L2026-001286

Waste transfer note

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Waste Logistics Ltd.
Securiticket No.
 
Duty of Care/Waste
Transfer Note
*By signing 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 Not ticked
SECTION A – DESCRIPTION OF WASTE
SIC Code
52103
Waste Code
15 01 03
Qty of Waste
1.PLEASE DESCRIBE WASTE   Wooden packaging (pallets)
2. RECYCLABLE Not ticked CARDBOARD/PAPER Not ticked UPVC Not ticked POLYTHENE Not ticked SOIL Not ticked TIMBER Ticked
HARDCORE Not ticked OTHER Not ticked
3.OTHER (PLEASE DESCRIBE)  
4. SKIPS Not ticked LOOSE Ticked DRUMS Not ticked SACKS Not ticked
SECTION B – PRODUCER/CURRENT HOLDER OF WASTE
1. Full name
Brightwell Retail Distribution
Order No.
BRD/26/89258
Exit Gate Code
Gate code 8393
2. Address
Argosy Way, Magna Park, Lutterworth, LE17 4XT 
3. Acc. No.
4. Date
5. Location if different
ON BEHALF OF PRODUCER/CURRENT HOLDER*
NAME PRINT: DATE: 
SIGNATURES:
 
TIME: 
SECTION C – WASTE CARRIER
1.REGISTERED CARRIERS NAME & ADDRESS:
Waste Logistics Ltd.
3. ISSUED BY: EA
4. EXEMPT FROM REGISTRATION   YES / NO
REASON:
2.REGISTERED CARRIER NO:
ON BEHALF OF PRODUCER/CURRENT HOLDER*
NAME PRINT: DATE: 
SIGNATURES:
 
TIME: 
SECTION D – DISPOSAL FACILITY
1.SITE OPERATOR: Waste Logistics Ltd. 4. ISSUED BY:
2.ADDRESS: 5. POINT OF TRANSFER:
3.REGISTERED CARRIER NO: 6. EXEMPT FROM REGISTRATION   YES / NO
REASON:
ON BEHALF OF PRODUCER/CURRENT HOLDER*
NAME PRINT: DATE: 
SIGNATURES:
 
TIME: 
You are required by law to keep this document for a minimum of 2 years.
Distribution: digital copies held by the producer, disposal site and carrier
Digital record L2026-001286 · Waste Logistics Ltd.