Hawaii Administrative Rules › Title 11 - DEPARTMENT OF HEALTH › Subtitle 1 - GENERAL DEPARTMENTAL PROVISIONS › Chapter 262 - HAZARDOUS WASTE MANAGEMENT STANDARDS APPLICABLE TO GENERATORS OF HAZARDOUS WASTE › Appendix I to Part 262 - Uniform Hazardous Waste Manifest and Instructions (EPA Foms 8700-22 and 8700-22A and Their Instructions)

Current through June, 2024
U.S. EPA Form 8700-22
Read all instruction before completing this form.
This form has been designed for use on a 12-pitch (elite)
				  typerwriter; a firm point pen may also be used -- press down hard.
Federal regulations require generators and transporters of
				  hazardous waste and owners or operators of hazardous waste treatment, storage,
				  and disposal facilities to use this form (8700-22) and, if necessary, the
				  continuation sheet (Forms 8700-22A) for both inter and intrastate
				  transportation.
Federal regulations also require generator and transporters
				  of hazardous waste and owners or operators of hazardous waste treatment,
				  storage and disposal facilities to complete the following information:
The following statement must be included with each Uniform
				  Hazardous Waste Manifest, either on the form, in the instructions to the form,
				  or accompanying the form:
Public reporting burden for this collection of information
				  is estimated to average: 37 minutes for generators, 15 minutes for
				  transporters, and 10 minutes for treatment, storage and disposal facilities.
				  This includes time for reviewing instructions, gathering data, and completing
				  and reviewing the form. Send comments regarding the burden estimate, including
				  suggestions for reducing this burden, to: Chief, Information Policy Branch,
				  PM-223, U.S. Environmental Protection Agency, 401 M Street SW., Washington, DC
				  20460; and to the Office of Information and Regulatory Affairs, Office of
				  Management and Budget, Washington, DC 20503.
GENERATORS
Item 1. Generator's U.S. EPA ID Number -- Manifest Document
				  Number
Enter the generator's U.S. EPA twelve digit identification
				  number and the unique five digit number assigned to this Manifest (e.g., 00001)
				  by the generator.
Item 2. Page 1 of ----
Enter the total number of pages used to complete this
				  Manifest, i.e., the first page (EPA Form 8700-22) plus the number of
				  Continuation Sheets (EPA Form 8700-22A), if any.
Item 3. Generator's Name and Mailing Address
Enter the name and mailing address of the generator. The
				  address should be the location that will manage the returned Manifest
				  forms.
Item 4. Generator's Phone Number
Enter a telephone number where an authorized agent of the
				  generator may be reached in the event of an emergency.
Item 5. Transporter 1 Company Name
Enter the company name of the first transporter who will
				  transport the waste.
Item 6. U.S. EPA ID Number
Enter the U.S. EPA twelve digit identification number of the
				  first transporter identified in item 5.
Item 7. Transporter 2 Company Name
If applicable, enter the company name of the second
				  transporter who will transport the waste. If more than two transporters are
				  used to transport the waste, use a Continuation Sheet (s) (EPA Form 8700-22A)
				  and list the transporters in the order they will be transporting the
				  waste.
Item 8. U.S. EPA ID Number
If applicable, enter the U.S. EPA twelve digit
				  identification number of the second transporter identified in item 7.
Note: If more than two transporters are used, enter each
				  additional transporter's company name and U.S. EPA twelve digit identification
				  number in items 24-27 on the Continuation Sheet (EPA Form 8700-22A). Each
				  Continuation Sheet has space to record two additional transporters. Every
				  transporter used between the generator and the designated facility must be
				  listed.
Item 9. Designated Facility Name and Site Address
Enter the company name and site address of the facility
				  designated to receive the waste listed on this Manifest. The address must be
				  the site address, which may differ from the company mailing address.
Item 10. U.S. EPA ID Number
Enter the U.S. EPA twelve digit identification number of the
				  designated facility identified in item 9.
Item 11. U.S. DOT Description [Including Proper Shipping
				  Name, Hazard Class, and ID Number (UN/NA)]
Enter the U.S. DOT Proper Shipping Name, Hazard Class, and
				  ID Number (UN/NA) for each waste as identified in 49 CFR 171 through
				  177.
Note: If additional space is needed for waste descriptions,
				  enter these additional descriptions in item 28 on the Continuation Sheet (EPA
				  Form 8700-22A).
Item 12. Containers (No. and Type)
Enter the number of containers for each waste and the
				  appropriate abbreviation from Table I (below) for the type of container.
Table I -- Types of Containers
DM=Metal drums, barrels, kegs
DW=Wooden drums, barrels, kegs
DF=Fiberboard or plastic drums, barrels, kegs
TP=Tanks portable
TT=Cargo tanks (tank trucks)
TC=Tank cars
DT=Dump truck
CY=Cylinders
CM=Metal boxes, cartons, cases (including roll-offs)
CW=Wooden boxes, cartons, cases
CF=Fiber or plastic boxes, cartons, cases
BA=Burlap, cloth, paper or plastic bags
Item 13. Total Quantity
Enter the total quantity of waste described on each
				  line.
Item 14. Unit (Wt./Vol.)
Enter the appropriate abbreviation from Table II (below) for
				  the unit of measure.
Table II -- Units of Measure
G=Gallons (liquids only)
P=Pounds
T=Tons (2000 lbs)
Y=Cubic yards
L=Liters (liquids only)
K=Kilograms
M=Metric tons (1000 kg)
N=Cubic meters
Item 15. Special Handling Instructions and Additional
				  Information
Generators may use this space to indicate special
				  transportation, treatment, storage, or disposal information or Bill of Lading
				  information. States may not require additional, new, or different information
				  in this space. For international shipments, generators must enter in this space
				  the point of departure (City and State) for those shipments destined for
				  treatment, storage, or disposal outside the jurisdiction of the United
				  States.
Item 16. Generator's Certification
The generator must read, sign (by hand), and date the
				  certification statement. If a mode other than highway is used, the word
				  "highway" should be lined out and the appropriate mode (rail, water, or air)
				  inserted in the space below. If another mode in addition to the highway mode is
				  used, enter the appropriate additional mode (e.g., and rail) in the space
				  below.
Primary exporters shipping hazardous wastes to a facility
				  located outside of the United States must add to the end of the first sentence
				  of the certification the following words "and conforms to the terms of the EPA
				  Acknowledgment of Consent to the shipment."
In signing the waste minimization certification statement,
				  those generators who have not been exempted by statute or regulation from the
				  duty to make a waste minimization certification under section 3002(b) of RCRA
				  are also certifying that they have complied with the waste minimization
				  requirements.
Generators may preprint the words, "On behalf of" in the
				  signature block or may hand write this statement in the signature block prior
				  to signing the generator certifications.
Note: All of the above information except the handwritten
				  signature required in item 16 may be preprinted.
* * * * *
TRANSPORTERS
Item 17. Transporter 1 Acknowledgement of Receipt of
				  Materials
Enter the name of the person accepting the waste on behalf
				  of the first transporter. That person must acknowledge acceptance of the waste
				  described on the Manifest by signing and entering the date of receipt.
Item 18. Transporter 2 Acknowledgement of Receipt of
				  Materials
Enter, if applicable, the name of the person accepting the
				  waste on behalf of the second transporter. That person must acknowledge
				  acceptance of the waste described on the Manifest by signing and entering the
				  date of receipt.
Note: International Shipments - Transporter
				  Responsibilities.
Exports - Transporters must sign and enter the date the
				  waste left the United States in item 15 of Form 8700-22.
Imports - Shipments of hazardous waste regulated by RCRA and
				  transported into the United States from another country must upon entry be
				  accompanied by the U.S. EPA Uniform Hazardous Waste Manifest. Transporters who
				  transport hazardous waste into the United States from another country are
				  responsible for completing the Manifest (
				  40 CFR
				  263.10(c)(1) ).
Owners and Operators of Treatment, Storage, or Disposal
				  Facilities
Item 19. Discrepancy Indication Space
The authorized representative of the designated (or
				  alternate) facility's owner or operator must note in this space any significant
				  discrepancy between the waste described on the Manifest and the waste actually
				  received at the facility.
Owners and operators of facilities located in unauthorized
				  States (i.e., the U.S. EPA administers the hazardous waste management program)
				  who cannot resolve significant discrepancies within 15 days of receiving the
				  waste must submit to their Regional Administrator (see list below) a letter
				  with a copy of the Manifest at issue describing the discrepancy and attempts to
				  reconcile it (
				  40 CFR
				  264.72 and
				  265.72
				  ).
Owners and operators of facilities located in authorized
				  States (i.e., those States that have received authorization from the U.S. EPA
				  to administer the hazardous waste program) should contact their State agency
				  for information on State Discrepancy Report requirements.
EPA Regional Administrators
Regional Administrator, U.S. EPA Region I, J.F. Kennedy Fed.
				  Bldg., Boston, MA 02203
Regional Administrator, U.S. EPA Region II, 26 Federal
				  Plaza, New York, NY 10278
Regional Administrator, U.S. EPA Region III, 6th and Walnut
				  Sts., Philadelphia, PA 19106
Regional Administrator, U.S. EPA Region IV, 345 Courtland
				  St., NE., Atlanta, GA 30365
Regional Administrator, U.S. EPA Region V, 230 S. Dearborn
				  St., Chicago, IL 60604
Regional Administrator, U.S. EPA Region VI, 1201 Elm Street,
				  Dallas, TX 75270
Regional Administrator, U.S. EPA Region VII, 324 East 11th
				  Street, Kansas City, MO 64106
Regional Administrator, U.S. EPA Region VIII, 1860 Lincoln
				  Street,
Denver, CO 80295
Regional Administrator, U.S. EPA Region IX, 215 Freemont
				  Street, San Francisco, CA 94105
Regional Administrator, U.S. EPA Region X, 1200 Sixth
				  Avenue, Seattle, WA 98101
Item 20. Facility Owner or Operator: Certification of
				  Receipt of Hazardous Materials Covered by This Manifest Except as Noted in Item
				  19
Print or type the name of the person accepting the waste on
				  behalf of the owner or operator of the facility. That person must acknowledge
				  acceptance of the waste described on the Manifest by signing and entering the
				  date of receipt.
Items A-K are not required by Federal regulations for
				  intra-or interstate transportation. However, States may require generators and
				  owners or operators of treatment, storage, or disposal facilities to complete
				  some or all of items A-K as part of State manifest reporting requirements.
				  Generators and owners and operators of treatment, storage, or disposal
				  facilities are advised to contact State officials for guidance on completing
				  the shaded areas of the Manifest.
Instructions -- Continuation Sheet, U.S. EPA Form
				  8700-22A
Read all instructions before completing this form.
This form has been designed for use on a 12-pitch (elite)
				  typewriter; a firm point pen may also be used -- press down hard.
This form must be used as a continuation sheet to U.S. EPA
				  Form 8700-22 if:
. More than two transporters are to be used to transport the
				  waste;
. More space is required for the U.S. DOT description and
				  related information in Item 11 of U.S. EPA Form 8700-22.
Federal regulations require generators and transporters of
				  hazardous waste and owners or operators of hazardous waste treatment, storage,
				  or disposal facilities to use the uniform hazardous waste manifest (EPA Form
				  8700-22) and, if necessary, this continuation sheet (EPA Form 8700-22A) for
				  both inter- and intrastate transportation.
GENERATORS
Item 21. Generator's U.S. EPA ID Number -- Manifest Document
				  Number
Enter the generator's U.S. EPA twelve digit identification
				  number and the unique five digit number assigned to this Manifest (e.g., 00001)
				  as it appears in item 1 on the first page of the Manifest.
Item 22. Page ----
Enter the page number of this Continuation Sheet.
Item 23. Generator's Name
Enter the generator's name as it appears in item 3 on the
				  first page of the Manifest.
Item 24. Transporter ---- Company Name
If additional transporters are used to transport the waste
				  described on this Manifest, enter the company name of each additional
				  transporter in the order in which they will transport the waste. Enter after
				  the word "Transporter" the order of the transporter. For example, Transporter 3
				  Company Name. Each Continuation Sheet will record the names of two additional
				  transporters.
Item 25. U.S. EPA ID Number
Enter the U.S. EPA twelve digit identification number of the
				  transporter described in item 24.
Item 26. Transporter ---- Company Name
If additional transporters are used to transport the waste
				  described on this Manifest, enter the company name of each additional
				  transporter in the order in which they will transport the waste. Enter after
				  the word "Transporter" the order of the transporter. For example, Transporter 4
				  Company Name. Each Continuation Sheet will record the names of two additional
				  transporters.
Item 27. U.S. EPA ID Number
Enter the U.S. EPA twelve digit identification number of the
				  transporter described in item 26.
Item 28. U.S. DOT Description Including Proper Shipping
				  Name, Hazardous Class, and ID Number (UN/NA)
Refer to item 11.
Item 29. Containers (No. and Type)
Refer to item 12.
Item 30. Total Quantity
Refer to item 13.
Item 31. Unit (Wt./Vol.)
Refer to item 14.
Item 32. Special Handling Instructions
Generators may use this space to indicate special
				  transportation, treatment, storage, or disposal information or Bill of Lading
				  information. States are not authorized to require additional, new, or different
				  information in this space.
* * * * *
TRANSPORTERS
Item 33. Transporter ---- Acknowledgement of Receipt of
				  Materials
Enter the same number of the Transporter as identified in
				  item 24. Enter also the name of the person accepting the waste on behalf of the
				  Transporter (Company Name) identified in item 24. That person must acknowledge
				  acceptance of the waste described on the
Manifest by signing and entering the date of receipt.
Item 34. Transporter ---- Acknowledgement of Receipt of
				  Materials
Enter the same number as identified in item 26. Enter also
				  the name of the person accepting the waste on behalf of the Transporter
				  (Company Name) identified in item 26. That person must acknowledge acceptance
				  of the waste described on the Manifest by signing and entering the date of
				  receipt.
* * * * *
OWNERS AND OPERATORS OF TREATMENT, STORAGE, OR DISPOSAL
				  FACILITIES
Item 35. Discrepancy Indication Space
Refer to item 19.
Items L-R are not required by Federal regulations for
				  intra-or interstate transportation. However, States may require generators and
				  owners or operators of treatment, storage, or disposal facilities to complete
				  some or all of items L-R as part of State manifest reporting requirements.
				  Generators and owners and operators of treatment, storage, or disposal
				  facilities are advised to contact State officials for guidance on completing
				  the shaded areas of the manifest.