Reference Number: (For office use only) GBR

Transcription

1 Application for Waste Carrier Registration Address: Environment and Resources Authority Environmental Permitting Unit Hexagon House, Spencer Hill, Marsa. MRS Malta. Telephone: Form GBR 12.1 Please complete in block letters. The requested information must be completed in full. Failure to provide adequate information will delay processing of the application. Date application was received and stamp: (For office use only). Reference Number: (For office use only) GBR N N N N N Y Y Title of application Registration of Waste Carrier (Vehicles) Registration Number (Number plate): Do you have another application for the same vehicle? Yes No Class (see page 3 of application form) Personal details of applicant or contact person Details of company or institution on behalf of which the application is being made Surname Name Registered Company Name Address: Registered Address Address: Registered Address Town: Postal Code: Town: Postal Code: Telephone Number: Fax: Mobile: ID card number: VAT Number: (VAT number to be included where available). Telephone Number: Fax: Mobile: Company registration number: VAT Number: NACE Code: Application for Waste Carrier- Land vehicle Page 1 of 8

2 1. Additional information Guidance notes: Please Allow 5 working days for this application to be processed. You are only allowed to tick on one class per application form 1.1 Kindly choose only one category of waste per application form. (Please refer to the guidance note attached for the list of waste within each class.) Class A1 Construction and Demolition Waste Class A2 Road Services and Furniture Class A3 Restaurants (Canteen waste) and Municipal Waste Class A4 Separated Waste (including non-hazardous packaging waste) Class A5 Other Non-Hazardous Waste Class C1 Sharps/ Hospital/ Pharmaceutical waste Class C2 Animal/ plant/ food waste Class D1 Non hazardous Liquid waste Class D2 WEEE (Waste Electrical and Electronic Equipment) Class D3 Other Hazardous Waste (including liquid wastes) 1.2 In the case of Classes A5 and D3 kindly indicate the type of waste in the boxes below: 1.3 General description of Vehicle (please tick one) RCV (Scammel) (A3, A4 only) Skip/ Hook Loader (A1, A2, A4, A5*, C2, D1, D3* only) Van (A1, A2, A4, A5, C1, C2*, D2 only) Open Truck (A1, A2, A4, A5* only) Bowser (D1 and D3* only) * Subject to type of waste being carried Other (Please Specify) 1.4 Capacity of the vehicle (in tonnes) 1.5 Is waste compartment refrigerated and/or mechanically ventilated. (For class C2 only) Yes No 1.6 Category of Hazardous waste the vehicle is designed to transport. (For class D only Please tick one only) Solid Liquid Gas Application for Waste Carrier- Land vehicle Page 2 of 8

3 1.7 Details of systems that ensure secure containment of wastes including a certificate by a warranted engineer confirming that all these systems are good operational conditions Please attach the relevant certificate including the set EWC Codes described above issued by a warranted engineer. For class A3, D1, D2 and D3 classes only. In case skip/hook loaders are used to carry wastes under the C category, the declaration must also cover the type of container being used. Titles of supplementary forms and documentation to be submitted 3 Photos of vehicle (front, side and back) N.B. in the case of hook/ skip loaders, the photos are to include the type of skip/ container to be used to carry the waste. Copy of Logbook Copy of valid vehicle licence Copy of Valid Insurance Engineer s report including EWC codes (in case of Classes A3, D1, D2, D3) Insert further documents as applicable Tick when provided NB: The Authority may request any additional information it deems necessary to further process the application. Application for Waste Carrier- Land vehicle Page 3 of 8

4 Applicant s declaration I apply for the environmental registration as indicated above, and declare that, to the best of my knowledge, all the information contained in this application and on the submitted supplementary forms and documentation is complete and correct. I also understand that any incomplete, fraudulent or misleading information will annul the application or permit, and may also incur any relevant penalties. I also declare that I have read the data protection clause below: Signed on behalf of/in my own name (in block letters) date PLEASE READ THE FOLLOWING BEFORE SIGNING - Data Protection Clause In terms of the Data Protection Act (Chapter 440 of the Laws of Malta), we will process any personal and/ or sensitive data supplied on/ in this application, request or notification form or subsequently supplied by yourself, whether orally or in writing, for all or any of the following: 1. The proper processing of your application, request and/or notice as submitted; 2. verification of the information provided to our officers; 3. Preventing, detecting and/or prosecuting fraud and any other criminal activity which the Authority is bound to report and/or act upon whilst meeting any other specific legal or regulatory obligations; 4. Establishing, exercising or defending any legal action; 5. Internal management, research and statistics, systems administration, the development and improvement of our services; 6. the protection and promotion of our legitimate interests and the proper conduct of our obligations arising under any law or statutory instrument; and 7. to make public the necessary information as specified in the relevant law and/or instrument. Relevant data will be disclosed or shared as appropriate with all our employees and with other third parties if pertinent to any of the purposes listed above. Every field on the form is mandatory. Should you fail to fill in any mandatory field, we reserve the right to refuse the application. Should any field be inapplicable to your particular circumstances please mark that field with the letters N/A. You have the right to require that we provide you with access to your personal data as well as the right to rectify, or, in appropriate circumstances, erase/edit any inaccurate, incomplete or immaterial personal data which is being processed. However, you are required to inform us immediately of any alterations relating to your personal data which we are processing. By signing this form, you confirm that you are giving your explicit consent, in terms of the Data Protection Act, on behalf of yourself and all the other persons specified in this form for the Authority to process your respective personal information as outlined above and you confirm that you have brought this Data Protection notice to the attention of these other persons and obtained their respective consents. We undertake to implement appropriate measures and safeguards for the purpose of protecting the confidentiality, integrity and availability of all data processed. Application for Waste Carrier- Land vehicle Page 4 of 8

5 GUIDANCE NOTE For reference only Guidance note for EWC Codes kindly note that you are to choose only one class per application form. Classes are standard as set out by MEPA GBR 38A1 EWC Codes for Construction and Demolition Waste Waste from mineral nonmetalliferrous excavation Waste sand and clays Wastes from potash and rock salt processing other than those mentioned in Concrete Bricks Waste gravel and crushed rocks other than those mentioned in Dusty and powdery wastes other than those mentioned in Wastes from stone cutting and sawing other than those mentioned in Tiles and Ceramics Mixtures of concrete, bricks, tiles and ceramics other than those mentioned in Glass Plastic Copper, Bronze, Brass Soil and stones Lead Iron and Steel Mixed metals Soil and stones other than those Insulation materials other than those mentioned in and Mixed construction and demolition wastes other than those mentioned in , , mentioned in Gypsum based construction materials other than those mentioned in Paper and Cardboard GBR 38A2 EWC Codes for Road Services & Furniture (Bulky Refuse, beach cleaning, road cleaning, etc) Waste Plastics Bricks Mixture of concrete, bricks, tiles and ceramics Wood Plastic Bituminous mixtures Copper, bronze, brass Aluminium Lead Zinc Iron & steel Zinc Mixed metals Soil & stones other than those mentioned in Paper & cardboard Glass Clothes Textiles Wood other than those mentioned in Plastics Metals Biodegradable waste Soil and stones Other non biodegradable waste Waste from markets Street cleaning residues Bulky waste Application for Waste Carrier- Land vehicle Page 5 of 8

6 GBR 38A3 EWC Codes for Restaurants (Canteen waste) and Municipal Waste RCV s Paper packaging Plastic packaging Wooden packaging Metallic packaging Composite packaging Mixed packaging Glass packaging Textile packaging Bulky waste Biodegradable kitchen & canteen waste Biodegradable waste Other non biodegradable waste Mixed municipal waste Municipal waste GBR 38A4 EWC Codes Separated waste Paper and Cardboard packaging Plastic packaging Wooden packaging Metallic packaging Composite packaging Mixed packaging Glass packaging Textile packaging End-of-life tyres Paper and cardboard Ferrous metal Non-ferrous metal Plastic and rubber Glass Wood other than that mentioned in Textiles Paper and cardboard Glass Clothes Textiles Edible oil and fat Paints, inks, adhesives and resins not containing dangerous substances Detergents other than those Medicines other than those mentioned in mentioned in Batteries and accumulators other than those mentioned in Discarded electrical and electronic equipment other than those mentioned in , and Wood other than those Plastics mentioned in Metals Wastes from chimney sweeping GBR 38A5 EWC Codes for other types of wastes under Class A No codes are associated with this class. Please indicate EWC code in section 2 of the form. GBR 38C1 EWC Codes for Sharps / Hospital / Pharmaceutical Waste Sharps (except ) Waste whose collection and disposal is not subject to special requirements in order to prevent infection (e.g. dressings, plaster casts, linen, disposable clothing, diapers) Medicines other than those mentioned in Waste whose collection & disposal is not subject to special requirements in order to prevent infection Body parts & organs including blood bags and blood preserves (except ) Chemicals other than those mentioned in Sharps (except ) Chemicals other than those mentioned in Medicines other than those * Cytotoxic and cytostatic medicines Application for Waste Carrier- Land vehicle Page 6 of 8

7 mentioned in ) Medicines other than those mentioned in * Waste whose collection and disposal is subject to special requirements in order to prevent infection GBR 38C2 EWC Codes for other wastes excluding GBR38C1 and animal byproduct waste (Waste from animals, plants and spoilt food ) Animal faeces, urine and manure (including spoiled straw), effluent, collected separately and treated off site Materials unsuitable for consumption (wastes from dairy product industry) Materials unsuitable for consumption (wastes from fruit, vegetables, cereals, edible oils etc) Materials unsuitable for consumption (wastes from the baking & confectionery industry GBR 38D1 EWC Codes for Liquid Waste (Bowsers) Fresh water drilling muds Sludges from washing and cleaning Animal faeces, urine, manure Sludges from on-site effluent treatment (including spoiled straw) (wastes from baking & confectionery effluent, collected separately and industry) treated off site Sludge from on-site effluent (wastes from manufacture of ceramic goods, bricks, tiles and construction products) Screenings Sludges from biological treatment of industrial waste water other than those mentioned in Septic tank sludge Landfill leachate other than those mentioned in Sludges & treatment of urban waste water Sludges from other treatment of industrial waste water other than those mentioned in ) GBR 38D2 EWC Codes for WEEE including White Goods * * * * * Transformers & capacitators containing PCB s * Discarded equipment containing chlorofluorocarbons,hcfc,hfc Discarded equipment containing hazardous components other than those mentioned in to Fluorescent tubes and other mercury containing waste Discarded electrical & electronic equipment other than those mentioned in and containing hazardous components * * * Discarded equipment containing or contaminated by PCB s other than those mentioned in Discarded equipment containing free asbestos Hazardous components removed from discarded equipment Discarded equipment containing chlorofluorocarbons Application for Waste Carrier- Land vehicle Page 7 of 8

8 GBR 38D3 EWC Codes for other types of liquid wastes No codes are associated with this class. Please indicate EWC code in section 2 of the form. NOTE: For the purpose of this list of wastes, PCBs means (1) polychlorinated biphenyls, (2) polychlorinated terphenyls, (3) monomethyl-tetrachloro-diphenyl methane, monomethyl-dichloro-diphenyl methane, monomethyl-dibromo-diphenyl methane, and (4) any mixture containing any of the above-mentioned substances in a total of more than 0.005% by weight. Hazardous components from electrical and electronic equipment may include accumulators and batteries mentioned in and marked as hazardous; mercury switches, glass from cathode ray tubes and other activated glass etc. Application for Waste Carrier- Land vehicle Page 8 of 8