Online Form - Contaminated Waste Disposal Application

This form is to be used by organisations or individuals seeking to dispose of contaminated, or potentially contaminated waste at the Kununurra Waste Disposal Facility.

Please ensure you have the required evidence listed below, before submitting the form:

Sampling Procedure Information
Contaminant Concentration Analysis including Laboratory Results/Report
Leachable Concentration and Total Concentration Analysis including Laboratory Results/Report
Chain of Custody Certificate for Samples
Evidence of NATA Accreditation for the Analysis Laboratory

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Applicant Details

Name*

Organisation Name

Postal Address

Postal Address:

City:

State:

Post Code:

Country:

Contact Number*

Email*

Waste Details

Please Provide a Basic Description of the Waste (material type, source, physical characteristics etc..)*

Quantity of Waste (cubic metres or tonnes)*

Where is the Waste Currently Located

Street Address:

City:

State:

Post Code:

Country:

Sampling Procedures

Samples of the waste material must be taken in accordance with Pages 18 to 22 of the Landfill Waste Classification and Waste Definitions 1996 (As amended December 2009).

Please Detail the Sampling Procedures that were Undertaken, and Demonstrate Compliance with the Sampling Requirements Outlined in the Landfill Waste Classification and Waste Definitions 1996.*

Contaminant Concentration Analysis

Samples should be analysed for the concentration of contaminants detailed in the Table 3 of the Landfill Waste Classification and Waste Definitions 1996 (As amended December 2009). All analysis should be undertaken by a NATA accredited laboratory. The average concentration and standard deviation of all samples should be entered into the table below.

If the Applicant believes a contaminant listed in Table 3 is not relevant to the waste type, they should contact the Shire to discuss analysis requirements.

Download table for completion

Please upload the Complete Contaminant Concentration Analysis