Industrial Sludge Waste Manifest
Generator Information
Company Name
Address
Contact Person
Phone Number
Waste Description
Type of Sludge
Physical State
Liquid
Semi-solid
Solid
Waste Code
Estimated Quantity (kg)
Container Type(s)
Special Handling Instructions
Transporter Information
Transporter Company
License Number
Driver Name
Vehicle Plate Number
Disposal/Receiving Facility
Facility Name
Facility Address
Contact Person
Phone Number
Tracking Records
Date
Action
By (Name/Signature)
Comments
Generator Signature
Date:
Transporter Signature
Date:
Facility Signature
Date: