North Dakota Administrative Code › Title 33 - State Department of Health › Article 33-24 - Hazardous Waste Management › Chapter 33-24-03 - Standards for Generators › Appendix I - UNIFORM HAZARDOUS WASTE MANIFEST AND INSTRUCTIONS (Environmental Protection Agency Forms 8700-22 and 8700-22A and Their Instructions)

Current through Supplement No. 393, July, 2024
United States Environmental Protection Agency Form
				  8700-22
Read all instructions before completing this form.
1. This form has been designed for use on a 12-pitch (elite)
				  typewriter which is also compatible with standard computer printers; a firm
				  point pen may also be used - press down hard.
2. State and 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 (form 8700-22A) for both interstate and
				  intrastate transportation of hazardous waste.
3. State regulations also require generators and transporters
				  of hazardous waste and owners or operators of hazardous waste treatment,
				  storage and disposal facilities to complete the following information:
* * * * * *
a. State regulations under section
				  33-24-03-16 (additional reporting)
				  requires the generator to provide the department with a signed copy of the
				  manifest when first signed by the generator and transporter and as signed by
				  and received from the designated facility or alternate facility.
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: thirty minutes for generators, ten minutes for
				  transporters, and twenty-five minutes for owners or operators of treatment,
				  storage, and disposal facilities. This includes time for reviewing
				  instructions, gathering data, completing, reviewing, and transmitting the form.
				  Any correspondence regarding the Paperwork Reduction Act burden statement for
				  the manifest must be sent to the director of the collection strategies division
				  in environmental protection agency's office of information collection at the
				  following address: United States Environmental Protection Agency (2822T), 1200
				  Pennsylvania Avenue NW, Washington, D.C. 20460. Do not send the completed form
				  to this address.
I. Instructions for generators
Item 1. Generator's identification number
Enter the generator's environmental protection agency twelve
				  digit identification number, or the state generator identification number if
				  the generator site does not have an environmental protection agency
				  identification number.
Item 2. Page 1 of __
Enter the total number of pages used to complete this
				  manifest (for example, the first page (environmental protection agency form
				  8700-22) plus the number of continuation sheets (environmental protection
				  agency form 8700-22A), if any).
Item 3. Emergency response phone number
Enter a phone number for which emergency response information
				  can be obtained in the event of an incident during transportation. The
				  emergency response phone number must:
1. Be the number of the generator or the number of an agency
				  or organization who is capable of and accepts responsibility for providing
				  detailed information about the shipment;
2. Reach a phone that is monitored twenty-four hours a day at
				  all times the waste is in transportation (including transportation related
				  storage); and
3. Reach someone who is either knowledgeable of the hazardous
				  waste being shipped and has comprehensive emergency response and spill cleanup
				  or incident mitigation, or both, information for the material being shipped or
				  has immediate access to a person who has that knowledge and information about
				  the shipment.
NOTE: Emergency response phone number information should only
				  be entered in item 3 when there is one phone number that applies to all the
				  waste materials described in item 9b. If a situation (for example, consolidated
				  shipments) arises where more than one emergency response phone number applies
				  to the various wastes listed on the manifest, the phone numbers associated with
				  each specific material should be entered after its description in item
				  9b.
Item 4. Manifest tracking number
This unique tracking number must be preprinted on the
				  manifest by the forms printer.
Item 5. Generator's mailing address, phone number, and
				  site address
Enter the name of the generator, the mailing address to which
				  the completed manifest signed by the designated facility should be mailed, and
				  the generator's telephone number. Note, the telephone number (including area
				  code) should be the normal business number for the generator, or the number
				  where the generator or the generator's authorized agent may be reached to
				  provide instructions in the event the designated, or alternate, or both, (if
				  any) facility rejects some or all of the shipment. Also enter the physical site
				  address from which the shipment originates only if this address is different
				  than the mailing address.
Item 6. Transporter 1 company name and identification
				  number
Enter the company name and environmental protection agency
				  identification number of the first transporter who will transport the waste.
				  Vehicle or driver information may not be entered here.
Item 7. Transporter 2 company name and identification
				  number
If applicable, enter the company name and environmental
				  protection agency identification number of the second transporter who will
				  transport the waste. Vehicle or driver information may not be entered here. If
				  more than two transporters are needed, use a continuation sheet or sheets
				  (environmental protection agency form 8700- 22A).
Item 8. Designated facility name, site address, and
				  identification number
Enter the company name and site address of the facility
				  designated to receive the waste listed on this manifest. Also enter the
				  facility's phone number and the environmental protection agency twelve digit
				  identification number of the facility.
Item 9. United States department of transportation
				  description (including proper shipping name, hazard class or division,
				  identification number, and packing group)
Item 9a. If the wastes identified in item 9b consist of
				  both hazardous and nonhazardous materials, then identify the hazardous
				  materials by entering an "X" in this item next to the corresponding hazardous
				  material identified in item 9b.
Item 9b. Enter the United States department of
				  transportation proper shipping name, hazard class or division, identification
				  number (UN/NA) and packing group for each waste as identified in 49 CFR 172.
				  Include technical name or names and reportable quantity references, if
				  applicable.
NOTE: If additional space is needed for waste descriptions,
				  enter these additional descriptions in item 27 on the continuation sheet
				  (environmental protection agency form 8700-22A). Also, if more than one
				  emergency response phone number applies to the various wastes described in
				  either item 9b or item 27, enter applicable emergency response phone numbers
				  immediately following the shipping descriptions for those items.
Item 10. Containers (number 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
BA =
Burlap, cloth, paper, or plastic bags
CF =
Fiber or plastic boxes, cartons, cases
CM =
Metal boxes, cartons, cases (including
								roll-offs)
CW =
Wooden boxes, cartons, cases
CY =
Cylinders
DF =
Fiberboard or plastic drums, barrels, kegs
DM =
Metal drums, barrels, kegs
DT =
Dump truck
DW =
Wooden drums, barrels, kegs
HG =
Hopper or gondola cars
TC =
Tank cars
TP =
Portable tanks
TT =
Cargo tanks (tank trucks)
Item 11. Total quantity
Enter, in designated boxes, the total quantity of waste.
				  Round partial units to the nearest whole unit, and do not enter decimals or
				  fractions. To the extent practical, report quantities using appropriate units
				  of measure that will allow the generator to report quantities with precision.
				  Waste quantities entered should be based on actual measurements or reasonably
				  accurate estimates of actual quantities shipped. Container capacities are not
				  acceptable as estimates.
Item 12. Units of measure (weight or
				  volume)
Enter, in designated boxes, the appropriate abbreviation from
				  table II (below) for the unit of measure.
Table II - Units of Measure
G =
Gallons (liquids only)
K =
Kilograms
L =
Liters (liquids only)
M =
Metric tons (1000 kilograms)
N =
Cubic meters
P =
Pounds
T =
Tons (2000 pounds)
Y =
Cubic yards
NOTE: Tons, metric tons, cubic meters, and cubic yards should
				  only be reported in connection with very large bulk shipments, such as rail
				  cars, tank trucks, or barges.
Item 13. Waste codes
Enter up to six federal and state waste codes to describe
				  each waste stream identified in item 9b. State waste codes that are not
				  redundant with federal codes must be entered here, in addition to the federal
				  waste codes which are most representative of the properties of the
				  waste.
Item 14. Special handling instructions and additional
				  information.
1. Generators may enter any special handling or shipment
				  specific information necessary for the proper management or tracking of the
				  materials under the generator's or other handler's business processes, such as
				  waste profile numbers, container codes, bar codes, or response guide numbers.
				  Generators also may use this space to enter additional descriptive information
				  about their shipped materials, such as chemical names, constituent percentages,
				  physical state, or specific gravity of wastes identified with volume units in
				  item 12.
2. This space may be used to record limited types of
				  federally required information for which there is no specific space provided on
				  the manifest, including any alternate facility designations; the manifest
				  tracking number of the original manifest for rejected wastes and residues that
				  are reshipped under a second manifest; and the specification of polychlorinated
				  biphenyl waste descriptions and polychlorinated biphenyl out of service dates
				  required under 40 CFR
				  761.207. Generators, however, cannot be
				  required to enter information in this space to meet state regulatory
				  requirements.
Item 15. Generator's or offeror's
				  certifications
1. The generator must read, sign, and date the waste
				  minimization certification statement. 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 Resource Conservation and Recovery Act are also certifying
				  that they have complied with the waste minimization requirements. The
				  generator's certification also contains the required attestation that the
				  shipment has been properly prepared and is in proper condition for
				  transportation (the shipper's certification). The content of the shipper's
				  certification statement is as follows: "I hereby declare that the contents of
				  this consignment are fully and accurately described above by proper shipping
				  name and are classified, packed, marked, and labeled, or placarded, or both,
				  and are in all respects in proper condition for transport by highway according
				  to applicable international and national governmental regulations. If export
				  shipment and I am the primary exporter, I certify that the contents of this
				  consignment conform to the terms of the attached environmental protection
				  agency acknowledgment of consent". When a party other than the generator
				  prepares the shipment for transportation, this party may also sign the
				  shipper's certification statement as the offeror of the shipment.
2. Generator or offeror personnel 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 or offeror certification, to
				  indicate that the individual signs as the employee or agent of the named
				  principal.
NOTE: All of the above information except the handwritten
				  signature required in item 15 may be preprinted.
II. Instructions for international shipment
				  block
Item 16. International shipments
For export shipments, the primary exporter must check the
				  export box, and enter the point of exit (city and state) from the United
				  States. For import shipments, the importer must check the import box and enter
				  the point of entry (city and state) into the United States. For exports, the
				  transporter must sign and date the manifest to indicate the day the shipment
				  left the United States. Transporters of hazardous waste shipments must deliver
				  a copy of the manifest to the United States customs when exporting the waste
				  across United States borders.
III. Instructions for transporters
Item 17. Transporters' acknowledgments of
				  receipt
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. Only one
				  signature per transportation company is required. Signatures are not required
				  to track the movement of wastes in and out of transfer facilities, unless there
				  is a change of custody between transporters. If applicable, enter 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: Transporters carrying imports, who are acting as
				  importers, may have responsibilities to enter information in the international
				  shipments block. Transporters carrying exports may also have responsibilities
				  to enter information in the international shipments block. See above
				  instructions for item 16.
IV. Instructions for owners and operators of treatment,
				  storage, and disposal facilities
Item 18. Discrepancy
Item 18a. Discrepancy indication space
1. The authorized representative of the designated (or
				  alternate) facility's owner or operator must note in this space any
				  discrepancies between the waste described on the manifest and the waste
				  actually received at the facility. Manifest discrepancies are: significant
				  differences (as defined by subsection 2 of section
				  33-24-05-39) between the quantity
				  or type of hazardous waste designated on the manifest or shipping paper, and
				  the quantity and type of hazardous waste a facility actually receives, rejected
				  wastes, which may be a full or partial shipment of hazardous waste that the
				  treatment, storage, or disposal facility cannot accept, or container residues,
				  which are residues that exceed the quantity limits for "empty" containers set
				  forth in subsections 3, 4, and 5 of section
				  33-24-02-07.
2. For rejected loads and residues (subsections 4, 5, and 6
				  of section
				  33-24-05-39 or the applicable
				  requirements of subsection 5 of section
				  33-24-06-16), check the
				  appropriate box if the shipment is a rejected load (for example, rejected by
				  the designated or alternate facility, or both, and is sent to an alternate
				  facility or returned to the generator) or a regulated residue that cannot be
				  removed from a container. Enter the reason for the rejection or the inability
				  to remove the residue and a description of the waste. Also, reference the
				  manifest tracking number for any additional manifests being used to track the
				  rejected waste or residue shipment on the original manifest. Indicate the
				  original manifest tracking number in item 14, the special handling block and
				  additional information block of the additional manifests.
3. Owners or operators of facilities located in unauthorized
				  states (for example, states in which the environmental protection agency
				  administers the hazardous waste management program) who cannot resolve
				  significant differences in quantity or type within fifteen days of receiving
				  the waste must submit to their regional administrator a letter with a copy of
				  the manifest at issue describing the discrepancy and attempts to reconcile it
				  (subsection 3 of section
				  33-24-05-39 and the applicable
				  requirements of subsection 5 of section
				  33-24-06-16).
4. Owners or operators of facilities located in authorized
				  states (for example, those states that have received authorization from the
				  environmental protection agency to administer the hazardous waste management
				  program) should contact their state agency for information on where to report
				  discrepancies involving "significant differences" to state officials.
Item 18b. Alternate facility (or generator) for receipt
				  of full load rejections
Enter the name, address, phone number, and environmental
				  protection agency identification number of the alternate facility which the
				  rejecting treatment, storage, or disposal facility has designated, after
				  consulting with the generator, to receive a fully rejected waste shipment. In
				  the event that a fully rejected shipment is being returned to the generator,
				  the rejecting treatment, storage, or disposal facility may enter the
				  generator's site information in this space. This field is not to be used to
				  forward partially rejected loads or residue waste shipments.
Item 18c. Alternate facility (or generator)
				  signature
The authorized representative of the alternate facility (or
				  the generator in the event of a returned shipment) must sign and date this
				  field of the form to acknowledge receipt of the fully rejected wastes or
				  residues identified by the initial treatment, storage, or disposal
				  facility.
Item 19. Hazardous waste report management method
				  codes
Enter the most appropriate hazardous waste report management
				  method code for each waste listed in item 9. The hazardous waste report
				  management method code is to be entered by the first treatment, storage, or
				  disposal facility that receives the waste and is the code that best describes
				  the way in which the waste is to be managed when received by the treatment,
				  storage, or disposal facility.
Item 20. Designated facility owner or operator
				  certification of receipt (except as noted in item 18a)
Enter the name of the person receiving the waste on behalf of
				  the owner or operator of the facility. That person must acknowledge receipt or
				  rejection of the waste described on the manifest by signing and entering the
				  date of receipt or rejection where indicated. Since the facility certification
				  acknowledges receipt of the waste except as noted in the discrepancy space in
				  item 18a, the certification should be signed for both waste receipt and waste
				  rejection, with the rejection being noted and described in the space provided
				  in item 18a. Fully rejected wastes may be forwarded or returned using item 18b
				  after consultation with the generator. Enter the name of the person accepting
				  the waste on behalf of the owner or operator of the alternate facility or the
				  original generator. That person must acknowledge receipt or rejection of the
				  waste described on the manifest by signing and entering the date they received
				  or rejected the waste in item 18c. Partially rejected wastes and residues must
				  be reshipped under a new manifest, to be initiated and signed by the rejecting
				  treatment, storage, or disposal facility as offeror of the shipment.
Manifest continuation sheet
Instructions - continuation sheet, environmental protection
				  agency 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 form
				  8700-22 if:
1. More than two transporters are to be used to transport the
				  waste; or
2. More space is required for the United States department of
				  transportation descriptions and related information in item 9 of environmental
				  protection agency form 8700-22. State and 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 (environmental protection agency form 8700-22) and, if
				  necessary, this continuation sheet (environmental protection agency form
				  8700-22A) for both interstate and intrastate transportation.
Item 21. Generator's identification
				  number
Enter the generator's environmental protection agency twelve
				  digit identification number or, the state generator identification number if
				  the generator site does not have an environmental protection agency
				  identification number.
Item 22. Page __ -
Enter the page number of this continuation sheet.
Item 23. Manifest tracking number
Enter the manifest tracking number from item 4 of the
				  manifest form to which this continuation sheet is attached.
Item 24. Generator's name -
Enter the generator's name as it appears in item 5 on the
				  first page of the manifest.
Item 25. 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
				  three company name. Also, enter the environmental protection agency twelve
				  digit identification number of the transporter described in item 25.
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
				  four company name. Each continuation sheet can record the names of two
				  additional transporters. Also enter the environmental protection agency twelve
				  digit identification number of the transporter named in item 26.
Item 27. United States department of transportation
				  description including proper shipping name, hazardous class, and identification
				  number (UN/NA)
For each row enter a sequential number under item 27b that
				  corresponds to the order of waste codes from one continuation sheet to the
				  next, to reflect the total number of wastes being shipped. Refer to
				  instructions for item 9 of the manifest for the information to be
				  entered.
Item 28. Containers (number and type)
Refer to the instructions for item 10 of the manifest for
				  information to be entered.
Item 29. Total quantity
Refer to the instructions for item 11 of the manifest
				  form.
Item 30. Units of measure (weight or
				  volume)
Refer to the instructions for item 12 of the manifest
				  form.
Item 31. Waste codes
Refer to the instructions for item 13 of the manifest
				  form.
Item 32. Special handling instructions and additional
				  information
Refer to the instructions for item 14 of the manifest
				  form.
Transporters
Item 33. Transporter - acknowledgment of receipt of
				  materials
Enter the same number of the transporter as identified in
				  item 25. Enter also the name of the person accepting the waste on behalf of the
				  transporter (company name) identified in item 25. That person must acknowledge
				  acceptance of the waste described on the manifest by signing and entering the
				  date of receipt.
Item 34. Transporter - acknowledgment of receipt of
				  materials
Enter the same number of the transporter 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.
Owner and operators of treatment, storage, or disposal
				  facilities
Item 35. Discrepancy indication space
Refer to item 18. This space may be used to more fully
				  describe information on discrepancies identified in item 18a of the manifest
				  form.
Item 36. Hazardous waste report management method
				  codes
For each field here, enter the sequential number that
				  corresponds to the waste materials described under item 27, and enter the
				  appropriate process code that describes how the materials will be processed
				  when received. If additional continuation sheets are attached, continue
				  numbering the waste materials and process code fields sequentially, and enter
				  on each sheet the process codes corresponding to the waste materials identified
				  on that sheet.
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