Open PDF file, 54 74 KB, for Material Shipping Record & Log for 2026

The document is a Material Shipping Record & Log from the Massachusetts Department of Environmental Protection, designed for tracking the shipment of contaminated soil, urban fill, and dredge materials that are not regulated under specific state management sections. It includes sections for location information, generator details, transporter data, receiving facility information, material description, environmental professional certification, and acknowledgment of receipt by the receiving facility. The form emphasizes compliance with regulations and accurate reporting to avoid penalties.

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How to use or fill out Open PDF file, 54 74 KB, for Material Shipping Record & Log

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Click ‘Get Form’ to open it in the editor.
Begin with Section A: Location Information. Fill in the release name (optional), street address, city/town, state, and zip code. Use the tab key to navigate between fields.
Provide the date/period of generation by entering the 'From' and 'To' dates.
Enter the U.S. EPA ID number and indicate if there is a 21E release by selecting 'Yes' or 'No'.
List any additional tracking documents associated with this shipment.
Proceed to Section B: Generator Information. Fill in your organization’s name, contact name, title, address, city/town, state, zip code, and telephone number.
Continue with Section C: Owner and/or Operator Information if applicable. Provide similar details as in Section B.
Complete Sections D through K by providing transporter information, receiving facility details, material description, environmental professional opinion, certification of generator information, acknowledgment of receipt by receiving facility, load information, and log sheet volume information as required.

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Versions	Form popularity	Fillable & printable
2017	4.1 Satisfied (20 Votes)
2001	4.8 Satisfied (160 Votes)
1994	4.7 Satisfied (42 Votes)

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