Hazardous Waste Tracking Document

Overview

The Green Form (Hazardous Waste Tracking Document) was designed to collect all required labeling information as required by Federal, State and Local Law. Green forms are available from EH&S and should be completed for each item of hazardous waste prior to filling or accumulating a waste. The Green Form should be used as the container label unles a comparable hazardous waste label (approved by EH&S) is to be used. Below are some simple steps to follow when completing the Green Form.

  1. Hazardous Material Name and Concentration: Be as descriptive as possible when identifying the material name and concentration of the waste. "Unknown" is not an acceptable material name and will not be collected by EH&S.
  2. Quantity: Indicate the quantity of the material and check the appropriate unit of measure. Avoid writting in ambiguous units of measure like 3 boxes or 2 bags as they do not quantify the amount of waste accurately. The quantity is the size of the container, not how much is in the container. (e.g. 1 ounce of waste in a 1 gallon container should be listed as 1 gallon)
  3. CA Waste No.: On the reverse of the White (middle) sheet, select the California Waste Number that best describes the waste. 
  4. Waste Class: On the reverse of the Gold (last) sheet, select the DOT Waste Class that best describes the material. If multiple classes apply, take the lowest number. (e.g. a class 3 and class 8 should be reflected as class 3 since Flammable liquid is a higher priority than Corrosive Material)
  5. Form: Indicate the physical state of the waste. If any standing liquid, choose liquid. State should be relative to Standard Temperature and Pressure (STP)
  6. Research: If the waste was generated in a research operation, check the respective field.
  7. Clean-Up: If the waste was generated from a spill or clean-up, check the respective field.
  8. Safety/Handling Precautions: Check all fields that apply to the best of your knowledge.
  9. Initial Accumulation Date: This is the date you began filling the waste container. This date starts a 90-day clock by which time the waste must be shipped off campus.
  10. Final Accumulation Date: This is the date you completed filling the waste container. Ideally, when the final accumulation date is added, you should notify EH&S for a waste pick-up. The final accumulation date should generally be within 45 days of the initial accumulation date to ensure that EH&S has ample time to arrange for transport off campus within that 90-day window.
  11. Prepared By: Clearly print your name, department and a phone number where you can be reached to facilitate the waste pick-up process.
Hazardous Waste accumulation must be in alignment with the University Hazardous Waste Policies and Procedures Manual. Failure to follow these policies and procedures can result in regulatory fines and/or enforcement action from Federal, State and Local regulatory agencies.
Hazardous Waste processes are a primary focus of the Hazardous Materials/ Hazardous Waste Inspection Program which was developed to assess and review specific areas on compus where hazardous materials are stored or used and where hazardous waste is generated, accumulated or stored.