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4500.FM-SW0011 Rev. 12/2008
U pennsylvania
~ OEPARTMENTOfENVIRONMENTAlPROTt:CTlON ANNUAL RECYCLING REPORT Du~: Feb. 1 of the following year
For Commercial, Municipal, Institutional Facilities To.
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF ENVIRONMENTAL PROTECTION
BUREAU OF WASTE MANAGEMENT
For the period:
January 1, 20.Q1to December 31,20121
How does your establishment handle recvclable materials? 0 Source-separated lil Commingled 0 Single Stream
How are your recyclable materials collected?
o Collected by recycling facility or broker (name):
o Collected by private hauler (name):
o Collected by confidential document destruction company (name):
o Establishment delivers materials to drop-off facility (location):
If any of the above methods are used to collect your recyclable materials, do not include weights in the list
below. Actual weights will be retrieved from your service provider or drop-off facility.
[lEstablishment delivers materials to recycling facility (name): Washington Townshio Suoervisors
o Other (please specify):
1. CHECK the box in front of each post-consumer. material that your establishment recycled.
2. If your establishment marketed your own recyclables, enter the weight in tons and attach a leaible weiaht ticket from
your recvcler. Subtract processing residue.. before entering your weights below.
Note: If you use a commingled or single stream collection system, check the boxes beside each material in the mix.
Material TVDe Weiaht Material Tvoe Weiaht
o Single Stream: [SS1] Metal Cans and Bottles:
(All recyclables, including fiber, collected together) 0 Aluminum Cans
IX] Commingled: [XXX] n h 1 0 Steel & Bimetallic (Tin) Cans
(2 or more recyclables collected together, fiber separate) 0 Mixed Cans
Paper: Plastics:
o Paper: Cardboard [C01] 0 Plastic: PET
o Paper: Magazines & Catalogs [PA1] 0 Plastic: HOPE
o Paper: Mixed/Other Gunk mail, [PA3] 0 Plastic: PVC
paper bags, paperboard, 0 Plastic: LOPE
etc.) 0 Plastic: PP
o Paper: Newsprint [PA2] 0 Plastic: PS
o Paper: Office Paper (all grades) [PM] 0 Plastic: Film
o Paper: Phone Books [PA6] 0 Plastic: Mixed
Glass Bottles and Jars: 0 Plastic: Other
o Glass: Brown [GL4] Organics:
o Glass: Clear [GL 1] 0 Food Waste
o Glass: Green [GL3] 0 Wood Waste
o Glass: Mixed [GL2] 0 Yard and Leaf Waste
o Glass: Other [GL6]
[AA 1 ]
[F02]
[MX2]
[PL1]
[PL2]
[PL3]
[PL4]
[PL5]
[PL6]
[PL8]
[PL 7]
[PL9]
[FW1]
[WW1]
[Y01]
"'ReDort onlv Dost-consumer materials on this form. Post-consumer material: Material that has been used as a
consumer item and then diverted from municipal solid waste for the purpose of collection and recycling. The term
excludes material generated in manufacturing and converting processes such as manufacturing scrap and
trimmings/cuttings. Also, print overruns, overissue publications, and obsolete inventories that did not leave the
generating facility would be classified as pre-consumer materials and should nm be reported on this form.
""Processlng residue: Material that is collected and weighed with recyclables, but is disposed rather than recycled.
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4500.FM.SW0011 Rev. 12/2008
3. CHECK the box in front of each post-consumer material recycled at your establishment.
4. If you market the recyclables yourself, enter the weight (in tons) of material recycled. No verification is needed for
weights reported on this page (page 2).
Other Materials Recycled Code Weight
(tons)
o Orum: Fiber OR3
rn Aluminum Scrap AA2 .66
o Brass N03
o Copper N02
o Ferrous Metals F01
. [i] Non-Ferrous Metals J~ N01 .16
o Lead N04
o Nickel N10
o Stainless Steel N05
o White Goods F03
o Orum: Steel OR2
DWire/Cable W01
!XI Mixed Metals MM1 14.Qq
o Glass: Plate GL5
o Orum: Plastic OR1
o Asphalt ASP
o Clothing & Textiles M03
o Construction & M02
Demolition
o Furniture & Furnishings M04
o Mattresses MT1
Iil Rubber Tires M01 ,.04
o Miscellaneous/Other MIS
Items
Other, Please list below:
Household Hazardous Code
Waste
o Antifreeze 002
o Batteries: Lead Acid B01
o Batteries: Other B02
o Catalytic Converters, V01
Radiators
o Computer Systems CB1
o Consumer Electronics CR1
o Fluorescent Tubes/CFL's FL1
o Oil Filters OL3
o Other HHW
(paints, varnish, pesticides, etc.)
o Used Oil OL2
Conversion Chart
Antifreeze:
Battery - Lead Acid:
7.2 Ibs per gallon
Car = 17.8Ibs
Truck = 48.71bs
Motorcycle = 8.71bs
Car = 211bs
Truck = 70 Ibs
7.2 Ibs per gallon
1.2 Ibs each
1 ton = 2 yds3
1 ton = 3 yds3
2.5' X 4' x 5' bale = 1100 Ibs
Rubber Tires:
Used Oil:
Oil Filters:
Glass - Whole Bottle:
Newsprint - Loose:
Corrugated Cardboard:
Plastic Soda Bottles
Whole, Loose:
Plastic Film:
Solid & Liquid Fats:
White Goods
Freezers:
Refrigerators :
Other Appliances:
Yard Waste
Leaves:
Grass Clippings:
Wood Chips:
30 Ibs = 1 yd3
2.5' x 4' x 5' bale = 1500 Ibs
55 gallon drum = 412 Ibs
1 = 250 Ibs
1 = 250 Ibs
1 = 150 Ibs
4 yd3 = 1 ton
2 yd3 = 1 ton
1 yd3 = 500 Ibs
SUBMIT REPORT
TO MUNICIPALITY
BY FEB 1st!
Your accurate and timely
reporting enables the County and
the State to determine an
accurate recycling rate and
showcase the importance and
viability of the recycling industry.
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