Universal Waste Log
Department of Safety and Environmental Management
Created: 9/14/20
Revision: New 1 | Page
This form is to be used by City Departments that maintain a Universal Waste Central Accumulation Storage Facility accepting small amounts of Universal Waste
from other locations within their department (i.e. Bangor High School accepting Universal Waste from the other Bangor Schools). All Universal Waste that is
transferred from another facility, must be recorded on the log below. A copy of this form will be attached to the Manifest during shipment to the recycler.
Universal Waste Location (accepting the waste):____________________________________________________________________
Name of Location (where
the waste was generated)
Address
Date
Recieved
Type of Universal Waste (Refer to U-Waste Inventory Form)
Number of
Items