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For your reference, a <br />summary of key manifest <br />sections include: <br />NOTE: This manifest copy <br />should be completed <br />through Item 17. <br />You must keep a copy of <br />the manifest at the store in <br />the EH&S Program Binder. <br />Item <br />., Envir®rtm <br />I <br />Description <br />Each store must have a twelve -digit identification number in this section. Note that this number is <br />o.ei'1 a t5IJJK J <br />store specific. This is your store's "EPA ID Number." <br />r r a-rs:ac. <br />Every manifest has a unique tracking number that will be pre- printed on the manifest. Use this <br />4 <br />number to match up subsequent copies of the manifest that will be mailed to the store. <br />The store address in this section must be correct to ensure that mailed copies are properly <br />a>w r <br />returned to the store. <br />rc <br />This section will list the transporter (i.e., representative from Stericycle) of your waste. You may <br />6&7 <br />have more than one transporter that handles the waste. <br />This section identifies the TSDF or final destination of your waste. This is the company that will <br />8 <br />send the store the final copy of the manifest. <br />This section will list all of the hazardous waste you are shipping. Each waste should have a <br />.s„ <br />proper Department of Transportation (DOT) shipping name as previously determined by <br />Stericycle and the CVS Health Corporate Office. <br />±rnuArY1 rs..v�tl4o•r a�or ro. res.• <br />Front Store Management Team colleagues that have completed the required training and have <br />the authority to sign the manifest will sign and date this section. Do not sign the manifest if you <br />15 <br />have any concerns regarding the information provided in Section 9 of the manifest or not all of <br />your waste was removed. Do not let your Stericycle technician leave without the appropriate <br />store colleague's signature. <br />The transporter (i.e. representative from Stericycle) will sign this section. Any additional <br />17 <br />transporters that may handle the waste prior to its final disposal will also sign this section. <br />.AW <br />tfAAoA <br />_...{ <br />� a5 Cs5 •}I <br />n. "� *-A... ",,.� <br />C we. <br />AP4 <br />L`tASA44 <br />St :SSOS• it <br />_! <br />;;.wF...,.....e. <br />ow_ Wan; <br />Xw= : <br />.) <br />vP <br />WIN <br />._. <br />Item <br />., Envir®rtm <br />I <br />Description <br />Each store must have a twelve -digit identification number in this section. Note that this number is <br />1 <br />store specific. This is your store's "EPA ID Number." <br />Every manifest has a unique tracking number that will be pre- printed on the manifest. Use this <br />4 <br />number to match up subsequent copies of the manifest that will be mailed to the store. <br />The store address in this section must be correct to ensure that mailed copies are properly <br />5 <br />returned to the store. <br />This section will list the transporter (i.e., representative from Stericycle) of your waste. You may <br />6&7 <br />have more than one transporter that handles the waste. <br />This section identifies the TSDF or final destination of your waste. This is the company that will <br />8 <br />send the store the final copy of the manifest. <br />This section will list all of the hazardous waste you are shipping. Each waste should have a <br />9 <br />proper Department of Transportation (DOT) shipping name as previously determined by <br />Stericycle and the CVS Health Corporate Office. <br />Front Store Management Team colleagues that have completed the required training and have <br />the authority to sign the manifest will sign and date this section. Do not sign the manifest if you <br />15 <br />have any concerns regarding the information provided in Section 9 of the manifest or not all of <br />your waste was removed. Do not let your Stericycle technician leave without the appropriate <br />store colleague's signature. <br />The transporter (i.e. representative from Stericycle) will sign this section. Any additional <br />17 <br />transporters that may handle the waste prior to its final disposal will also sign this section. <br />ental 17 <br />Health &Safety <br />