1. Introductory Text

2. Article 1. The questionnaire set out in the Annex to this Decision...

3. Article 2. The Member States shall use the questionnaire as a basis...

4. Article 3. This Decision is addressed to the Member States.

5. Signature

6. 1. ANNEX

      Items to be notified pursuant to Article 7(4)(b)(iii) of Regulation (EC) No 850/2004

      1. 1. Authorisation of the exemption:

         1. 1.1. Name of the competent authority:

         2. 1.2. Address of the competent authority:

         3. 1.3. Authorisation identification number:

         4. 1.4. Date of the permission:

         5. 1.5. Authorisation holder (company name):

         6. 1.6. Authorisation holder address:

      2. 2. General description of waste:

         1. 2.1. Six digit code as laid down in Commission Decision 2000/532/EC...

         2. 2.2. Waste name as laid down in Decision 2000/532/EC as amended:...

         3. 2.3. Approved amount in tonnes:

         4. 2.4. POP(s) substance and concentration exceeding the limit laid down in...

      3. 3. Description of treatment technology:

         1. 3.1. Pre-treatment required: yes/no

         2. 3.2. Final storage:

         3. 3.3. Name of final storage site:

         4. 3.4. Address of final storage site:

      4. 4. Summary of justification of environmental preferability of the management compared...

      5. 5. Website address or other reference where to find more information...