Metcalfe Bros Ltd
Connecting… CBDU93598 · WEX463428
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Section ADescription of Waste
A1. Description of waste being transferred
EWC
A2. How is the waste contained?
A3. Quantity of waste
Section BWaste Producer Details
Company name
Site address
(where waste is collected from)
Section CWaste Carrier Details
C1. Company name
Company address
Holder of environmental permit?
Registered waste exemption?
Registered waste carrier / broker / dealer?
Registration number
CBDU93598
Vehicle registration number
Date & time of transfer / collection
Start date
End date (if different)
Time
Tick to confirm: I confirm that I have fulfilled my duty to apply the waste hierarchy as required by Regulation 12 of the Waste (England and Wales) Regulations 2011.
Section DWaste Treatment Site
Company name
Waste treatment site address
Environmental permit / exemption number
Date(s) of transfer
Start date
End date (if different)
Note No. Issued Collection Date Collection Site Waste / EWC Qty Vehicle Status
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