A-313 Hazardous Waste Management Facility Registration Form Download Form PDF Hazardous Waste Management Facility Registration Form Hazardous Waste Management Facility Registration Form Instructions The following information must be provided in order to register as a hazardous waste management facility in Nunavut and obtain a management facility number. Incomplete applications will be returned to the applicant. Completed registration forms are to be forwarded to the Manager of Pollution Control, Department of Environment, Government of Nunavut, Box 1000, Station 1360, Iqaluit, Nunavut, X0A 0H0. Electronic registration forms are preferred and may be forwarded to @email. Use additional pages to provide information as required. Applicants should refer to the accompanying users’ guide for further assistance on completing the management facility registration form. Section 1 - Identification Applicant (Legal Name) Corporate Address Facility Address Principal Contact Person Title, Phone Number and Email Address Alternate Contact Person Title, Phone Number and Email Address Section 2 - Description of Waste to be Managed (provide a seperate table if required) Site Location(s) where Waste is Managed Description of Waste to be Managed Shipping Name TDG Number TDG Class Quanitity Managed each Month (L or Kg.) Frequecy of Acceptance Shipping Name TDG Number TDG Class Quantity Frequency Shipping Name TDG Number TDG Class Quantity Frequency Shipping Name TDG Number TDG Class Quantity Frequency Shipping Name TDG Number TDG Class Quantity Frequency Shipping Name TDG Number TDG Class Quantity Frequency Shipping Name TDG Number TDG Class Quantity Frequency Shipping Name TDG Number TDG Class Quantity Frequency Attach a complete description of the proposed facility, safety measures, equipment and management processes to be used. Include engineered drawing where applicable. One file only.100 MB limit.Allowed types: gif, jpg, jpeg, png, bmp, eps, tif, pict, psd, txt, rtf, html, odf, pdf, doc, docx, ppt, pptx, xls, xlsx, xml, avi, mov, mp3, mp4, ogg, wav, bz2, dmg, gz, jar, rar, sit, svg, tar, zip. Steps Current Hazardous Waste Management Facility Section 3 - Waste Management Information Users' Guide to the Hazardous Waste Management Facility Registration Form Preview Complete Is this page useful? yes no Provide comments Email address Provide a comment Thank you for contacting the Government of Nunavut. Please do not send sensitive or personal information, including (but not limited to): social insurance numbers, birthdates, information of other people, or health information. Please only send a brief description of your issue or concern and how we can contact you. We will make sure the correct person contacts you if they need more information or if they can answer your question or concern.