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WM - WASTE MANAGEMENT SERVICE PROVIDER <br /> PICK-UP AND REQUIRED DOCUMENTS <br /> The Non-Saleable Hazardous Material Checklist must be filled out and kept in a clear pouch on top <br /> of each hazardous waste tote and on the side of the universal waste box. The UPC, manufacturer, <br /> description, size and quantity field must be filled out for EVERY ITEM PLACED INSIDE THE TOTE. <br /> This form allows Waste Management to properly identify the contents of the tote during pick-up. <br /> Your store will be supplied with 12 copies of this form for your initial setup which can be found in the <br /> Program Binder. Additional copies can be printed from Online Resources. <br /> Online Resources for Stores> Hazardous Waste Management Program> <br /> Documents & Communication> Non-Saleable Hazardous Material Checklist <br /> NON-SALEABLE(HAZARDOUS MATERIAL CHECKLIST <br /> 'Mm kra�bravaemir�n In m—61 b[w Rz�t MR ensued EeCael aM1vtrmveaY ase YeG eLL ar l y aa's:n F-?Ye-e CSG <br /> n:.rawasi,.rm�aytr F�r,aa..sae R�+w�rk.een awr�,e.aar.em.u.r:.mc..� a�+.ase u:,-aa�e,.:4. <br /> STORE.FIFCJRRNA7IG]H <br /> WASTE INFORMATION <br /> uR�p.+�+e++� n.,.nex.a.. ouurkrrLlw+ slue ara- <br /> Ewe+.saalkns <br /> The Universal Waste Pick-up Request Form attached to the Universal Waste bin and large box and <br /> must be filled out when Universal Waste is ready for pick-up. Your store will be supplied with 12 <br /> copies of this form for your initial setup which can be found in the Program Binder. Additional copies <br /> can be printed from Online Resources. <br /> Online Resources for Stores> Hazardous Waste Management Program> <br /> Documents & Communication> Universal Waste Pick-up Request Form <br /> Lois! a.N W. R <br /> UNIVERSAL WASTE PICK—UP REQUEST FORM <br /> o,mask vov ror contacting wane rsanagement.If yop wisn m scneaple the pmkup of yn�r large box of <br /> Universal E-Waste lElectronlcs please use this form.Ifyourpickuplsforyour Haxardous Waste <br /> Totes,s asyour Flammable,Corrosive,antl Toxicplease use[M1e Nnn-Saleable Haxardous Material <br /> Checklist. <br /> B-en Name J <br /> z Yp 3digitnr4digitnnree <br /> 3.Store Fax p <br /> 4.Universal E-Waste(Electronlcsl-total pallets of the large boxes C <br /> 5.Please provide the DTL emailadd—, <br /> 6.Fax thiscompleted m to 855-254-2246 <br /> Lar xe Un vversaI E-Waste(Electronlesl-A Biu of Lading(BDL)will be faxed to the s ,displaying the <br /> pickup date.Please provide the e0L to the driver on the day of pickup.The average turnaround time to have <br /> the large Universal E-Waste lelec[ronicsl picked up Is 5-)business days.Please call e))-56)-1361 with BOL <br /> and or co ns.If we are having difficulty reacM1ing you by fax,we will forward acopY vie email to your <br /> Haxardous Waste Totes-The Non-Saleable Hazartlous Materials Checklist can be found and completed in <br /> bssp://ssoreweb.cnz.cpm/brzraining/HazardousWasteFrogram/NonSellaEleHazMazCbeckllst.pd/ <br /> BIG LOTS! Hazardous Waste Management Program <br /> Revised 3/21/16 <br />