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Form8 & Form 9

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DEEPAK MALLIK
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27 views3 pages

Form8 & Form 9

Uploaded by

DEEPAK MALLIK
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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FORM -10 2nd Copy

[See Rule 19 (1)]


MANIFEST FOR HAZARDOUS ANp
1. Sendor's Name and mailing address oTHERWASTE
(including Phone No. and e-mail)
2.
hesgls el:he
Sendor's authorisation No.
3. Manifest Document No.
4.
026684
Transporter's name and address
(including Phone No. and e-mail) Re SustoinabilAy hel
5. Type of vehicle (Truck / Tanker Special Vehicle)
6.
Transporter's registration No.
7 Vehicle registration No.
8 Receiver's Name and mailing address
(Including Phone No. and e-mail) beeho mongmnes
9 Receiver's authorisation No.

10. Waste description


11. Total quantity ...m³ or MT V
No. of Containers Nos.
12. Physical form ..

(Solid/Semi-Solid/Sludge /Oily/Tarry/Slurry/Liquid)
13. Special handling instructions and additional information
14. Sender's Certificate | hereby declare that the contents of the
consignment are fully and accurately described
above by proper shipping name and are
categorised, packed, marked and labelled and
are in all respects in proper conditions for
transport by road according to applicable National
Government Regulations.
A Day Year
Name and Stamp: aSignaturta Month

15. Trassoer acknkvjaNgemèntattedejptofWastes


Month Day Year
LTO Signature :
Suatgingbility
23
16. Receive's Certificaon for receipt of hazardoUs and other waste
Month Day Year
Name and Stamp: Signature:

1. White Colour forwarded to OSPCB by Generator 2. Yellow Colour retained by Sender


3. Pink Colour retained by OWMP 4. Orange Colour retained by Transporter
5. Green Colour forwarded to OSPCB after disposal 6. Blue Colour returmed to Sender after disposal
7. Gray Colour forwarded to SPCB of Sender in case sender belongs to other State.
FORM -8
[See Rules 17 (1) and 18(2) ]
LEBELLING OF CONTAINERSOF HAZARDOUS AND OTHER WASTE
HAZARDOUS WASTE
OTHER WASTE
Handle with Care
Waste Category and characteristics as per Part C of Schedule il Incompatible wastes and substances :
and ll of these rules tasakola te ooee taiaeeOate
Total Quantity : Bate of Storage :

Physical State of the waste (Solid/Semi-solid/Liquid) :

Sender's Name and Address : Receiver's Name and Address:


Runoye Rebiibg 2Lf. ORISSA WASTE MANAGEMENT PROJECT
Plot No. 420/648/1, Village : Kanchichuan, Post : Mangalpur,
Via :.Sukinda, Dist.- Jajpur, Odisha, Pin -755.018
Phone:63H 4O240 Phone.: 223
E-mail: 0 m a E-mail : mlodt
Tel. and Fax No. : Tel. and Fax No.

Contact Person : Ma. Baml eparole Contact Person : Prcaolpbkit Dhd


In case of emergency please contáct:
FORM -9

TRANSPORTEMERGENCY (TREM) CARD


1. Characteristics of Hazardous Waste and Other Waste:

SI. Type of Waste Physical Chemical


No. Exposure FirstAid
Properties Constituents Hazards Requirements
.. gia

Dy Soiat
2. Procedure to be followed in case of fire: Contat
3. Procedure to be followed in case of spillage Iaccidents
ents //explosion:
explosion: 1ate the tettw
4. For Expert Services, Please contact:

(i) Name and Address:

(ii) Telephone No. :


Re Sstatnobiliylanmtal.
Date ..................
Gomel alpauola.
Name, Contact Numberand Signature of Se

Placei.Aa
qIR:

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