Guidelines On Using Waste Consignment Notes

Guidelines on using
Waste Consignment Notes
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Waste Consignment Notes (WCN)
should accompany all types
of waste transported
The WCN is the documentary
evidence which is used to
demonstrate that the waste has
been managed in a responsible
manner
Well Engineering - June 2001
The WCN
WASTE CONSIGNMENT NOTE Number:
(Separate Waste consignment Notes for Hazardous & Non- Hazardous Wastes)
Section A: WASTE DETAILS

1. Please tick ( ) box below to indicate the type of waste you are transferring
comprises of
WASTE CONSIGNMENT NON-HAZARDOUS NOTE WASTE TYPE Number:
(Separate Waste consignmentNotes
Domestic Waste (kitchen
for Hazardous refuse)
& Non-  Domestic waste (tree cuttings)
Hazardous Wastes)  Office waste  Scrap Metal
 Non-Hazardous waste chemicals  Empty Drums (non hazardous)  Electrical Cable
WASTE CONSIGNMENT
1. Please tick (NOTE
 Waste wood materials  Plastic Drums (non-hazardous)
) box below to indicate the type of waste you are transferring Number:  Construction material
If other please describe waste accurately here
NON-HAZARDOUS
(Separate Waste consignment WASTE
Notes for Hazardous TYPE Wastes)
& Non- Hazardous
 Domestic Waste (kitchen refuse)  Domestic waste (tree cuttings)  Office waste  Scrap Metal
3 different
1.
 Non-Hazardous waste chemicals  Empty Drums (non hazardous)
Please tick ( ) box below to indicate the type of waste you are transferring
 Electrical Cable
NON-HAZARDOUS  Waste
WASTE wood materials
TYPE HAZARDOUS  Plastic
WASTE TYPE
Drums (non-hazardous)  Construction material
If other please describe wasteaccurately here  Oily sludge  Scrap Metal  Waste Lubricants  Pigging sludge
 Domestic Waste (kitchen refuse)  DomesticOily sand
waste / soil
(tree cuttings)  Office waste
 Non-Hazardous waste chemicals  EmptyDrums
Hazardous
(non waste chemicals  Electrical
hazardous) Sewage sludge
Cable  Batteries  Clinical waste
 Waste wood materials  PlasticDrums
Hazardous lab. Chemicals  Construction
(non-hazardous)  Empty Drums (hazardous)
material  NORM  OBM & or OBM Cuttings
HAZARDOUS WASTE TYPE  Tyres (used)  Other
colour forms
 Oily sand / soil  Oily sludge  Waste Lubricants  Pigging sludge
 Hazardous waste chemicals  Sewage sludge  Batteries  Clinical waste
HAZARDOUS WASTE  Hazardous
TYPElab. Chemicals  Empty Drums (hazardous)  NORM  OBM & or OBM Cuttings
 Oily sand / soil  Tyres (used) 2. Quantity:  Other
 Oily sludge  Waste Lubricants  Pigging sludge
If other please describe waste3.accurately here
 Hazardous waste chemicals  Sewage Please
sludge give any other
 Batteries
additional information including
 Clinical waste
details of any problems your waste may present, that will affect containment, transport,
treatment or disposal of the waste by any subsequent holder, e.g. type of premises waste comes from, full analysis, process that produced the waste:
 Hazardous lab. Chemicals  Empty Drums (hazardous)  NORM  OBM & or OBM Cuttings
 Tyres (used)  Other
2. Quantity:
3. Please give any other additional information
Section B1: WASTEincluding details of any problems
ORGINATOR (Asset )your waste may present, that will affect containment, transport,
White
treatment or disposal of the waste
1 PDObyAsset
any subsequent
(Marmul,holder,
Nimr, e.g.
Qarn type of premises
Alam, waste comes from, full analysis,OETS,TWM,XGB,OIM,HES,
Bahja-Rima,Yibal,Fahud-Lekhwair, process that produced the waste:other)
2. Quantity: Please tick one ( )

3. Please give any other additional information including details of any problems your waste may present, that will affect containment, transport,
Section B1: WASTE ORGINATOR 2. Location of (Asset ) Destination:
1 PDO Asset (Marmul, Nimr, Qarn Alam, Bahja-Rima,Yibal,Fahud-Lekhwair, OETS,TWM,XGB,OIM,HES, other)
Return white copy to Originator by. a) Fax/Fax No b) Mail c) Driver. d) monthly waste
Please tick one ( ) returns
Section B1: WASTE ORGINATOR (Asset )
2. Location of Destination:
Please tick one ( )Return white copy to Originator

3.Signature ( waste originator)
by. a) Fax/Fax No b) Mail c) Driver.
Date:
d) monthly waste
returns
2. Location of 4. Full Name (Please print) Destination:
Blue
returns 3.Signature ( waste originator)
Section C: WASTE TRANSPORTER Date:
1. Company Name:
4. Full Name (Please print)
2. Signature of Driver:
3.Signature ( waste originator) Date:
Section C: WASTE TRANSPORTER
3. Full name of Driver (Please print):
1. Company Name:
Section D: WASTE DISPOSAL FACILITY

2. Signature of Driver: 1.Waste disposal Location/Site:
1. Company Name: 3. Full name of Driver (Please
2.print):
Name of Waste Disposal Site Operator:
3.Date& time waste received:
1.Waste disposal Location/Site:
4. Signature of Waste Disposal Operator
Yellow
2. Name of Waste Disposal Site Operator:
3.Date& time waste received:Distribution:
Yellow Copy: Originator Blue Copy: Disposal Site White Copy : Waste Contractor Return to Originator
(MESC Number 93.55.81.500.9)
Distribution:
Copy: Originator
Yellow Operator
4. Signature of Waste Disposal Blue Copy: Disposal Site White Copy : Waste Contractor Return to Originator
(MESC Number 93.55.81.500.9)
Distribution:
(MESC Number 93.55.81.500.9)

NON-HAZARDOUS WASTE TYPE

 Waste wood materials  Plastic Drums (non-hazardous)
 Construction material
 Waste wood materials  Plastic Drums (non-hazardous)  Construction material
HAZARDOUS WASTE TYPE
2. Quantity:

Please tick one ( )
2. Location of Destination:  Hazardous lab. Chemicals  Empty Drums (hazardous)  NORM  OBM & or OBM Cuttings
returns
3.Signature ( waste originator) Date: If other please describe waste accurately here

1. Company Name:
Section D: WASTE DISPOSAL FACILITY 2. Quantity:


3.Date& time waste received: treatment or disposal of the waste by any subsequent holder, e.g. type of premises waste comes from, full analysis, process that produced the waste:
Distribution:
(MESC Number 93.55.81.500.9)

)
The Waste Generator
Please tick one (
should complete Return white copy to Originator by. a) Fax/Fax No

returns
b) Mail c) Driver. d) monthly waste
Section A and B
of the WCN 3.Signature ( waste originator)

Date:

A separate WCN should be completed for
Hazardous and Non Hazardous Waste


When completing the WCN it is important to clearly
identify the waste type and any additional details
such as problems the waste may present that will
affect: WASTE CONSIGNMENT NOTE
Number:
• containment
• transport
• treatment
2. Quantity:
• disposal
returns

1. Company Name:

Distribution:
(MESC Number 93.55.81.500.9)

When completing the WCN you must identify how you wish to
receive the signed white WCN
Please tick one (  )
Return white copy to Originator by. a) Fax/Fax No b) Mail c) Driver. d) monthly waste returns

(Separate Waste consign men t Notes for H azardo us & N on- H azardous Wastes)
Section A: WASTE DET

WASTE AILS
CO NSIGNMENT NOTE Number:
1. Please tick ( ) box below to indicate the type of waste you are trans ferring
(Separate
NON-HAZ ARDOUSWaste consi
WASTE gn ment Notes for Hazardo us & N on- H az ardous Wastes)
TYPE
 Do mesti n A: WASTE DET AIL
c Waste (k itchen refuse)
Sectio S Do mestic waste (tree cuttings)  O ffi ce waste  Scrap Metal
 No n-Hazardous
1. Please tick
w aste (  ) box below
WASTE
chemicals ind
CONSIGNMENT
to icateD
Empty the type
rums NOTE
of waste
(non hazard ous)are trans
you ferring
Electrical Cable Number:
 Waste NON-HAZ ARDOUS
w oo d materials
WAST E TY
(Separate Was te consignment
PE rums
Plasti cNDotes fo (non-hazardous)
r Hazard ous & Non- Hazardous Construction
Wastes)material
 Domestic
If other please describe Was
waste
te (kitchen
accuratelrefu
y here
se)  Domestic waste (tree cuttings)  O ffice waste  Scrap Metal
 Non-HazardSection
1.
A: WASTE DET AIL
ous w aste chemicals  EmptyS Drums (non h azardou s)
Please tick (  ) box below to indicate the type of waste you are trans ferring
 Waste w oodNON- materials
HAZAR DOU S WASTE  PlasticTYPE Drums (non-hazardous)  Construction material
If other please des cribe waste
 Do mestic WASTE CONSIGNMENT
acc urately here
Waste (kitch en refuse)  Do mesticNOTE waste (tree cutting s)  Office waste  Scrap MetalNumber:
HAZ ARDOU S WASTE TY PE
(Separate Waste consignment N otes fo r Hazard ous & N on - Hazardous Wastes)
 Oily sand / soil  No n-Hazardou  Oily
s waste chemicals
sludge  E mpty Drums (non  Waste
hazardo us)
Lubricants  Electrical Cable s lud ge
Pigging
 Hazardous waste ch emicals Waste woo Section 
A:Sewage
d mate rials WAS TE sludDET
ge  Plastic Drums (non-h
AILS  azardous)
Batteries  Con struction
 material
Clini cal w aste
HAZlab.ARDOUS If other please
WAS TE 1. describe
TY Please
PE waste  ) box bhere
tick (accurately elow to indicate the type of w aste you are trans ferring
 Hazardous Chemicals NON-HAZ  Empty
ARDOUS D rums WASTE
(hazardous) TY PE  N ORM  OBM & or OBM Cuttin gs
 Oily  Oily sludge
WASTE CONSIGNMENT  Waste Lubricants  Pigging sludge
 Tyres (us  Other  Domestic wNOTE  Scrap Metal Number:
sand / soil
ed)  D omestic Waste (kitchen refuse) aste (tree cuttin gs)  Offi ce waste
 Hazardous
If other please describewwaste
aste chemicals
accuratel y here  Sewage
Wastesludge  B atteries  Clin ical waste
 N on-H az ard(Sep arate
ous waste chemicals
consignment N otes for Hazardous
 Emp ty D rums (non&hazardous)
N on- Hazardous Wastes)
 Hazardous HAZARDOUS
lab. Chemical s WAST E TYPE  Empty Drums (hazardous)  N ORM  OBM & or OBM Cuttin gs
 Waste wood Sectio n A: WASTE DET AIL
materials  Plastic
S D rums (non-haz ardous)  Co nstru ctio n material
 Tyres (used)  Oily san dIf/ soil Please
oth er please1.describe Other
w aste (
Oily
tickaccu ratelysludge
) b ox he re
below to indicate the typ e o f w Waste
aste Lubtransferrin
you are rican ts g  Pigg ing slud ge
If other please des cribe waste acc urately here
2. Quantity:
 Hazardous waste chemicals NON-HAZ ARDOUS  Sewage WASTE
slud ge TYPE  Batteries  Clinical w aste
3. Please give any other  addition
Hazardous lab. Chemicals
al information inclu
D ding
omesti c Waste
details of (kitchen
E mpty
any refuse)
Drums
pro blems you r waste
(hazardous) Domestic
may 
present,wthat
aste (treeaffect
NORM
will cuttings)
containme nt, trans
ce
Offi OBMwaste
port, & or OBM Cuttings  Scrap Metal

treatment or disposal of the w aste by any subsequ  from,  Elect
 T yres (used) enNt holder,
on-Hazard e.g.ous
waste
type of premises
Other chemicals waste comes Emptyfull anal ysis,
Drums (non process that produced
hazardous) the w aste:
rical Cab le
HAZ ARDwaste
OUSaccurately
WASTEhere TY PE
2. Quantity: If other please describe  Waste wood m aterials  Plas ti c Drums (non-hazardous)  Constructio n mate rial
 O ily s and / Ifsoil
3. Please give any other addition al i nformation oth er please
in cl udidescribe
ng details waste  Oily slud ge
of anaccurately
y pro blem here
 Was te Lubricants
s your waste may present, that will affect containment, transp ort,
 Pig ging sludge
treatment or d isposal o f thewaste
H azardoby us
any su bseq
waste uent holder, e.g. type 
chemicals o f Sewage
premisessludge  Batteries
w aste comes from, full an al ysis, pro cess t hat produced th e w aste:
Clini cal waste
Section B1: WAST E ORGINAT  H OR (Asset )
azardo us lab. Chemicals  Emp ty D rums (hazard ous)  NORM  O BM & or OBM Cuttings
1 PDO Asset (Marmul, Nimr, Qarn Ala m, Bahja-Rima,Yibal,Fahud-Lekhwair, OETS,TWM,X GB,OIM,HES, other)
2. Quantity :
 T yres (u sed)
3. Please give any other additio nal information inclu ding
detail
Other
If oth er pleaseHAZ ARDOUS
describe w aste accu WAS TE
rately TY
he re PE s of any proble ms yo ur waste may present, that will affect cont ainment, transp ort,
P le ase Sectio
tick onen B1: )WASTEo rORGINATOR
(  treatment disposal of the waste by any s ubsequent holder, e.g. type of p remises waste comes from , full analy sis, p rocess th at pro duced the waste:
 Oil(Asset
y s and )/ soil  Oily slu dge  Waste Lu bricants  Pigging sludge
1 PD O Asset (Marmul, Nimr, Qarn Ala m, Bahja-Rima,Y ibal,Fa hud-Lekhwair, OETS,TWM,X GB,OIM,HES, other)
2. Location of
 H azardo us waste chemicals  Sewage sludge
Destination:
 Batte ries  Clini cal waste
 H azardo us lab . Chemi cals  Empty Drums (hazardou s)  NORM  O BM & or OBM Cut tings
Please tick one (  ) 2. Quantity:
Section B1:
Return white copy to Originator by.3. W
a) ASTE
PleFax
ase/Fax
anTyyre
ORGINATOR
giveNo
s (u sed) ( Asset ) b) Mail
oth er additio nal information includi
 Othe r
ng det ails of anyc)problems
Driver. yo ur waste
d) monthly waste
may p resen t, that will affect contai nment, trans port,
returns 1 PDO Asset (Marmul, N Ifimr,
oth erQarn
please Alam, Bahja-R
describe wasteima ,Yibal,Fahud-Lekhwair,
accurately here O ETS,TWM,X GB,OIM,HES, other)
2. Lo cation o f treatment or dis posal of the waste by an y subsequent ho lder, e.g. typ eation:
Destin of p remises w aste comes from, full analysis, p rocess th at p roduced the waste:
Return white copy P lease

to Originator

tick one (by. )a) Fax/Fax No b) M ail c) Driver. d) monthly waste
returns
3.Signature ( w aste o riginat or) D ate:
2. Location of 2. Quantity : D estination:
Section B1:3.WAST E ORGINATOR (Asset )
Please give any other additional information includin g det ails o f any problems your waste may present, that will affect contai nment, transport,
4. Fu ll Name (Please prin t) 1 PDO Asset (Marmul, Nimr, Qarn Alam, Bahja-Rima,Yibal,Fahud-Lekhwair, OETS,TWM,XGB,OIM,HES, other)
treatment o r dis posal of the waste by an y s ubsequent ho lder, e.g. typ e of p remises w aste comes from, full analysis, p roces s th at produced the waste:
Return white copy to Origi nator b y. a) Fax/Fax No b) Mail c) Dri ver. d) month ly waste
3.Signatu re ( w as te originator)
returns Date:
Section 4.C: WASTE
Full TR ANSPORTER
Name (Please p rin t)
1. Comp any Name: 2. Location of D estination:
Sectio n B1: WASTE OR GIN AT OR (Asset )
3.Si gnat ure ( w aste o ri gin 1
ato
PDr) O Asset (Marmul, Nimr, Qa rn Alam, Ba hja-Rima ,Yibal,F
Date:ahud-Lekhwair, OETS,TWM,XGB,OIM,H ES, other)
2. Sig nature of Drive r: Retu rn whi te cop yR
to Originator b y. a) Fax/Fax No b) M ail c) D river. d) mo nthly waste
Sectio n C: WASTE TRANSPORTE
4. Full N amereturns
1. Company Name: (Please print)
3. Fu ll name of Dri ver (Please p rint):
P lease tick one (  )
2. Signature o f Driver:
2. Location of D estination:
Section D: WASTESection
DISPOSAL FACILITY
C: WASTE TRANS PORTER
3.Signature ( waste originat or) Date:
1.Waste dispos
3. Fullalname
Location/Site:
1. Driver
of Compan y Name:
(Ple ase print):
Retu rn white copy to Originator b y. a) Fax/Fax N o b) Mail c) D river. d) monthly waste
returns print)
4. Full Name (Please
2. N ame of Waste D isp2.
osSignature
al Site Operat or:
of Driver:
Sectio n D: WASTE DISPOSAL FACILITY
3.D ate& time w aste recei ved: n ame of D river (Please print):
3. Full
Section C: WAS TE TRANSPORTER
2. N ame of Waste Disposal
1. Site O peratN
Company or:
ame:
4. Sig nature of Waste Disposal
SectionOD:perator
WASTE DI SPO SAL FACIL ITY
3.D ate& time 1.Waste disposal Locati on/Site:
w aste received: 4. Full Name (Please print)
2. Signature of D river:
Distributio n:
4. Signature o2. NameD
f Waste ofispos
Waste Dispos al Si te Operator:
al Operator
3. Full n ame of Dri ver (Please print):
Yellow Co py: Orig inator Blue Copy: Disposa l Site
White Copy : W aste Contr actor Ret urn to Orig inato r
Sectio n C: WASTE TRANSPORTER
(MESC Number 93 .55 .81 .500.9
3.Date& )
time waste receiv1.ed:
Company N ame:
Distribution: Section D: WAS TE DISPOSAL FACILITY
1.Waste disposal Locatio n/Site:
Yello w Copy: Originat
4. Signature ofor Blue
Waste Disposal Copy:
2. Sign Dis
ature of
Operator po sal Site
Driver: White Cop y : Waste Con tracto r Return to Origina tor
(MESC Number 9 3.5 5.81.50
2. Name0.9)
of Waste Disposal Site Operat or:
Distributio n:
Yellow Co3.D
py:ate& time ator
Origin waste received:
Sectio n D: Blu e Co py:
WASTE Disposal Site
DISPOSAL White Copy : Was te Co ntracto r Return to Origin ator
FACILITY
(MESC Nu4.mber 1.Waste
93 .55.81 disposal Locatio n/Site:
.50 0.9)
Signature of Waste Dis pos al Operator
2. N ame of Waste Disposal Site Operato r:

Distribution:
Originator
Yello w Copy: Blue Copy: Disposal Site Wh ite Copy : W aste Contractor Return to Origina tor
(MESC Number 93 .55 .81 .500.9 )
4. Sign ature of Waste Disposal Operator
Distribution:
Yello w Copy: Origin ator Blue Copy: Disposal Site White Cop y : Waste Contracto r Return to Originat or

(MESC Number 9 3.5 5.8 1.500. 9)


The Waste Transporter signs

2. Quantity:

Section C of the WCN in the

returns
presence of the Waste

Generator
1. Company Name:

Distribution:
(MESC Number 93.55.81.500.9)

1. Company Name: A1 Waste Co.
Waste Transporter
3. Full name of Driver (Please print): W TRANSPORTER

The Waste Transporter then takes the white and
blue forms to the Waste Management Facility
The Waste Generator retains the yellow

(Sepa rate Waste consignme nt Notes for Hazardous & No n- Hazardous Wastes)

1. Please tick (  ) box below to indicate the type of waste you a re t ransferring
 Domesti c Waste (kitchen re fuse )  Domesti c waste (tree cuttings)  Office wast e  Scrap Met al
 Non-Haz ardous waste chemicals  Empt y Drums (non hazardous)  Electrical Cable
 Waste wood mate rials  Plastic Drums (non-hazardous)  Const ruction mate rial

 Oily sand / soil  Oi ly sludge  Waste Lubricants  Pigging sludge
 Hazardo us waste chemicals  Se wage sludge  Batte ries  Clinical waste
 Hazardo us lab. C hemi cal s  Empt y Drums (hazardous)  NORM  OBM & or OBM Cuttings
 Tyres (used)  Ot he r
form and puts it into a WCN file.

2. Quantity:
3. Ple ase give any other additio nal information including de tails of any problems your waste may present, that will affe ct containme nt, transport,
treatme nt or disposal of the waste by any subseque nt holder, e.g. t ype of premises waste comes from, full analysi s, process that produce d t he waste:
Section B1: WASTE ORGINATOR (As set )

1 PDO Asset (Marmul, Nim r, Qarn Alam, Bahja-Rima,Yibal,Fahud-Lekhwai r, OETS, TWM,XGB,OIM,HES, othe r)
Ple ase tick one (  )
Ret urn white copy to Ori ginator by. a) Fax/Fax No b) Mai l c) Driver. d) monthl y waste
returns

1. Company Name:
3. Full name of Dri ver (Please print):
Section D: WASTE DISPOSAL FACILI TY

1.Waste disposal Locati on/Sit e:
2. Name of Waste Disposal Sit e Ope rator:
3.Date& time waste re ceived:
Distrib ution:
Yellow Copy: Origin ator Blue Copy: Disposal Site White C opy : Waste Contractor Return to Origin ator

(MESC Number 93.55.81.500.9)
At the Waste Management Facility the Waste
Transporter gives both WCN (white and blue) to
be signed.
(Separate Waste c onsi gnmen t Notes for Hazardous & Non- Hazardous Wastes)

1. Please tick (  ) box belo w to indicate the type of waste you are transferring
NON-HAZARDOUS WAS TE TYPE
 Do mestic Waste ( kitchen refuse)  Domestic waste (tre e cuttings)  Office waste  Scrap Metal
 No n-Haza rdous waste che mi cals  Empty Drums (non hazardous)  E lectrical Cable
 Waste wood materials  Plastic Drums (non-hazardous)  Construction mate rial
If othe r please describe waste accurate ly here
(Separate Waste consignment Notes for Hazardo us & Non- Hazar dous Wastes)
Section A: WASTE DETAIL S

1. Please tick (  ) box below to indicate the type of waste you are tr ansfer ring
NON-HAZARDO US WASTE TYPE
 Oily sand / soil  Oi ly slud ge  Waste Lubricants  Pigging sludge
 Domestic Waste ( kitchen refu
se)  Domestic waste (tree cuttings) Se wage
Haza rdous waste che mic als sludge
 Office waste  Batte ries
Scrap Metal
 Clin ical waste
 Haza rdous
 Non- Hazardous waste chemicals  la b. C hemicals
Empty Drums ( non hazard ous)  Empty Drums (hazardous)
Electrical Cable  NORM  OBM & or OBM Cuttings
 Waste wood materials  Tyres (used)
 Plastic Drums ( non -hazar dous) Ot he r Co nstru ction material
If othe r please
If other pleas e describe waste accurately here describe waste accurate ly here
2. Quantity:
3. Please give a ny other additional information including details of any proble ms your waste ma y present, that will a ffect containment, transport,
 Oily sand / so il treatment or Oilysal
dispo sludge holde
of the waste b y any sub se quent Waste e.g. type of premises
r, Lubricants Pigging
waste slu dge
comes from, full analysis, proce ss that produce d the waste:
 Hazardo us waste chemicals  Sewage slud ge  B atteries  Clinical waste
 Hazardo us lab. Chemicals  Empty Drums ( hazardous)  NORM  OBM & or OBM Cuttings
Sectionhere
If other pleas e describe waste accurately B1: WAS TE ORGINATOR (Asset )
1 PDO Asset (Marmul, Nim r, Qarn Alam, Bahja-Rima,Yibal,Fahud-Le khwai r, OE TS,TWM,XGB,OIM,HES, othe r)
Ple ase tick one (  )

2. Quant ity:
3. Please give any other additional information
2. Location of including details of any problems your waste may present, th at will affect Destination:
containment, transp ort,
treatment o r disposal of the waste by any sub seq uent hol der , e.g. type of premises waste comes from, full an al ysis, process that produced the waste:
Return white copy to Ori ginato r by. a) Fax/Fax No b) M ail c ) Driver. d) monthly waste
returns
Section B1: WASTE ORGIN ATO R ( Asset )

1 PDO Asset (Marmul, Nimr, Qarn Alam, Bahj a-Rima,Yibal,Fa hud-Lekhwair, OE TS, TWM, XGB,OIM,HES, other)
4. Full Na me (Please print)
2. Location of Destination :
Return white co py to Originato r Section C: WASTE

by. a) Fax/F ax No TRANSPO RTER b) Mail c) Driver. d) monthly waste
returns 1. Compa ny N ame:
2. Signature of Drive r:
3.Signature ( waste origin ator) 3. Full name of Driver (Please print): Date:


2. N ame of Waste Disposal Site Operator:
1. Company Name:
3.Date& time waste rece ived:

2. Signature of Dr iver:

Distribut
Section D: WASTE DISPOS ion:
AL FACILITY
1.Waste disposal Lo catio n/Site: Yellow Copy: Originator Blue Copy: Di sposal Site White Copy : Waste Contractor Return to Originator
(MESC Number 93.55.81.500.9)
2. Name of Waste Dispo sal Site Operator:
3.Date& time waste received :
4. Signature of Waste Disposal Oper ator
Distribution:
Yellow Copy: O riginator Blue Copy: Disposal Site White Copy : Waste Cont ractor Return to Origin ator
(MESC Number 93.55.81.500.9)
The Waste Management Facility checks that

everything is in order, signs the WCN and then
hands back the white WCN. WASTE CONSIGNMENT NOTE
(Separate Waste co nsign ment N otes for Hazardous & Non- Hazar dous Wastes)
Section A: WAS TE DETAILS

1. Please ti ck ( ) box below to indicate the type of waste yo u are trans fer ring
NO N- HAZARDOUS WASTE TYPE
 Do mestic Waste ( kitchen refu se)
 No n-Hazardo us waste chemicals
 Waste wood materials
I f other please describe waste accurately here

 Oily sand / soil
 Domestic waste ( tree cuttings )
 Empty Drums ( non hazardo us)
 Plastic Drums ( non-h azardous )
 Oily sludge
 Office waste
 Electrical C able
 Co nstructio n material
 Waste Lubricants
Number:
 Scr ap Metal
 Pigging slud ge
 Hazard ous waste chemicals  Sewage slu dge  Batteries  Clinical waste
 Hazard ous lab. Chemicals  Empty Drums ( hazardous)  NORM  OBM & or OBM Cuttings
I f other please describe waste accurately here
The blue WCN is retained at the

2. Quantity:
3. Please give any other addition al info rmation including details of any problems your waste may present, th at will af fect containment, trans port,
treatment o r dis pos al of the waste by any sub sequent h older, e. g. type of premises waste comes from, full an alysis, pro cess that pr oduced the waste:

1 PDO Asset (Marmul, Nimr, Qarn Alam, B ah ja- Rim a,Yib al,Fahud-Lekhwair, OE TS,T WM,XGB,OIM,HES, ot her)
2. Locatio n of Destination:
R eturn white co py to Or igin ator by. a) Fax /Fax No b) Mail c) Driver. d) monthly waste
returns
Waste Management Facility

3.Signature ( waste or iginator) Date:
Section C: WAS TE TRANS PORTER

1. Comp any Name:
2. Signatu re of Driver :
3. Full n ame of Driver (Please pr int):
Section D: WAS TE DISPOSAL FACILITY

2. Name of Was te Dis pos al Site Operator:
3.Date& time waste r eceived:

4. Signatu re of Waste Disposal Operator
Distrib ution:
Yell ow Copy: Originator Blue Copy: Disposal Site Whi te Copy : Waste Contractor Return to Originator
(MESC Number 93.55.81.500.9)
The white WCN is then returned to the Waste
Generator to show that the waste has been handled
(or disposed) correctly
This can be done in the following ways:
• Waste Transporter returns the white WCN to

the waste generator
(Separate Waste consignment Notes for Haza rdous & Non- Hazardous Wastes)

1. Please tick ( ) box below to indicate the t ype of waste you are tra nsferring
NO N-HAZARDOUS WASTE TYPE
 Domestic Waste (kitche n refu se )  Domestic wa ste (tree cuttings)  Office waste  Scrap Metal
 Non-Hazardous waste che micals  Empty Drums (non haz ardo us)  Electric al Cable
 Waste wood materials  Plastic Drums (non-hazardous)  Constru ction materi al
If other please describe waste accurately he re

 Oil y sand / soil  Oily sludge  Waste Lubricants  Pigging sludge
 Hazardous waste che micals  Sewage sludge  Batteries  Clinical waste
 Hazardous lab. Chemical s  Empty Drums (haz ardo us)  NORM  OBM & or OBM Cut tings
If other please describe waste accurately he re
2. Quantity:
3. Please give any othe r a dditional information includi ng de tails of any problems your wa ste may present, that will affect containment, transport,
tre atment o r disposal of the wa ste by any subsequent holder, e.g. type of premi ses wa ste c ome s from, full analysis, process that produced the waste:

1 PDO Asset (Marmul, Nimr, Qarn Alam, B ahja-Rima,Yibal,Fahud-Lekhwair, OETS,TWM,XGB ,OIM,HES, othe r)
P lease tick one (  )
2. Location of Destin ati on:
Return whi te copy to Originator by. a) Fax/Fax No b) Mail c) Driver. d) monthly waste
returns
4. Full Name (Ple ase print)
Section C: WASTE TRANS PORTER

1. Company Name:
3. Full name of Drive r (Please print):
Section D: WASTE DISPO SAL FACILITY

2. Na me of Waste Disposal Site Ope rator:
3.Date& ti me waste received:
Distribution:
Yellow Copy: O rigin ator Blue Copy: Disposal Site Whi te Copy : Waste Contractor Ret urn to Originator
(MESC Nu mber 93.55.81.500.9)

• the white WCN can be:
Faxed to the Waste Generator
WASTE CONSIGNMENT NOTE Number: WASTE CONSIGNMENT NOTE Number:

(Separate Waste consi gnment Notes for Hazardous & Non- Haz ardous Wastes) (Separate Waste consignmen t Notes for Hazardous & Non- Hazardous Wastes)
Section A: WASTE D ETAILS Section A: WASTE DETAILS

1. Plea se tick (  ) box bel ow to indicate the type of waste you are transferring 1. Please tick ( ) box below to indica te the type of waste you are transferrin g
NON-HAZ ARDOUS WASTE TYPE NON-HAZARDOUS WASTE TYPE
 Domestic Waste ( kitchen refuse)  Do mesti c waste (tree cuttings)  Office waste  Scrap Metal  Do mestic Waste (kitchen refuse)  Domestic waste (tree cuttin gs)  Office waste  Scrap Metal
 Non-Haz ardous waste chemi cals  Empty Drums (non haz ardous)  Ele ctrical C able  No n-Haza rdous waste che micals  Empty Drums (non hazardous)  E lec trical Cable
 Waste wo od mate rials  Plastic Drums (non-hazardou s)  Construction material  Waste wood materials  Plastic Drums (non-hazardous)  Construction m ate rial
If other please de sc ribe waste ac curately he re If othe r please describe waste acc uratel y here
HAZARDOUS WASTE TYPE H AZARDOUS WASTE TYPE

 Oily sand / soil  Oily sludge  Waste Lubric ants  Pigging sludge  Oily sand / soil  Oil y slud ge  Waste Lubrica nts  Pigging sludge
 Hazardous waste chemicals  Sewage slud ge  Batterie s  Clinical waste  Haza rdous waste che mic als  Sewage sludge  B atte ries  Cli nical waste
 Hazardous lab. Chemicals  Empty Drums (haz ardous)  NORM  OBM & or OBM Cuttings  Haza rdous la b. C he micals  Empty Drums (haza rdous)  NORM  OBM & or OBM Cuttings
 Tyres (used)  Other  T yres (used)  Othe r
If other please de sc ribe waste ac curately he re If othe r please describe waste acc uratel y here
2 . Quantity: 2. Quantity:
3 . Please give any other additional information including details of any proble ms your waste ma y pre se nt, that will a ffe ct containment, transport, 3. Please gi ve any other additional information including details of any proble ms you r waste ma y present, that will a ffect containment, transport,
tre atment or disposal of the waste by an y subsequent holder, e.g. type of pre mises waste comes from, full analysis, process that produce d the waste: treatment or dispo sa l of the waste b y any sub se quent holde r, e.g. type of premises waste comes from, full analysis, proce ss that produce d the waste:
Section B1: WASTE ORGINATOR (Asset ) Section B1: WASTE ORGINATOR (Asset )
1 PDO Asset (Marmul, Nim r, Qarn Alam, Bahj a-Rima,Yibal,Fa hud-Le khwair, OE TS,TWM,XGB,OIM,HES, other) 1 PDO Asset (Marmul, Nimr, Qarn Alam, Bahja-Rima,Yibal,Fahud-Lekhwair, OE TS,TWM,XGB,OIM,HES, othe r)
Please tick one ( ) Ple ase tick one (  )
2. Location of Destination: 2. L ocation of Dest ination:
Return white cop y to Ori gin ator by. a) Fax/Fax No b) Mail c ) Driver. d) monthly waste Return white copy to Originato r by. a) Fax/Fax No b) M ail c) Driver. d) mo nthly waste
re turns returns
3.Sign ature ( waste originator) Date: 3.Signature ( waste originator) Date:
4. Full Na me (Please print) 4. Full Na me (Please print)
Section C: WASTE TRANSPORTER Section C: WASTE TRANSPORTER

1. Company Name: 1. Compa ny Name:
2. Signature of D river: 2. Signature of Drive r:
3. Full name o f Drive r (Please print): 3. Full name of Driver (Please print):
Section D: WASTE DISPOSAL FACILITY Section D: WASTE DISPOSAL FACILITY

1.Waste disposal Loc ation/Site: 1.Waste disposal Location/Site:
2. Name of Waste Disposal Site Operator: 2. N ame of Waste Disposal Site Operator:
3.Date& time waste received: 3.Date& time waste re ce ived:
4. Signature of Waste Disposal Operator 4. Signature of Waste Disposal Operator
Distribution: Distribution:
 
Yellow Copy: O riginator Blue Copy: Disposal Site White Copy : Waste Contractor Return to O riginator Yellow Copy: Originator Blue Copy : Disposal Site White Copy : Waste Contractor Return to Originator
(MESC Number 93.55.81.500.9) (MESC Number 93.55.81.500.9)

sent by mail to the Waste Generator


1. Please tick ( ) box below t o indica te the type of waste you are transferring
NON-HAZ ARDOUS WAS TE TYPE
 Domestic Waste (kitchen re fuse)  Domestic waste (tree cuttin gs)  Office waste  Scrap Metal
 Non-Haza rdous waste che micals  Empty Drums (non hazardous)  E lectrical C able
 Waste wood materials  Plastic Drums (non-hazardous)  Construction mate rial
If othe r please describe waste acc uratel y here

 Oily sand / soil  Oil y sludge  Waste Lubricants  Piggin g sludge
 Haza rdous waste chemic als  Sewage sludge  B atte ries  Clinical waste
 Haza rdous la b. Chemicals  Empty Drums (haza rdous)  NORM  OBM & or OBM Cuttings
 T yre s (used)  Othe r
If othe r please describe waste acc uratel y here
2. Quantity:
3. Please give any othe r add itional information includin g details of any problems your waste may present, that will affect co ntainment, transp ort,
treatment or disposal of the waste by any subsequent holde r, e.g. type o f premises waste comes from, full analysis, proce ss that produced the waste:
Section B1: WAS TE ORGINATOR (Asset )

1 PDO Asset (Marmul, Nimr , Qarn Alam, Bahja-Rima,Yibal,Fahud-Lekhwair, OE TS,TWM,XGB ,OIM,HES, othe r)
Ple ase tic k one (  )
2. Location of Dest ination:
Return white copy to Originator by. a) Fax/Fax No b) M ail c) Driver. d) monthly waste
returns
3.Signature ( waste ori ginator) Date :
Section C: WASTE TRANSPO RTER

1. Compa ny Name:
3. Full name of Driver (Ple ase p rint):

4. Signature of Waste Disposal Ope rator
Distribution:
Yellow Copy: Originator Blue Copy: Disposal Si te White Copy : Waste Contractor Return to Originator
(MESC Number 93.55.81.500.9)

Sent monthly through monthly waste returns

(Separate Waste consignment Notes for Hazardous & Non- Hazardous Waste s)

1. Please tick ( ) box below to indicate the type of waste you are transferri ng
(Sepa
NON-HAZ rate Waste WAS
ARDOUS consignment N otes for Haz ardous & N on- Haz ardous Wastes)
TE TYPE
 Domestic WasteA:
Section (kitchen
WASTE re fu se)
DETAILS  Domestic waste (tree cuttings)  Offi ce waste  Scra p Me tal
 Non-Hazardous
1. Pleawaste WASTE
se tick ( mi)cals
che low 
box beCONSIGNMENT
to indica
EmptyteDrumsthe type NOTE
of waste
(non  Electrical
yo u are transfe
hazardous) rring Cable Number:
 Waste NON-HAZARDOUS
wood materials (Separate Waste WASTE
TYPE
consignment
PlasticNotes
Drums fo(non-haz
r Hazardous & Non- Haz
ardous)  Construction
ardous Wastes) material
 Domestic
If othe r please describe Waste
waste(kitchen
accuraterefuse)
ly here  Do mestic wa ste (tree cutt ings)  Offi ce waste  Sc ra p Metal
 Non-Haz ardous 1.
waste chemicals  E mpty Drums (non haz ardous)  Electrical C able
Plea se tick (  ) box bel ow t o indica te the type of waste you a re transfe rri ng
 Waste wo od m ate rials
NON-HAZARDOUS WASTE  PlasticTYPEDrums (non-hazardous)  Construction mate rial
If other please describe waste
 Domestic WASTE
accurately here CONSIGNMENT
W aste ( kit chen refuse)  Do mesti c NOTE
waste (tree cuttings)  Office waste  Sc rap MetalNumber:
(Sepa rate Waste consignment Notes for Haz ardous & Non- Haz ardo us Wastes)
 Oily sand / soil  Non-Haz ardous waste  Oily chemicals
slud ge  Empty Drums (non  Waste Lubricants  E le ctrical
haz ardous)  Pigging
C able sludge
 Haz ardous waste chemiWaste cals woSection A:Sewage

od mate rials WASTE
sludge
DETAILS  Plastic Drums (non-hazardous)
 Batteries  Construction
 Clinical material
waste
HAZARDOUS If other please
WASTE 1. describe
Plea sewaste
TYPE tick (accurately here t o indica te the type of waste you are transfe rring
) box below
 Haz ardous la b. C hemicals NON-HAZ  Empty ARDOUS DrumsWAS (hazardous)
TE TYPE  NO RM  OBM & or OBM Cuttings
 Oily san d / soil  Oily sludge
WASTE CONSIGNMENT  Waste Lubricants
NOTE  Pigging sludge
 Tyres (used)  Domestic  OtheWaste r (kitchen re fuse)  Do mesti c waste (tree cuttings)  Office waste  Sc ra p Metal Number:
 Hazdescribe
If othe r please ardous waste accurate ly here (Separate
wastechemicals Sewage sludge  Batte
us &ries  Cli nical waste
 Non-Hazardous wasteWaste consignment N ote s for Haz ardo
chemicals  Empty Drums (non Non- Haz ardous Wastes)
haz ardous)  E le ctrical C able
 Haz ardousH lab. Chemicals
AZARDOUS WASTE TYPE  E mpty Drums (haz ardous)  NORM  OBM & or OBM Cuttings
 Waste wood Section
materials A: WASTE DETAILS  Plastic Drums (non-hazardous)  Construction mate rial
 T yre s (u sed) Oily sandIf/ other soil please1.describe Plea
Other
waste (
Oily
se tickaccurately
) boxsludge
here  Waste
be low t o indica te the type of waste Lubric
yo u are antsrring
transfe  Pigging sludge
2. Quantity:
 Haz ardous waste chemicals NON-HAZARDO  Sewage
US WASTE sludge TYPE  B atteries  Clinical waste
3. Plea se give any othe Hazitional
r add ardousinformation
l ab. Chemicals i Domestic
ncluding W aste
details of(kitchen
Empty
any refuse)
Drums
problems (hazwa
your ma
ardous)
ste Domestic
y present,wathat
ste (tree
NORM cuttings)
will affect  Offi
containment, ce waste
OBM
transp ort, & or OBM Cuttings  Sc rap Metal
treatment or disposa l of the waste by any subse que
 Tyre s (used)  nt holde r,ardous
Non-Haz e.g. type of premises
waste
Otherchemicals waste comes  Empty
from, Drum
ful l analysis,
s (n on hproce  Electrical
ss that produced
az ardous) the waste:
C able
HAZARDOUS accurately WASTE here TYPE
2. Quantity: If other please describe waste  Waste wo od mate rials  Plastic Drum s (n on-hazardous)  Construction mate rial
3. Ple ase give any other addition Oily sand /Ifsoil
other ple
al in formation ase describe
including waste
details  Oily sludge
accurately
of any problems here
your waste may prese nt, that  will
Waste Lubricants
affect  Pigg ing sludge
containme nt, transport,
treatme nt or disposal of the  wa ste by any
Hazardous subsequent
waste chemic als holder, e .g. type ofSewage
premises waste comes from, full analysi
sludge  Bs,atte
process
ries that produced the waste:
Clinical waste
Section B1: WASTE ORGINATOR  Hazardous (Asset )
lab. Chemicals  Empty Drums (haz ardous)  NORM  OBM & or OBM Cuttings
1 PDO Asset (Marmul, Nim r, Qarn Alam, Bahja-Rima,Yibal,Fahud-Le khwair, OE TS,TWM,XGB,OIM,HES, othe r)
2. Quantity:
 Tyre s (used)
3. Ple ase give any other addition al information including
 details
Other
of any problems your waste may present, that will affect containme nt, transport,
Ifdisposal
other please HAZARDOUS
describe waste WASTE
accurately TYPE
here
Ple aseSection
tic k one B1:
(  )WASTE ORGINATOR
treatme nt or of the waste
 Oily
by
(Asset
any subsequent
san d )/ soil
holder, e.g. type of premises
 Oily sludge
waste come s from, ful l analysis, process th
 Waste Lubricants
at produced the waste:
 Pigging sludge
1 PDO Asse t (Marmul, Nimr, Qarn Alam , Bahj a-Rim a,Yibal,Fahud-Le khwair, OETS,T WM,XGB ,OIM,HES, other)
2. Location of
 Haz ardous waste chemicals  Sewage sludge
Destination:
 Batte ries  Cli nical waste
Please tick one ( ) 2. Quantity:
 Haz ardous lab. Chemicals  Empty Drum s (h az ardous)  NORM  OBM & or OBM Cuttings
Section B1:
Return white copy to Originator by. WASTE No
a) Fax/FaxORGINATOR
Tyre s (used) (Asset ) b) Mail  Other c) Driver. d) monthly waste
returns 1 PDO Asse3. Ple ase give
t (Marmul, Nimanyr,other
If otherQarn addition
pletheAlam
ase
al information
, Bahja-Rim
describe
including details of any problems
a,Yibal,Fahud-Lekhwair,
here e .g. type of OETS,T
your waste,OIM,HES,
WM,XGB may present,other)
that will affect containme nt, transport,
2. Location of treatme nt or disposal of waste by waste accurately
any subsequen t holder, premises
Dest ination : waste comes from, full analysis, process th at produced the waste:
Please
Retu rn white copy to Originator
 ) a) Fax /Fax No
tick one (by. b) Mail c) D river. d) monthly waste
returns
3.Sig nature ( waste o riginator) Date:
2. Loca tion Section
of 2. Quantity: Destination :
B1: WAS TE ORGINATOR (Asset )
4. Full Name (Plea se print) 1 PDO Asset 3. Ple ase give
(Marmul, Nimany other Alam
r, Qarn addition al ina-Rim
, Bahj formation i ncluding details of anyOETS,T
a,Yibal,Fahud-Lekhwair, problemsWM,XGB
your waste may present,
,OIM,HES, that will affect containme nt, transport,
other)
treatme nt or disposal of the waste by any subsequent holder, e .g. type of premises waste comes from, full analysis, process that produced the waste:
Retu rn white copy to Ori ginator by. a) Fax /Fax No b) Mail c) Driver. d) monthly waste
3.Signature ( returns
waste origin ator) Date:
Section 4.C:Full
WASTE
Name (PleTRANSPO
ase print) RTER
1. Compa ny Name: 2. Loca tion ofSection B1: WASTE O RGINATOR ( Asset ) Destination :
3.Signature ( waste origin1atPDO
or) Asse t (Marmul, Nimr, Qarn Alam , Bahj a-Rim a,Yibal,Fahud-Le
D ate: khwair, OETS,T WM,XGB,OIM,HES, other)
2. Signature o f Drive r: Retu rn white copy to Ori ginator by. a) Fax /Fax No b) M ail c) D river. d) monthly waste
4. Full Name
1. Comp any Name: returns
(Ple ase print)
3. Full name of Driver (Ple ase print):
2. Si gnature of Drive r:
2. Location of Dest ination :
Section D: WASTESection DISPOSAL FACILITY
C:3.Signature
WASTE TRANSPORTER
( waste origin at or) D ate:
3. Full name 1. Driver
of Company Name:
(Please print):
4. Full Name returns
(Ple ase print)
2. N ame of Waste Disposal Site Operator:
2. Si gnature of Driver:
1.Wa ste disposal Location/Site:
3.D ate & time waste re 3.
ce ived:
Full name of Driver (Please print):
Section C: WASTE TRANSPO
3.Signature RTER
( waste origin ator) Date :
2. Name of Waste Disposal 1. Site Ope rator:
Company Name:
4. Signature o f Wa ste Disp osal Ope rator
3.Date& time1.Wa
wasteste 4. Full Name (Ple ase print)
disposal Loc ation/Site:
received:
Distribution:
2.Waste
4. Si gnature of Name Disposal
of Waste Operator
Disposal Site Ope rator:
Yellow Copy: Originator 3. Full
Bluen ame of Driver
Copy: (Please
Disposal print):
S ite White Copy : Waste Contractor Retu rn to Ori ginator
(MESC Number 93.55.81.500.9) 1. Comp any Name:
Distri bution: Section D: WASTE DISPOSAL FACILITY
1.Wa ste disposal Loc ation/Site:
Yellow Copy:
4. SiOriginator 2. Si gnature
Blue
gnature of Waste Disposal Copy: of Drive r: Si te
Disposal
Ope rator Whi te Copy : Waste Contractor Return to O riginator
(MESC Nu mber 93.55.81.500.9)
2. Name of Waste Disposal Site Ope rator:
Distribution:
3.Date&
Yell ow Copy: time waste received:
Originator
Section D: Blue Copy:
WASTE Disposal
DISPOS ALSiFACILITY
te White Copy : Waste Contractor Return to Originator
1.Wa ste disposal Loc ation/Site:
(MESC Number 93.55.81.500.9)
4. Signature of Waste Disposal Ope rator
2. Name of Waste Disposal Site Ope rator:

Distribut ion:
3.Date&
Yellow Copy: time waste received:
Originator Blue Copy: Disposal Si te White Copy : Waste Contractor Return to Originator
(MESC Number 93.55.81.500.9)
4. Si gnature of Waste Disposal Operator
Dist ribution:
Yell ow Copy: Originator Blue Copy: Disposal S ite Whi te Copy : Waste Contractor Return to Originat or
(MESC Number 93.55.81.500.9)

When the Waste Generator receives the
white WCN it should be placed with the
yellow WCN and placed in the WCN file.
WASTE CONSIGNMENT
WASTE CONSIGNMENT
NOTE NOTE Number: Number:
(Separate Waste consignment
(Separate
Notes for
Waste
Hazardous
consignment
& Non-
Notes
Hazardous
for Hazardous
Wastes)& Non- Hazardous Wastes)

Section A: WASTE D ETAILS
1. Please tick ( ) box1.
belowPlease tickte(
t o indica the)type
box of
below
waste
t oyou
indica
aretetransferring
the type of waste you are transferring
NON-HAZ ARDOUS WAS
NON-HAZ
TE TYPE
ARDO US WASTE TYPE
 Domestic Waste (kitchenreDomestic
fuse)  Domestic
Waste (kitchen rewaste  Domestic
fuse) (tree cuttin gs) 
waste
Office
(tree
waste
cuttings)  Office
 Scrap waste
Metal  Scra p Metal
 Non-Haza rdous waste che
micals  waste
Non-Haz ardous Emptychemicals  Empty Drums
Drums (non hazardous)  E lectrical
(non hazardous)
C able  E lectrical C able
 Waste wood materials  Waste wood materials
 Plastic Drums (non-hazardous)
 Plastic Drums
 Construction mate rial  Construction material
(non-hazardous)
If othe r please describe waste
If othe
acc uratel
r please
y here
describe waste acc uratel y here
HAZARDOUS WASTE
HAZARDOUS
TYPE WASTE TYPE
 Oily sand / soil  Oily sand / soil Oil y sludge  Oil y sludge Waste Lubricants  Waste
 Piggin
Lubricants
g sludge  Pigging sludge
 Haza rdous waste chemic  Sewage
alsHaz ardous waste chemicals
sludge  Sewage sludge
 B atte ries  Batteries
Clinical waste  Clinical waste
 Haza rdous la b. Chemicals
 Haz ardous lab.Chemicals  Empty Drums
Empty Drums (haza rdous)  NORM
(hazardous)  NORM
 OBM & or OBM Cuttings
 OBM & or OBM Cuttin gs
 T yre s (used)  T yre s (used)  Othe r  Othe r
If othe r please describe waste
If othe
acc uratel
r please
y here
describe waste acc uratel y here
2. Quantity: 2. Quantity:
3. Please give any othe r add
3.itional
Ple ase
information
gi ve any othe
includin
r additional
g details
information
of any problems
including
your
details
wasteofmay
anypresent,
problems that
your
willwaste
affect
may
co ntainment,
present, that
transp
willort,
affect containme nt, transport,
treatment or disposal of thetreatme
waste bynt or
anydisposal
subsequent
of theholde
waster, e.g.
by any
typesubsequent
o f premises
holde
waste
r, e.g.
comes
typefrom,
of premises
full analysis,
waste proce
co mes
ss from,
that produced
full analysis,
the waste:
p roce ss that pro duced the waste:
Section B1: WAS TE ORGINATOR

Section B1: WASTE
(Asset )ORGINATOR (Asset )
1 PDO Asset (Marmul, Nimr
1 PDO
, Qarn
Asset
Alam,
(Ma Bahja-Rima,Yibal,Fahud-Lekhwair,
rmul, Nimr , Qa rn Alam, Bahja-Rima,Yibal,Fahud-Lekhwair,
OE TS,TWM,XGB ,OIM,HES,OETS,T
otheWM,XGB
r) ,OIM,HES, other)
Ple ase tic k one (  ) Please tic k one (  )
2. Location of 2. Loca tion of Dest ination: Dest ination:
Return white copy to Originator

Return by.
white
a) Fax/Fax
copy to Originator
No by. a) Fax/Fax No b) M ail c) Driver.
b) M ail d) monthly
c) D
waste
river. d) monthly waste
returns retu rns
3.Signature ( waste ori ginator)

3.Signature ( waste ori ginator) Date : D ate :
4. Full Name (Please print)4. Full Name (Ple ase print)
Section C: WASTE TRANSPO

Section C:
RTER
WASTE TRANS PORTER
1. Compa ny Name: 1. Company Name:
2. Signature of Driver: 2. Signature of Driver:
3. Full name of Driver (Ple 3.

aseFull
p rint):
name of Driver (Ple ase print):
Section D: WASTE DISPOSAL

Section D:FACILITY
WASTE DISPOSAL FACILITY
2. Name of Waste Disposal2.Site

NameOperator:
of Waste Disposal Site Operator:

4. Signature of Waste Disposal

4. Signature
Ope ratorof Waste Disposal Ope rator
Distribution: Distributi on:

Yellow Copy: Originator
Yellow Copy:
Blue Copy:
Originator
Disposal SiBlue
te Copy:
White
Disposal
CopySi
: te
Waste Contractor
White CopyReturn
: Waste
to Originator
Contractor Return to Originator
(MESC Number 93.55.81.500.9)
(MESC Number 93.55.81.500.9)

By using the WCN correctly
you can now demonstrate
that the waste has been
handled appropriately.

Guidelines On Using Waste Consignment Notes

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Guidelines On Using Waste Consignment Notes

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Guidelines on using

Waste Consignment Notes

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Section A: WASTE DETAILS

2. Quantity: Please tick one ( )

Please tick one ( )Return white copy to Originator

Section D: WASTE DISPOSAL FACILITY

Well Engineering - June 2001

Section A: WASTE DETAILS

 Non-Hazardous waste chemicals  Empty Drums (non hazardous)  Electrical Cable

 Hazardous waste chemicals  Sewage sludge  Batteries  Clinical waste

Please tick one ( )

Section C: WASTE TRANSPORTER

3. Full name of Driver (Please print):

Section D: WASTE DISPOSAL FACILITY 2. Quantity:

2. Name of Waste Disposal Site Operator:

Section B1: WASTE ORGINATOR (Asset )

should complete Return white copy to Originator by. a) Fax/Fax No

4. Full Name (Please print)

Well Engineering - June 2001

HAZARDOUS WASTE TYPE

Well Engineering - June 2001

Section A: WASTE DETAILS

Please tick one ( )

3.Signature ( waste originator) Date:

4. Full Name (Please print)

Section C: WASTE TRANSPORTER

3. Full name of Driver (Please print):

Section D: WASTE DISPOSAL FACILITY

2. Name of Waste Disposal Site Operator:

3.Date& time waste received:

4. Signature of Waste Disposal Operator

Well Engineering - June 2001

Please tick one (  )

3.Signature ( waste originator) Date:

4. Full Name (Please print)

WASTE CONSIGNMENT NOTE Number:

Section A: WASTE DET

Return white copy P lease

2. N ame of Waste Disposal Site Operato r:

Well Engineering - June 2001

Section A: WASTE DETAILS

HAZARDOUS WASTE TYPE

The Waste Transporter signs

Section B1: WASTE ORGINATOR (Asset )

Section C of the WCN in the

presence of the Waste

4. Full Name (Please print)

3. Full name of Driver (Please print):

Section D: WASTE DISPOSAL FACILITY

2. Name of Waste Disposal Site Operator:

3.Date& time waste received:

4. Signature of Waste Disposal Operator

Section C: WASTE TRANSPORTER

Well Engineering - June 2001

WASTE CONSIGNMENT NOTE Number:

The Waste Generator retains the yellow

Section A: WASTE DETAILS

HAZARDOUS WASTE TYPE

form and puts it into a WCN file.

Section B1: WASTE ORGINATOR (As set )

Ple ase tick one (  )