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FORM
- 12
[See
rule 19 (xiii)]
Form
for Filling Recyclers Non-Ferrous Metal Wastes/ Used Oil
[To be submitted
by recyclers to State Pollution Control/ Committee by 30th June and
31st December of every year]
| 1. |
Name and
address of the recycler |
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| 2. |
Name of
the authorised person and fall address with telephone and fax number |
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| 3. |
Installed
annual capacity to recycle non-ferrous metal wastes/ used oil ( in MTA
) |
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| 4. |
( in MTA
) purchased/ processed/ sold during the
period
from October - March / April -September
|
(i) Quantity
of wastes purchased from the manufactures-
(ii) Quantity
of wastes purchased from auctioneers-
(iii)Quantity
of wastes obtained form any other source-
(iv)Quantity
of wastes processed-
(v) Quantity
of wastes sold
|
| 5. |
Quantity
and type material recovered from nonferrous metal wastes/ used oil ( in
MTA) |
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| 6. |
Quantity
of recycles materials sent back |
(i) the
manufacturers
(ii) other
agencies #
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*delete whichever
is not applicable
#enclose
list of other agencies
Signature of the
authorised person
Place:…………………..
Date:………………….
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