Submit Documents

Before dumping, all clients are required to provide testing results and contamination information to be given a quote on pricing and where they will be approved to dump. If they are a new client they will receive customer set up documents via email such as a customer set up form, a payment form for credit card or EFT payments and a place for the project information and contacts. After the job is created in our systems the client will be provided a “Soil Documentation Form” that must be accompanied with every load brought into our facilities and given to the Scale Attendant to input into our scale system.

Site Profile

Site Information

Site Address *

Site Contact *

Site Phone *

Site Email *

Generator (Property Owner) Information

Generator Name *

Generator Address *

Generator Contact Person *

Generator Phone *

Generator Email *

Invoicing Information

Company Name *

Invoicing Address *

Invoicing Address

City

State/Province

Zip/Postal

Invoicing Phone *

Project Information

Project Manager *

Project Manager Phone *

Project Manager Email *

CC Project Manager on Billing? *

Yes

Accounts Payable Contact Name *

Accounts Payable Phone *

Accounts Payable Email *

PO/Project # *

Special Instructions

Consultant Information

Consultant Name *

Consultant Address *

Consultant Contact Person *

Consultant Phone *

Consultant Email *

Consultant Fax *

Waste Characterization

Prior Use of Site *

Current Use of Site *

Source of Contamination *

Contaminent of Concern *

Reason for Soil Removal *

Soil Type *

Debris in Soil *

Moisture Content *

Estimated Quantity *

Analyitical Data

Maximum file size: 3MB

Please attach analytical data [and borehole log(s) if available] which accurately characterize the soils being transported.

Certification

The client is familiar with the waste through analysis and testing to support this certification that the waste exhibits only the characteristics marked above. The client agrees that the information submitted above is true, accurate and complete.

Name *

Signature *

Clear

Date *

Payment Terms

Payment terms are net 30. Credit card transactions greater than $10,000 will be subject to a fee that is equal to 2% of the total payment. Interest on overdue accounts will be charged at 2% per month.

If you plan on making credit card payments, please request a credit card authorization form.

Name *

Signature *

Clear

Date *

If you are human, leave this field blank.

Wood Profile

Project Name *

Project Number

Generator (Property Owner) Info

Generator (Property Owner) *

Generator Address *

Generator Contact Name *

Generator Phone *

Generator Email *

Site Info

Site Address *

Site Contact Name *

Site Contact Phone *

Site Contact Email *

Billing/Invoicing Info

Invoice To (Company) *

Company Contact Name *

Accounting Department Contact Name *

Billing Address *

Billing Phone *

Billing Email *

Special Instructions

Waste Characterization

Contains Creosote *

Yes

Estimated Quantity *

Certification

The Generator is familiar with the waste through analysis and testing to support this certification that the waste exhibits only the characteristics marked above. The generator believes that the information submitted is true, accurate and complete.

Name *

Date *

If you are human, leave this field blank.