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ANNEX VII INFORMATION ACCOMPANYING SHIPMENTS OF WASTE AS REFERRED TO IN ARTICLE 3 2 AND 4 Consignment information 1 1. Person who arranges the shipment Name 2. Importer/consignee Address Contact person Tel* E-mail 3. Actual quantity 5. a 1st carrier 2 Fax Tonnes Mg m3 5. b 2nd carrier 4. Actual date of shipment 5. c 3rd carrier Means of transport Date of transfer Signature 6. Waste generator 3 8. Recovery operation or if appropriate disposal operation in the Original producer s new producer s or collector case of waste referred to in Article 3 4 R-code/D-code 4 9. Usual description of the waste 7. Recovery facility Laboratory 11. Countries/states concerned Export/dispatch 10. Waste identification fill in relevant codes i Basel Annex IX ii OECD if different from i iii EC list of wastes iv National code Transit Import/destination 12. Declaration of the person who arranges the shipment I certify that the above information is complete and correct to my best knowledge. I also certify that effective written contractual obligations have been entered into with the consignee not required in the case of waste referred to in Article 3 4 Date 13. Signature upon receipt of the waste by the consignee TO BE COMPLETED BY THE RECOVERY FACILITY OR BY THE LABORATORY 14. Shipment received at recovery facility Quantity received kg litre Information accompanying shipments of green listed waste and destined for recovery or waste destined for laboratory analysis pursuant to Regulation EC No 1013/2006. For completing this document see also the corresponding specific instructions as contained in Annex IC of Regulation EC No 1013/2006 on shipments of waste If more than 3 carriers attach information as required in blocks 5 a b c. When the person who arranges the shipment is not the producer or collector information about the producer or collector shall be provided* See list of abbreviations and codes as contained in Annex IA of Regulation EC No 1013/2006 on shipments of. Person who arranges the shipment Name 2. Importer/consignee Address Contact person Tel* E-mail 3. Actual quantity 5. a 1st carrier 2 Fax Tonnes Mg m3 5. b 2nd carrier 4. Actual date of shipment 5. c 3rd carrier Means of transport Date of transfer Signature 6. a 1st carrier 2 Fax Tonnes Mg m3 5. b 2nd carrier 4. Actual date of shipment 5. c 3rd carrier Means of transport Date of transfer Signature 6. Waste generator 3 8. Recovery operation or if appropriate disposal operation in the Original producer s new producer s or collector case of waste referred to in Article 3 4 R-code/D-code 4 9. Waste generator 3 8. Recovery operation or if appropriate disposal operation in the Original producer s new producer s or collector case of waste referred to in Article 3 4 R-code/D-code 4 9. Usual description of the waste 7. Recovery facility Laboratory 11. Countries/states concerned Export/dispatch 10. Usual description of the waste 7. Recovery facility Laboratory 11. Countries/states concerned Export/dispatch 10. Waste identification fill in relevant codes i Basel Annex IX ii OECD if different from i iii EC list of wastes iv National code Transit Import/destination 12. .

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