2004 PPT Generic

1
Waste Management Issues for Hospitals/Healthcare F
acilities
2
Agenda

• Hospitals and Healthcare Facilities Varying Waste
  Stream Types
• Needs and Solutions - Technology and Service
  Based
• Liability Management
• Summary
• Questions

3
Typical Waste Streams

• Non-Hazardous Waste
• Laboratory Chemicals
• DEA Controlled Substances
• Catalysts and Reagents
• Polychlorinated Biphenyls - Ballasts
• Low-Level Radioactive Waste
• Returned Goods/Off-Spec/Out-Of-Date Products
• Cylinders
• Recyclables Lamps, Batteries, Computer
  Equipment
• Mercury
• Medical Waste

4
NEEDS and SOLUTIONSTechnology and Service Based

• Hazardous, Non-Hazardous, Medical, Low Level Rad

5
NEED Provide cost effective solution for the
management of NH debris/out of spec materials and
pharmaceutical products.

• Waste-To-Energy Incinerators
• Waste-To-Energy Plant Operations-Including--
  waste delivery, unloading, separation, feeding,
  combustion, energy recovery, residue management,
  and pollution controls
• Assured destruction of Non-Regulated Waste

6
NEED Find alternatives for the management of
organic waste streams which include
deregulation(Beneficial Reuse Program), reduction
in HW status and cost savings.

• FUELS BLENDING/RECLAIM/RECYCLE
• High temperature industrial furnaces and cement
  kilns
• Reduction of overall waste management costs
• Recycling and Resale Options Bulk Tankers/Drums
• Waste Types
• Solvents
• Solids
• Glycols/Water
• Resale Solvents to include
• Alcohols
• Ketones
• Chlorinated Solvents

7
NEED Find a cradle to grave liability protection
solution that can handle RCRA material, reactives
and specialty chemicals in a compliant manner.

• INCINERATION
• RCRA, TSCA, CERCLA and Non-Hazardous Capabilities
• Rotary kilns and fixed hearth incineration
  technology
• Cradle to grave liability protection
• MACT Compliant/September 2003
• Waste Types
• Cylinders
• Laboratory Chemicals
• Drum Waste Streams
• Reactives

8
NEED Identification of a cost effective, service
orientated solution based alternative for medical
waste disposal.

• INCINERATION/AUTOCLAVE
• Your choice of disposal technology
• LTL and Full Truck load options
• Red Bag, Sharps, Chemo
• On-site management to ensure proper segregation.

9
NEED Identify options for the proper management
of mixed rad waste to include cost effective
processing solutions, liability protection and
on-site assistance.

• Low Level Rad Management Disposal and Services
• Swipe Testing/Decon work
• Identification and Classification of Wastes
• Technology/Facilities Incineration,
  solidification, landfill
• Packaging Assistance and Regulatory Paperwork
  Completion
• Radioactive Compounds such as
• Uranium acetate
• Thorioum nitrate
• Dry active waste
• Sealed sources
• Scintillation vials and fluids

10
NEED The proper management of recyclable
materials to ensure green solutions, compliant
universal waste management and reduction in HW
generation.

• RECYCLING OPTIONS
• Waste Mercury Reduction Efforts.
• Mercury Recycling
• Computer/electronic precious metals recovery.
• Batteries recycle
• Power distribution equipment decon and recycle.
• Lamps recycling
• Acids, caustics and metal-bearing sludges
• metal recovery programs for resale.

11
NEED To focus on core site competencies, reduce
liability associated with hazardous materials
management activities and compliance with
generator status.

• ON-SITE SERVICE
• Enables customer to focus on core business.
• Manage HW storage areas.
• Manage satellite accumulation inspections
• Ensure proper training.
• Minimization of waste generated
• Highly trained environmental professionals
• Single source access to all capabilities and
  services
• Administration
• customized site waste management program
• Report completion.

12
NEED To proactively identify potentially
reactive/explosive compounds.

• Specialized reactive sweeps to identify potential
  problems/hazards and management solutions.
• Reduction of remote openings and special
  permitting.
• High Hazard Chemical Management
• Cylinders
• Monomers
• Temperature sensitive compounds
• Oxidizers
• Azides
• Multi-nitrated compounds
• Extreme toxins
• Shock sensitive
• Peroxide forming compounds
• Water and air sensitive materials
• Multiple hazard

13
Risk Management
14
Facility ReviewsLiability Management

• Part B Permit/Application
• Waste Analysis Plan to include state and local
  restrictions.
• Closure Plan
• Past Management Practices
• Air, Stormwater, Groundwater Management/Monitoring
  .
• Tracking
• Financial Stability/Assurance
• Insurance
• Community Relations
• Fire and Safety Performance

15
Liability Management

• Environmental Compliance
• Financially Sound

• Superfund Indemnification
• Audited Third Party Sites
• Regulatory Support
• Low OSHA Incident Rate
• Profitable Company

16
Questions?