Form 4See rules 6(5),13(8),16(6) and 20(2) of Hazardous and other wastes 2016

FORM FOR FILING ANNUAL RETURNS[ To be submitted to state pollution control board/pollution control committee by 30th June of every year for the preceeding period April tomarch]
Unique Application Number:

Submitted On:

MPCB-HW_ANNUAL_RETURN-0000027325

09-06-2022

Submitted for Year:
April 2021 to March 2022
1. Name of the generator/operator of facility

Address of the unit/facility

ASK Chemicals India Private Limited

E-89, M.I.D.C. Ranjangaon, Nagar Road, Taluka Shirur, Pune 412220

1b. Authorization Number

Date of issue

Date ofvalidity ofconsent

Format 1.0/CAC/UAN No. 0000084763/CO-2006001180 Jun 26, 2020

Mar 31, 2025

2. Name of the authorised person

Full address of authorised person

Ajinath Malusare

Kamal Sandhya Apartment, 3rd ﬂoor, Plat no.13, Near ShreeGanesh hospital, Baburaonager Shirur, Tal-Shirur, Dist.- Pune
Pin – 412210

Telephone

Fax

Email02138611218+91 2138-611207

Ajinath.Malusare@ask-chemicals.com

3.Production during the year (product wise), wherever applicable
Product Type *Product Name *Consented Quantity

Actual Quantity

UOM

Synthetic Resins

Synthetic Resin

2125.0000

1213

MT/M

OTHERSPF Moulding Powder

425.0000

343

MT/M

OTHERSMF Moulding Powder

50.0000

0

MT/M

OTHERSUF Moulding Powder

25.0000

0

MT/M

PART A: To be ﬁlled by hazardous waste generators
1. Total Quantity of waste generated category wiseType of hazardous waste

Wate Name

Consented Quantity Quantity

UOM

5.1 Used or spent oil

Used/ Spent Oil

18.0001.06

KL/Anum

23.1 Wastes or residues (not made withvegetable or animal materials)

Waste/ Residues

87.600

16.17

MTA33.1 Empty barrels /containers /liners
contaminated with hazardous chemicals/wastes

Discarded Containers 4800.000

1011

numbers/anum

35.3 Chemical sludge from waste watertreatment

ETP Sludge

87.60053.35

MTA33.2 Contaminated cotton rags or othercleaning materials

Used hand gloves/
Cotton waste

1.440

0.118

MTA

2. Quantity dispatched category wise.

Type of Waste

Quantity of waste

UOM

Dispatched toFacility Name

5.1 Used or spent oil

1.06

KL/Anum

Recycler or Actual
user

Ahmednagar Oil
Traders

23.1 Wastes or residues (not made withvegetable or animal materials)16.17

MTA

Disposal Facility

MEPL

33.1 Empty barrels /containers /liners
contaminated with hazardous chemicals/wastes

1011

numbers/anum

Disposal Facility

Muskan Enterprises

35.3 Chemical sludge from waste watertreatment

53.35

MTA

Disposal Facility

MEPL

33.2 Contaminated cotton rags or othercleaning materials

0.118

MTA

Disposal Facility

MEPL

Name of Waste

Quantity of Waste

UOM

NA0KL/AnumName of Waste

Quantity of Waste

UOM

NA0KL/Anum

3. Quantity Utilised in-house,If any
Type of Waste

4. Quantity in storage at the end of the year
Type of Waste

PART B: To be ﬁlled bt Treatment,storage, and disposal facility operators
1.Total Quantity received

UOM

State Name

NAKL/Anum Other

2. Quantity in stock at the beginning of the year

UOM

NAKL/Anum

3. Quantity treated

UOM

NAKL/Anum

4. Quantity disposed in landﬁlls as such and after treatment
Direct landﬁlling

UOM

NAKL/Anum

Landﬁll after treatment

UOM

NAKL/Anum

5. Quantity incinerated (if applicable)

UOM

NAKL/Anum

6. Quantiry processed other than speciﬁed above UOM
NAKL/Anum

7. Quantity in storage at the end of the year.

UOMNAKL/AnumPART C: To be ﬁlled by recyclers or co-processors or other users
1. Quantity of waste received during the year
Waste Name/Category Country Name State Name Quantity of waste received from Quantity of waste
domestic sources
imported(If any)

Units

NAKL/AnumIndia

Maharashtra

NANA

2. Quantity in stock at the beginning of the year
Waste Name/Category

QuantityUOM

NANAKL/Anum

3. Quantity of waste recycled or co-procesed or used
Name of Waste

Type of Waste

Quantity

UOM

NANANAKL/Anum4. Quantity of products dispatched (wherever applicable)
Name of product

QuantityUOM

NA

NA

KL/Anum

Waste name/category

quantity

UOM

NA

NA

KL/Anum

Waste name/category

quantity

UOM

NANA

KL/Anum

Waste name/category

quantity

UOM

NA

NA

KL/Anum

Waste name/category

quantity

UOM

NANA

KL/Anum

Place

Date

Designation

Ranjangaon MIDC

2022-06-09

Deputy Manager, EHS

5. Total quantity of waste generated

6. Total quantity of waste disposed

7. Total quantity of waste re-exported (If Applicable)

8. Quantity in storage at the end of the year

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