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(0017%State of New Jersey **department of Environmental Protection and Energy ^\”* Hazardous Waste Regulation Program Manifest Section CN 421, Trenton, NJ 086250421 Please top* or print in bloc
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How to fill out uniform hazardous waste manifest

01
Fill out the generator information including name, address, and EPA ID number.
02
Describe the waste by identifying the type, quantity, and characteristics.
03
Indicate the accumulation start date and sign the generator certification.
04
Transporter fills out their information and signs the manifest.
05
Receiving facility acknowledges receipt of the waste and signs the manifest.

Who needs uniform hazardous waste manifest?

01
Any facility that generates, transports, or receives hazardous waste needs a uniform hazardous waste manifest.

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