Date: March 15, 2013

Subject: HMIWI Units Shut Down Since 2010 

From: Amy Hambrick

OAQPS/SPPD (E143-03)

U.S. Environmental Protection Agency

Research Triangle Park, NC 27711

To: HMIWI Federal Plan Docket

This memo is for the HMIWI Federal Plan Docket. The attached emails document 

correspondence between EPA OAQPS, EPA Regions, and State environmental offices. The 

purpose of this correspondence was to verify the unit inventory for the final HMIWI amended 

Federal Plan. As the below emails document, a total of 21 units in 7 EPA Regions shut down. 
Page 2 of 18

Contents

REGION 1 SHUT DOWNS.......................................................................................................................... 3

EMAIL CHAIN 1 OF 1................................................................................................................................ 3

REGION 2 SHUT DOWNS.......................................................................................................................... 4

EMAIL CHAIN 1 OF 1................................................................................................................................ 4

REGION 3 SHUT DOWNS.......................................................................................................................... 5

EMAIL CHAIN 1 OF 2................................................................................................................................ 5

EMAIL CHAIN 2 OF 2................................................................................................................................ 5

REGION 4 SHUT DOWNS.......................................................................................................................... 7

EMAIL CHAIN 1 OF 3................................................................................................................................ 7

EMAIL CHAIN 2 OF 3................................................................................................................................ 8

EMAIL CHAIN 3 of 3............................................................................................................................... 11

REGION 5 SHUT DOWNS........................................................................................................................ 15

EMAIL CHAIN 1 OF 3.............................................................................................................................. 15

EMAIL CHAIN 2 OF 3.............................................................................................................................. 15

EMAIL CHAIN 3 OF 3.............................................................................................................................. 16

REGION 9 SHUT DOWNS........................................................................................................................ 17

EMAIL CHAIN 1 OF 1.............................................................................................................................. 17

REGION 10 SHUT DOWNS...................................................................................................................... 18

EMAIL CHAIN 1 OF 1.............................................................................................................................. 18
Page 3 of 18

REGION 1 SHUT DOWNS

EMAIL CHAIN 1 OF 1

----- Forwarded by Amy Hambrick/RTP/USEPA/US on 01/29/2013 03:50 PM -----

From: Patrick Bird/R1/USEPA/US

To: Amy Hambrick/RTP/USEPA/US@EPA

Date: 01/22/2013 08:35 AM

Subject: Re: Response Requested by COB 1/22/13

Connecticut responded to my request about HMIWI units, and it turns out the only unit located in CT (at a 

Bristol-Myers Squibb plant) shut down in late 2012. I've attached an inspection and notice of permit 

revocation issued by Connecticut DEEP. The state is in the process of submitting a neg dec.

This means that Region 1 (CT, ME, MA, NH, RI, and VT) has no existing source HMIWIs. 

Patrick Bird

US EPA New England

5 Post Office Square OEP05-2

Boston, MA 02109-3912

Phone: 617-918-1287

Fax: 617-918-0287

Email: Bird.Patrick@epa.gov

http://www.epa.gov/aboutepa/region1.html

Please consider the environment before printing this email.
Page 4 of 18

REGION 2 SHUT DOWNS

EMAIL CHAIN 1 OF 1

----- Forwarded by Amy Hambrick/RTP/USEPA/US on 01/29/2013 03:49 PM -----

From: Anthony Gardella/R2/USEPA/US

To: Amy Hambrick/RTP/USEPA/US@EPA

Date: 01/22/2013 11:18 AM

Subject: Re: Response Requested by COB 1/22/13

Hi Amy 

ITEM 1:

NJ indicates that the source you indicate in the table below (Merck & Co.) is no longer in operation and 

there are no other HMIWI sources in NJ.
Page 5 of 18

REGION 3 SHUT DOWNS

EMAIL CHAIN 1 OF 2

----- Forwarded by Amy Hambrick/RTP/USEPA/US on 01/29/2013 03:48 PM -----

From: Mike Gordon/R3/USEPA/US

To: Amy Hambrick/RTP/USEPA/US@EPA

Date: 01/22/2013 12:05 PM

Subject: Maryland HMIWI Inventory

Hi Amy,

Maryland got back to me this morning, so this is the last of the information from the survey. Let me know 

if you have any questions or if you need anything else.

-Mike

Curtis Bay Energy - CurtisBayT5permit.doc 

Franklin Square Hospital - Shutdown

University of Maryland at Baltimore - Shutdown

Fort Detrick - 24-021-00131-Fort Detrick Permit.doc 

Washington County Hospital - Shutdown

Mike Gordon

Environmental Engineer

EPA Region III 

Office of Permits & Air Toxics 3AP10

1650 Arch Street 

Philadelphia, PA 19103 

(215)-814-2039

Gordon.Mike@epa.gov

EMAIL CHAIN 2 OF 2

----- Forwarded by Amy Hambrick/RTP/USEPA/US on 01/29/2013 03:52 PM -----

From: Mike Gordon/R3/USEPA/US

To: Amy Hambrick/RTP/USEPA/US@EPA

Date: 01/18/2013 10:37 AM

Subject: West Virginia HMIWI Inventory
Page 6 of 18

Charleston Area Medical Center - In operation, last permitting action was October 2012 renewal

FinalPermit.docx 

Thomas Memorial Hospital - Shut down

West Virginia Dept of Health - operating under pathological waste exemption (no title V permit)...I'm 

not sure if you need this for the inventory or not.

Mike Gordon

Environmental Engineer

EPA Region III 

Office of Permits & Air Toxics 3AP10

1650 Arch Street 

Philadelphia, PA 19103 

(215)-814-2039

Gordon.Mike@epa.gov
Page 7 of 18

REGION 4 SHUT DOWNS

EMAIL CHAIN 1 OF 3

----- Forwarded by Amy Hambrick/RTP/USEPA/US on 01/29/2013 03:38 PM -----

From: "Svec, Ed" <Ed.Svec@dep.state.fl.us>

To: Amy Hambrick/RTP/USEPA/US@EPA

Cc: Stan Kukier/R4/USEPA/US@EPA, "Attalla, Yousry" <Yousry.Attalla@dep.state.fl.us>

Date: 01/28/2013 10:37 AM

Subject: RE: HMIWI inventory in FL

Yes. Like so many other hospitals in Florida, they have contracted with outside suppliers for incinerator 

services.

Hope this answers your questions. If not, let me know what else you may need.

Ed Svec

From: Hambrick.Amy@epamail.epa.gov [mailto:Hambrick.Amy@epamail.epa.gov] 

Sent: Monday, January 28, 2013 10:32 AM

To: Svec, Ed

Cc: Kukier.Stan@epamail.epa.gov; Attalla, Yousry

Subject: RE: HMIWI inventory in FL

Thank you Ed for the information. So these units are rendered inoperable and shutdown? 

Amy

Amy Hambrick 

Fuels and Incineration Group 

US EPA / OAQPS / Sector Policies and Programs Division 

Phone: 919-541-0964 

"Svec, Ed" ---01/25/2013 02:25:46 PM---Amy: All three facilities show their incinerators as inactive. 

Malcolm Randall has relinquished the

From: "Svec, Ed" <Ed.Svec@dep.state.fl.us>

To: Amy Hambrick/RTP/USEPA/US@EPA, "Attalla, Yousry" <Yousry.Attalla@dep.state.fl.us>

Cc: Stan Kukier/R4/USEPA/US@EPA

Date: 01/25/2013 02:25 PM

Subject: RE: HMIWI inventory in FL

Amy:

All three facilities show their incinerators as inactive. Malcolm Randall has relinquished their Title V permit and 

currently have a state operating permit for their boilers. Memorial Regional withdrew their Title V renewal and 

currently have a FESOP for their boilers and engines. Bayfront currently does not hold any permits.
Page 8 of 18

Ed Svec

Please take a few minutes to share your comments on the service you received from the department by 

clicking on this link DEP Customer Survey.

From: Hambrick.Amy@epamail.epa.gov [mailto:Hambrick.Amy@epamail.epa.gov] 

Sent: Friday, January 25, 2013 1:54 PM

To: Attalla, Yousry

Cc: Svec, Ed; Kukier.Stan@epamail.epa.gov

Subject: HMIWI inventory in FL

HI Yousry, 

Nice talking with you today. I am in the process of updating the unit inventory for the Hospital Medical 

Infectious Waste Incineration Federal Plan. EPA proposed the Federal Plan in April of 2012 and we are 

working to finalize that rule soon. Can you please confirm if the following HMIWIs are still in operation? I 

checked their Title V permits on FL website, it looks like the permits expired in 2011 or 2012 but I could 

not find a renewed permit or letter indicating if the unit is shutdown. Any assistance would be appreciated. 

Thank you,

Amy

Amy Hambrick 

Fuels and Incineration Group 

US EPA / OAQPS / Sector Policies and Programs Division 

Phone: 919-541-0964

EMAIL CHAIN 2 OF 3

----- Forwarded by Amy Hambrick/RTP/USEPA/US on 01/29/2013 03:39 PM -----
Page 9 of 18

From: "Burleson, Joelle" <joelle.burleson@ncdenr.gov>

To: Amy Hambrick/RTP/USEPA/US@EPA, Stan Kukier/R4/USEPA/US@EPA

Date: 01/29/2013 11:40 AM

Subject: RE: East Carolina University, Health Sciences Campus, HSC Utility Plant - Title V Permit (HMIWI 

Inventory Update)

Hi:

 The emission source in question was removed from the permit April 14, 2010. The permit 

reflecting this is attached. If you need additional information, please let me know. Have a nice day.

Joelle Burleson, EIT, CPM, Supervisor

Planning Section, Rules Development Branch

NC DENR, Division of Air Quality

1641 Mail Service Center

Raleigh, NC 27699-1641

Phone/Fax: 919-707-8720

www.ncair.org

joelle.burleson@ncdenr.gov

***Please note: Effective October 24, 2011, DAQ's Central Office relocated to the new Green Square 

Office Complex at 217 West Jones Street, Raleigh, NC. ***

*************************************************************************************

*****

Email correspondence to and from this address is subject to the North Carolina Public Records Law and 

may be disclosed to third parties unless the content is exempt by statue or other regulation.

*******************************************************************************

From: Hambrick.Amy@epamail.epa.gov [mailto:Hambrick.Amy@epamail.epa.gov] 

Sent: Tuesday, January 29, 2013 11:07 AM

To: Kukier.Stan@epamail.epa.gov

Cc: Burleson, Joelle

Subject: RE: East Carolina University, Health Sciences Campus, HSC Utility Plant - Title V Permit (HMIWI 

Inventory Update)

Hi Joelle, 

Thank you for taking the time to confirm. 

Regards, 

Amy

Amy Hambrick 

Fuels and Incineration Group 

US EPA / OAQPS / Sector Policies and Programs Division 

Phone: 919-541-0964 
Page 10 of 18

Stan Kukier---01/29/2013 10:19:39 AM---Hi Joelle, Thank you for your help. Very much appreciated. 

Sorry to bother you.

From: Stan Kukier/R4/USEPA/US

To: "Burleson, Joelle" <joelle.burleson@ncdenr.gov>

Cc: Amy Hambrick/RTP/USEPA/US@EPA

Date: 01/29/2013 10:19 AM

Subject: RE: East Carolina University, Health Sciences Campus, HSC Utility Plant - Title V Permit (HMIWI Inventory Update)

Hi Joelle,

Thank you for your help. Very much appreciated. Sorry to bother you.

Stan

"Burleson, Joelle" ---01/29/2013 10:06:55 AM---Hi Stan and Amy: I think the unit may have been shut 

down, but I have someone checki

From: "Burleson, Joelle" <joelle.burleson@ncdenr.gov>

To: Stan Kukier/R4/USEPA/US@EPA

Cc: Amy Hambrick/RTP/USEPA/US@EPA

Date: 01/29/2013 10:06 AM

Subject: RE: East Carolina University, Health Sciences Campus, HSC Utility Plant - Title V Permit (HMIWI Inventory Update)

Hi Stan and Amy:

I think the unit may have been shut down, but I have someone checking on it and hope to get back to you later 

today.

Joelle Burleson, EIT, CPM, Supervisor

Planning Section, Rules Development Branch

NC DENR, Division of Air Quality

1641 Mail Service Center

Raleigh, NC 27699-1641

Phone/Fax: 919-707-8720

www.ncair.org

joelle.burleson@ncdenr.gov

***Please note: Effective October 24, 2011, DAQ's Central Office relocated to the new Green Square 

Office Complex at 217 West Jones Street, Raleigh, NC. ***

*************************************************************************************

*****

Email correspondence to and from this address is subject to the North Carolina Public Records Law and 

may be disclosed to third parties unless the content is exempt by statue or other regulation.

*******************************************************************************

From: Kukier.Stan@epamail.epa.gov [mailto:Kukier.Stan@epamail.epa.gov] 

Sent: Friday, January 25, 2013 9:28 AM
Page 11 of 18

To: Burleson, Joelle

Cc: Hambrick.Amy@epamail.epa.gov

Subject: East Carolina University, Health Sciences Campus, HSC Utility Plant - Title V Permit (HMIWI 

Inventory Update)

Hi Joelle,

Sorry to bother you. Just had a quick question that I thought I would try to check with you about. Amy 

Hambrick at OAQPS was trying to update the inventory of HMIWI units in Region 4 EPA and was unable 

to locate the above source (600 Moye Boulevard, Greenville, NC 27834, Pitt County) while trying to 

search the NC DENR DAQ permit database (http://xapps.ncdenr.org/aq/docs/FDocs_Search.jsp) for the 

Title V permit. Amy was specifically interested in getting the Title V permit for this facility. Not sure if you 

would be able to locate the Title V permit for this facility, or is this facility shut down or not in operation. If 

possible, please let Amy know at your convenience if there is a Title V permit for this facility that she 

might be able to get a copy of. We appreciate your help very much. Again, thank you for your time and 

trouble helping us out. 

Thanks Much,

Stan Kukier

Region 4 EPA

HI Stan, 

I can't seem to find : 

Is this unit still operating?

Thank you,

Amy

Amy Hambrick 

Fuels and Incineration Group 

US EPA / OAQPS / Sector Policies and Programs Division 

Phone: 919-541-0964 ECU_HMIWI.doc 

EMAIL CHAIN 3 of 3

----- Forwarded by Amy Hambrick/RTP/USEPA/US on 01/29/2013 05:14 PM -----

From: Stan Kukier/R4/USEPA/US

To: Amy Hambrick/RTP/USEPA/US@EPA

Date: 01/22/2013 03:27 PM

Subject: Re: Response Requested by COB 1/22/13
Page 12 of 18

Hi Amy,

Happy New Year! as well. Hope you had a great holiday. I was out of the office this past Friday and was 

out of the office on 01/18 and 01/21. Of course, I will be happy to try and get you the information you are 

requesting. The States normally just refer us or anyone else to their searchable air permitting website 

databases to download whatever air permits anyone may be interested in. I can provide you the 

appropriate links to the state agency air permitting website databases. You would just have to enter 

minimal information and you can download whatever Title V permits you require. Of course, one or two 

of the sites are likely to be easier to use than the others. I contacted the local Memphis Shelby County 

Local Program for the requested TN Title V Permit since they do not have a searchable air permit 

database. This particular Title V permit is attached below. Hope this information is useful. 

ITEM 1:

Florida Title V Air Permits:

http://appprod.dep.state.fl.us/air/emission/apds/default.asp

(probably just use "Search by Facility information:")

Georgia

http://airpermit.dnr.state.ga.us/gaairpermits/

North Carolina

http://daq.state.nc.us/permits/aapa_reports/all_TV.pdf (NC DAQ List of Permitted Title V 

Facilities)

http://xapps.ncdenr.org/aq/docs/FDocs_Search.jsp

Tennessee

(Does not have a searchable database so I contacted local Memphis Shelby County Local Program to 

obtain an electronic copy which I have attached below)

----- Forwarded by Amy Hambrick/RTP/USEPA/US on 01/29/2013 05:09 PM -----

From: Amy Hambrick/RTP/USEPA/US

To: Stan Kukier/R4/USEPA/US@EPA

Date: 01/25/2013 01:18 PM

Subject: FYI 

Stan, 

FYI shut down in March 2012 and now using a "vanishing system"

"Also located at the facility is a medical waste processing/sanitation system known as the Vanish 

System. This system operates by grinding the medical waste in an internal chamber and thereby exposing 

the waste to temperatures between 275°F - 325°F. The waste material’s volume is significantly reduced 

during the process. The shredded material exits the system and is considered sanitized per the Florida 

Department of Health guidelines and is no longer required to be handled as a medical waste. There is no 
Page 13 of 18

combustion occurring as part of the waste processing system, and the unit is electrically-powered. The 

finished product is hauled off-site as needed for disposal. The system was determined to be exempt from 

air permitting, and is included in the permit as part of Appendix I (List of Insignificant Emission Units). "

This should be that last email. Sorry to bombard you.

Amy

Amy Hambrick 

Fuels and Incineration Group 

US EPA / OAQPS / Sector Policies and Programs Division 

Phone: 919-541-0964

----- Forwarded by Amy Hambrick/RTP/USEPA/US on 01/29/2013 05:10 PM -----

From: Amy Hambrick/RTP/USEPA/US

To: Stan Kukier/R4/USEPA/US@EPA

Date: 01/25/2013 01:02 PM

Subject: FYI 

Stan, 

Looks like, 

Shut down in March 2011.

Amy

Amy Hambrick 

Fuels and Incineration Group 

US EPA / OAQPS / Sector Policies and Programs Division 

Phone: 919-541-0964 

----- Forwarded by Amy Hambrick/RTP/USEPA/US on 01/29/2013 05:10 PM -----

From: Amy Hambrick/RTP/USEPA/US

To: Stan Kukier/R4/USEPA/US@EPA

Date: 01/25/2013 12:23 PM

Subject: FYI
Page 14 of 18

Stan, 

Looks like 

has shut down based on there last permit update. Shut down May 2010 and confirmed by an inspector in 

March 2011. 

Amy

Amy Hambrick 

Fuels and Incineration Group 

US EPA / OAQPS / Sector Policies and Programs Division 

Phone: 919-541-0964 
Page 15 of 18

REGION 5 SHUT DOWNS

EMAIL CHAIN 1 OF 3

----- Forwarded by Margaret Sieffert/R5/USEPA/US on 01/22/2013 06:57 AM -----

From: "Thompson, Dana" <dana.thompson@epa.state.oh.us>

To: Margaret Sieffert/R5/USEPA/US@EPA, 

Cc: "Hall, Andrew" <andrew.hall@epa.state.oh.us>, "Shockley, Alison" 

<Alison.Shockley@epa.state.oh.us>

Date: 01/18/2013 12:14 PM

Subject: RE: HMIWI request - OH

Margaret:

Of the four units you’ve listed for Ohio, two have been shut down:

1652050013 N002 Medina Hospital

0123010015 N001 Fairfield Medical Center

The former has been physically removed, and the latter has had critical parts removed to render it 

inoperable.

MedCentral (Mansfield Hospital) is still operating, and I’ve attached its Title V permit and Statement of 

Basis. Stericycle continues to operate its existing unit (N001), and has applied to install a new 1500 lb/hr 

NSPS unit (N010). 

EMAIL CHAIN 2 OF 3

----- Forwarded by Margaret Sieffert/R5/USEPA/US on 01/17/2013 10:26 AM -----

From: "Bem, Susan" <SBEM@idem.IN.gov>

To: Margaret Sieffert/R5/USEPA/US@EPA, 

Date: 01/16/2013 03:21 PM

Subject: RE: HMIWI request - IN

Margaret –

I do have an update for Indiana. Parkview is the only hospital that has indicated that they are remaining 

open and have plans in place to comply with the revised standards. South Bend and Good Samaritan 

have shut down the operation of their incinerators that are subject to the revised HMIWI rule. I have a 

quarterly compliance report from South Bend dated 10/12/12 that indicates a shut down date of 
Page 16 of 18

10/5/12. For Good Samaritan I have a letter to IDEM dated 10/2/2012 stating that they will shut down 

on 10/27/12.

Susan

EMAIL CHAIN 3 OF 3

----- Forwarded by Amy Hambrick/RTP/USEPA/US on 01/29/2013 03:54 PM -----

From: Margaret Sieffert/R5/USEPA/US

To: Amy Hambrick/RTP/USEPA/US@EPA

Date: 01/16/2013 03:12 PM

Subject: Re: Response Requested by COB 1/22/13

You should have Indiana's sources (which are the same ones listed below) and their emissions in the 

state plan I sent you yesterday. 

For Illinois the only 2 sources are the Stericycle, Inc ones in Clinton. According to the State Plan request, 

Loyola's Maywood facility was permanently shut down.
Page 17 of 18

REGION 9 SHUT DOWNS

EMAIL CHAIN 1 OF 1

----- Forwarded by Amy Hambrick/RTP/USEPA/US on 01/29/2013 03:42 PM -----

From: Shaheerah Kelly/R9/USEPA/US

To: Amy Hambrick/RTP/USEPA/US@EPA

Date: 01/25/2013 01:46 PM

Subject: Re: checking in...

Hi Amy. Let me know if you have any questions.

The incinerator ceased operations on December 31, 2010. Attached is a copy of the last permit issued 

for the incinerator.

Kona Hospital permit.pdf 

************************************

Shaheerah Kelly, Environmental Engineer

U.S. Environmental Protection Agency, Region 9

Permits Office, Air Division 

San Francisco, CA 94105

Phone: 415-947-4156

Fax: 415-947-3579

Email: kelly.shaheerah@epa.gov
Page 18 of 18

REGION 10 SHUT DOWNS

EMAIL CHAIN 1 OF 1

----- Forwarded by Amy Hambrick/RTP/USEPA/US on 01/29/2013 03:52 PM -----

From: John Pavitt/R10/USEPA/US

To: Heather Valdez/R10/USEPA/US@EPA

Cc: Amy Hambrick/RTP/USEPA/US@EPA

Date: 01/17/2013 07:29 PM

Subject: Re: Response Requested by COB 1/22/13

The Y-K Hospital shut down it's incinerator in 2009.

The facility had some sort of state enforcement action, I'm not exactly sure why. But I'm attaching a copy 

of the State compliance close out letter when the incinerator was shut down. They no longer need a TV 

permit now. I'd say it's pretty safe to say the incinerator is inoperable.

AQ0737TVP01 Termination of COBC 07-

27-2009 YKHC Secon Inc..pdf 

John Pavitt

US EPA, Region 10, Alaska Operations Office

(907) 271-3688

(907) 271-3424 (Fax)