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 :
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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:
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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:
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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:
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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:
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Date f measurement |
Analysis of ground water |
Analysis of soil samples |
Analysis of air sampling |
Analysis of any other samples (give details) |
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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
