L
D 30
CAP. 358]
Water Pollution Control (General) Regulations
[1988 Ed.
[Subsidiary]
GOVERNMENT OF HONG KONG
FORM 3
WATER POLLUTION CONTROL ORDINANCE
(Chapter 358)
Section 18
Application to vary an exemption
To the Water Pollution Control Authority,
OFFICIAL USE
ONLY
Date received
SECTION A. GENERAL INFORMATION
A1. APPLICANT
Full name
Name in Chinese characters (if any)
ID Card No./Business Registration No.
Address for correspondence
Telephone No.
Capacity in which making application
ISIC No. (if any)
Control Zone.
Further info. sought
Public notification
Date accepted/refused
In Register
Fee received
A2. Name of industrial premises or domestic sewage treatment plant to which application refers
CODE WPCO/EV/..../......
A3. Location of industrial premises or domestic sewage treatment plant to which application refers
Variation date
Variation code
A4. Code number of original notification- WPCO/E/.....
Remarks
A5. Date of original notification
A6.
A7.
A8. Type of discharge or deposit to which application refers-
Discharge or deposit from industrial premises
Discharge or deposit from domestic sewage treatment plant
If discharge or deposit is from industrial premises, state ISIC category number and name of industrial process carried on there.
Has exemption been varied previously?
YES
NO
If yes, state code number and date of most recent variation:
Code number: WPCO/EV/.....
Date
Page 30
Page 31
L
D 30
CAP. 358]
Water Pollution Control (General) Regulations
[1988 Ed.
[Subsidiary]
GOVERNMENT OF HONG KONG
FORM 3
WATER POLLUTION CONTROL ORDINANCE
(Chapter 358)
Section 18
Application to vary an exemption
To the Water Pollution Control Authority,
OFFICIAL USE
ONLY
Date received
SECTION A. GENERAL INFORMATION
AL
APPLICANT
Further info.
sought
Public notification
Date accepted/
refused
In Register
Full name
Name in Chinese characters (if any)
ID Card No./Business Registration No.
Address for correspondence
Telephone No.
Capacity in which making application
ISIC No. (if any)
Control Zone.
Fee received
A2.
Name of industrial premises or domestic sewage treatment plant to which application refers
CODE
WPCO/EV/..../......
A3.
Location of industrial premises or domestic sewage treatment plant to which application refers
Variation date
Variation code
A4.
Code number of original notification- WPCO/E/.....
Remarks
A5.
Date of original notification
A6.
A7.
A8.
Type of discharge or deposit to which application refers-
Discharge or deposit from industrial premises
Discharge or deposit from domestic sewage treatment plant
If discharge or deposit is from industrial premises, state ISIC category number and name of industrial process carried on there.
Has exemption been varied previously?
YES
NO
If yes, state code number and date of most recent variation:
Code number: WPCO/EV/.....-----...] ..
Date
Page 30Page 31
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