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BP CHEMICALS INC. <br />HAZARDOUS WASTE TRACKING FORM <br />****************************************************************************** <br />Description of waste <br />Waste generated by job # <br />Type of container <br />Accumulation date <br />Signed <br />(Maintenance Supv.) <br />dept. # <br />Quantity <br />Date <br />Waste is properly packaged. Yes No <br />Waste container is marked with the following labels: <br />Hazardous Waste Flammable Corrosive <br />Waste is ready to be moved to the hazardous waste storage area. Yes_ No <br />Signed_ Date <br />(Safety Coord./Lab Mar.) <br />Waste was was placed in the hazardous waste storage area. Yes <br />Signed Date <br />(Maintenance Personnel) <br />****************************************************************************** <br />Disposal / off-site <br />Manifest No. <br />Contractor <br />Date shipped __ <br />I certify that the above waste was removed by a licensed and approved waste <br />disposal company. <br />Sinned _ _ Date <br />(Safety Coord./Lab Mgr.) - -- —`- — <br />