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Manifest Form Example
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Example Form and Continuation Sheet
EPA is providing an example of the first page of the new manifest form. It is the Designated Facility to Destination State (if required) (PDF) (1 pg, 220K) copy. Pages not shown are:
- Page 2: “Designated Facility to Generator State (if required)”
- Page 3: “Designated Facility to Generator Copy”
- Page 4: “Designated Facility Copy”
- Page 5: “Transporter" copy
- Page 6: “Generator’s Initial Copy” (bottom copy)
Example Continuation Sheet (PDF) (1 pg, 66K)