VI) STATEMENT OF THE CATEGORIES OF DOCUMENTS HELD UNDER ITS CONTROL

FORM I [See rules 10(1) and 10(4)]

APPLICATION FOR REGISTRATION OF A UNIT FOR MANUFACTURE OF PLASTIC CARRY BAGS AND CONTAINERS

From……………………….

………………………

………………………(Name and full address of the occupier)

The Member Secretary,

………………………… Pollution Control Board

…………………………

Sir,

I/we herby apply for registration under rule 10 of the Plastics Manufacture, Sale and Usage Rules,1999.

PART - A

GENERAL

1. (a)	Name of the unit and location of activity
(b)	Address of the unit
(c)	Registration required Manufacturing of: (i) Carry bags virgin (ii) Carry bags recycled (iii) Containers virgin (iv) Containers recycled
(d)	Manufacturing capacity
(e)	In case of renewal of Registration previous Registration number and date
2. (a)	Is the unit Registered with DCSSI or Department of Industries of the State Government /Union Territory Administration?
(b)	If yes, attach a copy
3. (a)	Total capital invested on the project
(b)	Year of commencement of production
4. (a)	List and quantum of products and by-products
(b)	List and quantum of raw materials used
5.	Furnish a flow diagram of manufacturing process showing input and output in terms of products and waste generated including for captive power generation & de-mineralized water
6.	Minimum sizes of carry bag to be manufactured, (in any case it should not be less than 8” x 12”)
7.	Status of compliance with rules 5, 6, 7 and 8

PART B: PERTAINING TO LIQUID EFFLUENT AND GASEOUS EMISSIONS

(a) Does the unit have a valid consent under the Water (Prevention and Control of Pollution) Act 1974 (6 of 1974)

If yes, attach a copy

(b) Does the unit have a valid consent under the Air (Prevention and Control of Pollution) Act 1981 (14 of 1981

If yes, attach a copy

PERTAINING TO WASTE

9.	Solid Wastes: (a) Total quantum of generation (b) Mode of storage within the plant (c) Provision made for disposal

Place: Signature:

Date: Designation:

Bio-Medical Waste (Management and Handling) Rules, 1998

FORM II (see rule 10)

ANNUAL REPORT (To be submitted to the prescribed authority by 31 January every year).

1. Particulars of the Applicant:

(i) Name of the authorized person (occupier/operator):

(ii) Name of the institution:

Address

Tel. No.

Telex No.

Fax No.

2. Categories of waste generated and quantity on a monthly average basis:

Brief details of the treatment facility:

In case of off-site facility:

(i) Name of the operator:

(ii) Name and address of the facility:

Tel. No., Telex No., Fax

4 Category-wise quantity of waste treated:

5. Mode of treatment with details:

6. Any other information:

7. Certified that the above report is for the period from……………………. ……………………….

Date: Signature…………………..

Place: Designation………………..

FORM-4 [See rule9(2)]

Form For Filing Returns Regarding Handling Of Hazardous Wastes [To be submitted to the State Pollution Board/Committee by 31^st January of every year

Name and address of the Occupier/Operator of Facility:
Categories of Waste generated and quantity (in metric tones):
Details of Waste treatment operations:
Details of Waste disposal operations:

Sr No.	Date of issuance of authorization for the disposal of hazardous waste and its reference number	Description of Hazardous Waste		Total Volume of the hazardous waste disposed with No. of Packages	Mode of Transportation to the site of disposal	Site of disposal (attach a sketch showing the location(s) of disposal)	Brief description of the method of disposal	Date of disposal	Remarks (if any)
		Physical Form and Contents	Chemical Form

5. Details of environmental surveillance:

Date of other measurement details	Analysis of ground water samples			Analysis of soil sample			Analysis of air sampling
Date of other measurement details	Location of sampling	Depth of Sampling	Data Sampling	Location of sampling	Depth of Sampling	Data Sampling	Location of sampling	Data Sampling	Analysis of any samples (give details)

Date: Signature…………………..

Place: Designation………………..

FORM – VIII[ see rule 10 (2) (ii) ]

[To be submitted by the bulk consumer to the State Board by 30^th June ( for the period October- March) and 31^st December (for the period April-September) every year]

1.	Name and Address of the bulk consumer
2.	Name of the Authorised person and full Address of with telephone and fax number
3.	Number of new batteries of different categories purchased from the manufacturer/importer/dealer or any other agency during October-March and April-September Category: (i) Automative (a) Four wheelers (b) Two wheelers (ii)Industrial (a) UPS (b) Motive Power (c) Stand-by (iii)Others	(i) No. of Batteries (ii) Approximate weight (in Metric Tonnes)
4.	Number of used batteries of categories mentioned in SI. No.3 and Tonnage of scrap sent to manufacturer/dealer/importer/registered recycler/or any other agency to whom the used batteries scrap was sent*.

· Enclose list of manufacturer/dealer/importer/registered recyclers/or any other agency to whom the used batteries scrap was sent.

Date:

Place:

Signature of the authorized person

FORM – V[ see rule 7

(iv) ]FORM FOR FILING RETURNS OF SALE OF NEW BATTERIES AND COLLECTION OF OLD BATTERIES

[To be submitted by the dealers to the manufacturers by 31^st May (for sale during October- March) and 30^th November (for sale during April-September) every year]

Name and Address of the dealer

Name of the Authorised person and full Address with telephone and fax number

Total number of new batteries sold during the period October-March/April-September in respect of the following categories

Category:

(i) Automative

(a) Four wheelers

(b) Two wheelers

(ii)Industrial

(a) UPS

(b) Motive Power

(iii)Others

Number of batteries sold

(i) As replacement of used batteries

(ii) To bulk consumers

(iii) To OEM

(iv) To any other party

(i) No. of Batteries

(ii) Approximate weight (in Metric Tonnes)

Total number of used batteries of different categories as at SI. No.3 collected and sent to registered recyclers*/designated collection centers/manufacturers

· Enclose the list of recyclers to whom batteries have been sent for recycling

Date:

Place: Signature of the authorized person

FORM – I see rule 4 (iii) ]

FORM FOR FILING RETURNS OF SALE OF NEW BATTERIES AND COLLECTION OF USED BATTERIES

[ To be submitted by the manufacturer/assembler/reconditioner by 30^th June ( for the period October- March) and 31^st December (for the period April-September) every year]

1.	Name and Address of the manufacturer/assembler/reconditioner
2.	Name of the Authorised person and full Address with telephone and fax number
3.	Total number of new batteries sold during the period October-March/April-September in respect of the following categories Category: (i) Automative (a) Four wheelers (b) Two wheelers (ii)Industrial (d) UPS (e) Motive Power (f) Stand-by (iii)Others (inverters, etc) Number of batteries sold (v) Dealers (vi) To bulk consumers (vii) To OEM (viii) Any other party for replacement should be indicated separately	(ii) No. of Batteries (ii) Approximate weight (in Metric Tonnes)
4.	Name and full address of the designated collection centres
5.	Total number of used batteries of different categories as at SI. No.3 collected and sent to the registered recyclers*

· Enclose the list of recyclers to whom batteries have been sent for recycling

Date:

Place: Signature of the authorized person

FORM-I

APPLICATION FOR AUTHORISATION

(To be submitted in duplicate)

To, The Prescribed Authority : Goa State Pollution Control Board

Dempo Tower, 1^st Floor, Patto,

Panaji-Goa. Fax-432740

1. Particulars of Applicant

(i) Name of the Applicant (Occupier):

(in block letters & in full)

(ii) Name of the Institution:

Address:

Tele. No.: Fax No./Telex No.

Tel.:

2. Activity for which Authorisation is sought: (pl. indicate by Tick mark)

(i) Generation

(ii) Collection

(iii) Reception

(iv) Storage

(v) Transportation

(vi) Treatment

(vii) Disposal

(viii) Any other form of handling

3. Please state whether applying for fresh authorization or for renewal:

(New Authorisation)

4. (i) Address of the institution handling bio-medical wastes:*

(ii) Address of the place of the treatment facility:

(iii) Address of the place of disposal of the waste:

5. (i) Mode of transportation (in any) of bio-medical waste:

(ii) Mode(s) of treatment:

6. Brief description of method of treatment and disposal (attach details in the

enclosed format)

7. (i) Category of waste to be handled(see Schedule I)

(ii) Quantity of waste (category-wise) to be handled per month.

8. Declaration I do hereby declare that the statements made and information given above

are true to the best of my knowledge and belief and that I have not

concealed any information. I do also hereby undertake to provide any further

information sought by the Prescribed Authority in relation to these rules and

to fulfill any condition stipulated by the Prescribed Authority.

Date: Signature of the applicant.

Place: Designation of the applicant

* To be clarified whether an external agency receives the wastes for treatment &

disposal.

The application should accompany a fee of Rs. 200/- in the form of Demand

Draft payable to Goa State Pollution Board at Panaji / or by cash.

FORMAT FOR PARA 6 OF THE APPLICATION

Waste Category No.	Quantity	Mode of Treatment & Disposal

SUMMARY OF ‘THE BIO-MEDICAL WASTE (MANAGEMENT AND HANDLING) RULES,1998’

(Efforts are made to provide simplified comprehension of the rules. The comprehension is not expected to cover all aspects of the rules. Interested persons may refer to the rules in detail for clarification of doubts.)

These rules are framed by Govt. of India under the Environment (Protection) Act 1986. They were first notified in July, 1998, and amended in June 2000.

These rules are applicable to all persons who generate , collect , receive, store, transport, treat ,dispose or handle Bio-medical waste in any form.

As defined in these rules, ‘Bio-medical’ waste means any waste generated during diagnosis, treatment or immunization of human beings or animals. A person who has control over hospital, nursing home, clinic, dispensary, veterinary institution, animal house, pathology laboratory, blood bank is an ‘Occupier’, who is required to take all steps to ensure that Bio-medical waste produced by his institution is handled without any adverse effect to human health and environment. These rules have categorized the Bio-medical waste in ten categories, identifying suitable mode of disposal for the waste of the individual category (schedule I).

A time schedule is given for setting up appropriate facilities for disposal of Bio-medical waste as per the size of the institution. (Schedule VI)

SCHEDULE VI **

SCHEDULE FOR WASTE MANAGEMENT FACILITIES LIKE INCINERATION / AUTOCLAVE / MICROWAVE SYSTEM

A. Hospitals and nursing homes

in towns with population of 30

lakhs and above

By 30^th June, 2000 or earlier

B. Hospitals and nursing homes

in towns with population of

below 30 lakhs

(a) with 500 beds and above

(b) with 200 beds and above but

less than 500 beds

(d) with less than 50 beds

By 30^th June, 2000 or earlier

By 31^st December , 2000 or earlier

By 31^st December , 2001 or earlier

By 31^st December , 2002 or earlier

C. All other institutions generating bio-medical waste not included in A and B above

By 31^st December , 2002 or earlier

As per Rule 8, the ‘Occupier’ of the institution is required to obtain authorization for handling of Bio-medical waste from the Prescribed Authority (State Pollution Control Board). The application for authorization should be in form I and accompanied with the fee prescribed by the State Govt. (Rs. 200/-). An application for authorization is required to be made for all hospitals, nursing homes, veterinary institutions, and animal houses. The Occupier of the clinics dispensaries, pathological laboratories and blood banks where treatment/ service is provided to more than (1000) patients per should also apply for the authorization. Even the Occupier who is not required to apply for authorization, (the clinics, dispensaries, pathological laboratories and blood banks where treatment/ service is provided to less than one thousand patients per month) will be an offender of these Rules, if it is found that he/she has not taken all steps to ensure that the Bio-medical waste produced by his/ her institution is handled without adverse effect to human health and the environment.

Offence under these Rules shall attract the penalties stipulated under the Environment (Protection) Act.1986. Section 15 of the said Act stipulates the penalty of imprisonment which may extend upto 5 years of fine upto Rs. 1 lakh or both.

The authorization granted shall be valid for a period of 3 years. The occupier needs to apply for renewal thereafter. The Occupier is required to submit annual report to the Prescribed Authority by 30^th January every year, giving details of the quantity and mode of treatment of Bio-medical waste generated by his institution. He is also required to report accidents if any to the Prescribed Authority.

Vide the amendment rules dated 2^nd June,2000, responsibility has been laid on local muncipal authorities for providing suitable common disposal/ incineration site for Bio-medical waste generated in the area under their jurisdiction. However, this provision is without prejudice to the rules pertaining to the responsibility of the Occupier, which means that it is the responsibility of the Occupier to make his/her own arrangement for disposal of Bio-medical waste generated by his/her institution, till such time the local municipal authorities make an arrangement for providing common disposal site.

SCHEDULE I(See Rule 5)

CATEGORIES OF BIO-MEDICAL WASTE

* Waste Category No.	Waste Category Type *	Treatment and Disposal Option+*
Category No. 1	Human Anatomical Waste ( human tissues, organs, body parts)	Incineration @/deep burialª
Category No. 2	Animal Waste ( animal tissues, organs, body parts, carcasses, bleeding parts, fluid, blood and experimental animals used in research, waste generated by veterinary hospitals, colleges, discharge from hospitals, animal houses)	Incineration @/deep burialª
Category No. 3	Microbiology & Biotechnology Waste (wastes from laboratory cultures, stocks or specimens of micro-organisms live or attenuated vaccines, human and animal cell culture used in research and industrial laboratories, wastes from production of biologicals, toxins, dishes and devices used for transfer of cultures)	Local autoclaving / microwaving incineration @
Category No. 4	Waste Sharps (needles, syringes, scalpels, blades, glass, etc. that may cause puncture and unused sharps)	Disinfection (chemical treatment @@/autoclaving/ microwaving and mutilation/ shredding”##
Category No. 5	Discarded Medicines & Cytotoxic drugs (wastes comprising of outdated, contaminated and discarded medicines)	Incineration@ /destruction and drugs disposal in secured landfills
Category No. 6	Soiled Waste (items contaminated with blood and body fluids including cotton, dressings, soiled plaster casts, lines, beddings, other material contaminated with blood.	Incineration @ autoclaving/ microwaving
Category No. 7	Solid Waste (wastes generated from disposable items other than waste sharps such as tabings, catheters, intravenous sets etc.)	Disinfection by chemical treatment @@ autoclaving/ microwaving and mutilation/ shredding”##

Category No.8

Liquid Waste

(waste generated from laboratory and washing, cleaning, house- keeping and disinfecting activities)

Disinfection by chemical treatment @@and discharge into drains

Category No.9

Incineration Ash

(ash from incineration of any bio-medical waste)

Disposal in muncipal landfill

Category No.10

Chemical Waste

(chemicals used in production of biologicals, chemicals used in disinfection, as insecticides, etc.)

chemical treatment @@and discharge into drains for liquids and secured landfill for solids.

+ Options given above are based on available technologies. Occupier / Operator wishing to use other State-of-the art technologies shall approach the Central Pollution Control Board to get the standards laid down to enable the Prescribed Authority to consider grant of authorization.

@@ Chemical treatment using atleast 1%hypochlorite solution or any other

equivalent chemical reagent.

## Mutilation / Shredding must be so as to prevent unauthorized reuse.

@ There will be no chemical pretreatment before incineration.

Chlorinated plastic shall not be incinerated.

ª Deep burial shall be an option available only in towns with population

less than five lakhs and in rural areas

FORM-I [See rules, 3(2),5(2) (3) and (6) (ii)]

Application for obtaining Authorisation for Collection / Reception / Treatment / Transport / Storage / Disposal of Hazardous Waste*

From:

………………………..

To,

The Member Secretary,

……….. State Pollution Control Board,

………………………………………..

Sir,

I / We hereby apply for authorization / renewal of authorization under sub-rule (2) and clause (ii) of sub-rule (6) of rule 5 of the Hazardous Wastes (Management and Handling.)Rules, 1989 for collection / reception / transport / disposal of hazardous wastes.

1 For Office Use Only

Code No.:

Whether the unit is situated in a critically polluted area as identified by Ministry of Environment and Forests;

2 To be filled by Applicant

3 Part- A : General

3. (a) Name and Address of the unit and location of activity:

(b) Authorisation required for (Please tick mark appropriate

activity/activities):.

(i) Collection

(ii) Reception

(iii) Treatment

FORM I [See rules 10(1) and 10(4)]

PART - A

GENERAL

PART B: PERTAINING TO LIQUID EFFLUENT AND GASEOUS EMISSIONS

PERTAINING TO WASTE

Bio-Medical Waste (Management and Handling) Rules, 1998

FORM – V[ see rule 7

(iv) ]FORM FOR FILING RETURNS OF SALE OF NEW BATTERIES AND COLLECTION OF OLD BATTERIES

FORM – I see rule 4 (iii) ]

Human Anatomical Waste

Animal Waste

Waste Sharps

Discarded Medicines & Cytotoxic drugs

Soiled Waste

Solid Waste

Incineration Ash

FORM-I [See rules, 3(2),5(2) (3) and (6) (ii)]