Chemical Waste Disposal Inventory Form

Name:
Department/Location
Phone Number:
Date:

Instructions for use

1. Technical or Common Name or hazardous ingredients and proportions
"2. Physical State being either Solid, Liquid or Gas ie (S/L/G)"
3. Container size in Kg or Litres ie 20Kg
4. Number of Containers
"5. Container Condition being either Good, Fair or Poor ie (G/F/P)"
"6. Container Material being Glass, Plastic or Metal ie (G/P/M)"
7. NSW EPA Category - refer EPA document ' Information Sheet or Obtaining Consent….'
"8. United Nations Number if known (refer either label, MSDS or ADG Code)"							

Chemical or Technical or	Physical 	Container 	Number of 	Container	Container	EPA 	United
Trade Name	State	Size	Containers	Condition	Material	Category	Nations No.