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The purpose of this document is to grant Waste Express, the authority of agency to sign the
necessary documentation which will expedite the approval, transportation
and acceptance of our material into the proper disposal facility or facilities
as required by Federal and State regulatory agencies.
Name of Company:
Address:
City:
State:
Zip:
Name (printed):
Title:
Signature:
Date:
(Office use only)
Name of Project Manager:
Nature of Project: Spill _____ Remediation _____ Disposal
_____
Job
Number:
Date:
Comments:
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