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Waste Logistics Ltd. |
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  |
SECTION A – DESCRIPTION OF WASTE
SIC Code 29100 | Waste Code 15 01 03 | Qty of Waste 8,360 kg |
| 1. | PLEASE DESCRIBE WASTE Wooden packaging (pallets) | |||||
| 2. | RECYCLABLE  |
CARDBOARD/PAPER |
UPVC |
POLYTHENE |
SOIL |
TIMBER |
| HARDCORE |
OTHER |
|||||
| 3. | OTHER (PLEASE DESCRIBE) | |||||
| 4. | SKIPS |
LOOSE |
DRUMS |
SACKS |
||
SECTION B – PRODUCER/CURRENT HOLDER OF WASTE
1. Full name Northgate Automotive | Order No. NGA-72874 |
2. Address Torrington Avenue, Tile Hill, Coventry, CV4 9AQ | |
3. Acc. No. | 4. Date 15/09/2026 | 5. Location if different Coventry Assembly Plant, Gate 2 - Body Shop |
ON BEHALF OF PRODUCER/CURRENT HOLDER*
| NAME PRINT: | Marek Kowal | DATE: | 15/09/2026 |
| SIGNATURES: |  | TIME: | 08:14 |
SECTION C – WASTE CARRIER
| 1. | REGISTERED CARRIERS NAME & ADDRESS: Waste Logistics Ltd. |
3. ISSUED BY: EA 4. EXEMPT FROM REGISTRATION REASON: |
| 2. | REGISTERED CARRIER NO: | |
ON BEHALF OF PRODUCER/CURRENT HOLDER*
| NAME PRINT: | Mark Pritchard | DATE: | 15/09/2026 |
| SIGNATURES: |  | TIME: | 08:16 |
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 REASON: |
ON BEHALF OF PRODUCER/CURRENT HOLDER*
| NAME PRINT: | Mark Pritchard | DATE: | 15/09/2026 |
| SIGNATURES: | | TIME: | 10:07 |
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 L2026-001214 · Waste Logistics Ltd.