WRF# 4616: Hospital’s Wastewater Practices and CECs in Water - DW and WW System Survey

Question Title

* 1. Please provide information about the system.

System name

Local/ state permitting authority

Number of people served

Respondent name

Email address

Phone number

Question Title

* 2. Please provide information about the facility. Please submit a separate survey for each facility.

Facility name

Rated treatment capacity (million gallons per day or mgd)

Average daily flow (mgd)

Minimum daily flow (mgd)

Maximum daily flow (mgd)

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* 3. Please provide a description of the facility. Send plat diagram, if available, to ruth.marfilvega@amwater.com

Question Title

* 4. Indicate if there are hospitals discharging into your sewer system. Provide the number of hospitals (estimate as needed) in the comment box.

Yes

Comments

Question Title

* 5. Indicate if there are any nursing homes, clinics, physician’s offices, dental practices, rehabilitation facilities, ambulatory care facilities, long term acute care facilities, dialysis facilities, veterinary hospitals/clinics, etc. that discharge to your sewer. Indicate the number of these facilities (estimate as needed) in the comment box.

Yes

Comments

Question Title

* 6. Indicate if the POTW have a pretreatment program for healthcare facilities’ wastewater.

Yes

Comments

Question Title

* 7. Indicate if the POTW issues permits for hospitals domestic sewer. If so, indicate the type of permit issued. If not, indicate which organization issues these permits.

Yes

Comments

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* 8. Indicate if the POTW issues permits for other types of healthcare facilities' wastewater. If so, indicate the type of permit issued. If not, indicate which organization issues these permits.

Yes

Comments

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* 9. Describe any prohibitions and other regulations in the sewer use ordinance that pertain to discharges from hospitals in your service area.

Question Title

* 10. Indicate if there are any other commercial and industrial dischargers located in the sewer lines in between the hospital(s) and the utility. If so, indicate the types of known and major dischargers.

Yes

Comments

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* 11. Indicate the estimated flow from each source. Estimate as needed.

Domestic/residential use

Commercial and industrial sources other than hospitals (including those described in Q5)

Hospitals

Question Title

* 12. Indicate if your facility is aware of the presence of Contaminants of Emerging Concern (CECs) (i.e x-ray contrast media, antibiotics, other pharmaceuticals, antibiotic resistance bacteria, viruses) in sewer and effluents discharges.

	Yes	No
Through general awareness	Through general awareness Yes	Through general awareness No
Due to regulatory requirements (please describe below)	Due to regulatory requirements (please describe below) Yes	Due to regulatory requirements (please describe below) No
Through communication with hospitals	Through communication with hospitals Yes	Through communication with hospitals No

Other / Comments

Question Title

* 13. Indicate if you have monitored for any CECs in your utility. If so, indicate when, where (i.e. influent, effluent, sludge), which ones and which ones were detected; if available, send any results report to ruth.marfilvega@amwater.com

Yes

Comments

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* 14. If applicable, indicate what types of communication related to CECs are required as part of the permit conditions for hospitals and other healthcare facilities in your service area.

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* 15. Indicate what other information from the hospitals will be valuable for your POTW to help you manage CECs.

Question Title

* 16. Indicate if your POTW is familiar with the current RCRA regulation for the Management of Hazardous Waste Pharmaceuticals and the EPA proposed rule to update the Management Standards for Hazardous Waste Pharmaceuticals, and the potential impact on the sewering of pharmaceuticals.

Yes

Comments

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* 17. Indicate if your POTW participate in the communities served in programs to encourage pharmaceuticals disposal in ways other than sewering (e.g., take-back programs, etc.).

Yes

Comments

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* 18. Indicate if there any communication or management plan established between the hospitals, permitting authority and utility to respond to emergencies, i.e WWTP out of service due to flooding, accidental discharge into sewer.

Yes

Comments

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* 19. Indicate if you have an incident specific response plan to address contaminants (CECs and other regulated contaminants) in the sewer system.

Yes

Comments

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* 20. Indicate if you have employees trained to respond to contamination incidents in the sewer system.

Yes

Comments

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* 21. Indicate if you have PPE to adequately respond to a contamination event in the sewer system.

Yes

Comments

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* 22. Indicate if you track contamination related sickness within your workforce.

Yes

Comments

Question Title

* 1. Please provide information about the system.

Question Title

* 2. Please provide information about the facility. Please submit a separate survey for each facility.

Question Title

* 3. Please provide a description of the facility. Send plat diagram, if available, to ruth.marfilvega@amwater.com

Question Title

* 4. Indicate if there are hospitals discharging into your sewer system. Provide the number of hospitals (estimate as needed) in the comment box.

Question Title

Question Title

* 6. Indicate if the POTW have a pretreatment program for healthcare facilities’ wastewater.

Question Title

* 7. Indicate if the POTW issues permits for hospitals domestic sewer. If so, indicate the type of permit issued. If not, indicate which organization issues these permits.

Question Title

* 8. Indicate if the POTW issues permits for other types of healthcare facilities' wastewater. If so, indicate the type of permit issued. If not, indicate which organization issues these permits.

Question Title

* 9. Describe any prohibitions and other regulations in the sewer use ordinance that pertain to discharges from hospitals in your service area.

Question Title

* 10. Indicate if there are any other commercial and industrial dischargers located in the sewer lines in between the hospital(s) and the utility. If so, indicate the types of known and major dischargers.

Question Title

* 11. Indicate the estimated flow from each source. Estimate as needed.

Question Title

* 12. Indicate if your facility is aware of the presence of Contaminants of Emerging Concern (CECs) (i.e x-ray contrast media, antibiotics, other pharmaceuticals, antibiotic resistance bacteria, viruses) in sewer and effluents discharges.

Question Title

* 13. Indicate if you have monitored for any CECs in your utility. If so, indicate when, where (i.e. influent, effluent, sludge), which ones and which ones were detected; if available, send any results report to ruth.marfilvega@amwater.com

Question Title

* 14. If applicable, indicate what types of communication related to CECs are required as part of the permit conditions for hospitals and other healthcare facilities in your service area.

Question Title

* 15. Indicate what other information from the hospitals will be valuable for your POTW to help you manage CECs.

Question Title

* 16. Indicate if your POTW is familiar with the current RCRA regulation for the Management of Hazardous Waste Pharmaceuticals and the EPA proposed rule to update the Management Standards for Hazardous Waste Pharmaceuticals, and the potential impact on the sewering of pharmaceuticals.

Question Title

* 17. Indicate if your POTW participate in the communities served in programs to encourage pharmaceuticals disposal in ways other than sewering (e.g., take-back programs, etc.).

Question Title

* 18. Indicate if there any communication or management plan established between the hospitals, permitting authority and utility to respond to emergencies, i.e WWTP out of service due to flooding, accidental discharge into sewer.

Question Title

* 19. Indicate if you have an incident specific response plan to address contaminants (CECs and other regulated contaminants) in the sewer system.

Question Title

* 20. Indicate if you have employees trained to respond to contamination incidents in the sewer system.

Question Title

* 21. Indicate if you have PPE to adequately respond to a contamination event in the sewer system.

Question Title

* 22. Indicate if you track contamination related sickness within your workforce.

Question Title

* 23. Please provide any additional comments to the research team regarding CECs in hospital's wastewater.