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REFERENCE DOCUMENTS - RAL25/0004 (As Published)

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                                                                                                                                 Notice
                                                                                     Duty to notify of environmental harm

                      Substance(s):      heavy metals, bonded asbestos and physical general wastes (non-putrescible) such
                      as glass, metal and plastics
                      Quantity: estimated >5tonnes           Litres/Kilograms/Tonnes/<other>

                      Area/extent affected: 15,000m3 (two areas in total)                   m by          m



           6.8 How did you become aware of the event

              Via contamination investigation report per attached




            6.9. What was the source of information about the event

                     ☐ own observation
                     ☒ information provided by a person with relevant competencies
                     ☐ information provided by an employee

            6.10.      When did you first became aware of the event for which notice is given



              TIME                                                                   DATE

              Click or tap here to enter text.                                       30/05/2023




            7. Change in condition of land
            If it is a change in the condition of land that is being notified, the following information should be provided.
            7.1. Nature of change in the condition of the land (that has caused or is reasonably likely to cause or
                 involve serious or material environmental harm)

                       • Dispersal of contaminants in soil                                    ☐ No          ☐ Yes

                       • Dispersal of contaminants in groundwater                             ☐ No          ☐ Yes

                       • Dispersal of contaminants in surface waters                          ☐ No          ☐ Yes

                       • Accumulation of gases or vapour in soil or
                                                                                              ☐ No          ☐ Yes
                         structures

                       • Change in surface features (e.g. vegetation)                         ☐ No          ☐ Yes

            7.2. Details of change in the condition of the land




            Page 6 of 9 • ESR/2016/2230 • Version 4.00 • Last Reviewed : 12 April 2023               Department of Environment and Science
Document Set ID: 23717062
Version: 0, Version Date: 01/01/1900

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