Attachment_07_PHNSY Local Std Items 099-01PH to 099-04PH.pdf

HRMC

LOCAL STANDARD ITEM

FY-2022 (CH-3)

ITEM NO: 099-01PH

DATE: 01 SEP 2021

CATEGORY: I

1 of 16 ITEM NO: 099-01PH

FY-2022 (CH-3)

1. SCOPE:

1.1 Title: Waste Generated on Government Property, including Satellite Accumulation area (SAA), Managing and Disposing of Hazardous Waste (HW) and non-HW; accomplish

1.2 Location of Work:

1.2.1 Throughout the Shipyard.

1.3 Identification:

1.3.1 Not Applicable.

2. REFERENCES:

2.1 Standard Items

2.2 40 Code of Federal Regulations (CFR), 260 thru 265

2.3 Hawaii Administrative Rules (HAR), Title 11

2.4 OPNAVINST, 5090.1E

2.5 Department of Defense Instruction, 4715.15

2.6 40 Code of Federal Regulations (CFR), 761

2.7 40 Code of Federal Regulations (CFR), 171 thru 173

2.8 49 Code of Federal Regulations (CFR), Subtitle B

2.9 Local Standard Item 099-03PH, Additional Environmental Requirements

3. REQUIREMENTS:

3.1 Manage waste generated and disposal during accomplishment of work under the cognizance of Pearl Harbor Naval Shipyard and Intermediate Maintenance Facility (PHNSY & IMF) located on Joint Base Pearl Harbor Hickam (JBPHH) using 2.1 through 2.9 as guidance.

3.1.1 General refuse sent to H-POWER. Hazardous Material (HM), Hazardous Waste (HW), empty HM or HW containers, compressed gas cylinders, propane tanks, ordnance, and munitions must not be sent to H-POWER for disposal.

3.1.1.1 Do not use government trash or refuse containers.

3.1.2 Identify each waste type not subject to a specific exclusion or exemption from the regulations of 2.2 and characterized in accordance with 2.3.

3.1.3 All waste must have a documented waste determination prior to generation and subsequent disposal in accordance with 2.2.

3.1.4 Provide a sampling plan inclusive of each waste type in accordance with chapter 7 of 2.4.

2 of 16 ITEM NO: 099-01PH

FY-2022 (CH-3)

3.1.4.1 Sampling plan must include the laboratory certificate of accreditations with the Environmental Protection Agency (EPA), test methods for each waste determination, and disposal process.

3.1.4.2 Laboratory must meet ISO/IEC 17025:2005, General

Requirements for the Competence of Testing and Calibration Laboratories.

3.1.4.3 Laboratory must be accredited for each test method in accordance with 2.5 by the Department of Defense Environmental Laboratory Accreditation Program (DoD ELAP); or by a nationally recognized laboratory accreditation body compliant with ISO/IEC 17011:2004, Conformity Assessment- General Requirements for Accreditation Bodies Accrediting Conformity Assessment Bodies (e.g., National Environmental Laboratory Accreditation Program

(NELAP).

3.1.4.4 Laboratory must demonstrate the ability to generate

acceptable results from analysis of each proficiency testing sample using each applicable method in the specified matrix.

3.1.4.5 Sampling Plan must include duties and levels of

authority assigned to personnel on the job site who will perform sampling, training and certifications.

3.1.4.6 Sampling activities must have a documented quality

system meeting the requirements of ANSI or ASQ E4-2004 in accordance with 2.4.

3.1.4.7 Submit one legible copy, in approved transferrable

media, of the sampling plan to the SUPERVISOR 7 days prior to the Availability start date.

3.1.5 Notify the SUPERVISOR 48 hours prior to sampling, except in the case of sanitary collection holding tank systems.

3.1.5.1 Notify the SUPERVISOR 7 days prior to sampling sanitary collection holding tank systems.

3.1.5.2 Accomplish sampling and laboratory analysis in

accordance with 2.2 and characterized in accordance with 2.3.

3.1.5.3 Seal each inlet and outlet opening on each receiving

conveyance vehicle and each holding tank using serialized metal security “CAR” seals upon completion of sampling.

3.1.5.4 Prevent additions or depletions of its contents.

3.1.5.5 Accept financial responsibility if any additions or

depletions occur to contents or transfers are made to another holding tank which will invalidate the analytical results and will require re-sampling.

3.1.6 Accomplish waste management from the point of generation until accepted at the Hazardous Waste Facility (HWF) or authorized for commercial disposal.

3.1.7 Provide approved Department of Transportation (DOT) packing containers, label, and package in accordance with 2.8.

3.1.7.1 Containers must be in good condition (i.e. no dents, 3 of 16 ITEM NO: 099-01PH corrosion, or missing components) that is compatible with each Hazardous Waste (HW) (i.e. open head drum for solids, bung type drum for non-corrosive liquids, and plastic lined drums for corrosive liquids and solids).

3.1.7.2 Waste must be properly segregated and not be combined or consolidated with waste generated from different processes.

3.1.8 Segregate and store each HW and non-HW from useable material.

3.1.9 Request to acquire a Hazardous Waste Satellite Accumulation Area (HWSAA) permit to store waste at or near the point of generation by submitting a completed Attachment A and required training certificates in accordance with paragraph 3.3.2 of 2.9 to the SUPERVISOR 5 working days prior to collecting any HW.

3.1.10 Manage the HWSAA in accordance with Attachment B.

3.1.10.1 Properly mark each container as required per Attachment B.

3.1.10.2 Post and maintain the approved HWSAA permit in a neat legible manner at the SAA site.

3.1.10.3 Store only waste listed on the HWSAA Permit.

3.1.10.4 Accomplish HWSAA inspections weekly and annotate

results on Attachment C.

3.1.10.5 Maintain each completed copy of Attachment C at the

HWSAA site in a neat legible manner, and readily available for inspection.

3.1.10.6 May accumulate up to a total volume of fifty-five (55) gallons of HW, or a total of one quart of acute HW in accordance with 40 CFR 261.33 (e).

3.1.10.7 Immediately mark each container with the date the

volume limit was reached.

3.1.10.8 Properly label, handle, and transport each container to HWF within 3 calendar days for subsequent sampling, manifesting and disposal.

3.1.10.9 Manifested and dispose of HW within 90 days of being transported to HWF.

3.1.11 Submit one legible copy, in hard copy or approved

transferrable media, of completed Attachment D with applicable Safety Data Sheet for each waste type being turn-in to HWF.

3.1.11.1 Transport HW to HWF in the Controlled Industrial Area (CIA) daily.

3.1.11.2 Coordinate delivery of HW with HWF during normal

working hours at 473-8000, ext. 4580 or ext. 4878, 24-hours prior to delivery.

3.1.11.3 HWF normal working hours of operation are Monday

through Friday (excluding Federal holidays) between the hours of 7:00 a.m. to 2:00 p.m.

4 of 16 ITEM NO: 099-01PH

3.1.11.4 Improperly characterized waste turned in to HWF and is later determined to be Non-RCRA must be retrieved from HWF and disposed of properly.

3.1.11.5 Obtain written authorization from Code 106.3 prior to removing HW and non-Resource Conservation and Recovery Act (RCRA) from JBPHH.

3.1.12 Remove each fluorescent bulb prior to removing light ballast fixture.

3.1.12.1 Package each fluorescent bulb in a strong sturdy box to avoid breakage.

3.1.12.2 Turn in each fluorescent bulb and a completed

Attachment D to HWF.

3.1.12.3 Fluorescent light ballasts that cannot be proven to be Polychlorinated Biphenyls (PCB) free must be managed as regulated PCB waste in accordance with 2.6.

3.1.13 Submit one legible copy, in hard copy or approved

transferrable media, of completed Attachment E to the SUPERVISOR no later than 3 working days prior to establishing a Temporary PCB Storage area.

3.1.13.1 The temporary storage area must have a PCB “Mark ML” on each side.

3.1.13.2 Waste must be stored in a DOT container reflective of the amount of waste expected to be generated and capable of protecting the waste from the weather.

3.1.13.3 Non-DOT container may be used upon written approval

from Code 106.3.

3.1.13.4 Mark each container with PCB mark ML, generating

project identification, company name, out of service date (OSD) (mm/dd/yy), and type of waste, e.g. felt gaskets, personal protection equipment, paint chips.

3.1.13.5 Transfer waste to HWF during normal working hours

within 25 calendar days from the OSD.

3.2 Manage Non-Regulated Waste generated and disposal during

accomplishment of work under the cognizance of Pearl Harbor Naval Shipyard and Intermediate Maintenance Facility (PHNSY & IMF) located on Joint Base Pearl Harbor Hickam (JBPHH) using 2.1 through 2.9 as guidance

3.2.1 Dispose of Non-RCRA waste streams in accordance with all federal, state, and local laws and regulations, unless otherwise directed by the SUPERVISOR.

Fuel Products Sandblast Grit

Construction Debris Empty HM Containers

Excavated Soil Aqueous Film-Forming Foam (AFFF)

Excess Materials Oily Water (except for Used Oil as defined by 40 C

5 of 16 ITEM NO: 099-01PH

Expired Materials Sanitation Waste, waste water and related personal

3.2.2 All other Non-RCRA waste must be turned in to the HWF.

3.2.2.1 Transport Non-RCRA waste to HWF in the Controlled

Industrial Area (CIA).

3.2.2.2 Coordinate delivery of Non-RCRA waste with HWF during normal working hours at 473-8000, ext. 4580 or ext. 4878, 24-hours prior to delivery.

3.2.2.3 HWF normal working hours of operation are Monday through Friday (excluding Federal holidays) between the hours of 7:00 a.m. to 2:00 p.m.

3.2.2.4 Submit one legible copy, in hard copy or approved

transferable media, of completed Attachment D with applicable Safety Data Sheet for each waste type being turn-in to HWF.

3.3 Submit one legible copy, in hard copy or approved transferrable media, of details of the waste, disposal process and requirements, written waste determination, sample analysis, SDS, waste disposal permits, landfill waste profiles, and transportation documents to the SUPERVISOR no later than 3 working days prior before removal from the JBPHH worksite. All waste manifests must be signed by the

SUPERVISOR.

4. NOTES:

4.1 None.

6 of 16 ITEM NO: 099-01PH

PEARL HARBOR NAVAL SHIPYARD AND INTERMEDIATE MAINTENANCE FACILITY

Date: ______________

REQUEST FOR ESTABLISHMENT OF HAZARDOUS WASTE SATELLITE

ACCUMULATION AREA (HWSAA)

1. The following information is being submitted for your approval to operate and maintain a Hazardous Waste Satellite Accumulation Area for the collection of hazardous waste. I under-stand that this application must be approved (i.e., permit provided by Code 106.3) prior to collecting any hazardous waste at the proposed site.

a. Requesting Shop/Code/Project/Contractor: ___________________________________

b. Exact location of HWSAA: _______________________________________________

c. Name of waste being accumulated: _________________________________________

d. Process which generates the waste: _________________________________________

e. HWSAA Custodian: _____________________________/phone #_____________ (Name/Badge Number)

f. Alternate HWSAA Custodian: ________________________/phone #_______________ (Name/Badge Number)

2. I will ensure that the HWSAA will conform and be operated in accordance with all applicable instructions such as, but not limited to NAVSHIPYD&IMFPEARLINST 5090.1H. In the event that this HWSAA is no longer needed, I will submit written notification of disestablishment at least 24 hours in advance to Code 106.3.

3. Request that a permit be authorized for the establishment of this HWSAA. I will post a copy of the permit at the HWSAA site upon receipt.

Signature of HWSAA Custodian Signature of HWSAA Custodian’s Supervisor

(Code 106.3 Use Only: Assigned Permit Number is __________)

PH-SYD/IMF 5090/8 (Rev. 04-15) ATTACHMENT (A)

7 of 16 ITEM NO: 099-01PH

HAZARDOUS WASTE

SATELLITE ACCUMULATION (HWSAA) REQUIREMENTS

The contractor generating HW is responsible for the management of the waste. Although it is not addressed in this attachment, the health and safety precautions (e.g. proper PPE) for the management of HW need to be considered and implemented as necessary. Usually the precautions for management of the HW are similar and consistent with the precautions used in the process that generated is similar and consistent with the precautions used in the process that generated the HW. Review of all applicable Safety Data Sheets is recommended.

1. HAZARDOUS WASTE SATELLITE ACCUMULATION AREA (HWSAA) REQUIREMENTS

a. Upon receiving approval to establish an SAA, the contractor must designate an area within his/her lay-down area top-side or pier side as his/her SAA. No HWSAA is allowed inside any dry-dock basin area.

b. The SAA must be clearly delineated by signs and suitable boundary markers.

c. The HWSAA permit granted to the contractor must be posted at the SAA site.

d. All waste must be placed in containers that meet 49 CFR Department of Transportation requirements for the type of waste being collected (e.g. open head drum for solids, bung type for non-corrosive liquids, and plastic lined drums for corrosive liquids/solids). The contractor is responsible for providing and ensuring all waste is properly packaged. All containers must be kept closed except when adding waste.

e. All containers must be immediately (upon filling of the container w/HW) labeled in accordance w/EPA regulations and the minimum following ¾ inch, indelible markings:

1. With the words “Hazardous Waste”;

2. With words that properly identify the contents of the container; and

3. The contractor’s name.

f. A Spill Kit must be staged in the SAA.

g. Containers of HW must be protected from adverse weather conditions (rain).

h. HW liquids must be stored on secondary containment.

i. The contractor, as a generator, may accumulate a total volume of 55 gallons of HW or One (1) quart of acutely HW listed in 40 CFR 261.33 (e). When either total volume has been reached, the container(s) holding the HW must be marked with the date of when the excess amount was reached. The marked containers generated on the Pearl Harbor Naval Complex must be properly manifested, labeled, handled, and transported to PHNSY & IMF Building 1663, within three (3) calendar days for disposal. Call between the hours of 7:00 a.m. to 2:00 p.m.

Phone: 473-8000, ext. 4580, Fax: 474-3457. Marked containers generated on the contractor’s facility are to be managed (e.g. handled, manifested, transported, disposed of, etc.) in accordance with other work items or clauses of the contract (e.g. 077-01 series work item, Far Clauses, etc.). Accomplish those requirements as invoked with the contract.

099-01PH ATTACHMENT B

8 of 16 ITEM NO: 099-01PH

HAZARDOUS WASTE SATELLITE ACCUMULATION AREA (HWSAA)

INSPECTION CHECKLIST

Inspection Date and Time: __________________ HWSAA Permit No.: ___________________

Inspector’s Name: _________________________ Badge No.: ___________________________

For each line below, check the appropriate box SAT UNSAT N/A

1. The HWSAA is an approved site by Code

106.3 (i.e., HWSAA Permit issued by Code 106.3 is current and posted.).

2. The HWSAA is clearly delineated by signs and suitable boundary markers.

3. A “No Smoking Within 50 Feet” sign is posted if flammables or ignitables are stored.

4. Applicable POC’s and correct phone numbers are posted.

5. The area appears clean and well maintained.

6. There is no evidence of spills or leaks on the ground or in the secondary containment.

7. Only waste identified on the HWSAA permit is being collected in the HWSAA.

8. The HW is stored in a container that is in good condition (i.e., no dents, corrosion, missing rings, gaskets, or bung caps).

9. The HW is stored in the proper container/drum that is compatible with the waste (i.e., open head container/drum for solids, bung type container/drum for non-corrosive liquids, plastic lined container/drum for corrosive solids, and plastic or plastic lined bung type container/drum for corrosive liquids). Liquid wastes must not be collected or stored in open head type containers/drums.

10. The container/drum openings are closed/secured except when waste is being added or removed, to prevent spills, release of vapors, and unauthorized addition of wastes.

11. There are no containers/drums that are leaking or overfilled.

12. There is sufficient head space for containers/drums containing liquid wastes to allow for heat expansion (i.e., six inches for a 55-gallon container/drum, three inches for a 20-gallon container/drum, two inches for a 5-gallon container/drum).

13. Containers/drums are properly marked with the words “Hazardous Waste”, description or name of item being collected as HW, the identification of the generator (i.e., code/shop/project/ship’s force/contractor) and waste characteristic (i.e. ignitable, corrosive, reactive, toxic, etc.).

14. The labeling or markings on containers/drums are permanent and legible.

15. There is less than 55 gallons of HW or less than one quart of acutely HW in the HWSAA.

16. If there are 55 gallons or more of HW or one quart or more of acutely HW in the HWSAA, is the containers marked with the date the 55 gallon or one quart limit was exceeded.

9 of 16 ITEM NO: 099-01PH

099-01PH ATTACHMENT C

10 of 16 ITEM NO: 099-01PH

HAZARDOUS WASTE SATELLITE ACCUMULATION AREA (HWSAA)

INSPECTION CHECKLIST

For each line below, check the appropriate box. SAT UNSAT NA

17. Full containers/drums are not being stored for more than three days at the HWSAA after the limit is exceeded (i.e., 55 gallons for HW and one quart for acutely HW).

18. Tracking of the quantity and type of waste contained in each container or drum is being accomplished via the HW Container/Drum Log.

19. Container/drums of incompatible wastes are stored so that they will not be mixed in the event of a spill or leak.

20. HW is not being stored in a potentially dangerous area (i.e., near floor drains, storm drains, pier edges, and areas of heavy traffic flow).

21. All waste containers/drums are stored in a position such that all labels/markings are readily visible.

22. All waste containers/drums are stored under a covered area or covering to prevent corrosion or deterioration of the containers/drums.

23. All HW is within the boundary of the HWSAA. This includes HW staged for pickup.

24. There is no abandoned HW in the area around the

HWSAA.

25. A spill kit or spill response equipment capable of managing the type of waste being collected in the HWSAA is available for use (e.g., gloves, face shield, coveralls or Tyvek suits, absorbent pads, absorbent granules, recovery container/drum, shovel, fire extinguisher, etc.).

If any of the items are checked “UNSAT” or there are any discrepancies noted during the inspection of the HWSAA, action must be taken immediately to correct the discrepancy. In the event of a spill or leak, contact the Regional Dispatch Center (RDC) at 911 or 474-1271. Inspection checklists must be kept on file at or near the HWSAA and are subject to be audited by Code 106.3 personnel during weekly surveillance inspections. Inspection checklists must be maintained for a minimum of one year or up until the HWSAA is disestablished, whichever is shorter.

The HWSAA was inspected as documented above and actions taken are indicated below.

Action(s) Taken: ______________________________________________________________________

Comments: __________________________________________________________________________

Signature and Date Deficiency Badge No.: _______________________________________ Corrected: ________________________

099-01PH ATTACHMENT C

11 of 16 ITEM NO: 099-01PH

A Serial # PEARL HARBOR NAVAL SHIPYARD AND INTERMEDIATE MAINTENANCE FACILITY CONTRACTOR

CUSTODY TRANSFER FORM (CCTF) FOR WASTE TURN-IN TO:

HAZARDOUS WASTE FACILITY (HWF) B1663 FOR CONTRACTORS

PHONE: 473-8000 X4580 FAX: 474-3457

ATTACH (M)SDS, LAB REPORTS, WASTE DETERMINATION AND WASTE PROCESS FORM TO CCTF

B Profile#

C. Generator Information

1. Prime Contractor:

2. Sub-Contractor:

3. Name of Ship/Project Facility:

4. Point of Waste Generation:

D. Waste Description

1. Name of Waste:

2. Composition Percentage 3. Hazardous Waste Solid (no free liquids)

4. Basis for waste determination: Non-RCRA Waste Liquid

5. Number of Containers: Size: Oil/Oily Water (See block G) Aerosol

6. (M)SDS#: PCB Waste (See block H) Empty

Asbestos (See block F) Used Unused

E. Process

1. Identify the Generating Process:

2. Additional Information:

3. How was waste generated Process Generated Expired Shelf Life Excess HM

4. Instruction Number (Contract # PCP#, SOP#, MOA#, and title:

F. Asbestos N/A G. Oil/Oily Water N/A

1. Check Friable Double Bagged 1. New Oil Used Oil Oily Water

Non-Friable Wrapped

2. Amount of Asbestos in Cubic Feet: 2. Composition Percentage if not new:

H. PCB Waste N/A I Fluorescent Light Bulbs and Tubes N/A

1. PCB DORFSFD: 1. Quantity per size

2. PCB: <50 ppm* 50-499 ppm 500-999 ppm > 1000 ppm 1’ 18” 2’ 3’ 4’ 8’ other

*Must attach Lab Result J. Generator signing the CTF shall have knowledge of the waste and be able to answer any questions and have required documents available. Prime contractor Environmental Manager shall sign (Validation Certification) below. Two separate signatures are required. One individual cannot sign both K1 and K2. The Prime Environmental Manager shall have at minimum current certification in Department of Transportation (DOT 49 CFR), HAZWOPER (29 CFR), and RCRA (40 CFR). A designation letter shall be submitted to PHNSY&IMF C106.3 identifying the primary and alternates.

K. Signatures Prime/Sub contractor

Generator Certification: I certify that the above information is complete and accurately describes to the best of my knowledge. All known or suspected hazards have been disclosed and containers are properly marked and labeled.

1. Generator Print Sign:

Company Name: Date Phone#

Prime Environmental Manager Validation Certification: I have verified that the above information is complete and accurately describes, the waste turn in. All known or suspected hazards

2. Generator Print Sign:

Company Name: Date Phone#

L. CODE 106.3 USE ONLY

LOG# CONSOLIDATION# RECEIVED BY

WEIGHT NUMBER OF CONTAINERS

CHLOR-D-TECT DRUM #

HYDRO-CHLOR CIRCLE NEW OR USED

WASTE CHARACTERIZATION RECLASSIFIED: YES

REASON FOR RECLASSIFICATION

COMMENTS

WASTE DETERMINATION AND WASTE PROCESS PROFILE

WASTE DETERMINATION

M. Serial #: N. Waste Process Profile #:

O. Name of Waste:

P. HAZARDOUS WASTE DETERMINATION:

1. Is the waste a solid waste according to 40 CFR part 261.2 Yes No

2. Is the waste excluded under 261.4 of exempt from hazardous waste regulations? Yes No

3. Is the waste a listed hazardous waste?

F-listed per 40CFR part 261.31 Yes No

K-listed per 40CFR part 261.32 Yes No

P-listed per 40CFR part 261.33(e) Yes No

U-listed per 40CFR part 261.33(f) Yes No

4. List all listed waste codes:

5. If F-listed, list all F-solvents:

Q. Waste Determination:

Hazardous Waste Non-RCRA Waste Used Oil

R. ADDITIONAL INFORMATION:

1. Container marking:

2. Proper Shipping Name:

3. Source Code (G Code): 4. Form Code (W Code):

5. Underlying Hazardous Constituents (UHC):

WASTE PROCESS PROFILE

S. WASTE PROPERTIES:

1. Physical State: 2. Flash Point: 5. (M)SDSs used in process:

Solid 3. PH: (M)SDS#: (M)SDS#:

Liquid 4. Lab Reports#: (M)SDS#: (M)SDS#:

Liquid and Solid (M)SDS#: (M)SDS#:

T. CHEMICAL COMPOSITION:

1. Chemical name: 2. CAS#: 3. Percentage (%) or range:

a. a. a.

b. b. b.

c. c. c.

d. d. d.

e. e. e.

f. f. f.

g. g. g.

h. h. h.

i. i. i.

U. WASTE PROCESS (Explain how the waste was generated):

099-01PH Attachment D

INSTRUCTIONS FOR COMPLETING THE CONTRACTOR CUSTODY TRANSFER FORM

A Contractor Custody Transfer Form (CCTF) is required to be completed by each generator turning in waste to the Hazardous Waste Facility (HWF), Building 1663, for each type of waste or waste-stream. All applicable portions of the CCTF must be completed. Additionally, the associated (Material) Safety Data Sheet (M)SDS, Lab Reports must also be attached, if applicable. For fluorescent light bulbs, standard sized alkaline or carbon zinc batteries (e.g., AAA, AA, C, D, 9V), empty containers and for items where an (M)SDS is not available (e.g. bilge water, sludge), an (M)SDS is not required.

Contact Code 106.3 for any questions regarding completion of your CCTF.

A. SERIAL NUMBER

Generator must serialize the CTF/Waste Determination and Waste Process Profile and corresponding container(s) of waste. Annotate a number or letter in the box of the CTF/Waste Determination and Waste Process Profile and mark all associated waste container(s) with this same number or letter.

Note: This is especially important for waste transported via the Contractor where the generator is not present to correlate the CTF/Waste Determination and Waste Process Profile to the containers of wastes.

B. PROFILE NUMBER

This block shall be used if Code 106.3 has assigned you a profile number to the waste stream generated at your work site.

C. GENERATOR INFORMATION

Item 1: Provide the name of the Prime Contractor.

Item 2: Provide the name of the Sub-Contractor.

Item 3: Provide the name of your ship/project/facility.

Item 4: Provide the location where your waste was generated (bldg. #, pier #, dry dock #, etc.).

D. WASTE DESCRIPTION

Item 1: Provide the name of your waste. This should be a complete and descriptive term (e.g., “Aluminum Oxide Blast Grit”, “PD-680 Type II Dry Cleaning Solvent”, “Epoxy Paint, Component A”, “rags saturated with synthetic hydraulic fluid”, “trichlorotrifluoroethane with water”, “lightly soiled rags with motor oil”, “Fluorescent Light Bulbs”, etc.). Attach a separate sheet is additional apace is needed.

Item 2: Provide a description of the waste composition. List the most concentrated item in percentage, followed by other constituents present in the waste stream (e.g., “50%TEP oil with 50% water”, “98% T-10 thinner and 2% paint”, etc.). Generator knowledge may be used to provide an estimate.

Item 3: Check all that apply (“Hazardous Waste” and “Non-RCRA Waste” boxes cannot be checked simultaneously.).

Item 4: Provide a brief explanation of how your decision to item 3 was made. (Paint gun cleaning, paint removal from interior of ship).

Item 5: Provide the number and size of containers to be turned in.

Item 6: Provide the (M)SDS number for all materials which are mixed into your waste.

E. GENERATING PROCESS INFORMATION

Item 1: Provide the generating process for your waste (e.g., “abrasive blasting of main ballast tank”, “Sanitary Tank #2 cleaning”, “chemical paint stripping of exterior building surface”, “cleaning of paint guns”, “shipboard painting operations”, “spill cleanup of forklift hydraulic oil leak”, etc.).

Item 2: Provide any additional information that may help in processing and disposing of the waste.

Item 3: Check the appropriate box for how your waste was generated.

Item 4: Provide the reference number and title for the process/work that generated the waste (i.e. Contractor#, Task order#, Procedure#, SOP#, MOA#, etc.).

F. ASBESTOS WASTE (Check N/A if it doesn’t apply) Item 1: Check the appropriate box to indicate whether the asbestos is friable or non-friable and if the waste is bagged or wrapped. Note: Asbestos waste must be double bagged.

Item 2: Provide the amount of asbestos waste in cubic feet (e.g., length x width x height, etc.).

G. OIL & OILY WATER (Check N/A if it doesn’t apply) Item 1: Check the appropriate box to indicate whether the oil is new (unopened), used (less than 30% water) or is considered oily water (greater than 30% water).

Item 2: Provide the percentage of oil composition (e.g. 10% oil and 90% water, 100% oil, etc.).

H. PCB WASTE (Check N/A if it doesn’t apply) Item 1: Provide the PCB date of removed from service for disposal (DORFSFD) or out of service date (OSD).

Item 2: Check the appropriate box to identify composition percentage.

I. FLUORESCENT LIGHT BULBS AND TUBES (Check N/A if it doesn’t apply) Item 1: Provide the quantity per size of the bulbs/tubes.

J. Generator signing the CTF shall have knowledge of the waste and be able to answer any questions and have required documents available. Prime contractor shall sign (Validation Certification). Two separate signatures are required. One individual cannot sign both K1 and K2. The Prime Environmental Manager shall have a current certification in Department of Transportation (DOT 49 CFR), HAZWOPER, and RCRA (40 CFR). A designation letter shall be submitted to C106.3 identifying the primary and alternates.

K. GENERATOR AND VALIDATOR CERTIFICATION:

Item 1: The generator of the waste being turned in shall print his/her name and provide his/her signature, company name, date of turn-in and phone number. He or she shall certify that the CCTF information is complete and accurately describes, the waste and that all known or suspected hazards have been disclosed and containers are marked and labeled correctly.

Item 2: The validator shall print his/her name and provide his/her signature, company name, date of turn-in and phone number. He or she shall certify that the CCTF information is complete and accurately describes, to the best of his/her knowledge, the waste and that all known or suspected hazards have been disclosed and containers are marked and labeled correctly.

L. CODE 106.3 USE ONLY

This portion of the form is for Code 106.3 use only, for recording information required to track and catalogue the waste turned in to our HWF.

INSTRUCTIONS FOR COMPLETING WASTE DETERMINATION AND WASTE PROCESSPROFILE

Waste Determination and Waste Process Profile is required to be completed by each generator turning in waste to the Hazardous Waste Facility (HWF), Building 1663, for each type of waste or waste-stream. All applicable portions of the Waste Determination and Waste Process Profile must be completed. Contact Code 106.3 for any questions regarding completion of your Waste Determination and Waste Process Profile.

M. SERIAL NUMBER:

Generator must serialize each Waste Determination and Waste Process Profile/CCTF and corresponding container(s) of waste. Annotate a number or letter in the box on the Waste Determination and Waste Process Profile/CCTF and mark all associated waste container(s) with the same number or letter.

Note: This is especially important for waste transported via the Contractor where the generator is not present to correlate the Waste Determination and Waste Process Profile/CCTF to the containers of wastes.

N. WASTE PROCESS PROFILE NUMBER:

This block must be used if Code 106.3 has assigned you a profile number to the waste stream generated at your work site.

O. NAME OF WASTE:

Provide the name of your waste. This should be a complete and descriptive term (e.g., “Aluminum Oxide Blast Grit”, “PD-680 Type II Dry Cleaning Solvent”, “Epoxy Paint, Component A”, “rags saturated with synthetic hydraulic fluid”, “trichlorotrifluoroethane with water”, “lightly soiled rags with motor oil”, “Fluorescent Light Bulbs”, etc.).

P. HAZARDOUS WASTE DETERMINATION:

Item 1: Check the box that applies to you. A solid waste is any garbage, refuse, sludge from a waste treatment plant, water supply treatment plant, or air pollution control facility, and other discarded material, including solid, liquid, semisolid, or contained gaseous materials resulting from industrial, commercial, mining and agricultural operations.

Item 2: Check the box that applies to you (i.e. Material which are not solid waste).

Item 3: If you checked “Yes” in the box on Item 1, you must identify what listed waste your hazardous waste applies (e.g., F-Listed, P-listed, U-Listed, etc.).

Item 4: If you checked “Yes” in any of the listed waste on Item 3, you must identify what listed waste codes applies (e.g., D001, F001, F003, etc.).

Item 5: If you checked “Yes” on Item 3 for F-Listed, you must list all spent solvents that applies.

Q. WASTE DETERMINATION:

Item 1: Check the box that applies. You cannot check more than one (1) box.

R. ADDITIONAL INFORMATION:

Item 1: (1) The words “Hazardous Waste”

(2) Description of the waste

(3) Shop/code, Ship force/contractor or project

(4) Hazard Characteristics (i.e. Reactive, Ignitable, Corrosive, Toxic, etc.)

Item 2: Provide the Proper Shipping Name (PSN), (e.g., UN1263, WASTE PAINT RELATED MATERIAL, 3, PG III, etc.).

Item 3: Identify the Source Code (e.g., G01, G11, G13, etc.). A Source Code describes the type of process or activity from which a hazardous waste was generated (e.g., G01 –Dip, flush or spray rinsing (using solvents to clean or prepare parts or assemblies for further processing – i.e. painting or assembly). E.g., G11 –Discarding off-specification or out-of-date chemicals or products (unused chemicals or products), etc.).

Item 4: Identify the Form Code. A Form Code describes the general physical and chemical characteristics of a hazardous waste (e.g., W002, W209, etc.). E.g., (W002 –Contaminated debris: paper, clothing, rags, wood, empty fiber or plastic containers, glass, piping, other solids (usually from construction, demolition, cleaning, remediation), etc.).

Item 5: Identify the Underlying Hazardous Constituents (UHC).

S. WASTE PROPERTIES:

Item 1: Check the box of which your waste physical state is in.

Item 2: Provide the Flashpoint if it applies (e.g., 91°F, 33°C, etc.).

Item 3: Provide the Potential Hydrogen (pH) if it applies (e.g., <2, >12.5, etc.).

Item 4: Provide the Laboratory Report(s) number(s) if it applies.

Item 5: Provide the (M)SDS used in process if it applies (e.g., 14781, etc.).

T. WASTE COMPOSITION:

Item 1: Provide the Chemical name. Commonly found in the (M)SDS (e.g., Arsenic, Barium, Methyl ethyl ketone, etc.).

Item 2: Provide the Chemical Abstract Service (CAS) number(s) for each Chemical Name you provided on Item 1 (e.g., 7440-38-2, 7440-39-3, 78-93-3, etc.).

Item 3: Provide the percent (%) or range of each Chemical name/ CAS number you provided in Item 1 and Item 2.

U. WASTE PROCESS (Explain how the waste was generated):

Item 1: Provide a detailed explanation of how you generated your waste and/or debris.

NOTE: If the Item(s) does not apply to you, put “N/A” not applicable. All Items must complete in its entirety.

099-01PH Attachment D

NOTIFICATION OF TEMPORARY PCB STORAGE

CODE/SHOP PERFORMING WORK POINT OF CONTACT DATE

(NAME, SHOP/CODE, PHONE #)

DATES OF PCB WORK

Start Date:

End Date:

DESCRIPTION OF PCB WORK TO BE PERFORMED

LOCATION OF PCB WORK TO BE PERFORMED

LOCATION OF TEMPORARY PCB WASTE STORAGE AREA

TYPE(S) OF PCB WASTE EXPECTED TO BE GENERATED

NAME OF PERSON SUBMITTING NOTIFICATION (PRINT) SIGNATURE DATE

This block for use by Code 106.3 personnel when taking verbal notification

Report taken verbally by:

(SIGNATURE AND DATE)

Date Disestablished

099-01PH ATTACHMENT E

Directions for Completing Notification of Temporary PCB Storage

Prior to establishing a Temporary PCB Storage area, the Notification of Temporary PCB Storage shall be submitted by code/shop/project performing work. Code/shop/project can contact Code 106.3 via telephone and provide the required information. In either case, Code 106.3 shall receive notification no later than three working days prior to establishing a Temporary PCB Storage area.

1) Code/shop/project performing PCB work.

2) Point of contact.

3) Today’s date.

4) Date work will begin and end (approximate dates are permissible).

5) Description of PCB work (i.e. Removal of felt septum gaskets, cleaning PCB oil from electrical motor, etc.).

6) Location of work to be performed (i.e. LL engine room USS Bluefish, Processing bay at CIF, etc.).

7) Location of Temporary PCB Waste Storage Area.

Note: consolidation is allowed only for specific types of PCB waste and the consolidation area must meet minimum requirements. Guidance can be found in NAVSHIPYD&IMFPEARLINST 5090.9B or contact Code 106.3.

8) Type(s) of PCB waste expected to be generated (i.e. 5 gal of PCB lubricating oil, 1 gal of felt septum gaskets, etc.).

9) Name of person submitting notification.

10) Signature and date. If notification is done via phone, this box is left blank and code 106.3 will fill out box 11.

11) If notification is done via phone, code 106.3 will check this box and sign and date.

12) Code 106.3 shall be notified by the person or shop who initiated the request when the area is disestablished and that date will be annotated in the space provided.

099-01PH ATTACHMENT E

FY-2022 (CH-2)

ITEM NO: 099-02PH

DATE: 01 SEP 2021

CATEGORY: I

1 of 8 ITEM NO: 099-02PH

FY-2022 (CH-2)

1. SCOPE:

1.1 Title: Dry Dock Requirement; accomplish

1.2 Location of Work:

1.2.1 Throughout the Shipyard.

1.3 Identification:

1.3.1 Not Applicable.

2. REFERENCES:

2.1 Standard Items

2.2 Permit No. HI 0110230, National Pollutant Discharge Elimination System (NPDES)

2.3 Local Standard Item 099-01PH, Waste Generated on Government Property, including Satellite Accumulation area (SAA), Managing and Disposing of Hazardous Waste (HW) and non-HW

2.4 Local Standard Item 099-03PH, Additional Environmental Requirements

2.5 Local Standard Item 099-04PH, Industrial Wastewater/Oily Wastewater Disposal

3. REQUIREMENTS:

3.1 Maintain dry dock controls ensuring the dry dock is protected from unauthorized discharge directly onto the pier, into the storm drains, or into the harbor in accordance with 2.1 through 2.5.

3.2 Authorized discharges for cooling water, A/C condensate, seepage, and rain water to the harbor using the dry dock drainage system are strictly regulated in accordance with 2.2.

3.2.1 Obtain written concurrence from the SUPERVISOR for each authorized discharge.

3.2.2 Obtain written authorization from the SUPERVISOR for all other water being discharged into dry dock drains.

3.3 Personnel conducting maintenance activities within each dry dock must receive specific training in accordance with 2.4.

3.4 Perform daily inspections of the dry dock at the “end-of-daylight” hours and within 15 minutes of a rain event throughout the Availability in accordance with 2.2.

3.4.1 Document each inspection using Attachment A.

3.4.1.1 If no industrial work occurred, annotate “No Industrial Work Performed” for that specific date.

3.4.2 Submit one legible copy, in approved transferrable media, of

2 of 8 ITEM NO: 099-02PH

FY-2022 (CH-2)

the daily inspections for the month to the SUPERVISOR no later than 7-days after the end of the month.

3.5 Accomplish all work being performed dock side, including adjacent laydown and work areas using PHNSY&IMF’s Storm Water Permit in accordance with 2.2.

3.5.1 Accomplish Best Management Practices (BMPs) to prevent

pollutants such as solid waste, trash, industrial debris, rust, anodes, blasting media, etc. from entering the storm drain system and the harbor.

3.5.2 Protect storm drain openings by placing filter material in or around drains and around the work site to prevent contamination of rainwater runoff or entrance into the storm drain system.

3.5.2.1 Properly dispose of pollutants, including debris

containing pollutants (e.g. lead, chromate, paint, etc.) in accordance with 2.3.

3.5.3 Provide measure to ensure nothing is discharged directly onto the pier, into the storm drains, or into the harbor. Non-storm water discharges are prohibited from entering the storm water system – unless specifically authorized in writing by SUPERVISOR as stated in

3.2.1 and 3.2.2.

3.5.4 Properly collect and dispose of all generated wastewater in accordance with 2.5.

3.5.5 Maintain dust control at all times throughout the

availability, including non-working hours. Dust control from work performed must be sufficiently maintained and excavated material covered to protect from wind and rain at the end of the workday, or be removed from the site immediately to prevent material from entering the storm drains. Soil or similar materials must be covered at the end of the work day or sooner depending on the weather, placed in an appropriate site away from the waterfront, or stored in a manner that will prevent sediment from being washed or blown into the storm drains, e.g., using protective barriers. Erecting wind break barriers are effective dust control methods.

3.6 Stage all equipment, materials, and property within the designated lay-down plan authorized by the SUPERVISOR.

3.6.1 Label each equipment, material, and property (e.g. gas

cylinders, forklifts, man lift, pallets of paints, sandblast or paint equipment, storage containers or connex boxes, temporary lighting, ventilation ducts, etc.) with company name, POC, and phone number.

3.6.2 Store materials in a manner that will not contribute

pollutants to storm water runoff.

3.6.3 Cover materials exposed to the elements, including unpainted metal, with non-permeable material.

3.6.4 Keep moveable metal items more than 5 feet from storm drains.

3.7 Place all portable latrines in a secondary containment to prevent any sewage leaks or cleaning disinfecting solutions from entering the

3 of 8 ITEM NO: 099-02PH harbor by the dry dock storm drain system.

3.7.1 Secure each portable latrine on flat surfaces for stability to prevent tipping or falling over.

3.7.2 Place each latrine no less than 5 feet from storm drains or dry dock drain system.

3.7.3 Prevent spills when moving any latrine.

3.8 Only the ship’s hull and components attached to the hull are allowed to be hydroblasted and spray painted in the dry dock.

3.8.1 All other hydroblasting or spray painting operations must occur in designated areas with proper environmental controls in accordance with 2.4.

3.8.2 Obtain written approval from the SUPERVISOR before

constructing a spray paint booth on government property.

3.9 After docking and prior to starting any work, accomplish an initial cleaning of the dry dock by washing down all silt and mud from the entire dock basin, troughs, and stairways with salt water into the dry dock drainage system.

3.9.1 Start from the head of the dry dock and work towards the caisson.

3.9.2 Remove and commercially dispose of all remaining debris from the basin.

3.9.3 Do not wash any debris into the sumps.

3.10 Notify the SUPERVISOR no later than 24 hours prior to the start of the underwater hull, fittings, rudder, propeller, and propulsion shaft rinse.

3.10.1 Accomplish the underwater hull, fittings, rudder, propeller, and propulsion shaft rinse with fresh water using dock pressure to remove salt, dirt and slime.

3.10.2 Contain, collect, sample, and dispose of all the rinse wastewater in accordance with 2.4 and 2.5.

3.10.3 Remove and dispose of commercially all solid debris. Do not wash debris into the sumps.

3.11 Maintain cleanliness of each dry dock at all times to prevent solids and debris from being washed into the dry dock drainage system.

3.11.1 Use brooms or a vacuum to clean.

3.11.1.1 Broom clean is defined as having little to no visible trash, debri, paint chip, or blast grit with no signs of oil or grease

3.11.2 Establish a leak-free containment to collect liquids if water washing the dock basin after initial cleaning of 3.9.

3.11.2.1 Maintain all water washing inside the containment.

3.11.2.2 Prevent water from entering the drain sump.

4 of 8 ITEM NO: 099-02PH

3.11.3 Collect and remove all solid wastes, including spent

sandblast grit, scale, rust, zinc anodes, and other debris on the dry dock floor expeditiously from the dry dock floor no later than the end of each work shift.

3.12 Establish each containment to prevent any discharge, including hydroblast, sandblast, paint contaminants, and other industrial debris from entering the dry dock drain sumps.

3.12.1 Prevent any discharge residuals from the fire hose, main testing water, drinking fountains, and sanitary wastes from entering the dry dock drainage system or onto the dry dock floor.

3.12.1.1 Discharge sanitary wastes, such as sewage from the

vessel, to the sanitary sewer system.

3.12.2 Prevent releasing chemical solutions used for cleaning, flushing, or soaking operations onto the dry dock floor or dry dock floor sumps.

3.12.3 Fire retardant wood is required in the dry dock except when used in wet operations such as hydroblast containments.

3.13 Dry dock basin containment must be established between A+0 and A+10 days.

3.14 Accomplish the requirements of OO9-09 of 2.1, for establishment of each containment, including any barriers, to prevent entry of any contaminants (e.g. hydroblast and sandblast media, airborne spray paint mists, etc.) into the atmosphere, dry dock drainage system, and harbor, including for the disposal of hydroblast wastewater in accordance with

2.4 through 2.5. Procedure must include as a minimum, the following:

3.14.1 Provide a containment, including swimming pool style, constructed for capturing all by-products derived from hydroblasting operation and containment water-washing operations, including liquids. No leakage allowed.

3.14.1.1 Any mechanical equipment employed for hydroblasting

operations must be contaminant free from previous operations

3.14.1.2 Thickness of the containment barrier must be able to withstand dry dock work operations, functions, and heavy weather conditions.

3.14.2 Collect, sample, and dispose of the hydroblast water and sandblast grit generated in accordance with 2.4 and 2.5.

3.14.3 Provide and maintain a ¼ inch by ¼ inch wire mesh screen covered with scotch foam or a comparable material for protection across each dry dock sump gratings, drain, and across each trough to collect any debris from entering the dry dock drainage system.

3.14.3.1 Inspect, clean, and maintain each mesh screen and

scotch foam areas twice a week.

3.14.3.2 Document each inspection, include date and time.

3.14.3.3 Replace each mesh screen and scotch foam as necessary.

3.14.4 Process to ensure liquids captured within dam containment do

5 of 8 ITEM NO: 099-02PH not mix with liquids or materials from other dam contaminants within the dry dock.

3.14.4.1 Notify the SUPERVISOR no later than 24 hours of any co-mingling containment waste streams.

3.14.5 Process to prevent airborne contaminants (e.g. sandblast media, hydroblast media, paint, paint over-spray/mist, etc.) from landing on the dry dock floor outside of any containment area, alter flats on dockside walls, and wing-walls and from entering into the dry dock drainage system, the atmosphere, harbor, or on Government property.

3.14.5.1 Install temporary polypropylene “Environtarp 85%” or similar material to shroud the entire work area from 15 feet below the topside of the dry dock to as high as necessary, to prevent the uncontrolled release of overspray during spray painting applications. The percentage of flow through of the tarp must ensure air borne contaminants cannot pass through.

3.14.5.2 Provide a sketch of each location.

3.14.5.3 Provide a drop cloth below the area being painted by brush or roller. Over-spray containment not required if applying paint coatings by brush or roller

3.14.5.4 Notify the SUPERVISOR when conducting spray painting operations in dry dock areas which are higher than 10 feet below the pier side of the dry dock.

3.14.5.5 Maintain broom sweep cleanliness inside of the entire containment barrier and any area where there is a potential for contamination to each dry dock sump twice a week unless it is being used as a hydroblast containment.

3.14.5.6 Identify which 2 days and the hour within the first

shift of each week the broom sweep cleanliness will be accomplished.

3.14.6 Accomplish daily inspections to ensure the integrity of each containment barrier are maintained.

3.14.6.1 In the event the containment or barrier was damaged and contaminants are released into dry dock troughs or the atmosphere, stop work immediately and notify the SUPERVISOR verbally.

3.14.6.2 Repair each damaged containment or barrier.

3.14.6.3 Notify the SUPERVISOR to recertify containment

integrity prior to resuming work.

3.14.7 Each contained area must be cleaned and free of all visible trash prior to disestablishing each containment.

3.14.7.1 Remove residual hydroblast water and industrial debris such as paint, paint chips, sandblast grit, dirt, oil and grease, etc. from the dry dock floor.

3.14.8 Accomplish a joint containment disestablishment cleanliness inspection to verify no visible sign of trash, water jet media or

6 of 8 ITEM NO: 099-02PH residuals, industrial debris, paint, paint chips, sandblast grit, dirt, oil, grease, material, and foreign objects are in the containment area.

3.14.8.1 Notify the SUPERVISOR no later than 24 hours prior to the start of the inspection.

3.14.9 Accomplish final cleaning of the entire dry dock basin, dry dock floor, dry dock troughs, dry dock blocks, wing-walls and dry dock stairs to remove all visible trash, water jet media or residuals, debris, paint, paint chips, sandblast grit, dirt, oil and grease, equipment, material, and other foreign objects, including dried paint over-spray prior to undocking.

3.14.9.1 Prevent contaminants from entering the dry dock

drainage system.

3.14.9.2 Accomplish a joint dry dock final cleanliness

inspection with the SUPERVISOR of the entire dry dock basin, including port and starboard trough areas ensuring no visible sign of trash, water jet media/residuals, debris, paint, paint chips, sandblast grit, dirt, oil, grease, equipment, material, foreign objects, and loose debris are to be in the dry dock basin.

3.14.9.3 Notify the SUPERVISOR no later than 24 hours prior to the start of the inspection.

3.14.10 Repair any damages from installing any containment to the dry dock floor, troughs, drainage grooves or walls to the condition it was in prior to returning the dry dock back to PHNSY&IMF.

7 of 8 ITEM NO: 099-02PH

CWADD - Dry Dock, Best Management Practices Report Serial Number:

20-106.3-CWADD-

Ship / Activity: Work Location: Reference:

NPDES Permit No. HI 0110230

Survey Performed By: Survey Date/Time: Responsible Shop Observed:

Job Description: Audit Program:

Component Name: Job Order / KOP:

Additional Data:

EMS & Compliance audit:

Surface Ships:

ATTRIBUTE SAT UNSAT NA COMMENTS

Cleanliness

1 Dry dock floor being kept in "broom clean" condition daily and kept sufficiently clean at all times. [OSHEj01] [D.3.d.; D.3.e.]

2 Solid wastes (i.e., sandblast grit, scale rust) contained and removed in regular and timely manner. [OSHEj25] [D.3.d.; D.3.i.; D.3.j.]

3 Proper/immediate spill response actions are accomplished. No stains on floor from oil, paint, other pollutants. [OSHEj04] [D.3.f.; D.3.s.; D.3.t.]

For all liquid-type transfers, spill prevention measures are accomplished. E.g., positive connections of all hoses are verified, collection tanks are monitored to prevent overfilling, prevent spillage of residual in hoses during disconnection. [OSHEm07] [D.3.t.]

Containments

5 All material handling equipment (forklifts, manlifts) parked over a drop cloth when not in use. [OSHEj23] [D.3.g.; D.3.r.]

6 Portable latrines surrounded by containment to prevent leaks.

[OSHEj19] [D.3.f.]

7 New and/or used zinc, aluminum and…