Asbestos Disposal Manifest Form PDF Details

In managing the safe and regulated disposal of asbestos, the Asbestos Disposal Manifest Form serves as a crucial document, ensuring that all parties involved in the removal, transport, and disposal process adhere to strict guidelines to protect public health and the environment. This form requires detailed information about the asbestos removal project, including the project's location, the contractor undertaking the work, and the dates of the project. Additionally, it mandates details about the waste hauler responsible for transporting the asbestos, including their license number and contact information. A critical section of this form is the landfill information, where the asbestos will be disposed of, including the landfill's permit number and the condition and labeling of the containers used for transport. The purpose of this manifest is to trace the asbestos from its point of origin through to its final disposal, ensuring compliance with local, Georgia state, and federal regulations. By mandating signatures from both the waste hauler and landfill operator, the form not only facilitates a record-keeping system but also serves as a legal document attesting to the proper handling and disposal of asbestos-containing materials, reflecting a commitment to environmental stewardship and public safety.

QuestionAnswer
Form NameAsbestos Disposal Manifest Form
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesgeorgia manifest format, georgia asbestos disposal manifest, asbestos waste manifest georgia, maplehill landfill albany georgia manifest form

Form Preview Example

ASBESTOS DISPOSAL MANIFEST FORM

Please complete and return with completion form.

I.PROJECT INFORMATION:

Asbestos Project:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Project Address:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

City:

 

 

State: Georgia County:

 

Project Dates:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Removal Contractor (Agent Name):

 

 

 

 

License No/Expiration:

 

 

Removal Contractor/Company Name:

 

 

 

Telephone No:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

II.WASTE HAULER INFORMATION:

Waste Hauler Company:

Address:

City:

 

State:

 

Zip Code:

 

 

License No:

 

 

Telephone No:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Signature of Driver

 

 

 

 

 

Date

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

III.

LANDFILL INFORMATION:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Landfill Name:

 

 

 

 

Permit Number:

 

 

 

 

 

 

Volume Asbestos Received:

 

SQ/FT

 

 

 

 

LN/FT

CU/YD

Type of Containers:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Condition of Container:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Were Containers Labeled (asbestos waste): EPA/OSHA:

Yes:

 

 

 

 

 

No:

 

 

 

 

 

 

I CERTIFY THAT

 

 

 

 

 

 

 

 

HAS BEEN APPROVED FOR

THE DISPOSAL OF ASBESTOS-CONTAINING MATERIAL AND THAT THE DELIVERED MATERIAL WILL BE DISPOSED IN ACCORDANCE WITH LOCAL, STATE AND FEDERAL REGULATIONS.

Signature of Landfill Operator

Date

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Step number 1 in filling in asbestos manifest form georgia

2. When the previous segment is completed, you're ready put in the necessary details in III, LANDFILL INFORMATION, Landfill Name Permit Number, Volume Asbestos Received SQFT LNFT, Type of Containers Condition of, Were Containers Labeled asbestos, Yes No, I CERTIFY THAT HAS BEEN APPROVED, Signature of Landfill Operator, Date, and gasbestosformsmanifest so you're able to move forward further.

Filling out section 2 of asbestos manifest form georgia

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