329 IAC 15-4-13 Manifest forms

Sec. 13. (a) A waste tire transporter shall prepare a manifest for each load of waste tires using a form provided by the department that includes the following information: (1) The information required by IC 13-20-14-5(b). (2) Name, address, and telephone number for the: (A) generator; (B) transporter; and (C) destination. (3) Signature of the generator's authorized agent. (4) Permit or registration number for the: (A) transporter; and (B) destination. (5) Signed certification statement from the: (A) transporter; and (B) destination. (6) A description of the shipment, including the following: (A) Pickup date, time, and location. (B) Load type measurement, such as whole tire count, volume, or weight. (C) Tire types and amounts. (b) A waste tire transporter shall: (1) carry the manifest in the vehicle while transporting the waste tires described on the manifest; and (2) provide a copy of the completed manifest to the: (A) waste tire generator; and (B) destination facility for the waste tires. (c) A waste tire transporter may reproduce copies of the waste tire manifest form with complete information for the generator, transporter, and destination preprinted on the form as long as the: (1) form is substantially identical to the waste tire manifest form provided by the department; and (2) preprinted information does not include waste tire amounts or signatures.