Batch notification non-domestic liquid hauled waste

This form is for businesses or organisations who wish to discharge non-domestic used water to one of our liquid hauled waste receival facilities, using an authorised licensed liquid waste contractor.

Conditions:

• This form must be completed before engaging a hauler to transport the waste.

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Step 1 of 4

Volume (Litres)

Source(s) of wastewater

Treatment description

Date you propose to consign this batch Discharge date must be atleast one full working day after form submission

Time you propose to consign this batch

Tamper proof seal number

Batch pH Value must be between 1 and 14.

Batch conductivity (µS/cm)

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Certificate of Currency

Please attach a copy of the Certificate of Currency for Public and Products Liability of Insurance for amount not less than $20,000,000 in any one event.

Accepted file formats: jpg, jpeg, PDF, doc, docx, PNG

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First name

Last name

Company

Phone number

Email address

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