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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