Duty of Care - Waste Transfer Form
Document Details
Document Number
5325324
Booking Reference
7536343
Customer Order Number
542523
PO Number
252345
Annual Waste Transfer Note?
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Section A - Description of Waste
A1. Enter a description of the hazardous waste to be transferred
Hazardous chemical waste from industrial processes
A2. Are there any waste regulation codes?
EWC Code 13 02 05
A3. How is the waste contianed?
Contained in metal barrels
A4. How much waste is there? For example, by number of sacks, weight, etc
There are 15 metal barrels to be collected
Section B - Site Visits
3 Visits
B1. Site Name
Industrial Chemicals Ltd
B2. Site Address
1234 Industrial Park Road
Factory Town
FT123
B3. What is the SIC Code? (2007)
20.20
B4. What is the Env Permit Number?
EPR/AB12435CD
Section C - Waste Carrier (Transferee)
C1. Carrier's Name
EPR/AB123443
C2. What is the Address of the Waste Carrier?
1234 Industrial Park Road
Factory Town
FT123
C3. What is the Registered Waste Carrier Number?
52523
C4. Expiry Date?
24/10/2024
Section D - Disposal Site (Recipient)
D1. Site Operator
Safe Disposal Ltd
D2. What is the address of the Disposal Site?
1234 Industrial Park Road
Factory Town
FT123
D3. What type is the Disposal Site?
Hazardous Waste Treatment Facility
D4. What is the Env Permit Number?
EPR/2335324
Additional Files (Optional)
Mon 16th Jun 2024
Added 5:05pm by Jonathan Doe
Post-Shift
Sun 15th Jun 2024
Added 9:04am by Jonathan Doe
On-Shift
Confirmation
By signing this document you confirm that:
- You are authorised to sign off on this document
- You confirm you have fulfilled your duty to apply the waste hierarchy as required by Regulation 12 of the Waste (England & Wales) Regulations 2011
Please Sign Above
Print Name
Johnathan Smith
Date
16/06/2024
Created by Teamleaf
Generated on Mon 17th Jun 2024, Scan QR Code for Task Information
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