
Article 1 
The questionnaire set out in the Annex to this Decision is hereby adopted.
Article 2 
The Member States shall use the questionnaire as a basis for their notification pursuant to Article 7(4)(b)(iii) of Regulation (EC) No 850/2004.
Article 3 
This Decision is addressed to the Member States.
Done at Brussels, 20 November 2008.
For the Commission
Stavros DIMAS
Member of the Commission
ANNEX
1.  1.1. Name of the competent authority:
 1.2. Address of the competent authority:
 1.3. Authorisation identification number:
 1.4. Date of the permission:
 1.5. Authorisation holder (company name):
 1.6. Authorisation holder address:

2.  2.1. Six digit code as laid down in Commission Decision 2000/532/EC as amended:
 2.2. Waste name as laid down in Decision 2000/532/EC as amended:
 2.3. Approved amount in tonnes:
 2.4. POP(s) substance and concentration exceeding the limit laid down in Annex IV:

3.  3.1. 
namely: solidification/stabilisation/

other pre-treatment methods:
 3.2. 
Salt mine/safe, deep, underground, hard rock formations/hazardous waste landfill
 3.3. Name of final storage site:
 3.4. Address of final storage site:

4. 
5. 