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CHEMICAL / UNIVERSAL MATERIAL WASTE DISPOSAL FORM/MANIFEST updated 1/2020Originator (print name): Dept: Location: Date: Individual to Coordinate Pickup (print): Phone #: Billing Contact (print name):
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01
To fill out the chemical/universal waste disposal form/manifest, follow these steps:
02
Start by entering the date and the name of the generator or facility at the top of the form.
03
Provide the address and contact information of the generator or facility.
04
Indicate the type of waste being disposed of and provide a description of the waste.
05
Enter the total quantity of the waste being disposed of and specify the units of measurement.
06
Include the EPA ID number of the generator or facility.
07
Provide any other required information such as the DOT Proper Shipping Name, Hazard Class, and UN/NA number.
08
Fill out the section for the transporter, including their name, address, and EPA ID number.
09
Enter the name, address, and EPA ID number of the designated treatment, storage, or disposal facility.
10
Include any other necessary details or information as required by local regulations or permits.
11
Sign and date the form to certify the accuracy of the information provided.
12
Retain a copy of the completed form for your records and send the original to the appropriate regulatory agency.

Who needs chemicaluniversal waste disposal formmanifest?

01
Any individual or organization that generates or handles chemical or universal waste and is subject to waste disposal regulations needs to fill out the chemical/universal waste disposal form/manifest.
02
This includes industrial facilities, laboratories, healthcare facilities, and any other entity that produces or handles hazardous waste.
03
The form/manifest is required to track the movement of hazardous waste from the generator to the designated disposal facility and ensure compliance with waste management regulations.
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Chemicaluniversal waste disposal formmanifest is a document used to track the disposal of hazardous waste materials.
Any entity that generates, transports, or disposes of hazardous waste materials is required to file a chemicaluniversal waste disposal formmanifest.
Chemicaluniversal waste disposal formmanifest is typically filled out by providing information such as the type and quantity of waste, the disposal method, and the location of disposal.
The purpose of chemicaluniversal waste disposal formmanifest is to ensure proper tracking and disposal of hazardous waste materials in accordance with regulations.
Information such as the type of waste, quantity, disposal method, and tracking information must be reported on chemicaluniversal waste disposal formmanifest.
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