Safeway Industrial Services test form - Safeway Industrial Services

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UNIVERSAL WASTE LAMPS, Non DOT Regulated (per 49 CFR 173.164)	UNIT	QTY	#CONTAINERS
4 FT & UNDER FLUORESCENT BULBS	EA
5 FT & OVER FLUORESCENT BULBS	EA
U-SHAPE/CIRCULAR	EA
COMPACTS (CFL)	EA
HID (Mercury, Halide, Sodium)	EA
SHIELDED/COATED	EA
BROKEN/CRUSHED	LBS
INCANDESCENT BULBS	EA

BATTERIES	DOT SHIPPING NAME	UNIT	QTY	#CONTAINERS
ALKALINE	UN3028, Batteries, dry, containing potassium Solid, 8, III	LBS
NiCAD (dry)	UN3028, Batteries, dry, containing potassium	LBS
NiCAD (wet, vented)	UN2795, Batteries, wet, filled with alkali, 8, II,I ERG# 154	LBS
LEAD ACID	UN2794 Batteries, wet, filled with acid, 8, III, ERG# 154	LBS
LEAD SEAL CELL	UN2800, Batteries, wet, non-spillable, 8, III, ERG# 154	LBS
LITHIUM ION	UN3090, Lithium Batteries, 9, III, ERG# 138	LBS
LITHIUM	UN3090, Lithium Batteries, 9, III, ERG# 138	LBS
CARBON ZINC	Batteries, dry, non DOT regulated	LBS
MERCURY	NA3077, Batteries, solid, n.o.s., 9, III, (mercury), ERG# 171	LBS

BALLAST	DOT SHIPPING NAME	UNIT	QTY	#CONTAINERS
NON PCB BALLAST	Non-Regulated Ballast for Recycling	LBS
HID BALLAST	Non-Regulated Ballast for Recycling	LBS
PCB BALLAST	RQ UN3432, Polychlorinated Biphenyls, solid, 9, II, ERG#171	LBS
CAPACITORS	Non-Regulated Capacitors for Recycling	LBS
LIGHT FIXTURES	Non-Regulated Light Fixtures for Recycling	LBS

ELECTRONICS, Electronic Equipment for Recycle (Non DOT Regulated)	UNIT	QTY	#CONTAINERS
MONITORS (Flat Screen, Glass)	LBS
E-SCRAP	LBS
PCs, PRINTERS, MISC, NON-GLASS (ETC)	LBS

MERCURY EQUIPMENT	DOT SHIPPING NAME	UNIT	QTY	#CONTAINERS
MERCURY DEVICES	RQ, UN2809, Mercury contained in Mfg. Articles, 8, III,ERG#172	LBS
GENERATOR CERTIFICATION: This is to certify that the above materials are properly classified, described, packaged, labeled and are in proper condition for transportation according to applicable regulations of The Department of Transportation (DOT). Actual quantities of material will be determined when received at the destination facility. Materials not properly packaged are subject to be returned to the generator, at their expense; or, incur special handling fees.