The Waste Regulations, 2000

INDEX | PART I: PRELIMINARY | PART II: GENERAL PROVISIONS | PART III: ADMINISTRATION | PART IV: STORAGE, COLLECTION AND DISPOSAL OF WASTE IN URBAN AREAS | PART V: STORAGE, COLLECTION AND DISPOSAL OF WASTE IN WASTE CONTROL AREAS | PART VI: CARRIAGE OF WASTE | PART VII: WASTE DISPOSAL FACILITIES | PART VIII: WASTE MANAGEMENT LICENCES | PART IX: SPECIAL WASTE | PART X: RECOVERY OF WASTE | PART XI: LITTERING AND ABANDONED VEHICLES | PART XII: WASTE MANAGEMENT PLANS | PART XIII: ENFORCEMENT | PART XIV: FINAL PROVISIONS | SCHEDULE ONE | SCHEDULE TWO | SCHEDULE THREE | SCHEDULE FOUR

SCHEDULE TWO

Form of Consignment Note (Regulation 15(1)

CONSIGNMENT NOTE FOR SPECIAL WASTE (Waste Regulations 2000)

Name of consignor's waste regulation authority:

PART A: CONSIGNMENT DETAILS

[ ] Tick if additional sheet(s) attached.

1 The special waste described below is to be removed from: Address:

 

 
2 The consignor is: Name:

Contact:

Telephone:
3 The consignor's special waste management licence no. is:  
4 The consignment will be: a single consignment [ ]

a series [ ]*
5 The waste will be taken to: Address:

 

 
6 The consignee is: Name:

Contact:

Telephone:
7 The consignee's special waste management licence no. is:  
8 The waste was generated by (if different from the consignor) Name:

Contact:

Telephone:

 
DESCRIPTION OF THE WASTE (Refer to guidance notes)
9 The waste is:  
10 The waste code is:  
11 The process was:  
12 The physical nature of the waste is: solid [ ]

powder [ ]

liquid [ ]

sludge [ ]

gas [ ]*
13 The significant chemical/biological components that make the waste special are: Component:

Concentration (% or mg per kg*):

 
14 The dominant hazards are: flammable [ ]

highly flammable [ ]

oxidising [ ]

explosive [ ]

toxic [ ]

carcinogenic [ ]

irritant [ ]

corrosive [ ]

harmful [ ]

ecotoxic [ ]

other [ ]*
15 Quantity etc. details are: Container type:

Size:

Number:

Waste Weight (kg/t*):

Waste Vol. (m3/litres*):

PART B: CARRIER'S COLLECTION CERTIFICATE

1. The consignment details (if different from Part A, 11 ) are:

2. I certify that I have today collected the consignment and that the details in A1, 2, 5, 10, 11, 16 and B1 above, are correct subject to any amendments listed in this space:

Name:

On behalf of (firm):

Date:

Signed:

PART C: CONSIGNOR'S COLLECTION CERTIFICATE

1. I certify that the information in Part A and B above are correct, that the carrier has a valid Special Waste Carrier Licence, and that the carrier was advised of the appropriate precautionary measures.

Name:

On behalf of (firm):

Date:

Signed:

PART D: CONSIGNEE'S ACCEPTANCE CERTIFICATE

1. I certify that the consignee holds a valid Special Waste Management Licence number [               ] that authorises the management of the waste described in A.

2. I accept this special waste on ............................................... at ............... hours.

3. The weight/volume of the waste accepted is: ......................kg/t* .......................m3/litres

4. The special waste will be: landfilled [ ] incinerated [ ] treated until it is no longer special waste and reused or recycled [ ] other (give details) [ ]

Name:

On behalf of (firm):

Date:

Signed:

* Delete as appropriate.
   Tick box or boxes as appropriate.