0102_Stericycle_Incin_AFR14-15

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0 S°tericyel :
00 Protecting People. Reducing Risk.'
July 2, 2015
John Patrone
585 Waughtown Street
Winston-Salem, NC 27107-2275
Re: Haw River Facility Annual report (July 12014 — June 30 2015)
Dear Mr. Patrone,
Enclosed, please find the Annual Report for the Haw River Facility. I have also enclosed the
letter that accompanied the report sent to each county as required by our Solid Waste Operating
Permit.
If you should have any questions or need further assistance, please give me a call at
513-543-7073.
tcet,,
Don Nuss
Regional Environmental Manager
Stericycle, Inc.

�a Protecting People. Reducing Risk.'
July 2, 2015
Dear County Manager,
Per requirements (G. S. 130A -309D (b) of the North Carolina state law and Solid Waste
Operating Permit # 01-01-1, please find the attached report indicating the total amount (in tons)
of regulated and non-regulated medical waste that was delivered from your county to the below
listed facility and processed by incineration during the period of July 1, 2014 through June 30,
2015.
Should you have any questions regarding this report or the amount of waste processed from your
County, please contact me at 513-543-7073.
Facility Location:
Stericycle, Inc.
1168 Porter Ave
Haw River, NC 27258
ly
Donald Nuss
Regional Environmental Manager
Stericycle, Inc.

State Of North Ca.P011lia INCINERATOR
Department of Environment and Natural Resources Facility Annual Report
Division of Waste Management For the period of July 1, 2014 -June 30, 2015
According to (G.S. 130A-309.09D(b)) completed forms must be returned by August 1, 2015 and a copy of this report must be sent to the
County Manager of each county from which waste was received. If you have questions or require assistance in completing this report, contact
your Regional Environmental Senior Specialist.
Facility Name: Stericycle, Inc.
Permit: 0102-INCIN-M
Physical Address
Mailing Address
Street 1: 1168 Porter Ave
Street 1: 1168 Porter Ave
Street 2:
Street 2:
City: Haw River County: Alamance
City: Haw River
State: North Carolina Zip: 27258
State: North Carolina Zip: 27258
Primary Facility Contact Person
Billing Contact Person
Name: Alan Skrzypczak
Name: Alan Skrzypczak
Phone: [phone] Fax: [phone]
Phone: [phone] Fax: [phone]
Email: [e-mail]
Email: [e-mail]
1. Tipping Fee: $ Attach a schedule
Per Ton (
of tipping fees if appropriate.)
2. Did your facility stop receiving waste during this past Fiscal Year?
❑ Yes ❑X No
If so, please report the date this occurred:
3. What landfills received the ash from this incinerator? Indicate. tnne of nch cent to Pari landfill
Landfill
Permit
Tons
Upper Piedmont Landfill- Rougemont, NC
7304-MSWLF-1997
3,631.42
4. What landfill received the non -incinerated or refected wnte from this incinPrntnr9 Tnrlicata tnnc cant f- —1, 1­4f;ll
Landfill Permit Tons
5. What other activities occur at this facility? (check all that apply)
❑ Recycling/Reuse Collection ❑ Scrap Tire Collection ❑ White Goods Collection ❑ Household Hazardous Waste Collection
If you checked Recycling/Reuse Collection, please indicate the materials accepted: (check all that apply)
❑ Paper ❑ Wood ❑ Concrete/rubble/asphalt ❑ Gypsum/drywall
❑ Cardboard ❑ Glass ❑ Aluminum Cans ❑ Steel Cans
❑ PETE (#1) Plastic ❑ HDPE (#2) Plastic ❑ Computer Equipment ❑ Televisions
❑ Fluorescent lightbulbs ❑ Used oil/oil filters ❑ Other Metal ❑Other PIastic
❑ Other (specify)
Incin 2015 0102-INCIN-M Page 1

6. Total waste incinerated at this facility during the period of July 1 2014 through June 30 2015. Indicate tonnage received by COUNTY of
waste origin. If waste was received from a mixed waste processing facility, indicate the county location of that facility. DO NOT include
waste diverted for recycling, reuse, mulching, or composting. Please indicate COUNTY and STATE, if received from another state.
Received from Jul Aug Sept Oct Nov Dec Jan Feb Mar Apr May June Total
See Attached Spreadsheet
Grand Total
7. Are there ASME or other certified operator(s) at this facility? F-1 Yes FX No
If yes, indicate the following: (Attach additional sheet if necessary.)
Name: Certification type and expiration date:
Name:
Name
Certification type and expiration date:
Certification type and expiration date:
RENUNDER: According to (G.S. 130A-309.09D(b)), this
report must be sent to the Regional Environmental Senior
Specialist for your area and a copy of this report must be
sent to the County Manager of each county from which
waste was received.
Please return your completed report to:
John Patrone
PO Box 5123
1- igh Point, NC 27262
phone: [phone] email: [e-mail]
CERTIFICAT N; Ice t t the 'nfonnation provided is an accurate representation of the activity at this facility.
Signature: Date: Jul 6, 2015
Name: Donald J. Nuss Title: Regional Environmental Manager
Phone Number: [phone] Email: [e-mail]
Incin 2015 0102-INCIN-M Page 2

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