Checklist — Transboundary Hazardous Waste

Reference

Movement Reference & Details

Complete reference details before any movement.

Notifier / Generator Name*

Movement Type

VCOP 8 Notification Reference No.

Proposed Movement Date

Country of Export

Country of Import / Destination

Waste Summary

Provide a summary of the waste being moved.

Waste Description*

Basel Waste Code(s)

UN Number

Total Quantity (tonnes)

Physical State

Disposal / Recovery Method

Declaration

All documents listed in this checklist have been obtained and are attached or are in the process of being obtained;
No hazardous waste movement will commence until all prior written consents have been received from all competent authorities;
Information provided is true and accurate;
I am aware that illegal traffic of hazardous waste is a criminal offence under Fijian law and the Basel Convention.

Signature of Applicant

Full Name (Print)*

Date*

Signature of Witness

Witness Name*

Date*

Central Division — Suva

WPC Administrator, Dept. of Environment
Levels 1 & 2, Bali Tower, 318 Toorak Road
P.O Box 2109, Suva
📞 (679) 331 1699 | Fax: (679) 331 2879

Western Division — Lautoka

WPC Administrator, Dept. of Environment
Level 1, Peekay Building, Lautoka

📞 (679) 672 4140

Northern Division — Labasa

WPC Administrator, Dept. of Environment
Ground Floor, Local Timber Bldg
Nasekula Street, P.O. Box 485, Labasa
📞 (679) 881 8017 | Fax: (679) 881 8016