The Hazardous Waste manifest is designed
to track waste from the point of generation to final disposal (cradle to grave).
In order to accomplish this goal, it is essential that all items on the manifest
be completed correctly. Incomplete or incorrect manifests are violations of the
law, and could make you subject to civil or criminal liabilities as specified in
the Federal and State Hazardous Waste Management Laws.
State and Federal regulations require
Generators, Transporters, and Treatment, Storage & Disposal Facilities (TSDFs)
to use this form and if necessary the continuation sheet for both inter- and intrastate
shipments.
The Uniform Manifest contains 6 copies.
ALL COPIES MUST BE LEGIBLE. This form is designed for use on a 12 pitch (elite)
typewriter; a firm ball point pen may also be used only if you press down HARD.
The 6 copies must be distributed in the following way:
With ADEQ withdrawing from the manifest distribution, generators must obtain
EPA Uniform Hazardous Waste Manifests from organizations approved by the EPA Manifest
Registry to print the RCRA hazardous waste manifest. The TSD Facilities or Transporters
will often provide manifests as a service to their customers.
Item 1. Generator’s U.S. EPA Identification
Number. Enter the generator’s U.S. EPA twelve digit identification number, or
the State generator identification number if the generator site does not have
an EPA identification number.
Item 2. Page 1 of _____ 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).
Item 3. Emergency Response Phone Number. Enter a phone number for which emergency
response information can be obtained in the event of an incident during transportation.
The emergency response phone number must:
1. Be the number of the generator or the number of an agency or organization
who is capable of and accepts responsibility for providing detailed information
about the shipment;
2. Reach a phone that is monitored 24 hours a day at all times the waste
is in transportation (including transportation related storage); and
3. Reach someone who is either knowledgeable of the hazardous waste being
shipped and has comprehensive emergency response and spill § 262 App. I
cleanup/incident mitigation information for the material being shipped or
has immediate access to a person who has that knowledge and information
about the shipment.
Note: Emergency Response phone number information should only be entered
in Item 3 when there is one phone number that applies to all the waste materials
described in Item 9b. If a situation (e.g., consolidated shipments) arises
where more than one Emergency Response phone number applies to the various
wastes listed on the manifest, the phone numbers associated with each specific
material should be entered after its description in Item 9b.
Item 4. Manifest Tracking Number: This unique tracking number must be pre-printed
on the manifest by the forms printer.
Item 5. Generator’s Mailing Address, Phone Number and Site Address Enter
the name of the generator, the mailing address to which the completed manifest
signed by the designated facility should be mailed, and the generator’s telephone
number. Note, the telephone number (including area code) should be the normal
business number for the generator, or the number where the generator or his
authorized agent may be reached to provide instructions in the event the designated
and/or alternate (if any) facility rejects some or all of the shipment. Also
enter the physical site address from which the shipment originates only if this
address is different than the mailing address.
Item 6. Transporter 1 Company Name, and U.S. EPA ID Number: Enter the company
name and U.S. EPA ID number of the first transporter who will transport the
waste. Vehicle or driver information may not be entered here.
Item 7. Transporter 2 Company Name and U.S. EPA ID Number: If applicable,
enter the company name and U.S. EPA ID number of the second transporter who
will transport the waste. Vehicle or driver information may not be entered here.
If more than two transporters are needed, use a Continuation Sheet(s) (EPA Form
8700-22A).
Item 8. Designated Facility Name, Site Address, and U.S. EPA ID Number: Enter
the company name and site address of the facility designated to receive the
waste listed on this manifest. Also enter the facility’s phone number and the
U.S. EPA twelve digit identification number of the facility.
Item 9. U.S. DOT Description (Including Proper Shipping Name, Hazard Class
or Division, Identification Number, and Packing Group)
Item 9a. If the wastes identified in Item 9b consist of both hazardous and
nonhazardous materials, then identify the hazardous materials by entering an
“X” in this Item next to the corresponding hazardous material identified in
Item 9b.
Item 9b. Enter the U.S. DOT Proper Shipping Name, Hazard Class or Division,
Identification Number (UN/NA) and Packing Group for each waste as identified
in 49 CFR
172. Include technical name(s) and reportable quantity references, if applicable.
NOTE: If additional space is needed for waste descriptions, enter these additional
descriptions in Item 27 on the Continuation Sheet (EPA Form 8700-22A). Also,
if more than one Emergency Response phone number applies to the various wastes
described in either Item 9b or Item 27, enter applicable Emergency Response
phone numbers immediately following the shipping descriptions for those Items.
Item 10. Containers (Number and Type): Enter the number of containers for
each waste and the appropriate abbreviation from Table I (below) for the type
of container.
TABLE I. TYPES OF CONTAINERS
- BA = Burlap, cloth, paper, or plastic bags
- CF = Fiber or plastic boxes, cartons, cases
- CM = Metal boxes, cartons, cases (including roll-offs)
- CW = Wooden boxes, cartons, cases
- CY = Cylinders
- DF = Fiberboard or plastic drums, barrels, kegs
- DM = Metal drums, barrels, kegs
- DT = Dump truck
- DW = Wooden drums, barrels, kegs
- HG = Hopper or gondola cars
- TC = Tank cars
- TP = Portable tanks
- TT = Cargo tanks (tank trucks)
Item 11. Total Quantity: Enter, in designated boxes, the total quantity of
waste. Round partial units to the nearest whole unit, and do not enter decimals
or fractions. To the extent practical, report quantities using appropriate units
of measure that will allow you to report quantities with precision. Waste quantities
entered should be based on actual measurements or reasonably accurate estimates
of actual quantities shipped. Container capacities are generally not acceptable
as estimates.
Item 12. Units of Measure (Weight/Volume): Enter, in designated boxes, the
appropriate abbreviation from Table II (below) for the unit of measure.
TABLE II. UNITS OF MEASURE
- G = Gallons (liquids only)
- K = Kilograms
- L = Liters (liquids only)
- M = Metric Tons (1000 kilograms)†
- N = Cubic Meters†
- P = Pounds
- T = Tons (2000 pounds)†
- Y = Cubic Yards†
† Note: Tons, Metric Tons, Cubic Meters, and Cubic Yards should only be reported
in connection with very large bulk shipments, such as rail cars, tank trucks,
or barges.
Item 13. Waste Codes : Enter up to six federal and state waste codes to describe
each waste stream identified in Item 9b. State waste codes that are not redundant
with federal codes must be entered here, in addition to the federal waste codes
which are most representative of the properties of the waste.
Item 14. Special Handling Instructions and Additional Information.
1. Generators may enter any special handling or shipment-specific information
necessary for the proper management or tracking of the materials under the
generator’s or other handler’s business processes, such as waste profile
numbers, container codes, bar codes, or response guide numbers. Generators
also may use this space to enter additional descriptive information about
their shipped materials, such as chemical names, constituent percentages,
physical state, or specific gravity of wastes identified with volume units
in Item 12.
2. This space may be used to record limited types of federally required
information for which there is no specific space provided on the manifest,
including any alternate facility designations; the manifest tracking number
of the original manifest for rejected wastes and residues that are re-shipped
under a second manifest; and the specification of PCB waste descriptions
and PCB out-of-service dates required under 40 CFR 761.207. Generators,
however, cannot be required to enter information in this space to meet state
regulatory requirements. Item 15. Generator’s/Offeror’s Certifications
3. The generator must read, sign, and date the waste minimization certification
statement. 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. The Generator’s Certification also contains the required attestation
that the shipment has been properly prepared and is in proper condition
for transportation (the shipper’s certification). The content of the shipper’s
certification statement is as follows: “I hereby declare that the contents
of this consignment are fully and accurately described above by the proper
shipping name, and are classified, packaged, marked, and labeled/placarded,
and are in all respects in proper condition for transport by highway according
to applicable international and national governmental regulations. If export
shipment and I am the Primary Exporter, I certify that the contents of this
consignment conform to the terms of the attached EPA Acknowledgment of Consent.”
When a party other than the generator prepares the shipment for transportation,
this party may also sign the shipper’s certification statement as the offeror
of the shipment. 2. Generator or Offeror personnel 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/offeror certification,
to indicate that the individual signs as the employee or agent of the named
principal. Note: All of the above information except the handwritten signature
required in Item 15 may be pre-printed.
International Shipment Block
Item 16. International Shipments: For export shipments, the primary exporter
must check the export box, and enter the point of exit (city and state) from
the United States. For import shipments, the importer must check the import
box and enter the point of entry (city and state) into the United States. For
exports, the transporter must sign and date the manifest to indicate the day
the shipment left the United States. Transporters of hazardous waste shipments
must deliver a copy of the manifest to the U.S. Customs when importing or exporting
the waste across U.S. borders.
Transporters
Item 17. Transporters’ Acknowledgments of Receipt: 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. Only one signature per transportation company
is required. Signatures are not required to track the movement of wastes in
and out of transfer facilities, unless there is a change of custody between
transporters. If applicable, enter 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: Transporters carrying imports or exports of hazardous waste may also
have responsibilities to enter information in the International Shipments Block.
See above instructions for Item 16.
Owners And Operators Of Treatment, Storage, And Disposal Facilities
Item 18 Discrepancy
Item 18a. Discrepancy Indication Space
1. The authorized representative of the designated (or alternate) facility’s
owner or operator must note in this space any discrepancies between the
waste described on the Manifest and the waste actually received at the facility.
Manifest discrepancies are: (1) significant differences (as defined by §§
264.72(b) and 265.72(b)) between the quantity or type of hazardous waste
designated on the manifest or shipping paper, and the quantity and type
of hazardous waste a facility actually receives, (2) rejected wastes, which
may be a full or partial shipment of hazardous waste that the TSDF cannot
accept, or (3) container residues, which are residues that exceed the quantity
limits for “empty” containers set forth in § 261.7(b).
2. For rejected loads and residues (§ 264.72(d), (e), and (f), or § 265.72(d),
(e), or (f)), check the appropriate box if the shipment is a rejected load
(i.e., rejected by the designated and/or alternate facility and is sent
to an alternate facility or returned to the generator) or a regulated residue
that cannot be removed from a container. Enter the reason for the rejection
or the inability to remove the residue and a description of the waste. Also,
reference the manifest tracking number for any additional manifests being
used to track the rejected waste or residue shipment on the original manifest.
Indicate the original manifest tracking number in Item 14, the Special Handling
Block and Additional Information Block of the additional manifests.
3. Owners or operators of facilities located in unauthorized States (i.e.,
states in which the U.S. EPA administers the hazardous waste management
program) who cannot resolve significant differences in quantity or type
within 15 days of receiving the waste must submit to their EPA Regional
Administrator a letter with a copy of the Manifest at issue describing the
discrepancy and attempts to reconcile it (§§ 264.72(c) and 265.72(c)).
4. Owners or 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 management program) should contact their State agency
for information on where to report discrepancies involving “significant
differences” to state officials. Item 18b. Alternate Facility (or Generator)
for Receipt of Full Load Rejections: Enter the name, address, phone number,
and EPA Identification Number of the Alternate Facility which the rejecting
TSDF has designated, after consulting with the generator, to receive a fully
rejected waste shipment. In the event that a fully rejected shipment is
being returned to the generator, the rejecting TSDF may enter the generator’s
site information in this space. This field is not to be used to forward
partially rejected loads or residue waste shipments.
Item 18c. Alternate Facility (or Generator)Signature.: The authorized representative
of the alternate facility (or the generator in the event of a returned shipment)
must sign and date this field of the form to acknowledge receipt of the fully
rejected wastes or residues identified by the initial TSDF.
Item 19. Hazardous Waste Report Management Method Codes: Enter the most appropriate
Hazardous Waste Report Management Method code for each waste listed in Item
9. The Hazardous Waste Report Management Method code is to be entered by the
first treatment, storage, or disposal facility (TSDF) that receives the waste
and is the code that best describes the way in which the waste is to be managed
when received by the TSDF.
Item 20. Designated Facility Owner or Operator Certification of Receipt (Except
As Noted in Item 18a): Enter the name of the person receiving the waste on behalf
of the owner or operator of the facility. That person must acknowledge receipt
or rejection of the waste described on the Manifest by signing and entering
the date of receipt or rejection where indicated. Since the Facility Certification
acknowledges receipt of the waste except as noted in the Discrepancy Space in
Item 18a, the certification should be signed for both waste receipt and waste
rejection, with the rejection being noted and described in the space provided
in Item 18a. Fully rejected wastes may be forwarded or returned using Item 18b
after consultation with the generator. Enter the name of the person accepting
the waste on behalf of the owner or operator of the alternate facility or the
original generator. That person must acknowledge receipt or rejection of the
waste described on the Manifest by signing and entering the date they received
or rejected the waste in Item 18c. Partially rejected wastes and residues must
be re-shipped under a new manifest, to be initiated and signed by the rejecting
TSDF as offeror of the shipment.
Instructions–Continuation Sheet, U.S.
EPA FORM 8700-22A
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; or
- More space is required for the U.S. DOT descriptions and related information
in Item 9 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 870022A) for both interstate and intrastate transportation.
Item 21. Generator’s ID Number: Enter the generator’s
U.S. EPA twelve digit identification number or, the State generator identification
number if the generator site does not have an EPA identification number. Item
22. Page ___—: Enter the page number of this Continuation Sheet.
Item 23. Manifest Tracking Number: Enter the Manifest Tracking number from
Item 4 of the Manifest form to which this continuation sheet is attached.
Item 24. Generator’s Name — Enter the generator’s name as it appears in Item
5 on the first page of the Manifest.
Item 25. Transporter — Company Name: 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. Also enter the U.S. EPA twelve digit identification
number of the transporter described in Item 25.
Item 26. Transporter — Company Name: 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 can record the names of two additional transporters. Also
enter the U.S. EPA twelve digit identification number of the transporter named
in Item 26.
Item 27. U.S. D.O.T. Description Including Proper Shipping Name, Hazardous
Class, and ID Number (UN/ NA): For each row enter a sequential number under
Item 27b that corresponds to the order of waste codes from one continuation
sheet to the next, to reflect the total number of wastes being shipped. Refer
to instructions for Item 9 of the manifest for the information to be entered.
Item 28. Containers (No. And Type): Refer to the instructions for Item 10
of the manifest for information to be entered.
Item 29. Total Quantity: Refer to the instructions for Item 11 of the manifest
form.
Item 30. Units of Measure (Weight/Volume): Refer to the instructions for
Item 12 of the manifest form.
Item 31. Waste Codes: Refer to the instructions for Item 13 of the manifest
form.
Item 32. Special Handling Instructions and Additional Information: Refer
to the instructions for Item 14 of the manifest form.
Public reporting burden for this collection
of information is estimated to average: 30 minutes for generators, 10 minutes for
transporters, and 25 minutes for owners or operators of treatment, storage and disposal
facilities. This includes time for reviewing instructions, gathering data, completing,
reviewing and transmitting the form. Any correspondence regarding the Paperwork
Reduction Act burden statement for the manifest must be sent to the Director of
the Collection Strategies Division in EPA's Office of Information Collection
at the following address: U.S. Environmental Protection Agency (2822T), 1200 Pennsylvania
Ave., NW., Washington, DC 20460. Do not send the completed form to this address.