Mandatory Commercial Recycling Survey 2017
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
1) Which materials do you currently recycle at your place of business?
Check ALL that apply
1a) The recyclable materials are:
1b) Amount recycled:
How many pounds in a year
Your answer
1c) The materials are transported/recycled through:
2) Which materials do you currently separate for composting:
Check ALL that apply
3) The materials are composted through:
Check ALL that apply
MM
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DD
/
YYYY
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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