Fillable Universal Waste Inventory Form

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Universal Waste Inventory Form

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Country of origin: US
File type: PDF

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Universal Waste Inventory
Department of Safety and Environmental Management
Created: 6/16/20
Revision: New 1 | Page
Department:_________________________ Date Of Last Universal Waste Pick-up: _____________________
Lamps
Number of
Items
Number of Full
Containers
Compact Fluorescent Lamps (CFL’s)
U-shaped or Circle Fluorescent Lamps
18” Lamps
2’ Lamps
4’ Lamps
8’ Lamps
High Intensity Discharge (HID) / High-pressure Sodium / Mercury Vapor / Metal Halide
Batteries
Number of
Items
Number of Full
Containers
Lead Acid
Nickel Cadmium
Nickel Metal Hydride
Lithium / Lithium-Ion
Silver Oxide / Mercury / other Button Cell Batteries
Other
Number of
Items
Number of Full
Containers
PCB Ballasts
Cathode Ray Tubes (CRT’s) / Tube TV’s / Tube Computer Monitors / Oscilloscopes
Mercury Devices – Thermometers / Thermostats / Mercury Switches
Electronic Devices
Number of
Items
Number of Full
Containers
Printers / Fax Machines / Scanners
Computers – CPU’s / Laptops / Towers / Tablets
Miscellaneous Electronics – Cell Phones / Desk Phone / Speakers / Microwaves / etc…
Non-Regulated Items
Number of
Items
Number of Full
Containers
Alkaline Batteries
Non-PCB Ballasts
Smoke Detectors
Freon Units – Air Conditioners / Refrigerators / Dehumidifiers
Notes/Other:
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Universal Waste Inventory Form

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Completed 11 July 2020

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