On June 9, 2017, Region 6 filed a Consent Agreement and Final Order (CAFO) on Texas Oncology addressing RCRA hazardous waste generator requirements. Data from a Texas treatment, storage and disposal facility indicated discrepancies in the volumes of hazardous waste shipped by Texas Oncology. Further investigation revealed that 8 Texas Oncology facilities in Baytown, Brownsville, Dallas, El Paso, Fort Worth and McAllen, Texas failed to properly characterize and document (manifest) drug and chemotherapy wastes shipped for disposal. The State is aware of the Region?s data mining effort and participated in training on the data mining method. The Region notified the State of the potential violations at Texas Oncology and our intention to investigate and pursue enforcement before notifying the company by letter in March 2016. The CAFO requires Texas Oncology to certify and document compliance with requirements to train workers, properly characterize and document hazardous waste for shipment. It also includes a penalty of $43,900.