ILLEGAL DUMPING - RECORDS PLEASE BIND TO ECM NO. OR REGISTER INTO ECM. DEPOT OK TO CLEAN UP.

• Document No.

• Conducted on

  Date

• Conducted By

  Select B Smith M Baldwin M O'Callaghan G Bible A McNeil

  • B Smith
  • M Baldwin
  • M O'Callaghan
  • G Bible
  • A McNeil

INCIDENT DETAILS

• Select Time and Date Attended

  Date
• Location (include GPS location)
  Address

• Date Reported to Council

  Date

• ECM No.

• Photo's

  Media

INVESTIGATION

• Status of Investigation

  Select Under Investigation Closed

  • Under Investigation
  • Closed

• Chose One Or More

  Select PIN Issued Referred to another authority Referred to council for cleanup Waste removed Insufficient Evidence

  • PIN Issued
  • Referred to another authority
  • Referred to council for cleanup
  • Waste removed
  • Insufficient Evidence

Other Details

• Identified By

  Select Aerial surveillance Council referral DECCW referral Email Fax Hot line No. In person Patrol Special operation Telephone

  • Aerial surveillance
  • Council referral
  • DECCW referral
  • Email
  • Fax
  • Hot line No.
  • In person
  • Patrol
  • Special operation
  • Telephone

• Site Type

  Select Back lane Back of buildings Building site Bushland Drain Footpath Highway Nature strip Near charity/waste skip Park Private Reserve Road Road side Rural Stormwater drain Water catchment area Environment Protection Zone Waterway

  • Back lane
  • Back of buildings
  • Building site
  • Bushland
  • Drain
  • Footpath
  • Highway
  • Nature strip
  • Near charity/waste skip
  • Park
  • Private
  • Reserve
  • Road
  • Road side
  • Rural
  • Stormwater drain
  • Water catchment area Environment Protection Zone
  • Waterway

• Waste Type

  Select Illegal dumping Illegal waste facility Land filling Litter No waste found Other Uncovered load Vehicle Waste compliance check

  • Illegal dumping
  • Illegal waste facility
  • Land filling
  • Litter
  • No waste found
  • Other
  • Uncovered load
  • Vehicle
  • Waste compliance check

• Amount of Waste

• Measurement Unit

  M3

  Kg

  Litres

  Tonnes

  Units

• Primary Material Type<br>

  Commercial Industrial

  Construction demolition

  Municipal/Domestic

  NA

  Other
Material type

• Material type

  Select Aluminium cans Aluminium other Asbestos Batteries Brass/bronze Bricks Cardboard Cigarette butts Clothes Concrete Copper Dead animals Dirt Disposable products Electrical Goods Food/kitchen scraps Garden vegetation Glass containers Glass other HDPE containers HDPE other (film, straps) Household furniture LDPE or LLDPE container bags Leather Liquid paper containers Magazines/brochures Mattress Metal Misc. packaging Mixed garbage bags News print Office paper Oil Other Package board Paint Pallets Paper PET containers Plastic packaging/containers Plastic/non classifiable Polystyrene PP (polypropylene) PVC Rocks Rubber (other than tyres) Rubble Soil Steel cans Steel other Textile/rags Tiles Toxic/hazardous Toys Tyres White goods Wood/timber - processed (painted, laminated) Wood/timber - unprocessed Wood/timber - unprocessed (off cuts, sawdust)

  • Aluminium cans
  • Aluminium other
  • Asbestos
  • Batteries
  • Brass/bronze
  • Bricks
  • Cardboard
  • Cigarette butts
  • Clothes
  • Concrete
  • Copper
  • Dead animals
  • Dirt
  • Disposable products
  • Electrical Goods
  • Food/kitchen scraps
  • Garden vegetation
  • Glass containers
  • Glass other
  • HDPE containers
  • HDPE other (film, straps)
  • Household furniture
  • LDPE or LLDPE container bags
  • Leather
  • Liquid paper containers
  • Magazines/brochures
  • Mattress
  • Metal
  • Misc. packaging
  • Mixed garbage bags
  • News print
  • Office paper
  • Oil
  • Other
  • Package board
  • Paint
  • Pallets
  • Paper
  • PET containers
  • Plastic packaging/containers
  • Plastic/non classifiable
  • Polystyrene
  • PP (polypropylene)
  • PVC
  • Rocks
  • Rubber (other than tyres)
  • Rubble
  • Soil
  • Steel cans
  • Steel other
  • Textile/rags
  • Tiles
  • Toxic/hazardous
  • Toys
  • Tyres
  • White goods
  • Wood/timber - processed (painted, laminated)
  • Wood/timber - unprocessed
  • Wood/timber - unprocessed (off cuts, sawdust)

• Percentage

  Select 10 20 30 40 50 60 70 80 90 100

  • 10
  • 20
  • 30
  • 40
  • 50
  • 60
  • 70
  • 80
  • 90
  • 100

• Notes

• Signature

  Sign