CONSIGNMENT NOTE FOR SCHEDULED WASTE 

 CONSIGNMENT NO: 20230405118YTB17  DATE SUBMIT: 05/04/2023

 STATUS: Submitted

I. WASTE GENERATOR
NAME OF WASTE GENERATOR: KISWIRE SDN. BHD.

 ADDRESS: PLO 475JALAN KELULI 2, JOHOR

SERIAL NO: 

WASTE ORIGIN: WWT NAME OF RESPONSIBLE PERSON: ZAINUDIN BIN ABD HAMID

WASTE ORIGIN CODE: SW204  POSITION: Supervisor

WASTE PACKAGING : BAG  FAKS NO: 07-2510870

TYPE OF WASTE: Sludge  TELEPHONE NO: 07-2512475

OTHER WASTE PACKAGING:  EMAIL: rmm@streamyx.com

WASTE COMPONENT: COST OF TREATMENT AND DISPOSAL 0.00

(RM):

QUANTITY PER PACKAGE:  20  QUANTITY (METRIC TONNE): 12.1600 METRIC TONNE

WASTE CODE: SW204 - Sludges containing one or several metals including chromium, copper, nickel, zinc, lead, cadmium, aluminium,
tin, vanadium and beryllium

WASTE NAME: Metal Hydroxide sludge

II. CONTRACTOR
NAME OF CONTRACTOR: KUALITI ALAM SDN BHD ( KEMUDAHAN PENGANGKUTAN) (PYDT BT)

 ADDRESS: LADANG TANAH MERAH A3 DIVISION BUKIT PELANDOK , PORT DICKSON, NEGERI SEMBILAN

NAME OF RESPONSIBLE PERSON: Harish Mirza Bin Harminder Singh @  POSITION:

Haidh

TEL NO: 06-6673388  FAKS NO: 06-6672300

EMAIL : harish@cenviro.com

NAME OF DRIVER: MOHAMAD KHAIROL NIZAM BIN MOHD ZAMRI

NRIC:  891109055059 VEHICLE NO:  PQS 8692

TEMPORARY STORAGE:

III. STORAGE/TREATMENT/RECOVER/DISPOSAL/FACILITY OPERATOR

NAME OF FACILITY: KUALITI ALAM SDN. BHD. (KEMUDAHAN PENSTORAN LUAR TAPAK)

 ADDRESS: LADANG TANAH MERAHA3 DIVISION P. O. BOX 126PORT DICKSONNEGERI SEMBILAN

TELEPHONE NO: 06-6673388 NAME OF RESPONSIBLE PERSON: Rahayu Rais

FAX NO: 06-6672300 EMAIL: rahayu@kualitialam.com

TYPE OPERATION:

OTHER TYPE OPERATION:

QUANTITY (METRIC TONNE): 0.0000 METRIC TONNE

DATE RECEIVED/REJECTED:

REMARK:

05/04/2023 11:27:38 AM

 THIS IS A COMPUTER-GENERATED DOCUMENT AND IT DOES NOT REQUIRE A SIGNATURE.