Duty of care: waste transfer note                       Keep this page and copy it for future use. Please write as clearly as possible.

Section A – Description of waste
A1 Description of the waste being transferred                       A2 How is the waste contained?
Paper                                                                        Ȟ Sacks       Ȟ Skip     Ȟ Drum         Ȟ
                                                                    Loose
Cardboard                                                           Other    Ȟ

List of Waste Regulations code(s)                                   A3 How much waste? For example, number of sacks, weight
20-01-01

Section B – Current holder of the waste – Transferor
By signing in Section D below I confirm that I have fulfilled my duty to apply the waste hierarchy as required by Regulation 12
of the Waste (England and Wales) Regulations 2011          Yes Ȟ
B1 Full name                                                        B3 Are you:
                                                                    The producer of the waste?                                       Ȟ

Company name and address                                            The importer of the waste?                                       Ȟ

                                                                    The local authority?                                             Ȟ

                                                                    The holder of an environmental permit?                           Ȟ

                                                                    Permit number
                                                                    Issued by
                                                                    Registered waste exemption?                                      Ȟ
Postcode                       SIC code (2007)
                                                                    Details, including registration number
B2 Name of your unitary authority or council
                                                                    A registered waste carrier, broker or dealer?                    Ȟ

                                                                    Registration number
                                                                    Details (are you a carrier, broker or dealer?)



Section C – Person collecting the waste – Transferee
C1 Full name                                                        C3 Are you:
 WASTE PAPER SOLUTIONS                                              The holder of an environmental permit?                           Ȟ

Company name and address                                            Permit number
 The Stables
                                                                    Issued by
 Pennybridge Farm                                                   Registered waste exemption?                                      Ȟ
 Pennybridge Lane                                                   Details, including registration number
 Mayfield                                                            EPR/QH0062HR/A001
                                                                    A registered waste carrier, broker or dealer?                    Ȟ
Postcode TN20 6QB
                                                                    Registration number CB/EM3088LN
C2 Are you:
                                                                    Details (are you a carrier, broker or dealer?)
The local authority?                                         Ȟ
                                                                     Carrier


Section D – The transfer
D1 Address of transfer or collection point                          D2 Broker or dealer who arranged this transfer (if applicable)




Postcode                                                            Postcode

Date of transfer (DD/MM/YYYY)                                       Registration number
                                                                    Time(s)


Transferor’s signature                                              Transferee’s signature
                                                                                    Paul Crabtree
Name                                                                Name
                                                                                    Waste Paper Solutions
Representing                                                        Representing
WMC2A Version 3, August 2011                                                                                                page 1 of 1

Waste Transfer Note

  • 1.
    Duty of care:waste transfer note Keep this page and copy it for future use. Please write as clearly as possible. Section A – Description of waste A1 Description of the waste being transferred A2 How is the waste contained? Paper Ȟ Sacks Ȟ Skip Ȟ Drum Ȟ Loose Cardboard Other Ȟ List of Waste Regulations code(s) A3 How much waste? For example, number of sacks, weight 20-01-01 Section B – Current holder of the waste – Transferor By signing in Section D below I confirm that I have fulfilled my duty to apply the waste hierarchy as required by Regulation 12 of the Waste (England and Wales) Regulations 2011 Yes Ȟ B1 Full name B3 Are you: The producer of the waste? Ȟ Company name and address The importer of the waste? Ȟ The local authority? Ȟ The holder of an environmental permit? Ȟ Permit number Issued by Registered waste exemption? Ȟ Postcode SIC code (2007) Details, including registration number B2 Name of your unitary authority or council A registered waste carrier, broker or dealer? Ȟ Registration number Details (are you a carrier, broker or dealer?) Section C – Person collecting the waste – Transferee C1 Full name C3 Are you: WASTE PAPER SOLUTIONS The holder of an environmental permit? Ȟ Company name and address Permit number The Stables Issued by Pennybridge Farm Registered waste exemption? Ȟ Pennybridge Lane Details, including registration number Mayfield EPR/QH0062HR/A001 A registered waste carrier, broker or dealer? Ȟ Postcode TN20 6QB Registration number CB/EM3088LN C2 Are you: Details (are you a carrier, broker or dealer?) The local authority? Ȟ Carrier Section D – The transfer D1 Address of transfer or collection point D2 Broker or dealer who arranged this transfer (if applicable) Postcode Postcode Date of transfer (DD/MM/YYYY) Registration number Time(s) Transferor’s signature Transferee’s signature Paul Crabtree Name Name Waste Paper Solutions Representing Representing WMC2A Version 3, August 2011 page 1 of 1