Home » Clean Fill Delivery Request Form
Company Name (required)
Contact Name (required)
Address (required)
City (required)
Province / Territory (required)
Postal Code (required)
E-mail (required)
Phone
Fax
Number of loads (required)
Size of Load
Source Location of Clean Fill
Type of Clean Fill
Company Name
Contact Name
Address
City
Province / Territory
Postal Code
Payment Method CashDebitVisa/MCAccount Number
Date For Delivery Request (required)
Delivery Time (required)
Visa/MC/Account Number
Expiry
OVWRC Authorization
Date
Notification to Landfill YesNo
Fee Charged No Charge (Six Inch Minus & Free of all Waste – to be used as Landfill Cover)$20 /mt (Clean Fill but not required for Landfill Cover)Landfill Rate (Zero Tolerance – Fill not clean, contaminated)
Staff Notified