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Disposal/Transportation Survey Form

* Indicates required fields

Company: *
Address:
City, State Zip:
Contact Person: *
Phone Number:
Email: *
Please answer the following questions (Click appropriate units):
Type of material to be disposed:
Percent Solids of Material to be Disposed:
Current Method of Disposal:
Current Price of Disposal:
$ per 1 yd   1 ton  1 gallon  1 dry ton  FYE
Does the above price include transportation?    Yes    No
If not, Current Price of Transportation:
$ per 1 yd   1 ton  1 gallon  1 dry ton  FYE
Volume of material to be disposed
# tons: , # cubic yards
Disposal Frequency: 1 day   1 month   1 year   1 time
Is material acceptable for beneficial reuse?
      

Please complete and submit this form or print form and fax to (413) 247-9401 for non-binding cost estimate.

For an onsite survey of your waste disposal problem call 1-800-292-2325.

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email: info@hydropress.net
77B West Street, West Hatfield, MA 01088      TEL.: 413-247-9656 FAX: 413-247-9401

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