BALLAST ESTIMATE
LAMP ESTIMATE
TRANSFORMER ESTIMATE
HAZMAT ESTIMATE

Contact:
Neil Farans
Eastern Environmental Technologies, Inc.
47 Purdy Avenue
Port Chester, NY 10573

p: 800.808.7227
f: 914.934.9659

WORKSHEET FOR FREE ESTIMATE OF HAZMAT RECYCLING
Enter the estimated amount of hazardous materials to be recycled. This will provide an estimated amount that should slightly exceed the actual disposal costs for PO purposes.

* Email, phone and both name fields are required!!!

Waste Description:

Hazardous Non-Hazardous
Packaging Type:
(pail, drum, cubic yard box, pallet)
Number of Units:

JOB SITE LOCATION
City State
Zip

CONTACT INFORMATION

*First Name

*Email

*Last Name

*Phone
Cell Phone
Company Fax
Address
State
City
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Comments and Questions

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