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i0140P Stericycle' <br /> • Environmental Solutions <br /> Approval <br /> Evaluation Form prior to <br /> Type Criteria for evaluation form completion ship Exceptions Comments <br /> Must be completed for every cylinder for <br /> Aerosols and camper <br /> CYLINDER disposal/recycle along with a picture of Yes <br /> each cylinder. propane <br /> Any time you come across the following <br /> items: Tetra nitrometha ne Only allowed 10 lbs <br /> Oxidizer IV Amonium perchlorate Yes None per allfacility oapproval <br /> Guanidine Nitrate Must call for approval <br /> Hydrogen Peroxide,>90% prior to shipping. <br /> Any azide when contaminated or When Note on packing slip <br /> Azide Eval suspected to be contaminated or Yes uncontaminated and that material is not <br /> knowingly shipping to CHES not shipping to CHES. contaminated. <br /> Refer to peroxide former list. Any listed <br /> compound that cannot be visually Any co unexpired <br /> d dthat <br /> are uneexpirea and <br /> Peroxide Formers inspected,expired/expiring within 60 Yes >60 days from <br /> days or has visible solid/crystillization or <br /> expiration. <br /> feathering within the solution. <br /> Only unhibited and with no visible Inhibited/Stabilized <br /> Borane-THF solid/crystillization/feathering in the Yes solutions and visibly <br /> solution. clear solutions. <br /> Dess-Martin Only if known to be contaminated with Yes Uncontaminated <br /> Periodinane water or bi-layered. material only. <br /> Note on packing slip <br /> concentration of <br /> No visible water/liquid present or unsure water. >10%picric <br /> Picric Acid of moisture concentration. Yes Visible liquid should be packed as <br /> INC15-D1 multi- <br /> nitrated & <10%as <br /> INC14-A solutions <br /> Chemical Oxygen All SPENT chemical Oxygen Generators <br /> Generator for disposal.Cannot ship active oxygen No None Generator signs <br /> certification form. <br /> Certification generators to PSC. <br /> When shipping any waste that may have <br /> Non-infectious contained or could have been in contact No None Generator signs <br /> Certification with RMW and/or human blood,even certification form. <br /> when bleach has been added. <br /> Scintillation Vials Generator signs <br /> Whenever shipping scintillation vials. No None <br /> certification I I certification form. <br /> ©Stericycle 2015.All rights reserved. Confidential Information:Copying,dissemination or distribution of this information is strictly prohibited. <br />