Hazardous Waste Generator Contingency Plan Template Page 20
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35A.
LQG EXAMPLE – HOSPITAL
________Hospital
Street
City, State, zip
Dear Sir or Madam:
This letter is written as a requirement of the Hazardous Waste Regulations adopted by the State
Colorado. The purpose of this letter is to familiarize your hospital and staff with the properties of
hazardous waste handled at the facility and the types of injuries or illnesses which could result from
fires, explosions, or releases at the facility. Name of Facility is located at Address of Facility. As a
result of the manufacturing process, hazardous waste is generated and stored at this facility. In
accordance with 6 CCR 1007-3, section 265.52(c), this facility is providing your hospital with a
copy of our Emergency Contingency Plan that describes:
The actions our personnel will take in response to emergencies (e.g. fires, explosions, spills
of hazardous waste, etc.).
Arrangements Name of Facility would like your hospital to agree to in the event of an
emergency.
In accordance with the requirements of 6 CCR 1007-3, section 265.37, the following information is
also enclosed:
•
A description of the properties of the hazardous waste handled at the facility. Attach
information or describe below
•
A description of the types of injuries or illnesses which could result from fires, explosions,
or releases at the facility. Attach information or describe below
Finally, in accordance with the requirements of 6 CCR 1007-3, section 265.52(g), the Local
Emergency Planning Committee is identified as: identify the LEPC*.
Please review the enclosed Emergency Contingency Plan. If you agree to the arrangements,
complete and return the enclosed form letter. If you do not agree with the arrangements or have
questions, please call me at (XXX) XXXXXXX.
Sincerely,
XXXXXXXX
* A list of LEPCs can be found at
.
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