ANNEX IIISupplementary provisions
ANNEX III Statement of Conformity with the end-of-waste criteria referred to in Article 5(1) 1. Producer/importer of scrap metal: Name: Address: Contact person: Tel. Fax E-mail: 2. (a) name or code of the scrap metal category, in accordance with an industry specification or standard: (b) where relevant, main technical provisions of a customer specification, such as composition, size, type and properties: 3. The scrap metal consignment complies with the specification or standard referred to in point 2: 4. Quantity of the consignment in tonnes: 5. A radioactivity test certificate has been established in accordance with national or international rules on monitoring and response procedures for radioactive scrap metal: 6. The producer of scrap metal applies a quality management system complying with Article 6 of Regulation (EU) No 333/2011 ( 1 ) , which has been verified by an accredited verifier or, where scrap metal which has ceased to be waste is imported into the customs territory of the Union, by an independent verifier: 7. The scrap metal consignment meets the criteria referred to in points (a) to (c) of Articles 3 and 4 of Regulation (EU) No 333/2011 ( 1 ) : 8. Declaration of the producer/importer of scrap metal: I certify that the above information is complete and correct to my best knowledge. Name: Date: Signature: ( 1 ) Council Regulation (EU) No 333/2011 of 31 March 2011 establishing criteria determining when certain types of scrap metal cease to be waste under Directive 2008/98/EC of the European Parliament and of the Council ( OJ L 94, 8.4.2011, p. 2 ).