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Form 3

This document provides a standardized format for maintaining records of hazardous wastes by facilities that generate, store, treat, transport, reuse, or dispose of hazardous wastes. The format requires facilities to record details such as waste descriptions, storage and treatment methods, transportation records, disposal methods, environmental monitoring, and waste reduction activities. The records must be signed and dated by the head of the facility.

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Nithi Anand
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2K views2 pages

Form 3

This document provides a standardized format for maintaining records of hazardous wastes by facilities that generate, store, treat, transport, reuse, or dispose of hazardous wastes. The format requires facilities to record details such as waste descriptions, storage and treatment methods, transportation records, disposal methods, environmental monitoring, and waste reduction activities. The records must be signed and dated by the head of the facility.

Uploaded by

Nithi Anand
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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FORM 3

1
[See rule 5(6), 18(5) and 22(1)]

FORMAT FOR MAINTAINING RECORDS OF HAZARDOUS WASTES BY


THE OCCUPIER OR OPERATOR OF A FACILITY

1. Name and address of the occupier or operator of a facility :

2. Date of issuance of authorization and its reference number :

3. Description of hazardous waste

Physical form with Chemical form Total volume (m3) and


description weight (in kg.)

4. Description of storage and treatment of hazardous waste :

Date Method of storage of Date Method of treatment of


hazardous wastes hazardous wastes

5. Details of transpiration of hazardous waste :

Name and address Mode of packing of Mode of Date of


of the consignee of the waste for transportation to transportation
package transportation site of disposal

6. Details of disposal of hazardous waste :

1
Substituted by Rule 5 of the Hazardous Wastes (Management, Handling and Transboundary Movement)
Amendment Rules, 2009, published vide Notification No.S.O.1799(E), dated 21.7.2009.
Date of Concentration of Site of disposal Method of Persons
disposal hazardous (identify the location disposal involved
constituents in the on the relevant layout in
final waste form drawing for reference) disposal

7. Date on environmental surveillance :

Date of Analysis of ground water Analysis of soil Analysis of air Analysis


measure samples samples of any
ment Location Depth Data Locat Depth Data Location Data other
of of ion of of of samples
sampling sampl sampl sampl sampling (give
ing ing ing details)

8. Details of hazardous waste sold/auctioned to the recyclers :


or reprocessors or re-users

9. Details of hazardous waste reused or recycled

Date Total Quantity of Details of Materials Final Net reduction


Hazardous hazardous received Quantity of in waste
Wastes waste waste generation
generated minimization generated quantity and
activity percentage

Date :
Name and signature of the Head of facility
Place :

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