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Appendix D PDF
Appendix D PDF
Appendix D PDF
Section A: Generator
Hazard Waste Generator’s Name: DENR ID No :
Fax No :
Wastes Class and Wastes Number Quantity
(check appropriate wastes classification and indicate wastes number in the space provided)
Certification:
I hereby declare that the content of this consignment are fully described above and are classified,
packed, marked and labeled and in all respect in proper condition to transport to approved TSD facility
in accordance with applicable national regulations.
_______________________________
Owner or Authorized Representative
______________________________
Designation
Control No. EMB-Region-YY-sequence
APPENDIX D
Section B : Transporters
Acknowledgement:
Transporter # 1 DENR ID No :
Address : Tel No :
Designation:
Acknowledgement:
Transporter # 2 DENR ID No :
Address : Tel No :
Designation:
Section C: Treaters
TSD facility Name DENR ID No :
Address : Tel No :
Fax No:
Designation:
The Treater must submit a completed signed copy of the manifest to the
Generator and the DENR-EMB within five (5) days after completing the
receiving the wastes from the transporter. Failure to submit the completed
manifest to the Generator and to DENR-EMB within 30 days, the Generator
should contact both the Transporter and the TSD premise owner/operator to
determine the whereabouts of the waste. The Generator must report in writing
along with the copy of the manifest signed by the Transporter to DENR-EMB if
the completed manifest was not submitted by the Transporter within 45 days.