Attachment_18_-_Example_Monthly_HW_Report_Form.xlsx

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Hazardous Waste Removal and Disposal at Azores
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SP4500-19-R-0018
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Attachment 18 Example Monthly HW Report Form

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Sheet1

Execution Information (Disposal/Waste Management)Execution Information (Shipping Information)
DTIDRemoval DateInstallation Address &Accumulation Point (Name of Installation, Building#, Name of Organization/Facility)DO#CLIN:Waste Description (as per CLIN):EWC:Container Type:Qty of ContainersDisposal/ Recycle weight (kg)Disposal/ Recycle Cost (€)MANIFEST # (at least last five digits)Europan Council Directve 91/156/EEC Annex II Disposal MethodFinal Disposal Facility/Final Recycling Facility (as per Uebernahmeschein/Begleitschein)UN NumberProper Shipping nameHazard Label Number(s)Packing groupTunnel restriction codeAdditional Information
W813WB-7296-0006 EXAMPLE11/14/17Clay, 1224, HWSASP450018F-0434/0001N20000Pesticides, Herbicides, Fungicides, and Insecticides, liquid, including (but not limited to) pure product, contaminated liquid, and creosote (organic and inorganic)160508*120 ltr. Drum3116.00232.0099510R13B-F Sonderabfall GmbH & Co. KG, LimburgAbfallgruppe 3.43 + 6.1IC/EAusnahme 20

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