FOCI Chemical Disposal Plan

Investigator____________________________________________________ Date_______________________


Complete a section for each chemical. Attach additional sheets as necessary.
 
Chemical Name Owner
 
 
 
Quantity for disposal MSDS provided? Port of off-loading
Date of off-loading
 
 
 
 
Off-loaded by Handling facility or Disposal company New owner? designate

 
Chemical Name Owner
 
 
 
Quantity for disposal MSDS provided? Port of off-loading
Date of off-loading
 
 
 
 
Off-loaded by Handling facility or Disposal company New owner? designate

 
Chemical Name Owner
 
 
 
Quantity for disposal MSDS provided? Port of off-loading
Date of off-loading
 
 
 
 
Off-loaded by Handling facility or Disposal company New owner? designate

 
Chemical Name Owner
 
 
 
Quantity for disposal MSDS provided? Port of off-loading
Date of off-loading
 
 
 
 
Off-loaded by Handling facility or Disposal company New owner? designate