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Vehicle Compliance Form
Phone
This field is for validation purposes and should be left unchanged.
Facility
(Required)
Please Select
Cherry Island Landfill
Pine Tree Transfer Station
Sandtown Landfill
Milford Transfer Station
Rt. 5 Transfer Station
Jones Crossroads Landfill
Date
(Required)
MM slash DD slash YYYY
Time
(Required)
Hours
:
Minutes
AM
PM
AM/PM
TO
(Required)
Please Select Compliance Officer's Name
MC Justice
Cliff Leary
Jason Nicholson
Kenya Tate
FROM
(Required)
Please Enter Weighmaster's Name
Email
(Required)
Vehicle Info
Company Name
(Required)
Account/Truck Number
(Required)
Format: 0000-000
Fleet Number
(Required)
Vehicle Type
(Required)
Front End Loader
Rear Loader
Side Loader
Roll Off
Dump Truck
Stake Dump
Pickup Truck
Other
License Plate Number
(Required)
Please Enter Other Vehicle Type
Vehicle Needs The Following
(Required)
