Online Waste Manifest Forms - Absolute Environmental Waste Management

Section 1 - Generator

Name*

First Last

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Bill To Address (If Separate)*

Same as previous

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Location*

Waste Generator ID (ABG#)*

Description*

Authorizations

Reference #

PO#

AFE

Code

Waste Classification

Please Select*

Oilfield Non Dow Waste
Oilfield Dow Waste (ERCB Manifest Required)
Industrial Hazardous Non Oilfield Waste (Analytical Required)
Industrial Non Hazardous Non Oilfield Waste (Analytical Required)

Samples will be taken by Absolute for QA/QC purposes and stored on location for 3 months.

Form of Waste

% of Oil*

Solid*

Liquid*

Volume*

M3

NOTE: Are there any special precautions to be considered regarding this shipment?*

Yes
No

Special Handling

Emergency Instructions*

Generator's Certification

Shipment Date*

Authorized Agent*

First Last

Agent Phone #*

Agent Cell #*

Agent Fax #*

I hereby certify that the above material is properly described above.*

I Agree

Section 2 - General Disclaimer (Conditions)

The generator is responsible to correctly classify the wastes and comply with all of the applicable requirements specified in the provincial and federal transportation regulations as well as all provincial and federal environmental regulations.

Section 3 - Transporation

***Please call (780) 240-6137 1HR prior to arrival, at all times, so we can ensure personnel are on hand for you***

Company Name*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Driver Name*

First Last

Truck #*

Phone*

Truck License*

Province/State*

Shipment Date*

I hereby certify that the above transportation infomation above is correct and true.*

I Agree

Section 4 - To Be Completed By Absolute Environmental Waste Management Inc.

Certification: The Waste described on this manifest has been received & sampled according to Waste Screening Guidelines

Date Received

Authorized Person

First Last

Authorized Signature

Absolute Sample ID#

Date Disposed

Name

This field is for validation purposes and should be left unchanged.

Waste Manifest & Destruction Certificate

Section 1 - Generator

Authorizations

Waste Classification

Form of Waste

Generator's Certification

Section 2 - General Disclaimer (Conditions)

Section 3 - Transporation

Section 4 - To Be Completed By Absolute Environmental Waste Management Inc.