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Home My WebLink AboutMiscellaneous - 285 HOLT ROAD 4/30/2018 (4)CD A) X :r (D CD m r+ 794-8058 03:08:27 p.m. 05-31-2017 DATE:Cx5-/ 37 /2017 To: 'bep.1p Ala+hAA),zr Aass bPH From: Gary Collette - Plant Manager El John Williams - Operations Manager El Timothy Shay - Maintenance Manager Kevin Beauregard — EH&S Manager Jack Cannon - Purchasing Agent PIECEVVEID Elaine Arrington — Operations Specialist w 100 ov t4opj" xmots Other # of pages (including cover slieet): This fax is being sent from: WHEELABRkTOR NORTH ANDOVER INC. 285 Holt Road North Andover, MA 01845 Telephone: 978.688.9011 Fax: 978.794.8058 -PLEASE DELIVE R TO RECIPIENT AS SOON AS POSSIBLE!!! MESSAGE: PLEASE CALL WITH ANY QUESTIONS. THANK YOU!! SAFonns\WMFAX.D0C 1 /5 978-794-8058 03:09:01 p.m. 05-31-2017 2/5 Wheelabrator North Andover Solid Waste Permit NESW-CF-005 Notification of Load Rejection Instructions This form is to be used to for reporting rejected loads at the facility. If a load of MSW is rejected for any of the reasons below, then this report is to be completed, and submitted to the MassDEP-Northeast Regional Office and the North Andover Board of Health via fax or email within 2 hours of load rejection. MassDEP Fax: 978-694-3499 MassDEP Email: Susan. Ruch @State. MA. US North Andover Board of Health Fax: 978-688-9542 Massachusetts Department of Public Health Fax: 617-242-3457 If fax or email is not available, telephone notification must be made within 2 hours and this notification mailed within 1 business day. MassDEP Phone: 978-964-3200 North Andover Board of Health Phone: 978-688-9540 Massachusetts Department of Public Health Phone: 617-624-6000 REJECTED LOAD INFORMATION Load origin Town of Wilmington Quantity__�l Yard Packer Hauler name Russell Disposal Truck License Plate MA N86-682 Reason for load rejection (Check all that apply) gRadioactive Waste (Report copy to MDPH) 0 Infectious Waste (Report copy to MDPH) 0 Asbestos Waste El Hazardous Waste Description of load (include type of waste): Russell Disposal packer transporting MSW triggered the radiation detector at the facility i2bound scale at approximately 11:30. The truck was parked and not allowed to proceed to the Tipping Floor. MassDPH Radiation Control Department was notified and sent a completed Shipment Approval Form via fax. At approximately 1:10 the MassDPH provided authorization for the load to proceed to Russell Disposal in Somerville, MA for further identification. Report prepared by: Kevin Beauregard, EHS Manager Signature:,��- �p Date: 05/31/2017 L 978-794-8058 03:09:47 p.m The Commonwealth of Massachusetts Executive Office of Health and Humah'Services Department of Public Health Bureau of Environmental Health Radiation Control Program CHARMS 0. BAKr;R Schrafft Center, Suite 11V12A Governor 5�9 Main Street, Charlestown, MA 02129 KARYN E. POUTO Phone: (617) 242-3035 - Fax: (617) 242-3457 UP-ifteh8rit0ovomor www.mass.gov/dph/rcp FACSIMELE TRANSMSSION DATIE: 05/3112017 FROM: Szymon Mudremdaz TO: Chris Resen&s SUBJECT: DOT -SP No.: MA -MA -17-21 issued FAXNO.: 978-794-8058 NO, OF PAGES: 3 (Includes this page) Dear Chris Resendcs, 05-31-2017 3/5 MARYLOU SUDDERS Secretary MONICA DHAREL, ME). MPH Oomminaloner Tel: 617-624-GODO www.mass.gov/dpb Attached is the approved DOT special permit form number MA -MA -17-21 for the authorization to tran s—r hc-ftash-load containing radioactive material from Wheelabrator North Andover ocated at 285 IH4olt R0aZ!),North Andover, MA to Russell Disposal located at 120 McGrath oaa, This fotm mu t be carried by the driver when iransferring the load. Please call me if you have any questions. ACTION NEEDED: the "identification & disposition" section of the attached DOT permit form must be filled out and returned to the MA Radiation Control Program as soon as possible. Sincerely, Szymon Mud-rewicz Radiation Control Officer Massachusetts Radiation Control Program Szymon.Mudrewicz@state.ma.us Office Phone: 617-242-3 03 5 x 2069 Office Fax: 617-242-3457 IF THERE IS A PROBLEM WITH THIS FAX, PLEASE CALL (W) 242-3036 AND PRESS ZERO FOR ASSISTANCE CONFIDENTIAUrY NOTIC The pages ownpdifffig ft facalmle transmls*n may oontaln confideriffal Inkmilon from the Bureau d Enyhronmental Health. Ws Informdon Is Intended solely lbrime by lhe IndMoual named as Ote redplani hereof. (Fyou -are not Me Intended mciplentor such redpienrs emp(ayee oragent be aware ftl any dIsclosufa. copyliv. dIstrib(di0A OrUseof the contents orNs tAlfteaft0on Is prohithied. Iryou have receivedilis transmisdan in error, pleara notTy us by lekowne knmethitelyund deabWallcDpim. 978-794-8058 Annex A 03:10:36 p.m. 05-31-2017 4/5 DOT -SP 11406 SHIPMENT APPROVAL FORM Approval Number MA -MA -17-21 (Refer to E 11406, paras. ft -Bb) This shipment of waste contains unidentified radioactive material causing low levels of radiation outside the in3nsport vehicle. Shipment is under Special Permit DOT -SP 11406 without a determination of materials meeting or not meeting the regulatory definition of radioactive material. The shipment is a minor radiological concern based on considerations of the U.S. Department of Transportation and the state official signing this shipment approval document. DETAILS of DIETIEMON' SM, MATERL4,LS, and ORIGIN Facility: Name: WheelabratorNorth Andover Type.- Waste to Energy Address: 285 Holt 1;Load North Andover MA 01845 Conte ct Person. Chris Resendts Ph: 978-688-9011 Fax: 978-794-8058 Vehicle Type: Rear loader Id, Nr; MAN86-682 Company: Riiisitll Dis&sal Operator Namer: JBson Estrela Conte ct Person; Charles Carneglia Ph. 617-776-5954 Fax.- 617-776-0000 Description of waste and release risk factors-, MSW Radiation Measurement Performed Date: 58V2017 On Vehicle: 1.1 mrem/hr Location on Vehicle, driver side rear lust. Mfgnftypeftodel: LudlumModi:13 Surveyor Name: Chris Resendes Shipment Origin Company! Town of Wilmington Address: HI(g. =rem/hr: 0.03 Phone. 979-689-9011 Waste Origin: MSW ContartPerson.- Charles Cameglia Ph: 617-776-5854 Fax: 617-779-0000 RADL&TION CONTROL OFFICLUIPS (Detection, Origin, Transit, Destination St Detection State Official (receiving radiation detection info) Name: ZaraRejace aorganization: Mass. Radiation Control Program Ph: 617-242-3035 Origin State Officin], (prior to detection) Name: Zara Rejaee j Organization. Mass. Radiation Control Program Ph- 617-242-3035 Fax, 617-242-3457 Fax-, 617-242,3457 Transit State Official(s) (after detection) Name-. aOrganization: - Ph: Fax-, Destlyustioo State Officiall (after detection) Name: Zare.Rejaee 8 Organization: Mass. Radiation ControlPrograrn— Ph- 617-242-3035 Fax; 617-242-3457 ]DESTINATION for RADIOACTWE MATERIAL IDENTIFICATION and DISPOSITION if carrier and shipper to this location are different than a and 1, show info in REMARKS. CompanyName; RuwIlDisposal aContactPerson: Charles Carneglia Ucation: 120 McGrath Highway Somerville MA 02145 Ph; 617-776-5954 Fax: 617-776-0000 978-794-8058 03:11:27 p,m. 05-31-2017 5/5 SP -11406 Approval -Number __.MA - MA - 17 - 21 Page 2 APPROVAL of SKWMNT and SPECIAL CONDITIONS Conditions: Vehicle to proceed duileetly to destinatiott with no stops. ne "IDENTIFICATION and DISPOSITION" section below mug be filled out ASAP and returned to the Massachusetts Radiation Control Program. I 13 Signature-. Szymon Mudrewicz; Ph: 617-242-3035 Fax: 617-242-3457 Title Radiation Control Officer Organization: Mass. Radiation Control Program Date: 5/W2017 =NTEFICATION of RADIOACTIVE MATERIAL and ]DISPOSITION INFORMATION at DESTINATION MName: Organization! Title: Ph. RECORD of TRANSMITTALS (Shipment Approvals and Identification/Disposition) (Circumstances may influence distribution) Shipment Approvals (Sent by I or j ) to (Show date sent) Date: ]Fax: OIZID CRCPD-. 5/31/2017 a 5/31/2017 a 5/31/2017 & _ _ L/3 t2 �01 7 a 5/31/2017 11 5/31/2017 1 131/2017 0 5/31/2017 OTBER: Record of Identification and Disposition (Sent by a or M , or oflier) to ORD CRCPI); OTBFR_- REMARKS, OTHER INFORMATION In case of an emergency, notify the National Response Center ( (800) 424-8802 ) and the authorizing official and give the Special Permit No. SP 11406 and Approval No.