To protect the health and safety of our employees and customers, all loads of construction, remodeling and demolition waste brought to Schooner Creek Public Transfer Station is screened before, during, and after unloading for materials that may contain asbestos. This form is required for all such loads of waste that contain construction and demolition waste.

Analytical test results are required for the following products commonly known to contain asbestos:

• Interior walls and ceilings: acoustical tiles, glue dots, plaster, and textured surfaces
• Exterior walls: cement siding, stucco
• Flooring: vinyl tiles, sheet vinyl, some mastic adhesives
• Insulation/fireproofing: block, boiler, spray-applied, vermiculite, monokote, sink undercoating, thermal system insulation (fiberglass, cellulose, and mineral wool are exempt)
• Gaskets: furnace, mechanical, boiler, wood stove (automotive gaskets are exempt)
• Heating: white paper or seam tape on ducts, air-duct cement and insulation
• Roofing materials: tar paper, felt, silver/white roofing paint, Nicolite paper
  Note: three tab composition shingles do not contain asbestos
• Fire doors, fire/kiln brick, and fireproofing
• Various compounds: window glazing, adhesives, caulks, patching, mastics, vapor barrier products (plastic or synthetic materials such as Tyvek are exempt)
• Electrical: switch gear, circuit boxes and fuse panels, wiring with cloth insulation (Romex wiring is exempt)

PLEASE NOTE: Flat/built-up roofing, typically with layers of roofing (built-up) that has a mopped on asphaltic material on top of the petroleum-based felt-type/rolled roofing material is required to have test results showing it has no asbestos in it, regardless of when it was constructed.

Instructions for Filling out This Form

• This form is required for all loads containing construction, demolition, or renovation material.
• This form should be completed by the person responsible for and knowledgeable about the contents of the load.
• For multiple-load projects, copies of this form will be accepted, but the contents of the load must match the description of the waste materials on the form.

All parties involved (generator, contractor, and hauler) may be held responsible for the abatement of positive (greater than one percent asbestos by weight) asbestos-containing materials unloaded at the Schooner Creek Transfer Station, including but not limited to the costs for testing, a licensed abatement contractor, fines, and administration.