Material Characterization Sheet
Please fill the information bellow when an Third-Party Hauler requests a LEED/Diversion Report at the Scale House
Date:
*
-
Month
-
Day
Year
Date
Customer Information:
*
Customer Name / Name of the Hauler
Project/Job Name or Number (normally is the address of the project)
Ticket #
Ticket Number:
*
Enter Ticket Number Here
DTG Facility:
*
Hudson
Maltby
Recovery 1
Redmond
Renton
East Marginal
Snohomish
Spectrum
Yakima
Select Location
Material Characterization:
Percentage % of the material in the load:
Metal
Wood
Asphalt/Concrete
Drywall
Roofing
Plastic
Cardboard/Paper
Styrofoam
Mattresses
Carpet
Organics
Other
Dirt
Total %
Must equal 100%
Net Tons:
*
Picture of the load:
*
Click to take a picture
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of
Submit
Print Form
Should be Empty: