2018 Prince William County Business Recycling Report

Transcription

1 2018 Prince William County Business Recycling Report Contact Information INSTRUCTIONS: Section of the Prince William County, Virginia Code requires all non-residential properties located in the county to submit an annual recycling report to the Department of Public Works by February 15, 2018 for the previous calendar year. The report should be completed by the person who is MOST KNOWLEDGABLE about trash and recycling services for the property. This information is required in order to meet the reporting requirements pursuant to Sections and of the Code of Virginia. Your cooperation is appreciated. 1) CONTACT INFORMATION First Name*: Last Name*: Title*: Name of Company or Organization*: Street Address*: Apt/Suite/Office: City*: State*: Zip*: Address*: Daytime Phone Number*:

2 Property Information 2) PRIMARY PROPERTY INFORMATION* Please indicate the primary property for which this recycling information applies. List any additional properties for which this information applies under Question #3 (Additional Properties) below. Name of Business, Organization, or Apartment Complex: Physical Address: City, State Zip Code: 3) ADDITIONAL PROPERTIES (optional - leave blank if no additional properties). List below any additional properties, stores, or locations covered by this recycling plan. For each additional property, list the store #, address, city, state, and zip. Page 2 of 7

3 4) TYPE OF BUSINESS/USE FOR THIS PROPERTY? (check all that apply)* From the list below, please select the category (or categories) that most closely describes the activity for this property. [ ] Agriculture and Forestry [ ] Apartment/Condominium [ ] Association or Non-Profit [ ] Automotive Sales or Service [ ] Barber/Salon [ ] Church or Place of Worship [ ] Construction [ ] Convenience Store [ ] Daycare [ ] Education [ ] Entertainment and Arts [ ] Financial/Insurance [ ] Food Service/Restaurant/Bar [ ] Government [ ] Health Care/Social Assistance [ ] Hospitality (hotel, motel, etc.) [ ] Landscaping/Lawn/Tree Service [ ] Manufacturing/Industrial [ ] Mixed Development (office, retail, housing, etc.) [ ] Moving & Storage [ ] Nursing Home/Assisted Living [ ] Printing [ ] Professional (CPA, engineering, legal) [ ] Quarrying/Mining [ ] Real Estate and Property Management [ ] Retail Sales (including grocery) [ ] Scientific/Technical Services [ ] Self Storage [ ] Service [ ] Service Station (gasoline, repair, etc.) [ ] Sports and Recreation (including golf) [ ] Transportation/Warehousing [ ] Trades Service (electric, HVAC, plumbing, etc.) [ ] Wholesale/Distribution [ ] Other (write in): 5) NUMBER OF EMPLOYEES? From the list below, select the response that most closely matches the number of employees actually working at this property or properties (if you listed additional locations). Note: homebased businesses do not need to file this report.* ( ) 1 ( ) 2-9 ( ) ( ) ( ) ( ) ( ) ( ) ( ) 1,000 or MORE Page 3 of 7

4 Information about how Trash is Managed 6) NAME OF TRASH COLLECTION COMPANY?* Please indicate the company that collects the trash from this property. Note: Con-Serv Industries (CSI) is now part of EnviroSolutions companies. ( ) AAA Recycling & Trash/Republic Services ( ) American Disposal Service ( ) Bates Trucking & Trash Removal ( ) Barrett Trucking ( ) Charlie & Son Trash Service ( ) Industrial Disposal Services (IDS) ( ) KMG Hauling ( ) Nova Waste ( ) Patriot Disposal ( ) EnviroSolutions (CSI, ESI, & PDS) ( ) VHI ( ) Waste Management (WM) ( ) Other (write in): ( ) Trash is Self-Hauled to (write in location): Information Regarding Recycling Service Providers 7) RECYCLING SERVICE PROVIDERS* Review the list of materials below and if your company or organization currently recycles these items (meaning you have a company that collects for recycling or you take it somewhere to be recycled), write in the name(s) of the company or companies that collect or the location where you take material to be recycled. You DO NOT have to complete each row. If a section does not apply, then leave it BLANK. If not recycling any materials, indicate reason (s) at bottom. List of Materials Single-stream recycling (bottles and cans, office paper, and cardboard mixed together) Cardboard only (compactor, bales, etc.) Office paper only Shredding/secure documents Scrap metal Plastic stretch wrap or other misc. plastic scrap Yard waste (leaves, grass, brush, etc.) Organics (bone, fat, food waste) Name and Location of Company (leave BLANK if not applicable) Page 4 of 7

5 List of Materials Cooking oil/grease (applies to food service) Clothing or textiles Pallets Electronics (computers, monitors, TV's etc.) Print cartridges (collector or program used) Fluorescent light bulbs Non-automotive batteries (single-use, rechargeable, etc.) Automotive batteries (auto, truck, etc.) Used motor oil Oil filters (crushed or uncrushed) Used anti-freeze Tires (auto, truck, etc.) OTHER (write in): NOT RECYCLING (indicate reason) Name and Location of Company (leave BLANK if not applicable) 8) ADDITIONAL COMMENTS REGARDING TRASH OR RECYCLING COLLECTION (optional) Page 5 of 7

6 9) WHY DOES YOUR COMPANY/ORGANIZATION RECYCLE? (check all that apply)* [ ] It's the Law [ ] Save Natural Resources [ ] Save Energy [ ] Save Landfill Space [ ] It's the Right Thing to Do [ ] Sell Scrap for Money [ ] N/A - Not currently recycling [ ] Other (write in): 10) GENERALLY SPEAKING, WHO IS RESPONSIBLE FOR REMOVING RECYCLING FROM THE BUILDING?* ( ) Custodian ( ) Company Employees ( ) Property Manager ( ) Tenant is Responsible for Cleaning ( ) Not applicable ( ) Other (write in): 11) HOW ARE EMPLOYEES AND/OR TENANTS INFORMED ABOUT RECYCLING PROGRAM? (check all that apply)* [ ] Posted notice or poster [ ] Written ( , memo, letter, etc.) [ ] Decal on container [ ] Informed at staff meetings [ ] During training/orientation [ ] Intranet [ ] Not applicable [ ] Other (write in): Page 6 of 7

7 12) SATISFACTION WITH TRASH & RECYCLING SERVICES? Generally speaking, how satisfied would you say you are with your current trash and recycling services? Very Satisfied Satisfied Neutral Dissatisfied Very Dissatisfied Satisfaction with TRASH collection services Satisfaction with RECYCLING collection services ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) Report Certification I certify that the information contained in this report is accurate and complete to the best of my knowledge. Signature Date Printed Name How and Where to File: Reports are due February 15, Please save a copy for your records. There are three options for filing your report: 1) to pwcrecycles@pwcgov.org; 2) Fax to , or; Reports may also be mailed to: Prince William Solid Waste Division Attn: Business Reports 5 County Complex Ct., Suite 250 Prince William, VA Thank you for your Cooperation! Page 7 of 7