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Hazardous Wastes (Management and Handling) Rules, 1989

FORM 1
[See rule 3(b)5(2), (3) and (6) (ii)]

Application for authorisation/renewal of authorisation for collection/ Reception/treatment/transport/storage /disposal of hazardous wastes.


From:

To

The Member Secretary,

........... Polution Contol Board,

Sir,

I/We hereby apply for authorisation renewal of authorisation under sub-rule (3) of rule 5 of the Hazardous Wastes (Management and Handling) Rules, 1989 for collection/reception/treatment/transport/
storage/disposal of hazardous wastes.

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FOR OFFICE USE ONLY
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1. Code No. :

2. Wheather the unit is situated
in a critically polluted area
as identified by Ministry of
Environment and Forests :

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TO BE FILLED IN BY APPLICANT
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PART A --- GENERAL

3. (A) Name of Owner/Occupier :

(b) Name and address of the
unit and location of activity :

(c) Authorisation required for
(Please tick mark appropriate
activity/activities).

(i) collection
(ii) reception
(iii) treatment
(iv) transport
(v) storage
(vi) disposal

(d) In case of renewal of authorisation,
previous athorisation number and
date

4. (a) Whether the unit is generating
hazardous waste as defined in
the Hazardous Wastes (Management
and Handling) Rules, 1989

(b) If so the category No.

5. (a) Total capital invested on the
project :

(b) Year of commencement of production :

(c) Whether the industry works general/
2 shifts/round the clock :

6. (a) List and quantum of products and
bye-products :

(b) List and quantum of raw materials
used :

7. Furnish a flow diagram of manufacturing
process showing input and output in terms
of products and waste generateed including
for captive power generation and demineralised
water.


PART B -- Pertaining to sewage and trade effluent

8. Quantity and source of water for :

(a) Cooling m3/d

(b) Process mr/d

(c) Domestic use m3/d

(d) Others m3/d

9. Sewage and trade effluent discharge

(a) quantum of discharge m3/d :

(b) Is there any effluent treatment
plan :

(c) If yes, a brief description
of unit operations with
capacity :

(d) Characteristics of final
effluent pH :

Suspended solids

Dissolved solids

Chemical Oxygen Demand(COD)

Biochemical Oxygen Demand
(BOD5)

Oil and grease

(Additional parameters as
specified by the concerned
Pollution Control Board)

(e) Mode of disposal and final discharge
point (enclose map showing discharge
point) :

(f) Parameters and Frequency of self-
monitoring :

PART C -- Pertaining to stack (chemney) any vent emissions

10. (a) Number of stacks and vents with
hight and dia(m) :

(b) Quality and quantity of stack
emission from each of the above
stacks--particulate matter and
Sulphur Dioxide(SO2) (Additional
parameters as specified by the
concerned Pollution Control Board) :

(c) A brief account of the air pollution
control unit to deal with the
emission :

(d) Parameters and Frequency of self
monitoring :

PART D -- Pertaining to hazardous waste and hazardous chemicals.

11. Solid wastes :

(a) Total quantum of generation :

(b) Quantum of hazardous waste generated
and its nature, as defined under the
Environment (Protection) Act, 1986.
(See the Hazardous Wastes Management
and Handling Rule, 1989. :

(c) Mode of storage within the plant,
method of disposal and any other
information sought by the concerned
Pollution Control Board. :

12. (a) Hazardous Chemicals as defined
under Envionment (Protection) Acr,
1986 (See the Manufacture, Storage
and Import of Hazardous Chemicals
Rules, 1989) :

(b) Whether any isolated storage is
involved if yes, attach details Yes/No

(c) Whether emergency plans are
prepared for taking

--on-site measures Yes/No

--off-site measures Yes/No

Yours faithfully,
Name and Signature of Applicant

F.No. Q.-1401/1/91-CPW]
T. GEORGE JOSEPH, Jt. Secy.

FOOTNOTE: The principal rules were published in the Gazette of India vide Notification No. S.O. 594(E) dated the 28th July, 1989 and subsequently amended vide Notification No. S.O. 116(E) dated the 15th March 1990.

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