Notes

Outline

Med-Environmental, Inc. Prepared by: Nelson “Sig” Slavik, Ph.D. MEDICAL/INFECTIOUS WASTE INCINERATION

MEDICAL WASTE DISPOSAL AN OVERVIEW OF TREATMENT METHODOLOGIES

PROPOSED MEDICAL WASTE INCINERATOR STANDARDS Establishes 3 Subcategories of Medical Waste Incinerators     for both New and Existing Units Establishes Emissions Limitations for Seven Pollutants Dependent on Incinerator Size and Whether New or Existing Unit Establishes Emissions Monitoring Parameters Establishes Mandated Operator Training Rule Issue Date - July 25, 1997

DEFINITION OF MEDICAL/INFECTIOUS WASTE Adopted From Medical Waste Tracking Standard Definition Only Applies to MWI Standard Categories of Medical/Infectious Waste Cultures and Stocks of Infectious Agents Liquid Blood and Blood Products Human Pathological Waste Used and Unused Sharps Isolation Wastes

SCOPE AND APPLICATION OF MEDICAL WASTE INCINERATOR REGULATIONS Does Not Apply to Co-Fired Incinerators Burning < 10% Medical/Infectious and/or Hospital Wastes With Other Fuels or Waste Does Not Apply to Incinerators Burning Only Pathological, Radiological, or Chemotherapy Wastes Does Not Apply to Pyrolysis Units (e.g., PEAT’s/HI’s PBPV System)

CATEGORIZATION OF MEDICAL WASTE INCINERATORS Classification Based on Burning Capacity in Pounds per Hour (Continuous Feed) or Pounds Per Day (Batch Burn) Large Units     - >500 lbs per hour or  >4000 lbs per day Medium Units - >200 lbs per hour or <500 lbs per hour                         - >1600 lbs per day or <4000 lbs per day Small Units     - <200 lbs per hour or <1600 lbs per day

CRITICAL EMISSION LIMITATIONS AFFECTING NEW AND EXISTING MEDICAL WASTE INCINERATORS Particulates Carbon Monoxide Hydrochloric Acid Dioxins Heavy Metals (Pb, Hg, Cd) Sulfur Dioxide Nitrogen Oxides

COMPLIANCE AND MONITORING STANDARDS Conduct Initial Performance Testing on Nine Criteria Pollutants Corroborate Emissions with Operating Parameters and Parametric Monitors (i.e., Waste Charge Rates, Chamber Temperatures, Scrubber Flow Rates) Every 12 Months Determine Emissions Compliance with Opacity, PM, CO, HCI Comply with Recordkeeping/Reporting Requirements

OPERATOR TRAINING AND QUALIFICATION REQUIREMENTS Facility Operation Requires On-Site or Accessible Fully Trained/Qualified Operator Trained/Qualified Operator Shall Take and Pass Initial 24-Hour Course (State-Approved) and Have Demonstrated Experience Requires Annual 4-Hour Operator Refresher Course All Documentation on Operator Training/Qualification are to be Maintained at the Facility

WASTE MANAGEMENT PLAN Owners/Operators of the Facility Must Prepare a Waste Management Plan The Plan Shall Address Feasibility and Approach to Segregation of Those Wastes That May Result in Toxic Emissions The Plan Includes Recycling of Plastics, Metals, Batteries, Etc. AHA’s “An Once of Prevention: Waste Reduction Strategies for Health Care Facilities” were Considered in the Development of the Plan