Waste material tracking form-LSG-app#2b

WASTE/MATERIAL TRACKING FORM
Appendix II (adapted from NMSU Lab Guide - dls 06/00)

This example is for illustration only. (See Procedure - disposal used chemicals & haz.waste manual).
Please obtain the correct forms with a tracking number from EH&S (646-3327 or via an email request)

NMSU WASTE/MATERIAL TRACKING FORM
Container Type (Circle)	Glass	Plastic	Metal	Fiber
Container Size (mL or L) (Print)
Contents State (Circle)	Solid	Liquid	Sludge	Gas

Chemical Contents (& diluent,including water,if applicable)				Concentration(%,M,PPM)		Vol.(ml or L )
1.				.		.
2.				.		.
3.				.		.
4.				.		.
5. 6. For illustration only 7.				.		.
				.		.
				.		.
8.				.		.
9.				.		.
10.				.		.
11.				.		.
12.				.		.
. .Total Volume of Contents (mL or L)						.
Generator name and title					.Phone
Dept.	Building				Room ..

Lab Safety Guide	Table of Contents	Chapter-	1	2	3	4	5	6	7	8	9	10	Appendices
Appendices I. Model Chemical Hygiene Plan IIa. Chemical Disposal Procedures IIb. Surplus Chemicall Procedures III. Model Infection/Expsure Control Plan IV. Biological Waste Procedures V. Radiological Wastes VI. Container Disposal VII Hazard Assessment/PPE							VIII. Eye and Face Protection IX. Respiratory Protection Progra X Hazard Review Checklists XI. Wet Chemistry Practices XII. Laser Survey Forms XIII. First Aid XIV. Experiment Safety Plan Prior Approval Forms XV. Glossary - MSDS & Safety Terms