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Form 3

This document provides a format for maintaining records of hazardous and other wastes as required by relevant rules and regulations. The format includes: (1) name and address of the facility, (2) authorization details, (3) a table to describe hazardous and other wastes handled with date, type, quantity, storage method, and source/destination, (4) date-wise description of waste management, and (5) date of environmental monitoring. The occupier must sign and date the completed form.

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Vishwash Goyal
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964 views1 page

Form 3

This document provides a format for maintaining records of hazardous and other wastes as required by relevant rules and regulations. The format includes: (1) name and address of the facility, (2) authorization details, (3) a table to describe hazardous and other wastes handled with date, type, quantity, storage method, and source/destination, (4) date-wise description of waste management, and (5) date of environmental monitoring. The occupier must sign and date the completed form.

Uploaded by

Vishwash Goyal
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

[See rules 6(5), 13(7), 14(6), 16(5) and 20 (1)]

FORMAT FOR MAINTAINING RECORDS OF HAZARDOUS AND OTHER WASTES

1. Name and address of the facility :


2. Date of issuance of authorisation and its reference number :
3. Description of hazardous and other wastes handled (Generated or Received)

Date Type of waste Total Method of Destined to or


with category quantity Storage received from
as per (Metric
Schedules I, II Tonnes)
and III of these
rules

* Fill up above table separately for indigenous and imported waste.

4. Date wise description of management of hazardous and other wastes including products
sent and to whom in case of recyclers or pre-processor or utiliser:
5. Date of environmental monitoring (as per authorisation or guidelines of Central Pollution
Control Board):

Signature of
occupier

Date………………..

Place……………….

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