3615-20120404

A
ia
NCDENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
FACILITY COMPLIANCE INSPECTION REPORT
Division of Waste Management
Solid Waste Section
UNIT TYPE:
Lined
LCID
YW
Transfer
Compost
SLAS
COUNTY: GASTON
MSWLF
PERMIT NO.: 36-15
Closed
HHW
white
Incin
T&P
X
FIRM
MSWLF
goods
FILE TYPE: COMPLIANCE
CDLF
TireT&P
Tire
Industrial
DEMO
SDTF
Collection
Monofill
Landfill
Date of Site Inspection: April 4, 2012
FACILITY NAME AND ADDRESS:
MedWaste Solutions, LLC
P.O. Box 536
148 Boxwood Lane
Gastonia, NC 28053
Date of Last Inspection: N/A
GPS COORDINATES: N: 35.28167' E: - 81.18224'
IV.Ty101&VOWel KTIJ ser.3uI�I.101391[00DoeU1u1301
Gerry Moore — Plant Manager
[phone]
mg ooregaskmedwaste.com
Fax: [phone]
FACILITY CONTACT ADDRESS:
Same as above
PARTICIPANTS:
Bill Wagner, Environmental Senior Specialist — Solid Waste Section
Gerry Moore, Plant Manager — MedWaste Solutions
Dale Sullivan, General Manager — MedWaste Solutions
STATUS OF PERMIT:
Original Permit to Operate issued on December 12, 2011
Permit is current and shall expire on December 12, 2016
PURPOSE OF SITE VISIT:
Initial Comprehensive Audit
STATUS OF PAST NOTED VIOLATIONS:
N/A
OBSERVED VIOLATIONS
None
The item(s) listed above were observed by Section staff and require action on behalf of the facility in order to come into or maintain compliance
with the Statutes, Rules, and/or other regulatory requirements applicable to this facility. Be advised that pursuant to N.C.G.S. 130A-22, an
administrative penalty of up to $15,000 per day may be assessed for each violation of the Solid Waste Laws, Regulations, Conditions of a Permit,
or Order under Article 9 of Chapter 130A of the N.C. General Statutes. Further, the facility and/or all responsible parties may be subject to
enforcement actions including penalties, injunction from operation of a solid waste management facility or a solid waste collection service and
any such further relief as may be necessary to achieve compliance with the North Carolina Solid Waste Management Act and Rules.

FACILITY COMPLIANCE INSPECTION REPORT
Division of Waste Management
Solid Waste Section
Page 2 of 3
M11111111930.1prK uf10VIBiel R11
GENERAL CONDITIONS:
1. The facility is permitted for the treatment of medical waste with steam sterilization, as well as for the storage
and processing of treated and untreated medical waste.
2. Prohibited wastes include: hazardous wastes, radioactive wastes, and liquid wastes.
3. The facility receives medical waste from across the southeast US.
4. Access to the site is controlled by a perimeter fence and a lockable gate at the entrance.
5. Proper signage is displayed at the entrance gate.
6. The facility is permitted to use four steam sterilization (autoclave) units. Currently there are two sterilization
units on site. (Photos #1 & #2)
1. One of two steam sterilization units.
2. Demonstration of a bin filled with waste being
loaded into one of the two steam sterilization
units.
7. No wastes were being received at the facility during the inspection.
8. No wastes were being treated at the facility during the inspection.
9. Copies of the current permit to operate and operations plan were maintained on site.
10. In accordance with the operations plan, no waste can be received or treated unless a member of management
(General Manger, Plant Manager, or Office Manager) is on site.
11. Five staff members are trained internally and authorized to treat medical waste.
12. Waste screening records were reviewed.
13. MedWaste Solutions owns two vehicles for the pickup and transport of medical waste. (Much of the medical
waste the facility receives is currently transported by Medical Waste Services, LLC in Mt. Pleasant, SC.)
14. Pathological wastes are transported by Waste Management to the Curtis Bay Energy facility in Baltimore,
Maryland for incineration. The current cost of incineration is approximately $0.52 per pound.
15. Hazardous (RCRA) wastes are transported by Southern Logistics & Environmental, LLC to the Heritage -WTI
facility in East Liverpool, OH for incineration.
16. Radiation detectors are mounted about each of the two receiving bay doors to screen for radioactive materials.
17. A "walk-in" refrigerator is used to store any waste for a maximum of thirty days, that is either not treated
immediately, or is being held pending shipment for off -site treatment.
18. Each load of waste that is received is tracked on a separate log sheet as well as on a "Waste Manifest' form,
which detail the date the waste was received, the source of the waste, the amount of waste and the type of
waste received. Waste Manifest records were reviewed.
19. Unacceptable wastes are tracked on a `By-pass Log" that also records the date the waste was received, the
source of the waste, the amount of waste and the type of waste received.
20. Once a week each autoclave is tested to ensure that sterilization is being achieved. One autoclave is tested
every Monday and the second autoclave is tested every Tuesday. These tests are logged on a "Variclave

FACILITY COMPLIANCE INSPECTION REPORT
Division of Waste Management
Solid Waste Section
Page 3 of 3
Periodic Spore Test Log". Spore test data records were reviewed.
21. The facility is well staffed, and maintained in a well organized and clean condition.
22. Floor drains in the operational area feed into the Gastonia sanitary sewer system.
23. Emergency response is provided by the Gastonia Fire Department.
FACILITY CONCERNS & ISSUES:
24. Out of state wastes often are not required by the State of origin to meet transportation and packaging
requirements similar to those of NC.
25. Incoming wastes are often: 1) Improperly labeled; 2) Too heavy (> 50 lbs.) and; 3) Regulated medical waste
mixed with other wastes.
Please contact me if you have any questions or concerns regarding this inspection report.
4 X Phone: [phone]
Bill Wagner
Environmental Senior Specialist
Regional Representative
Sent on: 4/10/12 Email Hand delivery US Mail Certified No. 1I
Dale Sullivan — Registered Agent, MedWaste Solutions, LLC, 148 Boxwood Lane, Gastonia, NC 28054
ec: Mark Poindexter, Solid Waste Section — Field Operations Branch Head
Jason Watkins, District Supervisor — Solid Waste Section
Shawn McKee, Compliance Officer — Solid Waste Section