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Item 1 — Generator’s EPA Identification Number
As a hazardous waste generator, the facility is assigned a 12-digit identification number. Be sure this number is listed in item 1 on the manifest.
Item 2 — Number of pages
Enter the total number of pages used to complete the manifest (Count page one along with the number of continuation sheets needed).
Item 3 — Emergency response phone number
Enter an emergency response phone number in Item 3 of the manifest. This number must be able to reach someone who is capable of and will accept responsibility for the waste shipment. The number must be monitored the entire time the waste shipment is being transported (24/7) by someone who knows the hazards of the waste and how to respond to a spill or release of that waste.
Item 4 — Manifest tracking number
Each manifest has a 12-digit tracking number. This number is unique to that manifest and is the way the federal government or the state tracks the waste from the generator to the destination facility.
Item 5 — Generator information
Enter the name of the facility, the mailing address where the destination facility will send the signed manifest, and the telephone number.
Items 6 and 7 — Transporter(s)
Enter the company name of the hazardous waste transporter. If the shipment requires a second transporter along the way, include that company’s name on the form. If needed, use the manifest continuation sheet for additional transporters.
Item 8 — Destination facility
Enter the destination facility’s name and site address, along with its phone number and Environmental Protection Agency (EPA) 12-digit identification number. Destination facilities are also known as treatment, storage, and disposal facilities (TSDFs).
Items 9a and 9b — DOT description
This area addresses the Department of Transportation (DOT) description of the waste and includes the proper shipping name, hazard class or division, identification number (UN/NA), and packaging group. Use the continuation sheet if more space to list waste is needed.
Item 10 — Containers
List the number of containers and container types in Item 10. Container types are as follows:
Item 11 — Total quantity
When entering the total quantity of a waste, round to the nearest whole unit. Use the actual weight of the waste and do not use the container capacity as an estimate.
Item 12 – Units of measure
Enter the unit of measure used each listed waste. These units include:
Item 13 — Waste codes
Enter up to six federal and state waste codes to describe each waste stream listed in Item 9b. Enter in any state codes that do not repeat the federal codes. Use the waste codes that most represent the properties of the waste.
Item 14 — Special handling instructions and additional information
Enter in any special handling or shipment-specific information. This could include waste profile numbers, container codes, bar bodes, or response guide numbers. Optional information includes chemical names, constituent percentages, physical state, or the specific gravity of wastes identified with the volumes listed in Item 12.
Also use this space to record alternate facility designations, or information about rejected loads.
Item 15 — Generator certification
The generator certification is a legal statement saying the generator has fully disclosed the hazards of and accurately described the waste on the manifest. The statement reads: “I hereby declare that the contents of this consignment are fully and accurately described above by the proper shipping name, and are classified, packaged, marked, and labeled/placarded, and are in all respects in proper condition for transport according to applicable international and national governmental regulations. If export shipment and I am the Primary Exporter, I certify that the contents of this consignment conform to the terms of the attached EPA Acknowledgment of Consent.”