Project Report for Development of Common Bio-Medical Waste Treatment Facility & Recycling Facility in Hapur, Uttar Pradesh

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1 Project Report for Development of Common Bio-Medical Waste Treatment Facility & Recycling Facility in Hapur, Uttar Pradesh Submitted By M/s D-27/1, Gali No.-9, Near 30 Futta Road, Johripur Extn., Delhi (M): (E)

2 MG Road Industrial Area, Hapur,Uttar Pradesh. Contents 1. EXECUTIVE SUMMARY INTRODUCTION OF THE PROJECT/ BACKGROUND INFORMATION IDENTIFICATION OF PROJECT AND PROJECT PROPONENT Identification of Project Project Proponent BRIEF DESCRIPTION OF NATURE OF THE PROJECT NEED FOR THE PROJECT AND ITS IMPORTANCE TO THE COUNTRY AND STATE 7 6. DEMAND SUPPLY GAP EMPLOYMENT GENERATION (DIRECT & INDIRECT) PROJECT DESCRIPTION Type of Project Location of the Site Details of Alternate Sites Size and Magnitude of Project PROJECT DESCRIPTION WITH PROCESS DETAILS Components of Integrated Bio-Medical Waste Management Process Description Treatment Technology Collection and Transportation of Bio medical Waste Resource optimization/recycling and reuse Availability of water its source, Energy/Power requirement and source Quantity of waste to be generated (liquid and solid) and scheme for their Management / disposal SITE ANALYSIS Connectivity Land Form, Land use and Land ownership Topography Existing Land Use pattern Existing Infrastructure... 29

3 MG Road Industrial Area, Hapur,Uttar Pradesh Climate data from secondary sources Soil Classification PROPOSED INFRASTRUCTURE Industrial area (processing area) Residential Area (Non processing) Green Belt Social Infrastructure Drinking water management (source and supply of water) Solid Waste Management Power Requirement & Supply/source REHABILITATION AND RESETTLEMENT (R & R) PLAN PROJECT SCHEDULE & COST ESTIMATES CONCLUSION (FINAL RECOMMENDATIONS)... 31

4 MG Road Industrial Area, Hapur,Uttar Pradesh. 1. EXECUTIVE SUMMARY A Common Biomedical Waste Treatment Facility (CBWTF) is now proposed to be set up by M/s where bio-medical waste, generated from a number of healthcare units, will be suitably treated to reduce adverse effects that this waste may pose. The Bio-medical Waste (Management & Handling) Rules, provides an option to the Bio-medical waste generators to get the biomedical waste treated and disposed at the secured landfills. The objective for the proposed project is to: Establish an Integrated Common Bio-medical Waste Treatment facility including the Incinerator, autoclave, shredder and effluent treatment unit with Plastic & Glass recycling facility. Collection of Segregated Biomedical waste and its transportation, storage, treatment and disposal in accordance to the Bio medical Waste Management and Handling Rules 2016 as amended thereof. Compliances with statutory and environmental norms. Develop concise waste management principles. Introduce a continuing waste management education program for all staff to increase awareness of Occupational Health & Safety issues and waste minimization principles. Adopt policies and procedures to minimize the environmental impacts of waste treatment and disposal. Reporting to regulatory authorities as needed. Sl.no Parameters Description 1 Identification of Project falls under Category B Projects project of activity 7 (da) as per EIA Notification dated 14 th September, 2006 and its subsequent amendments dated 17 th April 2015, under Bio- Medical Waste Treatment Facilities. 2 Project Proponent M/s. 3 Brief description Biomedical waste is generated from all health of nature of the care institutions; nursing homes, clinics, project dispensaries, veterinary institutions, animal houses, pathological laboratories, blood banks etc. A Common Bio-medical Waste Treatment Facility is a set up where bio-medical waste, generated from a number of healthcare units, is suitably treated as per the prescribed procedure & norms

5 MG Road Indl. Area,Hapur, Uttar Pradesh. laid down in the regulation. Proposed project of setting up of the Common Bio- medical Waste Treatment Facility at MG Road Indl. Area, Hapur, Uttar Pradesh. Salient Features of the Project 4 Proposed plant The project is aimed to cater 1 5,000 beds - = TPD 5 Total Plot Area Sq. Meter Location Plot BN , MG Road Indl. Area, Hapur, Uttar Pradesh Site is located at , Google map for the site with 10 km radius is shown in Figure 5. 6 Water Water requirement for the proposed CBWTF requirement project is 10KLD. 7 Source of water Water requirement will be met through bore wells 8 Wastewater Waste water generated from the treatment of Biomedical waste during autoclaving, washing of floors, etc. is 10KLD and it shall be treated in effluent treatment plant. 9 Man Power During Construction phase, the labors and workers will be hired from nearby villages. Total 38 persons are proposed to hire for plant operations including officers, skilled and unskilled workers. 10 Electricity/ DG set of 125 KVA is proposed for the project and Power requirement lines will be taken from the authorized electricity board. 11 Total Project Cost Project cost is Rs Cr

6 MG Road Indl. Area, Hapur,Uttar Pradesh. 2. INTRODUCTION OF THE PROJECT/ BACKGROUND INFORMATION The concern about disposal of infectious waste generated by the hospitals is increasing rapidly due to the fear of the spread of viruses such as Acquired Immune Deficiency Syndrome (AIDS) and Hepatitis B. These waste (bio-medical waste generated from health care establishments) present a high risk of causing potential damage to the human health and the environment by way of spreading. To prevent the spread of such infectious waste that finds its genesis in biomedical waste (from hospitals, clinics, laboratories, dispensaries etc.) a scientific approach is required. From the beginning it is essential that professionally trained personnel should handle the waste. Keeping in view the difficulties faced by private Hospitals, Nursing Homes and Clinics that cannot make their own arrangements due to high cost involved in Treatment facilities, there was need for centralized system for treatment. Later on, in September 2003, the Central Pollution Control Board had made the guidelines for Common bio-medical Waste Treatment Facility in order to discourage the individual incineration facility by health care establishments and strengthening CBWTF system. It is roughly estimated that about 0.75 to 1.50 kg/bed/day of solid waste are generated from health care institutions of which 15 to 20% are infectious biomedical waste. The present proposal is to utilize Sq meter of land for setting up of Biomedical Waste Treatment Facility at Plot No BN-102,103 &104,MG Road Indl. Area,Phase-3,Hapur,Uttar Pradesh IDENTIFICATION OF PROJECT AND PROJECT PROPONENT 3.1 Identification of Project The Proposed project of addition of CBWTF as a part of the Common Hazardous Waste Treatment, Storage and Disposal facilities (TSDFs) of falls under Category B, schedule 7(da) as per the EIA notification 14 th Sep, 2006 and subsequent amendments dated 1 st December, 2009 & 17 th April, The setting up of CBWTF attracts the recent directions of National Green Tribunal dated 28 th November, 2013 making Environmental Clearance from MoEFCC mandatory. 3.2 Project Proponent Mr. Rohit Gupta, M/s. D-27/1,Gali No.-9 Near 30 Futta Road,

7 MG Road Indl. Area,Hapur,Uttar Pradesh. Vill.Johripur Extn., Delhi Mobile: BRIEF DESCRIPTION OF NATURE OF THE PROJECT A Common Bio-medical Waste Treatment Facility (CBWTF) is a set up where bio-medical waste, generated from a number of healthcare units, is suitably treated to reduce adverse effects that this waste may pose. The treated waste may finally be sent for disposal in a secured landfill or for recycling purposes. Proposed project of setting up of the Common Bio-medical Waste Treatment Facility includes Incinerator, Autoclave, Shredder, Storage,Recycling Unit and Effluent Treatment Facility. 5. NEED FOR THE PROJECT AND ITS IMPORTANCE TO THE COUNTRY AND STATE Ministry of Environment, Forests & Climate Change (MoEFCC), Govt. of India has notified the Bio-Medical Waste (Management & Handling) Rules, In accordance to the rule, every occupier of a Health Care Establishment (HCE) shall either set up requisite bio-medical waste treatment facilities on site or ensure requisite treatment of the bio-medical waste at an approved Common Biomedical Waste Treatment Facility. No untreated bio-medical waste shall be kept stored beyond a period of 48 hours. Keeping in view the difficulties faced by private Hospitals, Nursing Homes and Clinics that cannot make their own arrangements due to high cost involved in Treatment facilities, there was need for centralized system for treatment. Most of the tribal villages have very poor transportation and communication infrastructure. Most of the hospitals do not have adequate arrangement for disposal of the hospital waste. 6. DEMAND SUPPLY GAP M/s has proposed to put up the CBWTF at Mg Road Indl. Area,Phase-3,Hapur,Uttar Pradesh was identified to cover waste generated in Hapur, Hapur, Noida, Greater Noida, Bulandshar, Baghpat,Barut, Merrut, Mujjafarnagar,Shamli, Mathura, Agra districts covering radius of 75 K.M. or more if required (from this facility, having 15,000 beds approx.)

8 MG Road Indl. Area,Hapur, Uttar Pradesh. 7. EMPLOYMENT GENERATION (DIRECT & INDIRECT) During Construction phase the labors and workers will be hired from nearby villages. Number of persons required in operational phase is proposed below. Table No. 1. Manpower Required Sl. Manpower/Profile No of No. person 1 In Plant 8 2 Admin 4 3 Marketing Executives 6 4 Driver/ helper 20 Total PROJECT DESCRIPTION 8.1 Type of Project A Common Bio-medical Waste Treatment Facility (CBWTF) is required for the treatment of the biomedical waste generated from a number of healthcare units to reduce adverse effects that this waste may pose. Proposed project of setting up of the Common Bio-medical Waste Treatment Facility includes Incinerator, Autoclave, Shredder, Storage,Recycling Unit for Plastic & Glass and Effluent Treatment Plant facility. 8.2 Location of the Site Railway line: Dasna-Moradabad Railway Line is at 6.30 km from Site. Roadways: Road ways: The site is well connected by road ways NH-24 about 6.51 km from the site(areal Distance). 8.3 Details of Alternate Sites The proposed projects have no alternative site.

9 MG Road Indl. Area,Hapur, Uttar Pradesh. 8.4 Size and Magnitude of Project The proposed facility is extended up to Sq Meter land. The total cost of the project is estimated to be Rs.5.50 Cr. The following are the proposed equipment s to be installed in the plant. Sl.No. Equipment Installed Capacity Number 1 Rotary Klin Incinerator 300 Kg Per Hour 1 2 Static Incinerator ( As a Stand by) 3 00 Kg Per Hour 1 3 Autoclave 3 00Kg Per Hour 1 4 Autoclave 3 00 Kg per Hour 1 5 Shredder 5 00 Kg Per Hour 2 3 Plastic Extruder System 2 50 Kg Per Hour 2 4 Effluent Treatment Plant - 10 KLD 1 9. PROJECT DESCRIPTION WITH PROCESS DETAILS 9.1 Components of Integrated Bio-Medical Waste Management An integrated waste management system for bio-medical waste must look into various stages of the process. These key components can be broadly classified into the following: Waste Segregation: Waste segregation will reduce the load of bio-medical waste from about 1-2kgs/bed-day to about 0.2kgs/bed-day and this also minimize the environmental impacts associated with further processing. Waste will have to be segregated into domestic refuse, hazardous waste and infectious waste separately. Further the infectious waste will have to be segregated into plastics, metals, and other infectious waste generated. Segregation is done effectively if performed at source. CPCB has issued clear guidelines for colour coded segregation. Waste Collection and Transport: Facility / unit have to ensure that there are no environmental or human health impacts while collecting & transporting Bio- Medical waste. Treatment/ Storage/ Disposal: Treatment/ Storage and disposal of the waste have various options available. Waste treatment can be effectively performed by two operations running parallel to each other: A Disinfecting Unit A Disinfecting unit is one that will effectively kill all the microorganisms. Autoclaving, Microwaving, Hydroclaving and Chemical disinfection processes are the most prevalent technologies used for disinfection of pathogens from the bio-medical waste.

11 MG Road Indl. Area,Hapur, Uttar Pradesh. Autoclave used for the purpose of bio-medical waste management is expected to be dedicated for the purpose and is expected to operate under standards specified by CPCB. Medical Waste shall not be considered treated unless the time, temperature and pressure indicated in the standards are reached (for eg C, 15 psi for 1 hour for normal autoclave). Microwave and Hydroclave disinfection units are similar in application to that of an autoclave. Microwave technology cannot be applied for cytotoxins, hazardous or radioactive waste, contaminated animal carcasses, body parts and large metal items. Microwave should completely and consistently kill the bacteria and other microorganisms. Chemical disinfection is a process of disinfection wherein chemical disinfectants like chlorine and its derivatives or their disinfectants are used in a closed process to attain complete killing of the pathogens. A Destruction Unit A Destruction unit is one that will completely destroy the waste into safe end products. High temperature incinerators are used to achieve this. Incineration is a process by which combustible materials are burnt, producing combustion gases and non-combustible residue and ash. The combustible gases are vented into the air after treatment through air pollution control devices. Ash and other non-combustible residue remain after the destruction/ incineration process is disposed off securely into a landfill site. Waste Storage Waste Storage is an applicable option for effective storage of certain hazardous waste like mercury and cytotoxins that do not have a cost-effective treatment technology as yet. Waste Disposal is primary performed by deep burial of waste into secure landfills. Waste disposal Waste disposal is an option which remains to exist irrespective of the treatment options, in case of disinfection waste material post-disinfection needs to be land filled and in case of incineration the non-combustible residue and ash needs to be disposed off into a landfill and thus landfill remains to be an integral part of an integrated bio-medical waste management facility including recycalable Plastic & Glass Waste after disinfection shall be recycled inside the premises for final disposal such as Fuel recovery or Plastic & Glass Product for further re-use in various Industry. 9.2 Process Description M/s Proposed to establish an Integrated Common Bio-medical Waste Treatment Facility includes Incinerator, Autoclave, Shredder and Effluent Treatment Plant with plastic & glass recycling facility.

12 9.3 Treatment Technology Incineration This is a high temperature thermal process employing combustion of the waste under controlled condition for converting it into inert material and gases. Incinerators can be oil fired or electrically powered or a combination of both. Broadly, three types of incinerators are used for biomedical waste: multiple hearth type, rotary kiln and controlled air types. All the types have primary and secondary combustion chambers to ensure optimal combustion. These are refractory lined. In the multiple hearth incinerators, solid phase combustion takes place in the primary chamber whereas the secondary chamber is for gas phase combustion. These are referred to as excess air incinerators because excess air is present in both the chambers. Thus the waste is incinerated in two stages i.e. the primary chamber and the secondary combustion chamber which are positioned adjacent to each other. The flue gases then passes through the high pressure drop Venturi Scrubber, droplet separator and are let out to atmosphere via ID fan and chimney. The Primary Combustion Chamber operates under near pyrolytic condition where the wastes are decomposed & all volatiles are released. The substrate remaining gets converted into sterile ash. The volatiles released from the Primary Combustion Chamber are then completely burnt in the Secondary Combustion Chamber under high temperature & excess air. Air Pollution Control Device (APCD) The gases after being burnt at 1050 o C shall be run into a ventury scrubber followed by a flooded scrubber with water quenching arrangement. The scrubber shall be an alkaline scrubber to neutralise the gases and ensure trapping of any pollutants escaping into the environment. The purpose of water quenching is to reduce the temperature of the gases which are at high temperature. The clean gases are let out into the environment. The scrubbed water shall be collected into a sump, where the water is neutralised, and then sent into a cooling tower from where the water is recirculated into the scrubber after cleaning them of their particulates by way of pressure sand filter and activated carbon filter. The system is thus a zero discharge system in terms of water discharges and is pollution free. Autoclave An autoclave is a specialized piece of equipment designed to deliver C temperature under 15 psi pressures to a chamber, with the goal of decontaminating or sterilizing the contents of the chamber. Decontamination is the reduction of contamination to a level where it is no longer a hazard to people or the environment. EWC intends to establish an autoclave with above principle. To ensure safety and quality control, all bio-hazardous materials and items contaminated with potentially infectious agents should be decontaminated

13 before use or disposal. Such items include, but are not limited to: culture media, surgical instruments, laboratory equipment, glassware, and biomedical waste including sharps. Shredder Shredding is a process by which waste are de-shaped or cut into smaller pieces so as to make the waste unrecognizable. Shredder has non- corrosive sharp blades capable for shredding of plastic waste, sharps, bottles, needles, tubing s, and other general waste. The low speed two shaft systems is effective for shredding hard and solid waste. Environ intends to establish a Shredder, thus rendering the waste free from infection. The dis-infected waste shall then be segregated into HDPE, PP, rubber, latex, glass and metal. The segregated materials shall then be shredded completing the process of dis-infection and ensuring non-recycling of the waste materials for medical/ food grade purposes. Recycling Facility Recyling is a process by which Non-infectious Recyclable Waste such as Plastic & Glass after disinection through autoclave & shredding or chemical disinfection as per Bio-Medical Waste Managemnent Rules,2016 shall be converted into Fuel or Plastic Product and Shredded Glass respectively for Various Plastic and Glass Moulding Industries by using the Technologies such as Pyrolysis Plastic to Fuel Conversion or Plastic Extrusion & Shredder/Grinder/Glass Cutter into Shredded /Grindded Glass. Waste Treatment and Disposal Scheme Depending on the category/nature of the waste the following treatment and disposal method are employed according to Bio-Medical Waste Management Rules Type of Bag or Category Type of Waste Container to be used (1) (2) (3) (4) Treatment and Disposal options Yellow (a) Human Yellow coloured Incineration or Anatomical non-chlorinated Plasma Pyrolysis or Waste: plastic bags deep burial * Human tissues, organs, body parts and below the viability period (as per the Medical Termination fetus of

15 (b)animal Anatomical Waste : Experimental animal carcasses, body parts, organs, tissu es, including the waste generated from animals used in (c) Soiled Waste: Incineration deep Items burial * or Plasma contamina ted Pyrolysis with blood, fluids body or like dressings, plaster In absence of above casts, cotton facilities, swabs and Autoclaving or bags containing residual or micro-waving/ hydroclaving followed discarded blood by shredding or and blood mutilation or components. combination of sterilization and shredding. Treated waste to be sent for energy recovery. (d) Expired or Yellow coloured Expired `cytotoxic drugs Discarded Medicines: non-chlorinated and items Pharmaceutical waste plastic bags or contaminated with cytotoxic like antibiotics, containers drugs to be cytotoxic drugs returned back to the including all items manufacturer or contaminated with supplier for incineration at cytotoxic drugs along temperature with glass or plastic > C or to common ampoules, vials etc. bio-medical waste treatment facility or hazardous waste treatment, storage and disposal facility for incineration at > C Or Encapsulation or Plasma

16 Pyrolysis at > C. All other discarded medicines shall be either sent back to manufacturer or disposed by incineration. (e) Chemical Waste: Yellow coloured Disposed of by incineration Chemicals used in containers or or Plasma production of biological non-chlorinated Pyrolysis or and used or discarded plastic bags Encapsulation disinfectants. hazardous waste treatment, storage and disposal facility. (f) Chemical Liquid Separate After resource recovery, the Waste : collection chemical Liquid waste generated system leading liquid waste shall be predue to use of chemicals to effluent treated before in production of treatment system mixing with other biological and used or wastewater. The discarded disinfectants, combined discharge shall Silver X-ray film conform to developing liquid, the discharge norms given in discarded Formalin, Scheduleinfected secretions, III. aspirated body fluids, liquid from laboratories and floor washings, cleaning, house-keeping and disinfecting activities etc. (g) Discarded linen, Non-chlorinated Non- chlorinated chemical mattresses, beddings yellow plastic disinfection contaminated with bags or suitable followed by incineration or blood or body fluid. packing material Plasma Pyrolysis or for energy recovery. In absence of above facilities, shredding or mutilation or

17 combination of sterilization and shredding. waste to be sent for energy recovery or incineration or Plazma Pyrolysis. (h) Microbiology, Autoclave safe Pre-treat to sterilize with non- Biotechnology and plastic bags or chlorinated chemicals on-site as per other clinical containers National AIDS Control Organisation or laboratory waste: World Health Organisation guidelines Blood bags, Laboratory thereafter for Incineration. cultures, stocks or specimens of microorganisms, live or attenuated vaccines, human and animal cell cultures used in research, industrial laboratories, production of biological, residual toxins, dishes and devices used for cultures. Red Contaminated Waste Red coloured Autoclaving or micro-waving/ (Recyclable) non-chlorinated hydroclaving followed by shredding or (a) Wastes generated plastic bags or mutilation or combination of from disposable items containers sterilization and shredding. Treated such as tubing, bottles, waste to be sent to registered or intravenous tubes and authorized recyclers or for energy sets, catheters, urine recovery or plastics to diesel or fuel oil bags, syringes (without or for road making, whichever is needles and fixed needle possible. syringes) and vaccutainers with their Plastic waste should not be sent to needles cut) and gloves. landfill sites.

18 White Waste sharps Puncture proof, Autoclaving or Dry Heat Sterilization (Translucent) including Metals: Leak proof, followed by shredding or mutilation or Needles, syringes with tamper proof encapsulation in metal container or fixed needles, needles containers cement concrete; combination of from needle tip cutter or shredding cum autoclaving; and sent for burner, scalpels, blades, final disposal to iron foundries (having or any other consent to operate from the State contaminated sharp Pollution Control Boards or Pollution object that may cause Control Committees) or sanitary landfill puncture and cuts. This or designated concrete waste sharp pit. includes both used, discarded and contaminated metal sharps Blue (a) Glassware: Cardboard boxes Disinfection (by soaking the washed Broken or discarded and with blue glass waste after cleaning with detergent contaminated glass colored marking and Sodium Hypochlorite treatment) or including medicine vials through autoclaving or microwaving or and ampoules except hydroclaving and then sent for those contaminated with recycling. cytotoxic wastes. (b) Metallic Body Cardboard boxes Implants with blue colored marking Part All non chlorinated plastic bags shall be as per BIS standards prevailing Plastic Waste Management Rules. 2. Chemical treatment using at least 10% Sodium Hypochlorite having 30% residual chlorine for twenty minutes or any other equivalent chemical reagent that should demonstrate Log104 reduction efficiency for microorganisms as given in Schedule- III. 3. Mutilation or shredding will be to an extent to prevent unauthorized reuse. 4. There will be no chemical pretreatment before incineration, except for

19 microbiological, lab and highly infectious waste. 5. Incineration ash (ash from incineration of any bio-medical waste) shall be disposed through hazardous waste treatment, storage and disposal facility, if toxic or hazardous constituents are present beyond the prescribed limits as given in the Hazardous Waste (Management, Handling and Transboundary Movement) Rules, 2008 or as revised from time to time. 6. Dead Fetus below the viability period (as per the Medical Termination of Pregnancy Act 1971, amended from time to time) can be considered as human anatomical waste. Such waste should be handed over to the operator of common bio-medical waste treatment and disposal facility in yellow bag with a copy of the official Medical Termination of Pregnancy certificate from the Obstetrician or the Medical Superintendent of hospital or healthcare establishment. 7. Cytotoxic drug vials shall not be handed over to unauthorised person under any circumstances. These shall be sent back to the manufactures for necessary disposal at a single point. As a second option, these may be sent for incineration at common bio-medical waste treatment and disposal facility or TSDFs or plasma pyrolysis at temperature >1200 0C. 8. Residual or discarded chemical wastes, used or discarded disinfectants and chemical sludge can be disposed at hazardous waste treatment, storage and disposal facility. In such case, the waste should be sent to hazardous waste treatment, storage and disposal facility through operator of common bio-medical waste treatment and disposal facility only. 9. On-site pre-treatment of laboratory waste, microbiological waste, blood samples, and blood bags should be disinfected or sterilized as per the Guidelines of World Health Organisation or National AIDS Control Organisation and then given to the common bio-medical waste treatment and disposal facility. 10. Installation of in-house incinerator is not allowed. However in case there is no common biomedical facility nearby, the same may be installed by the occupier after taking authorisation from the State Pollution Control Board. 11. Syringes should be either mutilated or needles should be cut and or stored in tamper proof, leak proof and puncture proof containers for sharps storage. Wherever the occupier is not linked to a disposal facility it shall be the responsibility of the occupier to sterilize and

20 dispose in the manner prescribed. 12. Bio-medical waste generated in households during healthcare activities shall be segregated as per these rules and handed over in separate bags or containers to municipal waste collectors. Urban Local Bodies shall have tie up with the common bio-medical waste treatment and disposal facility to pickup this waste from the Material Recovery Facility (MRF) or from the house hold directly, for final disposal in the manner as prescribed in this Schedule. 1. STANDARDS FOR INCINERATION.- Our Proposed incinerators shall meet the following operating and emission standards- A. Operating Standards 1). Combustion efficiency (CE) shall be at least 99.00%. 2). The Combustion efficiency is computed as follows: %C02 C.E. = X 100 %C02 + % CO 3). The temperature of the primary chamber shall be a minimum of C and the secondary chamber shall be minimum of C + or C. 4). The secondary chamber gas residence time shall be at least two seconds. B. Emission Standards S.No. Parameter Standards (1) (2) (3) (4) Limiting Sampling Duration in concentration in minutes, unless stated mg Nm3 unless 1. Particulate matter or 1NM 3 of sample volume, whichever is more 2. Nitrogen Oxides NO for online sampling or NO2 expressed asno2 grab sample and

21 3. HCl or 1NM 3 of sample volume, whichever is more 4. Total Dioxins and 0.1ngTEQ/Nm3 8 hours or 5NM 3 of sample Furans (at 11%O2) volume, whichever is more 5. Hg and its hours or 1NM 3 of sample compounds volume, whichever is more Stack Height: Minimum stack height shall be 30 meters above the ground and shall be attached with the necessary monitoring facilities as per requirement of monitoring of general parameters as notified under the Environment (Protection) Act, 1986 and in accordance with the Central Pollution Control Board Guidelines of Emission Regulation Part-III. Environ proposes that, ash, residue from high temperature incineration and other material residues from the process shall be collected into containers and shall be disposed into a secure landfill. The Process Flow Chart, Conceptual Layout plan and ETP flow diagram for the proposed CBWTF is given below in Figure 1, 2 and 3. Note: All standards for incineration mentioned above shall be compiled from the date of commissioning of plant 1. Wastes to be incinerated shall not be chemically treated with any chlorinated disinfectants. 2. Ash from incineration of biomedical waste shall be disposed of at common hazardous waste 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 as defined under the Hazardous Waste (Management and Handling and Transboundary Movement) Rules, 2008 as amended from time to time. 3. Only low Sulphur fuel like Light Diesel Oil or Low Sulphur Heavy Stock or Diesel, Compressed Natural Gas, Liquefied Natural Gas or Liquefied Petroleum Gas shall be used as fuel in the incinerator. 4. Monitoring of the stack gaseous emissions (under optimum capacity of

22 the incinerator) will be done once in three months through a laboratory approved under the Environment (Protection) Act, 1986 and record of such analysis results shall be maintained and submitted to the prescribed authority. In case of dioxins and furans, monitoring will be done once in a year. 5. Continuous emission monitoring system for the parameters as stipulated by State Pollution Control Board or Pollution Control Committees in authorisation and transmit the data real time to the servers at State Pollution Control Board or Pollution Control Committees and Central Pollution Control Board will be installed 6. All monitored values shall be corrected to 11% Oxygen on dry basis. 7. Incinerators (combustion chambers) shall be operated with such temperature, retention time and turbulence, as to achieve Total Organic Carbon content in the slag and bottom ashes less than 3% or their loss on ignition shall be less than 5% of the dry weight. 8. Combustion gas analyzer to measure CO2, CO and O2 will be installed STANDARDS FOR AUTOCLAVING OF BIO-MEDICAL WASTE- The autoclave should be dedicated for the purposes of disinfecting and treating bio-medical waste. 1. When operating a vacuum autoclave, medical waste shall be subjected to a minimum of three pre-vacuum pulses to purge the autoclave of all air. The air removed during the pre-vacuum, cycle should be decontaminated by means of HEPA and activated carbon filtration, steam treatment, or any other method to prevent release of pathogen. The waste shall be subjected to the following: 2. Temperature of not less than 121 C and pressure of 15 psi per an autoclave residence time of not less than 45 minutes; or 3. Temperature of not less than 135 C and a pressure of 31 psi for an autoclave residence time of not less than 30 minutes; 4. Medical waste shall not be considered as properly treated unless the time, temperature and pressure indicators indicate that the required time, temperature and pressure were reached during the autoclave process. If for any reasons, time temperature or pressure indicator indicates that the required temperature, pressure or residence time was not reached, the entire load of medical waste must be autoclaved again until the proper temperature, pressure and residence time were achieved. 5. Recording of operational parameters: Each autoclave shall have

23 graphic or computer recording devices which will automatically and continuously monitor and record dates, time of day, load identification number and operating parameters throughout the entire length of the autoclave cycle. 6. Validation test for autoclave: The validation test shall use four biological indicator strips, one shall be used as a control and left at room temperature, and three shall be placed in the approximate center of three containers with the waste. Personal protective equipment (gloves, face mask and coveralls) shall be used when opening containers for the purpose of placing the biological indicators. At least one of the containers with a biological indicator should be placed in the most difficult location for steam to penetrate, generally the bottom center of the waste pile. The occupier or operator shall conduct this test three consecutive times to define the minimum operating conditions. The temperature, pressure and residence time at which all biological indicator vials or strips for three consecutive tests show complete inactivation of the spores shall define the minimum operating conditions for the autoclave. After determining the minimum temperature, pressure and residence time, the occupier or operator of a common biomedical waste treatment facility shall conduct this test once in three months and records in this regard shall be maintained. 7. Routine Test: A chemical indicator strip or tape that changes colour when a certain temperature is reached can be used to verify that a specific temperature has been achieved. It may be necessary to use more than one strip over the waste package at different locations to ensure that the inner content of the package has been adequately autoclaved. Common bio medical waste treatment facility shall conduct this test during autoclaving of each batch and records in this regard shall be maintained. 8. Spore testing: The autoclave should completely and consistently kill the approved biological indicator at the maximum design capacity of each autoclave unit. Biological indicator for autoclave shall be Geobacillus stearothermophilus spores using vials or spore Strips; with at least 1X106 spores. Under no circumstances will an autoclave have minimum operating parameters less than a residence time of 30 minutes, a temperature less than 121o C or a pressure less than 15 psi. The occupier or operator of a common bio medical waste treatment and disposal facility shall conduct this test at least once in every week and records in this regard shall be maintained.

24 STANDARDS FOR EFFICACY OF CHEMICAL DISINFECTION Microbial inactivation efficacy is equated to Log10 kill which is defined as the difference between the logarithms of number of test microorganisms before and after chemical treatment. Chemical disinfection methods shall demonstrate a 4 Log10 reduction or greater for Bacillus Subtilis (ATCC 19659) in chemical treatment systems. STANDARDS FOR DRY HEAT STERILIZATION Waste sharps can be treated by dry heat sterilization at a temperature not less than 1850C, at least for a residence period of 150 minutes in each cycle, which sterilization period of 90 minutes. There should be automatic recording system to monitor operating parameters. (i) Validation test for Shaprs sterilization unit Waste shaprs sterilization unit should completely and consistently kill the biological indicator Geobacillus Stearothermophillus or Bacillus Atropheausspoers using vials with at least log10 6 spores per ml. The test shall be carried out once in three months (ii) Routine test A chemical indicator strip or tape that changes colour when a certain temperature is reached can be used to verify that a specific temperature has been achieved. It may be necessary to use more than one strip over the waste to ensure that the inner content of the sharps has been adequately disinfected. This test shall be performed once in week and records in this regard shall be maintained. STANDARDS FOR LIQUID WASTE.- 1. The effluent generated or treated from the premises of occupier or operator of a common bio medical waste treatment and disposal facility, before discharge into the sewer should conform to the following limits- PARAMETERS PERMISSIBLE LIMITS ph Suspended solids 100 mg/l Oil and grease 10 mg/l BOD 30 mg/l COD 250 mg/l Bio-assay test 90% survival of fish after 96 hours in 100% effluent.

25 2. Sludge from Effluent Treatment Plant shall be given to common biomedical waste treatment facility for incineration or to hazardous waste treatment, storage and disposal facility for disposal LABEL FOR BIO-MEDICAL WASTE CONTAINERS or BAGS BIOHAZARD SYMBOL CYTOTOXIC HAZARD SYMBOL

26 Figure 1: Flow diagram for Common Bio-medical Waste Management Facility. Recycling Recyclin Facility g

27 Figure 2: Conceptual & Surface plan Recycling Facility

28 Figure 3: Effluent Treatment Plant Flow Diagram.

29 9.4 Collection and Transportation of Bio medical Waste Biomedical Waste segregated in color coded containers as per Biomedical Waste Management and Handling Rules shall be collected from various Health Care Facilities located in the 75 Km radius (Covering 15,000 beds) The collected waste shall be transported in specially designed closed vehicle to the proposed CBWTF for treatment and disposal. M/s Environ is intending to have 15 closed vehicles for the Collection & transportation of bio-medical waste to proposed facility. 9.5 Resource optimization/recycling and reuse The entire wastewater collected at the Hot water Sump shall after treatment in ETP will be used for floor washing and gardening/green belt. The treated effluent recycled for the use in scrubber will not be treated with hypochlorite solution. The plastic waste & Glass Waste after disinfection & shredding shall be given to registered recyclers or recycler inside the Premises of Plant. 9.6 Availability of water its source, Energy/Power requirement and source Water requirement for the project will be met through bore wells. Power requirement will be sourced from existing line which will be upgraded and Uttar Pradesh Power Corporation Limited. In case of power failure, D.G. set will be used. 9.7 Quantity of waste to be generated (liquid and solid) and scheme for their Management / disposal The Treated effluent shall meet the discharge standards laid down by MoEFCC/UPPCB for disposal/reuse. The water recovered during treatment in ETP will be used for floor washing and gardening/green belt. The solid waste generation during wastewater treatment & treatment of common Bio-medical waste will be disposed to Secured landfill. 10. SITE ANALYSIS 10.1 Connectivity Railway line: Dasna-Moradabad Railway Line is passing at areal distance of 6.31 KM from Site.

30 Roadways: Road ways: The site is well connected by road ways NH-24 about 6.51 km from the site(areal Distance) Land Form, Land use and Land ownership The proposed Common Bio-medical waste management facility is at Plot No BN- 102,103 & 104 On NH 24,UPSIDC, Phase-3 MG Road Indl. Area, Hapur, Uttar Pradesh Existing Land Use pattern The land falls in the Hapur Area, Uttar Pradesh. The Plot layout of the land is given in Figure 2: Conceptual & Surface plan above.

31 10.5 Existing Infrastructure The project site is Hapur, Uttar Pradesh and all required infrastructures like human settlement, schools, hospitals, health care centers, fire brigade, public transport, etc are available in nearby town Climate data from secondary sources It is too Hot in summer. Hapur District summer highest day temperature is in between 26 C to 48 C. Average temperatures of January is 15 C, February is 19 C, March is 27 C, April is 34 C, May is 39 C. Here Rainfall is about mm Soil Classification The soil of the district may be classified as Alluvial soil, originated from the Ganges and its territories, loamy sand to loam well drained 11. PROPOSED INFRASTRUCTURE 11.1 Industrial area (processing area) The components of the CBWTF are: Administration Building Staff Locker and wash room Vehicle Washing bay Effluent Treatment Plant Incinerator and Incineration shed Sterilization room Recycling facility Store room Workshop Security office Transformer DG set Bore well

33 11.2 Residential Area (Non processing) The employees will make their own arrangements for their housing & allied amenities in nearby area. There is no need for any additional facilities Green Belt Green belt will be developed according to CPCB/UPPCB guidelines. Plants of the various species will be developed in the plant and peripheral areas Social Infrastructure Schools, Colleges, Hospitals & Healthcare Centers, Shops & Bazaars, Community Centers, etc. are all available in nearby villages and towns Drinking water management (source and supply of water) Environ proposed to have an own digged borewell for the water supply, if needed water tankers will be arranged from the nearby towns Solid Waste Management Solid waste generated during the Biomedical waste treatment process and wastewater treatment process is mainly ash and sludge which will be generated depending upon the hydraulic load. Sludge will be disposed off in secured landfill. The disinfected plastic waste shall send for recycling to registered recycler & also plant to establish its own plastic & glass recycling facility Power Requirement & Supply/source Supply source 80 KW Uttar Pradesh State Electricity Distribution Company limited, In case of power failure D.G. Set can be used (125 KVA capacity).

34 MG Road Indl. Area, Hapur, Uttar Pradesh. 12. REHABILITATION AND RESETTLEMENT (R & R) PLAN No, Rehabilitation and Resettlement (R & R) Plan required. 13. PROJECT SCHEDULE & COST ESTIMATES INVESTMENT DETAILS a.) Land On lease or Rented b.) Building 1.00/- Cr c.) Plant and Machinery 3.5/- Cr d.) Other Fixed & Pre-Operating Exp. 1.5/- Cr Total Investment 5.50/- Cr The Total Cost for proposed project is Rs Cr. 14. CONCLUSION (FINAL RECOMMENDATIONS) The proposed CBWTF project of for treatment of bio-medical waste, generated from a number of healthcare units is to reduce adverse effects that this waste may pose. The concept of CBWTF within a radius of 75 Km catering to 15,000 beds has been introduced by the MoEFCC as a part of Biomedical Waste Management and Handling Rules 1998 as amended thereafter to prevent proliferation of treatment equipment area. It also reduces pressure on regulatory agencies for compliance monitoring. By operating the treatment equipment at CBWTF to its full capacity, the cost of treatment per kilogram gets significantly reduced.