Material Profile Sheet

Please fill in the form below and sign certifying you have read and understand the following:

I hereby certify that the above and attached information is true and accurate to the best of my knowledge. I certify that the information and sample submitted is representative to the waste stream being considered. I understand that the determination made by AOC regarding the acceptance and pricing of this waste is based on the information and sample I provided and is subject to change if the incoming stream changes.