Soil Disposal Request Form

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Ecowaste Industries Ltd.

SOIL DISPOSAL REQUEST


Site address:
15111 Williams Road
Richmond, B.C.
V6W 1G9
REQUESTER INFORMATION
Contact Name and Title
Company Name
Mailing Address
Phone Number
Fax Number
E-mail Address
Your Job/File Number

PROPERTY OWNER
Contact Name and Title
Company Name
Mailing Address
Phone Number
Fax Number
E-mail Address

PROPERTY INFORMATION
Civic Address
Prior Land Use
Current Land Use
Reason for Soil Removal
Types of Contamination
Investigated (ie. metals,
hydrocarbons etc.)
Physical Attributes of Soil (ie.
gravel, sandy silt, wet, dry)
Consultant Report(s) Incl. (Y/N)
Soil Testing Results (RL+/CL+/IL+)
Volume of Soil for Disposal
(tonnes)
Hauling Dates (start and finish)
Please contact Kevin Johnstone, Environmental Engineering Technologist, Ecowaste at (604) 276-1204 or kjohnstone@ecowaste.com for more
information. Please include any applicable soil analytical results with this form.

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