Duty of care: waste transfer note Keep this page and copy it for future use

Section A Description of waste

(Please write as clearly as possible) A2 How is the waste contained?
A1 Please describe the waste being transferred Loose Sacks Skip Drum

Other

List of Waste Regulations code(s) A3 How much waste? For example, number of sacks, weight

Section B Current holder of the waste Transferor

B1 Full name The holder of an environmental permit?

Permit number
Company name and address Issued by
Exempt from requirement to have an environmental permit?
Details, including registration number

A registered waste carrier?

Registration number
Postcode
Issued by
B2 Are you:
Exempt from requirement to register as a carrier?
The producer of the waste?
Please give details
The importer of the waste?

The waste collection authority?

B3 Name of your unitary authority or council
The waste disposal authority (Scotland only)?

Section C Person collecting the waste Transferee

C1 Full name The holder of an environmental permit?

Permit number
Company name and address Issued by
Exempt from requirement to have an environmental permit?
Details, including registration number

A registered waste carrier?

Registration number
Postcode
Issued by
C2 Are you:
Exempt from requirement to register as a carrier?
The waste collection authority?
Please give details
The waste disposal authority (Scotland only)?

Authorised for transport purposes?

Please give details

Section D The transfer

D1 Address of transfer or collection point D2 Broker who arranged this transfer (if applicable)

Postcode Postcode

Date of transfer (DD/MM/YYYY) Time(s)

Transferors signature Transferees signature

Name Name
Representing Representing
WMC2A Version 2, December 2008 page 1 of 1