Guidelines on using Waste Consignment Notes Just view the slide show...

17
Guidelines on using Guidelines on using Waste Consignment Waste Consignment Notes Notes Just view the slide show...

Transcript of Guidelines on using Waste Consignment Notes Just view the slide show...

Guidelines on using Guidelines on using Waste Consignment Waste Consignment

NotesNotes

Just view the slide show...

Well Engineering - June 2001

Waste Consignment Notes (WCN) should accompany all types

of waste transported

The WCN is the documentary evidence which is used to

demonstrate that the waste has been managed in a responsible

manner

Well Engineering - June 2001

WASTE CONSIGNMENT NOTE Number:(Separate Waste consignment Notes for Hazardous & Non- Hazardous Wastes)

Section A: WASTE DETAILS1. Please tick ( ) box below to indicate the type of waste you are transferringNON-HAZARDOUS WASTE TYPE Domestic Waste (kitchen refuse) Non-Hazardous waste chemicals Waste wood materials

Domestic waste (tree cuttings) Empty Drums (non hazardous) Plastic Drums (non-hazardous)

Office waste Electrical Cable Construction material

Scrap Metal

If other please describe waste accurately here

HAZARDOUS WASTE TYPE Oily sand / soil Hazardous waste chemicals Hazardous lab. Chemicals Tyres (used)

Oily sludge Sewage sludge Empty Drums (hazardous) Other

Waste Lubricants Batteries NORM

Pigging sludge Clinical waste OBM & or OBM Cuttings

If other please describe waste accurately here

2. Quantity:3. Please give any other additional information including details of any problems your waste may present, that will affect containment, transport,treatment or disposal of the waste by any subsequent holder, e.g. type of premises waste comes from, full analysis, process that produced the waste:

Section B1: WASTE ORGINATOR (Asset )1 PDO Asset (Marmul, Nimr, Qarn Alam, Bahja-Rima,Yibal,Fahud-Lekhwair, OETS,TWM,XGB,OIM,HES, other)

Please tick one ( )

2. Location of Destination:

Return white copy to Originator by. a) Fax/Fax No b) Mail c) Driver. d) monthly wastereturns

3.Signature ( waste originator) Date:

4. Full Name (Please print)

Section C: WASTE TRANSPORTER1. Company Name:

2. Signature of Driver:

3. Full name of Driver (Please print):

Section D: WASTE DISPOSAL FACILITY1.Waste disposal Location/Site:

2. Name of Waste Disposal Site Operator:

3.Date& time waste received:

4. Signature of Waste Disposal Operator

Distribution:

Yellow Copy: Originator Blue Copy: Disposal Site White Copy : Waste Contractor Return to Originator

(MESC Number 93.55.81.500.9)

Yellow

The WCN comprises of 3 different colour forms

Blue

WASTE CONSIGNMENT NOTE Number:(Separate Waste consignment Notes for Hazardous & Non- Hazardous Wastes)

Section A: WASTE DETAILS1. Please tick ( ) box below to indicate the type of waste you are transferringNON-HAZARDOUS WASTE TYPE Domestic Waste (kitchen refuse) Non-Hazardous waste chemicals Waste wood materials

Domestic waste (tree cuttings) Empty Drums (non hazardous) Plastic Drums (non-hazardous)

Office waste Electrical Cable Construction material

Scrap Metal

If other please describe waste accurately here

HAZARDOUS WASTE TYPE Oily sand / soil Hazardous waste chemicals Hazardous lab. Chemicals Tyres (used)

Oily sludge Sewage sludge Empty Drums (hazardous) Other

Waste Lubricants Batteries NORM

Pigging sludge Clinical waste OBM & or OBM Cuttings

If other please describe waste accurately here

2. Quantity:3. Please give any other additional information including details of any problems your waste may present, that will affect containment, transport,treatment or disposal of the waste by any subsequent holder, e.g. type of premises waste comes from, full analysis, process that produced the waste:

Section B1: WASTE ORGINATOR (Asset )1 PDO Asset (Marmul, Nimr, Qarn Alam, Bahja-Rima,Yibal,Fahud-Lekhwair, OETS,TWM,XGB,OIM,HES, other)

Please tick one ( )

2. Location of Destination:

Return white copy to Originator by. a) Fax/Fax No b) Mail c) Driver. d) monthly wastereturns

3.Signature ( waste originator) Date:

4. Full Name (Please print)

Section C: WASTE TRANSPORTER1. Company Name:

2. Signature of Driver:

3. Full name of Driver (Please print):

Section D: WASTE DISPOSAL FACILITY1.Waste disposal Location/Site:

2. Name of Waste Disposal Site Operator:

3.Date& time waste received:

4. Signature of Waste Disposal Operator

Distribution:

Yellow Copy: Originator Blue Copy: Disposal Site White Copy : Waste Contractor Return to Originator

(MESC Number 93.55.81.500.9)

WASTE CONSIGNMENT NOTE Number:(Separate Waste consignment Notes for Hazardous & Non- Hazardous Wastes)

Section A: WASTE DETAILS1. Please tick ( ) box below to indicate the type of waste you are transferringNON-HAZARDOUS WASTE TYPE Domestic Waste (kitchen refuse) Non-Hazardous waste chemicals Waste wood materials

Domestic waste (tree cuttings) Empty Drums (non hazardous) Plastic Drums (non-hazardous)

Office waste Electrical Cable Construction material

Scrap Metal

If other please describe waste accurately here

HAZARDOUS WASTE TYPE Oily sand / soil Hazardous waste chemicals Hazardous lab. Chemicals Tyres (used)

Oily sludge Sewage sludge Empty Drums (hazardous) Other

Waste Lubricants Batteries NORM

Pigging sludge Clinical waste OBM & or OBM Cuttings

If other please describe waste accurately here

2. Quantity:3. Please give any other additional information including details of any problems your waste may present, that will affect containment, transport,treatment or disposal of the waste by any subsequent holder, e.g. type of premises waste comes from, full analysis, process that produced the waste:

Section B1: WASTE ORGINATOR (Asset )1 PDO Asset (Marmul, Nimr, Qarn Alam, Bahja-Rima,Yibal,Fahud-Lekhwair, OETS,TWM,XGB,OIM,HES, other)

Please tick one ( )

2. Location of Destination:

Return white copy to Originator by. a) Fax/Fax No b) Mail c) Driver. d) monthly wastereturns

3.Signature ( waste originator) Date:

4. Full Name (Please print)

Section C: WASTE TRANSPORTER1. Company Name:

2. Signature of Driver:

3. Full name of Driver (Please print):

Section D: WASTE DISPOSAL FACILITY1.Waste disposal Location/Site:

2. Name of Waste Disposal Site Operator:

3.Date& time waste received:

4. Signature of Waste Disposal Operator

Distribution:

Yellow Copy: Originator Blue Copy: Disposal Site White Copy : Waste Contractor Return to Originator

(MESC Number 93.55.81.500.9)

White

Well Engineering - June 2001

WASTE CONSIGNMENT NOTE Number:(Separate Waste consignment Notes for Hazardous & Non- Hazardous Wastes)

Section A: WASTE DETAILS1. Please tick ( ) box below to indicate the type of waste you are transferringNON-HAZARDOUS WASTE TYPE Domestic Waste (kitchen refuse) Non-Hazardous waste chemicals Waste wood materials

Domestic waste (tree cuttings) Empty Drums (non hazardous) Plastic Drums (non-hazardous)

Office waste Electrical Cable Construction material

Scrap Metal

If other please describe waste accurately here

HAZARDOUS WASTE TYPE Oily sand / soil Hazardous waste chemicals Hazardous lab. Chemicals Tyres (used)

Oily sludge Sewage sludge Empty Drums (hazardous) Other

Waste Lubricants Batteries NORM

Pigging sludge Clinical waste OBM & or OBM Cuttings

If other please describe waste accurately here

2. Quantity:3. Please give any other additional information including details of any problems your waste may present, that will affect containment, transport,treatment or disposal of the waste by any subsequent holder, e.g. type of premises waste comes from, full analysis, process that produced the waste:

Section B1: WASTE ORGINATOR (Asset )1 PDO Asset (Marmul, Nimr, Qarn Alam, Bahja-Rima,Yibal,Fahud-Lekhwair, OETS,TWM,XGB,OIM,HES, other)

Please tick one ( )

2. Location of Destination:

Return white copy to Originator by. a) Fax/Fax No b) Mail c) Driver. d) monthly wastereturns

3.Signature ( waste originator) Date:

4. Full Name (Please print)

Section C: WASTE TRANSPORTER1. Company Name:

2. Signature of Driver:

3. Full name of Driver (Please print):

Section D: WASTE DISPOSAL FACILITY1.Waste disposal Location/Site:

2. Name of Waste Disposal Site Operator:

3.Date& time waste received:

4. Signature of Waste Disposal Operator

Distribution:

Yellow Copy: Originator Blue Copy: Disposal Site White Copy : Waste Contractor Return to Originator

(MESC Number 93.55.81.500.9)

Section A: WASTE DETAILS1. Please tick ( ) box below to indicate the type of waste you are transferringNON-HAZARDOUS WASTE TYPE Domestic Waste (kitchen refuse) Non-Hazardous waste chemicals Waste wood materials

Domestic waste (tree cuttings) Empty Drums (non hazardous) Plastic Drums (non-hazardous)

Office waste Electrical Cable Construction material

Scrap Metal

If other please describe waste accurately here

HAZARDOUS WASTE TYPE Oily sand / soil Hazardous waste chemicals Hazardous lab. Chemicals Tyres (used)

Oily sludge Sewage sludge Empty Drums (hazardous) Other

Waste Lubricants Batteries NORM

Pigging sludge Clinical waste OBM & or OBM Cuttings

If other please describe waste accurately here

2. Quantity:3. Please give any other additional information including details of any problems your waste may present, that will affect containment, transport,treatment or disposal of the waste by any subsequent holder, e.g. type of premises waste comes from, full analysis, process that produced the waste:

Section B1: WASTE ORGINATOR (Asset )1 PDO Asset (Marmul, Nimr, Qarn Alam, Bahja-Rima,Yibal,Fahud-Lekhwair, OETS,TWM,XGB,OIM,HES, other)

Please tick one ( )

2. Location of Destination:

Return white copy to Originator by. a) Fax/Fax No b) Mail c) Driver. d) monthly wastereturns

3.Signature ( waste originator) Date:

4. Full Name (Please print)

The Waste Generator should complete Section A and B of the WCN

Well Engineering - June 2001

A separate WCN should be completed for

Hazardous and Non Hazardous Waste

HAZARDOUS WASTE TYPE Oily sand / soil Hazardous waste chemicals Hazardous lab. Chemicals Tyres (used)

Oily sludge Sewage sludge Empty Drums (hazardous) Other

Waste Lubricants Batteries NORM

Pigging sludge Clinical waste OBM & or OBM Cuttings

If other please describe waste accurately here

Section A: WASTE DETAILS1. Please tick ( ) box below to indicate the type of waste you are transferringNON-HAZARDOUS WASTE TYPE Domestic Waste (kitchen refuse) Non-Hazardous waste chemicals Waste wood materials

Domestic waste (tree cuttings) Empty Drums (non hazardous) Plastic Drums (non-hazardous)

Office waste Electrical Cable Construction material

Scrap Metal

If other please describe waste accurately here

Well Engineering - June 2001

When completing the WCN it is important to clearly identify the waste type and any additional details such as problems the waste may present that will affect:

• containment• transport• treatment • disposal

3. Please give any other additional information including details of any problems your waste may present, that will affect containment, transport,treatment or disposal of the waste by any subsequent holder, e.g. type of premises waste comes from, full analysis, process that produced the waste:

WASTE CONSIGNMENT NOTE Number:(Separate Waste consignment Notes for Hazardous & Non- Hazardous Wastes)

Section A: WASTE DETAILS1. Please tick ( ) box below to indicate the type of waste you are transferringNON-HAZARDOUS WASTE TYPE Domestic Waste (kitchen refuse) Non-Hazardous waste chemicals Waste wood materials

Domestic waste (tree cuttings) Empty Drums (non hazardous) Plastic Drums (non-hazardous)

Office waste Electrical Cable Construction material

Scrap Metal

If other please describe waste accurately here

HAZARDOUS WASTE TYPE Oily sand / soil Hazardous waste chemicals Hazardous lab. Chemicals Tyres (used)

Oily sludge Sewage sludge Empty Drums (hazardous) Other

Waste Lubricants Batteries NORM

Pigging sludge Clinical waste OBM & or OBM Cuttings

If other please describe waste accurately here

2. Quantity:3. Please give any other additional information including details of any problems your waste may present, that will affect containment, transport,treatment or disposal of the waste by any subsequent holder, e.g. type of premises waste comes from, full analysis, process that produced the waste:

Section B1: WASTE ORGINATOR (Asset )1 PDO Asset (Marmul, Nimr, Qarn Alam, Bahja-Rima,Yibal,Fahud-Lekhwair, OETS,TWM,XGB,OIM,HES, other)

Please tick one ( )

2. Location of Destination:

Return white copy to Originator by. a) Fax/Fax No b) Mail c) Driver. d) monthly wastereturns

3.Signature ( waste originator) Date:

4. Full Name (Please print)

Section C: WASTE TRANSPORTER1. Company Name:

2. Signature of Driver:

3. Full name of Driver (Please print):

Section D: WASTE DISPOSAL FACILITY1.Waste disposal Location/Site:

2. Name of Waste Disposal Site Operator:

3.Date& time waste received:

4. Signature of Waste Disposal Operator

Distribution:

Yellow Copy: Originator Blue Copy: Disposal Site White Copy : Waste Contractor Return to Originator

(MESC Number 93.55.81.500.9)

Well Engineering - June 2001

Section B1: WASTE ORGINATOR (Asset )1 PDO Asset (Marmul, Nimr, Qarn Alam, Bahja-Rima,Yibal,Fahud-Lekhwair, OETS,TWM,XGB,OIM,HES, other)

Please tick one ( )

2. Location of Destination:

Return white copy to Originator by. a) Fax/Fax No b) Mail c) Driver. d) monthly waste returns

3.Signature ( waste originator) Date:

4. Full Name (Please print)

When completing the WCN you must identify how you wish to receive the signed white WCN

WASTE CONSIGNMENT NOTE Number:(Separate Waste consignment Notes for Hazardous & Non- Hazardous Wastes)

Section A: WASTE DETAILS1. Please tick ( ) box below to indicate the type of waste you are transferringNON-HAZARDOUS WASTE TYPE Domestic Waste (kitchen refuse) Non-Hazardous waste chemicals Waste wood materials

Domestic waste (tree cuttings) Empty Drums (non hazardous) Plastic Drums (non-hazardous)

Office waste Electrical Cable Construction material

Scrap Metal

If other please describe waste accurately here

HAZARDOUS WASTE TYPE Oily sand / soil Hazardous waste chemicals Hazardous lab. Chemicals Tyres (used)

Oily sludge Sewage sludge Empty Drums (hazardous) Other

Waste Lubricants Batteries NORM

Pigging sludge Clinical waste OBM & or OBM Cuttings

If other please describe waste accurately here

2. Quantity:3. Please give any other additional information including details of any problems your waste may present, that will affect containment, transport,treatment or disposal of the waste by any subsequent holder, e.g. type of premises waste comes from, full analysis, process that produced the waste:

Section B1: WASTE ORGINATOR (Asset )1 PDO Asset (Marmul, Nimr, Qarn Alam, Bahja-Rima,Yibal,Fahud-Lekhwair, OETS,TWM,XGB,OIM,HES, other)

Please tick one ( )

2. Location of Destination:

Return white copy to Originator by. a) Fax/Fax No b) Mail c) Driver. d) monthly wastereturns

3.Signature ( waste originator) Date:

4. Full Name (Please print)

Section C: WASTE TRANSPORTER1. Company Name:

2. Signature of Driver:

3. Full name of Driver (Please print):

Section D: WASTE DISPOSAL FACILITY1.Waste disposal Location/Site:

2. Name of Waste Disposal Site Operator:

3.Date& time waste received:

4. Signature of Waste Disposal Operator

Distribution:

Yellow Copy: Originator Blue Copy: Disposal Site White Copy : Waste Contractor Return to Originator

(MESC Number 93.55.81.500.9)

WASTE CONSIGNMENT NOTE Number:(Separate Waste consignment Notes for Hazardous & Non- Hazardous Wastes)

Section A: WASTE DETAILS1. Please tick ( ) box below to indicate the type of waste you are transferringNON-HAZARDOUS WASTE TYPE Domestic Waste (kitchen refuse) Non-Hazardous waste chemicals Waste wood materials

Domestic waste (tree cuttings) Empty Drums (non hazardous) Plastic Drums (non-hazardous)

Office waste Electrical Cable Construction material

Scrap Metal

If other please describe waste accurately here

HAZARDOUS WASTE TYPE Oily sand / soil Hazardous waste chemicals Hazardous lab. Chemicals Tyres (used)

Oily sludge Sewage sludge Empty Drums (hazardous) Other

Waste Lubricants Batteries NORM

Pigging sludge Clinical waste OBM & or OBM Cuttings

If other please describe waste accurately here

2. Quantity:3. Please give any other additional information including details of any problems your waste may present, that will affect containment, transport,treatment or disposal of the waste by any subsequent holder, e.g. type of premises waste comes from, full analysis, process that produced the waste:

Section B1: WASTE ORGINATOR (Asset )1 PDO Asset (Marmul, Nimr, Qarn Alam, Bahja-Rima,Yibal,Fahud-Lekhwair, OETS,TWM,XGB,OIM,HES, other)

Please tick one ( )

2. Location of Destination:

Return white copy to Originator by. a) Fax/Fax No b) Mail c) Driver. d) monthly wastereturns

3.Signature ( waste originator) Date:

4. Full Name (Please print)

Section C: WASTE TRANSPORTER1. Company Name:

2. Signature of Driver:

3. Full name of Driver (Please print):

Section D: WASTE DISPOSAL FACILITY1.Waste disposal Location/Site:

2. Name of Waste Disposal Site Operator:

3.Date& time waste received:

4. Signature of Waste Disposal Operator

Distribution:

Yellow Copy: Originator Blue Copy: Disposal Site White Copy : Waste Contractor Return to Originator

(MESC Number 93.55.81.500.9)

WASTE CONSIGNMENT NOTE Number:(Separate Waste consignment Notes for Hazardous & Non- Hazardous Wastes)

Section A: WASTE DETAILS1. Please tick ( ) box below to indicate the type of waste you are transferringNON-HAZARDOUS WASTE TYPE Domestic Waste (kitchen refuse) Non-Hazardous waste chemicals Waste wood materials

Domestic waste (tree cuttings) Empty Drums (non hazardous) Plastic Drums (non-hazardous)

Office waste Electrical Cable Construction material

Scrap Metal

If other please describe waste accurately here

HAZARDOUS WASTE TYPE Oily sand / soil Hazardous waste chemicals Hazardous lab. Chemicals Tyres (used)

Oily sludge Sewage sludge Empty Drums (hazardous) Other

Waste Lubricants Batteries NORM

Pigging sludge Clinical waste OBM & or OBM Cuttings

If other please describe waste accurately here

2. Quantity:3. Please give any other additional information including details of any problems your waste may present, that will affect containment, transport,treatment or disposal of the waste by any subsequent holder, e.g. type of premises waste comes from, full analysis, process that produced the waste:

Section B1: WASTE ORGINATOR (Asset )1 PDO Asset (Marmul, Nimr, Qarn Alam, Bahja-Rima,Yibal,Fahud-Lekhwair, OETS,TWM,XGB,OIM,HES, other)

Please tick one ( )

2. Location of Destination:

Return white copy to Originator by. a) Fax/Fax No b) Mail c) Driver. d) monthly wastereturns

3.Signature ( waste originator) Date:

4. Full Name (Please print)

Section C: WASTE TRANSPORTER1. Company Name:

2. Signature of Driver:

3. Full name of Driver (Please print):

Section D: WASTE DISPOSAL FACILITY1.Waste disposal Location/Site:

2. Name of Waste Disposal Site Operator:

3.Date& time waste received:

4. Signature of Waste Disposal Operator

Distribution:

Yellow Copy: Originator Blue Copy: Disposal Site White Copy : Waste Contractor Return to Originator

(MESC Number 93.55.81.500.9)

WASTE CONSIGNMENT NOTE Number:(Separate Waste consignment Notes for Hazardous & Non- Hazardous Wastes)

Section A: WASTE DETAILS1. Please tick ( ) box below to indicate the type of waste you are transferringNON-HAZARDOUS WASTE TYPE Domestic Waste (kitchen refuse) Non-Hazardous waste chemicals Waste wood materials

Domestic waste (tree cuttings) Empty Drums (non hazardous) Plastic Drums (non-hazardous)

Office waste Electrical Cable Construction material

Scrap Metal

If other please describe waste accurately here

HAZARDOUS WASTE TYPE Oily sand / soil Hazardous waste chemicals Hazardous lab. Chemicals Tyres (used)

Oily sludge Sewage sludge Empty Drums (hazardous) Other

Waste Lubricants Batteries NORM

Pigging sludge Clinical waste OBM & or OBM Cuttings

If other please describe waste accurately here

2. Quantity:3. Please give any other additional information including details of any problems your waste may present, that will affect containment, transport,treatment or disposal of the waste by any subsequent holder, e.g. type of premises waste comes from, full analysis, process that produced the waste:

Section B1: WASTE ORGINATOR (Asset )1 PDO Asset (Marmul, Nimr, Qarn Alam, Bahja-Rima,Yibal,Fahud-Lekhwair, OETS,TWM,XGB,OIM,HES, other)

Please tick one ( )

2. Location of Destination:

Return white copy to Originator by. a) Fax/Fax No b) Mail c) Driver. d) monthly wastereturns

3.Signature ( waste originator) Date:

4. Full Name (Please print)

Section C: WASTE TRANSPORTER1. Company Name:

2. Signature of Driver:

3. Full name of Driver (Please print):

Section D: WASTE DISPOSAL FACILITY1.Waste disposal Location/Site:

2. Name of Waste Disposal Site Operator:

3.Date& time waste received:

4. Signature of Waste Disposal Operator

Distribution:

Yellow Copy: Originator Blue Copy: Disposal Site White Copy : Waste Contractor Return to Originator

(MESC Number 93.55.81.500.9)

WASTE CONSIGNMENT NOTE Number:(Separate Waste consignment Notes for Hazardous & Non- Hazardous Wastes)

Section A: WASTE DETAILS1. Please tick ( ) box below to indicate the type of waste you are transferringNON-HAZARDOUS WASTE TYPE Domestic Waste (kitchen refuse) Non-Hazardous waste chemicals Waste wood materials

Domestic waste (tree cuttings) Empty Drums (non hazardous) Plastic Drums (non-hazardous)

Office waste Electrical Cable Construction material

Scrap Metal

If other please describe waste accurately here

HAZARDOUS WASTE TYPE Oily sand / soil Hazardous waste chemicals Hazardous lab. Chemicals Tyres (used)

Oily sludge Sewage sludge Empty Drums (hazardous) Other

Waste Lubricants Batteries NORM

Pigging sludge Clinical waste OBM & or OBM Cuttings

If other please describe waste accurately here

2. Quantity:3. Please give any other additional information including details of any problems your waste may present, that will affect containment, transport,treatment or disposal of the waste by any subsequent holder, e.g. type of premises waste comes from, full analysis, process that produced the waste:

Section B1: WASTE ORGINATOR (Asset )1 PDO Asset (Marmul, Nimr, Qarn Alam, Bahja-Rima,Yibal,Fahud-Lekhwair, OETS,TWM,XGB,OIM,HES, other)

Please tick one ( )

2. Location of Destination:

Return white copy to Originator by. a) Fax/Fax No b) Mail c) Driver. d) monthly wastereturns

3.Signature ( waste originator) Date:

4. Full Name (Please print)

Section C: WASTE TRANSPORTER1. Company Name:

2. Signature of Driver:

3. Full name of Driver (Please print):

Section D: WASTE DISPOSAL FACILITY1.Waste disposal Location/Site:

2. Name of Waste Disposal Site Operator:

3.Date& time waste received:

4. Signature of Waste Disposal Operator

Distribution:

Yellow Copy: Originator Blue Copy: Disposal Site White Copy : Waste Contractor Return to Originator

(MESC Number 93.55.81.500.9)

Well Engineering - June 2001

WASTE CONSIGNMENT NOTE Number:(Separate Waste consignment Notes for Hazardous & Non- Hazardous Wastes)

Section A: WASTE DETAILS1. Please tick ( ) box below to indicate the type of waste you are transferringNON-HAZARDOUS WASTE TYPE Domestic Waste (kitchen refuse) Non-Hazardous waste chemicals Waste wood materials

Domestic waste (tree cuttings) Empty Drums (non hazardous) Plastic Drums (non-hazardous)

Office waste Electrical Cable Construction material

Scrap Metal

If other please describe waste accurately here

HAZARDOUS WASTE TYPE Oily sand / soil Hazardous waste chemicals Hazardous lab. Chemicals Tyres (used)

Oily sludge Sewage sludge Empty Drums (hazardous) Other

Waste Lubricants Batteries NORM

Pigging sludge Clinical waste OBM & or OBM Cuttings

If other please describe waste accurately here

2. Quantity:3. Please give any other additional information including details of any problems your waste may present, that will affect containment, transport,treatment or disposal of the waste by any subsequent holder, e.g. type of premises waste comes from, full analysis, process that produced the waste:

Section B1: WASTE ORGINATOR (Asset )1 PDO Asset (Marmul, Nimr, Qarn Alam, Bahja-Rima,Yibal,Fahud-Lekhwair, OETS,TWM,XGB,OIM,HES, other)

Please tick one ( )

2. Location of Destination:

Return white copy to Originator by. a) Fax/Fax No b) Mail c) Driver. d) monthly wastereturns

3.Signature ( waste originator) Date:

4. Full Name (Please print)

Section C: WASTE TRANSPORTER1. Company Name:

2. Signature of Driver:

3. Full name of Driver (Please print):

Section D: WASTE DISPOSAL FACILITY1.Waste disposal Location/Site:

2. Name of Waste Disposal Site Operator:

3.Date& time waste received:

4. Signature of Waste Disposal Operator

Distribution:

Yellow Copy: Originator Blue Copy: Disposal Site White Copy : Waste Contractor Return to Originator

(MESC Number 93.55.81.500.9)

The Waste Transporter signs Section C of the WCN in the presence of the Waste Generator

Section C: WASTE TRANSPORTER1. Company Name:

2. Signature of Driver:

3. Full name of Driver (Please print):

Waste Transporter

A1 Waste Co.

W TRANSPORTER

Well Engineering - June 2001

The Waste Transporter then takes the white and blue forms to the Waste Management Facility

The Waste Generator retains the yellow form and puts it into a WCN file.

WASTE CONSIGNMENT NOTE Number:(Separate Waste consignment Notes for Hazardous & Non- Hazardous Wastes)

Section A: WASTE DETAILS1. Please tick ( ) box below to indicate the type of waste you are transferringNON-HAZARDOUS WASTE TYPE Domestic Waste (kitchen refuse) Non-Hazardous waste chemicals Waste wood materials

Domestic waste (tree cuttings) Empty Drums (non hazardous) Plastic Drums (non-hazardous)

Office waste Electrical Cable Construction material

Scrap Metal

If other please describe waste accurately here

HAZARDOUS WASTE TYPE Oily sand / soil Hazardous waste chemicals Hazardous lab. Chemicals Tyres (used)

Oily sludge Sewage sludge Empty Drums (hazardous) Other

Waste Lubricants Batteries NORM

Pigging sludge Clinical waste OBM & or OBM Cuttings

If other please describe waste accurately here

2. Quantity:3. Please give any other additional information including details of any problems your waste may present, that will affect containment, transport,treatment or disposal of the waste by any subsequent holder, e.g. type of premises waste comes from, full analysis, process that produced the waste:

Section B1: WASTE ORGINATOR (Asset )1 PDO Asset (Marmul, Nimr, Qarn Alam, Bahja-Rima,Yibal,Fahud-Lekhwair, OETS,TWM,XGB,OIM,HES, other)

Please tick one ( )

2. Location of Destination:

Return white copy to Originator by. a) Fax/Fax No b) Mail c) Driver. d) monthly wastereturns

3.Signature ( waste originator) Date:

4. Full Name (Please print)

Section C: WASTE TRANSPORTER1. Company Name:

2. Signature of Driver:

3. Full name of Driver (Please print):

Section D: WASTE DISPOSAL FACILITY1.Waste disposal Location/Site:

2. Name of Waste Disposal Site Operator:

3.Date& time waste received:

4. Signature of Waste Disposal Operator

Distribution:

Yellow Copy: Originator Blue Copy: Disposal Site White Copy : Waste Contractor Return to Originator

(MESC Number 93.55.81.500.9)

Well Engineering - June 2001

Well Engineering - June 2001

At the Waste Management Facility the Waste Transporter gives both WCN (white and blue) to be signed.

WASTE CONSIGNMENT NOTE Number:(Separate Waste consignment Notes for Hazardous & Non- Hazardous Wastes)

Section A: WASTE DETAILS1. Please tick ( ) box below to indicate the type of waste you are transferringNON-HAZARDOUS WASTE TYPE Domestic Waste (kitchen refuse) Non-Hazardous waste chemicals Waste wood materials

Domestic waste (tree cuttings) Empty Drums (non hazardous) Plastic Drums (non-hazardous)

Office waste Electrical Cable Construction material

Scrap Metal

If other please describe waste accurately here

HAZARDOUS WASTE TYPE Oily sand / soil Hazardous waste chemicals Hazardous lab. Chemicals Tyres (used)

Oily sludge Sewage sludge Empty Drums (hazardous) Other

Waste Lubricants Batteries NORM

Pigging sludge Clinical waste OBM & or OBM Cuttings

If other please describe waste accurately here

2. Quantity:3. Please give any other additional information including details of any problems your waste may present, that will affect containment, transport,treatment or disposal of the waste by any subsequent holder, e.g. type of premises waste comes from, full analysis, process that produced the waste:

Section B1: WASTE ORGINATOR (Asset )1 PDO Asset (Marmul, Nimr, Qarn Alam, Bahja-Rima,Yibal,Fahud-Lekhwair, OETS,TWM,XGB,OIM,HES, other)

Please tick one ( )

2. Location of Destination:

Return white copy to Originator by. a) Fax/Fax No b) Mail c) Driver. d) monthly wastereturns

3.Signature ( waste originator) Date:

4. Full Name (Please print)

Section C: WASTE TRANSPORTER1. Company Name:

2. Signature of Driver:

3. Full name of Driver (Please print):

Section D: WASTE DISPOSAL FACILITY1.Waste disposal Location/Site:

2. Name of Waste Disposal Site Operator:

3.Date& time waste received:

4. Signature of Waste Disposal Operator

Distribution:

Yellow Copy: Originator Blue Copy: Disposal Site White Copy : Waste Contractor Return to Originator

(MESC Number 93.55.81.500.9)

WASTE CONSIGNMENT NOTE Number:(Separate Waste consignment Notes for Hazardous & Non- Hazardous Wastes)

Section A: WASTE DETAILS1. Please tick ( ) box below to indicate the type of waste you are transferringNON-HAZARDOUS WASTE TYPE Domestic Waste (kitchen refuse) Non-Hazardous waste chemicals Waste wood materials

Domestic waste (tree cuttings) Empty Drums (non hazardous) Plastic Drums (non-hazardous)

Office waste Electrical Cable Construction material

Scrap Metal

If other please describe waste accurately here

HAZARDOUS WASTE TYPE Oily sand / soil Hazardous waste chemicals Hazardous lab. Chemicals Tyres (used)

Oily sludge Sewage sludge Empty Drums (hazardous) Other

Waste Lubricants Batteries NORM

Pigging sludge Clinical waste OBM & or OBM Cuttings

If other please describe waste accurately here

2. Quantity:3. Please give any other additional information including details of any problems your waste may present, that will affect containment, transport,treatment or disposal of the waste by any subsequent holder, e.g. type of premises waste comes from, full analysis, process that produced the waste:

Section B1: WASTE ORGINATOR (Asset )1 PDO Asset (Marmul, Nimr, Qarn Alam, Bahja-Rima,Yibal,Fahud-Lekhwair, OETS,TWM,XGB,OIM,HES, other)

Please tick one ( )

2. Location of Destination:

Return white copy to Originator by. a) Fax/Fax No b) Mail c) Driver. d) monthly wastereturns

3.Signature ( waste originator) Date:

4. Full Name (Please print)

Section C: WASTE TRANSPORTER1. Company Name:

2. Signature of Driver:

3. Full name of Driver (Please print):

Section D: WASTE DISPOSAL FACILITY1.Waste disposal Location/Site:

2. Name of Waste Disposal Site Operator:

3.Date& time waste received:

4. Signature of Waste Disposal Operator

Distribution:

Yellow Copy: Originator Blue Copy: Disposal Site White Copy : Waste Contractor Return to Originator

(MESC Number 93.55.81.500.9)

The Waste Management Facility checks that everything is in order, signs the WCN and then hands back the white WCN.

The blue WCN is retained at the Waste Management Facility

WASTE CONSIGNMENT NOTE Number:(Separate Waste consignment Notes for Hazardous & Non- Hazardous Wastes)

Section A: WASTE DETAILS1. Please tick ( ) box below to indicate the type of waste you are transferringNON-HAZARDOUS WASTE TYPE Domestic Waste (kitchen refuse) Non-Hazardous waste chemicals Waste wood materials

Domestic waste (tree cuttings) Empty Drums (non hazardous) Plastic Drums (non-hazardous)

Office waste Electrical Cable Construction material

Scrap Metal

If other please describe waste accurately here

HAZARDOUS WASTE TYPE Oily sand / soil Hazardous waste chemicals Hazardous lab. Chemicals Tyres (used)

Oily sludge Sewage sludge Empty Drums (hazardous) Other

Waste Lubricants Batteries NORM

Pigging sludge Clinical waste OBM & or OBM Cuttings

If other please describe waste accurately here

2. Quantity:3. Please give any other additional information including details of any problems your waste may present, that will affect containment, transport,treatment or disposal of the waste by any subsequent holder, e.g. type of premises waste comes from, full analysis, process that produced the waste:

Section B1: WASTE ORGINATOR (Asset )1 PDO Asset (Marmul, Nimr, Qarn Alam, Bahja-Rima,Yibal,Fahud-Lekhwair, OETS,TWM,XGB,OIM,HES, other)

Please tick one ( )

2. Location of Destination:

Return white copy to Originator by. a) Fax/Fax No b) Mail c) Driver. d) monthly wastereturns

3.Signature ( waste originator) Date:

4. Full Name (Please print)

Section C: WASTE TRANSPORTER1. Company Name:

2. Signature of Driver:

3. Full name of Driver (Please print):

Section D: WASTE DISPOSAL FACILITY1.Waste disposal Location/Site:

2. Name of Waste Disposal Site Operator:

3.Date& time waste received:

4. Signature of Waste Disposal Operator

Distribution:

Yellow Copy: Originator Blue Copy: Disposal Site White Copy : Waste Contractor Return to Originator

(MESC Number 93.55.81.500.9)

Well Engineering - June 2001

The white WCN is then returned to the Waste Generator to show that the waste has been handled (or disposed) correctly

WASTE CONSIGNMENT NOTE Number:(Separate Waste consignment Notes for Hazardous & Non- Hazardous Wastes)

Section A: WASTE DETAILS1. Please tick ( ) box below to indicate the type of waste you are transferringNON-HAZARDOUS WASTE TYPE Domestic Waste (kitchen refuse) Non-Hazardous waste chemicals Waste wood materials

Domestic waste (tree cuttings) Empty Drums (non hazardous) Plastic Drums (non-hazardous)

Office waste Electrical Cable Construction material

Scrap Metal

If other please describe waste accurately here

HAZARDOUS WASTE TYPE Oily sand / soil Hazardous waste chemicals Hazardous lab. Chemicals Tyres (used)

Oily sludge Sewage sludge Empty Drums (hazardous) Other

Waste Lubricants Batteries NORM

Pigging sludge Clinical waste OBM & or OBM Cuttings

If other please describe waste accurately here

2. Quantity:3. Please give any other additional information including details of any problems your waste may present, that will affect containment, transport,treatment or disposal of the waste by any subsequent holder, e.g. type of premises waste comes from, full analysis, process that produced the waste:

Section B1: WASTE ORGINATOR (Asset )1 PDO Asset (Marmul, Nimr, Qarn Alam, Bahja-Rima,Yibal,Fahud-Lekhwair, OETS,TWM,XGB,OIM,HES, other)

Please tick one ( )

2. Location of Destination:

Return white copy to Originator by. a) Fax/Fax No b) Mail c) Driver. d) monthly wastereturns

3.Signature ( waste originator) Date:

4. Full Name (Please print)

Section C: WASTE TRANSPORTER1. Company Name:

2. Signature of Driver:

3. Full name of Driver (Please print):

Section D: WASTE DISPOSAL FACILITY1.Waste disposal Location/Site:

2. Name of Waste Disposal Site Operator:

3.Date& time waste received:

4. Signature of Waste Disposal Operator

Distribution:

Yellow Copy: Originator Blue Copy: Disposal Site White Copy : Waste Contractor Return to Originator

(MESC Number 93.55.81.500.9)

This can be done in the following ways:

• Waste Transporter returns the white WCN to the waste generator

Well Engineering - June 2001

WASTE CONSIGNMENT NOTE Number:(Separate Waste consignment Notes for Hazardous & Non- Hazardous Wastes)

Section A: WASTE DETAILS1. Please tick ( ) box below to indicate the type of waste you are transferringNON-HAZARDOUS WASTE TYPE Domestic Waste (kitchen refuse) Non-Hazardous waste chemicals Waste wood materials

Domestic waste (tree cuttings) Empty Drums (non hazardous) Plastic Drums (non-hazardous)

Office waste Electrical Cable Construction material

Scrap Metal

If other please describe waste accurately here

HAZARDOUS WASTE TYPE Oily sand / soil Hazardous waste chemicals Hazardous lab. Chemicals Tyres (used)

Oily sludge Sewage sludge Empty Drums (hazardous) Other

Waste Lubricants Batteries NORM

Pigging sludge Clinical waste OBM & or OBM Cuttings

If other please describe waste accurately here

2. Quantity:3. Please give any other additional information including details of any problems your waste may present, that will affect containment, transport,treatment or disposal of the waste by any subsequent holder, e.g. type of premises waste comes from, full analysis, process that produced the waste:

Section B1: WASTE ORGINATOR (Asset )1 PDO Asset (Marmul, Nimr, Qarn Alam, Bahja-Rima,Yibal,Fahud-Lekhwair, OETS,TWM,XGB,OIM,HES, other)

Please tick one ( )

2. Location of Destination:

Return white copy to Originator by. a) Fax/Fax No b) Mail c) Driver. d) monthly wastereturns

3.Signature ( waste originator) Date:

4. Full Name (Please print)

Section C: WASTE TRANSPORTER1. Company Name:

2. Signature of Driver:

3. Full name of Driver (Please print):

Section D: WASTE DISPOSAL FACILITY1.Waste disposal Location/Site:

2. Name of Waste Disposal Site Operator:

3.Date& time waste received:

4. Signature of Waste Disposal Operator

Distribution:

Yellow Copy: Originator Blue Copy: Disposal Site White Copy : Waste Contractor Return to Originator

(MESC Number 93.55.81.500.9)

• the white WCN can be:

WASTE CONSIGNMENT NOTE Number:(Separate Waste consignment Notes for Hazardous & Non- Hazardous Wastes)

Section A: WASTE DETAILS1. Please tick ( ) box below to indicate the type of waste you are transferringNON-HAZARDOUS WASTE TYPE Domestic Waste (kitchen refuse) Non-Hazardous waste chemicals Waste wood materials

Domestic waste (tree cuttings) Empty Drums (non hazardous) Plastic Drums (non-hazardous)

Office waste Electrical Cable Construction material

Scrap Metal

If other please describe waste accurately here

HAZARDOUS WASTE TYPE Oily sand / soil Hazardous waste chemicals Hazardous lab. Chemicals Tyres (used)

Oily sludge Sewage sludge Empty Drums (hazardous) Other

Waste Lubricants Batteries NORM

Pigging sludge Clinical waste OBM & or OBM Cuttings

If other please describe waste accurately here

2. Quantity:3. Please give any other additional information including details of any problems your waste may present, that will affect containment, transport,treatment or disposal of the waste by any subsequent holder, e.g. type of premises waste comes from, full analysis, process that produced the waste:

Section B1: WASTE ORGINATOR (Asset )1 PDO Asset (Marmul, Nimr, Qarn Alam, Bahja-Rima,Yibal,Fahud-Lekhwair, OETS,TWM,XGB,OIM,HES, other)

Please tick one ( )

2. Location of Destination:

Return white copy to Originator by. a) Fax/Fax No b) Mail c) Driver. d) monthly wastereturns

3.Signature ( waste originator) Date:

4. Full Name (Please print)

Section C: WASTE TRANSPORTER1. Company Name:

2. Signature of Driver:

3. Full name of Driver (Please print):

Section D: WASTE DISPOSAL FACILITY1.Waste disposal Location/Site:

2. Name of Waste Disposal Site Operator:

3.Date& time waste received:

4. Signature of Waste Disposal Operator

Distribution:

Yellow Copy: Originator Blue Copy: Disposal Site White Copy : Waste Contractor Return to Originator

(MESC Number 93.55.81.500.9)

Faxed to the Waste Generator

Well Engineering - June 2001

• the white WCN can be:

sent by mail to the Waste Generator

WASTE CONSIGNMENT NOTE Number:(Separate Waste consignment Notes for Hazardous & Non- Hazardous Wastes)

Section A: WASTE DETAILS1. Please tick ( ) box below to indicate the type of waste you are transferringNON-HAZARDOUS WASTE TYPE Domestic Waste (kitchen refuse) Non-Hazardous waste chemicals Waste wood materials

Domestic waste (tree cuttings) Empty Drums (non hazardous) Plastic Drums (non-hazardous)

Office waste Electrical Cable Construction material

Scrap Metal

If other please describe waste accurately here

HAZARDOUS WASTE TYPE Oily sand / soil Hazardous waste chemicals Hazardous lab. Chemicals Tyres (used)

Oily sludge Sewage sludge Empty Drums (hazardous) Other

Waste Lubricants Batteries NORM

Pigging sludge Clinical waste OBM & or OBM Cuttings

If other please describe waste accurately here

2. Quantity:3. Please give any other additional information including details of any problems your waste may present, that will affect containment, transport,treatment or disposal of the waste by any subsequent holder, e.g. type of premises waste comes from, full analysis, process that produced the waste:

Section B1: WASTE ORGINATOR (Asset )1 PDO Asset (Marmul, Nimr, Qarn Alam, Bahja-Rima,Yibal,Fahud-Lekhwair, OETS,TWM,XGB,OIM,HES, other)

Please tick one ( )

2. Location of Destination:

Return white copy to Originator by. a) Fax/Fax No b) Mail c) Driver. d) monthly wastereturns

3.Signature ( waste originator) Date:

4. Full Name (Please print)

Section C: WASTE TRANSPORTER1. Company Name:

2. Signature of Driver:

3. Full name of Driver (Please print):

Section D: WASTE DISPOSAL FACILITY1.Waste disposal Location/Site:

2. Name of Waste Disposal Site Operator:

3.Date& time waste received:

4. Signature of Waste Disposal Operator

Distribution:

Yellow Copy: Originator Blue Copy: Disposal Site White Copy : Waste Contractor Return to Originator

(MESC Number 93.55.81.500.9)

Well Engineering - June 2001

WASTE CONSIGNMENT NOTE Number:(Separate Waste consignment Notes for Hazardous & Non- Hazardous Wastes)

Section A: WASTE DETAILS1. Please tick ( ) box below to indicate the type of waste you are transferringNON-HAZARDOUS WASTE TYPE Domestic Waste (kitchen refuse) Non-Hazardous waste chemicals Waste wood materials

Domestic waste (tree cuttings) Empty Drums (non hazardous) Plastic Drums (non-hazardous)

Office waste Electrical Cable Construction material

Scrap Metal

If other please describe waste accurately here

HAZARDOUS WASTE TYPE Oily sand / soil Hazardous waste chemicals Hazardous lab. Chemicals Tyres (used)

Oily sludge Sewage sludge Empty Drums (hazardous) Other

Waste Lubricants Batteries NORM

Pigging sludge Clinical waste OBM & or OBM Cuttings

If other please describe waste accurately here

2. Quantity:3. Please give any other additional information including details of any problems your waste may present, that will affect containment, transport,treatment or disposal of the waste by any subsequent holder, e.g. type of premises waste comes from, full analysis, process that produced the waste:

Section B1: WASTE ORGINATOR (Asset )1 PDO Asset (Marmul, Nimr, Qarn Alam, Bahja-Rima,Yibal,Fahud-Lekhwair, OETS,TWM,XGB,OIM,HES, other)

Please tick one ( )

2. Location of Destination:

Return white copy to Originator by. a) Fax/Fax No b) Mail c) Driver. d) monthly wastereturns

3.Signature ( waste originator) Date:

4. Full Name (Please print)

Section C: WASTE TRANSPORTER1. Company Name:

2. Signature of Driver:

3. Full name of Driver (Please print):

Section D: WASTE DISPOSAL FACILITY1.Waste disposal Location/Site:

2. Name of Waste Disposal Site Operator:

3.Date& time waste received:

4. Signature of Waste Disposal Operator

Distribution:

Yellow Copy: Originator Blue Copy: Disposal Site White Copy : Waste Contractor Return to Originator

(MESC Number 93.55.81.500.9)

WASTE CONSIGNMENT NOTE Number:(Separate Waste consignment Notes for Hazardous & Non- Hazardous Wastes)

Section A: WASTE DETAILS1. Please tick ( ) box below to indicate the type of waste you are transferringNON-HAZARDOUS WASTE TYPE Domestic Waste (kitchen refuse) Non-Hazardous waste chemicals Waste wood materials

Domestic waste (tree cuttings) Empty Drums (non hazardous) Plastic Drums (non-hazardous)

Office waste Electrical Cable Construction material

Scrap Metal

If other please describe waste accurately here

HAZARDOUS WASTE TYPE Oily sand / soil Hazardous waste chemicals Hazardous lab. Chemicals Tyres (used)

Oily sludge Sewage sludge Empty Drums (hazardous) Other

Waste Lubricants Batteries NORM

Pigging sludge Clinical waste OBM & or OBM Cuttings

If other please describe waste accurately here

2. Quantity:3. Please give any other additional information including details of any problems your waste may present, that will affect containment, transport,treatment or disposal of the waste by any subsequent holder, e.g. type of premises waste comes from, full analysis, process that produced the waste:

Section B1: WASTE ORGINATOR (Asset )1 PDO Asset (Marmul, Nimr, Qarn Alam, Bahja-Rima,Yibal,Fahud-Lekhwair, OETS,TWM,XGB,OIM,HES, other)

Please tick one ( )

2. Location of Destination:

Return white copy to Originator by. a) Fax/Fax No b) Mail c) Driver. d) monthly wastereturns

3.Signature ( waste originator) Date:

4. Full Name (Please print)

Section C: WASTE TRANSPORTER1. Company Name:

2. Signature of Driver:

3. Full name of Driver (Please print):

Section D: WASTE DISPOSAL FACILITY1.Waste disposal Location/Site:

2. Name of Waste Disposal Site Operator:

3.Date& time waste received:

4. Signature of Waste Disposal Operator

Distribution:

Yellow Copy: Originator Blue Copy: Disposal Site White Copy : Waste Contractor Return to Originator

(MESC Number 93.55.81.500.9)

WASTE CONSIGNMENT NOTE Number:(Separate Waste consignment Notes for Hazardous & Non- Hazardous Wastes)

Section A: WASTE DETAILS1. Please tick ( ) box below to indicate the type of waste you are transferringNON-HAZARDOUS WASTE TYPE Domestic Waste (kitchen refuse) Non-Hazardous waste chemicals Waste wood materials

Domestic waste (tree cuttings) Empty Drums (non hazardous) Plastic Drums (non-hazardous)

Office waste Electrical Cable Construction material

Scrap Metal

If other please describe waste accurately here

HAZARDOUS WASTE TYPE Oily sand / soil Hazardous waste chemicals Hazardous lab. Chemicals Tyres (used)

Oily sludge Sewage sludge Empty Drums (hazardous) Other

Waste Lubricants Batteries NORM

Pigging sludge Clinical waste OBM & or OBM Cuttings

If other please describe waste accurately here

2. Quantity:3. Please give any other additional information including details of any problems your waste may present, that will affect containment, transport,treatment or disposal of the waste by any subsequent holder, e.g. type of premises waste comes from, full analysis, process that produced the waste:

Section B1: WASTE ORGINATOR (Asset )1 PDO Asset (Marmul, Nimr, Qarn Alam, Bahja-Rima,Yibal,Fahud-Lekhwair, OETS,TWM,XGB,OIM,HES, other)

Please tick one ( )

2. Location of Destination:

Return white copy to Originator by. a) Fax/Fax No b) Mail c) Driver. d) monthly wastereturns

3.Signature ( waste originator) Date:

4. Full Name (Please print)

Section C: WASTE TRANSPORTER1. Company Name:

2. Signature of Driver:

3. Full name of Driver (Please print):

Section D: WASTE DISPOSAL FACILITY1.Waste disposal Location/Site:

2. Name of Waste Disposal Site Operator:

3.Date& time waste received:

4. Signature of Waste Disposal Operator

Distribution:

Yellow Copy: Originator Blue Copy: Disposal Site White Copy : Waste Contractor Return to Originator

(MESC Number 93.55.81.500.9)

WASTE CONSIGNMENT NOTE Number:(Separate Waste consignment Notes for Hazardous & Non- Hazardous Wastes)

Section A: WASTE DETAILS1. Please tick ( ) box below to indicate the type of waste you are transferringNON-HAZARDOUS WASTE TYPE Domestic Waste (kitchen refuse) Non-Hazardous waste chemicals Waste wood materials

Domestic waste (tree cuttings) Empty Drums (non hazardous) Plastic Drums (non-hazardous)

Office waste Electrical Cable Construction material

Scrap Metal

If other please describe waste accurately here

HAZARDOUS WASTE TYPE Oily sand / soil Hazardous waste chemicals Hazardous lab. Chemicals Tyres (used)

Oily sludge Sewage sludge Empty Drums (hazardous) Other

Waste Lubricants Batteries NORM

Pigging sludge Clinical waste OBM & or OBM Cuttings

If other please describe waste accurately here

2. Quantity:3. Please give any other additional information including details of any problems your waste may present, that will affect containment, transport,treatment or disposal of the waste by any subsequent holder, e.g. type of premises waste comes from, full analysis, process that produced the waste:

Section B1: WASTE ORGINATOR (Asset )1 PDO Asset (Marmul, Nimr, Qarn Alam, Bahja-Rima,Yibal,Fahud-Lekhwair, OETS,TWM,XGB,OIM,HES, other)

Please tick one ( )

2. Location of Destination:

Return white copy to Originator by. a) Fax/Fax No b) Mail c) Driver. d) monthly wastereturns

3.Signature ( waste originator) Date:

4. Full Name (Please print)

Section C: WASTE TRANSPORTER1. Company Name:

2. Signature of Driver:

3. Full name of Driver (Please print):

Section D: WASTE DISPOSAL FACILITY1.Waste disposal Location/Site:

2. Name of Waste Disposal Site Operator:

3.Date& time waste received:

4. Signature of Waste Disposal Operator

Distribution:

Yellow Copy: Originator Blue Copy: Disposal Site White Copy : Waste Contractor Return to Originator

(MESC Number 93.55.81.500.9)

WASTE CONSIGNMENT NOTE Number:(Separate Waste consignment Notes for Hazardous & Non- Hazardous Wastes)

Section A: WASTE DETAILS1. Please tick ( ) box below to indicate the type of waste you are transferringNON-HAZARDOUS WASTE TYPE Domestic Waste (kitchen refuse) Non-Hazardous waste chemicals Waste wood materials

Domestic waste (tree cuttings) Empty Drums (non hazardous) Plastic Drums (non-hazardous)

Office waste Electrical Cable Construction material

Scrap Metal

If other please describe waste accurately here

HAZARDOUS WASTE TYPE Oily sand / soil Hazardous waste chemicals Hazardous lab. Chemicals Tyres (used)

Oily sludge Sewage sludge Empty Drums (hazardous) Other

Waste Lubricants Batteries NORM

Pigging sludge Clinical waste OBM & or OBM Cuttings

If other please describe waste accurately here

2. Quantity:3. Please give any other additional information including details of any problems your waste may present, that will affect containment, transport,treatment or disposal of the waste by any subsequent holder, e.g. type of premises waste comes from, full analysis, process that produced the waste:

Section B1: WASTE ORGINATOR (Asset )1 PDO Asset (Marmul, Nimr, Qarn Alam, Bahja-Rima,Yibal,Fahud-Lekhwair, OETS,TWM,XGB,OIM,HES, other)

Please tick one ( )

2. Location of Destination:

Return white copy to Originator by. a) Fax/Fax No b) Mail c) Driver. d) monthly wastereturns

3.Signature ( waste originator) Date:

4. Full Name (Please print)

Section C: WASTE TRANSPORTER1. Company Name:

2. Signature of Driver:

3. Full name of Driver (Please print):

Section D: WASTE DISPOSAL FACILITY1.Waste disposal Location/Site:

2. Name of Waste Disposal Site Operator:

3.Date& time waste received:

4. Signature of Waste Disposal Operator

Distribution:

Yellow Copy: Originator Blue Copy: Disposal Site White Copy : Waste Contractor Return to Originator

(MESC Number 93.55.81.500.9)

• the white WCN can be:

Sent monthly through monthly waste returns

Well Engineering - June 2001

When the Waste Generator receives the white WCN it should be placed with the yellow WCN and placed in the WCN file.

WASTE CONSIGNMENT NOTE Number:(Separate Waste consignment Notes for Hazardous & Non- Hazardous Wastes)

Section A: WASTE DETAILS1. Please tick ( ) box below to indicate the type of waste you are transferringNON-HAZARDOUS WASTE TYPE Domestic Waste (kitchen refuse) Non-Hazardous waste chemicals Waste wood materials

Domestic waste (tree cuttings) Empty Drums (non hazardous) Plastic Drums (non-hazardous)

Office waste Electrical Cable Construction material

Scrap Metal

If other please describe waste accurately here

HAZARDOUS WASTE TYPE Oily sand / soil Hazardous waste chemicals Hazardous lab. Chemicals Tyres (used)

Oily sludge Sewage sludge Empty Drums (hazardous) Other

Waste Lubricants Batteries NORM

Pigging sludge Clinical waste OBM & or OBM Cuttings

If other please describe waste accurately here

2. Quantity:3. Please give any other additional information including details of any problems your waste may present, that will affect containment, transport,treatment or disposal of the waste by any subsequent holder, e.g. type of premises waste comes from, full analysis, process that produced the waste:

Section B1: WASTE ORGINATOR (Asset )1 PDO Asset (Marmul, Nimr, Qarn Alam, Bahja-Rima,Yibal,Fahud-Lekhwair, OETS,TWM,XGB,OIM,HES, other)

Please tick one ( )

2. Location of Destination:

Return white copy to Originator by. a) Fax/Fax No b) Mail c) Driver. d) monthly wastereturns

3.Signature ( waste originator) Date:

4. Full Name (Please print)

Section C: WASTE TRANSPORTER1. Company Name:

2. Signature of Driver:

3. Full name of Driver (Please print):

Section D: WASTE DISPOSAL FACILITY1.Waste disposal Location/Site:

2. Name of Waste Disposal Site Operator:

3.Date& time waste received:

4. Signature of Waste Disposal Operator

Distribution:

Yellow Copy: Originator Blue Copy: Disposal Site White Copy : Waste Contractor Return to Originator

(MESC Number 93.55.81.500.9)

WASTE CONSIGNMENT NOTE Number:(Separate Waste consignment Notes for Hazardous & Non- Hazardous Wastes)

Section A: WASTE DETAILS1. Please tick ( ) box below to indicate the type of waste you are transferringNON-HAZARDOUS WASTE TYPE Domestic Waste (kitchen refuse) Non-Hazardous waste chemicals Waste wood materials

Domestic waste (tree cuttings) Empty Drums (non hazardous) Plastic Drums (non-hazardous)

Office waste Electrical Cable Construction material

Scrap Metal

If other please describe waste accurately here

HAZARDOUS WASTE TYPE Oily sand / soil Hazardous waste chemicals Hazardous lab. Chemicals Tyres (used)

Oily sludge Sewage sludge Empty Drums (hazardous) Other

Waste Lubricants Batteries NORM

Pigging sludge Clinical waste OBM & or OBM Cuttings

If other please describe waste accurately here

2. Quantity:3. Please give any other additional information including details of any problems your waste may present, that will affect containment, transport,treatment or disposal of the waste by any subsequent holder, e.g. type of premises waste comes from, full analysis, process that produced the waste:

Section B1: WASTE ORGINATOR (Asset )1 PDO Asset (Marmul, Nimr, Qarn Alam, Bahja-Rima,Yibal,Fahud-Lekhwair, OETS,TWM,XGB,OIM,HES, other)

Please tick one ( )

2. Location of Destination:

Return white copy to Originator by. a) Fax/Fax No b) Mail c) Driver. d) monthly wastereturns

3.Signature ( waste originator) Date:

4. Full Name (Please print)

Section C: WASTE TRANSPORTER1. Company Name:

2. Signature of Driver:

3. Full name of Driver (Please print):

Section D: WASTE DISPOSAL FACILITY1.Waste disposal Location/Site:

2. Name of Waste Disposal Site Operator:

3.Date& time waste received:

4. Signature of Waste Disposal Operator

Distribution:

Yellow Copy: Originator Blue Copy: Disposal Site White Copy : Waste Contractor Return to Originator

(MESC Number 93.55.81.500.9)

Well Engineering - June 2001

By using the WCN correctly you can now demonstrate that the waste has been handled appropriately.