FORM 3: Format for Maintaining Records of Hazardous Wastes at the Facility
[Rule 9(1)]
1. Name and address of the occupier or operator of a facility
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2. Date of issuance of authorization and its reference number
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3. Description of hazardous wastes :
Physical from with description | Chemical from | Total volume and weight (in kg.) |
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4. Description of storage and treatment of hazardous wastes:
Date | Method of storage of hazardous wastes | Date | Method of treatments of hazardous wastes |
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5. Details of transportation of hazardous waste:
Name and address of the consignee of the package | Mode of packing of the waste for transportation | Mode of transportation to site of disposal | Date of transportation |
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6. Details of disposal of hazardous waste:
Date of disposal | Concentration of hazardous material in the final waste form | Site of disposal (identify the location on the relevant layout drawing for reference) | Method of disposal | Persons involved in disposal |
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7. Data on environmental surveillance:
Date f measurement | Analysis of ground water | Analysis of soil samples | Analysis of air sampling | Analysis of any other samples (give details) | |||||
Location of sampling | Depth of sampling | Date | Location of sampling | Depth of sampling | Date | Location of sampling | Date | ||
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Name and signature of head of facility
