UTTAR PRADESH POLLUTION CONTROL BOARD
FORM 1
[See Rules 6(1)]
Application required for grant/renewal of authorisation for generation or collection or storage or
transport or reception or recycling or reuse or recovery or pre-processing or co-processing or
utilisation or treatment or disposal of hazardous and other waste
Part A: General( to be filled by all)
1. Name and address of the unit and location of facility: UNITED EXIM PVT LTD
(a) B-3,SECTOR-68,NOIDA,GAUTAM
BUDH NAGAR (U.P)
(b) Name of the Occupier of the facility or operator of ISHPREET
disposal facility with designation,Tel,Fax and e-mail: SINGH/DIRECTOR/8588801622/hrd.u2@
unitedexim.com
(c) Authorisation required for(Please tick mark appropriate Generation,Collection,Storage,Transportatio
activity or activities:) n
(d) In case of renewal of authorization previous
authorization numbers and dates and provide copies of
annual returns of last three including the compliance
reports with respect to the conditions of Prior
Environmental Clearance, wherever applicable:)
2. Nature and quantity of Hazardous waste handled in T/Annum (or) KL/Annum
Name of Name of Quantity Waste Waste Waste Source Physical Quantity Quantity
Process Hazardo Type Storage Disposal of status stored at accumul
us Waste generatio any time ated as
(Categor n of on 31st
y No) waste March
3.(a Year of commissioning and commencement of 2014
) Production?
(b) Whether the industry works 1 shift/2 shifts/round the one shifts
clock?
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4. Provide copy of the Emergency Response Plan (ERP) Not Attatched
which should address procedures for dealing with
emergency situations (viz. Spillage or release or fire) as
specified in the guidelines of Central Pollution Control
Board. Such ERP shall comprise the following, but not
limited to:
•Containing and controlling incidents so as to minimise
the effects and to limit danger to the persons,
environment and property;
•Implementing the measures necessary to protect
persons and the environment;
•Description of the actions which should be taken to
control the conditions at events and to limit their
consequences, including a description of the safety
equipment and resources available;
•Arrangements for training staff in the duties which
they are expected to perform;
•Arrangements for informing concerned authorities and
emergency services; and
•Arrangements for providing assistance with off-site
mitigatory action.
(To be attached separately)
5. Provide undertaking or declaration to comply with all Attached
provisions including the scope of submitting bank
guarantee in the event of spillage, leakage or fire while
handling the hazardous and other waste
(To be attached separately)
Part B: To be filled by hazardous waste generators
(a) Products Details
Product Name Quantity Unit
WASTE OIL 200.0 Kilo Liters/Year
SHARP TOOLS 0.05 Metric Tonnes/Year
TUBE LIGHT 0.05 Metric Tonnes/Year
SLUDGE 0.1 Metric Tonnes/Year
(b) By Products Details
Raw-Material Name Raw-Material Quantity Unit
FABRIC 0.5 Metric Tonnes/Year
BROKEN NIDDLES (etc) 0.025 Metric Tonnes/Year
TUBE LIGHT 0.025 Metric Tonnes/Year
(c) Process description including process flow sheet Attached
indicating Inputs and Outputs (raw materials,
chemicals, products, by-products,wastes, emissions,
wastewater etc.) Please attach separate sheets: )
(d) Characterstics(waste-wise) and Quantic of waste generation per annum:
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Schedule Name of Name of Quantity Characte The details If not Details of Details of
Process Hazardo risitics of of utilization utilised arrangement the
us Waste each with in the within the s for environment
(Categor waste plants such plant, transportatio al
y No) as Reuse/ provide n to actual safeguards
Recycling/ details of users/ TSDF and
Recovery/R what is done environment
eprocessing with this al facilities
etc waste provided for
safe
handling
(e) Hazardous and other wastes generated from storage of B-3,SECTOR-68,NOIDA,GAUTAM
hazardous chemicals as defined under the Manufacture, BUDH NAGAR(U.P),B-3,SECTOR-
Storage and Import of Hazardous Chemicals Rules, 68,NOIDA,GAUTAM BUDH NAGAR
1989. (U.P),B-3,SECTOR-68,NOIDA,GAUTAM
BUDH NAGAR (U.P)
Part C: To be filled by Treatment, storage and disposal facility operators
1. Provide details of the facility including:
(i) Location of site with layout map:
(ii) Safe storage of the waste and storage capacity
(iii) The treatment processes and their capacities
(iv) Secured Landfills
(v) Incineration, if any
(vi) Leachate Collection and Treatment System
Fire Fighting Systems 116 Nos.
(vii)
Environmental management plan including monitoring
(viii
)
(ix) Arrangement for transportation of waste from
generators
2. Provide details of Any other activities undertaken at
the Treatment, storage and disposal facility site.
3. Attach a Copy of prior Environmental Clearance Attatched
Part D: To be filled by recyclers or pre-processors or co-processors or users of hazardous or other
wastes
1. Nature and quantity of different wastes received per annum from domestic sources or imported or
both:
Hazardous Wastes Type Quantity Source (Domestic/Imported)
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2. Installed capacity as per registration issued by the Not Attatched
District Industries Centre or any other authorised
Government agency. Provide copy:
3. Provide details of secured storage of wastes including
the storage capacity
4. Process description including process flow sheet Not Attatched
indicating equipment details, inputs and outputs (input
wastes, chemicals, products, by-products, waste
generated, emissions, waste water, etc.) Attach separate
sheets:
5. Provide details of end users of products or by-products
6. Provide details of pollution control systems such as
Effluent Treatment Plant, scrubbers, etc. including
mode of disposal of waste
7. Provide details of occupational health and safety
measures
8. Has the facility been set up as per Central Pollution
Control Board guidelines? If yes, provide a report on
the compliance with the guidelines:
9. Arrangements for transportation of waste to the facility
Place: Signature of the Applicant
Date: Name and Designation
Enclosures :
1. Undertaking or declaration to comply (Attached)
2. Manufacturing process with flow sheet (Attached)
3. Balance sheet Or CA Certificate (Attached)
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