Biohazardous Waste Transportation Manifest
Manifest No.
Date
Time
Generator Information
Facility Name
Address
Contact Name
Phone
Transporter Information
Transporter Company
Driver Name
Vehicle/License Plate
Phone
Waste Description
Type of Waste
Number of Containers
Container Type (e.g., box, drum)
Total Weight (kg)
Destination Facility
Facility Name
Address
Contact Name
Phone
Generator Signature
Date
Transporter Signature
Date
Receiver Signature
Date