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<head>
<meta charset="UTF-8">
<meta name="viewport" content="width=device-width, initial-scale=1.0">
<title>Wastewater Notification Forms</title>
<style>
body {
font-family: Arial, sans-serif;
line-height: 1.6;
margin: 0;
padding: 20px;
background-color: #f0f0f0;
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.form-container {
max-width: 800px;
margin: 0 auto;
background-color: #fff;
padding: 20px;
border-radius: 8px;
box-shadow: 0 0 10px rgba(0,0,0,0.1);
}
.form-section {
margin-bottom: 20px;
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label {
display: block;
margin-bottom: 5px;
font-weight: bold;
}
input[type="text"], textarea {
width: 100%;
padding: 8px;
border: 1px solid #ddd;
border-radius: 4px;
box-sizing: border-box;
}
.notification-text {
font-size: 14px;
margin-bottom: 15px;
}
ul {
padding-left: 20px;
}
.reporting-year {
font-size: 24px;
font-weight: bold;
margin-bottom: 10px;
}
.amount-released {
font-size: 18px;
font-weight: bold;
margin-bottom: 10px;
}
</style>
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<body>
<div class="form-container">
<div class="form-section">
<label for="date">Date:</label>
<input type="text" id="date" name="date">
</div>
<div class="form-section">
<label for="to">To:</label>
<input type="text" id="to" name="to">
</div>
<div class="form-section">
<strong>To Whom it May Concern</strong>
</div>
<div class="notification-text">
<p>As a downstream user of a product that has been granted an authorisation for continued use of 4-tert-OPnEO, it is required to complete a notification to the local authorities and wastewater treatment plant.</p>
<p>The Authorisation indicates that those discharging wastewater contaminated with 4-tert-OPnEO shall submit a notification to the following bodies, in accordance with the legislation transposing Directives 91/271/EEC and 2000/60/EC, as well as with national provisions of the Member States where the uses take place:</p>
<ul>
<li>the competent authorities responsible under Directive 2000/60/EC;</li>
<li>the competent authorities responsible under Directive 91/271/EEC;</li>
<li>the wastewater treatment plant connected to the sewage system into which they are discharging that wastewater.</li>
</ul>
<p>To fulfill this requirement, please find the annual amount of 4-tert-OPnEO released and annual volume of wastewater discharged.</p>
</div>
<div class="form-section">
<label>Reporting Year</label>
<div class="reporting-year">2023</div>
</div>
<div class="form-section">
<label>Annual amount of 4-Tert-OPnEO released (Kg)</label>
<div class="amount-released">0.0658</div>
</div>
<div class="form-section">
<label for="wastewater-volume">Annual volume of wastewater discharged</label>
<input type="text" id="wastewater-volume" name="wastewater-volume">
</div>
<div class="form-section">
<label for="name-stamp">Name and stamp</label>
<textarea id="name-stamp" name="name-stamp" rows="3"></textarea>
</div>
</div>
</body>
</html>
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