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Section C1. General Information of Transporter

This document is a registration form for hazardous waste transporters submitted to the DENR. It requests information such as the transporter's general details, capitalization, number of employees, licenses and permits, type of waste to be transported, vehicle descriptions and transport capacity. The transporter must also provide supporting documents such as business permits, vehicle ownership proofs, emergency plans and a certification stating the information provided is accurate.

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Lottie Crame Concepcion
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53 views

Section C1. General Information of Transporter

This document is a registration form for hazardous waste transporters submitted to the DENR. It requests information such as the transporter's general details, capitalization, number of employees, licenses and permits, type of waste to be transported, vehicle descriptions and transport capacity. The transporter must also provide supporting documents such as business permits, vehicle ownership proofs, emergency plans and a certification stating the information provided is accurate.

Uploaded by

Lottie Crame Concepcion
Copyright
© Attribution Non-Commercial (BY-NC)
Available Formats
Download as PDF, TXT or read online on Scribd
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DENR APPENDIX C

Hazardous

Waste

Registration

Form C : Registration form for HW Transporter Section C1. General Information of Transporter
1. DENR ID: 3. Registered Company Name: 4. Address: 5. Date of Establishment: 6. Tel: 8. Name of contact person: 9. Tel: 12. General Description of Business/Operation 13. Authorized Capitalization (P/year): 14. Paid-up Capitalization (P/year): 15. Total Employees: 16. Admin. Employees: 17. Number of Drivers 10. Fax: 11. e-mail: 7. Fax: 2. Date of issued (D/M/Y): / /

18. ECC Number:

19. Date Issued:

20. Place Issued:

21. P/O Number:

22. Date Issued:

23. Place Issued:

24. Name of PCO

25. Accreditation Number

26. Date of Accreditation

18. Type of waste to be transported Please append the following:


Business Permit approved by Department of Trade and Industry (DTI) and SEC Registration Certificate Description/Specification of Conveyance, Details of Transport Service Photographs of conveyance (inside and outside parts of vehicle) Sketch/Provision of a garage Proof of ownership of vehicle (Contract of Lease and/or Deed of Sale, if applicable) Certification from the Bureau of Fire Protection, in case of tank lorry Contingency/Emergency Preparedness Plan Accountability Statement (duly notarized) Copy of the Certificate of Registration and Official Receipt ( LTO)

I certify that enclosed information is a true and accurate record as available.

Contact Person:

Signature:

Date(D/M/Y)

DENR APPENDIX C

Hazardous

Waste

Registration

DENR APPENDIX C

Hazardous

Waste

Registration

Section C2. Transport Capacity Description of vehicle for HW transportation 1. Plate No. 2. Maker 3. Year No. of vehicles: 4. Type *1 4. Capacity (ton) Own/Lease

I certify that enclosed information is a true and accurate record as available.

Contact Person:

Signature:

Date(D/M/Y)

*1 Type of vehicles: FB=Flat Body, CFB=Closed type of FB, TL=Tank lorry, DT= Dump truck

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