Last Updated: 1 August 2020

[EM 8,495] Form: EMA/WDR 10 PLASTIC BOTTLES RETURN(Regulation 31)

[Note: A facility that imports or manufactures plastic bottles must send returns to the Department of Environment of all import, manufacture, distribution, return and disposal of bottles.

Returns must be in writing and sent every 6 months from the issue of the permit.

Returns must relate to each site or premises occupied by the facility.

Failure to send a return by the due date is an offence under section 44 of the Act and can lead to suspension of the permit.]

Permit No.
Period covered by return
6 months commencing [date of issue of the permit, or date of last return]
Particulars of the facility
Name
Address
Tel no.
Nature of facility business
Particulars of authorised person
Name
Position (if firm or body corporate)
Address
Telephone:Facsimile:
Mobile:E-mail:
Plastic bottles imported or manufactured
CategoryNo of bottlesApprox. weight in kgs.Source
(a) PET
(b) Other (specify)
Plastic bottles sold or distributed
CategoryNo of bottlesApprox. weight in kgs.Destination
(a) PET
(b) Others (specify)
Plastic bottles returned or collected
CategoryNo of bottlesApprox. weight in kgs.Returned/collected
(a) PET
(b) Other (specify)
Plastic bottles disposed of
CategoryNo of bottlesApprox. weight in kgs.Recycled/dumped
(a) PET
(b) Other (specify)
Specify the designated battery collection centre or permitted recycling facility:
Name
Address
Declaration
As owner/authorised person of the facility described above I certify that the particulars set out above are true to the best of my knowledge and belief.
Signature of owner/authorised person
Date
Send this return in triplicate to:
Waste & Pollution Control Administrator
c/- Department of Environment,
P.O. Box 2131, Government Buildings,
Suva