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FORM - 11
[See
Rules 19 (ii) & (vi)]
APPLICATION
FOR REGISTRATION OF FACILITIES POSSESSING ENVIRONMENTALLY SECOND
MANAGEMENT
PRACTICE FOR RECYCLING NON-FERROUS METAL WASTES/ USED LUBRICATING
OIL
[To be submitted
in triplicate]
|
Name
& Address of the unit |
|
| 2. |
Contact
person with designation, Tel/ Fax |
|
| 3. |
Date
of commissioning |
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| 4. |
No.
of Workers ( including contract labourers) |
|
| 5. |
Consent
Validity |
a)
Under Air Act., 1981 Valid up to________
b)
Under Water Act., 1974 Valid up to_______
|
| 6. |
Validity
of Authorisation under Rule 5 of the Hazardous Wastes (M & H
) Rules, 1989 |
Valid
up to____________________________ |
| 7. |
Installed
capacity of production (MTA) |
|
| 8. |
Product
Manufactured ( Tonnes/ Year)
Name
a)
b)
c)
|
YEAR
I |
YEAR
II |
YEARIII |
| 9. |
Raw
material consumption (Tonnes/ Year)
Name
a)
b)
c)
|
YEAR
I |
YEAR
II |
YEAR
III |
| 10. |
Manufacturing
Process |
Please
attach manufacturing process flow diagram for Each product (s) |
| 11. |
Water
Consumption |
Industrial_____m3/day
Domestic______
m 3 /day
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| 12. |
Water
Cess Paid up |
|
| 13. |
Waste
waster generation
a.
As per, consent m3 /day
b.
Actual m3/day ( average of last three months)
|
Industrial
Domestic
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| 14. |
Waste
water treatment ( please provide flow diagram of the treatment scheme) |
Industrial
Domestic
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| 15. |
Waste
waster discharge |
Quantity
m'/day
Location
Analysis
of treated waste water
PH,
BOD, COD, SS, O&G Any other
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