• Document No.

  • Audit Title (CRI-ddmmyy)

  • Client / Site

  • Conducted on

  • Prepared by

  • The information contained in this document represents the scrap material that Fort Dearborn Sparks is sending on the indicated date to be recycled. Signature by the driver indicates that the intended purpose of this shipment is destruction and recycling of the labels or materials on the trailer.


  • Enter the Gaylord info below

  • Gaylord
  • Substrate

  • Gross Weight


  • Pictures of 1 to 8

  • Pictures of 9 to 16

  • Pictures of 17 to 24

  • Pictures of 25 to 32

  • Pictures of 33 to 40

  • Pictures of 41 to 48


  • Manifest Date

  • BOL

  • Associate Name & Signature

  • Picture of BOL with signatures

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