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Waste Transfer Note Duty of Care
MSP 092 Issue 5
Section A – Description of waste
How is the waste contained?
Please describe the waste being transferred
List of Waste Regulations code(s)
How much waste? For example, number of sacks, weight
Section B – Current holder of the waste – Transferor
Company name and address
Postcode
"/ confirm that I have fulfilled my duty to apply the waste hierarchy as required by The Waste (England and Wales) Regulations 2011"
Name & Signature of Company Representative
SIC For the type of business (insert number here)
Are you:
The producer of the waste ?
The importer of the waste ?
The waste collection authority ?
The holder of an environmental permit ? . Permit number -
Exempt from requirement to have an environmental permit ? .
(Details, including registration number)
A registered waste carrier ? Registration number
Exempt from requirement to register as a carrier ? .
Please give details
Name of your unitary authority or council
Section C – Person Collecting the Waste
Company name and address
Postcode
Are you:
The waste collection authority ? .
The holder of an environmental permit ? . Permit number
A registered waste carrier? Registration number
.
Exempt from requirement to register as a carrier ? .
Section D – Transfer/ Disposal Location
Address of Transfer/ Disposal Point
Permit Number
Date(s) of transfer (DD/MM/YYYY) Time
Transferor’s name & signature Transferees name & signature
YES / NO
YES / NO
YES / NO
YES / NO
YES / NO