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FOR REFERENCE ONLY BUSINESS CONFIDENTIAL <br /> Hazardous Waste Minimization ENV-702 <br /> Documentation Requirements <br /> Complete the Hazardous Material Donation and Reuse Distribution Acknowledgementof <br /> Receipt,OP-978,according tothefollowing: <br /> Field Instructions <br /> RecipientAgency Enterthe recipient agency name at the top of the document. <br /> Hazardous Material or LQ Place an `X'underthecategory forthe item being donated <br /> Item Category (i.e.,cleaning,automotive,personal,ammunition,orother). <br /> Description Enter description of the material being donated. <br /> Numberof Items Enterthe numberof items being donated. <br /> Volume(i.e.,gal.,oz.,Ib.) Enterthe volume of material being donated(gallons,ounces, <br /> pounds,etc.). <br /> Type of Container Enterthe type of containertype(i.e.,can,pail,drum,plastic, <br /> etc.). <br /> Station/Hub Alpha& Enterthe station/hub alpha and number. <br /> Number <br /> FedEx Ground Senior The FedEx Ground senior manager prints name. <br /> Manager Name <br /> FedEx Ground Senior The FedEx Ground senior manager signature. <br /> Manager Signature <br /> Date The FedEx Ground senior manager enters the date. <br /> Enterthe recipient's The recipient's representative enters address of business. <br /> address <br /> Recipient Name The recipient's representative prints name. <br /> Recipient Signature The recipient's representative signature. <br /> Date The recipient's representative enters the date. <br /> Last Update: 22 January 2021 Page 7 of 8 <br />