t so as to be clearly seen fro each right -of -way providing primary vehicular access to the property for application file number 63 -" 00 2.`7 SUBSCRIBED AND SWORN to before me this7'day of NOTARY PUB residing at My commission e p Affian (Applicant Signature) , 19 .I ires on VRYLOU TRAUTMANN for the State of Washington CITY OF TUKWILA DETERMINATION OF NONSIGNIFICANCE (DNS) DESCRIPTION OF PROPOSAL: MEDICAL WASTE RECYCLING CENTER PROPONENT: NANCY KA TEVOLD LOCATION OF 0POSAL, INCLUDING STREET ADDRESS, IF ANY: ADDRESS: 63.`_ C S 143 ST FARDEL NO: 3.36590_ 1Fi9C LLr.L rt��iY CITY OF TUKWILA FILE NO: E96-0027 The C ! ty has determined that the proposal does not have a probable itin f : :ant adverse .:ii act on the environment. An environmental iw,paot statement ;EIS) is not required under RCW 43.21c.030(2) (c) . This decision was Tilade after review of a completed environmental 1.:%i"•4i•. i i tt and other information on file with the lead agency. This i,id oi'mat ir.;;;; is available to the public on request. A.!!e d k.r;•k_k*•'. k &•F k l• :&•k:k•(•****.k-k*•k**•k*•k-k********************-k**************** Ths "'- is issued under 197-11-340(2). comments must be submitted by ¥ vi r .1151 .4, . The lead agency wi 11 not act on _ p. uposal fol" 15 days from the date below. A.x i- 55_(, ,..ancaster, Responsible Official Date • of i i1 . fir': i l Kt , (, Lr h) 6300 S oi5_ iG: , t `. B.Oi e: a.d r r i t t, P 92712, ii J•. YV 1 , L1 T 'N rs _..,+e_. of the procedure_ for SEPA appeal= are available with the Department of Community Development. AFFIDAVIT 1, VL\IiA 11ncAIA LLu/j LI Notice of Public Hearing LI Notice of Public Meeting Board of Packet O Board of Packet LI Planning Packet Adjustment Agenda Appeals Agenda Commission Agenda fl Short Subdivision Agenda Packet O Notice of Application for Shoreline Management Permit LI Shoreline Management Permit OF DISTRIBUTION hereby declare that: Determination of Non- significance fl Mitigated Determination of Nonsignificance ❑ Determination of Significance and Scoping Notice fl Notice of Action fl Official Notice Other Other was mailed to each of the following addresses (SE_ on g-23-% Name of Project/ fl CN.- KF,6CIx2.02 Signature R 4C File Number ��-co i City ofTukwirib • Department of Community Development 6300 Southcenter Boulevard Tukwila, WA 98188-2599 ietn rY t-14, Irl 1. /V 1 VV-G✓77 X908 Tukwila, WA 98188-2599 Cullen Stephenson N.W.R.O. 3190 - 160th Avenue SE Bellevue, WA 98008 DEPARTMENT OF ECOLOGY SEPA REVIEW SECTION PO BOX 47703 OLYMPIA, WA 98504-7703 RING COUNTY HEALTH DEPARTMENT PERMITS 506 2nd Avenue - Ste 11201 Seattle, WA 98104 P.S.A.P.C. 110 Union Street - Suite 500 Seattle, WA 98101-2038 • City of Tukwila Department of Community Development 6300 Southcenter Boulevard. Tukwila, WA 98188-2599 uuutevuru Tukwila, WA 98188-2599 METRO ENVIRONMENTAL PLANNING DEPARTMENT 821 2nd Avenue Seattle, WA 98104 Rick Kartevold• MEDICAL RESOURCE RECYCLING SYSTEMS, INC, PO Box 13186 Spokane, WA 99213 01\ R Sr -0 s) � phi cAc-. Ki CouN wN- reoLUAMoi .'Emv)e. RAW). ZND Av • 0002801.0007.r04Y; • KNU0SOW4ERR'CC: 169800 ' . ,14062'INTERURBAWAVE SOUTH TUKWILA WA. ' 98188 0902801.0013-06 -,C;D!& .17' INVESTMENT 23907PL tC7104 :KENT 34A, • • ' 409999 98034 • .142304-9043'03- NORTHERWPACIFICIRAILWAYC0579890 916SMITWTOWER: SEATTLE WA.: 98104. - • ..-- . . - •- _ . . . • 336590-140570,3: _. METRO • LAND . DEVELOPMENT INC R0576 PO:BOX 8805.0. TUKWILA WA 98188 336590'1415-01- • 'SEGALEMARI0.,A• -.18010LS,CENTER PKWYTUKWILA WA: R077 • 98188 :.3365901425-04 WOODM: •:14305qINTERURBAW-AVE :JUKWILA-WV• 0780 98168 .336590-1435.07( HARRIS:A4ABEL::J' 14301'INTERURBAN AVE S' :JUKWILA.:WA/ 1336590-1440-00• • EBENEZER,CHURCH,OF-GOOIN C449999 • .P000X:18154 R0677 98168 SEATTLE WA. 98118 33o5vu-1,“tt)U - HAWKINAK.M PO BOX 977 VANCOUVER WA .336590-1450-07: SIVERTSEN DAVID R 5703.- 230TH.AVE SW. MOUNTLAKE.TERRACE WA 3N3151 98666 401482 98043 336590-146005 HILLSTROWALOISAJ+BEULAW.V299999 818S'27TH:ST, RENTON.WA 98955 33659071470-03- THE.SOUTHLAMOCORP- 769999 • AV-TAXOEPT,LOC '27482 P0.80Xcl19 DALLASTX. 336590-1665-08 KNUDSON:GERALD C; GREEN,RIVER-CONST.-INC. 14062ANTERUR8AWAVE S: TUKWILA:WA 75221- :.• 9N0639 98188 336590-1680-09 KNUDSON.GERALD. • 6421S0.143RD-PL' I TUKWILA WA 336590-1685704. KNUOSOWGERALD C 6421;S -143R0 -PL; TUKWILA WA • 336590-1690-07 KIICSANG-HO 4011'NE:7TH-CT. • RENTON.WA 336590-1700-95 . ENGSTROMAY 6238 S 143RD PL TUKWILAWA 749499 98188 244723 98168 509999 98056 Z1977 98168 3365901715-08 HINKSON LESLIE 64115.143RDST • SEATTLE.WA . . 079999 98168 • 3.36590-1975-03 ' TUKWILA TERMINALL:LC P0•80)C1037: 'RENTON.WA 377920-0160-05 ANMARCO . 9125.10TH AVE.S .SEATTLE . WAS 679999 98057 0.79999 98108 336590-172-01 • BURKE .R RT . 913.940 C/O BERT-WELL♦INDUSTRIES'IN 7848'S• 202ND ST KENT.WA 98032 336590-1721-00 'STRAY,FREDERICK M+FRANCES K989999 12805•NE 80TH ST' KIRKLANO.WA 98033 336590-1756-08 SANFT..ADOLPH C'LOUIE. 6120.52ND AVE S SEATTLE .WA .336590-1757-07: SMITH- GRANT..D 6427 S:143R0• TUKWILA WA 336590-1765-07 .DAWES•CLYDE:W 6439 S'14.3RD TUKWILA WA 550182 '98118 679999 98168_ C0677 98168. 336590-1846-00. HARTONG LLOYD 5715 S.147TH; 'TUKWILA WA 336590-1851-02 PARSHALL"NOELRET AL.. 14062-INTERURBAN.AVE S= TUKWILA.WA 336590-1881-06 FAIRWAY CENTER ASSOCIATES; C/0•HALLISSEY.:R:J-00 INC. 12835 BELL -RED: RD ,1140; BELLEVUE WA. _ 336590-1940-05 WORM, MARY: HAMILTON 6406 S"143RD•ST: SEATTLE WA 562168 98168 489999 98168 490076 98005 5025.73 98168 .336590-1945-00: BEST TRAY:MOTOR'FREIGHT:INCI00718 PO 80X.1037 RENTON WA 98057 AFFIDAVIT I, Sy'L IA M\CMui-LE4 O Notice of Public Hearing ❑ Notice of Public Meeting ❑ Board of Adjustment Agenda Packet O Board of Appeals Agenda Packet LIPlanning Commission Agenda Packet 0 Short Subdivision Agenda Packet O Notice of Application for Shoreline Management Permit LJ Shoreline Management Permit • OF DISTRIBUTION hereby declare that: fDetermination of Non- significance 0 Mitigated Determination of Nonsignificance ODetermination of Significance and Scoping Notice fl Notice of Action Official Notice Other Other was mailed to each of the following addresses risb SNEF,ii\ SRRART TwieG LILA - Z�Bz on 2 -Z2 -9(o Name of Project A bk(,&L- IR`' i l ler..6 Signature File Number E910 - 002-1 Rte' VCJJ/'J CHECKLIST: ENtONMENTAL REVIEW/SHORELINAIERMIT MAILINGS () U.S. ARMY CORPS OF ENGINEERS () FEDERAL HIGHWAY ADMINISTRATION () DEPT OF FISH & WILDUFE () OFFICE OF ARCHAEOLOGY ( ) TRANSPORTATION DEPARTMENT () DEPT NATURAL RESOURCES () OFFICE OF THE GOVERNOR () DEPT OF COMMUNITY DEVELOPMENT () DEPT OF FISHERIES & WILDUFE () KC. PLANNING & COMMUNITY DEV. () BOUNDARY REVIEW BOARD () FIRE DISTRICT #11 () FIRE DISTRICT #2 () S CENTRAL SCHOOL DISTRICT ( ) TUKWILA UBRARIES () RENTON LIBRARY () KENT LIBRARY () CITY OF SEATTLE UBRARY ()USWEST () SEATTLE CITY UGHT () WASHINGTON NATURAL GAS () HIGHUNE WATER DISTRICT () SEATTLE WATER DEPARTMENT ( ) TCI CABLEVISION () OLYMPIC PIPEUNE () KENT PLANNING DEPT ( ) TUKWILA CRY DEPARTMENTS: () PUBUC WORKS () POLICE () PLANNING () PARKS & REC. () FIRE () FINANCE () BUILDING () MAYOR () PUGET SOUND REGIONAL COUNCIL (' P.S. AIR POLLUTION CONTROL AGENC () SW K C CHAMBER OF COMMERCE () MUCKLESHOOT INDIAN TRIBE () DUWAMISH INDIAN TRIBE FEDERAL AGENCIES () U.S. ENVIRONMENTAL PROTECTION AGENCY () U.S. DEPT OF H.U.D. WASHINGTON STATE AGENCIES () DEPT OF SOCIAL & HEALTH SERV. Mix, . it .0 . (lU Sb '110 - 1 f ck.c. rib (A DEPT OF ECOLOGY, SEPA DIVISIOIN 19.I )e_uut WA () OFFICE OF ATTORNEY GENERAL i * SEND CHECKUST WITH DETERMINATIONS viebe * SEND SITE MAPS WITH DECISION KING COUNTY AGENCIES () KC. DEPT OF PA XS DEPT l) PORT OF SEATTLE () BUILDING & LAND DEV. DIV -SEPA INFO CENTER SCHOOLS/LIBRARIES ()HIGHUNE SCHOOL DISTRICT () K C PUBUC UBRARY () SEATTLE MUNI REF UBRARY () SEATTLE SCHOOL DISTRICT () RENTON SCHOOL DISTRICT UTILITIES () PUGET SOUND POWER & UGHT () VAL-VUE SEWER DISTRICT () WATER DISTRICT #20 () WATER DISTRICT #125 () CITY OF RENTON PUBUC WORKS () RAINIER VISTA () SKYWAY CITY AGENCIES () RENTON PLANNING DEPT () CRY OF SEA TAC () CRY OF BURIEN () TUKWILA PLANNING COMMISSION MEMBERS ( ) TUKWILA CITY COUNCIL MEMBERS OTHER LOCAL AGENCIES / METRO ENVIRONMENTAL PLANNING D +� OFFICE/INDUSTRIAL 5,000 GSF OR MORE RESIDENTIAL 50 UNITS OR MORE RETAIL 30,000 GSF OR MORE () DAILY JOURNAL OF COMMERCE () VALLEY DAILY NEWS 7/12/95 C:WP51DATA\CHKUST MEDIA () HIGHUNE TIMES ( ) SEATTLE TIMES Atte - Taclivfh • • PUBLIC NOTICE MAILINGS FOR PERMITS SEPA MAILINGS Mail to: (comment period starts on date of mailing) Dept. of Ecology Environmental Review Section Applicant Other agencies:.as necessary (checked off on attached list) Include these documents: SEPA Determination (3 -part form from Sierra) Findings (staff report, usu. with MDNS) SEPA Checklist (filled out by applicant) Drawings/Plans of project (site plan, elevations, etc. from PMT's) Affidavit of Dlstribution (notice was mailed & sent to newspaper). SHORELINE MAILINGS Notice of Application: Notice of application for a substantial development Permit must be mailed to owners and to property owners within 300 feet of subject property, prepare an affidavit of publication, and publish two consecutive weeks with deadline for comments due 30 days after last newspaper publication date. Shoreline Permit: Mail to: (within 8 days of decision; 30 -day appeal period begins date received by DOE) Department of Ecology Shorelands Section State Attorney General Applicant Indian Tribes Other agencies as necessary (checked off on attached list). Include these documents: Shoreline Substantial Development Permit (3 -part form from Sierra) Findings (staff report, if applicable) Shoreline Application Form (filled out by applicant) Drawings/Plans of project (site plan, elevations, etc. from PMT's) - Site plan, with mean high water mark & improvements Cross-sections of site w/structures & shoreline Grading plan Vicinity map SEPA De- termination (3 -part form from Sierra) Findings (staff report, usu. with MDNS) SEPA Checklist (filled out by applicant) Any background studies related to impacts on shoreline Notice of Application Affidavit of Distribution (notice was mailed & sent to newspaper) Affidavit of Publication (notice was published in newspaper). • City of Tukw la John W. Rants, Mayor Department of Community Development Steve Lancaster Director NOTICE OF COMPLETE APPLICATION August 22, 1996 Nancy Kartevold Medical Resources Recycling Systems, Inc. P.O. Box 13186 Spokane, WA 99213-3186 RE: SEPA Application, File No.: E96-0027 Dear Ms: Kartevold: Your SEPA application for the review of your proposed medical recycling business, located at 6350 S. 143rd., has been found to be complete on August 21, 1996 for the purposes of meeting state mandated time requirements. This project has been found to be complete following the submission of the SEPA Application and your subsequent submission of mailing labels and assessors maps, received on August 8, 1996. The next step is for you to install the notice board on the site within 14 days of the date of this letter. I am enclosing information on how to install the sign with your application packet. Also, you must obtain a laminated copy of the Notice of Application to post on the board. This notice is available at DCD. After installing the sign with the laminated notice, you need to return the signed Affidavit of Posting to the our office. This determination of complete application does not preclude the ability of the City to require that you submit additional plans or information, if in our estimation such information is necessary to ensure the project meets the substantive requirements of the City or to complete the review process. This notice of complete application applies only to the permits identified above. It is your responsibility to apply for and obtain all necessary permits issued by other agencies. .1 will be contacting you soon to discuss the SEPA determination on this project. If you wish to speak to me sooner, feel free to call me at (206) 433-7142. Sincerely, Michael Jenkins a:\sepa\9627comp 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • (206) 431-3670 • Fax (2061 431-3665 MEMORANDUM TO: Project File e96-0027, Medical Resources Recycling Systems, Inc. FROM: Michael Jenkins, DCD RE: SEPA review - staff evaluation of Environmental Checklist received July 26, 1996 DATE: August 22, 1996 Project Description: Site is located at 6350 S. 143rd. Project involves the establishment of a solid waste processing facility specializing in the treatment of regulated biomedical waste. Waste will be processed using a steam sterilization autoclave, with resulting inert material shipped for recycling or deposited into the waste stream. Applicant will be a tenant of Waste Management, Inc., who will occupy most of the existing building. Agencies with jurisdiction: Seattle -King County Department of Health, pursuant to Title 10 of the King County Solid Waste Regulations Comments to SEPA checklist: Pg. 2, section A(9): Waste Management will receive a NPDES stormwater permit concerning their site activities. Pg. 5, section 2(c): Steam from autoclaves are vented to a condensation and holding tank, for release into sewer system. Pg. 6, section 3(1.5): Proposal lies within 100 year floodplain. Pg. 12, section 8(d): Applicants are not located within the Urban Shoreline, as indicated on their application materials. Summary of interdepartmental comments: None Summary of Primary Impacts: • Earth Pre-existing site with no changes to surface area. SEPA review - E96-0027 Medical Resources Recycling Systems, Inc. - 6350 S. 143rd August 22, 1996 • Air Small quantities of steam to be released when autoclave process has finished and doors open. Steam from process to be held in condensation tank and released into sewer system. • Water Green River is located approximately 200 feet from existing building. No discharge to surface waters or ground water. • Plants Deciduous trees and shrubs are found at project. No vegetation will be removed. Existing landscaping is on site. • Animals No known wildlife other than birds. No known candidate or endangered species found on • site. • Energy/Natural Resources Natural gas used in heating and boiler operations and electricity for office operations. • Environmental Health Biomedical waste is brought to site for sterilization treatment by applicant. No chemicals or hazardous materials used in process. All materials brought to site are clearly marked with biomedical waste symbols and packed in containers that are designed to be resistant to tears, punctures or leaks. Operations follow strict guidelines on removal, handling, treatment and shipping to and from site, following requirements developed by Seattle -King County Department of Health, Washington Administrative Code and U.S. Environmental Protection Agency. Operating hours are between 8:00 a.m. and 6:00 p.m. Machines that will be operating include a boiler pump, forklift and autoclave. Will produce truck traffic when materials are dropped off. Sound barrier to be erected into autoclave area. All trucks will turnoff engines when loading or unloading. • Land/Shoreline Use Site is a one story 7,500 square foot building, located in Commercial/Light Industrial (C/LI) zone. Adjacent properties are also zoned C/LI. No structures will be demolished or substantially altered as a result of this project. The site will be staffed by approximately 5 employees. Permit for operation to be obtained from Seattle -King County Department of Public Health. T SEPA review - E96-0027 Medical Resources Recycling Systems, Inc. - 6350 S. 143rd August 22, 1996 • Housing No housing demolition or housing proposed for site. • Aesthetics None, as activities are all internal to existing structure. • Light and Glare None, as existing external security lighting will be used. All other lighting is internal to building and is industry standard. • Recreation No known impacts. • Historic/Cultural Preservation No known places, landmarks or objects. • Transportation Project is located near intersection of S. 143rd and Interurban Ave. Applicant will use approximately 5 stalls of existing 60. Site is located near transit stop. Project will generate approximately 4-6 vehicle trips by service vehicles per day, with peak hours in late morning and late afternoon. • Public Services No known impact. • Utilities Electricity, telephone, water, natural gas, refuse and sanitary services will be used through existing service provided to site. be Recommendations: DNS a:\SEPA\e96-0027 3 • City of Tukwila John W. Rants, Mayor Department of Community Development Steve Lancaster, Director MEMORANDA TO: Steve Lancaster FROM: Jack Pace DATE: August 13, 1996 RE: Medical Resources Recycling System, Inc., (MRRS) SEPA E96-0027, 6350 S. 143rd. In addition to the SEPA review of the above referenced project, a determination needs to be made if this project is a permitted use or if it needs to be reviewed under either the Conditional Use or Unclassified Use process. Introduction The proposed use is located in the Commercial/Light Industrial (C/LI) zone. The applicant, MRRS, is a solid waste processing facility that specializes in the treatment of biomedical waste. By Washington Administrative Code (WAC) and guidelines developed by waste generators (i.e. hospitals, labs, etc.), MRRS is only allowed to accept waste determined to be non -radioactive or non -dangerous. MRRS will collect plastics, needles, scalpels, glassware, culture/specimen wastes, tubing, gowns, gloves and other materials used by hospitals, care facilities, clinics, medical and dental offices and other similar facilities. The materials will be collected and brought to the facility following strict guidelines concerning separation, marking and other safeguards. Employees will be screened and trained accordingly. The materials collected will be processed and rendered inert through a steam autoclaving process. Once this process has been completed, the materials will either enter the recycling stream or be disposed of into the solid waste stream. Criteria TMC section 18.30.020 (58), states that "...uses not specifically listed in this title, which the director determines to be: a) similar in nature to and compatible with other uses permitted outright within this district; and b) consistent with the state purpose of this district; and c) consistent with the policies of the Tukwila Comprehensive Plan." 6300 Southcenter Boulevar4 Suite #100 • Tukwila, Washington 98188 • (206) 431-3670 • Fax (206) 431-3665 Memorandum • • August 19, 1996 Medical Resources Recycling System, Inc. Similar in nature to and compatible with other uses permitted outright within this district Permitted uses in the C/LI include uses that manufacture, process, assemble or repair medical or dental equipment; manufacture, process or package pharmaceuticals; medical and dental laboratories; medical and dental offices, and, outpatient, inpatient or emergency medical facilities. As the bulk of the uses generating materials the applicant is proposing to process are already permitted in this zone, the proposed use meets the test in the above code section. Consistent with the state purpose of this district TMC 18.30.010 states that the purpose of the Commercial/Light Industrial (C/LI) zone "...is intended to provide for areas characterized by a mix of commercials, office or light industrial uses. .The standards are intended to promote viable and attractive commercial and industrial uses." MRRS engages in the processing of materials for entry into the recycling or waste streams. Accordingly, this use appears consistent with the purpose of the activities in the C/LI zone. Consistent with the policies of the Tukwila Comprehensive Plan Section 12.1.39 of the Comprehensive Plan indicates that Tukwila will "establish and maintain regulations and programs for residents and businesses to meet state and county solid waste reduction goals." MRRS will be providing waste reduction services for medical businesses in Tukwila, as well as in other jurisdictions. Section 12.1.41 states that Tukwila will "encourage and actively participate in a uniform regional approach to solid waste management". This facility is the first facility in the county to provide these services independent of hospitals or facilities outside of the region. In addition, Section 2.1.12 of the Tukwila Comprehensive Plan indicates that Tukwila will "promote economic use of industrial lands outside the MIC by encouraging redevelopment of under-utilized sites and by promoting the retention of larger parcels or consolidation of smaller parcels of industrial land to facilitate their use in an efficient manner." MRRS will be sharing a site with Waste Management, Inc. and will be their primary account. By consolidating the two activities within one building, it makes for an efficient use of the location by complementary businesses. Recommendation The proposed use meets the criteria set forth above and, accordingly, should be a permitted use for the site. a:\current\mrrsuse el\02,CcAa Q(scA \ ,Q,w*ACci lAINAN o v\ VC6YaCtca vu cAe Igkooalocrm_ ps�vl BLOODBORNE PATHOGENS/MEDICAL WASTE MANAGEMENT I. Definition of Medical Waste: • Animal Carcasses & Bedding • Biosafety Level 4 Wastes • Cultures & Stocks • Human Blood and Blood Products • Pathological wastes • Sharps II. Conditions Necessary for Infection to Occur • Infectious agent in sufficient numbers and virulence • Contact between infectious agent and the worker • Portal of entry - eyes, mouth, nose, skin III. Hepatitis B and AIDS/HIV - NOR Y\ �v��t ns1i- 0Q 'VeiNv mA�5of \,u")r IV. Worker Protection Measures 1\`\/ \6`1" o - \oY`s"\ '" c koo' 1. Exposure Control Plan 2. Proper Packaging 3. Labelling 4. Personal Protective Equipment 5. Safe Leak -proof Vehicle 7. Housekeeping 8. Spill Kit and Cleanup Procedures 9. Emergency Response Information 10. Hepatits B Vaccination 11. Medical Evaluation 6. Equipment Cleaned & Disinfected 12. Training V. Personal Protective Equipment A) Always Worn When Handling Waste • Long Sleeved Uniform • Heavy Gloves (puncture -resistant) • Steel -toed Boots • Any Customer -Required Equipment (hard hat, safety glasses, etc) B) Additional PPE Used for Spill Response (put on in the following order): • PVC booties over safety boots • Disposable coverall • Latex gloves • Disposable dust mask (3M Model 9920) • Face shield and goggles • Neoprene gloves worn over latex RECEIVED AUG 1 2 1996 COMMUNITY DEVELOPMENT EXECUTIVE SUMMARY BACKGROUND: In 1988 the Washington State Legislature passed Substitute Senate Bill 6264 (Chapter 171, Laws of 1988) requiring that a study of infectious waste be conducted by the Department of Ecology with assistance from the Department of Social and Health Services and other groups. The study focused on characterizing the state's infectious waste stream, assessing risks, and preparing recommendations for preferred management practices for the Legislature. TECHNICAL ADVISORY COMMITTEE: A technical advisory committee was assembled to provide technical expertise from diverse backgrounds and positions. Included are representatives from local health jurisdictions, health care associations, state and federal government, public and private sector waste industries, wastewater treatment agencies, specialized expertise and the public. SUMMARY OF RECOMMENDATIONS Recommendation 1. A statewide infectious waste management regulation should be adopted by the state. The regulation should apply to all medical institutions, regardless of size. h Scaae0\c\a,d9� �tiLfi wzt, od oc b uO.ICi,\\ a) ws Cry coAcA.-e,ny C10s'\RCvJ ' qS 1\ Recommendation 2. An infectious waste public awareness and education program should be developed by the state with direct participation by local health jurisdictions, to guide proper disposal of residential infectious waste.� c�d,,kec,�� 0) �VoN, rec664, Soc\\ as dis&e,,Vcs Vwc, - c. l Quk x\� Recommendation 3. Programs should be supported by the state that reduce the number of stray i.v. drug user needles in the environment such as needle exchange programs authorized by local health officers. -colaxo, w APtQCtS C� Recommendation 4. A waste industry safety, personal hygiene and education program should be coordinated and implemented by the state, with direct participation by the waste industry, to protect workers from occupational disease transmission. ZaQ\ c i \J X\ Q i. Oruch VON \aeRIN w VOCLe0ed. Recoendation 5. The feasibility of waste reduction and recycling in the medical industry should be examined by the state with direct participation by the medical industry.6 ).N\ v -Q\c& Q rC\Nlo • vi\ 906\ GS A2 -j(7, WC.Alf% R\i‘. ASS sm ecommendation 6. A comprehensive regulation for incinerators, including infectious waste incinerators, should be developed by the state to'address toxic air emission concerns. The regulation should apply to all incinerators regardless of size. 6 S\aae_wa2: �o..a\- C0ceA v\ cob, .{ clvMdo\ (V, 0Aq � �c �yJ ��ficf'. EPA eo\� NGS \oQ-`N 6.64.9 Reco..endation 7. Infectious waste incinerator ash should be studied by the state to .examine chemical composition for applicability to hazardous waste rules when disposed. 1\t nr t of v r 0641 iW\AI\OQ \ \LONG 1\N0 \\1\ 75, i CENED bo AUrG 1 2 A�ru b COMMUMW OE V GLO ME11T RECOMMENDATION"6., A comprehensive regulation for incinerators, including infectious waste incinerators, should be developed by the state. The regulation should apply to all incinerators regardless of size. An examination of state records indicated that there are at least 120 small incinerators burning infectious waste in the state, and that most lack adequate emission control devices. Medical waste, typically containing about five times more plastics than municipal waste, can emit toxic chemical emissions when burned in incinerators that are improperly designed or operated. Regulations for such designs and operation are needed. Result of Non -Action: Non -action will result in the continuation of current practices. Many inadequately designed or operated incinerators will continue generating toxic emissions._ Non -action would be expected to compromise public and environmental health. RECOMMENDATION 7. Infectious waste incinerator ash should be studied by the state to examine chemical composition for applicability to hazardous waste rules when disposed. Medical waste typically contains about five times more plastic than municipal waste. Other toxic chemical contaminants such as cancer drugs and metals may also be found. The ash should be tested to determine if it contains toxic contaminants that would have a bearing on how it is ultimately disposed. Current information does not adequately address this concern. Result of Non -Action: Non -action will allow continuation of the. current practice of ash disposal into the general waste stream. Such continued action may compromise the health of waste collectors, the public and the environment. v • A WASHINGTON STATE INFECTIOUS WASTE PROJECT. REPORT TO THE LEGISLATURE As Required in Chapter 171, Laws of 1988 Wayne L. Turnberg, M.S.P.H. Project Manager Tamara J. Gordy Incineration Study Coordinator This study was completed using Referendum 26 and 39 funds, under contract no. C0089060 between the Seattle -King County Department of Public Health and the Washington State Department of Ecology. Washington State Department of Ecology Solid and Hazardous Waste Program PV -11 Olympia, Washington 98504-8711 December 30, 1989 RECEIVED AUG 1 2 1996 COMMUNITY DEVELOPMENT N N w 1 ■ 1 1 1 WASHINGTON STATE INFECTIOUS WASTE PROJECT: REPORT TO THE LEGISLATURE I. INTRODUCTION Proper infectious waste management has become a concern to the public and workers in the waste industry. The AIDS epidemic and recent wash-ups of medical waste on beaches have elevated these concerns regarding potential infectious disease transmission from waste stream sources. Though such transmission has never been epidemiologically demonstrated, its potential remains. The infectious waste stream is not specifically regulated in Washington state. Certain medical wastes generated by hospitals and nursing homes are currently regulated under existing rules, (WAC 248-18-170 and WAC 248-14-510) though waste definitions and disposal requirements are written only in general terms. The state currently has the statutory authority to regulate infectious waste as a dangerous waste (Hazardous Waste Disposal Chapter RCW 70.105), but has not acted upon this authority. II. CHAPTER 171, LAWS OF 1988 (SUBSTITUTE SENATE BILL 6264) During the 50th Legislature of the State of Washington, the Washington State Legislature passed Substitute Senate Bill 6264. This legislation, signed into law on March 25, 1988, required that a study of the state's infectious waste stream be conducted to assist the legislature in developing a statewide infectious waste management policy. In the bill, the legislaturq.declared that "it is inthe interests of public health to expeditiously assess the risks 1 regarding management and disposal of infectious wastes and to take necessary state action to ensure that such risks are addressed". The bill required that the Washington Department of Ecology, with assistance from the Department of Social and Health Services, examine the state's infectious waste disposal practices and assess risks to public health associated with the presence of waste capable of producing an infectious disease. The bill required that a report containing study findings and recommendations for preferred waste management practices be transmitted to the legislature by January 1, 1990. The bill also required that the Department of Ecology and the Department of Social and Health Services consults with, local health departments and representatives of the health care, solid waste, and waste water management industries in its preparation. A copy of this bill appears in Appendix I. 1. STUDY TASKS: The specific study tasks required by the bill include: A. Assessing the risks to public health due to the presence of waste capable of producing an infectious disease. B. Assessing the environmental transmission of infectious agents in media that include solid, liquid, or airborne wastes. C. Identifying the diseases presenting the most serious risks to public health. D. Identifying the components of the waste stream having the highest risks to public health, and the sources of these wastes. E. Assessing existing waste management practices of health care facilities. F. Reviewing the sources of infectious waste from health care facilities. G. Reviewing the sources of infectious waste from home health care activities. H. Reviewing current infectious waste management, transport, treatment, and disposal practices. I. Reviewing preferred infectious waste management practices, including new technologies, that minimize risks to public health. J. Reviewing the adequacy of existing state, local, and federal regulatory programs with regard to public health. K. Reviewing any additional information useful to address this issue. L. Preparing recommendations regarding health care facility practices that will: a. Minimize the production of infectious wastes; or b. Disinfect the wastes on-site; or. c. Other alternatives to minimize public health risks. M. Preparing any additional recommendations useful to address this issue. N. Preparing a cost analysis for those preferred waste management practices'ihvolving implementation by units of local government. I . 0. Preparing recommendations for legislation and appropriations necessary to effect any enhanced regulatory programs. 2. TECHNICAL ADVISORY COMMITTEE: A Technical Advisory Committee was assembled for the project to provide technical expertise from diverse backgrounds and positions regarding infectious waste management. Included on the committee are representatives from local health jurisdictions, health care associations, state and federal government agencies, public and private waste industries, wastewater treatment agencies and specialized expertise. A listing of technical advisory committee members and their respective interests or areas of expertise is presented in Appendix II. Specific responsibilities of the committee include providing technical expertise and advice, acting as an information resource disseminating information to constituents and receiving their feedback, and assisting in the development of recommendations to the legislature to address the risks identified by the study. 3. PUBLIC INVOLVEMENT: A key element to the Infectious Waste Project involved disseminating information to the public and receiving input regarding project findings and recommendations. Project information and announcements were routinely sent to over 280 interested parties. All local environmental health departments were included on this mailing list. Technical Advisory Committee Meetings were also open to the public. 4 Public comment was taken during those meetings. Over 100 interested parties requested and received copies of project draft reports for comment. Public meetings were held in King County (November 1, 1989), Whatcom County (November 2, 1989) and Spokane County (November 9, 1989) to discuss and receive comments to project findings and recommendations. Infectious Waste Project presentations were also conducted by project staff to interested groups upon request. III. PROJECT STUDIES Seven individual studies were conducted to address each of the study tasks. These studies include: 1. Human Infection Risks Associated with Infectious Disease Agents in The Waste Stream: A Literature Review 2. Survey Of Infectious Waste Management Practices Conducted by Medical Facilities in Washington State 3. Survey of Infectious Waste Management Practices by Home Health Care Organizations in Washington State 4. Survey of Occupational Exposure of Waste Industry Workers to Infectious Waste in Washington State 5. A Characterization of Infectious Waste Issues as Experienced by Local Health Jurisdictions in Washington State 5 6. Summary and Analysis of Potentially Impacting Federal and State Infectious Waste Management Programs 1 1 1 7. Incineration of Infectious Waste: A Literature Review and Inventory/Characterization of Washington State Each of these project studies is presented as an attachment to this report. 6 1 1 1 1 SYNOPSIS OF RECOMMENDATIONS RECOMMENDATION 1. A statewide infectious waste management regulation should be adopted by the state. The regulation should apply to all medical institutions, regardless of size. State survey results show a lack of uniformity or understanding by medical institutions regarding how infectious waste should be defined, treated or disposed. Twenty-one percent of 438 waste industry employees surveyed in Washington state reported that they had been stuck by hypodermic needles and 5% reported having had waste blood splash to their face or eyes while on the job. Information is not available to determine whether disease transmission has occurred to this group or to the public, though such exposures are viewed as dangerous. Result of Non -Action: Non -action will result in the continuation of current non-uniform unguided disposal practices . Non -action would be expected to compromise the' safety and health of waste industry workers and the public:' RECOMMENDATION 2. An infectiouswaste public awareness and education program should be developed by the state with direct participation by local health jurisdictions, to guide proper disposal of residential infectious waste. Home health care is rapidly increasing in the state. Home medication is also widespread with an estimated 22,000 insulin users in the state, many:requiring up to 2 injections each day. These activities now generate a significant volume of infectious waste from residences. This waste is now being disposed without uniform guidance. Another hazard involves needles abandoned by i.v. drug users. Such needles are dangerous and are being increasingly observed in parks, yards and other areas frequented by children and adults. Twenty-one percent of waste industry workers surveyed in Washington state reported having been stuck by hypodermic needles on the job; many of these injuries reported from. residential sources. At least one child in the state has been stuck by a needle left behind by an i.v. drug user. Result of Non -Action: Non -action will result in the continuation of unguided or indiscriminate disposal practices from homes that are now observed. Non -action will result in confusion regarding methods to protect citizens from i.v. drug user needles. Non -action would be expected to compromise the safety and health of the public. RECOMMENDATION 3. Programs should be supported by the state that reduce the number of stray i.v. drug user needles in the environment such as needle exchange programs authorized by local health officers. Stray needles left by i.v. drug users present a risk of spreading bloodborne infectious disease agents, particularly the hepatitis B virus, to those inadvertently punctured. Such needles are being increasingly observed in areas frequented by adults and children. I.V. needle exchange programs offered by the Seattle -King County and Pierce County Health Departments are now exchanging up to 144,000 i.v. drug user needles per year. These programs may be illegal by current state law. Such programs, in addition to curbing the spread of AIDS among i.v. drug users, offer proper methods for needle disposal. Such programs have been reported to decrease the number of stray i.v. drug user needles in the environment. Result of Non -Support: Non-support may jeopardize needle exchange programs, which could lead to their closure. Closure would compromise health among the drug user population and the public exposed to stray waste needles. iii L. RECOMMENDATION 4. A waste industry safety, personal hygiene and education program should be coordinated and implemented by the state, with direct participation by the waste industry, to protect workers from occupational disease transmission. Agents of human infectious disease are ever present in the waste stream. Exposure to these organisms can result in human infection. A state survey of 438 waste industry workers observed 74% reporting occupational cuts and scratches, 5% reporting blood splashed to their face or eyes, and 21% reporting hypodermic needlestick injuries. Only 26% reported any training regarding medical waste safety practices. Result of Non -Action: Non -action will result in waste industry workers working without standardized knowledge of safety procedures, personal hygiene practices and education needed to understand and prevent disease transmission from waste stream sources. Non -action would be expected to compromise the safety and health of this group. 1 1 1 RECOMMENDATION 5. The feasibility of waste reduction and:J recycling in the medical industry should be examined by the state with direct participation by the medical industry.: The medical industry generates significant volumes of waste.. Though it is recognized that many disposable medical products protect the health and safety of health care:, providers and their patients, the feasibility of waste,,.4,� reduction and recycling within the medical industry should_ be explored. Result of Non -Action: Non -action will result in a continuation of current disposal practices, without knowledge of the feasibility of waste reduction and recycling options. iv SUMMARY OF ISSUES AND FINDINGS The following issues have been derived from Substitute Senate Bill 6264, Chapter 171, Laws of 1988. ISSUE 1. What are the existing infectious waste management practices of health care facilities and home health organizations? There are no consistent federal, state, or local infectious waste management guidelines or regulations. The project's survey of medical facility disposal practices observed a wide variation between infectious waste management strategies. Most hospitals, laboratories and nursing homes, currently licensed and inspected by the state, reported infectious waste management programs, though programs varied. Many of the smaller facilities, such as medical practitioners and dentists, reported providing no special• handling of potentially infectious wastes. Home health care infectious waste management practices showed no consistency among organizations. ISSUE 2. What are the health risks associated with the presence of waste capable of producing an infectious disease? Twenty-one percent of 438 waste industry employees surveyed in Washington state reported that they had been stuck by hypodermic needles and 5% reported having had blood splashed to their face or eyes on the job. Information is not available to determine whether disease transmission has resulted to this group or to the public, though such exposures are viewed as significant and dangerous. ISSUE 3. What are the health risks associated with the environmental transmission of infectious disease through solid, liquid or airborne wastes? Solid waste: Improperly disposed infectious waste such as hypodermic needles and liquid human blood into the general waste stream presents an infection risk to, anyone exposed to such wastes. Current solid waste disposal practices tend to minimize public exposure, but waste worker exposure can be substantial. vi Liquid waste: Sewage is infectious by nature. Properly operating sanitary sewage systems, including on-site septic systems, are designed to protect the public from exposure to infectious agents. Disposal of waste human blood into these systems is appropriate and recommended. Airborne waste: Infectious disease agents can be transmitted through aerosols or 'on dust particles suspended in the air. Risk would increase if disease agents in infectious waste become suspended in air, such as may occur if packages of infectious waste are compacted. The survival of infectious agents in incinerator emissions appears to be minimal, though further study is needed. ISSUE 4. What are the diseases that present the most serious infectious disease transmission risks? The hepatitis B virus, a bloodborne disease that can cause fatal liver cancer, has been extensively identified within medical institutions as a readily transmitted occupational disease. The hepatitis B virus can survive for days in the environment and can be transmitted by needlestick injuries and exposures to human blood. The AIDS virus has a low survival outside of the human body. Transmission to the community through the waste stream appears to be extremely unlikely.. Certain rare and exotic viruses not normally found in this country are described as Biosafety Level 4 viruses by the Centers for Disease Control. When these highly virulent organisms are encountered, the wastes should be sterilized. ISSUE 5. What are the components of the waste stream presenting the highest risks of transmitting infectious diseases and what is the source of these wastes? Infectious waste should be defined to include untreated cultures and stocks of infectious microbiological agents, hypodermic needles, liquid human blood and blood products, human pathological waste, wastes containing biosafety level 4 viruses, and animal carcasses that have been exposed to human disease agents in research.. These waste categories present the highest risk, and increase disease transmission vii risk above what would normally be associated with the waste stream. Hypodermic needles are generated from medical institutions, homes, and i.v. drug users in neighborhoods or parks. All other of the highest risk wastes are primarily generated by medical institutions. 1 1 ISSUE 6. What are the preferred infectious waste management practices that minimize risks to public health? Preferred practices should be established in a statewide management regulation. The regulation should specifically define the "infectious waste" to be regulated. The standard should specify how these wastes should be segregated, handled, transported and treated prior to disposal. Such practices are discussed in the main body of the report. ISSUE 7. How adequate are existing federal, state and local regulations for protecting public health from infectious waste? There are no consistent federal, state, or local infectious waste management guidelines or regulations. Prior to the AIDS epidemic and wash-up of medical waste on beaches, proper medical waste management was not prioritized for standardization. This process is now underway, often addressing emotional urgency rather than fact. Our. state should pay close attention to current activities by the U.S. Congress, federal OSHA, the U.S.E.P.A.and other programs to assure that these potentially impacting policies remain consistent with the needs of our state. ISSUE 8. Does the state have sufficient capacity to safely dispose of infectious wastes? Many medical facilities do not have on-site infectious waste treatment systems and must have their waste taken off-site for treatment. The state currently does not have the off- site treatment capacity necessary to properly treat all of its infectious waste. Out-of-state treatment facilities are now relied on. Regional in-state treatment facilities are needed. viii 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 r 1 1 i� ISSUE 9. What are the project recommendations to minimize risks to public health? A. A statewide infectious waste management regulation should be adopted by the state. The standard should apply to all medical institutions, regardless of size. B. An infectious waste public awareness and education program should be developed by the state with direct participation by local health jurisdictions, to guide disposal of residential infectious waste. C. Programs should be supported by the state that reduce the number of i.v. drug user needles inappropriately discarded in the environment, such as needle exchange programs authorized by local health officers. D. A waste industry safety, personal hygiene and education program should be coordinated and implemented by the state, with direct participation by the waste industry, to protect workers from occupational disease transmission. E. Infectious waste incinerator ash should be examined by the state to examine chemical composition for applicability to hazardous waste rules when disposed. ISSUE 10. What are the project recommendations to minimize the production of infectious wastes from health care facilities? The feasibility of waste reduction and recycling in the medical industry should be examined by the state with direct participation by the medical industry. ISSUE 11. What additional recommendations are made? Comprehensive regulations for all incinerators regardless of size, including infectious waste incinerators, should be developed by the state to minimize air pollution emissions. ISSIIE 12. What would the costs of project recommendations be to local units of government? It is recommended that the state infectious waste management regulation be administered by the state, but allow for local regulation, if desired. Local involvement would be requested for developing and implementing public educational programs. The proposed program is expected to have a low cost impact to local government. ISSIIE 13. What are the project recommendations for legislation? It is recommended that a new chapter be adopted within Title 70 RCW, specific to infectious waste management, providing the statutory authority for the state to develop infectious waste management regulations. Draft legislation appears as Attachment 8 to, this report. ISSIIE 14. What appropriations would be necessary to effect an enhanced regulatory program? A fiscal note outlining necessary appropriations appears as Attachment 8 to this report. The infectious waste management program will require the addition of 12 personnel, requiring an estimated $800,000 per year -to conduct enforcement and educational activities. x 1 • Executive Summary List List List TABLE OF CONTENTS - Summary of Recommendations - Synopsis of Recommendations - Summary of Issues of Tables of Appendices of Attachments Acknowledgements and Findings I. INTRODUCTION - II. SUBSTITUTE SENATE BILL 6264 1. Study Tasks 2. Technical Advisory Committee 3. Public Involvement III. PROJECT STUDIES IV. DISCUSSION OF RECOMMENDATIONS Recommendation 1 (Infectious Waste Management .. Regulation). Issue 1A (Current Medical Facility Practices). 1. Respondent Statistics 2. Infectious Waste Definition 3. Segregation 4. Management Plan 5. Treatment 6. On -Site Incineration 7. On -Site Steam Sterilization 8. Medical Sharps Disposal. 9. General Waste Disposal xi Page i i ii vi xvi xvi xvii xviii 1 1 2 4 4 5 7 7 8 9 11 12 14 14 16 17 19 19 Table of Contents (continued) Page 10. .Infectious Waste Storage 20 11. Need for Regulation 21 12. Conclusions 22 13. Project References 22 Issue 1B (Current Home Health Care Practices). 23 1. Respondent Statistics 23 2. Infectious Waste Definition 24 3. Segregation 24 4. Training and Management Plan 24 5. Handling and Disposal Instructions 25 6. Transport and Treatment 26 7. Hazardous Waste Generation 27 8. Benefit to Regulation 27 9. Conclusions 27 '10. Project References 28 Issue 2 (Health Risks from Infectious Waste) . 29 1. Elements of Infectious Disease 29 1A. Spread of Infection 29 2. Disease Transmission Risks 31 2A. Reported Disease Transmission 31 2B. Study of Waste Industry Workers '31 3. Project References 33 Issue 3 (Risks of Environmental Transmission). 33 1. Solid Waste and Disease Transmission 33 1A. Infectious Agents in Waste 33 1B. Infectious Agents in Landfills 35 1C. Biological Vector Transmission 37 1D. Summary 38 2. Wastewater and Disease Transmission 39 2A. Enteric Pathogens 40 2B. Bloodborne Pathogens 40 xii 1 1 1 1 1 i I 1' Table of Contents (continued) Page 3. Airborne Disease Transmission 40 4. Project References 41 Issue 4 (Most Serious Disease Risk Agents) 42 1. Biosafety Level 4 Pathogens 42 2. Bloodborne Pathogens 43 2A. Hepatitis B Virus 43 2B. Human Immunodeficiency Virus 46 3. Project References 48 Issue 5 (High Risk Waste Stream Components) 48 1. Microbiology Laboratory Waste 49 2. Sharps Waste 50 3. Pathological Waste 51 4. Liquid Body Fluids 51 5. Contaminated Animal Waste 52 6. High Risk Disease Waste 52 7. Isolation Waste 53 8. Miscellaneous Wastes 54 9. Project References 54 Issue 6 (Preferred Management Practices) 55 1. Infectious Waste Management Plan 55 2. Identification 56 3. Segregation 56 4. Containment 56 5. Storage 58 6. Treatment 59 7. Contingency Planning 59 8. Staff Training 60 9. Transportation 60 10. Education and Enforcement 60 11. Project References 61 Table of Contents (continued) Page Issue 7 (Existing Regulations/Guidelines) 62 1. Environmental Protection Agency 63 1A. Medical Waste Tracking Act of 1988 63 1B. Waste Minimization Control Act 64 2. Exposure to Bloodborne Pathogens 65 3. Infectious Waste Transportation 65 4. Washington State ESSB 5713 66 5. Local Regulations 67 6. Project References 67 Issue 8 (In -State Treatment Capacity) 67 1. Incineration 68 2. On -Site Steam Sterilization 69 3. Conclusion 70 4. Project References 70 Recommendation 2 (Public Awareness/Education) 71 1. Home Generated Sharps Waste 71 2. Stray I.V. Drug User Needles 71 3. Conclusions 72 4. Project References 72 Recommendation 3 (I.V. Drug User Needles) 74 1. Background 74 2. Needle Exchange Programs 74 3. Stray Needles in the Environment 75 4. Legal Issues 76 5. Conclusions 76 6. Project References 76 Recommendation 4 (Waste Industry Safety) 1. Background 2. Survey of Waste Workers 3. Study Findings xiv 77 77 77 78 1 1 Table of Contents (continued) Page 4. Discussion 78 5. Project References 81 Recommendation 5 (Waste Reduction/Recycling) 82 1. Background 82 2. Chlorinated Plastics 82 3. Medical Equipment Re -Use 82 4. Conclusions 83 5. Project References 83 Recommendation 6 (Incinerator Regulations) 84 1. Why the Need? 84 2. Is Incineration Safe? 85 3. Current Status in Washington? 85 4. Operation and Control? 87 5. Current Regulatory Framework? 88 6. Recommendations 92 7. Project References 93 Recommendation 7 (Incinerator Ash Study) 94 1. Ash Composition? 94 2. Is Ash Dangerous? ' 94 3. Do Bacteria Survive? 95 4. Current Regulatory Framework? 95 5. Recommendations 96 6. Project References 97 xv LIST OF TABLES Page Table 1 Medical Facility Statistics 10 87 Table 2 Infectious Waste Incinerator Capacity .... �4p APPENDICES APPENDIX I Chapter 171, Laws of 1988 (Substitute Senate Bill 6264) APPENDIX II Washington State Infectious Waste Project Technical Advisory Committee xvi LIST OP ATTACHMENTS Attachment 1. Turnberg WL. Human Infection Risks Associated with Infectious Disease Agents in The Waste Stream: A Literature' Review. Washington State Department of Ecology, Olympia, Washington. 1989. Attachment 2. Turnberg WL. Survey of Infectious Waste Management Practices Conducted by Medical Facilities In Washington State. Washington State Department of Ecology, Olympia, Washington. 1989. Attachment 3. Turnberg WL. Survey of Infectious Waste Management Practices by Home Health Care Organizations in • Washington State. Washington State Department of Ecology, Olympia, Washington. 1989. Attachment 4. Turnberg WL and Frost F. Survey of Occupational Exposure of Waste Industry Workers to Infectious Waste in Washington State. Washington State Department of Ecology, Olympia, Washington. 1989. Attachment 5. Turnberg WL and Gordy TJ. A Character- ization of Infectious Waste Issues as Experienced by Local Environmental Health Jurisdictions in Washington State. Washington State Department of Ecology, Olympia, Washington. 1989. • Attachment 6. Turnberg WL. Summary and Analysis of Potentially Impacting Federal and State Programs. Washington State Department of Ecology, Olympia, Washington. 1989. At�^yEmen_.. achtig.:; Gordy TJ and Turnberg WL. Incineration of Infectious Waste: A Literature Review and Inventory/ Characterization of Washington State. Washington State Department of Ecology, Olympia, Washington. 1989. Attachment 8. Infectious Waste Management Act of 1990 - Draft, and Fiscal Note. xvii ACKNOWLEDGEMENTS The success of this project depended upon the support, expertise and endurance of many groups and individuals. We wish to offer our sincerest thanks to these groups and individuals for their generous contributions to this project. WASHINGTON STATE INFECTIOUS WASTE PROJECT TECHNICAL ADVISORY COMMITTEE MEMBERS for generous contributions of time and expertise to all phases of this project. Members include: Mr. Jim Anderson, Thermal Reduction Company Ms. Pamela Badger, Waste Management of North America, Inc. Ms. Barbera Brenner, Public Dr. Fillmore Buckner, Public Ms. Dorothy Canavan, LASSA Northwest (Laboratory Managers Association) Jeanne Cummings, Harborview Medical Center Ross Fraker, Washington State Dental Association Betty Finch, Washington Health Care Association Rip Heyward, Municipality of Metropolitan Seattle Steven Holderby, Spokane County Health District Chris James, U.S. Environmental Protection Agency Glee Jones, Washington Home Care Association John Paul Jones, Washington Waste Management Association Ms. Dr. Ms. Mr. Mr. Mr. Ms. Mr. Dr. Dr. Ms. Mr. Mr. Ms. Dr. Mr. Mr. Dr. George Kenny, Department of Pathobiology, University Washington John Kobayashi, Washington State Department Deborah Lambert, King County Solid Waste Ronald Norton, Tacoma -Peirce John Peard, Washington State Industries Mary Salazar, Washington State Nurses Association William Seal, Washington State Medical Association Richard Seibel, Washington State Hospital Association Jeffery Showman, Washington Utilities and Transportation Commission Gerald Smedes, Rabanco, Inc. of Health Division County Health Department Department of Labor and of Dr. Gerald Van Hoosier, Washington State Veterinary Medical Association Mr. Roger Van Valkenburgh, American Environmental Management Corporation, Inc. Mr. Stanley Vendetti, Benton -Franklin County Health District Mr. Chris Waarvick, Yakima Wastewater Treatment Plant Dr. Robert Whitacre, Small Facility Infection Control Mr. Jim Whiteside, Washington Solid Waste Advisory Committee Mr. Kenneth. Willis, Skagit County Health District Mr. Bruce Wishart, Sierra Club, Cascade Chapter Mr. Robert Wyman, Washington State Funeral Directors Association WASHINGTON STATE DEPARTMENT OF ECOLOGY Mr. Terry Husseman Mr. Tom Eaton Mr. Jim Sachet Ms. Julie Sellick ,Mr. Tom Cook Mr. Dave Dubreuil Mr. John Nispel Mr. Stu Clark Mr. Jay Willenberg Ms. Leslie Carpenter WASHINGTON STATE DEPARTMENT OF HEALTH Mr. Carl Sagersar Dr. Floyd Frost WASHINGTON STATE DEPARTMENT OF SOCIAL AND HEALTH SERVICES Ms. Eleanor Pedloe Ms. Francis L. Lehr xix SEATTLE -KING COUNTY DEPARTMENT OF PUBLIC HEALTH Mr. Chuck Kleeberg Mr. Carl Osaki Mr. Greg Bishop WASHINGTON STATE WASTE COLLECTION/DISPOSAL INDUSTRY WASHINGTON STATE MEDICAL INDUSTRY LOCAL ENVIRONMENTAL HEALTH DEPARTMENTS OF WASHINGTON STATE WASHINGTON STATE AIR POLLUTION CONTROL AUTHORITIES U.S. ENVIRONMENTAL PROTECTION AGENCY, REGION X. Ms. Elizabeth Moore, President, Applied Inference. Ms. Beverly Jacobson, Seattle Area Hospital Council. Wayne L. Turnberg Project Manager Tamara J. Gordy Incineration Project Coordinator xx Literature Review PART 1. LITERATURE REVIEW I. The Waste Stream ■ • The Waste Stream 3 i`g-t Q 4-0.6nwt2.V 1, \nt,:A2 -ton of VA-ex)\-kuoS \N),e The volume of infectious waste produced by a hospital, or other so-called medical waste generator facility, can vary widely depending on the type of facility and on the waste handling practices used. In our survey of Washington generators, sixty percent reported that they segregate infectious waste from other wastes. If the generators follow the Center for Disease Control guidelines for defining infectious waste, their infectious waste would comprise 3% to 5% of the total waste stream (3). If Universal Isolation Precaution Guidelines are used, then up to 80% of the waste stream could be considered infectious (3), and segregated for special treatment. To avoid confusion, we would like to talk about the terminology used to describe waste stream components. The term "biomedical waste" is now commonly used to more accurately describe what had previously been called "pathological" or' "infectious" waste. When the term "pathological waste" is used in this report, it refers to anatomical wastes, tissues, or carcasses that are characterized as having a high moisture content and a low heating value of approximately 1,000 Btu/pound. The term "infectious" does not accurately reflect a quality of all the wastes that have brought this issue into the limelight. It is, however, a convenient and historically used term, and appears interchangeably with the term "biomedical" in this report. Various studies have attempted to characterize the waste generated by hospitals. Based on a 1980 survey of hospitals in North Carolina, Rutala (5) reported that 13 pounds of solid waste were generated per patient per day and 5% to 11% of it was considered infectious. Based on a nationwide hospital survey conducted in 1987-88, Rutala found that approximately 15 pounds of waste was generated per patient per day, and that 15% was considered infectious (6). In 19M, Brenniman, Allen, & Graham reported that, for hospitals in Illinois, 85% of the total waste stream can be classified as general trash, while the remaining 15% is contaminated with infectious agents (7). The Ontario Ministry of the Environment suggests that the waste generation rate for Ontario and some U.S. hospitals falls into a wide range of 1.5-7.5 kg/bed/day (3.3-16.5 Ib/bed/day) and that .74 kg (1.6 Ihs.), or 2% to 10%, of infectious waste is generated each for each special care patient. In all the studi ECEIVED AUG 121996 COMMUNITY DEVELOPMENT Literature Review The Waste Stream 4 the range of waste generation rates is from 3-16 lb/bed/day and the infectious portion represents 2% to 15%. The infectious portion is normally treated by incineration or steam sterilization by 80% of hospitals nationwide (6). Hospitals are the most visible generators of biomedical waste, and generate the largest amount by volume. Biomedical waste is also generated by other types of health care facilities, research institutions, private medical and dental clinics, and in home health care settings. Most important, from the standpoint of incineration, is the composition of the waste, in regards to heating value and chemical composition. The plastic content of infectious waste has been reported as comprising from 7.3% to 30% (8, 9, 10, 11) of the infectious waste stream. Hospital waste is said to contain 5 times more plastic than municipal solid waste (MSW) (4). A characterization of hospital waste is presented in Table 1. The heating values and oxygen requirements of various waste components are summarized in Table 2. ■ N 1 1 1 1 t Literature Review The Waste Stream 5 TABLE 1. CHARACTERIZATION OF HOSPITAL WASTE Component Description Btu/lb Bulk Moisture as fired, density content of heat value Ib/ft3 component by weight Human Anatomical 800-3,600 50-75 70-90 Plastics, PVC, syringes 9,600-20,000 5-144 0-1 Swabs, absorbants 5,600-12,000 5-62 0-30 Alcohol, disinfectants 11,000-14,000 48-62 0-0.2 Animal -infected anatomical 900-6,400 30-80 60-90 Glass 0 175-225 0 Beddings, shavings, paper, 4,000-8,100 20-45 10-50 fecal matter Gauze, pads, swabs, gar- 5,600-12,000 5-62 0-30 ments, paper, cellulose Sharps, needles 60 450-500 0-1 Fluids, residuals 0-2,000 62-63 80-100 Source: Reference 12. TABLE 2. WASTE COMBUSTION CHARACTERISTICS Waste Constituent Btu/Ib lb/air Polyethylene 19687 16 Polystyrene 16419 13 Polyurethane 11203 9 PVC 9754 8 Paper 5000 4 Pathological 1000 1 *Stoichiometric requirement (oxygen demand). Source: Reference 14. MEDICAL RESOURCE RECYCLING SYSTEMS, INC. August 8, 1996 Michael Jenkins Dept. of Community Development City of Tukwila • 6300 Southcenter Blvd. .Tukwila, WA98188 Dear Mike: •Enclosed you will find the labels for the property owners within the 500 foot radius. These were provided by the King County Assessor's office. As soon as we have someone available to access the Kroll maps to verify that all 'street addresses are covered, I will prepare the additional "occupant" labels and forward them to you. Thank 'you again for your assistance. 'Sincerely, Nancy. C. Kartevold Office Manager nk enclosures P.O. Box 13186 • Spokane, Washington 99213-3186 , , (509) 244-2237. • FAX FAX (509) 244-0236 ' • 1=800-758-7201••. RECEIVED_ AUG 1 2 1996 COMMUNITY DEVELOPMENT MEDICAL RESOURCE RECYCLING SYSTEMS, INC. August 2, 1996 Michael Jenkins Dept. of Community Development . City of Tukwila 6300 Southcenter Blvd. Tukwila, WA 98188 Dear Mike: • Enclosed you will find the King County Assessor's maps which indicate the required 500 foot perimeter for neighboring properties to our project. We have'requested the labels for the highlighted parcels as indicated on the maps. As soon as they are received, I will forward them to you. If you have any questions, please give mea call. Sincerely, Nancy C. K'rtevold Office Manager nk enclosures P.O. Box 13186 • Spokane, Washington 99213-3186 (509) 244-2237 • FAX -(509) 244-0236 . 1-800-758-7201 RECEIVED AUG 0 5 1996 C..;:\iMUNITY DEVaLOPMENT MAR -12-96 TUE 03:39 PM A&B PROPERTIES $lIBIT I► 2067220518 • Legal Description of Real property LOTS 8, 9, 10, 11 AND 12, BLOCK 18, HILLMAN'S SEATTLE GARDEN TRACTS, ACCORDING TO THE PLAT THEREOF, RECORDED IN VOLUME 11 OF PLATS, PAGE(S) 24, IN KING -COUNTY, WASHINGTON; TOGETHER WITH THOSE CERTAIN LANDS AWARDED TO HENRY VANDER POL AND ANNA VANDER PCL, HUSBAND AND WIPE, IN PROCEEDINGS HAD UNDER KING COUNTY SUPERIOR COURT CAUSE NUMBER 90-2-06809-9 BY DECREE DATED AND FILED JUNE 13, 1990, SAID LANDS BEING MORE PARTICULARLY DESCRIBED AS FOLLOWS: THAT PORTION OF THE SOUTHEAST QUARTER OF SECTION 14, TOWNSHIP 23 NORTH, RANGE 4 EAST, WILLAMETTE MERIDIAN, IN KING COUNTY, WASHINGTON, DESCRIBED AS FOLLOWS: BEGINNING AT THE SOUTHWEST CORNER OF LOT 8, BLOC 18, HILLMAN'S SEATTLE GARDEN TRACTS, ACCORDING TO THE PLAT THEREOF, RECORDED IN VOLUME 11 OF PMTS, PAGE 24, IN KING COUNTY, WASHINGTON; THENCE NORTH ALONG THF WEST LINE OF SAID LOT 8 A DISTANCE OF 315 FEET TO THE LEFT BANK OF THE GREEN (DUWAMISH) RIVER, AS THE SAME APPEARS ON THE HAP OF SAID PLAT AND THE TRUE POINT OF BEGINNING; THENCE CONTINUING NORTH ALONG THE NORTHERLY PRODUCTION OF THE WEST LINE OF SAID LOT 8 TO THE LEFT BANK OF THE GREEN (DUWAMISH) RIVER AS THE..SAME EXISTED ON THE DATE OF SAID DECREE; THENCE EASTERLY ALONG SAID LEFT BANK TO AN INTERSECTION WITH THE NORTHERLY PRODUCTION OF THE EAST LINE OF LOT 12 IN SAID BLOCK 18; THENCE SOUTH ALONG SAID PRODUCED EAST LINE. TO AN INTERSECTION WITH THE LEFT HANK OF THE GREEN (DUWAMISH) RIVER, AS THE SAME APPEARS ON THE MAP OF SAID PLAT; THENCE WESTERLY ALONG SAID PLATTED LEFT BANK TO THE TRUE POINT. OF BEGINNING. 31730Wox .Bo5/2.S.96 Bank • R-95%. 3 2067220518 P.02 RECEIVED CITY OF TUKWILA J U L 2 6 1996 �hMIT CENTER 03-12-96 02:39PM P002 #44 VICINITY MAP �~.-� � ., -- ' .��' --' ~.._--�~- "°" A HELP1U `=~ //� . . • • ' • " :::;,•••;... • •••••1....-.,.•• • •;•• • • ••••• .•• • , • •••• • • • `\. BUILDING LAYOUT • 0 v......p r 9 \."' clt- ..r'rU•()‹ 6c1 -t -k- 6 ‘..,.fily 5‘."4 • . - \l, i / 1 1 4,914%.0.. f.A...V.... v ce..A,vic.s,1,...) • •. 1 )0 )0 0 . • • • • • . • • ‘1 10 9 8 0 Floor 0 ‘....1cLOA Gots Or—eV E 6,411;e5 e.1 v %I 6000 To, sco0?..\-1 % .0 °Duty '2, 4 •V . 4 • 1 P. 3 C 5 V* far_ rc • :...• Bo\\-voe 1?owe.5 • 61 —1-)• r Y5 c..^%4•••••1144.% Ws, reik Wvt 0 AgOlt_ • tjj vv‘. . •, • • Ar,"7-7 . . — • • ,'••• • %:•.'• •••;::1••• •:' ;.‘..7:11;2717.1.157":477VI.E.' • .441*t • a • • .t4A •At $..11 • I, •%.% `.%);;::-; . r 4F? , Green River 0 0 ,1 Approximately 100 L • SITE PLAN FOR MEDICAL RESOURCE RECYCLING (MRR) 6350 So. 143rd St., Tukwila Approximately 50' to Industrial machine shop 300' Fenced site Fenced site North Asphalted Truck Parking Area 42' SHOP MRRS. 177' Parking • 4fr WAREHOUSE (MRR) Truck Loading 520' OFFICE Entry/Access / Point 143rd St. (45 feet / wide) Entry/Access Point Approximately 300' from fence is an Industrial Office building Denotes landscaped are: .July 25, 1996 MEDICAL RESOURCE RECYCLING SYSTEMS, INC. Ms. Alexa Berlow Associate Planner Dept. of Community Development City of Tukwila 6300 Southcenter Blvd. Tukwila, WA 98188 Dear Alexa: Enclosed you will find the SEPA checklist documents,. supporting project maps, supporting information and a check in the amount of $325.00. I expect to receive the maps from the Assessor's office Friday (7/26) or Monday (7/29) at the latest. Once I have those I willbe able to submit our, request for the labels and get those to you as soon as possible: In the meantime, I hope you will have the.opportunity to review the enclosed information. and let me,know if there is anything further that you require. Thank you again for- your assistance with this. I know I cannot emphasize enough our desire to expedite this process in any way that we can. Therefore, please call me as soon as you have any updates on our file. It would be greatly appreciated. Sincerely, e 4G c. Nancy C. Kartevold Vice President NCK/nk enclosures • P.O.. Box 13186 • Spokane, Washington 99213-3186 (509) 244-2237 • FAX (509) 244-0236 • 1-800-758-7201 RECEIVED CITY OF TUKWILA J U L 2 6 1996 PERMIT CENTER CITY OF UKWILA DePartmen. f Community Development a 6300 Southcenter Boulevard, Tukwila, WA 98188 Telephone: (206) 431-3670 CITY OF TUKWILA J U L 2 6 1996 PERMIT CENTER SEPA APPLICATION CHECKLIST FOR STAFF USE ONLY Planner: File Number:. Receipt. Nunitier:: Cross-reference files: Applicant notifiedof incomplete application: 'Applicant notified of complete application: Notice of 'application issue A. NAME OF PROJECT/DEVELOPMENT: MEDICAL RESOURCE RECYCLING SYSTEMS, INC. B. LOCATION OF PROJECT/DEVELOPMENT: (address and accessors parcel number(s)) 6350 SOUTH 143RD ROAD, TUKWILA, WA 98168-4624 336590-1890-05 Quarter: SE Section: 14 Township: 23N Range: 4E= (This information may be found on your tax statement) C. PROJECT DESCRIPTION: Solid Waste Processing Facility D. APPLICANT: NAME: MEDICAL RESOURCE RECYCLING SYSTEMS, INC. ADDRESS: P.O. BOX 13186, SPOKANE, WA 99213-0186 PHONE: (509) 244-2237 SIGNATURE: -' DATE: 7-25-96 Control No. Epic File No. e_cl(o-00-2.1 Fee $ 325 Receipt No. ENVIRONMENTAL CHECKLIST A. BACKGROUND 1. Name of proposed project, if applicable: Medical Resource Recycling Systems, Inc 2. Name of applicant: Medical Resource Recycling Systems, Inc. 3. Address and phone number of applicant and contact person: Rick Kartevold P.O. Box 13186, Spokane, WA 99213 (509) 244-2237 4. Date checklist prepared: July 24, 1996 5. Agency requesting Checklist: City of Tukwila 6. Proposed timing or schedule (including phasing, if applicable):"upon approval" We are ready to commence•operat.ion immediately upon approval. We -• ori•inall submitted SEPA checkl s • - • Public Health on March 22, 1996. Therefore, we wish to pxppditp the timing of this review to begin operation as soon as possible. 7. Do you have any plans for future additions, expansion, or further activity related to or connected with this proposal? If yes, explain. No • I • • 8. List any environmental information you know about that has been prepared, or will be prepared, directly related to this proposal. Biomedical Waste Management Plan per 10.28.070 9. Do you know whether applications are pending for governmental approvals of other proposals directly affecting the property covered by your proposal? If yes, explain. NPDES s •_ii,. - .-I _ •- u _.• Management to cover their art.ivitipS as lanr71nrr3 and co -occupant. Approval is pending. RECEIVED CITY OF TUKWILA JUL 2 6 1996 r �RMIT CENTER 10. List any government approvals or permits that will be needed for your proposal. City of Tukwila gu-siss Liccn3c Seattle -King County inept. of Public Health Site Permit (this is pending until ... . _ a) 11. Give brief, complete description of your proposal, including the proposed uses and the size of the project and site. There are several questions later in this checklist that ask you to describe certain aspects of your proposal. You do not need to repeat those answers on this page. Section E requires a complete description of the objectives and alternatives of your proposal and should not be summarized here. Solid Waste Processing facility specializing in thP trPatmeat of regulated biomedical waste/ utilizing a method of steam steri1i-7-a_tion via autoclaving followed by separation of rPCyriah1P ptasti.rs to be transported to MRRS's recycling center in Spokane, wA We will be occupying approximately 3,500 sq. ft. of an PxiGting huildin (see attached building .layout for more details of site plan) 12. Location of the proposal. Give sufficient information for a person to understand the precise location of your proposed project, including a street address, if any, and section, township, and range, if known. If a proposal would occur over a range of area, provide the range or boundaries of the site(s). Provide a legal description, site plan, vicinity map, and topographic map, if reasonably available. While you should submit any plans required by the agency, you are not required to duplicate maps or detailed plans submitted with any permit applica- tions related to this checklist. Aarlress: 6350 S. 143rd Road, Tukwila, WA juarter_ SE, SPrtion _ Rangc 4E see attached 1ega1 dP rr'ption - Exhibit A)- 13. Does the proposal lie within an area designated on the City's Comprehensive Land Use Policy Plan Map as environmentally sensitive? No -3- TO BE COMPLETED BY APPLICANT Evaluation for Agency Use Only B. ENVIRONMENTAL ELEMENTS 1. Earth a. General description of the site (circle one): rolling, hilly, steep slopes, mountainous, of er b. What is the steepest slope on the site (approximate percent slope)? Flat, no slopes c. What general types of soils are found on the site (for example, clay, sand, gravel, peat, muck)? If you know the classification of agricultural soils, specify them and note any prime farmland. site is paved with asphalt and concrete This is a prc existing site Lo wliic.li we will not be making any changes to the outs_ ri.e.—calrfacc arc,a d. Are there surface indications or history of unstable soils in the immediate vicinity? If so, describe. No e. Describe the purpose, type, and approximate quanti- ties of any filling or grading proposed. Indicate source of fill. N/A f. Could erosion occur as a - result of clearing, construction, or use? If so, generally describe. N/A g. About what percent of the site will be covered with impervious surfaces after project construction (for example, asphalt or buildings)? N/A Evaluation for Agency Use Only h. Proposed measures to reduce or control erosion, or other impacts to the earth, if any: N/A 2. Air a. What types of emissions to the air would result from the proposal (i.e., dust, automobile odors, industrial wood smoke) during construction and when the project is completed? If any, generally describe and give approximate quantities if known. small quantities of sterilized steam may bevented from the autoclaves as the doors are opened. b. Are there any off-site sources of emissions or odor that may affect your proposal? If so, generally describe. No c. Proposed measures to reduce or control emissions or other impacts to air, if any: ThQ Gtc.am from thg, autor-t -rPs wit1 e directly ven and holding tank to hP depoitP spwor sygtPm 3. Water a. Surface: '1) Is there any surface water body on or in the immediate vicinity of the site (including year- round and seasonal streams, saltwater, lakes, ponds, wetlands)? If yes, describe type and provide names. If appropriate, state what stream or river it flows into. The Green River is a 42"2,2 imately 100 - 200 feet from the site's megtern outermost border. Evaluation for Agency Use Only 2) Will the project require any work over, in, or adjacent to (within 200 feet) the described waters? If yes, please describe and attach available plans. No 3) Estimate the amount of fill and dredge material that would be placed in or removed from surface water or wetlands and indicate the area of the site that would' be affected. Indicate the source of fill material. N/A 4) Will the proposal require surface water withdrawals or diversions? Give general description, purpose, and approximate quan- tities, if known. No 5) Does the proposal lie within a 100 -year floodplain? If so, note location on the site plan. Yes 6) Does the proposal ..involve any discharges of waste materials to surface waters? If so, describe the type of waste and anticipated volume of discharge. No Evaluation for Agency Use Only b'. Ground: 1) Will ground water be withdrawn, or will water be discharged to ground water? Give general description, purpose, and approximate quan- tities, if known. No 2) Describe waste materials that will be discharged into the ground from septic tanks or other sour- ces, if any (for example: Domestic sewage; industrial, containing the following chemicals...; agricultural; etc.) Describe the general size of the system, the number of such systems, the number of houses to be served (if applicable), or the number of animals or humans the system(s) are expected to serve. None c. Water Runoff (including storm water): 1) Describe the source of runoff (including storm water) and method of collection and disposal, if any (include quantities, if known). Where will this water flow? Will this water flow into other waters? If so, describe. N/A Evaluation for Agency Use Only 2) Could waste materials enter ground or surface waters? If so, generally describe. No d. Proposed measures to reduce or control surface, ground, and runoff water impacts, if any: N/A 4. Plants a. Check or circle types of vegetation found on the site: (landscaping, not naturally originated) x deciduous tree: alder, maple, aspen, other evergreen tree: fir, cedar, pine, other x shrubs grass pasture crop or grain wet soil plants: cattail, buttercup, bullrush, skunk cabbage, other water plants: water lily, eelgrass, milfoil, other other types of vegetation b. 'What kind and amount of vegetation will be removed or altered? None c. List threatened or endangered species known to be on or near the site. None d. Proposed landscaping, use of native plants, or other measures to preserve or enhance vegetation on the site, if any: 5. Animals Evaluation for Agency Use Only a. Circle any birds and animals which have been observed on or near the site or are known to be on or near the site: Industrial area - no wildlife observed other than the occasional bird birds: hawk, heron, eagle, songbirds, other: occasional birds mammals: deer, bear, elk, beaver, other: fish: bass, salmon, trout, herring, shellfish, other: b. List any threatened or endangered species known to be on or near the site. c. Is the site part of a migration route? If so, explain. d. Proposed measures to preserve or enhance wildlife, if any: Evaluation for Agency Use Only 6. Energy and Natural Resources a. What kinds of energy (electric, natural gas, oil, wood stove, solor) will be used to meet the completed project's energy needs? Describe whether it will be used for heating, manufacturing, etc. Natural gas to be used in heating and boiler operatinrl_ Electricity 17SPd for norma -office ucc and other energy needs b. Would your project affect the potential use of solar energy by adjacent properties? If so, generally. describe. No c. What kinds of energy conservation features are included in the plans of this proposal? List other proposed measures to, reduce or control energy impacts, if any: None, other than everyday measures of awareness of energy consumption and conservation practices, such as turni,Ila of.f energy consuming items when not in use, etc. Environmental Health a. Are there any environmental health hazards, including exposure to toxic chemicals, risk of fire and explosion, spill, or hazardous waste, that could occur as a result of this proposal? If so, describe. Biomedical waste being brought to this site to be sterilized. We use no chemical or hazardous materials in our process. This project poses no detrimental environmental impact. 1) Describe special emergency services that might be required. Normal 911 Fire and EMS service 2) Proposed measures to reduce or control environ- mental health hazards, if any: Strict sterilization policy and quality control measures taken. Proactive cleaning and maintenance procedures, including trequent spot checks of loading / offloading area and floors of warehouse area. b. Noise Evaluation for Agency Use Only 1) What types of noise exist in the area which may affect your project (for example: traffic, equipment, operation, other)? None, this is an induatri-a-1--area. Wp anticipate no notable affect on 2) What types and levels of noise would be created by or associated with the project on a short- term or a long-term basis (for example: traf- fic, construction, operation, other)? Indicate what hours noise would come from the site. Operating hours: R:nn a_m_ - 6.00 p m (M -F) Equipment operation: boiler pump, forklift, autoclave venting Traffic: clients dropping off BMW at our facility; small delivery trucks. 3) Proposed measures to .reduce or control noise impacts, if any: Sound barrier for autoclave/boiler area Have vehicles turn off engines while °loading and/or offloading. 8. Land and Shoreline Use a. What is the current use of the site and adjacent properties? Cothmercial/Tndpstri a1/Trnrki ng b. Has the site been used for agriculture? If so, describe. No c. Describe any structures on the site. 7,500 set. foot metal sided building with 1,500 sq. foot office/6,000 set. ft. warehouse We occupy approx. 3,500 sq. ft of the warehouse space. There is a 2,000 sq. ft. adjacent building not used in our project. -11- Evaluation for Agency Use Only d. Will any structures be demolished? If so, what? Nn e. What is the current zoning classification of the site? Commerria1/T.ight Tndn$trial" f. What is the current comprehensive plan designation of the site? Commercial/Light TnrliGtrial If applicable, what is the current shoreline master program designation of the site? Urban Shoreline g. h. Has any part of .the site been classified as an "environmentally sensitive" area? If so, specify. No i. Approximately how many people would reside or work in the completed project? 3 to 4 employees for our project at its full capacity Approximately how many people would the completed project displace? None,all will be new hirees j• k. Proposed measures to avoid or reduce displacement impacts, if any: N/A 1. 'Proposed measures to ensure the proposal is com- patible with existing and projected land uses and plans, if any: DRC with City of Tukwill completed 7/11/96 Site permit from Seattle -King County Wept__ of Public Health pending approval -12- Evaluation for Agency Use Only 9. Housing a. Approximately how many units would be provided, if any? Indicate whether high, middle, or low-income housing? N/A b. Approximately how many units, if any, would be eli- minated? Indicate whether high, middle, or low- income housing. N/A c. Proposed measures to reduce or control housing impacts, if any: N/A 10. Aesthetics a. What is the tallest height of any proposed structure(s), not including antennas; what is the principal exterior building material(s) proposed? N/A Existing structure already there b. What views in the immediate vicinity would be altered or obstructed? N/A c. Proposed measures to reduce or control aesthetic impacts, if any: Evaluation for Agency Use Only 11. Light and Glare a. What type of light or glare will the proposal • produce? What time of day would it mainly occur? N/A other than normal inrinnr lighting and exterior security lighting airPariy on the building. No new sourrES in our prnjPct_ b. Could light or glare from the finished project be a safety hazard or interfere with views? No c. What existing off-site sources of light or glare may affect your proposal? None d. Proposed measures to reduce or control light and glare impacts, if any: N/A 12. Recreation a. What designed and informal recreational oppor- tunities are in the immediate vicinity? None b. Would the proposed project displace any existing recreational uses? If so, describe. No c. Proposed measures to reduce or control impacts on recreation, including recreation opportunities to be provided by the project or applicant, if any: N/A -14- Evaluation for Agency Use Only 13. Historic and Cultural Preservation a. Are there any places or objects listed on, or pro- posed for, national, state, or local preservation registers known to be on or next to the site? If so, generally describe. Nn b. Generally describe any landmarks or evidence of historic, archaeological, scientific, or cultural importance known to be on or next to the site. N/A c. Proposed measures to reduce or control impacts, if any: N/A 14. Transportation a. Identify public streets and highways serving the site, and describe proposed accss to the existing street system. Show on site plans, if any. Interurban Avenue South 143rd Road b. Is the site currently served by public transit? If not, what is the approximate distance to the nearest transit stop? Yes c. How many parking spaces would the completed project have? How many would the project eliminate? Approximately 60 automobile stalls are on the site for the co -occupant of the building. We will be using approximately 4 spaces, for our project. None would be eliminated. -15 Evaluation for Agency Use Only d. Will the proposal require any new roads or streets, or improvements to existing roads or streets, not including driveways? If so, generally describe (indicate whether public or private). Nn e. Will the project use (or occur in the immediate. vicinity of) water, rail, or air transportation? If so, generally describe. No f. How many vehicular trips per day would be generated by the completed project? If known, indicate when peak volumes would occur. 4 to 6 vehicles per day dropping off at the site. Peak hours may vary - usually late morning and late afternron would generate the most ac,t i vi ty _ Proposed measures to reduce or control transpor- tation impacts, if any: There will not be enough traffic volume to be a significant impact. g. 15, Public Services a. Would the project result in an increased need for public services (for example: fire protection, police protection, health care, schools, other)? If so, generally describe. No b. Proposed measures to reduce or control direct impacts on public services, if any. N/A -16- • 16. Utilities a. cle u ilities cu ntly ailable atethe sersitesite: 1- _ricit ..tural �as,� water, telephone ' sani ary sewe sep is system, other. b. Describe the utilities that are proposed for the project, the utility providing the service, and the general construction activities on the site or in the immediate vicinity which might be needed. Natural Gas - Washington Natural Gas Sewer & Water - City of Tukwila No construction activities required. C. Signature The above answers are true and complete to the best of my knowledge. I understand that the lead agency is relying on them to make its decision. Signature: cc-r,cr � Date Submitted: July 25 996 PLEASE CONTINUE TO THE NEXT PAGE. -17- Evaluation for Agency Use Only TO BE COMPLETED BY APPLICANT Evaluation for Agency Use Only D. SUPPLEMENTAL SHEET FOR NONPROJECT ACTIONS (do not use this sheet for project actions) Because these questions are very general, it may be helpful to read them in conjunction with the list of the elements of the environment. When answering these questions, be aware of the extent the proposal, or the types of activities likely to result from the proposal, would affect the item at a greater intensity or at a faster rate than if the proposal were not imple- mented. Respond briefly and in general terms. 1. How would the proposal be likely to increase discharge to water; emissions to air; production, storage, or release of toxic or hazardous substances; or production of noise? NnnP 1ikaly to occur Proposed measures to avoid or reduce such increases are: NJA 2. How would the proposal be likely to affect plants, ani- mals, fish, or marine life? ' N/A Proposed measures to protect or conserve plants, ani- mals, fish, or marine life are: N/A -18- Evaluation for Agency Use Only 3. How would the proposal be likely to deplete energy or natural resources? None likely to occur Proposed measures to protect or conserve energy and natural resourses are: N/A 4. How would the proposal be likely to use or affect environmentally sensitive areas or areas designated (or eligible or under study) for governmental protection; such as parks, wilderness, wild and scenic rivers, threatened or endangered species habitat, historic or cultural sites, wetlands, floodplains, or prime farmlands? None likely Proposed measures to protect such resources or to avoid or reduce impacts are: N/A 5. How would the proposal be likely to affect land and shoreline use, inclduing whether it would allow or encourage land or shoreline uses incompatible with existing plans? None likely -19- Evaluation for Agency Use Only Proposed measures to avoid or reduce shoreline and land use impacts area: N/A How does the proposal conform to the Tukwila Shoreline Master Plan? Area not within shoreline plan 6. How would the proposal be likely to increase demands on transportation or public services and utilities? No increases likely Proposed measures to reduce or respond to such demand(s) are: N/A 7. Identify, if possible, whether the proposal may conflict with local, state, or federal laws or requirements for the protection of the environment. None -20- Evaluation for Agency Use Only 8. Does the proposal conflict with policies of the Tukwila Comprehensive Land Use Policy Plan? If so, what poli- cies of the Plan? Nn r'nnfl iris identified Proposed measures to avoid or reduce the conflict(s) are: Working with the plAnning Dept_ Participated in npwrainpmpnt Crmmittee REvicw meeting on 7-11-96. Direct communication and trancfPr of information on project. -21- TO BE COMPLETED BY APPLICANT Evaluation for Agency Use Only E. SUPPLEMENTAL SHEET FOR ALL PROJECT AND NON PROJECT PROPOSALS The objectives and the alternative means of reaching the objectives for a proposal will be helpful in reviewing the aforegoing items of the Environmental Checklist. This information provides a general overall perspective of the proposed action in the context of the environmental infor- mation provided and the submitted plans, documents, suppor- tive information, studies, etc. 1. What are the objective(s) of the proposal? To estahlisb a permi.tted site for the purpose of "Snl id Waste Prnresc j1rJ" as define d in State and Cnunty rPgnlatinns_ ThP site will specialize in the treatment of hinmediral waste as defined in State and (`aunty Regnlations. We will he providing a 1nra1 site far the generators and transporters of BMW to have their waste sterilized before it can enter the waste stream and/or be recycled. The treated plastics (i.e. n5 Polypropylene) will be transported to MRRS's recycling plant in Spokane, for further processing & manufacturing. 2. What are the alternative means of accomplishing these objectives? To find another site. However, this is not very feasible due to the time and resources we have already placed into the permitting process for this site. We have been working with various agencies for four months since the onset of our application process. 3. Please compare the alternative means and indicate the preferred course of action: To move forward with the planned project at the site indicated in this checklist. Any other course of action would be prohibitive due to the timing factor. We have clients in place ready to utilize our processing service at the earliest opportunity available. Many of these are contingent upon this site being permitted tor our project use. -22- Evaluation for Agency Use Only 4. Does. the proposal conflict with policies of the Tukwila -Comprehensive Land Use Policy Plan? If so, what poli- cies of the Plan? No conflicts have been identified to us. Proposed measures to avoid or reduce the conflict(s) are: We are working with the'Planning nepartmPnt: We have already participated in the neve1opment Committee Review (on 7/11/96). We are keeping the lines of direct communication open and the transfer of information on this project timely. -23- PERSONAL & CONFIDENTIAL TO: Alexa Berlow RECEIVED Fax Memo JUL 2 5J:96 DEVELOPMENT Date: 7-25 Time: COMPANY: City of Tukwila/Associate Planner Dept. of Community Development FAX NO. 1-206-431-3665 FROM: Nancy Kartevold ('OMPANY• RP.semn4 Rery�line Systeme, Tnc REMARKS: Enclosed is extensive information on oui proposed operation. Much of this will go with the SEPA documents. I will be faxing the SEPA r;view tics you later today. Hard copies gf everything is being mailed today. I am waitinog n the Assessor's maps to put together the mailing labels. They mailed the maps out and I should receve the maps Friday. In our phone conversation you had indicated you may be able to initiate revie wing the SEPA documents for completeness without having the labels. I understand that the Libels are required for final ompletion and will get those to you just as soon a.s I receive dem. In regards to the letter that goes out to nearby property occupants/owners, is it some typ )f form letter? Do you have a copy of what it will look like that you can fax to me? It would Lie helpful to anticipate any Questions that may arise from people in the area. Thanks again for your help! IF NOT PROPERLY RECEIVED, PLEASE CALL US AT 50 )/244-2237 MEDICAL RESOURCE RECYCLING SYSTEMS, INC. P.O. BOX 13186 SPOKANE, WA 99213 RETURN FAX NUMBER: 509/244-0236 G,i: ©T (1111 7G sz lflf July 23, 1996 MEDICAL RESOURCE RECYCLING SYSTEMS, INC. Ms. Alexa L. Berlow Associate Planner Department of Community Development City of Tukwila 6300 Southcenter Blvd. , _ Tukwila, WA 98188 Dear Alexa: Thank you for your prompt attention in sending me the SEPA application to get the process rolling. As I indicated' in our phone conversation on July 18th, it feels somewhat like we are starting from "ground zero" again. After already being into. this, process for over four months, that is somewhat disheartening. However, your indication that, given the circumstances, things should move along at a timely pace 'was reassuring to me:. Per you request, the following items are enclosed for your review regarding our proposed operation for the site; at 6350 S. 143rd Road, Tukwila, WA: - 1. • . Waste Acceptance Policy = 2. Protocol (for delivery of waste) a. Details on route that biomedical waste takes through the building, including. storage of waste before and after treatment 3. Treatment Process and Training Guide' a. Type of Autoclaves b. Container Washing Procedure 4. Sterilization Assurance Measures a. Autoclave Quality Control Schedules b. Daily Sterilization Log c. Manufacturer/Brands 5. Accident Prevention Program (as required by WISHA) 6. Employee Training/ Certification Material 7. 'Contingency Plan 8. Site Closure Plan You may wish to include the above items with our SEPA application as you see necessary for evaluating the completeness of the SEPA documentation. I just want to make sure that you have enough information to have a clear understanding of our operation. P.O. Box 13186 • Spokane, Washington 99213-3186- (509) 244-2237. • • FAX (509) 244-0236 • 1-800-758-7201 RECEIVED CITY OF TUKWILA JUL 2 6 1996 FERMIT CENTER Ms. Alexa Berlow July 23, 1996 Page two I have also enclosed a copy of Chapter 70.95K under Washington State's Title 70 RCW which provides the State's definition of "biomedical waste". Under the State's regulations, biomedical waste falls into the solid waste category, the same as in King County. I thought this information may be helpful in providing supporting documentation for classifying us as a "solid waste processing facility" and alleviating many of the concerns there seem to be regarding our proposed operation. Alexa, to give you an analogy to work from, in many ways we are like "central supply departments in hospitals who operate very similarly utilizing autoclaves to sterilize surgical instruments, patient care items, and other items that have to be decontaminated before reentering the health care system. In our case, however, we begin with a "waste" item that must be rendered inert before it can enter the waste stream or be suitable for recycling. Again, .thank you for your assistance -with this. We wish to continue to be cooperative in providing you with the information you need to complete your determination. I would greatly appreciate any updates - you can provide me with so I can keep abreast of our time line. Sincerely, Nancy C.artevold Vice President NCK/nk. enclosures P.S: Please. feel free to call. me at 1-800-758-7201 with any questions or if you need additional information. Sections 70.95K.005 70.95K.010 70.95K.011 70.95K.020 70.95K.900 70.95K.910 70.95K.920 $ 47z c< it 4f, % 7 ort% Title 70 RCW: Public Health and Safety Chapter 70.95K BIOMEDICAL WASTE Findings. Definitions. State definition preempts local definitions. Waste treatment technologies. Section headings. Severability -1992 c 14. Effective dam -1992 c 14. 70.95K.005 FIndings. The legislature finds and declares that: (1) It is a matter of state-wide concern that biomedical waste be handled in a manner that protects the health, safety, and welfare of the public, the environment, and the workers who handle the waste. (2) Infectious disease transmission has not been identi- fied from improperly disposed biomedical waste, but the potential for such transmission may be present. (3) A uniform. state-wide definition of biomedical waste will simplify compliance with local regulations while preserving local control of biomedical waste management [1992c 14§ 1.] 70.95K.010 Definitions. Unless the context clearly requires otherwise, the definitions in this section apply throughout this chapter. (1) "Biomedical waste" means, and is limited to, the following types of waste: (a) "Animal waste" is waste animal carcasses, body parts, and bedding of animals thatare known to be infected with, or that have been inoculated with, human pathogenic microorganisms infectious to humans. (b) "Biosafety level 4 disease waste" is waste contami- nated with blood, excretions, exudates, or secretions from humans or animals who are isolated to protect others from highly commtinicable infectious diseases that are identified as pathogenic organisms assigned to biosafety. level 4 by the centers for disease control, national institute of health. biosafety in microbiological and biomedical laboratories. current edition. (c) "Cultures and stocks" are wastes infectious to humans and includes specimen cultures, cultures and stocks of etiologic agents, wastes from production of biologicals and serums, discarded live and attenuated vaccines. and laboratory waste that has come into contact with cultures and stocks of etiologic agents or blood specimens. Such waste includes but is not limited to culture dishes, blood specimen tubes, and devices used to transfer, inoculate. and mix cultures. (d) "Human blood and blood products" is discarded waste human blood and blood components. and materials containing free-flowing blood and blood products. (e) "Pathological waste" is waste human source biopsy materials. tissues. and anatomical parts that emanate from surgery, obstetrical procedures. and autopsy. "Pathological waste" does not include teeth. human corpses. remains. and anatomical parts that are intended for interment' or cremation. (f) "Sharps waste" is all hypodermic needles. syringes with needles attached. IV tithing with needles attached. [Title 70 RCW-page 2101 1992 Ed.) scalpel blades, and lancets that have been removed from the original sterile package. (2) "Local government" means city, town, or county. (3) "Local health department" means the city, county, city -county, or district public health department. (4) "Person" means an individual, firm, corporation, association, partnership, consortium, joint venture, commer- cial entity, state government agency, or local government. (5) "Treatment" means incineration. sterilization, or other method, technique, or process that changes the charac- ter or composition of a biomedical waste so as to minimize the risk of transmitting an infectious disease. (1992 c 14 § 2.] • 7095K.011 State definition preempts local defini- tions. The definition of biomedical waste set forth in RCW 7095K.010 shall be the sole state definition for biomedical waste within the state, and shall preempt biomedical waste definitions established by a local health department or local government. [1992 c 14 § 3.] 70.95K.020 Waste treatment technologies. (1) At the request of an applicant, the department of health, in consultation with the department of ecology and local health departments, may evaluate the environmental and public health impacts of biomedical waste treatment technologies. The department shall make available the results of any evaluation to local health departments. (2) All direct costs associated with the evaluation shall be paid by the applicant to the department of health or to a state or local entity designated by the department of health. (3) For the purposes of this section, "applicant" means any person representing a biomedical waste treatment technology that seeks an evaluation under subsection (1) of this section. (4) The department of health may adopt rules to implement this section. [1992 c 14 § 4.] 70.95K.900 Section headings. Section headings as used in this chapter do not constitute any part of the 'law. (1992c 14§5.] 70.95K.910 Severability -1992 c 14. If any provi- sion of this act or its application to any person or circum- stance is held invalid, the remainder of the act or the application of the provision to other persons or circumstanc- es is not affected. [1992 c 14 § 6.] 70.95K.920 Effective date -1992 c 14. (1) Sections 2 and 3 of this act are necessary for the immediate preserva- tion of the public peace. health. or safety, or support of the state government and its existing public institutions, and shall take effect immediately [March 20. 19921. (2) Section 4 of this act shall take effect October 1. 1992. [ 1992 c 14 § 7. ] KING COUNTY SOLID WASTE REGULATIONS - TITLE 10 10.08.051 Blomedlcal waste. "Biomedical waste" means: A. Cultures and stocks of etiologic agents and associated biologicals, Including, without limitation, specimen cultures, cultures and stocks of etiologic agents, wastes from production of biologicals and serums, and discarded live and attenuated vaccines; or B. Laboratory waste which has come Into contact with cultures and stocks of etiologic agents or blood specimens. Such waste Includes but Is not limited to culture dishes, blood specimen tubes; devices used to transfer, inoculate and mix cultures; and paper and cloth which has come Into contact with cultures and stocks of etiologic agents; or C. Sharps, associated with those Instruments that are used to puncture, cut, or scrape body parts that may, as a waste, cause punctures or cuts to solid waste handlers and/or the public. Such waste includes but Is not limited to hypodermic needles, syringes with needles attached, lancets, dental scalers, and scalpel blades; or D. Pathological waste, which means most human tissues and anatomical parts whichemanate from surgery, obstetrical procedures, autopsy, and the laboratory. Pathological waste does not Include extracted teeth, hair, toenails or fingernails; or E. Human body fluids, Including but not limited to blood and blood products, serum and plasma, cerebrospinal fluid, synovial fluid, pleural fluid, peritoneal fluid, pericardial fluid, and amniotic fluid shall be considered biomedical waste when they are: 1. In free flowing form, or 2. In fluid or absorbed form in any amount and not packaged In a leakproof container.; or F. Wastes that have come Into contact with human body substances Infected with anthrax, smallpox, rabies, plague and viral hemorrhagic fevers such as Lassa fever and Ebole-Marburg virus disease; or G. As determined by and solely at the discretion of the biomedical waste generator's infection control staff/committee, wastes that have come Into contact with human body substances or other sources which may contain pathogenic microbial agents or other biologically active materials In sufficient concentrations that exposure to the waste directly or Indirectly creates a significant risk of disease; or H. Animal carcasses exposed to human pathogens In research, their bedding, and other waste from such animals. 10.08.052 Blomedlcal waste collection/transportation vehicle. "Biomedical waste collection/transportation vehicle" means a collection/transportation vehicle used for the collection and transportation of biomedical waste over the highways. 10.08.053 Biomedical waste generator. "Biomedical waste generator" means any producer of biomedical waste to Include without limitation the following categories: general acute care hospitals, skilled nursing facility or convalescent hospitals, Intermediate care facilities, in-patient care facilities for the developmentally disabled, chronic dialysis clinics, community clinics, health maintenance organizations, surgical clinics, urgent care clinics, acute psychiatric hospitals, laboratories, medical buildings, physicians offices and clinics, veterinary offices and clinics, dental offices and clinics, funeral homes, or other similar facilities. Blomedlcal waste generator does not Include residents that generate waste from self - treatment. Home generated syringe wastes are excluded from this category If the containment and disposal requirements specified In section 10.28.090.8.11(c) are followed. 10.08.054 Blomedlcal waste storage/treatment operator. "Biomedical waste storage/treatment operator" means a person who treats and/or stores biomedical waste and Is not a biomedical waste generator. • 10.08.055 Biomedical waste storage/treatment site. "Blomedlcal waste storage/treatment site" means a location where biomedical waste Is stored for more than fifteen days or treated by a person who is not a biomedical waste generator. Sites such as Incinerators, steam sterilizers, and other approved facilities will be considered biomedical waste storage/treatment sites. /wpf/title 10/pub l is/4-24-92 —3— 10.08.056 Biomedical waste transporter. "Biomedical waste transporter" means a person who transports biomedical waste over public roads commercially or one who transports In volumes that equal or exceed one hundred (100) pounds per month. 10.08.057 Biomedical waste treatment. "Biomedical waste treatment" means biomedical waste treated by processes described In section 10.28.070(C) of this title or by a method approved In writing by the health officer. 10.08.058 Biosolids. "Biosolids" means a treated organic product that Is produced by wastewater treatment processes and can be beneficially recycled. 10.08.059 Biosolids utilization site. "Blosolids utilization site" means a facility that applies or Incorporates sewage sludge Into the soil surface in accordance with "Municipal and domestic Sludge Utilization Guidelines Best management Practices, Department of Ecology 82.12 an area that has been treated with biosotids at an application rate that does not exceed the nitrogen utilization requirements of the site's vegetation or crop. Different areas of the same protect site need not be geographically contiguous. 10.08.060 Buffer zone. "Buffer zone" means that part of the facility that Iles between the active area and the property boundary. 10.08.062 Bulky waste. "Bulky waste" means large Items of refuse, such as appliances, furniture, and other oversize wastes which would typically not fit into reusable or disposable containers. 10.08.065 Clean sous and clean dredge soils. "Clean soils and clean dredge soils" means soils and dredge spoils which are not dangerous wastes or problem wastes as defined in this section. 10.08.070 Closure. "Closure" means those actions taken by the owner or operator of a solid waste site or facility to cease disposal operations and to ensure that all such facilities are closed In conformance with applicable regulations at the time of such closures and to prepare the site for the post -closure period. 10.08.075 Collecthg agency. "Collecting agency" means any agency, business or service operated by a person for the collecting of solid waste. 10.08.080 Collection/transportation vehicle. "Collection/transportation vehicle" means a vehicle, other than a biomedical waste collection/transportation vehicle (see 10.08.052), used to transport residential and commercial solid waste generated by others over the highways of King County. 10.08.085 Compliance schedule. "Compliance schedule" means a written schedule of required measures In a permit Including an enforcement sequence leading to compliance with this title. 10.08.090 Composting. "Composting" means the controlled degradation of organic waste yielding a product for use as a soli conditioner. 10.08.092 Construction, Demolition, Landclearhg (CDL) waste. "CDL waste" means any combination of recyclable or non -recyclable construction, demolition, and landclearing waste that results from construction, remodeling, repair or demolition of buildings, roads or other structures, or from land clearing for development, and requires removal from the site of construction, demolition or land clearing. 10.08.094 Construction waste. "Construction waste" means wood, concrete, drywall, masonry, roofing, siding, structural metal, wire, insulation, and other building material; and plastics, styrofoam, twine, baling and strapping materials, cans, buckets, and other packaging materials and containers. It also Includes sand, rocks and dirt, that are used In construction. In no event shall construction waste include dangerous or extremely hazardous waste of any kind, garbage (as defined by 10.08.185), sewerage waste, animal carcasses, or asbestos. 10.08.095 Container: Container means a device used for the collection,. storage, and/or transportation of solid waste including but not limited to reusable containers, disposable containers, detachable containers and tanks, fixed or detachable. /wpf/title10/public/4-24-92 -4- CHAPTER 10.20 - PERMITS FOR VEHICLES AND EXISTING FACILITES 10.20.010 Permit required. It shall be unlawful for any person to operate a collection/transportation vehicle, an existing disposal site, facility, a biomedical waste storage/treatment site, or operate as an biomedical waste transporter, without a valid permit Issued by the health officer. Permits shall not be transferable and shall be valid only for the person and place or vehicle for which issued. 10.20.020 Permit application. Any person desiring to operate a collection/transportation vehicle, a disposal site, a biomedical waste storage/treatment site or operate as a biomedical waste transporter shall submit three (3) copies of a written application to the health officer, on a form to be provided by the health officer. The health officer shall refer one (1) copy to the Washington State Department of Ecology. Such application shall Include the applicant's full name, post office address, and the signature of an authorized representative of the applicant; shall disclose whether such applicant Is an Individual, firm, corporation, and, if a partnership, the names and mailing addresses of all of the partners; the address, legal description, and type of the respective solid waste disposal site, facility, collection/transportation vehicle, or biomedical waste collection/transportation vehicle; and shall be accompanied by the permit fee amount described In chapter 10.24. Applicants for an biomedical waste transporter permit shall also state the legal description of the site(s) that the applicant Is planning to use to treat biomedical waste, and have a contingency plan as described In 10.28.070.C.4 of this title. 10.20.030 Permit issuance. When Inspection reveals that the applicable requirements of this title have been met and the applicable fee has been paid, a permit shall be Issued to the applicant by the health officer. The health officer may deny the application If In his/her Judgement the operation of the site or vehicle Is likely to result in a hazard to the public health and/or will not meet the requirements of this title. The health officer may also suspend or revoke a permit during Its term for noncompliance with conditions of the permit, the permittee's failure to disclose relevant facts at any time, or if the permittee's activity endangers or manifests irresponsibility concerning public health or the environment. The health officer shall consider any relevant health and safety factors in making this determination. If an application Is denied or a permit Is suspended or revoked, the health officer at the time of the denial, suspension, or revocation shall Inform the applicant In writing of the reasons for the denial or revocation and the applicant's right to an appeal pursuant to RCW Chapter 70.95. 10.20.040 Special purpose facilities wait. When the disposal site and operation utilize a new method of solid waste handling or disposal not otherwise provided for In this title, a special purposes facilities permit may be Issued. The health officer shall determine which Items of this title shall apply to the disposal site on a case by case basis so as to protect the public health and the environment and to avoid the creation of nuisances. The terms and conditions of the special permit shall be itemized In writing by the health officer. [Section 10.20.050 Effective dates. Repealed] 10.20.060 Closure permit. When an owner/operator plans to close a municipal waste landfill CDL landfill, or woodwaste landfill, a closure plan and application for closure permit must be submitted to the health officer. The health officer shall have the authority to require landfill operators and/or owners to submit closure plans for closed or abandoned landfills. 10.20.070 Expiration. All permits Issued pursuant to this title shall expire on the December 31st following the date of issuance, except permits for collection/transport vehicles and biomedical waste transporters which shall expire on the June 30th following the date of Issuance. CHAPTER 10.24 - FEES /wp f/tit le l0/lxb l lc/4-24-92 —22— 10.24.010 Annual (new/renewal) operating permit fees. The permit fees for solid waste disposal sites, collection/transportation vehicles, biomedical waste transporters, biomedical waste storage/treatment sites, and sewage treatment works subject to the fee requirements of this title shall be the annual fees set forth below: A. Municipal landfill $150.00 B. CDL landfill $150.00 C. Inert landfill $100.00 D. Solid waste incineration and energy recovery $150.00 E. Compost $475.00 F. Transfer station $1,000.00 G. Permanent MRW collection and storage facility $750.00 H. Recycling: 1. Noncontalnerized composting piles first acre $100.00 each additional acre $15.00 2. Waste pile recycling $100.00 3. Solid waste treatment site $250.00 1. Closed landfill site $100.00 J. Drop box $75.00 K. Landspreading (land utilization of blosolids): 1 Sites with blosolids application rates greater than or equal to four (4) dry tons per acre, per acre first acre $150.00 2. Sites with blosolids application rates Tess than four (4) dry tons per acre, per year $150.00 each addltlonal acre $10.00 L. Collection/transportation vehicle $25.00 for first vehicle each additional vehicle $15.00 M. Biomedical waste transporter, up to 4 vehicles $100.00 each addltlonal vehicle $20.00 N. Special purpose facility $100.00 0. Storage/treatment piles first acre 5100.00 /wpf/titiel0/pLbllc/4-24-92 —23— each additional acre P. Woodwaste landfilling 0. Surface impoundments R. Biomedical waste storage/treatment site $15.00 $250.00 $250.00 $250.00 10.24.015 Permit application/Plan review fees. Plans and specifications shall be accompanied by a non-refundable fee as follows: A. Municipal landfill, base fee $600.00 each additional acre $10.00, (total fee not to exceed $1,000.00) B. CDL Landfill, base fee $600.00 each additional acre $10.00 (total fee not to exceed $1,000.00) C. Inert landfill D. Energy recovery and Incineration $200.00 $550.00 E. Recycling 1. Non -containerized composting $100.00 each additional acre $15.00 (total fee not to exceed $1,000.00) 2. Waste pile recycling $200.00 3. Solid waste treatment site $100.00 F. Transfer station $220.00 G. Special-purpose facility $300.00 H. Closed landfill plan review $550.00 I. Drop box $110.00 J. Blosolids utilization sites: 1. Sites with •blosolids appllcatlon rates greater than or equal to four (4) dry tons per acre per year first acre $150.00 each additional acre $10.00 (total not to exceed $500) 2. Sites with blosollds appllcatlon rates less than $150.00 four (4) dry tons per acre per year K. Storage/treatment plies /wpf/titlel0/0lic/¢2492 -24- pertaining to specific solld wastes handling requirements. Dangerous waste handling and disposal shall be regulated by the Department of Ecology pursuant to WAC 173-303 as amended. 10.28.020 Container construction. The owner, operator, or occupant of any premises, business establishment, or Industry shall store containerized solid wastes In containers that meet the following requirements: A. Disposable containers shall be sufficiently strong to allow lifting without breakage and shall be thirty-two (32) gallons In capacity or less where manual handling Is practiced; B. Reusable containers, except for detachable containers, shall be: 1. Rigid and durable; 2. Corrosion resistant; 3. Nonabsorbent and water tight; 4. Rodent -proof and easily cleanable; 5. Equipped with a close fitting cover; 6. Suitable for handling with no sharp edges or other hazardous conditions; and 7. Equal to or less than thirty-two (32) gallons In volume where manual handling Is practiced. C. Detachable containers shall be durable, corrosion -resistant, nonabsorbent, nonleaking and having either a solid cover or screen cover to prevent littering. D. Containers shall be cleaned frequently to prevent rodent/vector and odor nuisances. All waste water from contalner cleaning shall be disposed of In a sanitary sewer system unless otherwise authorized by the health officer. In addition, the health officer may require disinfection of any container. 10.28.030 Collection and transportation. A. All persons collecting or transporting solid waste shall avoid littering, or the creation of other nuisances at the loading point, during transport and for the proper unloading of the solid waste at a permitted transfer station, or other permitted solld waste handling site. B. Vehicles or containers used for the collection and transportation of solid waste, except blomedlcal waste, shall be tightly covered or screened where littering may occur, durable and of easily cleanable construction. Where garbage Is being collected or transported, containers shall be cleaned and kept in good repair as necessary to prevent nuisances, odors and Insect breeding. C. Vehicles or contalners used for the collection and transportation of any solid waste, except biomedical waste, shall be loaded and moved such a manner that the contents will not fall, leak In quantities to cause a nuisance, or spill theref:::;n. Where such spillage or leakage does occur, the waste shall be picked up immediately by the collector or transporter and returned to the vehicle or contalner and the area otherwise properly cleaned. D. Biomedical waste shall be transported over public roads only In leakproof and fully enclosed container or vehicle compartment. Biomedical waste shall not be transported in the same vehicle with other waste or medical speclmens unless the biomedical waste Is contained in a separate, fully enclosed leakproof container within the vehicle compartment. Biomedical waste shall be delivered for treatment only to a facility that meets all local, state, and federal environmental regulations, as determined by the appropriate local, state and federal agencies. The transporter shall keep records of disposal for a period of at least three (3) years, and they shall be available to the health officer upon request. Surfaces of blomedlcal waste collection/transportation vehicles that have contacted spilled or leaked biomedical waste shall be decontaminated as described in this title. Each blomedlcal waste collection/transportation vehicle shall carry a spill kit. E. Biomedical waste collection/transportation vehicles used by permitted biomedical waste transporters shall have a leakproof fully enclosed vehicle compartment of a durable and easily cleanable construction, 'and shall be identified on each side of the vehicle with the name or trademark of the biomedical waste transporter. F. All persons commercially collecting or transporting solid waste shall Inspect collection and transportation vehicles monthly, for repairs to containers such as missing or loose -fitting covers or screens, leaking containers, etc., and maintain such Inspection records at the facility normally used to /wpf/tItle10/public/4-24-92 -26- first acre $100.00 each additional acre $50.00 L. Woodwaste landfilling $300.00 each additional acre $10.00 (total fee not to exceed $500.00) $250.00 $250.00 M. Surface Impoundments N. Permanent MRW Collection and storage facility 10.24.020 Tonnage and volume fees. The health officer shall receive the following fee per ton and per cubic yard of all solid waste entering a municipal landfill or CDL landfill for disposal: 10.24.030 Payment. All volume or tonnage fees are to be forwarded to the health officer monthly on a form prescribed by the health officer, prior to the fifteenth (15th) day of each month. 10.24.050 Special inspections. Fees for Inspection service requested by the solid waste disposal site, collection/transportation vehicle management, biomedical waste storage/treatment site or biomedical waste transporter, to be performed outside regular departmental working hours will be charged at a rate equal to the cost of performing the service. 10.24.055 Solid waste variance fee. Where the health officer is Involved with official review and processing of requests for variance from these regulations, he/she may grant same as long as the action will not Impair public health and safety. The nonrefundable fee for review of a variance request Is $150.00. 10.24.060 Special services—Authority. The health officer is also authorized to charge such fees as he/she may deem necessary for the furnishing of special services or materials requested that are not ordinarily provided under permit or pursuant to statute. Such services and materials to be furnished may include but are not limited to the following: A. Reproduction and/or search of records and documents; B. Examination, testing, or inspection of particular products, materials, construction, equipment or appliances to determine their compliance with the provision of this title or their acceptability for use. 10.24.070 Special Services—Terms and conditions. The health officer or his/her authorized representative shall have full authority to specify the terms and conditions upon which such services and materials shall be made available, consistent with any applicable statutes and ordinances; provided, that any fees Imposed pursuant to this authorization shall be reasonably equivalent to King County's cost for furnishing said services and materials. CHAPTER 10.28 - WASTE MANAGEMENT 10.28.010 Storage requirements generally. The owner and/or occupant of any premises, shall be responsible for the safe and sanitary storage of all solid wastes accumulated at that premises until It is removed to a disposal site. The storage area and storage containers shall be maintained in a clean, safe, and nuisance free condition. Provisions shall be made for safe and sanitary disposal of leakage and drainage from sanitary compactors, drop boxes and from storage areas. Materials shall be contained to prevent blowing. Additionally, generators should refer to sections 10.28.040 through 10.28.150 /wpf/title10/ptblic/4-24-92 -25- Sites Without Scales Sites With Scales Landfills N/A 67 cents/ton Inert/Demolition Landfills 35 cents/cubic yard 35 cents/ton 10.24.030 Payment. All volume or tonnage fees are to be forwarded to the health officer monthly on a form prescribed by the health officer, prior to the fifteenth (15th) day of each month. 10.24.050 Special inspections. Fees for Inspection service requested by the solid waste disposal site, collection/transportation vehicle management, biomedical waste storage/treatment site or biomedical waste transporter, to be performed outside regular departmental working hours will be charged at a rate equal to the cost of performing the service. 10.24.055 Solid waste variance fee. Where the health officer is Involved with official review and processing of requests for variance from these regulations, he/she may grant same as long as the action will not Impair public health and safety. The nonrefundable fee for review of a variance request Is $150.00. 10.24.060 Special services—Authority. The health officer is also authorized to charge such fees as he/she may deem necessary for the furnishing of special services or materials requested that are not ordinarily provided under permit or pursuant to statute. Such services and materials to be furnished may include but are not limited to the following: A. Reproduction and/or search of records and documents; B. Examination, testing, or inspection of particular products, materials, construction, equipment or appliances to determine their compliance with the provision of this title or their acceptability for use. 10.24.070 Special Services—Terms and conditions. The health officer or his/her authorized representative shall have full authority to specify the terms and conditions upon which such services and materials shall be made available, consistent with any applicable statutes and ordinances; provided, that any fees Imposed pursuant to this authorization shall be reasonably equivalent to King County's cost for furnishing said services and materials. CHAPTER 10.28 - WASTE MANAGEMENT 10.28.010 Storage requirements generally. The owner and/or occupant of any premises, shall be responsible for the safe and sanitary storage of all solid wastes accumulated at that premises until It is removed to a disposal site. The storage area and storage containers shall be maintained in a clean, safe, and nuisance free condition. Provisions shall be made for safe and sanitary disposal of leakage and drainage from sanitary compactors, drop boxes and from storage areas. Materials shall be contained to prevent blowing. Additionally, generators should refer to sections 10.28.040 through 10.28.150 /wpf/title10/ptblic/4-24-92 -25- park such vehicles or such other location that maintenance records are kept. Such records shall be kept for a period of at least two (2) years, and be made available upon the request of the health officer. G. Vehicles shall be cleaned frequently to prevent rodent/vector and odor nuisances. In addition, the health officer may require disinfection of any vehicle. All waste water from vehicle cleaning shall be disposed of In a sanitary sewer system unless otherwise authorized by the health officer. 10.28.040 Garbage and rubbish A. Storage. Garbage shall be stored In containers which meet the requirements of Section 10.28.020. Rubbish shall be stored and transported so as not to create a nuisance or litter problem. 1. Where garbage is stored In combination with rubbish, containers for the storage of the mixture shall meet garbage storage standards. 2. Containers shall be of a size and weight acceptable to the collecting agency, subject to agreement with the health officer, the municipality and the customer. 3. Containers shall be cleaned with sufficient frequency to prevent nuisances. B. Removal. Garbage shall be removed from the premises no less than once per week, unless a different frequency Is approved by the health officer. C. Disposal. Garbage and rubbish may be disposed of at any of the sites outlined In chapters 10.42 through 10.68, Including facilities that recycle, Incinerate, recover energy or landfill; except, garbage shall not be deposited at CDL landfills, Inert landfills, woodwaste landfills, or landspreading sites. 10.28.045 Approval of change of biomedical waste treatment site. Should the holder of an biomedical waste transporter permit desire to transport biomedical waste to a site other than the site listed In the current permit application, the permittee shall first obtain written approval of said site from the health officer. 10.28.050 Household waste. A. General. All household waste except for banned and restricted use pesticides, wood treating preservatives and used crankcase oils shall be deposited with the waste stream, in accordance with Sections 10.28.010, 10.28.020 and 10.28.030. B. Toxic. Banned and restricted use pesticides, wood treating preservatives and used crankcase oils shall not be deposited In the household waste collection system, a public sewer system, an on-site sewage system, the surface or ground water, the surface of the ground or under the ground. Usable pesticides and wood preservatives shall be disposed of through proper use and application in accordance with the Environmental Protection Agency approved label requirements, or should be disposed of at disposal sites approved by the health officer. Substantially empty pesticide containers are excluded from this section and should be handled as general household waste. C. Used oil 1. Used oil shall not be deposited in the household waste collection system, a public sewer system, an on-site sewage system, In surface or ground water, onto the surface of the ground, or under the ground. Used oil shall be delivered to a facility approved to collect used oil for recycling, treatment or disposal such as: transfer stations, permanent MRW collection sites, service stations, lube shops and auto supply stores. 2. The use of used oil for dust suppression or weed control Is prohibited. 3. Effective July 1, 1992, no person may sell or distribute absorbent -base kits, Intended for home use, as a means for collecting, recycling, or disposing of used oil. 4.. No'owner or operator of a solid waste landfill may knowingly accept used oil for disposal In the landfill. 5. Used automotive oil filters shall not be placed Into the solid waste collection system unless they have been thoroughly drained of all fluid oil. This may require having the filters drain up to twenty- four (24) hours. /wpf/tItle10/Nolic/4-24-92 —27— 10.28.055 Yard waste. Yard wastes that have been segregated from the waste stream for the purposes of recycling at a centralized facility shall be stored, and transported In such a way as to minimize the creation of odors and excess waste. Effective January 1, 1994, plastic bags shall not be used to store or transport yard wastes. Residential yard waste collection companies shall reject plck-up service of yard wastes that have been stored In plastic bags. Rejected bads shall be tagged to explain the reason for rejection. Solid wastes other than yard wastes shall not be disposed with yard wastes segregated for the purposes of recycling at a centralized facility. Residential yard waste collection companies shall reject pick-up services of yard wastes that are substantially contaminated with other solid wastes. Rejected loads shall be tagged to explain the reason for Its rejection. 10.28.060 Asbestos -containing waste material. Asbestos -containing waste material. Asbestos containing waste shall be handled and disposed pursuant to 4OCFR Part 61 Subpart M, WAC 173-303, and Article 10 of Regulation No. III, Article 4 Puget Sound Air Pollution Control Agency (PSAPCA) as follows: A. Removal. Persons removing asbestos containing waste material shall provide advance notification to PSAPCA, which enforces regulations concerning removal and disposal. Asbestos containing waste material must be wetted down during removal to reduce airborne emissions of particulate matter. The adequately wetted asbestos wastes shall be sealed Into a leak -proof container. The container must be dust -tight, at least 6 -mil in thickness, completely enclose the asbestos -containing waste material and prevent solids or liquids from escaping or spilling out. Such containers Include sealed plastic bags, metal or fiber drums and polyethylene plastic sheeting. Each container must be labeled with an approved asbestos warning sign. B. Disposal. Generators of regulated asbestos containing waste material regardless of quantity, shall dispose of their waste at a landfill approved by the Department. The generator must notify the disposal slte operator prior to transporting the asbestos waste to allow for adequate site preparation and staff availability. The asbestos containing waste material shall be covered with at least fifteen (15) centimeters, six Inches (6"), of compacted non -asbestos containing waste material within twenty-four (24) hours of disposal. Asbestos waste shall not be disposed of at transfer stations unless separate provisions are approved (by the health officer) and in place for receiving, storing, monitoring and transporting the material to an approved landfill. 10.28.070 Biomedical waste. A. Biomedical waste management plan. Each biomedical waste generator (BWG) and biomedical waste storage/treatment operator (BWSTO) must write an biomedical waste management plan with an internal annual review. The plan shall Include alt aspects of the BWG's or BWSTO's biomedical waste management. The plan must be followed by the BWG or BWSTO. The plan must Include a listing of the BWG's or BWSTO's infection control staff/committee member(s), phone numbers of responsible Individuals, definition of wastes handled by the system, department and Individual responsibilities, procedures for waste identification, segregation, containment, transport, treatment, treatment monitoring, disposal, contingency planning, staff/housekeeping training for biomedical waste Identification, when applicable, and compliance with biomedical waste regulations. The plan must Include the chief executive officer's endorsement letter. The plan shall be available for inspection at the request of the health officer. B. Storage and containment of biomedical waste. 1. Storage of biomedical waste shall be In a manner and location which affords protection from animals, rain and wind; does not provide a breeding place or a food source for Insects or rodents; and is accessible only to personnel authorized in the biomedical waste generator's biomedical waste management plan. 2. Biomedical waste shall be segregated from other waste by separate containment at the point of origin. 3. Bldmedical waste, except for sharps, shall be contained in disposable leakproof plastic bags having a strength to prevent ripping, tearing, breaking or bursting under normal conditions of use. The plastic, bags shall be appropriately marked by the generator as containing biomedical waste. The plastic bags shall be secured to prevent leakage or expulsion during storage. NOTE: This shall not apply to biomedical waste stored In rigid plastic, single use, or approved multiple use marked containers /wpf/titie10/pL 11c/4-24-92 -28- 4. Sharps shall be contained In leakproof, rigid, puncture resistant, break resistant containers which are labeled and tightly lidded during storage, handling and transport. 5. Blomedlcal waste held in plastic bags as described In paragraph 3 shall be placed In other leak- proof containers such as disposable or reusable palls, drums, or bins for storage, handling, or transport. The containers shall be conspicuously labeled with the International biohazard symbol, and the words "Biomedical Waste" or other words that clearly denote the presence of biomedical waste. 6. Reusable containers: a. Reusable containers for biomedical waste storage, handling or transport shall be thoroughly washed and decontaminated by an approved method each time they are emptied unless the surfaces of the containers have been protected from contamination by disposable liners, bags or other devices removed with the waste, separate from those required In paragraph 3 of this section. b. Approved methods of decontamination are agitation to remove visible solid residue combined. with one of the following procedures: 1) Chemical disinfection - Chemical disinfectants should be used in accordance with the manufacturer's recommendations for tuberculocidal and viricidal (Polio type 1 or 2, SA Rotovirus) killing capacities or by disinfectant concentration/contact tines approved In writing by the health officer. 2) Other methods approved In writing by the health officer. c. Reusable pails, drums, or bins used for containment of biomedical waste shall not be used for any other purpose except after being disinfected by procedures as described In this paragraph and after the International biohazard symbol and the words "Biomedical Waste" are removed. • 7. Trash chutes shall not be used to transfer biomedical waste. 8. Unless otherwise approved by the health officer, biomedical waste, other than sharps, shall be treated In accordance with paragraph C or delivered to an biomedical waste storage/treatment operator within fourteen (14) days from the generation of the waste. Sharps waste must be disposed In accordance with section 10.28.070.6.11 or be transported to a storage treatment facility within ninety (90) days commencing from the time the sharps container Is sealed. 9. Blomedlcal waste shall not be subject to compaction prior to treatment. 10. Blomedlcal waste shall not be placed Into the general solid waste stream prior to treatment. 11. At no time shall treated sharps waste, except Incinerated sharps waste, be disposed Into the general solid waste stream, unless approved In writing by the health officer. a. Treated sharps waste, except Incinerated sharps waste, shall be segregated from the general solid waste stream in approved sharps containers for disposal at a medical waste treatment facility or landfill approved by the health officer. Treated sharps waste shall not be mixed with the general solid waste stream at any time. b. The transporter of treated sharps waste, excluding Incinerated sharps waste, must notify the disposal site operator prior to transporting the sharps waste to allow for adequate site preparation and staff availability. • The sharps waste shall be covered with at least six (6) Inches of compacted waste material within twenty four (24) hours of disposal. c. Home generated sharps are exempt from other provisions of section 10.28.070 if prepared for disposal by a means that protects medical handlers, solid waste workers and the public from injury. The disposal of home generated sharps shall be limited to: 1. Depositing sharps at a medical facility which has agreed to accept home generated sharps. 2. Depositing properly contained sharps at a pharmacy that provides a program to dispose sharps waste that meets the requirements of these regulations. 3. Acquiring a pickup service from an biomedical waste transporter permitted by the health officer. /wpf/title10/publIc/4-24-92 -29- 4. Depositing the sharps In the regular household garbage, PROVIDED that they are contained In a manner that protects solid waste workers and the public. Such containment shall be limited to the following: a) Needle clippers approved by the health officer. Such devices shall clip the needle from the syringe directly Into a crush proof container and render the syringe barrel harmless; or b) Two liter dear P.E.T. plastic bottles commonly used for soft drink containers. Such bottles shall be tightly capped and taped to further secure the cap to the bottle. The bottle must be labeled/marked "Warning: Syringes, Do Not Recycle." 5. Other methods approved by the health officer. C. Biomedical waste treatment 1. Biomedical waste shall be treated prior to disposal by one or more of the following methods: a. Cultures and stocks of etiologic agents and associated biologicals (as defined In 10.08.051): steam sterilization, Incineration, or other treatment method approved In writing by the health officer. b. Laboratory waste (as defined In 10.08.051): steam sterilization, Incineration, or other treatment method approved in writing by the health officer. c. Sharps (as defined In 10.08.051): Incineration, containment as described In this title, or other treatment method approved In writing by the health officer. d. Pathological waste (as defined in 10.08.051): Incineration, Interment, or other treatment method approved In writing by the health officer. Tissue of 0.5 cm or Tess In diameter may be disposed into an approved. sewer system with the approval of the local sewer authority. e. Human body fluids (as defined In 10.08.051) shall be considered treated biomedical waste when they are: 1) Poured directly Into an approved sanitary sewer system. 2) Incinerated, or 3) Absorbed by materials such as bandages, sanitary napkins, or commercial absorbents so that the fluid will not be released from the material and/or become airborne during normal solid waste handling practices. f. Wastes that have come Into contact with human body fluids from patients diagnosed with pathogenic organisms assigned to Biosafety Level 4 (as defined In this titio): steam sterilization, incineration, or other treatment method approved In writing by the health officer. g. Other waste(s) determined to be Infectious by the generator's Infection control staff/committee, as defined In 10.08.222: steam sterilization, Incineration, or other method approved by the health officer. h. Animal carcasses exposed to pathogens In research (as defined In this title): Incineration or other treatment method approved In writing by the health officer. 2. Biomedical waste treatment and disposal shall be conducted as follows: a. Steam sterilization: steam sterilization by heating In a steam sterilizer so as to kill all microbiological agents as determined by chemical and biological indicator monitoring requirements set forth in this section. Operating procedures for steam sterilizers shall Include, but not be limited to, the following: 1) Adoption of standard written operating procedures for each steam sterilizer, Including time, temperature, pressure, type of waste, type of contalner(s), closure on contalner(s), pattern of loading, water content and maximum load quantity. hcf/t it le l0/N311c/4-24-92 —30— 2) Check of recording and/or Indicating thermometers during each complete cycle to ensure the attainment of a minimum temperature of,,twohundred and fifty degrees fahrenheit (250F)or one hundred twenty one degrees centigrade (121'C) for one-half (1/2) hour or longer, depending on quantity and compaction of the Toad, in order to achieve sterilization of the entire load. Thermometers shall be checked for calibration at least annually. 3) Use of heat sensitive tape or other device for each load that Is processed to indicate that the load has undergone the steam sterilization process. 4) Use of the chemical migrating Integrator Thermalog-S, or other chemical Integrator meeting equivalent time, temperature and steam Indicator specifications, based upon Bacillus stearothermophilus spore kill steam sterilization parameters, approved In writing by the health officer. The chemical Integrator shall be placed at the center load of each cycle to confirm attainment of adequate sterilization conditions for each biomedical waste treatment cycle run. )5) Use of the biological Indicator, Bacillus stearothermophilus, or other biological Indicator approved In writing by the health officer, placed at the center of a load processed under standard operating conditions at least monthly to confirm the attainment of adequate sterilization conditions. 6) Maintenance of records and procedures specified In (1), (2), (4) and (5) for a period of not less than three (3) years. 7) Development and Implementation of a written steam sterilization training program for steam sterilizer operators. biomedical waste so treated shall be disposed Into the general solid waste stream provided It Is not otherwise hazardous waste or non -incinerated sharps waste. b. Incineration: Incineration shall be conducted at a sufficient temperature and for sufficient duration that all combustible material is reduced to ash; that no unburned combustible material is evident in the ash. Operating procedures for incinerators shall Include, but not be limited to, the following: 1) Adoption of a standard written operating procedure for each Incinerator that takes Into account: variation in waste composition, waste feed rate, and combustion temperature. 2) . Development and Implementation of a written incinerator operator training program for incinerator operators. 3) Implementation of a program to test incinerator ash for extractable heavy metals prior to disposal at a licensed disposal site. Should the incinerator ash fall the Toxicity Characteristic Leaching Procedure (TCLP) analysis for heavy metals, the ash must be handled as a State Dangerous Waste under WAC 173-303. 4) Records of generator, quantities, and destruction shall be maintained by the incinerator owner/operator for a period of not less than three (3) years. c. Interment of pathological waste shall be conducted in such a manner so as to meet all federal, state and local regulations. 3. Biomedical waste treated In accordance with this section, with the exception of non -Incinerated sharps waste, shall be considered solid waste and may be disposable Into the general solid waste stream. 4. Contingency planning: Each biomedical waste generator and biomedical waste storage/treatment operator must have an alternative plan for the treatment of biomedical waste to be used in the event that changes at the primary treatment facility result in that facility no longer conforming to the requirements of this code. D. Biomedical waste storage/treatment site requirements. Biomedical waste storage areas must comply with the following requirements: 1. Unless otherwise approved by the health officer; the biomedical waste storage area must be located on the same site as the treatment facility. 2. The storage area shall be kept locked and accessible only to authorized personnel at all times. /wpf/title10/pi.blic/4-24-92 -31- 3. The storage area shall be conspicuously marked with a sign twelve Inches by twelve Inches (12" x 12") with the words "Biomedical Waste" and the International biohazard symbol. 4. The storage area shall be constructed of cleanable materials, and kept In a sanitary condition. A spill kit must be available at the site. 5. The waste shall be stored In a nonputrescent state using refrigeration when necessary. 6. The total combined time biomedical waste can be stored with the biomedical waste transporter and the storage/treatment site, prior to disposal, shall be fifteen (15) days unless otherwise approved by the health officer. E. Transfer of blomedlcal waste. Any biomedical waste generator who produces more than one hundred (100) pounds of blomedlcal waste per month that requires off-site biomedical waste treatment shall have said waste transported only by an biomedical waste transporter. F. Inspection. The health officer shall have the authority to Inspect any biomedical waste generator (BWG) or biomedical waste storage/treatment operator (WSTO), at any reasonable time, for the purpose of evaluating the BWG's or BWSTO's written biomedical waste management plan, to determine If the BWG's or BWSTO's blomedlcal waste Is being handled, stored, treated and disposed In accordance with this regulation. The health officer shall have the authority to Inspect any blomedlcal waste transporter at any reasonable time, for the purpose of determining If the provisions of this title are being met. [Section 10.28.080 Sewage sludge. (Repealed. See Chapter 10.40)] /wpf/tItle10/pi IIc/4-24-92 -32- City of Seattle King County Norman B. Rice, Mayor Gary Locke, Executive Seattle -King County Department of Public Health Alonzo L. Plough, Ph.D., MPH, Director OPTIONS FOR DISPOSING OF INFECTIOUS WASTE 1. SELF -HAUL: A King County generator can haul properly contained sharps to an approved landfill with twenty-four hour advance notice. Call King County Solid Waste at 296-4418 for information regarding. landfill disposal. Commercially generated sharps cannot be disposed of into the regular garbage or at a transfer station. A Seattle commercial generator must contract with a licensed biomedical waste service. Some options for these services are listed below. 2. GARBAGE HAULER: Several garbage haulers are offering services to haul sharps separately. Check with the company that currently serves your facility to see if it offers a sharps hauling service. 3. MAIL SERVICES: Some companies offer mail services for sharps disposal. The United States Postal Services requires an authorization number for sharps containers to legally be sent through the mail. CaII the Health Department at 296-4831 for more information and a list of companies which meet current regulations. 4. BIOMEDICAL WASTE TRANSPORT SERVICES: The Health Department licenses companies that transport untreated biomedical waste to a treatment and disposal site. Currently, the following companies have permits to transport untreated biomedical waste: BFI Biomedical Waste Systems P.O. Box 478 Woodinville, WA 98072-0478 Phone: 485-7100 1-800-637-7939 Kleenwell Biohazard Waste 17800 Des Moines Memorial Way S. Seattle, WA 98148 Phone: 433-0715 Medical Waste Management P.O. Box 297 Gig Harbor, WA 98335 Phone: 530-7195 Stericycle of Washington, Inc. 11411 NE 124th St., #90 Kirkland, WA 98034 Phone: 820-8544 5. TREATED BIOMEDICAL WASTE (i.e., autoclaved waste): In King County contact King County Solid Waste, 296-4418, for a biomedical waste generator clearance form. This permit is issued yearly. In Seattle contact the Seattle -King County Health Department, 296-4633, for a biomedical waste generator clearance form. This permit is issued every three years. • For more information concerning biomedical waste, you may call the Seattle -King County Health Department. at 296-4831. Environmental Health Division Room 201 Smith Tower Seattle, Washington 98104 (206) 296-4722 /wpw/sw/options/September 26, 1995 Waste Acceptance Policy for Medical Resource Recycling Systems, Inc. (MRRS) I. This section 'describes who will be taking advantage of our processing service: Transporters: We will accept waste from licensed transporters of biomedical waste one of which will be Waste Management Medical & Recycling transporters pick up the waste from BMW generators and deliver it processing. Generators: In addition, we will accept waste from actual generators of regulated This will compose a much smaller portion of our processing "in flow" in by outside licensed transporters. BMW generators may include the following types of facilities: (BMW), the main Services. These to our facility for biomedical waste. than that brought General acute care hospital, skilled nursing facility or convalescent hospital, intermediate care facility, in-patient care facility for the developmentally disabled, chronic dialysis clinic, community clinic, health -maintenance organization, surgical clinic, urgent care clinic, acute psychiatric hospital, laboratory, medical building, physicians office and clinic, veterinary office and clinic, dental office and clinic, funeral home, or other similar facility. II. This section discusses the types of wastes processed by MRRS, and specifies which wastes will NOT be accepted. MRRS will accept regulated BMW for treatment and/or recycling. In addition, MRRS will accept other wastes that generators, at their discretion, choose to manage, as long as those wastes are not unacceptable as described below. Acceptable wastes might include: I. Contaminated Sharps - shall mean all discarded objects that have come into contact with infectious or potentially infectious agents during use in human or animal care or in medical research or industrial laboratories, that may inflict a puncture or laceration wound. Examples include but are not limited to needles, syringes, scalpel blades, and broken glassware. Patient Care Wastes Contaminated With Blood or Body Fluids - Examples include but are not limited to gauze, tissues, bandages, masks, containers, barriers, rubber gloves, dressings, drapes, disposable sheets and gowns, etc. 3. Human Blood and Blood Products - shall mean discarded human blood and blood components, and materials containing free-flowing blood and blood products that may or may not contain an infectious agent. Examples include but are not limited to serum, plasma, and other blood components. RECEIVED CITY OF TUKWILA J U L 2 6 1996 PERMIT CENTER 4. Cultures and Stocks of Infectious Agents and Associated Biologicals - shall mean all specimens, cultures, and stocks of infectious agents from medical, clinical research and industrial laboratories that may or may not contain an infectious agent. Also included are all materials from the production of biologicals, and discarded live and attenuated vaccines. Such waste includes .but .is not limited to culture dishes, blood specimen tubes, and devices used to transfer, inoculate, and mix cultures. Contaminated Laboratory Materials - shall mean all materials from medical, veterinary, research, commercial, or industrial laboratories that have come into contact with infectious agents. Examples include but are not limited to specimen containers, culture dishes, slides and cover slips, glassware, and devices used to transfer, inoculate, and mix cultures of infectious agents. 6. Trace Chemotherapy Wastes - such as gowns, gloves, masks, barriers, IV tubing, empty containers and other items generated in the preparation, administration, and management of antineoplastic or cytotoxic. drugs. In order to be considered "trace" containers must contain 3% or less, by volume, of chemotherapy waste. 7. General Wastes - shall mean garbage, trash, paper, food and food containers, sweepings, and other discarded items that may be included either in the BMW waste stream or similar wastes under regulation by the Department of Agriculture. Unacceptable Wastes are those wastes which are NOT accepted by MRRS. Unacceptable wastes include: 1. Radioactive Wastes 2. Dangerous Wastes which are regulated by Chapter 173-303 WAC. These wastes include corrosive, reactive, toxic, ignitable, persistent, or Washington State toxic criteria wastes. Examples of dangerous wastes include, but are not limited to: a. chemicals such as bulk chemotherapy wastes, solvents, paint or paint thinners, polychlorinated biphenyls, formaldehydes, acids or bases, b. drums or other containers used to hold dangerous wastes, unless empty as defined by Chapter 173-303-160 WAC, c. batteries, fluorescent light bulbs and ballasts, and mercury -containing thermometers. 3. Bulk chemotherapy wastes including full or partially full containers which have been used to store antineoplastic or cytotoxic drugs. Containers include IV bottles, vials, ampules, bottles, jars, bags, and drums. 4. Complete human remains, cadavers, or fetal remains 5. Compressed gas cylinders or canisters, fuel containers, and aerosol cans. 6. Improperly packaged, leaking, or damaged BMW bags, boxes or tubs. PROTOCOL DEFINITION OF BIOMEDICAL WASTE: The tens "Biomedical Waste", as used herein, shall include only those wastes (i) defined by the United Sates Environmental Protection Agency (USEPA) as infectious wastes in its Guide for Infectious Waste Management, #EPA/530-SW-86-014, May 1986, or defined by the USEPA as medical; wastes in 40 CFR 259.30, and any other wastes identified as infectious or similar wastes in any other applicable federal, state, county or municipal laws, regulations and guidelines, (ii) "Chemotherapy Waste" (also !mown as antineoplastic or cytotoxic waste), which, as used herein, means discarded items which have been contaminated by chemotherapeutic drugs or antineoplastic agents, provided that such item, including vials and syringes, shall be empty as defined in applicable federal, state, county or municipal laws, regulations and guidelines and not defined as a hazardous waste. The tern "Biomedical Waste" specifically excludes (a) fetal remains, recognizable animals and human torsos, and (b) corrosive, reactive, radioactive, toxic and other hazardous wastes and substances as defined in any applicable federal, state, county or municipal laws, regulations and guidelines. TRANSPORTATION, PACKAGING AND DELIVERY OF THE BIOMEDICAL WASTE: Customer is responsible for properly and lawfully packaging, labeling, storing, collecting and transporting the Biomedical Waste in accordance with all federal, state and local laws and regulations. In addition, Biomedical Waste delivered to Medical Resource Recycling Systems, Inc. must be contained inside high quality plastic bags and labelled with the biohazard symbol, and these bags shall in turn be contained inside rigid, leak -resistant cardboard or plastic containers labelled with the biohazard symbol. SCHEDULING OF DELIVERIES AT MEDICAL RESOURCE RECYCLING SYSTEMS INC.: The scheduling of all deliveries to MRRS is coordinated by Contractor's waste coordinator. Contact (509) 244-2237 8:30 a.m. to 4:30 p.m. PT Monday through Friday. Scheduling of down time for maintenance and repair of the machine will occur from time to time. Customer is responsible to establish altemate treatment or storage for these down time periods. MRRS or contractor are not responsible for altemate treatment, storage or disposal during downtime periods. DELIVERY, INSPECTION AND REJECTION OF CONTAINERS: All deliveries shall be unloaded by Customer's vehicle driver(s) and placed in the storage area at the facility. Prior to and during unloading of the Containers into the storage area a representative designated by MRRS shall inspect, and may reject, containers for the following reasons: (a) Torn Containers - no container may have any extemal tom surfaces. All tom containers shall remain on vehicle until the tom surface has been properly taped to withstand all future handling sequences. (b) Leaking Containers or Spilled Materials - Any spilled Biomedical Waste or leaking container must be re -double bagged and properly tied off before being placed in a new rigid container that will withstand all future handling sequences. (c) Container In Excess of Weight Limtts - The weight of each container shall not exceed 80 lbs. (d) Unacceptable Material - Delivery of material other than Biomedical Waste will not be accepted. Container(s) rejected by MRRS, individually and in the aggregate, are hereinafter referred to as "Rejected Loan". event of a Rejected Load the MRRS designated representative shall: Halt the unloading process; Request the vehicle be removed from the tipping floor and away from the ramp area outside the building; Call the MRRS Coordinator, if necessary, for an "Emergency Response" (as hereinafter defined). In the EMERGENCY RESPONSE: In the event of a rejected load, Contractor will respond with a team or teams to assess the situation and take appropriate actions, such as re -packaging or repairing containers, special handling or clean-up of spills, and other appropriate actions will be charged to customer. I acknowledge understanding of these conditions. CUSTOMER SIGNATURE DATE Waste Route Through Facility Biomedical wastes to be processed at Tukwila facility arrive by truck, generally a light to medium delivery type truck. They are then off loaded into our facility through doors 3 and 4 shown on the attached building layout and placed in the staging areain preparation for processing. The waste is autoclaved in an ongoing process daily (M -F). This minimizes storage times. Note: BMW is delivered to us in industrial strength plastic containers of various sizes. The containers are lined with an appropriately, sized autoclave bag. Each container has been labeled with the generator's customer receipt number to identify the waste for tracking purposes. In the staging area, each load is prepared for the autoclave. The labels are removed and placed on load cards as the waste is placed on autoclave carts to go inside the autoclaves and sterilized per provisions in our process operation plan. After the BMW is autoclaved the carts are removed and unloaded. Material with a high concentration of recyclable #5 polypropylene plastics (i.e." sharps containers, saline bottles, water pitchers, emesis basins, etc.) are placed inside large 1 cubic yard boxes that are loaded into a secured semi -trailer out of door number 10. This treated material is shipped to our plastics recycling plant in Spokane, Washington. Pot;. 6o iii 5vr\y 4,v1a:t, (taw,'. • ,. v �y�Was1,� 11 11 'Ovw4)b'rcf )0' 0 1 •7,•" . :r-:. .wry r :;r.;a .,tL:.., BUILDING LAYOUT Gstab• o\t, Vo roar, "t,( U I 9 ove.w .-sz f4reo� • c o vA u.0 vnC r Oco(' wo.S1•• AYt o. Oa\fvtr•l oot5 •%r Zi o t'Nfd.ira\--1 0 oo.ts • i `{ —PPE s,.??ties C \<Ah Cov\ti;t �r 1-ofa$_ Arcy t r -t t 3 `1 • . S • Bell -'J ' oo2.5 (i —1-1) W cart? &o ow\ WttZ 04 L2. (0 wn z W v"t t WCL • i , ..... .... .. �I �t'.i nj„'�•.li�:+)•�.'�.'.l.(yy+5.1 �24�t•yy ..�'-'.�Y I;'d,. ji�i). •. . �• Thi." S'. '4 01, 1 A:7) I - : tj �j• :�FMx 'WY; Y-?Yi ji1Tr,'»+{Yif=1? °tt�,�iykaj \t'{jZ'ra+4; Medical Resource Recycling Systems, Inc. Biohazardous and/or Infectious Materials Treatment Process and Training Guide Medical Resource Recycling Systems, Inc. processes biohazardous and/or infectious materials. The waste is collected by the generators in rigid, leakproof plastic containers that are lined with suitable autoclave bags. Any segregation of types of wastes is completed by the generator into identifiable containers. The containers and the liners are clearly marked with the universal biohazardous symbol. Upon pickup of the waste at the client's facility, a receipt is provided to the client for the volume picked up. Each container is then identified with the client's receipt number to initiate the tracking record. Upon receipt of the waste at our facility, specially trained personnel handle it in a manner which maximizes employee safety in compliance with OSHA, WISHA and local regulations. The containers are off-loaded into our facility and placed in a staging area in preparation for processing. The bagged waste is placed on specially designed autoclave carts that are then loaded into 1 cubic yard autoclaves. To maximize steam penetration, a maximum of three large (i.e. approximately 35 to 48 gallons each) or six small bags (approximately 10 to* 20 gallons each, stacked two high) are placed on the cart for each load. Sharps containers which have been segregated by the generator are autoclaved separately from the bagged waste allowing for optimal steam penetration. The client identification label is removed from each collection container as its contents are placed on the autoclave cart and staged to go into the autoclave. The label is then placed on a load card which indicates the date of processing, the autoclave being used and the technician doing the processing. Sterilization integrators are also placed in each load to verify that sterilization standards are met. Steam is injected into the chamber of the autoclave to a pressure of 10 p.s.i. Upon reaching 10 p.s.i., a pre -vacuum method is used to attain 15 inches Hg. Pre - vacuum is not required to establish 100% sterilization. IvfRRS uses the vacuum method to accommodate sterilization. By using the pre -vacuum method, air is removed from the chamber allowing the steam to more effectively penetrate the desired load. Air present in the chamber, and steam injected into the chamber will eventually mix. However, if the steam does not have to mix with the air, it can do the job intended (i.e. sterilization) in a shorter period of time. After the pre -vacuum process is complete, the chamber pressure is then increased to 35 p.s.i. and reaches a temperature of at least 270°. This temperature and pressure are held for 30 minutes, guaranteeing complete sterilization. Upon completion of the sterilization cycle, the load is removed and the sterilization integrators are attached to the load cards containing the clients' identification labels. Should any integrator indicate that conditions for sterilization have not been met, the load is run a second time to assure proper sterilization. The load cards with the client identification and the verified sterilization integrators are retained in our records for a period of at least seven years. Confirmed process receipts with the date processed are returned to the clients for their records. One copy of this receipt is also retained by MRRS in each client's process records. After the material is autoclaved the carts are removed from the autoclaves and unloaded. Segregated material with a high concentration of recyclable polypropylene plastics (i.e. sharps containers, saline bottles, water pitchers and emesis basins, etc.) are placed inside large 1 cubic yard boxes that are loaded into a semi -trailer in preparation for shipment to our plastics recycling plant in Spokane, Washington. The process at our Spokane operation includes a series* of shredding, float/sink and wash and separation stages that separate the polypropylene from the other materials. The resulting polypropylene flake can then be extruded into pellets which in turn can be molded into various products. We have a mold to use the pellets to produce new sharps containers which in turn are available to our clients for use in their facilities. The remaining sterilized waste that is not recycled is classified as normal garbage and placed into a 12 -yard rolloff dumpster for, disposal under our garbage service. ..• .""""",""•"'"'I'''•'• ?.-r.: .c ve..,rx-., �.�--r�•- _ _^cy,;�arr ¢: �.....--�r_•� Wil^ -7.^ ... r .-rv.. T �r-3...�-,+�.:�r, [':?a: `^?•;A 'FN • • To assure that the autoclave is operating correctly, MRRS uses three quality control tests. First of all, steam integrators are placed within each load. The integrators show that the appropriate levels steam, pressure and time have been obtained in the chamber. In addition, each day a Bowie -Dick test is run to confine that the. pre -vacuum process we use is effective by showing that partial air removal has occurred. The third test implemented is a Disposable Biological Test which includes a vial containing bacillus stearothermophilus 106. This is run once a week. Each biological test pack is placed flat in the lower portion of an empty autoclave near the drain. Once the test run on the autoclave is completed, the pack is removed from the autoclave and ,the chemical indicator on the vial is examined. A black dot indicates steam has penetrated to the center of the pack killing the bacillus. The vial is then placed in an incubator and checked every 12 hours to make sure re- growth of the bacillus has not taken place. Autoclave Information Two 1 1/2 yard AMSCO (American Sterilizer Company) autoclaves that have been rebuilt and certified by American Autoclave (Sumner, WA) will be used at the Tukwila processing facility. American Autoclave will be our supplier, as well as our service provider for repair and maintenance on the autoclaves. Container Washing Procedure We utilize industrial strength plastic garbage cans of various sizes for collection and storage of BMW to be processed. All containers are lined with very sturdy autoclave bags of high strength, resistant to tears and leaks. Therefore, for the most part containers are rarely contaminated by any waste material. Nevertheless, every container is put through our decontamination process. In the past we have tried various mechanical container washing equipment. However, we have found these to be less than cost effective, time consuming, wasteful on water, cumbersome to operate and did not clean the containers to our standards. Therefore, we developed a process that is more manually operated, but, gives us better quality control. After removal of the liner containing BMW, each container is sprayed inside and outside with a 25% bleach solution which is allowed to remain on for a minimum of 10 minutes up to 30 minutes. The containers are moved across the warehouse to our cleaning station where they are inverted and hung on a cleaning rack to be rinsed with a 1200 p.s.i. steam cleaner with a water temperature of 190 ° F. After rinsing, containers are removed from the rack, inspected and hand dried. Orice clean, the containers are moved to our clean container storage area to be placed back into the collection process. Contingency Plan As it stands now, we will have two autoclaves in operation at the Tukwila operation. The chance of both being down at the same time for any length of time is remote. In addition, autoclave technicians can be called from American Autoclave in Sumner, WA and repairs can be made readily. Due to the simplistic principals of steam sterilization, repair time is usually minimal. However, in the event of a worst case scenario, we have licensed treatment facilities in both Spokane, WA and Portland, OR to which the biomedical waste can be transported and processed. Medical Resource Recycling Systems, Inc. Closure Plan for Site at 6350 S. 143rd Road Tukwilla, WA 98168 Upon cessation of the biomedical waste treatment operation at the above site, Medical Resource Recycling Systems, Inc. will remove all waste from the site, clean the facility, decontaminating any waste area, remove all equipment and evacuate the building. Autoclave Quality Control Schedule Autoclave # Every Monday: Bowie Dick Test Check Door Gasket for wear & tear/ loosen & tighten screws to keep screws from corroding. Date: Result: (Pass/Fail) Verified By: Date: Verified By: Autoclave Quality Control Schedule Autoclave # Biological Spore Test - Once a month/first Friday of the month (run after last load: of the day in empty autoclave) Date Run: Run By: Date Checked: Verified by: Result Pass/Fail DATE: DAILY STERILIZATION LOG Autoclave No. 1 Autoclave No. 2 Load No. Integrator Placed Temp/psi @ 270 °/35 psi Time Record (minutes) Technician Confirmation Load No. Integrator Placed Temp/psi @ 270 °/35 psi Time Record (minutes) Technician Confirmation 1 • 1 2 2 3 3 . 4 4 5 5 6 6 7 '7 8 8 9 9 .10 10 11 11 •12 12 13 13 14 14 15 15 16 16 17 . 17 18 18 19 .. 19 20 20 21 21 22 22 . 23 23 24 24 Manufacturer/Brand of Sterilzation Assurance Measures 1. Sterigage Integrators manufactured by PyMaH corporation (see attached sample) 2. ATI Biological Plus Test Pack manufactured by PyMaH corporation 3. ATI Bowie Dick Manufactured by PyMaH corporation ;•S enuaSTAM , _ae• • 1. ttiatiggb IN GRATOR ' • ST RILIZAT1ON RE:1ECf Py laH corp. - • ACCIDENT PREVENTION PROGRAM FOR MEDICAL RESOURCE RECYCLING SYSTEMS, INC. . • , Swcv ons BeLifiCB Pocv Medical Resource Recycling Systems, Uric, believes in the self- respect and importance of the individual employee and his or her right fo derive personal satisfaction from the job. L'he prevention of occupational injuries and illnesses is of such a consequence to this belief that it will be given a fop priority at all times, We will establish and require an accident prevention program that emphasizes the integration of safety and health measures into each job task so that safety / health and job performance become inseparable, Chis will be accomplished through the cooperative efforts of employer, managers, supervisors and employees, Safety orientation for new and transferred employees, timely and appropriate training, monthly management / employee safety and health meetings, an active self -inspection program, proper mechanical guards, and personal protective equipment will be some of the tools used fo reduce work hazards, By accepting mutual responsibility fo operate safely, we will all contribute to the well-being of . personnel, and subsequently, the company, D. Rick. Kartevold, President EMPIKWEE RSPOIISBCS 1, Employees shall coordinate and cooperate with all other employees in an attempt to eliminate accidents. 2, Employees shall study and observe all safe practices governing their work, 3, Employees should offer safety suggestions, wherein such suggestions may contribute to a safer work environment, 4, Employees shall apply the principals of accident prevention in their daily work and shall use proper safety devices and protective equipment as required by their employment or employer, 5, Employees shall properly care for all personal protective equipment, 6, Employees shall make a prompt report to their immediate supervisor, of each industrial injury or occupational illness, regardless of the degree of severity, 7, Employees shall not wear torn or loose clothing while working around machinery, EMPLOYEE TRAINING & SAFETY ORIENTATION PROGRAM All new or transferred employees shall go through the below outlined Training & Safety . Orientation Program prior to commencement of job duties. This program is designed to educate the employee in all operation and safety procedures, potential hazards, and action to take in the event of exposure and/or emergency situations. Bloodborne Pathogens Exposure Control Plan a. Employee Certification of Training b. Hepatitis B Prevention Video Tape c. Hepatitis B Vaccination offered II. Personal Protective Equipment Program a. Employee Certification of Training on proper usage and maintenance III. Hazard Communication Program a. Employee Certification of Training b. MSDS location IV. Energy Control Program a. Lockout/Tagout Certification of Training V. Equipment/Machinery Operation Safety VI. Accident Reporting and Investigation VII. Employee Participation in Safety and Accident Prevention through Crew Meetings VIII. EmergencyPlan IX. Safety and Health Plan ACCIDENT/ILLNESS INVESTIGATION AND REPORTING I: Definition and Purpose: ALL ACCIDENTS, no matter how minor, shall be reported PROMPTLY to the immediate supervisor for evaluation/investigation. Since every accident includes a sequence of contributing causes, it is possible to avoid a repeat performance of the first event by recognizing and eliminating these causes. The removal of just a single cause can prevent a recurrence. During the supervisor's evaluation, he/she must determine the possible consequences that could take place if the situation is not corrected and take appropriate action based upon those findings (i.e. investigate, report, correct, etc.) II. Medical Emergency Procedure: An aid car will be called via 911 service in case where the employee needs immediate medical attention. A company representative will accompany the employee to the doctor. or hospital. . III. Non -Emergency Medical Procedure: In the case of non -emergency situations, appropriate first aid treatment will be given on site by certified first aid card holder and the employee given the opportunity for medical treatment by a doctor of their choice. IV. Documentation Procedure: A. Minor Injuries and illnesses: (requiring doctor and/or outpatient care) After the emergency actions following an accident or report of work related illness, an investigation of the incident will be conducted by the immediate supervisor in conjunction with any witnesses to the incident, to determine the causes. The finding of the investigation shall be documented on an accident investigation form (a sample accident report is included in this section). Distribution of the form will be as follows: 1. Copy to management and safety officer 2. Copy to office files 3. Copy to safety crew leader B. Major Injuries and Illnesses: (Fatality or requiring hospitalization) Company's top management official, safety officer, supervisor and safety crew leader are to be notified immediately by the person in charge. An investigation under the direction of the top management official will be conducted. In addition to the management official, the inspection party will include the safely officer, immediate supervisor of the injured person(s), and a representative from the safety/health committee. EMERGENCY PLAN In the event of an emergency (i.e. fire, medical emergency, natural disaster, etc.) employees shall follow the below plan as outlined: • Personal safety is our primary concern. Therefore do not attempt to take any action that would endanger your safety, such as attempting to extinguish a fire that is out of control, or any other such action that may cause you to be injured. • Irmnediately call 911 and request the required agency (i.e. fire, police or ambulance) • If not already present, notify a member of management at numbers listed below: • • • Upon arrival of the proper authorities, cooperate fully in anyway requested and continue to assist until the arrival of a member of management. • Do not stay in the building if there is any hazards such as smoke, fire or possibility of explosion. Get out of the building via designated exits and call from a phone outside of the building. • In the event of a medical emergency injury to a co-worker, call 911 immediately and render any first aid that is appropriate. First aid kits are located as follows: • Fire extinguishers are located as follows: Employees who work in the warehouse will be trained in the proper use of fire extinguishers and will only use them in circumstances where the fire is small in size,' a Class A, B or C hazard and containable by the use of a fire extinguisher. Each fire extinguisher is labelled with the proper operating procedure. CREW LEADER SAFETY MEETINGS We believe that there is no magic formula for the prevention of accidents. Hard work and perseverance are required, with the crew leader being the key to a successful result. Purpose: - To assist in the detection and elimination of unsafe conditions and work procedures. Supervisors and employees are encouraged to comment on identified hazards. Hazards identified as "emergency" will be acted on immediately. II. Procedures - The following guidelines will be followed: A. Monthly Meetings: These meetings should be held in accordance with the various circumstances involved or when necessity 'dictates. No set pattern will suit all cases. It is important, however, that the leader talk daily on accident prevention and immediately on witnessing an unsafe act. B. Record Keeping: The attendance and subjects discussed shall be documented and maintained on file for one year. Copies of the minutes should be made available to the employees by posting or other means. II. Scope of Activities: Conduct in-house safety inspections with supervisor Accident investigation to uncover trends Review accident reports to determine means or elimination - Accept and evaluate employee suggestions Review job procedures and recommend improvements - Monitor the safety program effectiveness Promote and publicize safety c� ��7sdxt�;s5�"�yrvs+'�??_a?�i�?,>�-t"'c.,`�4�Tw„��.;�►�c.�iZ,�in:..'.�,��?”' �� `:i"'"=��jy`'< (,�.�,�� "T't'�r...�' ,,jw='="'�"+Z. „ ci—^�'-r ,..�, .�`{�:' SELF INSPECTION PROGRAM Accident Prevention Program Review: A review will be conducted at least annually for all sections of the written Accident Prevention Program. This review will be made by a committee consisting of a management official, safety officer and safety crew leader. Safety and Health Inspections: Workplace inspections, made by knowledgeable supervisors and employees, to uncover existing and potential job hazards will be conducted on a monthly basis and upon any reported incident of accident or illness. A checklist of items to be inspected is to be utilized and signed by authorized employee. The authorized indivivals to do this check list are: Upon completion of the inspection, a action copy will be forwarded to Nancy Kartevold, who will act as facilitator to make sure that any corrections are made. Upon completion of all corrections, the checklist will be filed and remain on file for a period of 12 months. Safety and Health Performance Evaluations: Each supervisor and employee will be evaluated on an ongoing basis of their safety and health perfonnance such as rule enforcement, knowledge and use of accident prevention measures, attitude toward the program, and use and care of personal protective equipment. Persistent violations will be subject to written warnings and possible to termination of employment. A written evaluation will be given on an annual basis by the following individuals: Rick Kartevold Nancy Kartevold Employee retraining sessions will be conducted whenever a change in a program has been made, at the least on an annual basis for the following programs: Accident reporting and investigation Bloodborne Pathogens Exposure Control Plan Personal Protective Equipment Program Hazard Communication Program Energy Control Program Equipment/Machinery Operation Safety Emergency Plan Personal Work Habits .. < .. -+(='.='--.' f _ •c. '�."= � :,1t��.'��/�'7"'iT a•� . �.a?;�#j'f':� '� . � .�:�..'a?5:. c,� � ..r..�i�a�p.+-'F. Mit?."• A � �dka��krK'r •_. s• .. y_ .. __,p,. ......^^.r-.T^+,r,,,^r-•• ,,,,,,,,,,,, ..v .., ,. m nc+.�..,srr^za• f... TT. ... •+f.•. .. ro-Y: �+^_'vY. r.. .SY9:��Y.SY. TTa^�TfY Safety Inspection Checklist Plant or Department: Date: Inspection Conducted by: This is intended only as a reminder to look for unsafe practices, near accidents and accidents, and then report them to Nancy Kartevold and the Safety Crew Leader. (S) Indicates Satisfactory • (U) Indicates Unsatisfactory Machinery: S/U Point of operation suards Belts, pulleys, gears, shafts, etc. Oiling, cleaning and adjusting Maintenance and oil leaks Pressure Equipment: _ S / U Autoclave door, gaskets, guages Steam equipment Air compressors & receivers Gas cylinders and hose Unsafe Practices: S/U Excessive speed of vehicles Improper lifting Smoking in danger areas Horseplay Running in aisles or on stairs Improper use of air hoses Not using and/or Removing machine guards Working on machines in motion Not following PPE requirements First Aid/Fire Emergency: S/U First aid kits All injuries reported Fire extinguishers Miscellaneous: S/U MSDS updates for new chemicals Proper labeling & storage of chem. Dusts, vapors or fumes Ladders & Scaffolds Tools stored properly - : -w�f -.4-••••.4.• 44 r?r„• ..'^ t.. •;•S.;?z 4t � �t c;'• hkT` „��4XR <. SAFETY AND HEALTH INFORMATION WISHA Poster: The WISHA poster provides employees with information about their rights under the Washington Industrial Safety and Health Act. To make certain that this information is made available to all employees, idnerMINEWS will place poster in visible location to all employees. Any person who notices a damaged or missing poster will immediately notify lifinaliMit Safety Bulletin Board: The company safety and health bulletin board is located in the open office area. tallipilmonalli will be responsible to screen the board weekly and remove or replace items on the bulletin board. The board will be inspected weekly by 44211351111111112101 for orderliness and appeal. Deficiencies will be made known to katninF First Aid: First Aid - To provide immediate assistance to injured employees, the following personnel are certified in first aid: irslatimanar# ausillEsso ftwomensio fibeiNallem oinskintairs will maintain a record of all certified personnel and their certification expiration date. A list of currently certified persons will be maintained on the bulletin board. A certified first aid person will be available at all times when more than one employee is present. First Aid Kits - will be maintained on the wall in the hallway between warehouse and office space and on the supply shelf outside autoclave room in the warehouse. Each kit will be readily accessible and maintained in a serviceable condition by EMPLOYEE TRAINING & SAFETY ORIENTATION CHECKLIST Employee Name: Position: Dat Hired: This checklist is a guideline fornorientations supervisorland employee,ployees new to company, department, or specific )ob Once completed and signed by both it serves as documentation that orientation has taken place. Please check the box of the following items to indicate that the s abject has been covered: ❑ 1. Explain the Company Safety and Accident Prevention Prograri, including: a. Orientation b. On the job training c. Safety meetings d. Accident investigation and reponing ❑ 2. Personal Protective Equipment a. Requirements b, Proper cleaning and maintenance ❑ 3. Line of communication and responsibility for immediately reporting accidents a. When to report an injury b. How to report an injury c. Who to report an injury to d. Filing of accident report forms ❑ 4. General overview of operation. procedures. methods and haze rds as they relate to the specific job and duties. including information on bloodborne pathogens o 5. Pertinent safety rules of the Company and Washington State °•afety and Health Codes ❑ 6. First aid supplies. equipment and training a. Obtaining treatment b. Location of kits c. Names of first aiders O 7. Emergency Plan a, Exit location and evacuation routes b. Use of fire fighting equipment (extinguishers) c. Specific procedures (medical, chemical, fire, etc.) ❑ 8. Identification of hazardous gases, chemical or materials invclved along with the instruction on the safe use and emergency action following accidental exposure ❑ 9. Personal Work Habits a. Serious consequences of horseplay b. Fighting c. Inattention - d. Smoking policy e. Good housekeeping practices f. Proper lifting techniques NOTE TO EMPLOYEE: Do not sign unless ALL items are covered and ALL questions are satisfactorily answered. The signatures below document that the appropriate elements have been discussed to the satisfaction of both paries, and that both the supervisor and employee accept responsibility for ntaintainin: t a safe and healthful work environment. Date: Supervisor's signature: Date:_ Employee's signature: T T 'd 817:07 f1Hl 96—sz-1ff BLOODBORNE PATHOGENS EXPOSURE CONTROL PLAN Facility Name: Medical Resource Recycling Systems, Inc. Date of Preparation: 7/1/92 In accordance with the OSHA Bloodborne Pathogens standard, 29 CFR 1910.1030, the following exposure control plan has been developed: 1. Exposure Determination OSHA requires employers to perform an_ exposure determination concerning which employees may incur occupational exposure to blood or other potentially infectious materials. The exposure determination is made without regard to the use of personal protective equipment (i.e. employees are considered to be exposed even if they wear personal protective equipment.) This exposure determination is required to list all job classifications in which all employees may be expected to incur such occupational exposure, regardless of frequency. At this facility the following job classifications are in this category: 1. Driver (Ai/A) 2. Sterilization Technicians 3. Maintenance Personnel In addition, OSHA requires a listing of job classifications in which some employees may have occupational exposure. Since not all the employees in these categories would be expected to incur exposure to blood or other potentially infectious materials, tasks or procedures that would cause these employees to have occupational exposure area also required to be listed in order to clearly understand which employees in these categories are considered to have occupational exposure. The job classifications and associated tasks for these categories are as follows: Job Classification Tasks/Procedures Managers Supervisory 2. Implementation Schedule and Methodology OSHA also requires that this plan also include a schedule and method of implementation for the various requirements of the standard. The following complies with this requirement: Compliance Methods Universal precautions will be observed at this facility in order to prevent contact with blood or other potentially infectious materials. All blood or other potentially infectious material will be considered infectious regardless of the perceived status of the source individual. Engineering and work practice controls will be utilized to eliminate or minimize exposure to employees at this facility. Where occupational exposure remains after institution of these controls, personal protective equipment shall also be utilized. At this facility the following engineering controls will be utilized: 1. Rubber Gloves/Decontamination Gloves 2. Eye Shields 3. Rubber BootsNinyl Shoes 4. Coverall Uniforms The above controls will be examined and maintained on a regular schedule. The schedule for reviewing the effectiveness of the controls is as follows: 1. Rubber Gloves - disposed after each use Decontamination Gloves - examined daily before using 2. Eye Shields - cleaned daily/or if exposed, removed and disinfected immediately 3. Rubber BootsNinyl Shoes - cleaned daily/or if exposed, removed and disinfected immediately 4. Coverall Uniforms - changed out daily with a weekly laundry or laundry service (Each employee will be responsible for the immediate care of any exposure.) Handwashing facilities are also available to the employees who incur exposure to blood or other potentially infectious materials. OSHA requires that these facilities be readily accessible after incurring exposure. At this facility handwashing facilities are located: 1. Antiseptic foam cleanser and paper towels available in immediate area on work table. Supervisor responsible once notified by employees that a refill is necessary. 2. Bathroom facility provided within building 3. Eye wash kit available on supply shelf in processing room. After removal of personal protective gloves, employees shall wash hands and any other potentially contaminated skin area immediately or as soon as feasible with soap and water. If employees incur exposure to their skin or mucous membranes then those areas shall be washed or flushed with water as appropriate as soon as feasible following contact. Needles All needles received in area are contained in sharps containers upon receipt to our facility and remain contained until sterilized. At this facility the sharps containers received are puncture resistant, labeled with a biohazard label, and are leak proof. Work Area Restrictions In work areas where there is a reasonable likelihood of exposure to blood or other potentially infectious materials, employees are not to eat, drink, apply cosmetics or lip balm, smoke, or handle contact lenses. Food and beverages are not to be kept in refrigerators, freezers, shelves, cabinets, or on counter tops or bench tops where blood or other potentially infectious materials are present. All procedures will he conducted in a manner which will minimize splashing, spraying, splattering, and generation of droplets of blood or other potentially infectious materials. Methods which will be employed at this facility to accomplish this goal are: All potentially infectious material are properly packaged in containers which prevent leakage during the collection, storage, handling, transportation and transportation and are designated as potentially infectious by clients (i.e. generators) before our employees have contact. Anything designated as such (i.e. with the OSHA standard biohazardous symbol) is not to be tampered with and/or opened until run through our sterilization process. Storage containers will be power washed, disinfected with a bleach solution (1:5 bleach to water ratio) and dried after each use prior to returning to clients on next change -out. All potentially infectious material off loaded in designated area for contaminated materials and remain in designated area until processed. No unauthorized personnel shall be allowed in designated contaminated area. Protective garments and safety equipment to be worn in designated contaminated area at all rimes. If not already present on sharp containers and/or bags, autoclave tape or indicator to be affixed to container prior to sterilization. Will show black after sterilization. At this point, packaging may be altered and/or opened for recycling or disposal. Employee to examine and note any damaged containers, such as split bags, exposed needles, etc. Employee will place damaged container within secondary container for sterilization process using the following procedures: 1. Split bags: - Line rigid, temporary container with secondary decontamination bag (located in supply area) Place primary decontamination bag with contents intact into the secondary decontamination bag held in rigid container. Any solid spillage to be picked up using dust pan and broom (located in maintenance area) and placed in secondary decontamination bag. Any liquid spillage to be mopped up with a 1:5 bleach solution immediately (located in maintenance area). 2. Needle punctures: - Place whole container in next larger sharps container (located in supply area). If outside contamination of the primary container occurs, the primary container shall be placed within a secondary container which prevents leakage during the handling, processing, storage, transport, or shipping of the specimen. Contaminated Equipment Equipment which has become contaminated with blood or other potentially infectious materials shall be examined prior to servicing or shipping and shall be decontaminated as necessary unless the decontamination of the equipment is not feasible. Personal Protective Equipment All personal protective equipment used at this facility will be provided without cost to employees. Personal protective equipment will be chosen based on the anticipated exposure to blood or other potentially infectious materials. The protective equipment will be considered appropriate only if it does not permit blood or other potentially infectious materials to .pass through or reach the employees' clothing, skin, eyes, mouth, or other mucous membranes under normal conditions of use and for the duration of time which the protective equipment will be used. Protective clothing will be provided to employees in the following manner: 1. Coveralls/daily changeout/laundered weekly 2. 1 pair rubber boots/1 pair vinyl shoe provided per employee to be maintained by employee. Supervisor responsible for distribution and coordination of laundry. See Appendix A for tasks and types of protection required. All personal protective equipment will be cleaned, laundered, and disposed of by the employer at no cost to employees. All repairs and replacements will be made by the employer at not cost to employees. All garments which are penetrated by blood shall be removed immediately or as soon as feasible. All personal protective equipment will be removed prior to leaving the work area. The following protocol has been developed to facilitate leaving the equipment at the work area: 1. Rubber gloves disposed of in decontamination bags. 2. Coveralls to be placed in laundry hamper at entrance to processing facility. 3. Protective and safety goggles will be cleaned and left at work station. 4. Protective boots and shoes to be left in designated changing area where change -out can occur. Gloves shall be worn where it is reasonably anticipated that employees will have hand contact with blood, other potentially infectious materials, non -intact skin, and mucous membranes. Gloves will be available from: 1. In truck for use at time of pick-up of potentially infectious material. (/JIq) 2. On table at truck off-loading entrance to facility. 3. At entrance to autoclave area for use at all times when in contaminated area. Gloves will be used for the following procedures: 1. At all times when in contaminated area, to include; a. Off loading containers from truck b. Handling of any non -treated potentially infectious material when preparing for loading, when loading into autoclaves and when unloading autoclaves c. Cleaning of storage containers d. Cleaning of floors and equipment 2. When using the float sink system 3. When grinding sterilized material Disposable gloves used at this facility are not to be washed or decontaminated for re -use and are to be replaced as soon as practical when they become contaminated or as soon as feasible if they are torn, punctured, or when their ability to function as a barrier is compromised. Utility gloves may be decontaminated for re -use provided that the integrity of the glove is not compromised. Utility gloves will be discarded if they are cracked, peeling, torn, punctured, or exhibit other signs of deterioration or when their ability to function as a barrier is compromised. Masks in combination with eye protection devices, suchas goggles or glasses with solid side shield, or chin length face shields, are required to be worn whenever splashes, spray, splatter, or droplets of blood or other potentially infectious materials may be generated and eye, nose, or mouth contamination can reasonably be anticipated. Situations at this facility which would require such protection are as follows: 1. At all times when handling any non -treated potentially infectious material when preparing for loading, when loading into autoclaves, and when unloading autoclaves. 2. Cleaning of storage containers 3. Cleaning of floors and equipment 4. When using the float sink system 5. When grinding sterilized material The OSHA standard also requires appropriate protective clothing to be used, such as lab coats, gowns, aprons, clinic jackets, or similar outer garments. The following situations require that such protective clothing be utilized: 1. At all times when handling any non -treated potentially infectious material when preparing for loading, when loading into autoclaves, and when unloading autoclaves. 2. Cleaning of storage containers 3. Cleaning of floors and equipment 4. When using the float sink system 5. When grinding sterilized material 1: This facility will be cleaned and decontaminated according to the following schedule: Use 1:5 bleach to water solution for: 1. Processing facility floor mopped 3 times daily and when any spills occur. 2. Receiving area kept swept up, mopped daily and when any spills occur. 3. Autoclaves cleaned daily after processing completed for day or if any spills occur - wiped down inside and outside. 4. Truck washed daily and swept out after each delivery to processing facility. Any spills taken care with spill containment kit in the truck. Decontamination will be accomplished by utilizing the following materials: 1:5 bleach to water solution, rubber gloves, mop and towels. All contaminated work surfaces will be decontaminated after completion of procedures and immediately or as soon as feasible after any spill of blood or other potentially infectious materials, as well at the end of the work shift if the surface may have become contaminated since the last cleaning. All bins, pails, cans, and similar receptacles shall be inspected and decontaminated on a regularly scheduled basis: Daily, or more frequently if necessary, to be determined by processing technician. Any broken glassware which may be contaminated will not be picked up directly with the hands. The following procedures will be used: 1. Sweep up with broom and dust pan, located in processing/maintenance area. Drop into lined container; mop or clean area with 1:5 bleach to water solution. Laundry Procedures Laundry contaminated with blood or other potentially infectious materials will be handled as little as possible. Such laundry will be placed in appropriately marked bags at the location where it was used. Such laundry will not be sorted or rinsed in the area of use. All employees who handle contaminated laundry will utilize personal protective equipment to prevent contact with blood or other potentially infectious materials. Coveralls at this facility will be cleaned with on site washer and dryer specifically used for this purpose. Mop heads and towels will be cleaned off site by American Linen Laundry Service, who has been notified of potentially infectious materials. Hepatitis B Vaccine All employees who have been identified as having exposure to blood or other potentially infectious materials will be offered the Hepatitis B vaccine, at no cost to the employee. The vaccine will be offered within 10 working days of their initial assignment to work involving the potential for occupational exposure to blood or other potentially infectious materials unless the employee has previously had the vaccine or who wishes to submit to antibody testing which shows the employee to have sufficient immunity. Employees who decline the Hepatitis B vaccine will sign a waiver which uses the working in Appendix A of the OSHA standard. Employees who initially decline the vaccine but who later wish to have it may then have the vaccine provided at no cost. Nancy Kartevold to have responsibility of assuring that the vaccine is offered, and any waivers signed. The vaccines will be administered by qualified health care professional. Post -Exposure Evaluation and Follow -Up When the employee incurs an exposure incident, it should be reported to Nancy Kartevold (will maintain records) Rick Kartevold All employees who incur an exposure incident will be offered post -exposure evaluation and follow-up in accordance with the OSHA standard. This follow-up will include the following: Documentation of the routeof exposure and the circumstances related to the incident. If possible, the identification of the source individual and, if possible, the status of the source individual. The blood of the source individual will be tested (after consent is obtained) for HIV/HBV infectivity. Results of testing of the source individual will be made available to the exposed employee with the exposed employee informed about the applicable laws and regulations concerning disclosure of the identity and infectivity of the source individual. The employee will be offered the option of having their blood collected for testing of the employees HIV/HBV serological status. The blood sample will be preserved for up to 90 days to allow the employee to decide if the blood should be tested for HIV serological status. However, if the employee decides prior to that time that testing will or will not be conducted then the appropriate action can be taken and the blood sample discarded. The employee will be offered post exposure prophylaxis in accordance with the current recommendations of the U.S. Public Health Service. The employee will be given appropriate counseling concerning precautions to take during the period after the exposure incident. The employee will also be given information on what potential illnesses to be alert for and to report any related experiences to appropriate personnel. - The following person(s) has been designated to assure that the policy outlined here is effectively carried out as well as to maintain records related to this policy: EMENNIZEDI Interaction with Health Care Professionals A written opinion shall be obtained from the health care professional who evaluates employees of this facility. Written opinions will be obtained in the following instances: 1) When the employee is sent to obtain the Hepatitis B vaccine. 2) Whenever the employee is sent to a health care professional following an exposure incident. Health care professionals shall be instructed to limit their opinions to: 1) Whether the Hepatitis B vaccine is indicated and if the employee has received the vaccine, or for evaluation following an incident; 2) That the employee has been informed of the results of the evaluation; and 3) That the employee has been told about any medical conditions resulting from exposure to blood or other potentially infectious materials. Training Training for all employees will be conducted prior to initial assignment to tasks where occupational exposure may occur. Training will be conducted in the following manner. Training for employees will include the following explanation of: 1) The OSHA standard for Bloodborne Pathogens 2) Epidemiology and symptomatology of bloodborne diseases 3) Modes of transmission of bloodborne pathogens 4) This Exposure Control Plan, (i.e. points of the plan, lines of responsibility, how the plan will be implemented, etc.) 5) Procedures which might cause exposure to blood or other potentially infectious materials at this facility 6) Control methods which will be used at the facility to control exposure to blood or other potentially infectious materials 7) Personal protective equipment available at this facility and who should be contacted concerning 8) Post exposure evaluation and follow-up 9) Signs and labels used at the facility 10) Hepatitis B vaccine program at the facility Recordkeeping All records required by the OSHA standard will be maintained by: Dates All provisions required by the standard will be implemented by: July 1, 1992 Training by lecture and videotape: Rick Kartevold All employees will receive annual refresher training. The outline for the training material is located in the Front Office Instructors APPENDIX A OSHA PPE CHECKLIST TASK: 1. Cleaning Containers 2. Loading Autoclaves 3. Grinding/Float Sink (N/4) 4. Maintenance 5. General Cleaning/Mopping Floors 1,2,3,4,5 Gloves 3 Face Shield 1,2,3,4,5 Mask 1,2,3 Protective eyewear (with solid side shield) 2,3,4,5 Utility Gloves 1,2,3,4,5 Rubber Boots or vinyl shoes 1,2,3,4,5 Coveralls APPENDIX B Hepatitis B Vaccine Declination Form I understand that due to my occupational exposure to blood or other potentially infectious materials I may be at risk of acquiring hepatitis B virus (HBV) infection. I have been given the opportunity to be vaccinated with hepatitis B vaccine, at no charge to myself. However, I decline hepatitis B vaccination at this time. I understand that by declining this vaccine, I continue to be at risk of acquiring hepatitis B, a serious disease. If in the future I continue to have occupational exposure to blood or other potentially infectious materials and I want to be vaccinated with hepatitis B vaccine, I can receive the vaccination series at no charge to me. [FR Doc. 91-28886 Filed 12-2-91; 8:45 am] Declining Employee's Signature: Wimess: Date: Date to Review Decision Again: 2.1 • • • • • ••••• • • • •' • • • • • -55.tutr. En-iergency MediCal.*SerVices HIV/AIDS and. HEV Training QI1its is to rertifq Oat riiinplistrb four flours of Erninirig wic11 Fps been upprouPD by tfir Offirr Ern HIV/AIDS (4. rreDifs). Batt 3ristrucloc 4. • . . . . • . ' "4.k. *!1•I'''V4 • 6y114•.140)...V : 1.4. 4s; .243. t..4. .6 ;.4.1 .!4s: *i:S: • gt.tiz • *ay: • . • c • IV • •••••••1•• 11V.4% ,!(•• tto. 0.,,,If••••tk. A '-f.).1)•.)', 4_,t. • 4,i. 4AV4NA Nf•T;d:Zf.• • t . - : • , . • .1.. • it• -•••••7 t'..-•••• 1 EQUIPMENT / MACHINERY OPERATION Employees will receive supervised, on the job, training prior to the operation of any equipment / machinery. Training supervisor will be assured of employee's understanding of all safety requirements prior to allowing them to operate equipment / machinery on their own. The following equipment / machinery will not be operated at any time unless there are at least two employees trained in the proper operation present in the workplace: Ball Mill (Spokane Operation) Shredder (Spokane Operation) Grinder (Spokane Operation) Forklift (Spokane Operation) Employees will operate the following equipment / machinery as outlined in the safety operation plan for each: Autoclave (All Operations) Ball Mill (Spokane Operation) Shredder (Spokane Operation) Grinder (Spokane Operation) Forklift (Spokane Operation) :.t Autoclave Operation Procedures Operational Procedure: 1; Turn dial to Sterilize until chamber reaches 10 p.s.i. 2. Turn dial to. Vacuum until chamber reaches 15 inches Hg: 3. Turn dial back to Sterilize and set time for 30 minutes 4. Once timer goes off, turn dial to Off position and let chamber pressure reach 0 p.s.i. before attempting to open door. CHAMBER PRESSURE MUST BE AT ZERO P.S.I. BEFORE OPENING DOOR!!! Shutdown Procedure: (at end of day) 1. Turn off toggle switches and turn off breaker switch. Turn valve #1 halfway open (valve #1 is located at the base of boiler in the back and is black in color). 3. Open valve #2 slightly for approximately 30 - 45 seconds (valve #2 is located on left side of boiler and is red in color). 4. Open valve #3 for approximately 2 - 3 minutes (valve #3 is located underneath in front of autoclave and is blue in color). Once pressures in autoclave and boiler have reached 0 p.s.i., MANUALLY fill boiler 1/2" - .1" above black line on glass tube. MEDICAL RESOURCE RECYCLING SYSTEMS, INC. EQUIPMENT/MACHINERY TRAINING CERTIFICATE FOR EMPLOYEE: DATE OF TRAINING: I have received equipment/machinery training as described in the equipment/training program. The training was conducted on the above date. Employee Signature Social Security Number Work Area I hereby _certify that the • above named employee has been provided with equipment/machinery training on the above date. Instructor's signature •• •'Iti.'i.. - e- s i n :asry"€Le.•x'; • "'Zf 1C gs� —t4.i +y1•Zpn.�'""4 s ,ll t ^+ 'rt �♦ PERSONAL PROTECTIVE EQUIPMENT All personal protective equipment used at this facility will be provided without cost to employees. Personal protective equipment will be chosen based on the anticipated exposure to blood or other potentially infectious materials. The protective equipment will be considered appropriate only if it does not permit blood or other potentially infectious materials to pass through or reach the employees' clothing, skin, eyes, mouth, or other mucous membranes under normal conditions of use and for the duration of time which the protective equipment will be used. Protective clothing will be provided to employees in the following manner: 1. Coveralls/daily changeout/laundered weekly 2. 1 pair ribber boots/1 pair vinyl shoe provided per employee to be maintained by employee. Supervisor responsible for, distribution and coordination of laundry. All personal protective equipment will be cleaned, laundered, and disposed of by the employer at no cost to employees. All repairs and replacements will be made by the employer at not cost to employees. All garments which are penetrated by blood shall be removed immediately or as soon as feasible. All personal protective equipment will be removed prior to leaving the work area. The following protocol has been developed to facilitate leaving the equipment at the work area: 1. Rubber gloves disposed of in decontamination bags. 2. Coveralls to be placed in laundry hamper at entrance to laundry facility. 3. Protective and safety goggles will be_cleaned and left at work station. 4. Protective boots and shoes to be left in designated changing area where change -out can occur. Gloves shall be worn where it is reasonably anticipated that employees will have hand contact with blood, other potentially infectious materials, non -intact skin, and mucous membranes. Gloves will be available from: 1. In truck for use at time of pick-up of potentially infectious material. 2. On table at truck off-loading entrance to facility. 3. At entrance to autoclave area for use at all times when in contaminated area. Gloves will be used for the following procedures: 1. At all times when in contaminated area, to include; a. Off loading containers from truck b. Handling of any non -treated potentially infectious material when preparing for loading, when loading into autoclaves and when unloading autoclaves c. Cleaning of storage containers d. Cleaning of floors and equipment 2. When using the wash and separation system (N/4) 3. When grinding 'sterilized material (N/A-) 4. When loading and unloading sterilized material from ball mill Cti/-i) Disposable gloves used at this facility are not to be washed or decontaminated for re -use and are to be replaced as soon as practical when they become contaminated or as soon as feasible if they are torn, punctured, or when their ability to function as a barrier is compromised. Utility gloves may be decontaminated for re -use provided that the integrity of the glove is not compromised. Utility gloves will be discarded if they are cracked, peeling, torn, punctured, or exhibit other signs of deterioration or when their ability to function as a barrier is compromised. Masks in combination with eye protection devices, such as goggles or glasses with solid side shield, or chin length face shields, are required to be worn whenever splashes, spray, splatter, or droplets of blood or other potentially infectious materials may be generated and eye, nose, or mouth contamination can reasonably be anticipated. Or, when risk of particle penetration is present. Situations at this facility which would require such protection are as follows: 1. At all times when handling any non -treated potentially infectious material when preparing for loading, when loading into autoclaves, and when unloading autoclaves. 2. Cleaning of storage containers 3. Cleaning of floors and equipment 4. When using the wash and separation system • (,4) 5. When grinding sterilized material (NI 4) 6. When loading and unloading ball mill c,,,>/,c}.) The WISHA./OSHA standard also requires appropriate protective clothing to be used, such as lab coats, gowns, aprons, clinic jackets, or similar outer garments. The following situations require that such protective clothing be utilized: 1'. At all times when handling any non -treated potentially infectious material when preparing for loading, when loading into autoclaves, and when unloading autoclaves. 2. Cleaning of storage containers 3. Cleaning of floors and equipment 4. When using the float sink system (IN /A) 5. When grinding sterilized material (,'/--) 6. When loading and unloading ball mill C N /A) PPE CHECKLIST EMPLOYEE CERTIFICATION Employee Name: Date of Certification: TASK: TRAINING CONFIRMATION: 1. Cleaning Containers 2. Loading/Unloading Autoclaves 3. Grinding/Ball Mill/Wash & Separation CN/A) 4. Maintenance 5. General Cleaning/Mopping Floors 6. Charging/Venting Autoclaves 1,2,3,4,5,6 Gloves 3 Face Shield 1,2,3,4,5 Mask 1,2,3,4,5,6 Protective eyewear (with solid side shield) 23,4,5 Utility Gloves 1,2,3,4,5,6 Rubber Boots or vinyl shoes 1,2,3,4,5,6 Coveralls 3 6 Ear Protection I. have received Personal Protective Equipment training on each of the items initialed above as described in the PPE program. The training was conducted on the above date. Employee Signature Social Security Number Work area I hereby certify that the above named employee has been provided with PPE training on the above date. instructor's signature HAZARD COMMUNICATION PROGRAM PURPOSE: The purpose of the Hazard Communication Program is to ensure that the hazards of all chemicals produced or imported by chemical manufacturers or importers are evaluated, and that information concerning their hazards is transmitted to affected employers and employees before they use the products. PROCEDURE: • Inventory Lists - Know the hazardous chemicals in your workplace that are a potential physical or health hazard. Make an inventory list of these hazardous chemicals; this list must be a part of your written program. • MSDS - Make sure there is a material safety data sheet (MSDS) for each chemical and that the inventory list and labeling system reference the corresponding MSDS for each chemical. • Labeling System - Each container entering the workplace must be properly labeled with the identity of the product, the hazardous warning, and the name and address of the manufacturer. • Information and Training - Determine appropriate ways in which to inform and train employees on the specific chemicals in your workplace and their hazards. • Written Program - Develop, implement, and maintain a comprehensive written hazard communication program at the workplace that includes provisions for container labeling, material safety data sheets, and an employee training program. Employees must be made aware of where hazardous chemicals are used in their work areas. They also must be informed of the requirements of the Hazard Communication Standard, the availability and location of the written program, the list of hazardous chemicals, and the material safety data sheets. The code specifically requires employers to train employees in the protective practices implemented in their workplace, the labeling system used, how to obtain and use MSDSs, the physical and health hazards of the chemicals and the recognition, avoidance and prevention of accidental entrance of hazardous chemicals into the work environment. �I.h�.f: '9!i�'VCfi�SCs}yRw}� �'•'ilt±"T'�`l'a".p^+'.w�;�I.r y:.R"_ll.�� 'S� 'il+i3f�� Y4��` f f' f^AiJ+ t _ - ... . � ...� .. .. ,. t.. � r :��'. / �1 •��..:....�'•.-... 4 ... —. 1, WRITTEN HAZARD COMMUNICATION PROGRAM Company Policy: To ensure that information about the dangers of all hazardous chemicals used by Medical Resource Recycling Systems, Inc. are known by all affected employees, the following hazardous information program has been established: All work units of the company will participate in the hazard communication program. This written program will be available in CIONSZIENSIM office for review by any interested Employee. Container labeling: will verify that all containers received for use will be clearly labeled as to the contents, note the appropriate hazard warning and list the name and address of the manufacturer. Any person who transfers contents to a secondary container will ensure that the secondary containers are labeled with either an extra copy of the original manufacturer's label or with labels that have the identity and the appropriate hazard warning. For help with labeling, see aitalMINIMIREIN will review the company labeling procedures every year and update as required. Material Safety Data Sheets (MSDS): is responsible for establishing and monitoring the company MSDS program. She will make sure procedures are developed to obtain the necessary MSDS's and will review incoming MSDS's for new or significant health and safety information. • She will see that any new information is passed on to affected employees. Copies of MSDS's for all hazardous chemicals in use will be kept in identified binder in IMilliffillEMEMak office. MSDS's will be available to all employees during each work shift. If an MSDS is not available, immediately contact Employee Training and Information: is responsible for the company employee training program. She will ensure that all program elements specified below are carried out Prior to starting work, each new employee of Medical Resource Recycling Systems, Inc. will attend a health and safety orientation that includes the following information and training: • An overview of the requirements contained in the Hazard Communication Standard. • Hazardous chemicals present at his or her workplaces. • Physical and health risks of the hazardous chemical. • The symptoms of overexposure. • How to detennine the presence or release of hazardous chemicals in his or her work area. • How to reduce or prevent exposure to hazardous chemicals through use of control procedures, work practices and personal protective equipment. • Steps the company has taken to reduce or prevent exposure to hazardous chemicals. • Procedures to follow if employees are overexposed to hazardous chemicals. • How to read labels and review MSDSs to obtain hazard information. • Location of the MSDS file and written hazard communication program. Prior to introducing a new chemical hazard into any section of this company, each employee in that section will be given information and training as outlined above for the new chemical hazard. Hazardous non -routine tasks: Periodically, employees are required to perform hazardous non -routine tasks. Some examples of non -routine tasks are painting, changing oil and/or hydraulic fluids in equipment. Prior to starting work on such projects, each affected employee will be given information by the.person and position about the hazardous chemicals he or she may encounter during such activity. This information will include specific chemical hazards, protective and safety measures the employee can use, and steps the company is using to reduce the hazards, including ventilation, respirators, presence of another employee and emergency procedures: Multi-employer workplaces: It is the responsibility of , to provide employers of any other employees at the worksite with copies of MSDSs (or make them available at a central location) for any hazardous chemicals that the other employer's employee may be exposed to while working. MINffilimitinimiltiMISMENIF, will also inform other employers of any precautionary measures that need to be taken to protect employees during normal operating conditions or in foreseeable emergencies, and provide other employers with an explanation of the labeling system that is used at the worksite. EMPLOYEE HAZARDOUS SUBSTANCES CHECKLIST Employee Name: Position: Date Hired: This checklist is a guideline for conducting employee safety orientations for company Hazard Communication Program. Once completed and signed by both supervisor and employee, it serves as documentation that orientation has taken place. Please check the box of the following items to indicate that the subject has been covered: O 1. The purpose of the hazard communication standard is to require chemical manufacturers or importers to assess the hazards of chemicals they produce or import. All employers must provide information to their employees about the hazardous chemicals to which they may be exposed. Employees must be informed about the hazard communication program. i.e. labels and other forms of warning; material safety data sheets; and they must have training on the hazardous substances they may encounter. O 2. The supervisor has reviewed the hazardous chemical list with the employee. O 3. The supervisor has shown the employee the: a. Location of hazardous chemicals within the employee's work site b. Location of the written Hazard Communication Program c. Location of the material safety data sheets for all hazardous chemicals in the employee's assigned work area d. Location of the list of persons trained and authorized to handle the hazardous chemicals NOTE TO EMPLOYEE: Do not sign unless ALL items are covered and ALL questions are satisfactorily answered. The signatures below document that the appropriate elements have been discussed to the satisfaction of both parties, and that both the supervisor and employee accept responsibility for maintaining a safe and healthful work environment. Date: Supervisor's signature: Date: Employee's signature: '�? - y'�fGrL71� • ••••.•t ^Tib' .( L • , : „ ,t•••••-:.. `;w -Klin it -•••''.7 Yr „J: ��5.'^y'f .!".`f4F4't�'Y:•,�iya 'r ".�-'`�`J�r�.•._ .� =^ Ft },d4ai i' ri. MEDICAL RESOURCE RECYCLING SYSTEMS, INC. HAZARD COMMUNICATION TRAINING. CERTIFICATE FOR EMPLOYEE: DATE OF TRAINING: I have received hazard communication training as described in the hazard communication program. The training was conducted on the above date. Employee Signature Social Security Number Work Area I hereby certify that the above named employee has been provided with hazard communication training on the above date. Instructor's signature ENERGY CONTROL PROGRAM (LOCKOUT/TAGOUT) The purpose of this program is to mandate procedures for affixing and utilizing lockout devices to energy isolating devices to disable specific equipment and machines to prevent unexpected energization, start-up, or release of stored energy in order to prevent injury to employees. General Procedural Steps: 1. Lockout Devices: Lockout devices shall consist of keyed padlock. Each device is labeled for the equipment it is to utilized on. The keys will be identified by applicable equipment and placed on key rack in warehouse for use by authorized employees during application of "lockout" procedures. 2. Application of Energy Control Procedure: (a) Preparation for shutdown - Prior to shutting down a machine or equipment, the authorized employee shall have knowledge of the type and magnitude of the energy, the hazards of the energy to be controlled, and the method or means to control the energy. (b) Machine or equipment shut down - The machine or equipment shall be shut down in an orderly manner using procedures established for the machine or equipment. (c) Application of lockout device - Padlock to be placed by authorized employee at the site of the power switch to secure the switch in the "off' position during maintenance/operation procedures as outlined below for each specific equipment. Authorized employee shall notify affected employees of the application and removal of "lockout" devices. Once secured, the key is to remain on the person of the employee working on the equipment. No other key will be accessible to another employee during the "lockout". The authorized employee will place his identification tag on the lockout device to identify the employee applying the device. Verification of successful "lockout" shall be made by authorized employee prior to commencement of any applicable maintenance and/or operational procedures. (d) Release of "lockout - Lockout to be released only by authorized employee who applied the device and only after applicable procedures are completed so that "lockout" is not longer required. Prior to release, the work area shall be inspected to insure that nonessential items have been removed to insure that the machine is operationally intact, and that all employees have been safely positioned or removed. When not in use, the lockout device shall remain at the site of the power switch and only be used for the equiptnent it has been designated for. Safety control: a) Periodic Inspection - (i) Employer will conduct an inspection of the energy control procedure annually to ensure the effectiveness of this program and that it is being following according to the standards. This inspection shall include a review with each authorized and affected employee, of that employee's responsibilities under the energy control procedures being inspected. (ii) All lockout devices shall be inspected and tested by authorized employee once a month. At any point the device becomes defective or for some other reason is inoperable, this will be brought to the immediate attention of the employer so that the device can be replaced. The designated equipment will not be operated until the defective lockout device is replaced. (iii)Employer shall certify that the annual inspection has been performed. The certification shall identify the machine or equipment on which the energy control procedure.is..being utilized, the date of the inspection, the employees included in the inspection, and the person conducting the inspection. 4) Training and Communication: (a) Employer shall provide training to ensure that the purpose and function of the energy control program are understood by employees and that the knowledge and skills required for the safe application, usage, and removal of the energy controls are acquired by employees. (b) Retraining shall be provided for all authorized and affected employees whenever there is a change in their job assignments, a change in machines, equipment or processes that present a new hazard, or when there is a change in the energy control procedures. Retraining shall also be provided whenever a periodic inspection or the employer has reason to believe, that there are deviations from or inadequacies in the employee's knowledge or use of the energy control procedures. (c) Employer shall certify that new and/or existing employees' training has been accomplished and is being kept up to date. The certification shall contain employee's name and dates of training and/or retraining. EMPLOYEE HAZARDOUS SUBSTANCES CHECKLIST Employee Name:_ Position: Date (tired: This checklist is a guideline for conducting employee safety orientations for. company Hazard Communication Program. Once completed and signed by both sipervisor and employee, it serves as documentation that orientation has taken place. Please check the box of the following items to indicate that the subject has been covered: ❑ 1. The purpose of the hazard communication standard is to require chemical manufacturers or importers to assess the hazards of chemicals they produce or import. All employers must provide information to their employees about the hazardous chemicals to which they may be expo: ed. Employees must be informed about the hazard conuuunication program, i.e. labels and other forms of warning: material safety data sheets; and they must have training on the ha2arcous substances they may encounter. ❑ 2. The supervisor has reviewed the hazardous chemical list with the employee. ❑ 3. The supervisor has shown the employee the: a. Location of hazardous chemicals within the employee's work site b. Location of the written Hazard Communication Program c. Location of the material safety data sheets for all hazardous chemicals in the employee's assigned work area d. Location of the list of persons trained and authorized to handle the hazardous chemicals NOTE TO EMPLOYEE: Do not sign unless ALL items are covered and AIL questions are satisfactorily answered. The signatures below document that the appropriate elements have been discissed to the satisfaction of both parties, and that both the supervisor and employee accept responsibility for maintaining a cafe and healthful work environment Date: Supervisor's signature: Date: • Employee's signature: w. �7 .Ngc�r- •�vyia••s r�.yy;.�.vw.�+r}�4�% i.a.�i• t o.i.Yo_�'-� r i.'�k�w. . ye �,}�;-i"o1i y�;.�:{fr; eJ4- l•i dS'l�° 4r !�� ' YY_�.scin. .c�ii•L'u..:..a:�� / �. a ..o;jC.>�. 4.P�..sr „<??lc._�??:_�..-.--!'.; ,•l:.!ti• � S �...� _,.'f .�;. R^ .�.�•.L:2. �'f•; P of �I _ r^.. S£ -d z9: I I f1H1 96—Sz-1f1L' u MEDICAL RESOURCE RECYCLING SYSTEMS, INC. ENERGY CONTROL TRAINING CERTIFICATE FOR EMPLOYEE: DATE OF TRAINING: I have received energy control training as described in the energy control program. The training was conducted on the above date. Employee Signature Social Security !Number JVork Area I hereby certify that the above named employee has been provided with energy control training on the above date. Instructor 's signature Contingency Plan As it stands now, we will have two autoclaves in operation at the Tukwila operation. The chance of both being down at the same time for any length of time is remote. In addition, autoclave technicians can be called from American Autoclave in Sumner, WA and repairs can be made readily. Due to the simplistic principals of steam sterilization, repair time is usually minimal. However, in the event of a worst case scenario, we have licensed treatment facilities in both Spokane, WA and Portland, OR to which the biomedical waste can be transported and processed. 017'd S0: T T fHl 96 -SZ -111f T •d Medical Resource Recycling Systems, Inc. Closure Plan for Site at 6350 S. 143rd Road Tukwilla, WA 98168 Upon cessation of the biomedical waste treatment operation at the abovefacility, litsit , Medical alnResourng ce Recycling Systems, Inc. will remove all waste from the site, y, y waste area, remove all equipment and evacuate the building. SO: IT f1Hl 96 -SZ --mf .1, r. '�� 4;i�,, 16' • 5. 144TH 5T /N..u.:r .e) LTO IS IMP U' FOR THE NRPOSE OP SISTING IN LOCATING YOUROPERTY ANO IS NOT GUARANTEED SNOW ACCURATE MEASUREMENTS SCALE. IN• 100' HO r) N--- Jr) _ .AUG 055ry696 DELVE OPM� % Ib47 7573 5 1705 5.22. • 71118 MAP le P05 PRI PU27050 07 188152120 IP 60002160 1005 P1072272 095 Ie AOT 0500552200 20 5002 1ccu912■ 224302821nE MAP REVISED.( X 1650214.50 " YI7SIIe 0e sw+.v..0 os. .'1000300 •�a•'� 11:1 Lie 3'71 37/t A+. "•e—w w —..., e�-7 TAs 4 �2 2,1 Q ' 2] `.. 2t Mak 1 D 26 1 1 ,I as 27. y 0 25 143RD S7 S. 144TH ST ?.b) %1047520.19 Y176236,13 X1650155.21 T 176153.45 RECEIVED AUGp0 5 1996 oEVEi. tt P r