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Another challenge: disposing of waste

A single Ebola patient treated in a U.S. hospital will generate eight 55-gallon barrels of medical waste each day.

Protective gloves, gowns, masks and booties are donned and doffed by all who approach the patient’s bedside and then discarded. Disposable medical instruments, packaging, bed linens, cups, plates, tissues, towels, pillowcases and anything that is used to clean up after the patient must be thrown away.

Even curtains, privacy screens and mattresses eventually must be treated as contaminated medical waste and disposed of.

Dealing with this collection of pathogen-filled debris without triggering new infections is a legal and logistical challenge for every U.S. hospital now preparing for a potential visit by the virus.

In California and other states, it is an even worse waste-management nightmare.

While the U.S. Centers for Disease Control and Prevention recommends autoclaving (a form of sterilizing) or incinerating the waste as a surefire means of destroying the microbes, burning infected waste is effectively prohibited in California, and banned in several other states.

“Storage, transportation and disposal of this waste will be a major problem,” California Hospital Association President C. Duane Dauner warned Sen. Barbara Boxer, D-Calif., in a letter last week.

Even some states that normally permit incineration are throwing up barriers to Ebola waste.

In Missouri, the state attorney general has sought to bar Ebola-contaminated debris from a St. Louis incinerator operated by Stericycle Inc., the nation’s largest medical waste disposal company.

Due to restrictions on burning, California hospital representatives say their only option appears to be trucking the waste over public highways and incinerating it in another state — a prospect that makes some environmental advocates uneasy.

Rules for transport

Under federal transportation guidelines, the material would be designated a Class A infectious substance, or one that is capable of causing death or permanent disability, and would require special approval from the Department of Transportation, hospital representatives say.

“These are some pretty big issues and they need some quick attention,” said Jennifer Bayer, spokeswoman for the Hospital Association of Southern California.

“We fully expect that it’s coming our way,” Bayer said of the virus. “Not to create any sort of scare, but just given the makeup of our population and the hub that we are. It’s very likely.”

The Ebola virus is essentially a string of genetic material wrapped in a protein jacket. It cannot survive a 1,500-degree scorching within an incinerator, or the prolonged, pressurized steam of an autoclave.

“The Ebola virus itself is not particularly hardy,” CDC Director Dr. Thomas Frieden said under questioning on Capitol Hill recently. “It’s killed by bleach, by autoclaving, by a variety of chemicals.”

However, CDC guidelines note that “chemical inactivation” has yet to be standardized and could trigger worker safety regulations.

Getting ready

California health officials recently tried to reassure residents that the state’s private and public hospitals were up to the task and were actively training for the possible arrival of Ebola.

“Ebola does not pose a significant public health risk to California communities at the present time,” said Dr. Gil Chavez, an epidemiologist and deputy director at the California Department of Public Health. “Let me tell you why: Current scientific evidence specifies that people cannot get Ebola through the air, food or water. … The Ebola virus does not survive more than a few hours on impervious surfaces.”

It was unclear whether California officials viewed the waste issue as a potential problem.

Although one-third of the state’s private hospitals and “a few” of its public hospitals reported to Boxer’s office that there would be problems complying with the CDC’s incineration recommendation, and others, a state public health official told reporters he was not aware of any conflicts.

Dr. David Perrott, chief medical officer for the California Hospital Association, said there was also confusion about whether infected human waste could be flushed down the toilet.

“Here’s what we’ve heard from the CDC: It’s OK,” Perrott said. “But then we’ve heard from some sources, that maybe we need to sterilize it somehow and then flush it down the toilet or you have to check with local authorities. It sounds maybe a little gross, but there is a real question about what to do with that waste.”

Overreaction?

Dr. Thomas Ksiazek, a professor of microbiology and immunology of the University of Texas Medical Branch, has said he believes there’s been a lot of overreaction about Ebola medical waste.

“There are other ways to deal with the waste; autoclaving would be chief among them,” Ksiazek said. “The problem is, most hospitals don’t use it for most disposable items. They’re quite happy to bag them up and send them to a regular medical disposal company.”

But Allen Hershkowitz, a senior scientist at the Natural Resources Defense Council, said incineration is simple and effective, and should be available to hospitals to help dispose of the mountain of waste.

Hershkowitz said states began to crack down on medical waste incineration years ago because materials that didn’t need to be burned were being sent to combustors and were emitting dangerous pollutants.

In this case of Ebola medical waste, he said California should reconsider its restrictions.

“There’s no pollutant that’s going to come out of a waste incinerator that’s more dangerous than the Ebola virus,” Hershkowitz said. “When you’re dealing with pathogenic and biological hazards, sometimes the safest thing to do is combustion.”

by: http://www.sfgate.com/news/article/Another-challenge-disposing-of-waste-5909413.php

Ta Qali pet cemetery/ crematorium exempted from Environmental Planning Statement

The Malta Environment and Planning Authority has exempted the application for the construction of a pet cemetery and crematorium from an Environmental Planning Statement, according to a notice in Friday’s issue of the Government Gazette.

In exempting a project from an EPS, Mepa has determined that the proposal is unlikely to have any significant environmental impact and the Director of Environment Protection agrees that the proposal does not require such a statement, since the Project Description Statement (PDS) presented as part of the application “has considered the environmental issues in a sufficient manner such that the preparation of an EPS would not add any new information and Mepa has all the necessary information to determine the application”.

The dog and cat cemetery is planned for a site at Ta’ San Ġakbu in Ta’ Qali. According to the notice, the proposed development will include an incineration facility fuelled by gas. This will operate at a temperature in excess of 1,100°C, ensuring complete combustion and no emission of hazardous gases.

According to Mepa, no significant impact is envisaged during the construction phase, given the scale of the proposed buildings.

“With respect to the operations of the incinerator facilities, and given that it is expected the facility will be strictly processing animal carcasses with no risk of infection, no significant environmental impact is envisaged. Furthermore, operations are unlikely to lead to any significant emissions to air, so impact will be of little or no significance, due to the incinerator’s specifications and secondary burning process.”

There is no concern over the generation of waste, either. As Mepa explained: “The impact arising from the amount of waste generated during the construction phase is not considered significant. The pet cemetery is not likely to have a significant environmental effect, given that no solid waste will be generated. Any ash remains would need to be disposed of in line with the provisions of the Waste Regulations, 2011.”

Although construction-related spillages may result from the project, Mepa has found that “these are expected to be of minor or no significance given that any spillages can be mitigated through the proper application of appropriate mitigation measures identified in the Environmental Management Construction Site Regulations, 2007”.

It adds: “Impacts during operation are expected to be of little or no significance given that risks of contamination of land or water from such releases are likely to be remote.”

According to a planning application presented by the Environment Ministry, a 1,700 square metre agricultural field has been identified for the development of a dog and cat cemetery that will provide niches for the ashes of 17,000 dogs and cats.

The provision of an animal cemetery was proposed in the Labour Party’s manifesto before the last general election.

by: http://www.independent.com.mt/articles/2014-10-22/local-news/Ta-Qali-pet-cemetery-crematorium-exempted-from-Environmental-Planning-Statement-6736124171

Incinérateur de déchets médicaux au Bénin

Incinérateur de déchets médicaux au Bénin : une solution conforme aux normes CE, à haute capacité et adaptée aux besoins locaux

HICLOVER, spécialiste international reconnu dans la fabrication et l’exportation d’incinérateurs de déchets médicaux, présente son modèle spécifiquement configuré pour répondre à un récent appel d’offres au Bénin. Cette solution associe performance environnementale, robustesse et technologie moderne, tout en respectant les exigences strictes des normes CE ou FDA.


 Caractéristiques techniques détaillées

Chambre de combustion principale

  • Parois intérieures entièrement isolées avec des matériaux réfractaires de haute qualité, garantissant une excellente rétention thermique et une grande durabilité.

  • Dimensions internes adaptées aux besoins locaux : 1060 x 800 x 700 mm (+/- 5%) pour optimiser la capacité et l’ergonomie de chargement.

  • Capacité de chargement minimale : 200 kg, permettant le traitement efficace des déchets hospitaliers et biologiques.

  • Puissance calorifique : jusqu’à 420 kW (au lieu de 390 kW), offrant une montée en température plus rapide et une meilleure efficacité de destruction.

  • Principe de chauffage à double passage, pour améliorer le rendement thermique et réduire la consommation de carburant.

Chambre de post-combustion (afterburner)

  • Entièrement isolée, fabriquée avec des briques réfractaires spéciales et une isolation à faible masse thermique.

  • Température minimale garantie : 1100°C, assurant une destruction totale des fumées et des polluants.

  • Contrôle automatique par ventilateurs de combustion pilotés et allumage on-off selon la température.


 Commande et sécurité

  • Automate programmable (PLC) pour gérer tous les cycles, la sécurité et la maintenance préventive.

  • Écran tactile de 6 pouces pour un pilotage intuitif.

  • Enregistrement automatique des données et export via clé USB, permettant la traçabilité et la conformité réglementaire.

  • Bouton d’arrêt d’urgence et indicateurs de cycle, de fonctionnement et d’anomalie pour garantir la sécurité des opérateurs.


 Alimentation et consommation

  • Alimentation électrique : 220–250 V, 50/60 Hz.

  • Carburant : Diesel avec réservoir intégré de 500 litres.

  • Vitesse de combustion : 50–75 kg/h, adaptée aux besoins quotidiens d’un hôpital, d’un centre de santé ou d’un laboratoire.

  • Panneaux isolants de 50 mm superwool pour réduire la déperdition thermique et augmenter la sécurité externe.

  • Conception avec cheminée de section adaptée pour assurer un tirage optimal et limiter les émissions.


 Une solution pensée pour l’Afrique de l’Ouest

Cet incinérateur s’inscrit pleinement dans les politiques publiques visant à :

  • améliorer la gestion des déchets hospitaliers,

  • limiter les risques sanitaires,

  • et respecter les normes internationales en matière d’émissions polluantes.

HICLOVER, fort de son expérience auprès des hôpitaux, ONG et organismes internationaux (ONU, OMS, etc.), propose des solutions clé en main : formation des opérateurs, mise en service et assistance technique.


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negozio tiffany milano the whole of Europe has 423 waste incinerators

Among them,tn, the steel industry produced two? English number is much higher than normal number of waste incineration. � stone hillsIncineration plant turned landscapeIn recent years, with advances in technology, incineration, waste incineration plants living abroad to implement a large-scale restructuring, through higher environmental standards to transform the old incinerator, off a small plant, built manufacturers make incineration plants to scale,veste barbour homme, large-scale development.According to statistics,outlet hogan, in 2010, there are 35 countries and regions have built more than 2,barbour femme,000 lives incineration plant,air jordan 4 retro rouge noir, mainly in Europe,barbour international, the United States, Japan and other developed countries and regions. Interestingly, many of the incineration plant is not only a waste disposal facilities, but also because of new and unique designs, a local landmark, has become a beautiful landscape.As of the end of 2009, the Japanese waste incineration rate has reached 79.8%; the whole of Europe has 423 waste incinerators, burning about 0.25 kg per capita / day; Germany, Canada and other countries, to be buried in the ground for decades to re-dig the garbage incineration power generation; the United States a total of 220 units of existing incinerator, the total size of 93,943 tons / day waste incineration capacity is 2 times China over the same period.2010 statistics.

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by: http://voipshoip.com/negozio-tiffany-milano-the-whole-of-europe-has-423-waste-incinerators/

SMOKELESS INCINERATOR

THE SMOKELESS INCINERATOR FOR INDUSTRIAL PURPOSE, IN LAGOS NIGERIA
WE WANT TO KNOW THE CAPACITY OF THE EQUIPMENT, HOW MUCH LOAD OF WASTE CAN IT BURN AT A PARTICULAR TIME AND FOR HOW LONG, AND THE TYPE OF ENERGY REQUIRED FOR THE OPERATION. PRICE INCLUDING SHIPMENT
for the destruction of the followings:
Polyester, polypropylene, polystyrene, vinyl acetate plastic, synthetic plastics,
natural rubber, synthetic rubber, polyurethane sheet, and bulky films, solids and
– particles that can be easily sorted
– Items that easily degenerate such as paper, wood, leather and garbage
– Chemical waste solids and liquids, waste oil and other difficult-to-handle items

England’s trash generating Danish heat

Power in Denmark is increasingly being generated in plants burning waste imported from England. The practice is being called an economical and environmental boon on both sides of the equation.

The AVØ incinerator in Frederikshavn produces heating and power for the area by burning trash from England.

“It is mainly construction waste like pieces of wood, cardboard and plastic from Manchester,” AVØ operations manager Orla Frederiksen told DR Nyheder. “I guess we have 600 tonnes here that provide a good combustible mixture we can then turn into district heating and power.”

Good for the bottom line
The incinerator in Frederikshavn has doubled its imports of the English waste in the past year.

Incinerators in Aalborg and Hjørring are also burning British trash.

“The heating we produce using the waste is cheaper than what we can generate with natural gas,” said AVØ head Tore Vedelsdal. “And the British are interested because they lack incinerators and pay heavy taxes on landfills.”

Good for the environment
Vedelsdal said that the environmental angle works for both countries.

“They save on having to bury the waste and we save on the consumption of natural gas,” he said.

READ MORE: Denmark pays most for electricity

Environmental protection agency Miljøstyrelsen said that last year up to 200,000 tonnes of non-hazardous waste from England was incinerated in Denmark – nearly six percent of the total volume of combustible material used.

by: http://cphpost.dk/news/englands-trash-generating-danish-heat.11398.html

Mine Spews Toxic Fumes: NWT Air Regulations Not in Place

Snap Lake Mine, 220 kilometres northeast of Yellowknife, where elevated levels of dioxins and furans were pumped into the air. | Photo Fire Prevention Services

Last July, two incinerators at De Beers’ Snap Lake Mine were belching out clouds of black smoke, one sending an average of 65 times the accepted national limit of cancer-causing toxins into the air.

The hugely elevated levels of dioxins and furans — released when plastic is burned or garbage is not fully incinerated — were recorded during a four-day “stack test.” According to the World Health Organization, “dioxins are highly toxic and can cause reproductive and developmental problems, damage the immune system, interfere with hormones and also cause cancer.” The Canada-Wide Standards recommends emission levels for dioxins and furans not exceed 80 picograms per cubic metre. The company contracted to do the testing at Snap Lake found that one of the mine’s incinerators was emitting 6.5 times the acceptable limit, while the other incinerator was emitting a whopping 65 times the acceptable limit (5,220 picograms per cubic metre on average, as

emission

 

It’s unclear how long this was going on for, though the report noted the problem was clearly visible: “Black opaque smoke was noted for all tests early in the incineration cycle.”

De Beers did not respond to EDGE’s request for an interview by the time of publication. However, according to a letter from De Beers’ Environment and Permitting Superintendent, Alexandra Hood, sent to the GNWT and Environment Canada in January, the root cause of the problem was “not following standardized work practices,” and running the incinerators, which were only installed in 2013, at too low a temperature.

Since flunking the test, De Beers has retrained staff, rewritten operating procedures and brought in new policy to shut down the incinerators if they’re not meeting the correct temperatures (if it’s safe to do so), according to Hood’s letter. An inspection of the Snap Lake incinerators by a GNWT Lands Officer in March suggests De Beers has ameliorated the problem, at least in part: “No concerns were noted during this inspection,” it states, and “the west incinerator which was burning waste at the time of inspection was emitting clear exhaust gas with no black smoke coming from the stack.”

Whether or not sufficient steps have been taken, however, won’t be known for years: the next stack test is not scheduled until 2019, according to a source close to the issue wishing to remain anonymous.

No GNWT regulation

The fact that, for an undetermined period of time around July 2014, the Snap Lake incinerators were pumping out unacceptable levels of toxic emissions is troublesome in itself. But it points to a much larger problem in the territory; the GNWT does not regulate emissions, require companies to meet the CWS, or mandate stack testing. (The Mackenzie Valley Land and Water Board, likewise, does not regulate air emissions.)

At several points in her letter, Hood notes the lack of regulation, claiming De Beers “will conform with any regulatory requirements regarding incinerator stack testing once enabling legislation is developed and approved in the NWT.”

Without legislation in place, there is nothing to force De Beers or other groups using incinerators (i.e. every single mine in the territory), to keep their emissions at a safe level or undertake stack testing on a regular basis. Each mine has an Air Quality and Emissions Management Plan as part of its environmental agreement, but these plans only dictate reporting requirements, not actual emission targets. And while Hood claims “deficiencies, as measured against the Canada Wide Standards, will be managed through adaptive management and continuous improvement by De Beers,” there’s little government oversight of this “continuous improvement” and no fines or other mechanisms to force polluting companies to remedy their ways.

This problem has been going on for years. According to a Canadian Press report from 2011, the scientific journal Integrated Environmental Assessment and Management found sediments in a lake near the Ekati Mine that had levels of dioxins and furans 10 times higher than those collected from an uncontaminated lake. The same report cited a 2007 study commissioned by Environment Canada which suggested “extensive, uncontrolled burning of wastes could result in substantial accumulations of dioxins and furans in the local ecosystem, some of which will persist for some 8½ years at levels approaching those considered to be of toxicological concern.”

“In most cases we’re below the level that health agencies would (watch) for…” the study continues, “but we’re getting there. And if you have more incinerators and more burning, you may well exceed those levels.”

The GNWT’s Department of Environment and Natural resources did not return EDGE’s request for comment on the lack of regulation.

Why no regulation?

Back in 2001, the GNWT did sign on to the Canada-Wide Standards of dioxins and furans with all other provinces and territories (except Quebec) as part of a national Accord on Environmental Harmonization.

The document says: “Parties are required to take measures to reduce total releases from anthropogenic sources of dioxins, furans… with the goal of their continuing minimization and where feasible (technically and socio-economically), ultimate elimination.” However, it adds, “each jurisdiction will determine the exact means of ensuring compliance” – basically defanging the document by letting provinces and territories renege on their commitment with no repercussions.

Other jurisdictions have taken proactive steps, bringing in legislation to regulate emissions in line with the CWS. The GNWT has not. They did bring in guidelines for managing biomedical waste in 2005, but they have been unwilling to regulate incinerators at mine sites. Their reason? The “waste incinerators operating at remote industrial sites within the NWT… are located on federal crown land and are not regulated by the Government of the Northwest Territories,” says a report from 2009.

This may have been true in 2009, but post-devolution it’s no longer the case. Since April of last year, the mines are on land managed by the GNWT, yet there have been no moves from legislators to start regulating toxic emissions from mine or other industrial incinerators. The last time the issue was discussed in the legislative assembly in 2011, Weledeh MLA Bob Bromley said a “loophole in environmental rules is allowing a growing number of unregulated waste incinerators to release extremely toxic chemicals into the land and water.” He suggested, “when we take on new powers, we must be ready to move with new law.”

Devolution has come, and incinerators are still operating in an unregulated environment. With all the talk of fracking and opening up new mining projects in the territory, it’s now time, more than ever, for the GNWT to get its act together.

 

from: https://edgeyk.com/article/mine-spews-toxic-fumes-nwt-air-regulations-not-in-place/

 

Livestock Incinerators

We are having serious concern in expanding our operation in Agricultures, especially in Breeding Livestock section, which involves Pig Production as well.Our vision is to develop herd of 500,000 marketed pigs within 5 years, which supplied 1,000,000 porkers to the market yearly.
We concern how to handling with pig’s placenta and mortality from newborn pig, from piglets to weaner, from weaner to finisher (Pig Carcass Waste) . I find out that your company is a supplier which specialized in incinerator for Pig Farm so I am writing to request you consultant us what incinerator is suitable with our Pig Farms.
About the general idea, Hoa Phat would like to build 1250 Nucleus Farms (including Weaners, Gilts, Replacement) and 6000 Finisher Farms.
At our calculated, for 1 farm 1250 sows we have:
100 placentas per day (1 placenta weight ~ 200-300g)
6 newborn pigs dead per day (1 newborn weight ~ 1,5kg)
8,4 piglets dead per day (1 piglet weight ~ 3kg)
2,6 weaner dead per day  (1 weaner weight ~ 20kg)

Tinian solid waste: Where to go?

THREE options are on the table for disposing off Tinian solid waste: incineration, Fukuoka method or off-island disposal.

The Marine Forces Pacific recently held an ad hoc committee meeting with the Bureau of Environmental and Coastal Quality, Environmental Protection Agency, Tinian Mayor’s Office, Department of Public Works and Administration representatives at the BECQ office on Middle Road to map out the directions to take relating to the potential solid waste solutions beneficial for both the military and the civilian population.

In light of the ongoing National Environmental Policy Act process on the construction of ranges and training areas on Tinian, the Marine Forces Pacific examined these options and discussed these with the CNMI.

In analyzing these options, the U.S. military held the assumption that the current dumpsite located at Puntan Diablo on Tinian — the area where the Chinese group of investors is planning to develop into an integrated resort — will be closed and that a transfer station is being considered.

MARFORPAC environmental specialist Sherri Eng said the dumpsite is not something that the military will be able to use.

Just by looking at the requirements and the benefits of the options explored, Eng said that the easiest would be the off-island disposal.”

In choosing the off-island disposal option, the parties will have to look into the capacity of the Marpi landfill to accommodate the waste coming from Tinian — both military and civilian waste.

Eng, in a meeting with the local regulatory agencies and officials walked them through the three systems being considered.

Option 1: Incineration

Eng said the system that calls for the use of incinerator or waste-to-energy system requires a “properly sized incinerator,” fenced site, ash landfill, wastewater disposal, trained operators and secondary disposal site for C&D or construction and demolition waste, green waste, recyclables and white goods.

She said that this system could lead to significant waste reduction and energy production.

However, there are challenges to be met: siting and permitting, maintaining consistent operations, the need for sorting and waste monitoring, high initial cost, high maintenance cost and long timeline for construction.

“Construction timeline is long. It is not something that we can set up tomorrow,” said Eng.

Department of Public Works Secretary Martin C. Sablan mentioned about the CNMI getting an incinerator which it never used owing to the difficulty of permitting through the regulatory agencies.

“Permitting was a problem,” said Sablan.

Option 2: Fukuoka Landfill

The Fukuoka landfill is a new approach to handling solid waste. It is a semi-aerobic landfill with a leachate collecting pipe set up at the landfill floor that drains the leachate to a treatment facility.

This method does not require a synthetic liner.

But if this were to be pursued, Tinian will need an additional 15 hectares and the use of specific construction material.

The MARFORPAC representatives said they have conducted research on this method.

It was done in Palau, Yap and American Samoa but nowhere else in the continental United States due to permitting.

“We have to get some kind of waiver,” said Eng citing that it is not a permitted system in the U.S.

But with Fukuoka method, there is a potential to convert the existing dumpsite on Tinian.

As for leachate, the military is considering to upsize its waste water treatment facility to accommodate this if this were the option to consider.

As the Fukuoka landfill will need clay, Eng said their research showed the lack of this material on Tinian; however, it was suggested there’s a source in Papago.

Option 3: Off-island disposal

This option proposes to utilize the existing Marpi landfill.

With this option, Eng said there will be no additional land requirements.

She said this centralizes waste management system on Saipan.

But Eng was quick to point out that among the challenges will be how to deal with the perception that Saipan becomes a dumping ground.

The military also sees the need to upgrade shipping infrastructure.

“We’re willing to accept military waste,” said DPW Secretary Martin C. Sablan.

He said they had excavated the ground to construct the third cell of the landfill facility.

With this option, Eng assured that “whatever we do, we are going to take the Tinian waste with us.”

Asked by DPW if the military were to foot the bill for shipping and transfer of the waste, Eng said, “We agree to find the solution and hope to find the solution.” She said she could not commit to anything.

Sablan said it will cost less for the military to bring their waste to Saipan but the municipality will be needing assistance.

Feasibility study for three options?

Eng pointed out that the options has to be brought down to two.

“I don’t think we have the time and money to do all three,” she said.

Transfer station is key

As they mulled the potential solutions to Tinian’s solid waste issues, Eng said it is assumed that there will be a transfer station.

“Transfer station is important in all these sytems,” she said.

Closure of the dumpsite

Tinian Mayor Ramon M. Dela Cruz pointed out that it is not the responsibility of the developer to close the existing dumpsite at Puntan Diablo.

He, however, said that Alter City has committed to providing up to $5 million in assistance.

Asked by CIP’s Elizabeth Balajadia if they could continue to use the dumpsite for five more years, Tinian Mayor’s Office chief of staff Don Farrell said “five years is too long.”

Mayor Dela Cruz said three years would be reasonable.

“That will allow the developer to work on the adjacent property,” he said.

Alter City Group is proposing to build a golf course at the current site of the dumpsite.

Alter City committed to assist

At a hearing before the CNMI legislature last week, Alter City’s legal counsel Rober Torres said, “Investor is motivated to assist in its removal.”
But he said the government too has to pitch in.
by: http://www.mvariety.com/special-features/business-edge/70491-tinian-solid-waste-where-to-go