Is your waste a Hazardous Waste?
Review this Environment Agency help document  

Print, complete and fax this form to Seaport at 029 2049 6851.

Hazardous Waste Characterisation Form

Address of Responsible Party

Name: ________________________________

Authorized Rep: ________________________
 
Street: ________________________________

Town: _______________County_____________Post Code:_______

Phone: _________________   Fax:__________________________

Email Address:                                                    

Generating Site Address (if different)

Name: ________________________________

Contact: ______________________________

Street: _______________________________

Town: ________________County____________Post Code:______

Phone: ________________________________

Descibe the Activity or Process which produced the Waste:

____________________________________________________
Describe the appearance of the Waste

______________________________________________

What is the colour of the waste? ___________________

How many phases are present? ______________  

Estimate of composition of the Waste

                  Petroleum      Aqueous     Sediment

% volume     _______________________________

Estimated amount of waste in tons________________ 

   
How much of this waste (truck loads) do you expect to generate?____________

Chemical Characterisation of the Waste 

Is the pH less than 2 or greater than 12.5?  __________________

Is the flashpoint less than 32 C?   _________________

Are reactive cyanides or sulfides present? __________________

Is there separate-phase liquid present in the waste?__________________

Can you detect a hydrocarbon odor from the waste?__________________

Was the waste tested for hydrocarbons?__________________

Are chlorinatedhydrocarbons such as trichloroethylene present?__________________

Was the waste tested for chlorinated hydrocarbons ?__________________

Are heavy metals present?__________________

Was the waste tested for heavy metals?__________________

Is there evidence of an emulsion?__________________

Was the waste tested for anything other than the above contaminants?_____

Please provide copies of the results of any analytical work carried out on the waste.

Generator/Authorised Agent __________________

Signature & Date___________________________

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