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,. <br />ASPHALT SPECIALTIES CO., INC. <br />SPEER INERT LANDFILL SITE-Authorization for Transport of fill <br />Company name: Authorized agent <br />Company address: <br />Phone Number, <br />Fax number and e-mail: <br />Drivers name: <br />Location of source and type of material: <br />Today's date: <br />Number of loads today: <br />By signing this form l/we agree to comply with the requirements listed below. <br />1. The Speer Inert Landfill is not open to the public and all loads brought in for placement <br />as fill must be pre-authorized by the ASCI Operations Manager. Both clean fill dirt and <br />inert materials (hardened asphalt, concrete, masonry, brick, rock, etc.) can be dumped <br />at the site, but the two types of materials must be separate. You will be directed <br />where to dump the two types of materials. Organic materials such as wood, tree <br />branches or any other type of vegetative matter are not allowed. <br />2. Material cannot be brought into the site on rainy or snowy days, where mud could get <br />tracked or carried onto Brighton Road. <br />3. All trucking coming into the site must use 120th Parkway to Brighton Road and proceed <br />north to the clearly marked entrance; trucking is not permitted on old 120th Ave. that <br />dissects the housing area directly east of Brighton Road. <br />4. Any trucking firm that does not have this form with them when asked to show it, will be <br />told to leave the site. <br />5. These form(s) are to be faxed or e-mailed back to the Operations Manager between the <br />20th and 251h of each month for billing at per cubic yard. Trailers will be billed <br />at 16 cubic yards per load and tandems will be billed at 10 cubic yards per load. <br />ASCI will not deviate from these requirements in any manner. If you have any questions, <br />contact Joe Cardenas, the Operations Manager, at 303-944-4268 on my cell or at the office at <br />303-289-8885. Fax number is 303-289-7707 and my e-mail address is: <br />ioec@asphaltspecialties.com. <br />Joe A. Cardenas <br />Operations Manager for Asphalt Specialties Co., Inc.