Underground Petroleum Storage Tanks and Related Wastes - Code ...

APPENDIX 3A
WASTE DISPOSAL REGISTER: REMOVAL CERTIFICATE
Form of certificate to be rendered to the principal by contractors removing liquid waste produced by tank disposal
operations from disposal contractor’s premises.
To:
Copy to:
(Principal)
(Tank disposal contractor)
Movement/Disposal Certificate
WE undertake to dispose of the liquid waste produced by our tank disposal operations and removed
from at on ____ / ____ / ____
in such a manner as will not contravene any Government Regulations or Local Bylaw and to issue the required notices
to the responsible authorities and to undertake any necessary analyses.
WE undertake to notify the principal’s engineer in writing of the date and location of disposal of the waste and to provide
to him a copy of any chemical analysis of the treated waste prior to disposal.
Signed:
On behalf of:
Drum or batch identification No:
(Signature)
(Name in block letters)
(Waste disposal contractor)
(Address)
36 Transport and Disposal of Petroleum Storage Tanks