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i <br /> i <br /> , i <br /> 4 <br /> I <br /> i <br /> ' __—_ JJK <br /> For your reference, a ! w"`"" 0041 <br /> summary of key manifest "'v""" <br /> (4M1l00•it'11t <br /> sections include: v `E — <br /> �mn.rrE rt.»sw rio! a"ot eo.lEe.E I <br /> NOTE: This manifest copy <br /> should be completed <br /> through Item 17. r <br /> You must keep a copy of <br /> the manifest at the store in <br /> the EH&S Program Binder. <br /> Item Description <br /> { <br /> 1 Each store must have a twelve-digit identification number in this section. Note that this number is } <br /> store specific.This is your store's"EPA ID Number." i <br /> 4 Every manifest has a unique tracking number that will be pre-printed on the manifest. Use this <br /> number to match up subsequent copies of the manifest that will be mailed to the store. <br /> 5 The store address in this section must be correct to ensure that mailed copies are properly <br /> returned to the store. <br /> This section will list the transporter(i.e., representative from Stericycle)of your waste.You may <br /> 6&7 have more than one transporter that handles the waste. <br /> t3 This section identifies the TSDF or final destination of your waste.This is the company that will <br /> send the store the final copy of the manifest. <br /> This section will list all of the hazardous waste you are shipping. Each waste should have a <br /> 9 proper Department of Transportation(DOT)shipping name as previously determined by <br /> Stericycle and the CVS Health Corporate Office. <br /> Front Store Management Team colleagues that have completed the required training and have <br /> the authority to sign the manifest will sign and date this section. Do not sign the manifest if you <br /> 15 have any concerns regarding the information provided in Section 9 of the manifest or not all of <br /> your waste was removed. Do not let your Stericycle technician leave without the appropriate <br /> store colleague's signature. <br /> 17 The transporter(i.e. representative from Stericycle)will sign this section.Any additional <br /> transporters that may handle the waste prior to its final disposal will also sign this section. <br /> PharmacyI En,,,nrnental 17 <br /> VICAUMHealth&Safety <br />