Hazardous Materials (Management, Handling and Transboundary ...

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ImporterDate ..…………..Place ….…………SignatureDesignation_________________________________________________________FORM - 4[ See rule 10]( Format for maintaining records of hazardous material imported and exported)1. Name and address of the importer:2. Date and reference number of issuance of permission to import hazardousmaterial:3. Description of hazardous material:a. Physical form:b. Chemical form:c. Total volume and weight (in kilograms):d. Test report as per Rule 13(6):4. Description of storage, treatment and reuse of hazardous material:a. Date:b. Method of Storage:c. Method of treatment and reuse (give details):50
FORM - 5[See rules 13 & 14 ]Form of application for Grant of license of Industrial Units PossessingEnvironmentally Sound Management Facilities for Recycling{To be submitted to the Central Pollution Control Board in triplicate}1 Name and Address of the unit2 Name of the occupier or owner of theunit with designation, Tel / Fax3 Date of commissioning of the unit4. No. of workers ( including contractlabourers )5 Consent Validity Air (Prevention & Control of Pollution)Act, 1981 Valid up to………………………Water (Prevention & Control of Pollution)Act, 1974 Valid up to………………………6. Product Manufactured during the lastthree years (Tonnes / Year )7. Raw material consumption during lastthree years (Tonnes/ year)Namea)b)Namea)b)Quantitya)b)Quantitya)b)8. Manufacturing Process Please attach manufacturing process flowdiagram for each product (s)9. Water Consumption Industrial …………………………m3/ dayDomestic…………………………..m3/day10 Water Cess paid up to (date) ………………..11 Waste water generation as perconsent………...m 3 /day12 Waste water treatment (provide flowdiagram of the treatment scheme )Industrial DomesticActual………m 3 /day (avg of last 3 months)IndustrialDomestic13 Waste water discharge Quantity……………………………. m 3 /dayLocation…………………………………………….Analysis of treated waste waterpH, BOD, COD, SS, O&G Any other14. Air Pollution Controla. Flow diagram for emission controlsystem (s) installed for each processunit, utilities etc.b. Details of facilities provided control offugitive emission due to materialhandling, process, utilities etc.c. Fuel consumptiond. Stack emission monitoring resultse. Ambient air qualityName………………… quantity ……………D/MStack Emission……………………mg/NmAttach to PM SO 2 Metals (pb. Zn.)Locationparameter mg/mSO 2 , NO x ,SPM, Pb, any others51
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 and 42: Signature:26. COUNTRY OFIMPORT/DEST
Page 43 and 44: Signature of Carrier'srepresentativ
Page 45 and 46: R5 Recycling/reclamation of other i
Page 47 and 48: FORM - 3[See rule 10 ]Application f
Page 49: 6. Break-up of the imported materia
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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