Industrial Sludge Manifest
Generator Information
Company Name
Contact Person
Address
Phone
Email
Sludge Description
Type of Sludge
Quantity (kg or m
3
)
Physical State
Key Components/Constituents
Hazard Classification
Transporter Information
Transporter Name
Vehicle No.
Driver Name
Phone
Email
Receiving Facility Information
Facility Name
Address
Contact Person
Phone
Declaration
Generator Signature
Date