Lithium-Ion Battery Recycling Manifest
1. Generator Information
Company Name
Address
Contact Person
Phone
Email
2. Transporter Information
Company Name
Address
Contact Person
Phone
Email
3. Receiving Facility Information
Company Name
Address
Contact Person
Phone
Email
4. Shipment Details
Date
Quantity
Measurement Unit
Battery Type
Container Type
Comments
5. Certifications & Signatures
Generator Signature
Date
Transporter Signature
Date
Receiving Facility Signature
Date