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Read all instructions before completing this form.
This form has been designed for use on a 12-pitch (elite) typerwriter; a firm point pen may also be used -- press down hard.
Federal regulations require generators and transporters of hazardous waste and owners or operators of hazardous waste treatment, storage, and disposal facilities to use this form (8700-22) and, if necessary, the continuation sheet (Form 8700-22A) for both inter and intrastate transportation.
Federal regulations also require generators and transporters of hazardous
waste and owners or operators of hazardous waste treatment, storage and disposal
facilities to complete the following information:
The following statement must be included with each Uniform Hazardous Waste
Manifest, either on the form, in the instructions to the form, or accompanying
the form:
Public reporting burden for this collection of information is estimated to
average: 37 minutes for generators, 15 minutes for transporters, and 10 minutes
for treatment, storage and disposal facilities. This includes time for reviewing
instructions, gathering data, and completing and reviewing the form. Send
comments regarding the burden estimate, including suggestions for reducing this
burden, to: Chief, Information Policy Branch, PM-223, U.S. Environmental
Protection Agency, 1200 Pennsylvania Ave., NW., Washington, DC 20460; and to the
Office of Information and Regulatory Affairs, Office of Management and Budget,
Washington, DC 20503.
Enter the generator's U.S. EPA twelve digit identification number and the
unique five digit number assigned to this Manifest (e.g., 00001) by the
generator.
Enter the total number of pages used to complete this Manifest, i.e., the
first page (EPA Form 8700-22) plus the number of Continuation Sheets (EPA Form
8700-22A), if any.
Enter the name and mailing address of the generator. The address should be
the location that will manage the returned Manifest forms.
Enter a telephone number where an authorized agent of the generator may be
reached in the event of an emergency.
Enter the company name of the first transporter who will transport the waste.
Enter the U.S. EPA twelve digit identification number of the first
transporter identified in item 5.
If applicable, enter the company name of the second transporter who will
transport the waste. If more than two transporters are used to transport the
waste, use a Continuation Sheet(s) (EPA Form 8700-22A) and list the transporters
in the order they will be transporting the waste.
If applicable, enter the U.S. EPA twelve digit identification number of the
second transporter identified in item 7. Note: If more than two transporters are used, enter each additional
transporter's company name and U.S. EPA twelve digit identification number in
items 24-27 on the Continuation Sheet (EPA Form 8700-22A). Each Continuation
Sheet has space to record two additional transporters. Every transporter used
between the generator and the designated facility must be listed.
Enter the company name and site address of the facility designated to receive
the waste listed on this Manifest. The address must be the site address, which
may differ from the company mailing address.
Enter the U.S. EPA twelve digit identification number of the designated
facility identified in item 9.
Enter the U.S. DOT Proper Shipping Name, Hazard Class, and ID Number (UN/NA)
for each waste as identified in 49 CFR 171 through 177. Note: If additional space is needed for waste descriptions, enter
these additional descriptions in item 28 on the Continuation Sheet (EPA Form
8700-22A).
Enter the number of containers for each waste and the appropriate
abbreviation from Table I (below) for the type of container.
DM=Metal drums, barrels, kegs
DW=Wooden drums, barrels, kegs
DF=Fiberboard or plastic drums, barrels, kegs
TP=Tanks portable
TT=Cargo tanks (tank trucks)
TC=Tank cars
DT=Dump truck
CY=Cylinders
CM=Metal boxes, cartons, cases (including roll-offs)
CW=Wooden boxes, cartons, cases
CF=Fiber or plastic boxes, cartons, cases
BA=Burlap, cloth, paper or plastic bags
Enter the total quantity of waste described on each line.
Enter the appropriate abbreviation from Table II (below) for the unit of
measure.
G=Gallons (liquids only)
P=Pounds
T=Tons (2000 lbs)
Y=Cubic yards
L=Liters (liquids only)
K=Kilograms
M=Metric tons (1000 kg)
N=Cubic meters
Generators may use this space to indicate special transportation, treatment,
storage, or disposal information or Bill of Lading information. States may not
require additional, new, or different information in this space. For
international shipments, generators must enter in this space the point of
departure (City and State) for those shipments destined for treatment, storage,
or disposal outside the jurisdiction of the United States.
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. If another mode in addition to the highway mode is used,
enter the appropriate additional mode (e.g., and rail) in the space
below.
Primary exporters shipping hazardous wastes to a facility located outside of
the United States must add to the end of the first sentence of the certification
the following words "and conforms to the terms of the EPA Acknowledgment of
Consent to the shipment."
In signing the waste minimization certification statement, those generators
who have not been exempted by statute or regulation from the duty to make a
waste minimization certification under section 3002(b) of RCRA are also
certifying that they have complied with the waste minimization requirements.
Generators may preprint the words, "On behalf of" in the signature block or
may hand write this statement in the signature block prior to signing the
generator certifications. Note: All of the above information except the handwritten
signature required in item 16 may be preprinted.
Enter the name of the person accepting the waste on behalf of the first
transporter. That person must acknowledge acceptance of the waste described on
the Manifest by signing and entering the date of receipt.
Enter, if applicable, the name of the person accepting the waste on behalf of
the second transporter. That person must acknowledge acceptance of the waste
described on the Manifest by signing and entering the date of receipt. Note: International Shipments -- Transporter Responsibilities.
Exports -- Transporters must sign and enter the date the waste left
the United States in item 15 of Form 8700-22. Imports -- Shipments of hazardous waste regulated by RCRA and
transported into the United States from another country must upon entry be
accompanied by the U.S. EPA Uniform Hazardous Waste Manifest. Transporters who
transport hazardous waste into the United States from another country are
responsible for completing the Manifest (40 CFR 263.10(c)(1)).
The authorized representative of the designated (or alternate) facility's
owner or operator must note in this space any significant discrepancy between
the waste described on the Manifest and the waste actually received at the
facility.
Owners and operators of facilities located in unauthorized States (i.e., the
U.S. EPA administers the hazardous waste management program) who cannot resolve
significant discrepancies within 15 days of receiving the waste must submit to
their Regional Administrator (see list below) a letter with a copy of the
Manifest at issue describing the discrepancy and attempts to reconcile it (40
CFR 264.72 and 265.72).
Owners and operators of facilities located in authorized States (i.e., those
States that have received authorization from the U.S. EPA to administer the
hazardous waste program) should contact their State agency for information on
State Discrepancy Report requirements.
Regional Administrator, U.S. EPA Region I, J.F. Kennedy Fed. Bldg., Boston,
MA 02203
Regional Administrator, U.S. EPA Region II, 26 Federal Plaza, New York, NY
10278
Regional Administrator, U.S. EPA Region III, 6th and Walnut Sts.,
Philadelphia, PA 19106
Regional Administrator, U.S. EPA Region IV, 345 Courtland St., NE., Atlanta,
GA 30365
Regional Administrator, U.S. EPA Region V, 77 West Jackson Blvd., Chicago, IL
60604
Regional Administrator, U.S. EPA Region VI, 1201 Elm Street, Dallas, TX 75270
Regional Administrator, U.S. EPA Region VII, 324 East 11th Street, Kansas
City, MO 64106
Regional Administrator, U.S. EPA Region VIII, 1860 Lincoln Street, Denver, CO
80295
Regional Administrator, U.S. EPA Region IX, 215 Freemont Street, San
Francisco, CA 94105
Regional Administrator, U.S. EPA Region X, 1200 Sixth Avenue, Seattle, WA
98101
Print or type the name of the person accepting the waste on behalf of the
owner or operator of the facility. That person must acknowledge acceptance of
the waste described on the Manifest by signing and entering the date of receipt.
Items A-K are not required by Federal regulations for intra- or interstate
transportation. However, States may require generators and owners or operators
of treatment, storage, or disposal facilities to complete some or all of items
A-K as part of State manifest reporting requirements. Generators and owners and
operators of treatment, storage, or disposal facilities are advised to contact
State officials for guidance on completing the shaded areas of the Manifest.
Read all instructions before completing this form.
This form has been designed for use on a 12-pitch (elite) typewriter; a firm
point pen may also be used -- press down hard.
This form must be used as a continuation sheet to U.S. EPA Form 8700-22 if:
• More than two transporters are to be used to
transport the waste;
• More space is required for the U.S. DOT description
and related information in Item 11 of U.S. EPA Form 8700-22. Federal regulations require generators and transporters of hazardous waste
and owners or operators of hazardous waste treatment, storage, or disposal
facilities to use the uniform hazardous waste manifest (EPA Form 8700-22) and,
if necessary, this continuation sheet (EPA Form 8700-22A) for both inter- and
intrastate transportation.
Enter the generator's U.S. EPA twelve digit identification number and the
unique five digit number assigned to this Manifest (e.g., 00001) as it appears
in item 1 on the first page of the Manifest.
Enter the page number of this Continuation Sheet.
Enter the generator's name as it appears in item 3 on the first page of the
Manifest.
If additional transporters are used to transport the waste described on this
Manifest, enter the company name of each additional transporter in the order in
which they will transport the waste. Enter after the word "Transporter" the
order of the transporter. For example, Transporter 3 Company Name. Each
Continuation Sheet will record the names of two additional transporters.
Enter the U.S. EPA twelve digit identification number of the transporter
described in item 24.
If additional transporters are used to transport the waste described on this
Manifest, enter the company name of each additional transporter in the order in
which they will transport the waste. Enter after the word "Transporter" the
order of the transporter. For example, Transporter 4 Company Name. Each
Continuation Sheet will record the names of two additional transporters.
Enter the U.S. EPA twelve digit identification number of the transporter
described in item 26.
Refer to item 11.
Refer to item 12.
Refer to item 13.
Refer to item 14.
Generators may use this space to indicate special transportation, treatment,
storage, or disposal information or Bill of Lading information. States are
not authorized to require additional, new, or different information in
this space.
Enter the same number of the Transporter as identified in item 24. Enter also
the name of the person accepting the waste on behalf of the Transporter (Company
Name) identified in item 24. That person must acknowledge acceptance of the
waste described on the Manifest by signing and entering the date of receipt.
Enter the same number as identified in item 26. Enter also the name of the
person accepting the waste on behalf of the Transporter (Company Name)
identified in item 26. That person must acknowledge acceptance of the waste
described on the Manifest by signing and entering the date of receipt.
Refer to item 19.
Items L-R are not required by Federal regulations for intra- or interstate
transportation. However, States may require generators and owners or operators
of treatment, storage, or disposal facilities to complete some or all of items
L-R as part of State manifest reporting requirements. Generators and owners and
operators of treatment, storage, or disposal facilities are advised to contact
State officials for guidance on completing the shaded areas of the manifest.
[49 FR 10501, Mar. 20, 1984, as amended at 51 FR 28685, Aug. 8, 1986;
51 FR 35192, Oct. 1, 1986; 53 FR 45091, Nov. 8, 1988; 62 FR 1834, Jan. 14, 1997]
GENERATORS
TABLE I -- TYPES OF CONTAINERS
TABLE II -- UNITS OF MEASURE
OWNERS AND OPERATORS OF TREATMENT, STORAGE, OR DISPOSAL FACILITIES
EPA REGIONAL ADMINISTRATORS
INSTRUCTIONS -- CONTINUATION SHEET, U.S. EPA FORM 8700-22A
GENERATORS
OWNERS AND OPERATORS OF TREATMENT, STORAGE, OR DISPOSAL
FACILITIES