## 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"'"o1,_ 3:08 P.M. APROBADO: HON: FERDINAND MERC 0 SE ARlO DE ESTADO



# Enmiendas al Reglarnento para el Control de la Contarninaci6n Atrnosferica de laJunta de Calidad Arnbiental para curnplir con

los requisitos paraPlanes Estatales de las Secciones 111(d) y 129 de la Ley Federal de Aire Lirnpio para irnplantar las Guias de Ernisiones paraIncineradores de Desperdicios de Hospitales y Medico Infecciosos

Version 2001

### EST ADOLIBREASOCIADODEPUERTORICO I 

### OFICINA DELA 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 YAG'UAS CLARAS,AIRE LhVP/0 YNUBES BLANCAS:- ;CUIDAS'LA VIDA .51NO LA CONTAMJNAS'! ED/FIC/0NATIONAL PLAZA, AVENIDA. PONCEDE LEON#431, HATO REY, PUERTO RICO 00917 APART ADO 11488 SANTURCE, PUERTOR1CO 009/0 TEI.EFONO: 767-8/812 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 Efectividad 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~Od** Junta de Calidad Ambiental Edifido Nadonal Plaza 431 Ave Ponce de Leon Hate Rey, Puerto Rico Ley Num. 9 dellS dejunio 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

Estas 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 parala 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 Presiden")'terino

Ve/andoporIapureza que usteddesea, en elambi'ente que le rodea EDIFICIO NACIONAL PLAZNAVE. PONCE DE LEON 431/HATO REY, PR 00917 APARTADO 11488/SAN JUAN, PR. 00910nELEFONO 767-8181de 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

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

Anrbientnl, sex1o pr!;O del Edif!Cio Naaon.al PlazJ. Hato Rey. Puerto Rico. toda persona que desec soliCJlar j

un tumo para dich:l Vr.:ta <hf)er;i hacer1o IX'' CSC!llO por lo mcnos crrlCO (5) dias antes de lil m1srna O•d-;;Jt, I

Vl!i!as ser-rn prcsididas por un 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 DE 'LDESPERDICJOS DE IIOSPfi'ALES/MEDICOS E fNFECCIOSOS Y PROI\flli_GAR LAS

**/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,wiP.<i

**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.:1 vc.·

**Feder;"~\** de Air e Urnpw ("CAll.", por **~~~•** >•t:las <fl tnr.tes) **"~]uJerc** <]ue las **A>~ en=~**  **l\t1!Uiarlor~<** un;>l1lll<1T **b~**

Guias de i'misicin 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~'** Inn'• de

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<i<>tJcs

**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 >.nlc<:. rle

**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<ibli<~**  v

pr<Xt><il'1":> 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** End

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

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

Fl><ic"r.ll. Si d G<Jbicrno de !'11erto Rico_ a b·aves de b ICA no som,..bet-a un Plan **E~t.at;,J** aprobabk, cntonces Ia

EPA "<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.lamenlAn.l.S

al «.,-.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 /\rca de

C1lidad de Airc de],, lunu d., CalidJd

**Ambt~ntl!en_** Av•nida P,mce d.<[_..,;" 43)_ F-<Ii!icio Natwnal!'ltun_ Orta,.o

**J~w** Jlalo Rn 1\ieda Riw Cuakl"""

""'""n"'"" cnn rcl;rciQn a **e5Io~** documcnlos tklwrd wnu:u""' por e=llo d"ntro d<' loS'"'"'"' (7.0)

**dia~** de 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 Ambomfal.

**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 am ta

\"r>'IA **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-<lificio

**~auonall'l>101,** Hato Rey,J'locno Rko Toda persona **•w~** dtse<.' sniicilar "" lurno p.lfa dicha \'i"t.; dcbt•r;i **lu.-~do**

por c:;cn<O por ro mt·!los unco (S) dios**~m~s d~**  Ia nusma **Did"~** '"''""' **~ran** prcsidid•s por un**Pan~!**

E:u.mmador_ **e1~ua1** rcndir;i

**~u rc~onoend•ci6rr**  **~naJ** con re1aci6n at f'bu Esl.:illll vaLl

**·~-v.l1menL100n** aJ "''ll'''tn a

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>Onclo

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.oicrno **d~** Ia

**tunr·~** de Cahd.od **llurhicnt~lle rmpa~t.J**  su d[>r<>hacu\n !mal podri .otjciL:u' reconsidcnoon "n los pr6X!ruos vctlll<'

**(~0)** dias desde 1a lctlra

**d~ ap<obaciio~>**  **m~d<;rnl<;** soti<-ilnd c-;cnta_ en trip!ic;rrlo **~** debid;m«•ntc ltUH[3Jnent:uh

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;"1a<lo li4M.S..:.nturccSt.Jhon_S..nturcc,f'ucrwRico 0!!')!()**~ j,~** 

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

b<< A,.-_., Po',Lii"' "- **"""'~** "" <onln<<n<<l>d <M cl **An~ulo** H{!l) de I• 1'-11 **,._,b,~** I' .. I<Ln l'ubk" **J\l"bi~nwl** <k ['u.,r<o R•.n (try

'>/1"70) y \o S.."C<>oin **~!de** I> l•·y **~c** l'«.C<-Jimicn,n< Admini<,lrot,.,, lJ,--r,,," <lc ;-,.,...,,. **R~n** (fry **170/l~AA)** Ar>•nb3do "'" I• '"'I

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### INDEX
Page No Rule I02 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 ofthe 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 suchthatneitherwaste charging norashremoval can occurdwing combustion. 

### Biologicals (For· the purpose ofRule405) 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 (Forthe purpose ofRule405) Means any productderived from human blood, includingbut not limitedto bloodplasma, platelets, red or white blood corpuscles, and otherderived licensed products, such as interferon, etc. 

### Board Means the Environmental Quality Board (EQB) ofthe Comrnonwealt.1-j ofPuerto Rico 

### Body Fluids (For the pur·pose ofRule 405) Means liquid emanating or derived from humans and limited to blood; dialysate; amniotic, cerebrospinal, synovial,plew·al, peritoneal andpericardia!fluids; andsemenand 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 ofantineoplastic agents used for the pwpose ofstopping or reversing the growth ofmalignant cells Co-fired combustor Means a unit combusting hospital waste and/or medical/infectious waste with otherfuels or wastes ( e
..g., coal, municipal solid waste) and su!Jject to an enforceable requirement limiting the unit to combusting afuel feed stream, I0percent 01 

### less ofthe weight ofwhich is comprised, inaggregate, of hospital waste and medical/infectious waste as measmed on a calendar quarter basis For pwposes ofthis 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 orCEMS Means a monitoring system for continuously measwing and recording the emissions ofa 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 ofperfmmance for that pollutant ifthe existing facility were an affected facility
.. Designated Pollutant Means any air pollutant, emissions of which are su!Jject to a standard ofperformance 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 spraysanalkaline sorbent(spraydryer)to reactwithand neutralizeacidgasesintheHMIWI exhaust stream forming a dry powder material. 

### EPA Means the United States Environmental ProtectionAgency
.. EQB Meansthe Board; the Environmental Quality Board ofthe Commonwealth ofPuerto Rico. Existing facility Means, with reference to a stationary source, any appar·atus ofthe type for which a standard is promulgated in 40 CFR Part 60, and the construction or modification ofwhich was commenced before the date ofproposal ofthat standard; or any apparatus which could be altered in such a way as to be ofthat type. Fabric filter or· bagbouse Meansanadd-onairpollutioncontrol systemthatremovesparticulatematter(PM)andnonvaporous metals emissions by passing flue gas through filter bags
.. Facilities manager· Meansthe individual in chargeofpwchasing,maintaining,andoperatingtheHMIWI orthe owner's or operator's representative responsible for the management ofthe HMIWI Altemative titles may include director of facilities or vice president ofsupport services-4-
High-airphase Means the stage ofthe 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 wherethepiimaryfunction of the institutionis toprovidediagnosticandtherapeuticpatientservices and continuous nursing car·e primarily to human inpatients who are not related and who stay on average in excess of24hour·s peradmission. This definition does not include facilities maintained for the sole purpose ofproviding nursing orconvalescent car·e to humanpatients who generally are not acutely 

### ill but who require continuing medical supervision. HospitaVmedicaVinfectious waste incineratororHMIWI orHMIWI unit Means any device that combusts any amount ofhospital waste and/or medical/infectious waste.. HospitaVmedicaVinfectious waste incineratoroper·ator or· HMIWI operator Means any person who operates, controls or supervises the day-to-day operation ofan HMIWI. Hospital waste Means discards generated at a hospital, except unused items returned to the manufactur·er. The definition ofhospital waste does not include human cmpses, remains, and anatomical partsthat ar·e intended for interment or cremation. Infectious agent (For the pur·pose ofRule 405) Means any organism (such as avirusorbacteria)that is capableofbeingcommunicatedby invasion and multiplication in body tissues and capable ofcausing disease or adverse health impacts in humans. Intermittent HMIWI Means an HMIWI that is designed to allowwaste charging, butnot ashremoval, duringcombustionLarge HMIWI Means:(I) Except as provided in (2), -5-

(i) AnHMIWI whose maximumdesign wasteburningcapacityis morethat 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 batchHMIWI whose maximumchargerate is morethan 4,000poundsper day
.. (2) The following are not large HMIWI: (i) A continuous or intermittent HMIWI whose maximum charge rate is less than orequal to 500 poundsperhour·; or (ii) A batch HMIWI whose maximum charge rate is less than orequal to 4,000 pounds per day Low-level radioactive waste Means waste material which contains radioactive nuclides emitting primarily beta or gamma radiation, orboth, 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, orby-product material as defined by the Atomic Energy Act ofI954 (42 US.C. 2014 (e)(2)). Malfunction (For pUl'pose ofRule 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, inpart, by poormaintenance orcardessoperation ar·e notmalfunctions. Duringperiods ofmalfunction the operator shall operate within established parameters as much as possible, and monitoring ofall applicable operatingparameters 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, II0 percent ofthe 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 ofthe lowest daily charge rate measured during the mostrecentperformancetestdemonstratingcompliancewithall applicableemission 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 Pv = primary chambervolume, ft3 15,000 

## = primary chamberheat 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 Pv 

### = primary chamber volume, 

### ft' 4 5 = waste density, lb/ft3 8 

### = typical hour·s ofoperation ofa batch HMIWI, hours
..-7- Maximum fabric filter· inlet temperature 

### Means II0 percent ofthe lowest 3-howaverage temperatwe at the inlet to the fabric filter (taken, at aminimum,onceevery minute) measwed duringthe most 1·ecentperformancetestdemonstrating compliance with the dioxin/furan emission limit Maximum flue 

### gas temperature 

### Means II0 percent ofthe 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 ofRule 405) 

### Means any waste generated 

### in the diagnosis, treatment, or immunization of human beings or animals, in research pertaining thereto, orin the production or testing ofbiologicals that is listed below: (I) CultUI'es and stocks of infectious agents and associated biologicals, including: culturesfiummedical andpathologicallaboratories;cultur·es and stocksofinfectious 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) Humanpathological waste, includingtissues,organs,andbody partsand body fluids that are removed during surgery or autopsy, or other medical procedur·es, and specimens ofbody fluids and their containers. (3) Human blood and blood products including: (i) Liquid waste human blood; (ii) Products ofblood; (iii) Items satur·ated and/or dripping with human blood; or-8- (iv) Iterns 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, orindustiiallaboratories, includinghypodermicneedles, syringes (with or without the attached needle), pastempipettes, scalpel blades, blood vials, needleswithattachedtubing, and cultwedishes (regardlessof presence ofinfectious agents).. Also included ar·e othertypes ofbroken orunbroken 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, andbedding of animals that were known to have been exposed to infectious agents dwingresear·ch (including research in veterinary hospitals), production ofbiologicals 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 protectothersfiomcertainhighlycommunicablediseases,orisolatedanimalsknown 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 ofmedical/infectious waste does not include hazardous waste identified or listed underthe regulations in 40CFR 261; household waste, as defined in 40CFR261.4(b)(l); ash from incineration ofmedical/infectious waste, once the incinerationprocesshas 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) AnHMIWI whosemaximumdesignwastebumingcapacityismorethan200 pounds per how but Jess than or equal to 500pounds perhow; or (ii) A continuous or intermittent HMIWI whose maximum charge rate is more than 200 pounds perhow but Jess than orequal to 500poundsper how; or (iii) A batch HMIWI whosemaximumchargerate is morethan I,600poundsper day but Jess than or equal to 4,000pounds perday
.. (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 perhow ormore than 500poundsperhour; or (ii) A batchHMIWI whosemaximumchargerate is morethan4,000poundsper day or Jess than or equal to I,600 pounds per day. Minimum dioxin/fur·an sorbentflow r·ate Means90percentof thehighest3-how averagedioxinlfuransorbentflowrate (taken, ata minimum, onceeveryhow') measw·ed duringthe mostrecentperformancetestdemonstratingcompliancewith the dioxin/furan emission limit. Minimum, Hg sorbent flow r·ate Means 90 percent ofthe highest 3-how· average Hg sorbent flow rate (taken, at a minimum, once every how') measw·ed during the most recent perfmmancetest demonstrating compliance withthe Hg emission limit Minimum hydmgen chloride (HCL) sorbentflow r·ate Means 90 percent ofthe 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.-I0- 

### Minimum horsepower or amper·age Means 90percentofthehighest 3-houraveragehorsepower oramperage tothe wet scrubber(taken, at aminimum, onceevery minute)measured during the most recentperfmmancetestdemonstrating compliance with the applicable emission limits
.. 

### Minimum pressur·e drop across the wet scrubber Means 90percent ofthe highest 3-hour average pressure drop across the wet scrubberPM control device (taken, at aminimum, once every minute) measured duringthe mostrecentperformancetest demonstrating compliance with the PM emission limit 

### Minimum scrubberliquorflow rate Means 90 percent ofthe 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 90percent ofthe highest 3-hour· average liquorpH 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, ordioxinlfwan emission limits
.. 

### Modification or Modified HMIWI (For· the purpose ofRule 405) Means any change to an HMIWI unit after the effective date ofthese standards such that:

### -II- (I) 

### The cumulative costs ofthe modifications, over the life ofthe unit, exceed 50 per centum of the original cost of the construction and installation of the unit (not including the cost ofany land purchased in connection with such construction or installation) updated to current costs, or (2) The changeinvolvesaphysicalchangein orchangeinthemethod ofoperation ofthe unit which increases the amount ofany air pollutant emitted by the unit for which standards have been established under section 129 or section Ill ofthe Act 

### Oper·ating day Means a 24-hour period between 12:00 midnight and the following midnight during which any amount ofhospital waste ormedical/infectious waste is combusted at any time in the HMIWI 

### Operation Means the period during which waste is combusted in the incinerator excluding periods ofstartup or shutdown 

### Particulatematteror· PM (For· thepurposeofRule 405) Means the total particulatematteremittedfiom an HMIWI as measured by EPA Reference Method 5 or EPA Reference Method 29 

### Pathological waste (Forthe purpose ofRule 405) Means waste material consisting ofonly human oranimal remains, anatomical parts, and/ortissue, 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 Meanstheendothermicgasificationofhospitalwasteand/ormedical/infectiouswasteusingexternal energy 

### Secondary chamber Means a component ofthe HMIWI that receives combustion gases from the primary chamber and in which the combustion process is completed 

### Shutdown (Forthe pur·pose ofRule 405) Meanstheperiodoftimeafterall wastehasbeencom busted intheprimarychamber
.. Forcontinuous HMIWI, shutdownshall commence no less than

### 2hoursafterthe last chargeto 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 ofcombustion 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 perhour·; or (ii) A continuous or intermittent HMIWI whose maximum charge rate is less than or equal to 200 pounds perhour·; or (iii) A batch HMIWI whose maximum charge rate is less than orequal 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 perhour; (ii) Abatch HMIWI whose maximum charge rate is morethan I,600 pounds per da)-13- 

### Standard conditions Means a temperature of20°C and a pressure of 1 01.3 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 oftimebetween the activation ofthe system and the first chargeto the 

### unit For batchHMIWI, startup meansthe period oftimebetween activation ofthe system and ignition ofthe 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!WlW 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) ofthis 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 ofsix (6) months starting from the effective date ofthis 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 ofapproval ofthe first operating permit. (a} (1} CC} 

### ffl All incinerators affected by this

### mie Section (a) must complete a performancetest to demonstrate compliance with the rule every five (5) years afterthefirst 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 ofthe combustion chamber after the last incineration activity ofthe day but before ofthe chamber reloading. (a} (]} 

### CDl Iii) 

### tbJ
(a) (]} 

### CDl (iii)



### Cal IIl IDl (iv} {e] must comply with a maintenance plan to the settling chamber to avoid exceedances ofthe 20% opacity limit as required under Rule 403, and must segregate waste materials and recycle ordispose 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 compliancetests within the last five years, will not be required to perform an initial performance test for particulate matter (PM) iftheirprevious compliance determination demonstrated compliance with the standard established by this rule in paragraph 

### {;!)_Q}.(BJ
.. Forthese 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 ofthisrule. Non-hazardous solid waste andior medical waste incinerators shall not cause or permit the emission of particulate matter (PM) in excess of040 pounds per I00 pounds (4 grnlkg) ofwaste 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 similartotherequirements for operatortraining and certification contained in Section 

### .{QlQJ Any incinerator affected by this rule shall comply with the applicable requirements under Rule I06.. Any non-hazardous solid waste andfot medical waste incineratorthat shall comply 

### 'Nith a.11y 

### applicable regulation orrequiiements under the

**~~standards** 

### ofPerformance forNew 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) ofthis 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) ofthis 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 ofthe combustor: (b) (I) (B) (i) Notifies the EQB ofan 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 ifthe owner oroperator ofthe co-fired combustor: (b) 

### (I) (C) (i) Notifies the EQB ofan exemption claim, with carbon copy to the EPA; and (b) (I) (C) (ii) Provides an estimate ofthe relative weight ofhospital 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 ofall other fuels and wastes combusted 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 ofthe 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 CFR 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 oroperational 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 ofsubpart Ec of40 CFR Part 60. Any designated facility subject to this section shall operate pursuant to a 

### I itle V operating permit according to the requirements ofPart VI ofthe Regulation for the Control of Atmospheric Pollution, no later than September 15, 2000
.. Emission Limitation On and afterthe date on whichthe initial performance test is completed oris required to be completed underthis 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 ofthe limits presented in Table 1, except as provided in (b)(2)(B) ofthis section Any small HMIWI which is located more than 50 miles from the boundary ofthe nearest Standard Metropolitan Statistical Area, and which burns less than 2,000 pounds per week ofhospital and medical/infectious waste shall not discharge any gases that contain stack emissions in excess ofthe limits presented in Table 2 The 2,000 pou_nds per week !imitation does not apply during perfonnance tests. On and afterthe date on which the initial performance test is completed oris required to be completed under this rule, whicheverdate comes fust, no owner oroperator of a designated facility shall cause to 

### be discharged into the atmosphere fiom the stack ofthat 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 permillion 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 IEQ (grains per billion dry standrud cubic feet) Hydrogen chloride pruts per million by volume or IOOor I00 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. EMISSIONLIMITS 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 permillion 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) ornanograms per dry (6
..6) standard cubic meter TEQ 

### (grains per billion dry standard cubic feet) Hydrogen chloride parts permillion by volume 3100 Sulfur dioxide parts permillion by volume 

### 55 Nitrogen oxides parts permillion 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 perthousand (L7) dry standard cubic feet) Mercury milligrams per dry standard 7. 

### .5 cubicmeter (grains perthousand (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 ofa designated facility shall allow the designated facility to operate at any time unless a fully trained and qualified HMIWI operatoris accessible, either at the facility or available within I hour.. The trained and qualified HMIWI operator may operate the HMIWI directly orbe the direct supervisor ofone ormore 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) ofthis 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 oftraining 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 ofcombustion; Operation ofthe type ofincinerator 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 monitorpollutants (continuous emission monitoring systemsand monitoring ofHMIWI and airpollution control device operatingparameters) and equipment calibration procedw·es (where applicable); Inspection and maintenance ofthe 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 ofa training course that satisfies the criteriaunderparagraph (b) (3) (C) ofthis section; and Either

### 6 months experience as an HMIWI operator, 

### 6 months experience as a direct supervisor ofan HMIWI operator, orcompletion ofat leasttwo burn cycles underthe observation oftwo qualified HMIWI operators Qualification is valid from the date on which the examination is passed orthe completion ofthe required experience, whichever is later I o maintain qualification, the trained and qualified HMIWI operator shall complete and pass an annual review orrefi·esher course ofat least 4 hours covering, at a minimum, the following: Update ofregulations; Incinerator operation, including startup and shutdown procedmes; Inspection

**a..~d** maintena.tce; Responses to malfunctions orconditions that may lead to malfunction; and Discussion ofoperating problems encountered by attendees
.. A lapsed qualification shall be renewed by one ofthe following methods: For a lapse oflessthan 3 years, the HMIWI operator shall completeand 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 ormore, the HMIWI operator shall complete and pass a training cowse with the minimum criteriadescribed in paragraph (b) (3) (C) ofthis section. The owner oroperator ofa designated facility shall maintain documentation at the facility that address the following: Swnmary ofthe applicable standards underthis rule; Description ofbasic combustion theory applicable to an HMIWI; Procedwes for receiving, handling, and charging waste; HMIWI startup, shutdown, and malfunctionprocedw·es; Procedw·es for maintaining propercombustion air supply levels; Procedw·es for operating the HMIWI and associated air pollution control systems within the standards established underthis 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 ofa designated facility shall establish a program for reviewing the information listed in paragraph (b) (3) (H) ofthis section a.m1ua!!y witl1 

### each H!t.1IWI operator.. The initial review ofthe information listed in paragraph (b) (3) (H) ofthis section shall be conducted within 

### 6months afterthe effective date ofthis rule or prior to assumption of responsibilities affecting HMIWI operation, whichever date is later. Subsequent reviews ofthe information listed in paragraph (b) (3) (H) ofthis section shall be conducted annually.(b)(3)(J)

(b) (4)

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

### -I0- The information listed in paragraph (b) (3) (H) ofthis section shall be kept in a readily accessible location for all HMIWJ operators This information, along with records oftraining shall be available for inspection bythe 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 oftoxic emissions from incinerated waste. A waste management plan may include, but is not limited to, elements such as paper, cardboard, plastics, glass, battery, ormetal recycling; orpwchasing recycled orrecyclable products.. A waste management plan may include different goals or approaches for different ar·eas or departments ofthe facility and need not include new waste managementgoals for every waste stream.. Itshould identify, wherepossible, reasonably available additional waste management measw·es, taking into accountthe effectiveness ofwaste managementmeasw·es already inplace, 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 Facilitieson shall be considered in the development ofthe 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 ofTable 2 ofthis rule shall perform, within I year after the approval ofthe State Plan or after the publication date ofthe EPAs 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; Ensweproper adjustment ofprimary and secondary chambercombustion 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 chamberrefractorylining; clean and repair/replace lining as necessary; Inspect incinerator shell for corrosion and/orhot 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; Forthe 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 properoperation, ifapplicable; Inspect waste heat boiler systems to ensure proper operation, ifapplicable; Inspect bypass stack components; Ensure proper calibration ofthermocouples, sorbent feed systems and any othermonitoring 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 I0 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 ofthe previous equipment inspection), as outlined in paragraphs (b) (5) 

### (A) (i) and (b) (5) 

### (A) (ii) ofthis 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 underthis 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) ofthis section. The use ofthe bypass stack during a performance test shall invalidate the performance test. AJ! performa..'1cetests 

### shall consist ofamin.liu.Ui11 

### ofthtee 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 of40 CFR Part 60 and in the Appendix ofthis Regulation shall be 

### used to selectthe sampling location and number oftraverse 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 ofappendix A of40 CFR Part 60 and in the Appendix ofthis Regulation shall be used for gas composition analysis, including measurement ofoxygen concentration EPA Reference Method 3 or 3A ofappendix A of40 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 ofappendix A of40 CFR Part 60 and in the Appendix ofthis Regulation shall be used to measure the particulate matter em1ss1ons
.. EPA Reference Method 9 of appendix A of40 CFR Part 60 and in the Appendix ofthis Regulation shall be used to measw·e stack opacity. 

### EPA Reference tv1ethod 1 0 or 1 OB ofappendix A of40 CFR Part 60 and in the Appendix ofthis Regulation shall be used to measw·e the CO emissions
.. EPA Reference Method 23 ofappendix A of40 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 Ifthe 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 ofeach dioxin/furan tetra- through octa-congener emitted using EPA Reference Method 23
. For each dioxin/furan congenermeasured in accordance with paragraph (b) (6) (B) (ix) (I) ofthis section, multiply the congener concentration by its corresponding toxic equivalency factor specified in Table 3 ofthis rule-15- 

### TABLE3. TOXICEQUIVALENCYFACTORS
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-
Sumthe products calculated in accordance with paragraph (b) (6) (B) (ix) (2) ofthis section to obtain the total concentration ofdioxins/furans emitted in terms oftoxic equivalency. EPA Reference Method 26 ofappendix A of40 CFR Part 60 and in the Appendix ofthis Regulation shall be used to measure HCl emissions Ifthe designated facility has selected the percentage reduction standards for HCl under section (b) (2) ofthis 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 ofHCl emissions achieved; E; = HCI emission concentration measured at the control device inlet, corrected to 7percentoxygen (dry basis) ; and E. = HCI emision concentration measured at the control device outlet, corrected to 7percent oxygen (dry basis). EPA Reference Method 29 of appendix A of40 CFR Part 60 and in the Appendix of this Regulation shall be used to measure Pb, Cd, and Hg 

### emissions.. 

### Ifthe 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 I00(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, orHg) 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 ofa 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) ofthis 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 performancetests overa 3-yearperiod indicate compliance with the emission limit for a pollutant (PM, CO, or HCI), the owner or operatormay forego a 

### performa..TJ.ce test forL'latpollutantforthe subsequeni2years 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).. Ifa 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 Ifany 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 theperformance test Facilitiesusing a CEMS to demonstrate compliance with any ofthe emission limits under section (b) (2) ofthis rule shall: Determinecompliance 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, ormalfunction}. 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 oroperator ofa 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 ofthis rule for each control system, as site specific operating par·arneters during the initial performance test to determine compliance with the emission limits; andTABLE 4. OPERATING PARAMETERS TO BE MONITORED AND MINIMUM MEASUREMENT AND RECORDING FREQUENCIES

Minimum frequency Control system

. Dry scrubber

Dry scrubber followed by

Data Data followed by Wet fabnc filter and

Operatmg parameters to be momtored measurement recording fabric filter scrubber wet scrubber

Maximum operating parameters Max1mum charge rate continuous I x hour .I .I .I

Maximum fabnc filter miet temperature continuous I x minute .I .I

Max1mum flue gas temperature continuous I x minute .I .I

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

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

Minimum HCI sorbent flow rate hourly I x hour .I .I

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

Mimmum pressure drop across the wet scrubber or minimum horsepower or amperage

to wet scrubber continuous I x minute .I .I

Minimum scrubber liquor flow rate continuous I x minute

.I .I

Minimum

scrubber liguor pH continuous I x mmute .I .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, whicheverdate comes first, ensure that the designated facility does not operate above any ofthe applicable maximum operating parameters or below any ofthe applicable minimum operating parameters listed in 

### I able 

### 4 and measw·ed as 3-how· rolling averages (calculated each hour as the average ofthe 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 ofestablished operating parameter (s).. Except as provided in paragraph (b) (6) (H) ofthis section, for designated facilities equipped with a dry scrubber followed by a fabric filter: Operation ofthe designated facility above the maximum charge rate and belowthe minimum secondary chambertemperatme (each measured on a 3- hour rolling average) simultaneously shall constitute a violation ofthe CO emission limit Operation ofthe 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 a3-hour rolling aveiage) simultaneously shall constitute a violation ofthe dioxin/furan emission limit. Operation ofthe 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 sorbent flow rate (each measured on a 3-how rolling average) simultaneously shall constitute a violation ofthe 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 ofthe bypass stack (except dwing startup, shutdown, or malfunction) shall constitute a violation ofthe PM, dioxin/furan, HCI, Pb, Cd and Hg emission limits Except as provided in paragraph (b) (6) (H) ofthis section, for designated facilities equipped with a wet scrubber: Operation ofthe 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 ofthe designated facility above the maximum charge rate and belowthe minimum secondary chambertemperatw·e (each measw·ed on a 3- hour rolling average) simultaneously shall constitute a violation ofthe CO emission limit. Operation ofthe 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 ofthe dioxin/furan emission limit Operation ofthe 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 oftheHCl emission limit Operation ofthe 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 ofthe Hg emission limit. Use ofthe bypass stack (except dwing startup, shutdown, or malfunction) shall constitute a violation ofthe 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) ofthis section, for designated facilities equipped with a dry scrubber followed by a fabric filter and a wet scrubber: Operation ofthe 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 ofthe CO emission limit Operation ofthe 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-hourrolling average) simultaneously shall constitute a violation ofthe dioxin!fwan emission limit Operation ofthe designated facility above the maximum charge rate and belowthe minimum scrubber liquorpH (each measured on a .3-hourrolling average) simultaneously shall constitute a violation of theHCl emission limit Operation ofthe designated facility above the maximum charge 1ate and belowthe minimum Hg sorbent flow mte (each measur·ed on a 3-hour·rolling avemge) simultaneously shall constitute a violation ofthe Hg emission limit Use of the bypass stack (except during staitup, shutdown, or malfunction) shall constitute a violation ofthe 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) ofthis 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 ofa 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) ofthis mle shall petition the Administrator for other site-specific operating parameters to be established during the initial perf01mance test and continuously monitored thereafter The owner01 operator shall not conduct the initial perfmmancetest 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 ofTable 2 ofthis 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) ofthis rule
.. The 2,000 lb/week limitation under section (b) (2) (B) ofthis 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 Foilowing 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 ofthe 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 ofthe established operating par·ameter (s). Except as provided in paragraph (b) (6) (K) (v) ofthis section, operation of the designated facility above the maximum charge rate and below the minimum secondary chambertemperature (eachmeasured on a 3-hour rolling average) simultaneously shall constitute a violation ofthe 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 able4 suchthatthese devices (ormethods) measur·e and record values for these operating parameters at the fiequencies indicated in I able 4 at all times except during periods ofstartup 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 ofthe 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 ofa 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 ofa designated facility shall obtain monitoring data at all times during HMIWI operation except during periods ofmonitoring equipment malfunction, calibration, or repair. At a minimum, valid monitming data shall be obtained for 75 percent ofthe operating hours per day and for 90 percent ofthe operating days per calendar· quarter that the designated facility is combusting hospital waste and/or medical/infectious waste.. Any small HMIWI that meets therural criteria as in Section (b)(2)(B) and is subject to the emission limits of

### Iable 

### 2 ofthis rule shall comply with the following monitoring requirements: Install, calibrate (to manufacturers' specifications), maintain, and operate a device for measuring andrecordingthetemperatw·e ofthe secondary chamber on a continuous basis, the output ofwhich 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 ofeach char·ge fed into the HMIWI. I he owner or operator ofa designated facility shall obtain monitoring data at all times during HMIWI operation except during periods ofmonitoring equipment malfunction, calibration, or repair.. At a minimum, valid monitoring data shall be obtained for 75 percent ofthe operating hour·s per da) and for 90 percent ofthe 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 ofa designated facility shall maintain the following information (as applicable) for a period ofat least 5 years: Calendar date ofeach record; Records ofthe 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 (ifapplicable); HMIWI charge dates, times, and weights and howly charge rates; Fabric filter inlettemperatmes dwing eachminute ofoperation, as applicable; Amount and type ofdioxin/furan sorbent used dwing eachhow· ofoperation, 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 ofHCl sorbent used during each how ofoperation, as applicable; (b) (8) (A) (ii) (7) Secondary chambertemperatw'es recorded dwing each minute ofoperation; (b) (8) (A) (ii) (8) Liquorflow rate to the wet scrubber inlet dwing each minute ofoperation, 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) (I0) 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 ofcalendar days for which data on emission rates or operating parameters specified underparagraph (b) (8) (A) (ii) ofthis section have not been obtained, with an identification of the emission rates or operating parametersnotmeasured, reasons for not obtainingthe data, and a description ofcorrective actions taken Identification of calendar· days, times and durations of malfunctions, a description ofthe malfunction and the corrective action taken. Identification ofcalendar days for which data on emission rates oroperating parameters specified underparagraph (b) (8) (A) (ii) ofthis section exceeded the applicable limits, with a description ofthe exceedances, reasons for such exceedances, and a description ofcorrective 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 showingthe namesofHMIWIoperatorswho have completedreview ofthe information in (b) (3) (H) as required by section (b) (3) (1), including the date ofthe initial review and all subsequent annual reviews; Records showing the names ofthe HMIWI operators who have completedthe operator training requirements, including documentation oftraining and the dates ofthe training; Records showing the names ofthe HMIWI operators who have met the criteria for qualification under section (b) (3) ofthis 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 ofcalibration ofany monitoring devices as required under section (b) (7) (A), (B), and (C) ofthis rule The owner or operator ofa designated facility shall submit the information specified in paragraphs (b) (8) (B) (i) through (b) (8) (B) (iii) ofthis 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) ofthis rule. An annual report shall be submitted I year following the submission ofthe information in paragraph (b) (8) (B) ofthis section and subsequent reports shall be submitted no more than 12 months following the previous report (once the unit is subjectto permittingrequirements under 

### Iitle 

### Vofthe Clean Air Act, the owner or operator ofa 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) ofthis 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) ofthis rule, as applicable The highest maximum operating parameter and the lowest minimum operating parameter, as applicable, for each operatingparameterrecorded for the calendaryear being reported, pursuant to section (b) (6) (D) or (I) ofthis 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 ofthe 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) -29- Any information recorded under paragraphs (b) (8) (A) (iii) through (b) (8) (A) (v) ofthis section for the calendar· year being reported. Any information recorded under paragraphs (b) (8) (A) (iii) through (b) (8) (A) (v) ofthis 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
.. Ifa performance test was conducted during the reporting period, the results ofthat test Ifno exceedances ormalfimctions were reported underparagraphs (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 informationrecordedunderparagraphs (b) (8) (A) (iii) through (b) (8) (A) (v) ofthis section no later than 60 days following the reporting period.. The first semiannual reporting period ends 6 months following the submission ofinformation in paragraph (b) (8) (B) ofthis 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) ofthis section shall be maintained onsite in either papercopy orcomputer-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 ofTable 2 ofthis 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) -30- Maintain records of the annual equipment inspections, any required maintenance, and any repairs not completed within I0 days ofan inspection (orthe timefiame established by the Board); and Submit an annual report containing infmmationrecorded underparagraph (b) (8) (F) (i) ofthis 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 permittingrequirements under 

### I itle V ofthe Act, the owner or operatormust submit these reports semiannually). The repmt shall be signed by the facilities manager OtherRepmting All designated facilities that ar·e required to comply with Rule 405(b )(9)(E) shall report to theEQB theirachievementtoward meeting the increments of progress within ten (10) days after achieving each of the increment of progress ofthe compliance schedule Compliancetimes All designated facilities shall comply with all applicable requirements ofthe State Plan on orbefore the date I year· afterEPA approval ofthe State Plan orafterthepublication date ofthe EPA'sFederal Plan, whichever is sooner, regardless of whether a designated facility is identified in the State Plan inventory required by Section 60.25 (a) of40 CFRPart 60 Subpart Band in theAppendix ofthis Regulation, except as providedinparagraphs (E) and (F) ofthis 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 ofthe State Plan orafter the publication date ofthe 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 compliancebeyond the compliancetime as specified(b) (9) (D)

(b) (9) (E)

(b) (9) (E) (i)

(b) (9) (E) 

### (ii)

(b) (9) (E) (iii) -31- 

### 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 ofthe State Plan or after the publication date ofthe EPA'sFederal 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 ofair pollution controls, before reopen, except if it is part of a compliance schedule as specified inparagraph (b) (9) 

### (E}. Extensions granted to designated facilities to comply with the applicable requirements for the installation ofthe necessary control equipment or for alternative waste treatment technology beyond the date specified in (b) (9) 

### (A) must include measwable and legally enforceable increments ofprogress toward compliance
.. The increments ofprogress must be as follows: Shall submita final control plan describingthe controls ortechnology thatthe 

### sowce will use to comply with the emission limitations and other requirements not later than 

### 12 months after the EPA approval ofthe State Plan or after the publication date ofthe 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 ofcompliance. Awarding contracts for control systems or process modifications ororder for pmchase of components.. This step must be completed no later than 

### 15 months after EPA Approval ofthe State Plan or after the publication date of the EPA'sFederal 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 ofthe 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) -32- 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 ofthe State Plan or after the publication date ofthe EPA's Federal Plan, whichever is sooner Fina! Compliance must be achieved on orbefore September 15, 2002 An initial performance test following the procedures and requirements in section (b) (6) shall be completed within 180 days afterthe final compliance has been achieved. Any designated facility that petition an extensionfor compliance beyond the compliance time as specified in (b) (9) (A) shall submit the following information not later than the submittal ofthe timely and complete Title V operating permit application. Documentation of the analyses undertaken to support the need for an extension, including an explanation ofwhy more than one year after EPA approval ofthe State Plan is necessary to comply with all the requirements of such plan. The documentation shall also include an evaluation ofthe option to transportthe waste offsite to a commercial medical waste treatment and disposal facility on a temporary orpermanent basis Documentation ofmeasurable 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) ofthis rule shall not be subject for inclusion in any petitionfor extension ofcompliance, and shall be complied with by the date one (I) year· after EPA approval ofthe State Plan or after the publication date ofthe 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) -33- Provisions for granting or denying the extensions ofcompliance Extensions beyond the deadline for compliance may be grantedto designated facilities that plan to install the necessary control equipment to comply with the requirements ofthis 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. Petitionsforextension ofcompliancethatar·e not submitted ontime (meaning on or before September 15, 2000) will be automatically denied
.. Petitions for extensions ofcompliance must be submitted in wtiting to the Director oftheAirProgram. Petitions for extension ofcompliance will be granted or denied within 30 days afterreceiving the petition with the required information.