Hazardous Waste Disposal Record Form
Date of Disposal
Facility/Location
Waste Description
Waste Type
Chemical
Biological
Radioactive
Electronic
Other
Quantity
Unit
kg
L
units
m
3
Disposal Method
Incineration
Landfill
Recycling
Treatment
Other
Transporter Name
Authorized Signature
Additional Notes
Date
Facility/Location
Description
Type
Quantity
Unit
Method
Transporter
Signature
Notes