<p>Job Name / RA # Recycling Logistics Form This document is to be provided on all jobs. This form, a properly signed Recycling Agreement and a negative asbestos survey report for each jobsite must be provided and approved by Armstrong before Armstrong arranges a pick up. Return required documents to Armstrong Recycling Center: Fax: 1-800 572 8324 or 1-888 396 0877. Contact our Armstrong Recycling Center directly Phone: 1-877 276 7876, options 1 & 8.</p><p>A. Quantity of Material to Recycle: SF of material to recycle: sf or # of pallets</p><p>B.Address for Pickup:</p><p>Building Name: Street: City: State: Zip: </p><p>Jobsite Contact Name: Phone: </p><p>Jobsite Contact Fax Number: </p><p>C. Pick Up Date: Estimated date needed for pickup (list all dates if more than one trailer load) Please allow a minimum of three (3) days to a maximum of five (5) days for a shipment to be scheduled. </p><p>Load #1 Load #2 </p><p>D. Special Loading Requirements? Loading Dock height or size, parking, city/state requirements, other trade traffic that needs to be factored into this pickup?</p><p>E. Job Details: List each project/owner for each job that is part of this shipment. If material from several jobsites is consolidated in one truckload, an Armstrong-approved Asbestos Survey must be on file with Armstrong for each jobsite List each site separately. Use page 2 for additional jobsites. needed.</p><p>1. Building Owner or Tenant: General Contractor: Demolition Contractor </p><p>Project Location (Address): B. Same as above </p><p>F. Documentation: Is a LEED letter needed? Yes No (If yes, indicate where LEED letter should be sent) </p><p>Recycling Recognition: Please indicate if a recycling certificate is to be issued to Recycler: Yes - Please include details of recipient: Company Name (indicate exact wording): </p><p>Contact Information to send certificate: </p><p>Recycling Logistics Form</p><p>E. Additional Sites: List each project/owner for each job that is part of this shipment. If material from several jobsites is consolidated in one truckload, an Armstrong-approved Asbestos Survey must be on file with Armstrong for each jobsite List each site separately. </p><p>2. Building Owner or Tenant: General Contractor: Demolition Contractor: </p><p>Project Location (Address): </p><p>3. Building Owner or Tenant: General Contractor: Demolition Contractor: </p><p>Project Location (Address): </p><p>4. Building Owner or Tenant: General Contractor: Demolition Contractor: </p><p>Project Location (Address): </p><p>2</p>