GBR 12 1 Waste Carrier 2016

Application for Waste Carrier Registration

Address: Environment and Resources Authority
Environmental Permitting Unit
Hexagon House, Spencer Hill,
Marsa. MRS 1441. Malta.
Telephone: 2292 3500
E-mail: /
Form GBR 12.1

Please complete in block letters. The requested information must be completed in full. Failure to provide adequate information will delay processing of the application.

Date application was received and stamp:
(For office use only). / Reference Number:
(For office use only)
GBR

Title of application

Registration of Waste Carrier (Vehicles)
Registration Number (Number plate):

Class (see page 3 of application form)
/ Do you have another application for the same vehicle?
Yes No
1. Personal details of applicant or contact person / 2. Details of company or institution on behalf of which the application is being made

Address:

Town:
Postal Code:

Telephone Number:
Fax:
Mobile:
E-mail:
ID card number:
VAT Number:
(VAT number to be included where available). /
Address:

Town:

Postal Code:

Telephone Number:
Fax:
Mobile:
E-mail:
Company registration
number:
VAT Number:
NACE Code:

3. Additional information

Guidance notes:

Please Allow 5 working days for this application to be processed.

You are only allowed to tick on one class per application form

3.1 Kindly choose only one category of waste per application form. (Please refer to the guidance note attached for the list of waste within each class.)
Class A1 – Construction and Demolition Waste
Class A2 – Road Services and Furniture
Class A3 – Restaurants (Canteen waste) and Municipal Waste
Class A4 – Separated Waste (including non-hazardous packaging waste)
Class A5 – Other Non-Hazardous Waste
Class C1 – Sharps/ Hospital/ Pharmaceutical waste
Class C2 – Animal/ plant/ foodwaste
Class D1 – Non hazardous Liquid waste
Class D2 – WEEE (Waste Electrical and Electronic Equipment)
Class D3 – Other Hazardous Waste (including liquid wastes)
3.2 In the case of Classes A5 and D3 kindly indicate the type of waste in the boxes below:
3.3 General description of Vehicle (please tick one)
RCV (Scammel) (A3 only)
Skip/ Hook Loader (A1, A2, A4, A5*, C2, D1, D3*only)
Van (A1, A2, A4, A5, C1, C2*, D2 only)
Open Truck (A1, A2, A4, A5* only)
Bowser(D1and D3* only)

Other (Please Specify)

3.4 Capacity of the vehicle (in tonnes)
3.5 Is waste compartment refrigerated and/or mechanically ventilated. (For class C2 only)
Yes No
3.6 Category of Hazardous waste the vehicle is designed to transport. (For class D only – Please tick one only)
Solid Liquid Gas
3.7Details of systems that ensure secure containment of wastes including a certificate by a warranted engineer confirming that all these systems are good operational conditions
Please attach the relevant certificate including the set EWC Codes described above issued by a warranted engineer. For class A3,C2,D1, and D3 classes only. In case skip/hook loaders are used to carry wastes under the C category, the declaration must also cover the type of container being used.

Titles of supplementary forms and documentation to be submitted / Tick when provided
3 Photos of vehicle (front, side and back) N.B. in the case of hook/ skip loaders, the photos are to include the type of skip/ container to be used to carry the waste.
Copy of Logbook
Copy of valid vehicle licence
Copy of Valid Insurance
Engineer’s report including EWC codes (in case of Classes A3, C2, D1 , D3)
Insert further documents as applicable
NB: The Authority may request any additional information it deems necessary to further process the application.

Applicant’s declaration

I apply for the environmental registration as indicated above, and declare that, to the best of my knowledge, all the information contained in this application and on the submitted supplementary forms and documentation is complete and correct. I also understand that any incomplete, fraudulent or misleading information will annul the application or permit, and may also incur any relevant penalties. I alsodeclare that I have read the data protection clause below:
______
Signed on behalf of/in my own name (in block letters) date

PLEASE READ THE FOLLOWING BEFORE SIGNING - Data Protection Clause

In terms of the Data Protection Act (Chapter 440 of the Laws of Malta), we will process any personal and/ or sensitive data supplied on/ in this application, request or notification form or subsequently supplied by yourself, whether orally or in writing, for all or any of the following:

The proper processing of your application, request and/or notice as submitted;
verification of the information provided to our officers;
Preventing, detecting and/or prosecuting fraud and any other criminal activity which the Authority is bound to report and/or act upon whilst meeting any other specific legal or regulatory obligations;
Establishing, exercising or defending any legal action;
Internal management, research and statistics, systems administration, the development and improvement of our services;
the protection and promotion of our legitimate interests and the proper conduct of our obligations arising under any law or statutory instrument; and
to make public the necessary information as specified in the relevant law and/or instrument.

Relevant data will be disclosed or shared as appropriate with all our employees and with other third parties if pertinent to any of the purposes listed above.

Every field on the form is mandatory. Should you fail to fill in any mandatory field, we reserve the right to refuse the application. Should any field be inapplicable to your particular circumstances please mark that field with the letters “N/A”.

You have the right to require that we provide you with access to your personal data as well as the right to rectify, or, in appropriate circumstances, erase/edit any inaccurate, incomplete or immaterial personal data which is being processed. However, you are required to inform us immediately of any alterations relating to your personal data which we are processing.

By signing this form, you confirm that you are giving your explicit consent, in terms of the Data Protection Act, on behalf of yourself and all the other persons specified in this form for the Authority to process your respective personal information as outlined above and you confirm that you have brought this Data Protection notice to the attention of these other persons and obtained their respective consents.

We undertake to implement appropriate measures and safeguards for the purpose of protecting the confidentiality, integrity and availability of all data processed.

GUIDANCE NOTE – For reference only

Guidance note for EWC Codes – kindly note that you are to choose only one class per application form. Classes are standard as set out by MEPA

GBR 38A1 EWC Codes for Construction and Demolition Waste

01 01 02 / Waste from mineral non-metalliferrous excavation / 01 04 08 / Waste gravel and crushed rocks other than those mentioned in 01 04 07
01 04 09 / Waste sand and clays / 01 04 10 / Dusty and powdery wastes other than those mentioned in 01 04 07
01 04 11 / Wastes from potash and rock salt processing other than those mentioned in 01 04 07 / 01 04 13 / Wastes from stone cutting and sawing other than those mentioned in 01 04 07
17 01 01 / Concrete / 17 01 02 / Bricks
17 01 03 / Tiles and Ceramics / 17 01 07 / Mixtures of concrete, bricks, tiles and ceramics other than those mentioned in 17 01 06
17 02 02 / Glass / 17 02 03 / Plastic
17 04 01 / Copper, Bronze, Brass / 20 02 02 / Soil and stones
17 04 03 / Lead / 17 04 05 / Iron and Steel
17 04 07 / Mixed metals / 17 05 04 / Soil and stones other than those mentioned in 17 05 03
17 06 04 / Insulation materials other than those mentioned in 17 06 01 and 17 06 03 / 17 08 02 / Gypsum based construction materials other than those mentioned in 17 08 01
17 09 04 / Mixed construction and demolition wastes other than those mentioned in 17 09 01, 17 09 02, 17 09 03 / 20 01 01 / Paper and Cardboard

GBR 38A2 EWC Codes for Road Services & Furniture (Bulky Refuse, beach cleaning, road cleaning, etc)

02 01 04 / Waste Plastics / 17 01 02 / Bricks
17 01 07 / Mixture of concrete, bricks, tiles and ceramics / 17 02 01 / Wood
17 02 03 / Plastic / 17 03 02 / Bituminous mixtures
17 04 01 / Copper, bronze, brass / 17 04 02 / Aluminium
17 04 03 / Lead / 17 04 04 / Zinc
17 04 05 / Iron & steel / 17 04 06 / Zinc
17 04 07 / Mixed metals / 17 05 04 / Soil & stones other than those mentioned in 17 05 03
20 01 01 / Paper & cardboard / 20 01 02 / Glass
20 01 10 / Clothes / 20 01 11 / Textiles
20 01 38 / Wood other than those mentioned in 20 01 37 / 20 01 39 / Plastics
20 01 40 / Metals / 20 02 01 / Biodegradable waste
20 02 02 / Soil and stones / 20 02 03 / Other non biodegradable waste
20 03 02 / Waste from markets / 20 03 03 / Street cleaning residues
20 03 07 / Bulky waste

GBR 38A3 EWC Codes for Restaurants (Canteen waste) and Municipal Waste – RCV’s

15 01 01 / Paper packaging / 15 01 02 / Plastic packaging
15 01 03 / Wooden packaging / 15 01 04 / Metallic packaging
15 01 05 / Composite packaging / 15 01 06 / Mixed packaging
15 01 07 / Glass packaging / 15 01 09 / Textile packaging
20 03 07 / Bulky waste / 20 01 08 / Biodegradable kitchen & canteen waste
20 02 01 / Biodegradable waste / 20 02 03 / Other non biodegradable waste
20 03 01 / Mixed municipal waste / 20 03 99 / Municipal waste

GBR 38A4 EWC Codes Separated waste

15 01 01 / Paper and Cardboard packaging / 15 01 02 / Plastic packaging
15 01 03 / Wooden packaging / 15 01 04 / Metallic packaging
15 01 05 / Composite packaging / 15 01 06 / Mixed packaging
15 01 07 / Glass packaging / 15 01 09 / Textile packaging
16 01 03 / End-of-life tyres / 19 12 01 / Paper and cardboard
19 12 02 / Ferrous metal / 19 12 03 / Non-ferrous metal
19 12 04 / Plastic and rubber / 19 12 05 / Glass
19 12 07 / Wood other than that mentioned in 19 12 06 / 19 12 08 / Textiles
20 01 01 / Paper and cardboard / 20 01 02 / Glass
20 01 10 / Clothes / 20 01 11 / Textiles
20 01 25 / Edible oil and fat / 20 01 28 / Paints, inks, adhesives and resins not containing dangerous substances
20 01 30 / Detergents other than those mentioned in 20 01 29 / 20 01 32 / Medicines other than those mentioned in 20 01 31
20 01 34 / Batteries and accumulators other than those mentioned in 20 01 33 / 20 01 36 / Discarded electrical and electronic equipment other than those mentioned in 20 01 21, 20 01 23 and 20 01 35
20 01 38 / Wood other than those mentioned in 20 01 37 / 20 01 39 / Plastics
20 01 40 / Metals / 20 01 41 / Wastes from chimney sweeping

GBR 38A5 EWC Codes for other types of wastes under Class A

No codes are associated with this class. Please indicate EWC code in section 2 of the form.

GBR 38C1 EWC Codes for Sharps / Hospital / Pharmaceutical Waste

18 01 01 / Sharps (except 18 01 03) / 18 01 02 / Body parts & organs including blood bags and blood preserves (except 18 01 03)
18 01 04 / Waste whose collection and disposal is not subject to special requirements in order to prevent infection (e.g. dressings, plaster casts, linen, disposable clothing, diapers) / 18 01 07 / Chemicals other than those mentioned in 18 01 06
18 01 09 / Medicines other than those mentioned in 18 01 08 / 18 02 01 / Sharps (except 18 02 02)
18 02 03 / Waste whose collection & disposal is not subject to special requirements in order to prevent infection / 18 02 06 / Chemicals other than those mentioned in 18 02 05
18 02 08 / Medicines other than those mentioned in 18 02 07) / 20 01 31* / Cytotoxic and cytostatic medicines
20 01 32 / Medicines other than those mentioned in 20 01 31 / 18 01 03* / Waste whose collection and disposal is subject to special requirements in order to prevent infection

GBR 38C2 EWC Codes for other wastes excluding GBR38C1 and animal by- product waste (Waste from animals, plants and spoilt food )

02 01 06 / Animal faeces, urine and manure (including spoiled straw), effluent, collected separately and treated off site / 02 03 04 / Materials unsuitable for consumption (wastes from fruit, vegetables, cereals, edible oils etc)
02 05 01 / Materials unsuitable for consumption (wastes from dairy product industry) / 02 06 01 / Materials unsuitable for consumption (wastes from the baking & confectionery industry

GBR 38D1 EWC Codes for Liquid Waste (Bowsers)

01 05 04 / Fresh water drilling muds / 02 01 01 / Sludges from washing and cleaning
02 01 06 / Animal faeces, urine, manure (including spoiled straw) effluent, collected separately and treated off site / 02 06 03 / Sludges from on-site effluent treatment (wastes from baking & confectionery industry)
10 12 13 / Sludge from on-site effluent (wastes from manufacture of ceramic goods, bricks, tiles and construction products) / 19 07 03 / Landfill leachate other than those mentioned in 19 07 02
19 08 01 / Screenings / 19 08 05 / Sludges & treatment of urban waste water
19 08 12 / Sludges from biological treatment of industrial waste water other than those mentioned in 19 08 11 / 19 08 14 / Sludges from other treatment of industrial waste water other than those mentioned in 19 08 13)
20 03 04 / Septic tank sludge

GBR 38D2 EWC Codes for WEEE including White Goods

16 02 09* / Transformers & capacitators containing PCB’s / 16 02 10* / Discarded equipment containing or contaminated by PCB’s other than those mentioned in 16 02 09
16 02 11* / Discarded equipment containing chlorofluorocarbons,HCFC,HFC / 16 02 12* / Discarded equipment containing free asbestos
16 02 13* / Discarded equipment containing hazardous components other than those mentioned in 16 02 09 to 16 02 12 / 16 02 15* / Hazardous components removed from discarded equipment
20 01 21* / Fluorescent tubes and other mercury containing waste / 20 01 23* / Discarded equipment containing chlorofluorocarbons
20 01 35* / Discarded electrical & electronic equipment other than those mentioned in 20 01 21 and 20 01 23 containing hazardous components

GBR 38D3 EWC Codes for other types of liquid wastes

No codes are associated with this class. Please indicate EWC code in section 2 of the form.

NOTE: For the purpose of this list of wastes, PCBs means (1) polychlorinated biphenyls, (2) polychlorinated terphenyls, (3) monomethyl-tetrachloro-diphenyl methane, monomethyl-dichloro-diphenyl methane, monomethyl-dibromo-diphenyl methane, and (4) any mixture containing any of the above-mentioned substances in a total of more than 0.005% by weight.

Hazardous components from electrical and electronic equipment may include accumulators and batteries mentioned in 16 06 and marked as hazardous; mercury switches, glass from cathode ray tubes and other activated glass etc.

Application for WasteCarrier-Land vehicle Page 1 of 8