Pre Qualification Questionnaire


  • If you are a Broker put your company name here. This is the person that will be invoiced for the material.
  • 1. Generator Information

  • This is the Generator of the waste.
  • Responsible Party Information

    If a third party is representing the generator such as a consultant or you are the person filling out the Pre-Qual for someone else at the generator location, your information goes here.
  • Southwest Processors, Inc. may not require laboratory analysis of wastes that are certified to contain no regulated metals, cyanide, toxic organic compounds, sulfides or chlorinated hydrocarbons.

  • Generators and Waste Haulers Please Note:

    We Cannot accept waste water until the physical characteristics and waste water information has been reviewed and accepted. Please complete the separate physical characteristics and waste description for each waste water interceptor locator at this facility.
  • PHYSICAL DESCRIPTION AND WASTE WATER INFORMATION SHEET

  • 2. Generator's Process Information

  • Detailed description of specific activity which created the waste contained in this interceptor.
  • 3. Physical Characteristics and Discription of Waste

  • Waste Properties

  • 4. Component Listing

    Does the waste contain (or could contain) ANY of the following
  • If yes, please list the source and approximate concentrations
  • If yes, please list the source and approximate concentrations
  • If yes, please list the source and approximate concentrations
  • Max. file size: 100 MB.
    This includes any analytical or MSDS information that is available. If you click "Save and Continue Later" this file will be lost. You can always email us a copy of the analytical after the submittal of the Pre-Qual.
  • CERTIFICATION

  • I certify that the information I have provided in response to the questionnaire contained in the PRE-QUALIFICATION QUESTIONNAIRE are true, correct and complete to the best of my knowledge. I understand that after reviewing the information you have provided, Southwest Processors, Inc. may require a sample of the waste unidentified in the questionnaire be submitted for analysis prior to acceptance of the waste for treatment.

  • MM slash DD slash YYYY

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