Mandatory Commercial Recycling Survey 2017
* Required
Entity Name
Your answer
Owner Name
Your answer
Mailing Address
Street Address, City & Zip Code
Your answer
Contact Name
Your answer
Phone Number
Your answer
Physical Address
Street Address, City & Zip Code
Your answer
Email
Your answer
Type
*
Business
Multi-Family
1) Which materials do you currently recycle at your place of business?
Check ALL that apply
Batteries
CRV Containers (labeled "CRV" or "CA Cash Refund")
Carpet
Clothing and/or textiles
Computer/Printers/Other E-Waste
Construction Materials
Glass
Containers
Others
Ink Cartridges/Toner
Light Bulbs/Fluorescent Bulbs
Metal
Appliances
Scrap Metal
Paint
Paper Fiber
Cardboard
Mail/junk mail
Newspaper
Office Paper
Plastics
Containers
Shrink wrap/film
Tires
Used Oil/Used Oil Filters
Wood Pallets/Lumber
None
1a) The recyclable materials are:
Source separated (separated by material type)
Commingled (recyclable materials are mixed together)
1b) Amount recycled:
How many pounds in a year
Your answer
1c) The materials are transported/recycled through:
Self-haul to a recycling drop-off recycling facility
Service provider/hauler
Non-profit organization/group
2) Which materials do you currently separate for composting:
Check ALL that apply
Grass/plant trimmings
Soiled paper products
Wood waste/chipping
Food waste
None
3) The materials are composted through:
Check ALL that apply
On-site composting
Self-haul from my facility to a compost facility
Landscape/contractor
Service provider/hauler
None
*
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Statement of Compliance
*
By typing your name, you certify that you are a duly authorized representative of the above named entity for purposes of regulartory compliance reporting and that the foregoing is true and corect to the best of your knowledge.
Your answer
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