Construction And Demolition Waste Acceptance Form

Construction And Demolition Waste Acceptance Form - Metro Page 2

5. Address of work site: ________________________________________________________________________

Property owner: _____________________________________________________________________________

Phone: ________________________________________ Fax: _________________________________________

Email: _________________________________________________________________________________________

Mailing address (if different): ______________________________________________________________

6. Hauled by:

 Building Contractor (if self, skip to #7)

 Waste Hauler (if waste hauler, complete the following):

Name of hauling company: _________________________________________________________________

Company contact: ______________________________________ Phone: ____________________________

7. Description of waste (e.g., plaster, flooring, insulation): _________________________________

_________________________________________________________________________________________________

Certification: I certify that the above information is true and correct to the best of

my knowledge, and that the documentation presented represents the materials

delivered to the transfer station.

Name (Print): ____________________________________________________________

Signature: ________________________________________________________________

FACILITY USE ONLY

Facility:  MCS  MSS

Approver: ___________________________________________________

ACCEPTED:  YES  NO

Comments: __________________________________________________

TRACKING NUMBER: _____________________________________________________________________________

Find a list of licensed asbestos contractors and analytical labs at

deq.state.or.us/aq/asbestos

or call 503-229-5982

Hillsboro Landfill is permitted to accept asbestos waste. Hours of operation (as of

Feb. 25): Monday thru Friday, 8 a.m. to 2 p.m. Call: 503-640-9427

Questions? Ask Metro about requirements, materials accepted and fees at Metro

transfer stations. Call before you haul at 503-234-3000 or email

mri@oregonmetro.gov

Construction And Demolition Waste Acceptance Form - Metro Page 2