Hazardous Waste Transfer Documentation
Generator Information
Company Name
Contact Person
Address
Phone
Email
Transporter Information
Company Name
Contact Person
Vehicle/License Number
Phone
Email
Receiver Information
Company/Facility Name
Contact Person
Address
Phone
Email
Waste Description
Waste Type
Quantity
Container Type
UN Code
Physical State
Special Handling Instructions
Certification & Signatures
Generator Signature
Date
Transporter Signature
Date
Receiver Signature
Date