Reference Point/Description | Latitude | Longitude | Collection Method | Accuracy Value |
---|---|---|---|---|
N/A | 33.46426 | -112.35252 | N/A | N/A |
RCRA ID NUMBER |
---|
AZR000046276 |
NPDES PERMIT NUMBER |
---|
NO DATA |
UIC ID NUMBER |
---|
NO DATA |
To correct the FRS latitude, longitude or program ID values click on the "Report an Error" button in the top right corner of this page. Facilities wishing to correct other data elements with the FORM R or FORM A should refer to the related TRI-MEweb tutorial.. |
For more information, see Collection of Latitude, Longitude and Program ID Data Has Been Discontinued. |
PART I. FACILITY IDENTIFICATION INFORMATION (FORM R)
Reporting Year: 2016
Section 2. Trade Secret Information
2.1 Trade Secret: NO
2.2 Sanitized Copy: Unsanitized
Section 3. Certification
CERTIFYING OFFICIAL'S NAME | CERTIFYING OFFICIAL'S TITLE | CERTIFYING OFFICIAL'S SIGNATURE | DATE SIGNED |
---|---|---|---|
MARK NAVARRO |
DIRECTOR OF SUPPORT SERVICES |
Electronic |
29-JUN-17 |
Section 4. Facility Identification
TRI Facility ID: 8539WBRZWS13677
4.1 Facility Name and Address.
Facility Information
NAME | STREET | CITY | COUNTY | STATE | ZIP CODE |
---|---|---|---|---|---|
ABRAZO WEST CAMPUS |
13677 W MCDOWELL RD |
GOODYEAR |
MARICOPA |
AZ |
85395 |
BIA Tribal Code | Tribe |
---|---|
NO DATA |
NO DATA |
Mailing Information
NAME | STREET | CITY | STATE | ZIP CODE |
---|---|---|---|---|
ABRAZO WEST CAMPUS |
13677 W MCDOWELL RD |
GOODYEAR |
AZ |
85395 |
PROVINCE | COUNTRY (NON - US) |
---|---|
NO DATA |
NO DATA |
4.2 Facility Classification
ENTIRE FACILITY | PARTIAL FACILITY | FEDERAL FACILITY | GOCO FACILITY |
---|---|---|---|
YES |
NO |
NO |
NO |
4.3 Technical Contact
Not Available to the Public as this information is only for Intranet.
4.4 Public Contact
NAME | PHONE |
---|---|
MARK M. NAVARRO |
6238821759 |
4.5 NAICS Codes
NAICS CODE | PRIMARY | NAICS CODE DESCRIPTION |
---|---|---|
622110 |
YES |
General Medical and Surgical Hospitals |
4.7 Dun Numbers
DUNS NUMBER |
---|
035013647 |
5. Parent Company Information
Parent Company Name: TENET HEALTH
Parent Company DUNS Number: 053866661
PART II. CHEMICAL - SPECIFIC INFORMATION
1.1 CAS Number: 7632-00-0 PFAS Indicator: NO
1.2 Toxic Chemical or Chemical Category Name: Sodium nitrite
1.3 Generic Chemical Name: NA
1.4 Distribution of Each Member of the Dioxin and Dioxin like Compounds Category
NA | 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | 11 | 12 | 13 | 14 | 15 | 16 | 17 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
NO |
Section 2. Mixture Component Identity
2.1 Supplier Provided Generic Chemical Name: NA
Section 3. Activities and Uses of the Toxic Chemical
3.1 Manufacture the Toxic Chemical:
Produce: NO | Import: NO | On-Site Use/Processing: NO |
Sale/Distribution: NO | Byproduct: NO | Impurity: NO |
3.2 Process the Toxic Chemical:
Reactant: NO |
Formulation Component: NO |
Article Component: NO |
Repackaging: NO |
Impurity: NO |
Recycling: |
3.3 Otherwise Use the Toxic Chemical:
Chemical Processing Aid: NO |
Manufacturing Aid: NO |
Ancillary or Other Use: YES |
Section 4. Maximum Amount of the Toxic Chemical Onsite During the Calendar Year
Maximum Chemical Amount: 0 to 99
Section 5. Quantity of the Toxic Chemical Entering each Environmental Medium Onsite
5.1 Fugitive or Non-Point Air Emissions
NA | TOTAL RELEASE (per year) | UNIT OF MEASURE | BASIS OF ESTIMATE |
---|---|---|---|
YES |
|
|
5.2 Stack or Point Air Emissions
NA | TOTAL RELEASE (per year) | UNIT OF MEASURE | BASIS OF ESTIMATE |
---|---|---|---|
YES |
|
|
5.3 Discharges to Receiving Streams or Water Bodies
NA | STREAM/WATER BODY NAME | REACH Code | TOTAL RELEASE (per year) | UNIT OF MEASURE | BASIS OF ESTIMATE | % FROM STORMWATER |
---|---|---|---|---|---|---|
YES |
NA |
|
|
5.4-5.5 Disposal to Land Onsite
5.4.1 Underground Injection Onsite to Class I Wells.
NA | TOTAL RELEASE (per year) | UNIT OF MEASURE | BASIS OF ESTIMATE |
---|---|---|---|
YES |
|
|
5.4.2 Underground Injection Onsite to Class II-V Wells.
NA | TOTAL RELEASE (per year) | UNIT OF MEASURE | BASIS OF ESTIMATE |
---|---|---|---|
YES |
|
|
5.5 Disposal to Land Onsite
5.5.1A RCRA Subtitle C Landfills
NA | TOTAL RELEASE (per year) | UNIT OF MEASURE | BASIS OF ESTIMATE |
---|---|---|---|
YES |
|
|
5.5.1B Other Landfills
NA | TOTAL RELEASE (per year) | UNIT OF MEASURE | BASIS OF ESTIMATE |
---|---|---|---|
YES |
|
|
5.5.2 Land Treatment/Application Farming
NA | TOTAL RELEASE (per year) | UNIT OF MEASURE | BASIS OF ESTIMATE |
---|---|---|---|
YES |
|
|
5.5.3A RCRA Subtitle C Surface Impoundments
NA | TOTAL RELEASE (per year) | UNIT OF MEASURE | BASIS OF ESTIMATE |
---|---|---|---|
YES |
|
|
5.5.3B Other Surface Impoundments
NA | TOTAL RELEASE (per year) | UNIT OF MEASURE | BASIS OF ESTIMATE |
---|---|---|---|
YES |
|
|
5.5.4 Other Disposal
NA | TOTAL RELEASE (per year) | UNIT OF MEASURE | BASIS OF ESTIMATE |
---|---|---|---|
YES |
|
|
Section 6. Transfers of the Toxic Chemical in Wastes to Off-Site Locations
6.1 Discharges to Publicly Owned Treatment Works (POTWs)
1 - NAME: | ADDRESS: |
CITY: | STATE: |
COUNTY: | ZIP CODE: |
TOTAL TRANSFERS (per year) | UNIT OF MEASURE | BASIS OF ESTIMATE |
---|---|---|
NO DATA |
|
NO DATA |
6.2 Transfers to other Off-Site Locations
1 RCRA Number: MAD039322250 | Parent Company Controlled: NO |
Name: CLEAN HARBORS ENVIRONMENTAL SERVICES INC | Address: 42 LONGWATER DR |
City: NORWELL | State: MA |
County: PLYMOUTH | Zip Code: 02061 |
Country Code (Non - US): | Province: |
OFFSITE AMOUNT SEQUENCE | TOTAL TRANSFERS (per year) | UNIT OF MEASURE | BASIS OF ESTIMATE | WASTE MANAGEMENT TYPE |
---|---|---|---|---|
1 |
7823 |
Pounds |
C - Mass Balance Calculations |
M50 - Incineration/Thermal Treatment |
Section 7A. On-Site Waste Treatment Methods and Efficiency
7A.1a. Waste Stream: NA |
7A.1b. |
WASTE TREATMENT METHOD(S) SEQUENCE |
---|---|
1 |
NO DATA |
7A.1d. Waste Treatment Efficiency Estimate: |
Section 7B. On-Site Energy Recovery Processes
ON SITE ENERGY RECOVERY PROCESSES |
---|
NA |
Section 7C. On-Site Recycling Processes
ON SITE RECYCLING PROCESSES |
---|
NA |
Section 8. Source Reduction and Recycling Activities
SECTION |
TYPE OF QUANTITY | UNITS | PRIOR YEAR | CURRENT REPORTING YEAR | FOLLOWING YEAR | SECOND FOLLOWING YEAR |
---|---|---|---|---|---|---|
8.1a |
Total on-site disposal to Class I Underground Injection Wells, RCRA Subtitle C landfills, and other landfills |
|
NA |
NA |
NA |
NA |
8.1b |
Total other on-site disposal or other releases |
|
NA |
NA |
NA |
NA |
8.1c |
Total off-site disposal to Class I Underground Injection Wells, RCRA Subtitle C landfills, and other landfills |
|
NA |
NA |
NA |
NA |
8.1d |
Total other off-site disposal or other releases |
|
NA |
NA |
NA |
NA |
8.2 |
Quantity Used for Energy Recovery Onsite |
|
NA |
NA |
NA |
NA |
8.3 |
Quantity Used for Energy Recovery Offsite |
|
NA |
NA |
NA |
NA |
8.4 |
Quantity Recycled Onsite |
|
NA |
NA |
NA |
NA |
8.5 |
Quantity Recycled Offsite |
|
NA |
NA |
NA |
NA |
8.6 |
Quantity Treated Onsite |
|
NA |
NA |
NA |
NA |
8.7 |
Quantity Treated Offsite |
Pounds |
NA |
7823 |
7823 |
7823 |
8.8 One-Time Event Release: NA
8.9 Production Ratio or Activity Ratio : 1.61
8.10 Source Reduction Activities
SOURCE REDUCTION ACTIVITIES | METHOD 1 | METHOD 2 | METHOD 3 | ESTIMATED ANNUAL REDUCTION |
---|---|---|---|---|
W19 - OTHER CHANGES IN OPERATING PRACTICES |
T03 - MATERIALS BALANCE AUDITS |
T04 - PARTICIPATIVE TEAM MANAGEMENT |
R2 - greater than or equal to 50%, but less than 100% |
8.11 Additional Data Indicator: NO
COMMENT TYPE | DESCRIPTION | COMMENT TEXT |
---|---|---|
W19 | W19 - Other changes in operating practices Inventory Control | TRI identified waste segregation. |
T03 | T03 - Materials Balance Audits | Month to month review of total pounds generated of TRI identified waste sent off site for incineration. |
T04 | T04 - Participative Team Management | Done through process modification and facility/ departmental education. |
9.1 Miscellaneous, Additional or Optional Information regarding the Form R submission
COMMENT TYPE | DESCRIPTION | COMMENT TEXT |
---|---|---|
NOCHEM | No TRI Report Expected for this Chemical Next Year | TRI and P2P plan was initiated due to non segregation of P and U rated waste not being segregated. Had the waste been segregated we would have been well below the threshold. Our P2P plan involves action to segregate and education for proper disposal. These actions will reclassify us as a small waste generator. |
PRAI | Production or Activity Variable | Activity ratio based on total annual pounds of waste generated. |
PART I. FACILITY IDENTIFICATION INFORMATION (FORM R)
Reporting Year: 2016
Section 2. Trade Secret Information
2.1 Trade Secret: NO
2.2 Sanitized Copy: Unsanitized
Section 3. Certification
CERTIFYING OFFICIAL'S NAME | CERTIFYING OFFICIAL'S TITLE | CERTIFYING OFFICIAL'S SIGNATURE | DATE SIGNED |
---|---|---|---|
MARK NAVARRO |
DIRECTOR OF SUPPORT SERVICES |
Electronic |
29-JUN-17 |
Section 4. Facility Identification
TRI Facility ID: 8539WBRZWS13677
4.1 Facility Name and Address.
Facility Information
NAME | STREET | CITY | COUNTY | STATE | ZIP CODE |
---|---|---|---|---|---|
ABRAZO WEST CAMPUS |
13677 W MCDOWELL RD |
GOODYEAR |
MARICOPA |
AZ |
85395 |
BIA Tribal Code | Tribe |
---|---|
NO DATA |
NO DATA |
Mailing Information
NAME | STREET | CITY | STATE | ZIP CODE |
---|---|---|---|---|
ABRAZO WEST CAMPUS |
13677 W MCDOWELL RD |
GOODYEAR |
AZ |
85395 |
PROVINCE | COUNTRY (NON - US) |
---|---|
NO DATA |
NO DATA |
4.2 Facility Classification
ENTIRE FACILITY | PARTIAL FACILITY | FEDERAL FACILITY | GOCO FACILITY |
---|---|---|---|
YES |
NO |
NO |
NO |
4.3 Technical Contact
Not Available to the Public as this information is only for Intranet.
4.4 Public Contact
NAME | PHONE |
---|---|
MARK M. NAVARRO |
6238821759 |
4.5 NAICS Codes
NAICS CODE | PRIMARY | NAICS CODE DESCRIPTION |
---|---|---|
622110 |
YES |
General Medical and Surgical Hospitals |
4.7 Dun Numbers
DUNS NUMBER |
---|
035013647 |
5. Parent Company Information
Parent Company Name: TENET HEALTH
Parent Company DUNS Number: 053866661
PART II. CHEMICAL - SPECIFIC INFORMATION
1.1 CAS Number: 57-41-0 PFAS Indicator: NO
1.2 Toxic Chemical or Chemical Category Name: Phenytoin
1.3 Generic Chemical Name: NA
1.4 Distribution of Each Member of the Dioxin and Dioxin like Compounds Category
NA | 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | 11 | 12 | 13 | 14 | 15 | 16 | 17 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
NO |
Section 2. Mixture Component Identity
2.1 Supplier Provided Generic Chemical Name: NA
Section 3. Activities and Uses of the Toxic Chemical
3.1 Manufacture the Toxic Chemical:
Produce: NO | Import: NO | On-Site Use/Processing: NO |
Sale/Distribution: NO | Byproduct: NO | Impurity: NO |
3.2 Process the Toxic Chemical:
Reactant: NO |
Formulation Component: NO |
Article Component: NO |
Repackaging: NO |
Impurity: NO |
Recycling: |
3.3 Otherwise Use the Toxic Chemical:
Chemical Processing Aid: NO |
Manufacturing Aid: NO |
Ancillary or Other Use: YES |
Section 4. Maximum Amount of the Toxic Chemical Onsite During the Calendar Year
Maximum Chemical Amount: 0 to 99
Section 5. Quantity of the Toxic Chemical Entering each Environmental Medium Onsite
5.1 Fugitive or Non-Point Air Emissions
NA | TOTAL RELEASE (per year) | UNIT OF MEASURE | BASIS OF ESTIMATE |
---|---|---|---|
YES |
|
|
5.2 Stack or Point Air Emissions
NA | TOTAL RELEASE (per year) | UNIT OF MEASURE | BASIS OF ESTIMATE |
---|---|---|---|
YES |
|
|
5.3 Discharges to Receiving Streams or Water Bodies
NA | STREAM/WATER BODY NAME | REACH Code | TOTAL RELEASE (per year) | UNIT OF MEASURE | BASIS OF ESTIMATE | % FROM STORMWATER |
---|---|---|---|---|---|---|
YES |
NA |
|
|
5.4-5.5 Disposal to Land Onsite
5.4.1 Underground Injection Onsite to Class I Wells.
NA | TOTAL RELEASE (per year) | UNIT OF MEASURE | BASIS OF ESTIMATE |
---|---|---|---|
YES |
|
|
5.4.2 Underground Injection Onsite to Class II-V Wells.
NA | TOTAL RELEASE (per year) | UNIT OF MEASURE | BASIS OF ESTIMATE |
---|---|---|---|
YES |
|
|
5.5 Disposal to Land Onsite
5.5.1A RCRA Subtitle C Landfills
NA | TOTAL RELEASE (per year) | UNIT OF MEASURE | BASIS OF ESTIMATE |
---|---|---|---|
YES |
|
|
5.5.1B Other Landfills
NA | TOTAL RELEASE (per year) | UNIT OF MEASURE | BASIS OF ESTIMATE |
---|---|---|---|
YES |
|
|
5.5.2 Land Treatment/Application Farming
NA | TOTAL RELEASE (per year) | UNIT OF MEASURE | BASIS OF ESTIMATE |
---|---|---|---|
YES |
|
|
5.5.3A RCRA Subtitle C Surface Impoundments
NA | TOTAL RELEASE (per year) | UNIT OF MEASURE | BASIS OF ESTIMATE |
---|---|---|---|
YES |
|
|
5.5.3B Other Surface Impoundments
NA | TOTAL RELEASE (per year) | UNIT OF MEASURE | BASIS OF ESTIMATE |
---|---|---|---|
YES |
|
|
5.5.4 Other Disposal
NA | TOTAL RELEASE (per year) | UNIT OF MEASURE | BASIS OF ESTIMATE |
---|---|---|---|
YES |
|
|
Section 6. Transfers of the Toxic Chemical in Wastes to Off-Site Locations
6.1 Discharges to Publicly Owned Treatment Works (POTWs)
1 - NAME: | ADDRESS: |
CITY: | STATE: |
COUNTY: | ZIP CODE: |
TOTAL TRANSFERS (per year) | UNIT OF MEASURE | BASIS OF ESTIMATE |
---|---|---|
NO DATA |
|
NO DATA |
6.2 Transfers to other Off-Site Locations
1 RCRA Number: MAD039322250 | Parent Company Controlled: NO |
Name: CLEAN HARBORS ENVIRONMENTAL SERVICES INC | Address: 42 LONGWATER DR |
City: NORWELL | State: MA |
County: PLYMOUTH | Zip Code: 02061 |
Country Code (Non - US): | Province: |
OFFSITE AMOUNT SEQUENCE | TOTAL TRANSFERS (per year) | UNIT OF MEASURE | BASIS OF ESTIMATE | WASTE MANAGEMENT TYPE |
---|---|---|---|---|
1 |
7823 |
Pounds |
C - Mass Balance Calculations |
M50 - Incineration/Thermal Treatment |
Section 7A. On-Site Waste Treatment Methods and Efficiency
7A.1a. Waste Stream: NA |
7A.1b. |
WASTE TREATMENT METHOD(S) SEQUENCE |
---|---|
1 |
NO DATA |
7A.1d. Waste Treatment Efficiency Estimate: |
Section 7B. On-Site Energy Recovery Processes
ON SITE ENERGY RECOVERY PROCESSES |
---|
NA |
Section 7C. On-Site Recycling Processes
ON SITE RECYCLING PROCESSES |
---|
NA |
Section 8. Source Reduction and Recycling Activities
SECTION |
TYPE OF QUANTITY | UNITS | PRIOR YEAR | CURRENT REPORTING YEAR | FOLLOWING YEAR | SECOND FOLLOWING YEAR |
---|---|---|---|---|---|---|
8.1a |
Total on-site disposal to Class I Underground Injection Wells, RCRA Subtitle C landfills, and other landfills |
|
NA |
NA |
NA |
NA |
8.1b |
Total other on-site disposal or other releases |
|
NA |
NA |
NA |
NA |
8.1c |
Total off-site disposal to Class I Underground Injection Wells, RCRA Subtitle C landfills, and other landfills |
|
NA |
NA |
NA |
NA |
8.1d |
Total other off-site disposal or other releases |
|
NA |
NA |
NA |
NA |
8.2 |
Quantity Used for Energy Recovery Onsite |
|
NA |
NA |
NA |
NA |
8.3 |
Quantity Used for Energy Recovery Offsite |
|
NA |
NA |
NA |
NA |
8.4 |
Quantity Recycled Onsite |
|
NA |
NA |
NA |
NA |
8.5 |
Quantity Recycled Offsite |
|
NA |
NA |
NA |
NA |
8.6 |
Quantity Treated Onsite |
|
NA |
NA |
NA |
NA |
8.7 |
Quantity Treated Offsite |
Pounds |
NA |
7823 |
7823 |
7823 |
8.8 One-Time Event Release: NA
8.9 Production Ratio or Activity Ratio : 1.61
8.10 Source Reduction Activities
SOURCE REDUCTION ACTIVITIES | METHOD 1 | METHOD 2 | METHOD 3 | ESTIMATED ANNUAL REDUCTION |
---|---|---|---|---|
W19 - OTHER CHANGES IN OPERATING PRACTICES |
T03 - MATERIALS BALANCE AUDITS |
T04 - PARTICIPATIVE TEAM MANAGEMENT |
R2 - greater than or equal to 50%, but less than 100% |
8.11 Additional Data Indicator: NO
COMMENT TYPE | DESCRIPTION | COMMENT TEXT |
---|---|---|
W19 | W19 - Other changes in operating practices Inventory Control | TRI identified waste segregation. |
T03 | T03 - Materials Balance Audits | Month to month review of total pounds generated of TRI identifies waste sent off site for incineration. |
T04 | T04 - Participative Team Management | Done through process modification and facility/ department education. |
9.1 Miscellaneous, Additional or Optional Information regarding the Form R submission
COMMENT TYPE | DESCRIPTION | COMMENT TEXT |
---|---|---|
NOCHEM | No TRI Report Expected for this Chemical Next Year | TRI and P2P plan was initiated due to non segregation of P and U rated waste not being segregated. Had the waste been segregated we would have been well below the threshold. Our P2P plan involves action to segregate and education for proper disposal. These actions will reclassify us as a small waste generator. |
PRAI | Production or Activity Variable | Activity ratio based on total annual pounds of waste generated. |
PART I. FACILITY IDENTIFICATION INFORMATION (FORM R)
Reporting Year: 2016
Section 2. Trade Secret Information
2.1 Trade Secret: NO
2.2 Sanitized Copy: Unsanitized
Section 3. Certification
CERTIFYING OFFICIAL'S NAME | CERTIFYING OFFICIAL'S TITLE | CERTIFYING OFFICIAL'S SIGNATURE | DATE SIGNED |
---|---|---|---|
MARK NAVARRO |
DIRECTOR OF SUPPORT SERVICES |
Electronic |
29-JUN-17 |
Section 4. Facility Identification
TRI Facility ID: 8539WBRZWS13677
4.1 Facility Name and Address.
Facility Information
NAME | STREET | CITY | COUNTY | STATE | ZIP CODE |
---|---|---|---|---|---|
ABRAZO WEST CAMPUS |
13677 W MCDOWELL RD |
GOODYEAR |
MARICOPA |
AZ |
85395 |
BIA Tribal Code | Tribe |
---|---|
NO DATA |
NO DATA |
Mailing Information
NAME | STREET | CITY | STATE | ZIP CODE |
---|---|---|---|---|
ABRAZO WEST CAMPUS |
13677 W MCDOWELL RD |
GOODYEAR |
AZ |
85395 |
PROVINCE | COUNTRY (NON - US) |
---|---|
NO DATA |
NO DATA |
4.2 Facility Classification
ENTIRE FACILITY | PARTIAL FACILITY | FEDERAL FACILITY | GOCO FACILITY |
---|---|---|---|
YES |
NO |
NO |
NO |
4.3 Technical Contact
Not Available to the Public as this information is only for Intranet.
4.4 Public Contact
NAME | PHONE |
---|---|
MARK M. NAVARRO |
6238821759 |
4.5 NAICS Codes
NAICS CODE | PRIMARY | NAICS CODE DESCRIPTION |
---|---|---|
622110 |
YES |
General Medical and Surgical Hospitals |
4.7 Dun Numbers
DUNS NUMBER |
---|
035013647 |
5. Parent Company Information
Parent Company Name: TENET HEALTH
Parent Company DUNS Number: 053866661
PART II. CHEMICAL - SPECIFIC INFORMATION
1.1 CAS Number: 52645-53-1 PFAS Indicator: NO
1.2 Toxic Chemical or Chemical Category Name: Permethrin
1.3 Generic Chemical Name: NA
1.4 Distribution of Each Member of the Dioxin and Dioxin like Compounds Category
NA | 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | 11 | 12 | 13 | 14 | 15 | 16 | 17 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
NO |
Section 2. Mixture Component Identity
2.1 Supplier Provided Generic Chemical Name: NA
Section 3. Activities and Uses of the Toxic Chemical
3.1 Manufacture the Toxic Chemical:
Produce: NO | Import: NO | On-Site Use/Processing: NO |
Sale/Distribution: NO | Byproduct: NO | Impurity: NO |
3.2 Process the Toxic Chemical:
Reactant: NO |
Formulation Component: NO |
Article Component: NO |
Repackaging: NO |
Impurity: NO |
Recycling: |
3.3 Otherwise Use the Toxic Chemical:
Chemical Processing Aid: NO |
Manufacturing Aid: NO |
Ancillary or Other Use: YES |
Section 4. Maximum Amount of the Toxic Chemical Onsite During the Calendar Year
Maximum Chemical Amount: 0 to 99
Section 5. Quantity of the Toxic Chemical Entering each Environmental Medium Onsite
5.1 Fugitive or Non-Point Air Emissions
NA | TOTAL RELEASE (per year) | UNIT OF MEASURE | BASIS OF ESTIMATE |
---|---|---|---|
YES |
|
|
5.2 Stack or Point Air Emissions
NA | TOTAL RELEASE (per year) | UNIT OF MEASURE | BASIS OF ESTIMATE |
---|---|---|---|
YES |
|
|
5.3 Discharges to Receiving Streams or Water Bodies
NA | STREAM/WATER BODY NAME | REACH Code | TOTAL RELEASE (per year) | UNIT OF MEASURE | BASIS OF ESTIMATE | % FROM STORMWATER |
---|---|---|---|---|---|---|
YES |
NA |
|
|
5.4-5.5 Disposal to Land Onsite
5.4.1 Underground Injection Onsite to Class I Wells.
NA | TOTAL RELEASE (per year) | UNIT OF MEASURE | BASIS OF ESTIMATE |
---|---|---|---|
YES |
|
|
5.4.2 Underground Injection Onsite to Class II-V Wells.
NA | TOTAL RELEASE (per year) | UNIT OF MEASURE | BASIS OF ESTIMATE |
---|---|---|---|
YES |
|
|
5.5 Disposal to Land Onsite
5.5.1A RCRA Subtitle C Landfills
NA | TOTAL RELEASE (per year) | UNIT OF MEASURE | BASIS OF ESTIMATE |
---|---|---|---|
YES |
|
|
5.5.1B Other Landfills
NA | TOTAL RELEASE (per year) | UNIT OF MEASURE | BASIS OF ESTIMATE |
---|---|---|---|
YES |
|
|
5.5.2 Land Treatment/Application Farming
NA | TOTAL RELEASE (per year) | UNIT OF MEASURE | BASIS OF ESTIMATE |
---|---|---|---|
YES |
|
|
5.5.3A RCRA Subtitle C Surface Impoundments
NA | TOTAL RELEASE (per year) | UNIT OF MEASURE | BASIS OF ESTIMATE |
---|---|---|---|
YES |
|
|
5.5.3B Other Surface Impoundments
NA | TOTAL RELEASE (per year) | UNIT OF MEASURE | BASIS OF ESTIMATE |
---|---|---|---|
YES |
|
|
5.5.4 Other Disposal
NA | TOTAL RELEASE (per year) | UNIT OF MEASURE | BASIS OF ESTIMATE |
---|---|---|---|
YES |
|
|
Section 6. Transfers of the Toxic Chemical in Wastes to Off-Site Locations
6.1 Discharges to Publicly Owned Treatment Works (POTWs)
1 - NAME: | ADDRESS: |
CITY: | STATE: |
COUNTY: | ZIP CODE: |
TOTAL TRANSFERS (per year) | UNIT OF MEASURE | BASIS OF ESTIMATE |
---|---|---|
NO DATA |
|
NO DATA |
6.2 Transfers to other Off-Site Locations
1 RCRA Number: MAD039322250 | Parent Company Controlled: NO |
Name: CLEAN HARBORS ENVIRONMENTAL SERVICES INC | Address: 42 LONGWATER DR |
City: NORWELL | State: MA |
County: PLYMOUTH | Zip Code: 02061 |
Country Code (Non - US): | Province: |
OFFSITE AMOUNT SEQUENCE | TOTAL TRANSFERS (per year) | UNIT OF MEASURE | BASIS OF ESTIMATE | WASTE MANAGEMENT TYPE |
---|---|---|---|---|
1 |
7823 |
Pounds |
C - Mass Balance Calculations |
M50 - Incineration/Thermal Treatment |
Section 7A. On-Site Waste Treatment Methods and Efficiency
7A.1a. Waste Stream: NA |
7A.1b. |
WASTE TREATMENT METHOD(S) SEQUENCE |
---|---|
1 |
NO DATA |
7A.1d. Waste Treatment Efficiency Estimate: |
Section 7B. On-Site Energy Recovery Processes
ON SITE ENERGY RECOVERY PROCESSES |
---|
NA |
Section 7C. On-Site Recycling Processes
ON SITE RECYCLING PROCESSES |
---|
NA |
Section 8. Source Reduction and Recycling Activities
SECTION |
TYPE OF QUANTITY | UNITS | PRIOR YEAR | CURRENT REPORTING YEAR | FOLLOWING YEAR | SECOND FOLLOWING YEAR |
---|---|---|---|---|---|---|
8.1a |
Total on-site disposal to Class I Underground Injection Wells, RCRA Subtitle C landfills, and other landfills |
|
NA |
NA |
NA |
NA |
8.1b |
Total other on-site disposal or other releases |
|
NA |
NA |
NA |
NA |
8.1c |
Total off-site disposal to Class I Underground Injection Wells, RCRA Subtitle C landfills, and other landfills |
|
NA |
NA |
NA |
NA |
8.1d |
Total other off-site disposal or other releases |
|
NA |
NA |
NA |
NA |
8.2 |
Quantity Used for Energy Recovery Onsite |
|
NA |
NA |
NA |
NA |
8.3 |
Quantity Used for Energy Recovery Offsite |
|
NA |
NA |
NA |
NA |
8.4 |
Quantity Recycled Onsite |
|
NA |
NA |
NA |
NA |
8.5 |
Quantity Recycled Offsite |
|
NA |
NA |
NA |
NA |
8.6 |
Quantity Treated Onsite |
|
NA |
NA |
NA |
NA |
8.7 |
Quantity Treated Offsite |
Pounds |
NA |
7823 |
7823 |
7823 |
8.8 One-Time Event Release: NA
8.9 Production Ratio or Activity Ratio : 1.61
8.10 Source Reduction Activities
SOURCE REDUCTION ACTIVITIES | METHOD 1 | METHOD 2 | METHOD 3 | ESTIMATED ANNUAL REDUCTION |
---|---|---|---|---|
W19 - OTHER CHANGES IN OPERATING PRACTICES |
T03 - MATERIALS BALANCE AUDITS |
T04 - PARTICIPATIVE TEAM MANAGEMENT |
8.11 Additional Data Indicator: NO
COMMENT TYPE | DESCRIPTION | COMMENT TEXT |
---|---|---|
W19 | W19 - Other changes in operating practices Inventory Control | TRI identified waste segregation. |
T03 | T03 - Materials Balance Audits | Month to month review of total pounds generated of TRI identified waste sent off site for incineration. |
T04 | T04 - Participative Team Management | Done through process modification and facility/ departmental education. |
9.1 Miscellaneous, Additional or Optional Information regarding the Form R submission
COMMENT TYPE | DESCRIPTION | COMMENT TEXT |
---|---|---|
NOCHEM | No TRI Report Expected for this Chemical Next Year | TRI and P2P plan was initiated due to non segregation of P and U rated waste. Had the waste been segregated we would have been well below the threshold. Our P2P plan involves action to segregate and education for proper disposal. These actions will reclassify us as a small waste generator. |
PRAI | Production or Activity Variable | Activity ratio based on total annual pounds of waste generated. |
PART I. FACILITY IDENTIFICATION INFORMATION (FORM R)
Reporting Year: 2016
Section 2. Trade Secret Information
2.1 Trade Secret: NO
2.2 Sanitized Copy: Unsanitized
Section 3. Certification
CERTIFYING OFFICIAL'S NAME | CERTIFYING OFFICIAL'S TITLE | CERTIFYING OFFICIAL'S SIGNATURE | DATE SIGNED |
---|---|---|---|
MARK NAVARRO |
DIRECTOR OF SUPPORT SERVICES |
Electronic |
29-JUN-17 |
Section 4. Facility Identification
TRI Facility ID: 8539WBRZWS13677
4.1 Facility Name and Address.
Facility Information
NAME | STREET | CITY | COUNTY | STATE | ZIP CODE |
---|---|---|---|---|---|
ABRAZO WEST CAMPUS |
13677 W MCDOWELL RD |
GOODYEAR |
MARICOPA |
AZ |
85395 |
BIA Tribal Code | Tribe |
---|---|
NO DATA |
NO DATA |
Mailing Information
NAME | STREET | CITY | STATE | ZIP CODE |
---|---|---|---|---|
ABRAZO WEST CAMPUS |
13677 W MCDOWELL RD |
GOODYEAR |
AZ |
85395 |
PROVINCE | COUNTRY (NON - US) |
---|---|
NO DATA |
NO DATA |
4.2 Facility Classification
ENTIRE FACILITY | PARTIAL FACILITY | FEDERAL FACILITY | GOCO FACILITY |
---|---|---|---|
YES |
NO |
NO |
NO |
4.3 Technical Contact
Not Available to the Public as this information is only for Intranet.
4.4 Public Contact
NAME | PHONE |
---|---|
MARK M. NAVARRO |
6238821759 |
4.5 NAICS Codes
NAICS CODE | PRIMARY | NAICS CODE DESCRIPTION |
---|---|---|
622110 |
YES |
General Medical and Surgical Hospitals |
4.7 Dun Numbers
DUNS NUMBER |
---|
035013647 |
5. Parent Company Information
Parent Company Name: TENET HEALTH
Parent Company DUNS Number: 053866661
PART II. CHEMICAL - SPECIFIC INFORMATION
1.1 CAS Number: 554-13-2 PFAS Indicator: NO
1.2 Toxic Chemical or Chemical Category Name: Lithium carbonate
1.3 Generic Chemical Name: NA
1.4 Distribution of Each Member of the Dioxin and Dioxin like Compounds Category
NA | 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | 11 | 12 | 13 | 14 | 15 | 16 | 17 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
NO |
Section 2. Mixture Component Identity
2.1 Supplier Provided Generic Chemical Name: NA
Section 3. Activities and Uses of the Toxic Chemical
3.1 Manufacture the Toxic Chemical:
Produce: NO | Import: NO | On-Site Use/Processing: NO |
Sale/Distribution: NO | Byproduct: NO | Impurity: NO |
3.2 Process the Toxic Chemical:
Reactant: NO |
Formulation Component: NO |
Article Component: NO |
Repackaging: NO |
Impurity: NO |
Recycling: |
3.3 Otherwise Use the Toxic Chemical:
Chemical Processing Aid: NO |
Manufacturing Aid: NO |
Ancillary or Other Use: YES |
Section 4. Maximum Amount of the Toxic Chemical Onsite During the Calendar Year
Maximum Chemical Amount: 0 to 99
Section 5. Quantity of the Toxic Chemical Entering each Environmental Medium Onsite
5.1 Fugitive or Non-Point Air Emissions
NA | TOTAL RELEASE (per year) | UNIT OF MEASURE | BASIS OF ESTIMATE |
---|---|---|---|
YES |
|
|
5.2 Stack or Point Air Emissions
NA | TOTAL RELEASE (per year) | UNIT OF MEASURE | BASIS OF ESTIMATE |
---|---|---|---|
YES |
|
|
5.3 Discharges to Receiving Streams or Water Bodies
NA | STREAM/WATER BODY NAME | REACH Code | TOTAL RELEASE (per year) | UNIT OF MEASURE | BASIS OF ESTIMATE | % FROM STORMWATER |
---|---|---|---|---|---|---|
YES |
NA |
|
|
5.4-5.5 Disposal to Land Onsite
5.4.1 Underground Injection Onsite to Class I Wells.
NA | TOTAL RELEASE (per year) | UNIT OF MEASURE | BASIS OF ESTIMATE |
---|---|---|---|
YES |
|
|
5.4.2 Underground Injection Onsite to Class II-V Wells.
NA | TOTAL RELEASE (per year) | UNIT OF MEASURE | BASIS OF ESTIMATE |
---|---|---|---|
YES |
|
|
5.5 Disposal to Land Onsite
5.5.1A RCRA Subtitle C Landfills
NA | TOTAL RELEASE (per year) | UNIT OF MEASURE | BASIS OF ESTIMATE |
---|---|---|---|
YES |
|
|
5.5.1B Other Landfills
NA | TOTAL RELEASE (per year) | UNIT OF MEASURE | BASIS OF ESTIMATE |
---|---|---|---|
YES |
|
|
5.5.2 Land Treatment/Application Farming
NA | TOTAL RELEASE (per year) | UNIT OF MEASURE | BASIS OF ESTIMATE |
---|---|---|---|
YES |
|
|
5.5.3A RCRA Subtitle C Surface Impoundments
NA | TOTAL RELEASE (per year) | UNIT OF MEASURE | BASIS OF ESTIMATE |
---|---|---|---|
YES |
|
|
5.5.3B Other Surface Impoundments
NA | TOTAL RELEASE (per year) | UNIT OF MEASURE | BASIS OF ESTIMATE |
---|---|---|---|
YES |
|
|
5.5.4 Other Disposal
NA | TOTAL RELEASE (per year) | UNIT OF MEASURE | BASIS OF ESTIMATE |
---|---|---|---|
YES |
|
|
Section 6. Transfers of the Toxic Chemical in Wastes to Off-Site Locations
6.1 Discharges to Publicly Owned Treatment Works (POTWs)
1 - NAME: | ADDRESS: |
CITY: | STATE: |
COUNTY: | ZIP CODE: |
TOTAL TRANSFERS (per year) | UNIT OF MEASURE | BASIS OF ESTIMATE |
---|---|---|
NO DATA |
|
NO DATA |
6.2 Transfers to other Off-Site Locations
1 RCRA Number: MAD039322250 | Parent Company Controlled: NO |
Name: CLEAN HARBORS ENVIRONMENTAL SERVICES INC | Address: 42 LONGWATER DR |
City: NORWELL | State: MA |
County: PLYMOUTH | Zip Code: 02061 |
Country Code (Non - US): | Province: |
OFFSITE AMOUNT SEQUENCE | TOTAL TRANSFERS (per year) | UNIT OF MEASURE | BASIS OF ESTIMATE | WASTE MANAGEMENT TYPE |
---|---|---|---|---|
1 |
7823 |
Pounds |
C - Mass Balance Calculations |
M50 - Incineration/Thermal Treatment |
Section 7A. On-Site Waste Treatment Methods and Efficiency
7A.1a. Waste Stream: NA |
7A.1b. |
WASTE TREATMENT METHOD(S) SEQUENCE |
---|---|
1 |
NO DATA |
7A.1d. Waste Treatment Efficiency Estimate: |
Section 7B. On-Site Energy Recovery Processes
ON SITE ENERGY RECOVERY PROCESSES |
---|
NA |
Section 7C. On-Site Recycling Processes
ON SITE RECYCLING PROCESSES |
---|
NA |
Section 8. Source Reduction and Recycling Activities
SECTION |
TYPE OF QUANTITY | UNITS | PRIOR YEAR | CURRENT REPORTING YEAR | FOLLOWING YEAR | SECOND FOLLOWING YEAR |
---|---|---|---|---|---|---|
8.1a |
Total on-site disposal to Class I Underground Injection Wells, RCRA Subtitle C landfills, and other landfills |
|
NA |
NA |
NA |
NA |
8.1b |
Total other on-site disposal or other releases |
|
NA |
NA |
NA |
NA |
8.1c |
Total off-site disposal to Class I Underground Injection Wells, RCRA Subtitle C landfills, and other landfills |
|
NA |
NA |
NA |
NA |
8.1d |
Total other off-site disposal or other releases |
|
NA |
NA |
NA |
NA |
8.2 |
Quantity Used for Energy Recovery Onsite |
|
NA |
NA |
NA |
NA |
8.3 |
Quantity Used for Energy Recovery Offsite |
|
NA |
NA |
NA |
NA |
8.4 |
Quantity Recycled Onsite |
|
NA |
NA |
NA |
NA |
8.5 |
Quantity Recycled Offsite |
|
NA |
NA |
NA |
NA |
8.6 |
Quantity Treated Onsite |
|
NA |
NA |
NA |
NA |
8.7 |
Quantity Treated Offsite |
Pounds |
NA |
7823 |
7823 |
7823 |
8.8 One-Time Event Release: NA
8.9 Production Ratio or Activity Ratio : 1.61
8.10 Source Reduction Activities
SOURCE REDUCTION ACTIVITIES | METHOD 1 | METHOD 2 | METHOD 3 | ESTIMATED ANNUAL REDUCTION |
---|---|---|---|---|
W19 - OTHER CHANGES IN OPERATING PRACTICES |
T03 - MATERIALS BALANCE AUDITS |
T04 - PARTICIPATIVE TEAM MANAGEMENT |
8.11 Additional Data Indicator: NO
COMMENT TYPE | DESCRIPTION | COMMENT TEXT |
---|---|---|
W19 | W19 - Other changes in operating practices Inventory Control | TRI identified waste segregation. |
T03 | T03 - Materials Balance Audits | Month to month review of total pounds generated of TRI identified waste sent off site for incineration. |
T04 | T04 - Participative Team Management | Done through process modification and facility/ departmental education. |
9.1 Miscellaneous, Additional or Optional Information regarding the Form R submission
COMMENT TYPE | DESCRIPTION | COMMENT TEXT |
---|---|---|
NOCHEM | No TRI Report Expected for this Chemical Next Year | TRI and P2P plan was initiated due to non segregation of P and U rated waste. Had the waste been segregated we would have been well below the threshold. Our P2P plan involves action to segregate and education for proper disposal. These actions will reclassify us as a small waste generator. |
PRAI | Production or Activity Variable | Activity ratio based on total annual pounds of waste generated. |
PART I. FACILITY IDENTIFICATION INFORMATION (FORM R)
Reporting Year: 2016
Section 2. Trade Secret Information
2.1 Trade Secret: NO
2.2 Sanitized Copy: Unsanitized
Section 3. Certification
CERTIFYING OFFICIAL'S NAME | CERTIFYING OFFICIAL'S TITLE | CERTIFYING OFFICIAL'S SIGNATURE | DATE SIGNED |
---|---|---|---|
MARK NAVARRO |
DIRECTOR OF SUPPORT SERVICES |
Electronic |
29-JUN-17 |
Section 4. Facility Identification
TRI Facility ID: 8539WBRZWS13677
4.1 Facility Name and Address.
Facility Information
NAME | STREET | CITY | COUNTY | STATE | ZIP CODE |
---|---|---|---|---|---|
ABRAZO WEST CAMPUS |
13677 W MCDOWELL RD |
GOODYEAR |
MARICOPA |
AZ |
85395 |
BIA Tribal Code | Tribe |
---|---|
NO DATA |
NO DATA |
Mailing Information
NAME | STREET | CITY | STATE | ZIP CODE |
---|---|---|---|---|
ABRAZO WEST CAMPUS |
13677 W MCDOWELL RD |
GOODYEAR |
AZ |
85395 |
PROVINCE | COUNTRY (NON - US) |
---|---|
NO DATA |
NO DATA |
4.2 Facility Classification
ENTIRE FACILITY | PARTIAL FACILITY | FEDERAL FACILITY | GOCO FACILITY |
---|---|---|---|
YES |
NO |
NO |
NO |
4.3 Technical Contact
Not Available to the Public as this information is only for Intranet.
4.4 Public Contact
NAME | PHONE |
---|---|
MARK M. NAVARRO |
6238821759 |
4.5 NAICS Codes
NAICS CODE | PRIMARY | NAICS CODE DESCRIPTION |
---|---|---|
622110 |
YES |
General Medical and Surgical Hospitals |
4.7 Dun Numbers
DUNS NUMBER |
---|
035013647 |
5. Parent Company Information
Parent Company Name: TENET HEALTH
Parent Company DUNS Number: 053866661
PART II. CHEMICAL - SPECIFIC INFORMATION
1.1 CAS Number: 55-63-0 PFAS Indicator: NO
1.2 Toxic Chemical or Chemical Category Name: Nitroglycerin
1.3 Generic Chemical Name: NA
1.4 Distribution of Each Member of the Dioxin and Dioxin like Compounds Category
NA | 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | 11 | 12 | 13 | 14 | 15 | 16 | 17 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
NO |
Section 2. Mixture Component Identity
2.1 Supplier Provided Generic Chemical Name: NA
Section 3. Activities and Uses of the Toxic Chemical
3.1 Manufacture the Toxic Chemical:
Produce: NO | Import: NO | On-Site Use/Processing: NO |
Sale/Distribution: NO | Byproduct: NO | Impurity: NO |
3.2 Process the Toxic Chemical:
Reactant: NO |
Formulation Component: NO |
Article Component: NO |
Repackaging: NO |
Impurity: NO |
Recycling: |
3.3 Otherwise Use the Toxic Chemical:
Chemical Processing Aid: NO |
Manufacturing Aid: NO |
Ancillary or Other Use: YES |
Section 4. Maximum Amount of the Toxic Chemical Onsite During the Calendar Year
Maximum Chemical Amount: 0 to 99
Section 5. Quantity of the Toxic Chemical Entering each Environmental Medium Onsite
5.1 Fugitive or Non-Point Air Emissions
NA | TOTAL RELEASE (per year) | UNIT OF MEASURE | BASIS OF ESTIMATE |
---|---|---|---|
YES |
|
|
5.2 Stack or Point Air Emissions
NA | TOTAL RELEASE (per year) | UNIT OF MEASURE | BASIS OF ESTIMATE |
---|---|---|---|
YES |
|
|
5.3 Discharges to Receiving Streams or Water Bodies
NA | STREAM/WATER BODY NAME | REACH Code | TOTAL RELEASE (per year) | UNIT OF MEASURE | BASIS OF ESTIMATE | % FROM STORMWATER |
---|---|---|---|---|---|---|
YES |
NA |
|
|
5.4-5.5 Disposal to Land Onsite
5.4.1 Underground Injection Onsite to Class I Wells.
NA | TOTAL RELEASE (per year) | UNIT OF MEASURE | BASIS OF ESTIMATE |
---|---|---|---|
YES |
|
|
5.4.2 Underground Injection Onsite to Class II-V Wells.
NA | TOTAL RELEASE (per year) | UNIT OF MEASURE | BASIS OF ESTIMATE |
---|---|---|---|
YES |
|
|
5.5 Disposal to Land Onsite
5.5.1A RCRA Subtitle C Landfills
NA | TOTAL RELEASE (per year) | UNIT OF MEASURE | BASIS OF ESTIMATE |
---|---|---|---|
YES |
|
|
5.5.1B Other Landfills
NA | TOTAL RELEASE (per year) | UNIT OF MEASURE | BASIS OF ESTIMATE |
---|---|---|---|
YES |
|
|
5.5.2 Land Treatment/Application Farming
NA | TOTAL RELEASE (per year) | UNIT OF MEASURE | BASIS OF ESTIMATE |
---|---|---|---|
YES |
|
|
5.5.3A RCRA Subtitle C Surface Impoundments
NA | TOTAL RELEASE (per year) | UNIT OF MEASURE | BASIS OF ESTIMATE |
---|---|---|---|
YES |
|
|
5.5.3B Other Surface Impoundments
NA | TOTAL RELEASE (per year) | UNIT OF MEASURE | BASIS OF ESTIMATE |
---|---|---|---|
YES |
|
|
5.5.4 Other Disposal
NA | TOTAL RELEASE (per year) | UNIT OF MEASURE | BASIS OF ESTIMATE |
---|---|---|---|
YES |
|
|
Section 6. Transfers of the Toxic Chemical in Wastes to Off-Site Locations
6.1 Discharges to Publicly Owned Treatment Works (POTWs)
1 - NAME: | ADDRESS: |
CITY: | STATE: |
COUNTY: | ZIP CODE: |
TOTAL TRANSFERS (per year) | UNIT OF MEASURE | BASIS OF ESTIMATE |
---|---|---|
NO DATA |
|
NO DATA |
6.2 Transfers to other Off-Site Locations
1 RCRA Number: MAD039322250 | Parent Company Controlled: NO |
Name: CLEAN HARBORS ENVIRONMENTAL SERVICES INC | Address: 42 LONGWATER DR |
City: NORWELL | State: MA |
County: PLYMOUTH | Zip Code: 02061 |
Country Code (Non - US): | Province: |
OFFSITE AMOUNT SEQUENCE | TOTAL TRANSFERS (per year) | UNIT OF MEASURE | BASIS OF ESTIMATE | WASTE MANAGEMENT TYPE |
---|---|---|---|---|
1 |
7823 |
Pounds |
C - Mass Balance Calculations |
M50 - Incineration/Thermal Treatment |
Section 7A. On-Site Waste Treatment Methods and Efficiency
7A.1a. Waste Stream: NA |
7A.1b. |
WASTE TREATMENT METHOD(S) SEQUENCE |
---|---|
1 |
NO DATA |
7A.1d. Waste Treatment Efficiency Estimate: |
Section 7B. On-Site Energy Recovery Processes
ON SITE ENERGY RECOVERY PROCESSES |
---|
NA |
Section 7C. On-Site Recycling Processes
ON SITE RECYCLING PROCESSES |
---|
NA |
Section 8. Source Reduction and Recycling Activities
SECTION |
TYPE OF QUANTITY | UNITS | PRIOR YEAR | CURRENT REPORTING YEAR | FOLLOWING YEAR | SECOND FOLLOWING YEAR |
---|---|---|---|---|---|---|
8.1a |
Total on-site disposal to Class I Underground Injection Wells, RCRA Subtitle C landfills, and other landfills |
|
NA |
NA |
NA |
NA |
8.1b |
Total other on-site disposal or other releases |
|
NA |
NA |
NA |
NA |
8.1c |
Total off-site disposal to Class I Underground Injection Wells, RCRA Subtitle C landfills, and other landfills |
|
NA |
NA |
NA |
NA |
8.1d |
Total other off-site disposal or other releases |
|
NA |
NA |
NA |
NA |
8.2 |
Quantity Used for Energy Recovery Onsite |
|
NA |
NA |
NA |
NA |
8.3 |
Quantity Used for Energy Recovery Offsite |
|
NA |
NA |
NA |
NA |
8.4 |
Quantity Recycled Onsite |
|
NA |
NA |
NA |
NA |
8.5 |
Quantity Recycled Offsite |
|
NA |
NA |
NA |
NA |
8.6 |
Quantity Treated Onsite |
|
NA |
NA |
NA |
NA |
8.7 |
Quantity Treated Offsite |
Pounds |
NA |
7823 |
7823 |
7823 |
8.8 One-Time Event Release: NA
8.9 Production Ratio or Activity Ratio : 1.61
8.10 Source Reduction Activities
SOURCE REDUCTION ACTIVITIES | METHOD 1 | METHOD 2 | METHOD 3 | ESTIMATED ANNUAL REDUCTION |
---|---|---|---|---|
W19 - OTHER CHANGES IN OPERATING PRACTICES |
T03 - MATERIALS BALANCE AUDITS |
T04 - PARTICIPATIVE TEAM MANAGEMENT |
8.11 Additional Data Indicator: NO
COMMENT TYPE | DESCRIPTION | COMMENT TEXT |
---|---|---|
W19 | W19 - Other changes in operating practices Inventory Control | TRI identified waste segregation. |
T03 | T03 - Materials Balance Audits | Month to month review of total pounds generated of TRI identified waste sent off site for incineration. |
T04 | T04 - Participative Team Management | Done through process modification and facility/ departmental education. |
9.1 Miscellaneous, Additional or Optional Information regarding the Form R submission
COMMENT TYPE | DESCRIPTION | COMMENT TEXT |
---|---|---|
NOCHEM | No TRI Report Expected for this Chemical Next Year | TRI and P2P plan was initiated due to non segregation of P and U rated waste. Had the waste been segregated we would have been well below the threshold. Our P2P plan involves action to segregate and education for proper disposal. These actions will reclassify us as a small waste generator. |
PRAI | Production or Activity Variable | Activity ratio based on total annual pounds of waste generated. |
PE40 | This toxic chemical is a highly volatile organic compound or an acid aerosol | Nitroglycerin in tablet, patch, vial, and capsule form for medication administration. |
PE41 | This toxic chemical is a highly volatile organic compound or an acid aerosol | Error Reviewed / No Comment. |
PART I. FACILITY IDENTIFICATION INFORMATION (FORM R)
Reporting Year: 2016
Section 2. Trade Secret Information
2.1 Trade Secret: NO
2.2 Sanitized Copy: Unsanitized
Section 3. Certification
CERTIFYING OFFICIAL'S NAME | CERTIFYING OFFICIAL'S TITLE | CERTIFYING OFFICIAL'S SIGNATURE | DATE SIGNED |
---|---|---|---|
MARK NAVARRO |
DIRECTOR OF SUPPORT SERVICES |
Electronic |
29-JUN-17 |
Section 4. Facility Identification
TRI Facility ID: 8539WBRZWS13677
4.1 Facility Name and Address.
Facility Information
NAME | STREET | CITY | COUNTY | STATE | ZIP CODE |
---|---|---|---|---|---|
ABRAZO WEST CAMPUS |
13677 W MCDOWELL RD |
GOODYEAR |
MARICOPA |
AZ |
85395 |
BIA Tribal Code | Tribe |
---|---|
NO DATA |
NO DATA |
Mailing Information
NAME | STREET | CITY | STATE | ZIP CODE |
---|---|---|---|---|
ABRAZO WEST CAMPUS |
13677 W MCDOWELL RD |
GOODYEAR |
AZ |
85395 |
PROVINCE | COUNTRY (NON - US) |
---|---|
NO DATA |
NO DATA |
4.2 Facility Classification
ENTIRE FACILITY | PARTIAL FACILITY | FEDERAL FACILITY | GOCO FACILITY |
---|---|---|---|
YES |
NO |
NO |
NO |
4.3 Technical Contact
Not Available to the Public as this information is only for Intranet.
4.4 Public Contact
NAME | PHONE |
---|---|
MARK M. NAVARRO |
6238821759 |
4.5 NAICS Codes
NAICS CODE | PRIMARY | NAICS CODE DESCRIPTION |
---|---|---|
622110 |
YES |
General Medical and Surgical Hospitals |
4.7 Dun Numbers
DUNS NUMBER |
---|
035013647 |
5. Parent Company Information
Parent Company Name: TENET HEALTH
Parent Company DUNS Number: 053866661
PART II. CHEMICAL - SPECIFIC INFORMATION
1.1 CAS Number: N874 PFAS Indicator: NO
1.2 Toxic Chemical or Chemical Category Name: Warfarin and salts
1.3 Generic Chemical Name: NA
1.4 Distribution of Each Member of the Dioxin and Dioxin like Compounds Category
NA | 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | 11 | 12 | 13 | 14 | 15 | 16 | 17 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
NO |
Section 2. Mixture Component Identity
2.1 Supplier Provided Generic Chemical Name: NA
Section 3. Activities and Uses of the Toxic Chemical
3.1 Manufacture the Toxic Chemical:
Produce: NO | Import: NO | On-Site Use/Processing: NO |
Sale/Distribution: NO | Byproduct: NO | Impurity: NO |
3.2 Process the Toxic Chemical:
Reactant: NO |
Formulation Component: NO |
Article Component: NO |
Repackaging: NO |
Impurity: NO |
Recycling: |
3.3 Otherwise Use the Toxic Chemical:
Chemical Processing Aid: NO |
Manufacturing Aid: NO |
Ancillary or Other Use: YES |
Section 4. Maximum Amount of the Toxic Chemical Onsite During the Calendar Year
Maximum Chemical Amount: 0 to 99
Section 5. Quantity of the Toxic Chemical Entering each Environmental Medium Onsite
5.1 Fugitive or Non-Point Air Emissions
NA | TOTAL RELEASE (per year) | UNIT OF MEASURE | BASIS OF ESTIMATE |
---|---|---|---|
YES |
|
|
5.2 Stack or Point Air Emissions
NA | TOTAL RELEASE (per year) | UNIT OF MEASURE | BASIS OF ESTIMATE |
---|---|---|---|
YES |
|
|
5.3 Discharges to Receiving Streams or Water Bodies
NA | STREAM/WATER BODY NAME | REACH Code | TOTAL RELEASE (per year) | UNIT OF MEASURE | BASIS OF ESTIMATE | % FROM STORMWATER |
---|---|---|---|---|---|---|
YES |
NA |
|
|
5.4-5.5 Disposal to Land Onsite
5.4.1 Underground Injection Onsite to Class I Wells.
NA | TOTAL RELEASE (per year) | UNIT OF MEASURE | BASIS OF ESTIMATE |
---|---|---|---|
YES |
|
|
5.4.2 Underground Injection Onsite to Class II-V Wells.
NA | TOTAL RELEASE (per year) | UNIT OF MEASURE | BASIS OF ESTIMATE |
---|---|---|---|
YES |
|
|
5.5 Disposal to Land Onsite
5.5.1A RCRA Subtitle C Landfills
NA | TOTAL RELEASE (per year) | UNIT OF MEASURE | BASIS OF ESTIMATE |
---|---|---|---|
YES |
|
|
5.5.1B Other Landfills
NA | TOTAL RELEASE (per year) | UNIT OF MEASURE | BASIS OF ESTIMATE |
---|---|---|---|
YES |
|
|
5.5.2 Land Treatment/Application Farming
NA | TOTAL RELEASE (per year) | UNIT OF MEASURE | BASIS OF ESTIMATE |
---|---|---|---|
YES |
|
|
5.5.3A RCRA Subtitle C Surface Impoundments
NA | TOTAL RELEASE (per year) | UNIT OF MEASURE | BASIS OF ESTIMATE |
---|---|---|---|
YES |
|
|
5.5.3B Other Surface Impoundments
NA | TOTAL RELEASE (per year) | UNIT OF MEASURE | BASIS OF ESTIMATE |
---|---|---|---|
YES |
|
|
5.5.4 Other Disposal
NA | TOTAL RELEASE (per year) | UNIT OF MEASURE | BASIS OF ESTIMATE |
---|---|---|---|
YES |
|
|
Section 6. Transfers of the Toxic Chemical in Wastes to Off-Site Locations
6.1 Discharges to Publicly Owned Treatment Works (POTWs)
1 - NAME: | ADDRESS: |
CITY: | STATE: |
COUNTY: | ZIP CODE: |
TOTAL TRANSFERS (per year) | UNIT OF MEASURE | BASIS OF ESTIMATE |
---|---|---|
NO DATA |
|
NO DATA |
6.2 Transfers to other Off-Site Locations
1 RCRA Number: MAD039322250 | Parent Company Controlled: NO |
Name: CLEAN HARBORS ENVIRONMENTAL SERVICES INC | Address: 42 LONGWATER DR |
City: NORWELL | State: MA |
County: PLYMOUTH | Zip Code: 02061 |
Country Code (Non - US): | Province: |
OFFSITE AMOUNT SEQUENCE | TOTAL TRANSFERS (per year) | UNIT OF MEASURE | BASIS OF ESTIMATE | WASTE MANAGEMENT TYPE |
---|---|---|---|---|
1 |
7823 |
Pounds |
C - Mass Balance Calculations |
M50 - Incineration/Thermal Treatment |
Section 7A. On-Site Waste Treatment Methods and Efficiency
7A.1a. Waste Stream: NA |
7A.1b. |
WASTE TREATMENT METHOD(S) SEQUENCE |
---|---|
1 |
NO DATA |
7A.1d. Waste Treatment Efficiency Estimate: |
Section 7B. On-Site Energy Recovery Processes
ON SITE ENERGY RECOVERY PROCESSES |
---|
NA |
Section 7C. On-Site Recycling Processes
ON SITE RECYCLING PROCESSES |
---|
NA |
Section 8. Source Reduction and Recycling Activities
SECTION |
TYPE OF QUANTITY | UNITS | PRIOR YEAR | CURRENT REPORTING YEAR | FOLLOWING YEAR | SECOND FOLLOWING YEAR |
---|---|---|---|---|---|---|
8.1a |
Total on-site disposal to Class I Underground Injection Wells, RCRA Subtitle C landfills, and other landfills |
|
NA |
NA |
NA |
NA |
8.1b |
Total other on-site disposal or other releases |
|
NA |
NA |
NA |
NA |
8.1c |
Total off-site disposal to Class I Underground Injection Wells, RCRA Subtitle C landfills, and other landfills |
|
NA |
NA |
NA |
NA |
8.1d |
Total other off-site disposal or other releases |
|
NA |
NA |
NA |
NA |
8.2 |
Quantity Used for Energy Recovery Onsite |
|
NA |
NA |
NA |
NA |
8.3 |
Quantity Used for Energy Recovery Offsite |
|
NA |
NA |
NA |
NA |
8.4 |
Quantity Recycled Onsite |
|
NA |
NA |
NA |
NA |
8.5 |
Quantity Recycled Offsite |
|
NA |
NA |
NA |
NA |
8.6 |
Quantity Treated Onsite |
|
NA |
NA |
NA |
NA |
8.7 |
Quantity Treated Offsite |
Pounds |
NA |
7823 |
7823 |
7823 |
8.8 One-Time Event Release: NA
8.9 Production Ratio or Activity Ratio : 1.61
8.10 Source Reduction Activities
SOURCE REDUCTION ACTIVITIES | METHOD 1 | METHOD 2 | METHOD 3 | ESTIMATED ANNUAL REDUCTION |
---|---|---|---|---|
W19 - OTHER CHANGES IN OPERATING PRACTICES |
T03 - MATERIALS BALANCE AUDITS |
T04 - PARTICIPATIVE TEAM MANAGEMENT |
8.11 Additional Data Indicator: NO
COMMENT TYPE | DESCRIPTION | COMMENT TEXT |
---|---|---|
W19 | W19 - Other changes in operating practices Inventory Control | TRI identified waste segregation. |
T03 | T03 - Materials Balance Audits | Month to month review of total pounds generated of TRI identified waste sent off site for incineration. |
T04 | T04 - Participative Team Management | Done through process modification and facility/ departmental education. |
9.1 Miscellaneous, Additional or Optional Information regarding the Form R submission
COMMENT TYPE | DESCRIPTION | COMMENT TEXT |
---|---|---|
NOCHEM | No TRI Report Expected for this Chemical Next Year | TRI and P2P plan was initiated due to non segregation of P and U rated waste. Had the waste been segregated we would have been well below the threshold. Our P2P plan involves action to segregate and education for proper disposal. These actions will reclassify us as a small waste generator. |
PRAI | Production or Activity Variable | Activity ratio based on total annual pounds of waste generated. |
PART I. FACILITY IDENTIFICATION INFORMATION (FORM R)
Reporting Year: 2016
Section 2. Trade Secret Information
2.1 Trade Secret: NO
2.2 Sanitized Copy: Unsanitized
Section 3. Certification
CERTIFYING OFFICIAL'S NAME | CERTIFYING OFFICIAL'S TITLE | CERTIFYING OFFICIAL'S SIGNATURE | DATE SIGNED |
---|---|---|---|
MARK NAVARRO |
DIRECTOR OF SUPPORT SERVICES |
Electronic |
29-JUN-17 |
Section 4. Facility Identification
TRI Facility ID: 8539WBRZWS13677
4.1 Facility Name and Address.
Facility Information
NAME | STREET | CITY | COUNTY | STATE | ZIP CODE |
---|---|---|---|---|---|
ABRAZO WEST CAMPUS |
13677 W MCDOWELL RD |
GOODYEAR |
MARICOPA |
AZ |
85395 |
BIA Tribal Code | Tribe |
---|---|
NO DATA |
NO DATA |
Mailing Information
NAME | STREET | CITY | STATE | ZIP CODE |
---|---|---|---|---|
ABRAZO WEST CAMPUS |
13677 W MCDOWELL RD |
GOODYEAR |
AZ |
85395 |
PROVINCE | COUNTRY (NON - US) |
---|---|
NO DATA |
NO DATA |
4.2 Facility Classification
ENTIRE FACILITY | PARTIAL FACILITY | FEDERAL FACILITY | GOCO FACILITY |
---|---|---|---|
YES |
NO |
NO |
NO |
4.3 Technical Contact
Not Available to the Public as this information is only for Intranet.
4.4 Public Contact
NAME | PHONE |
---|---|
MARK M. NAVARRO |
6238821759 |
4.5 NAICS Codes
NAICS CODE | PRIMARY | NAICS CODE DESCRIPTION |
---|---|---|
622110 |
YES |
General Medical and Surgical Hospitals |
4.7 Dun Numbers
DUNS NUMBER |
---|
035013647 |
5. Parent Company Information
Parent Company Name: TENET HEALTH
Parent Company DUNS Number: 053866661
PART II. CHEMICAL - SPECIFIC INFORMATION
1.1 CAS Number: N503 PFAS Indicator: NO
1.2 Toxic Chemical or Chemical Category Name: Nicotine and salts
1.3 Generic Chemical Name: NA
1.4 Distribution of Each Member of the Dioxin and Dioxin like Compounds Category
NA | 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | 11 | 12 | 13 | 14 | 15 | 16 | 17 |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
NO |
Section 2. Mixture Component Identity
2.1 Supplier Provided Generic Chemical Name: NA
Section 3. Activities and Uses of the Toxic Chemical
3.1 Manufacture the Toxic Chemical:
Produce: NO | Import: NO | On-Site Use/Processing: NO |
Sale/Distribution: NO | Byproduct: NO | Impurity: NO |
3.2 Process the Toxic Chemical:
Reactant: NO |
Formulation Component: NO |
Article Component: NO |
Repackaging: NO |
Impurity: NO |
Recycling: |
3.3 Otherwise Use the Toxic Chemical:
Chemical Processing Aid: NO |
Manufacturing Aid: NO |
Ancillary or Other Use: YES |
Section 4. Maximum Amount of the Toxic Chemical Onsite During the Calendar Year
Maximum Chemical Amount: 0 to 99
Section 5. Quantity of the Toxic Chemical Entering each Environmental Medium Onsite
5.1 Fugitive or Non-Point Air Emissions
NA | TOTAL RELEASE (per year) | UNIT OF MEASURE | BASIS OF ESTIMATE |
---|---|---|---|
YES |
|
|
5.2 Stack or Point Air Emissions
NA | TOTAL RELEASE (per year) | UNIT OF MEASURE | BASIS OF ESTIMATE |
---|---|---|---|
YES |
|
|
5.3 Discharges to Receiving Streams or Water Bodies
NA | STREAM/WATER BODY NAME | REACH Code | TOTAL RELEASE (per year) | UNIT OF MEASURE | BASIS OF ESTIMATE | % FROM STORMWATER |
---|---|---|---|---|---|---|
YES |
NA |
|
|
5.4-5.5 Disposal to Land Onsite
5.4.1 Underground Injection Onsite to Class I Wells.
NA | TOTAL RELEASE (per year) | UNIT OF MEASURE | BASIS OF ESTIMATE |
---|---|---|---|
YES |
|
|
5.4.2 Underground Injection Onsite to Class II-V Wells.
NA | TOTAL RELEASE (per year) | UNIT OF MEASURE | BASIS OF ESTIMATE |
---|---|---|---|
YES |
|
|
5.5 Disposal to Land Onsite
5.5.1A RCRA Subtitle C Landfills
NA | TOTAL RELEASE (per year) | UNIT OF MEASURE | BASIS OF ESTIMATE |
---|---|---|---|
YES |
|
|
5.5.1B Other Landfills
NA | TOTAL RELEASE (per year) | UNIT OF MEASURE | BASIS OF ESTIMATE |
---|---|---|---|
YES |
|
|
5.5.2 Land Treatment/Application Farming
NA | TOTAL RELEASE (per year) | UNIT OF MEASURE | BASIS OF ESTIMATE |
---|---|---|---|
YES |
|
|
5.5.3A RCRA Subtitle C Surface Impoundments
NA | TOTAL RELEASE (per year) | UNIT OF MEASURE | BASIS OF ESTIMATE |
---|---|---|---|
YES |
|
|
5.5.3B Other Surface Impoundments
NA | TOTAL RELEASE (per year) | UNIT OF MEASURE | BASIS OF ESTIMATE |
---|---|---|---|
YES |
|
|
5.5.4 Other Disposal
NA | TOTAL RELEASE (per year) | UNIT OF MEASURE | BASIS OF ESTIMATE |
---|---|---|---|
YES |
|
|
Section 6. Transfers of the Toxic Chemical in Wastes to Off-Site Locations
6.1 Discharges to Publicly Owned Treatment Works (POTWs)
1 - NAME: | ADDRESS: |
CITY: | STATE: |
COUNTY: | ZIP CODE: |
TOTAL TRANSFERS (per year) | UNIT OF MEASURE | BASIS OF ESTIMATE |
---|---|---|
NO DATA |
|
NO DATA |
6.2 Transfers to other Off-Site Locations
1 RCRA Number: MAD039322250 | Parent Company Controlled: NO |
Name: CLEAN HARBORS ENVIRONMENTAL SERVICES INC | Address: 42 LONGWATER DR |
City: NORWELL | State: MA |
County: PLYMOUTH | Zip Code: 02061 |
Country Code (Non - US): | Province: |
OFFSITE AMOUNT SEQUENCE | TOTAL TRANSFERS (per year) | UNIT OF MEASURE | BASIS OF ESTIMATE | WASTE MANAGEMENT TYPE |
---|---|---|---|---|
1 |
7823 |
Pounds |
C - Mass Balance Calculations |
M50 - Incineration/Thermal Treatment |
Section 7A. On-Site Waste Treatment Methods and Efficiency
7A.1a. Waste Stream: NA |
7A.1b. |
WASTE TREATMENT METHOD(S) SEQUENCE |
---|---|
1 |
NO DATA |
7A.1d. Waste Treatment Efficiency Estimate: |
Section 7B. On-Site Energy Recovery Processes
ON SITE ENERGY RECOVERY PROCESSES |
---|
NA |
Section 7C. On-Site Recycling Processes
ON SITE RECYCLING PROCESSES |
---|
NA |
Section 8. Source Reduction and Recycling Activities
SECTION |
TYPE OF QUANTITY | UNITS | PRIOR YEAR | CURRENT REPORTING YEAR | FOLLOWING YEAR | SECOND FOLLOWING YEAR |
---|---|---|---|---|---|---|
8.1a |
Total on-site disposal to Class I Underground Injection Wells, RCRA Subtitle C landfills, and other landfills |
|
NA |
NA |
NA |
NA |
8.1b |
Total other on-site disposal or other releases |
|
NA |
NA |
NA |
NA |
8.1c |
Total off-site disposal to Class I Underground Injection Wells, RCRA Subtitle C landfills, and other landfills |
|
NA |
NA |
NA |
NA |
8.1d |
Total other off-site disposal or other releases |
|
NA |
NA |
NA |
NA |
8.2 |
Quantity Used for Energy Recovery Onsite |
|
NA |
NA |
NA |
NA |
8.3 |
Quantity Used for Energy Recovery Offsite |
|
NA |
NA |
NA |
NA |
8.4 |
Quantity Recycled Onsite |
|
NA |
NA |
NA |
NA |
8.5 |
Quantity Recycled Offsite |
|
NA |
NA |
NA |
NA |
8.6 |
Quantity Treated Onsite |
|
NA |
NA |
NA |
NA |
8.7 |
Quantity Treated Offsite |
Pounds |
NA |
7823 |
7823 |
7823 |
8.8 One-Time Event Release: NA
8.9 Production Ratio or Activity Ratio : 1.61
8.10 Source Reduction Activities
SOURCE REDUCTION ACTIVITIES | METHOD 1 | METHOD 2 | METHOD 3 | ESTIMATED ANNUAL REDUCTION |
---|---|---|---|---|
W19 - OTHER CHANGES IN OPERATING PRACTICES |
T03 - MATERIALS BALANCE AUDITS |
T04 - PARTICIPATIVE TEAM MANAGEMENT |
8.11 Additional Data Indicator: NO
COMMENT TYPE | DESCRIPTION | COMMENT TEXT |
---|---|---|
W19 | W19 - Other changes in operating practices Inventory Control | TRI identified waste segregation. |
T03 | T03 - Materials Balance Audits | Month to month review of total pounds generated of TRI identified waste sent off site for incineration. |
T04 | T04 - Participative Team Management | Done through process modification and facility/ departmental education. |
9.1 Miscellaneous, Additional or Optional Information regarding the Form R submission
COMMENT TYPE | DESCRIPTION | COMMENT TEXT |
---|---|---|
NOCHEM | No TRI Report Expected for this Chemical Next Year | TRI and P2P plan was initiated due to non segregation of P and U rated waste. Had the waste been segregated we would have been well below the threshold. Our P2P plan involves action to segregate and education for proper disposal. These actions will reclassify us as a small waste generator. |
PRAI | Production or Activity Variable | Activity ratio based on total annual pounds of waste generated. |