APPLICATION FOR APPROVAL OF CONTAINER/LABEL
(Made under Section 69 of the Environment Protection Act, 1993)
- NAME AND ADDRESS OF PERSON/COMPANY MAKING APPLICATION:
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Telephone................................Fax...............................Company ACN.........................................
2. NAME OF PRODUCT/S BEING APPLIED FOR: -------------------- CONTAINER SIZE AND TYPE:
The EPA requires examples of the refund markings as they will appear on the containers. Whilst it is preferable in the first instance that this takes the form of an actual label or an embossed sample of the container to be used, facsimile or photocopies may be satisfactory for this purpose. Printed labels should be provided to the Agency when available.
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3. METHOD OF RETURN -------------- Please select (a) or (b)
(a) Refund at Collection Depots c
I/We declare that in support of this application, a written financial agreement will be put in place between this company and ....................................................................... (Name of Recovery Agent/Super Collector), and the Recovery Agent/Super Collector to confirm in writing to the EPA that this agreement is in place.
OR (b) Points of Sale c
I/We declare that in support of this application arrangements will be established for the collection and recycling of empty containers returned to retailers.
I/We declare that all details supplied in this application are correct.
Signed: .................................................
Position Held: .................................................
Date: .................................................
Note: If there is insufficient space on this form to complete Section ‘2’ above, please provide this information by way of an attachment to this application.
(EPA Use Only - 3/99)
Approved / Not Approved Refund Marking Info Alpha = mm Numeric = mm ................................................................................... DATE ............................. (Delegate) ENVIRONMENT PROTECTION AUTHORITY