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Stericycle <br /> ExpertSUSTAINABILITY <br /> StronglPak <br /> A 40 Hazardous Waste Manifest <br /> -719-ftS AL -a Amw��- <br /> •Only document approved for the transport The Str°e k-G°id.1°Parentis]],Ha=erdnus M-rial Maaeper: <br /> of hazardous waste by both DOT and EPA Reviewing a Manifest Before Signing <br /> va,dy1fits <br /> iayour Revia'slia de m ManiSesm <br /> -Generator ID — Site Specific s,aplea <br /> L°caa°n8 Verdy}Jns reywr <br /> Canaan]irk Smre EPA IOI Manife 4 <br /> -Transporters and Facilities must be -•• 6 41 JJiC <br /> .� <br /> permitted Eme.°°sa <br /> Tru]s Reeo1 e <br /> ansp°ner <br /> I.A.ake—inin <br /> Narne PAL IR <br /> ree�°'W.. <br /> _.. .,.....- <br /> Waste description area meets requirements a an <br /> <hera is an entry] <br /> • inaN.xma "^ o.°ao°+zeo*e r <br /> _ Qispasal <br /> w'r.1m..r..�a.,e...a.r e•.w�n1v <br /> &EPA IPA F 11 <br /> R <br /> of DOT, EPA, and state identification needs An ar'RR _ <br /> mdirales there.. - mreie Leedl <br /> NOT Rasard°°a wra+r+.e+s.r. pm.a <br /> -Generator signature - verifying waste as Maaal x <br /> oP� Make <br /> Pf <br /> Yours Ship- onain EPA <br /> Ues .pL.- <br /> Area Weare <br /> Zb. Lndes a <br /> h-dre <br /> -Transporter 1 signature — our tech ".d W <br /> confirming acceptance of waste and - - - 5 <br /> Represenwave <br /> LaaapP ner Name S <br /> Name 5 n— 0.— 5,9nanre <br /> responsibility for transport of waste to facility - -- - mh65gn9d <br /> Signame deer <br /> ]Req°fired prior r m-,.,d <br /> m depanure - end inf°nnaneP <br /> -Facility Signature — receipt showing that r °°nF msdl <br /> waste was delivered and accepted by the 1 T ~ -- <br /> DIap°salFacihy Questions? Call the StrongPak <br /> designated facility NI_a.59nawre <br /> lin°mdadonfiAal Hotline 800-815-3770 <br /> copy re ved <br /> apprr°drnasaly 30 days <br /> -Minimum 3 year retention required eheaem°el dPrepnws:Dame 600-815-3770 <br /> 9 G210fi-MI26engxk,6.-All Jesmxrv:: �F��1SUGil.INnrdfilry <br /> ye+.S1P15-IP-8nF St—,P.k - - <br />