Document y2ZGBooGMJv0Jr08Repvqvwn
Inspection Entry Date/Time Inspection Exit Date/Time Weather Media Statute(s)/Program(s) Type of Inspection
EPA Region 5 Enforcement and Compliance Assurance Division INDUSTRIAL USER PRETREATMENT SCREENING INSPECTION REPORT
1/13/2025 1:00 1:33
AM PM CT ET | Announced: Y N AM PM CT ET | Access Granted: Y N
Water Clean Water Act, National Pollutant Discharge Elimination System (NPDES) Industrial User Screening Inspection (Pretreatment Direct Implementation)
Facility or Site Name Facility/Site Physical Address City, State, Zip Code County/Borough/Parish Facility GPS Coordinates Mailing Address (If Different) City, State, Zip Code Owner (If Different from Facility)
Operator (If Different from Owner)
Address City, State, Zip Code Serviced by WWTP? (WWTP Name or N/A)
FRS ID Permit Number(s) SIC and/or NAICS Code
Prime Dental Care 178 East Golf Road Schaumburg, IL 60173 Cook Dr. Nari Cho
8021
Lead Inspector
Name:
Joseph Forth
Region:
EPA Region 5
Email:
Forth.Joseph@epa.gov
Phone:
(312) 886-7275
Signature & Date:
Forth, Joseph
Digitally signed by Forth, Joseph Date: 2025.03.06 14:45:10 -06'00'
Supervisor Review
Name:
Molly Smith
Region:
EPA Region 5
Email:
Smith.Molly@epa.gov
Phone:
(312) 353-8773
Signature & Date:
MOLLY SMITH
Digitally signed by MOLLY SMITH Date: 2025.03.10 09:38:36 -05'00'
Prime Dental Care Inspection Date: 1/13/2025
SECTION I - INTRODUCTION
Site Entry/Opening Conference and Inspection Objectives EPA Region 5 Inspectors Joseph Forth and Justin Meyers arrived at Prime Dental Care (the "Facility"), located at 178 E. Golf Rd, Schaumburg, IL 60173 at 1:00 PM CT on for an unannounced inspection.
EPA Region 5 Lead Inspector Joseph ForthError! Reference source not found.:
Presented credentials to Prime Dental Care.
Informed the Facility that this was a US EPA Region 5 Industrial User Screening Inspection to gather Facility information, including on its industrial process and wastewater management as authorized by Clean Water Act (CWA) Section 308 and implementing regulations.
Discussed the right to claim Confidential Business Information (CBI) on any document or information shared with EPA during or after the inspection.
The EPA representatives conducted an opening conference with the Facility representatives (See table below) explaining the information gathering checklist.
This report is based on information gathered prior to, during, or subsequent to the inspection. The information was either supplied by the Facility, directly observed by EPA Region 5 inspector(s), or obtained through records and reports maintained by the Facility and Region 5. Records and reports may include verbal or written statements provided by the Facility, materials, process information, data, or other documents shown, demonstrated, or submitted to the EPA Region 5 inspectors. In addition, information gathered from EPA, State, and/or public records may be included in this report.
Attendees (US EPA, Facility, State, Local)
Organization Attendee Name
EPA Region 5 Joseph Forth EPA Region 5 Justin Meyers
Title
Lead Inspector Inspector
Contact Information Email
Forth.Joseph@epa.gov
Present at Opening Conference
Yes
Present at Closing Conference
Yes
Yes
Yes
Prime Dental Andrea Guerrero Receptionist
Yes
No
Prime Dental Dr. Nari Cho
Dentist
Nari.Cho@primedental.care No
Yes
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Prime Dental Care Inspection Date: 1/13/2025
SECTION II - INDUSTRIAL USER SCREENING CHECKLIST
SECTION II.A - Business Activity/Category 1. Provide a brief general description of all operations at this facility (detailed process unit information noted in
Section II.F). General dentistry, implants, orthodontics and restorative work.
2. Does the Facility have an available process diagram, flow diagram, and/or general facility diagram that can be viewed by the inspectors? Yes No
3. If the facility employs or will be employing processes in any of the industrial categories or business activities listed below (regardless of whether they generate wastewater, waste sludge, or hazardous waste), place a check beside that category or business activity. Check all that apply.
Airport Deicing
Leather Tanning and Finishing
Aluminum Forming
Meat and Poultry Products
Asbestos Manufacturing
Metal Finishing
Battery Manufacturing
Metal Molding and Casting (Foundries)
Canned and Preserved Fruit and Vegetable Processing Metal Products and Machinery
Canned and Preserved Seafood Processing
Mineral Mining and Processing
Carbon Black Manufacturing
Nonferrous Metals Forming
Cement Manufacturing
Nonferrous Metals Manufacturing
Centralized Waste Treatment
Oil and Gas Extraction
Coal Mining
Ore Mining and Dressing
Coil Coating
Organic Chemicals, Plastics, and Synthetic Fibers
Concentrated Animal Feeding Operation and Feedlots Paint Formulating
Concentrated Aquatic Animal Production
Paving and Roofing Manufacturing
Construction and Development
Pesticide Chemicals
Copper Forming
Petroleum Refining
Dairy Product Processing or Manufacturing
Pharmaceutical Manufacturing
Dental Office
Phosphate Manufacturing
Electrical and Electronic Components Manufacturing Photographic Processing
Electroplating
Plastics Molding and Forming
Explosives Manufacturing
Porcelain Enameling
Fertilizer Manufacturing
Pulp, Paper, and Paperboard Manufacturing
Ferroalloy Manufacturing
Rubber Manufacturing
Glass Manufacturing
Soap and Detergent Manufacturing
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Prime Dental Care Inspection Date: 1/13/2025
SECTION II.A - Business Activity/Category (Continued) Grain Mills Gum and Wood Chemicals Manufacturing Hospital Ink Formulating Inorganic Chemicals Manufacturing Iron and Steel Manufacturing Landfill
Steam Electric Power Generating Sugar Processing Textile Mills Timber Products Transportation Equipment Cleaning Waste Combustors Other:
4. Date of Facility Construction:
2017
Start Date of Current Operations or Date(s) of Significant 2017
Process Changes:
Date of Last Facility Ownership Change(s):
2017
Section II.B - Facility Sewer Information
1. a. Is the facility connected to a public or private sanitary sewer system? Yes (Private) Yes (Public) No Nb.aImF YeEoSf: pAureblaicnysepwroecressysswteamst:ewater streams discharged directly to the public or private sewer system? Yes No
c. IF YES: Does the facility have a permit with a Publicly Owned Treatment Works (POTW) or are they a copermittee on a permit to discharge process wastewater to the public sewer system? Yes No
2. a. Is there an on-site treatment system for process wastewater? IF NYOes: Has Nthoe(fIFacYilEitSy: aAplspolieSdeefoSreactsiaonnitIaI.rHy)sewer connection? Yes No
IF YES: b. Does the on-site treatment system effluent discharge to the public sewer system? Yes No c. Does the on-site treatment system effluent discharge to a surface waterbody? Yes No d. Does the facility have a permit to discharge the effluent directly to a waterbody? Yes No
Permit Number(s):
3. List the location and average flow of each discharge pipe that connects to the sanitary sewer system.
Location of Sewer Connection Unknown
Average Flow (gpd)
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Prime Dental Care Inspection Date: 1/13/2025
Section II.C - Facility Operational Characteristics
1. Hours of Operation: MWF - 9:00 AM - 6:00PM Th - 10:00 AM - 7:00PM
Shift Information
Mon
Tue
Wed
Thu
Fri
Shifts Per Workday 1
1
1
1
Sat
Sun
2. Indicate whether the business activity is:
Continuous throughout the year
Seasonal
Months in operation: J F M A M J J A S O N D
3. Indicate whether the facility discharge is:
Continuous throughout the year
Seasonal
Months when discharges occur: J F M A M J J A S O N D
4. List types and amounts (mass or volume per day) of raw materials used or planned for use:
Raw Material
Amount
N/A
5. List types and quantities (mass or volume per day) of chemicals used or planned for use:
Line/tube cleaners
Chemical
1 gallon
Quantity
6. Were copies requested of the process diagram, flow diagram, and/or general facility diagram? Yes No 5
Prime Dental Care Inspection Date: 1/13/2025
Section II.D - Spill Prevention
1. Does the facility have liquid storage containers onsite (tanks, drums, totes, bins, ponds, etc.)? Yes No List Types:
2. Does the facility have floor drains in the manufacturing area or where liquids are stored? Yes No IF YES: Describe where they drain to:
3. Could an accidental spill at the facility lead to any of the following discharges? Check all that apply.
On-site disposal/treatment system
Ground (outside)
Public sanitary sewer system
Floor (inside)
Storm drain
Other Specify:
4. Does facility have a spill prevention plan to prevent spills of liquids from entering the Control Authority's collection/sewer system?
Yes No N/A (No potential for spill to discharge to public sewer/collection system)
Section II.E - Water Supply
1. Water Source: Municipal Water Utility: Specify: City of Schaumburg/MWRD
SpePcriifvya:te Well
Surface Water
Other: Specify:
2. Provide the following information for all water usage at the facility:
Type of Water Use Sanitary
Average Water Usage (gpd) Unknown
Non-contact cooling water
Boiler feeding Process
3 gpd
Equipment/facility washdown
Contact cooling water
Air pollution control
Irrigation and lawn watering
Contained in product
Other:
Total:
Estimated or Measured Estimated
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Prime Dental Care Inspection Date: 1/13/2025
Section II.F - Wastewater Discharge Information
1. Provide the following information for all wastewater generated (gallons per day - GPD) at the facility:
Type of Wastewater
Average Volume (GPD)
Maximum Volume (GPD)
Estimated or Type of Measured Discharge
Where Discharges To
Sanitary
Non-contact cooling water Boiler blowdown
Equipment/facility washdown Contact cooling water Air pollution control
Stormwater runoff
Process wastewater
Use Table Below (II.F - 2)
Other:
Other: 2. Provide the following information for process wastewater generated by each unit process:
Unit Process Description
Average Volume (GPD)
Maximum Volume (GPD)
Estimated or Measured
Type of Discharge
Where Discharges To
3. Do batch discharges to the sanitary sewer system occur (or will occur)? Yes No Number of batch discharges per time period (specify per day, week, month, etc.): Average volume per batch discharge (gal): Flow rate (GPM):
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Prime Dental Care Inspection Date: 1/13/2025
Section II.F - Wastewater Discharge Information (Continued)
4. a. Does the facility have (or plan to have) continuous wastewater flow metering equipment? Yes No b. Does the facility sample wastewater? Yes No IF YES: c. Are Grab Samples Collected? Yes No d. Are Composite Samples Collected? Yes No ee.. Are there plans to add sampling activities for process wastewater? Yes No f. Describe the present or planned future location(s) for process wastewater sampling and describe the equipment used to sample (i.e. auto samplers/manual collection):
5. Describe the flow rates for discharge of process wastewater to the sanitary sewer system: Unknown
Average Daily Flow Rate (GPD)):
Maximum Daily Flow Rate (GPD):
Hours per day of process wastewater discharge to sanitary sewer system: (e.g., 8):
Mon
Tue
Wed
Thu
Fri
Sat
Sun
6. Has the discharge at this facility changed historically? Yes No AIFreYEaSn:yBprireofclyesdsecshcrainbgeetshoerseexcphaannsgieosnasnpdlatnhneeirdedffuercintsgotnhethneewxtatshtereweayteerarvsotluhmatecoaunlddcahlaterarcwtearsitsetiwcsa:ter volumes or characteristics (i.e., substantially increase/decrease flow characteristics/flow rates) to the sewer in the future? Yes No
7. Are there any wastewater recycling or reclamation systems in use or planned? Yes No
IF YES: Briefly describe the recovery process, substance recovered, percent recovered, and the concentration in the spent solution:
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Prime Dental Care Inspection Date: 1/13/2025 Section II.G - Slug Discharge Control 1. Do you have the potential for a slug discharge to the sewer system? Yes No 2. AIFsYlEuSg:dDisecshcarirbgeetihseantyypdeisocfhpaorgteenotifaal snluong-droisucthinaergeepiinscolduidcinagtquurea,liitnycalunddincgonbtuetnnt:ot limited to an accidental spill or
a non-customary batch discharge, which has a reasonable potential to cause interference or pass-through, or in any other way violate the POTW's regulations, local limits, or permit conditions [40 CFR 403.8(f)(2)(v)].
3. Describe the current mechanisms for prevention of slug discharges.
Section II.H - Treatment
1. Is any form of process wastewater treatment (see list below) used at this facility? Yes No
IF YES: Place a check beside the treatment devices or processes that are used (or will be used) for treating wastewater or sludge at this facility. Check all that apply.
Air flotation Centrifuge Chemical precipitation Chlorination Cyclone Filtration Flow equalization
Grease trap Grinding filter Grit removal Ion exchange Neutralization, pH correction Ozonation Reverse osmosis
Screen Sedimentation Septic tank Solvent separation/recovery Spill protection Sump Rainwater diversion or storage
Grease or oil separation Biological treatment: Specify Other chemical treatment: Specify Other physical treatment: Specify Other: Specify Amalgam Separator
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Prime Dental Care Inspection Date: 1/13/2025
Section II.H - Treatment (Continued)
2. Do you have a treatment operator(s)? Yes No N/A IF YES: Provide the following information:
Name: Solmetex Services
Operator Class/Type:
Title: Company that services the amalgam separator
Hours:
Phone:
Name:
Operator Class/Type:
Title:
Hours:
Phone:
Name:
Operator Class/Type:
Title:
Hours:
Phone:
Name:
Operator Class/Type:
Title:
Hours:
Phone:
3. Is any form of wastewater treatment (or changes to existing wastewater treatment) planned for this facility within the next three years? Yes No
IF YES: Describe any changes in treatment or disposal methods planned or under construction for the wastewater discharge to the sanitary sewer and estimated completion dates.
Section II.I - Non-Discharged Wastes
1. Are any waste liquids or sludges generated and not disposed of in the sanitary sewer system? Yes No
IF NO: Skip the remainder of Section II.I.
IF YES: List in the table below:
Waste Generated N/A
Quantity (per year)
Disposal Method
2. Describe where and how waste liquids and sludges are stored prior to disposal. 10
Prime Dental Care Inspection Date: 1/13/2025
Section II.I - Non-Discharged Wastes (Continued) 3. If any facility wastes are sent to an off-site centralized waste treatment facility, identify the facility and the wastes
that it receives: N/A
4. If an outside firm removes any of the wastes, list the name, address, and permit number of all waste haulers:
Name N/A
Address
Permit Number (if applicable)
5. Have you been issued any federal, state, or local environmental permits? Yes No IF YES: List the permits:
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Prime Dental Care Inspection Date: 1/13/2025 Section III - Closing Conference and Follow Up Closing Conference The EPA Region 5 Lead Inspector, Joseph Forth, held a closing conference with Dr. Nari Cho at 1:33 PM CT on 1/13/2025. During the closing conference, Joseph Forth restated the purpose of the inspection and explained that a copy of the final inspection checklist will be provided to the Facility.
Facility representative made a claim of CBI during the inspection: Yes No Name/Title of Facility Representative making the CBI claim:
Requested Documents At the time of the inspection, EPA did not request any follow up documents. Communication Log EPA did not receive any additional information following the inspection
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