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HAZARDOUS WASTE COLLECTION STATION <br /> Required Documents <br /> HAZARDOUS TOTE LABELS AND CHECKLIST <br /> Hazardous tote labels and checklist will need to be filled out for the initial set up of your hazardous <br /> waste collection station, each time an item or bagged clean-up is placed in a tote and after each <br /> Waste Management pick up. Refer to page 30 for instructions on how to properly fill out the labels. <br /> HAZARDOUS <br /> WASTE � � <br /> STATE AND FEDERAL LAW PROHIBIT IMPROPER DISPOSAL. <br /> IF FOUND,CONTACTTHE NEAREST POLICE OR PUBLIC SAFETY <br /> AUTHORITY,THE U.S.ENVIRONMENTAL PROTECTION AGENCY. <br /> GENEflATOR INFORMATION: <br /> NAME <br /> ADDRESS PHONE <br /> CITY STATE-ZIP <br /> MANIFESTTRACNING NO. <br /> EPA ID NO. <br /> EPA ACCUMULATION <br /> WASTE NO. START DATE <br /> CONTENTS,COMPOSITION! CONTENTS <br /> PHYSICAL STATE: I HAZARDOUS PROPERTIES: ❑FLAMMABLE ❑ TOXIC <br /> ❑SOLID ❑LIQUID ❑CORROSIVE ❑REACTIVITY ❑OTHER <br /> ACCUMULATION START DATE <br /> SHIPPER <br /> ADDRESS <br /> at PaaPEx a;xlkrowp xaPl¢axpux ox rva xaMvax pRery <br /> HANDLE WITH CARE! CITY,STATE,ZIP <br /> NON-SALEABLE HAZARDOUS MATERIAL CHECKLIST Paxaa—N <br /> UNIVERSAL WASTE PICK-UP REQUEST FORM <br /> >adi—a..rvease sse—ei i mea.+a.awrMe�amea.awareraevaa+r..,ee.�ea.+aas.uee <br /> np�Bas leame�Pnwn aerate rsea WetrbYenamms deaseaaeyPss Hello,[hank youfor contatting Waste Management if You wishto schetlule the pickup of yourlarge box of <br /> =FA NFWAM011 Universal E-Waste lElectronlcal please use this form.If your pick up is for your Hazardous Waste <br /> 71{JN T1_[ such as your Flammable,Corrosive,and Toxic please use the Non-Saleable H azardous Material <br /> .,^�ar� Checkllat. <br /> 1.Requesters Name <br /> UTAST€INFO WAMM <br /> IR Yapper( aaaulaMner OOf.I�TM i0 2.your 3 digit oro dlglt store# <br /> 3.Store Fax# <br /> 4.Universal E-Waste(Electronics)-total pallets of the large boxes C <br /> 5.Please provide the DTL email address <br /> 6.Fax this completed form m 855-254-2246 <br /> Large Universal E-Waste(Eleetrpnlesl—N Bill of Lading(BOL)will be faxed to the score tlisplaving the <br /> pickup date.Please provide the BOL to the driver on the day of pickup.The aversge turn-around time to have <br /> the large Universal E-Waste(electronics)picked up Is 5-)business days.Please call 8]]-56)-1261 with BOL <br /> and or co ns.if we are having diffcultyreaching you by fax,we will f.—d acopy,i.email to your <br /> Hazardous Waste Totes-The Non-Saleable Hazardous Materials Checklist wn be found and completed in <br /> Online Resources aC <br /> �+N dna http✓/storeveb.rna.rom/hrtra/ning/HararlouaWaatelrogfam%on5ellableHarMat[he<klltGp!/ <br /> BOOM Hazardous Waste Management Program <br /> Revised 3/21/16 <br />