Sub: Ref: | Zl TAMILNADU POLLUTION CONTROL BOARD FORM IU (See Rule 19) AUTHORISATION No; 19BAD11730744 Dated 22/01/2019 Proceeding No: F.0420TTN/BWA/OS/DEE/TNPCB/TTN/2016 dated 22/01/2019 Tamil Nadu Pollution Control Board ~ Bio-Medical Waste Author WTE- Mis.LAXMI POLY CLINIC, S.F.No.4128/1A25B, THOOTHUKKUDI PART I village, THOOTHUKKUDI ~ Taluk, Thoothu “t= Authorization under Rule 10 of the Bio-Medical Waste Management Rules, 2016 enacied under Environment (Protection) Act, 1986 ~ Issued- Reg. 1, Authorization No, JCEE(M)/TNPCB/MDU/BMWM/TTN/2016 dated. 03/03/2016, ion - Rencwal- 2, BMW-IR No: F.0420TTN/BWA/OS/DEE/DEE/2019 dated 09/01/2019 saan ee AUTHORISATION FOR OPERATING A FACILITY FOR GENERATION, COLLECTION, RECEPTION, TREATMENT, STORAGE, TRANSPORT AND DISPOSAL OF BIO-MEDICAL WASTES. 1 ber of authorization: 19BAD11730744 and date of issue: 22/01/2019 AXMI POLY CLINIC, an occupier or operator of THOOTHUKKUDI PART 1 Village, FHOOTHUKKUDI s hereby granted an Authorisation for Collection, Recep! iment or Processing or Conversion, Recycling, Disposal or destruction use, sfer of Bic-Medical Waste JINIC is hereby authorized for handling of Bio-Medical waste as per ihe at 5 F.No.4128/14251 Number of HCFs covered Nos by the CBMWITE Kgiday km covered by the CBMWTP POLLUTION PREVENTION PAYS== a == bs TAMILNADU POLLUTION CONTROL BOARD Quantity of Bio-Medical Waste handled, treated or disposed Category Type of Waste Quantity permitted | Unit for handling Yellow a) Human Anatomical — 10.33 Keiday Waste b) Anime! Anatomical — [0 Keftay Waste |c) Soiled Waste 0.16 Kalda ied or Discarded | 0 Kgiday | Medicines, le) Chemical Solid Wasie_|0 Kida 1) Chemica! Liquid Waste KLD jin KLD g)Discorded linen, Mattresses, beddings | Jcontam naied with blood or | | body fluid routine mask and gown h) Microbiology, 05 Rgldey Biotechnology and other clinical laboratory waste Red Contaminated waste K gfday {Recyclable} ott White(Translucent) Waste sharps including 0.33 Kg/day Metals Blue Glassware. Ky/day [Glassware Metallie Body Kgfday eae Implants 4. The authorization shall be in force for a period up to 31/03/2020 5, The authorization is issued subject to the conditions stated below and to such other conditions as may be specified in the rules for the time being in force under the Environment (Protection) Act, 1986. P.S. LIVINGSTON creas ts atta istriet Environmental Engineer Tamil Nadu Pollution Control Board THOOTHUKKUDT TERMS AND CONDITIONS OF AUTHORIZATION The authorization shall comply with the provisions of the Eavironment (Protection) Act, 1986 and the rules made there under. 2, The authorization or its ronewal shall be produced for inspection al the request of an officer authorized by the Tamil Nedu State Pollution Control Board. 3. The person authorized shall not rent, lend, sell, transfer or otherwise transport the Bio-Medical wastes without obtcining prior pemmission of Tamil Nadu State Pollution Control Board. 4. Any uncuthorized change in personnel, cquipment or working conditions as mentioned in the application by the person authorized shal! constitute a breach of this authorization, POLLUTION PREVENTION PAYS=e =a a Zl TAMILNADU POLLUTION CONTROL BOARD Itis the duty of the authorized person to take prior permission of the Tamil Nadu Pollution Control Board to close down the facility and such other temmsand conditions may be stipulated by Tamil Nadu Pollution Control Board. Any other conditions for compliance as per the Guidelines issued by the MoEF&CC or CPCB from time to time. ADDITIONAL CONDITIONS 1, The Hospital shall treat and dispose the sewage through septic tank followed by dispersion trench arrangement and shall not be discharged on laad for open percolation, 2. The Hospiial shall maintain colour coded bins in cach ward, segregate and collect the Bio Medical ‘Wastes properly. 3. The hoxpital shall comply with the Bio Medical Waste Management Rules, 2016 as amended. 4. The hospital has to ensure that Bio Medical Waste shall not be mixed. other commen waste and shall not be disposed through local bodies. he hospital shall disinfect the liquid waste before its discharge into Public sewer‘/land. 6. The Hospital shall comply with the AQ standards prescribed by the Board. 1 eri SPECIAL CONDITIONS - CBMWTF All the provisions of the Biomedical Waste Management Rules, 2016 must be complied with. The CBMWTF shell take all necessary steps to ensure thal the bio-medical wastes collected from the HOF eccupiers are transported, handled, stored, treated and disposed of without any adverse effect to the human aealth and the environment, in accordance with the BMW Management s, 2016 and guidelines issued by the Central Government or as the ease may be, the Central] ation Control Board from time to time. Lhe CBMW'LE shall ensure timely collection of bio-medical waste from the HCF - occupiers 2s| prescribed under the BMW Management Rules, 2016. |The CBMWTF shall ensure the collection of biomedical waste on holidays also. The CRMWTE shall inform to TNPCB immediately regarding the occupiers which are not nding over the segregated bio-medical wastein accordance with the BMW Management Rules, 2016. The CBMWTE shall supply noa-chlorinated plastic coloured bags to the HCF - occupiers on chargcable basis (if required) for proper collection & storage of bio-medical wastes at source, |All plastic bage shall be as per BIS standards as and when published, till then the prevailing Plastic Waste Management Rules shall be applicable. ‘The CBMWTF shall establish bar coding aad global positioning system for handling of bio- medical waste within one year. (The operator of common bio-medical waste treatment facility shall transport the bio-medical [waste from the premises of an occupier to any off-site bio-medical waste treatment facility only in tho vehicles having label as provided in part ‘A’ of the Schedule [V_ along with necessary information as specified in part “B’ of the Schedule TV of BMW Management Rules, 2016. POLLUTION PREVENTION PAYS10 ba Za TAMILNADU POLLUTION CONTROL BOARD used for transportation of bio-medical waste shall comply with the conditions if any stipulated by the State Pollution Control Board or Pollution Control Committee in addition to the roquirement contained in the Motor Vehicles Act, 1988 (59 of 1988), if any or the rules made there under for transportation of such infectious waste, Bio-medical wastes shall be treated and disposed of in accordance with Schedule I and in compliance with the standards provided in Schedule-II of the BMW Management Rules, 2016 by the health care facilities (HCFs) and common bio-medical waste treatment facility (CBMWTF). ‘The CBMWTE after ensuring treatment by autoclaving or microwaving followed by mutilation or shredding, whichever is applicable, the sccyclables from the treated bio-medical wastes such as plastics and glass, shall be given to reoyelers having valid consent or authorisation or registration from TNPCB The Operator of a common bio-medical waste treatment facility shall mainteia a record of recyclable wastes referred to in sub-rule (9) which are auctioned or sold and the same shall be submitted to TNPCB as part of its annual report. The record shall be open for inspeetion by TNPCB. ‘The CBMWF shall maintain all record for operation of incineration, hydro or autoclaving for al period of five years. The CBMWTF shall upgrade existing incinerators to achieve the standards for retention time in secondary chamber and Dioxin and Burens within wo years {rom the date of the Notification of BMW Management Rules, 2016, 16 17 | The CBMWTF shall maintain a log book for each of its treatment equipment accordiag to weight of batch; categories of waste treated: time, date and duration of teatment cyele and total hours of| operation. | The CBMWTF shall submit an Annual Repoct to TNPCB ia Form-IV, on or before the 30th June of every year for the period from January to December of the preceding year. | ‘The CBMWTF shall make available the annual report on its web-site within a period of two ears form the date of publication of Bio-Medical Waste Managemeat(Amendment) Rules,2018 18 19 The CBMWTF shall display details of authorisation, treatment, annual report etc on its wel The CHMW'TE shall allow occupier, who are giving waste tor treatment to the operator tw see whether the treatment is carried out as per the BMW Management Rules, 2016, 20 Tn case of any major accident at any institution or fucility or any other site while handling bio- medical waste, the authorised person stall intimate immediately to TNPCB about suck accident and forward a report within twenty-four hours in writing regarding the remedial steps taken in, Form I. | Information regarding all other accidents and remedial slegs taken shall be provided in the annual report in accordance with Rule 13 by the oconpier. In case of any change in the bio-medical waste generation, hancling, treatment and disposal for, which evthorization was earlier granted, tae occupier or operator of HCF shall intimate to ‘TNPCB about the change or variation in the activity and shall submit a fresh application in Form II for modification of the conditions of Authorization, The CBMW'TF shall adopt the following treatment and disposal methods as described in the! BMW Management Rules, 2016 al treatment using at least 1% to 2% Sodium Hypochlorite having 30% residual] chlorine for twenty minutes or any other equivalent chemical reagent that should demonstrate Logl04 reduction eliiciency for microorganisms as giver. in Schedule- IL ii, Mutilation or shredeling’ must be to an extent to prevent unauthorized reuse iii. There will be no chemical pretreatment before incineration, except for microbi d highly infectious wasie. iv Incineration ash {ash from incineration of any bio-medical waste) chall be dispose through hazardous waste treatment, storage and disposal facility, if toxic a7 hazardous constituents are present beyond the prescribed limits as given in the Hazardous and Other Wastes ogical, lat} (Management & Transboundary Movemeat) Rules, 2016 or as revised frem time to time, POLLUTION PREVENTION PAYS=a a Zl TAMILNADU POLLUTION CONTROL BOARD The CBMWYF shall comply with the following standards for treatment and disposal of Bio- ical wastes as proscribed in Schedule-II of BMW Management Rules, 2016. NDARDS FOR INCINERATION E) shall be at leest 99.00%, on efficiency is computed as follows: ~ 50°C. be at least two seconds. arsmeter Standards 2 “o) “Liuitiag concentration i ing Duracion m miautss, unless ingiNmuness stated © i Particulate matier 30, er IMS volua, whichever i 2 Nitrogen Oxides NO and | 400 30 for online sampling or gat sanple Noy expressed us NO? ri Cl x0 39 or INNS GF rape yolnne, whichever fs 4 | Tou Diox @.1ngTEQINN® (at (17% 02) 8 bows or SNMP oF sample volun whichever more 5 Hig andits compounds [0.08 2 oars or INE oF sample volume pnt TION PREVENTION PAYS== bid TAMILNADU POLLUTION CONTROL BOARD >, Slack Height: Minimum stack height shall be 30 meters above the ground end shallbe! attached with the necessary monitoring facilities as per requirement of monitoring of ‘general paramezers’ as notified under the Envizonment (Protection) Act, 1986 and in accordance with the Central Pollution Control Board Guidelines of Emission Regulation Part-II. Note: a) The existing incinerators shall comply with the above within a period of two years from th dale of the notification. ») The existing incinerators shall comply with the standards for Dioxins and Puraas o| IngTBQiNm: as given below within two years from the date of commencement of these rules ) All upcoming common bio-medical weste treatment facilities haying incineration facility Captive incinerator shall comply with standards lor Dioxins and Furans, a) The existing secondary combustion chambers of the incinerator and the pollution contro! vices shall be suitably retrofitted, if necessary, to achieve the emission limits. je) Westes to be incinerated shall not be chemically ireated with eny chlorinated disinfectants. 1) Ash fiom incincratioa of biomedical waste shall be disposed of at common hazardous wast {treatment and disposal facility. However, it may be disposed of in municipal landfill, if the toxic metals in incineration ash are within the regulatory quantities a3 dofined under the Hazardous and rastes (Management & Transboundary Movement) Rules, 2016 or a5 amended trom time 2) Only low Sulphur fuel like Light Diesel Gil or Low Sulphur Heavy Stock or Diesel} .j Natural Gas, Liquefied Natural Gas or Liquefied Petroleum Gas shall be used| perator. 1 operator of'a common bio-medical waste treatment facilizy shall monitor the s eutissions (under optimum capacity of the incinerator) once in three montas fhrough a laboratory approved under the Envizonment (Protection) Act, 1986 and record of such sis results shall be maintained and submitted to TNPCB. In case of dioxins and furans, monitoring should be done once in a year. ) The occupier or operator of the common bio-medical waste treatment facility shall instal os i ring system for the paramcters as stipulated by TNPCB in authorisation aad trausmit the data real time to the servers at TNPCB. ) All monitored values shell be corrected to 11% Oxygen on dry basis. ky Incinerators (combustion chambers) shall be operated with such (emperature, retention Lim and turbulence, 28 10 achieve Total Organic Carbon content in the slag and bottom ashes loss than 3% or theit loss on ignition shall be less than 5% of the dry weight. i) The occupier of operator of a common bio-medical waste incinerator shall use combustion gi analyzer to measure CO2, CO and 02 POLLUTION PREVENTION PAYSSN TAMILNADU POLLUTION CONTROL BOARD "ANDARDS FOR AUTOCLAVING OF BIO-MEDICAL WASTE:_ The autocleve should be dedicated for the purposes of disinfecting and treating bio-medical] waste. L) When operating a gravity low autoclave, medical waste shall be subjected to i) a temperature of not loss than 121° C and pressure of 15 pounds per square inch (psi) for an auloclave residence time of not less than 60 miautes; or ii) a temperature of nat less than 135° C and a pressure of 31 psi for an autoclave residence ct less than 45 minutes; or 4 temperature of not less than 149° C and a pressure of 52 psi for en autoclave residence| time of not less than 30 minutes. 2) When operating a vacuum autoclave, medical waste shall be subjected to a minimum of three| pro-vecuuim pulse to purge the autoclave of all air. The air removed during the pre-vacuum, eyele| should be decontarainaled by means of HEPA and aetivated carbon filtration, steam treatment, or| any other method to prevent release of pathogen. The waste shall be subjected to the following: i) a temperature of not less than 121°C and pressure of 15 psi por an autoclave residence time o not less than 45 minutes: or )) a temperature of not less than 135°C and a pressure of 31 psi for an autoclave residence| time of not less tan 30 minutes. | |3) Recording of operational parameters: Each autoclave shall have graphic or computer recordin, | devices waich will automatically and continuously monitor and record dates, time of day, loa« | [identification number and operating parameters throughout the entire length of the autoclave| cycle. PANDARDS FOR DEEP BURIAL.- (a) A pit or trench should be dug about two meters deep. It should be half filled with waste, then) covered with ie surface, before filling the sest of the pit with soil. b) li must be easured that animals do not have any access to burial sites. Covers of galvanise iron or wire meshes may be used. c) On each occasion, when wasles are added to the pit, a layer of 10 cm of soil shall he added t cover the wastes. ©) Burial must be performed under close and dedicated supervision, ¢) The deep burial site should be relatively impermeable and no shallow wel! should be close t the site 1) The pits should be distant from habitation, and located so as to ensure that uo contamination oceurs to surface water or ground water. The area should not be prone te flooding or crosion, )'The location of the deep burial site shall be authorised by the prescribed authority. an The eflluent generated or wrealed fom the premises of occupier or operator of a contmon bie al waste treatment and disposal facility, before discharge into the sewer should conform to the following limits PARAMETERS PERMISSIBLE LIMITS pH 6.5.9.0 Suspended solids 100 mel Oil and grease 10 mg/l BOD 30 mg/l cop 250 mg/l Bio-assay test 90% survival of fish after 95 hours in 100% effluent \dge from Effluent Treaiment Plant shall be given to common bio-medical waste tree ity for incineration or to hazardous waste treatment, storage and disposal facility for sposa Ppnil TION PREVENTION Pays=== SEE ‘ NF TAMILNADU POLLUTION CONTROL BOARD 28 he CBMWTF shell provide training for all its workers involved in handling of bio-medical te al the (ume of induction and at least once a year thereafter. 29. The CBMWTF shall cusure occupational safety of all its health care workers and others involyed. in handling of bio-medioal wasts by providing aporopriate aad adequate personal protective equipments. 30 The operator of 2 common bio-medical weste treatument favility shel! be liable for all the damages Jcaused to the environment or the public due to improper handling of bio- medical wastes. The Jocenpicr or operator of common bio-medical waste treatment facility shal! be liable for action under section 5 and section 15 of the Act, in case of any violation. P.S. LIVINGSTON 3m District Environmental Engineer ‘Tamil Nadu Pollution Control Board THOOTHUKKUDI ‘a ‘The Proprietor LAXMI POLY CLINIC Door No, 152/18, Polpeitai West, Near Uzhavar Santhai, New Bus Stand near, Thoothulcudi Pin: 628002 Copy to 1, Copy submitted to the Member Secretary, Tamil Nadu Pollution Control Board, Chennei for favour of kind information, 2. Copy submitted to the ICEE-Monitoring, Tamil Nadu Pollution Control Board, TIRUNELYELT for favour of kind information, POLLIITION PREVENTION PAYS.