Hazardous Materials (Management, Handling and Transboundary ...

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FORM – 9[See rule 20]Hazardous Materials/Waste Manifest1. Occupier's Name & Mailing Address:2. Occupier's Registration No.(including Phone No.)4. Transporter's Name & Address:(including Phone No.)5. Type ofVehicle:TruckTanker3. Manifest Document No..6. Transporter's RegistrationNo.7. Vehicle Registration No.Special Vehicle8. Designated Facility Name &Site Address: 9. Facility's Registration No.10. Facility's Phone11. Material Description: 12. Total Quantitym 3t13. Consistency14. Transport Description ofWasteSolid OilySemi-Solid TarrySludge Slurry15. Containers 16. Total 17. Unit18. WasteQuantity Wt/Vol. CategoryNo. Type No.18. Special Handling Instructions & Additional Information20. OCCUPIER'S CERTIFICATE: I hereby declare that the contents of the consignmentare fully and accurately described above by proper shipping name and arecategorised, packed, marked, and labeled, and arc in all respects in proper conditionfor transport by road according to applicable national government regulations.Typed Name & Stamp Signature Month Month/Day/YearDay Year2 1. 'Transporter Acknowledgement of Receipt of MaterialsTyped Name & Stamp Signature Month Day Year22. Discrepancy Note Spacep23. Facility Owner or Operator's Certification of Receipt of Hazardous WasteTyped Name & Stamp Signature MonthDay YearSignatureMonth/Day/Year56
FORM − 10[see rule 21]Form for Filing Returns and Records by Occupier/Operator of Facility[To be submitted by occupier/operator of disposal facility to State PollutionControl Board/ Committee by30 th June of every year for the preceding period Aprilto March]1. Name and address of thegenerator/ operator of facility2. Name of the authorised personand full address with telephoneand fax number3. Description of hazardousmaterials/waste4. Quantity hazardous materials/wastes (in MTA )5. Description of Storage6. Description of TreatmentPhysical form withdescription7. Details of transportation Name &address ofconsignee8. Details of disposal of hazardouswaste9. Environmental surveillance Data(Date of measurement)9. Quantity of recyclable materialssent back to the manufacturers*and others #* delete whichever is not applicable# enclose list of other agenciesName &address ofOperatorGroundwateranalysis(ii)Mode OfpackingDisposalSiteSoilAnalysisChemical formMode oftransportationDisposalMethodAiranalysisDate oftransportationDate ofdisposalOtheranalysisPlace : ….......................Date : …........................Signature:Designation:57
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[To be published in the Gazette of
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(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 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: FORM-8[See rule 19]Transport Emerge
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