Construction And Demolition Waste Acceptance Form - Metro

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Construction and Demolition Waste Acceptance Form
To protect the health and safety of our employees and customers, all loads of construction,
remodeling and demolition waste brought to Metro Central or Metro South transfer
stations are thoroughly screened for materials that may contain asbestos. This precaution
is coupled with paperwork required for all such loads of waste hauled in a drop-box or by
building trade contractors (account or cash customers). In addition, analytical test results
are required for the following products commonly known to contain asbestos:
o Plaster and decorative plaster
o Flooring: vinyl tiles, vinyl sheet, cove base molding and mastic
o Acoustical ceiling tiles, ceiling texture (“popcorn”) and spray-on texture
o Cement siding (Transite)
o Various forms of insulation: blown-in, spray-applied, vermiculite, pipe, HVAC
and lagging
o Electrical wire insulation and panel partitions
o Other: fire doors, fire brick, fireproofing
INSTRUCTIONS
 This form should be completed by the person responsible for and knowledgeable
about the contents of the load.
 For multiple-load projects, copies of this form will be accepted, but the contents of
the load must match the description of the waste materials on the form.
 All parties involved (generator, contractor and hauler) may be held responsible for
abatement of unacceptable materials unloaded at Metro's transfer station, including
costs for testing, abatement, fines and administration.
1. Does load contain materials generated from construction, remodeling or
demolition?
 Yes
 No
2. Did waste materials originate from new construction only?
 Yes (if yes, skip to #5)
 No
3. Was an asbestos survey conducted before work began?
 Yes (if yes, attach survey)
 No
4. If any asbestos-containing materials were identified in the survey, how were they
managed?
 Hauled to an approved disposal facility
 Other: _____________________________________________________________________________
____________________________________________________________________________________
__

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