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The use of trams for the transport of waste from urban areas to waste incineration facilities - does it make sense, would it be technically feasible, economically sustainable and environmentally beneficial? These are the questions which we attempted to answer in this comprehensive study. The analysis is performed for a specific potential implementation of this system in Prague and adjacent municipalities. In this work, we compare the current state, where mixed municipal waste is transported to an incineration plant directly by garbage tr