F105.19

For Used Lead Acid Batteries and Mercury Containing Lamps

In order to store universal waste on-site and then ship off-site the following information must be completed and returned to Regulatory Affairs. Checking a box indicates an affirmative response.

UNIVERSAL WASTE HANDLERS REQUIREMENTS


A. Small Quantity Generator’s name (Fisher and battery retailer), address and contact:

Fisher Scientific Site – / Battery or Lamp Retailer -
q  Facility accumulates no more than 11,000 pounds of universal waste (e.g. used lead acid batteries) / q  Facility accumulates no more than 11,000 pounds of universal waste (e.g. used lead acid batteries)
q  Facility accumulates used batteries/lamps for no more than one year / q  Facility accumulates used batteries/lamps for no more than one year
q  Containers are closed / q  Containers are closed
q  Waste is handled so to prevent release of any waste or component / q  Waste is handled so to prevent release of any waste or component
q  All batteries or containers that hold batteries/lamps are marked with the following words: “Universal Waste – Batteries or Lamps” or “Waste Batteries or Lamps” or “Used Batteries or Lamps” / q  All batteries or containers that hold batteries/lamps are marked with the following words: “Universal Waste – Batteries or Lamps” or “Waste Batteries or Lamps” or “Used Batteries or Lamps
q  No on-site disposing, dilution or treating / q  No on-site disposing, dilution or treating
q  Containerize batteries/lamps shows no evidence of leakage, spillage of damaged / q  Containerize batteries/lamps shows no evidence of leakage, spillage of damaged
q  Electrolyte has not been removed from batteries / q  Electrolyte has not been removed from batteries

B. Transporter’s name and address:

q  Transporter refrains from disposing, dilution or treating the universal waste

q  Complies with US DOT regulations 49 CFR 171-180

q  Shipment will be recorded on a straight bill of lading not a Hazardous Waste Manifest

q  Transporter stores waste at universal waste transfer facility for not more than 10 days

q  Used batteries are only shipped to another universal waste handler or destination facility

C. Large Quantity Handler of Universal waste: (battery wholesaler, manufacturer or secondary lead

smelter accumulates more than 11,000 pounds of used lead acid batteries) and address:

q  Have copy of their written notification to EPA and EPA ID number

q  Have sample records of each shipment of universal waste received

q  Have records of each shipment of waste sent off-site including Name and Address of Destination Facility

q  Has three years of records from the date of receipt or shipment

DESTINATION FACILITY REQUIREMENTS

q  Lead smelter / Bulb Recycler name and address:

q  Have copy of their written notification to EPA and EPA ID number

q  Battery Wholesaler

q  Battery Manufacturer

q  Secondary Lead Smelter

q  Authorized collection or recycling facility

q  Will send Certificate of Recycle

q  Pollution Legal Liability Insurance Carrier lists Fisher Scientific LLC as Certificate Holder

Rev. # 1 Mandatory Discretionaryg

Effective Date: December 1999 Page 1 of 1