Annual Report Drop Box (Page 2 of 2) in pdf

OTHER ACTIVITIES AT THE SITE:

Recycling Collection/Material Recovery (specify materials collected) _________________________________________________

Yard Debris for Recycling

Moderate Risk Waste Handling

Waste Tire Storage

Pile

Surface Impoundment

Tank

Other ___________________________________________________________________________________________

DESTINATION OF MATERIAL (after pickup):

Name of transfer station _______________________________________________________________________________________

Name of recycling/processing facility _____________________________________________________________________________

Final disposal (name of landfill or incinerator) ______________________________________________________________________

Name of composting facility ____________________________________________________________________________________

Other __________________________________________________________________________________________________ ____

Tip fees (Attach schedule if available):

Are you open to the public?

Yes

During the reporting year, were there any changes in your management practices that would impact your operations?

Yes (specify) ___________________________________________________________________________________

Are there any new solid waste activities planned at your site for this calendar year?

Yes (specify)

_________________________________________________________________________________________________________

Planned start date: _____________________________________

DID YOU RECEIVE MATERIAL FROM:

WHERE FROM

TYPE OF MATERIAL

ESTIMATE AMOUNT

Tons or

Cubic Yards

Out of County?

Yes

Out of State?

Yes

Out of Country?

Yes

PREPARED BY:

DATE:

PHONE:

EMAIL:

If you need this publication in another format, please call the Waste 2 Resources Program at 360-407-6900.

Persons with hearing loss can call 711 for Washington Relay Service. Persons with a speech disability can call 877-833-6341.

ECY 040-170 (12/10)

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Annual Report Drop Box Page 2