### CERTIFICATION GUIDELINES FINAL

November 1982

Department of Ecology Hazardous Waste Section Olympia, Washington

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## r-; TABLE OF CONTENTS

INTRODUCTION

. . . . . . . . . . . . . APPLYING FOR A CERTIFICATE

. . . . . . 1. Submission of Application to the Department of Ecology.

. . . .. 2. Confidentiality.
. . ASSESSMENT OF THE APPLICATION 1. Completeness.... 2. Assessment Process

. 3. Generator's Compliance During Assessment ISSUANCE OF CERTIFICATE.

. . . . . . . . . . 1. Information to Appear on the Certificate 2. Determining Waste Status

. 3. Certificate Conditions and Expiration Date 4. Generator's Compliance with the Certificate. DENIAL OF CERTIFICATE

.. REVIEW OF CERTIFICATE

... 1. Review Process. 2. Review Triggers. 3. Generator Must Notify WDOE 4. Amending the Certificate. 5. Generator's Compliance After Amendment WITHDRAWAL OF CERTIFICATE

... 1. Basis for Withdrawal

. 2. Withdrawal Process

.. 3. Generator's Compliance After Withdrawal. EXPIRATION AND RENEWAL OF CERTIFICATE. 1. Generator Must Request Renewal

..... 2. Renewal and Nonrenewal of Expiring Certificate 3. Generator's Compliance During Renewal and After Expiration

. . . . . REVISION OF CERTIFICATION GUIDELINES APPEAL OF DECISIONS

. APPENDIX

. . . . . . . . . . . . . 1. CERTIFICATION FLOWCHART. 2. SAMPLE CERTIFICATE

... 3. TEXT OF WAC 173-303-075, CERTIFICATION OF DESIGNATION

. . . .. . CERTIFICATE OF DESIGNATION APPLICATION 1 1
1 1 2 2 2 2 3 

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### 5 6 6 7 7 8 8 8 8 8 8 9 9 9 10 11 

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### INTRODlJCTION The Certification Guidel.ines are published to implement WAC 173- 303-075, Certification of Designation, and are issued under the authority of the Hazardous Waste Disposal Act. chapter 70.105 RCW. Application for and renewal of Certificates of Designation is entirely voluntary. Generators of solid and dangerous wastes are no.!: required to obtain certificates. The purpose of the Guidelines is to establish the procedures to be followed by the public and the department for obtaining, maintaining, and withdrawing a Certificate of Designation. This certificate, when issued, will establish the appropriate designation status for a solid waste described on the certificate. The intent of this process is to provide waste generators with more certainty regarding their waste designations. The certification process is also descrihed pictorially in Appendix 1. Certification Flowchart. Persons who wish to contact the department regarding certification, including notification, application, questions, or comments, should use the following address and telephone number: Attn: Tom Cook, Chief Hazardous Waste Section, PV-11 Department of Ecology Olympia, Washington 98504 (206) 459-6301 APPLYfNG FOR A CERTIFICATE 1. Submission of Application to the Department.**o~** 

### Ecology To apply for a Certificate of Designation, the generator of a waSLe shall fill out and submit to the Department of Ecology (WDOE) the Certificate of Designation Application form provided in Appendix 4. The generator should be as complete and accurate as possible and, whenever he is unable to provide information requested on the form, he should indicate the reasons such information is not available. After finishing the application, the generator must sign beneath the verification statement at the end of the form to indicate that the information he is submitting is, to the best of his knowledge, true, accurate, and complete.

The generator may identify proprietary**informat~on** 

### included in his application as confidential provided that he indicates to WDOE the degree of harm if the information were made public. Claims of confidentiality must be substantiated at the time the application is submitted. Confidential information will be treated i.n accordance with chapter 42.17 RCW and RCW 43.21A. 160. WCCE will determine if the generator's claim of confidentiality meets the confidential information criteria.

-1-WDOE also reserves for i Lsel f the right Lo p r ovide. co ntide nr LaL information to the U.S. Environmental Protection Agency as described in the Interim and Final Authorization agreements between the state and federal governments. ASSESSMENT OF THE APPLICATION 1. Completeness Upon receiving an application, WDOE will first determine whether or not the appl.icat.ion is complete enough to accurately designate the waste for which certification is sought. This determination will be based on the adequacy of the information provided by the generator ill his application. WDOE may decide that additional information is necessary before the generator's waste can be properly designated. If it is determined that additional information is necessary, WDOE will ask the generator to submit this information in writing (including test data developed pursuant to WAC 173-303-070(4)). A Certificate of Designation cannot be issued until it is determined that the application is complete. 2. Assessment Process Once WDOE determines that an application for a Certificate of Designation is complete and that adequate information exists to correctly designate a waste, an assessment of the waste's status will be made and a certificate will be issued or denied. Within forty-five days of determining that an application is complete, WDOE will notify the generator, in writing, of its intent to issue or deny the certificate, and will inform the generator of the basis for the decision. If a generator disagrees with WDOE's decision and feels that the decision was made in error, he will have forty-five days after being notified of the decision to provide in writing new data or evidence which he believes will modify WDOE's decision. The new lnformation will be considered and a final decision on whether to issue or deny the certificate will be made based on the original and the new information. If after forty-five days from being notified of WDOE's decision the generator has not objected, or if the generator confirms in writing to WDOE that he agrees with the decision,. then WDOE wi 11 either issue or deny the certificate in accordance with the initial decision. 3. Generator's**Com~iance Durin~~essment**  While WDOE is assessing an application for a certificate (including requesting additional information), the generator must continue to designate his waste in the manner described in WAC 173-303-070 through 173-303-103. Submission of an application does not eliminate any of his responsibilities to handle his waste according to the requirements of the Dangerous Waste Regulations, chapter 173-303 WAC.



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### ISSUANCE OF CERTIFrCATE 1. Information to Appear on the Certificate The following is the minimum information which will appear on a Certificate of Designation:

a. The company name, address, telephone number, and EPA/State Identi.fication Number (if generating designated dangerous wastes)

. b. A statement of the waste status and reason for its status.

c. A description of the waste, including but not limited to: the process or source of the waste; the physical nature of the waste (liquid, solid, gas, color, odor, etc.); the waste's generation quantity and rate; typical waste containers; typical method of transport; and, when appro**pri~te,** 

### the name or names of sites approved for receiving the waste. d. The conditions applicable to the certified waste which must be met for the certificate to remain valid or, when necessary, the date on which the certificate will expire.

e. The date on which the certificate is issued.
f. 

### The signature of the Director of WDOE, or his designee. g. ACertificate of Designation number. h. The following statement: This Certificate of Designation is issued pursuant to WAC 173-303-075 and appLi cati

### on for certificate number The use of this certificate to designate or not designate any waste other than that de

### s c ri 

### be d in this certificate and the application may be a violation of chapter 173-303 WAC. A sample Certificate of Designation appears in Appendix 2.**~termining** 

### Waste Status The waste status appearing on a Certificate of Designation describes WlJOE's decision 011 

### how the waste is designated. This waste status can be one of the following:

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### Undesignated by WAC 173-303-080 through 173-303-090. This indicates that the waste has been checked against the lists (Discarded Chemical Products, Dangerous Waste Sources, and Dangerous Waste Mixtures) and the Characteristics (Ignitability, Corrosivity, Reactivity, and EP Toxicity) and has be en determined to be undesignated.



### -3-- --**--------~---------------~---**

The waste wi l,1 not b

.. r e gu l.ate d under chapter 173-303 WAC 

### ("t"'- as long as the cert.Lf icate is in effect, but will be subject to state and tocaL solid waste regulations. b. Undesignated by WAC 173-303-100 through 173-303-103. This indicates that the waste has been checked against the Criteria (Toxic Dangerous Wastes, Persistent Dangerous Wastes, and Carcinogenic Dangerous Wastes) and the Characteristics and has been determined to be undesignated. The waste wi 11 not be regulated under chapter 173-303 WAC as long as the certificate is in effect, but will be subject to state and local solid waste regulations.

c. Designated by WAC 173-303-080 through 173-303-103. This indicates that the waste has been designated by the Lists, Criteria, and/or Characteristics, and is thus subject to regulation under chapter 173-303 WAC. A designated waste will also be stated as either a dangerous waste (OW) or an extremely hazardous waste (EHW). Determination of the waste status witl be based on the information provided to WDOE by the generator, and any other infarmation ava i.Lah l.e to WDOE. 3. Certificate Conditions and Expiration Date For most certificates, WDOE will establish specific conditions with which the generator must comply for his certificate to remain valid. These conditions will be established to assure that the waste for which the certificate is issued continues to exhibit and be managed in accordance with the waste's designation status. The conditions will also prOVide a mechanism by which the generator will know whether or not his certificate continues to be valid for his particular waste. The generator will be responsible for checking his waste on a regular basis to be certain that the conditions of the certificate are being met. .Thi s way, his certificate will not be subject to frequent renewal or withdrawal and modification. In some cases, WDOE may determine that there is not enough information to establish conditions sufficient to ensure that a certificate can remain indefinitely valid. WDOE may find that it will be necessary to set a fixed duration for which the certificate is valid by establishing an expiration date, after which time the certificate must be renewed or else will automatically be invalid. To determine expiration dates, WDOE will consider two general sources of information as provided by the generator. First is data which shows the waste to be constant over time. The generator will be asked to demonstrate a low probability that his waste will change enough to affect its designation status. This demonstration should focus on one of two factors: either the process which generates the waste does not change significantly over time, or; if the process does change, that these changes will not affect the designation status of the waste.

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_.**~.'-'** -, Second if; hi s t.ori ca l information which the geuer a t.o r can provide and which demonstrates a definite time period during which the waste generating process has remained essentially unchanged. The greater the time period over. which this can be documented, then the longer the certificate duration is likely to**b~.** When a Certificate of Designation is issued, WDOE will apprise the generator of the conditions in his certificate, or else of the expiration date which appears on his certificate. WDOE will also provide copies of certificates, as they are issued, to the local health department or health district in whose jurisdiction the generator is locaterl.
4. Generator's Compliance with the Certificate Once a Certificate of Designation is issued, the generator shall comply with the applicable requirements of chapter 173-303 WAC for the particular waste status assigned to his waste. The certificate shall remain in effect unless:

a. WDOE suspends part or all of the certificate during review and amendment (see REVIEW OF CERTIFICATE). b. WDOE withdraws the certificate (see WITHDRAWAL OF CERTIFICATE).

c. The certificate expires (see EXPIRATION AND RENEWAL OF CERTIFICATE) . Failure to comply with the conditions or requirements of the certificate shall be a basis to amend or withdraw the certificate. DENIAL OF CERTIFICATE WDOE shall deny an application for a Certificate of Designation if the generator fails to provide the information required by WDOE, if the information provided is inadequate for accurate waste designation, or, when a ccrtificate expiration date is deemed necessary, if the generator cannot demonstrate the constancy of his waste. The generator will be subject to all applicable requirements of the Dangerous Waste Regulations, chapter 173-303 WAC.
The gene r a t.o r may suhrni L a new application for a certificate to WnOE at any time afte r his original appli.cation has been denied. He may also appeal·WOOE's denial to the Washington State PoLlut i.on Control Heari ugs Boar d . REVIEW OF CERTIFICATE 1. Review Process WDOE will periodically review a Certificate of Designation. There ar e severa1 actions. which WDOE may take in the event that a review of a certificate indi.cate s that i.t is no longer correct. These actions are described more specifically below and include, but are not limited to: amendment of the certificate; suspension of parts of the certificate; and withdrawal of the certificate.



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WDOE will only notify the generator that his certificate is being reviewed if specific actions are taken to change or withdraw the certificate. The certificate will. remain in effect'while it is being reviewed unless WDOE otherwise notifies the generator in writi.ng.

The followi.ng circumstances or a ct i.ous may t.ri gger a revi.ew of a certificate by WDOE:

a. New information on the waste which indicates that the waste status (designation) as described in the certificate is not correct. b. Information which indicates that the waste has changed (e.g., been mixed with other dangerous wastes) or will change in a way that affects the waste status, the conditions of the certificate, or the duration for which the certificate is valid.

c. Notification to WDOE by the generator that information on the certificate has changed. d. Upon request at any time by the generator. 3. Generator Must Notify WDOE The generator must notify WDOE in writing as soon as he is aware that any of the following changes have occurred or will occur:

a. Changes in the company's name, address, or telephone number as they appear on the certificaLe. b. Changes in the waste generati.ng process or process feed materials which the generator suspects may affect the waste status or the certificate conditions, or which may reduce the duration for which the certificate is valid.

c. Changes in test data or in information regarding the chemical constituents and concentrations in his waste if such changes would affect the waste status or certificate conditions. d. Changes in the physical nature of the waste.

e. Changes in the waste generation rate, either of quantity or frequency, which would affect the waste status or certificate conditions.
f. Changes i.n the type or types of containers, modes of transport, or sites receiving the waste which are different from those described on the certificate. Failure by the generator to notify WDOE of these changes as soon as he becomes aware of them may result in withdrawal of the certificate.



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# () When WDOE de t.e rrnine s that the i.nformaLion 011 a cert i ficate is no Longer valid, WDOE will eithe r issue a new cert i.fi ca t.e , o r wit.hd r aw the**cur~ent ce~tificate.**  During minor changes to the certificate which will not affect the waste status or certificate duration, the cert i f i cate will r ernai n in effect until the new certificate is issued to the gener ato r . Minor changes will include, but not be limited to:

a. Changes of name, addr e s s , o r telephone number. b. Changes of the waste description, unless changes in the waste's generation quantity or rate will affect the waste status.

c. Changes to correct typographical**e~ro~s** in the**ce~tjficate.** During major changes to the certificate which will affect the waste status, conditions of the certificate, or certificate duration, WDOE may suspend specific parts of the certificate. Specific**pa~ts** will be suspended if WDOE**dete~mines** that allowing them to remain in effect would pose a threat to public health or the**envi~onment.** WDOE will notify the generator in writing of the suspended**pa~ts** of his**ce~tificate,** the**~ea** sons for suspension, the status (designation) of the**gene~ator's** waste if affected by the suspension, and the responsibilities and applicable regul a t.ory requirements to which the generator is subject during the suspension. Unless otherwise stated in writing to the generator, the suspension of parts of the certificate will remain in effect until the new certificate is issued or until the old certificate is withdrawn. WDOE will notify the generator in writing of any intended amendments to his certificate. If there is an imminent threat to public health or the environment, the amendment will go into effect immediately, and the generator will be so notified. If there is no imminent threat, then the generator will have forty-five days after WDOE's notification of amendment to indicate in writing any objections he has to the amendment and to substantiate his objections. Forty-five days after the notification of amendment, WDOE will consider any new information which the generator may have submitted, deter.mine the final amendments and i.ssue a new certificate or, if**wa~ranted** by new information, withdraw the certificate.

After his certificate has been amended ann a new certificate has been i s s ue d to him, the gr-ne r ato r must. r e t.urn the old certificate to WDOE. The generator is p r ohibi t ed from us i ng r he old cert i fi ca t,e af te r he has received the new, amended certificate. Use of the oLd certificate after r e ce ipt, of the new, amended certificate will be considered as grounds for withdrawal of the new certificate.



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WITHDRAWAL OF CERTIFICATE
J. Basis for Withdrawal**~---** -
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"**~.** .

The following specific circumstances or actions may form the basis for withdrawing a certificate:

a. An imminent threat to public health or the environment. b. Failure on the part of the generator to notify WDOE as required under REVIEW OF CERTIFICATE, 3. ,Generator Must Notify WDOE.

c. Determination by WDOE that the generator has knowingly submitted false or incorrect information. d. Failure by the generator to comply with his certificate (including certificate conditions), or abuse of the certificate by the generator.

e. Request by the gener.ator that WDOE withdraw his certi f i calc. 2. Withdrawal Process When WDOE decides that a certificate should be withdrawn, the generator will be notified in writing of the decision and of the reasons for the decision. If there is no imminent threat to public health or the environment, then the generator will have forty-five days from the date of the withdrawal notification to indicate in writing to WDOE any objections he might have and to substantiate his objections. Forty-five days after the date of the withdrawal notification, WDOE will consider any new information that has been received and make a final decision on whether or not to withdraw the certificate. WDOE will notify the generator of the final decision in writing. If there is an imminent threat to public health or the environment, then the certificate will be withdrawn immediately. 3. Generator's Compliance After Withdrawal After a certificate is withdrawn, the generator is prohibited from continuing to use his cer.tificate and he must return the certificate to WDOE. EXPIRATION AND RENEWAL OF CERTIFICATE 1. Generator Must**R~est** Renewal Each Certificate of Designation for which an expiration date has been established will expire on the date indicated in the certificate unless the generator specifically requests in writing that WDOE renew his certificate. The generator must submit his request at least fortyfive days prior to the certi f i cate expiration date. If the generator does not suhmi t his request in time I then he wi11 have to submi l a new certificate application acco r ding Lo t.he procedures de s c ribe d under APPLYING FOR A CERTIFICATE if he still wishes that his waste be certified.



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### 2. Renewal and Nonrenewal of Expiring Certificate A request for the renewal of an expiring certificate will be considered in a manner similar to the procedures for assessing a certificate application, except that the generator will not be required to submit a new application. When considering a certificate for renewal, WDOE may request additional information. WDOE will notify the generator of its intent to either renew ur not renew the certificate within forty-five days of receiving a request for renewal, or within forty-five days of receiving any new information requested from the generator. WDOE will determine whether or not to renew the certificate in the same manner as described under ASSESSMENT OF THE APPLICATION, 2. Assessment Process. If WDOE determines that a certificate will not be renewed, then the generator will be notified in writing. Within forty-five days of this notification the generator must indicate and substantiate any objections in writing to WDOE. Forty-five days after the notification, WDOE will consider any new information it has received and make a final decision to either renew the certificate or allow it to expire. If WDOE decides to renew the certificate, then either the expiration date will be changed, or (if WDOE deems appropriate) certificate conditions will be established, and a new certificate will be issued to the generator. The new expiration date or certificate conditions will be determined on the same basis as described under ISSUANCE OF CERTIFICATE, 3. 

### Certificate Conditions and Expiration Date. If, in the process of renewing the certificate, WDOE determines that the certificate should also be amended, the certificate will first be renewed and issued to the generator, and it will then be subjected to the procedures described under REVIEW OF CERTIFICATE. 

### 3. Generator's Compliance During Renewal and After Expiration While a certificate is being renewed by WDOE, the generator must comply with his existing certificate. In the event that he is not issued a new certificate until after the expiration date on the old certificate, his old certificate shall remain in effect until the new certificate is issued. When the generator receives his new certificate, he must return the old certificate to WOOE. Lf a 

### certificate expires and WOOE will not be renewing the certi.ficate, then the generator must return the expired certificate to WOOE and he is prohibited from continuing to use the expiied certificate. REVISION OF CERTIFICATION GUIDELINES Periodically, WOOE may revise these Ce

### rt i f i

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### on Guidelines as necessary to correct errors, clarify or modify procedures, or to include additional requirements. Any person may request WDOE to revise these Certification Guidelines by submitting a petition, stating the desired revisions, in accordance with WAC 173-303-910(1) of the Dangerous Waste Rf'gulaticins.



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WDOE will provide pub1 i c notice of proposed changes to these Ce rt L> fication Guidelines and r.equest publ i c comment. If sufficient i.nter:esL or concern exists, WDOE may hold a co nfe r e nce to consider oral commeut s on the proposed revisions hc(6re puhl ishing the revised guidelines. APPEAL OF DECISIONS Any person who wishes to modify WDOE's final decision may petition WDOE in accordance with WAC 173-303-910(1). Any person who is adversely affected by any final decision by WDOE under these Certification Guidelines may appeal the decision to the Washington State Pollution Control Hearings Board in accordance with chapter 43.21B RCW.

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### APPENDIX 1. Certification Flowchart 2. 

### Sample Certificate 3. Text of WAC 173-303-075, Certification of Designation 4. Certificate of Designation Application

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### APPENDIX 1. CERTIFICATION FLOWCHART

Application or ReappI i 

### cat 

### ion for 

### Certification Received bv WDOE 

# -.- WDOE llIay Require Generator ,WDOE Assessesl To Submit Additional

for Adequacy r- Information on Waste 

# t 

# • WDOE Decides to WDOE Denies Certificate; Issue Certificate Generator may Reapply 

# + or Appeal Decision Certificate Issued 

# - 

# - Defines Waste Status, etc. ; Generator Complies With Certificate; Generator may Appeal Certificate Decision 

# y**~if** 

# 9 Review of Certificate**t~drawal** 

### of Certificate Expiration of Certificate (When Expiration Date 

# , has been established) WDOE will Review; WDOE may Withdraw WDOE may Allow Certificate Generator Must Notify Certificate in Certain to Expire, or may Renew**~OE** 

### of Changes; Circumstances; Certificate at Request of lWDoE may Amend or Generator may Reapply Generator;**~ithdraw** 

### Certificate or Appeal Decision Generator may Reapply if I 

### Waste Will be Different Amends Withdraws 

# I Renews Expires ,11**~Ir** 

### Certificate Expires; WDOE Will Assess Current Generator may Reapply Certificate; or Anneal Decision WDOE may Require Additional Information from Generator WDOE Denies



# -- fWDOE Decides to 

### I Isuance of 

# - --. 

### lIssue New Certificatei New Certificate; Generator may Reapply or Appeal Decision

-12-APPENDIX 2. SAMPLE CERTIFICATE

Certificate of Designation Number Company Name Address Zip Telephone EPA/State 10 

### # (Only if waste is designated)
Waste Status Designated EHW/DW: Reason for Designation Undesignated : Reason for Nondesignation
Waste Description(s) (May include multiple wastes on one Certificate) Process or Source of Waste' Physical Nature (Liquid, Solid, Gas: Slag, Sludge, Dust, etc.) Generation Rate (Quantity/Frequency) Type of Containers (Drum, Tank, etc.) Mode of**Tran~port** (Flatbed, Tanker, Vacuum Truck, etc.) Certificate Conditions or Date Certificate Expires
Date Issued Signature Director/Designee This Certificate of Designation is issued pursuant to WAC 173-303-075 and application for certificate number The use of this certificate to designate or not designate any waste other than that described in this certificate and the application may be a violation of chapter 173-303 WAC.

-13- ""'-'.-Appendix 3

ap pLic a t. Lon for d cer t iti.ca te oL ,J.·,;igndtioll is hy th.; CepdJ-t JJ('nt, t.he person ap p l yi nrj fo r co rt I> w1.th all a p pLic a b I e r oqui r e ee nt n of this c h a pte r PUL:?ose .:lOU ( 1)**~!C** 17)-303-075 CERTIFICATICN Or JESIGNATION. applicability. (a) The purpose of WAC 173-303-075 is to establish p r o c eduras by**~hi~h** the generator of a solid waste may apply to the**~epart@@nt** for d r uV 1.ew 0 f. his wast e , and f 0:: a de t er m i 0ation 0 f t!le de $ i 'F ,1 t ion '0f hi n va s t.e, when.:l final dete r a.inat Lon is aade , the de p a r t aent**~;hall iss'.l~** 

.. ce r t i f i c at e of de s i q n at r o n which shall descri.be**til~** st.:ltus of**Ih~ 'Je~eLator's**  waste with**respe~t** to the**desi~oat~on** requirements of thi::; chapteL 173-303 WAC. (b) The pr o vi s i.o n s of this section are applicable t.o .-loy I'l';r::;on who produces a solid wast.", en d who JJay h8**s'll:j~ct** to**th'~** L"quicements of t bi.s chapter 173-303 

### .,:..c dS the Gen"';:'1t0[ 0:' a da nc e r o u x waste. (:?) Cel,titication. Any I'PLson'wno PI:• »Iuces it soil,l**wa~;te1** vhi c h couLd be d du nq e r ous waste fhJy apply to th,> de pa r t me nt , i.u acco r d a n c e with the guidelin,'!s published pursuant to iHC 173-303-07';(11'), for a ceLtificate of designation for his w'lste. (d) The**certificat~** of desLgnation will describe t.he status of the designation for a waste or wastes as follolls: (i) Either, the certificate IIill state that the waste or va s t e s listed in the certificate are designdted dangerous lIast0; or (iil The certificate will state that the w'lste or lIastes**li~ted** in the certificat8 are not**desi~nated** dangerous waste und8r the d@signation procedures of WAC 173'-303-080 through 173-303-090; or (iii) 'i'he certificate lIill state that the waste or va s t es List e d in the certificate are not**designat~d** dangerous lIaste unceL the**~an** gerous**Wast~** Criteria, WAC 173-303-100 through 173-303-103. (b) The cer.tificate oE de s i.q na t i o n will, .rt; a mi ni mu u ,**th~** following infarmation: (i) The name, addres s , telephone number and, where applicable, the**EPA/St~te** Identification Number of the person to IIhom the certificate is issued; (ii) "**~;tat.",m** ...nt of t!.e status o t the de s i.q n a t i on
v o f the vas t c or w.i r: t es l r»t Hcl i nthe cer t,i fi c ilt <:l ; (,iii) A listiu,i of the wast.! or wastes for which the certificate has**b~en i~sued;**  (iv) The s i q n a t.ure of the director or his de s i q nee : (v) Th.1 Jate OIl which ti:e certificate lias issued; an d (vi) The peri.od of time for which the ce rt i rLcate is vaLid , (c) Once a certificate oE designation has been issued t.o a person, tnat person is DO Lo nqer subject to the desi'1oation pr o c edur er: of**~AC** 171-503-000 thcouyh 173-303-1a3, unless the peLiod of. time for which the certificate is valid ex pi r e s , or the deprlrtme:1t v i t h diav s its co r t i f ic a t i.o n of cesignatioll in acco r d a n c o \lith ''';,;C**17J-,~03­** 07')(5). It the ce r t i f i.ca te states that the waste or W<iSLeS Li.st e-I in it arp. designated, then the person to whom the certificJte is**is~ued** shall c o n pLy with a l L applicable requi r e aeut s of this c vapt e r 173 -303 WAC. Tf the**c~rtiricate** states that the waste or wdstus listed in it are not**,)(.~~,il/n'lt'~,i,** t h nn the**p~rson** 10 whom tr...' ce r t i f i cate i" is .ue d**i~;** not**,;ul,j~ct** to the l:e'iUireQl(·nt" of this c h a pt er 171-303 WAC, unless tl:.! ';"I,til:i,c'lte i'l-cornt's i n v a I i d DC the dope r t ment v i t h dravs its c eCtiL jC" t i o n , (1I) Ii hi 1,1 .in pendiny fin,li clction fication wust cow?ly 173-303 \IAC- (el**~hile** 'I certificate of designation is being amended, in accordance \lith WAC 173-303-075(5), the ceLtificate shall remain in effect p.Acept fOL those parts of the certificate which the**depart~ent** specificdlly suspends. (3) Designation. Determination of the status of desi.gnation for a waste or W<istes for \lhich a certificate of desigcation is being souqbt shall follow the procedures set forth in this Faragraph, wAC 173-303-075(3) • (a) A waste shall be certified**~s** a dangerous waste if it is**~es** ignated uo1ec any of the methods set forth in WAC 173-303-080 through 173-303-103.

-14-

### Appendix 3 (cont'd)

(b) A waste sh aLl t:e ce r t i f i ed as not a daugerous waste if: (i) It has only been checked against WAC 173-301-080 throuqh 17]- 303-090 , ...no it l:; n ot d",sil/lIdt",J; or (ii) It hd:; been c:h",ckl·t! a q ei n s t the**Dan'jernu~,** 1I,1st,.' c r Ltc-via , ',lAC '''J-.\03-100 t.h r o uch 173-JO.l-10J, a nd it i5 no t**'~esigQiit.eo.** (e)**Th'~** final detel'mil,ation of the s t a t u s at rleslgndtian sh,ll! be s t at ec ill**t~e** cPLtifici\te of lh:si'Jnation, in accor danc c v irh ',i!.C i7J301-075 (2) (b) (ii), roc the vas t e 0L vas t es Lis ted i n**th~** c.:r:tific,\' e. (4) At'? Lic.i ti o n , (el) \/itl,in o n-: hun d r ed t

...enty d a ys of th.., eff':cti'/.;**'~,lt(>** o f the chapter 173-3i)J \lAC, the department will publish q ui.de Line s descri:'ing h ov to apply for a certificate of designation. The C;"icclines c a a .he obtaioed f.om the**depart~ent** after puhlication. (lJ) The application guidelines, at a minimum, vi Ll, p r e s c r i.be : (i) s a s i c r:p.']uir·ements for i nf o r nat i.on (e.g., t h e n an e , address a u d telephone nunbe r of the p e r s o n raakiny application, the**"ast~** or wastes [or which the certificate of designation**i~** sought, and**~nch** other q e n e r a I .inf o r raat i on a s**t111~** dep a r t cent may requ i r oj : (ii) Ddta nec e s s a ry for: d e s i qnet Lnq the v a s t o or wastes (e,g., names a n.l concent [<Iti,011S of chemical constituents i n ,1 va st o , if known,**(esult~** of any tests**perfoLIJ~J** on a waste,**i,l1foL~ation** (In the processes which p r o du c e d a

...a s t e a n d itOY chemicals u s e-I in those "LO**Cl?~;Sf?S** I tc . ) : (i-ii) Su up Lin q ,HId t.os t i nq p rocedu r e s , aod**t,~2** c i r cunct cuce s under which**sam~lin~** and testing

...ill be required; (Lv) Such other information and peocedures as the d e p a rt nent; Clay deem necessaey EOL the accurate designation of a**wast~;** (v) ?rocedures aod forms foe submitting applications; (vi) i'roceduces whict: the**,jepdLtr.t~Jlt** IIi11 f oLlo« in c o n s i der i nq**~~p1ications** and**d~t~r~inillg** the stdtUS of**~~siyailtiu:&;** (vii) ?I:octdures (OL Lss ui.nq certificates of ,Iesi<jlldt.i.on; ;In,1 (viii) ?rcc"dlll:e:j**(O~** Levip'"il:Y c c r t iti c.rci o n , ;)Ill':.iU.:ut to :IAC 173-303-07:> (5), i ncLuLinq pl:oce,lllL',JS EOL -rueud a e ut 0.111-1

...i t hd r a v.r L ')f. ver t Lr Lcat i o n, (5) aev.Lew of certification. (a) 'i'h e depe r t m-int will l'eLio-Ji,cdlly r e v ie v p,lcn r:',t:t.ifi,:at." of. .<!<!:.;itjnation to i usur o t h.it it i.:; current -311,j .i c c ura t r-Ly st.lt:),; \.!"" [,rol"-'[" d e s Lq u a t i.o n tl.)L'**tl:~** v.i s t c o r**W'i~t:~?"** Li s t e I Inl**lh,~ ~;~rt'jfi.c.Jt~J.**  (L) The d e p.rr t rnen L If,ay**tl,~f.:nd,** ,)L" day**Fi~L:;~.'n** ...... r t h ,I F:,"I-titi:':.ltI1 t);.**{~f_'':'jir;J)~tioll** :It,}'!**r'~l.{Ul~~-~t.** t h o**:~')jllt:.I;:J'·lIt** t.o**dIJ'~l:t,** .i n y ,"('Ltlli

...:.lt , ! ii, t t:c.::**t-2v~nt.** t h.i t,**cll(1n~Jt·~s** t o**t:\t~ \:"r.tifi~dtt~**  .i r >**ll"-·'-~"'I "~:·Y** **t.~) k'~':"':J**  t r. c urreut or ma i.rrta i.u its .ic c u r o
...:y. :'!!,:**t-''("~J:.:jJI\** ',Ii.i,L**.J~)t-** ::.11**·::;IIClll·l.\llr.~:­** of t h e**G'~i)i\ctlDent** if he**.l:~hcs** to ,1lDend his c c r t i r ic.i t « to**r"f~'!r:t.** c h a nqe s io the inEoL:tldtion ()11 lh02 c e r t i f i c at e (',).'j., r.AlJ ;%1stes, c b a n q e s in v a s t e p rope r t i e s , c h a uqes ot add r e s s , c tcc } . (c) The d epar t aent**L'c:'seL'I~S** t:102 a ut b o r i t y to
...i.r.hdr a... a ny**c,~rtif** icate of**designatio~** if theLC 5 cedson to believe**t~~t** the**c0rti~i** cate results in a t h r e a t to nu bL c h e a Lth OL the "lIvlro•.;n"'nt. if 'I**ceLti~icate** is withdrawn,**t~en** be**~aste** or wastes**li~l~d o~**  the ceLliticate s h aLl, be s u a j e ct to all appLicabLe**requiLe'1lellt~,** or t hi s C:\i?- t.ee 173-303 WAC.



## -15- ...?'

.....,;.**;~'i~.,·**



# . ......./

### APPENDIX 4 CERTIFICATE OF DESIGNATION APPLICATION

Attn: Hazardous Waste Section Mail Stop PV-11 Department of Ecology Olympia, Washington 98504 Telephone: (206) 459-6301 For WDOE Use Only Application fI 

### Date Received

NOTE: Completion and submission of this application is entirely voluntary. WAC 173-303-075, Certification of Designation, and the Certification Guidelines published thereunder set forth the process by which a generator may request that the Department of Ecology determine whether his solid waste is designated as either dangerous (DW) , extremely hazardous (EHW) , or undesignated by chapter 173-303 WAC, Dangerous Waste Regulations. This application form is to be used by any generator who wishes to apply to the department for a certificate designating his waste. The information provided by the generator on this form will be used as the basis for deciding his waste's designation status. The department may request additional information needed for proper designation. If information is not adequate, the department will not issue a certificate of designation.

INSTRUCTIONS: Type or print application responses in ink and submit the completed form to the address listed above. You should be as accurate and thorough as possible in the information you provide. After you have completed this form to the best of your ability, sign and date it in the space provided on the last page. Submission of false or incomplete information may form the basis for certificate denial. Please provide a separate application form for each waste for which -you are requesting certification.

-16-A. GENERATOR INFORMATION
Name Address Telephone 

# -

Name of**Techni~al** Contact Person EPA/State Identification Number (if one has been issued)
B. BUSINESS DESCRIPTION Give a general description of the type of business, type of products, and the four digit Standard Industrial Classification (SrC) number or numbers which best describe your business.

C. CURRENT WASTE MANAGEMENT
How is the waste typically packaged, and what Department of Transportation (DOT) labels, if any, are affixed to waste shipments?

How is the waste transported? Where is the waste currently being sent and what type of management (e.g., landfill, neutralization, treatment plant) is it undergoing?

D. WASTE QUANTITY 

### ........ : .

What is the maximum quantity of Pounds per month: What is the average quantity of Pounds per month: How frequently do you generate weekly, monthly, etc.)?
E. GENERAL WASTE DESCRIPTION waste you Pounds waste you Pounds this waste generate? per year: generate? per year:

__ (e.g., continuously,

I. Common waste name 2. Describe completely the process which generates the waste, including the names of the primary raw chemicals used, any waste mixing which occurs, and any in-line treatment or pretreatment the waste undergoes before discharge.



### -17-**~.~ ~.-~**  ... 3. 

### 4. 5. In what physical form does the waste normally occur? (Check one) Soli d Liquid

__ Sludge

__ Compressed Gas What color or colors is the waste normally? Describe any noxious odors or gases which the waste emits.
6. What is the waste density in: Pounds per gallon

__ AND Pounds per cubic foot 

### 7. What is the general waste composition in percent by weight? 

## %Water 

## %Organics 

### % Inorganics 

### 8. Is the waste currently designated as dangerous waste (DW)? As extremely hazardous waste (EHW)? If yes, what is its Dangerous Waste Number or numbers?
F. WASTE CHARACTERISTICS

Endrin Lindane Toxaphene 2,4-D 2,4,5-TP Silvex Pb Hg Se Ag Does the waste have aflashpoint less than 140°F (60°C)? If the waste is liquid or aqueous, what is its pH? Is the waste explosive or unstable? Does it react violently or form explosive mixtures with water? Does it generate toxic fumes or gases when mixed with water, mild acids or mild caustics? If the waste has been tested against the Extraction Procedure (EP) toxicity test, give concentrations in parts per million (PPM) for the following: As Ba Cd Cr (VI) Methoxychlor 1. 

### 2. 3.



### 4.

G. SPECIFIC WASTE COMPOUNDS
For any chemical constituents known to be in the waste, list their names and approximate concentration ranges. NOTE: You are not required to test your waste for this information. Use any data which you currently have available (e.g., previous tests, calculations, etc.).



### H. WASTE TESTS



# ':.J Describe below (or on a separate sheet) any tests which have been performed on the waste, who perfor.med the tests, how samples for testing were obtained, and who performed the waste sampling. Include the final results of tests that were performed, the dates on which the tests 'were made, and the dates on which samples were obtained. Also, wherever appropriate, include statistical summaries, mean values, and standard deviations. (Attach copies of any test data sheets which are available for the waste and which would provide information useful for designation.) NOTE: This does not require

-18-**---~-------- ~----** **-~-----~----** ---**----------~~y_** r.--,l-----------

you to perform any new tests, this is only a request for any exist-- ing test data which you presently have. The department may, as part of its request for additional information (if necessary), ask you to perform certain tests on your waste to assure proper designation and certification.

I. WASTE CONSTANCY Describe below (or on a separate sheet) how long the waste has been generated, how frequently the process which generates the waste changes, and what the process changes are, and indicate any future process changes which you expect will occur. NOTE: You may wish to consult with the department to determine how best to provide this information.

I certify under penalty of law that I have personally examined and am familiar with the information submitted in this application and all attached documents, and that, based on my inquiry of those individuals immediately responsible for obtaining the information, I believe it to be true, accurate, and complete. "::<0-'



# .- ::**~~**.. ,

## -,

Generator's Signature

-19- Date