EES QUALIFYING FINES QUESTIONNAIREPlease enable JavaScript in your browser to complete this form.Company Name *Project Description *Typical Vehicles to be Used *Anticipated Quantity *Unit of MeasurementTonnesM3Approx No. Loads per Day *Approx No. Loads per Day12345More (please specify) ->Specify Number if more than 5Sampling Plan Available *YesNoOrigin of Waste:Process Producing the Waste:Details of Waste Stream Inputs *Smell: *Colour: *Physical Form: *Other: *Waste acceptance landfill class: *Please Select an itemInertNon-HazardousHazardousEWC Code: *Deatails of Waste Fines ProcessAre any of the Inpute Wastes HazardousCan you confirm that Gypsum (e.g. plasterboard) is not contained withing the finesYesNoThe likely behavior (including, where relevant, leaching behavior) of the waste in a landfill and any additional precautions that need to be taken at the landfill *Can material be recycled? *YesNoCan material be recovered? *YesNoCharacterisation of output waste from production processes (including EWC) *Procedures for storing fines *Estimated tonnage of qualifying fines to be sent to the landfill site operator per month *Details of blending processes *Details of shredding processes *WASTE PROCESSOR DECLARATIONI declare that the above information is true and correct to the best of my knowledge and if any of the above information changes I will notify the landfill site operator accordingly. I understand that this information will be used to determine landfill tax liability and false declarations will result in the waste being liable to the standard rate of tax. Title *First Name *Last Name: *Date of Declaration *Contact Tel. No. *Contact Email:SUBMIT TO EES FOR APPROVAL
