Free 53765.pdf - Indiana

Auto Salvage Recyclers Certification Program Environmental Self-Audit Checklist
State Form 53765 (R / 3-09)

INSTRUCTIONS: 1. Complete the information below and sections A through J. 2. See the Indiana Auto Salvage Recycler workbook for detailed information about each question and for instructions on how to complete this check-list and any Return-to-Compliance (RTC) plans. 3. Submit this form along with all Return-to-Compliance (RTC) forms (State Form 53767) to the address in the upper right corner.

Indiana Department of Environmental Management Office of Land Quality/ Industrial Waste Compliance Auto Salvage Recyclers Certification Program 100 North Senate Avenue MC 66-20-2 Shadeland Office Indianapolis IN 46204-2251

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CONTACT INFORMATION

1. Facility Name: Street Address: City/Town: County: Mailing Address (if different): 2. Bureau of Motor Vehicles Salvage Motor Vehicles Business License number: 3. Contact Person: 4. Owner Name: Telephone number: ( E-mail address: 5. Total site acreage (in acres): Total size of vehicle storage area (in acres): 6. Approximate total number of vehicles currently stored on-site: Approximate total number of vehicles received per year: Approximate total number of vehicles removed per year: 7. Total number of employees: 8. Total years in operation (former and current owners):
FACILITY INFORMATION

State:

ZIP:

)

FAX number: (

)

Which of the following describes your facility operations? (Check all that apply) Dismantler/Recycler Towing Yard Auto Dealer Auto Repair/Service Auto Body or Rebuilder Shredder/Processor Other (please specify): _____________________________________ Which of the following describes vehicle crushing at your facility? (Check all that apply) Vehicles are taken to another site to be crushed. Vehicles are crushed at this facility by a contractor. Vehicles are crushed on-site using our own dedicated crusher. Other than motor vehicles, does your facility receive any other type of solid waste, such as appliances, other scrap metal, or demolition debris? No Yes (please specify type(s)) _________________________________ _______________________________________________________ _______________________________________________________ _______________________________________________________
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Which of the following parts/components are removed from vehicles and separately managed? (Check all that apply) Air bag Cartridges Asbestos Parts Antifreeze Batteries Brake Fluid Catalytic Converters CFC's (Chlorofluorocarbons)/Freon Drive Train / Engine Fuel Tanks Lead Parts Mercury Switches Oil Filters Tires Windshield Washer Fluid Used Oil (Check all that apply) Transmission Fluid Motor Oil Crankcase Oil Power Steering Fluid Other (please specify):_________________ ___________________________________

INDIANA DEPARTMENT OF ENVIRONMENTAL MANAGEMENT OFFICE OF LAND QUALITY / INDUSTRIAL WASTE COMPLIANCE

AUTO SALVAGE RECYCLERS CERTIFICATION ENVIRONMENTAL SELF-AUDIT CHECKLIST STATE FORM 53765

SECTION A - AUTO SALVAGE LICENSE

1. Do you have a valid salvage motor vehicle business license?

NOTE: A license is required for disposal facilities, used parts dealers, or automotive salvage builders that do the following activities:

· Sell a used major component part of a vehicle. · Wreck or dismantle a vehicle for resale of the major component parts of the vehicle. · Rebuild a wrecked or dismantle vehicle. · Possess more than two (2) inoperable vehicles subject to registration for more than thirty (30) days. · Engage in the business of storing, disposing, salvaging, or recycling of vehicles, vehicle hulks, or the parts of vehicles. YES NO - SUbmIT RTC PlAN
SECTION B - FLUIDS MANAGEMENT

1. Do you have spills or releases of fluids at your facility? YES - SUbmIT RTC PlAN

NOTE: Fluids include gasoline, motor oil, antifreeze, transmission fluid, brake fluid, battery acid, power steering fluid, crank case oil, solvents, paints, etc.

NO

1a. If you answered YES to the question above, did you report the spills and releases to IDEM upon discovery? YES NO - SUbmIT RTC PlAN

2. Do you remove fluids and filters from vehicles prior to storing them in your yard? YES NO

3. Do you remove batteries from vehicles prior to storing them in your yard? YES NO

4. Do you store vehicle batteries in a building or away from the elements (e.g., rain and snow) to prevent a release in to the environment? YES 5. Do you crush vehicles on site? NO

NOTE: This applies to a crusher that is owned or contracted by the facility to do work on-site. If NO, skip question 5a.

YES

NO

5a. If you answered YES to the question above, do you locate the crusher in an impervious secondary containment unit or inside a building with concrete floors? YES 6. Do you remove and recycle windshield wiper fluid? YES NO NO

7. Do you inspect all fluid containers weekly for rust, dents, holes, bulges, and leaks? YES NO

8. Do all of your fluid containers have secure (tightly sealed) lids? YES NO

9. Do you label all of your fluid containers to identify the contents? YES NO
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INDIANA DEPARTMENT OF ENVIRONMENTAL MANAGEMENT OFFICE OF LAND QUALITY / INDUSTRIAL WASTE COMPLIANCE

AUTO SALVAGE RECYCLERS CERTIFICATION ENVIRONMENTAL SELF-AUDIT CHECKLIST STATE FORM 53765

10. Do you store your fluid containers in a building or away from the elements (e.g., rain and snow) to prevent releases to the environment? YES NO

11. Do you store empty drums in a manner that prevents the accumulation of rain water? YES NO

12. Do you store engines, transmissions, and other vehicle parts in a building or away from the elements (e.g., rain and snow) to prevent releases to the environment? YES NO

13. Are your floor drains closed or filled in where fluids are present? YES NO
SECTION C - OIL

1. Are your containers and/or tanks in good condition? YES

NOTE: Good condition is free from rust, dents, holes, bulges, and leaks.

NO - SUbmIT RTC PlAN

2. Do you label used oil containers and/or tanks with the words "Used Oil"? YES 3. Do you burn used oil in a space heater?
If NO, skip question 3a.

NO - SUbmIT RTC PlAN

YES

NO

3a. Do you burn used oil generated only by your facility or by a household do-it-yourselfer? YES
If YES, skip question 4a.

NO - SUbmIT RTC PlAN

4. Do you use a registered transporter for your shipments of used oil? YES NO - SUbmIT RTC PlAN

4a. Do you transport used oil (fifty-five (55) gallons or less) in a company (or employee) vehicle to one of the following locations: · A government approved collection center, · An aggregation point owned or operated by your company, Do you have a contract that requires your used oil to be returned to you for re-use? YES NO - SUbmIT RTC PlAN
OR

5. Do you have a total on-site oil storage capacity that exceeds one-thousand-three hundred-twenty (1320) gallons?
NOTE: Your storage capacity includes ONLY containers and/or tanks with a capacity of fifty-five (55) gallons or more and can include more than one storage location. In addition "oil" includes product oil as well as waste oil. If NO, skip 5a.

YES

NO - SUbmIT RTC PlAN

5a. Does your facility have a Spill Prevention, Control, and Countermeasure Plan (SPCC Plan)? YES NO - SUbmIT RTC PlAN
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INDIANA DEPARTMENT OF ENVIRONMENTAL MANAGEMENT OFFICE OF LAND QUALITY / INDUSTRIAL WASTE COMPLIANCE

AUTO SALVAGE RECYCLERS CERTIFICATION ENVIRONMENTAL SELF-AUDIT CHECKLIST STATE FORM 53765

SECTION D - UNDERGROUND STORAGE TANKS

1. Does your facility have any underground storage tanks (USTs)?
If NO, skip to next section E - Hazardous Waste.

YES

NO

1a. Do you have petroleum or hazardous substance containing UST(s) (110 gallons or more) that have not been registered with IDEM?
NOTE: Underground storage tanks storing fuel for heating are exempt.

YES - SUbmIT RTC PlAN

NO
SECTION E - HAZARDOUS WASTE

1. Does your facility have any unknown materials on-site? YES - SUbmIT RTC PlAN NO

2. Do you generate hazardous waste in quantities greater than or equal to two-hundred-twenty (220) lbs/month? YES - SUbmIT RTC PlAN NO
SECTION F - WASTE TIRE MANAGEMENT

1. Does your facility have over 1,000 waste tires stored outside or over 2,000 waste tires stored inside?
NOTE: A waste tire is a tire that is not suitable for the tire's original purpose. A tire with less than 2/32" tread is considered to be a waste tire. To test tread depth, place a penny into several tread grooves across the tire. If part of Lincoln's head is always covered by the tread, you have more than 2/32" of tread depth remaining. If NO, skip to question 2.

YES

NO

1a. Does your facility have a valid certificate of registration as a waste tire storage facility? YES 2. Do you open dump waste tires at your facility?
NOTE: Open dumping is the consolidation of solid waste from one (1) or more sources or the disposal of solid waste at a single disposal site that: a. does not fulfill the requirements of a sanitary landfill or other land disposal method as prescribed by law or regulations; and b. is established and maintained: 1. without cover; and 2. without regard to the possibilities of contamination of surface or subsurface water resources.

NO - SUbmIT RTC PlAN

YES - SUbmIT RTC PlAN

NO

3. Do you store waste tires in a manner that poses a fire hazard? YES - SUbmIT RTC PlAN NO

NOTE: Some areas where tires should not be stored include near heat sources (e.g. activities like welding, or smoking) and under power lines.

4. Do you prevent water from accumulating in the waste tires?

NOTE: Water accumulation may be prevented by storing tires inside or under cover, by altering the tires so that they cannot accumulate water, or other methods.

YES

NO - SUbmIT RTC PlAN

5. Do your waste tires have the potential to harbor vectors that pose a threat to human health?
NOTE: A vector is a mosquito, rodent, flea, tick, or other animal that can carry disease to humans.

YES - SUbmIT RTC PlAN 6. Do you ship whole waste tires off-site? YES
If NO, skip to next Section G - Mercury Switches.

NO

NO
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INDIANA DEPARTMENT OF ENVIRONMENTAL MANAGEMENT OFFICE OF LAND QUALITY / INDUSTRIAL WASTE COMPLIANCE

AUTO SALVAGE RECYCLERS CERTIFICATION ENVIRONMENTAL SELF-AUDIT CHECKLIST STATE FORM 53765

7. Are your tires delivered to one or more of the following approved locations? · A wholesaler or agent of a wholesaler, OR · A facility that recycles or collects tires for delivery to a facility that recycles, OR · A permitted final disposal facility regulated under environmental management laws, OR · A permitted waste tire storage site, OR · A facility operated as a waste tire cutting facility under a permit issued by the commissioner, OR · A registered waste tire transporter or a person who operates a municipal waste collection and transportation vehicle licensed under IC 13-20-4. YES NO - SUbmIT RTC PlAN
SECTION G - MERCURY SWITCHES

1. Do you receive vehicles that contain mercury switches at your facility?

NOTE: For a list of vehicles that contain mercury switches, see http://www.elvsolutions.org/attachment_a.htm. If NO, skip to next Section H - Solid Waste.

YES

NO

2. Do you remove mercury switches from vehicles at your facility? YES NO - SUbmIT RTC PlAN

3. Do you store mercury switches and/or ABS G-force sensors that contain mercury switches in an appropriate container?
NOTE: An appropriate container is a container that meets the universal waste regulations for transportation (i.e., a bucket provided by End of Life Vehicle Solutions [ELVS]).

YES

NO - SUbmIT RTC PlAN

4. Are the containers in good condition and kept closed unless adding or removing mercury switches? YES 5. Do you mark the containers as Universal Waste? NO - SUbmIT RTC PlAN

NOTE: An appropriate label for mercury switches will have the words Universal Waste and one of the following three (3) descriptions: "Mercury Containing Equipment", "Waste Mercury-Containing Equipment", or "Used Mercury-Containing Equipment".

YES

NO - SUbmIT RTC PlAN

6. Have any containers of mercury switches been accumulating on-site for more than one (1) year?
NOTE: Containers should be labeled with the accumulation start date.

YES - SUbmIT RTC PlAN 7. Do you maintain records of mercury switch removals?

NO

NOTE: Indiana law requires you to maintain records that document the number of vehicles processed at your facility, the number of vehicles that contained switches, and the total number of switches collected. You must keep those records for at least three (3) years.

YES

NO - SUbmIT RTC PlAN

8. Does your facility use appropriate safety procedures and have emergency equipment available in the areas where you handle mercury switches?
NOTE: These procedures and equipment can include handling mercury in a well-ventilated area, using containment devices, and having a mercury spill kit.

YES

NO - SUbmIT RTC PlAN

9. Have you trained your employees on appropriate safety and emergency equipment procedures for removing and handling mercury switches?
NOTE: These procedures can include removing switches over a containment device, having a mercury spill kit on hand, and removing switches in a well vented area.

YES

NO - SUbmIT RTC PlAN
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INDIANA DEPARTMENT OF ENVIRONMENTAL MANAGEMENT OFFICE OF LAND QUALITY / INDUSTRIAL WASTE COMPLIANCE

AUTO SALVAGE RECYCLERS CERTIFICATION ENVIRONMENTAL SELF-AUDIT CHECKLIST STATE FORM 53765

SECTION H - SOLID WASTE

1. Do you open dump materials at your facility?
NOTE: Materials can be garbage, refuse, construction debris, commercial, industrial or household wastes, ash piles, contaminated soils, or similar items.

YES - SUbmIT RTC PlAN
If NO, skip to question 3.

NO

2. Do you remove brake or clutch pads from vehicles at your facility? YES NO

2a. Do you take measures to eliminate asbestos exposure? YES 3. Do you remove air bags at your facility?
If NO, skip question 3a.

NO

YES

NO

3a. Do you take measures to safely remove non-deployed air bags? YES NO
SECTION I - AIR

1. Do you open burn any materials on your property?

NOTE: Open burn means the burning of any materials (i.e., any non-vegetative matter) without passing through a stack or chimney from an enclosed chamber.

YES - SUbmIT RTC PlAN
If NO, skip to question 3.

NO

2. Do you use solvents (cleaners/degreasers) at your facility? YES - SUbmIT RTC PlAN 2a. Do you store your solvent containers closed? YES NO

NOTE: A solvent container can be a parts washer (degreaser).

NO - SUbmIT RTC PlAN

3. Do you generate any particulate matter (i.e., dust, spray, smoke, etc.) that crosses the property line? YES - SUbmIT RTC PlAN 4. Do you use a sweat furnace at your facility? YES - SUbmIT RTC PlAN NO

NOTE: A sweat furnace is used to convert piles of mixed aluminum scrap into more uniform, saleable ingots or sows.

NO

5. Do you keep records documenting the appropriate removal of refrigerants from vehicles, appliances (i.e., refrigerators and air conditioners), or other equipment? YES 6. Do you collect refrigerants in EPA approved devices? YES 7. Do you release refrigerants into the atmosphere? YES - SUbmIT RTC PlAN NO
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NO - SUbmIT RTC PlAN

NO - SUbmIT RTC PlAN

INDIANA DEPARTMENT OF ENVIRONMENTAL MANAGEMENT OFFICE OF LAND QUALITY / INDUSTRIAL WASTE COMPLIANCE

AUTO SALVAGE RECYCLERS CERTIFICATION ENVIRONMENTAL SELF-AUDIT CHECKLIST STATE FORM 53765

8. Are refrigerants removed from vehicles prior to storing them in the yard? YES NO

9. Are employees trained to remove and capture refrigerants? YES NO

10. Are all air conditioner openings sealed after evacuation to prevent leaking of residual refrigerant? YES NO

11. Are all collection/storage devices inspected to ensure that they are not overfilled? YES NO
SECTION J - WATER

1. Are there any existing or planned land disturbing activities greater than one (1) acre at your facility? YES NO

NOTE: Land disturbing activities include any man-made change of the land surface, including purposefully removing vegetative cover, excavating, grading, filling, and construction.

1a. If you answered YES to the above question, does your facility have a permit for land disturbing activities as referenced under 327 IAC 15-5? YES NO - SUbmIT RTC PlAN

2. Is there extensive soil build-up on the roads around your facility? YES - SUbmIT RTC PlAN NO

NOTE: Extensive soil build-up can be defined as the amount of soil/dirt build-up that may be a potential vehicle contamination issue or driving obstruction/hazard.

3. Is your facility (or any part of it) located in a potential floodway? YES NO

NOTE: A floodway includes the channel of a stream and the parts of the floodplain that are reasonably required to carry flood water.

3a. If you answered YES to the above question, does your facility have any construction or filling activities in a potential floodway? YES - SUbmIT RTC PlAN NO

4. Is your facility (or any part of it) located within a potential wetland area? YES - SUbmIT RTC PlAN NO

5. Does your facility or your landlord pay a community for water service? YES NO

5a. If you answered NO to the above question, does your facility have a Private Water System ID number?

Note: If you have a private water system that serves 25 or more individuals daily for at least sixty (60) days a year, you need a Private Water System ID number.

YES - ID #:____________________ NO 6. Has your facility submitted a Rule 6 Notice of Intent (NOI) Letter, State Form 51286, for Storm Water Runoff Exposed to Industrial Activity?
NOTE: An NOI letter is a written notification indicating a facility's intention to comply with the terms of rule 327 IAC 15-6 in lieu of applying for an individual NPDES permit. An NOI letter includes information required under 327 IAC 15-6-5.

YES - ID #:____________________ NO - SUbmIT RTC PlAN
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INDIANA DEPARTMENT OF ENVIRONMENTAL MANAGEMENT OFFICE OF LAND QUALITY / INDUSTRIAL WASTE COMPLIANCE

AUTO SALVAGE RECYCLERS CERTIFICATION ENVIRONMENTAL SELF-AUDIT CHECKLIST STATE FORM 53765

6a. Does your NOI include all the locations of outfalls and drainage areas (i.e., an area that discharges surface or surplus water) at your facility?

NOTE: An outfall can be any location where water leaves your property through a variety of conveyances like pipes, ditches, channels, tunnels, conduits (i.e., a natural or artificial channel through which something (as a fluid) is conveyed), streams, curbs, gutters, or drain inlets.

YES

NO - SUbmIT RTC PlAN

7. Has your facility developed a Storm Water Pollution Prevention Plan (SWP3)?

NOTE: You should answer NO to this question if you have never developed or implemented your SWP3 even if you are still within the initial 365 day window.

YES

NO - SUbmIT RTC PlAN

8. Has your facility submitted the Storm Water Pollution Prevention Plan (SWP3) Certification Checklist (State Form 51287) signed by a qualified professional to the Department?

NOTE: A qualified professional is someone who is trained and experienced in storm water treatment techniques. An example of this may be a consultant or engineer who does storm water work.

YES

NO - SUbmIT RTC PlAN

9. Do you use good housekeeping measures to ensure that contaminants from auto salvage activities are not exposed to storm water?
For an example of a good housekeeping inspection program, see Appendix: Water in the Auto Salvage Recyclers Workbook.

YES

NO - SUbmIT RTC PlAN

9a. Has your facility developed Best Management Practices (BMPs) to improve the quality of storm water run-off?

NOTE: BMPs are any of the following measures to prevent or reduce the pollution of waters of the state: schedules of activities, prohibitions of practice, treatment requirements, operation and maintenance procedures, use of containment facilities, other management practices.

YES

NO - SUbmIT RTC PlAN

10. Do you have records documenting your quarterly storm water run-off inspections? YES NO - SUbmIT RTC PlAN

For an example of a quarterly inspection form, see Appendix: Water in the Auto Salvage Recyclers Workbook.

11. Do you have records of your annual employee training on the components and goals of the SWP3? YES NO - SUbmIT RTC PlAN

For an example of a training log and what should be in the training, see Appendix: Water in the Auto Salvage Recyclers Workbook.

12. Has your facility submitted storm water sample results of the required twelve (12) parameters?

NOTE: The required parameters are Oil and Grease, CBOD5 (Carbonaceous biochemical oxygen demand), COD (Chemical oxygen demand), TSS (Total suspended solids), TKN (Total Kjeldahl Nitrogen), Total Phosphorous, pH, Nitrate plus Nitrite Nitrogen, Lead, Iron, Copper, and Aluminum.

YES

NO - SUbmIT RTC PlAN

12a. Do your sample results indicate any contamination of the twelve (12) parameters?
NOTE: Contamination means that the results exceed the benchmark level.

YES - SUbmIT RTC PlAN

NO

12b. Did your facility identify the source(s) of the contaminant(s) and eliminate them? YES 13. Has your facility submitted the Annual Report? YES NO - SUbmIT RTC PlAN NO - SUbmIT RTC PlAN

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