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Hazardous Materials (Management, Handling and Transboundary ...

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FORM - 1[See rules 8, 9 & 10 ]<strong>Transboundary</strong> Movement – NOTIFICATION DOCUMENT1. Exporter (Name &Address):Contact person: Tel.:Fax/Telex:Reason for export:3. Notification concerning(1):- NotificationN2A. (i) Single movement Recovery operation(ii) General notification (multiple movements)C. Pre-authorized recovery facility - Yes/No2. Importer/Recyler(Name & Address):Contact person: Tel.:7. Intended carrier(s)(name, address(2):Fax/Telex:4. Total intended numberof shipments:5. Estimated quantity(3):KgLiters6. Intended date(s) or period of time for shipment(s)9. Method(s) of recycling(4)R CodeTechnology employed10. Means of transport (4):Contact person: Tel.: 11. Packaging type(s) (4):Fax/Telex:8. Waste generator(s)(Name, address) (2):Contact Person Tel.:Site of generation &Process:Fax/Telex14. Material identificationcodeBasel No:OECD No.:12. (i) Designation <strong>and</strong> complete chemical compositiono f waste(attach details)(it) Special h<strong>and</strong>ling requirements13. Physical characteristics (4):16. Y-number (4):UN No. : ITC (HS) 17. H-number (4):Customs code (H.S.):15, OECD classification(1): amber. E]Red [ ] <strong>and</strong>number:Other (specify): I18.(i) UN (ii) UN class (4):identification N 237

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