Hazardous Materials and Waste Inventory Questionnaire
Facility Name:
Facility Address:
Contact Person:
Phone Number:
Email:
Hazardous Materials Inventory
Material Name
CAS Number
Quantity Onsite
Unit
Physical State
Main Use
Storage Location
kg
liters
gallons
Solid
Liquid
Gas
kg
liters
gallons
Solid
Liquid
Gas
kg
liters
gallons
Solid
Liquid
Gas
Hazardous Waste Inventory
Waste Description
Quantity Generated
Unit
Physical State
Container Type
Storage Location
Disposal Method
kg
liters
gallons
Solid
Liquid
Gas
kg
liters
gallons
Solid
Liquid
Gas
kg
liters
gallons
Solid
Liquid
Gas
Additional Comments/Notes: