Scribd
Upload
113 views4 pages

Form 7 A

This document summarizes the transboundary movement of waste from the exporter to the importer/recycler. It contains information such as the exporter and importer contact details, carriers involved in transport, designation and quantity of waste, and certifications that necessary authorizations have been received from competent authorities. The exporter declares that the information provided is complete and accurate, and that legally binding contracts and financial guarantees are in place covering the movement. Upon receipt, the importer/recycler confirms acceptance or rejection of the shipment and completion of recycling.

Uploaded by

dorlikarshona09
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
113 views4 pages

Form 7 A

This document summarizes the transboundary movement of waste from the exporter to the importer/recycler. It contains information such as the exporter and importer contact details, carriers involved in transport, designation and quantity of waste, and certifications that necessary authorizations have been received from competent authorities. The exporter declares that the information provided is complete and accurate, and that legally binding contracts and financial guarantees are in place covering the movement. Upon receipt, the importer/recycler confirms acceptance or rejection of the shipment and completion of recycling.

Uploaded by

dorlikarshona09
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
You are on page 1/ 4

FORM – 7A

[See rules12(5) and 14(4)]

TRANSBOUNDARY MOVEMENT OF WASTE – MOVEMENT DOCUMENT


2
1. Exporter (Name & Address): 3. Corresponding to notification N 4. Serial
Number of
Movement subject of (2) single shipment
Contact Person: Tel: Notification
General Notification
Reason for export: Fax/Telex:
ii) Waste Generator (name, address) : 8. Disposer (name, address)
Contact Person: Tel: Contact Person: Tel:

Site of generation Fax/Telex: Site of generation Fax/Telex:


2. Importer/recycler (name, address) 9. Method(s) of recycling (4):

Contact Person: Tel: R Code:


Technology employed:
Fax/Telex: *(attach details if necessary)

5. 1st carrier (Name 6. 2nd Carrier (Name & 7. Last Carrier(Name & address)
& address) address) Registration N2:
2 2
Registration N : Registration N : Tel:
Tel: Tel: Fax / Telex:
Fax/Telex: Fax/Telex:
8. Identity of means 9. Identity of means of 10. Identity of means of transport
of transport (3) transport (3) (3)

Date of transfer: Date of transfer: Date of transfer:


Signature of Carrier’s Signature of Carrier’s Signature of Carrier’s
representative: representative: representative:
11. Designation and chemical composition of waste 12. Physical characteristics (3):

14. Waste identification code 13. Actual Quantity


Kg. Liter
Basel No: OECD No:
UN No: ITC (HS): 11. Packaging
Customs code (H.S.): Other (specify): Type (3): Number:
15. OECD classification (1): amber 12. UN classification:
Red and number: UN shipping name:
Other* UN identification No.:
(attach details) UN class (3)
H number (3): Y No.

18. Special Handling requirements 21. Exporter’s / declaration:

I certify that the information in blocks 1 of


19 above is complete and correct to my best
knowledge. I also certify that legally –
enforceable written contractual written
contractual obligations have been entered
19. Actual date of shipment
into and that any applicable insurance or
other financial guarantees are in force
covering the transboundary movement and
that all necessary authorisations have been
received form the competent authorities of
the States concerned.

Name: Signature:
Date:
TO BE COMPLETED BY IMPORTER/RECYCLER

21. Shipment received by Importer/Recycler 23. I certify that the recycling of the waste
described above has been completed
Quantity received: Kg Literes accepted Date:
Date: rejected Name:
Name: Signature:
Signature and Stamp:
Notes : - (1) Attanch list if more than one (2) Enter X in appropriate box (3) See codes on the
reverse (x) Immediately contact competent Authority (4) If more than three carriersm, attach
information as required in blocks 6 and 11.

List of abbreviations used in the Movement Document

RECOVERY OPERATIONS (Block 9)

R1 Use as a fuel (other than in direct incineration) or other means to generate energy
R2 Solvent reclamation / regeneration
R3 Recycling / reclamation of organic substances which are not used as solvents
R4 Recycling / reclamation of metals and metal compounds
R5 Recycling / reclamation of other inorganic materials
R6 Regeneration of acids and bases
R7 Recovery of components used for pollution abatement
R8 Recovery of components from catalysts
R9 Used oil re-refining or other reuses of previously used oil
R10 Land treatment resulting in benefit to agriculture or ecological improvement
R11 Uses of residual materials obtained from any of the operations numbered R1 to R11
R12 Accumulation of material intended for any operation numbered R1 to R12

MEANS OF PACKAGING H NUMBER (Block 17) & UN CLASS


TRANSPORT TYPES (Block (Block 18)
11)
UN H Designation
R = Road 1.Drum Class Number
2. Wooden Barrel 1 H1 Explosive
T = Train / Rail 3. Jerrican 3 H3 Inflammable Liquids
4. Box 4.1 H4.1 Inflammable Solids
S = Sea 5. Bag 4.2 H4.2 Substances or wastes liable to
6. Composite spontaneous combustion
A = Air packaging 4.3 H4.3 Substances or wastes which
7. Pressure receptacle in contact with Water, emit
W = Inland 8. Bulk inflammable Gases
Waterways 9. Others (specify) 5.1 H5.1 Oxidizing
5.2 H5.2 Organic peroxides
6.1 H6.1 Poisonous (acute)
6.2 H6.2 Infectious substances
PHYSICAL CHARACTERISTICS 8 H8 Corrosives
(Block 13)
1. Powdery/ powder 9 H10 liberation of toxic gases in
2. Solid contact with air or water
3. Viscious/paste 9 H11 Toxic (delayed or chronic)
4. Sludge 9 H12 Ecotoxic
5. Liquid 9 H13 Capable by any means after
6. Gaseous disposal of yielding another
7. Other (specify) material e.g. leachate, which
possesses any of the
characteristics listed above.

Y numbers (block 16) refer t categories of waste listed in Annex I and II of the Basel
Converntion, as well as more detailed information can be found in an Instruction Manual
available from the Secretariat of the Basel Convention.
25. SPECIFIC CONDITIONS ON CONSENTING TO THE MOVEMENT.

You might also like