Tuesday, October 15, 2013

What is a NPI number?

eWaste Disposal, Inc, has one, it is 1952744674.

The NPI Registry enables you to search for a provider's NPPES information. All information produced by the NPI Registry is provided in accordance with the NPPES Data Dissemination Notice. Information in the NPI Registry is updated daily. You may run simple queries to retrieve this read-only data. For example, users may search for a provider by the NPI or Legal Business Name. There is no charge to use the NPI Registry.
Some health care providers reported their SSNs, IRS ITINs or EINs in sections of the NPI application that contain information that is required to be disclosed under FOIA. For example,

       1. Providers who are individuals may have reported SSNs or IRS ITINs in FOIA-disclosable fields (such as in the "Other Provider Identifiers" or "License Number" fields).

       2. An incorporated individual, when applying for an NPI for the corporation, may have reported his/her SSN as the EIN of the corporation.

CMS has urged health care providers to review their NPPES FOIA-disclosable data to ensure that it is correct and to remove any inappropriate or sensitive information that they may have reported in any of those fields that are "optional" (i.e., not required to be furnished) and /or replace the inappropriate or sensitive information that they may have reported in required fields with the appropriate information. If health care providers did not remove SSNs, IRS ITINs or EINs from FOIA-disclosable fields, CMS took action to not disclose any SSNs or IRS ITINs that were entered in those fields. CMS also took action to temporarily suppress reported EINs, even though they are disclosable under FOIA, because providers reported SSNs in the EIN field. After April 21, 2008, CMS will mask SSNs, IRS ITINs, and EINs when these numbers are entered in the Other Provider Identifier Number and License Number fields as follows: SSNs to “$$$$$$$$$”, IRS ITINs to “*********”, and EINs to “=========”. This action also includes the continued suppression of the EINs and the suppression of the Subpart Parent Organization TINs of all Organizations in the NPI Registry. CMS expects to lift the suppression of EINs and Parent Organization TINs in the future.
NPI Registry: To ensure security and protection against automated scripts from impacting the NPI Registry's performance, we have implemented CAPTCHA on each new search against the NPI Registry.

Search the NPI Registry

  • Search for an Individual ProviderSearch
  • Search for an Organizational ProviderSearch
  • NPPES Downloadable File: For those users needing access to the full NPPES data dissemination file, please feel free to utilize the monthly NPPES Downloadable File. Information regarding the monthly NPPES Downloadable File can be found on the CMS NPI Data Dissemination page. Please be sure to read the Facts about the Downloadable File before attempting to download the actual file. The NPPES Downloadable File is very large (exceeds 4 GB) and is intended to be downloaded by individuals with the requisite technical expertise. Search

Monday, October 14, 2013

managing asbestos waste in Orange County and Los Angeles County

Regulatory Assistance Officer’s Note:

 If you generate hazardous waste, you
hould consult with your Certified Unified Program Agency (CUPA). Fina
ly, DTSC
strongly encourages all businesses generating hazardous waste to consider waste minim
zation, source reduction and pollution prevention. Go to the Duty Officer FAQs for us
What is asbestos and how dangerous is it?
Asbestos refers to a family of fibrous minerals found all over world and in the serpe
tine rock that occurs throughout California. When the fibers break off and become
airborne, they can create a health r
isk if inhaled. Asbestos exposure is associated
with certain types of lung cancer, and long time occupational exposure can also cause
the lung disease asbestosis. Read more about the health risks of asbestos in the
DTSC fact sheet
What is
and the California Department of
Asbestos in the Home and Workplace
. In the past, asbestos was used
many household products and building mater
als because of its heat
resistant and
structural properties. As a result, building remodeling and demolition projects pr
duce much of the asbestos waste we see today. DTSC regulates the packa
ing, onsite
tion, transportation, and di
posal of asbestos when it is a hazardous waste,
as defined below. Other agencies, listed at the end of this fact sheet, regulate asbestos
ment, as well as activities related to naturally
occurring asbestos
Do I have to
manage asbestos as a hazardous waste?
DTSC classifies asbestos
containing material as hazardous waste if it is “friable” and
contains one percent (1.0%) or more asbestos as hazardous waste.
A friable waste is one that can be reduced to a powder or dust
under hand pressure
when dry. This classification standard is given in
California Code of Regulations, se
tion 66261.24
. Because the United States Environmental Protection Agency (
EPA) does not regulate asbestos as hazardous waste under the Resource Conservation
Fact Sheet
December 2006

Asbestos in the Environment and the Dangers of Exposure

Asbestos in the Environment and the Dangers of Exposure

This week, we have a guest post from Mark Hall.  Mark spreads awareness about mesothelioma and asbestos by researching and writing for The Mesothelioma Center.

The presence of asbestos in the environment endangers the health of any person who may reside, work or spend time in that area if it is disturbed. Asbestos forms naturally as a mineral that can be found in various geographic areas across the country.

Asbestos Found in the Environment

natural asbestos fiber Dozens of eastern, central and Rocky Mountain states are known to have naturally-occurring asbestos. For example, in the central United States 26 natural asbestos occurrences are described through U.S. Geological Survey reports, while eastern states account for nearly 331 natural occurrences.

Of California's 58 counties, 48 of them also have this form of asbestos.   

As the mineral is found in rock-like formation, improper disturbance or natural weathering can cause fibers to be released, leading to dangerous health effects for humans. Common methods of human disruption of naturally-occurring asbestos are through mining or construction activity.
Asbestos is categorized under six different types, including:
  • Amosite asbestos
  • Crocidolite asbestos
  • Tremolite asbestos
  • Anthophyllite asbestos
  • Actinolite asbestos
Health Hazards of Asbestos
The dangers associated with asbestos exposure include the development of one or more respiratory diseases and cancers. Lung cancer is the most notable cancer caused by asbestos, with the mineral accounting for the cause of nearly four percent of all lung cancer cases. Mesothelioma and asbestosis are other diseases closely tied to this form of exposure.

These health effects result when asbestos fibers are inhaled and become lodged within the lining of the lungs or other organs.

Asbestos-related cancers and diseases often take decades from the time of initial exposure for the symptoms to fully manifest and develop.

For example, mesothelioma is known to become evident between 30 to 50 years after someone has been exposed to asbestos. This extended latency period contributes too many of the late diagnoses that are associated with asbestos diseases.

Exposure to asbestos is something that should not be taken lightly. It is recommended to anyone who is exposed to asbestos in the environment that they seek medical attention and get screening for respiratory concerns. Regular screenings will detect the possible development of diseases like lung cancer and mesothelioma earlier while also providing your doctor additional treatment options.

For more information about asbestos and its environmental impact, we encourage you to visit the asbestos website!
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Sunday, October 13, 2013

The concept of Point-of-Generation

RCRA defines a solid waste as something that has been abandoned. For a material to be abandoned, someone (a person) has to make a decision to discard it. Once the material is abandoned and if it exhibits one of more of the 4 characteristics (ignitability, corrosively, reactivity and toxicity), it is classified as a  RCRA hazardous waste. If it has been listed as a listed waste (F,K,P or U), it is also classified as a hazardous waste.
The Point of Generation refers to the time when a material becomes a waste. If you have a brew of corrosive material inside a manufacturing vat, RCRA has NO jurisdiction over it because the material is in a manufacturing process and no one has decided to discard it. Once someone takes it out from the vat (remove it from the manufacturing process) and decides to discard (then abandon) the corrosive material, it becomes a solid waste and hazardous waste – in that order.
What if the manufacturing process stops, can the corrosive material sits inside the vat indefinitely? The answer is NO. The reason is that 40 CFR 261.4(c) states that the material will be considered abandoned by the operator after 90 days. This is to prevent people from storing their wastes inside an idle manufacturing unit indefinitely.
If you apply this principal to a clandestine drug bust, you get an interesting story. The illegal drug (a hazardous material) is brewing inside a vat when law enforcement (DEA) kicks down the door and arrests the operator. Has the operator abandoned the hazardous material inside the vat?  No. Why would he? He would love to sell that drug on the street. So why would he discard that material? In this scenario, it is the DEA agents that make the decision to discard everything in the drug lab as a matter of policy because it ASSUMES everything in the lab is contaminated. The policy decision to discard ALL material is made to protect the agents and the community at large.
Technically speaking, all that material sitting inside the vat is hazardous material (not hazardous waste) for 90 days before it becomes abandoned per 40 CFR 261.4 (c) or when someone decides to discard it – whichever comes first. But in reality, they are hauled off and disposed of as hazardous wastes (per DEA policy) by DEA – who will be the generator of those wastes.
A generator is a person that FIRST causes a material to be abandoned.

I'm guilty of illegal dumping

I live in downtown New York City, one block west of City Hall. My office is approximately 2 1/2 blocks north of City Hall. I point this out, because many demonstrations are held right outside City Hall with loud speakers for the protesters to announce their protests so everyone can hear them within a half-mile radius, they march or gather for blocks.

During these demonstrations, it is common to have a strong police presence lining the streets for safety. Now an additional safety precaution has been implemented since the Boston Marathon bombing, removal of all curbside garbage cans by sanitation.

If you have never been in New York, it is a city of high-rise office and apartment buildings in most areas. As much as New Yorkers understand the importance of recycling, it is hard to recycle in a large apartment building or office building that do not provide separation recycling bins. Even the curbside separation recycling bins are far and in-between. Although I found a set of garbage, bottles and cans only, and newspapers and magazines only recycling bins outside City Hall and across the street there were two solar powered Big Belly compactors. I guess City Hall politicians were setting an example, but so far they have not provided these bins throughout the city.

In my office we have water in bottles and soda in cans. When we finish the drink we put them in separate bins for recycling. When the bins are full we recycle and help the homeless at the same time by filling two large shopping bags with the cans and bottles, leaving them for the collectors of these bottles and cans next to a curb side garbage can. These collectors are usually older, short in stature with a hunch, Asian woman who sift through bags of garbage in every block filling large clear plastic bags with bottles and cans carrying them over their shoulder on a broom handle with a bag as large as they filled each end or filled shopping carts with the same size bags.

They do this for nickel redemption on each returnable.

The strange thing is if you offer them money they won't take it and consider it an insult.

On July 3, I left my office with two large shopping bags filled with bottles and cans. When I got downstairs there were no garbage cans in sight, because of labor demonstration at City Hall. I walked down until I got to my block where I finally saw a garbage can across the street. Next to the garbage can where two sanitation workers and a sanitation inspector talking, I asked if it would be OK if I left these bags for the Asian woman.

His reply: "You know that is illegal dumping and if he," pointing to the inspector, "wanted to, he could arrest you."

I put them next to the garbage can anyway.

Besides reminding me that it was illegal dumping (it does state on each curbside garbage container "Liter Only: No Household Trash; No Business Trash, 100 Dollar Fine") he reminded me how much he hated those Asian woman, this was not a prejudice remark, but a complaint that the Asian woman caused them extra work, messing up the waste bags for sanitation to clean-up.

That afternoon my son and I were going to a movie. I walked across the street where I live to get my son. When I walked back across the street, I found that the sanitation workers where gone and so where the bags of bottles and cans, but no Asian woman were in sight. I guess I wasn't arrested or fined, because the bottles and cans provided coffee money for those sanitation workers.

This incident set-off my curiosity and sent me on a quest to better understand garbage and recycling in New York City. So I started to walk through the neighborhood to see how much illegal dumping went on, quite a bit.

I also found a number of curbside garbage cans with white trash bags next to them with the words ACE Empowering the Homeless. ACE stands for The Association of Community Employment Programs for the Homeless. This program helps people who are either in a rehabilitation program and have a doctor's clearance to work or are homeless. ACE people are street sweepers who use these ACE bags for trash; when full, place them next to a curbside garbage container. After speaking with one of the ACE workers who was happy to have the job, I realized ACE made a great contribution to trash clean-up and to human dignity. The ACE person reminded me that ACE takes donations.

Back to the Asian woman, in my travels I spotted an Asian woman working on a pile of clear recyclable bags that was five feet high and a half of block long. Mind you these bags are only supposed to contain newspapers and small cardboard items, bottles or cans are supposed to be in separate clear plastic bags.
This woman worked efficiently, precisely, carefully and extremely quickly, untying the bags picking out the bottles and cans and neatly tying the bags back up. When I left she had four large bags, three and a half feet tall filled to the brim and was only a quarter of the way through the pile.

The way I see it, these women are doing the city a great service by supporting themselves; not taking welfare; supporting New York's recycling program by lessening the waste burden for the sanitation workers, who had coffee on me.

Tony Nocito, Managing Member of the ABCOV® Companies LLC, has developed, commercialized and markets the ABCOV asbestos destruction process. He has 25 years asbestos abatement experience and 26 years construction/demolition industry experience. Visit ABCOV Blog

What to do after a chemical spill?

In this post, we review several keys things you need to do right after you have a chemical accident.
  1. The first priority is human lives. Make sure your employees are alright and their health and safety are secure. If the spill involves ignitable chemicals, make sure all ignition sources are turned off.
  2. Contain the chemical spill or accident.
  3. Estimate the amount of spill and determine the Federal Reportable Quantity (RQ) of the chemical that has been spill. The RQ can be found in the List of Lists. This is where preparation comes in handy. If you had reviewed your chemical inventory and determined the appropriate RQ before the spill occurred, you would be in a much better shape.
  4. Report all spill amounts that exceed the RQ to the National Response Center at 1-800- 424-8802  as soon as possible.
  5. Check to see if there are any spill reporting requirements mandated by your state agency. Many state agencies require you to report spills that are much below the federal RQ.  A list of state reporting requirements can be found here.
  6. If your spill or chemical release has affected your neighbors in your community, now is the time to be forthright and let your community know what has happened. Do NOT try to stonewall or hide the spills. Your neighbors already know about your spill. So why hide it. Can you imagine how much worse publicity BP would have gotten if it had denied there was an oil spill in the Gulf? They just need
  8.  to hear from YOU the extent and scope of your accident. Be upfront about it. Don’t try to spin it though some public relations agents. Don’t deny it. If you try to hide it or spin it now, it will only make you look very bad when the truth comes out. And the truth will come out.
  9. Tell your community the steps you are taking to mitigate the spills and any further steps you plan to take to prevent it from happening again. Your neighbors need to know that you are on top of the situation. They need to hear from you directly. Not from some PR spokesman.
  10. Keep your community up-to-date on the mitigation measures you are taking.
Many people are under the misconception that if you are open to the public after the spills, it will invite law suits. That’s not true. If you are going to be sued, you are going to be sued whether you are upfront or not. Being evasive and untruthful will only hurt your credibility and your standing in the community.

HVAC boot cleared of Asbestos in Los Angeles