Hazardous Waste Disposal Request Form Instructions

Container Number: You should write a number on each container of waste so that individual containers can be identified. Any number will do and it can be as simple as writing "#1", "#2", etc. In the space titled "Container Number" on the form enter the number that you have written on the individual container of waste.

Waste Name: Enter the type of waste in this space. Please be as specific as possible. If this information is not listed, the waste may have to undergo costly analysis prior to packing and shipping.

Quantity: Enter the quantity of waste that is contained in the container. The quantity of waste may be different from the container size if, for instance, the container is only partially filled. Waste disposal costs are based on quantity of waste regardless of container size so it is to your benefit to accurately determine quantity of waste.

Physical State: Enter a one-letter code for the physical state of the waste. Enter an "L" for liquid waste; an "S" for solid waste; or a "G" for gaseous waste. If the physical state is difficult to determine (e.g. a sludge), use the best description possible for the waste.

Container Type: Enter a one-letter code for the type of container holding the waste. Enter an "M" for a metal container; a "G" for a glass container; a "P" for a plastic container; or an "F" for a fiber or cardboard container.

Container Size: Enter the size of the container.

Manufacturer: Enter the name of the manufacturer of the material that is now being declared a waste.

Age of Waste: It is helpful to know the age of a waste in determining how to handle or dispose of it. Enter the age of the waste by determining when the material was first purchased or formulated.

Special Notes: In this area enter any information you think may be helpful to the packager or shipper. This could include: pH, components of the waste, container integrity, or anything else that may help in the safe handling of the waste.