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Hazardous Waste Management Program <br />Revised 3/21/16 <br />FRONTSIDE #1 <br />NO SIGN NO SIGN <br />SIDE #2 <br />TOXICS <br />ACCEPTABLE ITEMS: <br />• Place containers into zip-loc bags <br /> (use goggles and gloves from spill kit) <br />• Add Spill Magic to leaking containers <br /> zip-loc bag <br />‡([DPSOHVLQFOXGHEUDNHÀXLGORWLRQ <br /> all shampoo, allergy medicine, <br /> soap and detergent, insecticides, <br /> OTC medicine, pet shampoo, liquid <br /> cosmetics, etc. <br />THIS END UP <br />HANDLE <br />WITH CARE <br />FRONT ONLY <br />TOXIC <br />FRONTSIDE #1 SIDE #2 <br />CORROSIVE <br />ACID <br />ACCEPTABLE ITEMS: <br />• Place containers into zip-loc bags <br /> (use goggles and gloves from spill kit). <br />• Add Spill Magic to leaking containers <br /> zip-loc bag. <br />• Examples include acid based, toilet <br /> bowl cleaner, drain clog remover, dry <br /> dish detergent, calcium remover, grout <br /> and tile cleaner, etc. <br />• Ingredients generally contain Sodium <br /> Hydrochloric Acid, Phosphoric <br /> Acid,Oxalic acid, Sulfuric acid, etc. <br />THIS END UP <br />HANDLE <br />WITH CARE <br />FRONT <br />THIS END UP <br />HANDLE <br />WITH CARE <br />SIDE #1 <br />CORROSIVE <br />ACID <br />THIS END UP <br />HANDLE <br />WITH CARE <br />SIDE #2 <br />CORROSIVEACID <br />CORROSIVE ACID <br />FRONTSIDE #1 SIDE #2 <br />CORROSIVE <br />BASE <br />ACCEPTABLE ITEMS: <br />• Place containers into zip-loc bags <br /> (use goggles and gloves from spill kit). <br />• Add Spill Magic to leaking containers <br /> zip-loc bag. <br />• Examples include ammonia cleaner, <br />RYHQFOHDQHUJODVVFOHDQHUÀRRU <br /> cleaner, hair remover, liquid automatic <br /> dishwasher detergent, etc. <br />• Ingredients generally contain <br /> Ammonia, ammonium hydroxide, <br /> Sodium hydroxide, Lye etc. <br />THIS END UP <br />HANDLE <br />WITH CARE <br />FRONT <br />THIS END UP <br />HANDLE <br />WITH CARE <br />SIDE #1 <br />CORROSIVEACID <br />THIS END UP <br />HANDLE <br />WITH CARE <br />SIDE #2 <br />CORROSIVE <br />ACID <br />CORROSIVE BASE <br />HAZARDOUS WASTE COLLECTION STATION <br />+D]DUGRXV:DVWH&ROOHFWLRQ6WDWLRQ6HWXS <br />TOP/LID <br />TOP/LID <br />TOP/LID <br />8 <br />Waste Type: (please write in large legible letters)Collection Start date: <br />Page# of <br />Collection Pickup date: <br />Store #: <br />Store Address: <br />City,State, Zip Code: <br />Store Phone Number: <br />WASTE INFORMATION <br />STORE INFORMATION <br />Store Manager: <br />Manager Contact Number (cell): <br />Pick-up Hours: <br />Loading Dock Available: <br />Who Will Sign Paperwork: <br />Notes/Comments: <br /> <br />7…i˜…>â>À`œÕÃÜ>ÃÌiVœiV̈œ˜Lˆ˜ˆÃÀi>`Þ̜Li«ˆVŽi`Õ«]i˜ÃÕÀi>wi`Üv̅ˆÃ`œVՓi˜Ì>Àiwi`œÕÌVœ“«iÌiÞ>˜`v>Ý̜nxx‡Óx{‡ÓÓ{Ȱ<br />>Ü>ÃÌi“>˜>}i“i˜Ì>Ì£‡nÈȇn£™‡£™ÓÈ̜ÃV…i`ՏiޜÕÀ>VÌÕ>«ˆVŽÕ«° <br />UPC (prefered)(If no UPC you may use article)Manufacturer Example - Clorox DESCRIPTIONExample - Scented Bleach SIZEExample - 64oz QTY. <br />NON-SELLABLE HAZARDOUS MATERIAL CHECKLIST <br />Waste Type: (please write in large legible letters)Collection Start date: <br />Page# of <br />Collection Pickup date: <br />Store #: <br />Store Address: <br />City,State, Zip Code: <br />Store Phone Number: <br />WASTE INFORMATION <br />STORE INFORMATION <br />Store Manager: <br />Manager Contact Number (cell): <br />Pick-up Hours: <br />Loading Dock Available: <br />Who Will Sign Paperwork: <br />Notes/Comments: <br /> <br />7…i˜…>â>À`œÕÃÜ>ÃÌiVœiV̈œ˜Lˆ˜ˆÃÀi>`Þ̜Li«ˆVŽi`Õ«]i˜ÃÕÀi>wi`Üv̅ˆÃ`œVՓi˜Ì>Àiwi`œÕÌVœ“«iÌiÞ>˜`v>Ý̜nxx‡Óx{‡ÓÓ{Ȱ<br />>Ü>ÃÌi“>˜>}i“i˜Ì>Ì£‡nÈȇn£™‡£™ÓÈ̜ÃV…i`ՏiޜÕÀ>VÌÕ>«ˆVŽÕ«° <br />UPC (prefered)(If no UPC you may use article)Manufacturer Example - Clorox DESCRIPTIONExample - Scented Bleach SIZEExample - 64oz QTY. <br />NON-SELLABLE HAZARDOUS MATERIAL CHECKLIST <br />Waste Type: (please write in large legible letters)Collection Start date: <br />Page# of <br />Collection Pickup date: <br />Store #: <br />Store Address: <br />City,State, Zip Code: <br />Store Phone Number: <br />WASTE INFORMATION <br />STORE INFORMATION <br />Store Manager: <br />Manager Contact Number (cell): <br />Pick-up Hours: <br />Loading Dock Available: <br />Who Will Sign Paperwork: <br />Notes/Comments: <br /> <br />7…i˜…>â>À`œÕÃÜ>ÃÌiVœiV̈œ˜Lˆ˜ˆÃÀi>`Þ̜Li«ˆVŽi`Õ«]i˜ÃÕÀi>wi`Üv̅ˆÃ`œVՓi˜Ì>Àiwi`œÕÌVœ“«iÌiÞ>˜`v>Ý̜nxx‡Óx{‡ÓÓ{Ȱ<br />>Ü>ÃÌi“>˜>}i“i˜Ì>Ì£‡nÈȇn£™‡£™ÓÈ̜ÃV…i`ՏiޜÕÀ>VÌÕ>«ˆVŽÕ«° <br />UPC (prefered)(If no UPC you may use article)Manufacturer Example - Clorox DESCRIPTIONExample - Scented Bleach SIZEExample - 64oz QTY. <br />NON-SELLABLE HAZARDOUS MATERIAL CHECKLIST