Spent Carbon Identification Form

Generator Information

Spent Carbon Properties And Composition

Classification

Generator State Agency Information

(If spent carbon is manifested)

Regulatory

Shipping Information

Generator Certification

I hereby certify that all information on this online form contains a true and accurate description of the spent carbon and that the characterization of the spent carbon and classification of the spent carbon as either hazardous or non-hazardous has been made in accordance with applicable analytical testing and in accordance with applicable laws. Generator agrees to defend and hold the reactivator harmless from all liabilities claim losses arising out of or relating to any violation by the generator or client of any statute ordinance, regulation, law or other government requirements relating to the proper characterization and classification of the spent carbon including any applicable regulator requirements pertaining to the generation, storage, and transportation of any spent carbon.