Standards of Performance for New Stationary Sources and Emission Guidelines for Existing Sources: Medical Waste Incinerators

Federal RegisterFeb 27, 1995

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ENVIRONMENTAL PROTECTION AGENCY

40 CFR Part 60

[AD-FRL-5150-9]

RIN 2060-AC62

Standards of Performance for New Stationary Sources and Emission

Guidelines for Existing Sources: Medical Waste Incinerators

AGENCY: Environmental Protection Agency (EPA).

ACTION: Proposed standards and guidelines, and notice of public

hearing.

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SUMMARY: Today, EPA is proposing standards and guidelines for new and

existing medical waste incinerators (MWI's) that will reduce air

pollution from MWI's. Once implemented, these standards and guidelines

will protect public health by reducing exposure to air pollution.

This proposal would add subparts Ec and Cc to 40 CFR part 60.

Subpart Ec would limit emissions from new and modified MWI's. The

proposed standards would implement sections 111(b) and 129 of the Clean

Air Act (Act) as amended in 1990, and would require new MWI's to

control emissions of air pollutants to levels that reflect the degree

of emission reduction based on maximum achievable control technology

(MACT). In addition, this notice includes proposed standards for

fugitive fly ash/bottom ash emissions, MWI operator training and

qualification, siting, and permitting.

Subpart Cc would establish emission guidelines and compliance

schedules for use by States in developing State regulations to control

emissions from existing MWI's. The proposed emission guidelines

implement sections 111(d) and 129 of the Act, and would initiate State

action to develop State regulations. These State regulations would

control air pollutant emissions from existing MWI's to levels that

reflect the degree of emission reduction based on MACT. In addition,

this notice includes proposed guidelines for fugitive fly ash/bottom

ash emissions, equipment inspections, training and qualification of MWI

operators and permitting.

DATES: Comments. Comments must be received on or before April 28, 1995.

Public Hearing. The EPA will hold at least one public hearing in

Washington, D.C. in mid- to late-March 1995. Additional hearings may

also be held. A Federal Register notice will be published within the

next 2 weeks to announce the details of the hearing(s) and to confirm

the date(s) and location(s) for the hearing(s).

ADDRESSES: Comments. Comments on the proposal should be submitted (in

duplicate, if possible) to: The Air and Radiation Docket and

Information Center, ATTN: Docket No. A-91-61, U.S. Environmental

Protection Agency, 401 M Street, SW., Washington, DC 20460.

Commenters wishing to submit proprietary information for

consideration should clearly distinguish such information from other

comments, and clearly label it ``Confidential Business Information.''

Submissions containing such proprietary information should be sent

directly to the following address, and not to the public docket, to

ensure that proprietary information is not inadvertently placed in the

docket: Attention: Mr. Rick Copland, c/o Ms. Melva Toomer, U.S. EPA

Confidential Business Manager, 411 W. Chapel Hill Street, Room 944,

Durham, North Carolina 27701. Information covered by such a claim of

confidentiality will be disclosed by the EPA only to the extent allowed

and by the procedures set forth in 40 CFR part 2. If no claim of

confidentiality accompanies a submission when it is received by the

EPA, the submission may be made available to the public without further

notice to the commenter.

Background Information Documents. Two ``Fact Sheets'' are available

that succinctly summarize the proposed standards and guidelines. The

Fact Sheets are suggested reading for persons requiring an overview of

the proposal. The Fact Sheets can be obtained by (1) calling Ms. Julia

Latta at (919) 541-5578 or (2) accessing the EPA's Technology Transfer

Network (TTN) electronic bulletin board. See SUPPLEMENTARY INFORMATION

for instructions on accessing the TTN (electronic bulletin board). The

background information documents (BID's) for the proposed standards and

guidelines may be obtained from the docket; from the U.S. EPA Library

(MD-35), Research Triangle Park, North Carolina 27711, telephone number

(919) 541-2777; or from the National Technical Information Services,

5285 Port Royal Road, Springfield, Virginia 22161, telephone number

(703) 487-4650. See SUPPLEMENTARY INFORMATION for a listing of these

documents.

Docket. Docket No. A-91-61, containing supporting information used

in developing the proposed standards and guidelines, is available for

public inspection and copying between 8:00 a.m. and 4:00 p.m., Monday

through Friday, at the Air and Radiation Docket and Information Center,

U.S. Environmental Protection Agency, 401 M Street, SW., Washington, DC

20460, telephone (202) 260-7548, fax (202) 260-4000. A reasonable fee

may be charged for copying.

FOR FURTHER INFORMATION CONTACT: Mr. Rick Copland at (919) 541-5265 or

Mr. Fred Porter at (919) 541-5251, Emission Standards Division (MD-13),

U.S. EPA, Research Triangle Park, North Carolina 27711.

SUPPLEMENTARY INFORMATION: Incineration is a common method of medical

waste disposal in the United States and around the world. However,

while it is a very effective method of medical waste treatment with

regard to rendering waste non-infectious, incineration results in the

production of air pollutants. The EPA estimates that there are about

3,700 MWI's currently in operation in the United States. While these

incinerators are small in size relative to municipal waste combustors,

their large number makes MWI's a significant source of air pollution.

The EPA recently released a draft report reassessing the health effects

of exposure to dioxin. In the draft report, currently undergoing public

review, MWI's are identified as a significant source of dioxin

emissions. In addition, MWI's emit substantial quantities of hydrogen

chloride (HCl), lead (Pb), cadmium (Cd), and mercury (Hg).

Today's proposed standards and guidelines will result in greater

than 95 percent reduction in air pollution from MWI's. Once

implemented, these standards and guidelines will protect public health

by reducing exposure to air pollution.

The EPA, the Sierra Club, and the Natural Resources Defense Council

(NRDC) have filed a consent decree with the U.S. District Court for the

Eastern District of New York (Nos. CV-92-2093 and CV-93-0284) that

requires the EPA Administrator to sign a notice of proposed rulemaking

not later than February 1, 1995 and a notice of final rulemaking not

later than April 15, 1996.

The EPA will hold at least one public hearing to provide interested

parties an opportunity for oral presentation of data, views, or

arguments concerning the proposal. Additional hearings may also be held

(see discussion of public hearing above).

The EPA seeks full public participation in arriving at its final

decisions and strongly encourages comments on all aspects of this

proposal from all interested parties. Whenever applicable, full

supporting data and detailed analysis should accompany all

[[Page 10655]] comments to allow the EPA to adequately respond to the

comments.

The key documents used to develop the proposed standards and

guidelines include:

1. ``Medical Waste Incinerators--Background Information for

Proposed Standards and Guidelines: Industry Profile Report for New and

Existing Facilities,'' EPA-453/R-94-042a, July 1994;

2. ``Medical Waste Incinerators--Background Information for

Proposed Standards and Guidelines: Process Description Report for New

and Existing Facilities,'' EPA-453/R-94-043a, July 1994;

3. ``Medical Waste Incinerators--Background Information for

Proposed Standards and Guidelines: Control Technology Performance

Report for New and Existing Facilities,'' EPA-453/R-94-044a, July 1994;

4. ``Medical Waste Incinerators--Background Information for

Proposed Standards and Guidelines: Model Plant Description and Cost

Report for New and Existing Facilities,'' EPA-453/R-94-045a, July 1994;

5. ``Medical Waste Incinerators--Background Information for

Proposed Standards and Guidelines: Environmental Impacts Report for New

and Existing Facilities,'' EPA-453/R-94-046a, July 1994;

6. ``Medical Waste Incinerators--Background Information for

Proposed Standards and Guidelines: Analysis of Economic Impacts for New

Sources,'' EPA-453/R-94-047a, July 1994 (see also item 9 below);

7. ``Medical Waste Incinerators--Background Information for

Proposed Standards and Guidelines: Analysis of Economic Impacts for

Existing Sources,'' EPA-453/R-94-048a, July 1994 (see also item 9

below);

8. ``Medical Waste Incinerators--Background Information for

Proposed Standards and Guidelines: Regulatory Impact Analysis for New

and Existing Facilities, EPA-453/R-94-063a, July 1994 (see also item 9

below); and

9. B. Strong and S. Shoraka-Blair, MRI, to R. Copland, EPA/ESD.

January 30, 1995. Regulatory Impacts of the Proposed New Source

Performance Standard (NSPS) and Emission Guidelines (EG) for Medical

Waste Incinerators (MWI's). Docket A-91-61, II-B-108.

An electronic copy of the items listed below are available from the

EPA's TTN electronic bulletin board. The TTN is accessible 24 hours per

day, 7 days per week, except Monday morning from 8:00 a.m. to 12:00

p.m. EST, when the system is updated. The TTN contains 12 electronic

bulletin boards, and information relating to this proposal is contained

in the Clean Air Act Amendments (CAAA) bulletin board. Instructions for

accessing the TTN can be obtained by calling (919) 541-5384.

MWI Items in the Electronic Bulletin Board (TTN/CAAA)

1. Fact Sheet--Proposed subpart Ec Emission Standards for New

MWI's.

2. Fact Sheet--Proposed subpart Cc Emission Guidelines for Existing

MWI's.

3. This Federal Register notice (preamble).

4. Proposed subpart Ec Emission Standards.

5. Proposed subpart Cc Emission Guidelines.

Other technical documents, including the key documents listed under

the SUPPLEMENTARY INFORMATION section, are contained in Docket No. A-

91-61.

The following outline is provided to aid in locating information in

this notice (the preamble to the proposed standards and guidelines):

I. Introduction

A. Overview of this Preamble

B. New Source Performance Standards (NSPS)--General

C. NSPS Decision Scheme

D. Emission Guidelines--General Goals

E. Additional Requirements Under Section 129

II. Summary of the Standards and Guidelines

A. Source Category to be Regulated

B. Pollutants to be Regulated

C. Affected Facility and Designated Facility

D. Proposed Standards and Guidelines

E. Operator Training and Qualification Requirements

F. Siting Requirements--New MWI's

G. Inspection Requirements--Existing MWI's

H. Compliance and Performance Test Methods and Monitoring

Requirements

I. Reporting and Recordkeeping--New MWI's

J. Reporting and Recordkeeping--Existing MWI's

K. Compliance Times

L. Permit Requirements

III. Impacts of the Proposed Standards for New MWI's

A. Air Impacts

B. Water and Solid Waste Impacts

C. Energy Impacts

D. Control Cost Impacts

E. Economic Impacts

IV. Impacts of the Proposed Guidelines for Existing MWI's

A. Air Impacts

B. Water and Solid Waste Impacts

C. Energy Impacts

D. Control Cost Impacts

E. Economic Impacts

V. Rationale for the Proposed Standards and Guidelines

A. Background

B. Selection of Source Category

C. Modification of Existing MWI's

D. Selection of Pollutants

E. Selection of Affected and Designated Facilities

F. Selection of Format for the Proposed Standards and Emission

Guidelines

G. Selection of Classes, Types, and Sizes

H. Performance of Technology

I. MACT Floor and MACT for New MWI's

J. MACT Floor and MACT for Existing MWI's

K. Selection of Fugitive Fly Ash/Bottom Ash Standards and

Guidelines

L. Operator Training and Qualification Requirements

M. Siting Requirements--New MWI's

N. Inspection Requirements--Existing MWI's

O. Compliance and Performance Test Methods and Monitoring

Requirements

P. Reporting and Recordkeeping--New MWI's

Q. Reporting and Recordkeeping--Existing MWI's

R. Compliance Times

S. Permit Requirements

VI. Request for Comment

A. Procedure to Determine MACT

B. Alternatives to Onsite Incineration

C. Definition of Medical Waste

VII. Administrative Requirements

A. Public Hearing

B. Docket

C. Clean Air Act Procedural Requirements

D. Office of Management and Budget Reviews

E. Regulatory Flexibility Act Compliance

I. Introduction

A. Overview of This Preamble

The 1990 Clean Air Act Amendments reflect growing public concern

about the large volume of toxic air pollutants released from numerous

categories of emission sources. Title III of the Amendments

specifically enumerated 189 hazardous air pollutants and instructed EPA

to protect public health by reducing emissions of these pollutants from

the sources that release them. The EPA's standards are to be issued in

two phases. The first phase standards are designed to bring all sources

up to the level of emissions control achieved by those that are already

well-controlled, using pollution prevention measures as well as ``end-

of-pipe'' methods. The second phase standards, due approximately a

decade later, are to require further emission reductions in any case in

which the first phase measures were not by themselves sufficient to

fully protect the public health.

In this context, the 1990 Amendments singled out waste incineration

for special attention. Congress recognized both a high level of public

concern about the incineration of municipal, medical and other wastes,

and a number of special management concerns for these types of sources.

Consequently, section 129 of the Act directs EPA to apply the two-phase

control approach of Title III to various categories of waste

incinerators, including medical waste [[Page 10656]] incinerators.

Today's action proposes standards and guidelines for new and existing

MWI's under section 129.

Current methods of medical waste incineration cause the release of

a wide array of air pollutants, including several pollutants of

particular public health concern. In September of 1994, EPA released a

review draft of a report reassessing the health effects associated with

dioxin, which suggests that dioxin exposure can result in a number of

cancer and noncancer health effects in humans. In the report, MWI's are

identified as the largest known source of dioxin emissions, emitting

more than municipal waste combustors, hazardous waste incinerators, and

cement kilns. Because of this, the reduction of dioxin emissions from

all sources is one of the Administrator's highest air quality

protection priorities. Consequently, the development of MWI regulations

has received increased attention.

In addition to dioxin, MWI's also emit significant quantities of

heavy metals including lead, cadmium, and mercury. Once again, MWI's

have been identified as the largest known source of mercury emissions,

emitting more than municipal waste combustors and coal-fired electric

utility boilers. The MWI's also emit nitrogen oxides (a contributor to

ozone smog), particulate matter, sulfur dioxide, and other acid gases.

Several States, including New York, California, and Texas, have

adopted relatively stringent regulations in the past few years limiting

emissions from MWI's. The implementation of these regulations has

brought about very large reductions in MWI emissions and the associated

risk to public health in those States. It has also significantly

reshaped how medical waste is managed in those States. Many facilities

have responded to the State regulations by switching to other medical

waste treatment and disposal options to avoid the high cost of add-on

air pollution control equipment. The two most commonly chosen

alternatives have been off-site contract disposal in larger, commercial

incinerators dedicated to medical waste, and on-site treatment by other

means (e.g., steam autoclaving). Other alternatives include chemical

treatment and microwave irradiation. The availability of alternatives

to onsite incineration has mitigated the economic impacts that might

have been associated with the State regulations.

Today EPA proposes nationally applicable emission standards and

guidelines for MWI's that build on the experience of these leading

States. Like the State regulations, the standards and guidelines

proposed today are based on the use of add-on air pollution control

systems.

These standards and guidelines will implement the first phase

requirements of section 129, described above.

The commercial medical waste disposal industry has indicated that

sufficient commercial medical waste disposal capacity is available to

handle the amount of waste that would no longer be treated onsite. In

addition, as mentioned earlier, onsite alternatives are available for

facilities that choose to treat their medical waste onsite. In fact,

even in the absence of Federal regulations, most facilities that

generate medical waste do not operate onsite MWI's. This indicates that

there currently are viable alternatives to onsite incineration.

As described in detail below, section 129, like section 112, of the

Clean Air Act instructs the Agency to set performance standards that

challenge industry to meet or exceed the pollution control standards

established by better controlled similar facilities. In this way, the

overall state of environmental practice is raised for large segments of

industry, a basic level of health protection is provided to all

communities, situations in which uncertainty about total risk and

hazard result in no protection for the exposed public are avoided, and

yet the cost of pollution control to industry is constrained to levels

already absorbed by similar operations. Eight years later, in a second

phase, EPA must evaluate whether the residual public health risk

warrants additional control.

For new MWI's, the proposed emissions standards would reduce

nationwide emissions of dioxins/furans by 99 percent; PM, CO, HCl, Pb,

and Cd by greater than 95 percent; and Hg by 92 percent. In addition,

the standards would achieve an emission reduction of about 25 percent

for SO2 and NOx. Because wastewater, solid waste, and energy

requirements associated with implementation of the proposed standards

are not significant, adverse water, solid waste, or energy impacts are

not anticipated.

The nationwide annual costs associated with the proposed standards

for new MWI's will increase by approximately $74.5 million/yr from the

regulatory baseline cost of $63.3 million/yr. This results in an

increase in the cost of waste incineration per unit of waste treated of

approximately $177/Mg ($161/ton) compared to the regulatory baseline

cost of $150/Mg ($136/ton).

The results of the economic impacts analyses for new MWI's indicate

that no medical waste-generating industry would need to be

significantly reconstructed (e.g., through closures or consolidations)

as a result of the proposed standards. The market price increase

resulting from the standards is relatively small for each industry. The

corresponding decreases in output, employment, and revenue were also

low, never exceeding 0.05 percent.

With regard to existing MWI's, an estimated 3.4 million tons of

waste are produced annually by medical waste generators in the United

States. The EPA believes that approximately 3,700 MWI's are currently

burning waste generated at health care facilities. The proposed

guidelines for existing MWI's would reduce nationwide emissions of

dioxins/furans and Pb by 99 percent; PM, CO, and HCl by 98 percent; Cd

by 97 percent; and Hg by 94 percent. The guidelines would also achieve

an overall emission reduction of 37 percent for both SO2 and

NOx. Because wastewater, solid waste, and energy requirements

associated with implementation of the proposed guidelines are not

significant, adverse water, solid waste, or energy impacts are not

anticipated.

The nationwide annual costs associated with the proposed guidelines

for existing MWI's will increase by approximately $351 million/yr from

the regulatory baseline cost of $265 million/yr. This results in an

increase in the cost of waste incineration per unit of waste treated of

approximately $245/Mg ($222/ton) compared to the regulatory baseline

cost of $185/Mg ($168/ton).

The results of the economic impacts analyses for existing MWI's

indicate that no medical waste-generating industry would need to be

significantly restructured (e.g., through closures or consolidations)

as a result of the proposed emission guidelines. The market price

increase resulting from the emission guidelines is relatively small for

each industry. The corresponding decreases in output, employment, and

revenue were also low, never exceeding 1 percent.

Considering the benefits to be gained from the reduction of air

pollution from MWI's along with the availability of alternative

treatment methods and the clear Congressional intent, these proposed

standards and guidelines are considered reasonable.

This preamble will:

1. Summarize the important features of the proposed standards and

guidelines;

2. Describe the environmental, energy, and economic impacts of

these standards and guidelines; [[Page 10657]]

3. Present a rationale for each of the decisions made regarding the

proposed standards and guidelines;

4. Request public comment on specific issues; and

5. Discuss administrative requirements relevant to this action.

B. New Source Performance Standards--General

The proposed new source performance standards (NSPS, or

standard(s)) for MWI's would implement section 111(b) of the Act. The

NSPS are issued for categories of sources that cause, or contribute

significantly to, air pollution that may reasonably be anticipated to

endanger public health or welfare. They apply to new stationary sources

of emissions (i.e., sources whose construction or modification begins

after a standard is proposed). An NSPS requires these sources to

control emissions to the level achievable by the best system of

continuous emission reduction, considering costs and other impacts.

C. NSPS Decision Scheme

An NSPS is the end product of a series of decisions related to

certain key elements for the source category being considered for

regulation. The elements in this decision are generally the following:

1. Source category to be regulated--usually an emission source

category, but can be a process or group of processes within an

industry.

2. Affected facility--the pieces or groups of equipment that

comprise the sources to which the standards will apply.

3. Pollutants to be regulated--the particular substances emitted by

the affected facility that the standards control.

4. Best system of continuous emission reduction--the technology on

which the standards will be based, i.e., application of the best system

of continuous emission reduction that (taking into consideration the

cost of achieving such emission reduction and any nonair-quality health

and environmental impacts and energy requirements) the Administrator

determines has been adequately demonstrated (section 111(a)(1)).

5. Format for the standards--the form in which the standards are

expressed, i.e., as pollutant concentration emission limits, as a

percent reduction in emissions, or as equipment or work practice

standards.

6. Actual standards--generally, emission limits based on the level

of reduction that the best demonstrated technology (BDT) can achieve.

Only in unusual cases do standards require that a specific technology

be used. In general, the source owner or operator may select any method

for complying with the standards.

7. Other considerations--(in addition to emission limits) NSPS

usually include: standards for visible emissions, modification

provisions, monitoring requirements, performance test methods and

compliance procedures, and reporting and recordkeeping requirements.

D. Emission Guidelines--General Goals

The Act requires the promulgation of standards of performance under

section 111(b) for categories of new sources that may contribute to the

endangerment of public health or welfare. When standards of performance

are promulgated under section 111(b) for a designated pollutant, the

Act requires States under section 111(d) to submit plans that: (1)

establish emission standards for this designated pollutant from

existing sources and (2) provide for implementation and enforcement of

these emission standards. In most cases, this means that control under

section 111(d) is appropriate when the pollutant may cause or

contribute to endangerment of public health or welfare but is not known

to be ``hazardous'' within the meaning of section 112 and is not

controlled under sections 108 through 110 because, for example, it is

not emitted from ``numerous or diverse'' sources as required by section

108.

As specified in 40 CFR part 60.23, States are required to adopt and

submit to the Administrator a plan implementing the section 111(d)

guidelines within 1 year after the promulgation of the guidelines. The

Act further requires that the procedure for State submission of a plan

shall be similar to the procedure for submission of State

implementation plans (SIP's) under section 110. The Act also provides

that the EPA shall prescribe a plan according to procedures similar to

those in section 110(c) if a State fails to submit a ``satisfactory

plan.''

E. Additional Requirements Under Section 129

The Amendments of 1990 added section 129, which includes specific

requirements for solid waste combustion units. Section 129 requires the

EPA, under Sec. 111(b), to establish new source performance standards

(NSPS) for new MWI's and, under Sec. 111(d), to establish emission

guidelines for existing MWI's.

1. New Sources The NSPS must specify numerical emission limitations

for the following: Particulate matter (PM), opacity, sulfur dioxide

(SO2), hydrogen chloride (HCl), oxides of nitrogen (NOX),

carbon monoxide (CO), lead (Pb), cadmium (Cd), mercury (Hg), and

dioxins/furans (CDD/CDF). Section 129 also includes requirements for

operator training as well as siting requirements for new MWI's.

Section 129 requires that emission standards reflect the maximum

degree of reduction in air emissions that the Administrator, taking

into consideration the cost of achieving such emission reduction, and

any nonair-quality health and environmental impacts and energy

requirements, determines is achievable. This requirement is referred to

as maximum achievable control technology (MACT). The degree of

reduction in emissions that is deemed achievable for new MWI's may not

be less stringent than the emissions control that is achieved in

practice by the best controlled similar unit. This requirement that the

standards must be no less stringent than certain levels of emission

control currently achieved is referred to as the ``MACT floor'' for new

MWI's.

For NSPS, the control technology used to achieve the standards is

not specified. Only the emission limits achievable by MACT are included

in the standards. Any control technology that can comply with these

emission limits may be used.

2. Existing Sources Notwithstanding the limitations of setting

guidelines for existing sources under section 111(d), section 129

directs EPA to issue guidelines for existing MWI's that specify

numerical emission limitations for the same pollutants listed above for

new MWI's. Section 129 also includes requirements for operator

training.

Section 129 provides that the State plan for existing MWI's be at

least as protective as the guidelines.

Section 129 also provides that emission guidelines for existing

MWI's reflect MACT, as described above. However, while the guidelines

for existing MWI's may be less stringent than the standards for new

MWI's, the guidelines may be no less stringent than the average

emission limitation achieved by the best performing 12 percent of units

in the category. This requirement that the guidelines must be no less

stringent than certain levels of emission control currently achieved is

referred to as the ``MACT floor'' for existing MWI's.

For emission guidelines (EG), the control technology used for

compliance is not specified. Only the emission limits achievable by

MACT are included in the guidelines. Any control

[[Page 10658]] technology that can comply with these emission limits

may be used.

Under section 129, States are required to submit to the

Administrator a plan implementing the emission guidelines within 1 year

after promulgation of the guidelines. Section 129 also requires that a

State plan shall provide that each unit subject to the guidelines shall

be in compliance with all requirements of the proposed guidelines

within 3 years after the State plan is approved by the Administrator

but in no case later that 5 years after promulgation of these

guidelines. The compliance schedule in today's proposed emission

guidelines would supersede and is more comprehensive than the

compliance schedule and timetable specified in section 129.

The proposal requires that a State plan shall provide that each

source subject to the guidelines shall be in compliance with all

requirements of the guidelines within 1 year after the State plan is

approved by the Administrator. The proposal allows two exceptions to

this compliance schedule: extensions for facilities planning to install

the necessary air pollution equipment and extensions under a petition

process for other reasons. State plans that include such provisions may

allow designated facilities up to 3 years after the State plan is

approved by the Administrator (but no more than 5 years after

promulgation of the guidelines) to achieve compliance. The only

exception to these compliance times involves the operator training and

qualification requirements and the maintenance inspection requirement.

The proposed emission guidelines require that a State plan provide that

each designated facility shall be in compliance with the operator

training and qualification requirements and the maintenance inspection

requirements within 1 year after the State plan is approved by the

Administrator.

Section 129 specifies that the EPA, in reviewing State plans for

any variation from the emission guidelines, must ensure that State

plans and their resulting MWI control requirements are at least as

protective as the EPA emission guidelines, including incorporation of

the compliance schedule requirements established by the guidelines.

II. Summary of the Standards and Guidelines

A. Source Category To Be Regulated

The proposed standards for new MWI's would limit emissions of air

pollutants from each MWI for which construction is commenced after

today's date, or for which modification is commenced after the

effective date of the standards. The effective date of the proposed

standards is specified in the Act as the date 6 months after

promulgation of the standards. The proposed guidelines for existing

MWI's would require States to develop emission standards limiting

emissions of air pollutants from each MWI for which construction was

commenced on or before today's date. Changes made to an existing MWI

solely for the purpose of complying with the emission guidelines would

not bring an existing MWI under the NSPS for new MWI's.

The proposed standards and guidelines would require facilities that

employ technologies such as pyrolysis/gasification in medical waste

destruction to meet the emission limits and all other requirements in

today's proposal. The pyrolysis/gasification industry does not object

to be covered under today's proposed MWI standards and guidelines and

believes that they can meet and exceed the proposed emission

limitations. However, the pyrolysis/gasification industry believes that

their process is unique enough to warrant a separate category for the

purpose of regulations. The agency is requesting comment on whether

these units should be regulated as MWI's or as a separate source

category. Also, comment is requested on the definitions of medical

waste incineration and medical waste pyrolysis/gasification that would

differentiate these two categories of waste destruction for the purpose

of regulation.

An MWI is defined as any device used to burn medical waste, with or

without other fuels or types of waste, including the heat recovery

device, if one is present. Medical waste is defined as any solid waste

that is generated in the diagnosis, treatment, or immunization of human

beings or animals, in research pertaining thereto, or in production or

testing of biologicals. Biologicals refer to preparations made from

living organisms and their products, including vaccines, cultures,

etc., intended for use in diagnosing, treating, or immunizing humans or

animals or in research pertaining thereto. Medical waste includes

materials such as sharps, fabrics, plastics, paper, waste chemicals/

drugs that are not RCRA hazardous waste, and pathological waste.

Medical waste does not include household waste, hazardous waste, or

human and animal remains not generated as medical waste.

Most MWI's burn a diverse mixture of medical waste (referred to in

this preamble as general medical waste), that may include some

pathological waste (human and animal body parts and/or tissue).

However, larger amounts of pathological waste require special operating

conditions for combustion. Thus, some facilities maintain MWI's

designed and operated to burn pathological waste exclusively.

The proposed standards and guidelines focus on regulating emissions

from general medical waste incinerators and include very minor

requirements for pathological MWI's. Under this proposal, pathological

MWI's would only be required to submit quarterly reports of the amount

and type of materials charged to the incinerator. Pathological MWI's

will be considered in future regulatory action under section 129 in the

source category of ``other solid waste incinerators.''

B. Pollutants To Be Regulated

Section 129 of the Act requires the EPA to establish numerical

emission limits for PM, opacity, CO, CDD/CDF, HCl, SO2, NOx,

Pb, Cd, and Hg. All pollutants to be regulated would be reported as

concentrations and are corrected to 7 percent oxygen. Particulate

matter and metals (Pb, Cd, and Hg) would be reported as milligrams per

dry standard cubic meter (mg/dscm). For Hg, the proposed standards and

guidelines would also establish an alternative percent reduction

requirement. Carbon monoxide, HCl, SO2, and NOx would be

reported as parts per million by volume (ppmv), dry basis. As an

alternative, the proposed standards and guidelines for HCl would also

establish a percent reduction requirement. Emissions of CDD/CDF would

be reported in units of total nanograms per dry standard cubic meter

(ng/dscm) or ng/dscm toxic equivalency (TEQ). Measurements of TEQ are

determined by first measuring the total concentration of CDD/CDF

congeners and adjusting the results to account for the varying toxicity

of each congener. Opacity is reported on a percentage basis. The

proposed standards and guidelines also establish fly ash/bottom ash

fugitive emission limitations, reported on a percentage basis.

C. Affected Facility and Designated Facility

The affected facility to which the proposed standards applies is

each individual MWI for which construction is commenced after today's

date or for which modification is commenced after the effective date of

these standards. The effective date of the proposed standards is

specified in the Act as the date 6 months after promulgation of the

standards. [[Page 10659]]

The designated facility to which the proposed emission guidelines

apply is each individual MWI for which construction is commenced on or

before today's date.

D. Proposed Standards and Guidelines

Table 1 lists the emission limitations under the proposed standards

and guidelines, Tables 2 and 3 list other requirements of the proposed

standards and guidelines, and Tables 4 and 5 list the compliance times

for the proposed standards and guidelines.

Table 1.--Summary of Proposed Emission Limits for New and Existing

Medical Waste Incinerators

------------------------------------------------------------------------

Pollutant Emissions limits

------------------------------------------------------------------------

Particulate matter................................ 30 mg/dscm (0.013 gr/

dscf) 12-hour

average.

Opacity........................................... 5 percent 6-minute

average.

Carbon monoxide................................... 50 ppmv 12-hour

average.

Dioxins/furans.................................... 80 ng/dscm total CDD/

CDF (35 gr/10\9\

dscf) or 1.9 ng/

dscm TEQ (0.83 gr/

10\9\ dscf) 12-hour

average.

Hydrogen chloride................................. 42 ppmv or 97%

reduction 9-hour

average.

Sulfur dioxide.................................... 45 ppmv 12-hour

average.

Nitrogen oxides................................... 210 ppmv 12-hour

average.

Lead.............................................. 0.10 mg/dscm (44 gr/

10\6\ dscf) 12-hour

average.

Cadmium........................................... 0.05 mg/dscm (22 gr/

10\9\ dscf) 12-hour

average.

Mercury........................................... 0.47 mg/dscm (210 gr/

10\6\ dscf) or 85%

reduction 12-hour

average.

------------------------------------------------------------------------

Note: Tables 1 through 5 depict the major provisions of the proposed

standards and guidelines and do not attempt to show all requirements.

The full text of Subparts Ec and Cc should be relied upon for a full

and comprehensive statement of the requirements of the proposed

standards and guidelines.

Table 2.--Summary of Additional Requirements Under the NSPS for New

Medical Waste Incinerators

------------------------------------------------------------------------

Additional Requirements

-------------------------------------------------------------------------

Operator Training and Qualification Requirements:

Complete MWI operator training course.

Qualify operators.

Develop a site-specific operating manual and update

annually.

Siting Requirements:

Prepare a siting analysis.

Conduct a public meeting at which comment is accepted on

the siting analysis.

Prepare responses to the comments and make them available

to the public.

Include in the initial notification to construct the

results of siting analysis and a letter from the State air

pollution control office approving the construction and operation

of the affected facility.

Compliance and Performance Testing Requirements:

Conduct an initial and annual performance test to determine

compliance with the emission limitations for all pollutants and to

establish operating parameters.

Facilities may conduct performance tests for CDD/CDF, PM,

Cd, Pb, and Hg every third year if the previous three MWI

performance tests demonstrate that the facility is in compliance

with the emission limits.

Continuously monitor emissions and measure and record operating

parameters.

Perform monthly fugitive testing.

Monitoring Requirements:

Install and maintain equipment to continuously monitor

emissions/operating parameters as appropriate.

Obtain monitoring data at all times during MWI operation.

Reporting and Recordkeeping Requirements:

Maintain for 5 years records of results from initial

performance test and all subsequent performance tests, operating

parameters, and any maintenance.

Maintain for the life of the incinerator records of siting

analysis and operator training and qualification.

Submit the results of the initial performance test and all

subsequent performance tests.

Submit, within 30 days following the end of the quarter of

occurrence, reports on emission rates or operating parameters that

have not been recorded or that exceeded applicable limits.

Provide notification of intent to construct, of planned

initial start-up date, and of planned waste type(s) to be

combusted.

------------------------------------------------------------------------

Note: Tables 1 and 2 depict the major provisions of the NSPS and do not

attempt to show all requirements. The regulatory text of Subpart Ec

should be relied upon for a full and comprehensive statement of the

requirements of the proposed NSPS.

Table 3.--Summary of Additional Requirements Under the EG for Existing

Medical Waste Incinerators

------------------------------------------------------------------------

Additional Requirements

-------------------------------------------------------------------------

Operator Training and Qualification Requirements:

Complete MWI operator training course.

Qualify operators.

Develop a site-specific operating manual and update

annually.

Inspection Requirements:

Provide for an annual equipment inspection by an MWI

service technician not employed by the owner or operator of the

affected facility until source demonstrates compliance with

emission limits.

Compliance and Performance Testing Requirements:

Conduct an initial and annual performance test to determine

compliance with the emission limitations for all pollutants and to

establish operating parameters.

[[Page 10660]]

Facilities may conduct performance tests for CDD/CDF, PM,

Cd, Pb, and Hg every third year if the previous three performance

tests demonstrate that the facility is in compliance with the

emission limits.

Continuously monitor emissions and measure and record

operating parameters.

Perform monthly fugitive testing.

Monitoring Requirements:

Install and maintain equipment to continuously monitor

emissions/operating parameters as appropriate.

Obtain monitoring data at all times during MWI operation.

Reporting and Recordkeeping Requirements:

Maintain for 5 years records of: results from initial

performance test and all subsequent performance tests, operating

parameters, annual inspections, and any maintenance.

Maintain for the life of the incinerator records of

operator training and qualification.

Submit the results of the initial performance test and all

subsequent performance tests.

Submit, within 30 days following the end of the quarter of

occurrence, reports on emission rates or operating parameters that

have not been recorded or which exceeded applicable limits.

------------------------------------------------------------------------

Note: Tables 1 and 3 depict the major provisions of the emission

guidelines (EG) and do not attempt to show all requirements. The

regulatory text of Subpart Cc should be relied upon for a full and

comprehensive statement of the requirements of the proposed

guidelines.

Table 4.--Compliance Times for New MWI's New Source Performance Standards

----------------------------------------------------------------------------------------------------------------

Requirement Compliance Time

----------------------------------------------------------------------------------------------------------------

Effective date.................................... 6 months after promulgation of NSPS.

Operator training and qualification requirements.. On effective date or upon initial start up, whichever is

later.

Initial compliance test........................... On effective date or within 180 days of initial start up,

whichever is later.

Performance test.................................. Within 12 months following initial compliance test and

annually thereafter.

CEMS and parameter monitoring..................... Continuously, upon completion of initial compliance test.

Recordkeeping..................................... Continuously, upon completion of initial compliance test.

Reporting......................................... Quarterly, upon completion of initial compliance test.

----------------------------------------------------------------------------------------------------------------

Table 5.--Compliance Times for Existing MWI's Emission Guidelines

----------------------------------------------------------------------------------------------------------------

Requirement Compliance Time

----------------------------------------------------------------------------------------------------------------

State Plan submittal.............................. Within 1 year after promulgation of EPA emission guidelines.

Effective date.................................... Within 1 year after EPA approval of State Plan.

Operator training and qualification requirements.. Within 1 year after EPA approval of State Plan.

Recordkeeping..................................... Continuously, upon completion of initial compliance test.

Initial compliance test........................... Within 1 year after EPA approval of State plan or up to 3

years after EPA approval of State plan if the source is

granted an extension.

Performance test.................................. Within 12 months following initial compliance test and

annually thereafter.

CEMS and parameter monitoring..................... Continuously, upon completion of initial compliance test.

Inspection requirements........................... Within 1 year after EPA approval of State Plan.

Reporting......................................... Quarterly, upon completion of initial compliance test.

----------------------------------------------------------------------------------------------------------------

A brief discussion of the emission limitations is presented below.

Further discussion of the additional requirements can be found in

sections II.E through II.L of this section.

1. Numerical Emission Limits

The numerical emission limits in this section are corrected to 7

percent O2.

Particulate Matter--The proposed emission limitation for PM for

both new and existing MWI's is 30 milligrams per dry standard cubic

meter (mg/dscm).

Opacity--The proposed emission limitation for stack opacity for

both new and existing MWI's is 5 percent (6-minute average).

Carbon Monoxide--The proposed emission limitation for CO for both

new and existing MWI's is 50 parts per million by volume (ppmv), dry

basis.

Dioxins/Furans--The proposed emission limitation for CDD/CDF for

both new and existing MWI's is 80 ng/dscm total CDD/CDF or 1.9 ng/dscm

TEQ. This limit would be measured as total tetra- through octa-

chlorinated dibenzo-p-dioxins and dibenzofurans as determined by

Reference Method 23 and converted to TEQ's using the toxic equivalency

factors (TEF's) shown in Table 6.

Table 6.--Toxic Equivalency Factors

------------------------------------------------------------------------

Toxic

CDD/CDF congener equivalency

factor

------------------------------------------------------------------------

2,3,7,8-tetrachlorinated dibenzo-p-dioxin.................. 1

1,2,3,7,8-pentachlorinated dibenzo-p-dioxin................ 0.5

1,2,3,4,7,8-hexachlorinated dibenzo-p-dioxin............... 0.1

1,2,3,7,8,9-hexachlorinated dibenzo-p-dioxin............... 0.1

1,2,3,6,7,8-hexachlorinated dibenzo-p-dioxin............... 0.1

1,2,3,4,6,7,8-heptachlorinated dibenzo-p-dioxin............ 0.01

octachlorinated dibenzo-p-dioxin........................... 0.001

[[Page 10661]]

2,3,7,8-tetrachlorinated dibenzofuran...................... 0.1

2,3,4,7,8-pentachlorinated dibenzofuran.................... 0.5

1,2,3,7,8-pentachlorinated dibenzofuran.................... 0.05

1,2,3,4,7,8-hexachlorinated dibenzofuran................... 0.1

1,2,3,6,7,8-hexachlorinated dibenzofuran................... 0.1

1,2,3,7,8,9-hexachlorinated dibenzofuran................... 0.1

2,3,4,6,7,8-hexachlorinated dibenzofuran................... 0.1

1,2,3,4,6,7,8-heptachlorinated dibenzofuran................ 0.01

1,2,3,4,7,8,9-heptachlorinated dibenzofuran................ 0.01

octachlorinated dibenzofuran............................... 0.001

------------------------------------------------------------------------

Hydrogen Chloride--The proposed emission limitation for HCl for

both new and existing MWI's is 42 ppmv, dry basis (or 97-percent

reduction).

Sulfur Dioxide--The proposed emission limitation for SO2 for

both new and existing MWI's is 45 ppmv, dry basis.

Nitrogen Oxides--The proposed emission limitation for NOX for

both new and existing MWI's is 210 ppmv, dry basis.

Lead--The proposed emission limitation for Pb for both new and

existing MWI's is 0.10 mg/dscm.

Cadmium--The proposed emission limitation for Cd for both new and

existing MWI's is 0.05 mg/dscm.

Mercury--The proposed emission limitation for Hg for both new and

existing MWI's is 0.47 mg/dscm (or 85-percent reduction).

2. Fly Ash/Bottom Ash Emissions

The proposed standards and guidelines would establish a limit of

zero percent opacity of fly ash or bottom ash from any fly ash or

bottom ash storage or handling area within the facility's property

boundary.

E. Operator Training and Qualification Requirements

The proposed standards and guidelines include operator training and

qualification requirements for each MWI operator. For new MWI's, these

requirements would become effective six months after promulgation of

the NSPS. For existing MWI's, these requirements would become effective

one year after approval of the State plan. An acceptable training

course would provide the operator with a minimum of: (1) 24 hours of

classroom instruction, (2) 4 hours of hands-on training, (3) an

examination developed and administered by the course instructor, and

(4) a handbook or other documentation covering the subjects presented

during the course. To be qualified, an operator must complete the

training course and have either a minimum level of experience or

satisfy comparable or more stringent criteria that are established by a

national professional organization. The proposed standards and

guidelines also would require that the owner or operator of the

facility develop and annually update a site-specific operating manual.

The manual would summarize State emissions regulations, operating

procedures, and reporting and recordkeeping requirements in accordance

with the proposed standards and guidelines.

F. Siting Requirements--New MWI's

Site selection criteria are being proposed for MWI's that commence

construction after the date of promulgation of this rule. The proposed

siting requirements would address the impact of the facility on ambient

air quality, visibility, soils, vegetation, and other factors that may

be relevant in determining that the benefits of the proposed facility

significantly outweigh the environmental and social costs imposed as a

result of its location and construction. A document presenting the

results of the analyses would be prepared and submitted to EPA, State,

and local officials and would be made available to the public.

Provisions for a public meeting and the preparation of a comment and

response document are also included in the proposed siting

requirements.

G. Inspection Requirements--Existing MWI's

The proposed emission guidelines include a requirement for an

initial equipment inspection of the designated facility. These

requirements would become effective 1 year after the EPA approval of

the State plan. The inspection must be performed by an MWI service

technician not employed by the owner or operator of the designated

facility. The proposed guidelines provide minimum requirements for

inspection of the designated facility. Following the initial inspection

and until compliance with the emission limitations has been

demonstrated, facilities are required to conduct annual inspections of

the MWI.

H. Compliance and Performance Test Methods and Monitoring Requirements

Testing and monitoring requirements are proposed to demonstrate

compliance with the emission limits. The proposed standards and

guidelines require that the owner or operator of the facility: (1)

conduct initial and annual performance tests to demonstrate compliance

with the emission limits and (2) demonstrate continuous compliance with

the emission limits following the initial performance test.

The initial and annual performance tests would be conducted using

the following EPA-approved methods:

1. Method 1 would be used to select the sampling site and number of

traverse points;

2. Method 3 or 3A would be used for gas composition analysis,

including measurement of oxygen;

3. Method 5 or Method 29 would be used to measure PM emissions;

4. A continuous emissions monitoring system (CEMS) would be used to

measure opacity;

5. A CEMS would be used to measure CO emissions;

6. Method 23 would be used to measure CDD/CDF emissions;

7. Method 26 would be used to measure HCl emissions;

8. Method 29 would be used to measure Pb, Cd, and Hg emissions; and

9. Method 9 would be used to measure opacity of fugitive emissions.

The proposed standards and guidelines include provisions for less

frequent testing if the facility consistently demonstrates compliance.

These provisions are described in detail in section V of this preamble.

Following the initial performance test, the owners or operators must

demonstrate continuous compliance with the limits by monitoring the

output of a CEMS, where a CEMS is required, and by monitoring site-

specific operating parameters where a CEMS is not required. Facilities

are required to:

1. Demonstrate continuous compliance with the CO emission limit

based on the output from the CO CEMS;

2. Demonstrate continuous compliance with the opacity emission

limit based on the output from the opacity CEMS; and

3. Demonstrate compliance with the fugitive emission limit by

conducting a performance test using Method 9 at least once per calendar

month when ash is removed from the incinerator and when ash is removed

from the air pollution control device (APCD).

In addition, facilities equipped with a dry scrubber followed by a

fabric filter are required to demonstrate compliance in the following

ways: [[Page 10662]]

1. Demonstrate compliance with the Hg emission limit by

continuously monitoring the Hg sorbent flow rate (typically activated

carbon) and continuously measuring the weight and time of each load of

waste charged to the incinerator. The minimum Hg sorbent flow rate, the

maximum charge weight, and the maximum hourly charge rate are to be

established during the initial performance test to determine compliance

with the Hg emission limit. Operation of the facility below the minimum

sorbent flow rate, or above the maximum charge weight or maximum hourly

charge rate would constitute a violation of the Hg emission limit.

2. Demonstrate compliance with the CDD/CDF emission limit by

continuously monitoring the CDD/CDF sorbent flow rate (typically

activated carbon) and the temperature measured at the inlet to the PM

control device. The minimum CDD/CDF sorbent flow rate and the maximum

PM control device inlet temperature are to be established during the

initial performance test to determine compliance with the CDD/CDF

emission limit. Operation of the facility below the minimum sorbent

flow rate or above the maximum PM control device inlet temperature

would constitute a violation of the CDD/CDF emission limit.

3. Demonstrate compliance with the HCl emission limit by

continuously monitoring the HCl sorbent flow rate (typically hydrated

lime) and continuously measuring the weight and time of each load of

waste charged to the incinerator. The minimum HCl sorbent flow rate,

the maximum charge weight, and the maximum hourly charge rate are to be

established during the initial performance test to demonstrate

compliance with the emission limit for HCl. Operation of the facility

below the minimum sorbent flow rate, or above the maximum charge weight

or maximum hourly charge rate would constitute a violation of the HCl

emission limit.

The proposed standards and guidelines require the owner or operator

of an MWI using a control device other than a dry scrubber followed by

a fabric filter to petition the Administrator for other site-specific

operating parameters to demonstrate continuous compliance with the

emission limits for CDD/CDF, Hg, HCl, and/or opacity. These parameters

would be established during the initial performance test for these

pollutants and would be continuously monitored to demonstrate

compliance with the emission limits. As discussed in section VI, the

EPA requests comment on appropriate parameters for wet scrubbers and

for other control systems that may be used to control emissions from

MWI's.

I. Reporting and Recordkeeping--New MWI's

The proposed standards would require owners of affected facilities

(i.e., new or modified MWI's) to submit notifications concerning

construction and initial startup of the affected facility. Owners and

operators are also required to maintain thorough records documenting

the results of the initial and annual performance tests, records

demonstrating continuous monitoring of site-specific operating

parameters, and CEMS output data and quality assurance determinations.

These records must be kept on file for at least 5 years.

Additional records must be kept on file for the life of the

affected facility. These records are required to document compliance

with the siting requirements and the operator training and

qualification requirements. The records to be maintained include all

documentation produced as a result of the siting requirements and

records of the names of the persons who have completed the operator

training requirements, the names of the persons who have been qualified

as MWI operators, and the names of the persons who have completed

review of the site-specific MWI operating manual. All records must also

include dates associated with operator training and qualification, and

dates associated with review of the operating manual.

Under the proposed standards, owners or operators of affected

facilities are required to submit the results of the initial

performance test and all subsequent performance tests. Also, reports on

emission rates or operating parameters that have not been obtained or

that exceed applicable limits must be submitted within 30 days after

the end of the quarter of occurrence. If no exceedances occur during a

quarter, the owner of the affected facility would be required to submit

a letter stating so. All reports submitted to comply with the

requirements of the proposed standards must be signed by the facilities

manager.

J. Reporting and Recordkeeping--Existing MWI's

The proposed emission guidelines would require owners of designated

facilities (i.e., existing MWI's) to maintain thorough records

documenting the results of the initial and annual performance tests,

records demonstrating continuous monitoring of site-specific operating

parameters, CEMS output data and quality assurance determinations, and

records of the initial and annual inspections. These records must be

kept on file for at least 5 years.

Additional records must be kept on file for the life of the

designated facility. These records are required to document compliance

with the operator training and qualification requirements and include

records of the names of the persons who have completed the operator

training requirements, the names of the persons who have been qualified

as MWI operators, and the names of the persons who have completed

review of the site-specific MWI operating manual. All records must also

include dates associated with operator training and qualification, and

dates associated with review of the operating manual.

Under the proposed emission guidelines owners or operators are

required to submit the results of the initial and annual maintenance

inspections and the results of the initial performance test and all

subsequent performance tests. Additionally, reports of data on emission

rates or operating parameters that have not been obtained or that

exceed applicable limits must be submitted within 30 days after the end

of the quarter of occurrence. If no exceedances occur during a quarter,

the owner of the designated facility would be required to submit a

letter stating so. All reports submitted to comply with the

requirements of the proposed emission guidelines must be signed by the

facilities manager.

K. Compliance Times

1. New MWI's

The effective date of the standards for new MWI's is the date 6

months after promulgation of the standards.

2. Existing MWI's

In accordance with the proposed guidelines, for approval, a State

plan must require that designated facilities comply with all

requirements of the guidelines within 1 year after EPA approval of the

State plan. The proposal allows two exceptions to this compliance

schedule. First, State plans may allow facilities that are planning to

install the necessary air pollution control equipment up to three years

after EPA approval of the State plan to comply, provided the State plan

specifies that the facility submit measurable and legally enforceable

incremental steps of progress that will be taken to comply with the

State plan. Second, State plans may include provisions for a petition

process through which designated facilities could

[[Page 10663]] request an extension for other reasons. The proposed

guidelines specify minimum requirements to be included in State plans

with such provisions. If an extension is granted, compliance must be

required within 3 years after EPA approval of the State plan.

Regardless of the status of the State plans, all designated

facilities must be in compliance within 5 years after promulgation of

the emission guidelines. The proposed emission guidelines require the

EPA to develop, implement, and enforce a plan for any State that has

not submitted an approvable plan within 2 years after promulgation of

the emission guidelines.

The proposed emission guidelines also require that, for approval, a

State plan provide that each designated facility must be in compliance

with the operator training and qualification requirements and the

inspection requirements within 1 year after EPA approval of the State

plan. No extension is available for training, qualification, or

inspection.

L. Permit Requirements

The proposed standards and guidelines include a requirement that

facilities operate pursuant to permits issued under the EPA-approved

State operating permit program. Permits would be required beginning 36

months after the date of promulgation of the standards and guidelines,

or on the effective date of an EPA-approved operating permit program in

the State in which the facility is located, whichever date is later.

The operating permit programs are developed under Title V of the Act

and the implementing regulations under 40 CFR part 70.

III. Impacts of the Proposed Standards for New MWI's

This section presents a description of the air, water, solid waste,

energy, control cost, and economic impacts of today's proposed

standards for new MWI's. All of the impacts presented are nationwide

impacts that are expected to result from the implementation of the NSPS

in the fifth year after adoption. As discussed below, it is expected

that as many as 80 percent of the projected number of new MWI's will

not be constructed to avoid the increased costs associated with

installation of control equipment. Therefore, impacts are presented

assuming 80 percent of projected new MWI's are not constructed, with

the waste being disposed of by other means (i.e., the ``switching

scenario'').

Based on historic sales to date, in the absence of regulation, an

estimated 700 new MWI's are expected to be installed over the next 5

years. However, onsite incineration is only one of several medical

waste treatment and disposal options. For some MWI's, the equipment

necessary to comply with the proposed regulations will make onsite

incineration more expensive than other waste treatment and disposal

options. Consequently, many facilities that would have chosen onsite

incineration are likely to consider less expensive methods of treatment

and disposal. The EPA expects that as many as 80 percent of the

projected number of new MWI's will not be constructed if the standards

are promulgated as proposed. This is referred to in this notice as the

``switching scenario'' because of the expectation that potential owners

of MWI's will switch to another method of waste treatment and disposal.

Recent experience at the State level confirms that switching to

lower cost alternatives is a likely impact of the implementation of MWI

regulations that require add-on air pollution control. For example,

recent regulations adopted by the State of New York require the use of

add-on acid gas scrubber systems. As a result, the State estimates that

as many as 90 percent of previously existing MWI's in New York have

ceased operation. New York's regulations are similar to the proposed

EPA standards in that they require the use of add-on air pollution

control systems or use of an alternative waste disposal approach. While

these State regulations have increased the cost of waste disposal, it

appears that the availability of alternatives to onsite incineration

has mitigated the economic impacts that might have been associated with

the State regulations.

One concern that has recently been raised related to switching away

from onsite incineration is the availability of alternatives to onsite

incineration. Two common alternatives are offsite contract disposal

(most commonly commercial medical waste incineration) and onsite

autoclaving (steam treatment). Other less common alternatives include

onsite chemical treatment and onsite microwave irradiation. The

commercial medical waste disposal industry believes that there

presently exists sufficient offsite capacity to treat the waste that

would no longer be treated onsite. In addition, autoclaves and other

onsite waste disposal options are available. In fact, even today in the

absence of Federal regulations, most facilities that generate medical

waste do not operate onsite MWI's. This indicates that there currently

are viable alternatives to onsite incineration.

A second concern regrading a shift away from onsite incineration is

the increased transportation and handling of untreated medical waste.

However, the Department of Transportation (DOT) has promulgated

regulations (49 CFR parts 171, 172, and 173) that address the safe

transportation and handling of medical waste. The DOT regulations

include provisions for packaging and labeling of medical waste. Also,

the Occupational Safety and Health Administration (OSHA) promulgated

regulations on December 5, 1991 (29 CFR part 1910) that address

occupational exposure to bloodborne pathogens. Using a combination of

engineering and work practice controls, personal protective clothing

and equipment, training, medical follow-up of exposure incidents,

vaccinations (where appropriate) and other provisions, the OSHA

regulations minimize or eliminate health risk as a result of

occupational exposure to bloodborne pathogens. The Agency believes

these DOT and OSHA regulations will provide sufficient protection from

potential increases in exposure to these wastes.

A. Air Impacts

As discussed earlier, impacts are presented assuming the more

likely ``switching scenario.'' Baseline emissions and emissions under

the proposed NSPS based on the switching scenario are presented in

Tables 7a and 7b.

Table 7a.--Baseline Emissions Compared With Emissions After NSPS (With

Switching)

[Metric Units]

------------------------------------------------------------------------

After

Pollutant Units Baseline NSPS with

switching

------------------------------------------------------------------------

PM................................... Mg/yr..... 1,670 81.7

CO................................... Mg/yr..... 1,630 61.7

CDD/CDF.............................. kg/yr..... 21.7 0.032

HCl.................................. Mg/yr..... 10,000 230

SO2.................................. Mg/yr..... 192 144

NOX.................................. Mg/yr..... 1,240 944

Pb................................... Mg/yr..... 19.2 0.29

Cd................................... Mg/yr..... 1.38 0.042

Hg................................... Mg/yr..... 14.5 1.10

------------------------------------------------------------------------

[[Page 10664]]

Table 7b.--Baseline Emissions Compared With Emissions After NSPS (With

Switching)

[English Units]

------------------------------------------------------------------------

After NSPS

Pollutant Units Baseline with

switching

------------------------------------------------------------------------

PM................................ Tons/yr..... 1,850 90.0

CO................................ Tons/yr..... 1,790 68.0

CDD/CDF........................... Lb/yr....... 47.9 0.070

HCl............................... Tons/yr..... 11,100 254

SO2............................... Tons/yr..... 212 159

NOX............................... Tons/yr..... 1,370 1,040

Pb................................ Tons/yr..... 21.2 0.32

Cd................................ Tons/yr..... 1.52 0.046

Hg................................ Tons/yr..... 16.0 1.21

------------------------------------------------------------------------

The proposed standards would reduce nationwide emissions of PM by

1,590 megagrams per year (Mg/yr) (1,750 tons per year (tons/yr)) from

estimated emission levels under the typical existing control or the

``regulatory baseline'' of 1,670 Mg/yr (1,850 tons/yr). This reduction

represents a decrease of about 95 percent from baseline PM emission

levels in the absence of the proposed standards.

Nationwide emissions of CO would be reduced by 1,570 Mg/yr (1,730

tons/yr) from estimated emission levels under the regulatory baseline

of 1,630 Mg/yr (1,790 tons/yr). This reduction equates to an overall

control level of about 96 percent for CO emissions.

As a result of today's proposal, nationwide emissions of CDD/CDF

would be reduced by 21.70 kilograms per year (kg/yr) (47.8 pounds per

year (lb/yr)) from estimated emission levels under the regulatory

baseline of 21.73 kg/yr (47.9 lb/yr). The CDD/CDF emissions would be

reduced by over 99 percent from the regulatory baseline.

The proposed standards would reduce nationwide emissions of HCl by

9,820 Mg/yr (10,800 tons/yr) from estimated emission levels under the

regulatory baseline of 10,000 Mg/yr (11,100 tons/yr). This reduction

represents a decrease of about 98 percent in HCl emissions.

Nationwide emissions of SO2 and NOX would be reduced by

48.1 Mg/yr (53.0 tons/yr) and 300 Mg/yr (331 tons/yr), respectively,

from estimated emission levels under the regulatory baseline of 192 Mg/

yr (212 tons/yr) for SO2 and 1,240 Mg/yr (1,370 tons/yr) for

NOX. These reductions equate to an overall emissions decrease of

about 25 percent for SO2 and about 24 percent for NOX.

As a result of today's proposal, the nationwide emissions of Pb,

Cd, and Hg would be reduced by 18.9 Mg/yr (20.9 tons/yr), 1.34 Mg/yr

(1.47 tons/yr), and 13.4 Mg/yr (14.8 tons/yr), respectively, from

estimated emission levels under the regulatory baseline of 19.2 Mg/yr

(21.2 tons/yr) for Pb, 1.38 Mg/yr (1.52 tons/yr) for Cd, and 14.5 Mg/yr

(16.0 tons/yr) for Hg. These reductions equate to overall control

levels of about 98 percent for Pb, 97 percent for Cd, and 92 percent

for Hg.

B. Water and Solid Waste Impacts

Under the proposed NSPS, no significant water pollution impacts are

projected because the emission control technologies on which the

emission limits are based do not produce a wastewater stream. However,

to the extent that wet scrubber systems could be used to comply with

the proposed emission limitations, water pollution impacts could be

more significant. As discussed in section VI of this preamble, the

Agency solicits information regarding water pollution impacts

associated with the use of wet scrubber systems.

With regard to solid waste impacts, about 421,000 Mg (464,000 tons)

of medical waste are projected to be burned annually in new MWI's in

the fifth year after adoption of the NSPS in the absence of Federal

regulations (i.e., at the regulatory baseline). This quantity of waste

burned would result in about 42,100 Mg/yr (46,400 tons/yr) of solid

waste (bottom ash) disposed of in landfills. The addition of acid gas

control using dry lime injection, and CDD/CDF and Hg control using

activated carbon injection, would increase the quantity of solid waste

for final disposal by adding baghouse ash to the amount of bottom ash

already generated under the regulatory baseline. In addition, switching

to onsite alternatives to incineration will result in an increase in

solid waste for final disposal because the nonincineration treatment

methods do not reduce the volume of waste as much as incineration.

Under the switching scenario, the amount of solid waste ultimately

sent to landfills would increase by about 135,000 Mg/yr (149,000 tons/

yr). This includes the increase in ash from the air pollution control

devices (APCD's) and the increase in waste that is treated and

landfilled without being incinerated. Compared to municipal waste,

which is disposed in landfills at an annual rate of over 91 million Mg/

yr (100 million tons/yr), the increase in solid waste from the

implementation of the MWI standards is insignificant. Therefore, no

adverse solid waste impacts are anticipated under the proposed

standards.

C. Energy Impacts

The emission control technologies upon which the emission limits

are based would require additional energy consumption for all new

MWI's. Under the switching scenario, it is not clear whether energy

consumption will increase, decrease, or remain the same. Alternatives

to incineration require energy to operate. However, information is not

available to estimate whether alternatives use more or less energy than

MWI's. It is expected that the increase in energy consumption resulting

from the switching scenario will be less than the increase under the

no-switching scenario.

The estimates of energy impacts assuming all new MWI's are

constructed and install air pollution control (no-switching scenario)

include additional auxiliary fuel (natural gas) for combustion controls

and additional electrical energy for operation of the add-on control

devices. In the fifth year after adoption, the proposed standards would

increase total national usage of natural gas by about 25 million cubic

meters per year (MMm3/yr) (895 million cubic feet per year

(106 ft3/yr)) compared to fuel consumption determined from

the regulatory baseline. Total national usage of electrical energy

would increase by about 41,400 megawatt hours per year (MW-hr/yr) (141

billion British thermal units per year (109 Btu/yr)) of

electricity compared to electrical energy consumption determined from

the regulatory baseline.

D. Control Cost Impacts

The control cost impacts on individual facilities will vary

depending on the cost of compliance with the regulation; the cost of

alternative treatment and disposal methods; and other factors such as

proximity to an offsite contract disposal facility, liability issues

related to the transportation and final disposal of the waste, and

State and local medical waste treatment and disposal requirements. In

general, facilities requiring a smaller waste treatment capacity will

have a greater incentive to use a less expensive treatment and disposal

option because their onsite incineration cost (per ton of waste burned)

will be higher. Facilities with larger amounts of waste to be treated

may have some cost advantages if they use lower cost alternatives, but

these advantages are not as significant due to economies of scale.

Under the switching scenario, the nationwide annual costs

associated with the NSPS will increase by about 74.5 million/yr (from a

baseline cost of 63.3 [[Page 10665]] million/yr). The nationwide

annualized cost of waste disposal per unit of medical waste treated

would increase by $177/Mg ($161/ton) from the estimated nationwide

annualized cost of $150/Mg ($136/ton) under the regulatory baseline.

E. Economic Impacts

The goal of the economic impact analysis was to estimate the market

response to the NSPS and to determine whether there would be adverse

impacts associated with the proposed standards. The proposed standards

would affect five major industry sectors (hospitals, nursing homes,

veterinary facilities, commercial research laboratories, and commercial

medical waste incineration facilities) within which some facilities

operate an onsite MWI. In addition, the proposed standards would affect

a number of other industry sectors in which facilities do not typically

operate an onsite MWI (e.g., blood banks). The economic impact analysis

for new MWI's examined each of these sectors as a whole to determine

industrywide impacts.

To assess the industrywide impacts of control costs, the market

price increase resulting from the proposed standards was estimated for

each regulated industry. The market price increases, presented in Table

8, may be thought of as an average price increase across each industry

required to recover control costs within each industry. Table 8

reflects the more likely switching scenario. For example, under the

switching scenario, the hospital industry would have to raise prices by

an average of about 0.03 percent (over current revenues of about $224

billion/yr) to cover the increased cost of waste disposal. This table

shows that the price increase is relatively small for each industry.

This result is mainly due to the projection that most facilities do not

(or will not, within the next 5 years after adoption of the standards)

operate an onsite incinerator.

Table 8.--Market Price Increases in the Major Industry Sectors Under the

NSPS--Switching Scenario

------------------------------------------------------------------------

Price

Industry increase,

percent

------------------------------------------------------------------------

Hospitals................................................... 0.03

Nursing Homes............................................... 0.01

Veterinary Facilities....................................... 0.01

Commercial Research Laboratories............................ 0.03

Physicians' Offices......................................... 0

Dentists' Offices........................................... 0

Freestanding Bloodbanks..................................... 0.02

Commercial Medical Waste Incineration Facilities............ aN/A

------------------------------------------------------------------------

aIndustrywide impacts were not calculated for commercial medical waste

incineration facilities because estimates of the change in demand for

commercial medical waste incineration were not available. However,

this industry is expected to be able to recoup all control cost

increases through price increases.

Output, employment, and revenue impacts were also estimated. As a

result of the low market price increases and/or relatively inelastic

demand, the corresponding decreases in output, employment, and revenue

were also low, never exceeding 0.05 percent under the more likely

switching scenario. This result implies that no medical waste-

generating industry would need to be significantly reconstructed (e.g.,

through closures or consolidations) as a result of the proposed

standards.

IV. Impacts of the Proposed Guidelines for Existing MWI's

This section presents a description of the air, water, solid waste,

energy, control cost, and economic impacts of today's proposed

guidelines. All impacts are nationwide impacts that are expected to

result from the implementation of the emission guidelines. As discussed

below, it is expected that as many as 80 percent of existing facilities

currently using onsite incineration will switch to an alternative

method of treatment and disposal to avoid the increased cost of

installing air pollution control equipment. Therefore, impacts are

presented assuming 80 percent of existing facilities using onsite MWI's

will switch to a lower cost alternative treatment and disposal methods

(i.e., the ``switching scenario'').

Onsite incineration is only one of several medical waste treatment

and disposal options, and for some MWI's, the cost of the equipment

necessary to comply with the proposed emission guidelines will make

onsite incineration more expensive than other treatment and disposal

options. Consequently, many facilities that currently operate onsite

MWI's are likely to switch to a less expensive method of treatment and

disposal. The EPA expects that as many as 80 percent of the existing

facilities currently using onsite MWI's will switch to a lower cost

alternative method of treatment and disposal if the guidelines are

promulgated as proposed. This is referred to in this notice as the

``switching scenario'' because of the expectation that owners of MWI's

will switch to another method of waste treatment and disposal.

Recent experience at the State level confirms that switching to

lower cost alternatives is a likely impact of the implementation of MWI

regulations that require add-on air pollution control. For example,

recent regulations adopted by the State of New York require the use of

add-on acid gas scrubber systems. As a result, the State estimates that

as many as 90 percent of previously existing MWI's in New York have

ceased operation. New York's regulations are similar to the proposed

EPA guidelines in that they require the use of add-on air pollution

control systems or use of an alternative waste disposal approach. While

these State regulations have increased the cost of waste disposal, it

appears that the availability of alternatives to onsite incineration

has mitigated the economic impacts that might have been associated with

the State regulations.

One concern that has recently been raised related to switching away

from onsite incineration is the availability of alternatives to onsite

incineration. Two common alternatives are offsite contract disposal

(most commonly commercial medical waste incineration) and onsite

autoclaving (steam treatment). Other less common alternatives include

onsite chemical treatment and onsite microwave irradiation. The

commercial medical waste disposal industry believes that there

presently exists sufficient offsite capacity to treat the waste that

would no longer be treated onsite. In addition, autoclaves and other

onsite waste disposal options are available. In fact, even today in the

absence of Federal regulation, most facilities that generate medical

waste do not operate onsite MWI's. This indicates that there currently

are viable alternatives to onsite incineration.

A second concern regarding a shift away from onsite incineration is

the increased transportation and handling of untreated medical waste.

However, the Department of Transportation (DOT) has promulgated

regulations (49 CFR parts 171, 172, and 173) that address the safe

transportation and handling of medical waste. The DOT regulations

include provisions for packaging and labeling of medical waste. Also,

the Occupational Safety and Health Administration (OSHA) has

promulgated regulations on December 5, 1991 (29 CFR part 1910) that

address occupational exposure to bloodborne [[Page 10666]] pathogens.

Using a combination of engineering and work practice controls, personal

protective clothing and equipment, training, medical follow-up of

exposure incidents, vaccinations (where appropriate) and other

provisions, the OSHA regulations minimize or eliminate health risk as a

result of occupational exposure to bloodborne pathogens. The EPA

believes these DOT and OSHA regulations will provide sufficient

protection from potential increases in exposure to those wastes.

A. Air Impacts

As discussed earlier, impacts are presented assuming the more

likely ``switching scenario.'' Baseline emissions and emissions under

the proposed EG based on the switching scenario are presented in Tables

9a and 9b.

Table 9a.--Baseline Emissions Compared With Emissions After

Implementation of the Emission Guidelines (With Switching)

[Metric Units]

------------------------------------------------------------------------

After EG

Pollutant Units Baseline with

switching

------------------------------------------------------------------------

PM.................................. Mg/yr..... 11,300 272

CO.................................. Mg/yr..... 13,100 207

CDD/CDF............................. kg/yr..... 285 0.11

HC1................................. Mg/yr..... 41,200 777

SO2................................. Mg/yr..... 766 479

Nox................................. Mg/yr..... 5,040 3,160

Pb.................................. Mg/yr..... 77.5 0.97

Cd.................................. Mg/yr..... 5.62 0.14

Hg.................................. Mg/yr..... 58.6 3.67

------------------------------------------------------------------------

Table 9b.--Baseline Emissions Compared With Emissions After

Implementation of the Emission Guidelines (With Switching)

[English Units]

------------------------------------------------------------------------

After EG

Pollutant Units Baseline with

switching

------------------------------------------------------------------------

PM................................ Tons/yr..... 12,400 300

CO................................ Tons/yr..... 14,500 228

CDD/CDF........................... Lb/yr....... 628 0.23

HC1............................... Tons/yr..... 45,400 857

SO2............................... Tons/yr..... 844 528

NOx............................... Tons/yr..... 5,560 3,490

Pb................................ Tons/yr..... 85.5 1.07

Cd................................ Tons/yr..... 6.20 0.16

Hg................................ Tons/yr..... 64.6 4.05

------------------------------------------------------------------------

The proposed guidelines would reduce nationwide emissions of PM by

11,000 megagrams per year (Mg/yr) (12,100 tons per year (tons/yr)) from

the estimated emission levels under the typical existing control or the

``regulatory baseline'' of 11,300 Mg/yr (12,400 tons/yr). This

reduction represents an overall decrease of about 98 percent of

baseline PM emission levels in the absence of the proposed emission

guidelines.

Nationwide emissions of CO would be reduced by 12,900 Mg/yr (14,200

tons/yr) from the estimated emission levels under the regulatory

baseline of 13,100 Mg/yr (14,500 tons/yr). This reduction represents an

overall control level of about 98 percent for CO emissions.

The proposed guidelines would reduce nationwide emissions of

dioxins/furans by 284.8 kilograms per year (kg/yr) (627.9 pounds per

year (lb/yr)) from the estimated emission levels under the regulatory

baseline of 284.9 kg/yr (628.1 lb/yr). Dioxin/furan emissions would be

reduced by over 99 percent from the regulatory baseline.

Nationwide emissions of HCl would be reduced by 40,400 Mg/yr

(44,600 tons/yr) from the estimated emission levels under the

regulatory baseline of 41,200 Mg/yr (45,400 tons/yr). This reduction

represents a decrease of about 98 percent in HCl emissions from the

regulatory baseline.

Nationwide emissions of SO2 and NOX would be reduced by

287 Mg/yr (316 tons/yr) and 1,880 Mg/yr (2,070 tons/yr), respectively,

from the estimated emission levels under the regulatory baseline of 766

Mg/yr (844 tons/yr) for SO2 and 5,040 Mg/yr (5,560 tons/yr) for

NOX. These reductions equate to an overall emissions decrease of

about 37 percent for both SO2 and NOX.

As a result of today's proposal, nationwide emissions of Pb, Cd,

and Hg would be reduced by 76.6 Mg/yr (84.4 tons/yr), 5.48 Mg/yr (6.04

tons/yr), and 54.9 Mg/yr (60.5 tons/yr), respectively, from the

estimated emission levels under the regulatory baseline of 77.5 Mg/yr

(85.5 tons/yr) for Pb, 5.62 Mg/yr (6.20 tons/yr) for Cd, and 58.6 Mg/yr

(64.6 tons/yr) for Hg. These reductions equate to overall control

levels of about 99 percent for Pb, 97 percent for Cd, and 94 percent

for Hg.

B. Water and Solid Waste Impacts

Under the proposed guidelines, no significant water pollution

impacts are projected because the emission control technologies upon

which the emission limits are based do not produce a wastewater stream.

However, to the extent that wet scrubber systems could be used to

comply with the proposed emission limitations, water pollution impacts

could be more significant. As discussed in section VI of this notice,

the Agency solicits information regarding water pollution impacts

associated with the use of wet scrubber systems.

With regard to solid waste impacts, about 1.43 million Mg (1.58

million tons) of medical waste are burned annually in existing MWI's

producing about 143,000 Mg/yr (158,000 tons/yr) of solid waste (bottom

ash) disposed of in landfills. The addition of acid gas control using

dry lime injection, and CDD/CDF and Hg control using activated carbon

injection, would increase the quantity of solid waste for final

disposal by adding baghouse ash to the amount of bottom ash already

generated under the regulatory baseline. In addition, switching to

onsite alternatives to incineration would result in an increase in

solid waste for final disposal because the nonincineration treatment

methods do not reduce the volume of waste as much as incineration.

Under the switching scenario, the amount of solid waste ultimately

sent to landfills would increase by about 631,000 Mg/yr (696,000 tons/

yr). This quantity includes the increase in ash from the APCD's and the

increase in waste that is treated and landfilled without being

incinerated. Compared to municipal waste, which is disposed in

landfills at a rate of over 91 million Mg/yr (100 million tons/yr), the

increase in solid waste from the implementation of the MWI emissions

guidelines is insignificant. Therefore, no adverse solid waste impacts

are anticipated under the proposed guidelines.

C. Energy Impacts

The emission control technologies upon which the emission limits

are based would require additional energy consumption for all existing

MWI's. Under the switching scenario, it is not clear whether energy

consumption will increase, decrease, or remain the same. Alternatives

to incineration require energy to operate. However, information is not

available to estimate whether alternatives use more or less energy than

MWI's. It is expected that the increase in energy consumption resulting

from the switching scenario will be less than the increase under the

no-switching scenario.

The estimates of energy impacts assuming all existing MWI's install

air pollution control (no-switching scenario) include additional

auxiliary fuel for combustion controls and additional electrical energy

for operation of the add-on control devices. The proposed guidelines

would increase total national usage of natural gas for combustion

controls by about 100 million cubic meters per year (MMm3/

[[Page 10667]] yr) (3,490 million cubic feet per year (106

ft3/yr)) compared to fuel consumption determined from the

regulatory baseline. Total national usage of electrical energy for the

operation of add-on control devices would increase by about 175,000

megawatt hours per year (MW-hr/yr) (599 billion British thermal units

per year (109 Btu/yr)) of electricity compared to energy

consumption determined from the regulatory baseline.

D. Control Cost Impacts

The control cost impacts on individual facilities will vary

depending on the cost of compliance with the guidelines; the cost of

alternative treatment and disposal methods; and other factors such as

proximity to an offsite contract disposal facility, liability issues

related to the transportation and final disposal of the waste, and

State and local medical waste treatment and disposal requirements. In

general, facilities requiring a smaller waste treatment capacity will

have a greater incentive to use a less expensive treatment and disposal

option because their onsite incineration cost (per ton of waste burned)

will be higher. Facilities with larger amounts of waste to be treated

may have some cost advantages if they use a lower cost alternative, but

these advantages are not as significant due to economies of scale.

Under the switching scenario, the nationwide annual costs

associated with the proposed emission guidelines will increase by about

$351 million/yr. The nationwide annual cost of waste disposal per unit

of medical waste treated would increase by $245/Mg ($222/ton) to a

total cost of $430/Mg ($390/ton) from the estimated nationwide

annualized cost of $185/Mg ($168/ton) under the regulatory baseline.

E. Economic Impacts

The goal of the economic impact analysis was to estimate the market

response to the emission guidelines and determine whether there would

be adverse impacts associated with the proposed guidelines. The

proposed guidelines would affect five major industry sectors

(hospitals, nursing homes, veterinary facilities, commercial research

laboratories, and commercial medical waste incineration facilities)

within which some facilities operate an onsite MWI. In addition, the

proposed guidelines would affect a number of other industry sectors in

which facilities do not typically operate an onsite MWI (e.g.,

bloodbanks). The economic impact analysis for existing MWI's examined

each of these sectors as a whole to determine industry wide impacts.

To assess the industrywide impacts of control costs, the market

price increase resulting from the proposed guidelines was estimated for

each regulated industry. The market price increases, presented in Table

10, may be thought of as an average price increase across each industry

required to recover control costs within each industry. Table 10

reflects the more likely switching scenario. For example, under the

switching scenario, the hospital industry would have to raise prices by

an average of about 0.1 percent (over current revenues of about $224

billion/year) to cover the increased cost of waste disposal. This table

shows that the price increase is relatively small for each industry.

This result is mainly due to the fact that the majority of the

facilities in each industry sector do not operate an onsite

incinerator.

Table 10.--Market Price Increased in the Major Industry Sectors Under

the Emission Guidelines--Switching Scenario

------------------------------------------------------------------------

Price

Industry increase,

percent

------------------------------------------------------------------------

Hospitals................................................... 0.1

Nursing Homes............................................... 0.1

Veterinary Facilities....................................... 0.6

Commercial Research Laboratories............................ 0.4

Physicians' Offices......................................... 0

Dentists' Offices........................................... 0

Freestanding Bloodbanks..................................... 0.1

Commercial Medical Waste Incineration Facilities............ \9\N/A

------------------------------------------------------------------------

\9\Industrywide impacts were not calculated for commercial medical waste

incineration facilities because estimates of the change in demand for

commercial medical waste incineration were not available. However,

this industry is expected to be able to recoup all control cost

increases through price increases.

Output, employment, and revenue impacts were also estimated. As a

result of the low market price increases and/or relatively inelastic

demand, the corresponding decreases in output, employment, and revenue

were also low, never exceeding 1 percent under the more likely

switching scenario. This result implies that no medical waste-

generating industry would need to be significantly restructured (e.g.,

through closures or consolidations) as a result of the proposed

emission guidelines.

V. Rationale for the Proposed Standards and Guidelines

A. Background

An estimated 3.4 million tons of waste are produced annually by

medical waste generators in the United States. Hospitals are the single

largest generator of medical waste, producing over 70 percent of the

annual total. Approximately 5,000 MWI's are believed to exist

nationwide (3,700 burning general medical waste and 1,300 burning

pathological waste). Over 60 percent of these MWI's are found at

hospitals. Medical waste incinerators are also found at commercial

medical waste disposal facilities, research laboratories, nursing

homes, and veterinary facilities. Based on historic sales data, an

estimated 700 new MWI's will be installed over the next 5 years.

Medical waste incinerators are subject to State and local

regulations that vary widely both in format and scope. A survey in

April 1990 showed that in 38 States, regulations or permit guidelines

specific to MWI's were either in place or were in the planning stages.

The remainder of the States regulate MWI's under general incinerator

requirements, which typically are less stringent that those specific to

MWI's. The most common State requirements for MWI's are limits for PM,

HCl, and secondary chamber temperature and residence time. Some States

also regulate metals, CDD/CDF, and CO. About one third of the States

require operator training.

On November 1, 1988, the Medical Waste Tracking Act (MWTA) was

signed by Congress. The MWTA required EPA to establish a 2-year

demonstration program to track medical waste from its origin to its

disposal. In early 1989, EPA established this program in 40 CFR 259.

The program was in effect from June 22, 1989, to June 22, 1991, and

applied to the States of New York, New Jersey, Connecticut, and Rhode

Island, and to Puerto Rico. The MWTA required EPA to prepare a series

of Reports to Congress on medical waste and the demonstration program.

Now that the demonstration program has concluded, Congress will decide

if a medical waste tracking program should be implemented nationwide.

The current air emissions standards development effort for MWI's

was initiated in 1989. The data-gathering effort was designed to take

advantage of information gathered under the auspices of the MWTA. Also,

in 1989, an MWI operator training course and manual were developed with

recommendations on the proper operation and maintenance of MWI's.

The Amendments of 1990 added section 129 to the Act. Section 129

specifically addresses development of standards for MWI's. Section 129

requires EPA to establish an NSPS for new MWI's and emission guidelines

for existing MWI's that combust hospital [[Page 10668]] waste, medical

waste, and infectious waste. The standards and guidelines must specify

numerical emission limitations for the following: PM, opacity,

SO2, HCl, NOX, CO, Pb, Cd, Hg, and CDD/CDF. Section 129 also

includes requirements for operator training as well as siting

requirements for new MWI's.

The standards and guidelines must reflect MACT ``* * * the maximum

degree of reduction in emissions of air pollutants * * * that the

Administrator, taking into consideration the cost of achieving such

emission reduction, any nonair quality health and environmental impacts

and energy requirements, determines is achievable * * *'' Section 129

states that ``The degree of reduction in emissions that is deemed

achievable for new units in a category shall not be less stringent than

the emissions control that is achieved in practice by the best-

controlled similar unit * * *'' Also section 129 requires that

``Emissions standards for existing units in a category may be less

stringent than standards for new units in the same category but shall

not be less stringent than the average emissions limitation achieved by

the best performing 12 percent of units in the category * * *'' The

standards and guidelines must be no less stringent than these levels of

emission control currently achieved. These levels are referred to as

the MACT floor.

B. Selection of Source Category

Section 129 of the Act directs the EPA to issue standards and

guidelines pursuant to section 111 for solid waste incineration units

combusting hospital waste, medical waste, and infectious waste (i.e.,

MWI's). An MWI is defined as any device that burns medical waste, with

or without other types of waste (e.g., municipal solid waste [MSW]) and

with or without heat recovery.

Medical waste is defined pursuant to the Solid Waste Disposal Act

as codified in 40 CFR 259 subpart B as any solid waste that is

generated in the diagnosis, treatment, or immunization of human beings

or animals, in research pertaining thereto, or in the production or

testing of biologicals. Medical waste consists of, but is not limited

to, the following types of materials:

1. Sharps (e.g., hypodermic and suture needles, scalpel blades,

syringes, pipettes, vials, other types of broken or unbroken glassware,

etc.);

2. Fabrics (e.g., gauze, garments, bandages, swabs, etc.);

3. Plastics (e.g., trash bags, sharps containers, IV bags, tubes,

specimen cups, etc.);

4. Paper (e.g., disposable gowns, sheets, etc.; premoistened

towels; paper towels; etc.);

5. Waste chemicals/drugs that are not RCRA hazardous waste (e.g.,

lab chemicals, leftover and out-of-date drugs, disinfectants, etc.);

and

6. Pathological waste (e.g., human and animal body parts and

tissue).

Medical waste does not include any hazardous waste identified or

listed under 40 CFR 261, or any household waste as defined in 40 CFR

261.4(b)(1). On the other hand, mixtures of medical waste with

hazardous waste or household waste would be considered medical waste

for the purposes of these proposed standards and guidelines. The

definition of household waste includes waste generated at single and

multiple residences. Nursing homes or retirement homes with a health

care facility could be considered multiple residences. For the purpose

of the proposed standards and guidelines, the definition of medical

waste includes waste materials that meet the definition of medical

waste and are generated by retirement homes/nursing homes.

Medical waste also does not include human and animal remains that

are not generated as medical waste. A device that burns solely human or

animal remains (and the caskets or containers carrying the remains, or

the bedding included with the animal remains) for the purpose of

cremation is not an MWI and, therefore, is not subject to the

requirements of the standards and guidelines. For example, a facility

that burns the remains of animals that have been euthanized at animal

shelters and animal hospitals is not an MWI because the remains are not

considered medical waste. On the other hand, a facility that burns

human and/or animal remains that are generated as medical waste or a

facility that burns general medical waste in addition to human and/or

animal remains is an MWI and is subject to the standards and

guidelines. For example, a facility that burns the remains of research

laboratory rats is an MWI because the remains are considered medical

waste (they are generated in research pertaining to the diagnosis,

treatment, or immunization of human beings or animals or in the

production or testing of biologicals).

The range of waste types included in this definition is broader

than that defined in the now expired Medical Waste Tracking Act (40 CFR

part 259) as Regulated Medical Waste. Regulated Medical Waste consisted

of seven categories of medical waste based on potential for infection

or aesthetic concerns. The definition of medical waste in this proposal

classifies medical waste more broadly based on materials' composition.

Consequently, the estimated amount of waste generated by medical waste

generators (3.4 million tons/yr) and the estimated amount of waste

burned in medical waste incinerators (1.8 million tons/yr) is greater

than the Medical Waste Tracking Act estimated amount of Regulated

Medical Waste generated (922,000 tons/yr). It has been suggested that

EPA's definition of medical waste in this proposal is inappropriate.

The EPA specifically requests comment on the definition of medical

waste as applied to the regulation of medical waste incinerators.

Most MWI's burn a diverse mixture of medical waste (referred to in

this preamble as general medical waste), which may include some

pathological waste (human and animal body parts and/or tissue). Most of

the materials that make up the general medical waste stream burn

readily, and given the proper conditions, will continue to burn once

they are ignited. Metal and glass sharps do not burn but also do not

greatly impede combustion of other materials. Pathological waste has a

very high moisture content and will not support self-sustained

combustion but will burn if adequate heat is applied to drive off

excess moisture. As a result, larger amounts of pathological waste

require special operating conditions for combustion. Thus, some

facilities maintain MWI's designed and operated to burn pathological

waste exclusively.

Because of differences in waste composition and the combustion

process, uncontrolled emissions from pathological MWI's contain

significantly lower levels of the pollutants of concern for this source

category than uncontrolled emissions from general medical waste

incinerators. General medical waste typically contains more metals and

chlorine than does pathological waste, resulting in higher emissions of

metals and HCl from general medical waste incinerators than from

pathological incinerators. For example, typical uncontrolled Hg

emissions are about 3.1 mg/dscm for general medical waste incinerators

and about 0.05 mg/dscm for pathological MWI's. Overall pollutant

emissions from pathological MWI's represent less than 3 percent of the

uncontrolled nationwide emissions from MWI's burning general medical

waste.

Additionally, onsite alternatives to incineration are available for

the treatment of general medical waste, while most of these

technologies are not applicable to the treatment of purely pathological

waste. As a result, pathological MWI's are more likely to

[[Page 10669]] face adverse economic impacts associated with

installation of pollution control equipment, while general medical

waste incinerators could use available alternatives to incineration.

For these reasons, the proposed standards and guidelines focus on

regulating emissions from general medical waste incinerators and

include very minor requirements for pathological MWI's. Under the

proposed standards and guidelines, pathological MWI's would only be

required to submit quarterly reports of the amount and type of

materials charged to the incinerator.

Finally, in addition to developing standards and guidelines for

medical waste incinerators, section 129 of the Act directs the EPA to

develop standards and guidelines for municipal waste incinerators,

commercial or industrial waste incinerators, and other categories of

solid waste incinerators. The Agency intends to consider pathological

incinerators (along with crematory incinerators) when evaluating the

category of other solid waste incinerators for regulation.

C. Modification of Existing MWI's

Previously, the terms ``modification'' and ``reconstruction'' were

defined under sections 60.14 and 60.15 of subpart A of part 60. Section

129 of the Act has specified a new definition of ``modified'' that

combines and revises the previous definitions of ``modification'' and

``reconstruction.'' Specifically, ``modified'' refers to:

(1) modifications for which the

* * * cumulative costs of the modifications, over the life of the

unit, exceed 50 per centum of the original cost of the construction and

installation of the unit (not including the cost of any land purchased

in connection with such construction or installation) updated to

current costs * * *

or (2) modification involving

* * * a physical change in or change in the method of operation of

the unit which increases the amount of any air pollutant emitted by the

unit for which standards have been established under [section 129] or

sections 111 * * *.

A special provision has been included in the proposed NSPS and

emission guidelines to address certain modifications to existing

facilities. This provision states that if an existing MWI is modified

for the purpose of meeting the requirements of the proposed guidelines

for existing MWI's or State regulations developed to implement these

guidelines, then the MWI would not be considered a ``modified'' MWI and

would not be subject to the NSPS (40 CFR part 60, subpart Ec).

On the other hand, if the existing facility is modified in ways not

required to meet the emission guidelines, then the facility could be

considered a ``modified'' MWI and could become subject to the NSPS. For

example, if an existing pathological MWI, which was not originally

designed to accommodate general medical waste, begins burning general

medical waste, then that MWI may be considered a modified MWI and, as a

result, will be subject to the NSPS.

D. Selection of Pollutants

Section 129 of the Act requires that the standards and guidelines

promulgated under sections 111 and 129 and applicable to all solid

waste incineration units shall specify numerical emission limitations

for the following substances or mixtures: PM (total and fine), opacity,

SO2, HCl, NOX, CO, Pb, Cd, Hg, and CDD/CDF. For this reason,

the MWI standards and guidelines specify numerical emission limits for

these pollutants.

E. Selection of Affected and Designated Facilities

As required by section 129 of the Act, the affected facility to

which the proposed new source performance standards apply is each

individual MWI for which construction is commenced after today's date

or for which modification is commenced after the effective date of

these standards. The designated facility to which the proposed emission

guidelines apply is each existing MWI for which construction commenced

on or before today's date. A facility that burns both municipal waste

and medical waste could be subject to both the municipal waste

combustor standards and guidelines and the medical waste incinerator

standards and guidelines.

F. Selection of Format for the Proposed Standards and Emission

Guidelines

The format selected for the proposed standards and guidelines is a

combination of emission limitations and percent reductions to ensure

control of emissions. The specific format of the proposed standards and

guidelines and the reasons for selection are discussed below.

As required by section 129 of the Act, the proposed standards and

guidelines would establish numerical emission limitations for PM, CO,

CDD/CDF, HCl, SO2, NOX, Pb, Cd, and Hg. For the purpose of

regulating PM and metals (Pb, Cd, and Hg) the format selected is a

numerical concentration limit in units of mg/dscm corrected to 7

percent oxygen. For the purpose of regulating Hg an alternative percent

reduction is also proposed. The numerical Hg emission limit reflects

the emission level that can be achieved based on a fabric filter (FF)

system with activated carbon injection. Emissions of Hg can be highly

variable and depend on the Hg input level. In cases where Hg levels are

temporarily elevated due to variability in the waste feed, the

numerical emission limit may not be consistently achievable. However,

the control device is capable of achieving 85 percent reduction of

elevated Hg levels.

Under the proposed standards and guidelines, CDD/CDF emissions are

measured in units of total ng/dscm or ng/dscm toxic equivalency (TEQ).

To arrive at the TEQ, measured emissions of each tetra- through octa-

CDD and CDF congener are multiplied by the corresponding toxic

equivalency factor (TEF) specified in the standards and guidelines (see

Table 6). The products are then added to obtain the total concentration

of CDD/CDF emitted in terms of TEQ.

For CO, SO2, NOX, and HCl, the proposed standards and

guidelines are volume concentrations corrected to 7 percent oxygen. For

HCl, an alternative percent reduction is also proposed. A percent

reduction is generally appropriate for acid gases emissions from MWI's.

However, in cases where inlet levels are very low and the specified

percent reduction would result in concentrations below the specified

volume concentration (42 ppmv, which is a 97 percent reduction from

typical uncontrolled emissions), these percent reductions may not be

achievable. Therefore, the proposed HCl emission limits would require

either a 97 percent reduction or a 42 ppmv HCl outlet concentration,

which is based on reduction from typical uncontrolled emission levels,

whichever is less stringent. An alternative percent reduction is not

proposed for emissions of SO2 because at the low inlet levels

associated with medical waste, EPA emission test data shows that acid

gases controls are not effective in reducing SO2 emissions and as

a result, SO2 limits are based on uncontrolled emissions.

Under the proposed standards and guidelines, emission limits for Hg

and HCl include stack concentrations as well as percent reductions. The

EPA is requesting comments on the appropriateness of including a

percent reduction along with a stack concentration limit in the

standards and guidelines for these two pollutants.

G. Selection of Classes, Types, and Sizes

Section 129 states that the Administrator may distinguish among

[[Page 10670]] classes, types, and sizes of units within a category in

establishing the standards and guidelines. In other words, EPA may

subcategorize the MWI source category in establishing standards and

guidelines. After reviewing the population of MWI's, the EPA believes

that, for the purpose of regulatory development and of determining

MACT, the MWI population should be divided into three subcategories:

(1) continuous MWI's, (2) intermittent MWI's, and (3) batch MWI's.

These three subcategories are based on differences in the design of the

MWI's as discussed in the following paragraphs.

In each of the design systems, sequential combustion operations

typically are carried out in two separate chambers: primary and

secondary. In the primary chamber, the waste is loaded and ignited, the

volatile organic components driven off, and the nonvolatile materials

combusted to ash. The volatile organic components released from the

primary chamber are combusted in the secondary chamber. Newer MWI's are

typically designed with 1-second (1-sec) residence time secondary

chambers; older MWI's were designed with smaller, 0.25-second (0.25

sec) residence time secondary chambers.

While there are similarities in the three design types of MWI's,

there are also key design differences that make each type unique. The

primary differences between the three design types of MWI's are the

methods of charging waste to and removing ash from the primary chamber.

These differences cause variations in the way the waste is burned and

in the pollutant emission profile for each MWI design type.

Continuous units, which are the largest of the three types, have

mechanical ram feeders and continuous ash removal systems. These

features allow the unit to operate 24 hours per day for many days at a

time. Continuous MWI's achieve steady-state operation in the beginning

of their operating cycle and maintain this mode of operation throughout

the remainder of the cycle. Waste is charged and ash is removed

simultaneously (i.e., on a continuous basis). During operation, waste

is burned at the same rate as it is charged into the unit, and

pollutant emission rates and primary and secondary chamber temperatures

tend to be relatively constant.

Most intermittent MWI's also have mechanical ram feeders that

charge waste into the primary chamber at about 5- to 10-minute

intervals. However, because there is no means for ash removal during

the burning phase of the operating cycle, the unit can only be operated

for a limited number of hours before the accumulation of ash in the

primary chamber requires the unit to be shut down for ash removal.

Intermittent units, which are usually much smaller than continuous

units, typically operate on a daily burn cycle of 10 to 14 hours. While

these units tend to approach steady-state operation during the middle

of their operating cycle, waste is normally being charged faster than

it is being burned. Primary chamber temperatures tend to climb

throughout the operating cycle until waste is no longer charged into

the unit. Because there is a significant accumulation of unburned

material in the primary chamber at the end of the charging period,

these units are designed with a burndown/cooldown phase. Generally,

pollutant emissions continue through this phase, which can continue for

several hours after charging has ceased.

The batch operating cycle consists of three phases: low-air, high-

air, and cooldown. All of the waste to be burned during a complete

cycle is loaded into the primary chamber before the unit begins

operation. Once the unit is filled with waste and the burning cycle

begins, the charging door is not opened again until the cycle is

complete and the unit is cool. This cycle normally takes 1 or 2 days,

depending on the size of the unit and the amount of waste charged.

During the low-air phase, temperatures in the primary chamber rise

slowly because combustion is occurring only on the surface of the waste

pile and because combustion air is restricted. When the high-air phase

begins, the temperatures climb more rapidly, more volatiles are exposed

to the flame front, and the combustion process quickens. Batch MWI's

tend to approach steady-state operation at the end of the low-air

phase, when the primary chamber temperature reaches the design

operating range. Pollutant emission rates also tend to increase in the

second half of the low-air phase, then level off, and continue steadily

during the high-air and cooldown phases. Pollutant concentrations

during the high-air phase of batch MWI's are similar to concentrations

during the charging period for continuous and intermittent units.

The differences in typical hours of operation, discussed above,

affect the potential for total emissions (on a mass basis) from each

MWI type. Continuous MWI's, which can accommodate waste charging for an

unrestricted length of time, will have the greatest potential emissions

because waste burning and subsequent emissions can occur continuously.

Intermittent MWI's, designed to accept waste charges at periodic

intervals for between 8 and 14 hours, will be limited in potential

emissions by periods of shutdown required to remove ash from the

incinerator. The hours of operation, limited by the time required to

remove ash, result in less potential emissions from intermittent MWI's

than from continuous MWI's. Batch MWI's are designed to burn only one

load of waste at a time. The operating cycle normally takes 1 or 2

days, depending on the size of the unit and the amount of waste

charged. Potential emissions from batch MWI's are lower than continuous

and intermittent MWI's because of the significant difference in the

total amount of waste burned over a given period of time.

Typical uncontrolled emission levels for each of the three

subcategories are presented in Tables 11a and 11b. Table 11a shows

uncontrolled emissions from new MWI's, while Table 11b shows

uncontrolled emissions from existing MWI's. These emission levels

reflect concentrations when the MWI is operating at steady-state

conditions, which include the high-air phase for the batch MWI and the

charging period for continuous and intermittent MWI's. As noted

elsewhere, the EPA specifically solicits comment on the determination

to distinguish between continuous, intermittent, and batch units.

Table 11a.--Typical Uncontrolled Emissions From New MWI's

------------------------------------------------------------------------

Pollutant Continuous Intermittent Batch

------------------------------------------------------------------------

PM, mg/dscm................... 300 300 300

CO, ppmv...................... 300 300 300

CDD/CDF, ng/dscm.............. 6,600 6,600 6,600

HCI, ppmv..................... 1,400 1,400 1,400

SO2, ppmv..................... 16 16 16

NOX, ppmv..................... 140 140 140

[[Page 10671]]

Pb, mg/dscm................... 4.2 4.2 4.2

Cd, mg/dscm................... 0.29 0.29 0.29

Hg, mg/dscm................... 3.1 3.1 3.1

------------------------------------------------------------------------

Table 11b.--Typical Uncontrolled Emissions From Existing MWI's

----------------------------------------------------------------------------------------------------------------

Continuous Continuous

Pollutant (0.25-sec) (1-sec) Intermittent Batch

----------------------------------------------------------------------------------------------------------------

PM, mg/dscm............................................. 570 300 570 570

CO, ppmv................................................ 690 300 690 690

CDD/CDF, ng/dscm........................................ 25,000 6,600 25,000 25,000

HCI, ppmv............................................... 1,400 1,400 1,400 1,400

SO2, ppmv............................................... 16 16 16 16

NOX, ppmv............................................... 140 140 140 140

Pb, mg/dscm............................................. 4.2 4.2 4.2 4.2

Cd, mg/dscm............................................. 0.29 0.29 0.29 0.29

Hg, mg/dscm............................................. 3.1 3.1 3.1 3.1

----------------------------------------------------------------------------------------------------------------

One specific approach which EPA is considering and on which EPA

requests comment is that of further subcategorizing batch and

intermittent MWI's by size or capacity to burn medical waste. Some have

suggested, for example, that EPA examine alternatives, such as

subcategorizing these categories into incinerators with capacities of

50 pounds per hour or less, 100 pounds per hour or less, 200 pounds per

hour or less, etc. A number of States have already established

subcategories based on size which exempt the smallest incinerators or

impose less stringent requirements on such incinerators. Current State

regulations, therefore, may provide a basis for further subcategorizing

the categories of batch and intermittent MWI's.

To fully consider subcategorization by size within the batch and

intermittent categories, however, a mechanism must be available to

accurately and consistently determine the capacity of an MWI. Only if

such a mechanism exists, will enforcement personnel, as well as owners

and operators of MWI's, be assured that MWI's are subject to a

consistent set of requirements.

The EPA believes this may be a serious problem. It appears there is

no common or widely used mechanism or ``standard'' within the MWI

industry for sizing or determining the capacity of an incinerator to

burn medical waste. As a result, it seems that one vendor's 50 pound

per hour capacity incinerator can be another vendor's 100 pound per

hour capacity incinerator. It also appears the same vendor may sell one

customer a 50 pound per hour capacity MWI and then sell another

customer the same incinerator as a 100 pound per hour MWI. The EPA

believes that a manufacturer's or vendor's ``nameplate capacity'' is

not an accurate and reliable means for determining the size or capacity

of an MWI.

The EPA recognizes that the composition of medical waste changes

across generators, over time, and in response to changes in waste

handling or recycling practices in a way that may affect the amount of

medical waste a specific incinerator is able to burn. For the purposes

of enforcing regulations that may vary by size or capacity, a common

mechanism or ``standard'' to measure or determine the capacity of MWI's

is necessary.

Consequently, EPA specifically requests comments on a mechanism or

``standard'' for accurately and consistently determining the capacity

of MWI's in the enforcement of whatever regulation might be adopted.

For example, the comments might outline the mechanisms or approaches

used by States to ensure all MWI's of the same capacity are subject to

the same requirements. Or, the comments may offer alternative measures

of capacity that serve as a better basis for identifying small

intermittent and/or small batch MWI's. Finally, the manufacturers may

choose to develop a voluntary approach providing a consistent measure

of rated capacity.

H. Performance of Technology

Medical waste incinerator emissions are mixtures of pollutants

including acid gases (HCl and SO2), NOX, CO, PM, CDD/CDF, and

metals (Pb, Cd, and Hg). There are basically two approaches to

controlling these emissions: combustion control and add-on air

pollution control. These approaches will be discussed in sections 1.

and 2. below.

The first approach, combustion control, can be broken down into

three levels that are based on the flue gas residence time in the

secondary chamber. These three levels are 0.25-sec combustion, 1-sec

combustion, and 2-sec combustion.

The second approach can be further broken down into various add-on

control systems, including wet systems, fabric filter systems without

activated carbon injection, and fabric filter systems with activated

carbon injection. The control of NOX will also be discussed under

add-on control systems.

One additional area that has been suggested for consideration is

waste segregation. This topic will be discussed in paragraph 3. of this

section.

1. Combustion Control

Combustion control includes the proper design, construction,

operation, and maintenance of an MWI to destroy or prevent the

formation of air pollutants prior to their release to the atmosphere.

Test data indicate that as secondary chamber residence time and

temperature increase, emissions decrease. Combustion control is most

effective in reducing CDD/CDF, PM, and CO emissions.

The 0.25-sec combustion level includes a minimum secondary chamber

temperature of 927 deg.C (1700 deg.F) and a 0.25-sec secondary

chamber residence time. These combustion conditions are typical of

older MWI's.

The 1-sec combustion level includes a minimum secondary chamber

temperature of 927 deg.C (1700 deg.F) and residence time of 1-sec.

These combustion conditions are typical of newer MWI's. Compared to

0.25-sec combustion, 1-sec combustion will achieve substantial

reductions in CDD/CDF and CO emissions, and will [[Page 10672]] provide

some control of PM, but will not reduce emissions of acid gases (HCl

and SO2), NOX, or metals (Pb, Cd, and Hg).

The 2-sec combustion level includes a minimum secondary chamber

temperature of 1800 deg.F and residence time of 2-sec. These combustion

conditions will provide additional control of CDD/CDF, CO, and PM, but

will not reduce emissions of acid gases (HCl and SO2), NOX,

or metals (Pb, Cd, and Hg). The 2-sec combustion conditions are

considered to be the best level of combustion control that is applied

to MWI's.

2. Add-On Control

Add-on control refers to various add-on air pollution control

systems used in addition to 2-sec combustion to capture pollutants as

they leave the incinerator. Add-on controls include wet systems, fabric

filter systems without activated carbon injection, and fabric filter

systems with activated carbon injection. Because Pb and Cd are

associated with PM in the flue gas and are removed by PM control

devices, these three pollutants are considered as a group when

evaluating MACT. Similarly, SO2 and HCl are considered together

because generally, they are both reduced using acid gas controls.

a. Wet systems. Wet systems include scrubbing systems such as a

venturi scrubber (VS) or a venturi scrubber followed by a packed-bed

absorber (VS/PB). Compared to combustion control, wet systems achieve

substantial reductions in HCl emissions, provide some control of Pb and

Cd, and further reduce PM and CDD/CDF emissions, but do not add to the

control of NOX, CO, or Hg. However, at the low SO2 levels

associated with MWI's, wet systems are not, in EPA's experience,

effective in reducing SO2 emissions. As discussed in section VI,

EPA requests comment on the performance and costs of wet scrubber

systems.

b. Fabric filter systems without carbon injection. Fabric filter

systems include a fabric filter followed by a packed bed absorber (FF/

PB), dry sorbent injection followed by a fabric filter (DI/FF), or a

spray dryer followed by a fabric filter (SD/FF). The SD/FF and the DI/

FF systems have the same performance based on EPA MWI test data. The

fabric filter alone was not examined because wet systems achieve

greater overall emission reduction at a lower cost.

Compared to wet systems, fabric filter systems generally provide

additional control of PM, Pb, and Cd, but do not add to the control of

acid gases, NOX, CO, or Hg. The performance of the three fabric

filter systems in reducing CDD/CDF emissions varies significantly.

Compared to combustion control, the DI/FF and SD/FF systems provide no

additional control of CDD/CDF, while formation of CDD/CDF is a

potential problem with the FF/PB system.

Formation of CDD/CDF occurs when there is intimate contact between

a gas stream containing CDD/CDF precursors and fly ash, which acts as a

catalyst for CDD/CDF formation. The optimum temperature window for fly

ash catalyzed CDD/CDF formation is between 300 deg. and 600 deg.F. The

formation of CDD/CDF is minimized when using combustion control or wet

systems because these options provide: (1) rapid cooling of the gas

stream through the temperature window; and/or (2) quick dispersion (or

removal in the case of wet systems) of CDD/CDF precursors and fly ash.

In DI/FF and SD/FF systems, the presence of an acid gas sorbent (lime,

for example) also limits the formation of CDD/CDF. The fabric filter in

a FF/PB system, on the other hand, can provide those conditions

conducive to CDD/CDF formation. In fact, test data have shown CDD/CDF

formation in the FF/PB system.

c. Fabric filter systems with carbon injection. Data from a DI/FF

system and a SD/FF system show that the injection of activated carbon

upstream of the fabric filter results in significant reductions in CDD/

CDF and Hg emissions, compared to wet systems and FF systems without

carbon. Because no data are available from a FF/PB system with carbon

injection, and because CDD/CDF formation occurred in a FF/PB system, it

is not known exactly what CDD/CDF emission reductions can be achieved

with this system. However, it is expected that the injection of carbon

will improve the performance of a FF/PB system in reducing CDD/CDF

emissions.

d. Nitrogen oxides control. During combustion, NOX is formed

through oxidation of fuel-bound nitrogen (N2) contained in the

medical waste and oxidation of atmospheric N2 (from the combustion

air). Selective noncatalytic reduction (SNCR) add-on technology has

been used to control NOX emissions from municipal waste combustors

(MWC's) by reducing NOX to N2 without the use of catalysts.

Techniques include Thermal DeNOXTM, which injects ammonia

into the combustor as a reducing agent; the NOXOUTTM process,

which injects urea with chemical additives; and a two-stage urea/

methanol injection process. Maximum emissions reduction occurs when the

reducing agents are injected into a gas stream within a narrow

temperature range and the gas is maintained in that range for a

sufficient length of time.

A discussion of SNCR NOX control was presented in the recent

proposal preamble for the MWC NSPS (59 FR 181 page 48228). The use of

SNCR at MWC's results in NOX emission reductions of about 45

percent.

There are some concerns about the applicability of SNCR to MWI's.

The SNCR technology has never been applied to MWI's, and several

factors may complicate the use of SNCR and may reduce its performance

level. The periodic charging of waste may cause corresponding

temperature fluctuations, and the varying moisture and nonhomogeneous

nature of the waste burned. When the temperature rises above the

required injection temperature window, the reducing agent is oxidized

to NOX, and NOX emissions can increase. In the event of low

temperatures, unreacted ammonia (NH3) emissions can occur.

Furthermore, uncertainties exist regarding the injection pattern

necessary to achieve adequate mixing and residence time in the

operating temperature window and in the design and engineering work

necessary to develop equipment that could be used in applications with

much smaller gas flow rates than those for MWC's. Consequently, SNCR is

not considered a demonstrated control technology for MWI's.

Although SNCR is not considered a demonstrated control technology

for MWI's, the EPA specifically solicits comments on the technical

feasibility of applying NOX control to MWI's. Specifically, the

EPA solicits information on the performance, including control device

inlet and outlet emissions data, costs, applicability, and operating

experience associated with specific NOX control technologies for

MWI's.

3. Waste segregation. One area that has been suggested for

consideration is waste segregation. It has been suggested that removal

of batteries would reduce Hg emissions and that removal of chlorinated

plastics would result in reductions in HCl and CDD/CDF. The EPA data

indicate that these emissions vary from facility to facility which

could be a result of differences in the amount of Hg and chlorine found

in the waste stream. The types of materials that are sent to the

incinerator will vary from facility to facility depending on facility

operating practices, which are defined by purchasing decisions, waste

handling procedures, and other practices that affect the types of

materials incinerated. The EPA has no data on the effect of waste

handling practices on emissions [[Page 10673]] of various pollutants

and is requesting comments on the extent to which operating practices

could influence emissions. To evaluate the effectiveness of waste

segregation programs, the EPA is specifically soliciting detailed

descriptions of the programs and results of performance tests conducted

to demonstrate pollutant emission levels from the MWI prior to

implementation of the program and subsequent to implementation of the

program. This information is critical to a thorough evaluation of the

effectiveness of the program. In addition, the EPA solicits comments on

how such a program could be incorporated into the MWI regulations.

Whenever information is submitted relative to Hg emissions, the EPA

requests that, if available, Hg emissions data be broken out by various

species emitted (for example mercury chloride or elemental mercury).

I. MACT Floor and MACT for New MWI's

Section 129 of the Clean Air Act requires that emission standards

reflect MACT. According to section 129, the degree of reduction in

emissions that is deemed achievable for new MWI's may not be less

stringent than the emissions control that is achieved in practice by

the best controlled similar unit. As a result, the emission limits

selected to reflect MACT for new MWI's must, at a minimum, be as

stringent as the emission levels achieved by the best controlled

similar unit. This minimum performance level is known as the MACT

floor. Beyond the MACT floor, in determining what performance level

should be adopted in the standards as MACT, the Administrator is to

consider the costs, any nonair-quality health and environmental impacts

and energy requirements associated with such emission limits.

The basis for MACT determinations are presented for each

subcategory in paragraphs I1, I2, and I3 of this section. The EPA

solicits comments on whether test data are available from MWI's that

are achieving better control than the systems used as the basis for the

MACT determinations. If submitting Hg data, EPA specifically requests

that, if available, Hg emission data be broken down by various species

emitted (for example, mercury chloride and elemental mercury).

While the paragraphs that follow focus on specific control

technologies in determining the MACT floor and MACT for new MWI's, the

standards do not require the use of any specific technology. The

Agency's assessment of the performance of specific technologies is used

to develop emission limitations, which appear in the regulation. Any

control technology that can comply with the emission limitations may be

used.

1. MACT Floor and MACT for New Continuous MWI's

As discussed in section VI, the discussion that follows is based in

part on limited test data on wet scrubber systems. The EPA requests

comment on the performance and costs of wet scrubber systems.

The MACT floor for continuous MWI's consists of the emission levels

that are achievable with DI/FF with carbon injection. The MACT floor is

based on these emission levels because DI/FF with carbon injection

achieves the lowest emission levels for all pollutants, and it is used

to control emissions from at least one existing continuous MWI. While

the lowest emission levels for most of the pollutants are achieved by

several different control technologies (including DI/FF with carbon

injection), the lowest Hg and CDD/CDF emission levels for continuous

MWI's are achieved only with DI/FF with carbon injection.

Because the MACT floor is the most effective level of control for

continuous units, there are no alternatives beyond the MACT floor to

consider. The level of emission control achieved by a DI/FF system with

carbon injection is considered MACT for continuous MWI's.

As discussed earlier, NOX control has not been demonstrated on

MWI's and acid gas controls are not effective in reducing SO2

emissions from MWI's. Therefore, MACT reflects no control of NOX

and SO2. However, because the Act requires EPA to set numerical

emission limits for NOX and SO2, the limits are proposed at

210 ppmv for NOX and 45 ppmv for SO2, the highest

uncontrolled NOX and SO2 emission rates measured during the

EPA test program. The EPA specifically solicits comments on the

emission limits of 45 ppmv set for SO2 and 210 ppmv set for

NOX and whether these levels accurately reflect uncontrolled

emissions of NOX and SO2 at MWI's.

2. MACT Floor and MACT for New Intermittent MWI's

As discussed in section VI, the discussion that follows is based in

part on limited test data on wet scrubber systems. The EPA requests

comment on the performance and costs of wet scrubber systems.

The MACT floor for intermittent MWI's is based on the emission

levels that are achievable with a combination of two control

technologies. The VS/PB and DI/FF without carbon injection technologies

are each used to control emissions from at least one intermittent MWI.

The MACT floor is based on both of these technologies because VS/PB

achieves the lowest CDD/CDF emissions, but DI/FF without carbon

injection achieves the lowest PM, Pb, and Cd emissions. The MACT floor

emission levels for the other pollutants can be achieved with either

technology. Therefore, one way to achieve all of the MACT floor

emission levels for intermittent MWI's would be to use a combination of

both VS/PB and DI/FF without carbon injection.

Another approach, which is less complex and less costly than the

above combination of controls, could also be used to achieve the MACT

floor emission levels. As noted in the discussion of the MACT floor for

continuous MWI's, the CDD/CDF emission levels achievable with the DI/FF

with carbon injection are even lower than those achievable with the VS/

PB system. Even though this technology is not known to be used with

existing intermittent MWI's, it could achieve better performance for a

much lower cost than the combination of controls described above, and

therefore the MACT floor for new intermittent MWI's is based on these

emission levels.

Because the MACT floor is the most effective level of control for

intermittent units, there are no alternatives beyond the MACT floor to

consider. The level of emission control achieved by a DI/FF system with

carbon injection is considered MACT for intermittent MWI's.

As discussed earlier, NOX control has not been demonstrated on

MWI's and acid gas controls are not effective in reducing SO2

emissions from MWI's. Therefore, MACT reflects no control of NOX

and SO2. However, because the Act requires EPA to set numerical

emission limits for NOX and SO2, the limits are proposed at

210 ppmv for NOX and 45 ppmv for SO2, the highest

uncontrolled NOX and SO2 emission rates measured during the

EPA test program. The EPA specifically solicits comments on the

emission limits of 45 ppmv set for SO2 and 210 ppmv set for

NOX and whether these levels accurately reflect uncontrolled

emissions of NOX and SO2 at MWI's.

3. MACT Floor and MACT for New Batch MWI's

As discussed in section VI, the discussion that follows is based in

part on limited test data on wet scrubber systems. The EPA requests

comment on the performance and costs of wet scrubber systems.

[[Page 10674]]

Like the MACT floor for intermittent MWI's, the MACT floor for new

batch MWI's consists of the emission levels that are achieved with a

combination of two control technologies. The 2-sec combustion control

is used to control emissions from many existing batch MWI's, and FF/PB

is used to control emissions from at least one batch MWI; no other add-

on control technologies have been identified on batch units. The FF/PB

achieves lower PM, Pb, Cd, and HCl emissions than 2-sec combustion

control, but because CDD/CDF formation can occur in a FF/PB system, 2-

sec combustion control alone achieves lower CDD/CDF emissions.

Equivalent emission levels for other pollutants are achieved with both

technologies. The MACT floor for all pollutants can be achieved with

the use of another technology: DI/FF without carbon injection. Except

for CDD/CDF, this technology achieves the same emission levels as FF/

PB, and the CDD/CDF emissions are the same as those for 2-sec

combustion control alone. Therefore, the MACT floor for new batch MWI's

consists of the emission levels that are achievable with DI/FF without

carbon injection.

Unlike continuous and intermittent MWI's, there is a level of

control more effective than the MACT floor for batch MWI's. This level

of control is achieved by adding carbon to the DI/FF system. The result

is further reduction in CDD/CDF emissions along with significant Hg

control. The incremental national annual cost of this option is about

$740,000, or about $170/ton of waste burned nationwide. The national

annual costs increase by only about 3 percent. Therefore, the level of

control achieved by the DI/FF system with carbon injection is

considered MACT for batch MWI's.

As discussed earlier, NOX control has not been demonstrated on

MWI's and acid gas controls are not effective in reducing SO2

emissions from MWI's. Therefore, MACT reflects no control of NOX

and SO2. However, because the Act requires EPA to set numerical

emission limits for NOX and SO2, the limits are proposed at

210 ppmv for NOX and 45 ppmv for SO2, the highest

uncontrolled NOX and SO2 emission rates measured during the

EPA test program. The EPA specifically solicits comments on the

emission limits of 45 ppmv set for SO2 and 210 ppmv set for

NOX and whether these levels accurately reflect uncontrolled

emissions of NOX and SO2 at MWI's.

J. MACT Floor and MACT for Existing MWI's

1. MACT Floor for Existing MWI's

Section 129 of the Act requires that emission guidelines reflect

MACT. According to section 129, the degree of reduction in emissions

that is deemed achievable for existing MWI's must not be less stringent

than the average emission limitation achieved by the best performing 12

percent of units in the category. In setting MACT standards, the EPA

must establish the MACT floor for a source category because the Act

specifies that each standard must be at least as stringent as the floor

for the relevant source category. For the MWI source category, the EPA

did not have sufficient emissions data to determine the MACT floor.

Data was only available from 7 MWI facilities (8 emissions tests), to

represent 3,700 existing MWI's. As a result, the EPA examined air

quality permits and State regulations to determine the emission

limitations achieved by the best-performing 12 percent of units in each

subcategory.

Emission limitations were determined for the estimated total MWI

population by examining air quality permits where available and by

assuming that the estimated population of MWI's for which permits were

not available are subject to emission limitations specified by State

regulations. It was assumed that all MWI's are either achieving their

permit limits or are achieving their State regulatory emission limits.

For each subcategory, the emission limitations for each pollutant

were ranked from most stringent to least stringent and the MACT floors

for each pollutant were determined by averaging the emission

limitations of the top 12 percent of units in that subcategory. In some

cases, the number of MWI's subject to specific emission limitations did

not comprise 12 percent of the population in a subcategory. Where this

occurred, numerical emission limits were established for the MACT floor

by including uncontrolled emission values for the additional number of

MWI's necessary to make up 12 percent of the existing population.

The MACT floors define the minimum level of emissions control.

Beyond these levels, in determining what performance levels should be

adopted in the guidelines as MACT, the Administrator is to consider the

costs, any nonair-quality health and environmental impacts, and energy

requirements associated with such emission limits.

An estimated 338 continuous, 3,018 intermittent, and 336 batch

MWI's exist nationwide. For each of these subcategories, the MACT floor

emission levels for each pollutant are calculated as the averages of

the emission limitations reported by the top 12 percent of units in

that subcategory. The top 12 percent of units in each subcategory is

represented by the 41 continuous, 363 intermittent, and 41 batch MWI's

with the most stringent permit or state regulation limitations. The

MACT floor emission levels for each pollutant in each subcategory are

presented in Table 12.

Table 12.--MACT Floor Emission Levels for Existing MWI's

------------------------------------------------------------------------

MWI type

Pollutant -------------------------------------

Continuous Intermittent Batch

------------------------------------------------------------------------

PM, mg/dscm....................... 46 69 69

CO, ppmv.......................... 76 90 91

CDD/CDF, ng/dscm.................. 1,619 12,906 14,606

HC1, ppmv......................... 43 115 911

SO2, ppmv......................... 284 414 1,166

NOX, ppmv......................... 257 216 220

Pb, mg/dscm....................... 8.7 11.8 23.1

Cd, mg/dscm....................... 0.56 1.8 3.4

Hg, mg/dscm....................... 4.0 15.6 18.5

------------------------------------------------------------------------

[[Page 10675]]

As noted above, EPA is also considering further subcategorizing

batch and intermittent MWI's by size or capacity to burn medical waste.

Specifically, some have suggested EPA consider alternatives, such as

subcategorizing these categories into incinerators with capacities of

50 pounds per hour or less, 100 pounds per hour or less, 200 pounds per

hour or less, etc. A number of States have regulations which exempt the

smallest medical waste incinerators or impose less stringent

requirements on such incinerators.

Subcategorization of the batch and intermittent MWI categories

could find that the MACT floor for small intermittent and/or small

batch incinerators is less stringent than the MACT floor for larger

incinerators in these categories. The MACT floor for small intermittent

and/or small batch MWI's within these categories, for example, could be

much less stringent than the MACT floor of 69 mg/dscm identified above

for both batch and intermittent incinerators.

2. MACT for Existing Continuous MWI's

As discussed in section VI, the discussion that follows is based on

limited test data on wet scrubber systems. The EPA requests comment on

the performance and costs of wet scrubber systems. Also, while the

paragraphs that follow focus on specific control technologies in

determining MACT for existing continuous MWI's, the guidelines do not

require the use of any specific technology. The Agency's assessment of

the performance of specific technologies is used to develop emission

limitations, which appear in the guidelines. Any control technology

that can comply with the emission limitations may be used.

a. MACT for PM, Pb, and Cd. Uncontrolled PM emissions typically are

570 mg/dscm for MWI's with 0.25-sec combustion and 300 mg/dscm for

MWI's with 1-sec combustion. The MACT floor for PM is 46 mg/dscm. A

fabric filter system is necessary to meet the MACT floor level. The FF

system is capable of achieving PM emission levels of as low as 30 mg/

dscm.

Typical uncontrolled Pb and Cd emission are 4.2 mg/dscm and 0.29

mg/dscm, respectively. The MACT floors for Pb and Cd are 8.65 mg/dscm

and 0.56 mg/dscm, respectively. Although no control is necessary to

achieve the MACT floor levels for Pb and Cd, the fabric filter system

that would be needed to meet the MACT floor emission level for PM,

would reduce Pb and Cd emissions to 0.10 mg/dscm and 0.05 mg/dscm,

respectively. Because this system is already necessary to meet the MACT

floor level for PM, there is no cost associated with reducing emissions

of Pb and Cd from the uncontrolled MACT floor levels to the level of

control achieved by the FF system. Additional control beyond the FF

system has not been demonstrated for any of these pollutants. As a

result, the proposed MACT for PM, Pb, and Cd for continuous MWI's are

the levels achievable with the FF system: 30 mg/dscm for PM, 0.10 mg/

dscm for Pb, and 0.05 mg/dscm for Cd.

b. MACT for Carbon Monoxide. Typical uncontrolled emissions of CO

at continuous MWI's are 690 ppmv for units with 0.25-sec combustion and

300 ppmv for units with 1-sec combustion. As discussed earlier, the

MACT floor for CO is 76 ppmv. Two-second combustion control is

necessary to meet the MACT floor level for CO and is capable of

achieving CO levels as low as 50 ppmv at no additional cost. Further

reduction of CO emissions has not been demonstrated. Therefore, the

proposed MACT for CO is 50 ppmv, the level achievable by 2-sec

combustion.

c. MACT for Dioxins and Furans. Typical uncontrolled emissions of

dioxins and furans (CDD/CDF) are 25,000 ng/dscm for MWI's with 0.25-sec

combustion and 6,600 ng/dscm for MWI's with 1-sec combustion. The MACT

floor for CDD/CDF is 1,619 ng/dscm. Two-second combustion control is

necessary to meet the MACT floor level for CDD/CDF and is capable of

achieving CDD/CDF levels of 1,500 ng/dscm, at no additional cost.

As discussed earlier, an FF system is needed to achieve the MACT

floor for PM. Control of CDD/CDF beyond the level of emissions

achievable with 2-sec combustion control can be attained either by

adding a wet system or by injecting activated carbon into the FF

system. Although the wet system is capable of reducing CDD/CDF

emissions, the less expensive approach would be to inject carbon into

the FF system because the FF system is already needed to meet the MACT

floor level for PM. By injecting carbon into the FF system, CDD/CDF

emissions could be reduced to about 80 ng/dscm and Hg emissions could

substantially be reduced. The nationwide incremental annual cost of

carbon injection is about $9.4 million/yr, or about $12/ton of waste

burned in continuous MWI's. This incremental cost represents an

increase of only about 5.8 percent over the cost of the FF system

without carbon injection. As a result, MACT for CDD/CDF is the level of

control achievable with an FF system with carbon injection, 80 ng/dscm

total CDD/CDF, or 1.9 ng/dscm TEQ. To arrive at the TEQ, measured

emissions of each tetra- through octa- CDD and CDF congener are

multiplied by the corresponding toxic equivalency factor (TEF)

specified in Sec. 60.36c of the proposed emission guidelines. The

products are then added to obtain the concentration of CDD/CDF emitted

in terms of TEQ.

d. MACT for Mercury. Typical uncontrolled Hg emissions are 3.1 mg/

dscm. The MACT floor for Hg is 4.04 mg/dscm. No control of Hg is

necessary to meet the MACT floor emission level.

The only control system capable of consistently reducing Hg

emissions is the FF system with carbon injection, which can achieve

emissions of 0.47 mg/dscm Hg or 85 percent reduction from uncontrolled

emissions. The FF system without carbon injection is necessary to meet

the MACT floor for PM and the injection of carbon is necessary to meet

the proposed MACT emission level for CDD/CDF. As mentioned above in the

discussion on CDD/CDF, the nationwide incremental annual cost of

injecting carbon is about $9.4 million/yr, or about $12/ton of waste

burned. This additional cost represents an increase of only about 5.8

percent over the cost of the FF system without carbon injection.

Therefore, the proposed MACT for Hg is 0.47 mg/dscm or 85 percent

reduction.

e. MACT for acid gases (HCl and SO2). Typical uncontrolled

emissions of HCl and SO2 from continuous MWI's are 1,400 ppmv for

HCl and 16 ppmv for SO2. In general, acid gases controls are

capable of reducing emissions of both HCl and SO2. However, in

EPA's experience, acid gases controls are not effective in reducing

emissions of SO2 from MWI's because of the low SO2 inlet

levels associated with the incineration of medical waste. The emissions

of HCl from MWI's, on the other hand, are reduced by acid gas controls.

As discussed earlier, the MACT floor for HCl is 43 ppmv. A reduction of

97 percent from uncontrolled levels is necessary to achieve the MACT

floor for HCl. Wet systems and FF systems are each capable of reducing

HCl emissions to 42 ppmv or by 97 percent from uncontrolled levels.

Therefore, MACT for HCl is 42 ppmv or 97 percent reduction.

Typical uncontrolled emissions of SO2 are 16 ppmv, but can

range as high as 45 ppmv. The MACT floor for SO2 is 2

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Standards of Performance for New Stationary Sources and Emission Guidelines for Existing Sources: Medical Waste Incinerators · 60 FR 10654 | Frix