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BMW Form

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210 views3 pages

BMW Form

Uploaded by

santuk38
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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FORM II

(See Rule 10)


APPLICATION FOR AUTHORIZATION OR RENEWAL OF AUTHORISATION
(To be submitted by occupier of Health Care Facility or Common Bio-Medical Waste Treatment
Facility)

To
The Member Secretary,
Bihar State Pollution Control Board

1 Particulars of the applicant:


i) Name of the applicant : BIRESH KUMAR PANDEY
Designation : Owner
ii) Name of the HCF or CBWTF : MAA LAXMI HOSPITAL AND TRAUMA
CENTRE
Address for correspondence : Brijkishor halt
Phone No : 06151-2244663656
Mobile No. : 7061617435
E-mail Id : [email protected]
2 Activity for which authorisation is sought:
Treatment or processing or conversion,Recycling,Disposal or destruction use,Any Other Form Of
Handling
3 i) Authorization Applied For : : Fresh
3 ii) Previous Authorization Details :
iii) Applied for CTE/CTO-latest consent type, : na
issued date and validity date
iv) GPS Coordinates- Lat/Lon of the applicant Latitude: 84.113981 (N Decimal degrees)
facility(6 decimals) Longitude: 84.113981 (E Decimal degrees)
4 i) BMW Facility Type : HCF
ii) BMW Facility Status : CBMWTF-Common Facility
iii) Address of the location of Health Care Facility : Brijkishor halt
or CBMWTF
iv) CBMWTF-Office and location address of : sidhwalia,gopalgaj,bihar /
treatment and disposal brijkishore halt ,sidhwalia,gopalganj
5) Details of HCF
i) Medical Treatment Facility provided to : 15
Outpatients
ii) Medical Treatment Facility provided to : 1
Inpatients
iii) No of Beds : 2
iv) For Non bedded Hospital (Please Specify) :

1
v) Total number of patients treated per month by : 350
the HCF
vii) Quantity of BMW handled, treated or disposed:
Catego Type of Waste Quantity Method of Treatment and
ry Generated or Disposal as per Schedule-I
collected in
Kg/day
Yellow a) Human Anatomical Incineration
Waste
b) Animal Anatomical Incineration
Waste
c) Soiled Waste Incineration
d)Expired or Discarded Incineration
Medicines
e)Chemical Solid Waste Incineration
f) Chemical Liquid Waste Onsite ETP to treat and conform to
the discharge standards
g)Discarded linen, Disinfection followed by
mattresses, beddings Incineration
contaminated with blood
or body fluid
h) Microbiology, Sterilisation followed by
Biotechnology and other Incineration
clinical laboratory waste
Red Contaminated waste Autoclaving followed by shredding.
(Recyclable) Treated waste to be sent to
Authorised recyclers or for energy
recovery or plastic to Diesel or fuel
oil or for road making
White( Waste sharps including Autoclaving followed by shredding.
Translu Metals Treated waste to be sent to Iron
cent) foundries or sanitary landfill or
designated concrete waste sharp pit.
Blue Glassware Disinfection or Autoclaving or
microwaving or hydroclaving and
then sent for recycling
Metallic Body Implants
Total Kg/Day
6i) Mode of Transportation of BMW : Common Facility Vehicle
ii) Details of Treatment equipments available:

2
Sl Treatment equipment No of units Type and Capacity of each unit
No
1 Incinerators
2 Plasma Pyrolysis
3 Autoclaves
4 Microwave
5 Hydroclave
6 Shredders
7 Needle tip cutter or
destroyer
8 Sharp encapsulation or
Concrete pit
9 Deep burial pits
10 Chemical disinfection
11 Any other treatment
equipment
7 Contigency Plan of CBWTF (Attach :
Documents)
8 Details of directions or notices or legal :
actions if any during the period of earlier
authorisation
9 Declaration
I do hereby declare that the statements made and information given above is true to the best of
my knowledge and belief and that I have not concealed any information.
I do also hereby undertake to provide any further information sought by the Prescribed Authority
in relation to these rules and to fulfill any conditions stipulated by the Prescribed Authority.

Date: 09/03/2024
Place : Signature of the applicant
Name and Designation

Enclosures:

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