Texas Register, Volume 9, Number 66, Pages 4703-4756, September 4, 1984 Page: 4,718
4703-4756 p. ; 28 cm.View a full description of this periodical.
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When using the Uniform Waste Manifest for retail or water (bulk shipment) or international shipments refer to the applicable TDWR or
TDH regulations
REPORT SPILLS AND/OR DISCHARGES TO THE TEXAS SPILL RESPONSE CENTER AT 512/476-2651 (24 HOURS)
INSTRUCTIONS TO GENERATOR (Please Type or Print Clearly)
(1) Enter the generator's U S EPA twelve digit identification number and the unique five digit number assigned to this manifest by
the generator if you are shipping hazardous waste
(2) Enter the total number of pages used to complete this manifest
(3) Enter the company name and mailing address
(4) Provide a phone number where an authorized agent of your firm may be reached in the event of an emergency
(5) Enter the company name of the first transporter and their U S EPA ID Number
(6) If applicable, enter the company name of thg second transporter and their U S EPA ID Number If more than two transporters are
used, enter each additional transporter's Information on the Continuation Sheet (EPA form 8700-22A)
(7) Enter the company name, site address, and U'S EPA ID Number of the facility designated to receive the waste listed on this
manifest
(8) COMPLETE ALL STATE OF TEXAS INFORMATION A THROUGH H IN THE SHADED AREAS
(9) Complete the waste description table as follows
(A) ITEM 11 A-When shipping an EPA/DOT regulated hazardous waste or material in conjunction with solely state regulated
waste enter an "x' in the HM box before each EPA/DOT regulated waste/material description
(8) ITEM 11-Enter the U S DOT Proper Shipping Name, Hazard Class, and ID Number(UN/NA)for each waste identified If it
is a Class I nonhazardous waste use the Texas Waste Code description
(C) ITEM 12-Erter the number of containers for each waste and the appropriate abbreviation for type located in Subchapter A
of the TDWR industrial Solid Waste Rules
(D) ITEM 13-Enter the total quantity of waste described on each line
(E) ITEM 14-Enter the appropriate letter from the table below for the unit of measure
G = Gallons (liquids only) L = Liter (Iquids only)
P = Pounds K = Kilograms
T = Tons (2000 Ibs ) M = Metric Tons (1000 kg )
Y = Cubic Yards N = Cubic Meters
(F) ITEM I-Enter the appropriate TDWR/TDH State Waste Code for each waste you are shipping
(10) The Generator must read, sign (by hand), and date the certification statement If a mode other than highway is used, the word
'highway" should be lined out and the appropriate mode (rail, water or air) inserted in the space below
(11) The manifest must be signed and dated by the first transporter in the presence of the Generator If more than one transporter is to
be used, the Generator must provide additional copies for their use
*(12) Generator retains green copy sending remaining copies with the driver
INSTRUCTIONS FOR THE TRANSPORTER (Please Type or Print Clearly)
(1) As driver of the transport vehicle, you are responsible for ensuring that all waste received by you arrives at the specified
destination
(2) Sign and date the space provided certifying the waste amounts in PART I were received for transport NOTE If you are unable to
carry out the delivery of the shipment as specified, dial the emergency phone numbers given in PART I notifying the
GENERATOR
(3) Upon delivery of the shipment, the TSD Facility Owner/Operator is to sign for the shipment in your presence and fill in "date
received '
*(4) Separate the yellow copy and retain for your records Leave the remaining copies with the TSD Facility Owner/Operator
INSTRUCTIONS TO TREATMENT. STORAGE AND DISPOSAL (TSD) FACILITY OWNER/OPERATOR (Please Type or Print
Clearly)
(1) The authorized representative of the designated (or alternate) facility's owner or operator must note in ITEM 19 any significant
discrepancy between the waste described on the manifest and the waste actually received at the facility
(2) Enter date received and sign in the presence of the driver declaring receipt of thewastes and verifying thequentties in thetable
in PART I
(4) Retain the pink copy for your records and return the completed original (white) copy to the GENERATOR
* US EPA, TDWR and TDH regulations require that copies of this Shipping-Control Ticket be retained for a period of three (8) years in
your company records Do not send to TDWR or TDH unless otherwise notified by these departmentsSeptember 4, 1984
Texas
Register9 TexReg 4718
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Texas. Secretary of State. Texas Register, Volume 9, Number 66, Pages 4703-4756, September 4, 1984, periodical, September 4, 1984; Austin, Texas. (https://texashistory.unt.edu/ark:/67531/metapth243620/m1/16/: accessed July 17, 2024), University of North Texas Libraries, The Portal to Texas History, https://texashistory.unt.edu.; crediting UNT Libraries Government Documents Department.