Guidelines on using

Waste Consignment Notes

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

Section A: WASTE DETAILS

1. Please tick () box below to indicate the type of waste you are transferring

comprises of
WASTE CONSIGNMENT NON-HAZARDOUS NOTE WASTE TYPE Number:
(Separate Waste consignmentNotes
Domestic Waste (kitchen
for Hazardous & Non-refuse)  Domestic waste (tree cuttings)
Hazardous Wastes)  Office waste  Scrap Metal
 Non-Hazardous waste chemicals  Empty Drums (non hazardous)  Electrical Cable
Section A: WASTE DETAILS
Please tick (
WASTE CONSIGNMENT
1. NOTE  Waste wood materials  Plastic Drums (non-hazardous)
) box below to indicate the type of waste you are transferring Number:  Construction material
If other please describe waste accurately here
NON-HAZARDOUS
(Separate Waste consignment WASTE
Notes for Hazardous TYPE Wastes)
& Non- Hazardous
 Domestic Waste (kitchen refuse)  Domestic waste (tree cuttings)  Office waste  Scrap Metal

3 different
 Non-Hazardous waste chemicals
Section A: WASTE DETAILS
1.
 Empty Drums (non hazardous)
Please tick () box below to indicate the type of waste you are transferring
 Electrical Cable
NON-HAZARDOUS  Waste
WASTE wood materials
TYPE HAZARDOUS  Plastic
WASTE TYPE
Drums (non-hazardous)  Construction material
If other please describe wasteaccurately  Oily sludge  Scrap Metal  Waste Lubricants  Pigging sludge
 Domestic Waste (kitchen refuse)  DomesticOily sand
waste
here
/ soil
(tree cuttings)  Office waste
 Non-Hazardous waste chemicals  EmptyDrums
Hazardous
(non waste chemicals  Electrical
hazardous) Sewage sludge
Cable  Batteries  Clinical waste
 Waste wood materials  PlasticDrums
Hazardous lab. Chemicals  Construction
(non-hazardous)  Empty Drums (hazardous)
material  NORM  OBM & or OBM Cuttings
 

colour forms
If other please describe waste accurately here Tyres (used) Other
HAZARDOUS WASTE TYPE
 Oily sand / soil  Oily sludge
If other please describe waste accurately here
 Waste Lubricants  Pigging sludge
 Hazardous waste chemicals  Sewage sludge  Batteries  Clinical waste
HAZARDOUS WASTE  Hazardous
TYPElab. Chemicals  Empty Drums (hazardous)  NORM  OBM & or OBM Cuttings
 Oily sand / soil  Tyres (used) 2. Quantity:  Other
 Oily sludge  Waste Lubricants  Pigging sludge
 Hazardous waste chemicals  Sewage
If other please describe waste3.accurately
sludge
here
Please give
 Batteries  Clinical waste
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:
 Hazardous lab. Chemicals  Empty Drums (hazardous)  NORM  OBM & or OBM Cuttings
 Tyres (used)  Other
If other please describe waste accurately here
2. Quantity:
3. Please give any other additional information
Section B1: WASTEincluding details of any problems
ORGINATOR (Asset )your waste may present, that will affect containment, transport,

White
treatment or disposal of the waste
1 PDObyAsset
any subsequent
(Marmul,holder,
Nimr, e.g.
Qarn type of premises
Alam, waste comes from, full analysis,OETS,TWM,XGB,OIM,HES,
Bahja-Rima,Yibal,Fahud-Lekhwair, process that produced the waste:other)

2. Quantity: Please tick one ()

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 2. Location of (Asset ) Destination:
1 PDO Asset (Marmul, Nimr, Qarn Alam, Bahja-Rima,Yibal,Fahud-Lekhwair, OETS,TWM,XGB,OIM,HES, other)

Return white copy to Originator by. a) Fax/Fax No b) Mail c) Driver. d) monthly waste
Please tick one () returns
Section B1: WASTE ORGINATOR (Asset )
1 PDO Asset (Marmul, Nimr, Qarn Alam, Bahja-Rima,Yibal,Fahud-Lekhwair, OETS,TWM,XGB,OIM,HES, other)
2. Location of Destination:

Please tick one ()Return white copy to Originator

3.Signature ( waste originator)
by. a) Fax/Fax No b) Mail c) Driver.
Date:
d) monthly waste
returns
2. Location of 4. Full Name (Please print) Destination:

Blue
Return white copy to Originator by. a) Fax/Fax No b) Mail c) Driver. d) monthly waste
returns 3.Signature ( waste originator)
Section C: WASTE TRANSPORTER Date:
1. Company Name:
4. Full Name (Please print)
2. Signature of Driver:
3.Signature ( waste originator) Date:
Section C: WASTE TRANSPORTER
3. Full name of Driver (Please print):
4. Full Name (Please print)
1. Company Name:

Section D: WASTE DISPOSAL FACILITY

2. Signature of Driver: 1.Waste disposal Location/Site:
Section C: WASTE TRANSPORTER
1. Company Name: 3. Full name of Driver (Please
2.print):
Name of Waste Disposal Site Operator:

2. Signature of Driver:
Section D: WASTE DISPOSAL FACILITY
3.Date& time waste received:
1.Waste disposal Location/Site:
3. Full name of Driver (Please print):
4. Signature of Waste Disposal Operator

Yellow
2. Name of Waste Disposal Site Operator:
Section D: WASTE DISPOSAL FACILITY
3.Date& time waste received:Distribution:
1.Waste disposal Location/Site:
Yellow Copy: Originator Blue Copy: Disposal Site White Copy : Waste Contractor Return to Originator
2. Name of Waste Disposal Site Operator:
4. Signature of Waste Disposal Operator
(MESC Number 93.55.81.500.9)
3.Date& time waste received:
Distribution:
YellowOperator
4. Signature of Waste Disposal Copy: Originator Blue Copy: Disposal Site White Copy : Waste Contractor Return to Originator
(MESC Number 93.55.81.500.9)
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 A: WASTE DETAILS
1. Please tick ( ) box below to indicate the type of waste you are transferring
NON-HAZARDOUS WASTE TYPE
 Domestic Waste (kitchen refuse)  Domestic waste (tree cuttings)  Office waste  Scrap Metal
WASTE CONSIGNMENT NOTE Number:
(Separate Waste consignment Notes for Hazardous & Non- Hazardous Wastes)

Section A: WASTE DETAILS

 Non-Hazardous waste chemicals  Empty Drums (non hazardous)  Electrical Cable

1. Please tick () box below to indicate the type of waste you are transferring
NON-HAZARDOUS WASTE TYPE
 Domestic Waste (kitchen refuse)  Domestic waste (tree cuttings)  Office waste  Scrap Metal
 Non-Hazardous waste chemicals  Empty Drums (non hazardous)  Electrical Cable
 Waste wood materials  Plastic Drums (non-hazardous)
If other please describe waste accurately here
 Construction material
 Waste wood materials  Plastic Drums (non-hazardous)  Construction material
If other please describe waste accurately here
HAZARDOUS WASTE TYPE
 Oily sand / soil  Oily sludge  Waste Lubricants  Pigging sludge
 Hazardous waste chemicals  Sewage sludge  Batteries  Clinical waste
 Hazardous lab. Chemicals  Empty Drums (hazardous)  NORM  OBM & or OBM Cuttings
 Tyres (used)  Other
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,
HAZARDOUS WASTE TYPE
 Oily sand / soil  Oily sludge  Waste Lubricants  Pigging sludge
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:

 Hazardous waste chemicals  Sewage sludge  Batteries  Clinical 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:  Hazardous lab. Chemicals  Empty Drums (hazardous)  NORM  OBM & or OBM Cuttings
 Tyres (used)  Other
Return white copy to Originator by. a) Fax/Fax No b) Mail c) Driver. d) monthly waste
returns

3.Signature ( waste originator) Date: If other please describe waste accurately here
4. Full Name (Please print)

Section C: WASTE TRANSPORTER

1. Company Name:

2. Signature of Driver:

3. Full name of Driver (Please print):

Section D: WASTE DISPOSAL FACILITY 2. Quantity:

1.Waste disposal Location/Site:

2. Name of Waste Disposal Site Operator:

3. Please give any other additional information including details of any problems your waste may present, that will affect containment, transport,
3.Date& time waste received: 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:
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 B1: WASTE ORGINATOR (Asset )

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

The Waste Generator

Please tick one ( )

2. Location of Destination:

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

Section A and B
returns

of the WCN 3.Signature ( waste originator) Date:

4. Full Name (Please print)

Well Engineering - June 2001

 A separate WCN should be completed for
Hazardous and Non Hazardous Waste
Section A: WASTE DETAILS
1. Please tick () box below to indicate the type of waste you are transferring
NON-HAZARDOUS WASTE TYPE
 Domestic Waste (kitchen refuse)  Domestic waste (tree cuttings)  Office waste  Scrap Metal
 Non-Hazardous waste chemicals  Empty Drums (non hazardous)  Electrical Cable
 Waste wood materials  Plastic Drums (non-hazardous)  Construction material
If other please describe waste accurately here

HAZARDOUS WASTE TYPE

 Oily sand / soil  Oily sludge  Waste Lubricants  Pigging sludge
 Hazardous waste chemicals  Sewage sludge  Batteries  Clinical waste
 Hazardous lab. Chemicals  Empty Drums (hazardous)  NORM  OBM & or OBM Cuttings
 Tyres (used)  Other
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: WASTE CONSIGNMENT NOTE
(Separate Waste consignment Notes for Hazardous & Non- Hazardous Wastes)
Number:

• containment
Section A: WASTE DETAILS
1. Please tick () box below to indicate the type of waste you are transferring
NON-HAZARDOUS WASTE TYPE
 Domestic Waste (kitchen refuse)  Domestic waste (tree cuttings)  Office waste  Scrap Metal
 Non-Hazardous waste chemicals  Empty Drums (non hazardous)  Electrical Cable
 Waste wood materials  Plastic Drums (non-hazardous)  Construction material
If other please describe waste accurately here

• transport
HAZARDOUS WASTE TYPE
 Oily sand / soil  Oily sludge  Waste Lubricants  Pigging sludge
 Hazardous waste chemicals  Sewage sludge  Batteries  Clinical waste
 Hazardous lab. Chemicals  Empty Drums (hazardous)  NORM  OBM & or OBM Cuttings
 Tyres (used)  Other

• treatment
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:

• disposal
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)

Section C: WASTE TRANSPORTER

1. Company Name:

2. Signature of Driver:

3. Full name of Driver (Please print):

Section D: WASTE DISPOSAL FACILITY

1.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)

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:

Well Engineering - June 2001

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

WASTE CONSIGNMENT NOTE Number:

(Separate Waste consignment Notes for Hazardous & Non- Hazardous Wastes)

Section A: WASTE DETAILS

1.
WASTE CONSIGNMENT NOTE
Please tick () box below to indicate the type of waste you are transferring
Number:
(Separate Waste consignment
NON-HAZARDOUS WASTE TYPE Notes for Hazardous & Non- Hazardous Wastes)
 Domestic Waste
Section A:(kitchen
WASTE refuse)
DETAILS  Domestic waste (tree cuttings)  Office waste  Scrap Metal
 Non-Hazardous
1. Please tick
waste () box below
WASTE
chemicals indicate
CONSIGNMENT
to the type
Empty Drums NOTE
of waste
(non  Electrical Cable
you are transferring
hazardous) Number:
 WasteNON-HAZARDOUS
wood materials WASTE
(Separate Waste TYPE
consignment
PlasticNotes
Drums for(non-hazardous)
Hazardous & Non- Hazardous Construction
Wastes) material
 Domestic
If other please describe waste
Waste accurately
(kitchen here
refuse)  Domestic waste (tree cuttings)  Office waste  Scrap Metal
 Non-HazardousSection A: WASTE DETAILS
1.
waste chemicals  Empty Drums (non hazardous)  Electrical Cable
Please tick () box below to indicate the type of waste you are transferring
 Waste wood materials
NON-HAZARDOUS WASTE Plastic Drums (non-hazardous)
TYPE  Construction material
WASTE
accurately CONSIGNMENT NOTE Number:
 Domestic  Domestic waste (tree cuttings)  Office waste  Scrap Metal
If other please describe waste here
HAZARDOUS WASTE TYPE Waste (kitchen refuse)
(Separate Waste consignment Notes for Hazardous & Non- Hazardous Wastes)
 Oily sand / soil  Non-Hazardous waste  Oily
chemicals
sludge  Empty Drums (non  Waste Lubricants  Electrical
hazardous)  Pigging
Cable sludge

 Hazardous waste chemicals 1.
Waste Section
wood  Sewage
A: WASTE DETAILS
materials  Plastic Drums  Batteries
(non-hazardous)   Clinical waste
Construction material
If other Pleasewaste
please describe sludge
tick (accurately
) box below
here to indicate the type of waste you are transferring
 Hazardous
HAZARDOUS
lab. Chemicals WASTE TYPE  Empty DrumsWASTE
NON-HAZARDOUS (hazardous) TYPE  NORM  OBM & or OBM Cuttings
 Tyres(used)
Oily sand / soil
 Domestic  Other (kitchen
WASTE
Waste
Oily sludge
CONSIGNMENT
refuse)
 Waste
 Domestic waste
NOTE Lubricants
(tree cuttings)
 Pigging
 Office waste
sludge
 Scrap MetalNumber:
 Hazardous
If other please describewaste
 Non-Hazardouswaste
wastechemicals
accurately here (Separate Sewage
Waste sludge
 Empty
consignment Notes
chemicals
 (non
for Drums Non- Hazardous
Batteries
Hazardous &hazardous)  Clinical waste
Wastes)
Electrical Cable
 HazardousHAZARDOUS  Waste
lab. Chemicals WASTE
wood
 Empty Drums (hazardous)
TYPE
materials  Plastic Drums (non-hazardous)
NORM  OBM & material
 Construction or OBM Cuttings
Section A: WASTE DETAILS
 Tyres (used)  Oily sandIf/ other Please
soil please1.describeOther
waste (
Oily
tickaccurately
) box here
sludge  Waste
below to indicate the type of waste Lubricants
you are transferring  Pigging sludge
 Hazardous waste chemicals
If other please describe waste accurately here
2. Quantity:
NON-HAZARDOUS  Sewage WASTE
sludge TYPE  Batteries  Clinical waste
 Hazardous  Domestic Waste (kitchen refuse) may
Domestic 
waste (tree cuttings)  Office
 OBMwaste  Scrap Metal


3. Please give any other additional information including
lab. Chemicals details of any problems
Empty Drums your waste
(hazardous) present, that
NORMwill affect containment, transport, & or OBM Cuttings
 Tyres (used)
treatment or disposal of the waste by any subsequent Non-Hazardous waste
holder, e.g. type of premises
Otherchemicalswaste comes Empty
from, Drums
full analysis,  Electrical
process that produced
(non hazardous) the waste:
Cable
HAZARDOUS WASTE TYPE
2. Quantity: If other please Oily sand /soil  Oily sludge Plastic Drums (non-hazardous)  Construction material
describe waste accurately
wood here
Waste
If other please describe
materials
waste accurately here
 Waste Lubricants  Pigging sludge
3. Please give any other additional information including details of any problems your waste may present, that will affect containment, transport,
 waste
treatment or disposal of the Hazardous
by anywaste chemicals
subsequent holder, e.g. typeofSewage sludge
premises  Batteries
waste comes from, full analysis, process that produced thewaste:
Clinical waste
 Hazardous
Section B1: WASTE ORGINATOR (Asset )
lab. Chemicals  Empty Drums (hazardous)  NORM  OBM & or OBM Cuttings
1 PDO Asset (Marmul, Nimr, Qarn Alam, Bahja-Rima,Yibal,Fahud-Lekhwair, OETS,TWM,XGB,OIM,HES, other)
2. Quantity: Tyres (used)  Other
3. Please give any other
If other additional
please describe information
HAZARDOUS including
WASTE
waste accurately details of any problems your waste may present, that will affect containment, transport,
TYPE
here
()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:
PleaseSection
tick oneB1: WASTE ORGINATOR  Oily(Asset
sand /)soil  Oily sludge  Waste Lubricants  Pigging sludge
1 PDO Asset (Marmul, Nimr, Qarn Alam, Bahja-Rima,Yibal,Fahud-Lekhwair, OETS,TWM,XGB,OIM,HES, other)
2. Location of
 Hazardous waste chemicals  Sewage sludge
Destination:
 Batteries  Clinical waste
Please tick one () 2. Quantity:
 Hazardous lab. Chemicals  Empty Drums (hazardous)  NORM  OBM & or OBM Cuttings
Return white copy to Section
OriginatorB1:
3. WASTE
by. give
a) Fax/Fax
Please ORGINATOR
Tyres
No
any (used)
other (Asset
additional )
information b) Mail
including Otherof anyc)problems
details Driver. your waste
d) monthly waste that will affect containment, transport,
may present,
returns 1 PDO Assettreatment
(Marmul, Nimr,
If otherQarn
or disposal of theAlam,
please Bahja-Rima,Yibal,Fahud-Lekhwair,
describe
waste by waste accuratelyholder,
any subsequent OETS,TWM,XGB,OIM,HES,
here e.g. type of premises waste comes from, full other)
analysis, process that produced the waste:
2. Location of Destination:

Return white copyPlease

to Originator ) a) Fax/Fax No
tick one (by. b) Mail c) Driver. d) monthly waste
returns
3.Signature ( waste originator) Date:
Section B1:2.WASTE
2. Location of Quantity:ORGINATOR (Asset ) Destination:
1 PDO Asset 3. Please give
(Marmul, any Qarn
Nimr, other additional information including details of any OETS,TWM,XGB,OIM,HES,
Alam, Bahja-Rima,Yibal,Fahud-Lekhwair, problems your waste may present, that will affect containment, transport,
other)
4. Full Name (Please print) 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:
Return white copy to Originator by. a) Fax/Fax No b) Mail c) Driver. d) monthly waste
3.Signature ( returns
waste originator) Date:
Please tick one ()
Section4.C: WASTE
Full TRANSPORTER
Name (Please print)
1. Company Name: 2. Location of Destination:
Section B1: WASTE ORGINATOR (Asset )
3.Signature ( waste originator) Date:
1 PDO Asset (Marmul, Nimr, Qarn Alam, Bahja-Rima,Yibal,Fahud-Lekhwair, OETS,TWM,XGB,OIM,HES, other)
2. Signature of Driver: Return white copy to Originator by. a) Fax/Fax No b) Mail c) Driver. d) monthly waste
Section C: WASTE TRANSPORTER
returns
4. Full Name (Please print)
1. Company Name: Please tick one ()
3. Full name of Driver (Please print):
2. Signature of Driver: 2. Location of Destination:
Section D: WASTE DISPOSAL
Section FACILITY
C:3.Signature
WASTE (TRANSPORTER
waste originator) Date:
1.Waste 3.
disposal Location/Site:
Full name 1. Driver
of Company Name:
(Please print):
Return white copy to Originator by. a) Fax/Fax No b) Mail c) Driver. d) monthly waste
4. Full Name returns
(Please print)
2. Name of Waste Disposal Site Operator:
2. Signature of Driver:
Section D: WASTE DISPOSAL FACILITY
1.Waste disposal Location/Site:
3.Date& time waste received:
3. Full name of Driver (Please print):
Section C: WASTE TRANSPORTER
2. Name of Waste Disposal 1. Company 3.Signature ( waste originator)
Name:
Site Operator: Date:
4. Signature of Waste Section
Disposal D:
Operator
WASTE DISPOSAL FACILITY
3.Date& time1.Waste disposal
waste received: 4. Driver:
Full Name (Please print)
Location/Site:
2. Signature of
Distribution:
2. Waste
4. Signature of Name Disposal
of Waste Disposal
3. FullOperator Site Operator:
name of Driver (Please print):
Yellow Copy: Originator Blue Copy: Disposal Site White Copy : Waste Contractor Return to Originator
Section C: WASTE TRANSPORTER
(MESC Number 93.55.81.500.9) 1. Company Name:
3.Date& time waste received:
Distribution: Section D: WASTE DISPOSAL FACILITY
1.Waste disposal Location/Site:
Yellow Copy: Originator
4. Signature Blue
of Waste Disposal Copy:
2. Signature of
OperatorDisposal
Driver: Site White Copy : Waste Contractor Return to Originator
(MESC Number 93.55.81.500.9)
2. Name of Waste Disposal Site Operator:
3. Full name of Driver (Please print):
Distribution:
3.Date& time waste received:
Yellow Copy: OriginatorSection D: Blue
WASTE Copy: Disposal Site
DISPOSAL White Copy : Waste Contractor Return to Originator
FACILITY
(MESC Number 1.Waste
Waste disposal
93.55.81.500.9)
4. Signature of DisposalLocation/Site:
Operator

2. Name of Waste Disposal Site Operator:

Distribution:
Yellow Copy: Originator
3.Date& Blue Copy: Disposal Site
time waste received: White Copy : Waste Contractor Return to Originator
(MESC Number 93.55.81.500.9)
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 DETAILS

1. Please tick () box below to indicate the type of waste you are transferring
NON-HAZARDOUS WASTE TYPE
 Domestic Waste (kitchen refuse)  Domestic waste (tree cuttings)  Office waste  Scrap Metal
 Non-Hazardous waste chemicals  Empty Drums (non hazardous)  Electrical Cable
 Waste wood materials  Plastic Drums (non-hazardous)  Construction material
If other please describe waste accurately here

HAZARDOUS WASTE TYPE

 Oily sand / soil  Oily sludge  Waste Lubricants  Pigging sludge
 Hazardous waste chemicals  Sewage sludge  Batteries  Clinical waste
 Hazardous lab. Chemicals  Empty Drums (hazardous)  NORM  OBM & or OBM Cuttings
 Tyres (used)  Other
If other please describe waste accurately here

The Waste Transporter signs

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)

Section C of the WCN in the

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

presence of the Waste

3.Signature ( waste originator) Date:

4. Full Name (Please print)

Generator
Section C: WASTE TRANSPORTER
1. Company Name:

2. Signature of Driver:

3. Full name of Driver (Please print):

Section D: WASTE DISPOSAL FACILITY

1.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 C: WASTE TRANSPORTER

1. Company Name: A1 Waste Co.

2. Signature of Driver: Waste Transporter

3. Full name of Driver (Please print): 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

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

Section A: WASTE DETAILS

1. Please tick () box below to indicate the type of waste you are transferring
NON-HAZARDOUS WASTE TYPE
 Domestic Waste (kitchen refuse)  Domestic waste (tree cuttings)  Office waste  Scrap Metal
 Non-Hazardous waste chemicals  Empty Drums (non hazardous)  Electrical Cable
 Waste wood materials  Plastic Drums (non-hazardous)  Construction material
If other please describe waste accurately here

HAZARDOUS WASTE TYPE

 Oily sand / soil  Oily sludge  Waste Lubricants  Pigging sludge
 Hazardous waste chemicals  Sewage sludge  Batteries  Clinical waste
 Hazardous lab. Chemicals  Empty Drums (hazardous)  NORM  OBM & or OBM Cuttings
 Tyres (used)  Other

form and puts it into a WCN file.

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 waste
returns

3.Signature ( waste originator) Date:

4. Full Name (Please print)

Section C: WASTE TRANSPORTER

1. Company Name:

2. Signature of Driver:

3. Full name of Driver (Please print):

Section D: WASTE DISPOSAL FACILITY

1.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 DETAILS

1. Please tick () box below to indicate the type of waste you are transferring
NON-HAZARDOUS WASTE TYPE
 Domestic Waste (kitchen refuse)  Domestic waste (tree cuttings)  Office waste  Scrap Metal
 Non-Hazardous waste chemicals  Empty Drums (non hazardous)  Electrical Cable
 Waste wood materials  Plastic Drums (non-hazardous)  Construction material
If other please describe waste accurately here

WASTE CONSIGNMENT NOTE Number:

(Separate Waste consignment Notes for Hazardous & Non- Hazardous Wastes)

HAZARDOUS WASTE TYPE

Section A: WASTE DETAILS
1. Please tick () box below
toOily
indicate
sand /the  Oily sludge
type of waste you are transferring
soil  Waste Lubricants  Pigging sludge
NON-HAZARDOUS WASTE TYPE
 Hazardous waste chemicals  Sewage sludge  Batteries  Clinical waste
 Domestic Waste (kitchen refuse)  Domestic waste (tree cuttings)  Office waste  Scrap Metal
 Hazardous lab. Chemicals  Empty Drums (hazardous)  NORM  OBM & or OBM Cuttings
 Non-Hazardous waste chemicals  Empty Drums (non hazardous)  Electrical Cable
 Tyres (used)  Other
 Waste wood materials  Plastic
If other please Drums
describe (non-hazardous)
waste accurately here  Construction material
If other please describe waste accurately here

2. Quantity:
HAZARDOUS WASTE TYPE
3. Please give any other additional information including details of any problems your waste may present, that will affect containment, transport,
 Oily sand / soil disposal
treatment or Oily sludge
of the waste by any subsequentholder, e.g. type of premises
Waste Lubricants Pigging
waste sludge
comes from, full analysis, process that produced the waste:
 Hazardous waste chemicals  Sewage sludge  Batteries  Clinical waste
 Hazardous lab. Chemicals  Empty Drums (hazardous)  NORM  OBM & or OBM Cuttings
 Tyres (used)  Other
Sectionhere
If other please describe waste accurately 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. Quantity:
3. Please give any other additional information
2. Location of including details of any problems your waste may present, that will affectDestination:
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:
Return white copy to Originator by. a) Fax/Fax No b) Mail c) Driver. d) monthly waste
returns

Section B1: WASTE ORGINATOR (Asset )

1 PDO Asset (Marmul, Nimr, Qarn Alam, Bahja-Rima,Yibal,Fahud-Lekhwair, OETS,TWM,XGB,OIM,HES, other)
3.Signature ( waste originator) Date:

Please tick one ()

4. Full Name (Please print)

2. Location of Destination:

Section C: WASTE TRANSPORTER

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

2. Signature of Driver:

3.Signature ( waste originator) 3. Full name of Driver (Please print): Date:

4. Full Name (Please print) Section D: WASTE DISPOSAL FACILITY

1.Waste disposal Location/Site:

Section C: WASTE TRANSPORTER

2. Name of Waste Disposal Site Operator:
1. Company Name:
3.Date& time waste received:
2. Signature of Driver:
4. Signature of Waste Disposal Operator
3. Full name of Driver (Please print):

Section D: WASTE DISPOSAL Distribution:

FACILITY
1.Waste disposal Location/Site: Yellow Copy: Originator Blue Copy: Disposal Site White Copy : Waste Contractor Return to Originator
(MESC Number 93.55.81.500.9)
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. WASTE CONSIGNMENT NOTE
(Separate Waste consignment Notes for Hazardous & Non- Hazardous Wastes)

Section A: WASTE DETAILS

1. Please tick () box below to indicate the type of waste you are transferring
NON-HAZARDOUS WASTE TYPE
 Domestic Waste (kitchen refuse)
 Non-Hazardous waste chemicals
 Waste wood materials
If other please describe waste accurately here

HAZARDOUS WASTE TYPE

 Domestic waste (tree cuttings)
 Empty Drums (non hazardous)
 Plastic Drums (non-hazardous)
 Office waste
 Electrical Cable
 Construction material
Number:

 Scrap Metal

 Oily sand / soil  Oily sludge  Waste Lubricants  Pigging sludge

 Hazardous waste chemicals  Sewage sludge  Batteries  Clinical waste
 Hazardous lab. Chemicals  Empty Drums (hazardous)  NORM  OBM & or OBM Cuttings
 Tyres (used)  Other
If other please describe waste accurately here

The blue WCN is retained at the

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 waste
returns

Waste Management Facility

3.Signature ( waste originator) Date:

4. Full Name (Please print)

Section C: WASTE TRANSPORTER

1. Company Name:

2. Signature of Driver:

3. Full name of Driver (Please print):

Section D: WASTE DISPOSAL FACILITY

1.Waste disposal Location/Site:

2. Name of Waste Disposal Site Operator:

3.Date& time waste received:

4. Signature of Waste Disposal Operator

Well Engineering - June 2001 Distribution:

Yellow Copy: Originator
(MESC Number 93.55.81.500.9)
Blue Copy: Disposal Site White Copy : Waste Contractor Return to Originator
 The white WCN is then returned to the Waste
Generator to show that the waste has been handled
(or disposed) correctly

This can be done in the following ways:

• Waste Transporter returns the white WCN to

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

Section A: WASTE DETAILS

1. Please tick () box below to indicate the type of waste you are transferring
NON-HAZARDOUS WASTE TYPE
 Domestic Waste (kitchen refuse)  Domestic waste (tree cuttings)  Office waste  Scrap Metal
 Non-Hazardous waste chemicals  Empty Drums (non hazardous)  Electrical Cable
 Waste wood materials  Plastic Drums (non-hazardous)  Construction material
If other please describe waste accurately here

HAZARDOUS WASTE TYPE

 Oily sand / soil  Oily sludge  Waste Lubricants  Pigging sludge
 Hazardous waste chemicals  Sewage sludge  Batteries  Clinical waste
 Hazardous lab. Chemicals  Empty Drums (hazardous)  NORM  OBM & or OBM Cuttings
 Tyres (used)  Other
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 waste
returns

3.Signature ( waste originator) Date:

4. Full Name (Please print)

Section C: WASTE TRANSPORTER

1. Company Name:

2. Signature of Driver:

3. Full name of Driver (Please print):

Section D: WASTE DISPOSAL FACILITY

1.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 can be:

Faxed to the Waste Generator

WASTE CONSIGNMENT NOTE Number: WASTE CONSIGNMENT NOTE Number:

(Separate Waste consignment Notes for Hazardous & Non- Hazardous Wastes) (Separate Waste consignment Notes for Hazardous & Non- Hazardous Wastes)

Section A: WASTE DETAILS Section A: WASTE DETAILS

1. Please tick () box below to indicate the type of waste you are transferring 1. Please tick () box below to indicate the type of waste you are transferring
NON-HAZARDOUS WASTE TYPE NON-HAZARDOUS WASTE TYPE
 Domestic Waste (kitchen refuse)  Domestic waste (tree cuttings)  Office waste  Scrap Metal  Domestic Waste (kitchen refuse)  Domestic waste (tree cuttings)  Office waste  Scrap Metal
 Non-Hazardous waste chemicals  Empty Drums (non hazardous)  Electrical Cable  Non-Hazardous waste chemicals  Empty Drums (non hazardous)  Electrical Cable
 Waste wood materials  Plastic Drums (non-hazardous)  Construction material  Waste wood materials  Plastic Drums (non-hazardous)  Construction material
If other please describe waste accurately here If other please describe waste accurately here

HAZARDOUS WASTE TYPE HAZARDOUS WASTE TYPE

 Oily sand / soil  Oily sludge  Waste Lubricants  Pigging sludge  Oily sand / soil  Oily sludge  Waste Lubricants  Pigging sludge
 Hazardous waste chemicals  Sewage sludge  Batteries  Clinical waste  Hazardous waste chemicals  Sewage sludge  Batteries  Clinical waste
 Hazardous lab. Chemicals  Empty Drums (hazardous)  NORM  OBM & or OBM Cuttings  Hazardous lab. Chemicals  Empty Drums (hazardous)  NORM  OBM & or OBM Cuttings
 Tyres (used)  Other  Tyres (used)  Other
If other please describe waste accurately here If other please describe waste accurately here

2. Quantity: 2. Quantity:
3. Please give any other additional information including details of any problems your waste may present, that will affect containment, transport, 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: 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 ) Section B1: WASTE ORGINATOR (Asset )
1 PDO Asset (Marmul, Nimr, Qarn Alam, Bahja-Rima,Yibal,Fahud-Lekhwair, OETS,TWM,XGB,OIM,HES, other) 1 PDO Asset (Marmul, Nimr, Qarn Alam, Bahja-Rima,Yibal,Fahud-Lekhwair, OETS,TWM,XGB,OIM,HES, other)

Please tick one () Please tick one ()

2. Location of Destination: 2. Location of Destination:

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

3.Signature ( waste originator) Date: 3.Signature ( waste originator) Date:

4. Full Name (Please print) 4. Full Name (Please print)

Section C: WASTE TRANSPORTER Section C: WASTE TRANSPORTER

1. Company Name: 1. Company Name:

2. Signature of Driver: 2. Signature of Driver:

3. Full name of Driver (Please print): 3. Full name of Driver (Please print):

Section D: WASTE DISPOSAL FACILITY Section D: WASTE DISPOSAL FACILITY

1.Waste disposal Location/Site: 1.Waste disposal Location/Site:

2. Name of Waste Disposal Site Operator: 2. Name of Waste Disposal Site Operator:

3.Date& time waste received: 3.Date& time waste received:

4. Signature of Waste Disposal Operator 4. Signature of Waste Disposal Operator

Distribution: Distribution:

 
Yellow Copy: Originator Blue Copy: Disposal Site White Copy : Waste Contractor Return to Originator Yellow Copy: Originator Blue Copy: Disposal Site White Copy : Waste Contractor Return to Originator
(MESC Number 93.55.81.500.9) (MESC Number 93.55.81.500.9)

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 DETAILS

1. Please tick () box below to indicate the type of waste you are transferring
NON-HAZARDOUS WASTE TYPE
 Domestic Waste (kitchen refuse)  Domestic waste (tree cuttings)  Office waste  Scrap Metal
 Non-Hazardous waste chemicals  Empty Drums (non hazardous)  Electrical Cable
 Waste wood materials  Plastic Drums (non-hazardous)  Construction material
If other please describe waste accurately here

HAZARDOUS WASTE TYPE

 Oily sand / soil  Oily sludge  Waste Lubricants  Pigging sludge
 Hazardous waste chemicals  Sewage sludge  Batteries  Clinical waste
 Hazardous lab. Chemicals  Empty Drums (hazardous)  NORM  OBM & or OBM Cuttings
 Tyres (used)  Other
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 waste
returns

3.Signature ( waste originator) Date:

4. Full Name (Please print)

Section C: WASTE TRANSPORTER

1. Company Name:

2. Signature of Driver:

3. Full name of Driver (Please print):

Section D: WASTE DISPOSAL FACILITY

1.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 can be:

Sent monthly through monthly waste returns

WASTE CONSIGNMENT NOTE Number:

(Separate Waste consignment Notes for Hazardous & Non- Hazardous Wastes)

Section A: WASTE DETAILS

WASTE CONSIGNMENT NOTE Number:
1. Please tick () box below to indicate the type of waste you are transferring
(Separate Waste consignment Notes for Hazardous & Non- Hazardous Wastes)
NON-HAZARDOUS WASTE TYPE
 Domestic Waste A:
Section (kitchen
WASTE refuse)
DETAILS  Domestic waste (tree cuttings)  Office waste  Scrap Metal
 Non-Hazardous
1. Please tick
waste () box below
WASTE
chemicals to Empty
indicateDrums
CONSIGNMENT the type
(non of hazardous)
waste
NOTE  Electrical Cable
you are transferring Number:
NON-HAZARDOUS WASTE TYPE
 Waste wood materials  PlasticNotes
(Separate Waste consignment Drums for  Construction
Hazardous & Non- Hazardous
(non-hazardous) Wastes)
material
 Domestic
If other please describeWaste
waste(kitchen
accuratelyrefuse)
here  Domestic waste (tree cuttings)  Office waste  Scrap Metal
 Non-Hazardous
Section A:chemicals
waste WASTE DETAILS  Empty Drums (non hazardous)  Electrical Cable
1. Please tick () box below to indicate the type of waste you are transferring
 Waste wood materials
NON-HAZARDOUS WASTE  Plastic
TYPEDrums (non-hazardous)  Construction material
If other please describe waste accurately CONSIGNMENT
WASTE here
HAZARDOUS WASTE  Domestic
TYPE Waste (kitchen refuse)  DomesticNOTE waste (tree cuttings)  Office waste  Scrap Metal Number:
 Oily sand / soil  Non-Hazardous waste chemicals
sludge  Empty Drums (non  Waste Lubricants  Electrical
(Separate Waste consignment Notes for Hazardous & Non- Hazardous Wastes)
 Oily hazardous)  Pigging
Cablesludge
 Waste wood
 Hazardous waste chemicals 
materials
Section A:Sewage
WASTE DETAILS
sludge  Plastic Drums (non-hazardous)
 Batteries  Construction
 Clinical
material
waste
HAZARDOUS If other please
WASTE 1. describe
Pleasewaste
TYPE ) box below
tick (accurately here to indicate the type of waste you are transferring
 Hazardous lab. Chemicals  Empty Drums WASTE (hazardous)  NORM  OBM & or OBM Cuttings
 Oily sand / soil NON-HAZARDOUS  Oily sludge TYPE  Waste Lubricants  Pigging sludge
 Tyres (used)  Domestic  Other WASTE CONSIGNMENT NOTE
 Domestic waste  Office  Scrap MetalNumber:
 Hazardous
If other please describe waste
waste chemicals
accurately here
Waste
(kitchen refuse)
Sewage sludge  Batteries
(tree cuttings)
 Clinical
waste
waste
 HazardousHAZARDOUS  Non-Hazardous
lab. Chemicals
chemicals
Empty Drums (hazardous)
 Empty Drums
(Separate Waste consignment Notes for Hazardous & Non- Hazardous Wastes)
waste  NORM
(non hazardous)  Electrical
 OBMCable& or OBM Cuttings
WASTE TYPE
 Tyres (used)  Waste wood
 Other
materials
Section A: WASTE DETAILS Plastic Drums (non-hazardous)  Construction material
 Oily sandIf/ other  Oily sludge  Waste Lubricants  Pigging sludge
here Please tick () box below to indicate the type of waste you are transferring
soil please1. describe waste accurately here
If other please describe waste accurately
2. Quantity:
 Hazardous waste chemicals NON-HAZARDOUS  Sewage WASTE
sludge TYPE  Batteries  Clinical waste
3. Please give any other additional
Hazardousinformation
lab. Chemicals  Domestic
including Waste
details ofany
(kitchen
Empty refuse)
Drums
problems wastemay
(hazardous)
your Domestic
present, 
waste (tree
NORM
that cuttings)
will affect  Office
containment,  OBMwaste
transport, & or OBM Cuttings Scrap Metal
 Tyres (used)  Non-Hazardouswaste  Empty Drums (non hazardous)
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:
Otherchemicals  Electrical Cable
HAZARDOUSaccurately WASTE TYPE
2. Quantity: If other please describe waste  Waste woodhere materials  Plastic Drums (non-hazardous)  Construction material
 Oily sand
3. Please give any other additional / If
soil
information including
other please details
describe 
of any
waste Oily sludge
problems
accurately your waste may present, that
here will
Waste Lubricants
affect  Pigging sludge
containment, transport,
treatment or disposal of the Hazardous
waste by any subsequent
waste chemicals holder, e.g. type ofSewage
premises  Batteries
waste comes from, full analysis,
sludge process that produced the waste:
Clinical waste
Section B1: WASTE ORGINATOR (Asset )
 Hazardous lab. Chemicals  Empty
1 PDO Asset (Marmul, Nimr, Qarn Alam, Bahja-Rima,Yibal,Fahud-Lekhwair, OETS,TWM,XGB,OIM,HES, other) Drums (hazardous)  NORM  OBM & or OBM Cuttings
 Tyres (used)  details
2. Quantity:
Other
3. Please give any other additional
HAZARDOUS information including
WASTE TYPE of any problems your waste may present, that will affect containment, transport,
Ifdisposal
other please describe waste accurately here
Please tick ) WASTE ORGINATOR
one (B1:
Section treatment or of the waste
 Oily
by
(Asset any
) subsequent
sand / soil
holder, e.g. type of premises
 Oily sludge
waste comes from, full analysis, process that
 Waste Lubricants
produced the waste:
 Pigging sludge
1 PDO Asset (Marmul, Nimr, Qarn Alam, Bahja-Rima,Yibal,Fahud-Lekhwair, OETS,TWM,XGB,OIM,HES, other)
2. Location of
 Hazardous waste chemicals  Sewage sludge
Destination:
 Batteries  Clinical waste
Please tick one ()  Hazardous lab. Chemicals  Empty Drums (hazardous)  NORM  OBM & or OBM Cuttings
 b) Mail  Other
2. Quantity:
Section B1:
Return white copy to Originator by. WASTE
a) Fax/FaxORGINATOR
NoTyres (used) (Asset ) c) Driver. d) monthly waste
3. Please give any other additional information including details of any problems your waste may present,other)
that will affect containment, transport,
returns 2. Location of1 PDO Asset (Marmul, Nimr, Qarn
If other Alam,
please Bahja-Rima,Yibal,Fahud-Lekhwair,
describe waste accuratelyholder,
here e.g. OETS,TWM,XGB,OIM,HES,
Destination:
treatment or disposal of the waste by any subsequent type of premises waste comes from, full analysis, process that produced the waste:

Return white copyPlease

to Originator ) a) Fax/Fax No
tick one (by. b) Mail c) Driver. d) monthly waste
returns
3.Signature ( waste originator) Date:
2. Location of 2. Quantity: Destination:
Section B1: WASTE ORGINATOR (Asset )
4. Full Name (Please print) 1 PDO Asset 3. Please give
(Marmul, anyQarn
Nimr, other Alam,
additional information including details of anyOETS,TWM,XGB,OIM,HES,
Bahja-Rima,Yibal,Fahud-Lekhwair, problems your waste may present, that will affect containment, transport,
other)
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:
Return white copy to Originator by. a) Fax/Fax No b) Mail c) Driver. d) monthly waste
3.Signature ( returns
waste originator) Date:
Please tick one ()
Section C: WASTE
4. Full TRANSPORTER
Name (Please print)
1. Company Name: 2. Location of Destination:
Section B1: WASTE ORGINATOR (Asset )
3.Signature ( waste originator) Date:
1 PDO Asset (Marmul, Nimr, Qarn Alam, Bahja-Rima,Yibal,Fahud-Lekhwair, OETS,TWM,XGB,OIM,HES, other)
2. Signature of Driver: Return white copy to Originator by. a) Fax/Fax No b) Mail c) Driver. d) monthly waste
Section C: WASTE TRANSPORTER
1. Company Name:
4. Full Name returns
(Please print)
3. Full name of Driver (Please print): Please tick one ()

2. Signature of Driver:
2. Location of Destination:
Section D: WASTESection DISPOSAL FACILITY
C:3.Signature
WASTE TRANSPORTER
( waste originator) Date:
1.Waste disposal Location/Site:
3. Full name 1. Company
of Name:
Driver (Please print):
Return white copy to Originator by. a) Fax/Fax No b) Mail c) Driver. d) monthly waste
returns print)
4. Full Name (Please
2. Name of Waste Disposal Site Operator:
Section D: 2. Signature
WASTE of Driver:
DISPOSAL FACILITY
1.Waste disposal Location/Site:
3.Date& time waste received:
3. Full name of Driver (Please print):
Section C: WASTE TRANSPORTER
3.Signature ( waste originator)
2. Name of Waste Disposal Site Operator: Date:
1. Company Name:
4. Signature of Waste Disposal
SectionOperator
D: WASTE DISPOSAL FACILITY
3.Date& time1.Waste disposal Location/Site:
waste received: 4. Full Name (Please print)
2. Signature of Driver:
Distribution:
2. Waste
4. Signature of Name Disposal
of Waste Operator
Disposal Site Operator:
Yellow Copy: Originator 3. Full
Bluename of Driver
Copy: (Please
Disposal print):
Site White Copy : Waste Contractor Return to Originator
Section C: WASTE TRANSPORTER
(MESC Number 93.55.81.500.9) 1. Company Name:
3.Date& time waste received:
Distribution: Section D: WASTE DISPOSAL FACILITY
Yellow Copy: 1.Waste disposal
Originator Blue Location/Site:
Copy: Disposal
4. Signature 2. Signature
of Waste Disposal of
Operator Driver: Site White Copy : Waste Contractor Return to Originator
(MESC Number 93.55.81.500.9)
2. Name of Waste Disposal Site Operator:
3. Full name of Driver (Please print):
Distribution:
3.Date&
Yellow Copy: time waste received:
Originator Blue Copy: Disposal Site White Copy : Waste Contractor Return to Originator
Section D: WASTE DISPOSAL FACILITY
(MESC Number 93.55.81.500.9)
1.Waste disposal Location/Site:
4. Signature of Waste Disposal Operator

2. Name of Waste Disposal Site Operator:

Distribution:
3.Date&
Yellow Copy: time waste received:
Originator Blue Copy: Disposal Site White Copy : Waste Contractor Return to Originator
(MESC Number 93.55.81.500.9)
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

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

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

Section A: WASTE DETAILS

Section A: WASTE DETAILS
1. Please tick () box1.
belowPlease
to indicate )type
tick (the boxof
below
wastetoyou
indicate
are transferring
the type of waste you are transferring
NON-HAZARDOUS WASTE
NON-HAZARDOUS
TYPE WASTE TYPE
 Domestic Waste (kitchenrefuse)  Domestic
Domestic Waste (kitchen refuse)  Domestic 
waste (tree cuttings) waste
Office
(tree
waste
cuttings)  Office
 Scrapwaste
Metal  Scrap Metal
 Non-Hazardous waste chemicals
 Non-Hazardous
 Empty
waste chemicals  Empty Drums
Drums (non hazardous)  Electrical
(non hazardous)
Cable  Electrical Cable
 Waste wood materials  Waste wood materials
 Plastic Drums (non-hazardous)
 Plastic Drums
 Construction
(non-hazardous)
material  Construction material
If other please describe waste
If other
accurately
pleasehere
describe waste accurately here

HAZARDOUS WASTE
HAZARDOUS
TYPE WASTE TYPE
 Oily sand / soil  Oily sand / soil
 Oily sludge  Oily sludge
 Waste Lubricants  Waste
 Pigging
Lubricants
sludge  Pigging sludge
 Hazardous waste chemicals
 Hazardous waste
 Sewage
chemicals
sludge  Sewage sludge
 Batteries  Batteries
 Clinical waste  Clinical waste
 Hazardous lab. Chemicals
 Hazardous lab.Chemicals  Empty Drums
Empty Drums (hazardous)  NORM
(hazardous)  NORM
 OBM & or OBM Cuttings
 OBM & or OBM Cuttings
 Tyres (used)  Tyres (used)  Other  Other
If other please describe waste
If other
accurately
pleasehere
describe waste accurately here

2. Quantity: 2. Quantity:
3. Please give any other additional
3. Please
information
give any other
including
additional
details
information
of any problems
including
your
details
wasteofmay
anypresent,
problemsthat
your
willwaste
affectmay
containment,
present, that
transport,
will affect containment, transport,
treatment or disposal of the treatment
waste by or
anydisposal
subsequent
of the
holder,
wastee.g.
by any
typesubsequent
of premises
holder,
waste e.g.
comestype
from,
of premises
full analysis,
wasteprocess
comes from,
that produced
full analysis,
the waste:
process that produced the waste:

Section B1: WASTE ORGINATOR

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

Please tick one () Please tick one ()

2. Location of 2. Location of Destination: Destination:

Return white copy to Originator

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

3.Signature ( waste originator)

3.Signature ( waste originator) Date: Date:

4. Full Name (Please print) 4. Full Name (Please print)

Section C: WASTE TRANSPORTER

Section C: WASTE TRANSPORTER
1. Company Name: 1. Company Name:

2. Signature of Driver: 2. Signature of Driver:

3. Full name of Driver (Please

3. Full
print):
name of Driver (Please print):

Section D: WASTE DISPOSAL

Section D:FACILITY
WASTE DISPOSAL FACILITY
1.Waste disposal Location/Site:
1.Waste disposal Location/Site:

2. Name of Waste Disposal2.

Site
Name
Operator:
of Waste Disposal Site Operator:

3.Date& time waste received:

3.Date& time waste received:

4. Signature of Waste Disposal

4. Signature
Operatorof Waste Disposal Operator

Distribution: Distribution:
Yellow Copy: Originator
Yellow Copy:
Blue Copy:
Originator
Disposal Site
Blue Copy:
White
Disposal
CopySite
: Waste Contractor
White Copy
Return
: Waste
to Originator
Contractor Return to Originator
(MESC Number 93.55.81.500.9)
(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.

Well Engineering - June 2001