36C25918Q0018-00002002.pdf

Record 1 Station Number Site Name

Waste Material (Common Name):

Shop Name: Contact:

Building: Location:

Date Reviewed

Local Waste ID:

Material Generation Process/Description:

Container/Collection Method (type/size original container, sewer, etc):

Handling/Disposition:

Solid Waste Solid Waste Exclusion

Check if yes for any of the following and document reference.

HW Exclusion Other Exemption

Applicable exclusion/exmption and reference:

Listed:

Characteristic:

Comments:

Check if yes for any of the following and document applicable waste code and treatment method:

F K P U

D001

Final RCRA Waste Code Determination:

Estimated Quantity Generated (lbs/month):

D002 D003 Toxic Toxic Code:

Hazardous Waste Non-Hazardous Universal Waste

State Waste Codes:

Reviewer:

Waste reduction/Pollution Prevention Opportunity:

Pollution Prevention Opportunity Assesment:

Supporting Documents:

CEOSH MSDS Link:

http://vaww.ceosh.med.va.gov/ceosh/MSDS.shtml

Functional Area:

LDR Treatment Method:

Lab Analysis User Knowledge MSDS OtherMethod of Analysis (Check all that apply):

http://vaww.ceosh.med.va.gov/ceosh/MSDS.shtml