06 Lamp Ballast Electronic Inventory Form.pdf
PDF 191 KB Posted
- Attached to
- Hazardous Waste Services - Statewide
- Contract number
- 505ENT-M25-HZRDSWSTSV-01
- Issued by
- Wisconsin
About this file
This document is an inventory form used by the State of Wisconsin for tracking and managing the collection of lamps, ballasts, and electronic equipment for proper disposal and recycling. The form is designed to capture pickup and billing address information, facility details, and contact information for Wisconsin state facilities requiring hazardous waste removal services.
The form inventories various types of lighting equipment and electronic waste including fluorescent lamps of different sizes, high intensity discharge lamps, incandescent bulbs, LED lights, PCB and non-PCB ballasts, various battery types (lead acid, nickel cadmium, lithium ion, lithium metal, alkaline), and expired televisions, monitors, and electronic equipment. The form requires specification of container types, quantities, weights, and whether items are packaged in DOT-approved UN containers for safe transport. Additionally, it includes a supplies section for ordering various UN-rated storage containers ranging from 4-foot lamp barrels to 55-gallon drums and cubic yard boxes, indicating this is part of a comprehensive waste management program for state facilities.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| 08 How to - Waste Disposal.docx | DOCX document | |
| 04 RCRA Wastes Table.docx | DOCX document | |
| 05 Zone_Map.doc | DOC document | |
| 02 Veolia Price List December 2024.xlsx | XLSX spreadsheet | |
| 01 User Guide - Hazardous Waste 2025 Update.docx | DOCX document | |
| 03 RFP 28426-CT.pdf | ||
| 07 Veolia Contact List 2025 update.docx | DOCX document |
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
Generating Address/Pick-up Address Facility Name:
Address:
City: State: Zip:
Contact Name: Phone Number e-mail address:
Bill To Address (if Different) Facility Name:
Address:
City: State: Zip:
Contact Name Phone Number
# of
Shipping
Containers
Type of
Containers # of bulbs
Weight of
Container
Broken Lamps - Per lb.
4' & Under Florescent Lamps 5' & Over Fluorescent Lamps Fluorescent Compacts/U-Shapes/Circular High Intensity Discharge (HID - All types) Standard Incandescent Flood or Spotlight Incandescent UV Lamps 4' and Under Fluorescent Lamps (Shatterproof) Neon Lamps
LED
Lighting Fixture (PCB) PCB Ballasts Capacitors (PCB) Non-PCB Ballasts Lead Acid Batteries Nickel Cadmium Batteries (includes NiMH) Lithium Ion Batteries (Rechargeable) Lithium Metal Batteries (Non-Rechargeable) Alkaline Batteries Expired TV's / Monitors - Per lb.
Expired Electronic Equipment - Per lb.
Supplies Needed Quantity Comments:
4' Lamp Barrel Stand 4' Lamp Storage Barrel 8' Lamp Storage Barrel 4' Lamp Storage Box 8' Lamp Storage Box 5 Galllon Poly Drum (UN Rated) 30 Gallon Metal Drum (UN Rated) 55 Gallon Poly Drum (UN Rated) Cubic Yard Box (UN Rated) 10 Gallon Fiber Box (UN Rated) 20 Gallon Fiber Box (UN Rated) 30 Gallon Fiber Box (UN Rated)
YES / NO
Not Applicable
Not Applicable Not Applicable Not Applicable
State of WI
Lamp, Ballast, and Electronics Inventory Form
YES / NO
YES / NO
YES / NO
YES / NO
YES / NO
YES / NO
Not Applicable Not Applicable Not Applicable Not Applicable Not Applicable
YES / NO
Packaged in DOT approved UN
Container?
Not Applicable Not Applicable Not Applicable Not Applicable Not Applicable
File details come from the government source that posted it. Updated .