[EPAATTACHMENT NO. BEFORE THE ILLINOIS POLLUTION CONTROL BOARD

IN THE MATTER OF: ) ) ) AMENDMENTS TO 35 II>L. ) ADM. CODE PART 229, ) HOSPlTAL/MEDICALIINFECTlOUS ) WASTE INCINERATORS ) ) ) 

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NOTICE TO: Dorothy GUTIn, Clerk Illinois Pollution ControlBoard State ofIllinois Center 100 West Randolph, Suite 11-500 Chicago, Illinois 60601 Jonathan Purr CbiefLegal Counsel Illinois Dept. ofNatural Resources 524 Soutb Second Street Springfield, 

### IUinois 62701-1787 

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Matthew Dunn, Chief Attorney General's Office James R. Thompson Center 100 West Randolph, 12th Floor Chicago, Illinois 60601

PLEASE TAKENOTICE that Ihave today 

### filed with the Office ofthe Pollution ControlBoard the REGULATORYPROPOSALFORAMENDMENTS TO 35 ILL. ADM. CODE PART 229 andAPPEARANCE ofthe Illinois Environmental Protection Agency 

### acopy ofwhich is herewith served upon you. ILLINOIS ENVIRONMENTAL PROTECTION**A~ ~.--;**  By:

## -'-~**--'=-~""--.** Charles E. Matoesian Assistant Counsel Division ofLegal CounselDATED: December 22,2010 P,O, Box 19276 Springfield, Illinois 62794-9276 2] 71782-5544

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BEFORE THE ILLINOIS POLLUTION CONTROL BOARD

IN THE MATTER OF: ) ) ) 

### AMENDMENTS TO 35 ILL. ) ADM. 

### CODE PART 229, ) HOSPITALIMEDICAVINFECTIOUS ) WASTE INCINERATORS ) ) ) 

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TABLE OF CONTENTS OF REGULATORY SUBMITTAL Following is aTable ofContents ofall pleadings and documents included with the regulatory action proposed: I. 

### Notice ofProposal 2.**~ppearance** 

### ofCharles E. Matoesian, Assistant Counsel, for the Illinois Environmental Protection Agency 3.**~irector** 

### Douglas P. Scott's Proposal ofAmendments 4.**~tion** 

### to Expedite Review 5.**~ffinnation** 

### 6.**~tion** 

### to WaiveRequirements 7. /StatementofReasons 8. /Technical SupportDocument 9. /irst Notice ofProposed Amendments 10.**~gency's** 

### Analysis ofEconomic and BudgetaryEffects ofProposed Rulemaking II, 

### Proposed Amendments to 35 111. Adm. Code Part229: 

# " The onginal and four (4) copies

### 12. Materials Incorporated. by Reference (original only)

a. Standard Test Method for Elemental, Oxidized, Partic1eBound and Total Mercury in Flue Gas Generated from Coal-Fired Stationary Sources (Ontario Hydro Method) b. Flue and Exhaust Gas Analyses ANS[JASME PTe 

### 19.10- 1981 13. Stericyc1e Waste Management Plan 14. ProofofService 15. Diskin MicrosoftWord contaiIling: Proposed Amendments to 35 TIl. Adm. CodePart 229 FirstNotice ofProposed AmendmentsBEFORE THE ILLINOIS POLLUTION CONTROL**BOA~t'\TE** POllUtion

### Q;,~~:t1:?4AS; IN THE MATTER OF: ) ) ) AMENDMENTS TO 

### 35 ILL. ) ADM. CODE PART 229, ) HOSPITALIMEDlCALIlNFECTIOUS ) WASTEJNClNERATORS ) ) )

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# []OR1GfNAL APPEARANCE

The undersigned, as one ofits attorneys, hereby enters an Appearance on behalf oftheIllinois Environmental Protection Agency.

ILLINOIS ENVIRONMENTAL PROTECTION AGENCY**By:~=-** ...:::::.--£.L.- Charles E. Matoesian Assistant Counsel Division ofLega! Counsel

DATED: December22,2010 P.O. Box 19276 Springfield, Illinois 62794-9276 217/782-5544BEFORE THE ILLINOIS POLLUTION CONTROL BOARD

IN THE MATTER OF: ) ) ) AMENDMENTS TO 35 ILL. ) ADM. CODE PART 229, ) HOSPITALIMEDICALIINFECTIOUS ) WASTE INCINERATORS ) ) ) 

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ILLINOIS ENVIRONMENTAL PROTECTION AGENCY PROPOSAL OF AMENDMENTS THE ILLINOIS ENVIRONMENTAL PROTECTION AGENCY ("Agency"), pursuant to 

### 35111. Adm. Code 102.202, moves that the Board accept for hearing the Agency's proposal for amendment of35 Ill. Adm. Code Parts 229. This regulatory proposal includes: I) the proposed amendments; 2) the Statement ofReasons; and 3) an Appearance for the attorney representing the Illinois EPA.

Respectfully submitted, ILLINOIS ENVIRONMENTAL PROTECTION AGENCY

By:

DATED: December 22, 2010 P.O. Box 19276 Springfield, Illinois 62794-9276 217/782-3397

### BEFORETHE ILLINOIS POLLUTION CONTROL BOARD

IN THE MATTER OF: ) ) ) 

### AMENDMENTS TO 35 ILL. ) ADM. CODE PART 229, ) HOSPITALIMEDICALIINFECTIOUS ) WASTE INCINERATORS ) ) )

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### MOTION FOREXPEDITED REVIEW NOW COMES Proponent, the Illinois Environmental Protection Agency ("Illinois EPA"), by its attorney, andpursuant to 35 IlL Adm. Code 101.512, respectfully submits this Motion forExpedited Review ("Motion''). In support ofits Motion, the TIlinois EPA states as follows:
1. 

### On October 6, 2009, the United States Environmental Protection Agency ("VSEPA") promnlgated a notice entitled, "Standards ofPerformance forNew Stationary Sources and Emissions Guidelines forExisting Sources: HospitallMedicallInfectious Waste Incinerators; Final Rule" 74 Fed. Reg. 51368. 2. The aforementioned Federal Register Final Rule required states to have filed their amendments to each State's implementation plan ("SIP") with the USEPA within

one year from the date ofpromulgation, i.e. October 6, 2010. 3. In accordance with theFederal Register, the Illinois EPAbegan drafting amendments to Part 229 ofthe Illinois Administrative Code. 4. Because ofothercommitments, and strained resources, the Illinois EPA did not complete the amendments bythat date.5.**Accordi~gJy,** the USEPA shall develop aFederal Implementation Plan ("FIP") for Illinois under Section 129(b)(3) ofthe Clean Air Act within two years ofthe promulgation ofthe guidelines. 6. lIJinois can still avoid the F!P, ifit submits the SIP revision by October 6, 201]. 7. In light ofthe foregoing, it is necessary to expedite review in this matter. 

### 8. As required by 35 

### Ill. Adm. Code Section 101.512, this Motion is accompanied by an Affirmation attesting that the facts cited herein are true. WHEREFORE, for the reasons setforth above, the IILinois EPArespectfullyrequests that the Board grant this Motion and expedite review in this matter.

Respectful1y submitted, JLLINOIS ENVffiONMENT**PROTTEECCTITIOO~Nr** A NCY

# BY:~**~~~,.-,--::-~:-=--** Charles E. Matoesian AssistantCounsel DivisionofLegal Counsel DATED: December22,2010 1021 North GrandAvenue East P. O. Box 19276 Springfield, 

### IL 62794-9276 2171782-5544

2 THIS FILING IS SUBMITTED ON RECYCLED PAPER

### BEFORE THE ILLINOIS POLLUTION CONTROL BOARD

IN THE MATTER OF: ) ) ) A.1VIENDMENTS TO 35 

### ILL. ) 

### ADM. CODE PART 229, ) 

### HOSPITALIMEDlCALIINFECTIOUS ) WASTE INCINERATORS ) ) )

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# OORJGINAL AFFIRMATION I, Charles E. Matoesian, underoath, hereby state and 

### affirm that I

### am an Assistant Counsel for the Illinois EPA and the facts cited in the foregoing Motion for Expedited Review

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Charles 

### E. Matoesian AssistantCounsel Division ofLegal Counsel


### SUBSCRIBED AND SWORNTO BEFORE ME

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# '.DerfYllW'2010

NotaryPublic

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### BEFORE Tlm ILLINors POLLUTION CONTROL**BO'~**



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### IN THE MATTER OF: ) ) ) 

### AMENDMENTS TO 35 ILL. ) ADM. CODE PART 229, ) HOSPITALlMEDICALflNFECTIOUS ) WASTE INCINERATORS ) ) ) 

### MOTION FOR WAIVER OF 

### COPY REQUIREMENTS The Proponent, the T1Iinois Environmental Protection Agency("Illinois EPA"), by its attorney, and pursuant to 35 ilL Adm. Code 101.500, 102.110,102.200, and 102.402, respectfully moves that the llIinois Pollution Control Board ("Board") waive the requirement that the TIlinois EPA submit the original and nine copies ofthe regulatoryproposal includingall documents relied upon, and waive the requirement that the Illinois EPA provide copies ofcertain documents relied upon. 

### 1n support ofits Motion, Illinois EPA states as follows: 1. Section 102.200 ofthe Board's procedural rules requires thatthe original and nine copies ofeach regulatory proposal be filed withthe Clerk. 35 IlL Adm. Code Section 102.200. Section 27(a) oftbe Enviromnental Protection Act also requires that the IJlinois EPA provide information supporting aregulatory proposal. 415 ILCS 5/27(a). 2. The Illinois EPA directly relied upon several documents when drafting the regulatory proposal, and incorporated by reference certain documents as well. The documents relied nponiincorporated byreference are as follows: a) incorporations by reference: I. ANSJlASME PTCI9.10-l981, Flue and Gas Analyses, [Part 10, Instruments and Apparatus].

12. ASTM D6784·02, Standard Test Method for Elemental, Oxidized, ParticleBound and Total Mercury in Flue Gas Generated from Coal-Fired Stationary Sources (Ontario Hydro Method). 3) "Fabric FilterBag Leak Detection Guidance", U.S. Environmental Protection Agency. (EPA-454/R-98-0 15, September 1997).
b) Standards of Peljormallcefor New Statiollary Sources andEmissioll Guidelfllesfor Existing Sources: Hospital/Medical/Infectious Waste Incinerators; FinalRule. 62 Federal Register 48348, September 15, 1997. c) Sierra Club v. EPA, 167 F.3d 658 (DC Cir. 1999) d) Standards of Perfomwnce forNew Stationary Sources andEmission Guidelinesfor Existing Sources: HospitallMedicallIllfectious Waste Incinerators; FinalRule. 74 Federal Register 51368, October 6, 2009. e) Sierra Club v. EPA, 551 F.3d 1019 (DC Cir. 2008) (SSM Exemption). DocketID No.: EPA-HQ-OAR-2006-0534 f) Thomas Holloway. January 12, 2007. MACTPeifonnanceDataforHMIWIFacilities (Docket 

### ID No.: EPA-HQ-OAR-2006-0534) g) Thomas Holloway. July 6, 2009. Revised Compliance Costs andEconomic Inputsfor Existing HMIWI(Docket 

### ID No.: EPA-HQ-OAR-2006-0534) h) Medical Waste Incinerators

- BackgroundIllformationforProposedStandards and Guidelines: Control Technology Pelformance ReportforNew andExistingFacilities U.S. Enviromnental ProtectionAgency. July 1994. (EPA-453/R-94-044a). i) Medical Waste Incinerators

- BackgroundInformatiollforProposedStalldards and Guidelines: Model Plant Description andCostReport for New andExistingFacilities U.S. Environmental Protection Agency. (July 1994. EPA-453/R-94-045a). j) Stericycle, Inc. Waste Management Plan. Submitted to Illinois EPA as an attachment to annual performance test results. k) Response to Information Collection Request Stericycle, Inc. December 20, 2007. Stericycle, Inc. December 20, 2007 (Docket

## ro No.: EPA-HQ-OAR-2006- 0534) 1) Guidelinesfor Protecting the Safetyand Health of Health Care. The National fnstitute for Occupational Safety and Health (N10SH). Publication No. 88-119. September 1988.

2m) Srericycle, Inc. EnvironmenLal Responsibility. htlp://www

..stericycle.comlmedical-waste-disposal/healIh-safety.hlml Assessed on March 10, 20 IO. n) Economic Impacts ofRevised MA CTStandardsfor Hospital/Medical/Infectious Waste Incinerators. Katherine Heller, et al. July 2009. (Docket ill No.: EPA-HQOAR-2006-0534) 0) Illinois Environmental Protection Act (415 ILCS 5/etseq.). p) Clean Air Act (42 U .S.C. 7401 etseq). 3. This entire regulatory proposal, including the documents listed above, is several hundred pages. Given the length ofthe proposal and the resources requiredto provide nine copies, llJinois EPA requests that the Board waive the normal copyrequirements and allow Illinois EPAto file the original and four complete copies ofthe documents. 4. Further, several ofthe documents described above-material from US EPA dockets, portions oitheFederal Register, the Clean AirAct, the minois, Environmental Protection Act, a court case, and an OSHA publication--arereadily accessible to or are within thepossession of the Board, Given the ease ofaccessibility ofthese documents, listed as items (a)(3) and (b) to 

### 0), (k), (I) and (n) to (P) above, the llJinois EPA moves that the Board waive the requir=ent that the Illinois EPA provide copies ofsuch documents, US EPAdocketmaterial can be easily accessed
atHttp://www.regulations.gov. Item (m) is a linkto the Stericyc1e website, and so not a docmnentthat can be produced, Item 

### CD can be produced. 5. Section 5-75(a) ofthe Illinois AdministrativeProcedure Act ("lAPA") provides that

an agencymay incorporate by reference the regulations, standards, and guidelines ofall agency ofthe United States or a nationallyrecognized organization or association withoutpublishing the incorporated material in full. 5 ILCS lOO/5-75(al- Section 5-75(c) ofthe lAPAprovides,

3however, that such agency shall maintain a copy ofthe referenced material in at least one ofits principal offices and shaD make it available to the public upon request. 5lLCS 100/5-75(c). 6. In developing this proposed ruJemaking, the Illinois EPA incorporated by reference a document published by the American Society for Testing and Materials ("ASTM") and one by the American Society ofMechanical Engineers ("ASME''), listed above as items (a)(1), and (a)(2). The documents are copyright protected and must be downloaded at a cost to the illinois EPA. The lllinois EPA is also subject to additional fees for eachcopyprovided to the Board. In order to keep costs incurred by the Illinois EPA at aminimwn, Illinois EPA requests that the Board waive the normal copyrequirements and allow the JIlinois EPA to file only the originals ofsuch documents. As an example, attached with the ASTM being filed are copies ofthe LicenseAgreement/CopyrightNotice utilized by the owners ofthe copyrights. A letter from ASME granting permission to make acopy is also attached. The Illinois EPA directs the Board's attention to such document so that the Board may conform its handling ofthe standards consistent with thatAgreement. 7. The Illinois EPA further asks that the production ofthese documents listed above to the Attorney General and Illinois Depa.rrment ofNatural Resources ("IDNR'j, be waived. WHEREFORE, the lllinois EPA moves that the Board waive the requirement that the Illinois EPAprovide copies ofthe documents listed as items (a)(3), and (b) to (i), (k), (1) and (m), and (n) to (P), including to the Attorney General and IDNR; waive the requirement that the Illinois EPAprovide an original and nine copies ofthe copyrightedmaterials listed as items (a)(1), and (a)(2), allowing the lllinois EPA to provide onlythe originals ofsuch documents; and waive the requirement that the illinois EPA provide an original and nine copies oftheremaining documents in its proposal, allowing the lllinois EPA to provide the original and four copies.

4DATED: December 22,2010 1021 N. Grand Ave. East P.O. 

### Box 19276 Springfield, IL 62794-9276 (217) 782-5544 Respectfully submitted, ILLINOIS ENVIRONMENTAL PROTECTION AGENCY

# BY:~ Charles E. Matoesi Assistant Counsel Division ofLegal Counsel



### 5BEFORE THE ILLINOIS POLLUTION CONTROL BOARD

STA TEl\'lENT OF REASONS IN THE MATTER OF: ) ) ) AMENDMENTS TO 35 ILL. ) ADM. CODE PART 229, ) HOSPITALfMEDICALIINFECTIOUS ) WASTE INCINERATORS ) ) )

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### I. INTRODUCTION The Illinois EnvironmentalProtection Agency ("Illinois EPA") hereby submits this Statement ofReasons to the TIlinois Pollution Control Board ("Board") pursuant to Sections 9.I(d), 27, 28,39 and 39.5 ofthe Environmental ProtectionAct ("Act") (415 ILCS 5/9.I(d), 27, 28, 39, and 39.5) and 35 IlL Adm. Code I02.202(b), in support ofthe attached proposed amendments to existingregulations. Included in this proposal are amendments to 35 Ill. Adm. Code Part 229 ("Part 229"), HospitaVMedicallInfectious Waste Incinerators, which update the existing Part 229 to incorporate amended Federal airquality standards. These cbanges include: revised emissions standards that are more stringent than existing standards, revised waste managementplan provisions, allowing greater flexibility in demonstrating compliance and the removal ofstartup, sbutdown and malfunction exemption. 74 Fed. Reg. 51368,71

- 72. This proposal amends the
mostrecent version ofPart 229 as found on the Board's website.II. STATEMENT OF FACTS ill 1997, the United States Environmental Protection Agency ("US EPA") published maximum achievable control technolol,'Y ("MACT") standards for hospital/medical/infectiOus waste incinerators ("HMIWI'') under Sections III and 129 ofthe Clean Ait Act ('CAA "). ld. at 51369. As part ofthat effort, US EPA had to develop emission f,'1Jidelines ("EG") for existing sources and new source performance standards (NSPS") for new sources. 1(1. Following a lawsuit by environmental groups, the US CourtofAppeals for the District ofColumbia remanded the standards forUS EPA to betterexplain its reasoning in the derivation ofthe standards. rd. at 51368. An HMIWI is defined as: any device used to bum hospital waste or medical/infectious waste. Hospital wastemeans discards generated at a hospital, and medical/infectious waste means any waste generated in the diagnosis, treatment, or immunization of human beings or animals, in research pertaining thereto, or in tbe production or testing ofbiologicals (e.g., vaccines, cultures, blood orblood products, human pathological waste, sharps). As explained ill EPA's regulations, hospital/medical/infectious waste does not include household waste, hazandous waste, orhuman and animal remains not generated as medical waste.

Id. at 51369. As for pollutants emitted by HMIWls: Incineration ofhospital/medical/infectious waste causes the release ofa wide array ofair pOllutants, some ofwhich exist in the waste feed material and are released unchanged during combustion, and some ofwhich are generated as a result ofthe combustionprocess itself. These pollutants include particulate matter (PM); heavymetals, including lead (Pb), cadmium (Cd), and mercury (Hg); toxic organics, inclndingchlorinated dibenzo-p-dioxins/dibenzofurans (CDD/CDF); carbonmonoxide (CO); nitrogen oxides 

### (NOX); and acid gases, including hydrogen chloride (HCl) and sulfur dioxide 

### (S02).

Id.



### 2Although remanded by the court, the 1997 regulations were not vacated and so

were fully implemented by 2002. Technical Support Document (''TSO'') at 5. On February 6, 2007 US EPA proposed a response to the court's remand, 74 Fed, Reg, at 51370. Later atlerreceiving comments, after further court rulings on other MACT standard cases, the US EPA amended its response on December 1, 2008. Id, The USEP

### A also considered the promulgation ofthe fi nal amendments as having fi.Jlfilied its statutory obligation under CM Section 129 to conduct the first**5~year** review ofthe 1997 EGINSPS rule, ld, The matterbefore the Board today concerns the final role promulgated on October 6,2009. That final rule combined theproposals from the priorversions. specitically: [t]he changes proposed in 2007 included provisions allowing existing sources to use previous emissions test results to demonstrate compliance with the revised emissions limits; annual inspections ofairpollution control devices (APCD); a one-time visible emissions test ofash handling operations; CO continuous emissions monitoring systems (CEMS) and bag leak detection systems for new sources; and several approved monitoring alternatives. The 2008 proposal included changes regarding requirements for NOx and SO] emissions testing for all 

### HMTWI; performance testing requirements for small rural HMIWI; monitoring requiremeots for HMIWI that install selective non-catalytic reduction (SNCR) technology to reduce NOx emissions; andprocedures fortest data submittal. The changes included in this final action include revised provisions regarding waste segregation and removal ofexemptions regarding startup, shntdown, and malftmction (SSM),

Id. at 51372.

3Applicability As noted above, this action makes numerous changes to the existing HM1Wl's NSPS and EG. The amended emissions guidelines apply to each individual HMIWI as noted in Section 60.32e(a) ofthe Code ofFederal Regulations:
(1) For which construction was commenced on or beforeJune 20, 1996, or [orwhich modification was commenced on orbefore March 16, 1998. (2) Forwbich construction was commenced after June 20, 1996 but no laterthan December 1, 2008, or for wbich modification is commenced afterMarch 16, 1998 butno later than April 6, 2010.

Id. at 51402. An important change is that "[a]lI HMIWI that complied with the NSPS as promulgated in 1997 are considered 'existing' sources under the amended standards and

arerequired to meet the emissions limits underthe revised EG orthe 1997 NSPS, whichever is more stringent." Id. at 51374. Accordingly, the list ofexisting HMIWIs is increased to include those that were constructedpriorto December 1,2008, ormodified priorto April G, 2010. Id. Standards The existing Part 229 rule will continue to applyuntil January 1,2014, to

sources as defined in paragraph (a)(1) above. Id. at 51402·03. Sources in Illinois, as defined in paragraph (a)(2) above will continue to comply with the 1997 NSPS until January 1, 2014. ld. at 51374. Beginning January 1,2014, any HMIWI as defmed in paragraph (a)( I) or (2) will complywith the amended Part 229 standards; former NSPS

sources are required to meet the more stringentofthe enlissions limits under 1997 NSPS and the amended Part 229 standards. Id. at51403. The Illinois EPA has chosen January 1,2014, as the date Illinois sources must be in compliance. This date is within the
4statutory compliance deadline offive years aA:er the date ofpromulgation ofthe EGINSPS rule amendments (October 6,2009). Id. at 51405. Illinois has onlv one



### - 

## - known HMrwI source as ofthe date oftiling, Stericycle, Inc at its Clinton, lUinois facility. TSD at 11. The amended EG also impose new workpractice standards. The waste management plan provisions are revised to "minimize or eliminate from the 

### HMJWI
waste stream any plastic wastes, Hg and other hazardous wastes (e.g., Hg-containing dental waste, Hg-containing devices), phannaceutica1s, and confidential documents and otherpaperproducts that could be shredded and recycled." rd. at 51374. An owner or operatorofa commercial HMrwI is required to conduct training and education programs in waste segregation for each ofthe firm's waste generatorclients and ensure each clientprepares its own waste management plan. TSD at 12. Per Section 129 ofthe 

# eM, the EGINSPS mles apply only to incinerators; they do not apply directly to medical waste generators except iftheyhave on-site incinerators. ld. Emissions from incinerators depend on what is being burned, and canbeminimized by waste management plan (that includes waste segregation), amongst others. TSD at 7. Commercial 

### HMlWIs are subject to Occupational Safety and Health Administration ("OSHA") requirements regarding the handling ofmedical waste from the pointofgeneration to treatment and disposal. In orderto comply with OSHA requirements commercial 

### HMTWI operators are not expected to practice waste segregation on materials received from waste generator clients. Fed. Reg. at 51393. The sealed medical waste bags received from clients may contain waste types U,at ordinarily do not require incineration (e.g., municipal-type waste such as cafeteria and



### 5office type wastes). The municipal-type waste can be recycled or sent to the municipal landfilL SomehospitaJ waste can be treated bymeans other than incineration before disposal thereby minimizing emissions ofhazardous emissions that would otherwise result from incineration. TSD at 7. To promote greater waste segregation commercial BMIWI operators are required to provide training and education programs in waste segregation to each oftheir waste generator clients and ensuretbat eacb clientprepares its own waste managementplan TSD at 12. performance Testing The rulemaking makes several changes to the performance testing and monitoring provisions. Specifically, regarding perforrtlance testing and monitoring, the:

...amendments require all BMIWI to demonstrate initial compliance with the revisedNOx and S02 emissions limits. The 1997 standards did not require testing and demonstration ofcompliance with the NOx and S02 emissions limits

...The amendments allow sources to use results oftheirprevious emissions tests to demonstrate initial compliance with therevised emissions limits as long as the sources certify that theprevious test results arerepresentative ofcurrent operations.

Jd. at 51372-73. Concerninginspections, for each HMrWl, the amendments require annual inspections ofairpollution control devices and equipment. rd. at 51373. The amendments furtherrequire a onetimevisible emissions test ofthe ash handling operations to be conducted dming the initial perfonnance test. Id. The amendments allow as options, the use ofmonitoring devices such as continuous emissions monitoring 

### systems, bag leakdetection 

### systems, and 

### continuous automated sampling 

### system for compliance demonstration. Id.

6Finally, this rule removes the SlMtUP, shutdown and malfunction exemption provision from the HMIWr standards. [d. at 51375. After USEPAs re-proposal, "the U.S. Court ofAppeals in Sierra Club v. EPA, 551 F.3d 1019 (DC Cit. 2008), vacated provisions in EPA's CAA Section 112 regulations goveming emissions ofhazardous air pollutants during SSM periods." Id.

Recordkeeping and Reporting Requirements Records must bekept ofall actions, procedures required to demonstrate compliance with the rule. rd. at 51373. Furthermore, llivlIWIs are required to submit "along with each test report, a description, including samplecalculations, ofhow operatingparameters are established during the initial perfomlance test and, if applicable, re-established during subsequentperformancetests." Id. at 51374. A new option is tJlatHMIWls have the choice to submit electronic copies ofannual stack reports. Id. at 51373.

III. GEOGRAPHIC REGIONS AND SOURCES AFFECTED HMIWI sources throughoutthe state could be affected by this proposal, but, at present the Agency is only aware ofone affected source in the stale, Stericyc1e, 

### lnc at its Clinton, illinois facility.

IV. PURPOSE AND EFFECT OF THE PROPOSAL This proposal is necessitated due to theremand ofNSPS and EG standards promulgated as part ofthe process to determine a MACT standard for HMIWIs in 1997.


### 7This action fulfills Illinois' obligation to establish emissions standards under section 129(b) no later than I year after the promulgation ofemission guidelines for thc HMlWI SOllrce category, and submit to the USEPA plans for the implementation and enforcement ofthe emission guidelines with respect to tlle existing HMIWl in their State. TSD. at 5. At hearing, Dixon Nwaji will testify for the illinois EPA. Mr. Nwaji will testify

as to the purpose and effect ofthe proposal. He will also provide abriefrecitation ofthe
status ofHMIWls in Illinois and how the proposal will affect them.

V. TECHNICAL FEASIBILITY AND ECONOMIC REASONABLENESS There are 14 commercial HMIWI operated at ten facilities that are located in ten stales. TSD a116. There are two existingHMIWI units (atone source) in operation in Illinois that are subject to the Part 229 requirements. TSD at II. The two units are both categorized as large HMIWIs based on waste charging capacity and are commercially operated by Stericycle, Inc. at its Clinton facility. Id. Stericycle, Inc. is a leading provider ofmemcal waste management services to hospitals, clinics, dental offices, blood banks, research facilities, and otherwaste generators. TSD at 12. The company

owns and operates six commercial HMIWI facilities (including the I1linois facility) in the United States. 

### Id. In addition to its use ofincineration to treat hospitaIJrnedicaIJinfectious waste, Stericycle also uses othertreatmentmethods such as autoclaving and its proprietary Electro-ThermalDeactivation (ETD) process to treat waste at its other facilities. ld. The US EPA believes most sources "should be able 10 meet therevised limits using control technology already available to the industry." 74Fed 

### Reg 5137I.

8Based on the results ofpast performance tests. neither ofthese HMIWI meets all the nine 2009 MACT floor limits. TSD at 12. The control option costs include control costs, testing costs, monitoring, recordkeeping and reporting costs. [d. at 13. The costs

are itemized as capital and annual costs. Id. The total MACT floor annual costs for the HMIWls are: Unit I, $376,220 and Unit 2, $333,136. Id. at J4. The total emission reduction needed to meet the 2009 MACT floor limits for Unit I was detemlined to be 237 powlds ofemissions at a total annual cost of$376,220, with the unit average cost effectiveness value of$3,169,273 perton. Id. For Unit 2, with the total emission reduction of41 pounds at atotal annual cost of$333,J36, the unit average cost effectiveness value was determined to be $16,361,729 perton. Id. USEPA believes that

even in the absence ofincreased regulatory requirements, less expensive alternative
waste treatment options are available to almost all facilities thatoperate HMIWr. Id. at 16. The additional costs imposed by the amended standards both to commercial operators and waste generators will accelerate the trend towards alternative waste treatment options. Id. 

### VI. COMMUNICATIONWITH INTERESTED PARTIES The rule has been shown to Stericycle, Inc., theonlyknown affected source in liIinois. 

### In addition, the Illinois EPA has informed the lIlinois Env"Jonmental Regulatory Group ofthe rule, as representatives ofthe regulated community. 

### VII. THE ILLINOIS EPA'S PROPOSAL Section 229.100 Abbreviations: The Illinois EPA proposes adding nanometers to the list ofabbreviations. Section 229.102 Definitions:

9The fIIinois EPA is proposing to add the definitions of"Bag Leak Detection System," "Commercial HMlW1," "Minimwn Reagent Flow Rate," and amend the definition of"Minimum Secondary ChamberTemperature." Section 229.104 Incorporations by Reference: The Illinois EPA proposed adding several portions ofthe Code ofFederaI Regulations, US EPA Methods and technical standards to the materials incorporated by reference. Section 229.1 !O General Applicability: The llIinois EpA proposes amending applicability to create two classes of HMIW1s, one for lhose forwhich construction commenced either on orbefore June 20, 1996, or modification was commenced either on orbefore March 16, 1998; and those for which constmction commenced either after June 20, 1996 but no later than December I, 2008, or for whicb modification is commenced afterMarch 16, 

### J998 but no later than April 6, 2010. Section 229.112 Exemptions: The Illinois EPAproposes amending the exemptions to make exempt any HMIWIs that meets the applicability provisions forNew Source PerformanceStandards Hospital/Medical/Infectious Wasle Incinerators underSubpartEc of40 CPR 60. Before, all HMIWIs for which constructioncommenced after 

### 1996, were exempt. Section 229.1 15 Compliance Schedules for HMIWls That Will Continue to Operate: The [lJinois EPA proposes altering the compliance schedules for HMIWls that will continue to operate depending upon whetherit is before January 1, 20J4, oron and afterJanuary 1,2014. Section 229.116 Compliance Schedules forHMIWls That Will ShutDown: The TIli.nois EPA proposes altering the compliance schedule for HMlWls which cease operation. Section 229.120 CMPP PermitRequirements: The Dlinois EPA proposes detailing the new dates which HMIWls must have a CAAPPand when the appJication for tbe CAMP is due. Section 229,125 Emissions Limits for Small. Medium, and Large HMIW1s:



### 10The !llinois EPA proposes creating separate standards for pollutants depending upon whether it is before January I, 2014 or on and after that date. Creates different standards for HMIWIs which meet the criteria ofSection 229.11 O(a)(J), and those which meet the applicability criteria under Section 229(a)(2). Section 229.126 Emissions Limits For Rural HMrwls: The Jllinois EPA proposes creating diJJerent standards for rural HMIWls depending upon whether it is before JanWlIY ],20 J4, or on and after January j, 20J4. Section 229.130 Operation Duringl'''.nods ofStartup, Shutdown, orMalfunction: The rulemaking repeals this entire section Section 229.J42 Initial Performance Testing and Establishment ofOperating Parameters)orAlI HMrwIs: The Illinois EPA proposes amending the section to create initial performance tests and operating for all HMIWIs. Divides I-IMIWTs requirements depending upon whether it is before January 1, 2014, or on or afterthat date. Section 229, Annual Testing For Opacity: The Dlinois EPA proposes creating anew compliance schedule for the annual opacity test. Section 229.148 AnnualPerfonnanceTesting for AU SmalL Medium arld Large HMIWTs: TheIllinois EPAproposes expanding annual performance testing to cover aU HMIW[s. Section 229,J 50 Compliance with Operating Parameter Values: The Illinois EPAproposes amending the method to define operating parameters and adds selectivenon-catalytic reduction system as a compliance option, Section 229,152 Compliance Requirements for HMrwls using CEMS: The Illinois EPA proposes allowing continuous emissions monitoring as a way to demonstrate compliance. Section 229.154 Violations byHMIWIs Equipped with aDry ScrubberFollowed 

### by a Fabric filter:

I IThe fIlinois EPA proposes defining the violation limits for the new compliance altematives (ex. CEMS). Section 229.156 Violations 

### by HMIWIs Equipped with aWet Scrubber: TIle Illinois EPA proposes defining the violationhmits for the new compliance altematives (ex. CEMS). Section 229.158 Violations 

### by HMIWls Equipped with aDry Scrubber Followed 

### by aFabri£.filter and a Wet Scrubber: The Illinois EPA proposes defining the violation limits for the new compliance alternatives (ex. CEMS). Section 229.160 Compliance Requirements for Rural HMIWls: The llIinois EPA proposes amending the compliance requirements for rural HMIWls depending on whetherit is before Jan. 1,2014, oron and after Jan. 1,2014. Section 229.162 Inspection Requirements for All HMIWls The Illinois EPAproposes amending the inspection requirementsfor HMIWls depending on whether it is before Jan. 1,2014, oron and afterJan. 1,2014. Section 229.166 Monitoring Requirements for All HM1Wls The Illinois EPAproposes amending the monitoring requirements for HMIWls depending on whether it is before Jan. 1,2014, or on and afterJan. 1,2014. Also allows bag leakdetection system in some circumstances. Also has special rules ifselective noncatalytic reduction system is used as a compliance method and allows CEMs as a substitute for certain parameters. Section 229.168 Monitoring Requirements for Rural HMIWIs The Illinois EPAproposes amending themonitoring requirements for rural HMIWls depending on whether it is before Jan. 1,2014, or on and after Jan. 1,2014. Section 229.180 Waste Management Requirements for Commercial HMIWls The Dlinois EPA proposes new requirements to enhancewaste management practices at the point ofgeneration. Included within this is the requirement that an owner oroperatorofeach commercial HMIWI company

### provide training and education programs 

### in waste segregation to each 

### of their

### wastegeneratorclients and 

### ensure that each client prepares its own waste management plan. Section 229.182 Recordkeeping Requirements
12The Illinois EPA proposes amending the.lisl ofpollutanL<; to keep records of. Also lists pollutants to record ifa selective noncatalytic reduction system is used to comply and requires records to be kept ifabag leak detection system is used. Records recordkeeping ofperfonnance tests, annual airpol1ution conhul equipment test, ifa bag leak detection systems are used, and for any maintenance ofthe HMIWI. Section 229. I84 Reporting Requirements The llJinois EPA proposes listing requirements iftest dataorreports are submitted before Jan. 1,2014, oron or ailer Jan. 1,2014. Also has schedule ofwhen annuaJ reports are due and what must be in them. Has special provisions ifabag leak detection system is used. Section229.APPEND1X B Operating Parameters to be Monitored and Minimum Measurement and Recording Frequencies The Illinois EPA proposes amending the table to add a column for Selective Noncatalytic Reduction systems and a row for Minimum ReagentFlow Rate. Section229.APPENDIX C Reference Test Methods and Procedures for Performance Tests. The Illinois EPA proposes adding several measurement metbods and standardized tests to the allowable list ofmethods and tests. Also allows several aJternatives to reference tests and perfonnance tests such as bag leak detection system, and CEMs.

VIH. CONCLUSION The TIiinois EPA proposes these amendments to 35 Ill. Adm. Code 229 to update specified provisions and to reflectcurrent standards established by the US EPA under the Federal Clean Air Act. 

### WHEREFORE, for the reasons stated above, theIllinois EPA hereby submits this regulatory proposal and requests the Board adopt these proposed amendments to Part 229 for the State ofIllinois.

Respectfully sLlbmitted,
13DATED: December22, 20I0 1021 North Grand Ave. 

### East p,O, Box 19276 Springfield, fL 62794-9276 Charles E. Matoesjan Assistant Counsel Division ofLegal Cowlsel

14BEFORE THE iLLINOIS POLLUTION CONTROL BOARD

IN THE MATTER OF: ) ) ) AMENDMENTS TO 35 ILL. ) ADM. CODE PART 229, ) HOSPITALIMEDICALIINFECTIOUS ) WASTE INCINERATORS ) 

### ) ) 

# u-?P**R~** (Rulemaking

- Air)

PROOF OF SERVICE I, the undersigned, on oath state tbat [have served the attached REGULATORY PROPOSALFOR AJ\1ENDMENTS TO 35 ILL. ADM. CODE PART 229 and APPEARANCE ofthe Illinois Environmental Protection Agency upon the persons to whom it is directed, by placing it

### in envelopes addressed to: TO: 

### Dorothy Gunn, Clerk illinois Pollution ControlBoard State ofIllinois Center 100 West Randolph, Suite 11-500 Chicago, Illinois 60601 Jonathan Furr ChiefLegal Counsel Illinois Dept. ofNatural Resources 524 South Secoud Street Springfield, Illinois 62701-1787 Matthew DUJln, Chief Attorney General's Office James R. Thompson Center 100WestRandolph, 12th Floor Chicago, Illinois 60601

and mailing same by FirstClass Mail from Springfield, Illinois on December2 with sufficientpostage affixed.

SUBSCRIBED AND SWORNTO BEFORE 

### ME

# .'U!(el1'\~er this th day of , 20I0 

# ¥AJUc 13o-QW Notary Public

## TECHNICAL SUPPORT DOCUMENT

CONTROL OPTIONS AND ASSOCIATED COSTS OF COMPLYING WITH THE PROPOSED REVISIONS TO 35 ILLINOIS ADMINISTRATIVE CODE, PART 229: HOSPITALfMEDICALIINFECTIOUS WASTE INCINERATORS

RECEIV

CLERK'S OFFICE



## OEC'2 32010 STATE OF fWNOtS 

### Pollution Control Board



## AQPSTR 10-08

December 20, 2010

ILLINOIS ENVIRONMENTAL PROTECTION AGENCY 1021 NORTH GRAND AVENUE EAST P.O. BOX 19276 SPRINGFIELD, ILLINOIS 62794-9276

### CONTENTS List ofTables 3 List ofAcronyrns 

### 4 1.0 

### Introduction 5 

### 2.0 Background 6 3.0 Summary oftheproposed revisions to Part 229 7 4.0 Control options costs formodel large HMIWI 9 5.0 

### Affected SOuTces 11 

### 5.1 Stericycle, Inc )2 5.1.] Control measure needed to meet 2009 MACT floor limits 12 5.1.2 Control options costs 13 5.1.3 MACT floor cost effectiveness ..14 5.1.4 Alternatives to compliance .14 5.1.5 Cost lrnpact 16 6.0 References 17 7.0 Appendix 18

2

### Table 1. 

### Table 2. Table 3.

Table AI. Table A2. Table A3. Table A4. Table AS. Table A6. TableA7. Table A8. Table A9. Table Ala. Table All. Table Al2. Table Al3. Table A14. Tables 

### Summary ofproposed emissions limits for HMIWI. 8 

### Airpollution control devices used for the 1997 MACT standards 10 Summary ofcontrol option costs for model large 

### HMIWI 11 MACT FLOOR COMPLANCE COSTS TABLES 

### Stericycle's HMlWI operatingparameters 19 Baseline concentrations and the 2009 MACT floor emissions limits 19 Control measure needed to meet the 2009 MACT floor limit 20 MACT floor capital control costs 20 MACT floor capitaltesting costs .21 MACT floor capital monitoring costs .21 MACT floor capital costs 22 MACT floor annual control costs .22 MACT floor annual testing costs .23 MACT floor annual monitoring costs 23 MACT floor annual recordkeeping and reporting costs 24 Total MACT .floor annual costs 24 MACT floor cost effectiveness 25 Autoclave/landfill capital and annual costs 26

3

### ACI APCD CAA Cd CDO/CDF CO DIFF Oscfin DIF, 

### TEQ DfF, 

### total of 

### FF gr/dscf 

### Hel Hg 

### HMrwI hr 

### lb MACT mgldscm ng/dscm NOx 

### OSHA Pb PM pprnv ppmvd SNCR 

### S02 WS yr 

### List ofAcronyms

Activated carbon injection Airpollution control devices Clean Air Act Cadmium Chlorinated dibenzodioxin/ ChlOlinated dibenzofuran (Dioxins/furans) Carbonmonoxide Dry injection fabric filter 

### Dry standard cubic feet per minute Dioxins/furans, toxic equivalent Total dioxins/furans Degrees Fahrenheit Fabric filter Grains perstandard cubic feet Hydrogen cWoride Mercury Hospital/medical/infectious waste incinerators Hours Pounds Maximum achievable control technology Milligrams perdry standard cubic meter Nanograms per dry 

### standard meter Nitrogen oxides Occupational Safety and Health Administration Lead Particulate matter Parts permillion by volume Parts per millionby volume, dry 

### Selective Non-Catalytic Reduction Sulfur dioxide Wet scrubber Year

4

### 1.0 Introduction 

### The Illinois Environmental Protection Agency ("Illinois EPA") is proposing to revise certain standards and requirements for hospitaVmedicallinfectious waste incinerators (HMIWT), 

### under 35 Illinois Administrative Code, Part 229 ('"Part 22.9"), to further control emissions from this category ofwaste incinerators. This action is initiated by 

### the requirement under Section l29(b) ofthe Clean AirAct ("CAA"), as amended in 1990, that each State in which exiting HMIWI 

### are operating shall no laterthan 1 year afterthe promulgation ofemission guidelines for the HMIWI source category, submit to United States Environmental Protection Agency ("USEPA") plans for the implementation and enforcement ofthe emission guidelines with respect to the existing HMIWI 

### in their State. On September 15, 1997, theUnited States Environmental Protection Agency ("USEPA") promulgatednew source performance standards ("NSPS") and emission guidelines ("EG") to reduce emissions from HMIWI 

### ("the 1997 MACT standards"). I 

### NSPS fornew HMIWI 

### are Federal regulations that are implemented and enforced by 

### the Illinois EPA under delegation authority from the USEPA. EG are intended to initiate State action to develop State regulations that are, at least, as stringent as the requirements ofthe promulgated guidelines. USEPA is required to develop aFederal plan to implement and enforce the emission guidelines 

### in States that did not submit an approvable plan by the established deadline. D1inois EPA submitted an approved state implementation plan ("SIP") that reflects the guidelines under the 1997 MACT standards. The standards and requirements contained in the SlP are codified underPart 229. On March 2, 1999, the 

### U,S. Court ofAppeals for the District ofColumbiaCircuit ("the Court"), 

### in a case challengingUSEPA's methodology 

### in deriving MACT floors for the 1997 MACT standards, remanded the rule for further explanation from USEPA ofits derivation ofthe standards. 2 

### Since the Court did not vacate the 1997 MACT standards its requirements remained 

### in effect during the remand and were fully implemented hy September 15, 2002. On 

### October 6, 2009, the USEPA in response to the Court's remand promulgatedrevised NSPS and EG for HMIWI 

### ("the 2009 MACT standards").) Illinois EPA is required to submit arevised SJP to address the new requirements under the guidelines. This document describes the amended requirements under the 2009 MACT standards, control options and the estimated site-specific incremental costs that will be incllrred by



### 5the lone affected Illinois facility to complywith the proposed revisions to the standards and requirements under Part 229. The illinois EPA reviewed and relied upon the documents detailing results ofUSEPA's analyses for MACT tloor detenninations and the impacts, and other materials placed in the docket for the 2009 MACT standards.' The proposed revisions to Part 229 are deemed equivalent in stringency to the revised standards and requirements under the 2009 MACT standards. 2.0 

### Background Incinerators are used to bum hospital waste at high temperature, and under controlled conditions (e.g., feed quantity, temperatme, and residence time) before disposal. Some incinerators are also designed to recover energy. About 85 percentofhospital waste content consists ofmunicipal-type waste that canbe recycled or disposed without special treatment; the remaining content consists ofregulated medical waste that is required to be treated to inactivate pathogens or other infectious agents contained in the waste. I Incineration is among the existing waste treatment technologies used to process regulated medical waste to make it biologically and chemically safe for disposal 

### in a landfill.
A modem HMIWI generally consists oftwo combustion chambers and air pollution control equipment. Most ofthe incineration ofwaste feed takes place in the primary chamber while complete destruction is accomplished in the secondary chamber. Waste is fed into the primary chamber and exposed to lower temperatures that range between 1400° and 1600°F. The off-gases which containvolatiles from the waste feed that have not burned out are passed into the secondary chamber where the organic materials are burned out at higher temperatures (1800° to 2000°F) to form carbon dioxide and water. The objective ofthe combustionprocess is the complete destruction ofall organic materials in the waste feed, while minimizing the fonnation and release oftoxic pollutants. The advantages ofincinerationinclude reduction in the volume ofmaterial combusted, destruction ofpathogens and hazardous organics, and energy recovery. In addition, incinerationleaves wastes unrecognizable after treatment.
A major disadvantage ofincineration as a treatment option is the public health risk posed by the emissions ofhazardotls airpollutants from the medical waste incineration process. Medical waste incinerators are major sources ofpersistent, bioaccumulative, and toxic pollutants such as mercury, dioxins and furans. These pollutan.ts are known or suspected to cause seriolls health effects, such as cancer, birth defects, and lUllg defects as well cause adverse environmental and ecological 

### effects.'

6Emissions from HMIWI units depend greatly on the materials that are c.ombusted. Hospital waste contains significant amounts ofpolyvinyl chloride plastic materials and heavy metals. Some pollutants in the waste feed are released unchanged during combustion; others are formed as a result ofthe combustion process. 

### In addition, under poor operating conditions (e.g., low secondary combustion temperature and residence time) dioxins and furans are fonned in the presence ofthe halogenated waste. Enhanced waste management practices such as waste segregation at the point ofgeneration, purchasing ofrecycled or recyclable products, and good combustion control practices are effective pretreatment strategies for reducing emissions ofcertain targetpollutants.
The CAA requires the USEPA to promulgate standards for the control ofemissions of nine categories ofpollutants from HMIWI to protect public health and welfare. The nine pollutants are hydrogen chloride (HCI), carbon monoxide (CO), lead (Pb), cadmium (Cd), mercury (Rg), particulate matter (PM), dioxin/furans (CDD/CDF), nitrogen oxides (NOx), and sulfurdioxide (S02). The amended 2009 MACT standards are far more stringent than the original standards that most ofthe existing HM:IWI would need to improve performance in order to comply with amended standards. 

### 3.0 Summary ofthe proposed revisions to Part 229 Table 1 is a swnmary ofthe revised standards for existing RMIWI underthe 2009 standards. Not included in the revised standards are percentreductions limits for HC1, Pb, Cd, and Hg as in the 1997 MACT standards. Because the approach used 

### in detennining percent reduction limits for these pollutants for the 1997 MACT standards did not account for non-technology factors that also affect emissions from HMIWI, the use of percentreduction limit as an option for compliance demonstration was removed from the 2009 MACT standards.
USEPA's analysis ofemissions data collected from HMIWI facilities show that 7 out of 57 HMIWI simultaneously meet all ofthe MACT floor emissions limits; 42 units are estimated to meet the revised CO and NOxemissions limits with existing controls. The revised emissions limits apply at all times, including during periods OfStal1Up, shutdown and malfunction (SSM). Theregulatory exemption that allowed facilities under MACT programs to exceed emissions limits oftoxic pollutants duringperiods ofSSM was not included 

### in the 2009 standards because ofits vacatur in 2008 by the Court. 5
USEPA believes that all ofthe MACT floors are achievable in practice since the floors were determined based on actual performance data The industry believes differently. The owners and operators ofHMIWI contend that the pollutant-by-pollutant approach 7used by USEPA in calculating the MACT floors essentially created a hypothetical "sliper unit" thatresulted in the establishment ofoverly stringent MACT floors that no existing unit has completely achieved, or can be simultaneously achieved by any ofthe best per[om1ing units identitied in the MACT analysis. J
USEPA is ofthe opinion that its interpretation ofSection 129 ofthe CAA supports the pollutant-by-pollutant approach rather than the unit-based approach, where the detelmination ofMACT floor is based on aunit's overall performance for all pollutants. 

### Inthe pollutant-by-pollutant approach, a unit's perfonnance for each ofthe nine pollutants is scored andranked; the individual pollutant rankings are summed to determine the overall ran.king for each unit in a HMIWI size category.) 

### Table 1 - Summarv ofproposed emissions limits for HMIWI



### . Existing HMTWl Throughpul Size Category Pollutant (units) Large Medium Small Small Rural HCI (ppnw) G.G 7.7 44 810 CO (ppm\') II 5.5 20 20
Pb (mg/dscm) 0.036 0.018 0.31 0.50
Cd (mgldscm) 0.0092 0.Ot3 0.017 0, II Kg (mg/dscm) 0.018 0-025 0.014 0.0051 PM (gr/dset) 0.011 0.020 0.029 0.038 DIF, lotlll (ngldscm) 9.3 0.85 16 240 DfF, TEQ (ngldscm ) 0.054 0.020 0.013 5,I
NO. (ppmv) 140 190 190 130
SO! (ppmv) 9.0 4.2 4.2 55 Opacity (%) 6.0 6.0 6.0 6.0 Source: 74 Fedc:r:l.1 Reglstc..--r 51368, Octobcr 6, 2009.**~:** E:l.ch inciUCr.lloru\lil is categorized as large. rnediurn, small, or small 11.11111 b.:Ised on its max.imum design "-1I5te charging capacily: !...llrge: > 500 Iblhr of vYllSIC; Medium: ;, 20U to :$500 Iblhr ofwaste; Small: ,,20U Iblhr of**wasle~** and Small Rural: <: 2,000 ib/wk, located '> 50 oliles from boundary ofthe nCllresl SUllldard Mctropolit.nn SUltl51.ical Area 

### 8

### Othernew requirements under the 2009 MACT standards that will now be included in Part 229 revisions are:

• Additional stack testing requirements for existing and new**HMIWI~** 

### • Additional monitOling requirements for new HMIWI;

• Annual inspections ofairpoIlution control devices;

• One-time visible emissions test ofash handling operations; and

• Amended waste management plan provisions; Additionally, the proposed revisions to Part 229 will include the following:

• The requirement that the existing HMfWI demonstrate compliance with the amended standards within 3 years ofUSEPA's approval oflllinois EPA's SIP or 5 years afterthe 2009 standards publication date ofOctober 6,2009, whichever is**earlier~** 

### • That lllinois EPA may, on a case-by-case basis, consider providing maximum complianceperiod allowed under the CAA to enable affected facilities that may need to install control devices and orretrofit their**equipment~** 

### and • A phased schedule for compliance with the revised limits 

### 4.0 Control Option Costs for Model Large HMfWI Table 2 lists the summary ofAPeD by HMIWI categoryused in demonstrating compliancewith the 1997 MACT standards. The achievability ofthe 2009 MACT standards was evaluated byUSEPA, and the results show that most ofthe 57 HMIWI as configured are not expected to meet all nine MACT floor limits. That is, most ofthe HNITWI would need to improve perfonnanceby installing control system, addjng incremental control, using any ofthe alternatives to compliance, or a combination of these measures to meet standards.
To determine estimated costs associated with the control measures that canbe used to comply with the 2009 MACT .floorlimits, model plants representing the 57 HMIWI in 

### operation were developed by USEPA to aid in its analysis ofimpacts (cost., economic, environmental, energy, etc) ofthe amended standards. The design and operating parameters (e.g., incineratorcharge rate, stack gas flow rate, incinerator operatinghours, and emissions concentrations) for the model plants were based on those ofthe existing HMIWl.

9The 

### stack gas .flow 

### rate for 

### amodel large HMlW! 

### was detclmined to be approximately 4,000 dscfm. The model capital costs for the various control options were estimated in units ofdollars ($) 

### and $/dscfm; for model annual costs, the units were estimated in 

### dollars per year ($/yr) 

### and $/dscfm. For each HMIWI requiring control, the control cost was detennined by multiplying the unit-specific stack gas flow rate by model $/dscfm costs.

### Table 2 - Airpollution control devices used for the 1997 MACT 

### standards Existing HMIWI Throughput Size Category Total no. APCD type Large Medium Smull Small rural HMIWI Dry APeD" 16 3 0 2 21
Wet APCDb 17 14 2 0 33 Dry/wet APCD< 3 0 0 0 3 UnconlTolled 0 0 0 0 0
Total 36 17 2 2 57 Sources: I. MACT Performance Data for H'MIWIFacilitics.' 2. Revised Compliance Costs and Economic Inputs for**E~iSling** liMIWl.' Note: 1I

_Dry APeD include lilter fabric (FF) Ilnd dry sorbent injection followed by fllbric Jil\cr(DIFF). b. Wet APeD include various types ofwet scrobbcrs (WS) e.g., venturi. packed-bed. 

### Table 

### 3 lists control options, pollutants most effectively controlled by each option, and costs associated with each control option for a large model 

### HMIWI to comply with proposed revisions to Part 229. (Control costs for other size categories are left out in 

### this document.) Included as options, are incremental controls that can beused in conjunction with existing control system (rather than install new system) to improve performance in emissions reductions ofthe listed pollutants.
Waste treatment and disposal methods such as autoclaving (followedby ctisposal ofwaste to landfill), hauling waste to off-sitemunicipal waste combustors, and the use of commercial medical waste disposal services listed as control**options~** 

### were developed as alternatives to compliance for the model plants.

10

### Table 3 - Summary ofcontrol option costs for model large HMIWI Control Option Costs
Contrul oplion Pollutants controlled Total Capital Investment, Annual Costs. $iyr .$ Packed-bed wet scrubbers Hel, SO, S452,658 $104,101 Fabnc filter Pb, Cd, Hg, PM, $1,017,892 $267,793 COO/CDF Dry injection fabric filter HCl, Pb, Cd, Hg, PM, $1,363,508 5347,053 COD/CDF,502 Secondary chamberretrofit PM, CO, CDD/CDF 53%,250 $80,819 Selecliv.: noncalalytic NOx $585,709 567,918 reduction Activated carbon injection Hg, CDD/COF $11,989 $56,313 system Incremental controls: Jncrease caustic flow Hel, SO, SO $55 Increase time flow Hel, SO, SO $20,895 Increase**NaHCO~** fiow HCI, SO, SO 581,587 Increase activdled Hg,CDD/CDF SO $42,585 C<lrbon flow Increase naruraI**.~as** use PM, CO, CDD/COF SO $30207 Increase scrubber PM SO 526,810 horsepower Improve fabric fJlter Pb, Cd" Hg, PM, SO $8,608 performance CDD/CDF Increose NOx rcaStent NOx $0 $l,836 .". Alternatives to Compliance:**.~** AUloclave/landfill Alternatives to compliance $1,000,000 S205,273 Haul waste to municipal Allematives to compliance SO $225,944 wllste combustor Commercial medical Alternatives to compliance SO 5[,447,200 waste disposal SOllrres: 1. Revised Compliance Costs and Economic Inputs for E"istillg HM1W1.' 2. Medical Wasil: Incinerators

- Background Infonnation for Proposed Slandards and Guidelines: ControlTechnology PerfOlm8nCC Rcpon for New and EJcisring Facilities.! J. Medical Wasil: Incinerators

- Background Infonnation for Proposed Slandal'C!s and Guidelines: Model Plant Description and Cust Rcpon for Ncw and £"isring Facilities.9
NOlc: I. CAStsare in 2007 dollars 2. Ollly annual costll arc associated wilh incremental controls, hauling waste 10 municipal "'lISIC cnmbustor, and commCfeial medical

.....aste disposal. 

### 5.0 Affected Sources There are two existing H1v1IWI units in operatjon in Illinois that are subject to Part 229 requirements. The two units which are both categorized as largebased on waste charging capacity are commercially operated by Stericycle, Inc at its Clinton, illinois facility. Hospital/medical/infectious waste generators that use off-site HMIWI to treat and dispose waste are only subject to Part 229 waste managementplan requirements. The MACT 11standards do not directly apply to waste generators that use ofT-site incinerators. However, commercial operators ofHMfWI are expected to train and educate their waste generator customers to implement waste management program. Forthis reason, the analysis ofthe cost impact ofthe proposed revisions to 

### Part 229 

### "rill focus only on the two HMIWI. 

### 5.1 Stericycle, Inc. Stericycle is a leading provider ofmedical waste management services to hospitals, clinics, dental offices, blood banks, research facilities, and otherwaste generators. The company owns and operates six commercial HMlWI facilities (including the Illinois facility) in the United States. In addition to its use ofincineration to treat hospital/medical/infectious waste, Stericycle also uses other treatment methods such as autoclaving and its proprietary Electro-ThermalDeactivation (ETD) process to treat waste at its other facilities. (Autoclaving and ETD are described in below in Section 

### 5.].4, Alternatives to Compliance.)
Emissions from HMIWI units are impacted by the implementation ofenhanced waste management practices at the point ofwaste generation. 

### OSHA requirements preclude commercial HMIWI facilities from segregating medical 

### waste received for treatment. Stericycle sees its role in providing training and education to waste generatorcustomers to conduct their own waste segregation as vital to its overall goal ofrnirurnizing or eliminating toxicpollutants contained in wastes orthat are fOIDled when wastes are incinerated. 

### In addition to providing educational outreach that focus on implementing waste managementplan and dental waste managementprogram, contract requirements and waste acceptanceprotocols negotiated 

### with customers serve as incentives to the customers to develop and implement waste segregationprogram.lIl.11
Under the 1997 MACT standards, initial performance test (for all targetpollutants) and subsequent annual test (for HCI, CO, and PM) are required for compliance demonstration. Tests so far conducted on the two 

### HMTWl show compliance with the applicable 1997 MACT floor limits. Stericycle did notreport any results for NOx and S02; testing for the two pollutants is optional under the 1997 MACT standards. Table Al lists a summary ofoperating parameters for the two 

### HMIWI units, and APCD used to meet the 1997 MACT floor limits.



### 5.1.1 

### Control Measure Needed 

### to Meet 

### 2009 MACT Floor Limits Based on the results ofpastperformance tests, neither oHhe two 

### HMIWI meets all the nine 2009 MACT floor limits (see Table A2). To detennine percent improvement, and 12the control measure needed to meet the 2009 MACT floors, the baseline concentrations determined from the initial and annual stack tests conducted for the 1997 MACT were compared to the 2009 MACT floor limits. As shown in Table A2 the two HMTWI each met six ofthe nine amended emissions limits. That is, the emissions 

### ofCa, Pb, and Hg from Unit I exceed the applicable MACT Ooor limits; for Unit 2, emissions ofPb, Cd, and Hg exceed the MACT floor limits. Baseline concentrations shown in Table A2 [aT NOx and S02 are averaged emissions data from similar HMIWI units (size, parameters) as no tests results for these pollutants were reported by Stericyc1e.
Table A3 lists percent improvement and control measure needed to meet the 2009 MACT floor limit [or specific pollutant and specific unit. 

### In determining the control measure needed to bring a unit into compliance, the existing control system installed on the unit and the level ofreduction in emission are considered. A pollutant with a negative percent improvement indicates thatthe pollutant emission is below the MACT floor Ijmit; inthis case improvement is not needed. Conversely, a positivepercent indicates improvement is needed. Where improvement is needed, the level ofcontrol needed is determined by the level ofreduction needed to meet compliance. For its analysis, USEPA considered a positive 50 percent or greater as requiring stringent control; ifless than 50 percent, the addition ofa less stringent control (e.g., increasing natural gas use) maybe sufficient to improve performance. This approach is used for each pollutantindividually and the results compared across all pollutants to determine the best combination ofcontrol measures needed for compliance.
As listed inTable A3, to improve perfonnance for Unit 1 and Unit 2 in orderto meet applicable MACT floor limits, fabric filter is to be added forPb control, and activated carbon injection system for Hg control. 

### In addition, natural gas flow will have to be increased for Unit I for

# ca control; the scrubberhorsepower is to be increased for Cd control [or Unit 2. 

### 5.1.2 Control Option Costs The control option costs include control costs, testing costs, monitoring, recordkeeping and reporting costs. The costs are itemized as capital and annual costs. Table A4 lists the capital conh'ol costs [orDIFF and ACL These costs were each determined by multiplying the unit-specific stack gas flow rate shown in Table A2 by applicable model capital cost unit, $/4,000 dscfm

. (The stack gas flow rate for a large model HMIWI unit was detemlined to be approximately 4,000 dscfm.) As shown in Table 3 

### (Summary of cOlltrol option costsfor model 

### large HMIWI), there are no capital control costs associated with incremental controls. Tables A5 and A6 show capital costs associated with the 13

### procurement and installation ofcontro!, testing, and monitoring, respectively. Table A7 presents a sllmmary ofthe total MACT floor capital costs for the HMIWI: Unit 1, $1,172,045; and Unit 2, $1,110,224. The total MACT floor annual costs for the HMJWI as shown in 

### Table A12 are: Unit 1, $376, 220; and Unit 2, $333,136. Included 

### in the annual costs are: annualized control cost (Table A8); total initial testing cost (Table A9); total annual monitoring cost (Table AlO); and recordkeeping and reporting cost (Table All). (Control costs were annualized over the expected equipment lifetime at 7 percent, while total initial testing cost was aIUmalized over 15 years at 7 percent.)


### 5.1.3 MACT floor CostEffectiveness To calculate the cost effectiveness ofthe MACT floor for each ofthe HMIWI and for pollutants with similar emission reduction characteristics, the target pollutants were grouped based onthe following characteristics: particulates (PM, Pb, and Cd); acid gases (HCl and S02); reduced by activated carbon (Bg, CDD/CDF); solely reduced by combustion control (CO); or solely reduced by SNCR (NOx). Cost effectiveness was then determined for eachHMIWI and for each segmentby dividing the total emission control and monitoring costs for each segmentby total emission reduction for the pollutant(s) in that segment. Cost effectiveness was not calculated for acid gases (HCI and S02) and pollutant solely reduced by SNCR (NOx); no annual control and monitoring costs are associated with either segment. The cost effectiveness ofthe total MACT floor was determined by dividing the total compliance costs (total MACT floor annual costs) by the total emission reduction needed to meet the 2009 MACT standards limits. The total emission reduction needed to meetthe 2009 MACT floor limits for Unit 1 was determined to be 237 pOlU1ds at atotal annual costof$376,220, with the lillit average cost effectiveness value of$3,169,273 per ton. ForUnit 2, with the total emission reduction of41 pounds at a total annual cost of$333,136, the unit average cost effectiveness value was determined to be $16,361,729 per ton. Table A13 presents a summary ofthe results ofthe calculations. 

### 5.1.4 Alternatives to Compliance In 

### addition to incineration, a number ofother infectious waste treatment methods used in 

### the industry include autoclaving, gas/vapor sterilization, chemical**disinfection~** 

### thermal inactivation, microwave sterilization and others. While incineration is the waste treatment method used by Stericyc1e at its Clinton facility, the company also uses autoclaving, its proprietary Electro-Thermal Deactivation (ETD) process, and other methods at other facilities outside the state. 14

### Autoclaving. or steam sterilization, involves the use ofsaturated steam within apressure vessel at specified temperature, pressure, and time, to kill pathogens in medical waste. The disinfection ofthe waste is primarily achieved by steam penetration. Autoclaving is most effective w.ith low-density materials such as plastics that they are w\dely used to treat laboratory waste typically collected 

### in special plastic bags priorto disposal. Steam sterilization is not as effective as incineration when used to treat high-density waste such as bodyparts orwaste with high liquid content because direct steam penetration is inhibited which results in longer sterilization times. ll 

### Autoclaving is not generally approved as a treatment method for pathological waste, human blood and blood products because oftheir high liquid contents. Other than pathological and chemotherapy wastes thatmust be incinerated, autoclaving is an alternative treatment method for the othertypes ofregulated medical wastes. Stericycle ETD waste treatment process uses an oscillating field oflow-frequency radio waves to heat medical waste to temperatures that destroy pathogens. The ETD process does not produce regulated air orwater emissions, and it also reduces waste volwne." Each waste treatment method presents its own performance issues and environmental impacts. For example, incineration is the most widely used treatment method used for the disposal ofregulated medical waste. Operated properly incineration destroys pathogens, reduces volumes, and renders waste unrecognizable. However, its operation releases emissions ofhazardous air pollutants (constituents ofwastes being treated) such as metal particulates, and mercury; also emitted are dioxins/furans resulting from combustion process. Autoclaving also releases hazardous pollutants (including mercury) but the type and amount can be minimized by an effective wastemanagementprogram. Because of regulatoryrequirements, and requirements by generators ofcertain regulated merucal wastes, autoclaving is not used for the treatment ofpathological, chemotherapy and pharmaceutical wastes. Autoclaving does notachieve the volume reduction as incineration thus, some medical wastes that are autoclavedmayrequire more landfill space than ifincinerated. Other environmental impacts associated with landfilling of autoclaved medical wastes include landfill gas emissions, landfill leachate issues, and impacts ofwaste transportation traffic.

The USEPA evaluated the model costs associated with only three alternatives to compliance namely, autoclave/landfill, haul waste 

### to mlmicipal waste combustors (MWC), and commercial medical waste disposal. (see Table 3) The costs associated with using commercial medical waste disposal services are significantly more expensive than 15

### autoclave/landfill costs. Although the costs associated with using MWC 

### services are lower than autoclave/landfill costs, the drawback is that most MWC 

### do not accept medical waste. Amongst the three alternatives to compliance options, autoclavel1andfill is considered a viable alternative to incineration for a commercial operator such as Stericyc1e. The estimated autoclave/landfill annual costs as alternative to compliance for the two HMIWI 

### total $530,000, orroughly 75 percent ofthe estimated total MACT floor costs. Table A14 is a summary list ofcosts associated with use ofautoclavellandfill as an alternative to compliance. 

### 5.1.5 Cost Impact The USEPA recognizes that the pollutant-by-pollutant approach used for determining MACT .floors for the revised standards will cause the overall compliance costs ofthis regulation to increase compared to what would result under a unit-based approach. However, USEPA does not expect that the increase in 

### costs will significantly .impact most facilities with HMIWI, whether the costs are absorbed or passed on to customers. USEPA believes that even in the absence ofincreased regulatory requirements, less expensive alternative waste treatment options are available to almost all facilities that operate HMIWI. The additional costs imposed bythe amended standards both to commercial operators and waste generators, will accelerate the trend towards alternative waste treatment options. Forthe commercial operator, it is expected that this will translate to a decline in the quantity ofmedical waste received for treatment, as well as declines in treatment costs, incineration costs, and profits." There are 14 commercial HMIWI operated at 10 fac.ilities that are located in ten states. Eight ofthe 14 commercial HMIWI are located 

### in six states and, are owned and operated by Syericycle; the other six HMIWI located in 

### four states are owned and operated by five parent companies. The commercial operators are assumed to havemarketpower especially in regions that do not have strong incinerator alternatives. Because of increased cost ofincineration medical waste generators are increasingly using alternative options to treat waste onsite, and use the services ofcommercial HMIWI 

### for wastes that must incinerated.

16

### 6.0 References 1. 62 Federal Register 48348, September 15, 1997. Standards of PerformanceforNew SrationmJJ

### Sources andEmission Guidelinesfor £'\,iSling Sources: HospilallMedical/bifectious WasteIncinerators; FinalRule. 

### 2. SienaClub v. EPA, 167 F.3d 658 (DC Cir. 1999) 3. 74 Federal Register 51368, October 6,2009. Standards of PerformanceforNew Stationary Sources andEmission GuidelinesforExisting Sources: Hospital/Medical/Infectious Waste Incinerators; FillalRule. 

### 4. Http://www.regulations.gov Web site. DocketID No.: EPA-HQ-OAR-2006-0534 

### 5. Sierra Club v. EPA, 551 F.3d 1019 (DC 

### Cir. 2008) (SSM Exemption). 6. Thomas Holloway. January 12,2007. MACTPeiformallceDataforHMIWI Facilities 

### (Docket ID No.: EPA-HQ-OAR-2006-0534) 7. Thomas Holloway. July 6,2009. Revised Compliance Costs andEconomic Inputs forExislillgHMIWI

### (Docket ill 

### No.: EPA-HQ-OAR-2006-0534) 8. U.S. Environmental Protection Agency. July 1994. Medical Waste IncineratorsBackgroundInformationforProposedStandards and Guidelines: Control TechnologyPeiformance Report forNew andExisting Facilities 

### (EPA-453/R-94- 044a). 9. U.S. Environmental Protection Agency. July 1994. Medical Waste IncineratorsBackgroundInformationforProposedStandards and Guidelines: ModelPlant Description and CostReportforNew alldExistingFacilities 

### (EPA-453fR-94-045a). 10. Stericycle, Inc. Waste Management Plan. 

### Submitted to Illinois EPA as an attachment to annual performance test results. 11. Stericycle, Inc. December 20, 2007. Response to Information Collection Request 

### (Docket ill 

### No.: EPA-HQ-OAR-2006-0534) 12. The National Institute for Occupational Safety and Health (NIOSH). Publication No. 88-119. September 1988. Guidelinesfor Protecting the Safety andHealth of Health Care. 

### 13. Stericycle, Inc. Environmental Responsibility. http://www.steriCYcle.com/medical-waste-disposal/health-safetv.html 

### Assessed on March 10, 2010. 14. Katherine Heller, et al. July 2009. Economic Impacts ofRevisedMACT Standardsfor Hospital/Medical/Infectious Waste Incinerators 

### (Docket ID No.: EPA-HQ-OAR-2006-0534)

17

### 7.0 

### APPENDIX

MACT FLOOR COMPLANCE COSTS TABLES

18

### Table 

### Al - Stericvcle's HMIWI operating parameters

Source. ReVIsed C**omphal1c~** COSlS and [:conomlc Inputs for EXISllng HMIWI 

# · Operating parameters

Maximum Slack Esnmaled

charge gas Ilow Slack gas Operating annual Unit SIze APCD rate mte rerl1per'dlure**hou~** throughput number category APCD description codc (Ib/hr) (dscrm) (OF) (hr/yr) (tpy) Secondary Unitl Large chamber (I 800°F), WS 1,500 3,304 143 7,665 .3,852 venture scrubber, and condensing absorber Secondary Unit2 Large chamber (1800°F), WS 1,500 3,125 141 7,558 3,798 vcnture scrubber. and condensing absorber



### -

Table A2 - Baseline concentrations and the 2009 MACT floor emissions limits

Baseline concentrations 2009 MACT floor Pollutant (units) Unit 1 Unit 2 emIssions limits HCl (ppmvd) L12 1.43 6.6 CO (ppmvd) 12.9 577 11.0 Pb (mgldscm) 0.200 0.134 0.036 Cd (mg/dscm) 0.00572 0.0\23 0.0092 Hg (mgldscm) 0.415 0.377 0.018 PM tgr/dscf) 0.00921 0.00878 0.011 D/F total (ngldscm) 1.24 0.837 9.3 D/FTEQ (ng/dsem) 0.0105 0.0126 0.054 NOx(ppmvd) 121 121 140 SOl(ppmvd) 2.85 2.85 90 SOUTce. Revls<:d Compliance CostS Knd EconomiC Inputs for EXIsting HMIWI Nole: 1. Abaseline conco:fllr.ltion (single emission valoc) for a**sp~l:i(ic** unit and pollutant is the mean ofthe pet1<mnanl'c tests averages for the SpiJCific unit :and pollutant. Bnseline cOllccnlrntiom for NO" <lTld SO,are aVeT'llged emissions data from simil3T HMIWI units (size, pammeters). Stcricycle did not repon any lesl results tor**N~and** SO,; testing for the pollul.:mts is oplionalunder the 1997 MACT s\;lnJards.

19Table A3 - Control measure needed to meet the 2009 MACT floor limits**~.** ReVIsed**COnlphan~e COSI~** **~nd** EconomIC Inputs for EXIsting HMIWt Percent improvement and cOlltrol measure needed to meet 2009 MACT floor limit

CO%, MACT Pb% MACT Cd% MACT Hg% MACT Umt Improvement floor Improvement floor Improvement floor Cd Improvement floor number Needed CO Needed Pb Needed control Needed Hg control control control Unitl 17% incre-<lse 457% add FF -38% none 2204% add nntural ACT

gas Unit2 -48% none 274% add FF 34% Incre:Jse 1993% add scrubber ACI hp .' 

### ,

Table A4 - MACT floor capital control costs

Sourc". ReVised ComplIance Costs and EconomIC Inputs lorEXlsllng HMIWr Summary ofMA-CT floor controls MACT floor capital control costS

APCD code with Unit Consolidated MACT floor MACT floor Total MACT number controls controls DIFF AC'f floor control cost Unit I increase natural gas; add 01FflWS $1.126,424 S9,904 $1,136,328 DlFF and ACI Unit 2 add D1FF and AO DIFF/WS $1,065.142 $9,365 $1.074,507

,. ..
Nole: The capital control COSts for DIFF and ACI wcrc each dctcmlined by multiplying lh.: ullit-specilic stJIck gas flow rolc ill Table A2 hy applicoblc mooel $Idscfm costs in Table J



### 20

### Table AS - 

### MACT floor capital testing 

### costs

$OlllCC. Revl5e/.1 ComplJallcc Costs**~nd** EconomIC Inpu\s for EXisting**HMj\~** I MACT (loorcapital testing costs (initial and teSlS)

Initiul TOlal initial Initial Total Unit MACT floor metals Initial NO. Initial 502 stack testing visible MACT number initial stack tesling tesling testing cost emiSSion (loor testing testing lesting COSI cost Unit 1 metals, NO" $14,000 $7,000 $7,000 $18,667 5250 518,917 502 (already tested for CO) Unit 2 Metals. NO" £14,000 S7,000 $7,000 $1&,667 $250 $18,9\7 S02

. ,. : Nole: Tot:ll initial stack tcsting cost ofS28,OOO \\IllS adjusted by lW(}-thims 10 al."<:ounlforcostS common 10 multiple tCSts.



### Table A6 - 

### MACT floor capital monitoring cost

.5..2!!ill- ReVIsed Comphance Costs and Ecooo(O,c Inputs for**EX1~mg** HMJWI MACT (loorcapital monitoring cost Total MACT Unit Maintenance/inspection (loor number MACT floor D1FF ACT monitoring monitoring monitoring monitoring costs Unit I orFF, ACI $16,800 $0 SO S16,800

Unit 2 DIFF. Acr 516.800 so $0 $16,800

.

21

### Table A7 - 

### Total MACT floor capit31 costs**~:** ReVIsed Compliance Costs and EcOnOmIC 1npulS for EXlstmg HMIWI; MACT floor capital**CO~1**

Unil MACT floor MACT floor MACT floor MACT floor Total MACT floor number control cost testing eO$.1 monitOring cost capital capital cost rccordkecping COSI Unit I $1,136,328 $18,917 S16,800 SO SI,I72,045

Unil2 S 1,074,507 $18,917 $16.800 SO $!J 10,224
Average Cost for a SI,975,201

large Commercial Unit

., .. lliili;: 14 OUI ofIhe 57 afTecled HMIWI are commercial unilS.



### Table AS - MACT floor annual control costs

SQurce: ReVIsed Compliance COSls and F.conornlc Inputs lor EXlstmg HMIWI MACT floor annual control cost Unil DIFF ACI Increase natural gas Total floor annual number conlrol costs Unit I $286,708 S46,521 $24,955 $358.184

Unit 2 $271,110 S43.990 SO 5315,100

, 

### ..

22

### Table A9 - MACT floor annual testing costs

Source. RC\'Is<:d C<lmphance Costs and !.economIc Inputs for**E~lsllng** HMIWI MACT noor annual testing cost (initial and tests)

Total Initial Total MACT MACT floor Initial Initial Total \'isible MACT floor Unit initial stack metals 

## No.. Inilial initial emission tloor annual number testing testing testing SO: stack testing cost testing testing testing testing cost cost cost

Unit J metals, NO., $14,000 $7,000 $7,000 $] 8,667 S250 $18,917 $2()71 SOl (already**t~1cd** (or CO) Unit 2 Metals, NO,. S14,OOO $7,000 57,000 $18,667 $250 $18,9]7 S2071**SO~**



### . ' 

### - .. .tiQk: I. Total initial sta<;k testing cost of$28,000 \Vas adjusted by two-thirds 10 3CCountfor costs comnlon to multiple tests. 2. Adjusted total initial stack testingcost unnualiZ£d over 15 )'OIl'S at 7 percentinterest rate; the initial stack tests would only be conducted once.



### Table AIO - MACT floor annual monitoring cost

Sourcc, Re"I'lscd ComplIance Costs and EconomiC Inputs jor E:'(lslmg IlMIWJ MACT floor annual monitoring cost Total annual Unit MACT flooring number MACTtloor DlFF ACI monitoring Maintenancelinspection monitoring cost l'l1onitoring monitoring Unit 1 D1FF, Acr S9,000 S4,800 S900 $14,700

Unit 2 DIFF, ACI S9,000 S4,800 $900 $14.700

7



### 23

### Table All

- MACT floor annual recordkeeping and reporting cost

SOllrce. RevIsed Cornphance CUSIS lind EconomIC Inputs lor ExlSIIIlg HMfWl MACT Ooorannual rccordkceping**~Ild** reporting cost!; Total MACT 11001' annual Notification Notification of reeordkeeping Unit Read Pcrfoml of CMS Initial Annual and reponing number inslructions spec tcst performance demonstration test tcst cost test report report Unit I S44 SCi9S $87 $87 $349 SO S1,265

Unit 2 $44 5698 $87 $87 $349 SO $1.265

-. ..



### Table AU

- Total MACT floor annual cost**~.** Rc\)sed Cornphllnce Costs lll,d**E"onoml~** Inputs for EXlsllng HMIWI MACT floor annual costs

MACTfloor MACT floor annual testing annual MACT floor annual Unit MACT noor annual costs (initial monitoring recordkeeping and Total MACT number contTOI costs and testS) costs reponing costs noor annual com Unit 1 $358,184 $207J $14,700 SI,265 $376,220

Unit 2 $315,100 52071 $14,700 5J.265 5333,136 Average Costs for a Commercial**~465,461** $2,213 $9,929 $1,165 5478,767 Unit



## . Nole: 1. 14 out ofIIIC 57 alTcerc<l HMIWI arc commercial units. 2. Adjusted \Olal initial silicic IL'Stingcost :lOnl.lalizoo over 15 years at7 pl:fcenr**inl~l** rate; thc initial slack**tCSL~** ",ould only be conducted once.



### 24

### Table A13 - MACT floor cost effectiveness
MACT floor activated MACT floor pllrticulate control

- PM, turbon control

- Hg, Total MACT 11001' (emission control, Pb,Cd CDD/CDF(emission control and MACTfloor combustion control- CO monitoring, testing. rccordkecping and (emission control and monitoring) 1I10nitorinll) (emission control and monitoring) reporting) Unit average Unit average Unit average Total Unit :lvcragc Emission cost Emission cost Emission COst emission cost Unit Cost reduction effectiveness Cost reduction effectiveness Cost reduction effectiveness Total cost reduction effectivtness \lumber (S!yr) (lb/yr) ($/ton) ($/YrJ (Ib/yr) (Slton) ($/vr) I1b/vr) ($/tOI1) (S/vr) (lbivr) ($/too) Unit I 5295,708 15.6 $37,907,1 to 551,321 37.63 $2,727,712 $24,955 184 $270,1)75 S376.220 237 S3,1(i<).273

Unit 2 $280, II 0 8.99 $62,347,052 548,790 ) 1.74 $3,074,767 SO 0 

### - S)3),136 41 $16J61.n9 Source:**t~viscd** Compliollcc Costs and EconomIc Inpuls for Existing HMI WI Note: 1. The HMIWI pollulonls wcre grouped inl(> 5 scg.m(;nLS bused on whetherthey are pllrticulBtcs (PM. Pb. and Cd). Qcid gases(He, Qnd SO,). reduced byactivated cnrhol1**(~Jg,** eDD/CDF'). st'kly

relluce<J bycombu

..;tion eontrol (CO), or solely reduced by SNCR (NOx). The rotll cmission conlml allll monitoring l:Usts for Cllch**scgm~lIt** ",as llivitlcd by the lilia'**cmis.~ion** !"'tJucliolllolthe pollul1lnl(s) in that segmentto d<:termioc the cost effcelivcn<::,s llfthe MACT n"or, 2, The lotal MACT noor**C(j~t** ctR-clivcncss wos dClcrmincll by dividing Ihe 101111 compliance COSI (emission control, monitoring,tcsling, l\:Cordkccpiog, and reponillg) by the Illlol**emi)~illn** ncetled 10

meet Ihe 2009 MACT Ilooremissions Iim;I•.

### Table A14 - Autoclave/landfill capital and annual costs

SO\lI'l-C, Revlstod Camphane<: Costs anll EconomIc Inputs tor**E.~bimg** HMI WI AutoclaveJ1andfili costs Unit**nllmb~r** Capi!w cost Annual cost Unit I $493,787 $264,808

Unit 2 $486,877 5261,102
Average Cost for a Commercial Unit 5958,042 S516.703

, 

### . ,. Note: 14 out ofrIle 57 affected HMIWIare commercial unit:!,ILLfNorS REGISTER 

# -'--'-----=------------ POLLUTION CONTROL BOARD NOTICE OF PROPOSED AMENDMENTS
I) Heading ofthe Part: HOSPTTAL/MEDICAUINFECTIOUS WASTE INCINERATORS 2) Code Citation: 35 illinois Administrative Code Part 229 3) Section Numbers: 229.100 229.102 229.104 229110 229.112 229115 229.116 229.120 229.125 229.126 229.130 229142 229.146 229.148 229.150 229.152 229.I54 229.156 229.158 229.160 229.162 229.166 229.168 229.180 229.182 229.184 229.APPENDIX B 229.APPENDIX C Proposed Action: amended amended amended amended amended amended amended amended amended amended repealed amended amended amended amended amended amended amended amended amended amended amended amended amended amended amended amended amended 

## 232010

4) Statutory Authority: 415lLCS 5/10,27,39 and 39.5ILLlNOIS REGISTER POLLUTION CONTROL BOARD NOTICE OF PROPOSED AMENDMENTS 5) A Complete Description ofthe Subjects and Issues Involved: Updates Part 229 HOSPITALIMEDICALIINFECTIOUS WASTE INCINERATORS (0 reflect the issuance ofrevised New Source Performance Standards by the US EPA. New standards begin on January 1,2014.
6) Published studies or reports, and sources ofunderiving data, used (0 compose this rulemaking: a) incorporations by reference: 1. ANSIJASME PTC19, 10-1981, Flue and Gas Analyses, [Part 10, Instruments and Apparatus]. 2. ASTM D6784-02, Standard Test Method for Elemental, Oxidized, ParticleBound and Total Mercury in Flue Gas Generated from Coal-Fired Stationary Sources (Ontario Hydro Method). 3) "Fabric FilterBag Leak Detection Guidance", U,S. Environmental Protection Agency. (EPA-454fR-98-0IS, September 1997).
b) Standards of PerformanceforNew Stationary Sources andEmission Guidelines for Existing Sources: Hospital/Medical/Infectious Waste Incinerators; FinalRule. 62 Federal Register 48348, September 15,1997. c) Sierra Club v. EPA, 167 F.3d 658 (DC Cir. 1999) d) Standards of Perfonnance for New Stationary Sources andEmission Guidelines for ExistingSources: Hospital/Medical/J/ifectious Waste Incinerators: FinalRule. 74 Federal Register51368, October6, 2009, e) Sierra Club v. EPA, 551 F.3d 1019 (DC Cir. 2008) (SSM Exemption), Docket1DNo.: EPA-HQ-OAR-2006-0534 f) Thomas Holloway. January 12, 2007. MACTPelformance DatafoJ'HMJWIFacilities (Docket ill No.: EPA-HQ-OAR-2006-0534) g) Thomas Holloway. July 6, 2009. RevisedCompliance Costs andEconomic Inputsfor Existing I-IMIWI(Docket 

### 10 No.: EPA-HQ-OAR-2006-0534)ILLlNOJS REGfSTER POLLUTrON CONTROL BOARD NOTICE OF PROPOSED AMENDMENTS
b) Medical Waste Incinerators

- BackgroundInformationforProposedStandards and Guidelines: Control Technology Performance RepartforNew andExistingFacilities U.S. Environmental Protection Agency. July 1994 (EPA-453/R-94-044a). i) Medical Waste Incinerators

- BackgroundInformationfor ProposedStandards and Guidelines: Model Plant Description and Cost ReportforNew andExistingFacilities U.S. Environmental Protection Agency. (July 1994. EPA-4531R-94-045a). j) Stericycle, Inc. Waste Management Plan. Submitted to lllinois EPA as an attachment to annual performance test results. k) Response to Information Collection Request Stericycle, Inc. December 20, 2007. Stericycle, Inc. December 20,2007 (Docket ID No.: EPA-HQ-OAR-2006- 0534) 1) Guidelinesfor Protecting the Safetyand Health a/Health Care. The National Institute for Occupational Safety and Health (NrOSH). Publication No. 88-119. September 1988. 

### 01) Stericycle, Inc. Environmental Responsibility. http://www.stericycle.com!medical-waste-disposal/health-safety.html Assessed on March 10,2010. n) Economic Impacts of Revised MACT Standardsfor Hospital/Medical/Infectious Waste Incinerators. Katherine Heller, et aL July 2009. (Docket ill No.: EPA-HQOAR-2006-0534) 0) lllinois Environmental ProtectionAct (415 ILCS 51etseq.). p) Clean Air Act (42 U ,S.C. 7401 etseq.).
7) Wi1l this proposedrule replace an emergency nile currently in effect? No 8) Does this rulemaking contain an automatic repeal date? Yes X No 9) Does tills proposed rule contain incorporations by reference? Yes 10) Are there any otherproposed rulers) pending on this Part? NoccILccL:..:.:..-lNOlS REG.:..:IS,-,-T.=EccR

_ POLLUTION CONTROL BOARD NOTICE OF PROPOSED AMENDMENTS
11) Statement ofStatewide Policy Objectives: These proposed amendments do not create or enlarge a state mandate as defined in Section 3(b) ofthe State Mandates Act. [30 ILCS 805/3]. 12) Time, Place, and Manner in which**in!~rested** persons may comment onthis proposed rulemaking: The Board will accept writtenpublic comments on tbis proposal for a period offorty-five (45) days after the date ofpublication in the Illinois Register. Comments shouldreference Docket Rl 0- and be addressed to: Clerk's Office Illinois Pollution Control Board 100 W. Randolph St., Suite 11-500 Chicago, IL 6060I And Charles E. Matoesia11 Illinois Environmental ProtectionAgency 1021 North GrandAvenue East P.O. Box 19276 Springfield, IL 62794-9276 217-782-5544 13) Initial RegulatoryFlexibility Analysis: A) Types ofsmall businesses, small municipalities and not for profitcorporations affected: Any small businesses, small municipalities, or not for-profit corporations tbat are subject to the HMIWI regulations could be affectedby the proposed amendment B) Reporting, b_ookkeeping or otherprocedures required for compliance: Recordkeeping and reporting changes, but no special skills required C) Types ofProfessional skills neceSSarv for compliance: No special skills required 14) Regulatory Agenda on which this rulemaking was summari.zed: January, 2010ILLINOIS REGISTER POLLUTION CONTROL BOARD NOTICE OF PROPOSED AMENDMENTS
IS) Does this amendmentrequire the review ofthe Procurement PolicyBoard as specified in Section 5-25 ofthe Illinois Procurement Code? [30 ILCS 500/5-251 No

The 

## fun text ofthe Proposed Rule(s) begins on the next page:Agency: Agency Analysis ofEconomic and Budgetary Effects ofProposed Rulemaking Illinois Pollution Conlml Board PartlTille: HospitallMedicai/lnfectious Waste Incinerators (35 ]11. Adm. Code Pan 229) minois Register**Ci~tion: ~~~~**  Please attempt to provide as dollar-specific responses as possible and feel fl·ee to add any relevant explanation. l. Anlicipated effecl on State expenditmes and revenues. (a) Currentcost to the agency for this program/activity. Approximatelv $10,000 peryear. (b) ]fthis rulemaking will result in an increase or decrease in cost, specify the fiscal y= in which this change will first occur and the dollar amount ofthe effect No change In State costs are anticipated. (c) Indicate the funding sotlree, including Fund and appropriation lines, for this program/activity. Clean Air ActPermit Propram Fund (CAAPP) Cd) Ifan increase or decrease in lhe costs ofanother State agency is anticipated, specify the fiscal year in which this change will first oeem and the estimated dollar amount ofthe effect. No change in State costs are anticipated. (e) Will this ru]emaking have any effect on State revenues or expenditures not already indicated above? No change in State revenues or expenditures are anticipated. 2. Economic effect on persons affected by the Ju1emaking: (a) Indicate the economic effect and specify the persons affected: Positive

_ Negative

## L No effect Persons affected: _1

__ Dollaramountper person: approx.imatelv $700,000 per vear Total statewide cost approximatelv $700,000 per year (b) Ifan economic effect is predicted, please briefly describe how the effectwil1 occur. Estimated increased costs to the affected company are expected due to the instaliJItion ofcontrol equipment, testing and monitoring ofemissions, and administrative costs to maintain records to demonstrate compliance, and permitting and reporting to the Illinois EPA. as required. (c) Will the rulemaking have an indirecteffect that may resull in increased administrative costs? Will there be any change 

### in requirements such as filing,documentation, reporting orcompletion offorms? Estimated incre",ed administrative costs to the affected companv are expe<:ted due to recordkeeping requirements to demonstrate compliance, and permitting and reoorting to the IUinoisEPA, as required. Some ofthe administrative requirements will change as a result ofthis proposal.TITLE 35: ENVIRONMENTAL PROTECTION SUBTITLE B: GENERAL PROVISIONS CHAPTER I: POLLUTION CONTROL BOARD SUBCHAPTER c: EMISSION STANDARDS AND LIMITATIONS FOR STATlONARY SOURCES PART 229 HOSPITALfMEDICALIINFECTIOUS WASTE INCINERATORS

Section 229.100 229.102 229.104

Section 229.110 229.112 SUBPART A: GENERAL PROVISIONS

Abbreviations Definitions Incorporations byReference

SUBPART B: APPLICABILITY

General Applicability Exemptions

SUBPART C: COMPLIANCE SCHEDULES Section 229,115 229,1l6

Section 229.120

Section 229,125 229.126 Compliance Schedules forHMIWls That Will Continue to Operate Compliance Schedules for HMIWIs That Will ShutDown

SUBPART D: CAAPP PERMIT REQIDREMENTS

CAAPP Permit Requirements

SUBPARTE: EMISSION§ LIMlTS

Emission§ Limits for Small, Medium, and Large HMIW1s Emission§ Limits forRural HMIWIsSection 229130 SUBPART F:-EXCEPTIONS FROMEMISSfON LIMITS (Repealed)
Operation During Periods ofStartup, Shutdown, or Malfunction

SUBPART G: METHODS AND PROCEDURES FOR PERFORMANCE TESTING Section 229.140

Section 229.142 229.144 229.146 229.148 229.150 229.152 229.154 229.156 229.158 229.160 229.162 229.164

Section 229.166 229.168

Section 229.170 229.172 Methods and Procedures for Performance Testing SUBPART H: COMPLIANCE REQUIREMENTS

Initial Perfonnance Testing and Establishment ofOperating Parameters for All HMrwIs SubsequentPerfomJanceTesting for AU HMIWIs Annual Testing for Opacity Annual Performance Testing for AllSmall, MeeilID'l afie Large HMIWls Compliance with Operating Parameter Values ComplianceRequirements for HM1WIs Using CEMS Violations by HMIWls Equipped witb a Dry ScrubberFollowedby a Fabric Filter Violations by HMIWls Equippedwith a Wet Scrubber Violations by HMIWls Equipped with a Dry ScrubberFollowed by a Fabric Filter and a Wet Scrubber ComplianceRequirements forRural.HMIWIs InspectionRequirements for All tffifatHMlWIs Optional Perfonnanc·e Testing to Address Actual orPotential Violations SUBPART I: MONITORING REQUIREMENTS Monitoring Requirements for An Small,**Medi~:m,** aae Large HMIWls Monitoring Requirements for Rural HMIWls SUBPART 

### J: REQUIREMENTS FOR HMIWI OPERATORS OperatorTraining and Qualification Requirements Documentation To BeMaintained On-Site for Employees Operating HMIWls 2Sedion 229,176 229178 229,180 229,181 

### SUBPART K: WASTE MANAGEMENT PLAN REQUIREMENTS

Waste Management Plan Requirements for Hospitals Using On-Site Incinerators Waste Management Plan Requirements for Hospitais Transporting Waste Off-Site to an HMIWr Waste Management Requirements for Commercial HMIWIs AeeeptiRg Waste Generatea OffSite Waste Management Plan Requirements for OtherHMJWIs 

### SUBPART L: 

### RECORDKEEPING AND 

### REPORTING REQUIREMENTS Section 229,182 229,184 Appendix A Appendix 

### B Appendix C Recordkeeping Requirements Reporting Requirements Toxic Equivalency (TEQ) Factors Operating Parametens to Be Monitored and Minimum Measurement and RecordingFrequencies Reference Test Methods and Procedures for PerfonnanceTests AUTHORITY: Implementing Sections 10,39 and 39.5 and authorized by Section 27 ofthe Environmental Protection Act (415 ILCS 5/10, 27, 39 and 39.5) SOURCE: Adopted at 23 IlL Reg. 6477, effective May 15,**1999~;** amended in at

______--', effective

_


### SUBPARTA: GENERAL PROVISIONS Section 229.100 Abbreviations The following abbreviations have been used in tbis part: Act Agency Board 

### Btu CAAPP Cd Dlinols Environmental Protection Act [415 ILCS 5J Illinois EnvironmentalProtection Agency Illinois Pollution Control Board Britishthermal units Clean Air Act Pennit Program [415 ILCS 5/39,5J Cadmium 3CEMS CO 

### fk.ef 4sem 

### f!3 grnO'dscf gril09 dscf cr/dscf Hel Hg HMIWI hr Ib(s) rngLdscm fAtl ngjdscm 

### NO, Pb PM ppmv 

### S02 TEQ USEPA Continuous Emissions Monitoring System Carbon monoxide**EWy-st~ubic** foet dry standard €llbieH:eter ellllic feet grains per thousand dry standard cubic feet grains per billion dry standard cubic feet grains per dry standard cubic foot Hydrogen chloride Mercury HospitallMedicaIJInfectious Waste Incinerator hour pound(s) milligranls per dry standard cubic meter 

### mitligRtfflS nanograms per dry standard cubic meter Nitrogen Oxide Lead Particulate matter parts per million by volume Sulfur dioxide Toxic eauivalent eqwvaleney United States Environmental Protection Agency (Source: Amended at , effective_" -1. Section 229.102 Defrnitions The definitions contained in this Section apply only to the provisions oflhis Part. Unless otherwise defined herein and unless a different meaning ofaterm is clearfrom its context, the definitions oftenns used in this Part shall have the meanings specified for those terms in 415 ILCS 5/39.5, 35 Ill. Adm. Code 201.102 or 35 Ill. Adm. Code 21 L ''Bag leak detcction system" means an instrument that is capable ofmonitoring PM loadings in the exhaust ofa fabric filter in order to detectbag failures, A bag leak detection sYStem includes. but is not limited to, an instnunentthat operates on triboelectric, lightscattering, light-transmittance. or other effects to monitor relative PM loadings" "BatchHMIWf' means an HMIWI that is designed in such a way thatneither waste charging nor ash removal can occurduring combustion"

4"Biologicals" means preparations made from living organisms and their products, including vaccines, cultures, etc., intended for use in diagnosing, immunizing, or treating hwnans or animals or in research pertaining thereto. "Body fluids" means liquid emanating or derived from humars and limited to: blood; dialysate; amnjotic, cerebrospinal, synovial, pleural, peritoneal ard pericardial fluids; semen and vaginal secretions. "Bypass stack" means an alternative stack used for discharging combustion gases to the atmosphere primarily to avoid severe damage to an airpollution control device orother equipment. "Charge" means the actofplacing waste into an HMIWI for incineration. "Chemotherapeutic waste" means waste material resulting from the production oruse of antineoplastic agents used for thepurpose ofstopping orreversing the growth of malignantcells. "Co-fired combustor" means aunit combusting hospital waste ormedjcaVinfectious waste with other fuels orwastes (e,g., coal, municipal solid waste) and subject to an enforceable requirement limiting the unit to combusting a fuel feed stream, ofwhich 10 percent or less ofthe weight is comprised, in aggregate, ofhospital waste and medicalJinfectious waste as measured on a calendarquarterbasis. Forpurposes ofthis definition, pathological waste, chemotherapeutic waste, and low-level radjoactivewaste are considered "other" wastes when calculating the percentage ofhospital waste and medicaVinfectious waste combusted. "Commercial HMIWI" means a HMIWI willch offers incineration services for hospltalJmedical/ infectious waste generated offsite byfinns unrelated to the firm that owns the HMIWI. "Continuous errussion monitoring system" or "CEMS" means amonitoring system for continuously measuring and recording the emissions ofa pollutant from an affected facility. "Continuous HMIWI" means an HMlWI that is designed to allow waste charging and ash removal during combustion. "Dioxins/furans" means the total emissions ofanytetra- through octa-chlorinated dibenzo-para-dioxins and dibenzofurans, as measuredby EPA Reference Method 23, incorporated by reference in Section 229.1 04(d) oftms Subpart.

5"Dry scrubber" means an add-on airpollution control system that injects dry alkaline sorbem (dry injectlOn) or sprays an alkaline sorbent (spray dryer) to react with and neutralize acid gases in an HMIWI exhaust stream, fornling a dry powdermatetiaL "Fabric filter" means an add-on airpollution control system that removes PM and nonvaporous metals emissions by passing flue gas through filter bags. "Facilities manager" means the individrnl1 in charge ofpurchasing, maintaining, and operating an HMIWI, or the owners or operator's representative responsible for the management ofan HMIWI. Alternative titles may include directoroffacilities orvice president ofsupport services. "High air phase" means the stage ofthe batch operating cycle when the primary chamber reaches and maintains maximum operating temperatlL"es. "Hospital" means any facility that has an organized medical staff, maintaining at least 6 inpatient beds and where the primary function ofthe facility is to provide diagnostic and therapeutic patient services and continuous nursing care primarily to human inpatients who are not related and who stayon average in excess of24 hours per admission. This definition does not include facilities maintained fortbe solepurpose ofproviding nursing or convalescent care to humanpatients who generally are not acutely ill but who require continuing medical supervision. "Hospital/medical/infectious waste incinerator" or "HMIWI" means anydevice that combusts any amount ofhospital waste ormedical/infectious waste. "Hospital waste" means discards generated at a hospital, except uoused items returned to the manufacturer. The deflllition ofhospital waste does not include human corpses, remains, oranatomical parts that are intended for interment or cremation. "HMIWI operator" means any person who operates, controls, or supervises the day-to-day operation ofan HMIWI. "Infectious agent" means any organism that is capable ofbeing communicatedby invasion and multiplication in body tissues and is also capable ofcausing disease or adverse health impacts in humans. "IntermittentHMIWI" means an HMIWI that is designedto allow waste charging, but not ash removal, duriog combustion. "Large HMIWI" means:

6An HMIWl whose maximLUn design wasle burning capacity is more than 500 lbs per hour; or A continuous or intermittent 

### HMlWI whose maximum charge rate is more than 500 lbs per hour; or A batch 

### HMIWI whose maximum charge rate is more than 4,000 lbs perday. "Low-level radioactive waste" means waste that contains radioactive nuclides emitting primarilybeta or gammaradiation, or both. in concentrations or qU2lJtities that exceed applicable Federal or State standards for unrestricted release. Low-level radioactive waste is not high-level radioactive waste, spent nuclear fuel, or by-product material as defined by the Atomic Energy Act of1954 (42 U.S.C. 2014(e)(2». "Malfunction" means any sudden, infrequent, and not reasonably preventable failure of airpollution control equipment, process equipment, orofa process to operate in anomIa] or usual manner. Failures that are caused, in part, bypoormaintenance or careless operation are not malfunctions. "Maximum chargerate" means: Forcontinuous and intermittent HMIWl, 110percent ofthe lowest 3-houraverage charge rate measured during the mostrecentperformance test demonstrating compliallce with all applicable emission limits specified in SubpartE ofthis P3Jt. Forbatch HMIWI, 110 percent ofthe lowest daily charge rate measured during the mostrecentperformance test demonstrating compliance with all applicable emission limits specified in SubpartE ofthis Part. "Maximum design wasteburning capacity" means: For intenruttent and continuous 

### HMIWl: 

### C=Pv x 15,000/8,500 Where:

C 

## = HMIWI capacity, lb/hr Pv 

## = primary chambervolume, 

### ft3 15,000

## = pIimary chamberheat release rate factor, Btulft3/hr 8,500 

## = standard waste heating value, Btu/tb; Forbatch HMlWI:

7Where: C 

### P

v 4.5 8 C=Py x 4.518



## = HMIWI capacity, lblhr 

## = primary chamber volume, ft3


## = waste density factor, Iblft3



## =typical hours ofoperation ofabatch HMlWI, hours. "Maximum fabric filter inlet temperature" means 110 percent oftbe lowest 3-hour average temperature at the inlet to the fabric filter (taleen, at a minimum, once every minute) measured during the most recentperformance test demonstrating compliance with the applicable dioxinlfuran emission limit specified in Subpart E ofthis Part. "Maximum flue gas temperature" means 110percent ofthe lowest 3-hour average temperature at the outlet from the wet scrubber (taken, at a minimum, once every minute) measured during the most recent performance test demonstrating compliance witb the applicable Hg emission limit specified in Subpart E ofthis Part. "Medical/infectious waste" means anywaste generated in the diagnosis, treatment, Or immunization ofhuman beings or animals, in research pertaining thereto, or in the production or testing ofbiologicals. The defmition ofmedical/infcctious waste does not include hazardous waste identified or listed under the regulations in 40 CPR 261; household waste, as defined in 40 CFR 26L4(b)(l); and domestic sewage materials identified in 40 CFR 261.4(a)(1). For the purposes ofthis Part, medical/infections waste includes: Cultures and stocks ofinfectious agents and associated biologicals, including: vaccines and cultures intended for use in diagnosing, immunizing, or treating humans or animals; cultures ITom medical andpathological laboratories; cultures and stocks ofinfectious agents from research and industrial laboratories; wastes from the production ofbiologicals; and discarded live and attenuated vaccines; Human pathological waste, including tissues, organs, andbody parts and body fluids that are removed during surgery or autopsy, or othermedical procedures, and specimens ofbodyfluids and their containers; Huma.n blood, anyproducts derived from human blood, or anything that has been in contact with humanblood in any form; Intravenous bags and associated tubing;

8Sharps d1at have been llsed in animal or human patient care or treatment or in medical, research, or industrial laboratories, including hypodcnnic needles, syringes (with or without the attached needle), pasteur pipettes, scalpel blades, blood vials, and needles with attached tubing; Culture dishes, regardless 0 fthe presence ofinfectious agents, and culture dishes and devices used to transfer, inoculate, and mix cultures; Any type ofbroken or 1mbroken glassware that has been in contactwith infectious agents; Animal waste, including contaminated animal carcasses, body parts, bedding of animals that were known to have been exposed to infectious agents during research (including research in veterinary hospitals), production ofbiologicals or testing ofpharmaceuticals; Isolation wastes, including biological waste and discarded materials contaminated with blood, excretions, exudates, or secretions from humans who are isolated to protect others from highly communicable diseases, or isolated animals known to be infected with highly communicable diseases; and Unused sharps, including the following unused, discarded sharps: hypodennic needles, suture needles, syringes, and scalpel blades. "Medium HMIWI" means: An HMlWI whose maximum design wasteburning capacity is more than 200 Ibs per hourbut less than or equal to 500 .lbs perhour; or A continuous orintermittentHMIWI whose maximum charge rate, as set by permit, is more than 200 lbs perhour but less than or equal to 500 lbsperhour; or A batch HMIWT whose maximum charge rate, as set bypermit, is more than 1,600 .lbs perday but less than or equal to 4,000 ibs perday. "Minin1um dioxin/furan sorbent flow rate" means 90 percent ofthe highest 3-hour average dioxin/furan sorbent £low rate (taken, at a minimum, once every hour) measured duringthe most recentperformance test demonstrating compliance with the applicab.le dioxin/furan emission limit specified in Subpart E ofthis Part. "Minimum Hg sorbent flow rate" lUeans 90 percent ofthe bighest 3-hour average Hg sorbent flow rate (taken, at a minimum, once every hour) measured during the most 9recentperformance test demonstrating compliance with the applicable Hg emission limit specified in Subpart Eofthis Part. "Minimum HC1 sorben! flow rate" means 90 percent ofthe highest J-hour average HCI sorbent flow rate (taken. at aminimum. once everyhour) measured during the most recentperformance test demonstrating compliance witb the applicable HCl emission limit specified in Subpart E ofthis Part. "Minimwn horsepower" or "minimum amperage" meallS 90 percent ofthe highest 3-hour average horsepower or amperage to the wet scrubber (taken, at a minimum, once every minute) measured during the most recentperformance test demonstrating c-Ompliance with the applicable emission limits specified in Subpart E ofthis Part. "Minimum pressure drop across the wet scrubber" means 90 percent ofthe highest J-hour average pressure drop across the wet scrubber PM control device (taken, at aminimwn. once evety minute) measured during the most recentperformance test demonstrating compliance with the applicable PM emission limit specified in this SubpartE oftbis Part. "Minimum reagent flow rate" means 90 percent ofthe highest 3-hour average reagent flow rate at the inlet to the selective noncatalvtic reduction technologv (taken. at a minimum, once every minute) measLlTed during the most recent performance test demonstrating compliance with the NOx emissions limit. "Minimmll scrubber liquor flow rate" means 90 percent ofthe highest 3-hour average liquor flow rate at the inlet to the wet scrubber (taken, at a minimwn, once every minute) measured during the most recentperformance test demonstrating compliance with the applicable emission limits specified in SubpartE ofthis Part. "Minimum scrubber liquorpH"" means 90 percent ofthe highest 3-hour average liquorpH at the inlet to the wet scrubber (taken, at a minimum, once every minute) measured during the most recent performance test demonstrating compliance witb the applicable HCl emission limit specified in Subpart Eofthis Part. "Minimum secondary chamber temperature" means 90 percent ofthe highest 3-hour average secondary chambertemperature (taken, at a minimwn, once everyminute) me?SlU"ed during the most recentperformance test demonstrating compliance with the PM, CO, dioxin/furan, and

### NOX emissions limits. "Miaimtlffi seeeadary chameer temjlerarnre" I'l',eaas 90 J3ereent erthehighest 3 heul' ayerage seeendar'y' eh_eer temJ3erlHure (take"",t a minimum, eRse e',ery minnte) measured dtlRag the mest reeent J3eHeI113aaea tast demenstratiRg eamJ3lianee wita tile applieable PM, CO, alld EliOJ(iH/fhran aRlissiea limits spaeifiaEl in Subpart g artllis Part. 10"Operating day" means a 24-hour period belween 12:00 midnight and the following midnight during which any amount ofhospItal waste or medicaJlinfeclions wasle is cnmbusted at any lime in an HMlWI. "Operation" means any period during which waste is combusted in an HMIWI, excluding peliods ofstartup or shutdown. "Pathological waste" means waste material consisting ofonlyhuman or animal remains, anatomical parts, tissue, and the bags or containers used to collect and transport the waste material and associated animal bedding, ifapplicable. "Primary chamber" means the chamber in an HMrwI that receives waste material, in which the waste is ignited., and from which ash is removed. "Rural HMIW1" means any HMIWI identified in Section 229.110(a) oftms Part, that is located more than 50 miles from the boundary oftlle nearest Standard Metropolitan Statistical Area, as defined in OMB Bulletin No. 93-17, incorporated by reference at Section 229.104(b) ofthis Part, meets the criteria specified inthe definition of"small HMlWT' and burns less than 2,000 lbs perweek ofhospital waste and medical/infectious waste (exceptthe 2,000 Ibs per week limitation does not applyduring performance testing). "Secondarychamber" means that component ofan HMIWIthat receives combustion gases from the primary chamber and in which the combustionprocess is completed. "Shutdown" means theperiod oftime after all waste has been combusted 

### in the primary chamber. "Small HMIWI" means: An HMIWI whose maximum design waste burning capacity is less than or equal to 200 Ibs perhour; or A continuous or intermittent HMIWI whosemaximwn charge rate, as set by permit, is less than or equal to 200 Ibs perhour; or A batch HMIWI, whose maximum charge rate, as set by pennit, is less than or equal to 1,600 Ibs per day.

II"Startup" meallS the period oftime between the activation ofan HMIWl and the first charge ofwaste to the unit. Forbatch HMIWl, startup means the period oftimebeN/een activation ofan HMIWr and ignition oftl1e waste. "Wet scrubbd' means an add-on air pollution control device that utilizes eitheran alkaline or some other type ofscrubbing liquor to collectpollutants and/or neutralize acid gases. (Source: Amended at "effective

. -'). Section 229.1 04 Incorporations by Reference The following materials are incorporated in this Partbyreference. These incorporations by reference do not include any later amendments or editions. a) "An Ounce ofPrevention: Waste Reduction Strategies forHealth Care Facilities," American Society for Healthcare Environmental Services, 840North Lakc Shore Drive, Chicago, illinois, 60611 (1993). b) "Revised Statistical Definitions for Metropoiitan 

### Areas," OMB Bulletin No. 93-17, Office ofManagement and Budget, Washington, D.C. (June 30, 1993) c) 40 CFR 60.8. d) 40 CFR 60, Appendix A, Methods 1,2,3, 3A, 5,9,10, 

### lOB, 23,26, 26A, 29. e) 40 

### CFR 60, Appendices Band

### F. f) 40 CFR Appendix A. Methods 38. 6, 6C, 7, 7E, 22 (2010). gJ 40 CFR 60, subpart Ce and Ec (2010). h) ANSVASMEPTC19.10-1981. Flue and Gas Analyses, [part 

### 10, Instruments and Apparatus]. i) ASTM D6784-02, Standard Test Method forElemental. Oxidized. Particle-Bound and Total Mercury in Flue Gas Generated from Coal-Fired Stationary Sources (Ontario Hydro Method). j)**'~fapric** FilterBag Leak Detection Guidance", U.S. Environmental Protection Agency. (EPA-454/R-98-0l5, September 1997).

12(Source: Amended at
....._, effective**----~).**

Section 229.110 SUBPART B: APPLICABILITY General Applicability a) Except as provided for in subsections Ib), Ie). Id) and Ie) ofthis Section and Section 229.112 oflhis Subpart, this Part applies to all HMIWTs for which: 1) Construction commenced eitheron orbefore June 20,1996, or modillcation was commenced either on or before March 16, 1998; or
2) Construction commenced either after June 20, 1996 butno laterthan December I, 2008, or for which modiflcation is commenced afterMarch 16, 1998 but no laterthan April 

### 6, 20

### IO.
a) 

### This Part applies to all 

### HMPN1s fer 

### whieh eORsB'>letiol'l eOffimefleee either OR or l3efore lUlle 20, 1996, exeeJ'jtas prevideafur ill subsections 

## eel, (e), Ed) aRa (8) of this Sectiol'l and SeetioB 229.1]? ofthis 

### Sul3part. b) An HMIWI otherwise subjectto the emission limits in this Part is only subject to the recordkeeping requirements set forth in Section 229.I82(b), (f) and (g) ofthis Part during those periods when it combusts only pathological waste, low·level radioactive waste, or chemotherapeutic waste, provided the owneroroperatorof the HMIWI notifies the Agency ofits intention to operatepursuantto this operating scenario in its CAAPP application submitted in accordance with either Section 229.115(b)(I), SubpartD ofthis Part, or Section 39.5 ofthe Act. c) An HMIWI that combusts only pathological waste, low-level radioactive waste, or chemotherapeutic waste is subject to only the recordkeeping requirements set forth in Sectiol1§. 229.182(c), (f) and (g) ofthis PaIt, provided thatthe owneror operatorofan HMfWIprovides, by December 15, 1999, both the Agency and the USEPA with a written certification ofits status as an HMIWIburning only the wastes listed in this subsection. d) A co-fired combustor is subject onlyto the recordkeeping requirements set forth in Sections 229.182(d), (f) and (g) ofthis PaIt, provided that the owneror operator ofthe combustor is subjectto a pernlit condition limiting its fuel feed stream to 

### 13co-fired combustor status, provides, by December 15, 1999, both the Agency and USEPA with a written certification ofits status as a co-fired combustor including an estimate ofthe relative weight ofhospitaJ waste, medicallinfectious waste, and other fuels and/or waste combusted at the facility. e) Any hospital that does not operate an HMIWI but that sends any ofits hospital waste or medical/infectious waste to an off-site HMTW1 is suhjectonly to the waste managementplan provisions set forth at Section 229.178 ofthis Pan. Before January L 2014, each owneroropcrator ofan H:MIWI. as defined in subsection 229.110 (a)(1) oftllis Section subject to the emissions limits under Section 229125(a1 or Section 229. 126(a), shall comply with all the applicable provisions ofthis Part.

On and iiller January 1. 2014. an HMIWI as defined in subsection 229.110 (a)(1) ortnis Section is no longer subject to the emissions limits under Section 229.125(a) or Section 229. I26(a) ofthis Part. but is subject to the emissions limits under Section 229.125(c) or Section 229.126(c1, and shall comply with all the applicable provisions ofthisPart. 

### hI QD and afterJanuary 1, 2014, each owner and operatorofan HMIWI as defined in subsection 229.110 (a)(2) ofthis subpartis no longer subject to the provisions under New Source Performance Standards for HospitalJMedical/Infectious Waste Incinerators (40 CFR 60. Subpart Ec), but is subjectto the emissions limits under Section 229.125(e) or Section 229. 126(c), and shall comply with all the applicable provisions ofthis Part.
(Source: Amended at -', effective -').

Section 229.112 Exemptions Notwithstanding otherprovisions ofthis Part, tbe following emission units are exempt from the requirements ofthis Part: a) Anycombustorrequired to have apemlit underSection 3005 ofthe Solid Waste Disposal Act, 42 U.S.c. 6925;

)4b) Any municipal waste combustor that meets the applicability provisions for municipal waste combustors under Subparts Cb, Ea or Eb of40 CFR 60; c) Any pyrolysis unit (i.e., aunit thatuses endothemlic gasification to treat hospital waste or medical/infectious waste in order to render such waste harntless); d) Any cement kiln firing hospital waste or medical/infectious waste; or e) AnyHMIWI that meets the applicability provisions for Standards ofPerformance for HospitaJlMedical/Infectious Waste Incinerators under Subpart Bc of40 

### CFR 

### QQ 0) ilJ'l)' RMI\l,q 5HBjoet Ie lee Standards o/Per/e)'n/QI/ee f:>r**~ildl/M'Cdie(JI/I"ftetieus** Waste**!~ei/'/e''d,tel'!!** fer HqJieh**G9,1S~** Gemme"lee"

### ,1ft-e1'June ](), ! 996, eontaillca in Sllbj'lart Ee sf40 CPR eO.50e, (Source: Amended at , effective -----).

Section 229.115 SUBPART C: COMPLIANCE SCHEDULES Cnmpliance Schednles for HMIWIs ThatWill Continue to Operate a) Before January l, 2014. each owneroroperator ofan HMIWI, as defined in Section 229,110 (a)(1) ofthis Part subject to the emissions limits under Section 229.125(a) or Section229.l26(a) onhis Part, shall complywith all the applicable provisions oftms Part according to the following scbedules: 

## If!) Except as provided in subsection

### Will

## EB1 ofthis Section and unless anotherdate is specified in the provisions ofthis Part, all owners or operators ofHMIWIs shall be in compliance with all ofthe provisions of tbis Partby September 15, 2000. 

### 113) Except as provided in subsection

## UiliIl te1 ofthis Section, the owner or operatorofan HMIW! mayhave up to September 15,2002, to comeinto compliance with this Part. To avail themselves ofthis extended compliance timeframe, the owner or operatorofan HMIWT shall: 

### A+) Submit its CAAPP application to the Agency, on orbefore November 15, 1999, requesting 

### an extended compliance schedule, pursuant to Section 39.5(5)(d) ofthe Act, [415 lLCS 5/39.5(5)(d)]. 15This compliance schednle shall include docwnentation supporting the need for an cxtenslOn, a fmal control plan for the HMlWr and incremental steps to be taken toward compliance with this Part that, at a minimum, meet the increments ofprogress specified in subsection (a)(2)(B)**E~** ofthis Section;**J:l.~)** Meet the following increments ofprogress by the dates indicated: iA) Finalize all contracts for the purchase ofeither pollution control equipment, process modification or control systems byFebruary 29, 2000; liB) Commence tbe implementation ofeither tbe process modifications or the necessary construction orinstallation ofairpollution control devices for the HMIWI by November 30, 2000; iiiG) Complete either the process modifications or the installation orconstructionofthe new airpollution control equipment byAugust 31, 2001; iv!) Perform initial startup ofthe retrofitted HMIWIby January 15,2002; and ye) Complete the initial perfonnance test in accordance with Section 229.142 ofthis Part within 180 days after initial startup. 

### le) Any owner oroperator ofan HMlWI that fails to demonstrate compliance with this Part by September 15, 2002, shall cease operation oftheHMIWI until compliance with the provisions ofthis Part is achieved. 1d) Notwithstanding subsection

## Will tb1 ofthis Section, all owners or operators ofHMIWls shall be in full compliance with all ofthe HMIW1 operatorprovisions ofSubpart J ofthis Part by September 15, 2000. b) On and afterJanuary I. 2014. each owner or operatorofan HMlWI, as defmed in Section 229.110 (a)(I) or (a)(2) ofthis Part, and subject to the emissions limits under Section 229 125(c) ofthis Part. as applicable, or Section 229. 126(c) ofthis Part. shall comply with the applicable provisions ofchis Part according to the following schedules:

16I) Except as provided in paragraph (2) ofthis subsection and unless another date is specified in the provisions ofthis Part, all owners or operators of HMIWls shall comely with aU ofthe provisions ofthis Part by January l, 2014. 2) Except as provided in paragraph (3) o[lhis subsection, th,c_Q\'iner or operator ofan HMIWI may have until October 6, 2014, to complywith this Part. To avail themselves ofthis extended complian<:;e timeframe, the owner or operatorofan HMIW1 shaU do all ofthe foHowing: Al Submit its CAAPP application to the Agency, on orbefore January 1, 2013, recuesting an extended wmpliance schedule, Ptlrsuant to Section 39.5(5)(dl ofthe Act. [415 ILCS 5/395(51(d)]. This compliance schedule shall include documentation supporting the need for an extension, a final control plan for the HMIWI and increlJ:l.ental steps to be taken toward compliance with this Part that, at a minimum, meetthe increments ofprogress specified in subsection (b)(2)(B) ofthis Section; 

### ill...-. Meet the following increments ofprogress by the dates indicated: i) Finalize all contracts for the DUTchase ofeither DoUution control equipment. process modification orcontrol systems by July 1. 201 I; ii) Commence the implementation ofeitherthe process modifications or the necessary construction or installation ofairpollution control devices for the HMIWI by April 1, 2012; iii) Complete either the process modifications or the installation or construction ofthe new airpollution control equipmentby January 1, 2013; iv) Perform initial startup ofthe retrofitted HMIWI'hy July l, 2013; and v) Complete tbe initial performance test in accordance with Section 229,142 ofthis Part within 180 days afterinitial startup,

173) Any owner or operator ofan HMIWI that fails to demonstrate compliance with this Part bv October 6,2014, shall cease operation ofthe HMIWI until compliance with the provisions ofthis Part is achieved. 4) Notwithstanding subsection (b)(2) ofthis Section. all owners or operators ofHMIWTs shall be in full compliance with aU ofthe HMIWT operator provisions ofSubpart J ofthis Part before January 1, )014.
(Sounce: Amended at , effective

__.__**~_.** -..J'


### Section 229.116 Compliance Schedules for 

### HMlWIs That Will ShutDown All owners or operators ofHMIWls that intend to permanentlyshut down theirHMlW1 as a means ofcomplying with this Part shall: a) Provide the Agency with written notice oftheirintention to permanently shut down theirHMIWI, 

### as fonows: 1) On or before November 15, 1999, for an HMIWT 

### as defined in Section 229.110 (a)(l) ofthis Part subject to the emissions limits under Section 229.125(a) or Section 229.126(al ofthis Part; 21 

### On orbefore January 1. 2013. for an HMlW1 as defined 

### in Section 229.110 (a)(ll or (a)(2) ofthis Part subject to the emissions limits tmder Section 229.125(c), 

### as applicable, or Section 229.126(c) ofthis Part. bl Take the following affIrmative steps to demonstrate that the HMJW1 has been rendered permanently inoperable by September 15, 2000, for an 

### HMJW1 as defined in Section 229.110 (a)(l), orby January 1,2014 for an HMlW1 as defined in Sections 229.110 (a)(]) and (al(2) ofthis Part:
a) Pre'iide the Agell0Ywith "flitten netieo eftfleiriatontiofl te pomHmently soot ae....'A their HMl'NI Df! er eotere N(wemaer 15, 1999; aRE! 

### b) Take tbe fellewiBg affirmative stejls te aemenslfflte that the 

### HM1',!,q has 

### beeH rendered p6fffiBl'lerttl)' inoperable hy Sepiem'eer ] 5,2000: l} Weld the primary chamber door shut;

J82) Dismantle the H1vIIWI; or 

### 3) Other means tbat reasonably demonstrate thal the 

### HMIWI is no longer functional. (Source: Amended at , effective -'). 

### SUBPART D: CAAPP PERMIT REQillREMENTS Section 229.120 CAAPP Permit Requirements a) All HMIWls subject to the emissions limits i11 this Part shall operate pursuantto a CAAPP permit, as follows: ]) By September 15, 2000, for an HMlWI as defined in Section 229,1 

### J0 (a)(1) ofthis Part; 2) By January J. 2014, for an HMIWI as defined 

### in Section 229,110 (a)(l) 

### or (a)(2) ofthis Part. b) For anyHMIWI subject to the emission limits in this Part tbat is first required to obtain a CAAPP pennit because it is subject to the emission limits 

### in this Part. tbe owneroroperator shall submit a complete aoplication for a CAAPP permit" 

### as follows: I) By September 15, 2000, except as provided for i11 Section 229.IJ5(a)(2)(A} oftbis Part, for 

### an HMIWI 

### as defined in Section 229,110 (a)(I) ofthis 

### Part; 2) BvJanuary J. 2014, except as provided for 

### in Section 229. II5(b)(2)(A} of this Part for an HMIWI as defined 

### in Section 229.110 (a)(I) or (a)(2) of tbis Part. a) 

### All HMIWls sHbjeette the _issiofls limits iF! this Part shall opDffilaIHlfSl:lantto a CA,A L

12p 

### permit by Sept_bar 15, 2000. e) 

### For al'ly mmVl sl:lbjeet Ie tfle effiissieF! limits il'! this Partthat is first reEjHlrea te eMail'! a CAAPP permitbecause 

### it is sl:lbjeetto the emissieF! limits in this 

### Par.., the OWF!er or operator sball SHbmit acomplete application for a (,Au"?? 

### llermitby Sel'lt_ber 15,2000, exeDllt as I'lrovideEl for 

### in Seotion 239,I15(1J)(l) oetRis Pail.

19c) Upon submittal ofa timely and complete CAAPP application, the owner or operator ofan HMIWI shall not be in violation ofthe requirement, specified in subsection (a) ofthis Section, to have a CAAPP pemlit, to the extent provided in Section 39.5(5)(h) ofthc Act [415 [LeS 5/39.5(5)(h»). d) For any HMIWI that currently has a CAAPP permit, tbe following conditions apply: 1) lftbe CMPP penni! has 3 or more years remaining on the permit term, tbe owneroroperator 0 fan HMTWI shall apply for revision to the CAAPP permit to incorporate the applicable requirements ofthis Part, as follows: OR or befure !'1iJ"ember 15, 1999; or Al On orbefore November 15. 1999, for an HMIWI as defined in Section 229110 (a)(I) ofchis Part, B) On orbefore January I. 2013. for an HM1Wl;1S defined ill Section 229.110 (a)(I) or (a)(2) oftbis Part; or
2) Ifthe CAAPP pennit has less than 3 years remaining on the pennit term, the CAAPP permit shall be revised to incorporate the applicable requirements ofthis Part, upon renewal ofthepermit. (Souree: Amended at , effective 

### 1.

SUBPART E: EMISSION LIMITS Section 229.125 

### Emission! Limits for Small, Medium, and Large HMIWIs fi1The emission limits in this Section shall apply at all times to HMIW1s identified in Section 229.110(a) at all times, except as provided in Section 229.11 O(b) oftbis Part, Section 229.126 of this Subpart

### and SloIbllart Fefthis 

### Part. a) Before January 1. 2014, each owner or operatorofa small, medium, or large HMIWI as defined in Section 229.11 O(a)(l) ofthis Part, shall comply with the fonowing emissions limits: b) The emissiealimits €ersmall; mediHHl, aBd large HMIWls B)'e as !DHows:

HMIWI Emissions**Limit~** 20Pollutant 

## I Units 

### , Small 

### , Medium Large 

## I 17% oxvven drv basis) I ! Particulate Ml1ligrams per dry standard 

### ill _Q2 

### l±. matter cubic meter [mg/d,cm) (grains (0.05) 

### illm..l 100IS) 

## I per dry standard cubic fool (orldscfYI Carbon Parts per million hy volume 40 40 40 monoxide Itml11v) ! Dioxin&/furans Nanograms per dry standard 125 (55) 125 ISS) l25 (55) g!1bic meter tora] dioxins/furans or or QI Inddscm) (grains per billion dry 2.3 nO) 2.3 CUI) 23 CLO) standard cubic feet (gr/IO' dscOl or Iwldscm TEO (<>TIl0' dscfj Hydrogen (ppmv) or percent reduction 100 or 100 or 100 Or chloride 93% 93% 93% Sulfur diOXide WDmy) 55 55 55 Nitrogen (ppmv) 250 250 250 oxides Lead mg/dscm (grains per thousand 1.2 

### li 1.2 CO.52) dry standard cubic feet (crILQ.:'.. 10.52) or (052) or or qscf)) or nercC11t reduction

.. 70% 70% 70% Cadmium mgldscm (grII0' dscO or percent 9.16 0.16 

### QJ.Q.. reduction 10.07) or 10.07) or 10.07) or 65% 65% 65% mgldscm (grli0.1 dscD orpercent . Mercury 0.55 055 

### Q,.ll. reduction 10.24) or (0.24) or 10.24)or 

## I ! 85% 85% 85%



### llMIWl EMlSSION LIMITS PalllltllBt 

### YBit5 Small 

### MeElillffi (7% 

### elCygell., dtji 

## 00si&1 PM 

## I mg f)efds€m(grei!l5 liS (0.05) 69 (0.03) 3Q(0.015) 

### I

.. n 

### bfl 

## rnmw 4G 4G 4G

21Dioxinsl Nam;groms per 125 (55) or 

# 1125 (55) or 

## I 125 (55) or FHraflS dseFfl, total 23 (1.0) i 2.3(10) 2.3 (1.0) dio1lirls/furaas 

## I 

## I**~jlor** billion

. dsel), ornfll1ogroms

per asClfl TEQ (byail'S per billion I 

### 6seft I 

### HGJ ppm>,' er percont +00 or 93% 100 or 93% 100 Or 93%

I redlletion 

### fw, "'*"'" i-=. 

# - *s.G *s.G *s.G

Ph mg per dsem**~2+** 1.2 (0.52) (grail15 per er 70% er 70% or 70% tboHsaa6 dscl) or G4 reg per dsem 0.16 (0.07) 0.16 (0.07) 0.16 (0.07) 

# I (grainspor er65% or 85% er65% thouSaJ1d dsci) OF



# . . Hg mg perdsem 0.55 (0.24) g..55 (0.24)· 0.55 (0.24) (grains por or 85% or 85% or 85%

, thousand dseD or ! , b) No owneror operator ofa small, medium, or large HMIWI subjectto emission limits listed under subsection (a) ofthis Section shaU cause or allow any emissions that cause greater than 10 percent opacity, as measured on a 6-minute block average. according to Method 9,40 CFR 60, Appendix A. incorporated by reference in Section 229.104(dl ofthis Part, from 

### any stack used by 

### an HMIWI. 0) On and after January 1, 2014. each owneror operator ofa small, medium, orlarge HMIWI. 

### as defined in Sections 229.11 O(a)( l) and (a)(2) ofthis Parl shall comply with the following emissions limits. as applicable:
0) 

### »10 owner or operator ofa small, mediHm, OF large 

### HMIWI sbaH oallSe or aUow any emissions that eaHse greater tban 10jlerceH! opaeity, as l'eeas\lIed on a 6 millute bloek average, aeeordiflg to Method 9, 40 CFR 60, Aj3!"efldiJ( A, incorporatedBy rererenGe at See-tim: 229.104(d) ofthis Part, from 

### aBy stack I:lsed by-all 

### HMIWI.

22

# ~~lluta~:- I HM1WI Emissions Limits 

### ! I Medium I---Large 

## I Units Small 17% oxvven drv basis! Particulate Milligrams per dry standard 66 (0.029\ 46 25 (0.0111 matter cubic meter fmg/dscml (gmins (0020)'

I per dly standard cubic foot 

### J.1.

Ie;r/dscf\\ (0015)b Curbon Parts permillion by volume 20 5.5 II monoxide (PP!lli:1 Dioxjml.f!Jrans Nanogrums.per dry standltrd 16 (7.0! or 0.85 9.3(4.1\ cubic meter total dioxins/fuTans 0.013 (0.37\ or Qr 0.054 (ng/dscm) (grains PeLbillion dry CO.00S7) 0.020 (0024) standard cubic feet (gIilO' dscm (0.0087) OT nl'/dscm TEO (",/10' <:tscfl Hydrogen 

### fumD.v.l 44' L1 6.6 chloride 

### .it. Sulfur dioxide 

### !.llJl!:llYl 4.2 4.2 

### M

- Ni![ogen oxides (ppmv) 190 190 140 Lead mgldscm (grains per thousand 0.31 0.018 0.036 dry srandard cubic feet (gril

## oj CQ.J.!l (0.0079) (0.016) dsct)j \ ----- 0017 0.013 0.0092 Cadmium mgldscm (grIJO- dscO (0.0074) fO.0057) (0.0040\ Mercury mg/dscm (gr/toJ dscD 0.014 0.025 0.018 10.OMI' 10.01]) (00079) II Emissions lImits for HMIWfs as defined in SecI1Ql' 229.110(a)(!) ofthis Part. bEmissions limits for HMlWf.s as defined in SeJ:tiao 229 11 O(a)(2) ofthis Part. 

### 9) No owneror operator ofa small, medium, or largeHMIWI subject to emission limits listed tmder subsection(c) ofthis**St~ctiol1** shall cause or allow any emissions that cause greater than 6percent opacity, as measured on a 6 minute block average, according to Method 9, 40 CFR 60, Appendix A, incorporatedby reference at Section 229.1 04(d) ofthis Part, from any stackused by an HMIWI. e) On and after lhe date on which the initial performance test is completed or required to be completed underSection 229.142 oftrus Part, whicheverdate comes first, no owner or operator ofan 

### HMIW1, as defined in Section 229.110 (a)(!) or(a)(2) ofthis Part and subject to tbe emissions limits under subsection (e) ofthis Section, shall cause to be discharged lnto the atmosphere visible emissions ofcombustion ash from an ash conveying system (including conveyor transfer 

### 23**l'QL~el1c1osures** orash conveying systems, bui/dim,s, or other sources in excess of5 percent ofthe observation period of9 mi!lutes per 3-hour period, according to Method 22, 40 CFR 60, Appendix A, incorporated by reference in Section 229,1 04(d) ofthis Part, except as provided by the following exclusions: I) Visihle emissions discharged inside buildinQs or enclosures ofash conveying systems; 2) During maintenance and repair ofasb conveying systems, Maintenance and/or repair shall not exceed 

### 10 operating days per calendarquarter unless the owneror operatorofan HMIW1 makes 

### a request to the Agency in writing for a longer period oftime to complete maintenance and/orrepair, and the Agency approves the owner or operator's request in writing, (Source: Amended at ,. effective --'),



### Section 229.126**Emission~** 

### Limits For Rural HMIWIs a1Notwlthstanding the emission,,-lirnlts set out 

### in Section229.125 ofthis Part, any rural HMIWI shall comply with the emissioTI§ limits set out in subsection (a) or (c) fl:lj ofthis Section. The emissioTI,,-limits under this Section shall apply at 

### all times, except

### as provided for in Section 229.11O(b) 

### and SubpartF oft!lis Part. a) Before January 1, 2014, 

### arural 

### HMIWI as defined 

### in Section 229.11 O(a)(I), shall comply with the foHowing emissions limits: b) The 

### emissioH limits 

### forrum! HMWI1 

### areas foltews;

Pollutant Unit. HMIWl Emis.<i"nS Limits (7% oxygen, dry basis) Particulate mgldscm (grIdscfl 

### 121 matter (0.086) Carbon l>Pmv 40 I monoxide Dioxins/furans ngldscm total dioxins/furans 800 (350) or (gr/IO· dscD orng/dscmTEQ 15 (6.61 (m'll0' dsctl Hydrogen lm!!lY- 3100 

## I chloride 24**~,** .. DomV Sulfur dIOxIde 55 Nib'orren oxides llILmv 250 Lead mgldscm lQ ; (grllO) dscO (4.4) Cadmium mg/dscm 1. ; (OT/IOJ dscfl (U) 

# I MercUlY mgfdscm 12 (<rr/lO'dscfl LUl



### Pollutallt {)n#s 

### EMISSION LIMITS t"O 

### ".
.

## ,. , 

### PM 

### ". t. .'-

# .... 197 (O.OS'" GG l'll'\flW 40 

### Dio"inl aaaograms !leI' e5Cm lotal 800 (330) 

### or 15 

### (U) Furaas dtoxiRslftlfan5 (graia5 per sillioR Elscl), orAa5ogFaflTS-jlff dscm 

### TeQ (grair.s per sillion

I Else!) HGI I l'll'\flW ;;.tOO 

### W. l'll'\flW 

### g Nf* l'll'\flW flb 

### 8115por dscm (graiA5 per 10 (44) 

### tIl011Sarl6 Elsot) 

### G<i 0015por dsclU (graiAs per 4-fh-+) 

## ,.'. "

..

### .:. fig Fag 

### per dsCffi (grOOflS per 7.5 (3.3)


### .,. . bl No owner oroperatorofa rural HMIWI subject to emissions limits listed under subsection (a) ofthis Section shall cause or allow any emissions that cause greater than 10 percentopacity. as measured on a6-minute block average, according to Method 9, 40 CPRPart 60. Appendix A, incorporated byreference at Section 229.104(d) ofthis Part. from any stackused by an HMTWI. 

### e) No OWfler or operator ora**ntr~l** 

### HMIW[ 5sall calise af 

### allo'"'

.. any emissions taat eauso greaterthan 10 fleroent opacity, as measa-reEl on a Ii 

### mimito sloek average, according la Meteos 9, 40 CPR 

### Part 60, AppaREli!, A, ineorporateEl

## ey refereflce at Sectioll 229.104(6) Of-thj5 Part, from aay staek HseEllly aH HMPNI.



### 25c) On and after January 1, 2014, anlral HMJW1, as defined in Section 229.11 O(a)(1 ), shall comply with the following emissions limits:

Pollutant Units Emi§slons Limits 

# I (7% oxygen. drv basis) Particulate mgldscm (gr/dscfl 87 

# I m.atter (0.038)

- Carbon ppmv 20 monoxide Dioxinslfurans ngldscm total dioxinslfurans 240 (100) or (grllO· dscD or ng/dscm TEO 5. t 12.2\ (<ffil 0" dscf\ Hydrogen_ Q!!!!!Y.. 

### ill eWoride Sulfur dioxide ppmv 55 Nitrogen oxides npmv 130 Lead mgldscm 0.50 (lrrflO' dsefl (0.22) Cadmium mgJdscm 0.11 (<!Til0' dse!) ill.Qm Mercury mgJdsem 0.0051 lor/]

## oj dse!) rOO022) dl No owneroroperator ofamTal HMIWI subjeCt to emissions limits listed under subsection (c) ofthis Section shall cause oraliow any emissions that cause greater than 6 percent opacity, as measured on a 6 minute block average, according to Method 9, 40 

### CPRPart 60, Appendix 

### A. incorporated by reference at Section 229.104(dl ofthis Part, from any stack usedby

### an HMIWI, e) On and after the date on whichthe initial performance test is completed or required to be completed underSection 229.142 ofthis Part. whichever date comes first, no owneroroperator ofa rural 

### HMIWI, as defined in Section 229.110 (a)(I) ofthis Part, subject to the emissions limits undersubsection (c) ofthis Section. shall cause to be discharged into the atmosphere visible emissions of combustion ash from ash conveYing system (including conveyor transferpoints), enclosures orash conveying systems, buildings, or other sources in excess of5 percent ofthe observationperiod of9 minutes per3-bourperiod, according to Method 22,40 

### CPR 60, Appendix A. incorporated byreference at Section 229,104(dl ofthis Part, except as,Qrovided by the following exclusions: I l Visibleemissions discharged inside buildings 

### or enclosures ofash conveying systems; 262) During maintenance and repair ofash conveying systems. Maintenance and/or repair shall not exceed 10 operating d?vs per calendar quarter. unless the owner or operator ofan 

### HMIWI makes 1\.request to the Agency in writing for a longerperiod oftime to complete maintenance and/or repair, and the Agency approves the owner or operator's request in writing. (Source: Amended at , effective**~~** __**~),**


### SUBPART F: EXCEPTIONS FROM EMISSION LIMITS (Repealed) Section 229,130 

### Operation During Periods ofStartup, Shutdown, or Malfunction (Repealed) a) The emiss;of!limits sl300ified in SUBj'laft g ofthis Part do not al3pl)' to 

### an HM1Wl dtlFing periods ofstarmp, sa"idovm eFmalfw,etion,4-fthe reqwrements provided if! SUBsoetions (13), (e) and (d) ofthis Seation aro mol, 

### 8) 1>10 waste sfiall be cfiarged to an 

### HMIV,rr duri.-,g periods ofs'._:13, shutdown or ffiaJfuaetioE. a) ne shutdovVfl efany HMP""! shall proeeea aeeOfEllng to the following reE/lJirements: I) Fer eOEtin\:lO\:lS HMIWIs, shutdown ma)' oommence 1'10 less than 2 ho\:l:l'S after tile last 6fiargeto an HMPNl; 1) For intermittentHJvll\V1s, sb""taewR may eOffifflefleo flO less than 4hours after the last eharge to an HMIWl; and 3) FOFBatch Hl\11Vns, shutaovffl ma)' eOffifflenee flO less than 5 hours alloer the rngh airpfiase ofeomllUstionhas beell eOlfljlletea, a) Duri..-,g periods ofmalfunetiell, tne ovmer or oflemtor ofan HMI\Vlshall ao all of the following: I) Take all roasollaBle steps loa enS\:lre tbat an HM!""I operates within the para£l1eters estaBlished for that HM!W! and to minimize e)(Oess emissiollS; 2) GOl1tinue-mellitoflng all 8flplical310parareeters; afid


### 273) Take appropriato eorreoti"e ae',iOl:s prior to reSliffii!\o tAe ehargi!\g ofany v,'aste to an HMI\\q. (Source: Repealed**at~** IIl Reg.

__,**effective,~_~~** SUBPART H: COMPLIANCE REQUIREMENTS Section 229.142 Initial Performance Testing and Establishment ofOperating Parameters for All HMrwls al Before January 1, 2014, each owner oroperatorofan HMIWI. as defined in Section 229.110 (a)(1) ofthis Part, subject to the emissions limits under Section 229 I 25(a) orSection 229.126[a) ofthis Part, shall comply with the following requirements: The OWl'ler or operator ofaH HMJ\!,l[ s..**~eet** to the OmiSSiOHS liffi:ils amlBl' tEls Part sEall eOfflply 

### 'Nita lfie follewiHg rO(jlliremeHts: Ill) Exceptas provided in Section 229.115(a)(2)(B)(v) 229.1 15(e)(2)(E) of this Part, conduct an initial performance test on theirHMlWI by September 15,2000; 

### 2,h) Except as provided in subsection

## Will ofthis Section, in the initial performance test, test for a\l pollutants limited pursuant to SubpartE of this Part; J,e) During the initial performance test, rural HMIWIs are not required to test for HCI, Pb or Cd; :!d) Ifan HMIWI is equipped 

### with a dry scrubber followed by a fabric filter, a wet scrubber, 6fa dry scrubberfollowed by a fabric filter and wet scrubber, or selective noncatalytie reduction system, establish the appropriate maximum andminimum operatingparameter values indicated in Appendix B ofthis Part for therelevant control system during the initial performance test, provided that the performance testdemonstrates compliance with the emission limits specified in Section 229.125 ofws Part; i.e) !fairpollution control equipmentotherthan a dry scrubberfollowed bya fabric filter, a wet scrubber, eT dry scrubber followed by a fabric filter and a wet scrubber, or selective noncatalvtic reduction system is used to comply with the emission limits under Section 229.125 ofthis Part, the 

### 28initial perfomlance test may not be conducted until site-specific operating parameters tbat wiH be monitored to demonstrate compliance with this Part have been establisbed by the Agency in aconstruction pemut and approved by USEPA. fit} For rUTIlI HMIWI, establish the maximwn charge rate and minimum secondary c!lamber temperature as site-specific parameters during the initial performance test, provided that the performance test demonstrates that the HMIWI is in compliance with the emission limits specified in Section 229.126 ofthis Part. b) On and after January 1. 2014. each owneror opeTIltor ofan 

### HMlWI. as deffied in Section 229.110 (a)(I) or (a)(2) ofthis Part and subiect to the emissions limits under Section 229.125(c), as applicable. or Section 229. I26(c) ofthis Part shalJ comply with the following requirements: 1) Except as provided in Section 229115(a)(2)(B)(v) ofthis Part. conduct an initial performance test on their HMIWI byJanuary 

### 1. 2014; 2) Except as provided for in parawpb (b)(6) oftms subsection, in the initial llerformancetest, test for atlj)ollutants to demonstratecom?liancewith Section 229.1 25(c). or Section 229.126(c) emissions Emits. as applicable, pursuant to Subpart E ofthis Part; 3) Ifan HMIWI is equipped with adry scrubber followed by a fabric filter. a wet scrubber, a dry scrubberfollowed by a fabric filter and wet scrubber, or selectivenoncatalvtic reduction system establish the appropriate maximumand.minimurn operating parameter values indicated in Appendix B ofthis Part for the relevant control system during the initial perfOl!1lancetest provided that the performance test demonstrates compliance withthe emission limits specified in Section 229.125 or 229.126 ofthis Part; 4) [fan airDoUation control device otherthan adry scrubberfollowed by a fabric filter, a wet scrubber, dry scrubber followed by a fabric filter and a weLscmbber, or selective noncatalvtic reduction sYStem is used to comply withthe emission limits under Section 229.125 orSection 229.126 ofthis Part, the initial perfonuance testmay notbe conducted until site-specific oper<lJing parameters that wil! be monitored to demonstrate compliance with this Part havebeen established by the Agency in aconstruction permit and approved by USEPA.


### 295) For aJural rr;V£IWlthal is not equipped with an air pollution control device, establish the maximum charge rate and minimum secondary chamber temperature as site-specific parameters during the initial performance test, provided that the perfonnance test demonstrates that the HMIWI is in compliance with the emission limits specified in Section 229.126Ic) ofthis Part; 6) The owner oroperator ofan HM[WI may use results ofprevious performance testis) for initial compliance demonstration witb tbe applicable emissions limits, provided the following conditions are met: A) The previous emissions testis) was conducted using procedures and testmethods listed in Section 229.140 ofthis Part, or USEPA-accepted voluntary consenSllS standards; and B) The test results are certified as representative ofcurrent operations: Theprevious emissions testis) was conducted no earlier than 1996; and 7) The owneroroperatororanHMIWl that cannot certify and orwhose previous perfoITI1ance testes) results do not demonstrate compliance with one or more ofthe revised emission limits must conduct another performance test for those pollutants, 8) The owner or operatorofan HMIWI as defined in Section 229.11 Ola)(I) orla)12) ofthis Part, and subiect to the emissions limits under Section 229. 125Ic), as applicable, orSection 229.1 26(c) ofthis Part, shall detemline compliancewith the visible emissions limit for fugitive emissions from ash handling in Sections 229.125(g) and 229.126(e) by conducting an initial perfoITI1ance test using Method 22, at40 CFR 60, Appendix A, incomorated by reference at Section 229.104(d) ofthis Part.
(Source; Amended at , effective**~).**
Section 229.146 Annual Testing forOpacity Following the date on which the initial perfonnance test is completed, as required by Section 229.] 42 ofthis Section, the owners or operators ofall**HM1Wl~** shall conduct an annual opacity 30test, in accordance with Section 229.140 ofthis Part. The opacity test schedules**ar~<l-S._[Qjlows:** , b)' Sel"tel1',ber 15 ofeacA year. By September 15 ofeach year. for an HMIWI, as defined in Section 229.110 (a)(J) of 01is Part. and subject to Ole emissions limits under subsection 229.l25(a} or subsection 229, 126(a) ofthis Part: b) ByJanuary I ofeach year. for an HMlWI, as defmed in Section 229.) 10 (a)(1) or (a)(2) ofthis Part, and subject to the emissions limits under Section 229.125(c), 

### as. applicable. or Section 229, 126(c) ofthis Part (Source: Amended at , effective -')

Section 229.148 Annual Performance Testing for All Small, MediuBl ana Large HMIWls Following the date on which the initial performance test is completed, as required by Section 229.142 ofthis Part, all DWFl8rS Of Dj'lefatars efsmall, maliitlfl1, aflargeHMfWls each owneror operatorofan HMIWI, as applicable. shaD conduct an annual perfomlance test, 

### by September 15 ofeach year to determine compliance with the applicable PM, CO and HCl emission limits specified in Section 229.l25til1 or229.126 ofthis Part, using the applicable test procedures and methods specified in Section 229.140 ofthis Part. a) Annual performance test schedules are as follows: 1) Before January 1. 2014. each owner oroperator ofa small, medillm, or large HMIWI as defined in Section 229.110(a)(1).**subj~t** to the emissions limits under Section 229, 125(a) ofthis Part shall complete an annual performance test by September 15 ofeach year; 2) On and afterJanuary 1,2014, 

### an owneror operator ofa s.mall. rural. medium, or large HMIWI, as defined in Section 229.110(a)(l) or (a)(2), subject to the emissions limits under Section 229. I25(c), as applicable. or in Section 229.126(cl ofthis Part, shall complete an annual performance test by January 1 of each year. 

### 9.a) IfaD 3 annual performance tests over 

### a 3-yearperiod indicate compliance with the applicable emission limits for PM, CO, or Hel specified in Section 229,125(91 oftlris Part, the owner or operatorofan HMIWl mayforego aperformance test for that pollutant during the next 2 years. lfthe next performance test conducted every third year indicates CDmpliance with the emission limits forPM, CO, or HCI specified in Section 229. 125til1 31ofthis Pari, the owner or operator ofan HMIWl may forego a pelformance test for that po]Jutant for an additional 2 years from the date ofthe previous performance test. £b) lfany performance tcst indicates noncompliance with the respective emission limit, the owner or operator ofan HMIWI shall conduct aperformance test for thatpollutant annua]Jy until all annual perfonnance tests over a 3-year peliod indicate compliance with the respective emission limits. 

### ill. The owner or operator ofan HMIWI may use any ofthe following types ofcontinuous emission monitoring systems (HeEMs") 

### as provided in Section 

### 229. I52 ofthis 

### Part, to substitute for annual performance tests and parameter**monitoti.!!gJ~ul.~1]1onstrate** compliance with applicable emission limits: 1) PM CEMS: replace annual PM testing and opacity testing and monitoring of pressure drop across the wet scrubber. ifapplicable: 2) CO CEMS; replace annual CO t(isting and monitoring ofminimum secondarY chambert=peraurre: 3) HCI CEMS; replace annual HCI testing and monitoring ofminimum HC] sorbent flow rate, and minimum scrubberliquor pH.
(Source; Amended at , effective**----~).** Section 229,150 Compliance with Operating Parameter Values a) Following the date on which the initial performance test is completed, or is required to be completed under 

### asjlfevidea in Section 229.142 ofthis Subpart, whichever date comes firstFaR, an HMIWI, using a dry scrubber followed by a fabric filter, a wet scrubber, efdry scrubber followed by 

### a fabric filter and a wet scrubber, or 

### a selective noncatalvtic reduction system to complywith the emission limits ofthis 

### Part; shall notoperate above any ofthe applicable maximum orbelow any ofthe applicable minimum operating parametervalues specified in Appendix 

### B ofthis 

### Part. All operating parameters shall be measured as a 3-hourrolling average (calculated each hour as the average ofthe previous 3 operating hours) at all times, 

### s)(sej9t

### dHAflg p8fii)ds 

### ofslartl±p, shBlde""I'l, 

## ffila Fllalful'letion (ealealated each helli'as 8

### J AOlolfrolling 8'iefage oftAe Jlfe',oio!1s 

### J oJlerating hOIff5). Forbatch HMIWls, the charge rate shall be measured Oil a perbatch basis.

32

### L Except as provided in Section 229.164 oftrus Subpart. for an HMlWl equipped with a selective noncatalytic reduction system, operation ofthe HMIWI above the maximum charge rate, below the minimum secondary chamber temperature, and below the minimum reagent flow rate simultaneollsly shall constltute a violation ofthe NOx emissions limit. 0) For HMIWls using airpollution control equipment other tban adry scrubber followed by a fabric filter, awet scrubber, erdry scrubber followed by a fabric filter and a wet scrubber, or a selectivenoncatalvtic reduction system to comply with the emission limits under Section 229.125 or Section 229.126 oftilis Part, following the date on which the initial perfol1nance test is completed, as provided in Section 229. 142 ofthis Part, an HMIWl shall not operate above any applicable maximumor below al"ly applicable minimum operating parametervalues established in its CAAPP pennit. ge) Operatingparameter limits do not apply during perfonnancetests. (Source: Amended at , effective -').

Section 229.152 ComplianceRequirements for HMIWIs nsing CEMS The owner oroperator ofan HMIWI may use a CEMS to demonstrate compliance with any of the emission limits under Section 229.125fbj or Section 229.126 oftbis Parl, ifprovided for in its permit. Aft)'HMIWIthatis allowea to**~se** a GEMS to d<JfllOftstrato eOfllplianeo with the omissionlimits ofthis Part shall: 

### ill Any HMIWl that is allowed to use a CEMS to demonstrate compliance with the emissionlimitsofthis Part shall: 1a) Determine compliance with the applicable emission limits using a 12:hour rolling average, calculated each hour as the average ofthe previous 12 operating hours;**~eluaingstartup,** SflutGO""'B, OF BlalfuftetiOR; and ;1.b) Operate aU CEMS in accordance with the applicable procedures under Appendices B and F of40 CFR 60, incorporated byreference at Section 229. 104(e) ofthis Part. b) In the case ofCEMS for which USEPA has not publishedperfonnance specifications, the option to use the CEMS takes effect on the date ofpublication ofthe per[onnance specifications in the Federal Register oraftersite-specific 33operating parameters used to demonstrate compliance with this Part have been established by the Agency in a construction permit and aDproved by USEPA. (Source: Amended 

### at

__. , effective**~)**
Section 229.154 Violations by HMlWIs Equipped with a Dry Scrubber Followed by a Fabric Filter Except as provided in Section 229.164 ofthis Subpart, for an HMIWI equipped with a dry scrubber followed by a fabric fiIter: a) Simultaneous operation ofan HMIWI above the maximum charge rate and below the minimum secondary chamber temperature (each measured on a 3-hourroiling average) shall be a violation ofthe CO emission limit; b) Simultaneous operation ofan HMrWI above the maximum fabric filter ir'Jet temperature, above the maximum charge rate, and below the minimum dioxin/furan sorbent flow rate (each measured on a 3-hourrolling average) shall be a violation ofthe dioxin/furan emission limit; c) Simultaneous operation ofan HMIWI above the maximum charge rate and below the minimum HCI sorbent flow rate (each measured on a 3-hourrolling average) shall be a violation ofthe HCI emission limit; d) Simultaneous operation ofan HMIWI above the maximum charge rate and below the minimum Hg sorbent flow rate (each measured on a 3-hourrolling average) shall be a violation ofthe Hg emission limit; 

### er e) Use ofthe bypass stack 

### (eltefill Eilffing star-rul3, shutEiOWR Of

### ffialfuRetiefl) at any time during operation ofan HMlWl is a violation ofthe PM, dioxin/furan, HCI, Pb, Cd and Hg emission limits;c t) Ifa CO CEMS is used to determine compliance with a CO emissions limit operation ofthem\1IWI above the CO emissions limit as measured by the CO CEMS shall be a violation ofthe emissions limit; g) Ifa bag leak detection system is used, failure to initiate corrective action within one hour ofthe bag leakdetection system alarm, or failure to operate and maintain the fabric filter such that the alarm is not engaged for more thlln 5 percent ofthe total operating time in a 6-month block reporting period shall be a violation ofthe PM emissions limit; 34h) Ifa_hag leak detection system is used to demonstrate compliance with the opaeity limit, failure to initiate cOlTective action within one hour ofthe bag leak detection system alann shall be a violation orthe opacity emissioT\? limit; i) IfaCEMS is used to detemline compliance with a PM. Hel, Pb. Cd. and/orHg emissions limits, operation orthe HMlWl above the applicable emissions limit as measured by the CEMS shall be a violation orthe emissions limit; j) Ifa eontinuous aptomated sampling system is used, operation ofthe HMIWI above the dioxin/furan emissions limit as measured by the continuous antomated sampling system shall be a violation ofthe dioxin/furan emissions limit; or kl Ifa continuous automated sampling 

### system is used, operation ofthe HMIWJ above the Hg emissions limit as measured bythe continuous automated sampling system shall be a violation ofthe Hg emissions limit- (Souree: Amended at**~,** effeetive -..!).



### Section 229.156 Violations 

### byHMIWlsEquipped with aWetScrubber Except as provided in Section 229.164 ofthis Subpart, for an HMIWJ equippedwith awet scrubber: a) Simultaneous operation ofan 

### HMIWJ above the maximum charge rate and below the minimum pressure drop across thewet scrubberorbelow the minimum horsepoweror amperage to the system (eachmeasured on a 3-hourrolling average) is aviolation ofthe PM emission limit; b) Simultaneous operation ofan HMIWJ above the maximwn charge rate and below the minimum secondary chamber temperature (each measured on a3-hourrolling average) is a violation ofthe CO emission limit; c) Simultaneous operation ofan HMlWJ above the maximwn charge rate, below the minimum secondary chambertemperature and below the minimum serubber liquor flow rate (each measured on a 3-hourrolling average) is a violation ofthe dioxin/furan emission limit; d) Simultaneous operation ofan HMlWl abovethe maximum chargerate and below the minimum scrubberliquorpH (each measured on a 3-hourrolling average) is a violation ofthe HCI emission limit; 

### 35e) Simultaneous operation ofan HMIWI above the maximum flue gas temperature and above the maximum charge rate (each measured on a 3-hourrolling average) is aviolation ofthe Hg emission limit; 6F f) Use ofthe bypass stack (E\J,eejlt duFing startup, slmtElewn, ermalfunetieR) at any time during operation ofan HMIWI is a violation ofthe PM, dioxin/furan, HCl, Pb, Cd and Hg emission**limits~,** gl Ifa CO cEMS is used to determine compliance with a CO erlllssions limit, operation ofthe HMIWI above the CO emissions limit as measured by the CO CEMS shall be a violation ofthe emissions limit; hl Ifa CEMS is used to determine compliance with aPM, HCI. Ph, Cd, andiorHg emissions limit, operation ofthe HMIWI above the applicable emissions limit as measured by the CEMS shall be a violation ofthe emissions limit; i) Ifacontinuous automated sampling system is used. operation ofthe HMIWI !!b9Ve the dioxin/furan emissions limit as measured by thecontinuous automated sampling system shall be aviolation oftile dioxin/furan emissions limit; or j} Ifa continuous automated sampling system is used, operation ofthe HMIWI above the Hg emissions limit as measuredby the continuous automated sampling system shall be a violation ofthe Hg emissiom limit. (Source: Amended at -', effective ).

Section 229.158 Violations by HMIWIs Equipped witb a

### Dry Scrubber Followed by a Fabric Filter and a WetScrubber Except as provided in Section 229.164 ofthis Subpart, for an HMIWI equippedwith a dry scrubber followed by a fabric filter and a wetscrubber: a) Simultaneous operation ofan HMIWI above themaximwn charge rate andbelow the minimum secondary chambertemperature (each measured on a 3-hourrolling average) is a violation ofthe CO emission limit; b) Simultaneous operation ofan HMIWI above the maximwn fabric filter inlet temperature, above the maximum charge rate and below the minimum dioxin/furan sorbent flow rate (eacb measured on a 3-hourrolling average) is a violation ofthe dioxin/furan emission limit; 

### 36c) Simultaneous operation ofan HMIWI above the maximum charge rate and below the minimum scrubber liquorpH (each measured on a 3-hourrolling average) is a violation ofthe HC] emission limit; d) Simultaneous operation ofan HMIWJ above the maximum charge rate and below tbe minimum Hg sorbent flow rate (each measured on a 3-bour rolling average) is a violation oftbe Hg emission limit;

# '* e) Use oftbe bypass stack (Sl[6Bjlt during starttljr,shutdowfI, or malf1±rl6tion) at any time during"QIleration ofan HMIWl is a violation ofthe PM, dioxinJfuran, HCI, Pb, Cd and Hg emission limits;, f) IfCO CEMS is used to detennine comoliance with a CO emissions 

### limit, operation ofthe HMrwl above the CO emissions limit as measured bythe CO CEMS shall be aviolation ofthe emissions limit; g) Ifa bagJeak detection system is used, failure to initiate corrective action witbin one hour ofthe bag leak detection system alarm, or failure to operate and maintain the fabric filter such that the alarm is not engaged for more than 5 percentofthe total operating time 

### in a 6-month block reportingperiod shall be a violation ofthe PM emissions limit; h) Ifa bag leak detection system is used to demonstrate compliance with the opacity limit, failure to initiate corrective action within one hour oftbe bag leak detection system alarm shall be a

### violation ofthe opacitv emissions limit; i) IfCEMS is used 

### to determine compliance with aPM, HCL Pb. edLand/orHg emissions limit. operation ofthe HMrwI above tbe applicable emissions limit as measured by the CEMS shall be a violation ofthe emissions limit; j) Ifa continuous automated sampling system is used, operation ofthe HMrwI above the dioxin/furan emissions limit as measured by the continuous automated sampling system shall be a violation ofthe dioxin/fman emissions limit: or 

## k) Ifa continuous automated sampling system is used, operation oftbe l{Mrwl above the Hg emissions "limitas measured by the continuous automated sampling system shall be aviolation oftbe Hg emissions limit. 

### (Source: Amended 

### at

_____, effective**~).**

37Section 229.160 Compliance Requirements for Rural HMlWls
a) Prior to January 1, 2014, the requirements set forth in subsections Ic) through (e) ofthis section sball apply to all rural HMlWls subject to the emissions limits under Sectigl) 229.126 ofthis Part. b) On and afterJannary 1,2014, the requirements set forth in subsections Ie) through Ie) ofthis section shall apply to all rural HMIWls that are not equipped with 

### an air pollution control device and that are subject to tbe emissions limits under Section 229.126 ofthis Part. 

### "a) Following the date on which the initial perfonnance test is completed oris required to be completed under Section 229.142 ofthis Subpart, whicheverdate comes first, the owners oroperators ofa rural HMJWI shall not operate their HMIWI either above the maximum charge rate orbelow the minimum secondary cha.rnbertemperature measured as 3-hourrolling averages at aU tiffies, eJ(eept &driRgjleriaes afstaffiljl at sffi!tea'.vR (calculatedeach hour as the average ofthe previous a 3 flOW' rolling avarage aftne previous 3 operating hours) at aU times. Operating parameter limits do not apply during performance tests. dl Operation above the maximum charge rate or below tile minimum secondary chamber temperature detennined during the initial performance test shall constitute aviolation ofthe estahlished operating paranJeter(s). gb) Except as provided in Section 229.164 ofthis Subpart, the simultaneous operation ofa rural HMTWr above the maximum charge rate and below the minimum secondary chamber temperature (calculated 

### as a3-hour rolling average) shaH constitute a violation ofthe PM, CO and dioxinJfuran emission limits. (Source: Amended at , effective -'). Section 229.162 Inspection Requirements 

### for All HMIWls a) Before JanuaryJ, 2014, each owneror operatorofa rural HMIWr subject to the emission limits under Section 229.126 ofthis Part shall inspect the HMIWI according to the following schedule: "Ilea BWfler Bf**e~eratar** ofa ffil'al 111'141\111 sflaJI iRspeetthe HMIWr aeeonling to tfle follov,'iag**seflee~je:** I) An initial inspection shall be conducted by September 15, 2000; and

382) An annual inspection shall be conducted by September 150feach year thereafter. b) Each f!L\lipment inspection shall be conducted to ensure the properoperation of**th~** HMIWI and, at a minimum, shall consist oftile following steps: I) An inspection ofall bLm1ers, pilot assemblies, and pilot sensing devices, cleaning tile pilot flame sensor, as necessary; 2) An inspection ofthe primary and secondarychamber combustion air flow, adjusting, as necessary; 3) An inspection ofthe hinges and door latches, lubricating, as necessary; 4) An inspection ofdampers, fans, and blowers; 5) An inspection ofthe

### HMIW1 door and door gaskets; 6) An inspection ofall HMIWI motors; 7) An inspection oftheprimary chamberrefractory lining, cleaning, repairing orreplacing the lining, as necessary; 8) An inspection ofthe incinerator shell for corrosion orhot spots; 9) An inspection ofthe secondarylrertiary chamber and stack, cleaning as necessary; 10) Where applicable, an inspection ofthemechanical loader, including limit switches; 11) A visual inspection ofthe waste bed (grates), repairing orsealing, as necessary; 12) Where applicable, an inspection ofairpollution control devices to ensure theirproper operation; 13) Where applicable, an inspection ofthe waste heatboiler systems; 14) An inspection ofall bypass stack components;

39J5) Calibration ofthennocouples, sorbent feed systems and monitoring equipment; and 16) A generdl inspection ofall equipment to ensure that it is maintained in good operating condition. c) The owner or operatorofan a Flffil1 HMIWI sfLall document that, during the hum cycle inunediately followmg the inspection required by this Section, the HMIWI is operating properlyand make any necessary adjustments. d) All maintenance, adjustments, orrepairs identified during the equipment inspection required under this Section shall be completed within 10 days afterthe inspection. The owner 

### oroperator ofan HMIW1 may have alonger period oftime in which to complete anyrepairs identified as a result ofthe inspection required by this Section, provided that it makes this request to tbe Agency in writing, and the Agency approves the owner

### oroperatorofan HMIWI's request in writing. e) On and afterJanuary 1, 2014, the owner or operatorofa small, rural, medium. or large HMIWI subject to the emission limits under Section 229.125(cl. as applicable. or Section 229.126 ofthis Part, shall inspect tbe HMIWI as outlined in subsection (b) ofthis Section, accordingto the following schedule'. 1) An initial equipment inspection shall be conducted byJanuary 1, 2014; 

### ;md 2) An annual equipment inspection shall be conducted byJanuary 1 ofeach yearthereafter. 

### fl On and after January 

### J, 2014, the owner or operator ofan HMIW1 subject to the emission limits under Section 229.J25(C), as applicable. orSection 229.J26(c) of this Part, shall inspect the air pollution control device(s), according to the following schedule: 1I An initial air pollution control device inspection shall be conducted by January 1, 2014; anti 

### £l.- An annual airponution control device inspection shall be conducted by January 1 ofeachyearthereafter. g) Each air pollution control device insnection. as applicable. shallbe conducted to ensure the properoperation oftbe device and.. at aminimum, shall consist oftbe following stens; 

### 40

### .!.L.- Where applicable, an inspection oftbe thelmocouples, sorbent feed svstems, and any other monitoring equipment, adjusting applicable calibrahon(s), as necessary; and 2) A general inspectiol1 ofthe equipment to ensure that it is maintained in good operating condition. h) All maintenance, adjustments, or repairs identified during an airpollution control device inspection required under this Section shall be completedwithin 10 days after the inspection. The owner or operator ofan HMIWI mayhave a longer period oftime in which to complete any repairs identiJied 

### as aresult ofthe inspection reqnired by this Section, provided that it makes this request to the Agency in writing, and the Agency approves the request in writing.
(Source: Amended at

_ __' effective -J)

Section 229.166 

### SUBPART I: MONITORINGREQUIREMENTS Monitoring Requirements for All Smllll, 

### l\l€E1iuffi,liBEl Large 

### HMIWIs a) Each owner or operator ofan HMIWI subject to the emissionlimits under Section 229.125(c), 

### as applicable. or Section 

### 229. 126(c) ofthis 

### Part, shall comply with requirements ofthis Section according to the tbllowing schedule: ]) Before January I, 2014, for a small. medium or large 

### HM1W!; 2) On and after January I, 2014. for a small. medium or large HMIWI, and a rural 

### HMIVv'I that is equipped with an air pollution control device(s). 12&) Once the initial performancetest required by Section 229.142 ofthis 

### Part has been perfonned, and the site-specific minimum and maximum operating parameter values have been established, the owner oroperatorof

### an a small, meEliam 

### ar fflFge HMIWl, 

### as applicable, shall continuously monitorthoseparameters. !i.e) The owneroroperator ofan 

### a small, 

### ll'leaiHRl arlargeHMJW1, 

### as appJic.able, shall complywith the following monitoring requirements:

41I) Install, calibrate according to manufacturer's specifications, maintain, and operate devices Or establish methods for monitoring the applicable maximum and minimum operating parameters specified in Appendix B of this Part (lmless CEMS are used as a substirute for certain parameters as specified) such that tbese devices ormetbods measure and record values for these operating parameters at the frequencies indicated in Appendix B oftbis Part at all times, eneeflt dwiag peneds efstal1up and Sfl'.ltaeV,q:; 2) Install, calibrate according to manufacturer's specifications, maintain, and operate a device or establish a method for identifying the use ofthe bypass stack, including date, time, and duration ofuse; 3) 1fcontrol equipment 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, or a selective noncatalytic reduction system is used to comply with the applicable emission limits lmder Section 229.125(c) 229.PSfa)L as applicable, or Section 229. I26(c) ofthis Part, install, calibrate according to manufacturer's specifications, maintain, and operate the equipment necessaryto monitorthe site-specific operating parameters developed and approved pursuant to Section 229.142(a)(5) or (b)(5) Seeti81: 229.142 (e) offuis Part; and
4) Record monitoring data at an times during HMIWI operation, except during the periods ofmonitoring equipment malfunction, calibration, or repair. At a minimum, valid monitoring data sball be recorded for 75 percent ofthe operatinghours per day

### 004 for 90 percent ofthe operating days percalendar quarter that an HM1WI is comhusting hospital waste or medicalJinfectious waste, d) If

### an HMlWI is equipped with an airpollution control device that includes a fahric filter and a PM CEMS is notused to demonstrate compliance. the owner or operator ofthe HM1WI may use a bag leak detection system to determine compliance with the PM emissions limit. The owneror operator sball meet the fonowing requirements for eachbag leak detection system installed: 1) Each triboelectric bag leak detection system may be installed, calibrated, operated, and maintained according to the "Fabric Filter Bag Leak Detection Guidance," as incorporated byreference in Section 229.104; 2) The bag leak detection system shall be certified by the manufacturer as being capable ofdetecting PM emissions at concentrations of 10 42milligrams per actLInl cubic meter (00044 grains per actual cubic foot) or less; 

### 1l-. The bag leak detection system sensor shall prgvide an output ofrelative PM loadings; 4) The bag leak detection system shall be equipped with a device to continuouslv record the output Sih'TIal from the sensor; 5) The bag leak detection system shall be equipped with an alldible alarm system that sounds automatically when an increase in relative PM emissions over apreset level is detected. The alarm shall be located wllere it is easilyheard by plan1 operating personnel; 6) For positive pressure fabric filter systems, abag leak detector shall be installed in each baghouse compartment orcell; 7) Fornegative pressure or induced air fabric mters. abag Ieilk detector shall be installed downstream ofthe fabric filter; 8) 

### If multiplebagleak deteC10rs are required, the bag leak detection system's instrumentation and a1am) mayb·e shared among detectors; 9) The baseline output shall be established by adjusting the range and the averaging period ofthe device and establishing the alarm setpoints and the alam! delay time according to section 5.0 ofthe "Fabric Filter Bag Leak Detection Guidance." as incorporated by reference in Section 229.104; 10) Following initial adjustment ofthe system, the sensitivity orrange, averaging period, alarm set points, or alarm delay time may not be adjusted. Increasing the sensitivity by more than 100 percent or decreasing by more than 50 percent over a 365-dayperiod is a violation, unless such adjustment follows a complete fabric filter inspection that demonstrates that the fabric filter is in good operating condition, Each adjustment shall be recorded: 11) Maintain records ofthe results ofeach inspection, calibration, and validation check: and 12) The fabric fl1ter mustbe operatedand maintainedsuch that the bagleak detection system alarm is not engaged for more than 

### 5percentofthe total 43operating time in a**6~mon1J1** blockreporting period; however, corrective action must he initiated within 

### I hOUT ofthe alarm.

Section 229.168 Monitoring Requirements for Rural HMlWIs a) Egch owner or operator ofarural HMTWT subject to the emission limits llDder Section 229.126 oft11is Part shall comply with requirements ofws Section according to the following schedule: 1) Before January 1, 2014, for a rural HMIWI; 2) On and after January 1,2014, for a rural HMIWl that is not equipped_with an airpollution control device(s). b) The owner or operator ofeach rural HMlWI shall comply with the following monitoring requirements: 

### la) Install, calibrate according to manufacturer's specifications, maintain, and operate a device measuring and recording the temperature ofthe secondary chamheron a continuous basis, the output ofwhich shall be recorded, at a minimum, once everyminute ofoperation; 209) Install, calibrate according to manufacturer's specifications, maintain, and operate a device that automatically measures and records the date, time, and weightofeach chargefed into an HMlWI; and 

### le) Record monitoring data at all times duringHMIWI operation, except during periods ofmonitoring equipmentmalfunction, calibration, Or repair. At a minimum, valid monitoring data shall berecorded for 75 percentofthe operating hours perday

## ana for 90 percent ofthe operating hours percalendarquarter that an HMTWI is combustinghospital waste or medicalliJ'.fectious waste.
(Source: Amended at , effective ).

SUBPART 

### J: REQUIREMENTS FOR HMIWI OPERATORS

44SUBPART K: WASTE MANAGEMENT PLAN REQUIREMENTS Section 229.180 Waste Management Requirements for Commercial HMIWls Accepting \l/aste Celierated Off Site a) The owneroroperator ofany commercial HMIWI that accepts hospital waste or medical/infectious waste generated off-site shall: I) Provide hospital, medical or infectious waste customers with written information at leastonce a yearconcerning the availahility ofwaste management practices for reducing the volume and toxicity ofwaste to be incinerated; 

### an4 2) Conduct training and education programs in waste segregation foreach of the company's waste generator customers; 3} Ensure that each waste generator customerprepares its own wastc managementplan that includes, at a minimum, the folJowingelements: A) Segregation ofrecyclable wastes such as paperproducts, glass, batteries and illetal§.; B) Segregation ofnon-recyclable wastes such as polYVinyl chloride plastics, pharmaceutical waste, and mercury-containing waste; and Purchasingrecycled or recyclable products. 9) Submit a waste management plan to the Agency, in accordance with Section 229,I84(b) ofthis Part, that outlines the efforts that will be undertaken to implement the requirements clistribute infenl'lation as specified in subsection§ (a}(l} through (a)(3) ofthis Section. lirHI identifies the iflfolTl1atj(}[l that

### will be distcibHte!l. b) Paperorelectronic copies ofthe materials disseminated underthis Section shall be made available to the Agency upon written request. (Source: Amended at ---' effective**~),**

SUBPART L:RECORDKEEPING AND REPORTING REQUIREMENTS 45Section 229.182 Recordkeeping Requirements a) The owneror operator ofan 

### HMIWr subject to the emission limits underSubpart E ofthis Part shall maintain records ofthe following information: 1) The calendar dale ofeach record; 2) The following data, where applicable: A) Concentrations ofall applicable pollutants listed in Section £29J25 (a), Ic), or in Section 229.126 (a) or (cl ofthis Part (as determined bv the CEMS, ifapplicable\. and anymeasurements of opacity as required under Section 229.125(b), (d). or (i) or Section 229.126(b) or (d); CORcentratioRS ofall ajljlliea131e l'ollulants listea in Section 229.125('e) or 229. 126('e) ofthis Part (as detefffiined tl)' lhe GEMS, if.apfllieallle) and aR)' IfleaSH'Feffients ofopacity as required I±flGer Seetio1l229.125(c) or 129.126(e); B) HMIWJ charge dates, times and weights, and hourly chargerates; C) [fa fabric filter is used, the fabric filter inlet temperatures during each minute ofoperation; D) The amount andtype ofdioxin/furan sorbent used during each bour ofoperation; E) The amount and type ofHg sorbent used during each hourof operation; F) The amount and type ofHCI sorbent used during each hourof operation; G) Ifa selective noncataJytic reduction system is used to comply, the amount and type ofN0J> reagent used during each hour of operation; H) Ifa selective noncatalvtic reduction system is used to comply, the minimum secondary chamber temperature recorded during each minute ofoperation; 

### 46

### lG) The secondary chamber temperatures recorded during each minute ofoperation; LH) The liquor flow rate to the wet scrubber inlet dwing each minute of operation; Kl) The horsepower oramperage to the wet scrubber during each minute ofoperation; kJ) Any presstrre drop across the wet scrubber system during each minute ofoperation; MK) The temperature at the outletfrom the wet scmbberduring each minute ofoperation; Nob) The pH at the inletto the wet scrubber during each minute of operation; OM) Identification ofany use ofthe bypass stack, including dales, times, and the duration ofsuch use; and EN) For sources complying with Section 229.1661£} 8'8(3) ofthis Part, all operatingparameterdatacollected monitored; Q) Ira.bag leakdetection systemis used, maintain records ofthe system alarm. the time ofthe alarm, the time corrective action was initiated and completed, and abriefdescription ofthe cause ofthe alarm and the corrective action taken, as applicable. 3) Identification ofanycalendardays for which data on emission rates or operating parameters specified under subsection (a)(2) ofthis Section have notbeen obtained, with an identification ofthe emission rates or operating parameters not measured, reasons for not obtaining data, and adescription ofthe corrective actions taken; 4) Identification ofany malfunctions, including the calendar date, the time and duration, and a description ofthe malfimction and ofthe corrective action taken to remedy it; 5) Identification ofcalendardays for which dataon emission rates or operatingparameters specified tlllder subsection (a)(2) ofthis Section 

### 47exceeded the applicable limits, with a descliptlOn ofthe exceedences. reasons for such exceedences, and a description ofthe corrective actions taken; 6) The results ofthe initial. aIlliual, aIld any other sLlbsegllent performaI1Ce tests conducted to detennine compliance with tbe applicable emissions limits and/or to establish or re-establish operating parameters. as applicable, and a description. including sample calculations, ofhow the operating parameters were established orre-established, ifapplicable; 7) Records ofcalibration ofany monitoring devices as required under Sections 229 166illEl31(1), (2) and (3) and**229.168~{l)** and (2) ofthis Part; and 8) Identification ofthe names ofall HMlWI operators who have met the criteria for qualification under Section 229.170 ofthis Part, including: A) Documentation oftraining and the dates ofthe training; and B) Tbe date ofthe initial review and all subsequent annual reviews of the information specified in Section 229.1 72(a) ofthis Part, as required by Section 229.1 72{b) ofthis Part. b) The owneroroperatorofan HMIWI claiming an exemption from the emission limits in this Part pursuant to Section 229.110(b) oithis Part shall keep contemporaneous records identifying eachperiod oftime when onlypathological waste, low-level radioactive waste, or chemotherapeuticwaste is burned, including the calendar date and duration ofsuch periods. c) The owner or operator ofan HMIWI claiming an exemption pursuant to Section 229.110(c) of

### this Part shall keep records on a calendar quarterbasis demonstrating that onlypathological waste, low-level radioactive waste, or chemotherapeutic waste is bwned. d) The owneroroperator ofaco-fired combustor claiming an exen1ption from the emissiotllimits under Section 229.110{d) ofthis Part shall maintain records on a calendar quarter basis ofthe relative weight ofhospital waste and/or medical/infectiolls waste, and ofall other fuels orwaste combusted. e) The owneror operator ofeach HMIWI subject to the emission limits under Section ?29.125Ccl, orSection 229.126 ofthis PaIt. shall maintain records ofthe annual eqtupment insnection required under Section 229.162 ofthis Part; 

### 48oj The owner oroperator ofeash Rlral IfMI\\q sHall mailltaill reooras oftho aAfiHal**e~tli/lmel:t** iAs/lestians .-eqHH-ecl Linder Seetioll 229,IG2 0fthis Part, all)' reqffifedmainteFl811co, and all)' FCflairs not completedwitMin 10 days after an illspeclion or the time frame astablished

### by tMe AgeHC)', 

# o The owner or operator ofeach HMIWI subject to the emission Iimits under Section 229, 125(c), or 229.126(c) ofthis Part, shall maintain records ofthe annual air pollution control device inspection required under Section 229.162 ofthis Part; 

### &L.- Ifa bag leak detection system is used, the owner or operator shall maintain records ofthe system alarm. the time ofthe alarm, the time corrective action was initiated and completed, a briefdescription ofthe cause ofthe alann and tbe corrective action taken, as applicable; h) The owneror operatorofeach HMIWI , where applicable. shall maintain records ofanyrequired maintenance. adjustments, orrepairs identified during an inspectionrequired under Section 229,162 ofthis Part not completed within 10 days after the insnection or the timeframe approved in writing bythe Agency" if) All records required underthis Section shan be maintained onsite for a period of5 years, in eitherpapercopy or electronic format, tmless an alternative formathas been approved by the Agency in a permit condition. jg) All records required to be maintained pursuant to this Section shall be made available to the Agency upon request.
(Somce: Amended at -', effective "",)). Section 229.184 Reporting Reqnirements a) The facilities manager and the responsible official for the affected source shall certify each report required under this Section. b) The owner or operatorofan HMIWI shall submit to the Agency the results ofany performance test conducted on the HMIWI within 60 days after conducting the performance test. The information submitted with the initial performance test required by Section 229.142 ofthis Part shall include: I) Before January 1,2014. the test data and values for the site-specific operating parameters establishedpursuantto Section 229. 142(a)(4), (5) or 49(6), as aoplicable, and a description, including sample calculations, ofhow the operating parameters were established during the initial perfamlance test far an HMIWI subject to the emissions limits under Section 229.125ia) or 229, 126(a) ofthis 

### Part. The test data am! val\les fsr tHe site specific speratiag paramet-ers establisHed fer an 

### HMIWT PIffSl±aJlt to eithor Seetisa 229.142(d), (8) er (f) efthis Part, as applioable; a.rn1 2) On and after January 1, 2014, the test data and values for the site-specific operating parameters established pursuant to Section 229.J42(b)(3), (4) or (5), as applicable, and a description, including sample calculations, ofbow the operating parameters were established during the initial performance test for an HMIWl subject to the emissions limits under Section 229.125Ic), or Section 2291 26(c) ofthis Part; 

### II Ifa bag leak detection system is used, analysis and supporting docmnentatian demonstrating confonnance with guidance and specifications for bag le;lk detection systems in Section 229.l66(d)(l); ±J) A copy ofthe waste management plan requjred under SubpartK ofWs Part, c) All owners oroperators ofH.MlWIs shall submit the information specified under this subsection Ic) to the Agency, as follows: 

### All swaers sr ejloFatsf5 ofmffiV1s shall sa6ffiit tHe inrormatioa sjleeifiedaader this SIoI6seolion (e) te the Ageney by September 15, 200J ar.d by September 15 ef eas}, year thereafter. Gaee an mffiV1 is issHed a 

### C,V\PP permit. the eWfleror operatorofaa 

### HMPln shall sl±bmittHese rejlorts semi Ofla\lally, ia aeeordaace Wilh sIoI6seetion (d) oftHis Seeliol?). The aaalial roport shaH iaelude the foHowing fflreIDlation: 1) By September 15, 2001. and by September 15 ofeach yearthereafter, for an HMIWl subject to the emissions limits under Section 229. 125(a) or 229.1 26(a) ofthis Part; 2) By January 1, 2014, and byJanuary 1 ofeach yearthereafter, for an HMIWI subject to the emissions limits under Section 229. 125Ic), or Section 229.126(c) onhis Part; and



### 503) The aJIDllal report required under subsection (c)(]) or (2) ofthis subsection shaH include the following information:



### D) Before January 1. 2014, the values for site-specific operating parameters established pursuant to Section 229. 142(a)(4), (5) or (6) oftffis Pan, as applicable; On and afterJanuaJy I.o.1P14, the values for site-specific operating parameters established ow-suantto Section 229. 142(b)(3), (4) or (5) oftrus Part, as applicable; The highest maximum operating parameter and the lowest minimum operating parameter, as applicable, for each operating parameter, recorded forthe calendar yearbeing reported pursuant to Section 229. 142(a)(4), (5) or (6), or Section 229.142(b)(3), (4) or (5) oitrus Part, as applicable; 

### ailE! for tile ealenE!aryearpreoeE!i"g tile year beffig 

### reparteE!; The highest maximum operating parameter and the lowest minimum operating parameter, as awlicable, for each operatingparameter recorded pursuant to Section 229.142(a)(4), (5) or (6), or Section 229. 142(b)(3), (4) or (5), ofthis Part, as applicable. for the calendar year preceding the year being reported, in order to provide the Agency \\Iith a summary ofthe performance ofthe affected facility over2-yearperiod; Any information rccordedpursuant to Section 229.182(a)(3) through (5) ofthis Subpart for the calendar year being reported and for the calendaryear preceding the year being reported; Ifno exceedences ormalfunctions were recorded under Section 229. 182(a)(3) through (a)(5) ofthis Subpart for the calendaryear being reported, a statement that no exceedences occurred during the reportingperiod; and Any use ofthe bypass stack, the duration ofuse, the reason for maffunction, and the corrective actions taken.

51d) Once an HMIWI is issued aCAAPP permit, the owner or operator ofthe 

### HMIWI shall submit the reports required under subsection (c) ofthis Section sellliannually, The semiannual reports must be submitted within 60 days following the end ofthe reporting period, The first semiannual repQrting period ends on June 30 ofeach year and the second semiannual reporting period ends on December 31 

### Q.fea<::hyear, Qrw<;-the owner or operator ofa£l }iMP",r is re<l;lii:rea to slibA'lit semiaFHllia! reports, these**fe~ort6** mlist be sllbmilled '",ithin 60 days fullowing the oAd ofilie reporting period, The first semiar,,"-,lial reperting period eRds on March 1) ofeaell )'ear a£le the seeond seElilIDfl>lal rejlorting periee enes on SejlleffiSef j) ofeaeh
e) The owner or operator ofeach rural HMIWI sltbject to the emission limits under Section 229.126(b) ofthis Part, shall submit an annual report containing all information listed in subsections (b) and (c) oftrus Sectionby no later than 60 days following the year in which the data was collected. Subsequent reports shall be sent no laterthan 12 calendar months .followingthe previous report. Oncethe unit is subjectto permittingrequirements underthe CAAPP, the owneror operator shall submitthesereports semiannually in accordancewith the schedule specifled in subsection (d) ofthis Section. (Source: Amended at , effective**~).**

Section 229.APPENDIXB and Recording Freguencies. parameter is regujred. Operating Parameters to beMonitored and Minimum Measurement An "x" in any box in this matrix means that measurementofiliat

MINIMUM FREOUENCY CONTROL SYSTEM Operating Dnta Data Dr" Wet Drv ScrUbber Selective Parameters M'easurcment Recording Scrubber Scrubber Followed bv Noncatalytic Followed bv Fabric Filter Reduction 

# I Fabric Filter and Wct System Scrubber Maximum Continuous Once per 

### X K X X Char"eRate I hour Maximum Continuous Once per 

### X K Fabric Filter minute Inlet Temnernrure Maximum Continuous Once per 

### X X Flue Gas. minute 

### 52

### ,**-"~,,-,,** I Temocrature 

# I Mirrimum ..._-------,.,... 

## I Conhnuous Once**p~** K K X 

### X Secondary minute i 

## I Chamber Temnerature Minimum Hourly Once per K 

# I X 

# I DioxinlFur3o hour Sorbent Flowfutte 

# I Minltnllm Hourly Once per K 

### X

Hel Sorbent hour Flowfutte Minimum Hourly Once oer X Reagent hour FlowJ{at" Minimum Hourly Once per 

### X 

### X Hg Sorbent 

# I bour Flow Rote Minimum Continuous Once per X 

### X Pressure minute Drop Across the Wet**ScruQ.~Lor** Minimum Horsepower orAmperage to Wet Scrubber Minimum Continuous Once per X X Scrubber bour Liquor Flow Rate Minimum Continuous Once per 

### X X Scrubber hom LionornH For balch HMIW!.s.. record the charge per batcb.**~ratiRg** 

### Pararn.SlefS te be MeRitereEl aBElMillimHB1 Measuremeat aml Reeenlillg FreEjueFi£ies. A-, "3t H 

### in any belt ill 

### this matn" meaRS iliatffieaSll£ement eftreat 

### J9ararBeter is reqtt.ired.



### MINIMUM FREQUENCY

53 

### CONTROL**8Y8T~~~**

### OperatiBg Data Meas IHHa- IlTy- ! Wet- 

### Dry Scrubber 

## I Parameters uremeBt ReeordiBg SeFubber SHubber Followed by 

# I Followea 

### by Fabrie Filter aRd Fabrie Filter Wet Scrubber 

## , Mil3(iffiHfl1+- 

### Conti'YdeUS Oaee per 

### X X 

### IX**~,** 

## ,., 00lif ManiI'lltH'E 

### CentiBuells ORce per 

### X X Fabric fi\ter !\'liallte 

# IffiI.et

### Temperatllre MaxifBllrB GeBtinHOHS Oaee per 

### IX X flue gas i 

### miHllfe MiniBlllrB GeHlullleus OBee per 

### X X 

### X seeooda.ry- 

### !\'litmte**et;~er** 

### MiniffiHffi**Hom~** 

### OneepeF- 

### X X 

### Dio)cinl hei±F 

# Il"lliaHSoff>effi.- 

### Flew Rate Minirnliffi Hourly Oaeeper X X 

### HCI SorbeRt 00lif Fie",,' Rate Minimliffi Hourly OBeeper 

# :x :x Hg Sorbeat 00lif 

### - Flow Rate MinirntH'E Goati!ltlOIlS Oneeper 

# :x :x Pres&ure mlRllte Drop Aero$ tile Wet Scrubberef MlliimllfB Hersepe'l'o'eror

### Amperage to Wet Serubber



### 54

## I MiFiiffUlffi ConlimlOus

### Of1c~pe;~ .}f 

### ;.;: I Scrubber I ffilnll!e 

# I

I LiijcerPiow

Rale Miml1'HlHl**Geffi~** Once !ler 

### Xc Xc Scrubber 

# I minute r . .U 'Fer batch HMPNls, feeerd the eharge perbateh. (Source: Amended at_. ... -.Yeffective

. 

## --.-J PART 229.APPENDIX C Reference TestMethods and Procedures for Performance Tests. The following test methods and procedures shall be used as specified in Section 229.140(e) of this Part, when conducting any perfoffilancetest for the purpose ofdemonstrating compliance with the emission limits established Lmder this Part. a) All performance tests shall consistofa minimumof3 testruns conductedunder representative operating conditions. The minimum sample time of 1 hourper test run shall be used unless otherwise indicated. In order to demonstrate compliance with the emission limits set forth in Subpart

### E ofthis Part, the arithmetic average ofall 3 performance test runs shall be used. b) Method 1, at 40 CPR 60, incorporated by reference at Section 229.104(d) ofthis Part, shall be used to selectthe sampling location and number oftraverse points. c) Method 2, at 40 CPR 60 shall be used to determine average gas density, as well as to measure gas velocity. d) Method 3, 3A, or 3B, at 40 CFR 60 shall be used for gas composition analysis, including measurement ofoxygen concentration. Method 3, 3Aor 3B, at 40 CPR 60 shall be used simultaneously with each ofthe other reference methods. As an alternative to Method 3B, ASME PTC·19·10·1981·Part 10 may be used. a) Methea 3 or 3A, at 40 CfR (,0 shall be used fer gas eempesition analysis, ffie.lu6ing meaSI'lfOl11ent efexygofl eeBoentr-atiee

..Methoa 3 ef3;\, at 40 CFR 

### eO shaH bo Hsea SiBlullaneeus}ywith eaeh referOflee methea. e) Thepollutant concentrations shall be adjusted to 7 percentoxygen using the following equation: 55Where: Codj = pollutant concentration adjusted to 7percent oxygen; Cm", = pol1utant concentration measured on a dry basis (20.9-7) 

## = 20.9 percent oxygen - 7 percentoxygen (defined oxygen cOlTection basis); 20.9 oxygenconcentration in air, percent; and 

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

### D Method 5, 26A, or 29, at 40

# ern 60 shall be used to measure PM emissions. As an alternative, aPM CEMS may he used in determining compliance with PM emissions using a 12-hourmIring average. calculated each houras the average of the previous 12 operatinghours, f) 

### Methed 5 er 29, at 4Q CPR 60 shall Be L15ea Ie measurejJarticulatematter emissiefls. gl**M~thod** 7 or 7E, at 40 CFR 60 shall be used to measure**NO~** emissions. h) Method 6 or 6C, at 40 CPR 60 shall be used to measure SO, emissions. 

### j,g) Method 9, at 40 CFR 60 shall be used to measure stack opacity. As an alternative, the use ofabag leak detection system oraPM CEMS to demonstrate compliance with the PM standards is considered demonstrative ofcompliance with the opacity requirements. ih) Method 10 or lOB, at 40 CFR 60 shall beused to measure CO emissions. As an alternative. a CO CEMS maybe used to measute CO emissions. k) Method 22, at 40 CFR 60 shaH beused to measure fugitive ash emissions. 

## It) Method 23, at 40 CFR 60 shall beused to measure total dioxinlfuran emissions. As an alternative, the facility may elect to sample total dioxins/furans bv instaHing. calibrating, maintaining, and operating a continuous automated sampling system for monitoring dioxin/furan emissions, The minimum sample time forMethod 23 sampling shall be 4hours pertest ron. [fthe affected facility 56has selected the TEQ for dioxinlfurans (set out in Appendix Aofthis Part), as provided (mder Section 229.1258';1 Or 229.126ffl1 ofthis Part, whichever is upplicable, the following procedures sha11 be used to deteonine compliance: I) Measure the concentration ofeach cIioxin/furan tetra-through-octacongener emitted llsing Method 23; 2) For each dioxlnlfumn congenermeasured in accordance with subsection (i)( 1) ofthis Section, multiply tbe congenerconcentration by its corresponding TEQ factor specified in Appendix A ofthis Part; and 3) Sum the products calculated in accordance with subsection (i)(2) ofthis Section to obtain the total concentration ofdioxin/furans emitted in terms ofTEQ. ®) Method 26 or 26A, at 40 CPR 60 shull be used to measure HCl emissions. As 

### an alternative, an HCl CEMS may be used to measure HCI emissions. Before January I, 2014, ifthe affected facility has selected the percentagereduction standard forHCl as provided under Section**229.125~** or229.

### 126{ill!b1 ofthis Part, whichever is applicable, the percentage reduction in HCl emissions (%RflCI) is computed using the following fonnula:

Where:

%RHCI 

## =percentagereduction ofHCl emissions achieved; E; = HC] emissions concentration measured at the device inlet, corrected to 7 percent oxygen basis); and control (dry

Eo = He] emissions concentration measured at the control device outlet, corrected to 7 percent oxygen (dry basis). 11k) Method 29, at 40 CFR 60 shall be usedto measure Pb, Cd, and Hg emissions. As an alternative, ASTM D6784-02 maybe used to measnre

### Hg emissions; a multi-metals CEMS orHg CEMS may be used to measure Pb, Cd, and Hg emissions; or the facility may elect to sample Hg by installing, calibrati.ng, maintaining, and operating acontinuous automated sampling system fol' monitoring Hg emissions. BeforeJanuary 1,2014, ifthe affected facility has 57selected the percemage reduction standards fOT metals as provided in Section 229. 125W

### tb1 or 229.J26W

### tb1 ofthis Part, whichever is applicable, the percentage reduction in emissions (%Rm'''l) is computed using the following formula: (%Rm'''I)=((E;-Eo)/E;)x 100 Where: %Rmcbl = percentage reduction ofmeta] emissions (Pb, Cd, orHg) achieved; E; = metal emissions concentration (Pb, Cd, or Hg) measured at the control device inlet, corrected to 7 percent oxygen (dry basis); and 

### Eo = metal emissions concentration (Pb, Cd, orHg) measured atthe control device outlet, correctedto 7 percent oxygen (dry basis). (SoUTce: Amended at**~,** effective -'),

58