---

Construction and Demolition Waste Acceptance

To protect the health and safety of our employees and customers, all loads of construction, remodeling and demolition waste brought to Schooner Creek Public Transfer Station (SCT) are screened before, during, and after unloading for materials that may contains asbestos. This form is required for all such loads of waste that contain construction or demolition waste.

Analytical test results are required for the following products commonly known to contain asbestos:

• Interior walls and ceilings: acoustical tiles, glue dots, plaster, and textured surfaces.
• Exterior walls: cement siding, stucco.
• Flooring: vinyl tiles, sheet vinyl, some mastic adhesives
• Insulation/fireproofing: block, boiler, spray-applied, vermiculite, monokote, sink undercoating, thermal system insulation (fiberglass, cellulose, and mineral wool are exempt).
• Gaskets: furnace, mechanical, boiler, wood stove (automotive gaskets are exempt).
• Heating: white paper or seam tape on ducts, air duct cement and insulation.
• Roofing Materials: tar paper, felt, silver/white roofing paint, Nicolite paper (Note: three tab composition shingles do not contain asbestos).
• Fire doors, Fire/kiln brick and fireproofing
• Various Compounds: window glazing, adhesives, caulks, patching, mastics, vapor barrier products (plastic or sythetic materials such as Tyvek are exempt).
• Electrical: switch gear, circuit boxes and fuse panels; wiring with cloth insulation (Romex wiring is Exempt).

Please Note: Flat/built-up roofing, typically with layers of roofing (built-up) that has a mopped on asphaltic material on top of the petroleum-based felt-type/rolled roofing material, has to have test results showing it has no asbestos in it, regardless of when it was constructed.

Instructions for Filling out this Form:

• This form is required for all loads containing construction, demolition, or renovation material.
• This form should be completed by the person responsible for and knowledgable about the contents of the load.
• For multiple loads, only one form needs to be filled out, 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 the abatement of positive (greater than one percent asbestos by weight) asbestos-containing materials unloaded at SCT's transfer stations, including but not limited to the costs for testing, a licensed abatement contractor, fines, and administration.

---

By adding my name to this form, I warrant that the information provided is truthful and accurate to the best of my knowledge and agree that this shall act as an electronic signature in place of a hand-written signature. If you would like to fill out a pdf version of this form instead, click here.