Attachment_20_-_Internal_Hazardous_Waste_Audit_Trail_Document.pdf

Solicitation SP4520‐13‐R-0020, Attachment 20

Bldg. #: Unit:

Waste transferred to HWSA / direcly removed for disposal

(please circle wichever is applicable)

CLIN : N Name of Waste: Date:

Container Type and Size:

Number of Container (s):

Weight of Container (s):

Generator POC / EO Name:

Rank:

Tel # :

I certify that only the above listed hazardous waste was properly seperated and collected in the removed/transferred containers, or in the UST/AST

Signature Date

Date removed from HWAP:

Date removed from HWSA:

DO: Item:

HW contract OST Initial

Comments:

Internal Hazardous Waste Audit Trail