Fillable Application to Dispose of Special Wastes at Metro (Metro)

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Application to Dispose of Special Wastes at Metro (Metro)

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  • 6 check-boxes
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Country of origin: US
File type: PDF

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BROWSE METRO (OR) FORMS

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Revised April 2019
Application to Dispose
of Special Wastes at
Metro Facilities
Return this completed application form and any MSDS or analytical information to the above address or email to
special.waste@oregonmetro.gov. Please include the $25 application fee (payable to Metro) or pay by credit card by contacting
Metro’s Accounts Receivable at 503-797-1620 or accounts.receivable@oregonmetro.gov. Please direct any questions about filling
out this form to special.waste@oregonmetro.gov.
A. WASTE GENERATOR INFORMATION
Generator name:
Facility street address
(site of waste generation):
Facility City, State, Zip:
Mailing address if different:
Phone:
Technical
contact: e-mail:
B. WASTE STREAM INFORMATION
Description of Waste (waste composition, process generating waste):
Disposal is:
☐ One-time: Total amount:
☐ On-going: Estimated amount per delivery:
Expected frequency of delivery:
C. TRANSPORTATION INFORMATION
Method of shipment (bagged/loose in drop box/other):
Will the waste be transported comingled with trash?
☐
Yes ☐ No
Transporter:
Transporter contact person:
Phone number:
Proposed Metro Facility:
☐ Metro Central Transfer Station, 6161 NW 61st Avenue, Portland, OR
☐
Metro South Transfer Station, 2001 Washington Street, Oregon City, OR
I certify that the information above is accurate and complete to the best of my knowledge:
Signature:
Print/type name: Date:
Property & Environmental Services
SWO - Special Waste Permits
600 NE Grand Ave.
Portland, OR 97232
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Application to Dispose of Special Wastes at Metro (Metro)

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Completed 15 August 2020

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