On August 14, 2015, a Consent Agreement and Final Order (CAFO) will be issued to Northwest Texas Healthcare System, Inc. (Northwest) of Amarillo, Texas to resolve RCRA violations discovered during the review of data from Northwest?s hazardous waste activities. The data revealed that on several occasions, Northwest generated quantities of waste that triggered the large quantity generator requirements, and during those periods, Northwest continued to notify and operate as a small quantity generator of hazardous waste. Northwest was identified based on the targeting efforts. The CAFO requires the payment of $101,970 and compliance with RCRA regulations.