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Materials Reduction Site - Contractor Form

  1. City of Manassas Seal

  2. City of Manassas Materials Reduction Site - Contractor Form

  3. FOR USE BY APPROVED CONTRACTORS ONLY

    This form is to be used for recording the type and amount of materials that are being removed or deposited at the City of Manassas Materials Reduction Site. Please respond to all questions included in this form. Your information will be tracked and reported to the Virginia Department of Environmental Quality to ensure that regulations regarding the site are being followed.

  4. Please provide the date and time of your entry into the Materials Reduction Site.

  5. Please enter the name of your company

  6. Please enter the name of the driver adding or removing materials.

  7. Load Size Measurement

    Please select how the load is measured.

  8. Please enter the volume amount of the load.

  9. Please enter the destination of the load

  10. Please enter any additional information regarding the load.

  11. Thank you for your information.

  12. Leave This Blank:

  13. This field is not part of the form submission.