Hazardous Materials (Management, Handling and Transboundary ...

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FORM - 2[ See rules 8,9 & 10 ]Transboundary Movement - MOVEMENT DOCUMENTI.A Exporter (name,address):3.CorrespondingtoNotification N'4. Serial Numberof shipment:Contact person: Tel.:Fax/Telex:ii) Waste Generator(name, address)(1):Movement subject of(2) single notification8. Disposer(name,address):general notificationContact person Tel Contact person Tel.:Fax/Telex:Fax/Telex:Site of' generation:2. Importer recycler(name, address):Actual site ofdisposal:9. Method(s) of recovery (4):R code:Technologyemployed:Contact person Tel.:Fax/Telex:5. Ist Carrier (Name,address):*(Attach detailsif necessary6. 2"d Carrier (name,address)(4):7. Last Carrier (name,address):Registration N2: Registration N': Registration N2:lei: Fax/Telex: Tel.: Fax/Telex: Tel.: Fax/Telex:8. Identity of means oftransport (3)9. Identity of means oftransport (3)10. Identity of means oftransport (3)Date of transfer: Date of transfer: Date of transfer:42
Signature of Carrier'srepresentativeSignature of Carrier'srepresentativeSignature of Carrier'srepresentative11. Designation and chemical composition of the waste 12. Physicalcharacteristics (3):13. Actual quantityKg. Liter14. Waste identificationcode16. PackagingType (3): Number:Bales No: OECD No.UN No. : ITC (HS) 17. UN Classification:Customs code (H.S.): Other (specify): UN shipping name:LIN Identification No.:15. OECD Classification(2): amberOtherRed EJ and Number: UN class (3):H Number (3): Y No.:(attach details)18. Special handlingrequirements20. Exporter's declaration,I certify that the information in blocks I to 19 above iscomplete and correct to my best knowledge. I alsocertify that legally-enforceable written contractualobligations have been entered into, that any applicableinsurance or other financial guarantees are in forcecovering the transboundary movement and that allnecessary authorizations have been received from thecompetent authorities of the States concerned.Date :Signature:19. Actual date ofshipmentName:43
Page 1 and 2: [To be published in the Gazette of
Page 3 and 4: (f)(g)(h)(i)(j)(k)(l)“exporter”
Page 5 and 6: (ze)(zf)(zg)“storage” means sto
Page 7 and 8: (2) Import of hazardous wastes shal
Page 9 and 10: (6) The Port and Custom authorities
Page 11 and 12: (4) The Central Pollution Control B
Page 13 and 14: obtain ‘No Objection certificate
Page 15 and 16: (1) The Hazardous Wastes (Managemen
Page 17 and 18: SCHEDULE - II[See rule 3(k) & (l)]L
Page 19 and 20: C4C5C6C7C8C9C10C11C12C13C14C15C16C1
Page 21: Basel No. Description of hazardous
Page 25 and 26: Basel No.B1110B1120Description of h
Page 27 and 28: Basel No. Description of hazardous
Page 29 and 30: Basel No. Description of hazardous
Page 31 and 32: UN Class 1 Code Characteristics5.2
Page 33 and 34: [See rule 6]Hazardous Wastes Prohib
Page 35 and 36: Schedule - VI[ See rule 12]LIST OF
Page 37 and 38: FORM - 1[See rules 8, 9 & 10 ]Trans
Page 39 and 40: List of abbreviations used in the M
Page 41: Signature:26. COUNTRY OFIMPORT/DEST
Page 45 and 46: R5 Recycling/reclamation of other i
Page 47 and 48: FORM - 3[See rule 10 ]Application f
Page 49 and 50: 6. Break-up of the imported materia
Page 51 and 52: FORM - 5[See rules 13 & 14 ]Form of
Page 53 and 54: FORM − 6[see rules 14]Form for Fi
Page 55 and 56: FORM-8[See rule 19]Transport Emerge
Page 57 and 58: FORM − 10[see rule 21]Form for Fi

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