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Hazardous Materials (Management, Handling and Transboundary ...

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FORM – 3[See rule 10 ]Application for importing hazardous materials for recyclingFrom: ...………………..To : TO BE MAILED BY IMPORTERThe Member Secretary,State Pollution Control Board________________________Sir,I/we apply for ‘No Objection’ under sub-rule 5.3 of rule 5 of the <strong>Hazardous</strong><strong>Materials</strong> <strong>Management</strong>, <strong>H<strong>and</strong>ling</strong> <strong>and</strong> <strong>Transboundary</strong> Movement Rules, 2007, forimporting hazardous materials for recycling.1. Code No. :2. Whether the unit is situated in acritically polluted area asidentified by the Ministry ofEnvironment <strong>and</strong> Forests :FOR OFFICE USE ONLYTO BE FILLED IN BY APPLICANTPART 1 :(To be filled by Exporter or a person authorized by the exporter)1. Name <strong>and</strong> Address of the Exporter2. Details of material (hazardous materials in the form of raw material) to beexported.S.No. Particulars Six digitCode No.*Concentration(s)expectedQuantityWhether anyspecial h<strong>and</strong>lingrequirement?The material permitted shall be fully insured for transit as well as for anyaccidental occurrence <strong>and</strong> its cleanup operation.47

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