Estado Libre Asociado de Puerto Rico I Oficina de la Gobernadora 

Junta de Calidad Ambiental 

DEPARTAMENTO DE ESTADO 

NUM. 6302 

FECHA: "'zic-_-oMARZ~=o____,-z=o"'"o 1,_ 

3:08 P.M. 

APROBADO: HON: FERDINAND MERC 0 

SE ARlO DE ESTADO 

Enmiendas al Reglarnento para el Control de la Contarninaci6n 

Atrnosferica de la Junta de Calidad Arnbiental para curnplir con 

los requisitos para Planes Estatales de las Secciones 111 (d) y 

129 de la Ley Federal de Aire Lirnpio para irnplantar las Guias 

de Ernisiones para Incineradores de Desperdicios de Hospitales 

y Medico Infecciosos 

Version 2001 
EST ADO LIBRE ASOCIADO DE PUERTO RICO I OFICINA DE LA GOBERNADORA 

CERTIFICACION 

CERTIFICO que el Reglamento 6302 Guias de Emisi6n para 

lncmeradores de Hospitales y Medzco Jnfecciosos (version espaiiol e ingtes) 

adjunto son una copia fie! y exacta del original radicado en el Departamento 

de Estado el21 de marzo de 2001 

En San Juan, Puerto Rico a 2 de abril de 2001 

6'4~--J:~~- :E<I:SY E. FERNANDEZ GARC~ Secretaria 

Junta de Gobierno 

VERDES BOSQUE'S Y AG'UAS CLARAS, AIRE LhVP/0 YNUBES BLANCAS:- ;CUIDAS' LA VIDA .51 NO LA CONTAMJNAS'! 

ED/FIC/0 NATIONAL PLAZA, AVENIDA. PONCE DE LEON# 431, HATO REY, PUERTO RICO 00917 

APART ADO 11488 SANTURCE, PUERTO R1CO 009/0 TEI.EFONO: 767-8/81 
2 

3 

4 

5 

6 

7. 

8 

9. 

VOLANTE SUPLETORIO 

Referenda a todo reglamento que se 

enrniende o demgue mediante la 

adopci6n del presente Reglamento 

Fecha de aprobaci6n 

Persona o personas que lo aprobaron 

Fecha de Publicaci6n en Peri6dicos 

Fecha de Efecti vi dad 

Fecha de Radicaci6n 

Reglamento Numero 

Oficina donde se apmb6 

Referenda sabre la autoridad estatutaria 

para promulgar reglamentos 

CERTIFICACION 

Enmiendas al Reglamento para el 

Control de la Contarninaci6n 

Atmosferica Regia 102 y 405 

10 de enero de 2001 

La Junta de Gobierno, 

reunida en pleno, compuesta por: 

Lcdo Hector Russe Martinez 

Presidente 

Ing Jorge Marrero Huertas 

Vicepresidente 

San Juan Star- 3 de agosto de 2001 

El Vocero - 3 de agosto de 2001 

30 dfas despues de su radicad6n en 

el Depmtamento de Estado 

;;t \ ,4_ • "' 'l ''- Z-c &,. 2 oo 1 

b~OdJunta de Calidad Ambiental 

Edifido Nadonal Plaza 

431 Ave Ponce de Leon 

Hate Rey, Puerto Rico 

Ley Num. 9 dellS de junio de 1970, 

segun enmendada, conocida como la 

Ley sabre Politica Publica Ambiental 

de Puerto Rico 

Certifico que el procedimiento de reglamentaci6n seguido en este caso se llev6 a tenor con las 

disposiciones de Ley Numero 170 de 12 de agosto de 1988, segun enmendada; y que el reglamento a que 

se hace referenda este Volante Supletorio fue debidamente revisado y no contiene errores sustantivos o 

tipograticos. 

c:2/ /e U<a.>--cz:> .2ocy 

Fecha Seer ria de la Junta de Gobiemo 

Junta de Calidad Ambiental 

., -
EST ADO LIBRE ASOCIADO DE PUERTO RICO 

OFICINA DE LA GOBERNADORA 

Junta de Calidad Ambiental 

De acuerdo con Ia Ley sobre Politica Publica Ambiental (Ley Numero 9 del 18 de junio de 1970, 

segun enmendada) y Ia Ley Fede~al de Aire Limpio Secciones 111 (d) y 129, segtin enmendadas 

(42 U S.C.A §§ 7411 (d) y 7429) se han enmendado las 

REGLAS 102 Y 405 DEL 

REGLAMENTO PARA EL CONTROL DE LA CONTAMINACION 

ATMOSFERICA 

Est as enmiendas fueron promulgadas porIa Resoluci6n R·-200 1-02-07 del 20 de febrero del 2001 

con el prop6sito de proteger Ia calidad natural del aire y para prevenir, eliminar y controlar la 

contaminaci6n atmosferica; para establecer normas y requisitos para la prevenci6n, eliminaci6n y 

control de Ia contaminaci6n atmosferica debido a las emisiones generadas por los Incine~admes 

de Desperdicios Biomedicos/Hospitalarios 

-hMUM-v-~ 

vJori;e Manero Huertas 

Vice -Presidente Miembro Asociado 

~ 

4-ur~~Cb,c_~-o MigUel~~es Ramos 

Pr esiden")'terino 

Ve/ando porIa pureza que us ted desea, en el ambi'ente que le rodea 

EDIFICIO NACIONAL PLAZNAVE. PONCE DE LEON 431/HATO REY, PR 00917 

APART ADO 11488/SAN JUAN, P R. 00910nELEFONO 767-8181 
de 199/, 1:! A~-enc:;~ dr~ Pmlect,1im Arnbt:ntal !"edr.r;:~l {"EPA", por sus si_glas en mgl<':$) ·' 00 Enudlin para lnoneradorcs de Desperdrr.ios SOfidos de Ho~-.p:lales_ MC!lrcos c Federal de Aire Limp!() reM·. par sus sigbs en mgles) reqmcre que las Agf'.nr~~s lls Guia.'> de Emd6n de ~"renlo a el Plan [statal d(l'.XmollaOO ba1o Ia &;cr,i6n _a Junt1 de Calidad Arnlllr.nlal r JCA11endr;i dqJonib!(lS para eiJlliblico el provedo 

E~.tllal v las dispo".kiones wgt.;rnenlarla$ para implaniar !.as Guias de fmit.iom~s y provcer 

<~rtun~!ad de 1~1.11iapaci&rr prJblica antes 00 sonwter!o a Ia E'PA 

La .IWlL'l de Gcbicmo rich JCAcortiQerar.:\ lo~ oomcnlarios dwanlr. P.l rcnOOo de p;:uticipadGn pUblica y ptocedera a L'l aprOOaci<in mod~ic.1ci6n o d\'S<lpro!Jaci<in del Plan Estalal y las dispo~rcmnes rcgtamentanas_ En c1 ca.'iO rk: su aprobacion.la JCA procedcra a somelerlo a Ia EPA. ta EPA P.nlonces aptob.'lfa o dcs.'lprobara d:cllo Plan denim del lermrno C!ili!l~eodo en el CAA. La 

Jpro!JaC~Gn o des;1prohaaOO Sllm puhbc:acta en el Reg151r0 I-eder a!. :;,.. n! Gobiemo d~C Puerto Hico. a !l<lvcs de I~ JCA. no 

SOC!l<!bet~ un P!an Estatal aprob:ilile, enklllCC!; Ia EPA adoplara e rrnplautara un Plan Federai 

ParticipaciOrt PUblica: Por este rncdfo se notmca a\ pUt:lico que cl Plan Esta~'ll, k1s dispcY.kiones 

lf.'!jlarncn~'llias al rcspedo y los documenlos (!U<! !C> ar.ompanan se eru:uentran disponibles para lllSj>(-"CetC>n gcnCf,11 en .e! Ar<'.a de Cal !dad de Aire de Ia Junta de CJ~dad Ambiental en: Avemda Ponce de leon 431 Edificio NJCIOilal Plaza_ Oct<1vo Piso, Halo !ley, Puerto R1co 

Cualqlller comcuta.no con relacion a estos documentos debcra sometcrse por cXr1to dentro <Jr: los tremtl (301 dia~ <le Ia lecha de pul~ic.1ciim de cstellviso PUbico a- OfiCina de Vislas PU!Jlic.~sJ.IuniJ de 

Ci~i<ild Am!Jicntal,llpartado 114811 S::mtvrce S!JIIon, Santurce, Puer1o Hico 00910. 

. 

Se celcl>t'~ra una V1sla PUblica, para"ie<::ibir exp·osiciones or.Jles, cl dia 8 de s.cphembre ck! 2000_ I 

Anrbientnl, 

a las 10:00 3.m. i..a Vr:;ta Piihlica sc c--elebrara e!l el Sa'<ir ~e \!~~<!5 

P:i~J!;c;::s de !a .lt:::ta de Cal:dud I sex1o pr!;O del Edif!Cio Naaon.al PlazJ. Hato Rey. Puerto Rico. toda persona que desec soliCJlar j un 

Vl!i!as 

tumo 

ser-rn 

para 

prcsididas 

dich:l Vr.:ta 

por 

<hf)er;i 

un 

hacer1o IX'' CSC!llO por lo mcnos crrlCO (5) dias antes de lil m1srna O•d-;;Jt, I Panel Examrnador_ el cual rendir<i su recmnendaciOrr !inJ! con reiJc.iOn al nar. Estalal v a Ia reglamenlacirin a! respeclo a Ia Jtm!a de Gohrcmo de ~1 Jwr\;1 de Calid<ld ArOOental La Junia de Gobierno expedir;\ una Rr.soluciOntmlific.ando su rleci~,irin lrnal. \ Cu.1k"ju1Cf per;,ona que dcsee oponersc a b decisio~ lrnal o fa rcgbnwm.mon a !a que Ia Junta o:l~ Goo.ierno de Ia Junta de Ca1idi.!d llmbient;Ille rmparla su apH:baciOn hrrar poddl sohcita. rwconsklcracion en los p!illdmos vernte (20) dias dcsrJc b fecha de ap[()!Jaaiin me<li<lnlc sohcr!ud e~ar!a. en tnplrr..a\lo, y dPJJidamenle ltmdamentada drrigida at Lcdo_ f!(}<:tor RIJS!'.e Mmt1ncz_ f'rC:;ldrmlc, Juma de Gobrerno Junta i de C<Jfod~d Ambrental. Apartarh 114118. Sanlurce Stat1on. Santurr.e, Puerto Rico, 00910 

p~~-' 

t~Martrnez 

Pn::sirlenlc 

EsteAviso Pllblioo se emrte en conlorrnid1d con d Articulo 14{!-l) de ~~Lev sobre Politic."\ PUbk.il flmhw~rllll de Puer'lo Rico (Lev 911970) y Ia SecciOn 2.1 de Ia lev de Procedim1en!05 Adminr~trativos Uni!ormes de Puerto Rico {Ley 170/1988). Aprobado porIa ComisiOn Estalal de Eler.'Cl{)IICS-

(89" E'L- ;;:/,;? '-""-& ~0 3 "'--%~ .?-<7= 

jl!JVTA DE CA.LIDAD fvVJBiElVTAL 

• " " ivis<;}:;,j.tvi.i~llo~r.::rN::-r l~<TENCION DE ADOI'TAR lA<>. Gt!I!\S UE EMlSIO]'.; l'ARA INCTh:I.:UADORES D

'LDESPERDICJOS DE IIOSPfi'ALES/MEDICOS E fNFECCIOSOS Y PROI\flli_GAR L

/L-~ DISPOSICIONE.."> REGLAMENTAl?Ii\S PARI\ lMI'lANI'AR lAS GUL-\S · ".' El b de (>e!ub•e de 1997 b N:enna de I'rOl~(OCil Ar:>l>ientlll Fed~rat ("fl'A', 1~>r ~us S<l:;,s '~' rngl.5i p:-o,

1~s Guits <!~ Emis,on paro~ tncuwndcorc< de Pe~J>t'rdicios 

S<i~dos de Ho,r>it:lks_ M<'<!iw~ e mll-.;coosos 1

Guias 

Feder;"~\ 

de 

de 

i'misicin 

Air e Urnpw ("CAll.", por ~~~• >•t:las <fl tnr.tes) "~]uJerc <]ue las A>~ en=~ l\t1!Uiarlor~< un;>l1lll<

oe a~•O<·rno a ei f·bn '£>t.<l~l <ies:u,ol!ado b;~io r~ S.."Ccirin j]l(d) \' 12~ dd C.l\.'1.- 1~' In

ca;id;,d Amhientrl (''JCA''} l<,l<lri d<~J>on:hi<·S P'ra er polhlico cl !><<>v<"<1o dd rt.n E.'>l;ot;,l v l~s <lic.Jw>si<

re~L'I!JWllDna~ par.! un?L'lniM 1~. Guia.-, <k Erm<o<mes y pmv~r OP<l! I<Ulldarl de <;>artrop.~:i,;n ptibliGI >.nl

so~w1erl•l ala EI'A 

Ja Jtn>t;J. de Gobic:rno de I> JC.A coo~i<kr:tr.; los ceoncmanus dur.mJ.-. el perim!C> de t"lrli<ip:;~i6n p<ib

pr<Xt><il'1":> 

ca_~o 

a b aprobarion. nwr!ific~ciUn o d,-.5'tpr<>baci6r• dd f'W.o Est;;rtal y l.os displ>o.iaon<·s r~r:l:u11ent::r.nas 

dew aprobac-icin. j;, JCA )>roco~leoa a somelerlo a Ia EPA. La EPA eMoun., "!>r<>IJ<r.r.l. o dc,-..wmbar;i 

Plan <ientro dd ti·rmmo "s.tablctido en d C:AA La. aprobanrm o dcsaprobac:ilin scr:a p11b~cada en d !(,-

Fl><ic"r.ll. 

EPA 

Si d G<Jbicrno de !'11erto Rico_ a b·aves de b ICA no som,..bet-a un Plan E~t.at;,J aprobabk, cnton

"<lopta.ra c unplamar.1 un Pbn Federal. 

ParticiJ>3Ci6n PUh!i~.a: Pur este mrlfro SC rootifi(J al po'oblico <;ne el f'hn E>llt.a\_ bs <hspo:;iriom" r.-r.lamenl

al 

C1lidad 

«.,-.ptt\0 v lr>s documenros que io a~omp.mAn "' cnn•cnlrart c\t,ponibk·~ 1''"" mspeco<in r.eno:r~l en d /\

de Airc de],, lunu d., CalidJd Ambt~ntl!en_ Av•nida P,mce d.<[_..,;" 43)_ F-<Ii!icio Natwnal!'ltun_ O

J~w Jlalo Rn 1\ieda Riw 

Cuakl""" 

dia~ de 

""'""n"'"" cnn rcl;rciQn a e5Io~ documcnlos tklwrd wnu:u""' por e=llo d"ntro d<' loS'"'"'"

ra fe<:hJ de fllohlic::;rc'•On de esl<' AviS<'> !'i:bhco a; 0/ui~a de 1'<<W< l'i<Micav'}u~ta d~ C-lllida<l Amb

A~artm/a 11488_ Sanfune S:atwn_ SanturCl_ !'><<>In Rico 009JO 

Se cdcbrari una Vi~t~ 1\ihlica, para r<'nbir t•tt>Osiciont'S or>tc~- d dia S de II.'Pl>emtnc de ~000- a las 10 00 a

\"r>'IA 

~auonall'l>101, 

PUb~<.l ,,. celchura ~n el S:lli>n de VisLls l'iob~os deb ]u:ota d., Cafodad Am bien taL >cuo mso dd f-

por 

Hato Rey,J'locno Rko Toda persona •w~ dtse<.' sniicilar "" lurno p.lfa dicha \'i"t.; dcbt•r;i l

E:u.mmador_ 

c:;cn<O por ro mt·!los unco (S) dios ~m~s d~ Ia nusma 

Did"~ '"''""' 

~ran prcsidid•s por un 

e1~ua1 rcndir;i ~u rc~onoend•ci6rr ~naJ con re1aci6n at f'bu Esl.:illll vaLl ·~-v.l1menL100n aJ "''ll

Ia Juma de Gobier<ll> deL' r•.,ta de (a!id;u,l knboental L-, _runtJ rlc Gobienoo nrx'llirA w1a Rc">tunon nol.if

su ,~,Cl~ii>n 

fin~ I 

Cualquocr pc'rson~ QUC <ksee OJ){lnCf~ a lJ der:i,.6n linai o l~ reclamcnlauon .1 Ia que b )unra de Gtol.oicrn

tunr·~ de Cahd.od llurhicnt~lle 

rmpa~t.J su d[>r<>hacu\n !mal podri .otjciL:u' reconsidcnoon "n los pr6X!ruos 

(~0) dias desde 1a lctlra d~ ap<obaciio~> 

m~d<;rnl<; soti<-ilnd c-;cnta_ en trip!ic;rrlo ~ debid;m«•ntc ltUH[3Jn

diri£idl a! I <:do_ !!i-ctor R,o;;e Marlonr.z l'•e~\d,·mc, /llln:l de Gobicrno. Junr_,-, de Calid"<l AmbientaL Ap

li4M.S..:.nturccSt.Jhon_S..nturcc,f'ucrwRico 0!!')!() 

~ 

j,~ 

\ Pore HCc~;:;~~~;~arlln"z 

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l•·y ~c l'«.C<-Jimicn,n< Admini<,lrot,.,, lJ,--r,,," <lc ;-,.,...,,. R~n (fry 170/l~AA) Ar>•nb3d

c,..,;,;,n E"-=1 ~< rl«"''""' ~- 

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INDEX 

Page No 

Rule I 02 Definitions 1-13 

Rule 405 (a) Requirements for non-hazardous solid waste incinerators I 

Rule 405 (b) Emission Guidelines and Compliance Schedule for 

Hospital/Medical and Infectious Waste Incinerators (HMIWI) 3 

Rule 405 (b )(I) 

Rule 405 (b )(2) 

Rule 405 (b)(3) 

Rule 405 (b)( 4) 

Rule 405 (b)(5) 

Rule 405 (b)(6) 

Rule 405 (b )(7) 

Rule 405 (b )(8) 

Rule 405 (b )(9) 

Appendices 

Applicability 

Emission Limitaion 

Requirements for operators training and certification 

Waste Management Plan 

Inspection Requirements 

Compliance and Permormance I esting Requirements 

Monitoring Requirements 

Reporting and Record keeping Requirements 

Compliance I imes 

3 

4 

7 

10 

10 

12 

24 

26 

30 
REVISION TO RULE 102- DEFINITIONS 

Administr·ator 

Means the Administrator of the United States Environmental Protection Agency (EPA) 

Affected Facility 

Means, with reference to a stationary source, any apparatus to which a standard is applicable. 

Batch Hospital/Medical and Infectious Waste Inciner·ator· or Batch HMIWI 

Means a HMIWI that is designed such that neither waste charging nor ash removal can occur dwing 

combustion. 

Biologicals (For· the purpose of Rule 405) 

Means preparations made from living organisms and their products, including vaccines, cultw·es, 

etc , intended for use in diagnosing, immunizing, or treating humans or animals or in resear·ch 

pertaining thereto 

Blood Pr·oducts (For the purpose of Rule 405) 

Means any product derived from human blood, including but not limited to blood plasma, platelets, 

red or white blood corpuscles, and other derived licensed products, such as interferon, etc. 

Board 

Means the Environmental Quality Board (EQB) of the Comrnonwealt.1-j of Puerto Rico 

Body Fluids (For the pur·pose of Rule 405) 

Means liquid emanating or derived from humans and limited to blood; dialysate; amniotic, 

cerebrospinal, synovial, plew·al, peritoneal and pericardia! fluids; and semen and vaginal secretions .. 

Bypass stack 

Means a device used for discharging combustion gases to avoid severe damage to the air pollution 

control device or other equipment. 
-2-

Chemotherapeutic waste 

Means waste material resulting from the production or use of antineoplastic agents used for the 

pwpose of stopping or reversing the growth of malignant cells 

Co-fired combustor 

Means a unit combusting hospital waste and/or medical/infectious waste with other fuels or wastes 

( e .. g ., coal, municipal solid waste) and su!Jject to an enforceable requirement limiting the unit to 

combusting a fuel feed stream, I 0 percent 01 less of the weight of which is comprised, in aggregate, 

of hospital waste and medical/infectious waste as measmed on a calendar quarter basis For 

pwposes of this definition, pathological waste, chemotherapeutic waste, and low-level radioactive 

waste ar·e considered "other" wastes when calculating the percentage of hospital waste and 

medical/infectious waste combusted .. 

Continuous emission monitoring system or CEMS 

Means a monitoring system for continuously measwing and recording the emissions of a pollutant 

from an affected facility. 

Continuous HMIWI 

Means an HMIWI that is designed to allow waste charging and ash removal dwing combustion. 

Designated Facility 

Means any existing facility which emits a designated pollutant and which would be su!Jject to a 

standard of perfmmance for that pollutant if the existing facility were an affected facility .. 

Designated Pollutant 

Means any air pollutant, emissions of which are su!Jject to a standard of performance for new 

stationary somces but for which air quality criteria have not been issued, and which is not included 

on a list published under section 108 (a) or section 111 (b) (1) (A) ofthe Act 
-3-

Dioxins/fur·ans 

Means the combined emissions of tetra through octa-chlorinated dibenzo-para-dioxins and 

dibenzofurans, as measured by EPA Reference Method 23 

Dry scrubber· 

Means an add-on air pollution control system that injects dry alkaline sorbent (dry injection) or 

sprays an alkaline sor bent (spray dryer) to react with and neutralize acid gases in the HMIWI exhaust 

stream forming a dry powder material. 

EPA 

Means the United States Environmental Protection Agency .. 

EQB 

Means the Board; the Environmental Quality Board of the Commonwealth of Puerto Rico. 

Existing facility 

Means, with reference to a stationary source, any appar·atus of the type for which a standard is 

promulgated in 40 CF R Part 60, and the construction or modification of which was commenced 

before the date ofproposal ofthat standard; or any apparatus which could be altered in such a way 

as to be of that type. 

Fabric filter or· bagbouse 

Means an add-on air pollution control system that removes particulate matter (PM) and nonvaporous 

metals emissions by passing flue gas through filter bags .. 

Facilities manager· 

Means the individual in charge ofpwchasing, maintaining, and operating the HMIWI or the owner's 

or operator's representative responsible for the management of the HMIWI Altemative titles may 

include director of facilities or vice president ofsupport services 
-4-

High-air phase 

Means the stage of the batch operating cycle when the primary chamber reaches and maintains 

maximum operating temperatures 

Hospital 

Means any facility which has an organized medical staff, maintains at least six inpatient beds, and 

where the piimary function of the institution is to provide diagnostic and therapeutic patient services 

and continuous nursing car·e primarily to human inpatients who are not related and who stay on 

average in excess of24 hour·s per admission. This definition does not include facilities maintained 

for the sole purpose of providing nursing or convalescent car·e to human patients who generally are 

not acutely ill but who require continuing medical supervision. 

HospitaVmedicaVinfectious waste incinerator or HMIWI or HMIWI unit 

Means any device that com busts any amount of hospital waste and/or medical/infectious waste .. 

HospitaVmedicaVinfectious waste incinerator oper·ator or· HMIWI operator 

Means any person who operates, controls or supervises the day-to-day operation of an HMIWI. 

Hospital waste 

Means discards generated at a hospital, except unused items returned to the manufactur·er. The 

definition of hospital waste does not include human cmpses, remains, and anatomical parts that ar·e 

intended for interment or cremation. 

Infectious agent (For the pur·pose of Rule 405) 

Means any organism (such as a virus or bacteria) that is capable ofbeing communicated by invasion 

and multiplication in body tissues and capable of causing disease or adverse health impacts in 

humans. 

Intermittent HMIWI 

Means an HMIWI that is designed to allow waste charging, but not ash removal, during combustion 
Large HMIWI 

Means: 

(I) Except as provided in (2), 

-5-

(i) An HMIWI whose maximum design waste burning capacity is more that 500 

pounds per hour; or 

(ii) A continuous or intermittent HMIWI whose maximum charge rate is more 

than 500 pounds per hour; or 

(iii) A batch HMIWI whose maximum charge rate is more than 4,000 pounds per 

day .. 

(2) The following are not large HMIWI: 

(i) A continuous or intermittent HMIWI whose maximum charge rate is less 

than or equal to 500 pounds per hour·; or 

(ii) A batch HMIWI whose maximum charge rate is less than or equal to 4,000 

pounds per day 

Low-level radioactive waste 

Means waste material which contains radioactive nuclides emitting primarily beta or gamma 

radiation, or both, in concentrations or quantities that exceed applicable federal or State standards 

for uru·estricted release.. Low-level radioactive waste is not high-level radioactive waste, spent 

nuclear fuel, or by-product material as defined by the Atomic Energy Act of I 954 ( 42 US.C. 2014 

(e)(2)). 

Malfunction (For pUl'pose of Rule 405) 

Means any sudden, infiequent, and not reasonably preventable failure of air pollution control 

equipment, process equipment, or a process to operate in a normal or usual manner .. Fai!ur·es that 

ar·e caused, in part, by poor maintenance or cardess operation ar·e not malfunctions. During periods 

of malfunction the operator shall operate within established parameters as much as possible, and 

monitoring of all applicable operating parameters shall continue until all waste has been combusted 

or until the malflinction ceases, whichever comes first 
-6-

Maximum charge rate 

Means: 

(I) For continuous and intermittent HMIWI, II 0 percent of the lowest .3-hour average 

charge rate measured during the most recent performance test demonstrating 

compliance with all applicable emission limits .. 

(2) For batch HMIWI, 110 percent of the lowest daily charge rate measured during the 

most recent performance test demonstrating compliance with all applicable emission 

limits .. 

Maximum design waste burning capacity 

Means: 

where: 

where: 

(I) For intermittent and continuous HMIWI, 

C = Pv X 15,000/8,500 

C = HMIWI capacity, lblhr 

P v = primary chamber volume, ft3 

15,000 = primary chamber heat release rate factor, 

Btu/ft3

/hr 

8,500 = standard waste heating value, Btu/lb; 

(2) For batch HMIWI, 

C = Pv X 4 . .5/8 

C = HMIWI capacity, lblhr 

P v = primary chamber volume, ft' 

4 5 = waste density, lb/ft3 

8 = typical hour·s of operation of a batch HMIWI, hours .. 
-7-

Maximum fabric filter· inlet temperature 

Means II 0 percent of the lowest 3-how average temperatwe at the inlet to the fabric filter (taken, 

at a minimum, once every minute) measwed during the most 1·ecent performance test demonstrating 

compliance with the dioxin/furan emission limit 

Maximum flue gas temperature 

Means II 0 percent of the lowest 3-hour average temperature at the outlet from the wet scrubber 

(taken, at a minimum, once every minute) measur·ed during the most recent performance test 

demonstrating compliance with the mercury (Hg) emission limit 

Medical/infectious waste (For the purpose of Rule 405) 

Means any waste generated in the diagnosis, treatment, or immunization of human beings or 

animals, in research pertaining thereto, or in the production or testing of biologicals that is listed 

below: 

(I) CultUI'es and stocks of infectious agents and associated biologicals, including: 

cultures fium medical and pathological laboratories; cultur·es and stocks ofinfectious 

agents from resear·ch and industrial laboratories; wastes fium the production of 

biologicals; discarded live and attenuated vaccines; and cultur·e dishes and devices 

used to tr·ansfer, inoculate, and mix cultur·es 

(2) Human pathological waste, including tissues, organs, and body parts and body fluids 

that are removed during surgery or autopsy, or other medical procedur·es, and 

specimens of body fluids and their containers. 

(3) Human blood and blood products including: 

(i) Liquid waste human blood; 

(ii) Products of blood; 

(iii) Items satur·ated and/or dripping with human blood; or 
-8-

(iv) I terns that were satwated and/or dripping with human blood that are now 

caked with dried human blood; including serum, plasma, and other blood 

components, and their containers, which were used or intended for use in 

either patient care, testing and laboratory analysis or the development of 

pharmaceuticals. Intravenous bags ar·e also included in this category .. 

( 4) Sharps that have been used in animal or human patient car·e or treatment or in 

medical, resear·ch, or industiial laboratories, including hypodermic needles, syringes 

(with or without the attached needle), pastem pipettes, scalpel blades, blood vials, 

needles with attached tubing, and cultwe dishes (regardless of presence of infectious 

agents).. Also included ar·e other types of broken or unbroken glasswar·e that were in 

contact with infectious agents, such as used slides and cover slips. 

(5) Animal waste including contaminated animal car·casses, body parts, and bedding of 

animals that were known to have been exposed to infectious agents dwing resear·ch 

(including research in veterinary hospitals), production of biologicals or testing of 

pharmaceuticals .. 

( 6) Isolation wastes including biological waste and discarded materials contaminated 

with blood, excretions, exudates, or secretions fium humans who ar·e isolated to 

protect others fiom certain highly communicable diseases, or isolated animals known 

to be infected with highly communicable diseases 

(7) Unused sharps including the following unused, discarded sharps: hypodermic 

needles, sutw·e needles, syringes, and scalpel blades .. 

The definition of medical/infectious waste does not include hazardous waste identified or listed 

under the regulations in 40CFR 261; household waste, as defined in 40CFR 261.4(b)(l); ash from 

incineration of medical/infectious waste, once the incineration process has been completed; human 

corpses, remains, and anatomical parts that are intended for interment or cremation; and domestic 

sewage materials identified in 40CFR 26L4(a)(l). 
Medium HMIWI 

Means: 

(I) Except as provided in (2), 

-9-

(i) An HMIWI whose maximum design waste buming capacity is more than 200 

pounds per how but Jess than or equal to 500 pounds per how; or 

(ii) A continuous or intermittent HMIWI whose maximum charge rate is more 

than 200 pounds per how but Jess than or equal to 500 pounds per how; or 

(iii) A batch HMIWI whose maximum charge rate is more than I ,600 pounds per 

day but Jess than or equal to 4,000 pounds per day .. 

(2) The following are not medium HMIWI: 

(i) A continuous or intermittent HMIWI whose maximum charge rate is less 

than or equal to 200 pounds per how or more than 500 pounds per hour; or 

(ii) A batch HMIWI whose maximum charge rate is more than 4,000 pounds per 

day or Jess than or equal to I ,600 pounds per day. 

Minimum dioxin/fur·an sorbent flow r·ate 

Means 90 percent of the highest 3-how average dioxinlfuran sorbent flow rate (taken, at a minimum, 

once every how') measw·ed during the most recent performance test demonstrating compliance with 

the dioxin/fur an emission limit. 

Minimum, Hg sorbent flow r·ate 

Means 90 percent of the highest 3-how· average Hg sorbent flow rate (taken, at a minimum, once 

every how') measw·ed during the most recent perfmmance test demonstrating compliance with the 

Hg emission limit 

Minimum hydmgen chloride (HCL) sorbent flow r·ate 

Means 90 percent of the highest 3-how average HCL sorbent flow rate (taken, at a minimum, once 

every hour) measured during the most recent performance test demonstrating compliance with the 

HCL emission limit. 
-I 0-

Minimum horsepower or amper·age 

Means 90 percent ofthe highest 3-hour average horsepower or amperage to the wet scrubber (taken, 

at a minimum, once every minute) measured during the most recent perfmmance test demonstrating 

compliance with the applicable emission limits .. 

Minimum pressur·e drop across the wet scrubber 

Means 90 percent of the highest 3-hour average pressure drop across the wet scrubber PM control 

device (taken, at a minimum, once every minute) measured during the most recent performance test 

demonstrating compliance with the PM emission limit 

Minimum scrubber liquor flow rate 

Means 90 percent of the highest 3-hour ave:rage liquor flow rate at the inlet to the wet scrubber 

(taken, a a minimum, once every minute) measur·ed during the most recent performance test 

demonstrating compliance with all applicable emission limits. 

Minimum scmbber liquor pH 

Means 90 percent of the highest 3-hour· average liquor pH at the inlet to the wet scrubber (taken,at 

a minimum, once every minute) measur·ed during the most recent performance test demonstrating 

compliance with the HCL emission limit 

Minimum secondary chamber· temper·ature 

Means 90 percent of the highest 3-hour· average secondary chamber temperature (taken, at a 

minimum, once every minute) measured during the most recent performance test demonstrating 

compliance with the PM, CO, or dioxinlfwan emission limits .. 

Modification or Modified HMIWI (For· the purpose of Rule 405) 

Means any change to an HMIWI unit after the effective date of these standards such that: 
-II-

(I) The cumulative costs of the modifications, over the life of the unit, exceed 50 per 

centum of the original cost of the construction and installation of the unit (not 

including the cost of any land purchased in connection with such construction or 

installation) updated to current costs, or 

(2) The change involves a physical change in or change in the method of operation of the 

unit which increases the amount of any air pollutant emitted by the unit for which 

standards have been established under section 129 or section Ill of the Act 

Oper·ating day 

Means a 24-hour period between 12:00 midnight and the following midnight during which any 

amount of hospital waste or medical/infectious waste is com busted at any time in the HMIWI 

Operation 

Means the period during which waste is combusted in the incinerator excluding periods of startup 

or shutdown 

Particulate matter or· PM (For· the purpose of Rule 405) 

Means the total particulate matter emitted fiom an HMIWI as measured by EPA Reference Method 

5 or EPA Reference Method 29 

Pathological waste (For the purpose of Rule 405) 

Means waste material consisting of only human or animal remains, anatomical parts, and/or tissue, 

the bags/containers used to collect and transport the waste material, and animal bedding (if 

applicable). 

Primary chamber 

Means the chamber in an HMIWI that receives waste material, in which the waste is ignited, and 

fiom which ash is removed 
-12-

Pyrolysis 

Means the endothermic gasification of hospital waste and/or medical/infectious waste using external 

energy 

Secondary chamber 

Means a component of the HMIWI that receives combustion gases from the primary chamber and 

in which the combustion process is completed 

Shutdown (For the pur·pose of Rule 405) 

Means the period oftime after all waste has been com busted in the primary chamber .. For continuous 

HMIWI, shutdown shall commence no less than 2 hours after the last charge to the incinerator For 

intermittent HMIWI, shutdown shall commence no less than 4 hours after the last charge to the 

incinerator For batch HMIWI, shutdown shall commence no less than 5 hours after the high-air 

phase of combustion has been completed. 

SmaiiHMIWI 

Means: 

(I) Except as provided in (2), 

(i) An HMIWI whose maximum design waste burning capacity is less than or 

equal to 200 pounds per hour·; or 

(ii) A continuous or intermittent HMIWI whose maximum charge rate is less 

than or equal to 200 pounds per hour·; or 

(iii) A batch HMIWI whose maximum charge rate is less than or equal to 1,600 

pounds per day. 

(2) The following ar·e not small HMIWI: 

(i) A continuous or intermittent HMIWI whose maximum charge rate is more 

than 200 pounds per hour; 

(ii) A batch HMIWI whose maximum charge rate is more than I ,600 pounds per 

da) 
-13-

Standard conditions 

Means a temperature of 20°C and a pressure of 1 0 1.3 kilopascals 

Standard Metropolitan Statistical Area (SMSA) 

Means any areas listed in OMB Bulletin No 93-17 entitled "Revised Statistical Definitions for 

Metropolitan Areas" dated June 30, 1993. 

Startup 

Means the period oftime between the activation of the system and the first charge to the unit For 

batch HMIWI, startup means the period oftime between activation of the system and ignition of the 

waste. 

Wet scr"Ubbel' 

Means an add-on air pollution control device that utilizes an alkaline scrubbing liquor to collect 

particulate matter (including nonvaporous metals and condensed organics) and/or to absorb and 

neutralize acid gases 
REVISION TO RULE 405 INCINERATION 

ill} Requirements for non-hazardous solid waste incinerators 

U!Wl W Applicability - This mie Section (a} of Rule 405 applies to all existing, new and 

modified non-hazardous solid waste andfor medieal ~aste incinerators not covered 

by Section (b) of this Rule 405 

.(l!)J.il..(tJ ffl Existing incinerators at the time of adoption of this rule shall comply with this 

section within a time-fiame of six (6) months starting from the effective date of this 

rule and must complete a performance test to demonstrate compliance with the limits 

established in this mie Section (a} 

(a} (1} (B) ffl New incinerators must complete a performance test to demonstrate compliance with 

the limits established in this mie Section (a) within a time-fiame of 180 days starting 

fiom the date of approval of the first operating permit. 

(a} (1} CC} ffl All incinerators affected by this mie Section (a) must complete a performance test to 

demonstrate compliance with the rule every five (5) years after the first performance 

test 

(a) (I) CD} t47 This rule shall not apply to domestic non-hazardous solid waste incinerators except 

for the following requirements: 

Ia} (1} CDUi} W must comply with daily periodic clean-up of the combustion chamber after 

the last incineration activity of the day but before of the chamber reloading. 

(a} (]} CDl Iii) tbJ 

(a) (]} CDl (iii) 

Cal I I l IDl (iv} {e] 

must comply with a maintenance plan to the settling chamber to avoid 

exceedances of the 20% opacity limit as required under Rule 403, and 

must segregate waste materials and recycle or dispose to a recycle collection 

center all plastics, glasses, metals and batteries so that these materials are not 

incinerated. 

any other applicable requirement for domestic non-hazardous solid waste 

incinerator established by the Board. 
-2-

(a) (I) CE} t51 Existing non-hazardous solid waste incinerators having a capacity of 15 tons./day or 

less, that have previously obtained an emission source permit and, that have 

conducted compliance tests within the last five years, will not be required to perform 

an initial performance test for particulate matter (PM) if their previous compliance 

determination demonstrated compliance with the standard established by this rule in 

paragraph {;!)_Q}.(BJ .. For these incinerators having a capacity of 15 tons/day or less 

that must comply with (A) (3) fl!l...(ll...(g, the next test will be required five (5) years 

after the effective date ofthis rule. 

Non-hazardous solid waste andior medical waste incinerators shall not cause or 

permit the emission of particulate matter (PM) in excess of 040 pounds per I 00 

pounds ( 4 grnlkg) of waste charged 

Any person who operates a non-hazardous solid waste andfor medical waste 

incinerator must submit to the Board a certification showing their adequate 

operational training fm such incinerators and related equipment that should be 

similar to the requirements for operator training and certification contained in Section 

.{QlQJ 

Any incinerator affected by this rule shall comply with the applicable requirements 

under Rule I 06.. 

Any non-hazardous solid waste andfot medical waste incinerator that shall comply 

'Nith a.11y applicable regulation or requiiements under the ~~standards of Performance 

for New Stationary Sources" (SPNSS), "National Emission Standards for Hazardous 

Air Pollutants" (NESHAPS) or "Maximum Achievable Control 

Technology"(MACT) standards is exempted to comply with Section (a) of this rule .. 
-3-

(b) Emission Guidelines and Compliance Schedule for Hospital/Medical and Infectious Waste 

Incinerators CHMIWI) 

(b) (I) Applicability 

(b) (I) (A) Except as provided in paragraphs (b) (I) (B) tluough (b) (I) (H) of this section, the 

designated facility to which this section applies is each individual 

hospital/medical/infectious waste incinerator (HMIWI) for which constluction was 

commenced on or before June 20, 1996 .. 

(b) (I) (B) A combustor is not subject to this section dwing periods when only pathological 

waste, low-level radioactive waste, and/or chemotherapeutic waste is bwned, 

provided the owner or operator of the combustor: 

(b) (I) (B) (i) Notifies the EQB of an exemption claim, with carbon copy to the EPA; and 

(b) (I) (B) (ii) Keeps records on a calendar quruter basis of the periods of time when only 

pathological waste, low-level radioactive waste and/or chemotherapeutic waste is 

bwned; and 

(b)(I)(B)(iii) Keep such records demonstJating that the sowces attain and maintain the exemption 

for at least five consecutive years and submit them upon request within ten business 

days 

(b) (I) (C) Any co-fired combustor is not su~ject to this section if the owner or operator of the 

co-fired combustor: 

(b) (I) (C) (i) Notifies the EQB of an exemption claim, with carbon copy to the EPA; and 

(b) (I) (C) (ii) Provides an estimate of the relative weight of hospital waste, medical/infectious 

waste, and other fuels and/or wastes to be combusted; and 

(b) (I) (C)(iii) Keeps records on a calendar quarter basis of the weight of hospital waste and 

medical/infectious waste combusted, and the weight of all other fuels and wastes 

com busted at the co-fired combustor; and 

(b)(I)(C)(iv) Keep such records demonstrating that the sow·ces attain and maintain the exemption 

for at least five consecutive years and submit them upon request within ten business 

days 

(b) (I) (D) 

(b) (I) (E) 

Any combustor required to have a permit under section 3005 of the Solid Waste 

Disposal Act is not subject to this section 

Any combustor which meets the applicability requirements under subpart Cb, Ea, or 

E b of 40 CF R Part 60 (standards or guidelines for certain municipal waste 

combustors) is not subject to this section 
(b) (I) (F) 

(b) (I) (G) 

(b) (I) (H) 

(b) (I) (I) 

(b) (2) 

(b) (2) (A) 

(b) (2) (B) 

(b) (2) (C) 

-4-

Any pyrolysis unit is not su~ject to this section 

Cement kilns firing hospital waste and/or medical/infectious waste are not subject to 

this section 

Physical or operational changes made to an existing HMIWI solely for the purpose 

of complying with emission guidelines under this section are not considered a 

modification and do not result in an existing HMIWI unit becoming subject to the 

provisions of subpart Ec of 40 CF R Part 60. 

Any designated facility subject to this section shall operate pursuant to a I itle V 

operating permit according to the requirements of Part VI ofthe Regulation for 

the Control of Atmospheric Pollution, no later than September 15, 2000 .. 

Emission Limitation 

On and after the date on which the initial performance test is completed or is required 

to be completed under this mle whichever date comes first, no owner or operator of 

a designated facility shall cause to be dischar·ged into the atmosphere from that 

designated facility any gases that contain stack emissions in excess of the limits 

presented in Table 1, except as provided in (b)(2)(B) of this section 

Any small HMIWI which is located more than 50 miles from the boundary of the 

nearest Standard Metropolitan Statistical Area, and which burns less than 2,000 

pounds per week of hospital and medical/infectious waste shall not discharge any 

gases that contain stack emissions in excess of the limits presented in Table 2 The 

2,000 pou_nds per week !imitation does not apply during perfonnance tests. 

On and after the date on which the initial performance test is completed or is required 

to be completed under this rule, whichever date comes fust, no owner or operator of 

a designated facility shall cause to be discharged into the atmosphere fiom the stack 

of that designated facility any gases that exhibit greater than 10 percent opacity (6-

minute block average) 
-5-

TABLE 1. EMISSION LIMITS FOR SMALL, MEDIUM, 

AND LARGE HMIWI 

Emission limits 

HMIWI size 

Units 

Pollutant (7 per·cent oxygen, dry basis) Small Medium Large 

Pruticulate matter milligrams per dry standrud cubic 115 69 34 

meter (grains per dry standrud (0 .. 05) (0.03) (0 .. 015) 

cubic foot) 

Crubon monoxide pruts per million by volume 40 40 40 

Dioxins/furans nanograms per dry standrud cubic 125 125 125 

meter total dioxins/fur·ans (grains (55) or (55) or (55) or 

per billion dry standrud cubic 2.3 2.3 23 

feet) or nanograms per dry (1 .. 0) (LO) (1 .. 0) 

standrud cubic meter I EQ (grains 

per billion dry standrud cubic 

feet) 

Hydrogen chloride pruts per million by volume or IOOor I 00 or IOOor 

percent reduction 93% 93% 93% 

Sulfur dioxide pruts per million by volume 55 55 55 

Nitrogen oxides pruts per million by volume 250 250 250 

Lead milligrams per dry standrud cubic L2 L2 12 

meter (grains per thousand dry (0.52) or (0.52) or (0 .. 52) or 

standrud cubic feet) or percent 70% 70% 70% 

reduction 

Cadmium milligrams per dry standrud cubic OJ6 0.16 OJ6 

meter (grains per thousand dry (0 .. 07) or (0 .. 07) or (0.07) or 

standrud cubic feet) or percent 65% 65% 65% 

reduction 

Mercury milligrarns per dry standrud cubic 0.55 0.55 055 

meter (grains per thousand dry (0..24) or (024)or (0..24) or 

standmd cubic feet) or percent 85% 85% 85% 

reduction 
-6-

TABLE 2. EMISSION LIMITS FOR SMALL HMIWI 

WHICH MEET THE RURAL CRITERIA 

Units HMIWI 

Pollutant (7 percent oxy2en, dry basis) Emission limits 

Particulate matter milligrams per dry standard 197 

cubic meter (grains per dry (0 .. 086) 

standard cubic foot) 

Carbon monoxide parts per million by volume 40 

Dioxins/furans nanograms per dry standard 800 

cubic meter total dioxins/furans (350) or 

(grains per billion dry standard 15 

cubic feet) or nanograms per dry (6 .. 6) 

standard cubic meter TEQ 

(grains per billion dry standard 

cubic feet) 

Hydrogen chloride parts per million by volume 3100 

Sulfur dioxide parts per million by volume 55 

Nitrogen oxides parts per million by volume 250 

Lead milligrams per dry standard 10 

cubic meter (grains per (4..4) 

thousand dry standard cubic 

feet) 

Cadmium milligrams per dry standard 4 

cubic meter (grains per thousand (L7) 

dry standard cubic feet) 

Mercury milligrams per dry standard 7 . .5 

cubic meter (grains per thousand (3.3) 

dry standard cubic feet) 
(b) (3) 

(b) (3) (A) 

(b) (3) (B) 

(b) (3) (C) 

-7-

Requirements for operators training and certification 

No owner or operator of a designated facility shall allow the designated facility to 

operate at any time unless a fully trained and qualified HMIWI operator is accessible, 

either at the facility or available within I hour.. The trained and qualified HMIWI 

operator may operate the HMIWI directly or be the direct supervisor of one or more 

HMIWI operators .. 

Operator training and qualification shall be obtained through a program approved by 

the Board or by completing the requirements included in paragraphs (b) (3) (C) 

through (b) (3) (G) of this section. 

I raining shall be obtained by completing an HMIWI operator training course that 

includes, at a minimum, the following provisions: 

(b) (3) (C) (i) 24 bows of training on the following subjects: 

(b) (3) (C) (i) (I) Environmental concerns, including pathogen destruction and types of 

emissions; 

(b) (3) (C) (i) (2) 

(b) (3) (C) (i) (3) 

(b) (3) (C) (i) (4) 

(b) (3) (C) (i) (5) 

(b) (3) (C) (i) (6) 

(b) (3) (C) (i) (7) 

(b) (3) (C) (i) (8) 

(b) (3) (C) (i) (9) 

Basic combustion principles, including products of combustion; 

Operation of the type of incinerator to be used by the operator, including 

proper startup, waste charging, and shutdown procedw·es; 

Combustion controls and monitoring; 

Operation of air pollution control equipment and factors affecting 

performance (if applicable); 

Meti10ds to monitor pollutants (continuous emission monitoring systems and 

monitoring ofHMIWI and air pollution control device operating parameters) 

and equipment calibration procedw·es (where applicable); 

Inspection and maintenance of the HMIWI, air pollution control devices, and 

continuous emission monitoring systems; 

Actions to conect malfunctions or conditions that may lead to malfunction; 

Bottom and fly ash characteristics and handling procedures; 
(b) (3) (C) (i) (10) 

(b) (3) (C) (i) (11) 

(b) (3) (C) (i) (12) 

(b) (3) (C) (i) (13) 

(b) (3) (C) (ii) 

(b) (3) (C) (iii) 

(b)(3)(D) 

(b) (3) (D) (i) 

(b) (3) (D) (ii) 

(b) (3) (E) 

(b) (3) (F) 

(b )(3) (F )(i) 

(b) (3) (F) (ii) 

(b) (3) (F) (iii) 

(b) (3) (F) (iv) 

(b) (3) (F) (v) 

(b) (3) (G) 

(b) (3) (G) (i) 

-8-

Applicable Federal, State, and local regulations; 

Work safety procedures; 

Pre-startup inspections; and 

Recordkeeping requirements .. 

An examination designed and administered by the instructor .. 

Reference material distributed to the attendees covering the course topics. 

Qualification shall be obtained by: 

Completion of a training course that satisfies the criteria under paragraph (b) 

(3) (C) of this section; and 

Either 6 months experience as an HMIWI operator, 6 months experience as 

a direct supervisor of an HMIWI operator, or completion of at least two burn 

cycles under the observation of two qualified HMIWI operators 

Qualification is valid from the date on which the examination is passed or the 

completion of the required experience, whichever is later 

I o maintain qualification, the trained and qualified HMIWI operator shall 

complete and pass an annual review or refi·esher course of at least 4 hours 

covering, at a minimum, the following: 

Update of regulations; 

Incinerator operation, including startup and shutdown procedmes; 

Inspection a..~d maintena.tce; 

Responses to malfunctions or conditions that may lead to malfunction; and 

Discussion of operating problems encountered by attendees .. 

A lapsed qualification shall be renewed by one ofthe following methods: 

For a lapse ofless than 3 years, the HMIWI operator shall complete and pass 

a standard annual refresher cour·se described in paragraph (b) (3) (F) ofthis 

section 
(b) (3) (G) (ii) 

(b) (3) (H) 

(b) (3) (H) (i) 

(b) (3) (H) (ii) 

(b) (3) (H) (iii) 

(b) (3) (H) (iv) 

(b) (3) (H) (v) 

(b) (3) (H) (vi) 

(b) (3) (H) (vii) 

(b) (3) (H) (viii) 

(b) (3) (H) (ix) 

(b) (3) (H) (x) 

(b) (3) (I) 

(b) (3) (I) (i) 

(b) (3) (I) (ii) 

-9-

For a lapse of3 years or more, the HMIWI operator shall complete and pass 

a training cowse with the minimum criteria described in paragraph (b) (3) (C) 

of this section. 

The owner or operator of a designated facility shall maintain documentation 

at the facility that address the following: 

Swnmary of the applicable standards under this rule; 

Description of basic combustion theory applicable to an HMIWI; 

Procedwes for receiving, handling, and charging waste; 

HMIWI startup, shutdown, and malfunction procedw·es; 

Procedw·es for maintaining proper combustion air supply levels; 

Procedw·es for operating the HMIWI and associated air pollution control 

systems within the standards established under this rule; 

Procedwes for responding to periodic malfunction or conditions that may 

lead to malfunction; 

Procedw·es for monitoring HMIWI emissions; 

Reporting and recordkeeping procedw·es, and 

Procedwes for handling ash 

The owner or operator of a designated facility shall establish a program for 

reviewing the information listed in paragraph (b) (3) (H) of this section 

a.m1ua!!y witl1 each H!t.1IWI operator.. 

The initial review ofthe information listed in paragraph (b) (3) (H) of this 

section shall be conducted within 6 months after the effective date of this rule 

or prior to assumption of responsibilities affecting HMIWI operation, 

whichever date is later. 

Subsequent reviews of the information listed in paragraph (b) (3) (H) of this 

section shall be conducted annually. 
(b)(3)(J) 

(b) (4) 

(b) (5) 

(b) (5) (A) 

-I 0-

The information listed in paragraph (b) (3) (H) of this section shall be kept 

in a readily accessible location for all HMIWJ operators This information, 

along with records of training shall be available for inspection by the EPA or 

its delegated enforcement agent upon request 

Waste management plan 

The owner or operator of a designated facility shall prepar·e a waste 

management plan.. The waste management plan shall identify both the 

feasibility and the approach to separate certain components of solid waste 

fiom the health car·e waste stream in order to reduce the amount of toxic 

emissions from incinerated waste. A waste management plan may include, 

but is not limited to, elements such as paper, cardboard, plastics, glass, 

battery, or metal recycling; or pwchasing recycled or recyclable products.. A 

waste management plan may include different goals or approaches for 

different ar·eas or departments of the facility and need not include new waste 

management goals for every waste stream .. It should identify, where possible, 

reasonably available additional waste management measw·es, taking into 

account the effectiveness of waste management measw·es already in place, the 

costs of additional measw·es, the emission reductions expected to be 

achieved, and any other environmental or energy impacts they might have. 

The American Hospital Association publication entitled "An Ounce of 

Prevention: Waste Reduction Sttategies for Health Care Facilities on shall be 

considered in the development of the waste management plan .. 

Inspection Requirements 

Any small HMIWJ that meets the rural criteria as in Section (b )(2)(B) and is 

subject to the emission limits of Table 2 of this rule shall perform, within I 

year after the approval of the State Plan or after the publication date of the 

EPA s Federal Plan. whichever is sooner .. an initial equipment inspection as 

required in this section 
(b) (5) (A) (i) 

(b) (5) (A) (i) (1) 

(b) (5) (A) (i) (2) 

(b) (5) (A) (i) (3) 

(b) (5) (A) (i) (4) 

(b) (5) (A) (i) (5) 

(b) (5) (A) (i) (6) 

(b) (5) (A) (i) (7) 

(b) (5) (A) (i) (8) 

(b) (5) (A) (i) (9) 

(b) (5) (A) (i) (10) 

(b) (5) (A) (i) (11) 

(b) (5) (A) (i) (12) 

/L\ 11::\ lA\ /~\ /1...,, 

\U) \-') \f-1.) \I) \UJ 

(b) (5) (A) (i) (14) 

(b) (5) (A) (i) (15) 

(b) (5) (A) (i) (16) 

(b) (5) (A)(i) (17) 

-IIAt a minimum, an inspection shall include the following: 

Inspect all burners, pilot assemblies, and pilot sensing devices for proper 

operation; clean pilot flame sensor, as necessary; 

Enswe proper adjustment ofprimary and secondary chamber combustion air; 

and adjust as necessary; 

Inspect hinges and door latches, and lubricate as necessary; 

Inspect dampers, fans, and blowers for proper operation; 

Inspect HMIWI door and door gaskets for proper sealing; 

Inspect motors for proper operation; 

Inspect primary chamber refractory lining; clean and repair/replace lining as 

necessary; 

Inspect incinerator shell for corrosion and/or hot spots; 

Inspect secondary/tertiary chamber and stack, clean as necessary; 

Inspect mechanical loader, including limit switches, for proper operation, if 

applicable; 

Visually inspect waste bed (grates), and repair/seal, as appropriate; 

For the burn cycle that follows the inspection, document that the incinerator 

is operating properly and make any necessary adjustments; 

Inspect air poiiution control device(s) fur proper operation, ifapplicable; 

Inspect waste heat boiler systems to ensure proper operation, if applicable; 

Inspect bypass stack components; 

Ensure proper calibration of thermocouples, sorbent feed systems and any 

other monitoring equipment; and 

Generally observe that the equipment is maintained in good operating 

condition 
(b) (5) (A) (ii) 

(b) (5) (B) 

(b) (6) 

(b)(6)(A) 

(b) (6) (B) 

(b) (6) (B) (i) 

(b) (6) (B) (ii) 

(b) (6) (B) (iii) 

-12-

Within I 0 operating days following an equipment inspection all necessary 

repairs shall be completed unless the owner or operator obtains written 

approval from the State agency establishing a date whereby all necessary 

repairs ofthe designated facility shall be completed. 

Any small HMIWI that meets the rural criteria as in Section (b )(2)(B) and is 

subject to the emission limits of I able 2 of this rule shall perform an 

equipment inspection annually (on or before the anniversary of the previous 

equipment inspection), as outlined in paragraphs (b) (5) (A) (i) and (b) (5) 

(A) (ii) of this section. 

Compliance and Performance Testing Requirements .. 

The emission limits under this rule apply at all times except during periods 

of startup, shutdown, or malfunction, provided that no hospital waste or 

medical/infectious waste is charged to the designated facility during startup, 

shutdown or malfunction 

The owner or operator of a designated facility shall conduct an initial 

performance test as required under this rule to determine compliance with the 

emission limits using the procedures and test methods listed in paragraphs 

(b) (6) (B) (i) through (b) (6) (B) (xi) of this section. The use of the bypass 

stack during a performance test shall invalidate the performance test. 

AJ! performa..'1ce tests shall consist of a min.liu.Ui11 of thtee test runs conducted 

under representative operating conditions .. 

The minimum sample time shall be I hour· per test run unless otherwise 

indicated .. 

EPA Reference Method I of appendix A of 40 CFR Part 60 and in the 

Appendix of this Regulation shall be used to select the sampling location and 

number of traverse points 
(b) (6) (B) (iv) 

(b) (6) (B) (v) 

(b) (6) (B) (vi) 

(b) (6) (B) (vii) 

(b) (6) (B) (viii) 

(b) (6) (B) (ix) 

-13-

EPA Reference Method 3 or 3A of appendix A of40 CFR Part 60 and in the 

Appendix of this Regulation shall be used for gas composition analysis, 

including measurement ofoxygen concentration EPA Reference Method 3 

or 3A of appendix A of 40 CFR Part 60 shall be used simultaneously with 

each reference method 

The pollutant concentrations shall be acUusted to 7 percent oxygen using the 

following equation: 

Cadi = Cm.,., (20 .. 9 - 7) I (20 .9 - %02) 

where: 

Cadi = pollutant concentration adjusted to 7 percent oxygen; 

Cm.., = pollutant concentration measured on a dry basis 

(20 .. 9 -7) = 20 .. 9 percent oxygen - 7 percent oxygen (defined oxygen 

cmrection basis); 

20 .9 = oxygen concentration in air, percent; and 

%02 = oxygen concentration measured on a dry basis, percent. 

EPA Reference Method 5 or 29 of appendix A of 40 CFR Part 60 and in the 

Appendix of this Regulation shall be used to measure the particulate matter 

em1ss1ons .. 

EPA Reference Method 9 of appendix A of 40 CFR Part 60 and in the 

Appendix of this Regulation shall be used to measw·e stack opacity. 

EPA Reference tv1ethod 1 0 or 1 OB of appendix A of 40 CFR Part 60 and in 

the Appendix of this Regulation shall be used to measw·e the CO emissions .. 

EPA Reference Method 23 of appendix A of 40 CFR Part 60 and in the 

Appendix of this Regulation shall be used to measure total dioxinlfuran 

em1sswns. The minimum sample time shall be 4 hours per test run If the 

designated facility has selected the toxic equivalency standards for 

dioxinlfurans. the follo\\ing procedures shall be used to determine 

compliance: 
(b) (6) (B) (ix) (I) 

(b) (6) (B) (ix) (2) 

-14-

Measwe the concentration of each dioxin/furan tetra- through octa-congener 

emitted using EPA Reference Method 23 . 

For each dioxin/furan congener measured in accordance with paragraph (b) 

(6) (B) (ix) (I) of this section, multiply the congener concentration by its 

corresponding toxic equivalency factor specified in Table 3 of this rule 
-15-

TABLE3. TOXIC EQUIVALENCY FACTORS 

TOXIC 

DIOXIN/FURAN CONGENER EQUIVALENCY 

FACTOR 

2,3, 7,8 - tetrachlorinated dibenzo-p-dioxin I 

I ,2,3,7 ,8- pentachlorinated dibenzo-p-dioxin 0.5 

1,2,3,4,7,8- hexachlorinated dibenzo-p-dioxin OJ 

1,2,3,7,8,9- hexachlorinated dibenzo-p-dioxin OJ 

I ,2,3,6,7,8- hexachlorinated dibenzo-p-dioxin OJ 

I ,2,3 ,4,6,7 ,8 - heptachlorinated dibenzo-p-dioxin 0.01 

octachlorinated dibenzo-p-dioxin 0 .. 001 

2,3 ,7 ,8 - tetrachlorinated dibenzofuran 0 I 

2,3,4,7,8- pentachlorinated dibenzofuran 05 

I ,2.3 ,7 ,8 - pentachlorinated dibenzofwan 0 .. 05 

1,2,3,4,7,8- hexachlorinated dibenzofuran OJ 

I ,2,3,6,7,8- hexachlorinated dibenzofuran OJ 

1~2,3.7,8,9- hexachlorinated dibenzofUran O.i 

2,3,4,6,7 ,8 - hexachlorinated dibenzofuran OJ 

1,2,3,4,6,7,8- heptachlorinated dibenzofuran 0.01 

I ,2,3,4,7,8,9- heptachlorinated dibenzofuran 0 .. 01 

octachlorinated dibenzofuran 0.001 
(b) (6) (B) (ix) (3) 

(b) (6) (B) (x) 

(b) (6) (B) (xi) 

-16-

Sum the products calculated in accordance with paragraph (b) (6) (B) (ix) (2) 

of this section to obtain the total concentration of dioxins/furans emitted in 

terms of toxic equivalency. 

EPA Reference Method 26 of appendix A of 40 CFR Part 60 and in the 

Appendix of this Regulation shall be used to measure HCl emissions If the 

designated facility has selected the percentage reduction standards for HCl 

under section (b) (2) of this rule, the percentage reduction in HCI emissions 

(%RHc 1) is computed using the following formula: 

( 

E -E) (%RHC!) = 'E, 0 

X 100 

where: 

percentage reduction of HCl emissions achieved; 

E; = HCI emission concentration measured at the control device inlet, 

corrected to 7 percent oxygen (dry basis) ; and 

E. = HCI emision concentration measured at the control device outlet, 

corrected to 7 percent oxygen (dry basis). 

EPA Reference Method 29 of appendix A of 40 CFR Part 60 and in the 

Appendix of this Regulation shall be used to measure Pb, Cd, and Hg 

emissions .. If the designated facility has selected the percentage reduction 

standards for metals under section (b) (2) of this rule the percentage 

reduction in emissions (%R,, .. ,) is computed using the following formula: 

( 

E,- Eo) (%Rme,a) = E, X I 00 
(b) (6) (C) 

(b) (6) (C) (i) 

(b) (6) (C) (ii) 

where: 

%]{,, .. , = 

-17-

percentage reduction of metal emission (Pb, Cd, or Hg) 

achieved; 

E; = metal emission concentration (Pb, Cd, or Hg) measured at the control 

device inlet, corrected to 7 percent oxygen (dry basis); and 

Eo = metal emission concentration (Pb, Cd, or Hg) measW"ed at the control 

device outlet, corrected to 7 percent oxygen (dry basis). 

Fallowing the date on which the initial performance test is completed or is 

required to be completed under this rule, whichever date comes first, the 

owner or operator of a designated facility shall: 

Determine compliance with the opacity limit by conducting an annual 

performance test (no more than 12 months following the previous 

performance test) using the applicable procedures and test methods listed in 

paragraph (b) (6) (B) of this section. 

Determine compliance with the PM, CO, and HCl emission limits by 

conducting an annual performance test (no more than 12 months following 

the previous performance test) using the applicable procedw·es and test 

methods listed in paragraph (b) (6) (B) of this section. If all three 

performance tests over a 3-year period indicate compliance with the emission 

limit for a pollutant (PM, CO, or HCI), the owner or operator may forego a 

performa..TJ.ce test for L'lat pollutant for the subsequeni 2 years At a minimum, 

a performance test for PM, CO, and HCI shall be conducted every third year 

(no more than 36 months following the previous performance test).. If a 

performance test conducted every third year indicates compliance with the 
(b) (6) (C) (iii) 

(b) (6) (C) (iii) (I) 

(b) (6) (C) (iii) (2) 

(b) (6) (D) 

(b) (6) (D) (i) 

-18-

emission limit for a pollutant (PM, CO, or HCI), the owner or operator may 

forego a performance test for that pollutant for an additional 2 years If any 

performance test indicates noncompliance with the respective emission limit, 

a performance test for that pollutant shall be conducted annually until all 

annual performance tests over a 3-year period indicate compliance with the 

emission limit The use ofthe bypass stack during a performance test shall 

invalidate the performance test 

Facilities using a CEMS to demonstrate compliance with any of the emission 

limits under section (b) (2) of this rule shall: 

Determine compliance with the appropiate emission limit (s) using a 12-hour 

rolling average, calculated each hour as the average of the previous 12 

operating hours (not including startup, shutdown, or malfunction}. 

Operate all CEMS in accordance with the applicable procedures under 

appendices B and F of 40 CFR Part 60 and in the Appendix of this 

Regulation. 

The owner or operator of a designated facility equipped with a dry scrubber 

followed by a fabric filter, a wet scrubber, or a dry scrubber followed by a 

fabric filter and wet scrubber shall: 

Establish the appropriate maximum and minimum operating parameters, 

indicated in I able 4 of this rule for each control system, as site specific 

operating par·arneters during the initial performance test to determine 

compliance with the emission limits; and 
TABLE 4. OPERATING PARAMETERS TO BE MONITORED AND MINIMUM MEASUREMENT AND RECORDIN

Minimum frequency Control syst

Dry scrubber 

Operatmg 

Data Data followed by Wet 

parameters to be momtored measurement recording fabric filter scrubber 

Maximum operating parameters 

Max1mum charge rate continuous I x hour .I .I 

Maximum fabnc filter miet temperature continuous I x minute .I 

Max1mum flue gas temperature continuous I x minute .I 

Minimum operatmg parameters 

Minimum secondary chamber temperature continuous I x minute .I .I 

Minimum dioxin/furan sorbent flow rate hourly I x hour .I 

Minimum HCI sorbent flow rate hourly I x hour .I 

Minimum mercury (Hg) sorbent flow rate hourly I x hour .I 

Mimmum pressure drop across the wet 

scrubber or minimum horsepower or 

amperage to wet scrubber continuous I x minute .I 

Minimum scrubber liquor flow rate continuous I x minute .I 

Minimum scrubber liguor pH continuous I x mmute .I L. 
(b) (6) (D) (ii) 

(b) (6)(E) 

(b) (6) (E) (i) 

(b) (6) (E) (ii) 

(b) (6) (E) (iii) 

-20-

Following the date on which the initial performance test is completed or is 

required to be completed under this rule, whichever date comes first, ensure 

that the designated facility does not operate above any of the applicable 

maximum operating parameters or below any of the applicable minimum 

operating parameters listed in I able 4 and measw·ed as 3-how· rolling 

averages (calculated each hour as the average of the previous 3 operating 

hours) at all times except during periods of startup, shutdown and 

malfunction. Operating parameter limits do not apply during performance 

tests Operation above the established maximum or below the established 

minimum operating parameter (s) shall constitute a violation of established 

operating parameter (s).. 

Except as provided in paragraph (b) ( 6) (H) of this section, for designated 

facilities equipped with a dry scrubber followed by a fabric filter: 

Operation of the designated facility above the maximum charge rate and 

below the minimum secondary chamber temperatme (each measured on a 3-

hour rolling average) simultaneously shall constitute a violation of the CO 

emission limit 

Operation of the designated facility above the maximum fabric filter inlet 

temperature, above the maximum charge rate, and below the minimum 

dioxinJfuran sorbent flow rate (each measured on a 3-hour rolling aveiage) 

simultaneously shall constitute a violation of the dioxin/furan emission limit. 

Operation of the designated facility above the maximum charge rate and 

below the minimum HCI sorbent flow rate (each measured on a .3-hour 

rolling average) simultaneously shall constitute a violation of the HCl 

emission limit 

Operation of the designated facility above the maximum charge rate and 

belo-w the minimum Hg sor bent flow rate (each measured on a 3-how rolling 

average) simultaneously shall constitute a violation of the Hg emission limit 
(b) (6) (E) (v) 

(b) (6) (F) 

(b) (6) (F) (i) 

(b) (6) (F) (ii) 

(b) (6) (F) (iii) 

(b) (6) (F) (iv) 

(b) (6) (F) (v) 

(b) (6) (F) (vi) 

-21-

Use of the bypass stack (except dwing startup, shutdown, or malfunction) 

shall constitute a violation of the PM, dioxin/furan, HCI, Pb, Cd and Hg 

emission limits 

Except as provided in paragraph (b) (6) (H) of this section, for designated 

facilities equipped with a wet scrubber: 

Operation of the designated facility above the maximum charge rate and 

below the minimum presswe drop across the wet scrubber or below the 

minimum horsepower or amperage to the system (each measw·ed on a 3-hour 

rolling average) simultaneously shall constitute a violation of the PM 

emission limit 

Operation of the designated facility above the maximum charge rate and 

below the minimum secondary chamber temperatw·e (each measw·ed on a 3-

hour rolling average) simultaneously shall constitute a violation of the CO 

emission limit. 

Operation of the designated facility above the maximum charge rate, below 

the minimum secondary chamber temperatw·e, and below the minimum 

scrubber liquor flow rate (each measwed on a 3-how rolling average) 

simultaneously shall constitute a violation of the dioxin/fur an emission limit 

Operation of the designated facility above the maximum charge rate and 

below the minimum scrubber liquor pH (each measw·ed on a 3-how rolling 

average) simultaneously shall constitute a violation ofthe HCl emission limit 

Operation of the designated facility above the maximum flue gas temperatw·e 

and above the maximum charge rate (each measw·ed on a 3-hour rolling 

average) simultaneously shall constitute a violation of the Hg emission limit. 

Use of the bypass stack (except dwing startup, shutdown, or malfunction) 

shall constitute a violation of the PM, dioxin/furan, HCl, Pb, Cd and Hg 

emission limits 
(b) (6) (G) 

(b) (6) (G) (i) 

(b) (6) (G) (ii) 

(b) (6) (G) (iii) 

(b) (6) (G) (iv) 

(b) (6) (G) (v) 

(b)(6) (H) 

-22-

Exept as provided in paragraph (b) (6) (H) of this section, for designated 

facilities equipped with a dry scrubber followed by a fabric filter and a wet 

scrubber: 

Operation of the designated facility above the maximum charge rate and 

below the minimum secondary chamber temperature (each measur·ed on a 3-

hour rolling average) simultaneously shall constitute a violation of the CO 

emission limit 

Operation of the designated facility above the maximum fabric filter inlet 

temperature, above the maximum charge rate, and below the minimum 

dioxinlfuran sorbent flow rate (each measur·ed on a 3-hour rolling average) 

simultaneously shall constitute a violation of the dioxin!fwan emission limit 

Operation of the designated facility above the maximum charge rate and 

below the minimum scrubber liquor pH (each measured on a .3-hour rolling 

average) simultaneously shall constitute a violation of the HCl emission limit 

Operation of the designated facility above the maximum charge 1ate and 

below the minimum Hg sorbent flow mte (each measur·ed on a 3-hour· rolling 

avemge) simultaneously shall constitute a violation of the Hg emission limit 

Use of the bypass stack (except during staitup, shutdown, or malfunction) 

shall constitute a violation of the PM, dioxin/fiuan, HCl, Pb, Cd and Hg 

emission limits. 

The owner or operator of a designated facility may conduct a repeat 

peifi:nmance test within 30 days of violation of applicable operating 

parameter (s) to demonstrate that the designated facility is not in violation of 

the applicable emission limit (s).. Repeat pe1fmmance tests conducted 

pursuant to this paragraph shall be conducted using the identical operating 

parameters that indicated a violation under paragraph (b) (6) (E), (b) (6) (F), 

or (b) (6) (G) of this section 
(b) (6) (I) 

(b)(6)(J) 

(b) (6)(K) 

(b) (6) (K) (i) 

(b) ( 6) (K) (ii) 

(b) (6) (K) (iii) 

-23-

The owner or operator of a designated facility using an air pollution control 

device other than a dry scmbber followed by a fabric filter, a wet scrubber, 

01 a dry scrubber followed by a fabric filter and a wet scmbber to comply 

with the emission limits under section (b) (2) of this mle shall petition the 

Administrator for other site-specific operating parameters to be established 

during the initial perf01mance test and continuously monitored thereafter 

The owner 01 operator shall not conduct the initial perfmmance test until after 

the petition has been approved by the Administrator 

The owner or operator of a designated facility may conduct a repeat 

perfmmance test at any time to establish new values for the operating 

parameters .. The Administrator may request a repeat performance test at any 

time .. 

Any small HMIWl that meets the rural criteria as in Section (b)(2)(B) and is 

subject to the emission limits of Table 2 of this rule shall comply with the 

following compliance and performance testing requirements: 

Conduct the performance testing requirements in (b) (6) (A), (b) (6) (B) (i) 

through (b) (6) (B) (ix), (b) (6) (B) (xi) (Hg only), and (b) (6) (C) (i) of this 

rule .. The 2,000 lb/week limitation under section (b) (2) (B) of this mle does 

not apply dming performance tests .. 

Establish maximU1ll charge rate and mmrmU1ll secondary chamber 

temperature as site-specific operating par·ameters dming the initial 

performance test to determine compliance with applicable emission limits 

Foil owing the date on which the initial perfmmance test is completed or is 

required to be completed under this mle, whichever date comes first, ensure 

that the designated facility does not operate above the maximillll charge rate 

or below the minimum secondary chamber temperature measured as 3-hour 

rolling averages (calculated each hour as the average of the previous 3 
(b) (6) (K) (iv) 

(b) (6) (K) (v) 

(b) (7) 

(b) (7) (A) 

(b) (7) (B) 

-24-

operating hours) at all times except during periods of startup, shutdown and 

malfunction Operating parameter limits do not apply during performance 

tests Operation above the maximum charge rate or below the minimum 

secondary chamber temperatur·e shall constitute a violation of the established 

operating par·ameter ( s). 

Except as provided in paragraph (b) (6) (K) (v) of this section, operation of 

the designated facility above the maximum charge rate and below the 

minimum secondary chamber temperature (each measured on a 3-hour rolling 

average) simultaneously shall constitute a violation of the PM, CO, and 

dioxin/furan emission limits 

The owner or operator of a designated facility may conduct a repeat 

performance test within 30 days of violation of applicable operating 

parameter ( s) to demonstrate that the designated facility is not in violation of 

the applicable emission limit ( s). Repeat performance tests conducted 

pursuant to this paragraph must be conducted using the identical operating 

parameters that indicated a violation under paragraph (b) (6) (K) (iv) 

Monitoring Requirements 

The owner or operator of a designated facility shall install, calibrate (to 

manufactur·ers' specifications), maintain, and operate devices (or establish 

methods) for monitoiing the applicable maximum and minimum operating 

parameters listed in I able 4 such that these devices (or methods) measur·e and 

record values for these operating parameters at the fiequencies indicated in 

I able 4 at all times except during periods of startup and shutdown 

The owner or operator of a designated facility shall install, calibrate (to 

manufacturers' specifications), maintain, and operate a device or method for 

measming the use of the bypass stack including date, time, and duration. 
(b) (7) (C) 

(b) (7) (D) 

(b) (7) (E) 

(b) (7) (E) (i) 

(b) (7) (E) (ii) 

(b) (7) (E) (iii) 

-25-

I he owner 01 operator of a designated facility using something other than a 

dry scrubber followed by a fabric filter, a wet scrubber, or a dry scrubber 

followed by a fabric filter and a wet scrubber to comply with the emission 

limits under section (b) (2) of this rule shall install, calibrate (to the 

manufactwers' specifications), maintain, and operate the equipment 

necessary to monitor the site-specific operating parameters developed 

pursuant to section (b) (6) (I) ofthis rule. 

I he owner or operator of a designated facility shall obtain monitoring data 

at all times during HMIWI operation except during periods of monitoring 

equipment malfunction, calibration, or repair. At a minimum, valid 

monitming data shall be obtained for 75 percent of the operating hours per 

day and for 90 percent of the operating days per calendar· quarter that the 

designated facility is combusting hospital waste and/or medical/infectious 

waste .. 

Any small HMIWI that meets the rural criteria as in Section (b )(2)(B) and is 

subject to the emission limits of I able 2 of this rule shall comply with the 

following monitoring requirements: 

Install, calibrate (to manufacturers' specifications), maintain, and operate a 

device for measuring and recording the temperatw·e of the secondary chamber 

on a continuous basis, the output of which shall be recorded, at a minimum, 

once every minute throughout operation. 

Install, calibrate (to manufactur·ers' specifications), maintain, and operate a 

device which automatically measures and records the date, time, and weight 

of each char·ge fed into the HMIWI. 

I he owner or operator of a designated facility shall obtain monitoring data 

at all times during HMIWI operation except during periods of monitoring 

equipment malfunction, calibration, or repair.. At a minimum, valid 

monitoring data shall be obtained for 75 percent of the operating hour·s per 

da) and for 90 percent of the operating hours per calendar· quarter that the 

designated facility is combusting hospital waste and/or medical/infectious 

waste 
(b) (8) 

(b) (8) (A) 

(b) (8) (A) (i) 

(b) (8) (A) (ii) 

(b) (8) (A) (ii) (I) 

(b) (8) (A) (ii) (2) 

(b) (8) (A) (ii) (3) 

(b) (8) (A) (ii) (4) 

-26-

Reporting and recordkeeping requirements 

The owner or operator of a designated facility shall maintain the following 

information (as applicable) for a period of at least 5 years: 

Calendar date of each record; 

Records of the following data: 

Concentrations of any pollutant listed in section (b) (2) of this rule or 

measurements of opacity as determined by the continuous emission 

monitming system (if applicable); 

HMIWI charge dates, times, and weights and howly charge rates; 

Fabric filter inlet temperatmes dwing each minute of operation, as applicable; 

Amount and type of dioxin/furan sorbent used dwing each how· of operation, 

as applicable; 

(b) (8) (A) (ii) (5) Amount and type of Hg smbent used dwing each how of operation, as 

applicable; 

(b) (8) (A) (ii) (6) Amount and type of HCl sorbent used during each how of operation, as 

applicable; 

(b) (8) (A) (ii) (7) Secondary chamber temperatw'es recorded dwing each minute of operation; 

(b) (8) (A) (ii) (8) Liquor flow rate to the wet scrubber inlet dwing each minute of operation, as 

applicable; 

(b) (8) (A) (ii) (9) Horsepower or amperage to the wet scrubber dwing each minute of 

operation, as applicable; 

(b) (8) (A) (ii) (I 0) Pressme drop across the wet scrubber system dwing each minute of 

operation, as applicable, 

(b) (8) (A) (ii) (II) Temperature at the outlet from the wet scrubber dwing each minute of 

operation, as applicable; 

(b) (8) (A) (ii) (12) pH at the inlet to the wet scrubber dwing each minute of operation, as 

applicable. 
-27-

(b) (8) (A) (ii) (13) Records indicating use of the bypass stack, including dates, times, and 

durations, and 

(b) (8) (A) (ii) (14) For designated facilities complying with sections (b) (6) (I) and (b) (7) (C) of 

this rule, the owner or operator shall maintain all operating parameter data 

collected 

(b) (8) (A) (iii) 

(b) (8) (A) (iv) 

(b) (8) (A) (v) 

(b) (8) (A) (vi) 

(b) (8) (A) (vii) 

(b) (8) (A) (viii) 

(b) (8) (A) (ix) 

Identification of calendar days for which data on emission rates or operating 

parameters specified under paragraph (b) (8) (A) (ii) of this section have not 

been obtained, with an identification of the emission rates or operating 

parameters not measured, reasons for not obtaining the data, and a description 

of corrective actions taken 

Identification of calendar· days, times and durations of malfunctions, a 

description of the malfunction and the corrective action taken. 

Identification of calendar days for which data on emission rates or operating 

parameters specified under paragraph (b) (8) (A) (ii) of this section exceeded 

the applicable limits, with a description of the exceedances, reasons for such 

exceedances, and a description of corrective actions taken. 

The results of the initial, annual, and any subsequent performance tests 

conducted to determine compliance with the emission limits and/or to 

establish operating par·ameters, as applicable. 

Records showing the names ofHMIWI operators who have completed review 

ofthe information in (b) (3) (H) as required by section (b) (3) (1), including 

the date of the initial review and all subsequent annual reviews; 

Records showing the names of the HMIWI operators who have completed the 

operator training requirements, including documentation of training and the 

dates of the training; 

Records showing the names of the HMIWI operators who have met the 

criteria for qualification under section (b) (3) of this rule and the dates of 

their qualification: and 
(b) (8) (A) (x) 

(b) (8) (B) 

(b) (8) (B) (i) 

(b) (8) (B) (ii) 

(b) (8) (B) (iii) 

(b) (8) (C) 

(b) (8) (C) (i) 

(b) (8) (C) (ii) 

(b) (8) (C) (iii) 

-28-

Records of calibration of any monitoring devices as required under section 

(b) (7) (A), (B), and (C) of this rule 

The owner or operator of a designated facility shall submit the information 

specified in paragraphs (b) (8) (B) (i) through (b) (8) (B) (iii) of this section 

no later than 60 days following the initial performance test All reports shall 

be signed by the facilities manager. 

The initial performance test data as recorded under (b) (6) (B) (i) through (b) 

(6) (B) (xi), as applicable 

The values for the site-specific operating parameters established pursuant to 

section (b) (6) (D) or (I), as applicable 

The waste management plan as specified in section (b) (4) of this rule. 

An annual report shall be submitted I year following the submission of the 

information in paragraph (b) (8) (B) of this section and subsequent reports 

shall be submitted no more than 12 months following the previous report 

(once the unit is subject to permitting requirements under I itle V of the Clean 

Air Act, the owner or operator of a designated facility must submit these 

reports semiannually}. The annual report shall include the information 

specified in paragraphs (b) (8) (C) (i) through (b) (8) (C) (vii) of this section 

All reports shall be signed by the facilities manager. 

The values for the site-specific operating parameters established pursuant to 

section (b) (6) (D) or (I) of this rule, as applicable 

The highest maximum operating parameter and the lowest minimum 

operating parameter, as applicable, for each operating parameter recorded for 

the calendar year being reported, pursuant to section (b) (6) (D) or (I) of this 

rule, as applicable. 

I he highest maximum operating parameter and the lowest minimum 

operating parameter. as applicable for each operating parameter recorded 

pursuant to section (b) (6) (D) or (I) for the calendar year preceding the year 

being reported .. in order to provide the EQB with a summary of the 

performance of the designated facility over a 2-year period. 
(b) (8) (C) (iv) 

(b) (8) (C) (v) 

(b) (8) (C) (vi) 

(b) (8) (C) (vii) 

(b) (8) (C) (viii) 

(b) (8) (D) 

(b)(8) (E) 

(b) (8) (F) 

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Any information recorded under paragraphs (b) (8) (A) (iii) through (b) (8) 

(A) (v) of this section for the calendar· year being reported. 

Any information recorded under paragraphs (b) (8) (A) (iii) through (b) (8) 

(A) (v) of this section for the calendar year· preceding the year being reported, 

in order to provide the EQB with a summary of the performance of the 

designated facility over a 2-year period .. 

If a performance test was conducted during the reporting period, the results 

of that test 

If no exceedances or malfimctions were reported under paragraphs (b) (8) (A) 

(iii) through (b) (8) (A) (v) of this section for the calendar year being 

reported, a statement that no exceedances occurred during the reporting 

period. 

Any use of the bypass stack, the dw·ation, reason for malfimction, and 

corrective action taken. 

The owner or operator of a designated facility shall submit semiannual 

reports containing any information recorded under paragraphs (b) (8) (A) (iii) 

through (b) (8) (A) (v) of this section no later than 60 days following the 

reporting period.. The first semiannual reporting period ends 6 months 

following the submission of information in paragraph (b) (8) (B) of this 

section.. Subsequent reports shall be submitted no later than 6 calendar 

months following the previous report. All reports shall be signed by the 

facilities manager 

All records specified under par·agraph (b) (8) (A) of this section shall be 

maintained onsite in either paper copy or computer-readable format, unless 

an altemative format is approved by the EPA. 

Any small HMIWI that meets the rural criteria as in Section (b )(2)(B) and is 

subject to the emission limits of Table 2 of this rule shall comply with the 

following requirements: 
(b) (8) (F) (i) 

(b) (8) (F) (ii) 

(b)(8)(G) 

(b) (9) 

(b) (9) (A) 

(b)(9)(B) 

(b) (9) (C) 

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Maintain records of the annual equipment inspections, any required 

maintenance, and any repairs not completed within I 0 days of an inspection 

(or the timefiame established by the Board); and 

Submit an annual report containing infmmation recorded under paragraph (b) 

(8) (F) (i) of this section no later than 60 days following the year in which 

data were collected Subsequent reports shall be sent no later than 12 

calendar months following the previous report (once the unit is subject to 

permitting requirements under I itle V of the Act, the owner or operator must 

submit these reports semiannually). The repmt shall be signed by the 

facilities manager 

Other Repmting 

All designated facilities that ar·e required to comply with Rule 405(b )(9)(E) 

shall report to the EQB their achievement toward meeting the increments of 

progress within ten (1 0) days after achieving each of the increment of 

progress of the compliance schedule 

Compliance times 

All designated facilities shall comply with all applicable requirements of the 

State Plan on or before the date I year· after EPA approval of the State Plan 

or after the publication date of the EPA's Federal Plan, whichever is sooner, 

regardless of whether a designated facility is identified in the State Plan 

inventory required by Section 60.25 (a) of40 CFR Part 60 Subpart Band in 

the Appendix of this Regulation, except as provided in paragraphs (E) and (F) 

of this section 

Any combustor bwning only pathological waste, low-level radioactive 

waste, and/or chemotherapeutic waste and any co-fired combustor must 

claim an exemption to the EQB no later than 12 months after the EPA 

approval of the State Plan or after the publication date of the EPA's Federal 

Plan, whichever is sooner, with carbon copy to the EPA. 

Any designated facility that has not petitioned on time or has not been 

granted an extension for compliance beyond the compliance time as specified 
(b) (9) (D) 

(b) (9) (E) 

(b) (9) (E) (i) 

(b) (9) (E) (ii) 

(b) (9) (E) (iii) 

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in paragraph (A) of this section and that is not in compliance with all 

applicable requirements of the State Plan by the date I year after EPA 

approval of the State Plan or after the publication date of the EPA's Federal 

Plan, whichever is sooner, must cease operation until the date that the 

designated facility comes into compliance with all applicable requirements 

or shutdown permanently 

Any designated facility that is shutdown or that opts to shutdown on 01 before 

the compliance date specified in (b) (9) (A), must be in compliance with all 

applicable requirements including the necessary retrofitting of air pollution 

controls, before reopen, except if it is part of a compliance schedule as 

specified in paragraph (b) (9) (E}. 

Extensions granted to designated facilities to comply with the applicable 

requirements for the installation of the necessary control equipment or for 

alternative waste treatment technology beyond the date specified in (b) (9) 

(A) must include measwable and legally enforceable increments of progress 

toward compliance .. The increments of progress must be as follows: 

Shall submit a final control plan describing the controls or technology that the 

sowce will use to comply with the emission limitations and other 

requirements not later than 12 months after the EPA approval of the State 

Plan or after the publication date of the EPA's Federal Plan, whichever is 

sooner, to control emissions from HMIWL This control plan may be 

submitted at the same time as the petition for extension of compliance. 

Awarding contracts for control systems or process modifications or order for 

pmchase of components.. This step must be completed no later than 15 

months after EPA Approval of the State Plan or after the publication date of 

the EPA's Federal Plan, whichever is sooner .. 

Initiating on-site construction or installation of the air pollution control 

device or process changes. This step must be completed no later than 18 

months after EPA Approval of the State Plan or after the publication date of 

the EPA's Federal Plan .. whichever is sooner 
(b) (9) (E) (iv) 

(b) (9) (E) (v) 

(b) (9) (E) (vi) 

(b) (9) (F) 

(b) (9) (F) (i) 

(b) (9) (F) (ii) 

(b) (9) (G) 

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Completing on-site construction or installation of control equipment or 

process changes. This step must be completed no later than 21 months after 

EPA Approval of the State Plan or after the publication date of the EPA's 

Federal Plan, whichever is sooner 

F ina! Compliance must be achieved on or before September 15, 2002 

An initial performance test following the procedures and requirements in 

section (b) ( 6) shall be completed within 180 days after the final compliance 

has been achieved. 

Any designated facility that petition an extension for compliance beyond the 

compliance time as specified in (b) (9) (A) shall submit the following 

information not later than the submittal of the timely and complete Title V 

operating permit application. 

Documentation of the analyses undertaken to support the need for an 

extension, including an explanation of why more than one year after EPA 

approval of the State Plan is necessary to comply with all the requirements 

of such plan. The documentation shall also include an evaluation of the 

option to transport the waste offsite to a commercial medical waste treatment 

and disposal facility on a temporary or permanent basis 

Documentation of measurable and enforceable incremental steps ofprogress, 

as required in (b) (9) (E) to be taken towards compliance with the emission 

guidelines. 

The requirements for operators training and certification as specified under 

section (b) (3) and the requirements for inspection for small HMIWI that 

meets the rural criteria as specified under section (b) (5) of this rule shall not 

be subject for inclusion in any petition for extension of compliance, and shall 

be complied with by the date one (I) year· after EPA approval of the State 

Plan or after the publication date of the EPA's Federal Plan, whichever is 

sooner 
(b) (9) (H) 

(b) (9) (H) (i) 

(b) (9) (H) (ii) 

(b) (9) (H) (iii) 

(b) (9) (H) (iv) 

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Provisions for granting or denying the extensions of compliance 

Extensions beyond the deadline for compliance may be granted to designated 

facilities that plan to install the necessary control equipment to comply with 

the requirements of this rule and to facilities planning to install an onsite 

alternative waste treatment technology which will not be available for 

installation until after the I year deadline, provided that the designated 

facilities comply with the petition procedW'es for extension as specified in 

this rule. 

Petitions for extension of compliance that ar·e not submitted on time (meaning 

on or before September 15, 2000) will be automatically denied .. 

Petitions for extensions of compliance must be submitted in wtiting to the 

Director of the Air Program. 

Petitions for extension of compliance will be granted or denied within 30 

days after receiving the petition with the required information.