Hazardous Waste Transporter Inspection Form Page 3
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4YES NO
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b) Transporter ensures that rejected load is not returned to any single generator? (Rule 405(3)(h))
[ ] ___ NI N/A
TRANSPORTER VEHICLE REQUIREMENTS (Rule 406)
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22. Copy of Act 138 credentials available upon request and carried in vehicles? (Rule 406(1))
[ ] ___ NI N/A
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23. Vehicles & containers used to transport HW closed and covered? (Rule 406(2))
[ ] ___ NI N/A
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24. Outside of vehicles & accessory equipment free of HW? (Rule 406(2))
[ ] ___ NI N/A
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25. Vehicles cleaned & purged of vapor before transport of products, incompatible waste, or non-waste material? (Rule 406(3))
[ ] ___ NI N/A
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26. Protects HW from exposure to weather, fire, phys. damage or vandals? (Rule 406(4))
[ ] ___ NI N/A
TRANSPORTER FACILITY REQUIREMENTS (Rule 407)
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27. Evidence of HW escaping to air, soil, surface water, groundwater, drains or sewers? (Rule 407 (2)(a))
___ [ ] NI N/A
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28. If vehicles cleaned on site, proper procedures for wash water disposal? (Rule 407(2)(b))
[ ] ___ NI N/A
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29. Facility constructed to minimize possibility of release of HW to the soil, groundwater, or surface water? (Rule 407(2)(c))
[ ] ___ NI N/A
MANIFESTING (Rule 409)
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30. Michigan manifest utilized for HW destined to a Michigan facility? (Rule 409(1))
[ ] ___ NI N/A
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31. Manifest, equiv. to EPA for 8700-22, used for HW shipments not generated in MI nor destined for MI facility? (Rule 409(1))
[ ] ___ NI N/A
32. Complies with provisions of 40 CFR 263, subpart B, regarding manifest system, compliance with manifest and
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record-keeping? Rule 409(1))
[ ] ___ NI N/A
33. If HW NOT delivered in accordance w/ manifest & provisions of 40 CFR 263.21(a), then:
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a) Manifest revised in accordance w/ 40 CFR , part 263.21(b)? (Rule 409(2))
[ ] ___ NI N/A
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b) In the comments sect. name & phone number of generator contact for instructions printed legibly? (Rule 409(2))
[ ] ___ NI N/A
34. If manifested shipment results in a significant discrepancy as specified in R 608 & a total or partial rejected shipment, did the
transporter acknowledge receipt of shipment by signing & dating original manifest before leaving designated facility?
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(Rule 409(3)(a))
[ ] ___ NI N/A
35. For total rejected shipment returned to the generator:
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a) Gen. signed & dated orig. manifest acknowledging receipt of returned shipment? (Rule 409(3)(b)(i))
[ ] ___ NI N/A
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b) Transporter retained copy of original manifest? (Rule 409(3)(b)(ii))
[ ] ___ NI N/A
36. If manifested shipment was a total rejected shipment sent to alternative facility did transporter obtain generator permission
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to alter original manifest to designate alternative facility? (Rule 409(3)(c))
[ ] ___ NI N/A
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37. Did transporter document (in comments section per sub rule 2) generator permission? (Rule 409(3)(c))
[ ] ___ NI N/A
38. For partial rejected shipment returned to generator, did transporter:
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a) Have generator sign & date orig. manifest acknowledging receipt of returned shipment? (Rule 409(3)(d)(i ))
[ ] ___ NI N/A
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b) Retain transporter copy of original manifest? (Rule 409(3)(d)(ii))
[ ] ___ NI N/A
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39. For rejected shipment, new manifest prepared by generator in accordance w/ Part 3 prior to transport? (Rule 409(3)(e))
[ ] ___ NI N/A
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40. Transporter records maintained for 3 years? (Rule 409(4))
[ ] ___ NI N/A
HAZARDOUS WASTE DISCHARGES &EMERGENCY RESPONSE (Rule 410)
41. Fire explosion/ other discharge of HW occurred during transportation did transporter:
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a) Take appropriate actions to protect human health & the environment? (Rule 410(1))
[ ] ___ NI N/A
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b) Local authorities notified? (Rule 410(1))
[ ] ___ NI N/A
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c) DEQ notified via PEAS? (Rule 410(1))
[ ] ___ NI N/A
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d) Required information included as part of PEAS reporting? (Rule 410(1)(a-f))
[ ] ___ NI N/A
42. During an emergency was transporter authorized by government official to remove waste w/out manifest or w/out transporter
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possessing an EPA ID number or being permitted under Act 138? (Rule 410(2))
[ ] ___ NI N/A
43. Has transporter who has discharged haz waste complied with:
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a) Notice given to the National Response Center as required by 49 CFR 171.15? (Rule 410(3)(a))
[ ] ___ NI N/A
b) Written report provided to Director, Office of Haz. Materials Regulations, Dept. of Trans., Wash., D.C., as required in
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49 CFR 171.16? (Rule 410(3)(b))
[ ] ___ NI N/A
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c) Notice provided for a bulk water shipment as required in 33 CFR 153.203? (Rule 410(3)(c))
[ ] ___ NI N/A
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d) Appropriate clean-up completed? (Rule 410(3)(d))
[ ] ___ NI N/A
LAND DISPOSAL RESTRICTIONS (Rule 413)
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44. Transporter complied with land disposal restrictions of 40 CFR, part 268? (Rule 413(1))
[ ] ___ NI N/A
EQP 5159 (Rev. 3-15-2011) Page 3
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