. Please fill in Annex1 for waste info
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1 Application for Transportation of Wastes Outside Emirate Of Abu Dhabi Application Date.. Waste Info. Please fill in Annex for waste info Hazardous waste n Hazardous waste Inside UAE, Emirate Outside UAE, Country City 2. Waste Transporter Company Name (English): Company Name (Arabic): Trade license : Contact person: Mobile phone : 3. Transportation info Land base (Other Emirate) (Other Country) Vehicle Type Capacity Plate no. Port from Port to Way of shipping Carrier waste quantity Required no of trips/shipments 4. Designated facility (DF) Type of DF Storage facility Sanitary landfill Hazardous waste landfill Thermal treatment Recycling Evaporation Composting Chemical treatment ification/stabilization Company Name: Trade license : Contact person: Mobile phone : Site name/address: 5. Applicant's declaration and Signature I Certify that the waste does not include any radioactive materials and that all the above mentioned information is complete and correct to the best of my knowledge. I also certify that the waste will be classified, packaged, marked and labeled and in all respect in proper condition for transportation according to applicable UAE laws, regulations and best practices. Date: Job title: Signature: Name of authorized person: Mobile phone : Authorized Stamp 6. Other requirements The following requirements shall be attached to the application Appendix: Waste Info Appendix 2: Lab test should be attached to this application (in case material is not in its original form) Appendix 3: Waste material data sheet (in case material is not in its original form) Appendix 4: Transportation schedule Appendix 5: NOC from authorities of receiving emirates/country Appendix 6: Contract/agreement with receiving facility Appendix 7: Contract/agreement between waste producer& waste transporter Appendix 8: Available MSDS should be attached to this application (in case material is in its original form) For details of guidelines, Please refer to Tadweer website licensing.tadweer.ae & websites 0 Aug, 207 CAP-OPS-CS-0-F30
2 Appendix : Waste Info (for hazardous waste ONLY) Producer's data Waste data SN Producer name Trade license no. Waste description as per tier 3 MSDS Available Physical status Quantity (KG) Semi 2 Semi 3 Semi 4 Semi 5 Semi 6 Semi 7 Semi 8 Semi 9 Semi 0 Semi Semi 2 Semi 3 Semi 4 Semi 5 Semi List completed by Signature Authorized Stamp 0 Aug, 207 CAP-OPS-CS-0-F30
3 Appendix 2: Lab Test Requirements.* For sludge PH Fixed solids Volatile solids solids Moisture content Oil Content Chloride Organic Matter As Cd Cr Cu Pd Hg Mo Ni Se Zn For used oil Free oil Water content Sediment Sulphur metals ppm For used chemicals PH Volatile hydrocarbon Water content Flashpoint C * Tadweer has the right to request additional lab test requirements based on revision of the submitted application 0 Aug, 207 CAP-OPS-CS-0-F30
4 Appendix 3: Waste Material Data Sheet (WMDS) - Waste Producer's data Company name: Address: Company representative: Phone : City: Trade license : 2. Waste data Waste description as per tier 3 Physical status Semi solid Packaging Loose (bulk) Packed ( Drums Bags Jerry cans other ) Waste description / waste sources For Pharmaceutical Waste ONLY Commercial name Active ingredient For Hazardous Waste ONLY Commercial name (if applicable) Active ingredient (if applicable) Main waste components (For mixed hazardous waste) Packaging road signs (if applicable) Hazard label: UN number: Special considerations (PPEs, Special handling requirements, specific safety measures..etc.) 0 Aug, 207 CAP-OPS-CS-0-F30
5 Appendix 4: Transportation Schedule (within UAE) Date Vehicle. Capacity of trips Weight 0 Aug, 207 CAP-OPS-CS-0-F30
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