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WM - WASTE MANAGEMENT SERVICE PROVIDER <br /> PICK-UP AND REQUIRED DOCUMENTS <br /> All states require one or two pick ups per year. These pick ups are prescheduled through Waste <br /> Management. Upon arrival, the properly identified Waste Management representative will contact the <br /> Manager on Duty to pick up the hazardous waste your store has collected in the hazardous waste <br /> totes. <br /> The Waste Management representative will transfer the materials in your tote to the appropriate <br /> hazardous waste collection drums that Waste Management will bring with them. The following items <br /> on these forms are to be completed by the Store Team Leader when placed on the collection tote at <br /> the start of each new collection period. <br /> XXXXX <br /> HAZARDOUS <br /> WASTE <br /> STATE AND FEDERAL LAW PROHIBIT IMPROPER DISPOSAL. Start date when the <br /> IF FOUND,CONTACT THE NEAREST POLICE OR PUBLIC SAFETY <br /> Complete the Store AUTHCRITY,THE U.S.ENVIRONMENTAL PROTECTION AGENCY. new label Is placed on <br /> Name and Number GENERATOR INFORMATION: <br /> NAME Rig I ots 4 47 the tote <br /> Address, Phone, City, DDRESS 7495 Syrar�e Ave 1HONE216-555-9665 <br /> CITYSVa <br /> un lley STATECA zip 43228 <br /> State and Zip MANIFESTTRACKING NO. If <br /> EPA ID NO. ht <br /> EPA ACCUMULATION 8/12/16 <br /> CAL000379463 <br /> WASTE NO. START DATE <br /> Provide your EPA ID # CONTENTS,COMPOSITION, <br /> STATE:PHYSICAL <br /> (If applicable) SOLID ❑LIQUID I ❑CORROSI EPROPERTIES: <br /> REI ❑ACTIVITY XOTHEgROxdizer <br /> Check the box that <br /> Always check SOLID is appropriate to the <br /> D.O.T.PROPERSNIPPING NANEANDUNORNA NO.WR PREFIX items being collected <br /> HANDLE WITH CARE! in the tote this will be <br /> adhered to <br /> The MOD must complete a new label and adhere to the appropriate container immediately following <br /> pick-up. The Manifest Tracking No. and the Description will be provided from the waste profile that is <br /> generated from Waste Management. <br /> During hazardous waste pick-up, the Waste Management representative will assess the store's <br /> compliance with the program components (e.g. ensure wastes are properly bagged, absorbent is <br /> used when necessary, etc). Should the Waste Management representative determine the store <br /> is not following the required elements of the program, the Waste Management representative will <br /> communicate these deficiencies to the Manager-on-Duty. In some cases, these deficiencies will also <br /> be communicated back to the Big Lots General Office. <br /> MOW Hazardous Waste Management Program <br /> Revised 3/21/16 <br />