Controlled Waste Transfer

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CUSTOMER DETAILS Company Name Order Number Address Postcode Contact Telephone Mobile Email DUTY OF CARE Description of business type (eg office, catering, retail) Disposal Address (If different from above) Postcode European Waste Code (6 Digits) Waste Description See for further details SIC Code Is the waste pre-treated Yes No If yes, how Please give any additional information necessary for the safe handling, treatment or disposal of your waste Annual renewal: To assist customers to comply with regulations and benefit from an uninterrupted service, M M Skip Hire Ltd will automatically issue a renewal Waste Transfer Note prior to the expiry of this document, unless there is an agreement to terminate the contract Type of container (please indicate) AGREEMENT 1100 Litre 660 Litre 360 Litre I would like any excess waste to be removed when the bin is serviced and I accept the additional charge Agreed by the Customer Yes 120 Litre No Agreed by M M Skip Hire Ltd Authorised Signature Authorised Signature Print Name (Block Capitals) Print Name (Block Capitals) Job Title Job Title Date Date Period of contract: 240 Litre From To M M Skip Hire Ltd, Worton Farm, Cassington, Witney, Oxon, OX29 4SU T: 01865 880559 F: 01865 731404 E: sales Registered Carrier Number: CB/TN5777YT WML: EPR/BP3097ET Wheelie Bin.

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