Regulatory Alert: e-Manifest User Fee Final Rule is effective June 30, 2018. Learn more  

Uniform Hazardous Waste Manifest - Pin-Feed Continuous Format (00346)
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Uniform Hazardous Waste Manifest - Pin-Feed Continuous Format

6-ply form measures 9-1/2" x 11". Read more.

Number of Plies:6
Product Code: 10496
List Price: $287.235
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Regulatory Alert: The e-Manifest User Fee Final Rule was published in the Federal Register on January 3, 2018, and is effective June 30, 2018.

The new 5-part form cannot be used until June 30. As soon as EPA approves the form, it will be available for order and begin shipping.

The current 6-part form must be used through June 29 and is prohibited from use after June 29, except as provided by EPA in the following: EPA will accept Page 1 copies of the obsolete 6-copy forms for processing after June 30, 2018, but we strongly recommend that users transition to the 5-copy forms as quickly as possible. If a user wishes to continue to use the obsolete 6-copy forms, they should undertake measures to minimize confusion in their use, such as applying a pre-printed adhesive label to the top copy with the accurate copy distribution language ("designated facility to EPA's e-Manifest system"). Facilities should train their manifest personnel to inspect manifests carefully to ensure they are routed properly during the time any of the obsolete manifests remain in use.

  • This form must be used when transporting hazardous waste
  • J. J. Keller is an EPA-approved registered printer of these forms
  • Prenumbered with the Manifest Tracking Number (MTN) and features red marginal words
  • Continuous format
  • Six plies
  • Carbonless
  • Hazardous waste manifest measures 9-1/2" W x 11" L
  • Imprinting available. Call toll-free for pricing.

Volume Pricing

Volume Pricing
Product Code Description 500 - 999 1000 - 1999 2000 - 4999 5000 - 9999 10000 - 999999
Continuous format, 6-ply, 9-1/2" x 11"


Product Code Description Number of Plies Size Carbon Type Format Alternate Product Code
Continuous format, 6-ply, 9-1/2" x 11"
8.5" x 11"
167BLCO 6

View Sample

View a sample 6-ply Uniform Hazardous Waste Manifest.

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