Manifest # Middlebury College Bicentennial Hall Hazardous Waste Internal Manifest Date Entered: Disposal Date: All hazardous waste disposal must be in accordance with applicable Vermont and Federal guidelines and Middlebury College’s standard operating procedures. Separation of wastes to avoid unwanted reactions in accumulation containers is required. Please contact the Director of Science Support Services at Ext. 5421 for more information. Please check with Tom Sheluga before removing the waste from your lab. Responsible Individual: ____________________________________________________ Laboratory Location: ___________________ Wastes generated by laboratory processes: # of Total Waste Identity conts quant List hazardous or regulated components, or waste profile name/number Surplus and off-spec laboratory chemicals in original containers: # of Total Chemical Name conts. quant # of conts. Total quant pH Process generating waste Chemical Name