20 N. Domingo St., Bgy.

Valencia Quezon City, Philippines

(+632) 655 1111

Control no.: _______________

HAZARDOUS WASTE TRANSFER SLIP

Dept. /Project Code: __________________
Date: __________________

HW No. Waste description Quantity UOM Remarks

Requested by: Inspected by: Approved by: Received by:

Signature over printed name Signature over printed name

20 N. Domingo St., Bgy. Valencia Quezon City, Philippines

(+632) 655 1111

Control no.: _______________

HAZARDOUS WASTE TRANSFER SLIP

Dept. /Project Code: __________________
Date: __________________

HW No. Waste description Quantity UOM Remarks

Requested by: Inspected by: Approved by: Received by:

Signature over printed name Signature over printed name

Description of the signatories:

Requested by: - Department who owned the disposal item

Inspected by: - QA/QC only are allowed to inspect those items for disposal

Approved: - Department head who owned the disposal item

Received by: - HSE Team/PCO

Approved by: Warren Gabriel Magtoto

HSE Manager

Fermin Chavez Jr.

IMS Mgt. Rep