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4500.FM-SW0011 Rev. 12/2008
. pennsylvania
~ OEP^RTMENTOFENVIRONMENTI\LPflOTtCnON ANNUAL RECYCLING REPORT Due: Feb. 1 ofthe following year
For Commercial, Municipal, Institutional Facilities To:
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF ENVIRONMENTAL PROTECTION
BUREAU OF WASTE MANAGEMENT
For the period:
January 1, 20D to December 31, 20d
How does your establishment handle recvclable materials? 0 Source-separated i! 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):
~ EetaLlishlTle1'lt 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.
IS] Establishment delivers materials to recycling facility (name): Lu~'M.~ ~ ~ rJ/ Cc~
o Other (please specify): ~ 4wl-v fYVl~' .t;, C9t.t., t{)~ f(.~,," q.. ~e~ ~ ~ 0
1. CHECK the box in front of each post-consumer* mate~al that your establishment recycled. 1C ~
2. If your establishment marketed your own recyclables, enter the weight in tons and attach a leaible weiaht ticket from
vour 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 Tvpe Weiaht Material Tvpe Weiaht
o Single Stream: [SS1] Metal Cans and Bottles:
(All recyclables, including fiber, collected together) 0 Aluminum Cans
i) Commingled: . [XXX] ;< ^ i 0 Steel & Bimetallic (Tin) Cans
(2 or more recyclables collected together, fiber separate) 0 Mixed Cans
Paper: Plastics:
q Paper: Cardboard [C01] 0 Plastic: PET
1j(]. Paper: Magazines & Catalogs [PA1] 1 V~t 0 Plastic: HOPE
o Paper: Mixed/Other Ounk mail, [PA3] 0 Plastic: PVC
paper bags, paperboard, 0 Plastic: LOPE
etc.) r:3 Y::L T. 0 Plastic: PP
r5ll 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 [GL1] 0 Food Waste
o Glass: Green [GL3] 0 Wood Waste
o Glass: Mixed [GL2] 0 Yard and Leaf Waste
o Glass: Other [GL6]
[M1]
[F02]
[MX2]
[PL1]
[PL2]
[PL3]
[PL4]
[PL5]
[PL6]
[PL8]
[PL7]
[PL9]
[FW1 ]
[WW1]
[Y01]
*Report onlv post-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.
10f2
~._.._., ____..___-c.-----
3. CHECK the box in front of each post-consumer material recycled at your establiShment.
4. 11 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).
4500_FM-SW0011 Rev.1212008
Conversion Chart
Other Materials Recycled Code Weight
(tons\
TI Drum: Fiber DR3
o Aluminum Scrap AA2
o Brass N03
o Copper N02
o FerrouS Metals F01
TI Non-Ferrous Metals N01
TI Lead N04
o Nickel N10
. [] Stainless Steel N05
o White Goods F03
o Drum: Steel DR2
DWire/Cable W01
o Mixed Metals MM1
o Glass: Plate GL5
o Drum: Plastic DR1
o Asphalt ASP
o Clothing & Textiles M03
-0 Construction &
Demolition M02
o Furniture & Furnishings M04
o Mattresses MT1
o Rubber Tires M01
o Miscellaneous/Other
Items MIS
Other, Please list below:
Household Hazardous
Waste Code
o Antifreeze
o Batteries: Lead Acid 002
o Batteries: Other B01
o Catalytic Converters B02
Radiators ' V01
'- Computer Systems CB1
....J Consumer Electronics
--' Fluorescent Tubes/CFL' CR1
o Oil Filters S FL1
o Other OL3
(paints, varnish, pesticides HHW
! 0 Used Oil ' etc.)
-
~
Antifreeze:
Battery - Lead Acid:
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:
7.2 Ibs per gallon
Car = 17.8 Ibs
Truck = 48.7 Ibs
Motorcycle = 8.7 Ibs
Car = 21 Ibs
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 = 1100lbs
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 lbs
SUBMIT REPORT
TO MUNICIPALITY
BY FEB 1st!
Y?ur accurate and timely
reportmg enables the County and
the State to determine an
accurate recycling rate and
~h~wcase the im 0
VIability of th p ~an.ce and
e recyclmg mdustry.
20'2
ANNUAL RECYCLING REPORT for CALENDAR YEAR ~OOa
County Name:
F~CL'" \C ,,""
Municipality Name:
&..,+c. yo S \O\.t,) \1\ C~, P
Contact Information
Name:
Oy
Phone Number:
~ev W. ~r,c~
-.:J ""'~ e "1). 1>1 :"'c
,.,.3ar-35Sa
Address:
5000 St..ek Au~. RO.'8or 88
Lf'MU~~ ~ " U I
.&.i-. rlf ~ 5, G C'oWM C'Qft. .,.i-
Email:
Web site
Pay as you ThrO\~ l
Drop-off Program: l
Number of Drop-off sites:
Yes No
I )(
K I ,
LLJ
Yes No
Curbside Program: D )(
Leaf waste program D (
Mandated by Ordinance: D X
1>\'0' 0 i~
Gglltitlon Frequency: , x Month
Materials Collected: P l..t'\\&. .... , .. a..
.G:J~'r jC&:~') b6-t+ws' <' lefl.v ~~". ~
^ l . L~ ~u..!.. .
.I:l.,tL_l"""-~ c'~",' ~ S (4~.
. .
1\J1\d1~~V -. tv\. ~"'L'~"s
.i~\ \(.'t ,oI.e-. 'Ie -. 'f Y. ~ III -....'f-
Who collects materials?
Ust site locations and materials:
Material:
2) Location:
city zip
1) Location: SOO'O S.wcle Av~., Le~&.~..S, f("""
~ \I 1'''.'
..,.-0 d flU. Y
I It Q. ~",,""
;~. - I
street address
Material:
~
3) Location: ~
, .'" .... 0.' I
Privat~bscription .... Municipality Contract Hauler Material:
< "b~'" · -" ,..,. L~ _U ,.A , . \t"
I~D ~ Please attach any additional information you may have.
. Wta.,4C, ~~lflI- WI " ~ ~_~J. "". Commercial,
Code Residential Dropoff Municipal,
RECYCLABLES: (Convert all volumes to TONS) Institutional
SINGLE STREAM (fibers & containers collected & processed tORether) SSI
COMMINGLED (two or more materials collected tORether, fiber separate) XXX ~i!l
PAPER:
PAPER: CARDBOARD COI
PAPER: MAGAZINES & CATALOGS PAl , "I..
PAPER: MIXED / OTHER (junk mail, paper baRS. paperboard etc.) PA3
PAPER:NEWSP~ PA2 " y""
PAPER: OFFICE PAPER (all Rrades) PA4
PAPER: PHONE BOOKS PA6
DRUM FIBER DRJ
METALS:
ALUMINUM CANS AAt
STEEL & BIMETALLIC (TIN) CANS F02
MIXED CANS MX2
ALUMINUM SCRAP AA2
BRASS N03
COPPER N02
FERROUS METALS FOt
NON FERROUS METALS NOt
LEAD 'N04
Commercial,
Code Residential DropotT Municipal,
RECYCLABLES: (Convert all volumes to TONS) Institutional
NICKEL NlO
STAINLESS STEEL NOS
WHITE GOODS:(A v!(s - Freezers & Refrigs 250 lbs ea., other appliances 150 lbs ea.) F03
DRUM STEEL DR2
WIRFlCABLE WOI
MIXED METALS MMI
GLASS:
GLASS: BROWN GIA
GLASS: CLEAR GLl
GLASS: GREEN GL3
GLASS: MIXED GL2
GLASS: OTHER GL6
GLASS: PLATE GLS
PLASTICS:
PLASTIC: PET PLl
PLASTIC: HDPE PL2
PLASTIC: PVC (POL YVINYUCHLORIDE) PL3
PLASTIC: LPDE (LOW DENSITY POLYETHYLENE) PIA
PLASTIC: PP (POL YPROPLENE) PLS
PLASTIC: PS (POLYSTYRENE) PL6
PLASTIC: FILM PL8
PLASTIC: MIXED PL7
PLASTIC: OTHER PL9
DRUM PLASTIC DRI
OTHER RECYCLABLES:
ASPHALT ASP
CLOTHINGffEXTILES M03
CONSTRUCTION & DEMOLITION M02
FURNITURE & FURNISHINGS M04
MA ITRESSES MTl
RUBBER TIRES: (Car = 21 lbs. & Truck = 70Ibs.) MOl
MISCELLANEOUS / OTHER CONSUMER ITEMS MIS
HOUSEHOLD HAZARDOUS WASTE:
ANTIFREEZE: (7.2 lbs. per gallon) 002
BATIERIES: LEAD-ACID (Car = l7.8Ib, Truck = 48.7 lb. Motorcycle = 8.7Ib) BOI
BATIERIES: OTHER HOUSEHOLD BATIERlES B02
CATALYTIC CONVERTERS, RADIATORS VOl
COMPUTER SYSTEMS CBI
CONSUMER ELECTRONICS CRI
FLUORESCENT TUBES & CFL's FLI
OIL FILTERS: (l.2Ibs. per filter) OL3
OTHER HOUSEHOLD HAZARDOUS WASTE (paints. varnishes, pesticides. etc.) HHW
USED OIL: (7.2 lbs. per Rallon) OL2
ORGANICS:
FOOD WASTE FWI
WOOD WASTE WWI
YARD & LEAF WASTE: (Leaves: I ton = 4 cu. vd,' Grass Clippinlls: I ton = 2 cu.vd) YOI