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Rep_HazdWasteManifest_ReportCopy 22836190 (1)

The document is a waste transportation manifest for hazardous waste being sent from Gujarat Alkalies and Chemicals Ltd to its TSDF site in Gujarat. It details the sender, receiver, waste type, transporter, and vehicle information, along with declarations and certifications regarding the waste's handling and compliance with regulations. The total quantity of waste being transported is 4.000 MT of semi-solid sludge, scheduled for transport on 18/02/2025.

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Digvijay
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20 views

Rep_HazdWasteManifest_ReportCopy 22836190 (1)

The document is a waste transportation manifest for hazardous waste being sent from Gujarat Alkalies and Chemicals Ltd to its TSDF site in Gujarat. It details the sender, receiver, waste type, transporter, and vehicle information, along with declarations and certifications regarding the waste's handling and compliance with regulations. The total quantity of waste being transported is 4.000 MT of semi-solid sludge, scheduled for transport on 18/02/2025.

Uploaded by

Digvijay
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Tsdf Site Of Gacl [22851] Manifest No: Copy 2

2836190
18/02/2025
To be forwarded by To be Carried by the occupier after taking signature on it form the
transporter.
Sender’s Details
Sender Name Gujarat Alkalies And Chemicals Ltd, Gacl [21971]
Address PO PETROCHEMICAL,- Taluka :VAD Distict:VAD Pin no:391350
Contact Details 9725004250 GPS Coordinates Lat :22.394800882493413 Long
[email protected] :73.11830520629883
Guardian Detail Prashant Nasit, Chief Manager, 9724323038, [email protected]

Receiver’s Details
State Gujarat Type of Facility Captive TSDF
Facility Details Tsdf Site Of Gacl [22851]
Contact Details 9725004250 GPS Coordinates Lat :22.384766095696847
[email protected] Long:73.10098247333715
Address Dhanora,- Taluka :VAD Distict:VAD Pin no:-391350

Waste Details
Waste Details I~16~16.2~Residue or Sludges And Filter Cakes
Waste Intended for LandFill Total Qty 4.000MT Consistency semi solid

Transporter Details
Name m/s soham enterprise Contact Details 7573023420 [email protected]
Address AT po Bajwa,bajwa District :Vadodara Taluka :Vadodara

Vehicle Details
Vehicle no GJ06DH5253 (IMEI No GPS Enabled Yes Type of Vehicle Tractor
:869630053238360)
Driver name Mohan bhai M Kharva Driver Contact No 9998982286

Waste Transportation Details


Vehicle Depart. 18/02/2025 9:00AM Trip Start 18/02/2025 9:06AM No of Drums 0 Loose Waste 4.000
Remarks Sludge No of bags 0

Sender’s Declaration :
(1) The above contents of hazardous/ other wastes consignment are fully and accurately described above by proper shipping name
and are categorized, packed, marked and labeled, and are in all respects in proper conditions for its transport from aforementioned
location to common facility or captive facility or actual user by way of road/ transportation in accordance with the applicable central
as well as state government regulations.
(2) I have obtained membership of common facilities/ carried out agreement with actual user for disposal/ actual use of hazardous
waste having authorization under Rule-9.
(3) I do hereby verify that no part of manifest is false and nothing has been concealed. If any information sprouts to be false or
concealed, I will be held responsible for the consequences under HOWM Rules, 2016 and amendments thereof.

Name and stamp of sender: Date: Signature:


Transporter’s Acknowledgement of Receipt of waste
Stamp: Date: Signature:

Receiver’s Certification of Receipt of Hazardous waste


I, hereby declare that the said waste is received at the facility/unit for which I have valid CCA (under Rule-9 in case of recycling)
for its disposal/ utilization. I also declare this information to be true failing which I will be held responsible for the consequences
under HOWM Rules, 2016 and amendments thereof. I hereby, accept/ reject the manifest.

Stamp: Date: Signature:

By scanning QR code, copy of transporter will be display. (All copy has same information)
Print by 21971 @ 18/02/2025 09:07:00 AM 64e52cdd-89ff-4f2f-a951-eb0d7467e66b Page 1 of 1

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