This form is to be used for recording the type and amount of materials that are being removed or deposited at the City of Manassas Materials Reduction Site.
Please respond to all questions included in this form. Your information will be tracked and reported to the Virginia Department of Environmental Quality to ensure that regulations regarding the site are being followed.
Please provide the date and time of your entry into the Materials Reduction Site.
Please enter the name of your company
Please enter the name of the driver adding or removing materials.
Please select the Department that you are contracted to work for.
Please select the Division that you are contracted to work for.
Please select the Project Code assigned to your work.
Please select how the load is measured.
Please enter the volume amount of the load.
Please select the type of material from the list.
Please enter the destination of the load
Please enter any additional information regarding the load.
This field is not part of the form submission.
* indicates a required field