Del. Admin. Code tit. 1, 500, 501, att. E

Current through Register Vol. 28, No. 5, November 1, 2024

Attachment E - TRANSFER STATION MONTHLY SOLID WASTE REPORT

Transfer Station Name: __________________________________________

Transfer Station Number: ________________________________________

Transfer Station Operator: ________________________________________

From: ________________________________ Reporting Period:

To: Delaware Solid Waste Authority Date:

TYPE OF WASTE	TONS RECEIVED	TONS DISPOSED	DISPOSAL FACILITY Tons Location (Name and Address
SOLID WASTE
a. Delaware	1.
2.
3.
4.
b. Other	1.
2.
3.
4.
TOTAL
SPECIAL SOLID WASTE
a. Delaware	1.
2.
3.
4.
b. Other	1.
2.
3.
4.
TOTAL
DRY WASTE
a. Delaware	1.
2.
3.
4.
B. Other	1.
2.
3.
4.
TOTAL
GRAND TOTAL

CERTIFICATION I hereby certify that the above information is true and correct, to the best of my knowledge, this

day of, A.D. 20.

_____________________ _________________

Notary Public Signature Owner's Representative

Notary Public Printed Name Owners Representative Printed Name and Title:

Del. Admin. Code tit. 1, 500, 501, att. E

12 DE Reg. 1192 (03/01/09)

15 DE Reg. 637 (11/01/11)

17 DE Reg. 313 (9/1/2013)(Final)