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Fanaveien 213 (vekten)
5239 Rådal
T: 55 11 87 50
E: post@fsg.no

Products
Depot
Form
- Asphalt form
- Basic characterisation form
Car wash
About us

Asphalt form

Asphalt form

Waste producer and customer information

Customer no./Company *

Company registration number *

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(To be filled in if you want a receipt by email)

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Waste producer

If other than customer

What address is the return coming from?

What is the age on the tarmac

Type mass

Type mass

Fresemasse

antiaircraft forces

Granules

*FSG AS only accepts asphalt waste that does not contain tar-containing asphalt (LoW code 17 03 02)

a) Does the asphalt come from an area where industrial or remediation activities have taken place?

Yes

No

b) Do the masses have an abnormal smell or colour

Yes

No

c) Is there any risk that the soils contain asphalt from before 1970

Yes

No

d) Have chemicals been used on the site

Yes

No

IF ANY OF THE ABOVE QUESTIONS ARE ANSWERED YES, AN ENVIRONMENTAL TECHNICAL INVESTIGATION OR OTHER DOCUMENTATION MUST BE ATTACHED CONFIRMING THAT THE SOIL/MATERIALS DO NOT CONSTITUTE AN ENVIRONMENTAL HAZARD *

Environmental site assessment

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Regularly delivered masses

Does the waste arise regularly?

Yes

No

Is this the first consignment?

Yes

No

Signature/Name

The characterisation was carried out by: *

(Name)

Fact

Comment

Declaration *

Yes

We accept that if the materials are impure or contaminated, FSG AS may demand clean-up. The costs associated with this and any discrepancy fees will be charged to the customer.

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Contact

Fanaveien 213 (vekten)
5239 Rådal

T: 55 11 87 50
E: post@fsg.no

Opening hours

Monday: 06.30 – 18.30
Tuesday: 06:30 – 18:30
Wednesday: 06.30 – 18.30
Thursday: 06.30 – 15.00
Friday: 06:30 – 15:00
Saturday: 07.00 – 12.30

Basic characterisation

Basic characterisation form

Asphalt form

Open asphalt form