Waste Transfer Form

• Client

• Project Name

• Leaner Job No. LL

• Waste Transfer Note No.

• Conducted on

  Date

• REGISTERED WASTE CARRIER LICENCE NUMBER: CB/VN5612HP

• Driver

  Albinas Ziburis

  Andrejus Pogrebovskis

  Arunas Zimkus

• Vehicle

  EF57 ZRL (Tipper)

  EX08 COH (Tipper)

  FV57 VEY (Sprinter Van)

• If other vehicle used

Other vehicle used

• Vehicle Type & Registration

DETAILS FOR COLLECTION

• Time arrived at collection

  Date
• Collection Address
  Address

• Time left collection

  Date

DESCRIPTION OF WASTE

• Mixed Construction & Demolition Waste (code 17 09 04)

• Gypsum based Construction Materials (code 17 08 02)

• Mixed Metals (code 17 04 07)

• Wood (code 17 02 01)

• Concrete, Bricks, Tiles & Ceramics (code 17 01 07)

• Paper and Cardboard Packaging (code 15 01 01)

• Food Waste (code 20 01 08)

• Description of quantity - bins or vehicle

  Select 80ltr 240ltr 360ltr 660ltr Cage Vehicle Box Vehicle

  • 80ltr
  • 240ltr
  • 360ltr
  • 660ltr
  • Cage Vehicle
  • Box Vehicle

• Quantity of Bins

• Contact at collection - Contact Name, Signature & Date/Time

  Sign

DISPOSAL SITE

• Time arrived at disposal site

  Date

• Select disposal site

  Select GBN Services, Leyton, E10 7JN (CB/RM3851JP - WML80755) Edwards Recycling, Barking, IG11 0JD (CB/XP3016JS - WML80765) EMR Metals, Canning Town, E16 4SZ / Wandsworth, SW8 4TR (T/NE/MAY043) McGrath, Barking, IG11 0DW / Hackney, E9 5HH (CB/DP3995PC - WML80614) London Waste, EcoPark, N18 3AG (CB/GM3962BC - WML80689) Brewsters, Finchley Road, NW11 0PU (WML80781) Bywaters-British Gypsum, Lea Riverside, E3 3JG (CB/ZP3098BK - WML80744) Williams Environmental, Silvertown, E16 2BY (CB/NM3484BZ - WP3336SA) Select A Skip, Various Sites (CB/ZN5316HX - WML73116) Ron Smith, Feltham, TW14 0HH (CB/AM3852DL - WML80063) TGM Environmental, London, SE7 8ND (CB/NM3484XF - TG1/E/SAL008) Berryman T & Son, Dagenham, RM9 6QD (CB/TN5872QW - BER041) Other

  • GBN Services, Leyton, E10 7JN (CB/RM3851JP - WML80755)
  • Edwards Recycling, Barking, IG11 0JD (CB/XP3016JS - WML80765)
  • EMR Metals, Canning Town, E16 4SZ / Wandsworth, SW8 4TR (T/NE/MAY043)
  • McGrath, Barking, IG11 0DW / Hackney, E9 5HH (CB/DP3995PC - WML80614)
  • London Waste, EcoPark, N18 3AG (CB/GM3962BC - WML80689)
  • Brewsters, Finchley Road, NW11 0PU (WML80781)
  • Bywaters-British Gypsum, Lea Riverside, E3 3JG (CB/ZP3098BK - WML80744)
  • Williams Environmental, Silvertown, E16 2BY (CB/NM3484BZ - WP3336SA)
  • Select A Skip, Various Sites (CB/ZN5316HX - WML73116)
  • Ron Smith, Feltham, TW14 0HH (CB/AM3852DL - WML80063)
  • TGM Environmental, London, SE7 8ND (CB/NM3484XF - TG1/E/SAL008)
  • Berryman T & Son, Dagenham, RM9 6QD (CB/TN5872QW - BER041)
  • Other
• Please locate site address
  Address

• Disposal Site Tickets - please take photo of each ticket separately if more than one

  Media

• Disposal Site Ticket No.

• Weight of Waste Tipped - Tons

• Time left disposal site

  Date

SIC Codes & Declaration

• C&D Waste Collection (code 38.21)

• Waste Disposal (code 38.11)

• Storage & Transport (code 52.16/8)

• Cafeteria (code 58.18/2)

• I declare as the contractor, that the waste management hierarchy of prevention, re use, recycling, recovery, disposal has been applied to this transfer of waste.

• Waste Collection Confirmation - Drivers Name, Signature & Date/Time

  Sign

OFFICE USE ONLY

• Charge Type

  Charge

  No Charge

  Price Works

• Price Works No. PW

• Labour Used (min 8hrs)

  Yes

  No

  N/A

• Congestion Charge

  £0.00

  £5.00

• Transport Cost @ £138.00 per trip

  £138.00

  £90.00

• Tipping Cost

  £0.00

  £91.00

  £46.00

  £52.00

  £72.00

• Additional Waiting Time @ £35 per hour

  £0.00

  £35.00

  £70.00

• Abortive Costs @ £90.00

  £0.00

  £90.00

• Total Cost