Title Page
Section A - Description of waste
-
A1 Description of the waste being transferred
-
List Of Waste Regulations Code (s)
- 17 01 01 Concrete
- 17 01 02 Bricks
- 17 01 03 Tiles & Ceramics
- 17 01 06 Mixtures Of or Separate Functions of Concrete, Bricks, Tiles And Ceramics Containing Hazardous Substances
- 17 01 07 Mixtures of Concrete, Bricks, Tiles And Ceramics other than those mentioned in 17 01 06
- 17 02 01 Wood
- 20 01 01 Paper and Cardboard
- 20 01 02 Glass
- 20 01 08 Biodegradable Kitchen and Canteen Waste
- 20 01 10 Clothes
- 20 01 11 Textiles
- 20 01 13 Solvents
- 20 01 14 Acids
- 16 02 10 Discarded equipment containing or contaminated by PCB's other than those mentioned in 16 02 09
- 16 02 11 Discarded equipment containing chlorofluorocarbons HCFC HFC
- 16 02 12 Discarded equipment containing free asbestos
- 16 02 13 Discarded equipment containing hazardous components other than those mentioned in 16 02 09 to 16 02 12
- 16 02 14 Discarded equipment other than those mentioned in 16 02 09 to 16 02 13
-
A2 How Is The Waste Contained ? For Example Loose, Sacks, Skip, Drum, Other
-
A3 How Much Waste ? For Example Number Of Sacks, Weight,
Section B - Current Holder Of the waste - Transferor
-
B1 Full Name - 859 LIMITED
-
By Signing in Section D below I confirm that I have fulfilled my duty to apply the waste hierarchy as required by Regulation 12 of the waste (England and Wales) Regulations 2011
-
Company Name and Address - RAINBOW HOUSE UNIT 17, FLITCH INDUSTRAIL ESTATE, GREAT DUNMOW, ESSEX, CM6 1XJ
-
B2 Name Of Your Unitary Authority Or Council - ENVIRONMENT AGENCY - SHEFFIELD
-
B3 Are You ?
-
The Producer of the waste ?
-
The Importer of the waste ?
-
The Producer of the waste ?
-
The Local Authority ?
-
The Older of an Environment Permit ?
-
Permit Number
-
Issued By
-
Registered Waste Exemption ?
-
Details Including Registration Number ?
-
A Registered Waste Carrier, Broker, Or Dealer?
-
Registration Number - CBDU82860
-
Details (Are you a carrier, broker or dealer ?) CARRIER AND DEALER
Section C- Person collecting the waste - Transferee
-
C1 Full Name - 859 LIMITED
-
Company Name and Address - RAINBOW HOUSE UNIT 17, FLITCH INDUSTRAIL ESTATE, GREAT DUNMOW, ESSEX, CM6 1XJ
-
Are you The Local Authority ? NO
-
The Older of an Environment Permit ?
-
Permit Number
-
Issued By
-
Registered Waste Exemption
-
Details Including Registration Number ?
-
A Registered Waste Carrier, Broker, Or Dealer?
-
Registration Number - CBDU82860
-
Details (Are you a carrier, broker or dealer ?) CARRIER
Section D- The Transfer
-
D1 Address of transfer or collection point
-
Date Of Transfer
-
D2 Broker or dealer who arranged this transfer (if applicable)
-
Postcode
-
Registration Number
-
Time(s)
-
Policy Holders Signature
-
Technicians Signature
